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).
358,042 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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Utilizing the Universal Protocol, routine Time Outs, and the 3 R’s largelly avoid operating on the wrong spine patient, and performing the wrong procedure. However, these guidelines have not yet sufficiently reduced the frequently of WLS and WSS. Greater recognition of the potential pitfalls contributing to WLS/WSS as reviewed in this perspective should better equip spine surgeons
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To curb the current outbreak, triazole functionalized heteroatom co-doped carbon quantum dots (TFH-CQDs) interacting with viral cells spanning the gamut of complexity can be utilized for deciphering the mystery of its inhibitory mechanism against human coronaviruses. In this quest to unlock the potential of antiviral carbon-based nanomaterials, CQDs and triazole conjugated CQDs template comprising a series of bi
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Polysaccharides are the most abundant bioactive compounds in Ganoderma and have been widely used as dietary supplements in traditional Chinese medicine for thousands of years. Polysaccharides from Ganoderma exhibit unique biological properties, including anti-tumor, anti-inflammatory, and immunomodulatory activities. Herein, the sources and structures of polysaccharides from Ganoderma were presented. This wor
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It is feasible to implement acupuncture in a busy radiotherapy unit provided by specially trained radiographers. The methodology employed appears acceptable for the evaluation of acupuncture for radiotherapy patients.The epidemic situation of COVID-19 is a great public health emergency worldwide characterized by fastest spreading, widest infection range and the mostly difficult to prevent and control in
KyedOhlsen9612
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is one of the most common neurological diseases, and uncontrolled seizures remain a significant problem for one-third of patients with epilepsy on drug therapy. Ongoing seizures affect the morbidity and mortality of patients with epilepsy. Premature death is up to 3 times higher in those with epilepsy than in the general population. Quality of life is affected by refractory epilepsy with physical, social, and psycho
ColonAyers3827
Selleckchem Dolutegravir
Rehabilitation research would benefit from development of a specific checklist and guidelines to help researchers make best use of existing extensions.PURPOSE This article describes a rare occurrence of acute vision loss in a healthy young patient after a cosmetic procedure. METHODS Findings on clinical examination, color fundus photography, and swept-source optical coherence tomography angiography. RE
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thor311
Apabila Anda memanglah terasa punyai modal karenanya anda seharusnya gak boleh cuma duduk dengan sikap status player judi online biasa-biasa saja. Namun demikian benar-benar baik dan dapat jadi satu diantara peluang yang bagus untuk selanjutnya Anda main dalam status bandar. Bandar di permainan apa saja memang menjadi satu diantara perihal yang beri keuntungan dan kapasitas keuntungan dan panoramanya juga besar. Namun juga risiko bila mengenyam ke
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These models rely on marginal and conditional estimates of the instantaneous baseline hazard and provide estimates of the probabilities of an event of each severity for each recurrence over time. We outline how confidence intervals for these probabilities can be constructed and illustrate how to fit these models and provide examples of the methods, together with an interpretation of t
OttoWang8911
Enasidenib datasheet
6%), two patients with urticarial lesions (14.3%), one patient with livedo reticularis-like lesions (7.15%), and one patient with vesicular eruption (7.15%).
