Like I’ve mentioned in a few of my previous posts, this pandemic has brought on a lot of changes for everyone– but there is variation in how COVID-19 has impacted different groups of people. The experience of racial and ethnic minorities during this pandemic has been very different from other groups and is reflective of health outcomes that often exist for minorities in the U.S.
COVID-19
In New York City, the death rates for Black/African American individuals is much higher due to the virus, than it is for other racial/ethnic groups (1). The chart below shows the disproportionality of the effects of COVID on the population of African American individuals in a few states. 
Compared to the total state population, the majority of patients affected by COVID are African American (2).
These disparities exist not only during this pandemic, but in healthcare in general:
Reasons for the Disparity
People who belong to racial or ethnic minority groups experience the health care system differently than others– many of the existing disparities in society lead to poorer health outcomes, as well as greater vulnerability to viruses and other illnesses. Many minority groups live in heavily populated areas or live in households with multiple generations, where social distancing might not be possible (1). Many work hourly, so health benefits are not part of the package and health services become difficult to access (2). There is also a much higher population of racial and ethnic minorities in jails, prisons, etc. which are again, places that increase the risk of spread of viruses and other illnesses (1).
Also, because of the social distancing measures that have to be taken because of the pandemic, there has been a decrease in quality of care for patients who don’t speak English (4). Before, interpreters/translators could be present in person during a patient’s visit, which makes it much easier to translate and understand the patient’s concerns and symptoms. Now, a lot of interpreters have to work over the phone and it’s possible that a lot of information is getting lost in translation because it’s just harder to have a conversation and understand each other that way.
While the pandemic has affected everyone in one way or another, it has not affected everyone equally. The social determinants of health that I talked about in my first blog, in addition to factors such as racism, geographic location, and poverty, play a large part in deciding how an individual is affected. Unfortunately, the same level and quality of healthcare are not available to every person. Moving towards a system that addresses these disparities and provides excellent health care to each patient will involve first resolving the inequalities that exist in health care delivery in general and access to healthier food, exercise, etc. Additionally, training healthcare providers to better understand cultural differences and barriers to care could improve health outcomes for minority groups (3).
62,656 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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This study examined whether Parkinson’s disease (PD1) and schizophrenia (SCZ2) share a hypo dopaminergic dysfunction of the prefrontal cortex leading to cognitive impairments in decision processing. 24 medicated PD patients and 28 matched controls performed the Eriksen flanker two-choice reaction time (RT3) task while brain activity was measured throughout, using functional Magnetic Resonance Im
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In addition, the bacteria occasionally bound to galactosylceramide, lactosylceramide with phytosphingosine and/or hydroxy fatty acids, isoglobotriaosylceramide, gangliotriaosylceramide, and gangliotetraosylceramide, in analogy with binding patterns that previously have been described for other bacteria classified as “lactosylceramide-binding”. Finally, by isolation and characterization of glycosphingolipids from hum
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Recent studies have suggested that unawareness, or anosognosia, of memory decline is present in predementia stages of Alzheimer disease (AD) and may serve as an early symptomatic indicator of AD.
To investigate the evolution of anosognosia of memory decline in individuals who carry the PSEN1 E280A variant for autosomal dominant AD compared with family members
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The excellent osteoinduction of ZK50-H has a positive effect to growth of new bones and help the mini-pig regain heal faster in 12 weeks. CONCLUSION This study shows ZK50-H Mg alloy screw is a feasible degradation implant and can be carried out the next-step clinical experiments. V.BACKGROUND Postoperative recovery of activities of daily living after surgery in elderly patients often takes a longer time because of their
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Our results provided qualitative evidence supporting a causal relationship between salt intake and BMI.
Our results provided qualitative evidence supporting a causal relationship between salt intake and BMI.To meaningfully address health disparities in access to genomic testing, major developments in the infrastructure to support delivery of care are needed. The curre
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To further improve the accuracy of the homogenization, we extract the image patch set that is invariant to degradation changes as Robust Neighbor Resources (RNR), with which these two homogenization projections re-express the input LR images and the initial inferred HR images successively. Both quantitative and qualitative results on the public datasets demonstrate the effectiveness of the proposed algorithm aga
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0%, and hexadecanoic acid methyl ester (160) 13.0%. Conclusion The results showed that the fatty acid composition is rich in polyunsaturated fatty acids. The essential oils of G. laricina Schreb. were dominated by fatty acid derivatives and n-alkanes. We think the results obtained from this research will stimulate further research on the chemistry of Gypsophila species.Objectives The aim of the present investigation was t
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Across 369 PCPs (email open rate= 10.8per cent, limited conclusion price = 93.7%), recommendations varied with PRS leads to expected directions (low-risk results, no readily available PRS results, and high-risk results). Nonetheless, doctors randomized to circumstances with Ebony customers were very likely to suggest statin treatment than those ran
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The case of a 56-year-old woman with a fibroid uterus who developed utero-cutaneous fistula is presented. The woman was para 0, had an unremarkable medical history, and had no prior diagnosis of a gynecologic pathology, no operative interventions involving the uterine wall or any other risk factor for fistula. Abdominal examination revealed an abdominal mass with overlying deep, purulent ulceration. 18F-FDG PET/CT sca
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Power Tools Sale – How to Find Value-Focused Deals at Home Improvement Stores
Selling power tools can be a great option for your shop to earn a profit. The trick is to know your market and provide the right tools at a reasonable price.
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2% to 92.6%. When predicting performance using a more comprehensive battery of criterion neuropsychological tests, we identified less then 22 as the most accurate MoCA cut score to identify a clinically relevant level of impairment and less then 24 to identify milder cognitive impairment. Conclusions Our findings suggest that a MoCA cut score of less then 26 carries a risk of misdiagnosis of cognitive impairment, and score
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This review aims to evaluate the effectiveness of exercise intervention versus no intervention or alternate intervention to prevent shoulder injuries in athletes.
