Journal articles on the topic 'Local 89 (New York, N.Y.)'

BackgroundAlmost half of the patients with axial spondyloarthritis (axSpA) in Russia diagnosed hip joint lesions (HJ), but the causes and rates of progression are not studied. Until now, it remains unclear whether synovitis detected on MRI and ultrasound of hip joint is a predictor of radiological progression of coxitis.ObjectivesTo assess the dynamics of inflammatory changes in the hip joint using instrumental research methods during 3-years observation and their relationship with the activity of axSpA.Methods45 patients (mean age 30,07±7,1 years) with a diagnosed with axSpA (ASAS criteria 2009), which were observed for at least 3 years. Among them, AS according to the modified New York criteria (1984) - 40 (89%) patients and 5 (11%) were diagnosed with nr-axSpA. The median duration of the disease was 36 [19;108] moth, BASDAI 4,3 [3,1;6,8], BASFI 2,0 [0,6;4,7]. All patients underwent clinical, X-ray, ultrasound and MRI examination of the hip joint during the entire observation period. For ultrasound, coxitis was considered an increase in the cervical-capsular distance (CCD) of more than 7 mm. For MRI inflammatory changes were taken as osteitis of the acetabulum and / or femoral head and synovitis in STIR mode.ResultsAt the time of inclusion of 45 patients, clinical signs of hip joint lesions were present in 66 (86%) patients, and after 36 months in 36 (80%) (p>0,05). The median CCD at the time of inclusion was 7,3 [6,6;7,9] mm, and after three years 6,6 [5,9;8,6] mm (p> 0.005). According to ultrasound, at the time of inclusion, 36 (80%) of 45 patients had coxitis, and after 3 years, 26 (58%) (p <0,005). Analysis of MRI changes initially showed the presence of synovitis in 42 (93%), and osteitis in 13 (29%) patients, and after 3 years synovitis persisted in у 25 (56%) (p <0,05), osteitis in 12 (27%) (p>0,005) and in 19 (42%) MRI patients, signs of active inflammation were arrested. Among all examined patients at the beginning of the study, the coincidence of signs of synovitis according to ultrasound and MRI data was noted in 35 (78%) cases. X-ray coxitis at the time of inclusion was detected in 11 (24%) patients, and after 2 years in 32 (68%) (p<0,05). The patients were divided into two groups ΔBASRI hip> 0 and ΔBASRI hip = 0. (Table 1)Table 1.Characteristics of patients with axSpA at the time of inclusion in the study who had X-ray progression of coxitis after 36 months of observation.ParametrsΔBASRI hip=0 n=15ΔBASRI hip >0 n = 30pThe duration of the disease, m., Мe [25;75‰]48 [12;120]30 [24;108]>0,05Age, years, Мe [25;75 ‰]30,5 [23;34]30,5 [25;35]>0,05BASDAI, Мe [25;75 ‰]6,7 [4,2;8,6]4,2 [2,4;5,9]<0,05BASFI, Мe [25;75 ‰]4,4 [1,8;8,1]1,7 [0,6;3,1]>0,05ASDAS (SRP), Мe [25;75 ‰]2,6 [1,6;3,9]2,8 [2,1;4,2]>0,05ESR, mm/h, Мe [25;75 ‰]15 [7;30]14,0 [7;27]>0,05SRP, mg/l, Мe [25;75 ‰]14,8 [10;56,0]22,8 [3,7; 31,8]>0,05Peripheral arthritis, n %11 (73%)20 (67%)>0,05US synovitis n%9 (60%)23 (77%)>0,05Pain in HJ n%28 (85%)38 (86%)>0,05Synovitis in MRI, n%15 (100%)27 (90%)>0,05Osteitis in MRI, n%3 (20%)10 (34%)>0,05Therapy bDMARDs9 (60%)9 (30%)<0,05ConclusionX-ray progression of coxitis in axSpA practically does not depend on the activity of the disease, nor on local signs of inflammation in the HJ, detected by ultrasound and MRI. X-ray progression of HJ lesions is less common in patients receiving bDMARDs therapy.Disclosure of InterestsNone declared

Character education in early childhood is not new, and character education is also not just a transfer of knowledge, but something that needs to be built early on through various stimula- tions. This study aims to develop the character of early childhood through audio-visual media with traditional Javanese songs. Using educational design-based research to develop audio-visual media from traditional songs, this media was tested in the field with an experimental design with a control group. Respondents involved 71 kindergarten students from one experimental class in one control class. The data revealed that character education in children shows the average value of the experi- mental class is higher than the control group, this means character education in children can be built through traditional songs. Further research can be done to improve the character of early childhood through a variety of media that interests children. Keywords: Early Childhood, Character Education, Javanese Traditional Songs Media References: Anderson, T., & Shattuck, J. (2012). Design-based research: A decade of progress in education research? Educational Researcher, 41(1), 16–25. https://doi.org/10.3102/0013189X11428813 Bates, A. (2016). The management of ‘emotional labour’ in the corporate re-imagining of primary education in England. International Studies in Sociology of Education, 26(1), 66–81. https://doi.org/10.1080/09620214.2016.1175959 Bates, A. (2019). Character education and the ‘priority of recognition.’ Cambridge Journal of Education, 49(6), 695–710. https://doi.org/10.1080/0305764X.2019.1590529 Battistich, V., Schaps, E., Watson, M., Solomon, D., & Lewis, C. (2000). Effects of the Child Development Project on students’ drug use and other problem behaviors. Journal of Primary Prevention, 21(1), 75–99. https://doi.org/10.1023/A:1007057414994 Berkowitz, M. W. (1933). The Science of Character. 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The role of the school among youth in Nelemnoe (Yakutia). Sibirica, 4(1), 63–73. https://doi.org/10.1080/13617360500070731 Dick, W., & Carey, L. (2009). The Systematic Design of Instruction. New Jersey: Pearson Education. Ecclestone, K. (2012). From emotional and psychological well-being to character education: Challenging policy discourses of behavioural science and “vulnerability.” Research Papers in Education, 27(4), 463–480. https://doi.org/10.1080/02671522.2012.690241 Fleer, M., & Hedegaard, M. (2010). Children’s development as participation in everyday practices across different institutions. Mind, Culture, and Activity, 17(2), 149–168. https://doi.org/10.1080/10749030903222760 Goodman, J. F. (2019). Searching for character and the role of schools. Ethics and Education, 14(1), 15–35. https://doi.org/10.1080/17449642.2018.1537989 Greenberg, M. T., Kusche, C. A., Cook, E. T., & Quamma, J. P. (1995). Promoting emotional competence in school-aged children: The effects of the PATHS curriculum. Development and Psychopathology, 7(1), 117–136. https://doi.org/10.1017/S0954579400006374 Hanna, W. (2014). A Reggio-Inspired Music Atelier: Opening the Door Between Visual Arts and Music. Early Childhood Education Journal, 42(4), 287–294. https://doi.org/10.1007/s10643-013-0610-9 Harahap, N., Kahar, I. A., & Nasution, L. H. (2018). Preservation of lullabies songs in forming character based on local wisdom. International Journal of Linguistics, Literature and Culture, 5(1), 32–42. https://doi.org/10.21744/ijllc.v5n1.479 Hariswari, K. P., & Iswidayanti, S. (2019). Catharsis : Journal of Arts Education Gending Rare : Its Potential As A Character Education Media Based on Local Authority in Denpasar City. 8(3), 352–362. Hariyadi, S., Tamalene, M. N., & Hariyono, A. (2019). Ethnopedagogy of the osing tribe folk song: exploration and formation of biology learning character. Biosfer, 12(2), 258–276. https://doi.org/10.21009/biosferjpb.v12n2.258-276 Hendrix, R. E., Palmer, K. Z., Tashis, N., & Winner, M. G. (2013). The incredible flexible you: A social thinking curriculum for the preschool and the early elementary years. San Jose: CA: Think Social. Herliyana, & Rosmiati. (2018). Developing the Nationalism Character of Young Learners by Using Songs and Traditional Dances of Indonesia. Proceedings of the International Conference on the Roles of Parents in Shaping Children’s Characters (ICECED), 287–292. Hidayati, I., Handini, M. C., & Karnadi. (2018). Character education on Dendang saluang ( Traditional song Minangkabau ) in Nagari Saribu Rumah. International Journal of Advanced Education and Research, 3(3), 01–05. Ilari, B. (2018). Scaramouche Goes to Preschool: The Complex Matrix of Young Children’s Everyday Music. Early Childhood Education Journal, 46(1), 0. https://doi.org/10.1007/s10643-017-0842-1 Jeynes, W. H. (2019). A Meta-Analysis on the Relationship Between Character Education and Student Achievement and Behavioral Outcomes. Education and Urban Society, 51(1), 33–71. https://doi.org/10.1177/0013124517747681 Kotsonis, A. (2020). What can we learn from Plato about intellectual character education? Educational Philosophy and Theory, 52(3), 251–260. https://doi.org/10.1080/00131857.2019.1631157 Kurniawati, Y., Pranoto, S., & Hong, J. J. (2014). Developing Early Childhood’s Character Through Javanesenese Traditional Game. Indonesian Journal of Early Childhood Education Studies, 3(1), 68–72. https://doi.org/10.15294/ijeces.v3i1.9477 Lee, A. (2016). Implementing character education program through music and integrated activities in early childhood settings in Taiwan. International Journal of Music Education, 34(3), 340–351. https://doi.org/10.1177/0255761414563195 Lee, G. L. (2013). Re-emphasizing Character Education in Early Childhood Programs: Korean Children’s Experiences. Childhood Education, 89(5), 315–322. https://doi.org/10.1080/00094056.2013.830907 Lickona, T., Schaps, E., & Lewis, C. (2007). CEP ’ s of Effective Character Education Effective Character Education : Character Education Partnership. Mang, E. (2005). The referent of children’s early songs. Music Education Research, 7(1), 3–20. https://doi.org/10.1080/14613800500041796 Mans, M. (2002). Playing The Music- Comparing Perfomance of Children’s Song and dance in Traditional and Contemporary Namibian Education. In The Arts in Children’s Live (pp. 71–86). Netherlands: Kluwer Academic Publishers. Marshall, P. J., Bouquet, C. A., Thomas, A. L., & Shipley, T. F. (2010). Motor contagion in young children: Exploring social influences on perception-action coupling. Neural Networks, 23(8–9), 1017–1025. https://doi.org/10.1016/j.neunet.2010.07.007 MENTERI PENDIDIKAN NASIONAL. STANDAR PENDIDIKAN ANAK USIA DINI. , PERATURAN MENTERI PENDIDIKAN NASIONAL REPUBLIK INDONESIA NOMOR § (2009). Mullen, G. (2017). More Than Words: Using Nursery Rhymes and Songs to Support Domains of Child Development. Journal of Childhood Studies, 42(2), 42. https://doi.org/10.18357/jcs.v42i2.17841 Mutema, F. (2008). Shona Traditional Children ’ s Games and Play : Songs as Indigenous Ways of Knowing. English, 2(4), 189–203. Nakashima, D., Prott, L., & Bridgewater, P. (2000). Tapping Into the World’s Wisdom. UNESCO Sources, 1–24. Nyota, S., & Mapara, J. (2008). Shona Traditional Children ’ s Games and Play : Songs as Indigenous Ways of Knowing. English, 2(4), 189–203. Rogoff, B., Moore, L., Najafi, B., Dexter, A., Correa-Chávez, M., & Solís, J. (2007). Children’s development of cultural repertoires through participation in everyday routines and practices. Handbook of socialization (In J. E. G). New York: Guilford Press. Selasih, N. N., & Sudarsana, I. K. (2018). Education Based On Ethnopedagogy In Maintaining And Conserving The Local Wisdom: A Literature Study. Jurnal Ilmiah Peuradeun, 6(2), 293–306. Sizer, T. R., & Sizer, N. F. (1999). The students are watching: Schools and the moral contract. Boston: Beacon. Smeyers, P., Smith, R., & Standish, P. (2010). The therapy of education: Philosophy, happiness and personal growth. Basingstoke: Palgrave Macmillan. Sukoyo, J. (2016). The Development of Javanesenese Songs Containing Character Values as a Learning Medium of Early Childhood Education. Widyaparwa, 44(1), 1–9. Yang, L. H., Kleinman, A., Link, B. G., Phelan, J. C., Lee, S., & Good, B. (2007). Culture and stigma: Adding moral experience to stigma theory. Social Science and Medicine, 64(7), 1524–1535. https://doi.org/10.1016/j.socscimed.2006.11.013 Zeidler, Dana L; Keefer, M. (2003). the Role of Moral Reasoning on Socioscientific Issues and.

