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Racial Biases In Medical Decision-making Tools
Race adjustment, also known as race-correction, is the calculating of a result which takes into account race. It is commonly used in medical algorithms in several specialties, including cardiology, nephrology, urology, obstetrics, endocrinology, oncology and respiratory medicine. Examples include the eGFR to assess kidney function, the STONE score for the prediction of kidney stones, the FRAX tool, to evaluate the 10-year probability of bone fracture risk, and lung function tests, to identify the severity of lung disease. Types and medical uses Adjustments for race are commonly used in several medical specialties, including cardiology, nephrology, urology, obstetrics, endocrinology, oncology and respiratory medicine. Examples include the eGFR to assess kidney function, the STONE score for the prediction of kidney stones, the FRAX tool, to evaluate the 10-year probability of bone fracture risk, and lung function tests, to identify the severity of lung disease. Nephrology ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cardiology
Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in this field of medicine are called cardiologists, a specialty of internal medicine. Pediatric cardiologists are pediatricians who specialize in cardiology. Physicians who specialize in cardiac surgery are called cardiothoracic surgeons or cardiac surgeons, a specialty of general surgery. Specializations All cardiologists study the disorders of the heart, but the study of adult and child heart disorders each require different training pathways. Therefore, an adult cardiologist (often simply called "cardiologist") is inadequately trained to take care of children, and pediatric cardiologists are not trained to treat adult heart disease. Surgical aspects are not included in cardiology ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Great Chain Of Being
The great chain of being is a hierarchical structure of all matter and life, thought by medieval Christianity to have been decreed by God. The chain begins with God and descends through angels, humans, animals and plants to minerals. The great chain of being ( la, scala naturae, "Ladder of Being") is a concept derived from Plato, Aristotle (in his ''Historia Animalium''), Plotinus and Proclus. Further developed during the Middle Ages, it reached full expression in early modern Neoplatonism. Divisions The chain of being hierarchy has God at the top, above angels, which like him are entirely spirit, without material bodies, and hence unchangeable. Beneath them are humans, consisting both of spirit and matter; they change and die, and are thus essentially impermanent. Lower are animals and plants. At the bottom are the mineral materials of the earth itself; they consist only of matter. Thus, the higher the being is in the chain, the more attributes it has, including all the attrib ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Care Quality
Health care quality is a level of value provided by any health care resource, as determined by some measurement. As with quality in other fields, it is an assessment of whether something is good enough and whether it is suitable for its purpose. The goal of health care is to provide medical resources of high quality to all who need them; that is, to ensure good quality of life, cure illnesses when possible, to extend life expectancy, and so on. Researchers use a variety of quality measures to attempt to determine health care quality, including counts of a therapy's reduction or lessening of diseases identified by medical diagnosis, a decrease in the number of risk factors which people have following preventive care, or a survey of health indicators in a population who are accessing certain kinds of care. Definition Health care quality is the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes. Quality of care p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Race And Health In The United States
Research shows many health disparities among different racial and ethnic groups in the United States. Different outcomes in mental and physical health exist between all census-recognized racial groups, but these differences stem from different historical and current factors, including genetics, socioeconomic factors, and racism. Research has demonstrated that numerous health care professionals show implicit bias in the way that they treat patients. Certain diseases have a higher prevalence among specific racial groups, and life expectancy also varies across groups. Background The U.S. Census definition of race is often applied in biomedical research in the United States. According to the Census Bureau in 2018, race refers to one's self-identification with a certain racial group. The Bureau also specifies that its use of "race" is as a social concept, not a biological or anthropological one. The Census Bureau recognizes five races: Black or African American, White (European A ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Race And Health
Race and health refers to how being identified with a specific race influences health. Race is a complex concept that has changed across chronological eras and depends on both self-identification and social recognition. In the study of race and health, scientists organize people in racial categories depending on different factors such as: phenotype, ancestry, social identity, genetic makeup and lived experience. "Race" and ethnicity often remain undifferentiated in health research. Differences in health status, health outcomes, life expectancy, and many other indicators of health in different racial and ethnic groups are well documented. Epidemiological data indicate that racial groups are unequally affected by diseases, in terms or morbidity and mortality. Some individuals in certain racial groups receive less care, have less access to resources, and live shorter lives in general. Overall, racial health disparities appear to be rooted in social disadvantages associated with r ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Mount Sinai Beth Israel