Injury-prevention research has proven the effectiveness of exercise in preventing sports injuries in general and in the lower limb specifically. However, the results have been extrapolated to sport-related shoulder injuries fr
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Exercise has been demonstrated as effective for the treatment of low back pain (LBP) in workers.
The purpose of this study was to investigate whether an exercise program adapted to the characteristics of the workplace is a useful supplement to general exercise recommendations in assembly line workers with chronic LBP.
Workers were randomly a
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One-way ANOVA test for intragroup and Tukey’s post hoc test for intergroup comparison.
The mean value of zone of inhibition (in mm) against S. mutans on day 14 for Group I, II, III, and IV are 11.70 ± 1.49, 16.50 ± 2.23, 19.30 ± 2.87, and 15.60 ± 2.76, respectively. For L. acidophilus, the mean value of the zone of inhibition (in mm) on day 14 are 8.40 ± 0.97, 9.70 ± 0.68, 16.20 ±
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HA inhibits X.citri growth, exhibits low phytotoxicity and is an alternative to copper for the protection of citrus plants against bacterial infection.
HA inhibits X. citri growth, exhibits low phytotoxicity and is an alternative to copper for the protection of citrus plants against bacterial infection.
DICER1 germline mutations cause DICER1 syndrome, in which multinodular goi
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CONCLUSIONS The SFOT IDT decision making process is complex, yet full of opportunities. Embracing SFOT IDT with innovative and novel 3D technology can optimize conditions leading to long-term outcomes that align with periodontal stability as well as patient goals and preferences which permeate beyond the achievement of “straightening teeth”. Transparency of complex IDT through 3D CBCT and orthodontic simulation s
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OBJECTIVE The aim of this study was to provide guidance on supportive nurse manager role transition practices. BACKGROUND The nurse manager role is increasingly more complex and the workforce is increasingly less experienced. Wide variation in nurse manager role transition exists among organizations. Nurse managers are commonly hired without requisite knowledge and are expected to learn through exper
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Customised individually made (CIM) implants for total knee arthroplasty (TKA) were introduced about 10years ago. These implants aim to reduce the risk of prosthesis-related issues resulting from anthropometric differenc
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The superior accuracy of spin-PLDM is demonstrated in this paper through application of the method to a wide range of spin-boson models as well as to the Fenna-Matthews-Olsen complex.Localized basis sets in the projector augmented wave formalism allow for computationally efficient calculations within density functional theory (DFT). However, achieving high numerical accuracy requires an extensive basis set, which also
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New tools for non-specific primary prevention strategies covering somatic and mental health in occupational medicine are urgently needed. Heart rate variability (HRV) reflects the capacity of the body to adapt to environmental challenges and of the mind to regulate emotions. Hence, a 24 h-measurement of HRV offers a unique possibility to quantify the interaction between situation-specific emotional regulation within
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Psoralen is an effective active component extracted from Psoraleacorylifolia, which can promote bone formation in osteoporotic animals. However, to the best of our knowledge, its effect on fracture healing has not yet been examined. In the present study, open femur fractures were created in ovariectomy (OVX)-induced osteoporotic mice. OVX mice were treated with psoralen (psoralen+OVX group) or physiological saline (OVX gro
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EEx should be the goal in current valve surgery. Preoperative spirometry is a significant predictor.
Patients with inadequate health literacy and heart failure face high healthcare costs, more hospitalizations, and greater mortality. To address these negative consequences, patients need to improve heart failure self-care. Multiple factors may influence self-care, but the exact model by which they do
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The infusion set survival rate was 100% without leakages, occlusion alarms, severe hypoglycaemia or ketoacidosis. The extended-wear infusion set proved safe and effective during prolonged wear in real-life conditions.
To compare health-economic aspects of multiple imaging modalities used to monitor renal cysts, the present study evaluates costs and outcomes of patients with Bosniak IIF and
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We read with interest “The Dallas Consensus Conference on Liver Transplantation for Alcohol Associated Hepatitis”1 , which strove to examine various aspects of early Liver Transplant (LT) for alcohol hepatitis (AH) by defining terms, outlining criteria and identifying issues related to early LT for AH, including payer coverage. Our patients are experiencing real life issues with payer coverage. In our program, only one o
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Tryptophan synthase catalyzes the last two steps of tryptophan biosynthesis in plants, fungi and bacteria. It consists of two protein chains, designated α and β, encoded by trpA and trpB genes, that function as an αββα complex. Structural and functional features of tryptophan synthase have been extensively studied, explaining the roles of individual residues in the two active sites in catalysis and allo
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. PI18/286) and the Research Ethics Committee of the Balearic Islands (IB3950/19 PI). Data distribution will be anonymous. Results will be disseminated via conferences and papers published in peer-reviewed, open-access journals.
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ClinicalTrials.gov Registry (NCT03951350).
Although cardiovascul
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At present, several reports have indicated that the C-terminal peptides of tissue factor pathway inhibitor 1 (TFPI-1) were active antibacterial peptides. However, the functions of TFPI-1 C-terminal peptides in teleost are still very limited. In this study, a C-terminal peptide, TC26 (with 26 amino acids), derived from common carp (Cyprinus carpio) T
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However, the sampled patients could not be considered to have a high speech articulation ( less then 85%) as the normal value was above or equal to 96%. Our results showed that pharyngeal flap surgery could correct the speech function of older patients with posterior velopharyngeal insufficiency to some extent. Owing to the original errors in pronunciation patterns, pathological speech articulation still existed, and speech treatment is requ
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