scholarly journals Merging Outpatient Addiction and Opioid-Maintenance Programs During A Disaster: Lessons From Hurricane Sandy

2017 ◽  
Vol 11 (5) ◽  
pp. 531-537
Author(s):  
Vishal K. Gupta ◽  
Helena Hansen ◽  
Sonia Mendoza ◽  
Xinlin (Linda) Chen ◽  
Ronnie G. Swift
Keyword(s):  
New York ◽  
New York City ◽  
Clinical Care ◽  
Hurricane Sandy ◽  
Retention Rates ◽  
Bellevue Hospital ◽  
Outpatient Program ◽  
Urine Toxicology ◽  
Positive Urine ◽  
Metropolitan Hospital

AbstractObjectiveAfter Hurricane Sandy flooded Bellevue Hospital in New York City, its opiate maintenance patients were displaced and Bellevue’s outpatient program was temporarily merged with the program at Metropolitan Hospital for continuation of care. The merger forced Metropolitan to accommodate a program twice as large as its own and required special staff coordination and adjustments in clinical care.MethodsPhysicians, clinicians, and administrators from both institutions participated in interviews regarding the merger.ResultsIssues that emerged in the interviews fell into 4 major themes: (1) organization and meshing of professional cultures, (2) regulation, (3) communication, and (4) accommodations.ConclusionsDespite these barriers, data collected after the merger showed high retention rates and low rates of positive urine toxicology results. (Disaster Med Public Health Preparedness. 2017;11:531–537)

DR. JOB LEWIS SMITH (1827-1897) WRITES ABOUT MATERNAL EMOTIONS AS A CAUSE OF CONGENITAL DEFORMITY

PEDIATRICS ◽  
1971 ◽  
Vol 48 (5) ◽  
pp. 781-781
Author(s):  
T. E. C.
Keyword(s):  
New York ◽  
New York City ◽  
Direct Effect ◽  
York City ◽  
Congenital Deformity ◽  
Bellevue Hospital ◽  
Irish Woman ◽  
Medical College ◽  
Single Exception ◽  
Period Of Gestation

The best known American pediatrician of his time with the single exception of Abraham Jacobi was Job Lewis Smith.1 In continuous practice of pediatrics in New York City for nearly 50 years, as well as the clinical professor of pediatrics at Bellevue Hospital Medical College for a large part of these years, Dr. Smith exerted an enormous influence on American pediatrics. His textbook of the diseases of children, based entirely on his own clinical experience, is still esteemed as a solid reliable work. In the second edition of this book, Smith wrote: It is the popular belief, and the belief of many physicians, that vivid mental impressions sometimes have a direct effect on the development of the foetus (sic). Many cases are on record in which infants were born with marks or deformities, corresponding in character with the objects which had been seen and had made a strong impression on the maternal mind at some period of gestation. . . . The multitude of facts which have accumulated justify the belief that deformity . . . is due to the emotions of the mother. . . . I have met the following cases. An Irish woman of strong emotions and superstitions was passing along a street in the first months of her gestation, when she was accosted by a beggar, who raised her hand, destitute of thumb and fingers, and in "God's name" asked for alms. The woman passed on: but reflecting in whose name money was asked, felt that she had committed a great sin in refusing assistance.

Hurricane Sandy, October 2012, New York City (USA)

2015 ◽  
Author(s):  
Barbra Mann Wall ◽  
Victoria LaMaina ◽  
Emma MacAllister
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Hurricane Sandy

A Single-Center Experience with a Pregnant Immigrant Population and Zika Virus Serologic Screening in New York City

2019 ◽  
Vol 37 (07) ◽  
pp. 731-737 ◽  
Author(s):  
Audrey A. Merriam ◽  
Chia-Ling Nhan-Chang ◽  
B. Isabel Huerta-Bogdan ◽  
Ronald Wapner ◽  
Cynthia Gyamfi-Bannerman
Keyword(s):  
At Risk ◽  
New York ◽  
New York City ◽  
York City ◽  
Zika Virus ◽  
Immunoglobulin M ◽  
Immigrant Population ◽  
Enzyme Linked Immunosorbent Assay ◽  
Neurodevelopmental Outcomes ◽  
Positive Urine

Objective Our institution is in an area of New York City with a large population of immigrants from Zika virus endemic areas. With the recent Zika virus outbreak, we sought to examine our center's experience with screening for Zika virus and outcomes among patients who tested positive for the disease during pregnancy. Study Design We performed a chart review of all pregnant patients who tested positive (positive serum or urine polymerase chain reaction [PCR]) or presumed positive (immunoglobulin M [IgM] enzyme-linked immunosorbent assay [ELISA] positive or IgM ELISA equivocal with positive plaque reduction neutralization test) for Zika virus. All tests were performed by the Department of Health (DOH) and followed Centers for Disease Control and Prevention guidelines in effect at the time of specimen collection. Testing of cord blood, placenta, and/or neonatal blood were/was performed by the DOH for New York County. Prenatal ultrasounds for fetal head size and surveillance for calcifications were performed by maternal–fetal medicine specialists. Infant head ultrasound results were included when available. Results Between March 2016 and April 2017, 70 pregnant patients were positive or presumed positive for Zika infection during pregnancy. Of those, 16 women had positive urine or serum PCR and the remaining 54 were presumed positive. Among positive cases, five women tested positive via urine PCR only, nine women tested positive via serum PCR only, and two women had both positive urine and serum PCR. Fifteen of 67 infants (22%) born during the study period were born to mothers with positive urine or serum PCR testing. Sixty-five newborns were clinically normal with normal head measurements. Of the intracranial ultrasound performed, one infant had a grade 1 intraventricular hemorrhage, four had incidental choroid plexus cysts, and one had severe ventriculomegaly that was also noted antenatally. There were 2 positive and 15 equivocal infant serum IgM samples and 1 positive placental PCR from these pregnancies. There were four pregnancy terminations and two cases with fetal anomalies in this population that were split evenly between patients who tested positive and those who tested presumed positive for Zika virus during pregnancy. Conclusion We found no differences in pregnancy or neonatal outcomes between women who tested positive and presumed positive for Zika virus during pregnancy. Testing of infants and placenta tissue after delivery was largely inconclusive. Improvement in testing for Zika virus infection is needed to determine which pregnancies are at risk for congenital anomalies. Further research is still needed to determine which children are at risk for poor neurodevelopmental outcomes related to Zika virus and how to best coordinate care among the immigrant population during a new disease epidemic.

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