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).
189,785 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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Finding the right medication could take a while because everyone reacts differently. It’s also important to combine medications with other treatments to treat behavioral and emotional issues.
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© The Author(s) 2020.Purpose The aim of the study was to exploit the feasibility of thermoluminescent dosimeters (TLDs) in radiation therapy techniques in which high dose per fraction is involved. Methods Dose-response of TLD-100 (LiF Mg, Ti) was investigated in both 6-MV photon and 6-MeV electron beams. The element correction factor (ECF) ge
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Our recent study reported that adolescent-onset schizophrenia showed an uncoupling between intraventricular brain temperature (iBT) and local spontaneous brain activity (SBA). While auditory verbal hallucinations (AVH) are common in schizophrenia, the role of AVH in the iBT-SBA relationship is unclear. The current study recruited 24 drug-naïve schizophrenia patients with AVH, 20 patients without AVH and 30 matched healthy cont
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When stratified by the surgical methods, the pooled results showed similar results in patients who underwent robot -assisted radical prostatectomy (RARP).
DM has an adverse impact on the recovery of UC during the intermediate-term after RP. Well-designed trials with strict control of confounders are needed to make results more comparable.
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Three hips in two patients required secondary revision surgery for residual acetabular dysplasia with combined pelvic osteotomy and femoral osteotomy. Seven of the hips that had been operated on showed signs of avascular necrosis (AVN). Among them, four were degree II, two were degree III, and one was degree IV. Multiple linear regression analysis demonstrated that greater age (in months) heightened the risk for secon
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Results demonstrate that both modestly prognostic and strongly prognostic biomarkers can improve trial metrics such as reducing sample size or trial costs. In addition to the quantitative analysis provided by BioPETsurv, investigators should consider the generalizability of trial results and evaluate the ethics of trial eligibility criteria. BioPETsurv is freely available as a package for the R statistical computing
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BACKGROUND Non-Gaussian diffusion models and T1 rho quantification may reflect the changes in tissue heterogeneity in hepatic sinusoidal obstruction syndrome (SOS). PURPOSE To investigate the feasibility of diffusion kurtosis imaging (DKI), stretched exponential model (SEM), and T1 rho quantification in detecting and staging SOS in a monocrotaline (MCT)-induced rat model. STUDY TYPE Animal study. POPULATION Thirty male Spragu
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Over the past few decades, there has been an increasing shift toward emphasizing the importance of the child’s family taking an active role in the habilitation process through family-centered early intervention (FCEI) programs. Accordingly, the Health Professions Council of South Africa recommends that early intervention services following confirmation of hearing loss must be family
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antidotes needed to neutralize the anticoagulant activity.This work developed a double ion-exchange reaction-based photoelectrochemical (PEC) immunoassay with the split-type detection mode for sensitive detection of prostate-specific antigen (PSA, used as a model). The nanocomposite of cadmium sulfide and nickel sulfide (CdS@NiS nanocomposite), as the photoactive material, was rapidly synthesized by two-step hydrothermal
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Anxiety, sleep problems and other mental health issues can cause symptoms that mimic the symptoms of ADHD. To determine the correct diagnosis, a mental health professional or health care provider must conduct a thorough evaluation.
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Gastric cancer (GC) is one of the most common malignant cancers in the world. c-Myc, a well-known oncogene, is commonly amplified in many cancers, including gastric cancer. However, it is still not completely understood how c-Myc functions in GC. Here, we generated a stomach-specific c-Myc transgenic mouse model to investigate its role in GC. We found that overexpression of c-Myc in Atp4b+ g
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0) and mean dysphagia score was 2.7 (SD 0.5). Average procedure time was 13.8 minutes (SD 5.1). No intra- or post- procedural adverse events occurred. Septal myotomy was successfully completed in all patients. Dysphagia significantly improved in 19 out of 20 patients. Dakkak - Bennett score improved to 0.3 (SD 0.5), P less then 0.0001). No recurrences were reported in a mean follow-up time of 12.0 months (SD 3.7, range
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The items comprising the social affective cluster of the existing ADOS-2 algorithm are well suited to assess difficulties with social functioning in individuals with AN.
The items comprising the social affective cluster of the existing ADOS-2 algorithm are well suited to assess difficulties with social functioning in individuals with AN.
To report the outcome of the ADRESU study, a
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Electrodes with the largest interfacial length of gold/silicon oxide exhibited a 10-times larger HER rate in alkaline electrolytes than those with the smallest interfacial length. The data suggest that at the metal/silicon oxide boundaries, alkaline HER is enhanced through a bifunctional mechanism, which we tentatively relate to the laterally structured electrode geometry and to positive charges p
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PURPOSE The purpose of this study is to develop and assess the accuracy of a new intraocular lens (IOL) power calculation method based on machine learning techniques. METHODS The following data were retrieved for 260 eyes of 260 patients undergoing cataract surgery preoperative simulated keratometry, mean keratometry of posterior surface, axial length, anterior chamber depth, lens thickness, and white-to-white d
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Thresholds fill in gaps in the bottoms of doors, and protect against water, draughts, and insects throughout the year. A threshold that is lower also offers safety for wheelchairs and pushchairs/prams and connects both outdoor and indoor spaces.
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If you have ADHD Your doctor might prescribe a stimulant drug. These medications can improve your quality of life but they can also cause side effects such as weight loss or sleep problems.
