Background A federally funded demonstration project (Project SCOPE) was conducted to develop a model for delivering screening colonoscopy to underinsured patients in Suffolk County, NY. The recruitment model featured collaboration between Stony Brook University Medical Center and the Suffolk County Department of Health Services' network of community health centers; bilingual patient navigators, and reimbursement of physicians and the hospital at Medicare rates. Methods We conducted a retrospective analysis of all (11,752) colonoscopies performed at Stony Brook Medicine, during the pre-SCOPE time period (2003)(2004), during SCOPE period (2007)(2008), and post-SCOPE (2010-2011), to measure the impact of SCOPE on reducing racial and ethnic disparities. Multiple logistic regression models were used to compare the likelihood of a patient being Hispanic or African American after adjusting for potential covariates. Results The numbers of Hispanics undergoing colonoscopies were 146 (4.3 %), 506 (12.3 %), and 262 (6 %) during the pre-SCOPE, SCOPE, and post-SCOPE time periods. The numbers of African Americans were 166 (5.1 %), 298 (7.2 %), and 255 (5.8 %). The odds ratio (OR=1.4, 95 % CI=1
Using a stand‐alone training simulator developed at the Gerhard‐Mercator‐ University Duisburg/Germany, a sequence of training seminars was staged in cooperation between KEMA‐ECC, the Power Systems Institute of the University, and with support of the Dutch Electricity Generating Board (Sep). A group of twelve utility operators of Sep and the different regional transport and production companies attended each seminar, with the aim of getting experience on the performance of their systems under the adverse conditions of network‐restoration. For that aim, the simulator models the Dutch 380 kV/220 kV transmission grid and eight connected subtransmission networks on 150 kV and 110 kV.
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