scholarly journals The Migration Pattern of Florida Seasonal Farmworkers

EDIS ◽  
2018 ◽  
Vol 2018 (3) ◽  
Author(s):  
Zhengfei Guan ◽  
Berdikul Qushim ◽  
Feng Wu ◽  
Alicia J. Whidden
Keyword(s):  
North Carolina ◽  
Migration Pattern ◽  
Strawberry Industry ◽  
Before And After ◽  
Seasonal Farmworkers

This article investigates the migration pattern of seasonal farmworkers in the Florida strawberry industry based on a worker survey conducted in 2016. In the survey, we asked workers where they were working and what crops they were working on before this job. We also asked where they would migrate and what crops they would be working on after this job.  We found most workers were from Florida, Michigan, North Carolina, California in that order, and similar percentages of workers would migrate to these states after the job. Blueberries, tomatoes, and apples were the top three crops they were working on before and after the job.

scholarly journals Farmworker and Farmer Perceptions of Farmworker Agricultural Chemical Exposure in North Carolina

1998 ◽  
Vol 57 (3) ◽  
pp. 359-368 ◽  
Author(s):  
Sara Quandt ◽  
Thomas Arcury ◽  
Colin Austin ◽  
Rosa Saavedra
Keyword(s):  
North Carolina ◽  
Chemical Exposure ◽  
Power Relationships ◽  
Long Term Effects ◽  
Agricultural Chemicals ◽  
Reinforcing Factors ◽  
Seasonal Farmworkers ◽  
A Site ◽  
Depth Interviews

Agricultural chemicals pose health risks for farmworkers engaged in cultivating and harvesting crops. In a project to develop culturally appropriate interventions to reduce farmworker exposure to agricultural chemicals, formative research used in-depth interviews and focus groups to elicit beliefs and knowledge about exposure from farmers and migrant and seasonal farmworkers in North Carolina. Farmworkers were concerned about acute effects they attributed to exposure and had little knowledge of long-term effects of low-level exposure. They believe that some individuals are inherently more susceptibility to the health effects of exposure than others; most do not recognize the skin as a site of chemical absorption. They report instances of exposure that reflect the power relationships with farmers, indicating that lack of knowledge is not the only issue that must be addressed in an intervention. Farmers believe that farmworkers are not exposed to chemicals because they do not mix or apply chemicals. Such a belief is consistent with the training received by farmers. The PRECEDE-PROCEED planning model is used to identify predisposing and reinforcing factors on which an effective intervention should focus.

scholarly journals Effect of the Strengthening Opioid Misuse Prevention (STOP) Act on Opioid Prescription Practices After Ankle Fracture Fixation

2019 ◽  
Vol 4 (4) ◽  
pp. 247301141988902
Author(s):  
S. Hanif Hussaini ◽  
Kevin Y. Wang ◽  
T. David Luo ◽  
Aaron T. Scott
Keyword(s):  
North Carolina ◽  
Ankle Fractures ◽  
Opioid Misuse ◽  
Level Of Evidence ◽  
Opioid Prescription ◽  
Prescription Practices ◽  
Prevention Act ◽  
Before And After ◽  
Operative Fixation ◽  
Ed Visits

Background: In North Carolina, the Strengthen Opioid Misuse Prevention Act of 2017 (STOP Act) went into effect on January 1, 2018, intending to increase oversight over opioid prescriptions. This study compares postoperative narcotic prescription practices following operative fixation of ankle fractures before and after the STOP Act. Methods: This study was a retrospective review of patients 18 years and older who underwent operative fixation of ankle fractures between January 1 and June 30, 2017 (before STOP Act), and between January 1 and June 30, 2018 (after STOP Act). Variables of interest included demographics, amount of opioids prescribed postoperatively, number of prescription refills, and number of pain-related calls or visits to the emergency department (ED) or clinic after surgery. This study assessed 71 patients in the Pre group and 47 patients in the Post group. Results: There was a statistically significant decrease in the average number of postoperative narcotic pills prescribed after the STOP Act (52.7 vs 76.2, P < .001). There was also a statistically significant decrease in the average number of prescription refills (0.6 vs 1.0, P = .037). There were no significant changes in pain-related clinic calls (35.2% Pre vs 34.0% Post, P = .896), pain-related clinic visits ahead of schedule (4.2% Pre vs 6.4% Post, P = .681), or pain-related ED visits (2.8% Pre vs 10.6% Post, P = .113). Conclusion: In the postoperative period after operative fixation of ankle fractures, the volume of narcotic prescriptions decreased after the new legislation, without an associated strain on medical resources. Level of Evidence: Level III, therapeutic, comparative study.

