Articles de revues sur le sujet « New York State Board of Pharmacy »

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1

Veltri, Keith T., Nadia Ferguson-Myrthil et Brian Currie. « The STanding Orders Protocol (STOP) : A Pharmacy Driven Pneumococcal and Influenza Vaccination Program ». Hospital Pharmacy 44, no 10 (octobre 2009) : 874–80. http://dx.doi.org/10.1310/hpj4410-874.

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Purpose A Medical Board-approved pharmacy-based inpatient STanding Orders Protocol (STOP) for influenza and pneumococcal vaccination was designed and implemented at Montefiore Medical Center in response to federal and state regulations put in place in 2006. This vaccination program aims to improve historically poor vaccination rates in a complex, urban patient population. Developing this initiative in a large health care system with high turnover and a diverse (many non-English speaking) population represented a formidable challenge. Methods In 2006 the institution initiated a program to improve patient care. The program involved a clinical pharmacist rounding on patient care units specifically to encourage the acceptance of the pneumococcal and influenza vaccine in patients at least 65 years of age at 1 of the 2 campus sites in the Bronx, New York. Medical residents were also employed to facilitate the pharmacist and achieve national standards. Registered nurses and licensed practical nurses are authorized to administer standing orders for vaccines and anaphylaxis treatment agents as needed under this protocol without direct physician examination. Vaccine information sheets (VIS) and gender- and ethnicity-specific patient teaching aids provide statistical information regarding disease and mortality rates. Language barriers are reduced by providing VIS in both Spanish and English, and telephone translation in most languages are utilized when necessary. Documentation of refusal of, previously received, or a newly ordered vaccination is placed in the patient's chart and in the central database. Discussion Prior to the STOP program, the total in-hospital vaccination encounter rates according to various Center for Medicare and Medicaid Services (CMS) audits was approximately 18% for pneumococcal and 27% for influenza vaccinations, respectively. The institution's current encounter rates have dramatically increased to more than 85% for pneumococcal and 55% for influenza vaccine. Conclusion The cooperative efforts of physicians, pharmacists, and nursing staff have led to the creation of a successful inpatient-based vaccine standing orders protocol. As a result, in 2007 the institution approved a second clinical pharmacist to allow for coverage at both of Montefiore's hospital sites. The hospital's goal is to ultimately decrease pneumococcal disease and its severity, increase and maintain the highest vaccination rates in New York City, and comply with national standards. The implication for decreasing morbidity and readmission of patients is promising. Future plans include the development of an ambulatory-based program with a similar design model.
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Falk, Karen Vitacolonna. « New York State Pharmacy Practice and the National Pharmacy Practice ». Journal of Pharmacy Practice 24, no 2 (avril 2011) : 244–45. http://dx.doi.org/10.1177/0897190011399739.

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Acosta, Daniel. « Laying the foundation for the new doctor of pharmacy degree in the United States ». Ciencia e Investigación 3, no 1 (19 juin 2000) : 24–27. http://dx.doi.org/10.15381/ci.v3i1.4392.

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In order to understand better the development of the six-year professional doctorate degree in pharmacy, a brief summary of the history of phamacy education in the United States will be provided. In the early 1900's, a two-year diploma from a recognized school of pharmacy was recornmended before a candidate could stand for licensure to practice pharmacy in an individual state. Each state regulates the practice of pharmacy and a state board of pharmacy is responsible for granting a pharmacist the right to practice pharmacy. The board of pharmacy requires a candidate to demonstrate his/her proficiency in pharmacy practice by passing a comprehensive examination in all areas of pharmacy, including the basic pharmaceutical sciences and clínical pharmacy practice. In additíon, the candídate must have a degree in pharmacy from an accredited college of pharmacy. Most states have reciprocal agreements whereby a pharmacist licensed to practice in one state will be allowed to practice nn another state by showing knowledge of state pharmacy laws ín the state to which he/she will be relocating.
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Bilz, Melanie, et Sarah Coutu. « New York pharmacy school students travel to state capital en masse ». Journal of the American Pharmaceutical Association (1961) 41 (juillet 2001) : 22. http://dx.doi.org/10.1016/s0003-0465(15)33324-3.

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Bilz, Melanie, et Sarah Coutu. « New York pharmacy school students travel to state capital en masse ». Journal of the American Pharmaceutical Association (1996) 41 (juillet 2001) : 22. http://dx.doi.org/10.1016/s1086-5802(16)31379-1.

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Le, Tin, Michael Toscani et John Colaizzi. « Telepharmacy : A New Paradigm for Our Profession ». Journal of Pharmacy Practice 33, no 2 (30 juillet 2018) : 176–82. http://dx.doi.org/10.1177/0897190018791060.

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Telepharmacy is a rapidly growing area of communication within pharmaceutical care delivery, especially in rural areas. The purpose of this literature review is to determine how telepharmacy is currently being practiced within community and ambulatory pharmacy settings, its effectiveness, and how it is being regulated across the United States. A literature review was performed using PubMed, Ovid MEDLINE, and the Google search engine. State-specific rules were researched using board of pharmacy and legislative online resources. Telepharmacy has been successfully implemented within community pharmacy settings through the creation of remote dispensing sites. The increasing focus of state regulations on telepharmacy services and practices shows the growth and acceptance of this modality of pharmacy practice. There is wide variation among state regulations pertaining to the setup and operation of telepharmacies. Trends in telemedicine show that telepharmaceutical care is likely to continue to expand as it allows for a better allocation of resources and access to more patients. However, research needs to be conducted to specifically analyze the value and place for telepharmacy services.
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Patton, Kurt A. « Provision of Pharmacy Services to Psychiatric Patients : A Perspective ». Journal of Pharmacy Practice 3, no 4 (août 1990) : 215–20. http://dx.doi.org/10.1177/089719009000300403.

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This article describes New York State's experience in advancing its mental health pharmacy programs. Implementation in a systematic fashion of accountable drug distribution services and basic clinical services is described. The approach used builds upon a firm foundation using a unit-dose system, a prerequisite before progressing with clinical initiatives. This base of activity is then improved by implementing computerization, clinical prescribing guidelines for drug use evaluation, and direct patient involvement with medication education. The planning necessary in order to prepare a unit-dose system is described. Issues considered include staffing estimates, recruitment of a work force, and training of new and existing staff. The problems encountered in implementing change within a large state bureaucracy, as well as the rewards and frustrations of working in this challenging environment, are discussed.
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Singh, Tanya, Renae L. Smith-Ray et Michael Taitel. « The Impact of Pharmacist Vaccination Privilege during a Nation-Wide Measles Outbreak ». Pharmacy 8, no 1 (9 janvier 2020) : 7. http://dx.doi.org/10.3390/pharmacy8010007.

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The 2019 measles outbreak was the worst since the USA eliminated measles in 2000. This paper presents the vaccination trends for a large chain-pharmacy, Walgreens, and examines the estimated vaccination capacity and impact of pharmacist privilege policies across states. Specifically, we estimated the number of people who could have been vaccinated in eight states with reduced or no measles, mumps, and rubella (MMR) vaccination privilege during the study period January–June, 2019. During the study period, Walgreens pharmacists administered MMR vaccines to 62,526 patients, a 231.9% increase. If pharmacists had been permitted to vaccinate against measles in the eight states investigated, Walgreens pharmacies would have administered between 12,404 and 36,551 additional vaccinations during that time. We also estimated all chain pharmacies’ capacity to vaccinate in one state that was severely impacted by the measles outbreak, New York, using a range from normal pharmacy operating conditions to maximum capacity. Assuming sufficient demand, it was estimated that chain pharmacies in New York State would have the capacity to vaccinate between 47,688 and 174,856 patients daily, achieving MMR vaccination (first dose) of the measles-susceptible population within 8–28 days. Overall, this study demonstrates the public health value of pharmacist vaccination privilege during a nation-wide outbreak of measles.
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McIntyre, Chelsey. « Regulations Guiding the Interstate Shipment of Investigational Product ». Journal of Pharmacy Practice 27, no 1 (22 octobre 2013) : 101–5. http://dx.doi.org/10.1177/0897190013504958.

