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).
394,382 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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Future trends may further enhance the utility of BgRT in the clinic as this technology dovetails with other innovations in radiotherapy, including novel dose painting and fractionation schemes, radiomics, and new radiotracers.Saudi women have recently started using oral contraceptives (OCs), which has led to risk of venous thromboembolism (VTE). The risk varies with the type of OC generations used, and with OC
BachCampbell1362
selleck
3-Hydroxy-3-methylglutaryl-CoA (HMG-CoA) synthase 2 gene (HMGCS2) encodes a mitochondrial enzyme catalyzing the first reaction of ketogenesis metabolic pathway which provides lipid-derived energy for various organs during times of carbohydrate deprivation, such as fasting. Mutations in this gene are responsible for HMG-CoA synthase deficiency (HMGCSD). The aim of present study was to investigate the association of mutat
KernSerup0679
mk-2048 inhibitor
Conclusions All stakeholder group identified characteristics into the Caring domain as being main. Although all canmeds roles are very important, our analysis highlights the priorities of stakeholders.Background Patient-reported effects (positives) are necessary to fully capture the patient’s perspective and to influence treatment. Althoug
HougaardAgerskov0994
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1; 95% confidence interval 1.2, 3.6; P less then .01). Athletes who returned to knee-strenuous sport before 9 months after reconstruction had a higher rate of second ACL injury (hazard ratio = 6.7; 95% confidence interval 2.6, 16.7; P less then .001). There was no association between symmetrical muscle function or quadriceps strength and second ACL injury. CONCLUSION Returning to knee-strenuous sport before 9 months after ACL
ThurstonMccoy6290
Veliparib
1%/yr). South Africa (rate ratio [RR] = 8.28, 95% CI 5.68 to 12.08) and India (RR = 2.53, 95% CI 1.74 to 3.69) had higher RRs of overall TB-related articles to all articles, but did not outperform the average of the top 13 countries in the RRs of LTBI-related articles to TB-related articles. Italy (RR = 1.95, 95% CI 1.45 to 2.63), Canada (RR = 1.73, 95% CI 1.28 to 2.34), and Spain (RR = 1.53, 95% CI 1.13 to 2.07) had high
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an effective central or regional strategic response to this evident mismatch between demand and surgical capacity is to the detriment of our head and neck cancer patients.At our small liberal arts college, we require undergraduates majoring in Biology and Biomedical Sciences to take a seminar in the spring of their senior year. Each year, the seminar focuses on a different topic in molecular biology and/or biochemistr
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債務經常可以感覺就像一場無情的風暴使個人遭受迷失和超支。但是，在混亂之中，有重新控制控制的策略並找出答案實際解決方案。兩個重要的選擇這可能會幫助您駕駛這個海洋這當然是動蕩的是特定的自願安排（IVA）和債務減免計劃（DRP）。了解這些工具可以授權你一定要通過樑上的束縛和債務解放課程邁向貨幣恢復。
一個人自願安排（IVA）簡直就是有效的生命線對於那些結束深深的困擾那是貨幣。此合同那是合理地約束你以及你的債權人允許量身定制的可管理還款計劃您的具體情況。通過同意覆蓋一部分的一個債務多於收藏時期 – 通常五到六年 – 您可能有其餘的可能這債務註銷。這種結構化的方法不僅輕鬆瞬間負擔但是也補給品一個明顯的通往未來的道路那是無債務。
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Trial of labor after cesarean delivery (TOLAC) is a common practice worldwide but the evidence is still scant regarding this practice in women who underwent 2 previous cesareans. The purpose of this study is to retrospectively review our experience with vaginal birth after two previous cesarean sections (VBA2C), with specific attention to the indications for previous cesarean and to the women’s motivation for attemp
DalgaardPrice0015
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Current methods to dynamically tune three-dimensional hydrogel mechanics require specific chemistries and substrates that make modest, slow, and often irreversible changes in their mechanical properties, exclude the use of protein-based scaffolds, or alter the hydrogel microstructure and pore size. Here, we rapidly and reversibly alter the mechanical properties of hydrogels consisting of extracellular matrix p
BoyeBlalock6115
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Results On the fourth and seventh day, the PUSH score was lower in the olive oil group (7.50 ± 2.823 and 5.44 ± 3.806) than in the control group (9.50 ± 1.732 and 8.83 ± 2.864) (P-value less then 0.001). Also, a significant improvement of ulcer was observed in the olive oil group (mean difference = 3.56; P value less then 0.001) but no change was observed in the control group (mean
MedeirosStallings2433
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All the responders had a significant improvement in their overall QoL after both types of treatment.
