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).
385,736 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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ADAM8/9/10/12/15/19/28/TS2/TS12 were over-expressed in PAAD. Most of the nine ADAMs had a significant correlation. ADAM8/12/15/19 expression was remarkably increased in the comparison between grade 1 and grade 2/3 of PAAD. ADAM8/9/10/12/19/28/TS2/TS12 had a positive correlation with almost five immune infiltrates. ADAM12/19/TS2/TS12 dramatically related with ICB immunotherapy-related molecules. CNV of ADAMs genes potenti
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When the pressure is increased, 1-dodecanol undergoes a polymorphic transformation into a phase that gives a higher friction. The DAC and DSC experiments indicate that the high-friction polymorph is an orthorhombic crystal. The polymorphic transformation pressure coincides with the onset of a dimple formation in the EHL films, revealing that the anomalous film shapes are caused by the formation of rigid o
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Differences exist between non-exercise prediction equations, which influences the accuracy of estimated cardiorespiratory fitness. The present analysis can assist researchers and clinicians with choosing a non-exercise prediction equation appropriate for epidemiological or population research. However, the error and misclassification associated with estimate
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Health professionals participating in multidisciplinary team (MDT) cancer meetings may not be aware of their medicolegal obligations. This commentary aims to identify medicolegal issues concerning multidisciplinary cancer care and provides recommendations for future implementation. Predominant medicolegal issues related to MDT care were identified in the literature; these include patient consent a
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The center of the locus contained a highly dynamic region consisting of multiple families of TEs. Based on a large global collection of assembled genomes, we show that the virulence locus has undergone substantial recent sequence evolution. Large insertion and deletion events generated length variation between the flanking genes by a factor of seven (5-35 kb). The locus showed also strong signatures of genom
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ALK signaling pathway
OBJECTIVE The aim this study was to compare the stage-for-stage overall (OS) and recurrence free (RFS) survival between adult and pediatric/adolescent colon cancer patients. METHODS A retrospective review of pediatric/adolescent patients less then 25 years old treated between 1991 and 2017 at University of Texas MD Anderson Cancer Center, was compared with a prospectively maintained database of adult patients. Outcome vari
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This analysis covers the present understandings associated with secret modes of signaling used by both the mobile and ECM to coregulate each other. By taking an outside-in strategy, the built-in complexities and regulatory processes at each degree of signaling (ECM, plasma membrane, focal adhesion, and cytoplasm) tend to be captured to offer a thoro
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Besides the prominent motor syndrome, some patients affected by amyotrophic lateral sclerosis (ALS) complain of many non-motor symptoms during the disease course, in particular chronic pain that significantly reduces the patients’ quality of life. Complex regional pain syndrome (CRPS) is a rare painful condition, rarely described in ALS patients. We present the clinical case of a patient affected by spinal-onset A
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196 V and -0.116 V (vs. Ag/AgCl), respectively. The potentials were more positive than those prepared by hydro-thermal method. And they showed excellent electrochemical stability in neutral solution. The latter was only 32 mV lower than that of commercial Pt/C. The improved performance in ORR was attributed to higher specific surface area and mesopore volume as well as more structural def
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In this study, we found HDAC2 is substantially upregulated in malignant specimens and cellular outlines compared to non-cancerous tissues and typical cell range. On the other side hand, miR-646 appearance ended up being decreased in clinical specimens and breast cancer cells compared to non-cancerous samples. Knocking from the HDAC2 and
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ea covers the ERM area, postoperative ERM formation can be prevented.
Epiretinal membrane formation does not affect visual function significantly when the area of ILM peeling is larger than the parafoveal area. When the ILM peeling area covers the ERM area, postoperative ERM formation can be prevented.
