Background: The purpose of this study is to report the clinical features and outcomes of Black/African American (AA) and Latino Hispanic patients with Coronavirus disease 2019 (COVID-19) hospitalized in an inter-city hospital in the state of New Jersey. Methods: This is a retrospective cohort study of AA and Latino Hispanic patients with COVID-19 admitted to a 665-bed quaternary care, teaching hospital located in Newark, New Jersey. The study included patients who had completed hospitalization between March 10, 2020, and April 10, 2020. We reviewed demographics, socioeconomic variables and incidence of in-hospital mortality and morbidity. Logistic regression was used to identify predictor of in-hospital death. Results: Out of 416 patients, 251 (60%) had completed hospitalization as of April 10, 2020. The incidence of In-hospital mortality was 38.6% (n = 97). Most common symptoms at initial presentation were dyspnea 39% (n = 162) followed by cough 38%(n = 156) and fever 34% (n = 143). Patients were in the highest quartile for population's density, number of housing units and disproportionately fell into the lowest median income quartile for the state of New Jersey. The incidence of septic shock, acute kidney injury (AKI) requiring hemodialysis and admission to an intensive care unit (ICU) was 24% (n = 59), 21% (n = 52), 33% (n = 82) respectively. Independent predictors of in-hospital mortality were older age, lower serum Hemoglobin < 10 mg/dl, elevated serum Ferritin and Creatinine phosphokinase levels > 1200 U/L and > 1000 U/L. Conclusions: Findings from an inter-city hospital's experience with COVID-19 among underserved minority populations showed that, more than one of every three patients were at risk for in-hospital death or morbidity. Older age and elevated inflammatory markers at presentation were associated with in-hospital death.
This article examines the role of traditional festivals in citizens’ consciousness of identity, solidarity and integration, with particular attention to the Ode festival, which is dedicated to the worship of the Obalatan deity in Oye-Ekiti. It supplements the scant literature on traditional festivals that have fostered social solidarity and intergroup relations through cultural identity among the Yorùbá people of southwest Nigeria. The study harnesses sociology, cultural anthropology and historical research methodology resources, including oral interviews, participant observation, photography, and video and tape recordings to document and interpret its data. The article investigates how the Ode festival fosters identity and solidarity among the people. It identifies the roles of religious festival performance, liturgy and rituals in terms of socio-cultural values, integration, and engaging identity. It is noted that the festival is the core of Oye people’s life, as it promotes solidarity, values, cooperation, relationships, and has functioned as a primary marker of the social and cultural identity of the people over time. It is a traditional and long-established festival that renews and expresses Oye kinship values and identity, and could be employed in significant new initiatives to promote national value, integration and unity.
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