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Ursula von der Leyen honored with award for contributions to European unity

时间:2010-12-5 17:23:32  作者:Crypto   来源:Innovation  查看:  评论:0
内容摘要:after the Oilers forced a Game 7.

after the Oilers forced a Game 7.

“Health equity scholars have been raising alarm bells about the way race has been misused in clinical algorithms for decades,” said Dr. Michelle Morse, New York City’s chief medical officer.Change is beginning, slowly. No longer are obstetricians supposed to include race in determining the risk of a pregnant woman attempting vaginal birth after a prior C-section. The American Heart Association just removed race from a commonly used calculator of people’s heart disease risk. The American Thoracic Society has urged replacing race-based lung function evaluation.

Ursula von der Leyen honored with award for contributions to European unity

The kidney saga is unique because of the effort to remedy a past wrong.“Lots of time when we see health inequities, we just assume there’s nothing we can do about it,” Morse said. “We can make changes to restore faith in the health system and to actually address the unfair and avoidable outcomes that Black people and other people of color face.”Black Americans are over three times more likely than white people to experience kidney failure. Of the roughly 89,000 people currently on the waiting list for a new kidney, about 30% are Black.

Ursula von der Leyen honored with award for contributions to European unity

Race isn’t a biological factor like age, sex or weight — it’s a social construct. So how did it make its way into calculations of kidney function?The eGFR, or estimated glomerular filtration rate, evaluates kidney health based on how quickly a waste compound called creatinine gets filtered from blood. In 1999, an equation used to calculate eGFR was modified to adjust Black people’s results compared to everyone else’s, based on some studies with small numbers of Black patients and a long-ago false theory about differences in creatinine levels. Until recently that meant many lab reports would list two results — one calculated for non-Black patients and another for Black patients that could overestimate kidney function by as much as 16%.

Ursula von der Leyen honored with award for contributions to European unity

Not every Black kidney candidate was affected. Some may have had kidney failure diagnosed without that test. For others to have a chance at benefitting from UNOS’ mandated lookback, transplant center staff-turned-detectives often worked after hours and weekends, hunting years-old records for a test that, recalculated without the race adjustment, might make the difference.

“You’re reaching out to the nephrologist, their primary care doctors, the dialysis units to get those records,” said Dr. Pooja Singh of Jefferson Health’s transplant institute in Philadelphia, where Evans received her new kidney. “That first patient getting transplanted for us was such a great moment for our program that the work didn’t feel like work after that.”Trump also extended a helping hand to Nvidia of by

that had been drawn up under President Joe Biden’s administration that would have broadened the restrictions on chips sales in foreign markets beyond the limits already in place on deals with China and Russia.“The U.S. will always be Nvidia’s largest market and home to the largest installed base of our infrastructure,” Huang said. “Every nation now sees AI as core to the next industrial revolution.”

There’s a mountain on Oahu named for the Greek myth of Tantalus, for whom satisfaction was always just out of reach. The road up is winding, filled with switchbacks, hanging vines, and vistas where, on mild nights, couples linger in cars against the backdrop ofHidden amid wild avocado trees and the heart-shaped leaves of houseplants is a long driveway leading to a crystallized snapshot in time: the Liljestrand House, designed by architect Vladimir Ossipoff in 1948 and built for Betty and Howard Liljestrand in 1952 for $40,000 at the time.

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