scholarly journals The Experience of Transitioning from Being a New York City Paramedic to Medical Intern in the Dominican Republic

2018 ◽  
Vol 6 (2) ◽  
pp. 75-77
Author(s):  
Reynolds A. Kairus
Lupus ◽  
2018 ◽  
Vol 27 (12) ◽  
pp. 1989-1995 ◽  
Author(s):  
L Geraldino-Pardilla ◽  
T Kapoor ◽  
I Canto ◽  
T Perez-Recio ◽  
J Then ◽  
...  

Objectives Hispanics with systemic lupus erythematosus (SLE) in the United States have more severe disease and damage accrual compared with whites. Data on Hispanics of similar ancestry in geographically different locations is limited but essential in defining genetic and environmental factors for SLE. This study evaluates SLE disease burden in two Dominican communities, Washington Heights in New York City (NYC) and Santiago in the Dominican Republic (DR). Methods Disease activity (SLE Disease Activity Index 2000 (SLEDAI-2K)) and damage (Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SDI)) were cross-sectionally measured in 76 Dominican SLE patients from the Columbia University Lupus Cohort in NYC and compared with 75 Dominican SLE patients living in Santiago in the DR. Results Mean (±SD) age was 40 (±14) and 36 (±11) years for NYC and DR patients, respectively. Median disease duration was 8 years. Disease activity was mild in both groups (SLEDAI-2K of 3 in NYC versus 4 in the DR). NYC Dominicans had more discoid lesions, positive anti-dsDNA, and anti-SSB antibodies. Dominicans in the DR used more corticosteroids, had less medical insurance, lower educational level, and were more likely to be unemployed, whereas more Dominicans in NYC smoked. NYC patients had a higher SDI compared with SLE patients in the DR (0.96 versus 0.24, p < 0.0001). Statistical significance was maintained in adjusted analysis (1.26 versus 0.57, p < 0.0001). Conclusion SLE Dominican patients in NYC had a higher SDI than those in the DR. Longitudinal studies are needed to ascertain whether this difference is due to biological, environmental factors, immigration patterns or a survival bias.


2009 ◽  
Vol 15 (2) ◽  
pp. 285-287 ◽  
Author(s):  
Meera Bhat ◽  
Caroline Dumortier ◽  
Barbara S. Taylor ◽  
Maureen Miller ◽  
Glenny Vasquez ◽  
...  

Author(s):  
Sydney Hutchinson

Merengue is widely recognized as the national music of the Dominican Republic, its most popular and best-known export. In the twentieth century, merengue split into different genres, catering to different social groups: the orquesta merengue, centered around wind and brass instruments, and the accordion-based merengue típico. This chapter examines how the accordion is played in Dominican merengue típic. It outlines historical and contemporary meanings of the accordion as related to class, ethnicity, and gender, suggesting that the instrument often embodies Dominicans' changing ideas about themselves. To construct this argument, it relies on newspaper articles, scholarly and lay histories, the visual arts, interviews with practitioners, and the author's own fieldwork conducted among típico musicians in New York City and Santiago, the Dominican Republic's second-largest city and center of the Cibao, since 2001 and 2004, respectively.


1996 ◽  
Vol 30 (2) ◽  
pp. 399-422 ◽  
Author(s):  
Douglas T. Gurak ◽  
Mary M. Kritz

The effects of household composition on the employment of female immigrants from the Dominican Republic residing in New York City and women residing in the Dominican Republic are examined. The analysis indicates that context is more important than group culture in explaining the labor force participation of Dominican women. Dominican women residing in New York with children and no spouse present are less likely to be employed than are either women who have spouses or who have neither spouses nor children – the same pattern exists for women of another important Hispanic immigrant group in New York: Colombians. The reverse pattern holds in the Dominican Republic, where women living in households with spouse present are least likely to be employed. The presence of adult men other than the spouse in the household has effects consistent with those for spouse in both contexts – increasing women's odds of being employed in New York but decreasing them in the Dominican Republic. Structural factors in the Dominican Republic and New York City contexts that might account for the differing dynamics are discussed.


1942 ◽  
Vol 74 (3-4) ◽  
pp. 155-162
Author(s):  
H. Kurdian

In 1941 while in New York City I was fortunate enough to purchase an Armenian MS. which I believe will be of interest to students of Eastern Christian iconography.


1999 ◽  
Vol 27 (2) ◽  
pp. 202-203
Author(s):  
Robert Chatham

The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.


Author(s):  
Catherine J. Crowley ◽  
Kristin Guest ◽  
Kenay Sudler

What does it mean to have true cultural competence as an speech-language pathologist (SLP)? In some areas of practice it may be enough to develop a perspective that values the expectations and identity of our clients and see them as partners in the therapeutic process. But when clinicians are asked to distinguish a language difference from a language disorder, cultural sensitivity is not enough. Rather, in these cases, cultural competence requires knowledge and skills in gathering data about a student's cultural and linguistic background and analyzing the student's language samples from that perspective. This article describes one American Speech-Language-Hearing Association (ASHA)-accredited graduate program in speech-language pathology and its approach to putting students on the path to becoming culturally competent SLPs, including challenges faced along the way. At Teachers College, Columbia University (TC) the program infuses knowledge of bilingualism and multiculturalism throughout the curriculum and offers bilingual students the opportunity to receive New York State certification as bilingual clinicians. Graduate students must demonstrate a deep understanding of the grammar of Standard American English and other varieties of English particularly those spoken in and around New York City. Two recent graduates of this graduate program contribute their perspectives on continuing to develop cultural competence while working with diverse students in New York City public schools.


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