Pediatric Ocular Telehealth

Shah, Ankoor S.; Chan, R.V. Paul

doi:10.1016/b978-0-323-83204-5.00007-x

Cited by 2 publications

(2 citation statements)

References 41 publications

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“…Secondary outcomes included whether an individual had any telemedicine visits (yes/no), the number of audio-only telemedicine visits ( CPT 99441-99443), the number of telemedicine visits for mental health conditions (see the eMethods in Supplement 1 for codes that identified telemedicine mental health visits), and the number of total outpatient visits (telemedicine plus in-person) during the second pandemic year. Because of the digital divide, many have argued that audio-only visits are critical to maintaining access for disadvantaged groups . Several states have mandated reimbursement for audio-only visits to ensure equity .…”

Section: Methodsmentioning

confidence: 99%

Racial and Ethnic Differences in Telemedicine Use

Marcondes,

Normand,

Le Cook

et al. 2024

JAMA Health Forum

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ImportanceIndividuals of racial and ethnic minority groups may be less likely to use telemedicine in part due to lack of access to technology (ie, digital divide). To date, some studies have found less telemedicine use by individuals of racial and ethnic minority groups compared with White individuals, and others have found the opposite. What explains these different findings is unclear.ObjectiveTo quantify racial and ethnic differences in the receipt of telemedicine and total visits with and without accounting for demographic and clinical characteristics and geography.Design, Setting, and ParticipantsThis cross-sectional study included individuals who were continuously enrolled in traditional Medicare from March 2020 to February 2022 or until death.ExposureRace and ethnicity, which was categorized as Black non-Hispanic, Hispanic, White non-Hispanic, other (defined as American Indian/Pacific Islander, Alaska Native, and Asian), and unknown/missing.Main Outcomes and MeasuresTotal telemedicine visits (audio-video or audio); total visits (telemedicine or in-person) per individual during the study period. Multivariable models were used that sequentially adjusted for demographic and clinical characteristics and geographic area to examine their association with differences in telemedicine and total visit utilization by documented race and ethnicity.ResultsIn this national sample of 14 305 819 individuals, 7.4% reported that they were Black, 5.6% Hispanic, and 4.2% other race. In unadjusted results, compared with White individuals, Black individuals, Hispanic individuals, and individuals of other racial groups had 16.7 (95% CI, 16.1-17.3), 32.9 (95% CI, 32.3-33.6), and 20.9 (95% CI, 20.2-21.7) more telemedicine visits per 100 beneficiaries, respectively. After adjustment for clinical and demographic characteristics and geography, compared with White individuals, Black individuals, Hispanic individuals, and individuals of other racial groups had 7.9 (95% CI, −8.5 to −7.3), 13.2 (95% CI, −13.9 to −12.6), and 9.2 (95% CI, −10.0 to −8.5) fewer telemedicine visits per 100 beneficiaries, respectively. In unadjusted and fully adjusted models, and in 2019 and the second year of the COVID-19 pandemic, Black individuals, Hispanic individuals, and individuals of other racial groups continued to have fewer total visits than White individuals.Conclusions and RelevanceThe results of this cross-sectional study of US Medicare enrollees suggest that although nationally, Black individuals, Hispanic individuals, and individuals of other racial groups received more telemedicine visits during the pandemic and disproportionately lived in geographic regions with higher telemedicine use, after controlling for geographic region, Black individuals, Hispanic individuals, and individuals of other racial groups received fewer telemedicine visits than White individuals.

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Section: Methodsmentioning

confidence: 99%

Racial and Ethnic Differences in Telemedicine Use

Marcondes,

Normand,

Le Cook

et al. 2024

JAMA Health Forum

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“…The key data used in this study were published genome data available from the cited sources with the following detail for which GenBank accessions are noted where applicable: Symbiodinium microadriaticum CCMP2467 [ 8 ] (GSE152150), CassKB8 [ 3 ] (GCA_905221625) and 04-503SCI.03 [ 3 ] (GCA_905231925); Durusdinium trenchii CCMP2556 and SCF082 [ 9 ] ( ) [ 38 ]; Effrenium voratum RCC1521 (GCA_963377175), rt-383 (GCA_963377275) and CCMP421 (GCA_963377065) [ 5 ] ( ) [ 39 ]; and Polarella glacialis CCMP1383 [ 11 ] (GCA_905237085) and CCMP2088 [ 11 ] (GCA_905237095). Sources of other genome data are detailed in electronic supplementary material, table S1.…”

Section: Data Accessibilitymentioning

confidence: 99%

Gene duplication is the primary driver of intraspecific genomic divergence in coral algal symbionts

Shah,

Dougan,

Chen

et al. 2023

Open Biol.

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Dinoflagellates in the order Suessiales include the family Symbiodiniaceae, which have essential roles as photosymbionts in corals, and their cold-adapted sister group, Polarella glacialis . These diverse taxa exhibit extensive genomic divergence, although their genomes are relatively small (haploid size < 3 Gbp) when compared with most other free-living dinoflagellates. Different strains of Symbiodiniaceae form symbiosis with distinct hosts and exhibit different regimes of gene expression, but intraspecific whole-genome divergence is poorly understood. Focusing on three Symbiodiniaceae species (the free-living Effrenium voratum and the symbiotic Symbiodinium microadriaticum and Durusdinium trenchii ) and the free-living outgroup P. glacialis , for which whole-genome data from multiple isolates are available, we assessed intraspecific genomic divergence with respect to sequence and structure. Our analysis, based on alignment and alignment-free methods, revealed a greater extent of intraspecific sequence divergence in Symbiodiniaceae than in P. glacialis . Our results underscore the role of gene duplication in generating functional innovation, with a greater prevalence of tandemly duplicated single-exon genes observed in the genomes of free-living species than in symbionts. These results demonstrate the remarkable intraspecific genomic divergence in dinoflagellates under the constraint of reduced genome sizes, shaped by genetic duplications and symbiogenesis events during the diversification of Symbiodiniaceae.

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Pediatric Ocular Telehealth

Cited by 2 publications

References 41 publications

Racial and Ethnic Differences in Telemedicine Use

Racial and Ethnic Differences in Telemedicine Use

Gene duplication is the primary driver of intraspecific genomic divergence in coral algal symbionts

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