The Church and the Elderly: The Impact of Changing Age Strata on Congregations

This study reports the results of a survey of forty-four Lutheran Churches in the New York metropolitan area. It describes present and projected services and programs churches offer to the elderly, specifically investigating the impact of changing age strata upon congregations. A significant relationship was found between proportion of the elderly within the congregation and the pastors' interest in developing specialized ministries to the elderly. There was also a significant relationship between the proportion of the elderly within the congregation and the pastors' interest in structural modifications of the church building. However, no significant differences were found between the proportion of elderly with the congregation and the actual programs and services to the elderly. This may be an indication that churches with high proportions of the elderly had less financial and congregational resources.

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A Study of Short Term Outcomes among Covid-19 Patients Discharged without Follow up In the New York Metropolitan Area

Edelweiss Applied Science and Technology ◽

10.33805/2576-8484.200 ◽

2021 ◽

pp. 85-92

Author(s):

Louise Molmenti Christine ◽

Mitra Neil ◽

Shah Abhinit ◽

Flynn Anne ◽

Brown Zenobia ◽

...

Keyword(s):

New York ◽

Functional Status ◽

Metropolitan Area ◽

Phone Call ◽

Post Discharge ◽

Readmission Rates ◽

York Metropolitan Area ◽

New York Metropolitan Area ◽

The Impact

Background: A shortage of beds, high case volume, decreased availability of outpatient medical doctors, and limited disease knowledge resulted in the premature discharge and poor follow up of COVID-19 patients in the New York Metropolitan Area. Objective: The primary objective of this retrospective study and phone survey was to characterize the demographics and clinical outcomes (e.g., readmission rates, comorbidities, mortality, and functional status) of COVID-19 patients discharged without follow-up. The secondary objective was to assess the impact of race and comorbidities on readmission rates and the extent to which patients were escalated to another care provider. Methods: Electronic medical records were reviewed for COVID-19 patients discharged from 3 NYMA hospitals in March 2020. Follow up data regarding medical status, ability to perform activities of daily living and functional status was also obtained from patients via phone call. The Chi-square, Fishers exact test and t-tests were used to analyze the data. Results: 349 patients were included in the analysis. The hospital readmission rate was 10.6% (58.8% for pulmonary reasons) and did not differ by race. 74.3% of readmissions were <14 days after release. The post-discharge mortality rate was 2.6%. Hypertension was the most common comorbidity (43%). There was a statistically significant association between mortality and number of comorbidities (p=<0.0001). 82% of patients were contacted by phone. 66.6% of patients returned to pre-COVID baseline function in ≥1 month. As a result of information obtained on the follow up phone call, 4.2% of patients required “escalation” to another provider. Conclusion: Discharging COVID-19 patients without prearranged follow up was associated with high readmission and mortality rates. While the majority of patients recovered, prolonged weakness, lengthy recovery, and the need for additional medical intervention was noted. Further work to assess the effectiveness COVID-19 post-discharge programs is warranted.

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Geology and Engineering Geology of the New York Metropolitan Area

10.1029/ft361 ◽

1989 ◽

Keyword(s):

New York ◽

Metropolitan Area ◽

Engineering Geology ◽

York Metropolitan Area ◽

New York Metropolitan Area

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EARTHQUAKE CYCLICITY IN THE NEW YORK METROPOLITAN AREA

10.1130/abs/2017am-306439 ◽

2017 ◽

Author(s):

Alexander E. Gates ◽

◽

Michael J. Kalczynski

Keyword(s):

New York ◽

Metropolitan Area ◽

York Metropolitan Area ◽

New York Metropolitan Area

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Rapid Emergence of SARS-CoV-2 in the Greater New York Metropolitan Area: Geolocation, Demographics, Positivity Rates, and Hospitalization for 46 793 Persons Tested by Northwell Health

Clinical Infectious Diseases ◽

10.1093/cid/ciaa922 ◽

2020 ◽

Cited By ~ 5

Author(s):

Samuel B Reichberg ◽

Partha P Mitra ◽

Aya Haghamad ◽

Girish Ramrattan ◽

James M Crawford ◽

...

Keyword(s):

New York ◽

Metropolitan Area ◽

Primary Outcome Measure ◽

Polymerase Chain Reaction Test ◽

Ambulatory Setting ◽

Cumulative Number ◽

Annual Household Income ◽

Male Predominance ◽

York Metropolitan Area ◽

New York Metropolitan Area

Abstract Background In March 2020, the greater New York metropolitan area became an epicenter for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The initial evolution of case incidence has not been well characterized. Methods Northwell Health Laboratories tested 46 793 persons for SARS-CoV-2 from 4 March through 10 April. The primary outcome measure was a positive reverse transcription–polymerase chain reaction test for SARS-CoV-2. The secondary outcomes included patient age, sex, and race, if stated; dates the specimen was obtained and the test result; clinical practice site sources; geolocation of patient residence; and hospitalization. Results From 8 March through 10 April, a total of 26 735 of 46 793 persons (57.1%) tested positive for SARS-CoV-2. Males of each race were disproportionally more affected than females above age 25, with a progressive male predominance as age increased. Of the positive persons, 7292 were hospitalized directly upon presentation; an additional 882 persons tested positive in an ambulatory setting before subsequent hospitalization, a median of 4.8 days later. Total hospitalization rate was thus 8174 persons (30.6% of positive persons). There was a broad range (>10-fold) in the cumulative number of positive cases across individual zip codes following documented first caseincidence. Test positivity was greater for persons living in zip codes with lower annual household income. Conclusions Our data reveal that SARS-CoV-2 incidence emerged rapidly and almost simultaneously across a broad demographic population in the region. These findings support the premise that SARS-CoV-2 infection was widely distributed prior to virus testing availability.

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