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Purpose: Investigational drug services (IDSs) are often responsible for delivery of investigational product, whether to a study participant pursuant to a prescription or in bulk to another investigational study site. These deliveries must often cross state borders. For situations in which the study is not conducted under an investigational new drug application, these shipments are subject to the legislation of the receiving state. Summary: Every state board of pharmacy in the United States was contacted in an effort to compile a single resource describing interstate investigational product shipping regulations for each state. The majority of the states require registration with their board of pharmacy for shipment of medication into the state. Some states will allow for exceptions and/or fee waiver in certain situations. Controlled substances also fall under the jurisdiction of the Drug Enforcement Administration, with additional constraints placed on their shipment by many states. Conclusion: Knowledge of state legislative requirements surrounding interstate shipment of investigational product is crucial for IDSs to maintain compliance with all regulations. This document provides an important framework for obtaining and interpreting this information. However, as legislation changes on a regular basis, current legislation should be reviewed prior to the commencement of interstate shipping.
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Gao, Limin, Jivin Joseph, Marcelle Levy-Santoro, Vladimir Gotlieb et Alan S. Multz. « Utilization of prescription-assistance program for medically uninsured cancer patients : A case study of a public hospital experience in New York state. » Journal of Clinical Oncology 31, no 15_suppl (20 mai 2013) : e17537-e17537. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e17537.

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e17537 Background: With the advances in early detection, prevention, and treatment of some cancers, mortality rates in the United States have been consistently falling. However, with these successes have come substantial increases in the cost of cancer care. Antineoplastics are the leading therapeutic classes in hospital drug expenditures. Lack of insurance is associated with lower rates of cancer screening, later stage at diagnosis, and increased cancer mortality. Prescription assistance programs (PAPs) are offered by pharmaceutical manufacturers to provide medications at no out-of-pocket cost to medically indigent patients. To assist the Cancer Care Center at NUMC with drug costs for chemotherapies and maintain the quality care for patients, the Pharmacy department instituted a Patient Assistance Program (PAP) to obtain medication from the drug companies at no cost. NUMC is a “safety net” teaching hospital in suburban New York. It serves mostly an indigent population and is a Level 1 Trauma Center with over 77,000 emergency department visits per year. Methods: We followed all patients requiring assistance with chemotherapy who enrolled in our PAPs from January 1, 2011 to December 31, 2012. Individuals potentially eligible for PAPs were identified by Oncologists and by the pharmacy department. Medications included both oral and parenteral chemotherapy drugs and antiemetics. Results: The program served 341 patients in 2011 and 579 patients in 2012. The total number of visits in the clinic over 24 months was 9,405. The total cost savings of the medications was $908,944.11 in 2011 and $1,715,538.37 in 2012. Conclusions: PAPs provide a valuable safety net to ensure that cancer patients without insurance receive needed prescription medications. The rising cost of health care and the high proportion of indigent patients have financially burdened the hospital. A pharmacy-based program to procure free medications for uninsured cancer outpatients has helped to defray the Cancer Care Center’s expense of providing care at NUMC, increased patients’ compliance with chemo-protocols and allowed many patients to receive the treatment they otherwise would not be able to afford.
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DeRosa, Nicholas, Ka Leung, Julia Vlahopoulos et Joseph Lavino. « Pharmacist Allowances for the Dispensing of Emergency or Continuation of Therapy Prescription Refills and the COVID-19 Impact : A Multistate Legal Review ». INNOVATIONS in pharmacy 12, no 3 (27 juillet 2021) : 17. http://dx.doi.org/10.24926/iip.v12i3.4222.

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The COVID-19 pandemic has taught Americans many lessons, including what can happen when our healthcare system is strained. During the pandemic, certain healthcare related activities such as seeing or contacting a practitioner to receive a prescription refill may have been a challenge for some patients that could have interfered in the patient’s medication adherence and continuity of care. Given these circumstances, the pandemic also shed light on the necessity for pharmacists to dispense emergency refills, which often is based on variable state pharmacy laws and regulations. State pharmacy laws and regulations vary from allowing pharmacists to dispense as much medication that is required for the patient to receive a new prescription to emergency refills being allowed only in the direst situations to save a patient’s life. State pharmacy laws and regulations vary in the allowable quantities that may be dispensed, the federal schedule of controlled substance medications, and the circumstances they can be dispensed. In many cases, COVID-19 emergency regulations, governor executive orders and board of pharmacy guidance have expanded the authority for a pharmacist to dispense emergency refills. However, these allowances are often finite in nature and would end when the pandemic state of emergency ends. This paper seeks to analyze the laws and regulations in each state pertaining to the ability of a pharmacist to dispense an emergency refill when a patient’s prescription does not have refills and provide a recommendation to optimize the state legal and regulatory landscape to expand current allowances.
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Balsas, Carlos J. L., Anthony Swingruber et Yen-Fu Lin. « Evaluating local workforce development programs in Upstate New York, USA ». Local Economy : The Journal of the Local Economy Policy Unit 33, no 4 (juin 2018) : 349–66. http://dx.doi.org/10.1177/0269094218777805.

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Workforce development programs in the United States have increasingly focused on two critical approaches: Learning at work and experience as education. Workforce development programs are increasingly aimed at making territories more competitive by strengthening labor markets and helping to meet the needs of employers in significant sectors of the economy. Workforce development in Upstate New York is an important step forward in preventing the region from lagging behind other regions in the country. In this paper, we examine the role of the Capital Region Workforce Investment Board, a local workforce improvement board under the supervision of the New York State Workforce Investment Board. Specifically, we evaluate the impacts of the new Capital Region Workforce Investment Board’s Program on the federally funded Workforce Investment Act of 1998 Adult Program priorities. Before-and-after analysis comparing the program outcomes in two four year periods, 2006–2009 and 2010–2013 are presented. The results of the new plan are mixed across several key performance indicators. Evidence shows that the new focuses increased the average earnings of program participants in a situation where employment rates decreased slightly. Significant industries for 2012–2022 are also reviewed.
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Cohen, Henry. « The Journal of Pharmacy Practice Becomes the Official Journal of the New York State Council of Health-system Pharmacists ». Journal of Pharmacy Practice 21, no 5 (octobre 2008) : 309–11. http://dx.doi.org/10.1177/0897190008325769.

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Rivera, Alexis V., Shannon Blaney, Natalie D. Crawford, Kellee White, Rachel J. Stern, Silvia Amesty et Crystal Fuller. « Individual- and neighborhood-level factors associated with nonprescription counseling in pharmacies participating in the New York State Expanded Syringe Access Program ». Journal of the American Pharmacists Association 50, no 5 (septembre 2010) : 580–87. http://dx.doi.org/10.1331/japha.2010.09202.

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Chapey, Geraldine D., et Geraldine M. Chapey. « Topic : P-16 : Strengthening Pre-Kindergarten Through College Programs ». Contemporary Issues in Education Research (CIER) 1, no 2 (11 janvier 2011) : 33. http://dx.doi.org/10.19030/cier.v1i2.1198.

