Добірка наукової літератури з теми "Occupational Training Center, New York, N. Y"

Abstrak Kesiapan kerja siswa kejuruan di Indonesia menjadi salah satu isu penting yang terus dibahas. Hal tersebut dikarenakan lulusan pendidikan kejuruan tersebut masih menduduki posisi teratas untuk angka pengangguran dibandingkan tingkat pendidikan yang lain. Rendahnya kesiapan kerja di kalangan siswa dipengaruhi oleh banyak faktor yang perlu diidentifikasi. Penelitian ini bertujuan untuk menguji secara empiris pengaruh dukungan keluarga terhadap kesiapan kerja siswa kejuruan yang dimediasi oleh wawasan dunia kerja. Untuk itu 115 siswa dipilih melalui teknik cluster random sampling dari 4 SMK yang ada di Jawa Timur, Indonesia. Pengumpulan data menggunakan kuesioner untuk mengukur skala dukungan keluarga, wawasan dunia kerja dan kesiapan kerja siswa. Pengujian hipotesis dilakukan dengan analisis jalur pada tingkat signifikansi 0,05. Hasil penelitian menujukkan bahwa dukungan keluarga berpengaruh signifikan terhadap kesiapan kerja siswa, baik secara langsung maupun tidak langsung melalui wawasan dunia kerja. Dengan demikian, keterlibatan keluarga harus maksimal dalam memberikan dukungan yang dibutuhkan oleh siswa. Di sisi lain, sekolah harus mampu menyediakan informasi pekerjaan yang tepat untuk membantu siswa dalam memperluas wawasan mereka tentang dunia kerja.Kata kunci: kesiapan kerja; dukungan keluarga; wawasan dunia kerja; SMK. AbstractJob readiness of vocational students in Indonesia is one of the important issues that continues to be discussed. This is because vocational education graduates still occupy the top position for unemployment rates compared to other levels of education. The low job readiness among students is influenced by many factors that need to be identified. This study aims to empirically examine the effect of family support on vocational students' job readiness mediated by the world of work insight. For this reason, 115 students were selected through a cluster random sampling technique from 4 vocational schools in East Java, Indonesia. Collecting data using a questionnaire to measure the scale of family support, insight into the world of work and student work readiness. Hypothesis testing was carried out by path analysis at a significance level of 0.05. The results of the study show that family support has a significant effect on students' work readiness, both directly and indirectly through insight into the world of work. Thus, family involvement should be maximized in providing the support needed by students. On the other hand, schools must be able to provide appropriate job information to assist students in broadening their horizons about the world of work.Keywords : working readiness; family support; insight into the world of work; SMK.DAFTAR RUJUKANSuswanto, H., Asfani, K., and Wibawa, A.P. (2017). Contribution of teaching performance, learning satisfaction and achievement motivation to students’ competence achievement. Global J. of Engng. Educ., 19, 1, 66-71.Billett, S. (2011). Vocational Education Purposes, Traditions and Prospects. New York: Springer,.Pavlova, M. (2009). Technology And Vocational Education For Sustainable Development : Empowering Individuals for the Future. Queensland: Springer.Badan Pusat Statistik (BPS), Tingkat Pengangguran Terbuka (TPT) sebesar 5,34 persen (2018), 14 May 2019, https://www.bps.go.id/pressrelease/2018/11/05/1485/agustus-2018--tingkat-pengangguran-terbuka--tpt--sebesar-5-34-persen.htmlSasmito, A.P., Kustono, D. & Patmanthara, S. (2015). 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Family-support goals drive engagement and achievement in a collectivist context: Integrating etic and emic approaches in goal research. Contemporary Educational Psychology 58, 338-353.Igberadja, S., (2015). Factors Influencing Performance In Basic Technology Among Secondary School Students of Delta South Senatorial District in Delta State, Nigeria, Journal of Technical Education and Training (JTET), 7, 2, 24-34.Odo, M. I. (2015). Sustaining Occupational Information for Career Choice and Development in Students of Technical Colleges in Enugu State, Nigeria. Journal of Technical Education and Training (JTET), 7, 1, 1-9.Saniter, N., Schnitzlein, D.,D., & Siedler, T. (2019). Occupational Knowledge and Educational Mobility: Evidence from the Introduction of Job Information Centers. Economics of Education Review, 69, 108-124.Feldt, L.S., & Brennan, R.L., (1989). Reliability educational measurement. New York: McMillan Publishing Company.Isarabhakdi, P. & Pewnil, T. (2016). Engagement with family, peers, and Internet use and its effect on mental well-being among high school students in Kanchanaburi Province, Thailand, International Journal of Adolescence and Youth, 21, 1, 15-26.Smitsa, J. & Hosgor, A.G. (2006). Effects of family background characteristics on educational participation in Turkey, International Journal of Educational Development, 26, 545-560.Ismail, M.E., Hashim, S., Hamzah, N., Samad, N.A., Masran, S.M., Mat Daud, K.A., Amin, N.F.M.,, Samsudin, M.A. & Kamarudin, N.Z.S. (2019). Factors that Influence Students’ Learning: An observation on Vocational College students, Journal Of Technical Education And Trainin, 11, 1, 93-99.Ainane, S., Bouabid, A. & Sokkary, W.E. (2019). Factors that influence the high percentage of women enrolled in engineering in the UAE and preparing for careers in the oil and gas industry, Global Journal of Engineering Education., 21, 1, 62-68.

