Pharmacist

Target Audience: Neurologists

In this online, self-learning activity:

Over the past few decades, cultural competence has been defined in a variety of ways, including in the recent appearance of the closely related terms, cultural humility and cultural competemility. According to the Centers for Disease Control and Prevention, cultural competence is a “set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations.” In the setting of healthcare, practicing cultural competence can improve the ability of HCPs to meet the social, cultural, and linguistic needs of patients, which may ultimately improve provider competence and health outcomes among diverse groups of patients with unique sociocultural identities, including race, ethnicity, gender, and sexual orientation.

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Since the discovery and development of vaccines, historical leaps have been made on public health, contributing to longevity and reduced burden of infectious diseases. Ever since the World Health Organization (WHO) launched the Expanded Program on Immunization in 1974, 154 million deaths from smallpox, tuberculosis, measles, and other infectious diseases have been avoided, especially in children under the age of 5. Between 2000 to 2019, immunization has expanded its reach in infectious targets and helped prevent about 37 million deaths from 10 vaccine-preventable deaths. Despite vaccines being a cost-effective method for reducing severe consequences of infection and high-cost treatments, vaccination rates have been decreasing amongst the general public, failing to meet national and global goals. The cause is multi-factorial and complex, requiring understanding in human behavior, internal biases, and external circumstances to explore how an individual navigates the process of deciding whether or not to be vaccinated.

In this online, self-learning activity:

Nasopharyngeal carcinoma (NPC) is a rare form of head and neck cancer, with 133,000-176,000 new cases diagnosed worldwide each year. Although relatively uncommon in the United States with an age-standardized incidence rate of 0.41 per 100,000 population, NPC is endemic to certain geographic regions, such as southern China, Southeast Asia, and North Africa. Several risk factors for NPC have been identified, including consumption of salted fish, alcohol use, wood dust exposure, and plasma Epstein–Barr virus positivity.

Acromegaly is an endocrine disorder characterized by dysregulated hypersecretion of growth hormone (GH), usually caused by a GH-secreting, pituitary adenoma and leading to an overproduction of insulin-like growth factor 1 (IGF-1). Estimated to have a prevalence of 2.8 to 13.7 cases per 100,000, acromegaly is not as common as other endocrine disorders. However, its incidence is increasing, and it has a significant impact on patient quality of life, with clinical features that include: acral enlargement; facial feature and oral changes; headache; significant fatigue, including daytime sleepiness; hyperhidrosis; oily and thicker skin; weight gain; and arthralgia. Approximately 25 percent of people with acromegaly have elevated blood pressure, and 50 percent have evidence of insulin resistance, putting them at risk of developing type 2 diabetes in future. The mortality rates of acromegaly patients are three times higher than the general population, with most dying from respiratory or cardiac complications.