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The New York State Regents Action Plan dramatically changes educational reform initiatives by requiring districts to sign a written contract specifying criteria for program, performance and fiscal accountability. Districts are required at the end of the school year to provide a written explanation as to whether or not the goals were achieved. On Wednesday, December 13, 2007, the New York State Board of Regents announced its support for P-16 action plans – to improve student achievement initiatives and college readiness and completion programs.
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Lance, Judy C., et Raymond Jang. « Attitudes toward Pharmacy Technician Use : A Six-State Survey of Community Pharmacists ». Journal of Pharmacy Technology 10, no 2 (mars 1994) : 64–70. http://dx.doi.org/10.1177/875512259401000206.

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Objective: To determine the attitudes of community pharmacists in six states toward technician employment in their community practice and to relate the effects of these attitudes to pharmacist behavior. Design: Four-part mail questionnaire survey. Sections A and B dealt with pharmacist attitudes toward technicians. Section C was 22 activities common to pharmacy dispensing that pharmacists currently allow technicians to perform. Section D was respondent demographics. Respondents: Licensed, practicing, full-time (>32 h/wk) community pharmacists in six states (Illinois, Iowa, Maine, New York, Texas, Washington). Methods: Attitude scores were assessed (ANOVA analysis) by pharmacist age, daily prescription volume, practice site, current technician employment, and state laws. The collective attitude scores (A plus B) were compared with activity scores for correlation between attitude and activities. Results: Overall, responding pharmacists were favorable toward technician use. ANOVA disclosed significant differences for pharmacist age, prescription volume, practice site, and employment of technicians. The top four activities pharmacists allowed technicians to perform were: (1) type labels, (2) select drugs from stock, (3) count needed amount of drugs, and (4) receive refill drug orders. The four least-allowed technician activities were: (1) compound intravenous solutions, (2) verify other technicians' work, (3) provide patients with drug information, and (4) verify completed drug orders. Spearman's r, showed consistency (0.335) between attitudes and activities allowed. Conclusions: Pharmacists approve of technician use, are comfortable with a clinically oriented counseling role, do not feel threatened by increased technician use, are willing to accept the additional professional liability technician use brings, and favor a formally structured technician training program.
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Demian, Cristina, Bruce Barron et Anthony Almudevar. « Effects of the New York State Workers Compensation Board Medical Treatment Guidelines on Return to Work ». Journal of Occupational and Environmental Medicine 60, no 7 (juillet 2018) : 617–21. http://dx.doi.org/10.1097/jom.0000000000001265.

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DeBray, Elizabeth. « Richard Mills and the New York State Board of Regents, 1995-2001 Parts A & ; B ». Journal of Cases in Educational Leadership 7, no 2 (juin 2004) : 27–43. http://dx.doi.org/10.1177/155545890400700204.

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Ehrenberg, Ronald G., Randy A. Ehrenberg, Christopher L. Smith et Liang Zhang. « Why Do School District Budget Referenda Fail ? » Educational Evaluation and Policy Analysis 26, no 2 (juin 2004) : 111–25. http://dx.doi.org/10.3102/01623737026002111.

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Our article analyzes historical data for New York State on the percentage of school board budget proposals that are defeated each year and panel data that we have collected on budget vote success for individual school districts in the state. We find that changes in state aid have little impact on budget vote success. Defeating a budget in one year increases the likelihood that voters will defeat a budget the next year. Finally, districts have a lower probability of having their budget proposals defeated when their school board members have longer terms.
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Aldag, Austin M., Mildred E. Warner et Yunji Kim. « Leviathan or Public Steward ? Evidence on Local Government Taxing Behavior from New York State ». Publius : The Journal of Federalism 49, no 4 (2 novembre 2018) : 671–93. http://dx.doi.org/10.1093/publius/pjy035.

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Abstract Fiscal federalism argues local governments compete to provide optimal tax-service bundles as responsible public stewards. In contrast, Leviathan theories argue tax and expenditure limitations (TELs) are necessary to make local governments fiscally responsible. We analyze local taxing behavior in New York State, which implemented a levy limit in 2012 that allows legislative overrides with 60 percent vote of the local governing board. Our 2017 survey of all general-purpose local governments measured fiscal stress, service responses, and local political attitudes and found 38 percent of municipalities voted to override. Logistic regressions show local governments that have more fiscal stress, weaker property tax bases, higher need, and higher employee benefit costs are more likely to override. These findings support fiscal federalism, as local governments that override are pushing back against state policy in order to respond to local needs. TELs introduce unnecessary rigidity and run counter to the precepts of fiscal federalism.
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Marks, Ansel R., Maria L. Izquierdo et Elyse Williams. « Administrative Warnings ». Journal of Medical Regulation 92, no 4 (1 décembre 2006) : 25–30. http://dx.doi.org/10.30770/2572-1852-92.4.25.

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ABSTRACT The Administrative Warning is a process utilized extensively in New York State, pursuant to PHL §230, for the resolution of cases where there is substandard medical practice of a minor or technical nature that does not rise to the level of misconduct under the law. These warnings have been effective in alerting and educating practitioners without being public or disciplinary in nature. The New York State Board for Professional Medical Conduct has recognized the value of administrative warnings and increasingly recommends them as a vehicle for informing physicians and physician assistants of practice problems. The recidivism rate appears to be low for those who have been given warnings.
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Davydova, Mazal, Liza Mae Divinagracia, Kimberly Ng et Nicole Bradley. « Student perspectives on peer education using a virtual platform to enhance advanced pharmacy practice experiences (APPE) ». Pharmacy Education 24, no 1 (27 janvier 2024) : 48–53. http://dx.doi.org/10.46542/pe.2024.241.4853.

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Background: The COVID-19 pandemic caused dramatic disruptions in the education of pharmacy students who graduated in 2022. As an additional active learning opportunity at a New York City hospital site with multiple preceptors and faculty, a monthly student-led virtual educational conference was implemented. The objective of this study was to assess student perspectives on the implementation of a virtual peer education conference. Methods: Between May 2021 and May 2022, a total of twenty-eight students participated as presenters or attendees. All students completed a 13-item survey to evaluate the impact their participation in the virtual conference had on their overall learning and how similar opportunities could impact their future learning experiences. Results: When asked to rate on a scale from 1 (did NOT improve at all) to 5 (greatly improved my learning), 93% (26/28) of students rated their change in learning after attending the student-led conference as a four or five. Students identified that participation enhanced their drug/disease state knowledge, improved their presentation skills and/or improved their critical thinking and clinical application skills. Conclusion: In the future, advanced pharmacy practice experiences (APPE) can consider the inclusion of peer education through an online platform as a strategy to facilitate learning in pharmacy programmes.
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Isaac, Jeffrey C. « The Politics of Inequality in the Face of Financial Crisis ». Perspectives on Politics 11, no 1 (mars 2013) : 1–7. http://dx.doi.org/10.1017/s1537592712003611.

