Factors Affecting the Distribution of Physician Assistants in New York State: Policy Implications

1985 ◽  
Vol 6 (2) ◽  
pp. 236
Author(s):  
Alan M. Leiken
Keyword(s):  
New York ◽  
State Policy ◽  
New York State ◽  
Physician Assistants ◽  
Policy Implications ◽  
Factors Affecting ◽  
York State

scholarly journals Availability and Utilization of Automated External Defibrillators in New York State Schools

2021 ◽  
Vol 9 ◽  
Author(s):  
Milla Arabadjian ◽  
Stephanie Serrato ◽  
Mark V. Sherrid
Keyword(s):  
New York ◽  
Demographic Data ◽  
New York State ◽  
Policy Implications ◽  
Cross Sectional ◽  
Term Survival ◽  
Long Term Survival ◽  
Automated External Defibrillators ◽  
York State

Background: Use of automated external defibrillators (AEDs) in out-of-hospital cardiac arrests (OHCAs) improve survival. Professional health organizations recommend that AEDs be available in crowded places, including schools but currently only 18 US states require them. Sudden cardiac arrest (SCA) research in the school-age population has largely focused on school sub-groups, leaving out the majority of US students and adults working in schools. New York State (NYS) has one of the largest student populations in the US. Our objective was to gain epidemiologic data on SCA across a variety of school levels and examine the availability and utilization of AEDs in a state that requires them.Methods: This was an observational, cross-sectional study utilizing an electronic survey. We included NYS school nurses and collected electronic surveys in January-March, 2018. We analyzed demographic data of school characteristics, SCA occurrences and AED use and availability.Results: Of 876 respondents (36.1% response rate), 71 (8.2%) reported SCAs, with 41 occurring in adults. AEDs were deployed in 59 of 71 (84.3%) events, 40 individuals had long-term survival. Most SCAs occurred in middle-schools. School size or number of AEDs/school had no bearing on short-term or long-term survival. AEDs were widely available in private schools, though this was not required by state law.Conclusions: Our data suggest a need for more comprehensive examination of SCA in US schools. Research comparing the availability and utilization of school AEDs between states that do and do not require them is needed and may have important clinical and policy implications for SCA emergency preparedness in US schools.

Public Reactions to the New York State Policy on Flavored E-Cigarettes on Twitter: Observational Study (Preprint)

2020 ◽  
Author(s):  
Li Sun ◽  
Xinyi Lu ◽  
Zidian Xie ◽  
Dongmei Li
Keyword(s):  
New York ◽  
Sentiment Analysis ◽  
State Policy ◽  
Topic Modeling ◽  
Electronic Cigarettes ◽  
Public Attitudes ◽  
New York State ◽  
York State ◽  
Before And After ◽  
Twitter Users

BACKGROUND Flavored electronic cigarettes (e-cigarettes) have become popular in recent years, especially among youth and young adults. To address the epidemic of e-cigarettes, New York State approved a ban on sales of most flavored vaping products other than tobacco and menthol flavors on September 17, 2019. OBJECTIVE This study aimed to examine the public responses on social media to the policy on flavored e-cigarettes in New York State. METHODS Twitter posts (tweets) related to e-cigarettes and the New York State policy on flavored e-cigarettes were collected using Twitter streaming API from June 2019 to December 2019. Tweets from New York State, and other states that did not have a flavored e-cigarettes policy were extracted. Sentiment analysis was applied to analyze the proportion of negative and positive tweets about e-cigarettes or the flavor policy. Topic modeling was applied to e-cigarettes related datasets to identify the most frequent topics before and after the announcement of the New York State policy on flavored e-cigarettes. RESULTS Our results showed that average number of tweets related to e-cigarettes and the New York State policy on flavored e-cigarettes increased in both New York State and other states after the NY flavor policy was announced. Sentiment analysis revealed that after the announcement of the New York State flavor policy, in both New York State and other states, the proportion of negative tweets on e-cigarettes increased, from 34.07% to 44.58% and from 32.48% to 44.40% respectively, while positive tweets decreased significantly, from 39.03% to 32.86% and from 42.78% to 33.93% respectively. The majority of tweets about the New York State flavor policy were negative in both New York State (from 88.78% to 83.46%) and other states (from 78.43% to 81.54%) while New York State had a higher proportion of negative tweets than other states. Topic modeling results demonstrated that teenage vaping and health problems were the most discussed topic associated with e-cigarettes. CONCLUSIONS Public attitudes toward e-cigarettes became more negative on Twitter after the New York State announced the policy on flavored e-cigarettes. Twitter users in other states that did not have such a policy on flavored e-cigarettes paid close attention to New York State flavor policy. This study provides some valuable information about the potential impact of the flavored e-cigarettes policy in New York State on public attitudes towards the flavored e-cigarettes.

