Termo de consentimento livre e esclarecido e sua relação com os procedimentos de preenchimento labial / Free and informed consent terms and its relationship with lip filling procedures

Introdução: Na medida em que envelhecemos os lábios estreitam-se, ocasionando perda de volume e contorno e como forma de minimizar este efeito fisiológico o preenchimento labial de escolha utilizado é o ácido hialurônico. É possível perceber efeitos adversos advindos do emprego deste material, e pelo fato da informação ao paciente ser assegurada pelo Código de Defesa do Consumidor e pelo fato da necessidade dos Cirurgiões-Dentistas terem de esclarecer seus pacientes, o Termo de Consentimento Livre e Esclarecido tornase necessário. Objetivo: identificar, por meio de aplicação de questionário, a percepção de profissionais que trabalham com Harmonização Orofacial em relação a necessidade do emprego do Termo de Consentimento Livre e Esclarecido (TCLE). O questionário apresentou 6 perguntas objetivas, que foram disponibilizadas na plataforma Google Forms®. Material e Método: os dados obtidos foram tabulados em uma planilha eletrônica do programa Microsoft Excel e após analisados descritivamente através de tabelas de frequência, porcentagens e gráficos estatísticos. Resultados: dentre os entrevistados foi constatado que a maioria, 87,5% dos especialistas em Harmonização Orofacial realizam o procedimento de preenchimento labial em sua rotina clínica, e 12,5% não. Conclusão: no presente estudo identificamos que os especialistas realizam o emprego do TCLE, em sua maioria, porém, alguns destes ainda negligenciam o seu uso(AU)

Introduction: As we age, the lips become thinner and to minimize this effect, the lip filler used is hyaluronic acid. It is possible to notice adverse effects arising from the use of this material, and it is extremely important that Dental Surgeons have to clarify their patients, the Free and Informed Consent Form becomes necessary. Objective: to identify, through the application of a questionnaire, the perception of professionals who work with Orofacial Harmonization in relation to the need to use the Free and Informed Consent Form (TCLE). The questionnaire presented 6 objective questions, which were made available on the Google Forms® platform. Materials and Methods: the data obtained were tabulated in a Microsoft Excel spreadsheet and then analyzed descriptively using frequency tables, percentages and graphs. Results: among those interviewed, it was found that the majority, 87.5% of specialists in Orofacial Harmonization perform the lip filling procedure in their clinical routine, and 12.5% do not. With the high percentage of 59.4%, it was possible to verify that the majority of professionals perform 1 to 3 procedures per month; 31.3% perform 4 to 9 procedures per month; and 9.4% of 10 or more monthly procedures. Conclusion: in the present study it was possible to identify that the majority of specialists in Orofacial Harmonization use the informed consent form, however, some of them still neglect its use(AU)

Non-invasive hemoglobin measurement using optical method.

The measurement of Hemoglobin (Hb) by the non-invasive method is gaining popularity. The system, consisting of a photodiode is placed in between a Red (630 nm) and an IR (940 nm) LED, along with the signal conditioning circuits. 10 healthy male (8) and female (2) volunteers in the age group between 21 and 24 were recruited for this study. During measurement, the fingertip of a volunteer was placed on the measurement pad. Visible and IR lights are switched ON one after the other. The optical absorbance of the blood component in the arteries was detected by the photodiode using the reflectance method. The current generated was converted into voltage and was processed to remove the noise associated with the signal. From this, the concentration of Hb of the volunteers was determined. On the same day they were taken to the clinical laboratory and Hb values were obtained by the standard invasive method. Hemoglobin values obtained from the two methods were compared and an accuracy of 96.31 % and correlation coefficient value of 0.932405 was achieved. From the Bland -Altman plot, the results obtained are within the confidence interval of 95 %. The error of 3 % can be reduced further by employing sophisticated signal conditioning techniques. The proposed non-invasive method took only a few seconds to find the hemoglobin concentration than the invasive lab test. This method can accelerate the decision-making process in emergency situations.