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I entered college in September of 1975, a working class kid from Queens whose father, Hyman Isaac, was an unemployed linotype operator (I wonder how many of our younger readers even know what that is; it's a typesetter, a trade that no longer exists), and whose mother, Sylvia Isaac, was an office secretary. I thus enrolled at Queens College, the neighborhood school, part of the City University of New York which, in 1975, offered free tuition to all New York City high school graduates. A month later, on October 30, the New York Daily News carried one of the most famous newspaper headlines of the century: “Ford to the City: Drop Dead.” The Ford in question was Gerald Ford, the unelected President of the United States who had acceded to the office from the House of Representatives when first the Vice-President (Spiro Agnew) and then the President (Richard Nixon) resigned amid scandal and disgrace. And his “drop dead” to “the city”—New York City—was a strong declaration that the US government would not bail New York out of the severe fiscal crisis in which it was mired. That same autumn, the State of New York passed the New York State Financial Emergency Act of The City of New York, placing the city in receivership, under the fiscal control of a state-appointed Emergency Financial Control Board: EFCB. That acronym, and a second with which it was conjoined—MAC, or “Big MAC,” the Municipal Assistance Corporation, the bond authority led by Felix Rohatyn that became the veritable executive office of the city—is indelibly stamped on the psyches of all who lived in and around New York in those years. For me, a teenage college student, the most palpable effect of all of this was the abolition of tuition-free higher education in New York City in 1976—a sour note during that year's bicentennial celebration of American freedom.
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Goodman, Don, et Maggie Smith. « An Interview with Eddie Ellis ». Humanity & ; Society 22, no 1 (février 1998) : 98–111. http://dx.doi.org/10.1177/016059769802200107.

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Edwin (Eddie) Ellis is President of the Community Justice Center, Inc., an anti-crime research, education, and advocacy organization located on 125th Street in Harlem, New York. A target of the FBI's Counter Intelligence Program (COINTELPRO) for his Black Panther Party activities, Ellis served 25 years in various New York State prisons. While he was in prison, he earned a Masters degree from New York Theological Seminary, a Bachelor's from Marist College and a paralegal degree from Sullivan County Community College. Widely recognized as a writer, lecturer, and community activist, Ellis is credited with the successful public dissemination of the research findings of the Think Tank, a group of prisoners from Greenhaven Correction Facility which established that 75% of the prisoners in New York State come from seven neighborhoods in New York City. Eddie Ellis is a fellow of the Bunche Dubois Institute for Public Policy at Medgar Evers College/CUNY, serves on the Board of Directors of Center for Law and Justice in Albany, NY, is a member of the Drug Policy Task Force, The Vera Institute IRB, and the National Criminal Justice Commission. This interview took place in the offices of the Community Justice Center on August 6, 1997.
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FRIEDMAN, ZELIG, et LILIANA TRIVELLI. « Condom Availability for Youth : A High-risk Alternative ». Pediatrics 97, no 2 (1 février 1996) : 285. http://dx.doi.org/10.1542/peds.97.2.285.

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New York State Regulations require that "any written or oral instruction relating to condoms must fully and clearly disclose the various risks and consequences of condom failure." The New York City HIV/AIDS Advisory Council to the Board of Education, of which we are members, must see that the educational material complies with this regulation. This means that students learn a lot more than "condoms are not 100% safe." Ninth graders and up learn over 20 precautions to take, including the 13 steps involved in proper condom use.
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Richard, Jack, et Marcus M. Reidenberg. « The Risk of Disciplinary Action by State Medical Boards Against Physicians Prescribing Opioids ». Journal of Medical Regulation 91, no 2 (1 juin 2005) : 14–19. http://dx.doi.org/10.30770/2572-1852-91.2.14.

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ABSTRACT Concern of physicians about being disciplined for prescribing opioids for patients in pain is one cause for undertreatment of pain. This study was done to assess the actual risk of being disciplined by state medical boards. A review of records of actions by the New York State Board for Professional Medical Conduct for three years and of all medical boards in the United States for nine months was done to determine this risk. New York State, with 7.8 percent of U.S. physicians, had 10 physicians disciplined annually related to overprescribing opioids, while the total for the entire United States was 120 physicians annually. Most physicians disciplined had multiple violations in addition to overprescribing controlled substances. In the national sample, 43 percent were prescribing for themselves or for nonpatients, 12 percent prescribed for addicts without addressing the patients’ problems of addiction, 42 percent had inadequate records, 19 percent prescribed without indication for opioids, 13 percent were incompetent in additional ways, and eight percent were having sexual activity with patients. Not a single physician, for whom information was available, was disciplined solely for overprescribing opioids. The actual risk of an American physician being disciplined by a state medical board for treating a real patient with opioids for a painful medical condition is virtually nonexistent.
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Falkenstein, Emma K., et Christopher M. Annear. « Building in Stories : How Narratives Drive Development in a Small City in Central New York State ». Human Organization 81, no 4 (1 décembre 2022) : 358–67. http://dx.doi.org/10.17730/1938-3525-81.4.358.

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In this article, we study the creation of two distinct but related developmental processes: a Downtown Revitalization Initiative (DRI) and Police Review Board (PRB) in the small city of Geneva, New York, to understand the sociopolitical and applied processes by which different core narratives shape development initiatives and outcomes. Beginning with the premise that “communities are intrinsically storied” (Maines and Bridger 1992:363), these two examples demonstrate the range of how stories about a community’s past, present, and future compete with each other to empower some community-based conceptions of development to coalesce while blocking others. We find that both act as place-makers—one through tangible construction and the other by the establishment of a law. In focusing on the power of narratives, these examples show how narratives drive contested interests and shape constructed resources through access to political, social, and cultural power in a small city in Central New York State.
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Briffault, Richard. « The New York Agency Shop Fee and the Constitution after Ellis and Hudson ». ILR Review 41, no 2 (janvier 1988) : 279–93. http://dx.doi.org/10.1177/001979398804100209.

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In its recent Ellis and Hudson decisions, the Supreme Court imposed new substantive restrictions and procedural requirements on states that authorize, and public employee unions that utilize, agency shop fees. Focusing on New York State, this study analyzes the consequences for the collection and expenditure of agency fees of the Supreme Court's new emphasis on the First Amendment basis for dissenting employees' rights. The author finds that Ellis and Hudson cast doubt on the constitutionality of some current agency fee practices. He concludes that New York's Public Employment Relations Board will have to take a more active role in policing agency fee standards and procedures than it has until now if the agency fee in New York is to withstand First Amendment scrutiny.
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Gao, Limin, Jivin Joseph, Marcelle Santoro- Levy, Vladimir K. Gotlieb et Alan S. Multz. « Use of a Prescription-Assistance Program for Medically Uninsured Patients With Cancer : Case Study of a Public Hospital Experience in New York State ». Journal of Oncology Practice 10, no 2 (mars 2014) : 104. http://dx.doi.org/10.1200/jop.2013.001101.

