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).
415,787 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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Adjuvant radiotherapy (RT) has been performed to reduce locoregional failure (LRF) following radical cystectomy for locally advanced bladder cancer; however, its efficacy has not been well established. We analyzed the locoregional recurrence patterns of post-radical cystectomy to identify patients who could benefit from adjuvant RT and determine the optimal target volume.
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.Background Colorectal cancer (CRC) and the associated metastatic lesions are reported to be hypoxic. Hypoxia is a common feature in the tumor microenvironment and a potent stimulant of CRC. We have identified a regulatory role of Nur77 on Akt activation to enhance β-catenin signaling essential for CRC progression under hypoxic conditions. Methods The functional role of Nur77 in hypoxia-induced EMT was examined by scatter
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Misunderstanding of verbal instructions, cognitive changes, and delayed central processes may lead to a false diagnosis in up to 16% of subjects with hearing loss. To minimize this bias, several neurocognitive assessments were transformed into non-auditory versions recently, eg the most commonly used Hearing-Impaired Montreal Cognitive Assessment (HI-MoCA). However, most of them still lack normative data for
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In today’s rapidly world, the impact of climate change is evident. This issue is not just a scientific concept but a urgent issue that influences every aspect of our planet. In this article, we will delve into how climate change is reshaping global ecosystems and what that means for the future.
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Cardiopulmonary complications, including cardiomyopathy, diastolic dysfunction, pulmonary hypertension (PH), and unexpected cardiac death will be the most common reasons for morbidity and mortality. Understanding of the sickle-related cardio phenotypes is essential for evaluating, early analysis, and input of cardiac complications in this condition. BACKGROUND Historically, grow
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007 ng mL-1, which indicates a good potential application in the field of food analysis.Economic evaluation provides important evidence on value for money in health care and is routinely used in health technology assessment processes. The relevant costs and benefits of health care that are considered may arise now and/or in the future, and the relative importance placed on costs and benefits in the future is reflecte
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Also, DNA damage levels in adipocytes and hepatocytes were found to increase dose dependently for 7.5 and 40 μM clopidogrel whereas decreased as a response to 75 μM.
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Written comments received cited the MUC as areas where the Naval Medical Center San Diego EM program excelled and the successful JEMX evolutions as the most valuable curricular component of the MUC. CONCLUSION An integrated MUC with a capstone exercise, such as our JEMX, provides a feasible and effective educational experience that improves operational readiness of graduating EM residents. Published by Oxfor
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01) but not in those supplemented with formula milk before SSC (n=2). Secreted IgA in saliva was not affected by SSC. The PI was significantly elevated during SSC (P less then 0.01). Conclusion Our data indicate that SSC can reduce s-CgA levels when combined with mother’s breast milk and increase the PI in preterm infants, thereby providing additional evidence of the benefit of SSC.The study consisted of app
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Our outcomes suggest that OCT might be able to assess axonal loss after traumatic optic neuropathy. BMO-MRW measurement might be more sensitive than other analyses in the first two weeks after trauma and GCL might better monitor belated damage. Thus, it might be possible to combine all these set
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This work should guide the design of HEA-NPs to expand their potential applications in mechanical structures, medicine, catalysis, and energy storage/conversion.This paper describes a correlation between charge extraction and energy-level alignment at the interface of polymeric hole transport layers and perovskite active layers. By tailoring the composition of the conjugated backbone of the hole transport material,
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Two studies showed 100% sensitivity of ASL in the identification of residual or obliterated AVMs following stereotactic radiosurgery. CONCLUSIONS Despite limitations in the current evidence base and technical challenges, this review suggests that ASL has a promising role in the work-up and post-treatment follow-up of AVMs. Larger scale prospective studies assessing the diagnostic performance of ASL are warrante
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Delivering speeches is a critical skill that empowers individuals to share their thoughts with confidence. Whether you’re addressing a crowd, strong public speaking skills can elevate your effectiveness. will walk you through transforming into an outstanding public speaker.