Both BTX and SNM, in our experience, were safe and effective in managing our patients with refractory OAB after 6months of follow-up, which was also reflected by an improvement in their QoL.
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Mosquito-borne flavivirus infections, including dengue virus and Zika virus, are major public health threats globally. While the plaque reduction neutralization test (PRNT) is considered the gold standard for determining neutralizing antibody levels to flaviviruses, the assay is time-consuming and laborious. This study, therefore, aimed to develop an enzyme-linked immunosorbent assay (ELISA)-based micron
BrandstrupZhang8870
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Evidence is lacking concerning re-introduction of feed and water following colic surgery.
To describe current approaches of European and American specialists to re-introduction of feed and water in adult horses following surgical treatment of common intestinal lesions, assuming an uncomplicated recovery.
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difference may affect the final color of restoration compared to the final color when manufacturer-specified time is used.
Preoperative prediction of epidermal growth factor receptor (EGFR) mutation status in patients with spinal bone metastases (SBM) from primary lung adenocarcinoma is potentially important for treatment decisions.
To develop and validate multiparametric magn
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Overall, during the development of enamel, MSX2 affects the formation of enamel by regulating the function of epithelial cells in the enamel organ.
Being on haemodialysis can lead to many burdens on patients’ lives. Social support for patients is crucial; however, whether social support affects health outcomes including both depression, anxiety and health-related quality of life is not well under
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17, 95% confidence interval [CI] 1.05-1.31, p = 0.004), postoperative MCS use (OR 1.36, 95% CI 1.18-1.58, p < 0.001), acute renal failure requiring hemodialysis (OR 1.21, 5% CI 1.06-1.38, p = 0.004), and 30-day mortality (OR 1.29, 95% CI 1.05-1.59, p = 0.02). Fresh frozen plasma was associated with composite outcome (OR 1.07, 95% CI [1.003-1.15], p = 0.042) and renal failure (OR 1.08, 95%
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When animal psychologist Irene Pepperberg entered a Northwest Side pet shop in 1977 and purchased a haughty one-year-old African grey parrot named Alex and began a 30-year research project that changed how we perceive the avian brain. Her research with Alex challenged the notion tha
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SP2509 in vivo
As essential components of cycle growth, the cell division cycle-associated family genes (CDCAs) have crucial roles in tumor development and progression, especially in hepatocellular carcinoma (HCC). However, due to the tumor heterogeneity of HCC, little is known about the methylation variability of CDCAs in mediating phenotypic changes (e.g., immune infiltrates) in HCC. Presently, we aim to comprehensively explore th
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If you are visiting temporarily in Ireland and have the driving license of an official EU, EEA state or other nationality that is recognized by the EU you can drive with this license for as long as wish. When you move to Ireland the foreign driving licence has to be exchanged for an Irish lic
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05). The accuracies obtained from the confusion matrix were respectively 74.1, 79.5, and 90.1% in classes I, II, and III in the mandibular curves and respectively 71.9, 73.9, and 75% in classes I, II, and III in the maxillary curves.
Elliptic Fourier analysis can be used to find shape differences with an acceptable discriminatory capacity, especially in the mandible contour. Maxill
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A negative correlation with “work satisfaction” was found for WFC and FWC. The group of nurses/midwives has significantly higher inter-role conflicts than the administrative staff. Especially the negative correlation of work satisfaction and inter-role conflicts shows the enormous need for improvement in sufficient compatibility of work and family life of employees in the health care sector. This needs to be addressed
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Developing an integrated model of health care for refugees, asylees, immigrants, and special immigrant visa holders requires a multifaceted approach due to their unique and complex health care needs. This article provides an in-depth understanding of the components necessary to develop a model of care addressing the needs of immigrants and to share opportunities and challenges associated with these models
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The obtained results demonstrated that the careful control of the substrate surface chemistry enabled the deposition of a stable honeycomb membrane at their surface. This constitutes a first step toward the development of new biphasic materials enabling osteostimulation (BaG) while preventing migration of fibrous tissue inside the bone defect (honeycomb polymer membrane).Responsive nanogel systems are interesting for the drug
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Research on the relationships between economic development, energy consumption, environmental pollution, and human health has tended to focus on the relationships between economic growth and air pollution, energy and air pollution, or the impact of air pollution on human health. However, there has been little past research focused on all the above associations.