Legal mobilization dilemmas in the Nordics - an autoethnographic reflection on the role of scholars in the asylum commission.

The present article investigates key dilemmas in collective legal mobilization initiatives in the field of asylum and migrants' rights. Focusing on my own experiences from working in the Asylum Commission - a trans-sectional mobilization initiative that ran in Sweden from 2019 to 2022, involving researchers, civil society representatives, and professionals - I analyze two central dilemmas that characterized our work. First, I consider how we collectively struggled for the legal right to asylum and through this struggle also reproduced injustices and potential border control harms which are embedded in asylum regulations. Second, I analyze how the Commission strived to provide a knowledge-based account of the consequences of legislative changes post the long summer of migration in 2015 that would have an impact on future legislation, while simultaneously taking an open stand in solidarity with people who were excluded from the legislative process; i.e., asylum seekers. The article underlines the need for sociolegal research that highlights ways to address dilemmas in legal mobilization work and offers empirical insights from collective mobilization for migrants' rights in a Northern European country.

A health-conformant reading of the GDPR's right not to be subject to automated decision-making.

As the use of Artificial Intelligence (AI) technologies in healthcare is expanding, patients in the European Union (EU) are increasingly subjected to automated medical decision-making. This development poses challenges to the protection of patients' rights. A specific patients' right not to be subject to automated medical decision-making is not considered part of the traditional portfolio of patients' rights. The EU AI Act also does not contain such a right. The General Data Protection Regulation (GDPR) does, however, provide for the right 'not to be subject to a decision based solely on automated processing' in Article 22. At the same time, this provision has been severely critiqued in legal scholarship because of its lack of practical effectiveness. However, in December 2023, the Court of Justice of the EU first provided an interpretation of this right in C-634/21 (SCHUFA)-although in the context of credit scoring. Against this background, this article provides a critical analysis of the application of Article 22 GDPR to the medical context. The objective is to evaluate whether Article 22 GDPR may provide patients with the right to refuse automated medical decision-making. It proposes a health-conformant reading to strengthen patients' rights in the EU.

The law code of ChatGPT and artificial intelligence-how to shield plastic surgeons and reconstructive surgeons against Justitia's sword.

Large Language Models (LLMs) like ChatGPT 4 (OpenAI), Claude 2 (Anthropic), and Llama 2 (Meta AI) have emerged as novel technologies to integrate artificial intelligence (AI) into everyday work. LLMs in particular, and AI in general, carry infinite potential to streamline clinical workflows, outsource resource-intensive tasks, and disburden the healthcare system. While a plethora of trials is elucidating the untapped capabilities of this technology, the sheer pace of scientific progress also takes its toll. Legal guidelines hold a key role in regulating upcoming technologies, safeguarding patients, and determining individual and institutional liabilities. To date, there is a paucity of research work delineating the legal regulations of Language Models and AI for clinical scenarios in plastic and reconstructive surgery. This knowledge gap poses the risk of lawsuits and penalties against plastic surgeons. Thus, we aim to provide the first overview of legal guidelines and pitfalls of LLMs and AI for plastic surgeons. Our analysis encompasses models like ChatGPT, Claude 2, and Llama 2, among others, regardless of their closed or open-source nature. Ultimately, this line of research may help clarify the legal responsibilities of plastic surgeons and seamlessly integrate such cutting-edge technologies into the field of PRS.

A local review of section 17 leave forms in conjunction with the Mental Health Act Code of Practice: recommendations for future practice.

AIMS AND METHOD: The aim of this project was to set out recommendations for the section 17 leave form to reflect guidance provided in the Mental Health Act 1983: Code of Practice, following local Care Quality Commission feedback. We reviewed guidance in the Code and publicly available leave forms to identify items to include in the leave form. Then, we determined which publicly available leave forms included each item and reviewed whether the item should be included in the leave form and whether any reformulation was needed. RESULTS: Using the method described, we identified a list of items that should be included in the leave form. When comparing the leave forms of different trusts, there was considerable variation with respect to which items were included in each form. CLINICAL IMPLICATIONS: We provide some recommendations for future practice regarding section 17 leave forms to facilitate consistency with the Code and between different trusts.

