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Practices of systemic and structural racism that advantage some groups over others are embedded in American society. Institutions of higher learning are increasingly being pressured to develop strategies that effectively address these inequities. This article examines medical education's diversity reforms and inclusion practices, arguing that many reify preexisting social hierarchies that privilege white individuals over those who are minoritized because of their race/ethnicity.

Drawing on the work of French theorist Michel Foucault, we argue that medical education's curricular and institutional practices reinforce asymmetrical power differences and authority in ways that disadvantage minoritized individuals. Practices, such as medical education's reliance on biomedical approaches, cultural competency, and standardized testing reinforce a racist system in ways congruent with the Foucauldian concept of "normalization." Through medical education's creation of

and its ability to normalize dominant forms and extra-institutionally. Such an intervention promises to take seriously the importance of anti-racist methodology in medicine.The aim of this study is to analyze the correlation between clinically significant histologic results and HPV in women with AGC in pap test. Of the 311 women confirmed as AGC, 111 women (35.7%) was identified as positive for HPV. In the AGC analysis, cervical lesions were significantly more common in HPV positive group compared to HPV negative group (61.2 vs. 10.5%, p  less then  0.001). In contrast, endometrial lesions were not associated with HPV infection (8.1 vs. 4.5%, p = 0.12). The HPV-DNA testing in women with AGC may be a useful tool for predicting clinically significant cervical lesions.

Hepatocellular carcinoma is the fourth most common cause of cancer-related death. However, the cross-talk between tumor immune microenvironment and hepatocellular carcinoma (HCC) remains unclear.

We analyzed the expression of miR-143-3p in exosomes from different HCC cell lines. Differentially expressed genes (DEGs) in Tumor-associated macrophages (TAMs) co-cultured with HCC cell lines were overlapped with miR-143-3p target genes. We used the Oncomine, Kaplan-Meier plotter, and The Cancer Genome Atlas (TCGA) databases to assess Myristoylated alanine-rich C-kinase substrate (MARCKS) expression in various types of cancers. The relationship between patient clinicopathological characteristics and MARCKS expression level was identified using the Kaplan-Meier plotter database. Last, we analyzed how MARCKS expression correlated with immune infiltration makers using the TCGA database, Tumor IMmune Estimation Resource (TIMER), and Gene Expression Profiling Interactive Analysis (GEPIA).

Exosomal miR-143-3p was elay influence the M2 polarization and immune escape.

The present study suggests that MARCKS on TAMs is associated with poor prognosis and immune cell infiltration in HCC.

The present study suggests that MARCKS on TAMs is associated with poor prognosis and immune cell infiltration in HCC.Measures designed to collect prevalence reports of sexual victimization need to be robust against variations of question context to yield valid findings. Previous research has examined variations in the order in which questions about unwanted sexual acts and questions about coercive tactics are presented. The current study examined potential effects of the order in which coercive tactics are presented on self-reported prevalence rates of sexual victimization. The following two versions of the Sexual Aggression and Victimization Scale (SAV-S), a validated measure for studying sexual aggression victimization and perpetration in college students, were used (a) the standard version in which the physical-force items were presented first and the items referring to the use of verbal pressure were presented last, and (b) a reversed order in which the verbal-pressure items were presented first and the physical-force items were presented last. Items referring to the exploitation of the victim's inability to resist were placed in the middle in both versions. In a sample of 856 participants from Germany (475 female, 381 male, mean age of 24 years), most of whom were university students, 80.4% of women and 55.3% of men reported at least one experience of sexual victimization since the age of 14. No order effects on overall victimization rates were found. For both genders, the victimization rate through verbal pressure was higher when this tactic was presented first. Victimization rates through the threat or use of force were higher in the force-first than in the force-last condition for women, but could not be tested for men due to small cell sizes. No order effects were found for both men and women on reports of victimization through exploiting the inability to resist. The implications of the results for the reliable measurement of sexual aggression are discussed.In the middle third of the 19th century, George Phillip Cammann became known for the stethoscope improvement that came to bear his name and for the development of the then-popular diagnostic technique of auscultatory percussion. During his postgraduate training at the Paris hospitals in 1828-1830, he acquired a special interest in auscultation while attending lectures given by a friend and colleague of Laennec's, French physician Pierre-Charles-Alexandre Louis (1787-1872). In his New York City practice, caring primarily for the working poor, he recognized the need for a better stethoscope and developed a modification that came to bear his name. He conducted research aimed at increasing the accuracy of physical diagnosis by improving and reporting on the technique of auscultatory percussion. An examination of the medical literature, both textbooks and journals, reveals the extent of influence that Cammann had on clinical practice resulting from his contributions to the improvement of the stethoscope and auscultatory percussion.Preference responses of cats for scratching fabrics commonly used on furniture were evaluated during four consecutive days in three Non-Governmental Organizations (NGOs) that rescue companion animals. Cats were grouped and their choices were registered at a group level (no individual identification). Daily choices for chenille, suede, synthetic leather, or waterproof grosgrain fabrics were evaluated for the cats' groups. A preference for chenille and non-preference for synthetic leather and waterproof grosgrain was found, independent of the NGO. Y-27632 chemical structure In conclusion, although not using chenille does not assure that cats stop scratching furniture - especially if no other option to scratch is available - synthetic leather and waterproof grosgrain seem to be less attractive fabrics for these animals. Further studies are needed to investigate whether these findings apply to cats in a home scenario, when just one or a few individuals are usually present and only one type of fabric covering furniture is commonly available.