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).
274,427 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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Periprosthetic osteolysis induced by orthopedic implant-wear particles continues to be the leading cause of arthroplasty failure in majority of patients. Release of the wear debris results in a chronic local inflammatory response typified by the recruitment of immune cells, including macrophages. The cellular mediators derived from activated macrophages favor the osteoclast-bone resorbing activity resul
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De novo mutations in the APC gene are responsible for 20-30% of FAP cases. In the presence of the characteristic RPE lesions, it is important to send the patient for work up of FAP even in the absence of family history of FAP.
The interest in the use of beta-hydroxy-beta-methylbutyrate (HMB) as an intervention to prevent and treat sarcopenia has increased over recent years. The purpose
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How to Get Treated For ADHD in Adults
It’s important to find a medical professional with experience treating adults with ADHD. Many adult patients experience problems with their diagnosis and have false starts before finding a healthcare professional who can offer symptom relief and help make positive life changes.
Psychologists or
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Adult ADHD Diagnostic Assessment and Treatment
In the majority of cases, a comprehensive ADHD diagnosis will take at minimum two hours. This will typically involve an interview that is semi-structured and a psychoeducation regarding the condition (including in a language that is easily understood) and discussion of the im
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Elevated troponin and brain natriuretic peptide did not differentiate subjects with severe CAD from nonsevere CAD, nor distinguish HFrEF from normal ejection fraction. Undertreatment was common. Of those with severe CAD, only 39% were prescribed an antiplatelet agent, and 53% received a statin. Of individuals with HFrEF, 50% or less received angiotensin blockers, beta blockers or antimineralocorticoids.
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Elevated concentration of matrix metalloproteinase-8 (MMP-8) in amniotic fluid is a known predictor of intra-amniotic inflammation and infection. The aim of this study was to determine the nature of the association between MMP-8 levels in oral fluid obtained immediately after birth and acute histologic chorioamnionitis (HCA) in preterm delivery. Oral fluid was collected from 93 consecutive preterm birth newbo
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We surmised that YCHD inhibits HCC by regulating inflammatory and metabolic pathways. Network pharmacological analysis of YCHD ingredients absorbed into the bloodstream may provide new insights and serve as a new method for discovering the molecular mechanisms through which YCHD inhibits HCC.
Thymoma is a heterogeneous tumor originated from thymic epithelial cells. The molecular mechanism of thymom
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However, when the average immunity duration L is shorter than Lc , the price for the flattened first peak is often a high second peak for limiting the maximal number of contacts, the second peak can be as high as 1/3 of the first peak, and twice as high as it would be without intervention. Thirdly, interventions introduce oscillations into the system and the time to reach equilibrium is,
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During baseball pitching, a high amount of elbow varus torque in the arm cocking-to-acceleration phase is thought to be a biomechanical risk factor for medial elbow pain and injury. The biomechanics of the stride phase may provide preparation for the arm cocking-to-acceleration phase that follows it.
To determine the kinematic parameters that predict
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9%) bilateral/anterior to the trachea; isolated right paratracheal thymus was uncommon. Thymic shape was variable quadrilateral (30.9%), oval (29.9%), triangular (25.8%), and other (13.4%). The logistic regression model including age, gender, and BMI z-scores showed that, when controlled for sex and BMI z-scores, younger age was a predictor for the presence of cervical thymic extension (p < 0.001).
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Microtubules (MTs) are bio-polymers, composed of tubulin proteins, involved in several functions such as cell division, transport of cargoes within cells, maintaining cellular structures etc. Their kinetics are often affected by chemical modifications on the filament known as Post Translational Modifications (PTMs). Acetylation is a PTM which occurs on the luminal surface of the MT lattice and has been observed
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To date, only 2 nurses working in China who contracted SARS-CoV-2 have died from COVID-19 in the early period of the epidemic (February 11 and 14, 2020).
The lessons learned by health care workers in China are shared in the hope of preventing future occupational exposure.