The impact of negative factors of professional activities on the health of law enforcement officers.

OBJECTIVE: Aim: To study the study the impact of negative factors of professional activities on the health of law enforcement officers. PATIENTS AND METHODS: Materials and Methods: The research involved 89 law enforcement officers (58 men, and 31 women) who served for a year in practical police units after graduating from a higher educational institution. Methods: analysis and generalization of scientific and methodological literature, anthropometry, physiometry, testing, and statistical methods. The health status was assessed by body mass index, Robinson index, and vital index. RESULTS: Results: It was found that the body mass index of law enforcement officers for one year of service in practical units deteriorated in both men and women by 1.3 kg/m2 and 0.9 kg/m2, respectively. More negative changes were observed in men. At the same time, after one year of service, the number of men with overweight (27.5 %) and even obesity of the first (13.9 %) and second (5.2 %) degrees increased significantly. In women, the changes were less pronounced. The dynamics of Robinson and vital indices, as well as the level of physical fitness, were also negative. CONCLUSION: Conclusions: The results of the research indicate a negative impact of professional factors in terms of professional activities on the health of law enforcement officers. It has been found that adherence to the principles of a healthy lifestyle, in particular, a regimen of rationally organized motor activity, is an important area in combating the impact of negative factors of professional activities on the health of law enforcement officers.

The effectiveness of physical therapy in the rehabilitation of patients after arthroscopy of the knee joint.

OBJECTIVE: Aim: To determine the effectiveness of physical therapy on the functional state of law enforcement officers' knee joints after surgical intervention. PATIENTS AND METHODS: Materials and Methods: The research involved law enforcement officers from different units of the National Police of Ukraine (n = 56) who had suffered knee joint injuries in the line of duty, and underwent surgical intervention and rehabilitation procedures. RESULTS: Results: It was found that 78.2 % of respondents had suffered knee joint ligament injuries as a result of falls during rapid movement, while 43.9 % were in full gear (armored protection, helmet, etc.). It was determined that after surgical intervention, the functional state of the knee joint of law enforcement officers who followed the recommendations of physical therapy specialists and systematically performed special sets of physical exercises was significantly different (p < 0.001). Worse results were noted in people who partially followed the recommendations of rehabilitation therapists and performed part of the prescribed procedures and physical exercises. CONCLUSION: Conclusions: The effectiveness of the complex use of physical rehabilitation means for restoring the functioning of the knee joint after surgical intervention, which included arthroscopy, partial menisectomy of the damaged areas, debridement, vaporization of damaged cartilage, etc. was revealed. The positive effect of physical exercises on the functional state of the knee joint was proven. The sets of exercises that are advisable to use to restore the functioning of the knee joint were determined.

Dynamics of components of physical and mental health of law enforcement officers during the period of martial law.

OBJECTIVE: Aim: To investigate the dynamics of law enforcement officers' physical and mental health components while performing their duties during the war in Ukraine. PATIENTS AND METHODS: Materials and Methods: The research, which was conducted in 2022-2024, involved 114 law enforcement officers (male) from the Kharkiv oblast (Ukraine) of different ages: under 30 (n = 35), under 40 (n = 41), over 40 (n = 38). To test law enforcement officers' physical and mental health indicators, we used 3 methods: 1) "Fatigue-Monotony-Oversaturation-Stress"; 2) "Well-being-Activity-Mood"; 3) "Assessment of Nervous and Emotional Stress". RESULTS: Results: The negative dynamics of most components of the physical and mental health of law enforcement officers of all three groups while performing their duties during the martial law were revealed. The most pronounced significant changes occurred in such components as "Fatigue", "Oversaturation", "Stress", "Well-being", "Mood", "Nervous and Emotional Stress". The most pronounced negative changes in most components occurred in law enforcement officers over 40 years old, which is due to both the age characteristics of the subjects and their length of service. CONCLUSION: Conclusions: The research confirms the high complexity and extremity of law enforcement officers' service activities during the martial law, as well as the high requirements for law enforcement officers' readiness to perform tasks in the context of a significant expansion of the National Police's powers. The results obtained also necessitate the search for effective ways to preserve and maintain the physical and mental health of law enforcement officers.