Impatiens necrotic spot virus (INSV; genus Tospovirus) was detected in experimental greenhouse-grown potatoes (Solanum tuberosum) and Nicotiana benthamiana in New York State in July and August of 2003 and 2004. Potato leaves exhibiting necrotic lesions with a concentric pattern similar to those induced by Tomato spotted wilt virus (1) were observed on cvs. Atlantic, Huckleberry, NY115, and Pentland Ivory. The presence of INSV was confirmed using double-antibody sandwich enzyme-linked immunosorbent assay and a rapid ‘ImmunoStrip’ assay (Agdia, Inc., Elkhart, IN). INSV-specific sequences were amplified from total RNA extracts using reverse transcription-polymerase chain reaction with ‘Tospovirus Group’ primers (Agdia, Inc.) and two independently amplified DNAs were sequenced. A common sequence of 355 nucleotides (GenBank Accession No. AY775324) showed 98% identity to coding sequences in an INSV L RNA. The virus was mechanically transmitted to potato and N. benthamiana and could be detected in asymptomatic, systemically infected potato leaves. Stems nodes and leaves were removed from infected potato plants, and sterile in vitro plantlets were established (2). None of the regenerated in vitro plantlets of cvs. Pentland Ivory (6 plantlets) or NY115 (5 plantlets) were infected with INSV. Two of ten regenerated cv. Atlantic plantlets initially tested positive, but INSV could not be detected after 6 months in tissue culture. In vitro tissue culture plantlets could not be established from infected cv. Huckleberry plants, even though they were consistently obtained from uninfected plants. Infected greenhouse plants were grown to maturity and the tubers harvested, stored for 6 months at 4°C, and replanted in the greenhouse. INSV could not be detected in plants from 26 cv. Huckleberry, 4 cv. NY115, or 4 cv. Atlantic tubers. Although this isolate of INSV was able to systemically infect potato, it was not efficiently maintained or transmitted to progeny tubers. This might explain why INSV has not been reported as a problem in potato production. Lastly, in both years, dying N. benthamiana provided the first sign of a widespread greenhouse infestation of INSV in a university facility housing ornamental and crop plants. INSV induced a systemic necrosis in N. benthamiana, and this host may be useful as a sensitive ‘trap’ plant indicator for natural infections in greenhouse production. References: (1) T. L. German. Tomato spotted wilt virus. Pages 72–73 in: Compendium of Potato Diseases. W. R. Stevenson et al., eds. The American Phytopathological Society, St. Paul, 2001. (2) S. A. Slack and L. A. Tufford. Meristem culture for virus elimination. Pages 117–128 in: Fundamental Methods of Plant Cell, Tissue and Organ Culture and Laboratory Operations. O. L. Gamborg and G. C. Philips, eds. Springer-Velag, Berlin, 1995.

We studied broadleaf and needle-leaf forests along an elevation gradient (600–1200 m) at Whiteface Mountain, New York, to determine relationships among temperature, mineral N availability, and aboveground net primary productivity (ANPP) and controls on the latter two variables. We measured net N mineralization during the growing season, annual litterfall quantity and quality, aboveground woody biomass accumulation, and soil organic matter quality. Inorganic N deposition from cloudwater markedly increases mineral N availability above 1000 m in this region. Consequently, mineral N availability across the climosequence remains relatively constant because N mineralization decreases with increasing elevation. Across this climosequence, air temperature (as growing season degree-days) exerted the most control on ANPP. Nitrogen mineralization was most strongly related to soil growing season degree-days and less so to lignin to N ratios in litter. ANPP was correlated with N mineralization but not with mineral N availability. Combining our data with those from similar studies in other boreal and cool temperate forests shows that N mineralization and ANPP are correlated at local, regional, and interbiome scales. Regarding the persistent question concerning cause and effect in the N mineralization – forest productivity relationship, our data provide evidence that at least in this case, forest productivity is a control on N mineralization.

Purpose The purpose of this paper is to determine the morbidity of Giardia in Monroe County, New York attributed to refugees, foreign adoptees and immigrants, and to examine factors related to asymptomatic Giardia infection. Design/methodology/approach A retrospective epidemiological analysis was conducted of Giardia case investigations submitted to the New York State Department of Health on the Communicable Disease Electronic Surveillance System, between January 1, 2003 and December 31, 2013 from Monroe County Department of Public Health. Univariate and multivariate logistic regression models were used to assess odds for asymptomatic Giardia. Findings Of the 1,221 Giardia cases reported in Monroe County during that time, 38 percent (n=467) were refugees, 6 percent (n=77) were foreign adoptees and 1.4 percent (n=17) were immigrants. In total, 95 percent of the refugees and 89 percent of the adoptees/immigrants were asymptomatic, compared to 15 percent of the non-refugee/adoptee/immigrant cases. Unadjusted odds for asymptomatic infection were 113.4 (95 percent CI: 70.6-183.7) for refugees, and 45.6 (95 percent CI: 22.9-91) for adoptees/immigrants. Originality/value This study demonstrates the importance of routine screening for Giardia during refugees’ initial health assessment.

We discuss our recent work [P.-N. Chen, M.-T. Wang and S.-T. Yau, Quasi-local mass in the gravitational perturbations of black holes, to appear.] in which gravitational radiation was studied by evaluating the Wang–Yau quasi-local mass of surfaces of fixed size at the infinity of both axial and polar perturbations of the Schwarzschild spacetime, à la Chandrasekhar. [S. Chandrasekhar, The Mathematical Theory of Black Holes, Oxford Classic Texts in the Physical Sciences (Oxford University Press, New York, 1998).]

Sensitivities of Venturia inaequalis isolates to the anilinopyrimidine fungicides (APs) pyrimethanil and cyprodinil were determined for nine populations by measuring the growth of colonies formed from germinating conidia derived from single scab lesions. At the discriminatory pyrimethanil dose of 0.2 μg ml-1, the mean relative growth range measured for eight V. inaequalis populations (n = 39 to 74) never treated with AP fungicides varied from 18.1 to 48.2, translating into an approximately sixfold difference in mean baseline sensitivities. For the composite of all 469 isolates tested, sensitivities to pyrimethanil and to the sterol demethylation inhibitor (DMI) myclobutanil were significantly correlated. When isolates were organized into subpopulations based on their sensitivities to an individual fungicide, sensitivities to both fungicides declined in parallel through the highly and moderately sensitive spectra of subpopulations, but they diverged for isolates in subpopulations least sensitive to either fungicide. The result suggested that at least one of the multiple genes conferring DMI resistance also lowered the sensitivity to AP fungicides. The relative contribution of AP fungicides to scab management was evaluated at an experimental orchard representative of the Great Lakes region of the United States. Frequencies of DMI-resistant isolates of V. inaequalis had progressed to the stage of practical resistance at the site, and the sensitivity to pyrimethanil was similar to several commercial orchard populations never treated with APs. For management programs at the experimental site involving the AP fungicides cyprodinil and pyrimethanil and conducted from 1996 to 2000, the level of fruit and terminal leaf scab control was inferior to that of nonspecific protectants such as mancozeb or captan. For the control of scab on cluster leaves, the efficacy of AP fungicides equaled the performance of nonspecific protectants. This modest contribution of AP fungicides to scab management might have been caused by a lack of the extended cool temperature conditions that were conducive to AP performance in northern Europe in previous studies, and/or by the reduced sensitivity to AP fungicides in this DMI-resistant V. inaequalis population.

Purpose: To understand the tobacco acquisition practices of low-income smokers in New York State in light of high cigarette prices due to high cigarette taxes. Design: Eight focus groups with low-income smokers were conducted in spring 2015 and 2016 (n = 74). Setting: New York City (NYC) and Buffalo, New York. Participants: Low-income adults aged 18 to 65 who smoke cigarettes regularly. Method: Qualitative analysis of focus group transcripts that explored differences and similarities by region. We used the interview guide—which covered the process of acquiring cigarettes and the impact of cigarette prices—as a framework for analysis to generate themes and subthemes (deductive coding). We also generated themes and subthemes that emerged during focus group discussions (inductive coding). Results: Some smokers in Western New York have switched to untaxed cigarettes from Native American reservations, whereas low-income smokers in NYC described convenient sources of bootlegged cigarettes (packs or loosies) in their local neighborhood stores, through acquaintances, or on the street. Familiarity with the retailer was key to accessing bootlegged cigarettes from retailers. Conclusions: Smokers in this study could access cheaper cigarettes, which discouraged quit attempts and allowed them to continue smoking. The availability of lower priced cigarettes may attenuate public health efforts aimed at reducing smoking prevalence through price and tax increases.

The robust crazy ant, Nylanderia bourbonica (Forel) (formerly Paratrechina bourbonica), is native to the Old-World tropics and subtropics. Its earliest known record in the New World was collected in 1924 in Miami, Florida. Here, I examine the subsequent spread of this species to other parts of North America and the West Indies. I compiled published and unpublished New World N. bourbonica specimen records from 446 sites, documenting the earliest known records for 24 geographic areas (countries, island groups, major islands, and US states), including nine for which I found no previously published records: Anguilla, Antigua, Barbuda, British Virgin Islands, Jamaica, Turks and Caicos Islands, Missouri, New York, and Washington. The vast majority of New World site records for N. bourbonica (89%) come from Florida, where this species is now known from 37 counties. Most, if not all, of the 14 site records of N. bourbonica in North American north of 30.5°N come from indoors. Although the earliest record of N. bourbonica from Cuba dates to 1933, the spread of N. bourbonica to many West Indian islands appears to be much more recent. In Florida, N. bourbonica is a widespread, though relatively minor household and agricultural pest, and also is common in some more natural environments. It remains to be seen whether N. bourbonica will become a significant pest in the West Indies or elsewhere in the New World.

Objectives. To assess explicit- (products clearly labeled flavored) and emergent concept- (products implying flavoring but not clearly labeled) flavored tobacco product availability following New York City’s flavor restriction. Methods. We examined explicit- and concept-flavored tobacco product availability, with 2017 New York City Retailer Advertising of Tobacco Survey data (n = 1557 retailers). We assessed associations between block group–level demographic characteristics and product availability by using logistic regression. Results. Most retailers sold explicit-flavored (70.9%) or concept-flavored (69.3%) products. The proportion of non-Hispanic Black neighborhood residents predicted explicit- and concept-flavored product availability, as did having a high school within a retailer’s block group for concept-flavored products. Conclusions. Explicit- and concept-flavored other tobacco products persisted throughout New York City, despite 2009 legislation restricting sales. Public Health Implications. Making local sales restrictions or federal production bans inclusive of all explicit and concept flavors would reduce retailer and industry evasion opportunities and protect the health of youths and others.