The lessons learned by health care workers in China are shared in the hope of pre
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The method shows maximum accuracy of 98.63% and Area under Curve of 0.981 using Random Forest Classifier and ten fold cross validation.Tracking a liquid or food bolus in videofluoroscopic images during X-ray based diagnostic swallowing examinations is a dominant clinical approach to assess human swallowing function during oral, pharyngeal and esophageal stages of swallowing. This tracking represents a highly challen
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What is the Best Treatment For ADHD in Adults?
The majority of people with ADHD will benefit from a combination treatment. Those treatments are typically multimodal and can include treatment, medication and lifestyle changes.
The most common treatment for ADHD is stimulants. Finding the right dosage and balancing side effects can be a trial
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Welcome to The Art of Glass: Discovering the Globe of Glaziers! We are pleased to take you on a trip into the captivating globe of glass, where art and capability intertwine. Whether you are seeking to enhance the visual appeal of your home or need expert help with glass installments, we are your relied on partner with decades of experience in the glazing industry. Discover the elegance, adaptability, and know-how our team brin
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Many also hoped for reassurance about their own parenting. Parents appreciated GPs who explained what they were doing during the examination; space to raise any concerns; and combined mother and baby checks. Referrals to secondary care were generally experienced as reassuring rather than a source of anxiety.
The baby check meets needs beyond those of the NIPE screening programme. Pr
JohnstonMcGee9025
VBIT-4
OBJECTIVE The main objective of the study was to show the morphologic features of optic strut (OS) and prechiasmatic sulcus (PS) in the fetal skull base with a surgical anatomical perspective. METHODS Twenty-three fetal cadavers (9 female, 14 male) with an average age of 21.70 ± 3.12 (range 16-28) weeks of gestation in the inventory of the Anatomy Department were included in the study. Measurements were made with a digital im
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We challenge and extend Ainslie’s top-down view of willpower as a dual function, resolve and suppression. Instead, we propose an alternative self-organizational view of the motivational system as a network of urges, incentives, drives, and so on that interact dynamically. With such a view, resolve, suppression, and other functions emerge under certain environmental and social conditions
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29, p = 0.020) were significant predictors of considering leaving. The direct effect of moral distress on considering leaving was not significant, but the indirect effects mediated by burnout (B = 0.32, 95% confidence interval [CI] [0.147-0.611]) and the hospital ethical climate (B = 0.19, 95% CI [0.085-0.382]) were significant.
The support of NICU nurses considering leaving should
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For a couch that you can sink into and not get up from, search for spring down seats and a mix of foam and fiber fill back cushions. We also choose a firm sofa that doesn’t cause neck or back stress after prolonged sitting durations.
Our tester loved this couch’s velvet
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The FileMagic application is a comprehensive document management application developed to optimize the process of viewing, examining, and controlling a large spectrum of document formats on your system. Its flexibility makes it the perfect pick for individuals who frequently come across numerous document types, especially important for those that turn out tricky to
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Most of the newborns presented mild severity at admission, but 24% of them had SBI, thus hospitalization and close clinical observation are always necessary. Laboratory tests, such as CRP, white blood cell and neutrophils count are not good predictors of SBI. Early treatment with antibio tics for patients who meet the low-risk criteria is debatable.
To describe the socio-epidemiological characteris
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Respondents who need help on activities of daily living and instrumental activities of daily living in urban areas were more likely to decline in depression scores. In rural areas, however, the values were consistently high. In urban and rural areas, the relationships among marital status, education and age and depression trajectories were different.