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Thus, this Ad5-vectored SARS-CoV-2 vaccine candidate showed promising immunogenicity following delivery to mice by S.C. and I.N. routes of administration, supporting the further development of Ad-based vaccines against COVID-19 and other infectious diseases for sustainable global immunization programs.Healthcare professionals and government officials have advised the use of personal protective equipment, such as fac
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© 2020 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.INTRODUCTION Various biopsychosocial factors affect women’s preferences with respect to mode of birth, but they are usually not examined simultaneously and prospectively. In the current study, we assessed the contribution of personal characteristics of first-time mothers, their prior prenatal perceptions, events during birth, and subjective birth experiences, on thei
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n of A. spirocauda and reveal new insights into the spectrum of pathogens occurring in seal lice. Studies on vector competence of E. horridus, especially for bacterial pathogens, are essentially needed in the future as these pathogens might have detrimental effects on the health of seal populations. Furthermore, studies on the vector role of different echinophthiriid spe
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4 ± 0.6 vs. 2.1 ± 0.5, p=.000) and lower occurrence of new-onset atrial fibrillation (AF) (7.8% vs. 20.4%, p=.048). Multivariate analysis demonstrated that resting LVOT gradient at the last clinical check-up was an independent predictor of all-cause mortality (HR=1.021, 95%CI 1.002-1.040, p=.027).
This registry suggests that mildly symptomatic patients with HOCM treated w
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Background Emergency department (ED) visits are common for older patients with chronic, life-limiting illnesses and may offer a valuable opportunity for clinicians to initiate proactive goals of care conversations (GoCC) to ensure end-of-life care that aligns with the patients’ values, goals, and preferences. Objectives The purpose of this study is to assess whether GoCC are occurring with patients in Department of Veter
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The structures of the cytoplasmic domains from both FlhA and SctV are in the open state and we observe a conserved interaction between a short stretch of residues at the N-terminus of the cytoplasmic domain, known as FlhAL/SctVL, with a groove on the adjacent protomer’s cytoplasmic domain, which stabilises the nonameric ring assembly.
The Singapore national Advance Care Planning (ACP) program
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The extremely high transcript abundance of the MS5a maintains sufficient MS5a homodimers in the MS5a MS5b , causing the recovery of the male sterility. These findings provide substantial genetic and molecular evidence to improve our understanding of the mechanisms underlying the multiallelic inheritance of MS5, and enable the construction of a solid foundation for the improved us
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hthalmic & Physiological Optics © 2020 The College of Optometrists.Using molecular genetic information to guide population management can improve the sustainability of species in captivity. However, empirical population genetics has not been commonly applied to species management programs in zoos. One limitation may be the availability of genetic resources (e.g., markers, primers, etc.) for speci
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SDI occurred in 42% of all DIs. SDI
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Specifically, examples include programmed photoactive molecular architectures binding cations, anions and H-bonded neutral guests. In these systems the non-covalent molecular recognition adds onto the thermal and light stimuli, equipping the supramolecular architecture with an additional external trigger to select the desired configuration composition. © 2020 The Authors. Published by Wiley-VCH Verlag GmbH & Co
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Age (61+), Black race, hypertension, sepsis, and cancer were significant for all 4 procedures.
Several factors are independently associated with extended LOS for those undergoing the most common EGS procedures. Five of these were associated with an increased LOS for all four procedures. These included, age (61+), hypertension, sepsis, cancer, and Black race.
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Conclusions PHNETs are rare tumours that require multidisciplinary treatment approach. Liver directed surgery centred management leads to better clinical outcomes in these selected patients. Copyright © 2020 by The Korean Association of Hepato-Biliary-Pancreatic Surgery.Backgrounds/Aims Approximately 60-80% of patients with intrahepatic cholangiocarcinoma (iCCA) are not suitable for surgical resection due to advanced diseas
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In a rapidly-evolving world where knowledge is considered the ultimate tool, mastering challenging concepts has become more crucial than ever. Whether you’re a learner, a professional, or simply interested about a specific subject, learning how to break down intricate ideas is a indispensable skill. This article explore
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