We explored the sustainable business practices of selected Philippine corporations that promote the quest for peace. We used three key indicators of sustainable business practices, namely, fostering economic development, espousing corporate citizenship, and respecting the rule of law, as our variables to measure our sustainable business practices construct. On the other hand, we adopted sustainable development and sound business environmental our variables to measure the quest for peace construct. We assumed that sustainable business practices and quest for peace are interlinked and mutually reinforcing. We anchored our study on the Theories of Positive Peace, Sustainable Development, and Humanistic Management. We used the qualitative exploratory research design and the holistic multiple case study research strategy. We used the qualitative exploratory research design and the holistic multiple case study research strategy. We selected through the non-probability purposive sampling technique, the 20 Publicly - Listed Companies in the Philippines. We then, utilized the monomethod as the data collection technique for selecting the Sustainability Reports published in 2018 and uploaded in the websites of the respective corporations. With this deductive approach, we specifically adopted the pattern matching analytical procedure in the process of our content analysis of information from the Sustainability Reports. Results on fostering economic development revealed numerous jobs created, training and development, as well as trade and business development programs and activities executed. Analysis on espousing corporate citizenship disclosed many programs and activities related to encourage the use of voice from the firm, community engagement, and governance implemented. Findings on respecting the rule of law showed also various programs and activities that cover compliance with Philippine laws, international laws, and environmental standards. Findings also indicated that the nexus of sustainable business practices and the quest for peace aims to build companies of enduring greatness by doing good and working toward a sustainable future. In conducting responsible business, they were able to help in attaining positive peace in our coun try, which, in return, is essential for sustainable development, as manifested by their significant contribution in achieving sustainable development/growth, working closely with regulators to achieve shared goals; and protecting the environment and preserving natural resources. 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51 Background: The influx of patients to the healthcare system due to COVID-19 impacted healthcare practices including the care of breast cancer patients. Our aim is to describe the impact this pandemic had on breast cancer care delivery at an academic center in NYC to inform policy and procedure for future crises that limit patient access to on-site facilities. Methods: A survey was sent to physicians involved in the care of patients with breast cancer at Columbia University Irving Medical Center in May 2020. Participants were asked about practice structure and changes to breast cancer care. The primary outcome was the degree that providers believed breast oncology patients’ clinical outcomes were significantly impacted by COVID-19. Secondary outcomes included changes in diagnostic and management approaches and advice for future providers faced with a similar pandemic. Results: The response rate was 65.4% (17/26). This included physicians from medical oncology (n = 7), radiology (n = 4), breast surgery (n = 3), radiation oncology (n = 2), and plastic surgery (n = 1). Seventy-six percent of physicians somewhat agreed, agreed, or strongly agreed that oncologic outcomes may be significantly impacted by the COVID-19 pandemic. Nearly half (47%) of respondents reported delays in the workup of patients due to COVID-19 with 50.0% for mammograms, 47.5% for bone scans, 46.0% for ultrasounds, 43.8% for PET scans, and 43.3% for biopsies. Eighty-two percent reported delays in overall oncologic management. Delays to systemic therapy were: intravenous/targeted therapy (37.9%), intramuscular/subcutaneous endocrine therapy (28.3%), oral chemotherapy/targeted therapy (22.9%), and oral endocrine therapy (12.8%). Delays to local therapy were: surgery (64.4%) and radiation therapy (44.6%). Almost two-thirds (64.7%) reported it necessary to use alternative oncologic management strategies. The most common piece of advice our providers offered was to increase testing capacity to all patients, especially when coming to a healthcare facility. Conclusions: The COVID-19 pandemic has caused major disruption to breast cancer practices. Breast oncology physicians reported delays in management in over 80% of patients, and the need to use alternative management strategies in over 60% of patients. Effects of these disruptions on oncologic outcomes are unknown, but over 75% of our physicians believe this will significantly impact breast oncology patients’ outcomes. There's a need for policies and procedures to structure patient care should there be a future crisis that limits patient access to oncologic care.

RESUMENEl objetivo de este artículo es reflexionar sobre los mecanismos de financiación y de control de las instituciones religiosas por los laicos en las primeras décadas de la conquista y colonización de Hispanoamérica. Investigar sobre la inversión laica en lo sagrado supone en un primer lugar aclarar la historiografía sobre laicos, religión y dinero en las sociedades de Antiguo Régimen y su trasposición en América, planteando una mirada desde el punto de vista de las motivaciones múltiples de los actores seglares. A través del ejemplo de restituciones, donaciones y legados en losAndes, se explora el papel de los laicos españoles, y también de las poblaciones indígenas, en el establecimiento de la densa red de instituciones católicas que se construye entonces. La propuesta postula el protagonismo de actores laicos en la construcción de un espacio cristiano en los Andes peruanos en el siglo XVI y principios del XVII, donde la inversión económica permite contribuir a la transición de una sociedad de guerra y conquista a una sociedad corporativa pacificada.PALABRAS CLAVE: Hispanoamérica-Andes, religión, economía, encomienda, siglos XVI y XVII.ABSTRACTThis article aims to reflect on the mechanisms of financing and control of religious institutions by the laity in the first decades of the conquest and colonization of Spanish America. Investigating lay investment in the sacred sphere means first of all to clarifying historiography on laity, religion and money within Ancien Régime societies and their transposition to America, taking into account the multiple motivations of secular actors. The example of restitutions, donations and legacies inthe Andes enables us to explore the role of the Spanish laity and indigenous populations in the establishment of the dense network of Catholic institutions that was established during this period. The proposal postulates the role of lay actors in the construction of a Christian space in the Peruvian Andes in the sixteenth and early seventeenth centuries, when economic investment contributed to the transition from a society of war and conquest to a pacified, corporate society.KEY WORDS: Hispanic America-Andes, religion, economics, encomienda, 16th and 17th centuries. BIBLIOGRAFIAAbercrombie, T., “Tributes to Bad Conscience: Charity, Restitution, and Inheritance in Cacique and Encomendero Testaments of 16th-Century Charcas”, en Kellogg, S. y Restall, M. 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Successive Tremadocian planktic dendroid graptolite assemblages from continental slope sequences in Quebec can be correlated with North American platform biozonations on the basis of conodonts. Anisograptid-bearing (Assemblage 2), middle Tremadocian "Matane faunas" are associated with Early Ordovician Rossodus manitouensis Zone (new designation) conodonts. Younger middle Tremadocian faunas with adelograptids (Assemblage 3) are no younger than the Rossodus manitouensis Zone. Key dendroid evolutionary–immigration events take place within the lower conodont Fauna B interval. Rooted dendroids near Cap des Rosiers, Quebec, and in eastern New York State occur with lower Fauna B conodonts and the trilobites Pareuloma and Borthaspidella. However, the earliest Tremadocian (and earliest Ordovician) dendroid immigration event, represented by the local lowest occurrence of faunas with Dictyonema flabelliforme s.l. at localities in western Newfoundland, eastern New York State, Norway, and eastern China, also lies within the lower Fauna B interval. Finally, the lowest occurrence of key Assemblage 2 dendroid taxa falls within the lower Fauna B interval at the latter localities.The Rossodus manitouensis Zone is proposed as a new designation for a biostratigraphic unit that is appropriate for North American marginal and open shelf sequences. This zone is approximately equivalent to the "Loxodus bransoni Interval" of other authors and is characterized by Fauna C conodonts. Newly described taxa include Rossodus? highgatensis n. sp., Scolopodus? praecornuformis n. sp., and Variabiloconus n. gen.

Introduction: “The surgical face mask has become a symbol of our times”. In March 17, 2020 this was headline of an article in the New York Times on the role of face mask during the COVID-19 outbreak. This study was undertaken to assess the effects of prolonged use of mask on physical well-being of employees in selected departments of Nedumkandam, Idukki, Kerala Method: The present study was an explorative study of 110 employees working in different sectors in Nedumkandam. Data were collected by using self-structured questionnaire. . There were total 20 questions related to physical effects of prolonged mask usage.. All participants wore either surgical mask or N95 respirators for a minimum of 6 hours per day. Result: Majority of the participants were male (56.3%) and between the age group of 36-45 years. The result indicated that 80.9% (N=89) were uncomfortable with mask usage. Reported side effects include head ache, breathing difficulty, nasal discomfort, skin related problems, Mask related infection. The majority of the respondents (N=89, 80.9%) report one or more of these adverse effect while 19% (N=21) report none of these side effects. Conclusion: The study was concluded that majority of the employees suffering with various physical discomforts including head ache, nose related problem, breathlessness, skin related problems. Employees who wear masks for extended periods reported increased fatigue and a sense of breathlessness.

Objective: To adapt and apply the Nutri­tion Environment Measures Survey for Res­taurants (NEMS-R) to Hispanic Caribbean (HC) restaurants and examine associations between restaurant characteristics and nutrition environment measures.Methods: We adapted the NEMS-R for HC cuisines (Cuban, Puerto Rican, Dominican) and cardiovascular health-promoting fac­tors, and applied the instrument (NEMS-HCR) to a random sample of HC restau­rants in New York City (NYC) (N=89). Multivariable linear regression was used to assess independent associations between NEMS-HCR score and restaurant charac­teristics (cuisine, size, type [counter-style vs sit-down] and price).Results: None of the menus in the res­taurants studied listed any main dishes as “healthy” or “light.” More than half (52%) offered mostly (>75%) nonfried main dishes, and 76% offered at least one vegetarian option. The most common facilitator to healthy eating was offering reduced portion sizes (21%) and the most common barrier was having salt shak­ers on tables (40%). NEMS-HCR scores (100-point scale) ranged from 24.1-55.2 (mean=39.7). In multivariable analyses, scores were significantly related to cuisine (with Puerto Rican cuisine scoring lower than Cuban and Dominican cuisines), and size (with small [<22 seats] restaurants scoring lower than larger restaurants). We found a significant quadratic association with midpoint price, suggesting that scores increased with increasing price in the low­est price range, did not vary in the middle range, and decreased with increasing price in the highest range.Conclusions: Our application of the NEMS-R to HC restaurants in NYC revealed areas for potential future interventions to improve food offerings and environmental cues to encourage healthful choices. Ethn Dis. 2020;30(4):583-592; doi:10.18865/ed.30.4.592

In a limited survey of commercial vineyards and a germplasm repository in Ontario County, NY, 20 vines of Vitis sp. were tested in fall and spring 2010 to 2012 for viruses using a double-antibody sandwich (DAS)-ELISA and macroarray with oligonucleotide probes for grapevine viruses ((3) and unpublished). The plants selected for analysis included those showing atypical growth including leaf deformation, yellowing, cupping or spotting, vein clearing, shortening of internodes, and reduced vigor. Arabis mosaic virus (ArMV; genus Nepovirus, family Secoviridae) was detected in leaf tissue and wood scrapings in two vines using the DAS-ELISA with antibodies from Bioreba (Reinach, Switzerland). The ArMV positive vines were from Vitis hybrid cultivars Noah and Geisenheim 26. ArMV was also detected in these two vines using the macroarray, with hybridization observed to 24 of 32 oligonucleotide probes specific to this virus. To confirm the identification of the virus, total RNAs were extracted from leaf tissues, hybridized with random hexamers, and reverse-transcribed using MMLV reverse transcriptase (Life Technologies, Grand Island, NY). Complementary DNAs were amplified by PCR using an IQ supermix (BioRad, Hercules, CA), and two sets of generic primers for nepoviruses (1,4). Thermocycler conditions were 94°C 5 min (1×); 94°C 30 s, 50°C 30 s, and 69°C 2 min (35×), and 72°C for 5 min. The PCR products were sequenced directly. Sequences from the 340-bp products obtained from cultivars Geisenheim 26 (GenBank Accession No. HE984333) and Noah (HE984334) using the Wei et al. primers (4) had 76 to 84% sequence identity to ArMV RNA1 GenBank accessions GQ369528 and AY303786. Sequences from the 301-bp products obtained from cultivars Geisenheim 26 (HE984335) and Noah (HE984336) using the Digiaro et al. primers (1) had 87 to 91% sequence identity to ArMV RNA2 GenBank accessions AY017339 and X81814. ArMV was mechanically transmitted from Geisenheim 26 to Nicotiana tabacum cultivar Xanthi NN. Inoculation gave rise to necrotic local lesions on the inoculated leaves of five plants in each of two experiments (10 of 10 plants total). The presence of ArMV in tobacco was confirmed by DAS-ELISA. Thus, the presence of ArMV in New York grapevines has been confirmed by the detection of the coat protein antigen, virus specific oligonucleotide probes, and the sequencing of portions of both genomic RNAs. There are limited reports of ArMV in North America and in grapevine in particular (2), but with a wide host range and seed and nematode transmissibility, ArMV has the ability to become more widespread among grapevine and other crops. References: (1) M. Digiaro, et al. J. Virol. Methods 141:34, 2007. (2) B. N. Milkus et al. Am. J. Enol. Vitic. 50:56, 1999. (3) J. Thompson et al. J. Virol. Methods 183:161, 2012. (4) T. Wei et al. J. Virol. Methods 153:16, 2008.