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Purpose: With the advances in early detection, prevention, and treatment of some cancers, mortality rates in the United States have been consistently falling. However, with these successes have come substantial increases in the cost of cancer care. Antineoplastics are the leading class in hospital drug expenditures. Cancer treatments are causing a serious financial burden for patients, families, hospitals, and society at large, especially for those who are uninsured. Prescription assistance programs (PAPs) are offered by pharmaceutical manufacturers to provide medications at no out-of-pocket cost to medically indigent patients. To assist the Cancer Care Center at Nassau University Medical Center (NUMC) with drug costs for chemotherapies, a clinical pharmacist–managed PAP was implemented to procure chemotherapy medications from pharmaceutical manufacturers. NUMC is a safety-net teaching hospital in suburban New York. It serves mostly an indigent population, and its Level I trauma center has more than 77,000 emergency department visits per year. Methods: We observed all patients requiring assistance with chemotherapy who enrolled in PAPs from January 1, 2011, through December 31, 2012. The total number of visits in the clinic over 24 months was 9,405. Individuals potentially eligible for the PAP were identified by oncologists. Patients received a referral to the PAP when they mentioned to office personnel that they had difficulty obtaining medications or expressed financial concerns related to management. Results: The clinical pharmacist spent the majority of his time assisting uninsured individuals, working with charity pools from the drug manufacturers, and obtaining medications through the PAP. The program served 341 patients in 2011 and 579 patients in 2012. Medications obtained for these patients included both oral and parenteral chemotherapy drugs and antiemetics. The total cost savings of the medications was $908,944.11 in 2011 and $1,715,538.37 in 2012. In 2012, a total of 783 prescriptions were processed, and 775 were approved by the manufacturers (98.9%). Conclusion: PAPs provide a valuable safety net to ensure that uninsured patients with cancer receive needed prescription medications. The rising cost of health care and the high proportion of indigent patients have financially burdened the hospital. For the pharmacy department, this has resulted in a lack of compensation for pharmaceuticals dispensed to indigent patients. A pharmacy-based program to procure free medications for uninsured patients with cancer has helped to defray the expenses of the Cancer Care Center in providing care at NUMC, increased patient compliance with chemotherapy protocols, and allowed many patients to receive the treatments they otherwise would not have been able to afford.
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Darko, William, Robert W. Seabury, Christopher D. Miller, Sarah A. Spinler, Luke A. Probst, Lynn M. Cleary, Courtney Kelly et Wesley D. Kufel. « Implementation of a formal pharmacy residency research certificate program ». American Journal of Health-System Pharmacy 78, no 5 (20 janvier 2021) : 436–46. http://dx.doi.org/10.1093/ajhp/zxaa424.

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Abstract Purpose We describe the structure, implementation, and initial evaluation of a formal residency research certificate program (RRCP) designed to further advance residents’ knowledge and skills in research in an effort to better prepare residents for research involvement during their careers. Summary Pharmacy residency programs vary in the degree of emphasis on research education and training and the structure of resident research activities. Limited data describing formal research education and training for pharmacy residents are available. To better educate and prepare residents in the research process, State University of New York Upstate University Hospital developed and implemented a formal RRCP designed to educate and train residents in essential areas of the research process. Research seminars are delivered by preceptors with experience and training in research throughout the academic year to align with residency project tasks. Residents are also required to complete at least 1 residency project and submit a manuscript suitable for publication in a peer-reviewed journal. Upon successful completion of the program and project requirements, residents earn a certificate of completion. Initial data collected through formal resident assessments before and after RRCP completion demonstrated significant improvement in research knowledge (from an average score of 61.3% out of 100% to an average score of 84.7%, P = 0.002). Conclusion Post-RRCP assessment showed improvements in residents’ confidence in several areas of research, including but not limited to research project design, ethical and regulatory principles of research, data collection, selection of appropriate statistical tests, manuscript writing, and the publication process. Residents strongly agreed that the RRCP improved their overall knowledge and perceptions of research.
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Frazee, Hon Evelyn. « SENSITIZING PARENT EDUCATION PROGRAMS TO DOMESTIC VIOLENCE CONCERNS : The Perspective of the New York State Parent Education Advisory Board ». Family Court Review 43, no 1 (janvier 2005) : 124–35. http://dx.doi.org/10.1111/j.1744-1617.2005.00012.x.

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Justiniano, Carla Francesca, Zhaomin Xu, Adan Z. Becerra, Christopher Thomas Aquina, Francis P. Boscoe, Maria J. Schymura, Larissa K. F. Temple, Gary R. Morrow et Fergal J. Fleming. « Impact of marital status on colorectal cancer (CRC) disease-specific survival in New York state. » Journal of Clinical Oncology 35, no 15_suppl (20 mai 2017) : e18084-e18084. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e18084.

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e18084 Background: CRC is the second leading cause of cancer death in the US. Social support and financial resources vary by marital status. This study analyzes the impact of marital status by sex on survival after resection for CRC. Methods: The New York State Cancer Registry and Statewide Planning and Research Cooperative System were queried for 2004-2013 colectomy or proctectomy Stage I-III CRC patients and categorized by marital status: single/never married (single), married/domestic partner (married), and widowed/separated/divorced (previously married). Competing risk analysis of 5-year mortality was executed adjusting for patient (age at diagnosis, sex, race, Medicaid, income, marital status, smoking history, comorbidities, year of diagnosis, and stage), treatment (scheduled surgery and complications, chemotherapy, radiation), surgeon (colorectal board, volume), and hospital factors (volume, academic, rural). Results: 38,020 (colon 32,451, rectal 5,569) met inclusion criteria, of which 28% died within 5 years. Single patients were more likely than married to be current smokers (17 vs 12%), be on Medicaid (42 vs 27%) and present emergently (38 vs 25%), and less likely to be treated by high volume surgeons (32 vs 40%). Married patients had decreased risk of 5-year CRC-specific mortality (hazard ratio [HR] 0.86, confidence interval [CI] 0.80-0.94) vs single. When stratified by sex, married males had a decreased risk of death but married females did not and this persists if stratified by colon vs rectum (Table). Income was not significantly associated with survival and previously married patients did not significantly differ from single. Conclusions: Marital status impacts CRC-specific survival in males and females differently. Married men have a protective effect from marriage, whereas married females do not and may benefit from additional support throughout their cancer care. [Table: see text]
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FRONC, JENNIFER. « Local Public Opinion : The National Board of Review of Motion Pictures and the Fight against Film Censorship in Virginia, 1916–1922 ». Journal of American Studies 47, no 3 (5 décembre 2012) : 719–42. http://dx.doi.org/10.1017/s0021875812001375.

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This article examines the conflict that ensued when the National Board of Review of Motion Pictures (a New York City-based organization that opposed any form of legal film censorship) entered the debate over Virginia's state film censor board. Virginia's engagement with film censorship emerged out of its history and politics, particularly in regard to race relations. Elite white Virginians lived in fear both of federal intervention (with the specter of Reconstruction not far behind them) and of a local usurpation of political power by black Virginians. The National Board of Review (NBR) was largely ignorant of this situation, which worked against their goals and ability to cultivate reliable allies. In the 1910s and 1920s, film raised issues about authorities – locally based and oriented versus nationally oriented authority, private authority and municipal, state, and/or federal authority.
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Ramsden, Carolyn, Richard C. Smardon et Gregory Michel. « Municipal collaboration for carbon footprinting : Syracuse, New York case study ». Sustainability Accounting, Management and Policy Journal 5, no 2 (6 mai 2014) : 224–54. http://dx.doi.org/10.1108/sampj-09-2012-0033.