Motivational and value-based attitude of law enforcement officers to motor activity as a factor of a healthy lifestyle.

OBJECTIVE: Aim: To study the attitude of law enforcement officers to motor activity and investigate its impact on their health. PATIENTS AND METHODS: Materials and Methods: The research, which was conducted in 2022-2024, involved 163 law enforcement officers under the age of 30. Research methods: bibliosemantic, questionnaire, testing, medical and biological methods, methods of mathematical statistics. RESULTS: Results: It has been found that the vast majority of law enforcement officers (85.3 %) understand the importance of motor activity as a factor of a healthy lifestyle, its impact on physical and mental health, and quality of their professional activities. At the same time, only 27.6 % of law enforcement officers systematically engage in motor activity, 52.8 % do it sporadically, and 25.8 % do not engage in it at all. Among the reasons that prevent them from exercising are lack of time (65.6 %), lack of desire (31.3 %), and fatigue after a service day (28.1 %). It has been found that law enforcement officers who systematically engage in motor activity have a significantly better level of health (7.31 points) compared to those who engage in occasional motor activity (5.07 points) and do not engage at all (2.19 points). CONCLUSION: Conclusions: The positive impact of motor activity on the level of health of law enforcement officers has been proved. Good health is a guarantee of high resistance of law enforcement officers to negative factors of professional activities, professional longevity, and quality of their professional tasks.

The impact of strength loads on the health status and physical readiness of female cadets.

OBJECTIVE: Aim: To investigate the impact of kettlebell strength training on the health and physical readiness of female cadets during martial law training. PATIENTS AND METHODS: Materials and Methods: The research involved 60 female cadets, 30 each in the experimental (EG) and the control (CG) groups. The EG cadets were engaged in kettlebell exercises during the hours of their sporting and mass participation activities, while the CG cadets were engaged according to the traditional methodology. The health status was assessed by anthropometry and cardiovascular system indicators; physical readiness - by the results of 100 meter run, push-ups, and 1 km run. RESULTS: Results: It was found that at the end of the research, most indicators of health and physical readiness in female cadets engaged in kettlebell exercises were significantly better than those who were engaged in physical exercises according to the traditional methodology. The most pronounced effect of strength loads was found on the development of strength qualities, stabilization of body weight, and improvement of the functional capabilities of the cardiovascular system. In the 4th semester, the female cadets of the EG showed significantly better than in the CG indicators of BMI, SI, heart rate recovery time, LPH, results in push-ups, and 1 km run. CONCLUSION: Conclusions: It is proved that strength loads in exercises with kettlebells, having several positive features, effectively impact the state of health and development of motor skills in female cadets, as well as contribute to the formation of an aesthetic physique and weight loss.

The threshold of child protection notifications is higher in municipalities with a high level of risk factors - Is this evidence of the inverse intervention law?

