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 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.

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.

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.