To extract favorable terms from local governments, developers can take advantage of intermunicipal competition and threaten to relocate or abandon a land development project. Some say that model of regional competition undercuts the economic, environmental, and societal benefits of development while others claim it boosts the efficiency of municipal operations. The authors examine the likelihood that land developers will push local governments to compete against each other for projects. Their study of New York municipalities ( N = 306) finds that one third of local governments have been threatened and that one third of those reacted by reducing burdens or increasing incentives for developers. Their logistic regression model reveals that more cooperative intermunicipal relations across a region decrease the chances of developers threatening to move projects. Interestingly, the model suggests that public participation increases the chances of a threat.

We sought to assess predictors and outcomes of sternal wound complications in patients after coronary artery bypass grafting (CABG). A nested, case-control study from a 10-year hospitalization cohort with prospective data collection was conducted. Included in the cohort were patients age 18 and above undergoing CABG surgery between March 1997 and July 2003 (n = 7889). Patients who underwent any surgery other CABG were excluded. Cases were matched to controls 1:3 on year of surgery. Cases were CABG patients with sternal wound complications, which was defined as requiring antibiotics and/or topical treatment, requiring extra nursing care, dehiscence, or requiring surgical intervention (n = 89). Controls were CABG patients without sternal wound complications (n = 267). The study examined 29 risk factors and 10 outcome variables. Univariate analysis on the risk factors revealed 10 significant risk factors. Logistic regression analysis was conducted and the risk factors that significantly predicted sternal wound complications after CABG surgery included older age (odds ratio [OR] = 0.85, 95% confidence interval [CI] 0.808–0.892), previous CABG surgery (OR = 3.9, 95% CI 1.03–15.37), and in class three or four of the New York Heart Association functional class (OR = 2.8, 95% CI 1.27–6.12). There was a significant difference between CABG patients with and without sternal wound complications on nine outcome variables. Of the 29 predictors of post-CABG sternal wound infections being examined, 10 proved to be significant. Further analysis demonstrated only three variables that significantly predicted sternal wound complications. Older age, previous CABG surgery, and class three or four of the New York Heart Association functional class predispose CABG patients to sternal wound infections.

Abstract Background Human monocytic ehrlichiosis (HME) is a tick-borne disease caused by Ehrlichia chafeensis in the northeast United States. Suffolk County, New York has the highest amount of HME cases in NY (176 from 2010 to 2014). Our aim is to identify risk factors for HME and compare clinical presentation and laboratory findings of young vs. older adults. Methods A retrospective chart review from January 1, 2014 to December 31, 2017 was performed on all patients ≥18 years who presented to the ER at Stony Brook University Hospital (SBUH) or Stony Brook Southampton Hospital (SBSH) with (i) ICD-9 code 082.4 or ICD-10 code A77.40 and (ii) a positive E. Chafeensis PCR. Data were collected on demographics, clinical presentation, and laboratory results. Results Twenty-seven cases of HME were found and separated into Group 1 (G1, n = 10) or Group 2 (G2, n = 17) based on age (Table 1). G1 had a significantly higher chance of being Hispanic than G2. Twenty-four of the 27 patients (89%) were hospitalized with an average length of stay of 3.4 days (range 1–14 days).The only significant difference in clinical presentation was that G1 was more likely to have myalgia (P = 0.02). 40% or more of patients in both groups presented with an acute kidney injury and the average length of hospital stay in days was 4.0 ± 2.9 and 3.2 ± 3.1 for G1 and G2, respectively. The number of cases overall have increased 6.0% per year between 2014 and 2017. Thrombocytopenia presented in all cases. Conclusion. HME is prevalent in Suffolk County. Clinical presentation and laboratory findings were largely similar between the two groups, except the younger population more often presented with myalgia. A risk factor in this study was to be young and Hispanic, likely due to occupational exposure. Disclosures All authors: No reported disclosures.

The number of women under community supervision in the United States has increased, and this population has a high risk for sexually transmitted infections (STIs). We examined STI prevalence and multiple risk factors among drug-involved women under community supervision in New York City. Data were from a randomized controlled trial testing the efficacy of a behavioral HIV/STI intervention (Women on the Road to Health [WORTH]) among drug-involved women in the community corrections system in New York City from 2009 to 2012. To be eligible for inclusion, women had to be under community supervision within the past 90 days, have used illicit drugs at least once in the past six months, and have unprotected sex at least once in the past 90 days. Participants completed a survey containing items on STI risk factors and were tested for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Multivariable regression was used to examine associations between risk factors and STI diagnosis. Of 333 women tested, 89 (26.7%) tested positive for an STI. Ten (3.0%) were positive for C. trachomatis, 4 (1.2%) for N. gonorrhoeae, and 77 (23.1%) for T. vaginalis. Women with any STI were more likely to be black (AOR: 2.02; 95% CI: 1.08–3.77), homeless in the past 90 days (AOR: 2.07; 95% CI: 1.01–4.26), arrested in the past 90 days (AOR: 1.97; 95% CI: 1.14–3.39), and have a greater number of sexual partners in the past 90 days (AOR: 1.24; 95% CI: 1.08–1.42). Drug-using women under community supervision have a high burden of STIs driven by multiple risk factors. Implementing STI screening, prevention, and treatment programs in community supervision settings could facilitate a reduction in STIs among this population.

Analyzing 50 years’ of New York Times international news coverage ( N = 20,765), this study extends research on the “shrinking international news hole,” levels of press freedom, agent (e.g., Times correspondent), and “borrowed” news—information gleaned from local media, including social media. Data show a recent, growing role for social media and an increase in news borrowing, while foreign coverage declined; slight resurgence in foreign coverage during the last quarter-century; reduced wire copy use but increased correspondent news borrowing; and increased coverage of but decreased news borrowing in news from non-free nations. Borrowing from social media was greatest in non-free nations.

The aim of the present study was to determine whether 10 days of repeated local heating could induce peripheral adaptations in the cutaneous vasculature and to investigate potential mechanisms of adaptation. We also assessed maximal forearm blood flow to determine whether repeated local heating affects maximal dilator capacity. Before and after 10 days of heat training consisting of 1-h exposures of the forearm to 42°C water or 32°C water (control) in the contralateral arm (randomized and counterbalanced), we assessed hyperemia to rapid local heating of the skin ( n = 14 recreationally active young subjects). In addition, sequential doses of acetylcholine (ACh, 1 and 10 mM) were infused in a subset of subjects ( n = 7) via microdialysis to study potential nonthermal microvascular adaptations following 10 days of repeated forearm heat training. Skin blood flow was assessed using laser-Doppler flowmetry, and cutaneous vascular conductance (CVC) was calculated as laser-Doppler red blood cell flux divided by mean arterial pressure. Maximal cutaneous vasodilation was achieved by heating the arm in a water-spray device for 45 min and assessed using venous occlusion plethysmography. Forearm vascular conductance (FVC) was calculated as forearm blood flow divided by mean arterial pressure. Repeated forearm heating did not increase plateau percent maximal CVC (CVCmax) responses to local heating (89 ± 3 vs. 89 ± 2% CVCmax, P = 0.19), 1 mM ACh (43 ± 9 vs. 53 ± 7% CVCmax, P = 0.76), or 10 mM ACh (61 ± 9 vs. 85 ± 7% CVCmax, P = 0.37, by 2-way repeated-measures ANOVA). There was a main effect of time at 10 mM ACh ( P = 0.03). Maximal FVC remained unchanged (0.12 ± 0.02 vs. 0.14 ± 0.02 FVC, P = 0.30). No differences were observed in the control arm. Ten days of repeated forearm heating in recreationally active young adults did not improve the microvascular responsiveness to ACh or local heating. NEW & NOTEWORTHY We show for the first time that 10 days of repeated forearm heating is not sufficient to improve cutaneous vascular responsiveness in recreationally active young adults. In addition, this is the first study to investigate cutaneous cholinergic sensitivity and forearm blood flow following repeated local heat exposure. Our data add to the limited studies regarding repeated local heating of the cutaneous vasculature.

Background Recently, states have experienced widely varying participation in annual assessments, with the opt-out movement concentrated in New York State and Colorado. Geographic variation between and within states suggests that the diffusion of opting out is multilayered and an appropriate phenomenon to explore geographic dimensions of social movements in education. Purpose The study analyzes the geographic patterns of opting out from state assessments in school districts in New York State. Research Design We conducted linear regression and geographically weighted regression on district-level proportions of third- through eighth-grade students in local public school districts for 2015 and 2016 (n = 623), excluding New York City and charter schools. Independent variables included the district-level proportion of students with disabilities, identified as English Language Learners, and identified as White; census-based small-area child poverty estimates for the districts; and the geographic population density of the district. Linear regressions excluded racial and ethnic dummy variables to reduce collinearity problems, and geographically weighted regression limited geographically varying coefficients to child poverty and population density based on preliminary analyses. Findings The unweighted ordinary least squares (OLS) of district-level opting out in both spring 2015 and spring 2016 are weakly predictive as a whole (adjusted R2 < .20). In both years, population density was a statistically significant but low-magnitude predictor of change in opt-out behavior using OLS. The proportion of students with Individualized Education Plans was positively associated with opt-out behavior, and district-level child poverty was negatively associated with opt-out behavior. The proportion of White students was a statistically significant positive predictor of opt-out behavior in spring 2015 but not statistically significant for 2016, though with a coefficient in the same direction (positive). Analyzing the same data with geographically weighted regression more than doubled the adjusted R2 for each year and demonstrated that there were areas of New York State where the coefficients associated with child poverty and population density reversed direction, with suburban Long Island and the western upstate region as areas with a magnified negative association between district-level child poverty and opting-out percentages. Conclusions In the past five years, social networks have enabled the long-distance organizing of social and political movements in education, including opting-out and teacher walkouts. However, the long-distance transmission of ideas does not explain intrastate variations. In this study, geographically weighted regression revealed the local variations in relationships between opting-out and two key variables. Local networks still matter critically to social organizing around education.

