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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Singapore was one of the earliest countries affected by COVID-19, outside China. EDs in Singapore faced a surge of confirmed cases of COVID-19 patients, which stretched their resources. Here we describe how we adopted strategic changes using the identify-isolate-inform tool to improve the evaluation, treatment and management of COVID-19 patients. During this pandemic, information technology integration, modifi
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Thoracoscopic Repair involving Neonatal Genetic Diaphragmatic Hernia: Decreasing Open up Restore within a Low-Income Region.
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In conclusion, wet ball milling coupling NaOH simultaneous treatment can be a promising pretreatment for cellulose nanomaterials preparation.Cost-effective treatment of flowback water remains a challenge for the sustainability of shale gas development. This study evaluated the efficiency of anaerobic granular sludge (AnGS) technology for flowback water treatment under mesophilic and thermophilic conditions. The granule characteristics
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le waste particulates as a potential civil infrastructural material.Rapid development of nanotechnology has been in high demand, especially for silver nanoparticles (AgNPs) since they have been proven to be useful in various fields such as medicine, textiles, and household appliances. AgNPs are very important because of their unique physicochemical and antimicrobial properties, with a myriad of activities th
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This study aims to benchmark and analyze the process development and manufacturing costs across the biopharmaceutical drug development cycle and their contribution to overall research and development (R&D) costs. This was achieved with a biopharmaceutical drug development lifecycle cost model that captured the costs, durations, risks and interdependencies of the clinical, process development and
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Dental pulp stem cells are a type of adult stem cells with strong proliferative ability and multi-differentiation potential. There are no studies on treatment of vascular dementia with dental pulp stem cells. In the present study, rat models of vascular dementia were established by two-vessel occlusion, and 30 days later, rats were injected with 2 × 107 dental pulp stem cells via the tail vein. At 70 days af
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The underlying mechanisms of circular RNAs (circRNAs) in lipid metabolism regulation and the pathogenesis of lipid disorder diseases are clarified in this review. circRNAs are produced from host genes by back splicing and are mainly degraded by RNase L. circRNAs act as molecular sponges or scaffolds that bind with microRNAs or proteins and thus affect the intracorporeal processes of lipid metabolism. CircRNA_1
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Background Parents are increasingly searching online for information supported by research but can find it difficult to identify results relevant to their own experiences. More troublingly, a number of studies indicate that parenting information found online often can be misleading or wrong. The goal of the Parenting Science Gang (PSG) project was to use the power of the Internet to help parents ask questions they
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It is important to mention that due to the scarcity and poor methodological quality of existing evidence, it is difficult at this time to draw firm conclusions regarding its effectiveness and relevance.Pervasive human and organizational factors (HOFs) within the public sectors play a vital role in the prevention and control of epidemic (PCE). Insufficient analysis of HOFs has helped continue the use of flawed precaut
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Implications for race and nationality as dynamic social constructs within ethnocentric and social identity theories are discussed.The inclusion of the video assistant referee (VAR) in the Laws of the Game [International Football Association Board (IFAB)] reflects a historic action in the world of soccer. The VAR was designed to reduce critical errors in soccer referees’ decision-making (DM), thereby increasing the socia
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Public speaking is a essential skill that numerous professionals aspire to excel in. Whether giving a speech in the workplace, addressing a large crowd, or speaking in a team meeting, persuasive communication can elevate your confidence and convey your message. In this article, we’ll explore the main strategies for improving
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Crosstalk between cellular pathways is often mediated through scaffold proteins that function as platforms for the assembly of signaling complexes. Based on yeast two-hybrid analysis, we report here the interaction between two complex scaffold proteins, CREB-binding protein (CBP) and the Ras GTPase-activating-like protein 1 (IQGAP1). Dissection of the interaction between the two proteins reveals that the
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Pancreatic cancer is a gastrointestinal tumor with the highest malignancy and few diagnostic and prognostic markers. Patients with disease have a 5-year survival rate that is not more than 10%. As a research hotspot in recent years, miRs (microRNAs) are differentially expressed in various tumors, so they can be used as the potential diagnostic and prognostic markers. In this study, differentially expressed miRs in patients
