scholarly journals Using Dental Health Care Personnel During a Crisis

2021 ◽  
Vol 136 (2) ◽  
pp. 143-147
Author(s):  
Victor Badner ◽  
Mana Saraghi

The first few months of the coronavirus disease 2019 (COVID-19) pandemic challenged health care facilities worldwide in many ways. Inpatient and intensive care unit (ICU) beds were at a premium, and personnel shortages occurred during the initial peak of the pandemic. New York State was the hardest hit of all US states, with a high concentration of cases in New York City and, in particular, Bronx County. The governor of New York and leadership of hospitals in New York City called upon all available personnel to provide support and patient care during this health care crisis. This case study highlights the efforts of Jacobi Medical Center, located in the northeast Bronx, from March 1 through May 31, 2020, and its use of nontraditional health care personnel, including Department of Dentistry/OMFS (Oral and Maxillofacial Surgery) staff members, to provide a wide range of health care services. Dental staff members including ancillary personnel, residents, and attendings were redeployed and functioned throughout the facility. Dental anesthesiology residents provided medical services in support of their colleagues in a step-down COVID-19–dedicated ICU, providing intubation, ventilator management, and critical and palliative care. (Step-down units provide an intermediate level of care between ICUs and the general medical–surgical wards.) Clear communication of an acute need, a well-articulated mission, creative use of personnel, and dedicated staff members were evident during this challenging time. Although not routinely called upon to provide support in the medical and surgical inpatient areas, dental staff members may provide additional health care personnel during times of need.

JAMA ◽  
2020 ◽  
Vol 324 (9) ◽  
pp. 893 ◽  
Author(s):  
Joseph Moscola ◽  
Grace Sembajwe ◽  
Mark Jarrett ◽  
Bruce Farber ◽  
Tylis Chang ◽  
...  

2019 ◽  
Vol 68 (36) ◽  
pp. 791-792
Author(s):  
Karen A. Alroy ◽  
Neil M. Vora ◽  
Robert J. Arciuolo ◽  
Mekete Asfaw ◽  
Beth M. Isaac ◽  
...  

Cancer ◽  
2021 ◽  
Author(s):  
Chen Fu ◽  
James H. Stoeckle ◽  
Lena Masri ◽  
Abhishek Pandey ◽  
Meng Cao ◽  
...  

2018 ◽  
Vol 53 (5) ◽  
pp. 3437-3454 ◽  
Author(s):  
Sungwoo Lim ◽  
Tejinder P. Singh ◽  
Gerod Hall ◽  
Sarah Walters ◽  
L. Hannah Gould

PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. A38-A38
Author(s):  
J. F. L.

The Health Security Bill spells out the troubling answer. A National Health Board—seven people appointed by the president—will decide how much the nation can spend on health care each year. Based on that budget, the board puts price caps on premiums to limit the money paid into the health care system (pages 252, 974-977). If medical needs exceed that budget and premium money runs low, the bill requires state governments and insurers to make "automatic, mandatory, nondiscretionary reductions in payments" to doctors, nurses and hospitals are slashed, as the bill requires? New York City hospitals, which operate with only four days' cash on hand, would experience life-threatening shortages: nurses working without pay, medications withheld because of cost.


mSystems ◽  
2020 ◽  
Vol 5 (3) ◽  
Author(s):  
K. Gulino ◽  
J. Rahman ◽  
M. Badri ◽  
J. Morton ◽  
R. Bonneau ◽  
...  

ABSTRACT Bacteriophages are abundant members of all microbiomes studied to date, influencing microbial communities through interactions with their bacterial hosts. Despite their functional importance and ubiquity, phages have been underexplored in urban environments compared to their bacterial counterparts. We profiled the viral communities in New York City (NYC) wastewater using metagenomic data collected in November 2014 from 14 wastewater treatment plants. We show that phages accounted for the largest viral component of the sewage samples and that specific virus communities were associated with local environmental conditions within boroughs. The vast majority of the virus sequences had no homology matches in public databases, forming an average of 1,700 unique virus clusters (putative genera). These new clusters contribute to elucidating the overwhelming proportion of data that frequently goes unidentified in viral metagenomic studies. We assigned potential hosts to these phages, which appear to infect a wide range of bacterial genera, often outside their presumed host. We determined that infection networks form a modular-nested pattern, indicating that phages include a range of host specificities, from generalists to specialists, with most interactions organized into distinct groups. We identified genes in viral contigs involved in carbon and sulfur cycling, suggesting functional importance of viruses in circulating pathways and gene functions in the wastewater environment. In addition, we identified virophage genes as well as a nearly complete novel virophage genome. These findings provide an understanding of phage abundance and diversity in NYC wastewater, previously uncharacterized, and further examine geographic patterns of phage-host association in urban environments. IMPORTANCE Wastewater is a rich source of microbial life and contains bacteria, viruses, and other microbes found in human waste as well as environmental runoff sources. As part of an effort to characterize the New York City wastewater metagenome, we profiled the viral community of sewage samples across all five boroughs of NYC and found that local sampling sites have unique sets of viruses. We focused on bacteriophages, or viruses of bacteria, to understand how they may influence the microbial ecology of this system. We identified several new clusters of phages and successfully associated them with bacterial hosts, providing insight into virus-host interactions in urban wastewater. This study provides a first look into the viral communities present across the wastewater system in NYC and points to their functional importance in this environment.


2006 ◽  
Vol 76 (3) ◽  
pp. 401-416 ◽  
Author(s):  
JACQUELINE ANCESS ◽  
DAVID ALLEN

In this article, Jacqueline Ancess and David Allen use New York City as a case study to examine the promises and the perils of the small high school reform movement that is sweeping the nation. They analyze the varying extent to which New York City's small high schools have implemented curricular themes in order to promote academic quality and equity. After identifying a wide range in the level of theme implementation in the city's small schools, Ancess and Allen suggest that small theme high schools have the potential to boost student engagement and achievement. However, the authors also express concern about the manner in which curricular themes may serve as socioeconomic, academic, or racial codes that threaten to merely repackage old patterns of school stratification and segregation.


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