To describe the incidence of subretinal deposits that are similar in struct
GuerraSonne8641
biotechnology
METHODS Serum levels of placenta-related proteins-leptin (LEP), chorionic somatomammotropin hormone like 1 (CSHL1), elabela (ELA), activin A, soluble fms-like tyrosine kinase 1 (sFlt-1), and placental development factor (PlGF)-were quantified by ELISA in bloodstream serially accumulated throughout human pregnancies (20 regular topics with 66 examples, and
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Skin fibroblasts obtained from a 27-year-old man with clinically manifested and genetically proven (F508del/F508del) cystic fibrosis were successfully transformed into induced pluripotent stem cells (iPSCs) by using Sendai virus-based reprogramming vectors including the four Yamanaka factors, OCT3/4, SOX2, KLF4, and c-MYC. The iPSCs showed a normal karyotype, expressed pluripotency markers and exhibited the potential
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The first synthesis to construct coumarin-fused pyrido[2,3-b]porphyrins has been accomplished via a cascade reaction of 2-amino-meso-tetraphenylporphyrins, aromatic aldehydes and 4-hydroxycoumarin in o-dichlorobenzene containing a stoichiometric amount of trichloroacetic acid under reflux conditions. The methodology presented herein provides a direct access to a new series of π-extended nickel(ii
HaugaardSawyer9696
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The pancreatic parenchyma atrophy and dilatation of the main pancreatic duct had been gradually progressing. We performed distal pancreatectomy because of possibility of malignancy. The histopathological findings showed that 2 cystic tumors the side of pancreatic head had a connection and had typical findings of SCA of pancreas. The other tumor was independent from two tumors. They had no malignant findings.
CorcoranStokholm0553
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Using the same intervention in URSA DSCs, qRT-PCR measured the upregulated mRNA levels of IL-17 A/IL-17RA, PI3K, AKT, p-AKT, PTEN, Bcl-2, and Bcl-xL and downregulated mRNA levels of BAD and ACT1 after treatment with BSHXD. We demonstrated that BSHXD affected IL-17A/IL-17R via PI3K/AKT pathway to promote the proliferative activity of DSCs in URSA. These results provide a new insight to further clar
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04% of Stage IIID patients.
Only a small number of Stage III melanoma patients were treated with interferon-α in adjuvant settings. New adjuvant therapies are currently having an effect on clinical practice in France, increasing survival and decreasing cost.
Only a small number of Stage III melanoma patients were treated with interferon-α in adjuvant
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Psoriasis is a multifactorial disease arises from a complex interaction of genetics, immune system, and environmental aspects. IL-23/Th17 immune axis has been considered as a primary modulator in psoriasis. In addition, several findings imply that nervous system may take a part in the pathogenesis of psoriasis, suggesting that nervous system, through its neuropeptide, may interact with immune system and lead
ThomsonDoherty7767
Selleckchem RZ-2994
Objectives Several techniques for oesophageal anastomosis during oesophagectomy have been described, all of which are associated with variable leakage and stricture rates. Given the notable morbidity of oesophageal fistula, reducing its incidence is of paramount importance. We report our single-centre experience with the semimechanical (SM) technique as compared to a totally manual (TM) technique. Methods
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CPR 0.95) based on Cochran’s Q test (P>0.05).
In this study, the performance of AutoML Vision was not significantly different from that of Random Forest (the best classifier among traditional machine learning models) and CNN. AutoML Vision showed relatively high accuracy and comparable to current commonly used classifiers which may prompt for future application in clinical pr
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Successive customers with acute ischemic swing in accordance with M1 segment MCA with or without terminal ICA occlusions on standard CTA and CTP within 24 hours of stroke symptom beginning were included. Ischemic amounts had been analyzed with software according to CTP maps. Relative filling time delay had been classified into 4 grades-grade 0 relative stuffing time wait = 0 moments;
HewittFoley3715
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Pancreatic cancer (PC) is the seventh leading cause of cancer death worldwide, and remains one of our most recalcitrant and dismal diseases. In contrast to many other malignancies, there has not been a significant improvement in patient survival over the past decade. Despite advances in our understanding of the genetic alterations associated with this disease, an incomplete understanding of the underlying biology and
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The difference in costs per QALY was -$1,838 (95% CI, -$12,604 to $9,787), in favor of volar plate fixation. In a subgroup analysis of patients who had paid employment, the difference in costs per QALY favored volar plate fixation by -$7,459 (95% CI, -$23,919 to $3,233). CONCLUSIONS In adults with a displaced extra-articular distal radial fracture, volar plate fixation is a cost-effective intervention, especially in pat
SosaGram5461
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Results confirm the link between CD and elevated psychological symptoms. The findings highlight the need to use appropriate BSI norms when assessing clinically significant levels of psychological symptoms in non-psychiatric patients with chronic illness.