Abstract Objectives Hispanics experience diet-related health disparities in comparison to non-Hispanic whites. Community nutrition environments can influence health outcomes, but restaurants are a largely untapped research area. This study examined how Hispanic Caribbean Restaurants (HCR) promote healthy eating through menu design, and which HCR characteristics are associated with healthy menu images (HMI). We hypothesize that HMI will be associated with more affluent neighborhoods. Methods We examined the nutrition environment in a random sample of 89 HCR in NYC. This analysis included a subsample of HCR that had menus with images (n = 51). HCR were classified as having “Healthy Menu Images” (HMI) if at least half of all images showed a potentially healthy option (i.e., non-fried entrée, a non-fried, non-starchy vegetable side, or both). Descriptive analysis and logistic regression were used to examine the association between HMI and restaurant characteristics, including Hispanic Caribbean cuisine served, type (fast-casual vs sit-down), and neighborhood characteristics (gentrification status, supermarket to bodega ratio, Hispanic-Caribbean population density). Significance was established at P &lt; 0.10 accounting for the exploratory nature of the analysis. Results HMI were found in 39.2% of the sample and associated with neighborhood gentrification. Compared to HRC in non-gentrifying neighborhoods (poor), those located in gentrifying areas had higher odds for HMI (AOR:10.360, P = 0.052). No significant associations were found between HMI and supermarket to bodega ratio, restaurant type, Hispanic Caribbean population density, and cuisine type. Conclusions The design of a menu and its inclusion of images can direct a customer's attention to specific items, increasing the likelihood that those items will be ordered. Our research indicates potential disparities in HMI in HCR by neighborhood gentrification, underscoring inequities in these areas’ food environments. More research is needed to examine menu design in ethnic restaurants, to inform future health promotion interventions in low-income, non-gentrifying neighborhoods. Funding Sources CUNY PSC Award.

This study evaluated the actual environmental behaviours in an eco-development case study in the UK, which was designed to enable more sustainable lifestyles. Data analysis was based on the resident responses to a development-wide questionnaire survey (n = 89), household interviews (n = 12) and waste measurements. Reported energy- and water-saving behaviours were fairly common. The mean waste recycling rates (45% to 60%) were similar to local and national averages, and were below the target of 80%. The mean rates of purchasing organic food (37%), growing food (31%) and meat consumption (in 36% of all meals) indicated that the food behaviours were not more pro-environmental. Car-based modes of transportation were used for 71% of all the reported trips on average, which was higher than the national average, and the target of 55%. Despite these reported behaviours, most of the residents regarded their new lifestyles as more sustainable. This was related to the notion of energy efficiency and low-carbon technologies, rather than changes in behaviour. The findings of this study and similar studies indicated that enabling environmental behaviours in new developments is challenging. New policies need to be more holistic and support the delivery of not only well-performing buildings, but also developments that make sustainable urban living a reality.

How is a city’s international visibility historically formed? Applying a novel approach based on the Google Books N-gram corpus, we conducted the first empirical study to examine the pattern of and factors shaping the accumulation of international visibility by 294 major Chinese cities between the years of 1700 and 2000. We analyse the usage frequency of city names in Google English-language books to capture the international visibility of these major Chinese cities, and the appearance of these city names in the New York Times to capture media quotation over a definable number of years. Further, we performed the Granger causality test to see if media coverage helps to predict international visibility. The findings of this study demonstrate that the global fame of cities in mainland China is influenced by their exposure in media communications with the rest of the world. However, this media effect is not statistically significant for several former colonial cities, which are more likely to attain global fame through economic exchange in the global market.

Utilizing a mixed-methods research design consisting of two consecutive phases, this study investigates older adults’ perceptions and understanding of social connectedness factors influencing late-life volunteering. In the first phase, quantitative data from the Belgian Ageing Studies project ( N = 24,508, from 89 municipalities) was analyzed through regression modeling. In the second, qualitative phase, focus groups with older people were conducted in each of the six research locations, to elucidate and build on the quantitative results. The research findings indicate that formal connectedness is highly influential for both the potential to volunteer and actually doing so. Membership of an association and being a new resident are key determinants for volunteering in later life. Moreover, local policy also functions as an important bridge between long-term residents and new residents in terms of the social structure of the society and the extent to which people are integrated into the community.

Abstract Background In Australia, men-who-have-sex-with-men (MSM) have higher rates of sexually transmissible infections (STIs) and HIV compared with heterosexual men. We compared demographics, behaviour and HIV/STI prevalence for MSM attending a sex-on-premises-venue (SOPV) or the local sexual health clinic (SHC) to determine key differences. Methods: Men attending a SOPV during onsite HIV/STI screening from November 2015 for 12 months were compared with MSM attending a local SHC for screening. Each group completed a self-administered questionnaire and STI/HIV testing. Data analysis was performed using SPSS. Results: Compared with SHC participants (n = 108), SOPV participants (n = 84) had a higher median age (47 years [range, 22–88] vs 33 years [range, 19–71]; P &lt; 0.001) and less likely to report previous HIV testing (73% vs 89%; P &lt; 0.01), STI testing (60% vs 90%; P &lt; 0.001) or be vaccinated for hepatitis A (32% vs 65%; P &lt; 0.001) or hepatitis B (35% vs 73%; P &lt; 0.001). SOPV participants were more likely to be married, widowed or have a long-term female partner (39% vs 7%; P &lt; 0.001) and have a higher prevalence of urethral and rectal chlamydia (7% vs 1%; P = 0.02 and 8% vs 2%; P = 0.03, respectively). There was no significant difference between the groups for detection of syphilis (4% vs 9%), gonorrhoea (5% vs 9%) or HIV (1% vs 0%). Conclusion: MSM attending the SOPV had higher anogenital chlamydial prevalence compared with those attending the SHC. They reported higher rates of sex with female partners, which may facilitate STI/HIV transmission to heterosexual populations. Our findings have implications for HIV/STI service provision, contact tracing and local health promotion initiatives.

Abstract Objectives (1) Examine changes in healthy food availability among Hispanic Caribbean restaurants (HCR) in response to COVID-19. (2) Assess the association between changes and restaurant type. Methods A random sample of HCRs (n = 89) offering Cuban, Dominican, Puerto Rican cuisine, were examined in Summer 2019 (T1) using the NEMS-HCR, an adapted version of the Nutrition Environment Measures Survey for Restaurants (NEMS-R) and reassessed after the onset of COVID-19 in January 2021 (T2, n = 76) using online menus. We examined menu changes between T1 and T2 data sets in the NEMS-HCR overall healthy food availability (HFA) score, and specific variables: the number of healthy main dish salads (HMDS) and the menu proportion of nonfried foods (NFF) on the menu. We then examined changes by restaurant type (sit-down vs. counter-style) using repeated measures ANOVA. Results Between T1 and T2, 7 HRCs permanently closed, 1 closed for the season, and 5 were excluded due to lack of online menus. Mean proportion of NFF significantly decreased from 71.7% ± 17.5 (T1) to 66.1% ± 17.8 (T2) (P = 0.002). Changes in HFA scores (4.5 ± 2.0 to 4.1 ± 2.2) and HMDS (1.7 ± 2.8 to 1.8 ± 3.0) were not statistically significant (P = 0.06 and P = 0.65, respectively). Repeated measures ANOVA indicated no correlation between the decrease in availability of NFF between T1 and T2 and restaurant type (P = 0.29). Conclusions Restaurants can play a significant role in the mitigation of diet-related diseases such as cardiovascular disease and diabetes by providing customers with healthy menu offerings. Our study showed a decrease in healthier menu options, particularly non-fried entrees, contributing to our understanding of how restaurants may need to adapt for their own survival in times of crisis such as a pandemic or disaster. Because unfavorable menu options can contribute to the rising incidence of diet-related chronic diseases within the community, more research is needed to understand how restaurants respond to crises in order to better support the preservation of HFA within their menu selections, and the effects of these changes in customers’ diets. Funding Sources CUNY PSC Award and NIH National Heart, Lung, and Blood Institute

The author taught at Ankara University; Faculty of Political Science for many years and served as Dean of the Faculty during 1971- 1975. He was also the Head of both the Ernst Reuter Center for Urban Studies and the Center for Environmental Studies in the same university. He is currently teaching at the Eastern Mediterranean University, North Cyprus. Dr Keleę has published extensively on Comparative Urbanization, Theories of Local Government, Environmental Policies, and Urban Politics. His major publications include The Politics of Urbanization: Government and Growth in Modern Turkey (with Michael N. Danielson, New York, Holmes and Meier, 1985); The Urban Poverty in the Third World, Institute of Developing Economies, Tokyo, 1988; and Housing in the Middle East (with Hiromaso Kano), Institute of Developing Economies, Tokyo, 1986.

A maximum stable set in a graph G is a stable set of maximum cardinality. S is a local maximum stable set of G, and we write S ∈ Ψ(G), if S is a maximum stable set of the subgraph induced by S ∪ N(S), where N(S) is the neighborhood of S. Nemhauser and Trotter Jr. [Vertex packings: structural properties and algorithms, Math. Program.8 (1975) 232–248], proved that any S ∈ Ψ(G) is a subset of a maximum stable set of G. In [Levit and Mandrescu, A new greedoid: the family of local maximum stable sets of a forest, Discrete Appl. Math.124 (2002) 91–101] we have shown that the family Ψ(T) of a forest T forms a greedoid on its vertex set. The cases where G is bipartite, triangle-free, well-covered, while Ψ(G) is a greedoid, were analyzed in [Levit and Mandrescu, Local maximum stable sets in bipartite graphs with uniquely restricted maximum matchings, Discrete Appl. Math.132 (2004) 163–174], [Levit and Mandrescu, Triangle-free graphs with uniquely restricted maximum matchings and their corresponding greedoids, Discrete Appl. Math.155 (2007) 2414–2425], [Levit and Mandrescu, Well-covered graphs and greedoids, Proc. 14th Computing: The Australasian Theory Symp. (CATS2008), Wollongong, NSW, Conferences in Research and Practice in Information Technology, Vol. 77 (2008) 89–94], respectively. In this paper we demonstrate that if G is a very well-covered graph of girth ≥4, then the family Ψ(G) is a greedoid if and only if G has a unique perfect matching.

Abstract Objectives Examine the nutrition environment in Hispanic Caribbean (HC) restaurants, and identify restaurant-level factors associated with healthier nutrition restaurant environments. Methods We adapted the Nutrition Environment Measure Survey for Restaurants (NEMS-R) to HC cuisines and applied the instrument (NEMS-HCR) to a random sample of Cuban, Puerto Rican, and Dominican restaurants in New York City (n = 89). Descriptive and regression analysis examined the associations between the NEMS-HCR score and restaurant characteristics (HC cuisine, restaurant type, and midpoint price). Results No restaurant offered dishes labeled as healthy and almost none (2%) offered whole grains or fruit. Half of the restaurants (52%) had menus with a large proportion (&gt;75%) of nonfried (NF) main dishes and three-quarters (76%) offered at least one vegetarian option. The most common environmental facilitator to healthy eating was offering reduced portion sizes (21%) and the most common barrier was having salt shakers on tables (40%). NEMS-HCR scores (100-point scale) ranged from 24.1–55.2 (mean = 39.7). Scores varied by cuisine and size category, but not by restaurant type (sit-down vs fast casual). Puerto Rican restaurants had the lowest mean score, compared with Dominican and Cuban restaurants (33.7 ± 6.8, 39.6 ± 6.4, 43.3 ± 6.9, respectively, P &lt; 0.001). Small restaurants (&lt;22 seats) had significantly lowest scores, compared with large and medium sized (36.7 ± 7.1, 41.3 ± 7.2, 41.6 ± 6.1, respectively, P &lt; 0.05). Multivariate regression indicated that HC cuisine, restaurant size, and price were significantly associated with the score (P &lt; 0.05). Price was found to have a significant quadratic association, where lower scores were found among lower and higher priced restaurants. Conclusions HC communities present more dietary risk factors than other Hispanic groups. Our study is the first to adapt and apply the NEMS-R to HC restaurants. Restaurants are increasingly important daily sources of food. As interventions targeting individual behavior change have shown limited impact, restaurants represent an important environmental target for health promotion. The assessment showed areas for potential improvements in food offerings and environmental cues to encourage healthful choices in HC restaurants. Funding Sources CUNY PSC Award and NIH/NHLBI Career Development Award (K01).

