A Challenging Experience in Canoeing and Camping as a Tool in Approaching the Drug Problem

1974 ◽  
Vol 4 (1) ◽  
pp. 123-127 ◽  
Author(s):  
Marlene R. Ventura ◽  
Mike Dundon
Keyword(s):  
New York ◽  
Standardized Tests ◽  
Self Esteem ◽  
Outward Bound ◽  
Experimental Program ◽  
Drug Problem ◽  
Sleeper Effect ◽  
Before And After ◽  
Camping Trip ◽  
Provincial Park

Six young men and three counselors completed a 7–day canoeing and camping trip on a 100 mile course in Ontario's Algonquin Provincial Park. This experimental program conducted by YMCA of Western New York was patterned after the Outward Bound program. An attitudinal test administered to the counselees before and after the trip revealed no significant changes in self-esteem although some anecdotal notes are reported. Speculation is made that the measurement of changes in self-esteem may not lend itself to pre- and post-testing with standardized tests in the brief interval and that a “sleeper effect” may exist.

scholarly journals Interactive, Hands-On Training for Hospital Workers Increases Level of Special Pathogen Preparedness

Sci ◽  
2021 ◽  
Vol 3 (2) ◽  
pp. 29
Author(s):  
Syra Madad ◽  
Eleanor Tolf
Keyword(s):  
New York ◽  
New York City ◽  
Mixed Method ◽  
Hospital Workers ◽  
Department Of Health ◽  
Interactive Training ◽  
Hands On ◽  
Before And After ◽  
Question Survey

The purpose of this evaluation was to determine the effect of intensive, interactive training on hospital workers’ preparedness for special pathogen cases by utilizing the Frontline Facility Special Pathogens Training Course created by the Systemwide Special Pathogens Program at New York City Health + Hospitals (NYC H+H). An 8 h course was offered in 2018 and 2019 to healthcare employees throughout the Department of Health and Human Services Region 2, mostly from NYC H+H. Evaluation included multiple-choice pre and post exams, a 26-question survey about level of preparedness before and after the training, and follow-up interviews focused on changes in facility protocols. As a result, 61% of survey respondents indicated that they had never previously attended a hospital-sponsored special pathogen training. After the training, there was a 53.3% report rate of feeling “very prepared,” compared to 14.6% before the training. Additionally, there was an 11% improvement in test scores. Furthermore, 77% of respondents reported that their facility had changed protocols relating to topics of the course after their training date. Survey participants reported general satisfaction with the course, as well as an increased level of preparedness for special pathogen cases. Together, the results of the exams, survey, and interviews suggest that this interactive, mixed-method training increases special pathogen preparedness across different healthcare sectors. With the ongoing threat of special pathogens, the need for continued training and maintaining a state of readiness is paramount in healthcare.

Social Reality of the Drug Problem: New York's Lower East Side

1971 ◽  
Vol 30 (4) ◽  
pp. 381-391
Author(s):  
Clayton Hartjen ◽  
Richard Quinney
Keyword(s):  
New York ◽  
Drug Addiction ◽  
Social Service ◽  
Community Control ◽  
Lower East Side ◽  
East Side ◽  
Drug Problem ◽  
Social Service Agencies ◽  
Reality Construction ◽  
Service Agencies

The scope and nature of social problems are frequently a creation of the various organizations and agencies established to deal with some aspect of community concern. The "educational" and other activities of these groups can be seen as attempts at reality construction. Regarding these efforts, this study examined the kind and effectiveness of drug addiction programs sponsored by social service agencies in New York City's Lower East Side and found them to be wanting. The absence of drug programs and the inability of these agencies to effectively carry out projects of this (and any other) kind appears to be a consequence of the funding structure and the existence of conflict between agencies. It is argued, however, that these agencies can serve as a principal base from which community control over and ultimately any just solution to the drug problem may be initiated.

scholarly journals The impact of the 2006 Massachusetts health care reform law on spine surgery patient payer-mix status and age

2017 ◽  
Vol 27 (6) ◽  
pp. 694-699 ◽  
Author(s):  
Nicolas W. Villelli ◽  
Hong Yan ◽  
Jian Zou ◽  
Nicholas M. Barbaro
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Reform ◽  
Health Care System ◽  
Spine Surgery ◽  
Private Insurance ◽  
New York State ◽  
Before And After ◽  
The Impact ◽  
Care System

