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BT Conferencing was established more than 20 years ago and is now a leading global provider of audio, video and web collaboration services. Year on year growthMore
$50 mil. - $100 mil.in Revenue
1,000 - 5,000EmployeesContact people at this company
web conferencingaudioend-to-end unified collaboration solutionsMore
Telephony & WirelessTelecommunicationsMore
150 Newport Ave. Ext, Suite 400QuincyMassachusetts02171United Statesview map
(617) 801-6600
ProPub_Iteration_NT.411[02] SEIDXWK-23


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Author Craig Nelson Discusses A World Filled With Radiation
Town Hall Seattle, Downstairs, Eighth Avenue and Seneca Street ( 1119 Eighth Avenue Seattle, WA 98101 )
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The simple science of atoms has transformed human life in countless ways, from microwave ovens to radiation therapy to nuclear warfare. The atom holds to the power to both create and destroy, and in In The Age of Radiance: The Epic Rise and Dramatic Fall of the Atomic Era, author Craig Nelson dives deep into the origins, peak and current state of this earth-shattering science. Nelson, a contributor to Vanity Fair and The Wall Street Journal, joins civil engineer and Washington Poet Laureate Kathleen Flenniken for a lively conversation about A World Filled With Radiation.
* Additional fees apply. No coupon or promo codes necessary to enjoy the displayed discount price.
All offers for Author Craig Nelson have expired.
The last date listed for Author Craig Nelson was Tuesday March 25, 2014 / 7:30pm.
Most Popular Comp Train Event Nearby
Comedian Arj Barker (Flight of the Conchords, The Marijuana-Logues)
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Arj Barker headlines Parlor Live Comedy Club. Best known for his recurring role as Dave the pawn… More
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About the Ticket Supplier: Town Hall Seattle
Town Hall is Seattle's community culture center located in the historic First Hill neighborhood, on the edge of downtown. Town Hall showcases the community's cultural energy with diverse music, arts and humanities, civic discourse, and world culture programming. Housed in an historic Roman-revival-style building on the corner of 8th and Seneca, Town Hall opened in March 1999.

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|product name: Kao Steam Eye Mask, Chamomile (5 pcs) (5piece)
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Kao Steam Eye Mask, Chamomile relieves tired eyes and is suitable for use before sleep or in relaxation.
The mask is dry. It is convenient to use. You can just take it off and throw it away after use. No rinsing is required.


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- Living On Campus
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Get Connected! First-year female students who are interested in Engineering will find a supportive and academically challenging home in this community. Students will not only receive all of the academic and social support that their male counterparts receive, but will also develop support networks and mentorships in their field. In heavily male-dominated fields, these women leaders will begin to build support networks for their time at Northeastern and beyond!
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The Brownlee brothers might not be an invincible triathlon force, says Australian coach Shaun Stephens
- From: Herald Sun
- August 07, 2012
GREAT Britain's Brownlee brothers are such a dominant force in men's triathlon that they admit they have considered staging a dead heat to share gold in London.
But Australia's triathlon coach Shaun Stephens yesterday threw them a deliberate psychological barb, questioning if they have the big-race composure to seal the deal in today's event.
Australian trio Courtney Atkinson, Brad Kahlefeldt and Brendan Sexton look to be long odds to beat Alistair and Jonathan Brownlee, who are ranked No.1 and No.2 in the world.
Alistair is the reigning world champion and Jonathan won silver behind him in Beijing last year.
The Australians are tracing their hopes back to the 2010 world championships on the same Hyde Park course.
Older brother Alistair hit the wall with just 400m to go when pressured by Spain's Javier Sanchez, his 22-year-old brother finishing in 10th and collapsing once he crossed the finish line.
Stephens reminded the triathlon world that 24-year-old Alistair is far from invincible.
"They are exceptionally strong athletes and mentally strong athletes, but having said that there is also an enormous amount of pressure," Stephens said.
"Alistair in particular hasn't performed that well here. Two years ago he had a terrible race here. So we will be putting as much pressure on him as possible.
"Gomez put the pressure on (in 2010) and then his brother and he just blew up. I don't know that they really have an explanation for it.
"When the pressure is really put on him he can be vulnerable. It's a massive challenge ahead but our boys are looking forward to it."
Brendan Sexton boasts a victory over Brownlee in Sydney last year, while Atkinson ran him down in Madrid the year before.
Alistair has been utterly dominant for two years, but suffered an achilles tear in February and has had to work back into form.
The brothers dead-heated unintentionally in a race this year but have been warned by triathlon's governing body that any deliberate attempt would see them disqualified.
Stephens does not believe it will come to that given how consistently they will be attacked by rivals.
"I think if anyone can be with them at 5km to go on the run they are a damned good chance of beating them," Stephens said.
"I see their second 5km as vulnerable. If someone can dictate them and start pressuring them on the run, I think they are very vulnerable."
Australian Brad Kahlefeldt also questioned whether such hot favouritism might count against Alistair Brownlee.
"They have shown in the last two years they have the full package - swim, bike and run. It's pretty hard to beat them but it's the Olympics and anything can happen. They have the whole country's weight on their shoulders. There is pressure there and I don't know if they are used to that, being such a big race," he said.
"They love pushing from the start. They just want to dominate and lead the whole race, and it can be a disadvantage at this level. The pressure might get to them or it might not. They might love it but you have to stick to your game plan and do the best you can."
Atkinson, 32, finished 11th in Beijing but after being one of triathlon's stars in 2010, admits injuries and over-training took their toll on him.
He was at rock bottom at the start of the year but has worked his way back into contention for a possible top-ten finish given his 13th finish in the San Diego World Cup over the Olympic distance.
"At the beginning of the year there were times when I considered, not throwing in the towel, but there were times I thought 'I am out of this'.
"I will have to find something different to do. But I am here now and training has built well and in our sport anything can happen. Someone said to me I am about 200-1. I have no pressure on me."


