292 results match your criteria poorest black

Socioeconomic Status and Survival in Nasopharyngeal Carcinoma: A Population-Based Study.

Laryngoscope 2021 Jun 23. Epub 2021 Jun 23.

Department of Otolaryngology-Head and Neck Surgery, Tulane University School of Medicine, New Orleans, Louisiana, U.S.A.

Objectives/hypothesis: To evaluate survival for nasopharyngeal carcinoma in relation to socioeconomic status.

Study Design: Retrospective cohort study using the Surveillance, Epidemiology, and End Results (SEER) Census Tract-level Socioeconomic Status Database (2000-2016).

Methods: Patients with nasopharyngeal carcinoma diagnosed between 2000 and 2016 were identified. Read More

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Forensic anthropology casework performance: Assessing accuracy and trends for biological profile estimates on a comprehensive sample of identified decedent cases.

J Forensic Sci 2021 Jun 23. Epub 2021 Jun 23.

Department of Anthropology, University of Illinois Urbana-Champaign, Urbana, IL, USA.

The purpose of this study was to investigate the accuracy rates and trends in forensic anthropology casework concerning the estimation of the biological profile (sex, age, ancestry, and stature). Identified cases from the Forensic Anthropology Database for Assessing Methods Accuracy (FADAMA; n = 359) were analyzed to explore the following: accuracy rates per biological profile component, case-level performance in assessing the biological profile, and factors related to inaccuracy rates. Accuracy rates for the four biological profile components ranged from 83% to 98%, with sex estimation performing the best and stature performing the poorest. Read More

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The impact of race, comorbid conditions and obesity on survival endpoints in women with high grade endometrial carcinoma.

Gynecol Oncol 2021 Jul 10;162(1):134-141. Epub 2021 May 10.

Wayne State University School of Medicine, Department of Oncology, Detroit, MI, USA; Karmanos Cancer Institute, Population Studies and Disparities Research Program, Detroit, MI, USA. Electronic address:

Objective: To estimate overall survival, disease-specific survival, and progression-free survival among high grade endometrial carcinoma cases and to determine factors impacting survival for non-Hispanic white and non-Hispanic black women.

Methods: We identified high grade endometrial carcinoma cases among non-Hispanic white and non-Hispanic black women from ongoing institutional studies, and determined eligibility through medical record and pathologic review. We estimated effects of demographic and clinical variables on survival outcomes using Kaplan Meier methods and Cox proportional hazards modelling. Read More

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Patients with geographic barriers to health care access are prescribed a higher proportion of drugs with pharmacogenetic testing guidelines.

Clin Transl Sci 2021 May 5. Epub 2021 May 5.

Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, Florida, USA.

Pharmacogenetic (PGx) testing may be particularly beneficial in medically underserved populations by reducing the number of appointments required to optimize drug therapy and increasing the effectiveness of less expensive off-patent drugs. The objective of this study was to identify patient populations with poor health care access and assess prescribing trends for drugs with published PGx testing guidelines. We used electronic health record data from 67,753 University of Florida Health patients, geographic access scores calculated via the 2-step floating catchment area method, and a composite measure of socioeconomic status. Read More

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Spectrophotometric evaluation of the efficacy of natural versus commercial bleaching agents.

Am J Dent 2021 04;34(2):75-79

Clinic Pergigian Kudat, Sabah, Malaysia.

Purpose: To compare the bleaching efficacy of in-office (Opalescence), professional home (LumiBrite), over the counter (WhiteLight) and natural (strawberry extract) bleaching agents.

Methods: 80 teeth were selected and divided into two groups which were stained with black coffee and red wine respectively. The stained specimens were subdivided into four subgroups to be bleached with Opalescence, LumiBrite, WhiteLight and strawberry extract. Read More

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Higher risk of death from COVID-19 in low-income and non-White populations of São Paulo, Brazil.

BMJ Glob Health 2021 04;6(4)

School of Geography and the Environment, University of Oxford, Oxford, UK.

Introduction: Little evidence exists on the differential health effects of COVID-19 on disadvantaged population groups. Here we characterise the differential risk of hospitalisation and death in São Paulo state, Brazil, and show how vulnerability to COVID-19 is shaped by socioeconomic inequalities.