OBJECTIVESeveral similarities exist between the Massachusetts health care reform law of 2006 and the Affordable Care Act (ACA). The authors’ prior neurosurgical research showed a decrease in uninsured surgeries without a significant change in surgical volume after the Massachusetts reform. An analysis of the payer-mix status and the age of spine surgery patients, before and after the policy, should provide insight into the future impact of the ACA on spine surgery in the US.METHODSUsing the Massachusetts State Inpatient Database and spine ICD-9-CM procedure codes, the authors obtained demographic information on patients undergoing spine surgery between 2001 and 2012. Payer-mix status was assigned as Medicare, Medicaid, private insurance, uninsured, or other, which included government-funded programs and workers’ compensation. A comparison of the payer-mix status and patient age, both before and after the policy, was performed. The New York State data were used as a control.RESULTSThe authors analyzed 81,821 spine surgeries performed in Massachusetts and 248,757 in New York. After 2008, there was a decrease in uninsured and private insurance spine surgeries, with a subsequent increase in the Medicare and “other” categories for Massachusetts. Medicaid case numbers did not change. This correlated to an increase in surgeries performed in the age group of patients 65–84 years old, with a decrease in surgeries for those 18–44 years old. New York showed an increase in all insurance categories and all adult age groups.CONCLUSIONSAfter the Massachusetts reform, spine surgery decreased in private insurance and uninsured categories, with the majority of these surgeries transitioning to Medicare. Moreover, individuals who were younger than 65 years did not show an increase in spine surgeries, despite having greater access to health insurance. In a health care system that requires insurance, the decrease in private insurance is primarily due to an increasing elderly population. The Massachusetts model continues to show that this type of policy is not causing extreme shifts in the payer mix, and suggests that spine surgery will continue to thrive in the current US health care system.

Effect of Alzheimer’s Training on Multicultural Personal Care Aides

2008 ◽  
Vol 9 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Robin C. Fenley ◽  
Sarah J. Bober ◽  
Mebane E. Powell ◽  
Jacquelin Berman ◽  
Barbara N. Altman
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
New York ◽  
New York City ◽  
York City ◽  
The United States ◽  
Personal Care ◽  
Entry Level ◽  
Before And After ◽  
Item Knowledge

This article reports on the first 2 years of an ongoing project that examined the efficacy of a 10-hour dementia training provided to entry-level personal care aide (PCA) trainees from the Hispanic, White, African American, and Asian communities in New York City. Participants were enrolled in a 90-hour PCA training program offered by the New York City Department for the Aging and were either recipients of public assistance, displaced employees from September 11, or recent immigrants to the United States from China. Classes were conducted in Spanish, English, and Mandarin/Cantonese. An 11-item Knowledge of Alzheimer’s Disease instrument was developed for the purposes of this project and administered before and after the dementia training and at 3 months following graduation. All groups, regardless of language, showed a significant increase in knowledge of Alzheimer’s disease at the conclusion of the training and retention of this knowledge at 3 months follow-up. Age was strongly correlated with an increase in knowledge, while gender and education were not.

“Mother’s Health and Well-Being Matters: Is a Mediated Social Cohesion Public Health Intervention Feasible?”

2021 ◽  
pp. 089011712110553
Author(s):  
Cheryl Jones ◽  
Marley Gibbons ◽  
Kate Magsamen-Conrad ◽  
Kathleen T. Ulanday ◽  
Jessica Watterson ◽  
...  
Keyword(s):  
New York ◽  
Low Socioeconomic Status ◽  
Public Health Intervention ◽  
Well Being ◽  
Careful Consideration ◽  
Before And After ◽  
Washington Heights ◽  
Additional Support ◽  
Risk Of Cancer ◽  
The Impact

Purpose To test the feasibility of introducing ‘Free Time for Wellness’ (FT4W) an intervention to increase healthy behaviours and reduce the risk of cancer. Design Feasibility study; Setting: Washington Heights, New York, USA is a low socioeconomic status area. Subjects Mothers aged 18 and above with children under 12 years of age and living in Washington Heights were recruited. Intervention FT4W, a community-based intervention delivered through a neighbourhood-based app, offering weekly dance and yoga classes, food pantry visits and group playdates. Childcare professionals cared for participants' children during wellness activities. Measures A bespoke before and after survey was designed and tested for its ability to collect relevant data to assess the impact of FT4W. Outcomes included recruitment rates, participation, attrition, acceptability, and success of the community champion. Analysis Comparisons of proportions and means Results Twenty-one mothers participated in the study of which 90% attended ≥ 1 FT4W activity; 65% ≥ 2; 52% ≥ 3. The survey was completed by a 100% of participants indicating it was easy to understand and not too burdensome. All measures detected change in constructs from baseline to follow-up. Availability of childcare was the most commonly (66%) reported reason participants were able to engage in the offered wellness activities. Conclusion Conducting a larger-scale trial to assess the impact of FT4W is feasible considering 4 major lessons. (1) Recruitment, retention, and acceptability rates were high; however, moms need additional support to increase participation in wellness activities and improve tech literacy. (2) Research measures were sensitive enough to detect change, but the timing of assessments needs to be considered. (3) Participants greatly valued access to professional childcare. (4) The Community Champion is a necessary, but difficult role to fill that requires careful consideration by the Institutional Review Board (IRB).