Results confirm the link between CD and elevated psychological symptoms. The findings highlight the need to use appropriate BSI norms when assess
TerkildsenRocha6157
PRI-724
Local recurrence remains a challenging and common problem following curettage and joint-sparing surgery for giant cell tumour of bone (GCTB). We previously reported a 15% local recurrence rate at a median follow-up of 30 months in 20 patients with high-risk GCTB treated with neoadjuvant Denosumab. The aim of this study was to determine if this initial favourable outcome following the use of Denosumab was maintained with lon
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Background Sickle cell disease (SCD), a chronic hemolytic disorder, results in cumulative end-organ damage affecting major organs such as the cardiovascular, renal, and central nervous systems. Effects of modifiable risk factors, such as blood pressure (BP), on the development of end-organ complications in SCD have not been well studied, particularly among the pediatric population. Relative hypertension in p
MendozaBoone0487
DNASynthesis signal
Remission ended up being attained by 44% of patients; 90% of customers were alive at research conclusion. Overall, these results help outcomes from previous studies therefore the utilization of CPX-351 in older adults with recently diagnosed, high-risk/secondary AML.Purpose We previously found extensive desialylation of glycoconjugates and upregulation for the sialidas
FoldagerMartinussen1332
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As more generic and versatile than the absolute one, the relative temporal pattern may be used as a reference for a variety of populations.[This corrects the article DOI 10.1055/a-1201-4522.].
Strategies have been recommended to optimize early antibiotic (ATB) switching from intravenous (IV) to oral ATB. This study aimed to determine whether infectious disease (ID) team
DavisHay3773
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006, -0.001) and the inverse relation was more pronounced in male infants. In addition, PM2.5 level in the 2nd trimester was negatively related to activetone score (β, -0.012; 95% CI, -0.021, -0.002) in a dose-dependent manner for both genders. Collectively, our results demonstrated that prenatal exposure to PM2.5 was linked to poor neurobehavioral performance of newborns. The second trimester
WillardCaldwell4146
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Survival of patients with locally advanced pancreatic cancer (LAPC) is improved when neoadjuvant chemoradiation enables subsequent surgical resection. Here, the authors assess changes in vessel involvement as a possible indicator of resectability.
Pancreatic gross tumor and all major abdominal vessels were contoured for 49 patients with unresectable LAPC before and after
ReeseCurran0173
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In the ever-evolving digital landscape, understanding Search Engine Optimization is crucial for bloggers and businesses alike. With endless platforms vying for visibility, mastering the art of SEO content ensures your online platform stands out. This article will walk you through the important aspects of crafting SEO-optimi
MaldonadoDouglas8834
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Survival rates for breast cancer (BC) are increasing, leading to growing interest in treatment-related late-effects. The aim of the present study was to explore late effects using Patient-Reported Outcome Measures in postmenopausal BC survivors in standard follow-up care. The results were compared to age- and gender-matched data from the general Danish population.
Postmenopausal BC surviv
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for DBT. Weight lifting in concentric and eccentric motions affects the stiffness of the BBM and DBT, thus weight lifting plays a role in adjusting the stiffness of the BBM and DBT. Trial registration The study was approved by ethics committee of the College of Applied Medical Sciences (CAMS 080-3839; March 14, 2018).
Qualitative methods offer a unique contribution to health research. A
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PCA and PLS-DA rating plots demonstrated that while the metabolic profiles of hamsters provided a high-fat diet supplemented with DMY or AG had been both definately not those of hamsters given a standard diet or a high-fat diet alone, these people were much like each other. Our information declare that the underlying system regarding the defensive aft
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Public speaking is an vital skill in today’s competitive landscape, whether it’s for career advancement or individual growth. Grasping the details of speaking effectively to an audience can create opportunities in multiple aspects of your life. In this guide, we will explore different techniques to master the art of oratory.
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Continuity and timely access are hallmarks of high-quality primary care and are important considerations for urgent concerns that present both during the day and after-hours. It can be especially difficult to ensure continuity of primary care after-hours in urban settings where walk-in clinics offer patients easy and convenient access. Patients of our large, multisite primary care practice in inner-city Toronto, Canada were
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Mangrove roots harbor a repertoire of microbial taxa that contribute to important ecological functions in mangrove ecosystems. However, the diversity, function, and assembly of mangrove root-associated microbial communities along a continuous fine-scale niche remain elusive. Here, we applied amplicon and metagenome sequencing to investigate the bacterial and fungal communities among four compartme
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However, combinations including atypical antipsychotics occurred more frequently than expected; e.g. 7.4× with anticonvulsants and 2.2× with other atypical antipsychotics. This was also the case for combinations of sedatives, e.g. anxiolytic with hypnotic benzodiazepines (3.8×). Lipid-lowering drugs and antidiabetic medicines were combined with psychotropics at frequencies close to those expected had they been randoml
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