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).
393,399 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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90, 95% CI 0.85-0.95). The highest vs. the lowest MRS quintile rank was associated with a 22% reduced risk of death (HR = 0.78, 95% CI 0.62-0.94). The effects were consistent across race and sex groups. In summary, we identified a set of metabolites associated with LTPA and an MRS associated with a lower risk of death. Our study provides novel insights into the potential mechanisms underlying the
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How to Order Driver’s License Replacement Online
If you lose or harm your New York state driver’s license or non-driver ID card, you can apply to change it by mail. You need to offer evidence of identity selected from the list of appropriate documents, and pay a charge to receive your replacement document.
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Community pharmacists are pivotal in the provision of Maternal and Child Health (MCH) services, yet level of involvement, practice and barriers and facilitators in providing these services is largely unknown.
The objective of this review is to summarize available evidence on the involvement and practice of community pharmacists in MCH services.
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Persistent organic pollutants (POPs) and related chemicals are fascinating because of their combination of physical-chemical properties and complex effects. Most are man-made, but some also have natural origins. They are persistent in the environment, but they can be broken down variously by biodegradation, atmospheric reactions, and abiotic transformations. They can exist in the gas or particle phases, or both, in the a
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Our results improve the understanding of the difficulties to obtain ASE at room temperature from these quasi-2D materials and are expected to guide possible materials improvement in order to exploit their excellent emission properties also for the realization of low threshold optically pumped lasers.Nonlinear optical microscopy that leverages an objective based total internal reflection (TIR) excitati
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In today’s digital age, level of privacy has become the significant concern for many individuals. With so much individual information readily available online, understanding websites like SpyDialer is important. SpyDialer is the reverse phone look for service that permits users to find info related to contact numbers, including names in addition to locations
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Introduction
In today’s fast-paced world, achieving high productivity is crucial for both individuals and organizations. With constantly rising demands and constant pressure to excel, finding innovative ways to boost efficiency is more vital than ever. In this article, we will examine various strategies that can help in improving productivity, enabling you to reach your
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The most significant is the effect of the type of aggregate on the volume changes in the first 24 h. Mineral additives have a positive effect on the elimination of the volume changes of concrete, while the addition of high-temperature fly ash proved to be the most suitable.Chimeric antigen receptor (CAR)-T cell-based therapies have achieved substantial success against B-cell malignancies, which has led to a grow
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This work is supported by an NIAID funded Center of Excellence for Influenza Research and Surveillance (CEIRS) contract, the Collaborative Influenza Vaccine Innovation Centers (CIVIC) contract, philanthropic donations and NIH grants.
This work is supported by an NIAID funded Center of Excellence for Influenza Research and Surveillance (CEIRS) contract, the Collaborative Influenza Vaccine
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In the 18th Century, Giovanni Battista Morgagni demonstrated that localized injuries to different organs caused a great variety of clinical symptoms and signs. Since then, medical practice has evolved considerably and maintains the correlation of pathological changes with the signs and symptoms of the disease as part of the academic activity known as “anatomic-clinical session”. The evaluation of the aptitude for the a
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Introduction
In today’s fast-paced environment, attaining optimal productivity is crucial for both individuals and organizations. With ever-increasing demands and ongoing pressure to excel, finding innovative ways to boost efficiency is more important than ever. In this guide, we will explore various strategies that can help in enhancing productivity, allowing you to
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Shipping Container Hire Saves You Money
Shipping containers are popular over the past few years, and are now popular amongst both households and businesses. The cost of buying a container in its entirety can be expensive.
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Podocytopathies are kidney diseases in which direct or indirect podocyte injury drives proteinuria or nephrotic syndrome. In children and young adults, genetic variants in >50 podocyte-expressed genes, syndromal non-podocyte-specific genes and phenocopies with other underlying genetic abnormalities cause podocytopathies associated with steroid-resistant nephrotic syndrome or severe proteinuria. A variety of genetic
PennDunlap2006
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Untreated ADHD in Adult Relationships
It can be difficult to be in an ongoing relationship or marriage with someone who has ADHD. Particularly when the non-ADHD spouse is constantly checking in and supervise to make sure their spouse is in control of their duties.
If this pattern continues it is very easy for res
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oviding primary healthcare in low resource settings, with key characteristics differing from the previously commonly studied social enterprises in tertiary care. There are opportunities to complement existing public health systems, but most organizations face challenges in doing so. More research and attention is needed by researchers, governments and funders to support social entrepreneurs and avoid parallel systems.
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7, 95% CI -4.8 to 1.3; p=0.26). Exposure to perinatal inflammation was associated with a decrease of the gross motor function DQ score (coefficient -6.0, 95% CI -9.9 to -2.1; p<0.01) and a decrease of the sociability DQ score (coefficient -5.1, 95% CI -9.2 to -0.9; p=0.02). Language and visuospatial coordination DQ scores were not affected by exposure to perinatal inflammation.