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Tallula – Indigo Park Stallion – Mollie Macaw
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Dont Let a Broken Home Window Break Your Spending Plan: Affordable Glass Fixing Solutions
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보너스 바카라는 Microgaming에서 제작한 게임입니다. 뱅커의 점수를 일치시키고 그들 사이에 내기를 걸면 높은 배당금을 얻을 수 있습니다.이를 통해 점수 차이에 따라 최소 2배에서 최대 30배의 높은 배당금을 얻을 수 있습니다. 바카라에서 동점은 무승부가 아니라 모든 내기를 잃는 것이며, 결과와 일치하지 않으면 내기의 두 배를 잃습니다. 용과 호랑이의 짝짓기 게임이라는 오해가 종종 있다. 이 게임은 바카라는 아니지만, 바카라와 매우 유사합니다. 그러나 바카라는 2장의 카드 또는 3장의 카드로 결과가 결정되는 게임입니다. 드래곤 타이거는 한 장의 카드로 결과가 완전히 결정되는 게임이므로 재생이 2배 빠르게 진행됩니다. 이 온라인 카지노를 사용하면 현실감을 높이고 실제 카지노의 분위기를 조성하기 위해 다른 플레이어에게 직접 카드를 열 수 있습니다. 게임은 기능을 구현하여 사용자가 게임에서
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The advent of hundreds of new compounds aimed at the substance misuse market has posed new analytical challenges. A semi-quantitative liquid chromatography-high resolution mass spectrometry (LC-HRMS) method has been developed to detect exposure to two novel stimulants, mephedrone and ethylphenidate, and selected metabolites. Centrifuged urine (50 µL) was diluted with LC eluent containing internal standards (mephedrone-d3, m
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Results Patients reported participation restrictions in all subscales while having mild physical limitations. There was a decrease of participation over time (restrictions and autonomy). This decrease was greatest in patients with fast disease progression. Disease progression negatively influenced movement-related participation more than social interaction domains. Rate of disease progression was more strongly relate
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RESULTS Matched data describe preoperative characteristics and perioperative outcomes in 615 patients in each group. The following significant differences were observed among the 11 outcomes that were pre-specified. Operative time tended to be longer for the RVHR group compared to the LVHR group (p less then 0.001). Length of stay differed between the two groups; while both groups
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006; I2 = 0). RRs of death in studies with historical controls (RR = 0.28 [0.16,0.49; P less then 0.001]; I2 = 62%) or a matched cohort (RR = 0.68 [0.53, 0.87]; P = 0.002; I2 = 42%) were decreased. In contrast, RRs of death in studies with a concurrent control (RR = 1.10 [0.77, 1.56]; P = 0.60; I2 = 85%) or randomized (RR = 1.18 [0.57,2.44]; P = 0.66; I2 = 0) were not decreased. A reduced risk of death was not confirmed
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Moreover, we demonstrate that the N-terminal peptide of caspase-7 reduces the affinity of the peptidase for RNA, which translates into slower cleavages of RNA-binding proteins. Finally, employing engineered heterodimers, we show that a caspase-7 dimer can use both exosites simultaneously to increase its affinity to RNA because a heterodimer with only one exosite has reduced affinity for RNA and cle
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ABL001
The wear debris in hydraulic oil or lubricating oil has a wealth of equipment operating information, which is an important basis for large mechanical equipment detection and fault diagnosis. Based on traditional inductive oil detection technology, magnetic nanoparticles are exploited in this paper. A new inductive oil detection sensor is designed based on the characteristics of magnetic nanoparticles. The sensor imp
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Milk production phenotypes are the main focus of genetic selection in dairy herds, and although there are many genes identified as related to the biology of these traits in pure breeds, little is known about crossbreed animals. This study aimed to identify potential genes associated with the 305-day milk yield in 337 crossbreed Gir × Holstein (Girolando) animals. Milk production records were genotyped for 45,613 single-
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ache-predominant Chiari 1 malformation presents a difficult diagnostic dilemma. The authors describe a trial of acetazolamide as a preoperative diagnostic tool to aid the decision to decompress. Further studies will need to be performed to determine the effectiveness of preoperative acetazolamide in identifying which patients may benefit from surgical decompression.
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43; stress-corrected mid-wall shortening was used as an index of LVSD and considered impaired if less then 86.5%. Results Concentric LV remodelling was found in 58% of patients with PsA and 18% of controls (p less then 0.001). LVSD was found in a significantly higher proportion of patients with PsA (56%, p less then 0.001) than controls. The presence of PsA yielded a 10-fold higher probability of having LVSD [odds ratio (
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