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Purpose – The City of Syracuse, New York, has undertaken energy conservation measures over the past decade. In 2011, the city completed a greenhouse gas (GHG) inventory that serves as the basis for current sustainability planning processes, and the process to complete this analysis was uniquely collaborative and is offered as a case study. The paper aims to discuss these issues. Design/methodology/approach – This inventory was the product of collaboration between the city, the State University of New York College of Environmental Science and Forestry, and the Central New York Regional Planning and Development Board, through the Climate Change Innovation Program. Following guidance from International Council for Local Environmental Initiatives's Local Government Operations Protocol and utilizing Clean Air and Climate Protection software, the baseline year for the inventory was 2002, and the municipal analysis covered five sectors: buildings and facilities, vehicle fleet, aviation, water delivery, and streetlights and traffic lights. The city's community analysis assessed residential, commercial and industrial energy use, transportation and waste sectors. Findings – The City of Syracuse has achieved energy and GHG reductions over the inventory timeframe. While savings have been accomplished, significant challenges to future energy and GHG reductions remain. Research limitations/implications – Limitations include obtaining data quality and consistency for analysis. Practical implications – This case study could serve as a model for moving forward with GHG inventory analysis and action for small- to medium-sized cities in the NE, USA. Social implications – This was an experiment in collaboration between an academic institution, NGOs and a municipal entity. Originality/value – The city's 2010 inventory has been followed by community outreach and stakeholder engagement for the sustainability planning process. The city formed advisory teams composed of community experts in the areas of energy and green building, natural environment, waste and recycling, education and outreach, and food systems. The collaborative approach the city utilized offers a helpful model for other municipalities to follow to overcome resource constraints and complete energy and cost-saving carbon footprinting assessments.
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Schwartz, Jonathan B. « Dealing with a “Rogue State” : The Libya Precedent ». American Journal of International Law 101, no 3 (juillet 2007) : 553–80. http://dx.doi.org/10.1017/s0002930000029791.

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On June 30,2006, Secretary of State Condoleezza Rice rescinded die United States designation of Libya as a state sponsor of terrorism. Her action ended nearly twenty-seven years of Libya’s pariah status in American law and rhetoric.The road to the rehabilitation of Libya was a long one in more than a temporal sense. During the 1980s, the country was widely perceived as the world’s strongest supporter of terrorism.The United States in particular saw Libya under the leadership of Muammar el-Qaddafi as a “rogue state” posing a serious threat to U.S. national security interests.This fear was confirmed by Libya’s destruction of Pan Am Flight 103 in 1988. A bomb placed by Libyan agents on board the aircraft en route to New York detonated over Lockerbie, Scodand, resulting in the deaths of 270 civilians, including 189 Americans. It was perhaps the single worst act of terrorism against the United States until the carnage of September 11, 2001.
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Furukawa, Nathan W., Dawn K. Smith, Charles J. Gonzalez, Ya-Lin A. Huang, David B. Hanna, Uriel R. Felsen, Weiming Zhu, Julia H. Arnsten et Viraj V. Patel. « Evaluation of Algorithms Used for PrEP Surveillance Using a Reference Population From New York City, July 2016–June 2018 ». Public Health Reports 135, no 2 (6 février 2020) : 202–10. http://dx.doi.org/10.1177/0033354920904085.

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Objective: Daily tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) use as HIV preexposure prophylaxis (PrEP) is monitored by identifying TDF/FTC prescriptions from pharmacy databases and applying diagnosis codes and antiretroviral data to algorithms that exclude TDF/FTC prescribed for HIV postexposure prophylaxis (PEP), HIV treatment, and hepatitis B virus (HBV) treatment. We evaluated the accuracy of 3 algorithms used by the Centers for Disease Control and Prevention (CDC), Gilead Sciences, and the New York State Department of Health (NYSDOH) using a reference population in Bronx, New York. Methods: We extracted diagnosis codes and data on all antiretroviral prescriptions other than TDF/FTC from an electronic health record database for persons aged ≥16 prescribed TDF/FTC during July 2016–June 2018 at Montefiore Medical Center. We reviewed medical records to classify the true indication of first TDF/FTC use as PrEP, PEP, HIV treatment, or HBV treatment. We applied each algorithm to the reference population and compared the results with the medical record review. Results: Of 2862 patients included in the analysis, 694 used PrEP, 748 used PEP, 1407 received HIV treatment, and 13 received HBV treatment. The algorithms had high specificity (range: 98.4%-99.0%), but the sensitivity of the CDC algorithm using a PEP definition of TDF/FTC prescriptions ≤30 days was lower (80.3%) than the sensitivity of the algorithms developed by Gilead Sciences (94.7%) or NYSDOH (96.1%). Defining PEP as TDF/FTC prescriptions ≤28 days improved CDC algorithm performance (sensitivity, 95.8%; specificity, 98.8%). Conclusions: Adopting the definition of PEP as ≤28 days of TDF/FTC in the CDC algorithm should improve the accuracy of national PrEP surveillance.
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Agaku, Israel T., Alisa Dimaggio, Avigal Fishelov, Alianne Brathwaite, Saief Ahmed, Michelle Malinowski et Theodore Long. « SARS-CoV-2 infections and attitudes towards COVID-19 vaccines among healthcare workers in the New York Metropolitan area, USA ». Family Medicine and Community Health 10, no 3 (juillet 2022) : e001692. http://dx.doi.org/10.1136/fmch-2022-001692.

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ObjectiveBecause of their increased interaction with patients, healthcare workers (HCWs) face greater vulnerability to COVID-19 exposure than the general population. We examined prevalence and correlates of ever COVID-19 diagnosis and vaccine uncertainty among HCWs.DesignCross-sectional data from the Household Pulse Survey (HPS) conducted during July to October 2021.SettingHPS is designed to yield representative estimates of the US population aged ≥18 years nationally, by state and across selected metropolitan areas.ParticipantsOur primary analytical sample was adult HCWs in the New York Metropolitan area (n=555), with HCWs defined as individuals who reported working in a ‘Hospital’; ‘Nursing and residential healthcare facility’; ‘Pharmacy’ or ‘Ambulatory healthcare setting’. In the entire national sample, n=25 909 HCWs completed the survey. Descriptive analyses were performed with HCW data from the New York Metropolitan area, the original epicentre of the pandemic. Multivariable logistic regression analyses were performed on pooled national HCW data to explore how HCW COVID-19-related experiences, perceptions and behaviours varied as a function of broader geographic, clinical and sociodemographic characteristics.ResultsOf HCWs surveyed in the New York Metropolitan area, 92.3% reported being fully vaccinated, and 20.9% had ever been diagnosed of COVID-19. Of the subset of HCWs in the New York Metropolitan area not yet fully vaccinated, 41.8% were vaccine unsure, 4.5% planned to get vaccinated for the first time soon, 1.6% had got their first dose but were not planning to receive the remaining dose, while 52.1% had got their first dose and planned to receive the remaining dose. Within pooled multivariable analysis of the national HCW sample, personnel in nursing/residential facilities were less likely to be fully vaccinated (adjusted OR, AOR 0.79, 95% CI 0.63 to 0.98) and more likely to report ever COVID-19 diagnosis (AOR 1.35, 95% CI 1.13 to 1.62), than those working in hospitals. Of HCWs not yet vaccinated nationally, vaccine-unsure individuals were more likely to be White and work in pharmacies, whereas vaccine-accepting individuals were more likely to be employed by non-profit organisations and work in ambulatory care facilities. Virtually no HCW was outrightly vaccine-averse, only unsure.ConclusionsDifferences in vaccination coverage existed by individual HCW characteristics and healthcare operational settings. Targeted efforts are needed to increase vaccination coverage.
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L., J. F. « WHAT IF THERE'S NOT ENOUGH MONEY ? » Pediatrics 93, no 2 (1 février 1994) : A38. http://dx.doi.org/10.1542/peds.93.2.a38a.