Methods: We conducted a cross-sectional study using hospitalised severe acute respiratory infections notified from March to August 2020 in the database. Read More

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Covid-19 and the Brazilian Reality: The Role of Favelas in Combating the Pandemic.

Front Sociol 2020 17;5:611990. Epub 2020 Dec 17.

Psychology Graduate Program, Psychology Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

The consequences of coronavirus in favelas in Rio de Janeiro (Brazil) point to social inequality as a structuring factor in Brazilian society. The contagion spread and multiple death cases reveal the multiplicity of existence ways that cohabit the urban context, indicating that in many of these scenarios, access to decent housing, drinking water, and minimum income is not a reality and recommendations from international health agencies are challenging to implement. Against government technopolitics that drive different forms of death to the poorest, black communities, and slum dwellers, territorial insurgencies indicate other paths for the construction of a dignified life and access to fundamental rights, targeted solidarity practices, territorial political organization and the construction of specific public policies to deal with the effects of the virus which takes into account the particularities and distinct realities of the territory. Read More

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December 2020

Age-stratified seroprevalence of vaccine-preventable infectious disease in Saravan, Southern Lao People's Democratic Republic.

Int J Infect Dis 2021 Jun 14;107:25-30. Epub 2021 Apr 14.

Institut Pasteur du Laos, Rue Samsenthai, Vientiane, Laos. Electronic address:

Background: Lao People's Democratic Republic has frequent outbreaks of vaccine-preventable diseases (VPD). This study aimed to determine susceptibility and exposure to VPD in Saravan, a rural province with high ethnic diversity and some of the poorest health indicators nationwide.

Methods: Patients from three district hospitals and one provincial hospital were enrolled. Read More

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Sleep Problems, Cumulative Risks, and Psychological Functioning in Early Childhood.

J Pediatr Psychol 2021 Mar 19. Epub 2021 Mar 19.

Children's Hospital of Philadelphia.

Background: Sleep problems and cumulative risk factors (e.g., caregiver depression, socioeconomic disadvantage) have independently been linked to adverse child development, but few studies have examined the interplay of these factors. Read More

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Gender and racial disparities in colorectal cancer incidence and mortality: a national cancer registry study.

Int J Colorectal Dis 2021 Feb 22. Epub 2021 Feb 22.

Division of Gastroenterology, The Brooklyn Hospital Center, Brooklyn, NY, USA.

Introduction: The incidence of CRC is higher in minority racial and ethnic groups. However, studies assessing trends among sex and racial groups on the incidence and mortality of CRC are lacking. We aim to investigate disparities in CRC by reviewing a large national cancer registry. Read More

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February 2021

Density-dependence of nestling immune function and physiological condition in semi-precocial colonial bird: a cross-fostering experiment.

Front Zool 2021 Jan 29;18(1). Epub 2021 Jan 29.

Department of Biodiversity Studies and Bioeducation, Faculty of Biology and Environmental Protection, University of Lodz, Banacha 1/3, 90-237, Lodz, Poland.

Background: Nesting in large aggregations provides several important advantages for colonially breeding birds. However, it also imposes certain costs, associated with facilitated pathogen transmission and social stress. The cost-benefit ratio is not similar for all the birds in a colony and it might be mediated by nest density. Read More

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January 2021

Dimensions of Thermal Inequity: Neighborhood Social Demographics and Urban Heat in the Southwestern U.S.

Int J Environ Res Public Health 2021 01 22;18(3). Epub 2021 Jan 22.

Department of Landscape Design and Ecosystem Management, American University of Beirut, Bliss Street, Ras Beirut, POB 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon.

Exposure to heat is a growing public health concern as climate change accelerates worldwide. Different socioeconomic and racial groups often face unequal exposure to heat as well as increased heat-related sickness, mortality, and energy costs. We provide new insight into thermal inequities by analyzing 20 Southwestern U. Read More

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January 2021

Antenatal care in Southern Brazil: Coverage, trends and inequalities.

