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).
280,784 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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Recurrence was not associated with operative urgency, type of repair, mesh type or SSO occurrence. A significant decrease in recurrence was seen with retro-rectus mesh placement when compared to onlay (p = 0.003). EHS classification did not change between each recurrence in 70.8% of patients. CONCLUSION Recurrence rates after recurrent PSH repair are high. The recurrence-free survival was worse after the second or m
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Sunitinib
By examining the microscopic interactions of publications and citations, our complex systems approach is able to identify the macroscopic patterns of a controversial concept’s diffusion.
The aim of the present study was to investigate how the initial phase of the COVID-19 pandemic affected the hospital stroke management and research in Norway.
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02) and 87.5% of the APS cases as MSA or PSP (p = 0.03). The final clinical diagnosis was 93.3% accurate (p < 0.001), but needed several years of expert follow-up.
The image-based classifications agreed well with autopsy and can help to improve diagnostic accuracy during the period of clinical uncertainty.
The image-based classifications agreed well with
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Flexible fiber supercapacitors are promising candidate for power supply of wearable electronics. Fabrication of high-performance fibers is in progress yet challenging. The currently available graphene fibers made from wet-spinning or electro-deposition technologies are far away from practical applications due to their unsatisfactory capacitance. Here we report a facile alternately dipping (AD) method to coat graphene
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Most important clinically worldwide, are myasthenia gravis (MG), the Lambert-Eaton myasthenic syndrome (LEMS) and congenital myasthenic syndromes (CMS), each of which causes specific molecular defects. In addition, we mention the neurotoxins from bacteria, snakes and many other species that interfere with neuromuscular transmission and cause potentially fatal diseases, but have also
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Test re-test reliability analyses were conducted using Pearson’s correlation. For interrater reliability analyses, the intra-class correlation coefficient varied from poor-to-good to moderate-to-excellent for individual cases but was moderate-to-excellent for combined cases (0.70; CI 0.58-0.80). Fleiss’ Kappa varied across cases but was fair-to-good for combined cases (0.57, p less then 0.001). For test re-test relia
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In today’s data-driven world, the keyword, “data analysis,” has become a cornerstone of strategic planning across multiple sectors. Companies depend on analytics to understand vast amounts of information and drive their business strategies. This piece explores the importance of data analysis and shed light on its fundamental aspects.
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Clinically, a few studies demonstrated alleviation of allergic symptoms in patients after application or consumption of honey. Therefore, the objective of this mini review is to discuss the effectiveness of honey as a treatment or preventive approach for various allergic diseases. This mini review will provide insights into the potential use of honey in the management of allergic diseases in clinical
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Macrophages are re-educated and polarized in response to myocardial infarction (MI). The M2 anti-inflammatory phenotype is a known dominator of late stage MI. Mesenchymal stem cells (MSCs) represent a promising tool for cell therapy, particularly heart related diseases. In general, MSCs induce alteration of the macrophage subtype from M1 to M2, both in vitro and in vivo. We conjectured that hypoxic conditions
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There is overlap in scope of conditions and diagnostic and therapeutic tools utilized by various medical specialties. Conclusion This work describes 8 medical and 2 surgical specialties proposed to be most relevant to general chiropractic practice in the United States. The results may have relevance to interprofessional education and collaboration.Health professions education in tertiary, industrial and other con
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Higher plasma ANGPTL-4 concentration was associated with poor prognosis in acute ischemic stroke patients, suggesting that ANGPTL-4 might be a prognostic marker for isc
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In multivariate evaluation, elements individually connected with YF death ended up PT-INR, APACHE Two, and grade IV hepatic encephalopathy. Findings In the huge episode inside Brazil, aspects individually related to loss of life risk throughout YF were PT-INR, APACHE 2, along with level IV hepatic encephalopathy. Early on detection regarding sufferers together with YF fatality risks is extremely useful. After these individuals having a poo
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Right here we provide the situation of a 62-year-old man which given stomach pain and systemic symptoms and was found to have a mass within the porta hepatis. Good needle aspiration cytology demonstrated a spindle mobile neoplasm with vesicular chromatin and prominent nucleoli with admixed lymphocytes. Surgical resection revealed an intranodal, 7.3
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Unicompartmental knee arthroplasty (UKA) is an effective treatment for end-stage, symptomatic unicompartmental osteoarthritis of the knee joint. However, patellofemoral joint degeneration is a contraindication to medial UKA. Therefore, the objective of this study was to evaluate the biomechanical effect of medial UKA using fixed-bearing (FB) and mobile-bearing (MB) design prosth
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Soluble lanthanum (La)(Ⅲ) species that have been extensively used as fertilizers in agriculture can potentially get into the human body through foods and environment. Most soluble La(Ⅲ) species can rapidly transform into insoluble La(Ⅲ) species under physiological conditions, however, their potential biological behavior and chronic toxicity are rarely investigated. In the present study, insoluble La(Ⅲ) species formed
