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).
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In today’s dynamic world, efficiency has become a crucial part of personal growth. Whether you’re a student, employee, or business owner, mastering productivity techniques can unlock greater successes. This article provides practical tips to boost your daily productivity, allowing you to accomplish your goals with less effort.<
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Increasing multimorbidity, especially cardiometabolic multimorbidity, and polypharmacy are associated with a higher risk of developing COVID-19. Those with multimorbidity and additional factors, such as non-white ethnicity,
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Our objectives were to (1) determine the prevalence of self-reported hearing, vision, and dual sensory (both vision and hearing) difficulties in older Canadian adults; (2) examine the association between self-report and behavioral sensory measures; and (3) controlling for behavioral sensory measures, examine variables that might explain the self-reported sensory difficulty, including age, sex, cultural background
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IntroductionBlockchain technology has become a trending topic in the digital world, intriguing businesses and individuals with its distinct attributes. Known for its lack of central authority, blockchain affords a safe and transparent way to conduct transactions. into the concepts of blockchain, its uses, and the potential it offers.
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Precisely identifying these tumors will improve clinical rehearse and instruct study. Hostile types of cancer often have unique pathologies, including intraductal carcinoma regarding the prostate (IDC-P) and ductal adenocarcinoma. Here, we examine the significance of these pathologies because they’re often overlooked, especiall
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Surgical site infection (SSI) is one of the most common complications after abdominal surgery. The present trial examined the efficacy of saline irrigation of open appendectomy wound with or without topical antibiotics in prevention of SSI.
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During median follow-up of 2.7 years (IQR 1.5-5.3) no cardiovascular death was observed. Mortality occurred in 1/40 (3%) and coronary related adverse events in 2/40 (5%). We identified 20 studies describing 1194 patients. Revascularization was performed in 376/1154 (32.6%) patients. Mortality stratified for clinical management was 23/431 (5.3%) in the non-revascularization versus 16/253 (6.3%) in the revascularizati
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The purpose of this study was to determine differences related to the offensive process between winning and losing teams among teams participating in the European Handball Federation Champions League (EHFCL) in 55 matches across five seasons. The key indicators used in this study are the offensive actions, team possession type and the zones of the field, goals, and shooting
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Gulf War Illness (GWI) is a chronic, multisymptom disorder estimated to affect approximately 25-32% of Gulf War veterans (GWVs). Cognitive dysfunction is a common symptom of GWI. On the continuum of cognitive decline, mild cognitive impairment (MCI) is conceptualized as a transitional phase between normal aging and dementia. Individuals with MCI exhibit cognitive decline but have relatively spared activities
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Aims To identify the clinical roles of CLDN10 in clear cell renal cell carcinoma (ccRCC). Materials & methods Using data from TCGA-KIRC, GEO DataSets and laboratory experiments to determine the prognostic and clinicopathological characteristics of CLDN10. Results CLDN10 expression was remarkably reduced in ccRCC. Downregulated CLDN10 was related to metastasis and poor prognosis. Multivariate Cox analysis determi
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Bilateral adrenal hemorrhage can lead to acute adrenal insufficiency. This is a rare complication in the post-operative setting, and we present a case in which it developed after a colectomy for perforated diverticulitis.
The patient is a 65-year-old female who presented with abdominal pain, nausea, emesis, and hematochezia, and CT scan showing sigmoid diverticulitis with peri-sigmoid abscess. After a
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A key initiating step in atherosclerosis is the accumulation and retention of apolipoprotein B complexing lipoproteins within the artery walls. In this work, we address this exact initiating mechanism of atherosclerosis, which results from the oxidation of low-density lipoproteins (oxLDL) using therapeutic nanogels. We present the development of biocompatible polyethylene glycol (PEG) cross-linked n
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These findings reveal how MD can predict how changes in the “second shell” residues around substrate binding sites influence affinity in simple protein structures. Our results reveal why seemingly identical ε subunits in different ATP synthases have radically different ATP binding affinities.