Our study provides a more plausible relationship between the main cutaneous patterns and COVID-19 in hospitalized patients as all of them had a confirmatory laboratory test. Skin manifestations are frequent
IrwinBarber0711
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This can be enhanced by lifestyle modifications and pharmacological interventions when needed. Metformin represents the first pharmacological step, with, recently, a broadened indication for patients with impaired renal function. If HbA1c remains above the target in patients with established CKD, SGLT2i or GLP-1 RA are the preferred second-line agents, as introduced in all new guidelines. This change was the
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inical atherosclerosis and cardiovascular risk in RA warrants further studies.Enterohepatic Helicobacter (EHH) species have been increasingly associated with acute gastroenteritis, inflammatory bowel disease and hepatobiliary diseases in humans. However, their host range and transmission routes are poorly understood. Therefore, the aim of this study was to determine the presence of EHH in healthy dogs using both
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clinical practice and/or further research? This study speculates that vNOTES is an approach which may offer better outcomes than a conventional laparoscopy. Further randomised controlled trials with larger sample sizes, however, should be conducted in order to establish the place of vNOTES in hysterectomy surgeries.This was a prospective randomised controlled trial comparing the effects of first-degree perineal tear repair
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BACE inhibitor
7 cells [osteoclast-associated immunoglobulin-like receptor, dendrocyte-expressed seven transmembrane protein, and matrix metallopeptidase-9 (Mmp9)] and zebrafish scales [osteoclast-specific cathepsin K (CTSK), mmp2, and mmp9]. Interestingly, nuclear factor of activated T-cells cytoplasmic 1, a master transcription regulator of osteoclast differentiation upstream of the osteoclastic activators, was downregulated
SylvestColeman1620
selleck inhibitor
Using a majority vote on 5 successive inferences, a median recognition accuracy of 98.61 % was obtained across the group for an 8 gestures set. For a 6 gestures set containing commonly used prosthesis positions, the median accuracy reached 99.57 % with the majority vote.In this study, the feasibility of conducting a concurrent estimation of drowsiness, stress, and tiredness by heart rate variability (HRV) in a dri
DownsMouridsen3048
PD-L1 inhibitor
12%). Morphological and device characterization reveals that the highest PCE for the PY-IT-based device is the fruit of enhanced absorption, more balanced charge transport, and favorable morphology. This work demonstrates that the site of polymerization on SMAs strongly affects device performance, offering insights into the development of efficient polymer acceptors for all-PSCs.The polymorphism of borophene makes it a pr
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1%) were non-secretors. NoV-infected patients who were secretors had more frequent vomiting (P less then 0.001), longer duration of diarrhea (P less then 0.001), and greater overall disease severity score (P less then 0.001) compared with non-secretors. Non-NoV infection secretor AGE patients had a longer duration of diarrhea (P less then 0.001) than non-secretors. Conclusion FUT2 secretor status affects NoV AGE in childr
RosarioSheehan4633
MAT2A inhibitor
These findings highlight the importance and necessity of considering natural degradation of BPs and related toxicity, which poses great implications for risk assessment and management of BPs.Uranium(U), a highly toxic radionuclide, is becoming a great threat to soil health development, as returning nuclear waste containing U into the soil systems is increased. Numerous studies have focused on i) tracing t
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Background Abnormal circadian blood pressure (BP) variations during sleep, specifically the non-dipping ( less then 10% fall in nocturnal BP) and reverse-dipping patterns (rise in nocturnal BP), have been associated with an increased risk of cardiovascular events and target organ damage. However, the relationship between abnormal sleep BP variations and cerebral small vessel disease markers is poorly esta
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plemented by stakeholders in the near-term.Churches are well positioned to promote better mental health outcomes in underserved populations, including rural adults. Mind-body (MB) practices improve psychological well-being yet are not widely adopted among faith-based groups due to conflicting religious or practice beliefs. Thus, “Harmony & Health” (HH) was developed as a culturally adapted MB intervention t
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Moreover, the migration ability of tumor cells is a key step in tumor progression which was observed 48 h after treatment. The GOP serves as a potential nanocarrier system which is capable of improving the therapeutic efficacy of drugs and biomolecules in medical as well as pharmaceutical applications thr
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NU7026
Adoptive cell therapy (ACT), such as chimeric antigen receptor (CAR) T-cell therapy, has demonstrated promising therapeutic effects with potentially non-monotonic dose-response curves. Building upon the i3 + 3 design for cytotoxic agents [1], we propose a new method – joint i3 + 3 (Ji3 + 3) that takes into account of both safety and efficacy outcomes in making dosing recommendations. This allows for efficient dose escalation
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At week 16, a higher proportion of secukinumab-treated patients versus placebo achieved ASDAS-ID (17.6 vs. 3.5%), ASAS-PR (15.4 vs. 4.1%), or BASDAI ≤ 2 (22.3 vs. 6.4%) criteria (all P < 0.0001), which were sustained through 156weeks. Shift analysis showed that the majority of secukinumab-treated patients achieving remission at week 16 maintained their status at week 156 (ASDAS-ID, 57.1%; ASAS-PR, 68.0% and BASDAI ≤ 2,
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Background Recently, RNA-binding proteins (RBPs) were reported to interact with target mRNA to regulate gene posttranscriptional expression, and RBP-mediated RNA modification can regulate the expression and function of proto-oncogenes and tumor suppressor genes. We systematically analyzed the expression of RBPs in pancreatic adenocarcinoma (PAAD) and constructed an RBP-associated prognostic risk model. Methods Gen
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nd. The findings indicate that even 5 min of exploration with systematically varied cubes can already help children use an advanced buoyancy prediction strategy. This provides evidence in favor of using category learning theory to inform early science education design.Rapid eye movement (REM) sleep is a distinct, homeostatically controlled brain state characterized by an activated electroencephalogram (EEG) in combina
MoesgaardHawley0912
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Migrant adolescents show specific risk and protective factors associated with substance use, but the extent to which prevalence rates differ between migrant and native-born youth in Europe remains unclear. The present study aims to provide a comprehensive review of all available substance use prevalence studies on differences in substance use between migrant and native-born adolescents in Europe.