Abstract Background Oral post-exposure prophylaxis (PEP) is effective in preventing HIV transmission. To minimize barriers to PEP for New York City (NYC) residents, the Institute for Advanced Medicine (IAM), Mount Sinai Health System, and the NYC Department of Health and Mental Health established a 24-hour 7-days PEP hotline to provide eligible callers with immediate access to PEP and follow-up clinical care. Methods Data from hotline callers (January to December 2017) was analyzed utilizing multivariable logistic regression to determine whether a call resulted in PEP access within 72 hours of exposure by sociodemographic variables and exposure characteristics. We describe transitions from PEP to PrEP (pre-exposure prophylaxis). Results The PEP hotline cohort (n = 1278) was 83% male, 11% female, 1% transgender; 66% LGBTQ and 20% heterosexual; 35% White, 15% Black, 9% Asian; 41% other/unknown; 25% Hispanic; mean age of 30 years (range 14–72). The majority of callers learned about the hotline by Internet search (59%). Mean exposure time prior to call was 31 hours with 57% within 24 hours. Exposures were 98% sexual; 73% anal sex (43% receptive; 30% insertive), 21% vaginal, and 6% other. 63% reported condomless sex and 29% condom failure. 15% of callers reported a partner with HIV. 35% of callers reported alcohol or recreational substances at the time of the exposure. Prior PEP and PrEP use was 20% and 9%, respectively. 91% of callers were eligible for PEP; 69% called afterhours and received a telephone PEP prescription, and 27% called during business hours and were directed to a clinic. Access to PEP within 72 hours of exposure occurred in 1,081 (93%) of eligible callers and within 36 hours in 68%. 90% of callers had confirmed follow-up clinic appointments. Of the 472 callers linked to care at the IAM, 89 (19%) transitioned to PrEP. Conclusion This unique program demonstrates a timely initiative to facilitate PEP access to a diverse cohort with the purpose of mitigating risk from potential exposure to HIV. Further investigation is needed to explore adherence to PEP, follow-up testing results, transitions to PrEP for prevention planning, and coordination of health care and substance use services. Disclosures E. Kaplan-Lewis, Viiv: Consultant, Consulting fee. J. Aberg, Gilead: Research Contractor, Research support. GSK: Research Contractor, Research support. ViiV: Research Contractor, Research support. A. Urbina, Theratechnologies: Scientific Advisor, Consulting fee. ViiV: Scientific Advisor, Consulting fee. Merck: Scientific Advisor, Consulting fee. Gilead: Scientific Advisor, Consulting fee.

ABSTRACT We present a new approach to extract the power-law part of a density/column-density probability density function (ρ-pdf/N-pdf) in star-forming clouds. This approach is based on the mathematical method bPlfit of Virkar & Clauset (2014, Annals of Applied Statistics, 8, 89) and it assesses the power-law part of an arbitrary distribution, without any assumptions about the other parts of this distribution. The slope and deviation point are derived as averaged values as the number of bins is varied. Neither parameter is sensitive to spikes and other local features of the tail. This adapted bPlfit method is applied to two different sets of data from numerical simulations of star-forming clouds at scales 0.5 and 500 pc, and it displays ρ-pdf and N-pdf evolution in agreement with a number of numerical and theoretical studies. Applied to Herschel data on the regions Aquila and Rosette, the method extracts pronounced power-law tails, consistent with those seen in simulations of evolved clouds.

David K. Dunaway and Willa K. Baum, eds. Oral History: An Interdisciplinary Anthology. Nashville: American Assocation for State and Local History, 1984. Pp. xxiii, 436. Paper, $17.95 ($16.15 to AASLH members); cloth $29.50 ($26.95 to AASLH members). Review by Jacob L. Susskind of The Pennsylvania State University at Harrisburg. Salo W. Baron. The Contemporary Relevance of History: A Study in Approaches and Methods. New York: Columbia University Press, 1986. Pp. viii, 158. Cloth, $30.00; Stephen Vaughn, ed. The Vital Past: Writings on the Uses of History. Athens: The University of Georgia Press, 1985. Pp. 406. Paper, $12.95. Review by Michael T. Isenberg of the United States Naval Academy. Howard Budin, Diana S. Kendall and James Lengel. Using Computers in the Social Studies. New York and London: Teachers College Press, 1986. Pp. vii, 118. Paper, $11.95. Review by Francis P. Lynch of Central Connecticut State University. David F. Noble. Forces of Production: A Social History of Industrial Automation. New York and Oxford: Oxford University Press, 1984. Pp. xviii, 409. Paper, $8.95. Review by Donn C. Neal of the Society of American Archivists. Alan L. Lockwood and David E. Harris. Reasoning with Democratic Values: Ethical Problems in United States History. New York and London: Teachers College Press, 1985. Volume 1: Pp. vii, 206. Paper, $8.95. Volume 2: Pp. vii, 319. Paper, $11.95. Instructor's Manual: Pp. 167. Paper, $11.95. Review by Robert W. Sellen of Georgia State University. James Atkins Shackford. David Crocketts: The Man and the Legend. Chapel Hill: The University of North Carolina Press, 1986. Pp. xxv, 338. Paper, $10.95. Review by George W. Geib of Butler University. John R. Wunder, ed. At Home on the Range: Essays on the History of Western Social and Domestic Life. Westport, Connecticut: Greenwood Press, 1985. Pp. xiii, 213. Cloth, $29.95. Review by Richard N. Ellis of Fort Lewis College. Sylvia R. Frey and Marian J. Morton, eds. New World, New Roles: A Documentary History of Women in Pre-Industrial America. New York, Westport, Connecticut, and London: Greenwood Press, 1986. Pp. ix, 246. Cloth, $35.00. Review by Barbara J. Steinson of DePauw University. Elizabeth Roberts. A Woman's Place: An Oral History of Working-Class Women, 1890-1940. New York: Basil Blackwell, 1985. Pp. vii, 246. Paper, $12.95. Review by Thomas T. Lewis of Mount Senario College. Steven Ozment. When Fathers Ruled: Family Life in Reformation Europe. Cambridge, Massachusetts, and London: Harvard University Press, 1983. Pp. viii, 283. Cloth, $17.50; Paper, $7.50. Review by Sanford Gutman of State University of New York, College at Cortland. Geoffrey Best. War and Society in Revolutionary Europe, 1770-1870. New York: Oxford University Press, 1986. Pp. 336. Paper, $9.95; Brian Bond. War and Society in Europe, 1870-1970. New York: Oxford University Press, 1986. Pp. 256. Paper, $9.95. Review by Bullitt Lowry of North Texas State University. Edward Norman. Roman Catholicism in England: From the Elizabethan Settlement to the Second Vatican Council. Oxford and New York: Oxford University Press, 1986. Pp. 138. Paper, $8.95; Karl F. Morrison, ed. The Church in the Roman Empire. Chicago and London: University of Chicago Press, 1986. Pp. viii, 248. Cloth, $20.00; Paper, $7.95. Review by Raymond J. Jirran of Thomas Nelson Community College. Keith Robbins. The First World War. New York and Oxford: Oxford University Press, 1984. Pp. 186. Paper, $6.95; J. M. Winter. The Great War and the British People. Cambridge: Harvard University Press, 1986. Pp. xiv, 360. Cloth, $25.00. Review by Roger D. Tate of Somerset Community College. Gerhardt Hoffmeister and Frederic C. Tubach. Germany: 2000 Years-- Volume III, From the Nazi Era to the Present. New York: The Ungar Publishing Co., 1986. Pp. ix, 279. Cloth, $24.50. Review by Abraham D. Kriegel of Memphis State University. Judith M. Brown. Modern India: The Origins of an Asian Democracy. Oxford and New York: Oxford University Press, 1985. Pp. xvi, 429. Cloth, $29.95; Paper, $12.95. Review by Steven A. Leibo of Russell Sage College.

Anthony Esler. The Human Venture. Englewood Cliffs, NJ: Prentice-Hall, 1986. Volume I: The Great Enterprise, a World History to 1500. Pp. xii, 340. Volume II: The Globe Encompassed, A World History since 1500. Pp. xii, 399. Paper, $20.95 each. Review by Teddy J. Uldricks of the University of North Carolina at Asheville. H. Stuart Hughes and James Wilkinson. Contemporary Europe: A History. Englewood Clifffs, NJ: Prentice-Hall, 1987. Sixth edition. Pp. xiii, 615. Cloth, $35.33. Review by Harry E. Wade of East Texas State University. Ellen K. Rothman. Hands and Hearts: A History of Courtship in America. Cambridge and London: Harvard University Press, 1987. Pp. xi, 370. Paper, $8.95. Review by Mary Jane Capozzoli of Warren County Community College. Bernard Lewis, ed. Islam: from the Prophet Muhammad to the Capture of Constantinople. Oxford and New York: Oxford University Press, 1987. Volume I: Politics and War. Pp.xxxvii, 226. Paper, $9.95. Volume II: Religion and Society. Pp. xxxix, 310. Paper, $10.95. Review by Calvin H. Allen, Jr. of The School of the Ozarks. Michael Stanford. The Nature of Historical Knowledge. New York: Basil Blackwell, 1986. Pp. vii, 196. Cloth, $45.00; paper, $14.95. Review by Michael J. Salevouris of Webster University. David Stricklin and Rebecca Sharpless, eds. The Past Meets The Present: Essays On Oral History. Lanham, MD: University Press of America, 1988. Pp. 151. Paper, $11.50. Review by Jacob L. Susskind of The Pennsylvania State University. Peter N. Stearns. World History: Patterns of Change and Continuity. New York: Harper and row, 1987. Pp. viii, 598. Paper, $27.00; Theodore H. Von Laue. The World Revolution of Westernization: The Twentieth Century in Global Perspective. New York: Oxford University Press, 1987. Pp. xx, 396. Cloth, $24.95. Review by Jayme A. Sokolow of the National Endowment for the Humanities. Marilyn J. Boxer and Jean R Quataert, eds. Connecting Spheres: Women in the Western World, 1500 to the Present. New York and Oxford: Oxford University Press, 1987. Pp. xvii, 281. Cloth, $29.95; Paper, $10.95. Review by Samuel E. Dicks of Emporia State University. Dietrich Orlow. A History of Modern Germany: 1870 to Present. Englewood Cliffs, NJ: Prentice-Hall, Inc., 1987. Pp. xi, 371. Paper, $24.33. Review by Gordon R. Mork of Purdue University. Gail Braybon and Penny Summerfield. Out of the Cage: Women's Experiences in Two World Wars. Pandora: London and New York, 1987. Pp. xiii, 330. Paper, $14.95. Review by Paul E. Fuller of Transylvania University. Moshe Lewin. The Gorbachev Phenomenon: A Historical Interpretation. Berkeley and Los Angeles: University of California Press, 1988. Pp. xii, 176. Cloth, $16.95; David A. Dyker, ed. The Soviet Union Under Gorbachev: Prospects for Reform. London & New York: Croom Helm, 1987. Pp. 227. Cloth, $35.00. Review by Elizabeth J. Wilcoxson of Northern Essex Community College. Charles D. Smith, Palestine and the Arab-Israeli Conflict. New York: St. Martin's Press, 1988. Pp. viii, 308. Cloth, $35.00. Review by Arthur Q. Larson of Westmar College. Stephen G. Rabe. Eisenhower and Latin America: The Foreign Policy of Anticommunism. Chapel Hill & London: The University of North Carolina Press, 1988. Pp. 237. Cloth $29.95; paper, $9.95. Review by Donald J. Mabry of Mississippi State University. Earl Black and Merle Black. Politics and Society in the South. Cambridge and London: Harvard University Press, 1987. Pp. ix, 363. Cloth, $25.00. Review by Donn C. Neal of the Society of American Archivists. The Lessons of the Vietnam War: A Modular Textbook. Pittsburgh: Center for Social Studies Education, 1988. Teacher edition (includes 64-page Teacher's Manual and twelve curricular units of 31-32 pages each), $39.95; student edition, $34.95; individual units, $3.00 each. Order from Center for Social Studies Education, 115 Mayfair Drive, Pittsburgh, PA 15228. Review by Stephen S. Gosch of the University of Wisconsin-Eau Claire. Media Reviews Carol Kammen. On Doing Local History. Videotape (VIIS). 45 minutes. Presented at SUNY-Brockport's Institute of Local Studies First Annual Symposium, September 1987. $29.95 prepaid. (Order from: Dr. Ronald W. Herlan, Director, Institute of Local Studies, Room 180, Faculty Office Bldg., SUNY-Brockport. Brockport. NY 14420.) Review by Herbert Janick of Western Connecticut State University.