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The outbreak of the coronavirus (Covid-19) pandemic has seriously impacted negatively on the socio-economic and political activities in the international system. The pandemic has exposed the leadership capacities and health investments cum preparedness of countries across the globe. This paper studies the reactions and responses of nations in containing the deadly virus and observes that while Western nations reac
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Depression and somatization scores were higher in the parents of patients who perceived that “Treatment does not contribute to asthma control.” Somatization scores were higher among parents of patients who noted “Asthma will not pass in the long-term” and “I cannot control asthma.”
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Arene cyclopropanation offers a direct route to higher-order, non-aromatic carbocycles; however, the inherent issue of dictating site selectivity has cumbered the development of novel intermolecular reactions that directly engage the arene pool. This paper describes a highly regio- and stereoselective, Rh2[(S)-PTTL]4-catalyzed arene cyclopropanation using α-cyanodiazoacetates to afford stable norcaradienes bear
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A peek into quinoa has gained considerable popularity in recent years, becoming a staple in many nutrient-aware kitchens. This ancient grain is lauded for its rich nutrition profile and potential fitness benefits. Its growth to fame is largely due to its unique composition of essential amino acids, making it a complete protein
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The initial 12 US cases of CVST with thrombocytopenia after Ad26.COV2.S vaccination represent serious events. This case series may inform c
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This paper is the first in a series of publications. These investigate, whether important elements of the historiography of anesthesia require a critical reappraisal. A systematic, combined presentation, contextualization and assessment of recent European research is provided. This includes the author’s own findings. These emanate from two extensive projects. They combine very recent findings with results of earlier research
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Among the various types of EDs, the NERD were statistically significant with respect to Anorexia and Bulimia. The subscale concern for the silhouette was statistically significant with respect to the others. The SCOFF questionnaire showed a sensitivity of 91.6% and a specificity of 91.0% and the EDE-Q, 99.3% and 91.7% respectively.
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Introduction:Quantum computing is poised to transform the tech world. In contrast to classical computers that use bits, quantum computers leverage qubits, permitting them to be in multiple states simultaneously. is designed to demystify quantum computing.
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A high MTV was significantly associated with distant metastases (especially bone metastasis), C-reactive protein (CRP) level, and PD-L1 expression ≥ 75%. Metabolic tumor activity assessed as MTV from 18F-FDG uptake predicted the prognosis after first-line pembrolizumab treatment in patients with NSCLC and PD-L1 expression ≥ 50%, especially for adenocarcinoma.This study examined the genetic mutation and toxicant expo
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In today’s connected age, the relevance of online platforms cannot be overstated. Whether you are a marketer, harnessing the reach of social networking is essential for growth. This article will break down the fundamentals of a successful social media strategy, arming you with the knowledge needed to prosper in this comp
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Model evaluation was limited to internal validation in four studies and not reported in the fifth. Performance was inadequately reported with no useful measures of calibration nor formal evaluation of clinical usefulness. Critical appraisal using PROBAST revealed that all studies were subject to a high risk of bias overall driven by methodologic limitations in statistical analysis. This review demonstrates the
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Philip E. Ciddor and Reginald J. Hill published an analytical expression and a detailed procedure in 1999 on how to compute the group refractive index of air [Appl. Opt.38, 1663 (1999).APOPAI0003-693510.1364/AO.38.001663]. The International Association of Geodesy (IAG) has been referring to this procedure in its official recommendations for the compensation of the index of refraction in geodetic o
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Copyright © 2020 Chu, Montecillo and Bae.The cell membrane-coating strategy has opened new opportunities for the development of biomimetic and multifunctional drug delivery platforms. Recently, a variety of gold nanoparticles, which can combine with blood cell membranes, have been shown to provide an effective approach for cancer therapy. Meanwhile, this class of hybrid nanostructures can deceive the immunological syste
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