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The Health Security Bill spells out the troubling answer. A National Health Board—seven people appointed by the president—will decide how much the nation can spend on health care each year. Based on that budget, the board puts price caps on premiums to limit the money paid into the health care system (pages 252, 974-977). If medical needs exceed that budget and premium money runs low, the bill requires state governments and insurers to make "automatic, mandatory, nondiscretionary reductions in payments" to doctors, nurses and hospitals are slashed, as the bill requires? New York City hospitals, which operate with only four days' cash on hand, would experience life-threatening shortages: nurses working without pay, medications withheld because of cost.
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Tofighi, Babak, Helen-Maria Lekas, Sharifa Z. Williams, Daniele Martino, Chloe Blau et Crystal F. Lewis. « Rural and small metro area naloxone-dispensing pharmacists' attitudes, experiences, and support for a frontline public health pharmacy role to increase naloxone uptake in New York State, 2019 ». Journal of Substance Abuse Treatment 129 (octobre 2021) : 108372. http://dx.doi.org/10.1016/j.jsat.2021.108372.

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Rojewski, Alana M., Andrew Hyland, Martin C. Mahoney, Louise M. Cooper, Kelly L. Zuromski, Paula Celestino, James Koutsky et Benjamin A. Toll. « Feasibility of Delivering Varenicline Through a Telephone Quitline to Promote Smoking Cessation ». Journal of Smoking Cessation 13, no 4 (19 février 2018) : 201–6. http://dx.doi.org/10.1017/jsc.2018.2.

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Introduction: Telephone quitlines are an easily accessible and effective means for delivering cessation services including nicotine replacement therapy (NRT). Varenicline (VAR) may show superior quit rates to NRT, but has not been routinely evaluated in the context of quitlines.Aims: To assess the feasibility of distributing VAR through a quitline, and preliminarily compare cessation rates between participants receiving VAR and NRT.Methods: Participants were recruited through the New York State Smokers’ Quitline. Those randomised to VAR (n = 200) were instructed to obtain a prescription from their primary care physician (PCP) to be filled by mail through the research pharmacy. Those randomised to NRT (n = 100) were mailed NRT using an existing protocol. Outcome measures were number of submitted prescriptions and dispensed medication kits, and self-reported 7-day point prevalence abstinence at follow-up.Results: The research pharmacy filled 100% of prescriptions through the quitline. However, only 27% of the VAR Arm submitted a prescription. An intent-to-treat analysis revealed that those receiving NRT were more likely to be abstinent at follow-up than the VAR Arm (OR, 2.42; 95% CI, 1.27–4.60; p < 0.01). The per-protocol analysis, which only included those in the VAR Arm who submitted a prescription, showed no difference in quit rates.Conclusions: The present protocol resulted in successful delivery of VAR through the quitline, but a sizable proportion of the VAR Arm did not submit a prescription. Self-reported barriers included being unable to obtain a prescription from a PCP. Future studies should explore alternative methods for delivering VAR through quitlines.
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Satterfield, Diana L. « Teaching and Learning Democratically in a Public High School : Challenges Presented in a High-Stakes Environment ». Frontiers of Contemporary Education 1, no 1 (27 juin 2020) : p63. http://dx.doi.org/10.22158/fce.v1n1p63.

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The New York State Board of Regents adopted the Common Core Curriculum, the implementation increased testing requirements and rigidity in classrooms. However well-intentioned, standardization and increased testing conflict with theories and research that support authentic learning and collaboration. Implementing methods to empower and engage students can feel nearly impossible within a high stakes environment. This article discusses the findings of an action research study conducted to explore ways for teachers to engage students to become active participants in both teaching and learning. Students were encouraged to explore a democratic learning environment in which they worked collaboratively to develop lesson plans for social studies that adhered to state requirements. The findings showed a profound shift in perceptions of teaching and learning by students and teacher.
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Kilgour, John G. « Prefunding Public Sector Retiree Health Benefits : The California Example ». Compensation & ; Benefits Review 49, no 4 (septembre 2017) : 221–29. http://dx.doi.org/10.1177/0886368718809614.

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Most state and local governments have historically funded their retiree health care benefits on a pay-as-you-go basis. This has resulted in massive amounts of unfunded liability in many states including the five largest states of California, Florida, Illinois, New York and Texas. Recent accounting and reporting rules changes by the Governmental Accounting Standards Board has made these liabilities more visible and has resulted in more attention being paid to this problem. California has adopted a plan to pay off its huge unfunded retiree health benefit liability by 2044. It might serve as an example for other states with similar problems.
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Kennedy, LMT, BCTMB, DrPH, Ann Blair. « Getting to Phase 3 : an Interview with Virginia S. Cowen, PhD, LMT ». International Journal of Therapeutic Massage & ; Bodywork : Research, Education, & ; Practice 10, no 4 (5 décembre 2017) : 1. http://dx.doi.org/10.3822/ijtmb.v10i4.392.

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I feel that it is important to know the stories behind those who are working hard in the field to bring forward massage therapy research. Interviews with massage therapy researchers will now occasionally be included in the Journal as a new editorial feature. The first interview is with Virginia S. Cowen, PhD, LMT a New York State-licensed and NCB board-certified massage therapist with a PhD from Arizona State. She first became interested in massage therapy research while in massage therapy school, and her most recent work is investigating the integration of massage therapy into medical settings. Dr. Cowen states that massage therapy needs to move to Phase 3 research, and aligning with massage therapy practice and research on massage therapy education are areas ripe for research development. She urges the massage therapy profession to work together to develop clinical practice guidelines which could help move the profession forward.
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Koch, Valerie Gutmann. « A Policy in Flux : New York State's Evolving Approach to Human Subjects Research Involving Individuals Who Lack Consent Capacity ». Journal of Law, Medicine & ; Ethics 42, no 3 (2014) : 383–88. http://dx.doi.org/10.1111/jlme.12154.

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Despite existing federal and state law and regulation, new human subjects research (HSR) scandals involving “vulnerable” populations continue to surface. Although existing oversight mechanisms were enacted to ensure voluntary informed consent for participants and institutional review board (IRB) oversight of HSR, these laws and regulations do not provide any special oversight mechanisms or protections to ensure the ethical and safe inclusion of cognitively impaired adults. The absence of rules to ensure consistently ethical conduct of research involving adults who lack consent capacity may either lead to exploitation of this vulnerable population or the dearth of important research into the broad range of diseases that impair cognition. In other words, while some institutions and investigators are conducting research with this group without guidance, others are taking an extremely conservative approach and are excluding these individuals from research. Without safeguards that are adequate and robust but not overly burdensome, conducting research involving this population is ethically and legally challenging.
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Wasiluk, Elizabeth S. « Using Teleconferencing for A Planetarium Lesson ». International Astronomical Union Colloquium 105 (1990) : 386. http://dx.doi.org/10.1017/s0252921100087327.

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Before coming to West Virginia, I worked for Delaware-Chenango BOCES as their telelearning coordinator. BOCES stands for “Board of Cooperative Educational Services.” Such organizations exist throughout New York State for the purpose of pooling resources of school systems and providing services and equipment they might be unable to afford on their own. Examples of the services they provide include distance learning, vocational education, computer services, etc. Our BOCES owned a portable Starlab planetarium for loan to member school districts.Carol Kwiencinski, from Downsville Central School in Downsville, New York, used the portable planetarium with her students. Her students asked her many questions she could not answer, particularly about black holes. As an add-on to her planetarium session, she approached me to do a teleconference with a planetarium director, Mitch Luman of the Koch Planetarium and Science Center, Evansville, Indiana. To set up the conference, we used a speakerphone, which is basically a set of amplifiers and microphones that allow students to speak and listen to a telephone conversation as a group.
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D’Angelo, Mark P., Drew B. Hains et Aaron D. Miller. « The Sinking of the Ethan Allen : A Fresh Look at the Investigation and Cause ». Marine Technology Society Journal 46, no 6 (1 novembre 2012) : 85–110. http://dx.doi.org/10.4031/mtsj.46.6.7.

