July 2020, Volume XXXIV, Number 4
Institutional racism in medicine
It’s time for changes
Institutional or systemic racism is defined as “the distribution of resources, power, and opportunity in our society to benefit white people and the exclusion of people of color.” Present-day racism is built on a long history of racially distributed resources. It’s a system that comes with a broad range of policies that keep it in place and is present in every element of society, including health care.
July 2020, Volume XXXIV, Number 4
Institutional racism in medicine: It’s time for changes
By Charles E. Crutchfield III, MD, et al.
Institutional or systemic racism is defined as “the distribution of resources, power, and opportunity in our society to benefit white people and the exclusion of people of color.” Present-day racism is built on a long history of racially distributed resources. It’s a system that comes with a broad range of policies that keep it in place and is present in every element of society, including health care.
cover story two
The seeds of a revolution: Telehealth and COVID19
By Bill Sonterre and Reid M. Haase, MHIM
Cardiology
Women’s heart health disparities: Gender-specific factors
By Courtney Jordan Baechler, MD
Every year, more women die of heart disease than from all forms of cancer, Alzheimer’s disease, and chronic lower respiratory disease combined. While heart disease is the leading cause of death for both women and men, regardless of race and ethnicity, women represent more than half of all cardiovascular-related deaths. Sixty-four percent of these women have had no previous symptoms. Unfortunately, the statistics speak for themselves. One woman dies every 80 seconds from cardiovascular disease.
The P Factor: A new framework for assessing mental health
By Brent Nelson, MD
Finding ways for accurate and consistent diagnosis in mental health has been sought since the emergence of self-awareness. For millennia we have struggled to understand who we are and how our internal experience matches with the reality of the external world. We work to describe the complexity of this experience so others can relate, understand, and interact. At times, our internal state or interactions with the external world do not match our expectations, which becomes distressing.
Health Care Policy
The 2020 legislative wrapup: Pandemic impacts deliberations
By Tom Hanson, JD, and John Reich
As the 2020 Minnesota legislative session gaveled in on Feb. 11, it was largely expected to be a quiet term. A balanced, two-year budget had passed the year before, the economy was humming, and, with an anticipated $1.3 billion surplus, there was no must-pass legislation. Passage of a bonding bill for infrastructure projects across the state was expected to be the highlight of the session.
Chronic lymphocytic leukemia: Updates in management
By Sandeep Jain, MBBS, MRCP, FRCP
Chronic lymphocytic leukemia (CLL) is characterized by an accumulation of small, mature lymphocytes in the blood, bone marrow, and lymphoid tissues. It is only distinguishable from small lymphocytic lymphoma (SLL) by the presence of leukemic cells in peripheral blood. CLL is the most prevalent leukemia in adults. According to the National Cancer Institute, an estimated 20,700 people were diagnosed with CLL in the United States in 2019. It is more prevalent in men than women and the median age of diagnosis is 70 years.
Cutaneous manifestations of COVID-19: Keeping the differential diagnosis open
By Phillip Keith, MD
Cutaneous manifestations of Coronavirus Disease 2019 (COVID-19) are being reported more frequently as the global pandemic unfolds. COVID-19 has been reported to have dermatologic manifestations including morbilliform exanthems, urticaria, livedoid and vesicular eruptions, and pernio-like changes in 0.2–20% of patients. The skin may also be affected in children with multisystem inflammatory syndrome (MIS-C).
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