BloomBurgess9055
Selleckchem Pexidartinib
1% vs 0%, P < 0.0001).
Chemotherapy in the palliative setting for advanced-stage ACPC patients was associated with improved survival. Adjuvant therapy did not translate into significant survival benefit.
Chemotherapy in the palliative setting for advanced-stage ACPC patients was associated with improved survival. Adjuvant therapy did
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25 diopters (D) in the iSert eyes and 0.45 ± 0.20 D in the AutonoMe eyes (
> .05). The 3-month postoperative uncorrected and corrected distance visual acuity (UDVA and CDVA) were similar in both groups, with a UDVA of 0.10 and 0.12 logMAR and CDVA of -0.04 and -0.03 logMAR, respectively for the AutonoMe and iSert.
The iSert injector caused more enlargement of t
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In today’s technology-centric world, data privacy has become a crucial topic for individuals and organizations alike. As sensitive information circulates through various platforms, protecting this data is essential. This article seeks to explore the relevance of information security and offers effective tips for maintaining digital security.
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Bioelectrochemical sensors have proven attractive as simple and low-cost methods with high potential for online monitoring of volatile fatty acids (VFA) in the anaerobic digestion (AD) process. Herein, an innovative dual-chamber air-cathode microbial fuel cell was developed as biosensor for VFA monitoring. The response of the biosensor was nonlinear and increased along with the concentration of VFA mixture increa
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The proposed cosurface technologies hold potential to implement highly effective and personalized sensing systems such that the performance of multifunctional bioelectronic implants can be strongly improved. Findings were reported open a new research line on sensing technologies for bioelectronic implants, which may conduct to great impacts in the coming years.The interaction of objects suspended in a liquid
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Our observation that none of the patients in our sample with kaolin TEG Ly30 values ≥3% had a nonzero functional fibrinogen TEG Ly30 value suggests that the observed elevations in kaolin TEG Ly30 may have been secondary to platelet-mediated clot retraction as opposed to fibrinolysis. Platelet-mediated clot retraction should be distingu
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In the ever-evolving world of online content creation, the significance of proper keyword usage cannot be overstated. Whether you’re creating a website, comprehending keywords is essential for bringing the right audience. This article will delve into the main points of keyword usage, helping you enhance your online reach.
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Iodosylbenzene (PhIO) and its derivatives have attracted significant attention due to their various applications in organic synthesis and biomimetic studies. For example, PhIO has been extensively used for generating high-valent metal-oxo species that have been regarded as key intermediates in diverse oxidative reactions in biological system. However, recent studies have shown that metal-iodosylbenzene adduct, known as a p
LundgrenWollesen7383
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Thus, non-toxic, robust colonisation of the microenvironment was achieved to produce a significant antitumor effect.The eyeWatchTM is a new glaucoma drainage device that includes an adjustable mechanism that can vary the resistance to aqueous humor outflow during the postoperative period to reduce the burden of postoperative intraocular pressure (IOP) management. The mechanism contains a magnetic roto
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The democratic system in South Korea is vulnerable to populist impulses. However, it is more stable than one would expect.