BACKGROUND: Child protection notifications aim to secure the wellbeing of children. However, there is a large variation in the implementation of notifications across the municipalities in Finland. OBJECTIVE: This article explores whether the threshold of child protection notifications is higher in municipalities with a high level of socio-economic risk factors, as assumed by the inverse intervention law. PARTICIPANTS AND SETTING: The study is based on the system-level data of Finnish municipalities, and their socio-economic indicators for the period of 2010-2021. METHODS: A cluster analysis is used to group Finnish municipalities, based on the level of socio-economic risk factors, and a panel regression analysis, to verify whether these factors act as risk factors or as driving forces of inverse intervention law. RESULTS: The municipalities with a high level of risk factors have the higher threshold level for child protection notifications compared to other municipalities. In all municipalities, the share of single-parent families acts as a risk factor, while the share of residents with higher education acts as a driver of the inverse intervention law. Reduction of unemployment and income inequalities are also recognised as drivers of this law, but only in municipalities with a relatively higher level of risk factors. CONCLUSIONS: This study promotes the inverse intervention law, and contribute to the understanding of the driving forces of this law. Further, there is a difference in the threshold level of child protection notifications among municipalities which is based on their socio-economic context. Children are in an unequal position in relation to the municipality in which they live.

Toward Transparency on Animal Experimentation in Switzerland: Seven Recommendations for the Provision of Public Information in Swiss Law.

In Switzerland, the importance of transparency in animal experimentation is emphasized by the Swiss Federal Council, recognizing the public's great interest in this matter. Federal reporting on animal experimentation indicates a total of 585,991 animals used in experiments in Switzerland in 2022. By Swiss law, the report enables the public to learn about many aspects such as the species and degree of suffering experienced by the animals, but some information of interest to the public is missing, such as the fate of the animals at the end of the experiment (e.g., euthanized, rehomed in a private home, reused in another experiment). When it comes to animals bred in facilities but not used in experiments, further information of interest is not required to be made public according to Swiss law, for example, the number and fate of "surplus" animals (i.e., animals bred but not used in experiments for a variety of reasons such as not carrying the phenotypical properties needed). Considering that the Swiss government has a duty to provide a full accounting of animal experimentation conducted on the public's behalf, further relevant information should be disclosed. While efforts toward transparency, such as the STAAR Agreement, have been made in the scientific community, these mostly reflect the legal requirements already in force. If Switzerland is to move toward more transparency in public information on animal experimentation, an update of the legal requirements is needed. In this article, we give recommendations for Swiss law to move toward more transparency in public information on seven aspects: (1) the fate of the animals at the end of the experiment; (2) the sources of funding for animal experimentation; (3) the harm-benefit analysis performed by researchers and ethics committees to justify an experiment using animals; (4) the number of breeding/surplus animals; (5) the fate of breeding/surplus animals; (6) the harms experienced by animals in facilities; and (7) the funding of animal facilities.

A 25-year scoping review of the organ donation system in Malaysia: past, present, and future.

Organ donation and transplantation are integral components of modern medicine. This scoping review thoroughly explores the historical evolution, current status, and future prospects of organ donation and transplantation in Malaysia. Historically, Malaysia faced significant challenges in establishing a robust organ transplantation system, with various factors hindering organ donation efforts. Currently, Malaysia continues to struggle with stagnant donation rates despite collaborative efforts from various sectors. There is an urgent need to amend the 50-year-old Human Tissue Act to strengthen the legal framework for organ donation and address ethical concerns. Looking to the future, Malaysia could adopt a soft opt-out system and prioritize advancements in organ preservation techniques by exploring new sources of organs through the donation after circulatory death program. Continued efforts are necessary to enhance education programs for professionals and the public, dispelling myths about organ donation and effectively educating on the concepts of brain death. Malaysia strives to create a more accessible future for organ transplantation, aligning with the Sustainable Development Goals to reduce the burden of organ failure and improve the population's health and well-being.

Human Behavior in Suboptimal Choice Tasks: Defining Optimality.