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imes are low enough to provide a good user experience.New drugs with novel antibacterial targets for Gram-negative bacterial pathogens are desperately needed. The protein LpxC is a vital enzyme for the biosynthesis of lipid A, an outer membrane component of Gram-negative bacterial pathogens. The ACHN-975 molecule has high enzymatic inhibitory capacity against the infectious diseases, which are caused by multidrug-resistant bacteria, but clin
BurtJoensen5436
Linsitinib
Whey protein concentrate (WPC) has been widely studied as a biodegradable bio-based packaging material in the food industry. In this study, different whey protein films were obtained through physical, chemical, enzymatic, and composite modifications. The molecular structure, micro-morphology, mechanical properties, barrier properties, and other characteristics of the films were evaluated. The results illustrated that the
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Conclusion There are also nonpharmacological factors that may contribute to the severity of the adverse effects of AEDs, experienced by the patients with epilepsy.Mood disorders such as depression and anxiety have a high prevalence in adult patients with epilepsy, and their evaluation is crucial in choosing the most appropriate antiepileptic drug (AED) with regard to side effects, which can account for long-term
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87 – 1.03) and 1.03 (CI 0.95 – 1.13). Results were similar for the case-time-control analysis, but both the self-controlled case-series and sequence symmetry analysis suggested a weak protective effect of penicillin, seemingly explained by VTE affecting future exposure exclusively for penicillin. The strong association of antibiotics with VTE suggests presence of confounding by indication. Such confounding can be mit
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cing permanent pacemaker implantation, neurological events, TIA, major vascular complications, and re-intervention.
Nutcracker and superior mesenteric artery (SMA) syndrome share the same pathogenesis, but the simultaneous occurrence of both diseases is quite rare. A combination of the nutcracker syndrome and IgA nephropathy has previously been reported. Herein, we report what we believe is the first
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56%, P > 0.05). Throughout the 6-month hut trial, monthly wall cone bioassay mortality on VECTRON T500 treated hut walls remained > 80%. IRS with broflanilide shows potential to significantly improve the control of malaria transmitted by pyrethroid-resistant mosquito vectors and could thus be a crucial addition to the current portfolio of IRS insecticides.The olive fruit fly, Bactrocera oleae, is the most impo
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To evaluate the feasibility of a multi-centre randomised controlled trial to compare the clinical and cost-effectiveness of early patient-directed rehabilitation versus standard rehabilitation following surgical repair of the rotator cuff of the shoulder.
Two-arm, multi-centre pilot and feasibility randomised controlled trial.
Five Nationa
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In this review, we summarize the results of these findings, illustrating the importance of toxicant/pharmaceutical models in unravelling the biology of MT dynamics, in particular the role of microtubule-associated proteins (MAPs), a family of regulatory proteins that modulate MT dynamics but also actin- and intermediate filament-based cytoskeletons. We also provide a timely hypothetical model which can serve as a guide
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Decreasing transmission depends upon the portion of infected lovers treated; if most are missed, impact on transmission is going to be low. Traditional companion services metrics evaluate the wide range of partners found and treated. We estimated the percentage of partners of syphilis patients maybe not locatable for intervention. We evaluated files of early syphilis ca
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be an efficient triage after primary HR-HPV screening. In addition, p16INK4a immunostaining could be used as an ancillary tool to cervical cytological diagnosis, and improves its accuracy in cervical cancer screening.Objective To compare the clinical outcomes of one and two blastocysts in the freeze-thaw transplantation cycle. Methods Totally 3 675 cycles of frozen thawed blastocyst transplantation in Rep
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How to Get a New Driver’s License in the State of New York
Getting a new driver’s license in the state of New York is an interesting time for any ambitious driver. However be prepared for a lengthy procedure that consists of passing your learners permit, taking motorists ed, and then lastly taking
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A microkinetics model is proposed toward conductivities, triple-conducting pathways, reactant dependency, surface exchange and bulk diffusion capabilities, and other relevant properties. Finally, the rate-limiting steps and suggestions for further improvement of electrode performance are presented.Understanding colloid transport in subsurface environments is challenging because of complex interactions among colloids, grou
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Gout is the most common inflammatory arthritis and is increasing in prevalence and incidence in many countries worldwide. Dual Energy Computed Tomography (DECT) has a high diagnostic accuracy in established gout, but its diagnostic sensitivity is low in subjects with recent-onset gout. A meta-analysis of 17 studies showed a pooled sensitivity and specificity of 0.85 and 0.88, respectively. DECT is a useful d
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As in spoken human language, segments at the start of a vocalization are more likely to be consonant-like and segments at the end are more likely to be longer, quieter, and lower in fundamental frequency. These results provide a new foundation for empirical investigation of language-like abilities in other species.Black phosphorus nanostructures have recently sparked substantial research interest for the rational d
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6% to 37.5%, 22.84 kg/m2 to 23.87 kg/m2, p 0.05, all). There were no differences in changes over time among in the Hypertension group during NCT and NET (p = 0.96). The mean value of serum TC and fasting glucose significantly increased ( less then 0.05, both) during NCT and decreased 3 years after NCT (p less then 0.05); however, no significant changes were observed in the NET group. The NLR was increased from 1.