Abstract 148: Installation and Deployment of Automated External Defibrillators in New York State Schools

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Milla Arabadjian ◽  
Alexandra Stepanovic ◽  
Mark Sherrid
Keyword(s):  
New York ◽  
Public Schools ◽  
Private Schools ◽  
Comprehensive Evaluation ◽  
New York State ◽  
School Nurses ◽  
Policy Implications ◽  
Term Survival ◽  
Automated External Defibrillators ◽  
York State

Introduction: AHA recommends that automated external defibrillators (AEDs) be made available in public areas with high likelihood of a sudden cardiac arrest (SCA). Only 18 US states have regulations requiring AEDs in schools and the legislation varies. There is no comprehensive evaluation of the epidemiology of sudden death in schools. School nurses are often the only healthcare providers within a school. New York State (NYS) enrolls almost 3.5 million students with New York City (NYC) being the largest school system in the US; legislation requires AEDs in all public but not in private schools. Purpose: Our aims were threefold: to gain epidemiologic data on SCAs in NYS schools, to evaluate the availability and utilization of AEDs, and to identify factors affecting deployment of AEDs. Methods: Electronic surveys were sent to school nurse members of the NYS Association of School Nurses and NYC school nurses. We also conducted structured interviews with a representative sample of NYS school nurses. Results: Nurses representing 750 public schools and 116 private schools responded, a response rate of 36.4%. There were 71 SCA events, with majority affecting adults on school grounds 41 (58%). AEDs were deployed in 59 (73%). Short term survival occurred in 50 (69%) with 40 (56%) returning to regular activity. While not required to have AEDs available, most private schools had them 69(60%). There were 21 (30%) SCA events in private schools with 8 (11%) occurring in private schools with no AEDs. Of these, 6 (75%) had a negative outcome. Interviews revealed that staff attitude, fear, and training adequacy were factors influencing AED utilization. Conclusions: AEDs in schools improve survival outcomes. There has been no comprehensive evaluation of SCA events in US schools and no uniformity in AED legislation among states. While focus is on students, NYS data suggests that attention should also encompass adult SCAs in schools. Comparisons of AED utilization and SCA outcomes in states with and without AED legislation will be of interest, and may have health policy implications.

Mandatory emergency response training for clinicians in New York State: Can a policy case be made?

2006 ◽  
Vol 4 (6) ◽  
pp. 25
Author(s):  
Steven H. Silber, DO, ScM ◽  
Kristine M. Gebbie, DrPH, RN ◽  
Theodore J. Gaeta, DO, MPH
Keyword(s):  
New York ◽  
Emergency Response ◽  
Emergency Preparedness ◽  
New York State ◽  
Policy Implications ◽  
York State ◽  
Mandatory Training ◽  
Creative Solutions ◽  
Competency Based ◽  
And Training

There is no mandatory training for individual physicians with respect to overall emergency preparedness in New York State. This paper explores the policy implications of linking licensure and registration to mandatory competency-based educational programs on emergency preparedness response structure and high-risk biological agents. In this article, we explore the implications of mandatory registration and training with a single emergency response facility or agency, and we propose creative solutions that may make such a policy palatable to all stakeholders.

scholarly journals Views of City, County, and State Policy Makers About Childhood Obesity in New York State, 2010–2011

2013 ◽  
Vol 10 ◽  
Author(s):  
Rebecca Robbins ◽  
Jeff Niederdeppe ◽  
Helen Lundell ◽  
Jamie Meyerson
Keyword(s):  
New York ◽  
Childhood Obesity ◽  
State Policy ◽  
New York State ◽  
Policy Makers ◽  
York State

Some Policy Implications of the New York State Civil Commitment Program

1988 ◽  
Vol 18 (4) ◽  
pp. 561-574 ◽  
Author(s):  
Charles Winick
Keyword(s):  
New York ◽  
Length Of Stay ◽  
New York State ◽  
Civil Commitment ◽  
Policy Implications ◽  
York State ◽  
State Program ◽  
Formal Evaluation

Some lessons can be learned from an analysis of the experience of New York State's civil commitment program, which was operating from 1966 through 1979, and was the largest and most expensive in the country. Judges need to be carefully selected and trained and assigned to relevant cases: staff must be selected in terms of specific criteria and trained and supervised, clients have to be assigned to particular facilities in accordance with their needs; referral procedures ought to be established in advance of operations; the civil commitment must differ from a court sending someone to a facility; networks with other programs have to be articulated; formal and reliable procedures for absconding clients are necessary; length of stay has to be critically examined; and formal evaluation is a necessity. The New York State program suffered because of problems in all of these areas.

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