Home healthcare work is physically and emotionally exhausting. In addition, home healthcare workers frequently work under precarious work arrangements for low wages and in poor work conditions. Little is known about how sources of job strain for home healthcare workers might be reduced. This research examines the occupational stressors among paid home care workers by analyzing home healthcare agency characteristics and individual home healthcare workers’ experiences in upstate New York agencies (n = 9). The study augments existing theoretical models and describes new sources of stress arising from the nature of agency-based caregiving. Results feature the analysis of both agency executives’ (n = 20) and home healthcare workers’ narratives (n = 25) to make the agency's inner workings more transparent. Agency structures and culture are implicated in the lack of progress to address home care workers’ health problems. Policy change should focus on compensation, healthier work conditions, and training requirements.

We examined the all-cause and COVID-19-specific mortality among World Trade Center Health Registry (WTCHR) enrollees. We also examined the socioeconomic factors associated with COVID-19-specific death. Mortality data from the NYC Bureau of Vital Statistics between 2015–2020 were linked to the WTCHR. COVID-19-specific death was defined as having positive COVID-19 tests that match to a death certificate or COVID-19 mentioned on the death certificate via text searching. We conducted step change and pulse regression to assess excess deaths. Limiting to those who died in 2019 (n = 210) and 2020 (n = 286), we examined factors associated with COVID-19-specific deaths using multinomial logistic regression. Death rate among WTCHR enrollees increased during the pandemic (RR: 1.70, 95% CL: 1.25–2.32), driven by the pulse in March–April 2020 (RR: 3.38, 95% CL: 2.62–4.30). No significantly increased death rate was observed during May–December 2020. Being non-Hispanic Black and having at least one co-morbidity had a higher likelihood of COVID-19-associated mortality than being non-Hispanic White and not having any co-morbidity (AOR: 2.43, 95%CL: 1.23–4.77; AOR: 2.86, 95%CL: 1.19–6.88, respectively). The racial disparity in COVID-19-specific deaths attenuated after including neighborhood proportion of essential workers in the model (AOR:1.98, 95%CL: 0.98–4.01). Racial disparities continue to impact mortality by differential occupational exposure and structural inequality in neighborhood representation. The WTC-exposed population are no exception. Continued efforts to reduce transmission risk in communities of color is crucial for addressing health inequities.