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miRNAs represent unique biomarkers which have a promising future in stroke diagnosis and prognosis. However, there is a need for more standardized and consistent methodology for the accurate interpretation and translation of miRNAs as novel specific and sensitive biomarkers into clinical practice.
miRNAs represent unique biomarkers which have a promising future in stroke diagnosis and prognosis. How
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Lipid drug conjugates (LDCs) which may also be addressed as lipoidal prodrug, are drug molecules that have been covalently linked with lipids like fatty acids, glycerides or phospholipids. Lipid drug conjugates are fabricated with the aim of increasing drug payload and thus prevent leakage of a highly polar drug from a lipophilic matrix. Conjugating lipids to drug molecules improves lipophilicity and also changes ot
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Adult ADHD Diagnosis and Treatment
Adults with ADHD often have difficulty managing daily tasks, such as managing bills and working on time and maintaining healthy relationships. Health professionals employ a variety of tests to diagnose ADHD.
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The characteristics of F-V curve, apart from biphasic pattern, the location and configuration of breakpoint in expiratory curve, seemed to be impo
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Purpose For those children that went on to have strabismus surgery after cataract surgery, we sought to identify preoperative predictors for whether strabismus surgery would be for an esodeviation or for an exodeviation.Design Retrospective studyMethods Charts of patients less then 18 years who underwent cataract surgery were reviewed. Data from the first strabismus surgery af
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BACKGROUND The eccrine carcinoma is a rare form of skin adnexal malignancy, usually presenting as a locally invasive, solitary lesion in the head and neck region. Histopathologically and immunohistochemically, eccrine carcinomas are difficult to differentiate from cutaneous metastases of breast carcinomas. Unlike treatment of cutaneous metastasis, treatment of a solitary eccrine carcinoma entails excision, generally with
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0, 95% CI = 0.6 to 0.8). Training alone resulted in higher coverage than no training (IRR = 9.8, 95% CI = 4.1 to 24.7). Coverage did not differ by intensity of the clinical and training package (coefficient = 0.8, 95% CI 0.4 to 1.5).
Training of providers is key to increasing coverage of alcohol measurement amongst primary health care patients. Although municipal support provided
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NMR spectroscopy is an effective technique, applicable for studying bioactive materials or drug delivery systems in order to obtain comprehensive details related to structural and dynamic characteristics at atomic resolution. The applications of NMR spectroscopy have been increased considerably as a result of the combination of advancement in technological NMR instrumentation and scientific knowledge. This chapter is
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we read with interest the paper by Wellhöner et al. (1) about the effect of eradication of hepatitis C virus (HCV) infection on the gut microbiota. The Authors report that sustained virological response (SVR) at 24/48 weeks after hepatitis C virus (HCV) treatment does not lead to statistically significant changes in the gut microbiota of cirrhotic patients, but only in those with chronic hepatitis. Unfortunately, the Au
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The role of social support in the online setting is explored in this study. For this purpose, the posts of infertility treatment patients participating in an infertility treatment online support group between 2002 and 2016 were retrieved. Members who contributed at least 100 words were divided into two groups according to the treatment outcome they reported (pregnancy). The association between the length of
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Oral squamous cell carcinoma (OSCC) is a malignant cancer, the survival rate of patients is disappointing. Therefore, it is necessary to identify the driven-genes and prognostic biomarkers in OSCC.
Four Gene Expression Omnibus (GEO) datasets were integratedly analyzed using bioinformatics approaches, including identification of differentially expressed genes (DEGs), GO and KE
SnyderJamison4778
Tamoxifen
BACKGROUND Juglans sigillata, or iron walnut, belonging to the order Juglandales, is an economically important tree species in Asia, especially in the Yunnan province of China. However, little research has been conducted on J. sigillata at the molecular level, which hinders understanding of its evolution, speciation, and synthesis of secondary metabolites, as well as its wide adaptability to its plateau environment. To a
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Hair concentrations of antiretrovirals are an innovative and non-invasive method for measuring cumulative antiretroviral exposure and assessing long-term antiretroviral adherence. This study aimed to examine hair concentrations of antiretrovirals in relation to virologic outcomes among PLHIV in Guangxi, China.
Cross-sectional data of hair concentr
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6%, P = 0.02). Compared with older adults, young adults were less engaged, but there were no differences for retention or weight loss (P values > 0.05). CONCLUSIONS Findings suggest that technology-based BWL has the potential to eliminate weight loss disparities observed between young adults and older adults in in-person BWL trials. Moreover, adding financial incentives holds promise for promoting cli
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002 -.03). Caregiver-rated maternal support may play a small role in mitigating sexually abused children’s trauma symptoms. Irrespective of abuse severity, children with less supportive mothers may not be at heightened risk for experiencing higher levels of trauma-related difficulties.Objective To assess the effect of beetroot juice (BET) on recovery kinetics of physical performance, muscle damage and perceived muscle sor
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The 2019 European Society of Cardiology (ESC) guidelines recommend evaluation for right ventricular dysfunction in all normotensive patients with acute pulmonary embolism (PE). We compared the predictive performance of the 2019 and 2014 ESC risk stratification algorithms and the Pulmonary Embolism Severity Index (PESI).
We performed a posthoc analysis of normotensiv
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