The Economic Effects on Acute Care Surgery in a New York City Public Hospital During the COVID Pandemic

2022 ◽  
pp. 000313482110697
Author(s):  
Zhobin Moghadamyeghaneh ◽  
Adedolapo Ojo ◽  
Murwarid Rahimi ◽  
Anthony Paul Kopatsis ◽  
Katherine Kopatsis ◽  
...  
Keyword(s):  
New York ◽  
Acute Care ◽  
Public Hospital ◽  
Economic Effects ◽  
Acute Care Surgery ◽  
Chi Square ◽  
Time Period ◽  
Before And After ◽  
Care Surgery ◽  
Hospital Center

Background Since the start of the COVID-19 pandemic, less acute care surgical procedures have been performed and consequently hospitals have experienced significant revenue loss. We aim to investigate these procedures performed before and after the start of the COVID-19 pandemic, as well as their effect on the economy. Methods This is a retrospective analysis of patients who underwent cholecystectomies and appendectomies during March–May 2019 compared to the same time period in 2020 using Chi-square and t-tests. Results There were 345 patients who presented with appendicitis or cholecystitis to Elmhurst Hospital Center during the March–May 2019 and 2020 time period. There were three times as many total operations, or about 75%, in 2019 (261) compared to 2020 (84). There was a decrease in the number of admissions from 2019 to 2020 for both acute cholecystitis (149 vs 43, respectively) and acute appendicitis (112 vs 41, respectively). The largest decrease in the number of admissions in 2020 compared to 2019 was observed in April 2020 (98 vs 9, P < .01) followed by May [69 vs 20, P < .01], and March [94 vs 55, P < .01]. Corresponding to the decrease in operative patterns was a noticeable six-time reduction in revenue for the procedures in 2019 ($187,283) compared to 2020 ($30,415). Conclusion We observed almost a triple reduction in the number of cholecystitis and appendicitis procedures performed during the 2020 pandemic surge as compared to the 2019 pre-pandemic data. Elmhurst hospital also experienced four times the loss of revenue during the same time period.

scholarly journals Effects of Anti-Graffiti Protection on Concrete Durability

2014 ◽  
Vol 634 ◽  
pp. 517-526 ◽  
Author(s):  
Elsa Neto ◽  
Ana Souto ◽  
Aires Camões ◽  
Arlindo Begonha ◽  
Paulo Cachim
Keyword(s):  
Water Absorption ◽  
Atmospheric Pressure ◽  
Surface Characteristics ◽  
Concrete Surface ◽  
Experimental Program ◽  
Concrete Durability ◽  
Protection Systems ◽  
Before And After ◽  
Paint Removal ◽  
Durability Of Concrete

The heritage of fair-faced concrete, largely built in the twentieth century and nowadays recognized as heritage to be protected, is susceptible to attacks by graffiti, a form of vandalism that causes a major social and economic impact on society. Concrete is a porous material sometimes deteriorated over the years, and the interactions between the inks and the substrate and removal methods sometimes deteriorate or alter the concrete surface, especially if it is necessary to repeat the removal process. The anti-graffiti products are applied on the surface of the concrete, hindering the adhesion of paints or preventing its penetration into the pores of concrete, which in turn facilitates their removal. However, it appears that many of the existing protective products on the market may also alter the surface characteristics of the concrete irreversibly. Considering that the durability of concrete depends on the composition and characteristics of the surface, it is essential to know the effects of anti-graffiti protection systems on the durability of concrete and adopt the appropriate methodology to preserve this heritage. Thus, an experimental program was developed for analyzing changes in durability indicators and surface properties that protect concrete from deterioration (i) concrete without protection before and after application of spray paint, (ii) concrete with protection before and after application of spray paint and (iii) after paint removal were studied. Two anti-graffiti products were evaluated: a permanent and a sacrificial one. Effects of the anti-graffiti systems on the concrete durability are investigated and the tests performed include: water absorption by capillary and immersion at atmospheric pressure. The results of the water absorption tests show that the graffiti protection reduces the water absorption into the concrete and facilitates the removal of the graffiti without affecting negatively the characteristics of the surface and thus contributing to improve its durability.

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