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).
271,450 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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We recommend including COVID-19 vaccination in routine antenatal care in all countries, particularly India and Indonesia in view of their high dual burden.
There is a lack of population-based information on the disease burden and management of alopecia areata.
To describe the epidemiology of alopecia areata, focusing on incidence, demographics, and patt
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sual modifications caused by keratoconus.This paper aimed to present a relatively frequent misinterpretation of a migraine with visual aura. Sometimes, patients with aura and migraine are referred to the ophthalmologic unit with the diagnosis of acute angle closure attack. Thus, we discussed the way an ophthalmologist could make a difference between these two entities.A Caucasian male with known severe aortic stenosis w
LehmannWilhelmsen5711
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We will form judgements of confidence in the results using the Confidence in Network Meta-Analysis (CINeMA) methodology.
This network meta-analysis will establish which medicine, or combination of medicines, is most effective for reducing pain and safest for adults with low back pain.
PROSPERO CRD42019145257.
PROSPERO
WalshLassen7903
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Complications in cancer patients with coronavirus disease 2019 (COVID-19) have not been examined. This analysis aimed to compare characteristics of COVID-19 patients with and without cancer and assess whether cancer is associated with COVID-19 morbidity or mortality.
COVID-19-positive patients with an inpatient or emergency encounter at the Mount Sinai Health System be
DeanBlackwell4554
Orelabrutinib in vivo
The application of quantitative polymerase chain reaction (qPCR) based microbial source tracking (MST) marker genes are increasingly being used to identify contaminating sources and inform management decisions. In this study, we assessed interlaboratory agreement on duplicate environmental water samples collected from estuarine and freshwater locations, by comparing results of qPCR based testing for Bact
DemantElmore3165
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GarzaGordon7150
Bavdegalutamide manufacturer
Paroxysmal autonomic instability syndrome with dystonia (PAISD) is a possible complication that worsens the prognosis of hypoxic-ischemic encephalopathy related to non-fatal drowning. There are case reports of hyperbaric oxygen (HBO2) therapy enhancing recovery in such cases. We report a case of a 5-year-old boy admitted to the Pediatric Intensive Care Unit after a non-fatal drowning. He was transferred
BoltonSharma8190
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Protective effect of MEAS is accredited to the antioxidant and anti-inflammatory properties exhibited by bioactive compounds in MEAS. PRACTICAL APPLICATIONS Amomum subulatum (Black cardamom) is a folkloric and culinary spice used for its organoleptic, nutritional, and medicinal properties. This study demonstrated the phytochemical composition and antioxidant potential of methanolic extract of A. subulatum dry fruits (
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Depending on your budget and your environmental goals, you can buy or sell used pallets. You will require an auto that can carry many wood pallets.
Pallets are often found near construction sites. But, it is essential to be sure to check them for spills, mold, and stains before removi
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Many businesses have empty pallets that are lying around their facilities. They may not have enough space to store them and would prefer to sell them instead of throwing them away.
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GallagherMelendez3918
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The application of data-driven deep learning to identify sex differences in developing brain structures of pre-adolescents has heretofore not been accomplished. Here, the approach identifies sex differences by analyzing the minimally processed MRIs of the first 8144 participants (age 9 and 10 years) recruited by the Adolescent Brain Cognitive Development (ABCD) study. The identified pattern accounted for confounding factor
HaahrMclean0186
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Why It is necessary to Find a Heating Engineer in Buckingham
If you are having problems with your heating system, it’s essential to find a competent engineer in buckingham. -safe engineer will guarantee that your heating unit is in great working order. They can also help you replace your boiler with a more energy-efficient model, which will save you cash on energ
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Range Oven Dual Fuel – Versatile Cooking Options
Dual fuel ranges can be used with gas and electric and is a great option for those who already have both hookups. It offers a variety of cooking options for a variety of recipes.
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Foaming agent concentration is a delicate parameter, as its increase in foam formulation may beneficially enhance drying rates but, at the same time, it dilutes bioactive compounds and may cause their loss by oxidation. In conclusion, foam-mat drying stands out as a suitable technology for producing food powders with high bioactive retention.