Prev Med 2021 04 21;145:106432. Epub 2021 Jan 21.

Universidade Federal de Pelotas, Marechal Deodoro 1160, 3rd floor, Pelotas, RS 96020-220, Brazil.

We described prenatal care quality for four indicators over a 12-years period among puerperae living in Southern Brazil. Five surveys including all women giving birth between 01/01 to 31/12 in 2007, 2010, 2013, 2016, and 2019 were conducted in Rio Grande, Rio Grande do Sul state, Brazil. A single standardized questionnaire was applied within 48 h after delivery in all the city's maternity hospitals. Read More

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Prevalence of antibodies against SARS-CoV-2 according to socioeconomic and ethnic status in a nationwide Brazilian survey.

Rev Panam Salud Publica 2020 29;44:e135. Epub 2020 Oct 29.

Universidade Federal de Pelotas Pelotas Brazil Universidade Federal de Pelotas, Pelotas, Brazil.

Objectives: To investigate socioeconomic and ethnic group inequalities in prevalence of antibodies against SARS-CoV-2 in the 27 federative units of Brazil.

Methods: In this cross-sectional study, three household surveys were carried out on May 14-21, June 4-7, and June 21-24, 2020 in 133 Brazilian urban areas. Multi-stage sampling was used to select 250 individuals in each city to undergo a rapid antibody test. Read More

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October 2020

Paternally Expressed Gene 10 (PEG10) Promotes Growth, Invasion, and Survival of Bladder Cancer.

Mol Cancer Ther 2020 10 26;19(10):2210-2220. Epub 2020 Aug 26.

The Vancouver Prostate Centre and Department of Urologic Sciences, University of British Columbia, Vancouver, British Columbia, Canada.

() has been associated with neuroendocrine muscle-invasive bladder cancer (MIBC), a subtype of the disease with the poorest survival. In this work, we further characterized the expression pattern of in The Cancer Genome Atlas database of 412 patients with MIBC, and found that, compared with other subtypes, mRNA level was enhanced in neuroendocrine-like MIBC and highly correlated with other neuroendocrine markers. PEG10 protein level also associated with neuroendocrine markers in a tissue microarray of 82 cases. Read More

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October 2020

Left Ventricular Mass Index Is Associated With Cognitive Function in Middle-Age: Bogalusa Heart Study.

Circ Cardiovasc Imaging 2020 08 10;13(8):e010335. Epub 2020 Aug 10.

Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA.

Background: Elevated cardiovascular disease risk factor burden is a recognized contributor to poorer cognitive function; however, the physiological mechanisms underlying this association are not well understood. We sought to assess the potential mediation effect of left ventricular (LV) remodeling on the association between lifetime systolic blood pressure and cognitive function in a community-based cohort of middle-aged adults.

Methods: Nine hundred sixty participants of the Bogalusa Heart Study (59. Read More

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Trends and survival outcomes of robotic, laparoscopic, and open surgery for stage II uterine cancer.

Int J Gynecol Cancer 2020 09 4;30(9):1347-1355. Epub 2020 Aug 4.

Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Introduction: A recent randomized clinical trial showed that minimally invasive surgery led to poorer survival compared with open surgery in early stage cervical cancer. We determined the trends in adoption of minimally invasive surgery and 5-year overall survival outcomes after open, laparoscopic-assisted, and robotic-assisted hysterectomy for stage II uterine cancer with cervical stromal involvement.

Methods: Data for patients with stage II uterine cancer were acquired from the National Cancer Database from 2010 to 2015. Read More

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September 2020

The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis.

Sports Med 2020 Oct;50(10):1813-1827

Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK.

Background: Concentrations of endogenous sex hormones fluctuate across the menstrual cycle (MC), which could have implications for exercise performance in women. At present, data are conflicting, with no consensus on whether exercise performance is affected by MC phase.

Objective: To determine the effects of the MC on exercise performance and provide evidence-based, practical, performance recommendations to eumenorrheic women. Read More

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October 2020

Effect of obesity on chronic venous insufficiency treatment outcomes.

J Vasc Surg Venous Lymphat Disord 2020 07 23;8(4):617-628.e1. Epub 2020 Apr 23.