The depression
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Founded in 1907 by the professors of the Scuola Orientale of Sapienza University of Rome, the quart
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3% substance use disorders-tranquilizers (34.9%) and stimulants (15.8%) were the commonly used, while 85.3% suffered anxiety disorders. These were common among age range of 19 to 28 years-those with higher education and the unemployed. More females had mental disorders except substance use disorders, which was higher in males (53.4%). There was no significant relationship between mental disorders and the demographic var
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7, standard deviation was 2.1, and median was 6 (Q1, Q3 4, 7). Increased financial compensation for the services and loan payment or forgiveness option were the top strategies suggested to enhance interest among residents for training in the subspecialty. One third (37%) felt that reducing the duration of the fellowship to 2 years would increase interest in training in pediatric endocrinology.
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Saphenous sparing is feasible and effective by means of both EVLA and RF, representing a possible alternative to surgery.Background Diabetic foot infection (DFI) is a severe complication of diabetes and a leading cause of hospitalization in the population with diabetes. Empirical intravenous antibiotic agents are initiated according to guidelines based on previously published data on typical pathogens. Therefore, regu
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Many metal clusters are intrinsically chiral but are often synthesized as a racemic mixture. By taking chiral Ag14(SPh(CF3)2)12(PPh3)4(DMF)4 (Ag14) clusters with bulky thiolate ligands as an example, we demonstrate herein an interesting assembly disassembly (ASDS) strategy to obtain the corresponding, optically pure crystals of both homochiral enantiomers, R-Ag14m and S-Ag14m. The ASDS strategy makes use of
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Although of importance, this subject has remained essentially forgotten as a public health concern. While literature remains inconclusive, data has suggested potential increases in cannabis use following liberalization policies. This may increase violent outcomes if the effect is directly related to the use of cannabis by means of its psychophysiological modifications. However, for the moment, the mechanisms associati
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The results indicated that depressive symptoms were nonlinearly related to older adults’ sarcopenia risks. Interventions or programs aiming to alleviate depression can be an effective strategy to prevent sarcopenia in the older adult population.
The results indicated that depressive symptoms were nonlinearly related to older adults’ sarcopenia risks. Inte
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In regression analyses, those with impairments in memory and general cognition had lower odds ratios (OR) for self-reported non-adherence (OR 0.96, 95% CI 0.93 - 0.98 & OR 0.90, 95% CI 0.83 - 0.96, respectively). CI was not associated with electronically measured non-adherence or ASP. In structural equation modeling, while CI was associated with adherence (
= 0.04, SE = 0.021,
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plinary unit is useful in the orientation of genetic studies.In light of the global antimicrobial-resistance crisis, there is an urgent need for novel bacterial targets and antibiotics with novel modes of action. It has been shown that Pseudomonas aeruginosa elastase (LasB) and Clostridium histolyticum (Hathewaya histolytica) collagenase (ColH) play a significant role in the infection process and the
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Sofpironium bromide (ECCLOCK® in Japan) gel is a topical anticholinergic agent developed by Bodor Laboratories and licenced to Brickell Biotech for the treatment of hyperhidrosis. The drug is designed to reduce sweating by inhibiting M3 muscarinic receptors in eccrine glands at the application site. In September 2020, sofpironium bromide gel 5% received its first approval in Japan for the treatment of primary axillary
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Di Ornella del GuastoIl 28 dicembre Corea del Sud e Giappone hanno raggiunto un accordo definito storico, hanno scritto il magazine politico The Diplomat e la stampa internazionale, perché dopo decenni ha cercato di comporre la
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Results Of the 2,319 eligible patients, 2,200 (94.9%) consented and completed the survey. 241 (11.0%) had ever used injection drugs, 103 (4.7%) currently used injection drugs, and 138 (6.3%) formerly used injection drugs. White patients age 25 to 34 years and white patients age 55 to 64 years had the highest prevalence of current (25.6%) and former (27.1%) injection drug use, respectively. Persons who use inje
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Concrete production is globally a major water consumer, and in general, drinking-quality water is mixed in the binder. In the present study, simulated sea water and reverse osmosis reject water were used as batching water for one-part (dry-mix) alkali-activated blast furnace slag mortar. Alkali-activated materials are low-CO2 alternative binders gaining world-wide acceptance in construction. However, their produc
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e., venom-microbiomics) and introduce iVAMP, the Initiative for Venom Associated Microbes and Parasites (https//ivamp-consortium.github.io/), as a growing collaborative consortium. We express commitment to the diversity, inclusion and scientific collaboration among researchers interested in this emerging subdiscipline through expansion of the iVAMP consortium.The Ceylon krait (Bungarus ceylonicus) is a highl
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Treatment for adhd added in adults typically involves a combination of education, medication and training in skills. adhd symptoms in adults treatment may also involve family therapy and cognitive-behavioral therapies (CBT).