The COVID-19 pandemic has placed an unprecedented burden on patients, health care providers, and communities and has been particularly challenging for medically underserved populations impacted by the social determinants of health, as well as people with co-occurring mental health and substance use risks. This case study examines outcomes and lessons learned from a multisite low-threshold medication-assisted treatment (MAT) program at a federally qualified health center in partnership with a large suburban public university in New York to integrate and train Health Resources & Services Administration Behavioral Health Workforce Education and Training–funded graduate student trainees in social work and nursing in screening, brief intervention, and referral to treatment and patient care coordination, including social determinants of health and medical and behavioral comorbidities. The MAT program for the treatment of opioid use disorder has a low threshold for entry that is accessible and affordable, reduces barriers to care, and uses a harm reduction approach. Outcome data showed an average 70% retention rate in the MAT program and reductions in substance use. And, while more than 73% of patients reported being somewhat or definitely impacted by the pandemic, most patients endorsed the effectiveness of telemedicine and telebehavioral health, such that 86% indicated the pandemic did not affect the quality of their health care. The main implementation lessons learned were the importance of increasing the capacity of primary care and health care centers to deliver integrated care, using cross-disciplinary practicum experiences to enhance trainee competencies, and addressing the social determinants of health among populations with social vulnerabilities and chronic medical conditions.

The governmental public health workforce in the United States has faced staffing shortages for over a decade that have been exacerbated by the COVID-19 pandemic. To assess this critical issue, the Region 2 Public Health Training Center collaborated with the New York State Association of County Health Officials to enumerate the city and county public health workforce in New York State. The organizations used an online survey to: (1) count employees and full-time equivalent (FTEs) staff in local health departments in 2021; (2) assess workforce trends since the COVID-19 pandemic; and, (3) identify challenges local health departments encounter in recruiting and retaining qualified public health workers. To assess trends, findings were compared with secondary data from 2019. Despite playing a central role in COVID-19 mitigation, local health departments experienced no overall increase in staffing in 2021 compared to 2019, with many health departments experiencing large increases in vacant positions. Recruitment challenges include noncompetitive salaries, difficulties finding qualified candidates, and lengthy hiring processes. This study complements accumulating evidence indicating that long-term investment in local public health infrastructure is needed to bolster the workforce and ensure that communities are protected from current and future health threats.

Objective: To test the hypothesis that combined aerobic and resistance training and non-invasive ventilatory support result in additional benefits compared with combined aerobic and resistance training alone in heart failure patients. Design: A randomized, single-blind, controlled study. Setting: Cardiac rehabilitation center. Participants: A total of 46 patients with New York Heart Association class II/III heart failure were randomly assigned to a 10-week program of combined aerobic and resistance training, plus non-invasive ventilatory support ( n = 23) or combined aerobic and resistance training alone ( n = 23). Methods: Before and after intervention, results for the following were obtained: 6-minute walk test, forced vital capacity, forced expiratory volume at one second, maximal inspiratory muscle pressure, and maximal expiratory muscle pressure, with evaluation of dyspnea by the London Chest Activity of Daily Living scale, and quality of life with the Minnesota Living With Heart Failure questionnaire. Results: Of the 46 included patients, 40 completed the protocol. The combined aerobic and resistance training plus non-invasive ventilatory support, as compared with combined aerobic and resistance training alone, resulted in significantly greater benefit for dyspnea (mean change: 4.8 vs. 1.3, p = 0.004), and quality of life (mean change: 19.3 vs. 6.8, p = 0.017 ). In both groups, the 6-minute walk test improved significantly (mean change: 45.7 vs. 44.1, p = 0.924), but without a statistically significant difference. Conclusion: Non-invasive ventilatory support combined with combined aerobic and resistance training provides additional benefits for dyspnea and quality of life in moderate heart failure patients. Trial registration: ClinicalTrials.gov identifier: NCT02384798. Registered 03 April 2015.

Three cohorts including the Fire Department of the City of New York (FDNY), the World Trade Center Health Registry (WTCHR), and the General Responder Cohort (GRC), each funded by the World Trade Center Health Program have reported associations between WTC-exposures and cancer. Results have generally been consistent with effect estimates for excess incidence for all cancers ranging from 6 to 14% above background rates. Pooling would increase sample size and de-duplicate cases between the cohorts. However, pooling required time consuming steps: obtaining Institutional Review Board (IRB) approvals and legal agreements from entities involved; establishing an honest broker for managing the data; de-duplicating the pooled cohort files; applying to State Cancer Registries (SCRs) for matched cancer cases; and finalizing analysis data files. Obtaining SCR data use agreements ranged from 6.5 to 114.5 weeks with six states requiring >20 weeks. Records from FDNY (n = 16,221), WTCHR (n = 29,372), and GRC (n = 33,427) were combined de-duplicated resulting in 69,102 unique individuals. Overall, 7894 cancer tumors were matched to the pooled cohort, increasing the number cancers by as much as 58% compared to previous analyses. Pooling resulted in a coherent resource for future research for studies on rare cancers and mortality, with more representative of occupations and WTC- exposure.