Center for Vein Restoration, Greenbelt, Md.

Background: Obesity is a known risk factor for the development and progression of chronic venous disorders (CVDs). It is currently unknown whether the treatment outcomes, after an intervention for CVDs, are affected by obesity. The purpose of the present investigation was to assess the effectiveness of various CVD treatments in obese patients and determine what level of obesity is associated with poor outcomes. Read More

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Closing the inequality gaps in reproductive, maternal, newborn and child health coverage: slow and fast progressors.

BMJ Glob Health 2020 26;5(1):e002230. Epub 2020 Jan 26.

Global Health, Save the Children, Washington DC, District of Columbia, USA.

Introduction: Universal Health Coverage (UHC) is a critical goal under the Sustainable Development Goals (SDGs) for health. Achieving this goal for reproductive, maternal, newborn and child health (RMNCH) service coverage will require an understanding of national progress and how socioeconomic and demographic subgroups of women and children are being reached by health interventions.

Methods: We accessed coverage databases produced by the International Centre for Equity in Health, which were based on reanalysis of Demographic and Health Surveys, Multiple Indicator Cluster Surveys and Reproductive and Health Surveys. Read More

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January 2021

Effects of sample age on data quality from targeted sequencing of museum specimens: what are we capturing in time?

BMC Genomics 2020 Feb 28;21(1):188. Epub 2020 Feb 28.

Australian National University, Research School of Biology, Division of Ecology and Evolution, Acton, Canberra, ACT, 2600, Australia.

Background: Next generation sequencing (NGS) can recover DNA data from valuable extant and extinct museum specimens. However, archived or preserved DNA is difficult to sequence because of its fragmented, damaged nature, such that the most successful NGS methods for preserved specimens remain sub-optimal. Improving wet-lab protocols and comprehensively determining the effects of sample age on NGS library quality are therefore of vital importance. Read More

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February 2020

Management of Advanced-stage Hypopharyngeal Carcinoma: 25-Year Experience from a Tertiary Care Medical Center.

Cureus 2020 Jan 16;12(1):e6679. Epub 2020 Jan 16.

Radiation Oncology, University of Mississippi Medical Center, Jackson, USA.

Introduction Due to conflicting data in the literature, there is a continuing debate on whether advanced hypopharyngeal carcinoma patients should be treated with definitive surgery or chemoradiotherapy. The purpose of this study is to evaluate the management and outcomes of advanced hypopharyngeal carcinoma in a tertiary care institution over the last 25 years. Methods An Institutional Review Board (IRB)-approved and HIPPA-compliant retrospective analysis was performed of patients with advanced-stage squamous cell carcinoma of the hypopharynx treated at our institution between January 1994 and December 2018. Read More

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January 2020

Effective fisheries management instrumental in improving fish stock status.

Proc Natl Acad Sci U S A 2020 01 13;117(4):2218-2224. Epub 2020 Jan 13.

Fisheries and Aquaculture Department, Food and Agriculture Organization of the United Nations, 00153 Rome, Italy.

Marine fish stocks are an important part of the world food system and are particularly important for many of the poorest people of the world. Most existing analyses suggest overfishing is increasing, and there is widespread concern that fish stocks are decreasing throughout most of the world. We assembled trends in abundance and harvest rate of stocks that are scientifically assessed, constituting half of the reported global marine fish catch. Read More

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January 2020

Racial Differences in Disease Presentation and Management of Intracranial Meningioma.

J Neurol Surg B Skull Base 2019 Dec 21;80(6):555-561. Epub 2018 Dec 21.

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, United States.

 The aim of the study was to determine the impact of race on disease presentation and treatment of intracranial meningioma in the United States.  This study comprised of the analysis of a national population-based tumor registry.  Analysis of the surveillance, epidemiology, and end results (SEER) database was performed, including all patients identified with a diagnosis of intracranial meningioma. Read More

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December 2019

The downstream effects of state tobacco control policies on maternal smoking during pregnancy and birth outcomes.

Drug Alcohol Depend 2019 12 18;205:107634. Epub 2019 Oct 18.

