scholarly journals The Hardest Weeks of My Life: A Qualitative Study of Experiences, Practice Changes, and Emotional Burden of New York City Oncology Physicians During the COVID-19 Surge in 2020

2021 ◽  
Author(s):  
Kathleen A. Lynch ◽  
Angela Green ◽  
Leonard Saltz ◽  
Andrew S. Epstein ◽  
Danielle R. Romano ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Well Being ◽  
Cancer Center ◽  
Care Needs ◽  
Goals Of Care ◽  
Medical Oncologists ◽  
Practitioner Training ◽  
Oncology Care

PURPOSE: The COVID-19 pandemic surge in New York City in Spring 2020 resulted in an unprecedented constraint on health care resources. This study aimed to explore the experiences of doctors providing care to oncology patients during this time. METHODS: Hospitalists and medical oncologists from two large inpatient services at a dedicated cancer center participated in virtual in-depth interviews exploring how the pandemic affected their practice and to what extent it may have affected decisions for urgent evaluation or hospital admission, interventions, or goals-of-care discussions. Interviews also explored how the pandemic affected each individual physician's psychologic well-being. Transcripts were analyzed by three independent coders in Atlas.ti v. 7.5, using a thematic analysis approach. RESULTS: Eighteen physicians were interviewed (n = 6 GI medical oncologists, n = 6 gynecologic medical oncologists, and n = 6 hospitalists). Analysis identified five major themes related to fear and distress: (1) perceived patient fears of the hospital during COVID-19, leading to avoidance and delay of acute care needs before admission, (2) physicians' fear and distress delivering oncology care during COVID-19, (3) physician distress resulting from ambiguity in decision making, (4) distress and anxiety balancing the need for patient contact with the need to minimize infection risk, and (5) distress regarding impact of uncertainty and acuity of COVID-19 on goals-of-care discussions. CONCLUSION: Insight into the experiences of physicians providing cancer care during a COVID-19 surge underscores the need for strategies mitigate short-term distress and long-term psychologic impacts. Findings can also inform practitioner training and preparedness for future pandemics in the oncology setting.

Abstract 718: The Impact of COVID-19 on breast oncology care practices during the pandemic in New York City: A single center retrospective study

2021 ◽  
Author(s):  
Danielle Seidman ◽  
Brittney S. Zimmerman ◽  
Lauren Margetich ◽  
Serena Tharakan ◽  
Natalie Berger ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Retrospective Study ◽  
York City ◽  
Single Center ◽  
Oncology Care ◽  
Care Practices ◽  
The Impact

scholarly journals Gynecologic oncology care during the COVID-19 pandemic at three affiliated New York City hospitals

2020 ◽  
Vol 159 (2) ◽  
pp. 470-475 ◽  
Author(s):  
Melissa K. Frey ◽  
Rana K. Fowlkes ◽  
Nora M. Badiner ◽  
David Fishman ◽  
Margaux Kanis ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Gynecologic Oncology ◽  
Oncology Care

Stressors, Legal Vulnerability and Bangladeshi Parent and Child Well-Being in New York City

2021 ◽  
Vol 32 (2) ◽  
pp. 799-818
Author(s):  
R. Gabriela Barajas-Gonzalez ◽  
Keng-Yen Huang ◽  
Sharmin Hoque ◽  
Farzana Karim ◽  
Abushale Shakir ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Well Being

Geopolitics, Economic Niches, and Gendered Social Capital among Recent Caribbean Immigrants in New York City

1997 ◽  
Vol 40 (3) ◽  
pp. 339-363 ◽  
Author(s):  
Sherri Grasmuck ◽  
Ramón Grosfoguel
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Puerto Ricans ◽  
Well Being ◽  
Economic Consequences ◽  
Common Assumption ◽  
And Gender ◽  
Female Headed Households ◽  
Gender Strategies

