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).
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iva只是結構化的方法允許個人談判可管理的付款計劃使用他們的債權人。真的嗎，它是合法具有約束力的協議這樣可以債務人覆蓋他們在預定義的持續時間內的債務 – 通常在3至5年。這種安排允許償還每月賬單根據到底是什麼典型的普通人可以實際負擔得起，同時保護這當然是提供積極的債權人行動。任何未償債務通常寬恕，提供個人機會有效完成後重新開始為了IVA。
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債務重組可以經常感覺就像障礙那是無法克服的使人們被困在金錢焦慮週期中。然而，你會找到的路徑為那些想要逃避這種困境。理解個人自願安排的選項（IVA），債務和解產品（DRP）和破產可以啟用個人假設控制其中財務並朝著更多未來那是受保護。
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在我們內部世界這當然是快節奏的挑戰可能出乎意料地出現很多人經歷債務困住。幸運的是，有有效的技術只需幫助瀏覽這一景觀那是動盪。本文將探索三個關鍵選擇：特定的自願安排（IVA），債務和解產品（DRP）和破產。每個提供方法這當然是獨家獲得財務穩定和滿意度。
一個人自願安排（IVA）簡直就是正式協定那允許訪客以一種方式控制他們的債務這當然是結構。根據這種安排，債務人利用其債權人生成還款計劃這當然是量身定制利用他們的財務困境。通常持續三到五年，IVA允許人們產生還款是每月有能力負擔得起保護債權人騷擾。剩下的無抵押債務通常出院，啟用人們重新開始沒有成功結論後，過去的貨幣錯誤負擔關於IVA。
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重量債務可以感覺就像巨大的錨點，將個人拖到壓力和不確定性的海洋進入個人理財的景觀。幸運的是，有很多生命線可用於誰最終因義務而超支。之中他們是個人自願安排（IVA），債務減免計劃（DRP）和破產。每個解決方案提供獨特的途徑債務和解，授權訪客恢復他們的經濟自由。
iva只是結構化的方法允許個人談判可管理的付款計劃使用他們的債權人。真的嗎，這是合法具有約束力的協議這樣可以債務人覆蓋他們在預定義的持續時間內的債務 – 通常在三到五年。這種安排允許還清了每月付款基於到底是什麼普通人可以實際負擔得起，同時保護那是提供積極的債權人行動。任何未償債務通常是寬恕，提供個人機會有效完成後重新開始為了IVA。
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MosegaardKey3815
Selleck Apilimod
Background and aims Recent research has suggested that metacognitions may play a role across the spectrum of addictive behaviours, including problematic use of technological devices. Metacognitions associated with problematic Smartphone use (PSU) have been scarcely investigated and measures to assess these beliefs are not yet available. The goal of the present study was (i) to develop the first self-report scale o
DavisHartman5553
selleck chemicals
Data were drawn from a longitudinal community-based cohort study of WLWH (ages 14+) in Metro Vancouver, Canada (2014-2017). Of 291 participants contributing 914 observations, 15.5% reported being unable to access primary care at baseline. In multivariable analysis, increased odds of being unable to access primary care was associated with (a) having im/migrated to Canada, and, in the past 6 months, (b) identifyin
MartensPeele9168
schäferhund welpen österreich kaufen
Buy a German Shepherd Puppy
A German Shepherd puppy will thrive in an environment that offers plenty of space for training and exercise. You’ll need to find a reputable dog breeder who offers health and temperament tests for each litter they sell.
Find puppies that are curious and tolerant of humans. Avoid those who show territorial aggressi
OgdenDemant5406
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Nucleated red blood cells have been studied in critically ill and injured patients as a predictor of increased in-hospital mortality and poor clinical outcomes. While prior studies have demonstrated the prognostic power of nucleated red blood cells in the critical patient, there has been a paucity of literature available describing their value as a prognostic indicator in the severely burned patient.In this retrospective
CrockettAstrup7208
LOXO-305 cell line
Objective Long-acting injectable (LAI) antipsychotics, such as paliperidone palmitate (PP), are known to improve treatment adherence in patients with schizophrenia, which can lead to reductions in relapse and hospitalization rates. However, relatively few studies have demonstrated the economic impact of LAIs, especially in Asian populations. Methods We conducted a claim-based mirror-image study to
JosephBarnett0263
selleck compound
Exposure to single and continuous administration of Cd caused a significant increase in MMP2 expression by 10.14-fold (P=0.016) and 27.61-fold (P⟨0.001), respectively. Single and continuous administration of Cd led to a significant increase in MMP9 expression by 3.63-fold (P=0.046) and 43.12-fold (P⟨0.001), respectively. NAC treatments decreased the expression of MMP2 and MMP9 in rats exposed to single or continuous
EriksenTerkildsen2541
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Multifocality (adjusted odds ratio, 6.7; 95% CI, 2.7-17.5; p < .001) and male sex (adjusted odds ratio, 3.1; 95% CI, 1.2-8.6; p = .02) were associated with the presence of lung metastasis.
Twenty-eight percent of the patients with hepatoblastoma had lung metastasis at staging chest CT. Multifocality and male sex were predictive factors for lung metastasis on staging chest CT.
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GrossLott9221
Merbarone in vitro
Background/purpose Vascular factor is an important risk factor in the process of cognitive impairment or dementia. Tooth loss could cause impairments of spatial learning and memory in mice, and nitric oxide (NO) and its synthase might be involved in the process. The objectives of this study were to investigate and compare the behavioral impairments between the Wistar rats with tooth loss and those with chronic
WaltherAshworth0231
robotic vacuum cleaner on sale
The Best Automatic Vacuums
There are numerous options to choose from, whether you want an upright vacuum cleaner that can mop or a robot that will store floor maps. Or one that will automatically return to its charging station at the end of each cleaning session. The top robotic vacuums are top-of-the-line and reasonably pr
KnappBendtsen7062