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Mabel Jones and the Doomsday Book
Mabel Jones and her pirate crewmates race an elusive creature known as Von Klaar to find the Doomsday Book, a guidebook used to wipe out humanity.
Book
Cultural Competency Interventions During Medical School: a Scoping Review and Narrative Synthesis
Many medical accreditation bodies agree that medical students should be trained to care for diverse patient populations. However, the teaching methods that medical schools employ to accomplish this goal vary widely. The purpose of this work is to summarize current cultural competency teaching for medical students and their evaluation methods. A scoping review was completed by searching the databases PubMed, Scopus, MedEdPORTAL, and MEDLINE for the search terms “medical education” and “cultural competency” or “cultural competence.” Results were summarized using a narrative synthesis technique. One hundred fifty-four articles on cultural competency interventions for medical students were systematically identified from the literature and categorized by teaching methods, length of intervention, and content. Fifty-six articles had a general focus, and ninety-eight articles were focused on specific populations including race/ethnicity, global health, socioeconomic status, language, immigration status, disability, spirituality at the end of life, rurality, and lesbian, gay, bisexual, transgender, and queer. About 54% of interventions used lectures as a teaching modality, 45% of the interventions described were mandatory, and 9.7% of interventions were not formally evaluated. The authors advocate for expansion and more rigorous analysis of teaching methods, teaching philosophies, and outcome evaluations with randomized controlled trials that compare the relative effectiveness of general and population-specific cultural competency interventions.
Journal Article
The unlikely adventures of Mabel Jones
\"Mabel Jones finds herself aboard the Feroshus Maggot--a ship crewed by the strangest bunch of pirates you'd (never) want to meet. She then has to find pieces of an X-shaped puzzle that in her hands could be her ticket home, but in the hands of Captain Split, they'd give him the power to assemble a pirate militia to take over London!\"-- Provided by publisher.
Book
Correction: Coping with COVID-19: Differences in hope, resilience, and mental well-being across U.S. racial groups
[This corrects the article DOI: 10.1371/journal.pone.0267583.].
Journal Article
Understanding contributors to racial and ethnic inequities in COVID-19 incidence and mortality rates
Racial inequities in Coronavirus 2019 (COVID-19) have been reported over the course of the pandemic, with Black, Hispanic/Latinx, and Native American individuals suffering higher case rates and more fatalities than their White counterparts.
We used a unique statewide dataset of confirmed COVID-19 cases across Missouri, linked with historical statewide hospital data. We examined differences by race and ethnicity in raw population-based case and mortality rates. We used patient-level regression analyses to calculate the odds of mortality based on race and ethnicity, controlling for comorbidities and other risk factors.
As of September 10, 2020 there were 73,635 confirmed COVID-19 cases in the State of Missouri. Among the 64,526 case records (87.7% of all cases) that merged with prior demographic and health care utilization data, 12,946 (20.1%) were Non-Hispanic (NH) Black, 44,550 (69.0%) were NH White, 3,822 (5.9%) were NH Other/Unknown race, and 3,208 (5.0%) were Hispanic. Raw cumulative case rates for NH Black individuals were 1,713 per 100,000 population, compared with 2,095 for NH Other/Unknown, 903 for NH White, and 1,218 for Hispanic. Cumulative COVID-19-related death rates for NH Black individuals were 58.3 per 100,000 population, compared with 38.9 for NH Other/Unknown, 19.4 for NH White, and 14.8 for Hispanic. In a model that included insurance source, history of a social determinant billing code in the patient's claims, census block travel change, population density, Area Deprivation Index, and clinical comorbidities, NH Black race (OR 1.75, 1.51-2.04, p<0.001) and NH Other/Unknown race (OR 1.83, 1.36-2.46, p<0.001) remained strongly associated with mortality.
In Missouri, COVID-19 case rates and mortality rates were markedly higher among NH Black and NH Other/Unknown race than among NH White residents, even after accounting for social and clinical risk, population density, and travel patterns during COVID-19.