The Impact of Regionalization of Pancreaticoduodenectomy for Pancreatic Cancer in North Carolina since 2004

2014 ◽  
Vol 80 (6) ◽  
pp. 561-566 ◽  
Author(s):  
Ryan Z. Swan ◽  
David J. Niemeyer ◽  
Ramanathan M. Seshadri ◽  
Kyle J. Thompson ◽  
Amanda Walters ◽  
...  
Keyword(s):  
North Carolina ◽  
Significant Risk ◽  
High Volume ◽  
Major Morbidity ◽  
The North ◽  
Time Period ◽  
Improved Outcomes ◽  
Before And After ◽  
Low Volume ◽  
The Impact

Pancreaticoduodenectomy (PD) carries a significant risk. High-volume centers (HVCs) provide improved outcomes and regionalization is advocated. Rapid regionalization could, however, have detrimental effects. North Carolina has multiple HVCs, including an additional HVC added in late 2006. We investigated regionalization of PD and its effects before, and after, the establishment of this fourth HVC. The North Carolina Hospital Discharge Database was queried for all PDs performed during 2004 to 2006 and 2007 to 2009. Hospitals were categorized by PD volume as: low (one to nine/year), medium (10 to 19/year), and high (20/year or more). Mortality and major morbidity was assessed by comparing volume groups across time periods. Number of PDs for cancer increased 91 per cent (129 to 246 cases) at HVCs, whereas decreasing at low-volume (62 to 58 cases) and medium-volume (80 to 46 cases) centers. Percentage of PD for cancer performed at HVCs increased significantly (47.6 to 70.3%) while decreasing for low- and medium-volume centers ( P < 0.001). Mortality was significantly less at HVCs (2.8%) compared with low-volume centers (10.3%) for 2007 to 2009. Odds ratio for mortality was significantly lower at HVCs during 2004 to 2006 (0.31) and 2007 to 2009 (0.34). Mortality for PD performed for cancer decreased from 6.6 to 4.6 per cent ( P = 0.31). Major morbidity was not significantly different between groups within either time period; however, there was a significant increase in major morbidity at low-volume centers ( P = 0.018). Regionalization of PD for cancer is occurring in North Carolina. Mortality was significantly lower at HVCs, and rapid regionalization has not detracted from the superior outcomes at HVCs.

Comparison of sonographs taken before and after Hurricane Diana, Onslow Bay, North Carolina

Geology ◽  
1988 ◽  
Vol 16 (3) ◽  
pp. 267 ◽  
Author(s):  
David L. Mearns ◽  
Albert C. Hine ◽  
Stanley R. Riggs
Keyword(s):  
North Carolina ◽  
Before And After

Asthma-Related Emergency Department Visits in North Carolina Following Hurricane Irene

2021 ◽  
pp. 1-4
Author(s):  
Kristen N. Cowan ◽  
Audrey F. Pennington ◽  
Kanta Sircar ◽  
W. Dana Flanders
Keyword(s):  
Emergency Department ◽  
North Carolina ◽  
Generalized Linear Model ◽  
Emergency Department Visits ◽  
Hurricane Irene ◽  
Asthma Exacerbations ◽  
Before And After ◽  
Ed Visits ◽  
Disaster Declarations ◽  
Using Data

Abstract Objective: Previous research suggests that people with asthma may experience a worsening of symptoms following hurricanes due to changes in environmental exposures, discontinuity in chronic disease management, and stress. The objective of this study was to estimate changes in asthma-related emergency department (ED) visits in North Carolina following Hurricane Irene, which made landfall in August 2011. Methods: Changes in asthma-related ED visits in September to December of 2010 and 2011 were examined using data from the Healthcare Cost and Utilization Project State Emergency Department and Inpatient Databases. A Poisson generalized linear model was used to estimate the association between Federal Emergency Management Agency disaster declarations following Hurricane Irene and county-level asthma-related ED visits controlling for month, year, and county. Results: Following Hurricane Irene, disaster declarations were made for 38 of 100 counties in North Carolina. In September 2010, the rate of asthma-related ED visits for North Carolina was 6 per 10,000 person-months. In September 2011, rates of asthma-related ED visits were similar in counties with and without disaster declarations (7 and 5 per 10,000 person-months, respectively). When adjusting for covariates, there was little or no difference in the rate of asthma ED visits before and after the hurricane between counties with and without a disaster declaration (rate ratio {RR} [95% confidence interval {CI}] = 1.02[0.97, 1.08]). Conclusions: Although risk factors for asthma exacerbations increase following hurricanes, these results found little evidence of an increase in asthma-related ED visits in North Carolina following Hurricane Irene.

Introduction

Lethal State ◽  
2019 ◽  
pp. 1-22
Author(s):  
Seth Kotch
Keyword(s):  
North Carolina ◽  
Civil War ◽  
Racial Discrimination ◽  
Death Penalty ◽  
Death Row ◽  
Before And After ◽  
History Of

The introduction frames the themes and subjects of the book, including racial discrimination, cruelty, advocacy movements, and reform. It briefly outlines the history of the death penalty in North Carolina before and after the Civil War and describes the growth of the state’s incarceration infrastructure, including Central Prison, where death row is still located.

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