Suboptimal choice behavior, or behavior that leads to a loss of resources over time, has been observed in a laboratory setting from multiple species. A procedure commonly used to capture this effect involves presenting two alternatives during choice trials, one of which is optimal whereas the other is suboptimal. The optimal alternative yields reinforcement more often than the suboptimal alternative, but often does not produce signals that indicate whether reinforcement will occur. The suboptimal alternative produces less reinforcement than the optimal alternative but may include reinforcement-predictive stimuli that indicate to the organism whether reinforcement will occur. This procedural framework has consistently produced a preference for the suboptimal alternative in pigeons and, to a lesser extent, rats. However, human participants have demonstrated preference for the optimal alternative. Following a review of past suboptimal choice research, we applied the reinforcement-derived definition of optimality to two sets of our previously published human data. We found that under multiple conditions, human choice behavior was consistent with what was predicted by the proportion of obtained reinforcement, thus supporting that the behavior was optimal. However, we found that participants in two conditions chose the suboptimal alternative more than expected. This finding could be considered as a demonstration of suboptimal choice in humans. We propose that comparing choice behavior to what past obtained reinforcement outcomes would predict might be a more accurate view of whether patterns of choice are within the parameters of this task.

Predicting citations in Dutch case law with natural language processing.

With the ever-growing accessibility of case law online, it has become challenging to manually identify case law relevant to one's legal issue. In the Netherlands, the planned increase in the online publication of case law is expected to exacerbate this challenge. In this paper, we tried to predict whether court decisions are cited by other courts or not after being published, thus in a way distinguishing between more and less authoritative cases. This type of system may be used to process the large amounts of available data by filtering out large quantities of non-authoritative decisions, thus helping legal practitioners and scholars to find relevant decisions more easily, and drastically reducing the time spent on preparation and analysis. For the Dutch Supreme Court, the match between our prediction and the actual data was relatively strong (with a Matthews Correlation Coefficient of 0.60). Our results were less successful for the Council of State and the district courts (MCC scores of 0.26 and 0.17, relatively). We also attempted to identify the most informative characteristics of a decision. We found that a completely explainable model, consisting only of handcrafted metadata features, performs almost as well as a less well-explainable system based on all text of the decision.

Power-law properties of nocturnal arrhythmia avalanches: a novel marker for incident cardiovascular events.

BACKGROUND: Bursting non-sustained cardiac arrhythmia events, are a common observation during sleep. OBJECTIVES: We hypothesized nocturnal arrhythmia episode durations could follow a power-law, whose exponent could predict long-term clinical outcomes. METHODS: We defined 'nocturnal arrhythmia avalanche' (NAA) as any instance of a drop in electrocardiogram (ECG) template-matched R-R intervals ≥30% of R-R baseline, followed by a return to 90% of the baseline. We studied NAA in ECG recordings obtained from the Sleep Heart Health Study (SHHS), the Osteoporotic Fractures in Men Study (MrOS) Sleep and Multi-Ethnic Study of Atherosclerosis (MESA) studies. The association of the nocturnal arrhythmia durations with a power-law distribution was evaluated, and the association of derived power-law exponents (α) with major adverse cardiovascular events and mortality assessed with multivariable Cox regression. RESULTS: n=9176 participants were studied. NAA episodes distribution was with a consistent power-law versus comparator distributions in all datasets studied (Positive log likelihood ratio of power-law vs. exponential in MESA: 83%; SHHS: 69%; MrOS: 81%; power-law vs. log-normal in MESA: 95%; SHHS: 35% and MrOS: 64%). The NAA power law exponent (α) showed a significant association of with adverse CV outcomes (Association with CV mortality: SHHS (HR = 1.39[1.07-1.79], p=0.012); MrOS (HR = 1.42[1.02-1.94], p=0.039; Association with CV events: MESA (HR = 3.46[1.46-8.21], p=0.005)) in multivariable Cox regression, after adjusting for conventional CV risk factors and nocturnal ectopic rate. CONCLUSION: The NAA power-law exponent is a reproducible, predictive marker for incident cardiovascular events and mortality.

Canada's Medical Assistance in Dying System can Enable Healthcare Serial Killing.