Journal Article
الثورة بلا قيادات : كيف سيبادر الناس العاديون إلى تولي السلطة وتغير السياسة في القرن الواحد والعشرين
كتاب \"الثورة بلا قيادات\" هذا دعوة لنا جميعا إلى التحرك، هو كتاب استثنائي الجرأة يرى أن على المواطنين الأفراد أن يبادروا إلى اجتراح التغيير بأنفسهم، عبر أفعالهم هم، وبالتعاون مع آخرين، بدلا من التعويل على أنظمة سياسية واقتصادية خائبة. وهذا الكتاب يقترح تحركا للجميع، في كل الأمكنة؛ تحركا لكل من يشعر يشعر بأنه مهمل من قبل حكومة خاضعة لهيمنة مصالح الشركات، ولنظام اقتصادي منحاز إلى صف الربح والجشع. بالإفادة من قصص درامية مثيرة من الولايات المتحدة، وأوروبا، وغيرهما من الأمكنة في طول العالم وعرضه، يتولى كارني روس مهمة التصدي لنزعة التفاؤل الساذج لدى دعاة العولمة ومروجيها، فالهشاشة الاقتصادية السائبة، والأخطار الأبدية، واللامساواة الطاغية، والتغييرات المناخية المتسارعة توحي بأن عالمنا موشك على الانزلاق إلى حقبة أزمة خطرة وطويلة ما لم تحل أفعال وتحركات جذرية محل الصبر اللامحدود، وبالاستناد إلى تجارب روس الشخصية العميقة في مجال العنف السياسي والحرب، كما في خيبته المؤلمة مع الحكم والإدارة، فإن كتاب \"الثورة بلا قيادات\" يقدم رؤية حافزة وداعمة جديدة حول مدى قدرة المواطنين، بأفعالهم الخاصة، على وضع الأمور في نصابها الصحيح.
Book
Dialysis Service in the Embattled Tigray Region of Ethiopia: A Call to Action
Haemodialysis is extremely limited in low-income countries. Access to haemodialysis is further curtailed in areas of active conflict and political instability. Haemodialysis in the Tigray region of Ethiopia has been dramatically affected by the ongoing civil war. Rapid assessment from the data available at Ayder Hospital’s haemodialysis unit registry, 2015–2021, shows that enrollment of patients in the haemodialysis service has plummeted since the war broke out. Patient flow has decreased by 37.3% from the previous yearly average. This is in contrary to the assumption that enrollment would increase because patients could not travel to haemodialysis services in the rest of the country due to the complete blockade. Compared to the prewar period, the mortality rate has doubled in the first year after the war broke out, i.e., 28 deaths out of 110 haemodialysis recipients in 2020 vs. 43 deaths out of 81 haemodialysis recipients in the year 2021. These untoward outcomes reflect the persistent interruption of haemodialysis supplies, lack of transportation to the hospital, lack of financial resources, and the unavailability of basic medications due to the war and the ongoing economic and humanitarian blockade of Tigray in Northern Ethiopia. In the setting of this medical catastrophe, the international community should mobilize to advocate for resumption of life-saving haemodialysis treatment in Ethiopia’s Tigray region and put pressure on the Ethiopian government to allow the passage of life-saving medicines, essential medical equipment, and consumables for haemodialysis into Tigray.
Journal Article
Poverty and Place
This bookexamines ways in which cancer health disparities exist due to class and context inequities even in the most advanced society of the world.This volume, while articulating health disparities in the St.Louis, Missouri metropolitan area, including East St.Louis, Illinois, seeks to move beyond deficit models to focus on health equity.
eBook
Effects of Phosphate Binder Therapy on Vascular Stiffness in Early-Stage Chronic Kidney Disease
Background/Aims: Cardiovascular disease (CVD) is increased in chronic kidney disease (CKD), and contributed to by the CKD-mineral bone disorder (CKD-MBD). CKD-MBD begins in early CKD and its vascular manifestations begin with vascular stiffness proceeding to increased carotid artery intima-media thickness (cIMT) and vascular calcification (VC). Phosphorus is associated with this progression and is considered a CVD risk factor in CKD. We hypothesized that modifying phosphorus balance with lanthanum carbonate (LaCO 3 ) in early CKD would not produce hypophosphatemia and may affect vascular manifestations of CKD-MBD. Methods: We randomized 38 subjects with normophosphatemic stage 3 CKD to a fixed dose of LaCO 3 or matching placebo without adjusting dietary phosphorus in a 12-month randomized, double-blind, pilot and feasibility study. The primary outcome was the change in serum phosphorus. Secondary outcomes were changes in measures of phosphate homeostasis and vascular stiffness assessed by carotid-femoral pulse wave velocity (PWV), cIMT and VC over 12 months. Results: There were no statistically significant differences between LaCO 3 and placebo with respect to the change in serum phosphorus, urinary phosphorus, tubular reabsorption of phosphorus, PWV, cIMT, or VC. Biomarkers of the early CKD-MBD such as plasma fibroblast growth factor-23, Dickkopf-related protein 1 (DKK1), and sclerostin were increased 2- to 3-fold at baseline, but were not affected by LaCO 3 . Conclusion: Twelve months of LaCO 3 had no effect on serum phosphorus and did not alter phosphate homeostasis, PWV, cIMT, VC, or biomarkers of CKD-MBD.
Journal Article