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For decades, neurologists have been advocating that anyone with acute focal deficits report immediately to the closest hospital’s emergency room. Major advancements in the hyperacute diagnosis and treatment of stroke have justified our call-to-action slogan of “Time is Brain”-faster therapy leads to superior outcomes. However, this mantra has been recently usurped by the catchphrase “Stay at Home” during the coronavi
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In this rapidly evolving environment, critical thinking has become an indispensable skill for success, whether in the workplace or daily personal life. Understanding and mastering this proficiency can differentiate you, deliver focus, and lead to actionable decisions. In this article, we will explore effective technique
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As the world’s population rapidly ages, the number of older adults with cognitive impairment will also increase. Several studies have identi
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This single-centre, prospective, observational study included patients presenting to the retina clinic at the Hamilton Regional Eye Institute, a major tertiary ref
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73 ± 20.35 µA cm-2, at 0 mV). These results indicate that S-MFC treating urine can only be scaled-up to an electrode height of around 5-6 cm before the performance is negatively affected. PURPOSE The aim of the present study was to evaluate whether texture features extracted from 18F-FDG PET/CT images may provide additional prognostic information in patients with metastatic na
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The purpose of the conducted experiments was to test the selected properties of materials intended for porous sintered bearings containing layered materials in the form of powders with an average particle size of 0.5-1.5 μm, with very good tribological properties. The subject of the research was a sinter based on iron powder with the addition of layered materials; molybdenum disulfide MoS2 (average particle size
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Tumor cells are rich in antigens, which provide a reliable antigen library for the design of personalized vaccines. However, an effective tumor vaccine vector that can efficiently deliver antigens to lymphoid organs to stimulate strong CD8+ cytotoxic T-lymphocyte immune response is still lacking. Here we designed a dual-antigen delivery system based on hepatitis B virus core antigen virus
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In contrast, excessive media consumption, female gender, work in amedical context, suppression, pre-existing diseases, unhealthy behavior and closer exposure to the virus are often accompanied by more severe anxiety.
Fears should be observed and addressed in order to reduce pathological processes, especially in vulnerable groups. It is advisable to promote resilience fact
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With age, female fertility becomes sensitive to high-intensity exercise and poor sleep quality. Adnexal surgery and alcohol drinking are two important risk factors for female fertility in women under age 37years.
With age, female fertility becomes sensitive to high-intensity exercise and poor sleep quality. Adnexal surgery and alcohol drinking are two important risk factors for female fertility in women
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by gut microbiota.In the original article […].Since its discovery, interleukin-1 has been extensively studied in a wide range of medical fields. Besides carrying out vital physiological functions, it has been implicated with a pivotal role in the progression and spreading of different cancer entities. During the last years, several clinical trials have been conducted, shedding light on the role of IL-1 blocking agents for the treatment of ca
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These findings suggest that response variations during a sequence of task-repeat trials can trigger the increase in cognitive control that promotes the efficiency of followed task switching.
India has experienced a recent sharp increase in diabetes/pre-diabetes. We conducted a systematic-review and meta-analyses to describe the most recent prevalence and trends o
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Visual Thinking Strategies (VTS) is a methodology designed to teach critical thinking, communication, and visual literacy. The Fine Art of Health Care is a VTS-based educational program that brings students from various health-care disciplines to the Lowe Art Museum at the University of Miami in Florida. Twenty-six nurse anesthesia, medical, physical therapy, nursing, and psychology students participate
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BACKGROUND Verrucous or hypertrophic lichen planus is a chronic inflammatory skin disease characterized by extremely pruritic thick hyperkeratotic plaques and is resistant to topical treatment. PATIENTS AND METHODS Herein, we report three clinical cases of hypertrophic lichen planus successfully treated with a combination of topical steroids daily in occlusion and trichloroacetic acid (TCA) 50% with peeli
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The stability of the nanowire biosensor under laser amplification demonstrated 96% of its initial responses after 6 weeks of maintenance. Graphical abstract.Purpose It is known that childhood maltreatment and problematic eating behaviors are higher in bariatric surgery patients compared to over- and normal-weight persons. The aim of the study is to investigate the relationship between childhood maltreatment and problemat
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The aim of the study was to estimate the prevalence of pelvic insufficiency fractures (PIFs) after radiation therapy (RT) in patients with cervical cancer.
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