The country is searching for a new way of developing. The Confucian culture, which emphasizes respect for the ancestors as well as gendered family relationships, continues to be influential in the society. However, there are signs that a
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Results suggest that the proposed framework may indeed exploit the hallmarks of spatially explicit ecological approaches and of remote Earth observations. The model reproduces well the observed in situ data. Moreover, it projects in the near term the two species’ presence both in space and in time, highlighting the features of the metapopulation dynamics of colonization and extinction, and their expected trends w
MeyerLopez7547
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It is stubborn to remove the lowly concentrated phthalic acid esters (PAEs) that usually coexist with other highly concentrated but low-toxic pollutants in municipal sewage. Herein, we report a novel strategy for completely removing the PAEs over a bi-functional 001TiO2 surface (with highly exposed 001 facet), which not only serve as functional sites to specifically adsorb the target PAEs pollutants, but also contri
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Early-life telomere dynamics and growth were influenced by the interplays between laying and hatching order. Last-laid but first-hatched chicks were heavier but had shorter telomeres 5 days after hatching than their siblings, indicating rapid early growth with potential adverse consequences on telomere length. Synchronous chicks did not suffer any apparent cost of hatching synchronously. Impaired phenotypes only occ
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You have actually most likely discovered a shift in interior design patterns, especially with the expanding appeal of textured wall surface coatings. These methods not just improve the visual charm of an area but additionally echo a more comprehensive movement toward sustainability and uniqueness in home decor. From Venetian plaster to cutting-edge 3
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Lymphaticovenular anastomosis (LVA) is now accepted as one of the mainstays of surgical treatment of lymphedema. The unique advantages of LVA that set it apart from other procedures such as vascularized lymph node transfer are its safety and its minimally invasive nature. To date, there has been no report of worsening of disease as a result of LVA, even when performed unsuccessfully. Despite these notable advantag
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ars to be safe in COVID-19.
Weaning from mechanical ventilation is a challenging step during recovery from critical illness. Weaning failure or early reintubation are associated with increased morbidity and mortality, exposing patients to life-threatening complications. Cardiac dysfunction represents the most common cause of weaning failure. We conducted a systematic review and meta-analysis to evalu
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Functional family planning
Introduction
In today’s information-rich world, understanding core ideas is more important than ever. Whether you’re optimizing content or simply aiming to become proficient in a topic, keywords serve as the foundation to success. This article is designed to assist on the best ways to make the most of keywords.
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Liver damage is a common manifestation and can be life-threatening in adult-onset Still’s disease (AOSD), an autoinflammatory disease. The hallmark of AOSD is activation of neutrophils, whose infiltration in liver is suspected to promote tissue injury. Here we aimed to identify a candidate biomarker and to validate its association with liver damage in AOSD.
Transcriptome analysis of neu
HamiltonMacdonald1246
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This paper was to investigate the effect of Huanglian Jiedu Decoction(HLJD) on ulcerative colitis(UC) in mice, and determine the effective components in plasma, and virtually screen its therapeutic target, and predict its mechanism. Sixty Balb/c mice were randomly divided into blank group, model group, mesalazine treatment group(0.3 g·kg~(-1)), and HLJD treatment groups(24.66, 12.33, 6.17 g·kg~(-1)). Excepted
GuldagerClifford3182
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This study was performed to elucidate the uptake and bioaccumulation of polystyrene microplastics (PS-MPs) in Japanese medaka (freshwater fish) and Java medaka (marine fish), and to assess its impacts on the survival, reproduction, and gene expression of Japanese medaka. Both species were exposed to 2-μm fluorescent PS-MPs (107 beads/L) for 3 weeks. The bioaccumulation factor of PS-MPs for Java medaka was calculat
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, T. juventud sp. nov., T. laurae sp. nov., T.bimini sp. nov., T. loui sp. nov., T. platnicki sp. nov., and T. hispaniolensis Wunderlich, 1988 n. comb. (fossil). Trichopelma maculosus (Bryant, 1948) n. comb. is synonymized with P. fulvus Bryant, 1948; T. corozalis (Petrunkevitch, 1929) is synonymized with T. insulanum (Petrunkevitch, 1926). Trichopelma astutum Simon, 1889 is transferred to Euthycaelus Simon, 1889, and
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Neuroleptic malignant syndrome (NMS) is a rare, potentially lethal syndrome known to be related to the initiation of dopamine antagonist medications or rapid withdrawal of dopaminergic medications. It is a diagnosis of exclusion with a known sequela of symptoms, but not all patients experience these characteristic symptoms making it difficult at times to diagnose and treat. Herein, we present a unique case
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