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Scope The development of novel compounds that trigger non-apoptotic cell death may represent alternative therapeutic strategies for esophageal squamous cell carcinoma (ESCC) treatment. Cellular senescence suppresses tumorigenesis by halting the proliferation of tumor cells, implying the induction of senescence as a promising anticancer strategy, especially when combined with senolytic agents that specially
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By addressing the multiple patterns of consumption and the reasons that people mix opioids with other substances, interventions and research may be enhanced.Chronic wasting disease (CWD) is a prionopathy affecting wild and farmed cervids. This disease is endemic in North America and has been recently identified in Europe. Ante-mortem CWD tests of pre-clinical cervids may be an important tool in helping control the s
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This letter demonstrates the need to implement strategies to incorporate inclusion health into the curriculum and the approaches described are applicable to diverse health professions and settings. Copyright © 2019 Broderick J et al.Background The Myopia Outcome Study of Atropine in Children (MOSAIC) aims to explore the efficacy, safety, acceptability and mechanisms of action of 0.01% unpreserved atropine for myop
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Most Mahaim fibers are right free-wall atriofascicular accessory pathways with only antegrade conduction. Concealed Mahaim fiber is not very rare; however, concealed nodoventricular fiber is a very rare kind of retrograde accessory pathway in supraventricular tachycardia with atrioventricular (AV) dissociation. Only a few cases about successful ablation of the nodoventricular accessory pathway have been reported. We des
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In today’s fast-paced world, having impressive culinary skills is not only beneficial but increasingly important. Whether you’re cooking dishes for your family or hosting a gathering, being able to produce tasty and attractive dishes is a crucial life skill that will enhance your culinary confidence.
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In in vivo experiments using CAIA models, B-LPS had no adverse effects even when administered at 10 times the concentration of E-LPS, which elicits severe arthritis. In addition, simultaneous administration of high dose B-LPS with E-LPS or administration of B-LPS prior to E-LPS significantly suppressed arthritis development in CAIA model animals when compared with administration of E-LPS alone. These results suggest t
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Most recent epidemics have originated in complex human-nature interactions and yet, our knowledge is very limited regarding the psychological aspects of human-nature relationships that underlie individual human responses in times of pandemic crises. We propose that the concept of connectedness with nature and associated individual difference mea
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If you are diagnosed with ADHD as an adult, it can bring about a variety of emotions. It could trigger feelings of grief for lost opportunities or relief that you have a concrete explanation for your difficulties.
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Purpose and aim of the study Bronchial epithelial cells play an important role in immune response against viral infections. Toll-like receptor 3 (TLR3) is a pathogen recognition receptor that recognizes viral double-stranded RNA (dsRNA). Activation of TLR3 induces the expression of interferon (IFN)-β, and newly synthesized IFN-β exhibits anti-viral activity by upregulating the expression of IFN-stimulated genes (ISGs).
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Limited data exist on potential clinical benefit with anti-programmed cell death ligand-1 (PD-L1) retreatment in patients who stop initial therapy for reasons other than disease progression or toxicity and develop disease progression while off treatment.
NCT01693562 was a phase I/II study evaluating durvalumab monotherapy in advanced solid tumors. Patients benefiting fr
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Physical exercise has many physical, psychological and social health benefits leading to improved life quality. This paper presents a robotic system developed as a personal coach for older adults aiming to motivate older adults to participate in physical activities. The robot instructs the participants, demonstrates the exercises and provides real-time corrective and positive feedback according
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Background Gastric cancer (GC) has a high mortality rate in cancer-related deaths worldwide. Currently, the pathogenesis of gastric cancer progression remains unclear. Here, we identified several vital candidate genes related to gastric cancer development and revealed the potential pathogenic mechanisms using integrated bioinformatics analysis. Methods Two microarray datasets from Gene Expression Omnibus (GEO) database i
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The present review article focuses on highlighting the main technologies used as tools that improve the delivery of transdermal biomolecules, addressing them from the point of view of research in the development of transdermal systems that use physical and chemical permeation enhancers and nanocarrier systems or a combination of them.
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We reviewed the effect of a hybrid remedia
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In Experiment 3, a conceptual replication, we replicated the findings of Experiment 2 with a different population and with different cues. As before, when 12-month-old monolingual infants heard two interleaved languages differing in English and Finnish phonetic cues, they learned only the last language heard during familiarization. Together, our findings suggest that segmenting words in a language-mixing environme
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Untreated ADHD can cause social challenges, such as failing to meet social expectations or expectations, misunderstandings and miscommunication, or being viewed by others as selfish. These problems can erode relationships and cause feelings of loneliness.
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