Mount Sinai Beth Israel is a 799-bed teaching hospital in Manhattan. It is part of the Mount Sinai Health System, a nonprofit health system formed in September 2013 by the merger of Continuum Health Partners and Mount Sinai Medical Center, and an academic affiliate of the Icahn School of Medicine at Mount Sinai. History Beth Israel is Hebrew for "House of Israel." The hospital was incorporated as Beth Israel Hospital on May 28, 1890, by a group of 40 Orthodox Jews on the Lower East Side of Manhattan, each of whom paid 25 cents to set up a hospital dedicated to serving immigrant Jews living in the tenement slums of the Lower East Side of Manhattan. At the time, most of New York's hospitals would not treat Jewish patients. It initially opened a dispensary at 206 Broadway in 1891, and moved to Jefferson and Cherry Streets in 1895. On March 12, 1929, it moved to First Avenue and 16th Street, facing Stuyvesant Square, and the old building was converted into an old age home, the Ho ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Equity
Health equity arises from access to the social determinants of health, specifically from wealth, power and prestige. Individuals who have consistently been deprived of these three determinants are significantly disadvantaged from health inequities, and face worse health outcomes than those who are able to access certain resources. It is not equity to simply provide every individual with the same resources; that would be equality. In order to achieve health equity, resources must be allocated based on an individual need-based principle. According to the World Health Organization, "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity". The quality of health and how health is distributed among economic and social status in a society can provide insight into the level of development within that society. Health is a basic human right and human need, and all human rights are interconnected. Thus, health must be discussed ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Neil R
Neil is a masculine name of Gaelic and Irish origin. The name is an anglicisation of the Irish ''Niall'' which is of disputed derivation. The Irish name may be derived from words meaning "cloud", "passionate", "victory", "honour" or "champion".. As a surname, Neil is traced back to Niall of the Nine Hostages who was an Irish king and eponymous ancestor of the Uí Néill and MacNeil kindred. Most authorities cite the meaning of Neil in the context of a surname as meaning "champion". Origins The Gaelic name was adopted by the Vikings and taken to Iceland as ''Njáll'' (see Nigel). From Iceland it went via Norway, Denmark, and Normandy to England. The name also entered Northern England and Yorkshire directly from Ireland, and from Norwegian settlers. ''Neal'' or ''Neall'' is the Middle English form of ''Nigel''. As a first name, during the Middle Ages, the Gaelic name of Irish origins was popular in Ireland and later Scotland. During the 20th century ''Neil'' began to be used in Engl ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lundy Braun
Lundy Braun is professor of pathology and laboratory medicine, and Africana studies at Brown University, United States, who researches history of racial health disparities. She wrote ''Breathing Race Into the Machine: The Surprising Career of the Spirometer From Plantation to Genetics'' (2014), which looks at the history of correcting for race in spirometers, and for which she received the Ludwik Fleck Prize in 2018. Career Lundy Braun received her PhD from Johns Hopkins Bloomberg School of Public Health in 1982. Braun studies differences in health relating to race, and is professor of pathology and laboratory medicine and Africana studies. Her reviews of research around algorithms using race adjustments have found that race is not often defined, and she raises the question of the role of race in medicine. Her research paper "Defining race/ethnicity and explaining difference in research studies on lung function", published in the European Respiratory Journal in 2012, looked at ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Honor Smith
Honor Mildred Vivian Smith (13 November 1908 – 18 January 1995) was an English neurologist who specialised in the treatment of tuberculous meningitis. She worked and taught at the teaching hospitals of the University of Oxford, and was appointed OBE in 1962. Early life and education Honor Smith was born in Chigwell, Essex. She was the sixth of seven children born to Vivian Smith, 1st Baron Bicester, and Lady Sybil Mary McDonnell, the daughter of William Randal McDonnell, 6th Earl of Antrim. She had a passion for hunting, inspired by her father, but she decided to pursue a career in medicine, influenced by her mother, instead of becoming master of hounds for the Bicester hunt. She enrolled at the London School of Medicine for Women, where her mother's friend Lady Florence Barrett was dean. She received a BSc in 1937 and graduated from the Royal Free Hospital School of Medicine as MBBS in 1941. Career Smith began her medical career at the Elizabeth Garrett Anderson Hospital i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inquiries Into Human Faculty And Its Development
''Inquiries into Human Faculty and Its Development'' is an 1883 book by Francis Galton, in which he covers a variety of psychological phenomena and their subsequent measurement. In this text he also references the idea of eugenics Eugenics ( ; ) is a fringe set of beliefs and practices that aim to improve the genetic quality of a human population. Historically, eugenicists have attempted to alter human gene pools by excluding people and groups judged to be inferior or ... and coined the term for the first time (though he had published his ideas without the name many years earlier). External links Text and facsimile*Inquiries into Human Facility and its Development, ''Nature'' volume 28, pages97–98(1883) * {{psych-book-stub 1883 non-fiction books Eugenics Works by Francis Galton ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Francis Galton
Sir Francis Galton, FRS FRAI (; 16 February 1822 – 17 January 1911), was an English Victorian era polymath: a statistician, sociologist, psychologist, anthropologist, tropical explorer, geographer, inventor, meteorologist, proto-geneticist, psychometrician and a proponent of social Darwinism, eugenics, and scientific racism. He was knighted in 1909. Galton produced over 340 papers and books. He also created the statistical concept of correlation and widely promoted regression toward the mean. He was the first to apply statistical methods to the study of human differences and inheritance of intelligence, and introduced the use of questionnaires and surveys for collecting data on human communities, which he needed for genealogical and biographical works and for his anthropometric studies. He was a pioneer of eugenics, coining the term itself in 1883, and also coined the phrase " nature versus nurture". His book ''Hereditary Genius'' (1869) was the first social sc ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