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Proteasome inhibitor
Combined pollution in groundwater has become increasingly serious. Adding emulsified vegetable oil to an aquifer is an effective method to remediate multiple pollutants. However, the efficiency and threshold values for the remediation of groundwater contaminated by both nitrate and hexavalent chromium (Cr(VI)) stimulated by emulsified vegetable oil remain unclear. In this study, emulsified vegetable oil was u
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001). The higher incidence of the IR in the COPD group than in the age-matched controls may reflect the increased inspiratory neural drive in the COPD group. This higher drive counteracts changes in chest wall and lung mechanics. However, when present, the reflex was similar in size and duration in the two groups. The relation between the IR in COPD and swallowing function could be assessed.NEW & NOTEWORTHY A potent sho
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The clinical and imaging features of CPP are not typical and may induce the misdiagnosis as other types of primary brain tumors. In this paper, we described a fourth-ventricular CPP that was misdiagnosed as ependymoma despite the manipulation of groundbreaking magnetic resonance imaging (MRI) sequences. These findings indicated that CPP should be considered when performing the differential diagnosis of intraventricular n
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A month later, the disease relapsed, as evidenced by 94% abnormal plasma cells in his bone marrow aspirate, complex karyotype and abnormal FISH results. He passed away a few days later, from severe septicaemia. Time-to-progression of disease was 1 month and overall survival was 5 months. DISCUSSION This case report illustrates the clonal evolution and aggressive nature of primary PCL with older age at presentatio
MatthiesenFrederick1824
Taps
Avoid DIY Disasters: The Need for Hiring Licensed Plumbers Are you considering tackling a domestic plumbing project yourself Think again. DIY disasters may turn into costly nightmares. When it comes to plumbing, hiring a licensed professional is not just a luxury, it’s a necessity. Here are seven factors why you should prevent DIY disasters and generally choose a licensed plumber. 1. Safety comes 1st. Plumbing work involves handling clear object
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5 mg/dL, active vitamin D analog use, and no proton pump inhibitor (PPI) use. In conclusion, CBPB use was associated with lower osteoporosis risk in hemodialysis patients. This effect might be partially attributable to calcium supplementation, given its higher impact in users of active vitamin D analogs or non-users of PPI, which modulate calcium absorption.Silver-based antibacterial agents have obtained wide
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Several BMP isoforms can be upregulated in the injured or diseased CNS simultaneously yet exert complementary or opposing effects on the endogenous cell responses after injury. Emerging studies also show that dysregulation of BMPs is associated with various CNS pathologies. Interestingly, modulation of BMPs can lead to beneficial or detrimental effects on CNS injury and repair mechanisms in a ligand, temporally or spatially
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Influenza A virus (IAV) causes seasonal epidemics and sporadic pandemics, therefore is an important research subject for scientists around the world. Despite the high variability of its genome, the structure of viral RNA (vRNA) possesses features that remain constant between strains and are biologically important for virus replication. Therefore, conserved structural motifs of vRNA can represent a novel therapeutic
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Protein degradation is a crucial cellular process in all-living systems. Here, using Mycoplasma pneumoniae as a model organism, we defined the minimal protein degradation machinery required to maintain proteome homeostasis. Then, we conditionally depleted the two essential ATP-dependent proteases. Whereas depletion of Lon results in increased protein aggregation and decreased heat tolerance, FtsH depletion induces cell me
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In order to study the effects of different types of neutral surfaces, of different surface-water properties, on protein adsorption both bare and alkanethiol modified (-CH3 or -OH end-groups) Au surfaces with were used as model surfaces. A significant decrease in adsorbed amounts of carbamylated fibrinogen and carbamylated α-lactalbumin, but not for carbamylated albumin, relative to native proteins was observed for b
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Inavolisib clinical trial
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Many people with ADHD also suffer from mental health issues like anxiety or depression. These conditions can impact the effectiveness of ADHD medication and vice versa.
Health care professionals employ standard ADHD symptom rating scales an
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OBJECTIVE Antibodies against glutamic acid decarboxylase 65 (anti-GAD65) are associated with a number of neurologic syndromes. However, their pathogenic role is controversial. Our objective was to describe clinical and paraclinical characteristics of anti-GAD65 patients and analyze their response to immunotherapy. METHODS Retrospectively, we studied patients (n = 56) with positive anti-GAD65 and any neurologic sy
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Background An increasing number of patients with a peripheral arterial occlusive disease were put on statins during the past years. This study assessed whether statin therapy was effective and safe for these new users. Methods and Results Using health insurance claims data from Germany’s second-largest insurance fund, BARMER, we identified patients with peripheral arterial occlusive disease who h
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The surgical treatment of Zenker’s diverticulum has advanced in recent decades, with endoscopic treatment currently being the choice. Among the surgical options, endoscopic CO2 laser surgery is an effective and safe alternative, although possible complications must be considered. It is also an effective alternative for the treatment of recurrences.
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Conventionally, Cancer-associated fibroblasts (CAFs) are considered as an inducer of chemoresistance in cancer cells. However, the underlying mechanism by which carcinomas induce chemoresistance in CAFs through tumor-stroma cross-talk is largely unknown. Henceforth, we uncovered a network of paracrine signals between carcinoma and CAFs that drives chemoresistance in CAFs. Acquired tamoxifen and 5-Fu resistant cell lines M
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Thermodynamic behaviors and interactions between bubble pairs are important to better understand the cavitation phenomena. In this study, a compressible two-phase model, accounting for thermal effects to investigate the thermodynamic behaviors and interactions between bubble pairs, is developed in OpenFOAM. The volume of fluid (VOF) method is adopted to capture the interface. Validations are performed by c
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