Boston College, School of Social Work, McGuinn Hall, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA; Boston College, Department of Economics, Maloney Hall, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA; German Institute for Economic Research (DIW Berlin), Department of Macroeconomics, Mohrenstraße 58, 10117 Berlin, Germany.

Background: Research has demonstrated that the implementation of tobacco control policies is associated with improved birth outcomes. Ascertainment of prenatal smoking on the US birth certificate has changed over the past decade to record smoking across each trimester.

Methods: Using 2005-2015 birth certificate data on 26,436,541 singletons from 47 states and DC linked to state-level cigarette taxes and smoke-free legislation, we conducted conditional mixed-process models to examine the impact of tobacco control policies on prenatal smoking and quitting, then on the associated changes in birth outcomes. Read More

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December 2019

Effects of Social Disparities on Management and Surgical Outcomes for Patients with Secondary Hyperparathyroidism.

World J Surg 2020 02;44(2):537-543

Division of General Surgery, Department of Surgery, University Health Network, Toronto General Hospital, 10 En 214, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada.

Introduction: Nearly 80% of chronic renal failure patients have secondary hyperparathyroidism. Cinacalcet is used to lower parathyroid hormone; however, it is expensive and has side effects. When secondary hyperparathyroidism is resistant to medication or medications are inaccessible, parathyroidectomy is performed. Read More

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February 2020

Association of Pediatric Patient Demographic Factors and Scar Anatomic Features With Scar Outcomes After Surgical Repair of Cleft Lip.

JAMA Facial Plast Surg 2019 Sep;21(5):452-457

Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston.

Importance: Scar outcomes following cleft lip repair are an important component of pediatric patient and family satisfaction and indicate the need for future surgical interventions.

Objective: To assess the association of pediatric patient demographic factors and scar anatomic features with scar outcomes following cleft lip surgical repair.

Design, Setting, And Participants: A case-control study was conducted involving 58 pediatric patients who underwent surgical repair of a cleft lip from October 31, 2008, to August 4, 2016, at a tertiary care pediatric specialty hospital. Read More

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September 2019

Race and 1918 Influenza Pandemic in the United States: A Review of the Literature.

Int J Environ Res Public Health 2019 07 12;16(14). Epub 2019 Jul 12.

Work Research Institute, OsloMet-Oslo Metropolitan University, PO. Box 4, St. Olavs Plass, 0130 Oslo, Norway.

During epidemics, the poorest part of the population usually suffers the most. Alfred Crosby noted that the norm changed during the 1918 influenza pandemic in the US: The black population (which were expected to have higher influenza morbidity and mortality) had lower morbidity and mortality than the white population during the autumn of 1918. Crosby's explanation for this was that black people were more exposed to a mild spring/summer wave of influenza earlier that same year. Read More

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At the Intersection of Ethnicity/Race and Poverty: Knee Pain and Physical Function.

J Racial Ethn Health Disparities 2019 12 10;6(6):1131-1143. Epub 2019 Jul 10.

Department of Psychology, University of Alabama at Birmingham, 1300 University Boulevard, Campbell Hall, Room 237E, Birmingham, AL, 35294, USA.

Background: Knee osteoarthritis (OA) disproportionately affects racial and ethnic minorities. Non-Hispanic Blacks (NHB) report a higher prevalence and severity of knee OA symptoms than their non-Hispanic White (NHW) counterparts. The role of poverty in explaining this disparity remains unclear. Read More

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December 2019

Towards ending the US HIV epidemic by 2030: Understanding social determinants of health and HIV in Mississippi.

Glob Public Health 2020 01 21;15(1):31-51. Epub 2019 Jun 21.

Department of Medicine, Division of Infectious Diseases, University of Mississippi Medical Center, Jackson, MS, USA.

The disproportionate burden of HIV-related inequities borne by African Americans in the US South amplifies the role of social determinants of health (SDH) in shaping social patterning of illness. Despite some attention, SDH remain overlooked in a biomedically oriented, federal HIV policy. Mississippi is the poorest state with the worst HIV outcomes, nationally. Read More

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January 2020