Foreign-born providers make up over a quarter of the physician workforce nationally. Patients in south central Pennsylvania are primarily white with limited interaction with foreigners which can produce barriers to communication and trust. This study proposes practical steps for building positive relationships between patients and their foreign-born providers. Ethnographic methods were used to interview and survey patients and providers about the relationships between foreign-born providers and patients, primarily in the Summit Health system. The results of the study provide a framework of how trust is built between patients and providers in general, suggest additional actions for foreign-born providers, and propose ways patients can do their part to achieve a positive relationship with their provider. While much of the literature on cultural competence is in the context of patients who are from minority ethnicities, this study adds to the body of research by also considering the providers as part of minority groups.

American downtowns were once the place to see and be seen, but the introduction of the shopping mall in the late 1950s challenged this notion and gave the American consumer a different place to spend their time and money. The prevalence of shopping malls has slowly been declining across the country since the beginning of this century, leaving room in the American retail landscape for downtowns to reclaim their status as community and retail centers. Towns across the U.S. are turning to national and local organizations to assist them in revitalizing their downtown districts. Downtown Bloomsburg, Inc. (DBI), a non-profit organization located in the small town of Bloomsburg, Pennsylvania, has been working since 2006 to revitalize its town’s downtown and main street area. The unique findings presented here were derived from a four month long ethnographic study of downtown Bloomsburg merchants and shoppers and are meant to be used by DBI as a supplemental guide for further revitalization of the town.

This study compiles and updates the findings of 16 comprehensive state climate action plans and extrapolates the results to the nation. The study then takes those results and using a widely accepted econometric model projects the national impact of these policies on employment, incomes, gross domestic product (GDP) and consumer energy prices. Finally, using the bottom-up data developed by the states and aggregated here, the study models the national impact of major features of the Kerry-Lieberman climate bill under consideration in Congress in 2010. These state action plans and supporting assessments were proposed by over 1,500 stakeholders and technical work group experts appointed by 16 governors and state legislatures to address climate, energy and economic needs through comprehensive, fact-based, consensus-driven, climate action planning processes conducted over the past five years with facilitative and technical assistance by the Center for Climate Strategies. Findings show potential national improvements from implementation of a top set of 23 major sector-based policies and measures drawn from state plans.

This action plan articulates the most significant ecosystem problems for the Great Lakes, and describes efforts to address them. The five areas are toxic substances, invasive species, health and pollution, wildlife and habitat preservation and restoration, and finally a component that covers accountability and evaluation.

This fact sheet describes climate change scenarios in Great Plains region of the United States.

Study on grief reaction and religious or spiritual coping methods in bereavement, in which the researcher asked bereft people to report if they have experienced specific types of after-death communication (ADC), as it related to their most recent death of a loved one.

Article discussing the results of a questionnaire distributed to clergy from Pennsylvania and Illinois, which showed the respondents had limited knowledge of the near-death experience (NDE) but had a moderately positive attitude toward the subject.

Editorial contrasting the private, personal near-death experience with the public concept of the experience, and finding important messages for humanity that are common to both.

Article discussing the near-death experience (NDE) as an experience of wholeness, an adventure in consciousness, and a metaphoric encounter with light. It links theoretical physics with the occult, the Primordial Tradition, and various religious belief systems. Where science sees mystery, religion sees metaphoric truth; the NDE as spiritual quest and physical encounter beckons to both disciplines for explanation.

The purpose of the study was to investigate the needs for music-related content in the Bible college pastoral curriculum as perceived by a selected group of pastors. The research problems were (1) to assess the extent of musical preparation of recent pastoral graduates from selected accredited Bible colleges in the United States, (2) to assess the music-related duties of those graduates in paid pastoral positions, (3) to assess the pastors' perceived needs for instructional preparation for the fulfillment of their musical duties, and (4) to determine the effect of selected factors on the perceived needs of those pastors.

The problem of this study was to search for possible effects of the pre-competition meal. This problem had two primary facets: 1) to determine performance scores secured by college varsity track and field men under two different pre-competition meal conditions and to study the relationship of the meal last ingested before competition to the scores; 2) to determine the concern for certain psychological and psycho-physiological factors under each of the two pre-competition meal conditions.

Monthly booklet containing a biography of Edwin A. Abbey a famous artist and illustrator.

Weekly African-American newspaper from Philadelphia and Bryn Mawr, Pennsylvania that includes local, state, and national news along with advertising.

Weekly African-American newspaper from Philadelphia, Pennsylvania that includes local, state and national news along with extensive advertising.

Weekly African-American newspaper from Philadelphia, Pennsylvania published by the Grand United Order of Odd Fellows in America that includes local, state and national news along with advertising.

Land grant transferring ownership of a tract of land called "Rich Hill" from Thomas Say to Stacy Potts. The grant is signed by the governor and secretary of the Commonwealth of Pennsylvania.