Contrast-enhanced ultrasonography (CEUS) is a potent
MullenTerkildsen8637
3′,3′-cGAMP in vivo
Postpartum memory B cells of MS patients expressed higher levels of CCR6 and preferentially developed into plasma cells under TFH-like in vitro conditions. These findings imply that memory B- cell differentiation contributes to postpartum relapse risk in MS.Repeated weight fluctuation has been proposed as a potential risk factor for increasing morbidity and mortality including cancer. We aimed to investigate t
RivasRobinson9392
Oseltamivir
Se argumenta que la cima de este tipo conocimiento son formas superiores de ser en lo espiritual, intelectual, moral y convivencial, que cristaliza al emprender proyectos vitales orientados a una descolonización efectiva, que permita aproximarse a sociedades inclusivas, pluralistas, justas y solidarias basadas en la progresión de los derechos humanos y comunitarios, así como en la revaloración y la
BrewerMorrow9876
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031) and amputated side rectus femoris (p less then 0.001), which may be required to brake the body center-of-mass in the absence of amputated side tibialis anterior. These results suggest that lateral alignment shifts may reduce muscle activity during sit-to-stand for people with TTA and emphasize the importance of analyzing sit-to-stand in three dimensions. INTRODUCTION Deep pelvic lymph node dissectio
RiiseMoore5054
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Bacterial community profiling demonstrated that there was a decrease in the relative abundance of S. aureus (8% vs 0.3%, p<0.01) 8 weeks after mupirocin and a transient decrease in the relative abundance of Staphylococcus epidermidis in the nose (21% vs 5%, p<0.01) 1 week after mupirocin.
Decolonization with mupirocin leads to a sustained effect on a
MoesgaardGundersen4154
Bcl-xL protein
on, the mouse strain and the age of mice can affect the homocysteine level.Advances in immune checkpoint therapy and targeted therapy have led to improvement in overall survival for patients with advanced melanoma. Single agent checkpoint PD-1 blockade and combination with BRAF/MEK targeted therapy demonstrated benefit in overall survival (OS). Superior response rates have been demonstrated with combined PD-1/CTLA-4 blockade, w
BilleDemant0075
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0 ± 9.0 vs. 61.6 ± 11.4; 75% 51.7 ± 8.4 vs. 64.3 ± 11.1; 100% 51.2 ± 9.3 vs. 64.3 ± 11.5ml/m
, all p < 0.01), with similar heart rates.
Otherwise healthy and physically active adolescents born very preterm exhibit lower exercise capacity than term-born adolescents. Despite similar baseline cardiovascular values, preterm-born adolescents demonstrate significantly red
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FranklinKristensen7292
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We summarized emerging clinical use of genotype-phenotype correlations in neurofibromatosis.Children with neurofibromatosis type 1 (NF1) are at increased risk for attention problems. While most research has been conducted with school-aged cohorts, preschool-aged children offer a novel developmental window for clinical studies, with the promise that treatments implemented earlier in the developmental trajectory may m
LangJacobs4035
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JosefsenFrederick2220
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Background Tele-critical care (TCC) adoption has been slow since its emergence in the early 2000s. The COVID-19 pandemic has renewed interest in telemedicine and may spur expansion or development of new TCC programs. This narrative addresses the Cleveland Clinic TCC service, (eHospital) to promote exchange of ideas to continually optimize the practice for current and future user
BurtonHamrick7225
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Dual fuel range cookers are available in black and offer the control of the temperature of gas cooktops with the consistent heating of electric stoves. Explore our options to find the ideal model for your kitchen.
Dedicated cooks admire gas cooktops for their superior heat control, and bakers
HartleyFinch1505
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In this study, we found that female subjects were more anxious in comparison to male patients. Once the child’s fear is identified, the dentist can use various behavior modification techniques to eliminate fear, explain the steps, and use the instruments accordingly until fear has vanished.Diabetes mellitus (DM) is a metabolic disorder that results from insufficient secretion or insulin resista
MayoMcCarty6723
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of the patient to make the desirable change. It needs to be noted, however, that except for the changes in lifestyle, treatment of psychological difficulties accompanying obesity is a part of psychotherapy of such a group of young and adolescent patients.Childhood obesity is one of the most serious public health challenges of the 21st century. The problem is global and it is steadily affecting health care of many countries.
AbrahamsenNolan2645
Itacnosertib
grams could continue similar efforts during the residency application cycle to better represent their program while maintaining certain financial and geographic advantages of a virtual environment.