This article examines the different socio-economic consequences of migration for Puerto Ricans, Dominicans, Cubans, Jamaicans and Haitians in the context of New York City. Migration outcomes are structured by a range of influences, including geopolitics, class selectivity, de-industrialization, ethnic niches and the timing of settlement. Emphasis is placed on the importance of variations in the household structures and gender strategies of these groups for understanding their different socioeconomic situations in the 1990s. Differences in the labor force participation patterns of the women in these communities and the employment traditions upon which they draw have significant consequences for the well-being of the five groups. These cases also question the common assumption that high rates of female headed-households inevitably lead to high rates of poverty, a pattern found among Dominicans and Puerto Ricans but not among Jamaicans and Haitians.

scholarly journals Impact of occupational exposure to COVID-19 on the physical and mental health of an essential workgroup: New York City transit workers

2021 ◽  
Vol 19 (9) ◽  
pp. 133-146
Author(s):  
Robyn R. Gershon, MHS, DrPH ◽  
Alexis A. Merdjanoff, PhD ◽  
Gabriella Y. Meltzer, BA ◽  
Rachael Piltch-Loeb, MSPH, PhD ◽  
Jonathan Rosen, MS, CIH, FAIHA ◽  
...  
Keyword(s):  
Mental Health ◽  
New York ◽  
New York City ◽  
York City ◽  
Well Being ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Hand Sanitizer ◽  
Health And Well Being ◽  
Disposable Gloves

Background and purpose: Early on in the COVID-19 pandemic, New York City (NYC) vowed to “keep the subways running” despite the lack of plans in place for protecting the health and well-being of transit workers. This study was designed to assess the impact of employment during the early phase of the pandemic on this essential frontline workforce. Methods, settings, and study participants: A convenience sample of members (stratified by job title) of the NYC Transport Workers Union, Local 100, was recruited in August 2020 to participate in an anonymous, cross-sectional, internet-based survey. Results: The demographics of the sample participants (N = 645) reflected union membership, ie, 82 percent male, 29 percent Black; 27 percent Hispanic, and 59 percent ≥age 50 years. At the time of the “NYC Pause” (March 22, 2020) when mandatory stay-at-home orders were issued, transit workers had limited worksite protections. Many reported a lack of such basics as face masks (43 percent), hand sanitizer (40 percent), and disposable gloves (34 percent). A high proportion (87 percent) were concerned about getting infected at work. Lack of certain protections was significantly associated with both fear of contagion at work and mental health symptoms. Nearly 24 per­cent of participants reported a history of COVID-19 infection. Self-reported infection was significantly correlated with lack of certain protections, including respiratory masks (p 0.001), disposable gloves (p 0.001), and hand sanitizer (p 0.001). Infection was also significantly associated with mental health symptoms (p 0.001). By August 2020, despite participants reporting that many worksite protections were then in place, 72 percent of workers were still fearful for their safety at work, eg, because of potential exposure due to passengers not wearing masks, and risk of verbal abuse and physical assault by passengers angered when asked to wear face masks. Workers who were fearful for their safety at work were more than six times more likely to report mental health symptoms (p 0.001). Conclusions: Lack of worksite protections before “NYC Pause” (March 22, 2020) was significantly associated with self-reported infection, fear, and mental health symptoms in TWU, Local 100 members. To reduce the risk of adverse impacts associated with bioevents in all essential work groups, and across all essential occupational settings, infection control preparedness, early recognition of risk, and implementation of tailored risk reduction strategies are imperative. Pandemic preparedness is fundamental to protecting the health and well-being of essential workers and crucial in controlling the spread of disease in the community. Bioevent preparedness for all essential frontline workgroups will also help reduce occupational health inequities. Workers at risk, regardless of setting, deserve and have the right to equal protections under federal and state law.

scholarly journals Twitter sentiment in New York City parks as measure of well-being

2019 ◽  
Vol 189 ◽  
pp. 235-246 ◽  
Author(s):  
Richard A. Plunz ◽  
Yijia Zhou ◽  
Maria Isabel Carrasco Vintimilla ◽  
Kathleen Mckeown ◽  
Tao Yu ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Well Being ◽  
City Parks
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