Right to Refuse Treatment: The Knowledge Gap

1979 ◽  
Vol 7 (4) ◽  
pp. 457-461
Author(s):  
Ronald E. Johnson ◽  
Henry C. Weinstein

The authors conducted a survey of psychiatric residents in New York City to determine their familiarity with a New York State regulation dealing with a patient's right to refuse treatment which had been promulgated 2 years previously. Twenty percent of those responding did not know the regulation existed and 75 percent had never seen a copy of it. Sixty-one percent did not know of an important appeal procedure whereby a patient could implement the right. The implications for future residency training and additional studies are discussed.

1976 ◽  
Vol 4 (4) ◽  
pp. 515-533 ◽  
Author(s):  
Marvin A. Stone

A comprehensive review of the psychiatric patient's right to refuse treatment is presented and compared to a right to treatment. Involuntary psychiatric patients are still denied an adequate right to refuse treatment based largely on their involuntary status. An argument is presented which explores the lack of a rational basis for this denial based on the involuntary v. voluntary status classification as used in the New York State Mental Hygiene Law and the New York State Department of Mental Hygiene's regulations. This would be in violation of the equal protection and due process clauses of the 14th amendment. A more strict view of the right to refuse treatment which could only be denied by a judicial decree of incompetency would promote a better therapeutic alliance that will be in the patient's interest.


Author(s):  
Christopher T Leffler ◽  
Matthew C Hogan

Background. Populations heavily exposed to the novel coronavirus provide an opportunity to estimate the mortality from COVID-19 in different age groups. Methods. The mortality reported by May 13 from COVID-19 among Diamond Princess cruise ship passengers, and New York residents and Metropolitan Transit Authority (MTA) workers was estimated based on publicly available information. Results. The mortality among children (age 0 to 17 yrs) in New York City was 1 in 172,692. The mortality in New York state was 1 in 322,217 for ages 10-19 yrs., and 1 in 36,725 for ages 20-29 yrs. The mortality among New York transit workers was estimated to be 1 in 7,329 for ages 30-39 years; 1 in 1,075 for ages 40-49 yrs.; 1 in 343 for ages 50-59 yrs.; and 1 in 178 for ages 60-69 yrs. Among Diamond Princess passengers, the mortality was estimated to be 1 in 145 for ages 70-79, and 1 in 54 for ages 80-89. Conclusions: Mortality among populations exposed to the novel coronavirus increases with age, ranging from about 1 in 170,000 below the age of 18 years, to 1 in 54 above the age of 80 years.


2021 ◽  
Author(s):  
Erica Lasek-Nesselquist ◽  
Navjot Singh ◽  
Alexis Russell ◽  
Daryl Lamson ◽  
John Kelly ◽  
...  

AbstractNew York State, in particular the New York City metropolitan area, was the early epicenter of the SARS-CoV-2 pandemic in the United States. Similar to initial pandemic dynamics in many metropolitan areas, multiple introductions from various locations appear to have contributed to the swell of positive cases. However, representation and analysis of samples from New York regions outside the greater New York City area were lacking, as were SARS-CoV-2 genomes from the earliest cases associated with the Westchester County outbreak, which represents the first outbreak recorded in New York State. The Wadsworth Center, the public health laboratory of New York State, sought to characterize the transmission dynamics of SARS-CoV-2 across the entire state of New York from March to September with the addition of over 600 genomes from under-sampled and previously unsampled New York counties and to more fully understand the breadth of the initial outbreak in Westchester County. Additional sequencing confirmed the dominance of B.1 and descendant lineages (collectively referred to as B.1.X) in New York State. Community structure, phylogenetic, and phylogeographic analyses suggested that the Westchester outbreak was associated with continued transmission of the virus throughout the state, even after travel restrictions and the on-pause measures of March, contributing to a substantial proportion of the B.1 transmission clusters as of September 30th, 2020.


2021 ◽  
Vol 12 (2) ◽  
pp. 1
Author(s):  
Tatyiana Gordon

The New York State Department of Environmental Conservation (DEC) and the New York City Office of Environmental Remediation (OER) manage and coordinate brownfield cleanup programs. These are intended to promote environmental restoration and redevelopment of underutilized or abandoned properties that have been affected by the presence or discharges of oil or hazardous substances. This paper seeks to determine whether these programs have achieved the goals and objectives sought by decision makers and if the cost of those achievements in terms of public money subsidies and forgone tax revenue have been commensurate with the realized benefits.The DEC brownfield program offers financial incentives, such as tax credits, as well as regulatory benefits (limited liability protections) to promote alternatives to greenfield development. OER efforts are New York City centric with incentives divided into three sectors: procedural, legal, and financial with a major goal of reducing remedial (cleanup) timeframes. To evaluate the effectiveness of the New York City Brownfield program changes in property values over time were evaluated. The five New York City counties experiencing the two highest percent increases in property values also claimed the highest brownfield credits. Queens and Brooklyn received most brownfield credits during this period but also experienced the most redevelopment. These and other data illustrate a return on the brownfield investment (ROBI) credit of about one to six; or one dollar in brownfield credit stimulating six dollars in project spending. New York City counties’ ROBI is consistent with all other New York State County ROBI’s: roughly six dollars in redevelopment activity being stimulated by one dollar in brownfield credit. The roughly $6 ROBI presented here is similar to ROI’s for other public services such as disease prevention and incarceration intervention.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (2) ◽  
pp. 285-285
Author(s):  
ZELIG FRIEDMAN ◽  
LILIANA TRIVELLI

New York State Regulations require that "any written or oral instruction relating to condoms must fully and clearly disclose the various risks and consequences of condom failure." The New York City HIV/AIDS Advisory Council to the Board of Education, of which we are members, must see that the educational material complies with this regulation. This means that students learn a lot more than "condoms are not 100% safe." Ninth graders and up learn over 20 precautions to take, including the 13 steps involved in proper condom use.


2012 ◽  
Vol 30 (4) ◽  
pp. 1053-1098 ◽  
Author(s):  
Anne Fleming

When asked why he did not read over the loan documents before signing them, John Doherty explained: “I was anxious to get the money, I didn't bother about it.” In February 1910, the twenty-three-year-old railroad clerk walked into the offices of the Chesterkirk Company, a loan-sharking operation with offices in lower Manhattan. He was looking to borrow some money. Repayment was guaranteed by the only security Doherty had to offer: his prospective wages and, in his words, his “reputation.” After a brief investigation of Doherty's creditworthiness, the loan was approved. The office manager placed a cross in lead pencil at the bottom of a lengthy form and Doherty signed where indicated. He received $34.85 in exchange for his promise to repay the loan principal plus $10.15 in combined fees and interest in three months. The interest charged was significantly greater than the 6 percent per year allowed in New York State. Doherty's effective annualized interest rate, including fees, was over 100 percent.


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