Methylphenidate, the most
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The aim of this work was to evaluate the in vitro bacterial inhibition of different types of garlic on Escherichia coli ATCC 25922, Listeria monocytogenes and Staphylococcus aureus. The bacterial strains were molecularly identified using gen 16S rDNA molecular identification. Four different types of garlics were used 1) white, 2) Japanese, 3) elephant and 3) black, and these w
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The aristaless related homeobox (ARX) transcription factor plays a crucial role in glucagon-producing α-cell differentiation. Here, we generate an ARX reporter iPSC line by 3′ fusion of an intervening viral T2A sequence followed by a nuclear-localized histone 2B-cyan fluorescent protein (nCFP). The resulting cells have a normal karyotype and preserved pluripotency. In vitro differentiation of the ARXnCFP/nCFP repor
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THC containing compounds have also been linked to vascular complications ranging from mild plaques to total arterial occlusion resulting in claudication, rest pain, ischemic ulceration and gangrene-recently termed cannabis arteritis. While this research remains in a nascent stage, marijuana consumption seems to be predisposing a youthful, traditionally low health risk cohort to a variety of major adverse cardiova
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Three extensive eco-haplotypes associated with population differentiation and environmental adaptability in Upland cotton were identified, with A06_85658585, A08_43734499 and A06_113104285 considered the eco-loci for environmental adaptability. Population divergence is suggested to be the primary force driving the evolution of environmental adaptability in various species. Chromosome inversion increases rep
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8 patients (31%) were treated with prophylactic anticoagulation whereas 18 patients (69%) were treated with therapeutic anticoagulation. The overall rate of VTE in patients was 69%. The proportion of VTE was significantly higher in patients treated with prophylactic anticoagulation when compared to the other group (100% vs. 56%, respectively, p=0.03). Surprisingly, we found a high rate of thromboembolic events in COVID-19 pa
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This tends to validate the undergraduate education received and identifies areas to improve.Conclusion New dental graduates are confident in their knowledge and skills, and apply these to the most commonly used radiological investigations used in general dental practice.Aims To assess the management of chronic periodontitis (CP) in general dental practices based in the West Midlands against the British Society of Periodontology (BS
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No blood transfusions, gastrointestinal intolerance or other adverse effects were reported. The FCM IV administration protocol for our HD-CAL patients was safe and no adverse events were reported, resulting in significantly increased ferritin, transferrin saturation, and Hb levels, reduction of erythropoietin requirements, and consequently reduction of erythropoietin expenses. © 2020 International Society for Apheresis, Jap
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Relationships and sexuality education for young people in Australia and elsewhere is a controversial topic. Numerous studies in Australia have focused on curriculum, policy, teachers, schools, sexting and other behaviours, and knowledge regarding sexually transmitted infection (STI)/human immunodeficiency virus (HIV) and pregnancy prevention. Few large-scale national studies have engaged with young people about what they
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The plasma phosphate decreased by 0.3 mmol/l (-0.5–0.2; p less then 0.001) secondary to a 56% increase in the fractional urinary phosphate excretion (p less then 0.001). This was associated with a significant increase in serum intact FGF23 (+30%; p less then 0.001) and a decrease in serum 1,25(OH)2 vitamin D3 concentrations (-37.6%; p less then 0.001). CONCLUSION Patients with previous bariatric surgery re
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