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AbstractOn October 2, 2005, the New York State Certified Passenger vessel Ethan Allen heeled to port, capsized, and later sank as it rounded Cramer Point on Lake George. Tragically, 20 passengers died and several others were injured. A National Transportation Safety Board (NTSB) investigation ensued which focused on aspects of the intact stability and seakeeping characteristics of the vessel. This article includes a new examination of the NTSB’s lightship determination and an interestingly fundamental analysis of the turn-induced heel and its impact on the resulting capsize. The accident has resulted in a renewed focus on how the stability of small passenger vessels is regulated. As a result, this paper specifically addresses two major findings, the increase in the weight of the average passenger and the lesser reported management of vessel modifications.
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Liu, Angel W., Cherish Adesola, Christina Matthews Conti, Ilana Cypes, Lamya Hamad, Ashley Babcock et Lynda Steinig. « Making sense of the dollars : Evaluation of financial toxicity in patients of breast medicine receiving oral chemotherapy at Roswell Park. » Journal of Clinical Oncology 41, no 16_suppl (1 juin 2023) : e18519-e18519. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.e18519.

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e18519 Background: Increasing costs of oral chemotherapy have become a significant barrier to cancer care with the potential to cause treatment abandonment and noncompliance. The primary objective of this study is to evaluate the financial toxicity of oral chemotherapy in the Breast Medicine Service at Roswell Park Comprehensive Cancer Center (RPCCC). Methods: This was a retrospective chart review of patients at RPCCC who were diagnosed with breast cancer and prescribed oral chemotherapy between 8/1/21 - 7/31/22. The primary outcome evaluated was average out-of-pocket (OOP) cost of an oral chemotherapy prescription. Secondary outcomes studied included 1) the number of patients enrolled in manufacturer patient assistance programs (PAPs), copay cards, foundation grants, and/or New York State Elderly Pharmaceutical Insurance Coverage (EPIC) program, and 2) median days to treatment start date, approval of prior authorization (PA) and/or PAPs. For patients who filled at outside pharmacies, days to first insurance claim were collected and compared to days to first fill for patients who filled at Roswell Park Pharmacy. Results: A total of 116 patients with a median age of 64 and 122 oral chemotherapy prescriptions were included. Majority of the patients were white (n = 93; 80%) and enrolled in Medicare managed plans (n = 58; 50%). Palbociclib (n = 47; 39%) and capecitabine (n = 29; 24%) were most commonly prescribed. 49 patients filled at Roswell Park Pharmacy; average OOP cost was $48.00 (range: 0-2239.50) per prescription claim. Average OOP cost was $85.18 for patients with Medicare managed plans, $23.35 for patients with commercial insurance, and $3.66 for patients with government-funded insurance. Twenty patients (17%) enrolled in PAPs, foundation grants, copay cards, and/or EPIC program. OOP costs prior to any financial assistance was available for thirteen patients; median OOP cost was $2491.51 (403.62-18165.94). Median days to approval of PAPs and approval of PA was 10 (1-50) and 0 (0-14), respectively. When filling internally at Roswell Park Pharmacy, median days to treatment start date was 6 (0-61) compared to 9 (0-67) for those who filled at outside pharmacies. There was a significant difference (p = 0.0111) between the median days to first fill for patients who filled at Roswell Park Pharmacy (0 days [0-25]) and the median time to first insurance claim (2 days [0-20]) for patients filling at outside pharmacies. Conclusions: Despite utilization of financial assistance program, OOP costs remain high for cancer patients. Having a defined workflow to screen and identify patients at risk for financial toxicity and the ability to refer to appropriate resources to mitigate OOP costs promptly is vital to prevent delays in treatment. Utilizing an integrated health-system specialty pharmacy can be helpful to streamline patient access and avoid further treatment delays.
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48

John, Leslie K., Grant E. Donnelly et Christina A. Roberto. « Psychologically Informed Implementations of Sugary-Drink Portion Limits ». Psychological Science 28, no 5 (31 mars 2017) : 620–29. http://dx.doi.org/10.1177/0956797617692041.

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In 2012, the New York City Board of Health prohibited restaurants from selling sugary drinks in containers that would hold more than 16 oz. Although a state court ruled that the Board of Health did not have the authority to implement such a policy, it remains a legally viable option for governments and a voluntary option for restaurants. However, there is very limited empirical data on how such a policy might affect the purchasing and consumption of sugary drinks. We report four well-powered, incentive-compatible experiments in which we evaluated two possible ways that restaurants might comply with such a policy: bundling (i.e., dividing the contents of oversized cups into two regulation-size cups) and providing free refills (i.e., offering a regulation-size cup with unlimited refills). Bundling caused people to buy less soda. Free refills increased consumption, especially when a waiter served the refills. This perverse effect was reduced in self-service contexts that required walking just a few steps to get a refill.
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Hasty, John. « Understanding and Using Professional Peer-Assistance Programs ». Journal of Pharmacy Practice 4, no 6 (décembre 1991) : 369–71. http://dx.doi.org/10.1177/089719009100400606.

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The idea of using concerned caring peers to intervene on behalf of another peer who is suffering from the disease of chemical dependency is a rather new concept in our society. However, the idea has produced great success and today we find that most professional societies sponsor a peer-assistance program. Peer programs are easy to access and provide an array of services. Some of the services extend to the entire professional population. Such things as continuing education credit and monitoring of recovering pharmacists for an employer can benefit all members of the profession. Because peer programs work very closely with State Boards of Pharmacy, advocacy can be provided for the recovering pharmacist. A person who feels the need to report a suspected impairment can feel comfortable that the peer committee and the professional licensing board will handle the problem in a fair and confidential manner. Colleagues, coworkers, spouses, or any concerned person should feel good about using the services of a peer-assistance committee. Use of these services can make the difference in saving the professional career or possibly the life of a peer or loved one.
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Stevenson, Taylor C., Karan Rai et Richard G. Ellenbogen. « 724 Population Per State Served by a Neurosurgery Resident : A National Review ». Neurosurgery 70, Supplement_1 (avril 2024) : 164. http://dx.doi.org/10.1227/neu.0000000000002809_724.

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INTRODUCTION: Neurosurgery residency remains challenging, with 7-years of post-graduate training offered at only 116 locations. It's typically the longest route to board certification of all surgical and medical specialties, yet its programs often consist of the smallest cohorts. Furthermore, the breadth of pathology and populations served by each neurological residency varies significantly. METHODS: Doximity residency “navigator” was used to query total residency programs that entered the 2022-2023 match cycle. U.S. state populations were collected from World Population Review Census January 2023. States were arranged from highest to lowest by census population. Each state population was divided by the NS resident positions in that state. The population per resident (PPR) were compared. RESULTS: California and Wyoming contained the largest and smallest state populations, respectively at 40,223,504 and 580,817. Vermont was the smallest state to contain a NS program with a population of 648,279 and 7 residency positions or roughly 92,611 PPR. California comparatively contained 151 positions or 266,381 PPR. Interestingly, New York and Florida each contain roughly 21 million people, yet they respectively contained 115,527 and 354,909 PPR. In total 65% of residents served between 127,920 to 306,528 people depending on the state. CONCLUSIONS: There is a wide range in the number of people served by each NS resident throughout the USA. Neurological Surgery residencies are not located uniformly by population and patients are free to travel across state boundaries. Currently the ACGME determines program expansion and creation by uniform specialty specific standards. Our data presents a new lens for discussing maximization of training opportunities across the continental United States.
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