Kangaroo Island was an important seal-harvesting site during the early years of European colonisation of Australia. A recent survey of the New Zealand fur seal, Arctocephalus forsteri, in South and Western Australia indicates that Kangaroo I. is still an important centre for the species. In order to determine changes in the abundance of the population, numbers of pups were determined at four colonies on Kangaroo Island by mark-recapture in up to five breeding seasons from 1988-89 to 1992-93. Clipping was the preferred technique for mark-recapture estimation of pups because it was quick, easy and effective. Recaptures were conducted visually; they were repeated several times in each season to improve precision of the estimates. No pups were marked between recaptures in order to minimise disturbance. Assumptions made in estimating population size by the mark-recapture technique pertinent to this study are reviewed. Pup numbers increased at three colonies: at Cape Gantheaume, from 458 to 867 over five years (with exponential rate of increase r = 0.16, n = 5); at Nautilus North, from 182 to 376 over five years (at r = 0.19, n = 4); and at North Casuarina Islet, from 442 to 503 over four years (at r = 0.043, n = 2). Rates of increase in the first two colonies are similar to those at the most rapidly increasing fur seal populations in the Southern Hemisphere. The Kangaroo I. population is estimated to be 10000 animals in 1992-93. It is likely to be at the recolonisation phase of growth, with high rates of increase at individual colonies (or parts of colonies) resulting from local immigration. As space does not appear to be limiting expansion in these colonies, fur seal numbers may continue to increase there.

In the new history of present states, one of the main risks to the socio-economic development of society is corruption. The fight against it is based on the development of normative and legal acts, prevention and prevention, information and investigative activities, and is expressed in the form of deterrence and counteraction.The fundamental regulatory framework is the “United Nations Convention against Corruption” (adopted in New York on October 31, 2003 by Resolution 58/4 at the 51st plenary session of the 58th UN General Assembly), the Federal Law “On Countering Corruption” of 12/25/2008 N 273-FL. At the same time, to date, combating corruption in local government is regulated superficially and is formal in character. Due to the actual closed nature of the activities and peculiarities of the functioning of local government, the issues of corruption are not fully studied in order to provide effective prevention and counteraction.The possibility of a detailed study of corruptionogenic factors of local government and the development of methods of counteraction became possible after the elections of 2019, after which non-systemic municipal deputies were elected to the representative bodies of local government. Exercising the powers in the representative body of local government, municipal deputies independent from the territorial executive bodies of state power were able to study the specifics of the functioning of local government, make public the issues of the problem field, identify vulnerable places in the activities, take response measures and make appropriate practical conclusions.The purpose of this article is to establish the causes of the emergence of corruption in local government on the example of a separate municipality of the MO Svetlanovskoye of St. Petersburg. Study of the causes of the emergence of corruptionogenic factors, search and proposal of possible ways to address the issue of effective counteraction to corruption in local government in the new conditions of life of modern society.On the basis of the study the authors declare the need to take specific measures of response of the public authorities of the subject of the Russian Federation and the representative body of local government, aimed at creating certain conditions for effective counteraction and prevention of corruption, minimizing the consequences of corruptogenic factors in the modern conditions of democratic functioning of local government.

BackgroundIn 2018, New York City (NYC) implemented a tobacco-free pharmacy law as part of a comprehensive policy approach to curb tobacco use. This study models the reduction in tobacco retailer density following the ban to examine differences in the policy’s impact across neighbourhoods.MethodsTobacco retailer density per 1000 residents was calculated in July 2017 for each of NYC’s Neighborhood Tabulation Areas (NTAs, n=188) before and after removing pharmacies as licensed tobacco retailers. Pearson correlations and linear regression (with predictors scaled to 10 unit increments) measured associations between the projected change in retailer density after the ban and NTA demographic characteristics.ResultsOn average, retailer density decreased by 6.8% across neighbourhoods (SD: 6.3), with 17 NTAs experiencing reductions over 15%. Density reduction was greater in NTAs with higher median household income (r: 0.41, B: 1.00, p<0.0001) and a higher proportion of non-Hispanic white residents (r: 0.35, B: 0.79, p<0.0001). NTAs with a higher percentage of adults with less than a high school education (r: −0.44, B: −2.60, p<0.0001) and a higher proportion of Hispanic residents (r: −0.36, B: −1.07, p<0.0001) benefited less from the policy. These relationships held after assessing absolute changes in density (vs per cent change).ConclusionsNYC’s tobacco-free pharmacy law substantially reduces tobacco retailer density overall, but the impact is not equal across neighbourhoods. In order to minimise disparities in the tobacco retail environment, local governments considering a similar ban should supplement this strategy with other retailer restrictions to achieve equitable outcomes.

Michael B. Katz. Reconstructing American Education. Cambridge and London: Harvard University Press, 1987. Pp. viii, 212. Cloth, $22.50; E. D. Hirsch, Jr. Cultural Literacy: What Every American Needs to Know. Boston: Houghton Mifflin Co., 1987. Pp. xvii, 251. Cloth, $16.45; Diana Ravitch and Chester E. Finn, Jr. What Do Our 17-Year-Olds Know? A Report on the First National Assessment of History and Literature. New York: Harper & Row, 1987. Pp. ix, 293. Cloth, $15.95. Review by Richard A. Diem of The University of Texas at San Antonio. Henry J. Steffens and Mary Jane Dickerson. Writer's Guide: History. Lexington, Massachusetts, and Toronto: D. C. Heath and Company, 1987. Pp. x, 211. Paper, $6.95. Review by William G. Wraga of Bernards Township Public Schools, Basking Ridge, New Jersey. J. Kelley Sowards, ed. Makers of the Western Tradition: Portraits from History. New York: St. Martin's Press, 1987. Fourth edition. Vol: 1: Pp. ix, 306. Paper, $12.70. Vol. 2: Pp. ix, 325. Paper, $12.70. Review by Robert B. Luehrs of Fort Hays State University. John L. Beatty and Oliver A. Johnson, eds. Heritage of Western Civilization. Englewood Cliffs, New Jersey: Prentice-Hall, Inc., 1987. Sixth Edition. Volume I: Pp. xi, 465. Paper, $16.00; Volume II: pp. xi, 404. Paper, $16.00. Review by Dav Levinson of Thayer Academy, Braintree, Massachusetts. Lynn H. Nelson, ed. The Human Perspective: Readings in World Civilization. New York: Harcourt Brace Jovanovich, 1987. Vol. I: The Ancient World to the Early Modern Era. Pp. viii, 328. Paper, $10.50. Vol. II: The Modern World Through the Twentieth Century. Pp, x, 386. Paper, 10.50. Review by Gerald H. Davis of Georgia State University. Gerald N. Grob and George Attan Billias, eds. Interpretations of American History: Patterns and Perspectives. New York: The Free Press, 1987. Fifth Edition. Volume I: Pp. xi, 499. Paper, $20.00: Volume II: Pp. ix, 502. Paper, $20.00. Review by Larry Madaras of Howard Community College. Eugene Kuzirian and Larry Madaras, eds. Taking Sides: Clashing Views on Controversial Issues in American History. -- Volume II: Reconstruction to the Present. Guilford, Connecticut: The Dushkin Publishing Groups, Inc., 1987. Pp. xii, 384. Paper, $9.50. Review by James F. Adomanis of Anne Arundel County Public Schools, Annapolis, Maryland. Joann P. Krieg, ed. To Know the Place: Teaching Local History. Hempstead, New York: Hofstra University Long Island Studies Institute, 1986. Pp. 30. Paper, $4.95. Review by Marilyn E. Weigold of Pace University. Roger Lane. Roots of Violence in Black Philadelphia, 1860-1900. Cambridge, Massachusetts, and London: Harvard University Press, 1986. Pp. 213. Cloth, $25.00. Review by Ronald E. Butchart of SUNY College at Cortland. Pete Daniel. Breaking the Land: The Transformation of Cotton, Tobacco, and Rice Cultures since 1880. Urbana and Chicago: University of Illinois Press, 1985. Pp. xvi, 352. Paper, $22.50. Review by Thomas S. Isern of Emporia State University. Norman L. Rosenberg and Emily S. Rosenberg. In Our Times: America Since World War II. Englewood Cliffs, New Jersey: Prentice-Hall, 1987. Third edition. Pp. xi, 316. Paper, $20.00; William H. Chafe and Harvard Sitkoff, eds. A History of Our Time: Readings on Postwar America. New York: Oxford University Press, 1987. Second edition. Pp. xiii, 453. Paper, $12.95. Review by Monroe Billington of New Mexico State University. Frank W. Porter III, ed. Strategies for Survival: American Indians in the Eastern United States. New York, Westport, Connecticut, and London: Greenwood Press, 1986. Pp. xvi, 232. Cloth, $35.00. Review by Richard Robertson of St. Charles County Community College. Kevin Sharpe, ed. Faction & Parliament: Essays on Early Stuart History. London and New York: Methuen, 1985. Pp. xvii, 292. Paper, $13.95; Derek Hirst. Authority and Conflict: England, 1603-1658. Cambridge: Harvard University Press, 1986. Pp. viii, 390. Cloth, $35.00. Review by K. Gird Romer of Kennesaw College. N. F. R. Crafts. British Economic Growth During the Industrial Revolution. New York: Oxford University Press, 1985. Pp. 193. Paper, $11.95; Maxine Berg. The Age of Manufactures, 1700-1820. New York: Oxford University Press, 1985. Pp. 378. Paper, $10.95. Review by C. Ashley Ellefson of SUNY College at Cortland. J. M. Thompson. The French Revolution. New York: Basil Blackwell, 1985 reissue. Pp. xvi, 544. Cloth, $45.00; Paper, $12.95. Review by W. Benjamin Kennedy of West Georgia College. J. P. T. Bury. France, 1814-1940. London and New York: Methuen, 1985. Fifth edition. Pp. viii, 288. Paper, $13.95; Roger Magraw. France, 1815-1914: The Bourgeois Century. New York and Oxford: Oxford University Press, 1985. Pp. 375. Cloth, $24.95; Paper, $9.95; D. M.G. Sutherland. France, 1789-1815: Revolution and Counterrevolution. New York and Oxford: Oxford University Press, 1986. Pp. 242. Cloth, $32.50; Paper, $12.95. Review by Fred R. van Hartesveldt of Fort Valley State College. Woodford McClellan. Russia: A History of the Soviet Period. Englewood Cliffs, New Jersey: Prentice-Hall, 1986. Pp. xi, 387. Paper, $23.95. Review by Pasquale E. Micciche of Fitchburg State College. Ranbir Vohra. China's Path to Modernization: A Historical Review from 1800 to the Present. Englewood Cliffs, New Jersey: Prentice-Hall, 1987. Pp. xiii, 302. Paper, $22.95. Reivew by Steven A. Leibo of Russell Sage College. John King Fairbank. China Watch. Cambridge and London: Harvard University Press, 1987. Pp. viii, Cloth, $20.00. Review by Darlene E. Fisher of New Trier Township High School, Winnetka, Illinois. Ronald Takaki, ed. From Different Shores: Perspectives on Race and Ethnicity in America. New York and Oxford: Oxford University Press, 1987. Pp. 253. Paper, $13.95. Review by Robert C. Sims of Boise State University.