BackgroundIntegration of mental health services allows for improved prevention and management of chronic conditions within the primary care setting. This quality improvement project aimed to increase adherence to and functioning of an integrated care model within a patient-centred medical home. Specifically, the project focused on improving collaboration between Primary Care Mental Health Integration (PC-MHI) and the medical resident Patient Aligned Care Teams (PACT) at a Veterans Affairs Medical Center in Northport,New York (VAMC Northport).MethodThe project used increased education, training and relationship building among the medical resident PACTs, and the establishment of regularly occurring integrated team meetings for medical and mental health providers. Education of residents was measured with a self-assessment pre-training and post-training, while utilisation was measured by the percentage of patients currently on a PACT’s panel with at least one PC-MHI encounter in the last 12 months (known in VAMC Northport as PACT-15 metric).ResultsTwo resident PACTs that received both training and weekly integrated meetings increased their utilisation of integrated mental health services by 3.8% and 4.5%, respectively. PACTs that participated in training only, with no regular meetings, showed an initial improvement in utilisation that declined over time.ConclusionsTraining alone appeared beneficial but insufficient for increased integration over time. The addition of a regularly occurring integrated weekly meeting may be a critical component of facilitating sustained mental health integration in a primary care medical home model.

AbstractObjectiveThe present study compared foods and beverages provided to and consumed by children at child-care centres in New York City (NYC) with national nutrition recommendations.DesignThe study used survey, observational and centre record data collected from child-care centres. Food and beverage intakes from two days of observation and amounts of energy and nutrients were estimated using the US National Cancer Institute’s Automated Self-Administered 24 h Recall system.SettingMeal and snack time at 108 child-care centres in low-income communities in NYC.SubjectsChildren aged 3–4 years old in classrooms selected by the directors of the participating child-care centres.ResultsFoods and beverages provided to and consumed by children (n 630) met >50 % of the Dietary Reference Intake (DRI) for most nutrients. Intakes of fibre and vitamins D and E were <30 % of the DRI. Foods and beverages provided >50 % of the recommended average daily intake amounts for total grains, fruits and fruit juices, and dairy, but <50 % of the recommended amounts for whole grains, protein foods and vegetables. Intake of oils was below the allowance for energy levels, but foods and beverages with solid fats and added sugars exceeded the limits by 68 %.ConclusionsProviding more whole grains, vegetables and low-fat dairy and fewer foods with solid fats and added sugars may improve children’s diet quality when at child-care centres. Centre staff may need training, resources and strategies in order to meet the nutrition recommendations.

ABSTRACTBackground: Inhaled corticosteroids (ICS) are the most effective anti-inflammatory treatment for asthmatics. This trial evaluated the effects of prophylactic ICS in firefighters exposed to the World Trade Center disaster.Methods: Inhaled budesonide via a dry powder inhaler (Pulmicort Turbuhaler, AstraZeneca, Wilmington, DE) was offered on-site to New York City firefighters between September 18 and 25, 2001. One to 2 years later, firefighters (n = 64) who completed 4 weeks of daily ICS treatment were evaluated and compared with an age- and exposure-matched comparison group (n = 72) who did not use ICS.Results: When spirometry results at the final visit were compared with those from the weeks following the 9/11 disaster, the treatment group had a greater increase in forced vital capacity (P = .009) and possibly a slower decline in forced expiratory volume at 1 second (P = .11), as well as a greater improvement in perceived well-being as assessed by the St George's Respiratory Questionnaire (P < .01). There was no difference in airway hyperreactivity and no evidence of adverse effects from ICS.Conclusions: Because the potential for hazardous exposures is great at many disasters, disease prevention programs based on environmental controls and respiratory protection are warranted immediately. Our results suggest that, pending further study with a larger sample, prophylactic ICS should be considered, along with respiratory protection, to minimize possible lung insult. (Disaster Med Public Health Preparedness. 2008;2:33–39)