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.

Periodic factsheet reporting on the level of algae bloom in Lake Erie, particularl harmful Microcystis cyanobacteria. It Includes an overview and graphs comparing the levels to previous measures.

Fact sheet describing state-specific impacts that global warming will have on the people, ecosystems, and wildlife in Pennsylvania.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Monthly newsletter published by the 12th Armored Division Association, discussing news related to the activities of the U.S. Army unit and updates on previous members of the division.

Patent relating to improved methods for utilizing 911 services and for implementing 911 dispatch protocols by accessing mobile phone sensors and applications.

Mr. Durón Guerra grew up in a middle class family in northern Mexico; he lived in several Mexican cities while getting his education. He migrated to the U.S. upon reaching adulthood and lived for a while in Philadelphia before joining the Armed Forces. He finished his military career in Texas, and eventually settled in Austin, where he established the "El Azteca" restaurant, which stands to this day. He has been involved in community affairs for a very long time, and was one of the early members of the Austin G.I. Forum chapter. In the interview, Mr. Durón Guerra talks about the experience of migration, the discriminatory treatment that Mexican Americans received in housing, employment, etc. as well as his activism in community affairs.

Photograph of a circular decoration on the string of a ceiling fan. There is a black border around the walls behind the decoration. [2016, Philadelphia, PA]

Close-up photograph of the leaves of a plant. [2016, Philadelphia, PA]

Photograph of light-colored strings hanging over a cluster of leaves. Dark and blurry trees stand in the background, light shining through their leaves in the photograph's top left corner. [2016, Philadelphia, PA]

Photograph of thin strings hanging down in front of a cluster of leaves. Dark and blurry trees are visible in the background, light shining between their leaves in the top left corner. [2016, Philadelphia, PA]

Photograph of a white, clear sky which is bordered by tree leaves and thin branches. [2016, Philadelphia, PA]

Photograph of thin strings hanging in front of a cluster of blurry plants. Light reflects off a liquid surface below the plants and strings. [2016, Philadelphia, PA]

Photograph of small leaves and vines bordering a white background. [2016, Philadelphia, PA]