e21054 Background: The patterns of failure (POF) for patients (pts) with mNSCLC treated with immunotherapy are not well established. These POF inform treatment decisions and may identify candidates for radiotherapy (RT). The primary objective of this study was to establish the POF in mNSCLC treated with first line pembrolizumab, identify the frequency of oligoprogression (OPD), and characterize the use of RT in patients with OPD. Methods: We retrospectively identified pts with mNSCLC who received first line pembrolizumab +/- chemotherapy between January 2015 – January 2021 at a single institution. We defined POF at the time of first disease progression (PD) after pembrolizumab infusion according to two classifications: 1) local, regional, or distant failure, or 2) failure in existing lesions, new lesions, or a combination. OPD was defined as PD in < 3 distinct sites of failure in any number of organs. Overall survival (OS) was measured via the Kaplan Meier method. Multivariable Cox modeling was used to correlate pt characteristics with OS. Logistic regression was used to predict pt variables associated with OPD. Results: Of the 298 pts who received first line pembrolizumab +/- chemotherapy for mNSCLC, 198 had PD at median follow up of 46.3 months. Using POF classification 1, most failures were distant (n = 87, 43.9%) or a combination of locoregional and distant (n = 68, 34.4%). For POF classification 2, failures occurred in a combination of new and existing lesions (n = 89, 45.0%), existing lesions alone (n = 66, 33.3%), or in new lesions only (n = 42, 21.7%). OPD occurred in 79 (39.9%) pts. At the time of progression, 52 pts (27.3%) had PD at 1 site, 50 pts (25.2%) had PD at 2-3 sites, 37 pts (18.7%) had PD at 4-5 sites, and 57 pts (28.8%) had PD at > 5 sites. Most PD occurred in a solitary organ (n = 93, 47.0%) or in 2-3 different organs (n = 81, 40.9%). Median OS was higher in the following groups: PD in existing lesions vs new or new + existing lesions (28.7 vs 20.2 vs 13.9 months, p < 0.001), locoregional failure vs distant or both (39.1 vs 17.4 vs 14.3 months, p < 0.001) and OPD vs polyprogression (35.1 vs. 12.2 months, p < 0.001). Among pts with OPD (n = 79), median OS was better for those who received RT to all sites of PD than for those who changed systemic therapy (66.2 vs 22.9 months, p = 0.007). Pts with oligometastatic disease at diagnosis (OR 2.94, 95% CI 1.19-7.56, p = 0.02) and PR as best response to ICI (OR 2.48, 95% CI 1.04-6.14, p = 0.04) were more likely to develop OPD. On multivariable analysis, receipt of RT at time of OPD (HR 0.35, 95% CI 0.20-0.62, p < 0.01) and higher number of ICI cycles received (HR 0.94, 95% CI 0.92-0.96, p < 0.001) were associated with improved OS. Conclusions: For pts with mNSCLC treated with pembrolizumab, PD outside of existing lesions is infrequent. OPD is common and occurs in 40% of PD. Randomized data are needed to define the benefits of RT in mNSCLC with OPD.

Abstract Introduction Cocaine use disorder (CUD) is a disabling disease associated with high rates of relapse and intense cravings. Patients with CUD struggle to adhere to treatment, which contributes to relapse and frequent readmissions to residential rehab (RR) facilities. Preliminary studies suggest that N-acetylcysteine (NAC) attenuates cocaine-induced neuroplasticity and, therefore, may assist with cocaine abstinence and adherence to treatment. Methods This retrospective cohort study obtained data from 20 RR facilities across Western New York. Eligible subjects were 18 or older, diagnosed with CUD, and were divided based on their exposure to 1200 mg NAC twice daily during RR. The primary outcome was treatment adherence measured by outpatient treatment attendance rates (OTA). Secondary outcomes included length of stay (LOS) in RR and craving severity on a 1 to 100 visual analog scale. Results One hundred eighty-eight (N = 188) patients were included in this investigation: NAC, n = 90; control, n = 98. NAC did not significantly impact OTA (% appointments attended), NAC 68%; control 69%, (P = .89) or craving severity NAC 34 ± 26; control 30 ± 27, (P = .38). Subjects treated with NAC had a significantly longer average LOS in RR compared with controls, NAC 86 ± 30; control 78 ± 26, (P = .04). Discussion In this study, NAC did not impact treatment adherence but was associated with a significantly longer LOS in RR for patients with CUD. Owing to limitations, these results may not be applicable to the general population. More rigorous studies examining NAC's impact on treatment adherence in CUD are warranted.

Serological assays have been widely employed during the coronavirus disease 2019 (COVID-19) pandemic to measure antibody responses to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and to track seroconversion in populations. However, currently available assays do not allow determination of neutralization capacity within the assay protocol. Furthermore, commercial serology assays have a high buy-in cost that is inaccessible for many research groups. We have replicated the serological enzyme-linked immunosorbent assay for the detection of SARS-CoV-2 antibody isotypes, developed at the Icahn School of Medicine at Mount Sinai, New York. Additionally, we have modified the protocol to include a neutralization assay with only a minor modification to this protocol. We used this assay to screen local COVID-19 patient sera (n = 91) and pre-COVID-19 control sera (n = 103), and obtained approximate parity with approved commercial anti-nucleoprotein-based assays with these sera. Furthermore, data from our neutralization assay closely aligns with that generated using a spike-based pseudovirus infection model when a subset of patient sera was analyzed.

This study sought to answer the research question: How did media address climate change in reporting on Hurricanes Harvey and Irma? A content analysis was performed on the coverage of Hurricanes Harvey and Irma over a six-week timeframe by two national newspapers, The New York Times and the Los Angeles Times, and two local newspapers, the Houston Chronicle for Hurricane Harvey and the Tampa Bay Times for Hurricane Irma. A keyword analysis yielded 630 news articles (N=630), of which only 23 (3.65%) mentioned “climate change,” “global warming,” or both. Language that addressed these terms was coded on a Likert Scale (0-5, negative to positive), yielding a median score of 3.44, “slightly positive.” An extensive literature review and discussion of the findings and implications for future research are included. Keywords: Hurricane Harvey, Hurricane Irma, climate change, global warming, newspaper content analysis.

Abstract Objective: This research examines regional differences (Northern vs. Southern) in pain, religious coping, and negative affect among African Americans (AA) and non-Hispanic Whites (NHW) over the age of 50 with physician-confirmed knee osteoarthritis (OA). Methods: As part of a larger study of racial/ethnic differences in everyday quality of life with OA, 116 persons were recruited from sites in Alabama (n = 64) and New York (n = 52). Participants completed global measures of pain (PGC Pain Scale) and religious coping (Brief RCOPE); daily variability in pain, coping, and affect was assessed using a daily diary methodology consisting of 4 daily phone calls over 7 days. Site comparisons were conducted using one-way multivariate analysis of covariance (MANCOVA) with covariates of race, sex, education, and marital status. Results: There was a significant multivariate effect of site on pain, religious coping, and affect, F(5, 104) = 3.846, p = .003, Wilk’s Λ = .844, partial η2 = .156. Follow-up univariate tests and mean examinations revealed that Southerners reported statistically more daily pain (M = 2.023, SD = .89), religious coping (M = .618, SD = .427), and negative affect (M = 6.556, SD = 2.661) than Northerners (M = 1.810, SD = .719; M = .386, SD = .417; M = 5.865, SD = 1.446). Implications: Results contribute to a growing understanding of how individuals use their religious beliefs to cope with daily pain. (Supported by R01-AG041655 D. Smith and P. Parmelee, PIs.)

A new rot of stored apples was observed in local and export markets on apples that were grown in the south-central region of Chile during 2004. Circular, pale brown spots with a darker outer ring were observed at least 3 months after harvest in cvs. Braeburn, Fuji, Granny Smith, Pink Lady, and Royal Gala. Lesions developed from lenticel cavities or wounds and reached 2 to 3 cm in diameter after 1 week at room temperature. Symptoms resembled those produced by the bull's eye rot pathogens on apple that occur in other parts of the world. Acervuli developed in the rotted areas, and microscopic examination revealed the presence of the fungus Neofabraea alba (Guthrie) (anamorph Phlyctema vagabunda Desm.) characterized by production of curved macroconidia and absence of microconidia (1). Pure culture on potato dextrose agar (PDA) yielded a characteristic white sterile mycelium. Four cv. Pink Lady apples were wound inoculated with mycelium of the pathogen and four apples were wound inoculated with a 5 × 104 CFU/ml conidial suspension. Four apples were wounded and inoculated with sterile water as a negative control. The fruit was held at 20°C. Symptoms appeared after 4 and 5 days in the mycelium and conidial inoculated apples, respectively. Resulting symptoms were similar to those originally observed. Abundant macroconidia were produced at the inoculation sites, and a sterile, white mycelium was recovered after isolation on PDA. To our knowledge, this is the first report of apple fruit rot caused by N. alba in Chile. Reference: (1) J. L. Henriquez et al. Plant Dis. 88:1134, 2004.

Abstract The COVID-19 pandemic created new barriers to accessing primary care services, particularly among older adults who has faced barriers related to access to care, transportation, health literacy, and social isolation. Nova Southeastern University South Florida Geriatric Workforce Enhancement Program (NSU SFGWEP) partnered with primary care clinics and a local community partner to conduct wellness calls to older adult patients identified through clinic EHR. This project aimed to provide educational and telehealth support to vulnerable adults with limited resources in the Tri-County region of Florida. Wellness calls were made to determine educational and technical support needs of the older adults designated as underprivileged. We identified 44 participants to receive telehealth devices. Samsung tablets were mailed with educational resources, developed by NSU SFGWEP related to COVID-19 pandemic. The information included health, vaccine education, and instructions to access telehealth services. They had the tablets for six months. We conducted bi-weekly calls to offer peer training to access the educational materials. The participants were asked a series of questions to assess the effectiveness of the peer training support. Among participants, 36% (n=16) found the education materials impactful. Most participants, 89% (n=39), used the tablet, and 23% (n=10) reported using it daily. 11% (n=5) used it for telehealth, 7% (n=3) to connect with friends and family, and 7% (n=3) to connect with faith. This pilot project suggests that tablets were beneficial in assisting the participants in accessing education materials and resources encouraging the use of telehealth appointments and eliminating some of the social isolation.