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Introduction: We investigated whether retinal capillary perfusion is a biomarker of cerebral small vessel disease and impaired cognition among Black Americans, an understudied group at higher risk for dementia.
Methods: We enrolled 96 Black Americans without known cognitive impairment. Four retinal perfusion measures were derived using optical coherence tomography angiography. Neurocognitive assessment and brain magnetic resonance imaging (MRI) were performed. Multiple linear regression analyses were performed.
Results: Lower retinal capillary perfusion was correlated with worse Oral Symbol Digit Test (P < = 0.005) and Fluid Cognition Composite scores (P < = 0.02), but not with the Crystallized Cognition Composite score (P > = 0.41). Lower retinal perfusion was also correlated with higher free water and peak width of skeletonized mean diffusivity, and lower fractional anisotropy (all P < 0.05) on MRI (N = 35).
Discussion: Lower retinal capillary perfusion is associated with worse information processing, fluid cognition, and MRI biomarkers of cerebral small vessel disease, but is not related to crystallized cognition.
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http://dx.doi.org/10.1002/alz.13469 | DOI Listing |
JAMA Netw Open
September 2025
Division of Critical Care Medicine, Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Importance: Lower survival rates among Black adults relative to White adults after in-hospital cardiac arrest are well-described, but these findings have not been consistently replicated in pediatric studies.
Objective: To use a large, national, population-based inpatient database to evaluate the associations between in-hospital mortality in children receiving cardiopulmonary resuscitation (CPR) and patient race or ethnicity, patient insurance status, and the treating hospital's proportion of Black and publicly insured patients.
Design, Setting, And Participants: This retrospective population-based cohort study used the Healthcare Cost and Utilization Project Kids' Inpatient Database (1997-2019 triennial versions).
JAMA Cardiol
September 2025
Seymour, Paul and Gloria Milstein Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center and New York-Presbyterian Hospital, New York, New York.
Importance: Transthyretin cardiac amyloidosis (ATTR-CA) is an underdiagnosed but treatable cause of heart failure (HF) in older individuals that occurs in the context of normal wild-type (ATTRwt-CA) or an abnormal inherited (ATTRv-CA) TTR gene variant. While the most common inherited TTR variant, V142I, occurs in 3% to 4% of self-identified Black Americans and is associated with excess morbidity and mortality, the prevalence of ATTR-CA in this at-risk population is unknown.
Objective: To define the prevalence of ATTR-CA and proportions attributable to ATTRwt-CA or ATTRv-CA among older Black and Caribbean Hispanic individuals with HF.
J Youth Adolesc
September 2025
University of California, Davis, CA, USA.
School interethnic climate has interpersonal and intrapersonal implications for adolescent development, but little is known of how it influences their psychological adjustment over time, let alone what drives this influence. This study examined whether two components of identity-school belonging perceptions and ethnic-racial identity beliefs-mediate the association between 10th grade perceptions of school interethnic climate and 12th grade psychological adjustment. The analytic sample includes 849 students (50% girls; 30% Latinx, 27% White, 16% Asian/Pacific Islander, 18% Multiethnic, 6% African American/Black, 3% Other).
View Article and Find Full Text PDFJ Healthc Sci Humanit
January 2024
COVID-19 imploded the notion of educational equity, as school closures forced educational institutions to grapple with the equity of specific policies, subsequently reigniting a national and international discourse on systemic racism. Because of the uncertainty and debilitating impact of COVID-19 on schools, testing facilities, students, and the American economy, educational institutions temporarily suspended, staunch rules and institutional norms. Entry and exit exams that would otherwise serve as systemic barricades, historically precluding Black Americans from gaining entrance into the bastions of white privilege, became subject to white reprieves.
View Article and Find Full Text PDFJ Healthc Sci Humanit
January 2024
Atlanta VA Medical Center, Atlanta, GA.
The 2019 novel coronavirus disease (COVID-19) has brought to the forefront racial disparities in health outcomes across the US, but there is limited formal analysis into factors associated with these disparities. In-depth examination of COVID-19 disparities has been challenging due to inconsistent case definition, isolation procedures, and incomplete racial and medical information. As of June 2020, over 14,000 (25%) confirmed COVID-19 cases in Georgia did not have racial information.
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