This qualitative study aimed to explore the experiences of first responders in communicating with patients with limited English proficiency (LEP) in emergency situations and the impact those language barriers have on their self-efficacy. After the completion of a literature review, 20 first responders (fire, police, EMT, paramedic) were interviewed about their experiences and perceptions of language barriers. These interviews were transcribed and analyzed thematically, resulting in the identification of these main themes: regional language variability, urban vs. rural language resource availability and incentives, differing language needs of police vs. non-police, language barrier impacts on the quality of care received by LEP individuals, cultural understanding vs. language proficiency, desire for a video/facetime translation resource, and the role of children as bilingual translators. Findings suggest that language barriers do have an impact on the self-efficacy of first responders and the quality of care provided to LEP patients, with 50% of participants recalling an experience in which a language barrier impacted the quality of care they provided to LEP patients. Overall, this study contributes to a better understanding of the experiences and challenges faced by first responders in communication with LEP individuals and provides insights into much needed and desired strategies for overcoming language barriers to improve professional self-efficacy and equitable patient care in emergency situations.

In 1942, the United States Supreme Court Case of Skinner v. Oklahoma ruled that states could not legally sterilize those inmates of prisons deemed habitual criminals. Skinner v. Oklahoma was about the case of Jack Skinner, an inmate of the Oklahoma State Penitentiary in McAlester, Oklahoma, who was subject to sterilization under the Oklahoma Habitual Criminal Sterilization Act of 1935. The case, decided on 1 June 1942, determined that state laws were unconstitutional if those laws enabled states to forcibly sterilize inmates deemed to be habitual criminals. Such laws violated the Equal Protection Clause of the Fourteenth Amendment to the US Constitution. The Skinner v. Oklahoma decision also reflected tensions in US eugenic policies when juxtaposed against similar policies of the Nazi regime in Europe, especially with regard to sterilization measures.

Harry Hamilton Laughlin helped lead the eugenics
movement in the United States during the early twentieth century.
The US eugenics movement of the early twentieth century sought to
reform the genetic composition of the United States population through
sterilization and other restrictive reproductive measures. Laughlin
worked as superintendent and assistant director of the Eugenics
Research Office (ERO) at Cold Spring Harbor Laboratory in Cold
Spring Harbor, New York, alongside director Charles Davenport.
During Laughlin's career at the ERO, Laughlin studied human familial
ancestry, called pedigrees, and in 1922 published the book Eugenical
Sterilization in the United States, which influenced
sterilization laws in multiple states. Laughlin's support of
compulsory sterilization to control the reproductive capacity of
entire populations influenced the history of eugenics and
reproductive medicine.

The American Eugenics Society (AES) was established in the US by
Madison Grant, Harry H. Laughlin, Henry Crampton, Irving Fisher, and
Henry F. Osborn in 1926 to promote eugenics education programs for
the US public. The AES described eugenics as the study of improving
the genetic composition of humans through controlled reproduction of
different races and classes of people. The AES aided smaller eugenic
efforts such as the Galton Society in New York, New York, and the
Race Betterment Foundation in Battle Creek, Michigan, and it influenced eugenic policy set by the US Supreme Court in cases
including Buck v. Bell (1927) and Skinner v. Oklahoma
(1942). The AES was renamed the Society for the Study of Social
Biology in 1972.

Eugenical Sterilization in the United States is a 1922 book in which author Harry H. Laughlin argues for the necessity of compulsory sterilization in the United States based on the principles of eugenics. The eugenics movement of the early twentieth century in the US focused on altering the genetic makeup of the US population by regulating immigration and sterilization, and by discouraging interracial procreation, then called miscegenation. Published in December 1922 by the Psychopathic Laboratory of the Municipal Court of Chicago in Chicago, Illinois, the book reports Laughlin's analysis of how states could benefit from sterilizing their mentally disabled residents, and it reprinted his model sterilization law, which he encouraged state governments to adopt. Laughlin's model sterilization law stressed the need for the sterilization of populations that Laughlin deemed inadequate for reasons ranging from physical appearance to socioeconomic status. The document influenced twentieth century legislation in the US about reproduction and compulsory sterilization.

Cold Spring Harbor Laboratory (CSHL) is a non-profit research institution that specializes in cancer, neuroscience, plant biology, quantitative biology, and genomics. The organization is located on the shores of Cold Spring Harbor in Laurel Hollow, New York. The Brooklyn Institute of Arts and Sciences established the CSHL in 1890, to provide scientists with facilities to research Charles Darwin's evolutionary theory. The first mission of CSHL was biological science education. Since 1998, CSHL has housed the Watson School of Biological Sciences, a PhD program dedicated to scientific research. Nobel Laureates who conducted experiments at the CSHL include Barbara McClintock, Alfred Hershey, James Watson, Francis Crick, and Sydney Brenner. Throughout its history, researchers at CSHL have studied embryology, reproductive medicine, and genetics.