The Canadian approach to assisted dying, Medical Assistance in Dying (MAiD), as of early 2024, is assessed for its ability to protect patients from criminal healthcare serial killing (HSK) to evaluate the strength of its safeguards. MAiD occurs through euthanasia or self-administered assisted suicide (EAS) and is legal or considered in many countries and jurisdictions. Clinicians involved in HSK typically target patients with the same clinical features as MAiD-eligible patients. They may draw on similar rationales, e.g., to end perceived patient suffering and provide pleasure for the clinician. HSK can remain undetected or unconfirmed for considerable periods owing to a lack of staff background checks, poor surveillance and oversight, and a failure by authorities to act on concerns from colleagues, patients, or witnesses. The Canadian MAiD system, effectively euthanasia-based, has similar features with added opportunities for killing afforded by clinicians' exemption from criminal culpability for homicide and assisted suicide offences amid broad patient eligibility criteria. An assessment of the Canadian model offers insights for enhancing safeguards and detecting abuses in there and other jurisdictions with or considering legal EAS. Short of an unlikely recriminalization of EAS, better clinical safeguarding measures, standards, vetting and training of those involved in MAiD, and a radical restructuring of its oversight and delivery can help mitigate the possibility of abuses in a system mandated to accommodate homicidal clinicians.

Good character: the implications of personality development and psychopathology for citizenship.

The introduction of new legislation in 2006 brought about changes to the way citizenship applications were considered in the UK. Over the intervening years, several hundred children born in the UK have been denied British citizenship as a result of changes to the 'good character' requirement in the legislation - namely its extension to cover all those aged 10 years or older applying for citizenship, including individuals who were born in the UK. As a result of the formulaic way in which this requirement is assessed, citizenship can be denied on the basis of historical patterns of behaviour or offending from childhood. This article will consider whether the current approach to assessment of character in the context of applications for British citizenship is meaningful or appropriate, given developments in our understanding of normative psychological and neurological development and also the impact of psychosocial adversity, trauma, and broader psychopathological or neurodevelopmental conditions.

¿No Hay Racismo?: application of the levels of racism framework to Latinx perspectives on barriers to health and wellbeing.

BACKGROUND: The purpose of this study is to increase understanding of the forms of systemic racism experienced by Latinx communities in North Carolina during the COVID-19 pandemic as identified by Latinx community health workers (CHWs) and community-based organization (CBO) leaders. METHODS: We held three focus groups in July 2022 (N = 16) with CHWs and CBO leaders in Spanish to discuss policy and community interventions that improved access to resources during the COVID-19 pandemic; policy or community interventions needed to improve care of Latinx communities; and lessons learned to improve the health of Latinx communities in the future. We performed directed and summative qualitative content analysis of the data in the original language using the Levels of Racism Framework by Dr. Camara Jones to identify examples of implicitly and explicitly discussed forms of systemic racism. RESULTS: Latinx CHWs and CBO leaders implicitly discussed numerous examples of all levels of racism when seeking and receiving health services, such as lack of resources for undocumented individuals and negative interactions with non-Latinx individuals, but did not explicitly name racism. Themes related to institutionalized racism included: differential access to resources due to language barriers; uninsured or undocumented status; exclusionary policies not accounting for cultural or socioeconomic differences; lack of action despite need; and difficulties obtaining sustainable funding. Themes related to personally-mediated racism included: lack of cultural awareness or humility; fear-inciting misinformation targeting Latinx populations; and negative interactions with non-Latinx individuals, organizations, or institutions. Themes related to internalized racism included: fear of seeking information or medical care; resignation or hopelessness; and competition among Latinx CBOs. Similarly, CHWs and CBO leaders discussed several interventions with systems-level impact without explicitly mentioning policy or policy change. CONCLUSION: Our research demonstrates community-identified examples of racism and confirms that Latinx populations often do not name racism explicitly. Such language gaps limit the ability of CHWs and CBOs to highlight injustices and limit the ability of communities to advocate for themselves. Although generally COVID-19 focused, themes identified represent long-standing, systemic barriers affecting Latinx communities. It is therefore critical that public and private policymakers consider these language gaps and engage with Latinx communities to develop community-informed anti-racist policies to sustainably reduce forms of racism experienced by this unique population.