Mentions of diversity have become an essential part of every university and medical school’s mission statement. Yet, with such an emphasis on diversity, there is an evident absence of<br/>cultural competence education in the curricula of medical education. There is no clear answer of<br/>what is expected of physicians and no direct transitions for the different stages of medical<br/>training when it comes to cultural competence education. This is a vital issue, as there is a close<br/>relationship between the quality of patient care, patient adherence, and medical providers’ levels<br/>of cultural competence. This research analyzes the extent that cultural competence is taught at<br/>various points of the medical education cycle through a data analysis of an IRB approved<br/>questionnaire given to students within the medical education cycle and their value versus<br/>exposure of cultural competence.

Soccer is bar none, the most popular sport in the entire world. It is played, followed, and loved by virtually every single country on Earth. Despite this massive support for the sport which houses some of the world’s biggest names in the world, its shortcomings when dealing with issues of racial injustice and incidents of racist behavior have become more pronounced in recent years. Although this open discussion regarding racism within the sport has recently begun to sprout, its roots can be tied back to decades ago while continuing to the present day, with players, referees, coaches, fans, commentators, and more all involved on both sides of the issue. <br/> We found this topic to be most prevalent in today’s society after witnessing multiple shameful racist incidents that have occurred to some of the world’s biggest players throughout European football in 2019, as well as the recent ongoing fight for racial reform and increased awareness regarding racial injustice in the United States. By doing comprehensive research and<br/>analysis on such incidents that have occurred throughout the years we hope to raise more<br/>awareness regarding this subject that has plagued the beautiful game. In addition, we hope to<br/>offer ways to remedy the problem one step at a time, all while answering the tough, but necessary questions regarding what specifically should be done in the sport, that others have been afraid to talk about for far too long. Specifically, we wanted to mainly highlight the experience of black players, with a further discussion on other minority groups, in English and Italian football as these two leagues have been a part of the largest debate between how club traditions, player-fan interactions, league policies, and staff management have all affected the way we view the game as the endemic of racism within the sport is exacerbated.

Soccer is bar none, the most popular sport in the entire world. It is played, followed, and loved by virtually every single country on Earth. Despite this massive support for the sport which houses some of the world’s biggest names in the world, its shortcomings when dealing with issues of racial injustice and incidents of racist behavior have become more pronounced in recent years. Although this open discussion regarding racism within the sport has recently begun to sprout, its roots can be tied back to decades ago while continuing to the present day, with players, referees, coaches, fans, commentators, and more all involved on both sides of the issue. <br/> We found this topic to be most prevalent in today’s society after witnessing multiple shameful racist incidents that have occurred to some of the world’s biggest players throughout European football in 2019, as well as the recent ongoing fight for racial reform and increased awareness regarding racial injustice in the United States. By doing comprehensive research and analysis on such incidents that have occurred throughout the years we hope to raise more awareness regarding this subject that has plagued the beautiful game. In addition, we hope to offer ways to remedy the problem one step at a time, all while answering the tough, but necessary questions regarding what specifically should be done in the sport, that others have been afraid to talk about for far too long. Specifically, we wanted to mainly highlight the experience of black players, with a further discussion on other minority groups, in English and Italian football as these two leagues have been a part of the largest debate between how club traditions, player-fan interactions, league policies, and staff management have all affected the way we view the game as the endemic of racism within the sport is exacerbated.

The social determinants of health (SDOH) represent factors that impact the health and effectiveness/compliance of a treatment plan for a patient. The SDOH include such factors as economic stability, education, home and community context, access to healthcare, neighborhood and built environment, and personal behavior. The purpose of this study is to determine the extent of collection and integration of SDOH into clinical practice, and the usefulness of this information in medical decision making. Following a thorough literature review, an online survey was deployed to physicians and administrators around the country, with the aim of answering the following questions: 1) Do provider practices collect information on a patient's social determinants of health? 2) If yes, how is that information being used, if at all? 3) If not, what is preventing them from doing so? 4) Do the answers to questions 1-3 differ based on the type of payment model (Fee-for-Service or Capitation) to which the practice is subject? The results of the study suggest that fee-for-service payment environments present less incentive to use a patient's SDOH in medical decision making.

The Philippines relies on a vast biodiversity of fishes as a staple food, but like many countries around the globe, experiences severe “leakages” of contaminants and pollutants in the environment. In order to better understand the relationship between environmental pollutants and public health, this research project measured the concentration of pollutants in a commonly consumed local fish (Siganus fuscescens), and then evaluated the potential health risks of eating this fish based on estimated average consumer weight and consumption levels. Fish sampled from four different sites located in Negros Oriental, Philippines were analyzed for organic contaminants using gas chromatography and mass spectroscopy. Pollutants quantified included polycyclic aromatic hydrocarbons (PAHs), pesticides, phthalates, and polychlorinated biphenyl (PCBs). Across the four study sites, fishes from Manjuyod showed the highest frequency of detection of different pollutants. However, phthalates and PAHs were found in similar concentrations in all four sites, with fishes from Dumaguete showing the highest level of PCBs compared to the other sampled sites. The U.S. Environmental Protection Agency’s guide for fish contaminants pinpoints several health risks associated with the chronic ingestion of these contaminants. Based on estimated average body weights of Filipino adult men, adult women, and children, and various consumption levels, people who eat the fish at or above the national average consumption level may be at increased risk for chronic health outcomes, such as cancer and/or other adverse effects. Specifically, due to the high concentration of PCBs in Dumaguete, selected populations who eat local fish from this site may be at higher risk than the citizens who eat the fish from other sites at similar consumption rates. These results can help to inform local and national policies on water quality, waste disposal, and fish consumption advisory programs.

Cancer is a disease acquired through mutations which leads to uncontrolled cell division and destruction of normal tissue within the body. Recent increases in available cross-species data of cancer in mammals, reptiles, birds, and other vertebrates has revealed that the prevalence of cancers varies widely across species. Life-history theory suggests that there could be traits that potentially explain some of that variation. We are particularly interested in species that get very little cancer. How are they preventing cancer and can we learn from them how to prevent cancer in humans? Comparative oncology focuses on the analysis of cancer prevalence and traits in different non-human species and allows researchers to apply their findings to humans with the goal of improving and advancing cancer treatment. We incorporate the predictions that animals with larger bodies have evolved better cancer suppression mechanisms than animals with small bodies. Ruminants in the past were larger in size than modern day ruminants and they may have retained cancer defenses from their large ancestors. The strong cancer defenses and small body size combined may explain the low prevalence of cancer in Ruminants. This paper aims to evaluate the presence of benign and malignant neoplasia prevalence across multiple ruminant species following a time of dramatic decrease in body size across the clade. Our aim is to illuminate the potential impact that these shifts in body size had on their cancer prevalence as well as test the statistical power of other key life history variables to predict cancer prevalence.