Our institution operates a remote radiation oncology service in Northern Ontario, Canada. Since the start of the coronavirus disease 2019 pandemic, this center has operated without radiation oncologi
SandersSunesen8066
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It seems that these cellular responses consist a cytoprotective mechanism against environmental thermal stress. Regarding collection sites, for all examined species, higher cellular stress levels were observed in Pagasitikos, and lower in Vistonikos gulf. This analysis of biochemical and molecular markers is expected to provide a clearer picture for the definition of “refugia” for the above species.Klebsiella pneumoniae live
OglePacheco8761
Phorbol 12-myristate 13-acetate
Cardiovascular disease (CVD) is currently the leading cause of death in Brazil and worldwide. In 2016, CVD accounted for more than 17 million deaths, representing 31% of all deaths globally. Molecular and genetic mechanisms may be involved in vascular protection and should be considered in new therapeutic approaches. In this sense, recent studies have reported that brain-deriv
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05). These results suggest that all therapeutic protocols after 1 month effectively reduce the liver iron and there is no need to continue treatment. Otherwise, it may lead to iron deficiency, especially in birds treated with DFP + P. Since deferiprone, as an inexpensive oral chelator, effectively reduces liver iron levels without causing stress in the birds, it can be recommended as a more appropriate met
LemmingKang1275
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0%), Medtronic CoreValve (9.1%) and Boston Lotus (12.3%; p less then 0.01). Pre-procedural pacing rates for the Boston Lotus valve have risen year-on-year from 5.8% (2013) to 8.6% (2014) to 12.3% (2015). The UK TAVI Registry demonstrates a pre-procedural permanent pacing bias amongst patients receiving transcatheter valves with higher post-procedure pacing rates. Pre-emptive permanent pacing is likely to be respo
SahinForrest5403
fMLP
Five up-regulated proteins including alpha-2-macroglobulin (A2m), chromogranin-A (CHGA), glutathione pertidase 3 (GPX3), clusterin (Clu) and ceruloplasmin (Cp) were selected for ELISA analysis. It was found that the expression levels of A2m, CHGA and GPX3 protein were increased in a dose-dependent manner at 1, 3 and 5 days after irradiation.Conclusion Proteomics analysis revealed radiation-induced differentia
PittsSellers0107
6-Thio-dG cost
Further investigations into the potential relationships between AP, cognition, speech and language development, and learning ability in children are warranted.Background Adams-Oliver syndrome (AOS) is a rare, inherited multi-systemic malformation syndrome characterized by a combination of aplasia cutis congenita and transverse terminal limb defects along with variable involvement of the central nervous system, eyes
MeltonBugge8297
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The results from this work highlight the importance of considering strain-rate dependences (model II) to provide reliable predictions under dynamic loading scenarios. In this regard, rate-independent approaches (model I) are rather limited to quasi-static loading.The early and late development of new anticancer drugs, small molecules or peptides can be slowed down by some issues such as poor selectivity for the tar
CormierDreier3892
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District hospitals play a significant role in sub-Saharan Africa, providing both emergency and elective surgeries. Most procedures are done under general or spinal anaesthesia, often administered by non-physician clinicians. Depending on countries, surgical care may be provided by medical officers, specialist surgeons and/or non-physician c
KronborgMcBride3960
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statin C-derived eGFR was comparable before/off treatment and during treatment of olaparib. Using the creatinine-derived eGFR can give an underestimation of GFR in patients taking olaparib. Therefore, an alternative renal marker such as cystatin C should be used to accurately calculate eGFR in patients taking olaparib.
Many human immunodeficiency virus (HIV) prevention technologies (pre-exposure pr
BradleyJakobsen9894
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It is essential to report this sporadic case of AML to provide clinicians with data for clinical decision-making, such as for risk-group stratification. To the best of our knowledge, this is the first association between this translocation and this morphological subtype.
Calcinosis cutis is the deposit of insoluble calcium salts in the skin. It is classified according to its pathogenesis in dystrophic, metas
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Performance of honeybees resembles that of vertebrates in a variety of associative learning experiments. Recent work has focused on relational learning phenomena not easily explained by associative principles, including same/different problems, the simplest of which is the oddity problem. Free-flying bees were trained to visit a laboratory window and were rewarded for choice of the odd stimulus among a set of stimuli. T
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Individual MEM (g d – 1 ) was measured for 24 h. Fecal samples were taken at 0630, 1000, and 1430 LT and analyzed for fArch using Soxhlet lipid extraction and GC-MS. Cows produced less methane (364 g CH 4 d – 1 ) during T1 and had significantly lower fArch concentrations (37.1 µ g g – 1 dry matter; DM) compared to T2 (392 g CH 4 d – 1 and 47.6 µ g g – 1 DM). A significant positive relationship between fArch ( µ g g –
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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 to
BrobergLevesque7649
Selleck BI-2865
Age-related macular degeneration (AMD) and cardiovascular disease (CVD) share pathogenic mechanisms, and their lead-lag relationship remains unclear. We performed a meta-analysis of data from longitudinal studies to evaluate the interactive association between age-related macular degeneration (AMD) and cardiovascular disease (CVD).
A literature search was performed in PubMed,
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Improvement of vestibular symptoms, vestibular-related disability or both was seen in 121, 81 and 64 participants, respectively. We generated predictive models for each outcome, resulting in different predictors in the final models. Calibration for all models was adequate with non-significant Hosmer-Lemeshow statistics, but the discriminative ability of the final predictive models was poor (AUC 0.54 t
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