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So, watching Diners, Drive Ins & Dives and I noticed a girl wearing a M hockey shirt. Turns out they are in Ann Arbor. Going to go to the spring game and found a new place I want to try. Will it be worth trying out, from all you locals?
landing spot. will be interesting to see how he does.


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Photobomb Level: Expert
This Cats vs Zombies Short Film Will Make Your Day
What Were These People Thinking? 16 Hilarious Tattoo Fails
Top 10 "Useless" Organs
Kahn Design's Defender-Based 6x6 Can Be Yours For $310k
25 Photos That Will Restore Your Faith In Humanity
Things That Will Make You Feel Very Uncomfortable
10 Of The Most Fascinating Snake Facts
20 Terrifying Animals You Didn't Know Were Real
10 of the Craziest Foods You May Want to Try (or Not!)
More Proof Drugs Will Ruin You Forever
Driving A Police Car: Six Things You Should Know
A Sultan Commissions The Most Expensive Mack Truck Ever Built
The True Wonders of Plastic Surgery
Apparently Gravity Has A Weird Effect On Girls
10 Little-Known Facts About Famous Brands
It's Crazy What Photoshop Can Do
The Largest Ship On the Planet Will Amaze You
Brutal Female Bodyguards Training in China
The Real Secret to Online Dating
20 Times Nature Won In The War Against Civilization
What You Do When Your Crush Is Coming
Finally, A Realistic Barbie Doll
What Life As A Male Nurse Is Like
12 Real People Who Look Just like Cartoon Characters
AHHH! 13 Bone Chilling Pictures of Horrifying Hell Beasts
Born Fighters: the 25 Most Aggressive Dog Breeds
24 Of The Most Hilarious Moments Captured At The Perfect Time
The Hottest Supercars You'll Stretch Your Wallet For
10 Animals That Don't Realize They're Animals


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From Tiles to Tiling, Hotfrog showcases an extensive range of businesses in the Gold Coast region. If you want a more specific search, browse by suburb using the left navigation menu. We make your search easier.
Nerang, QLD
Nerang Tiles (since 1992) is a Supplier and direct Importer of Ceramic Tiles and related products in the Gold Coast Queensland Australia. Through our…
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waste disposal Companies in St. Helena
Bergmann, Heinz, e.Kfm.- Machines for Waste Management
based in Lathen/Ems, GERMANY
Mobile Compactors, Roll-Packers and Roto Compactors. BERGMANN Waste Disposal Equipment offers his customers in trade and industry waste disposal solutions which help to significantly lower disposal costs. BERGMANN´s success in this industry is based on its 3 decades of experience and on the large amount of worldwide patents for it space-setting developments. Bergmann, the ...
ANDRITZ Separation - a division of the Andritz Group
based in Graz, AUSTRIA
ANDRITZ Separation, trusted partner for process solutions for waste water treatment. There is a wide range of challenges in municipal drinking water and waste water treatment: whereas in developing countries the focus is often on setting up a base structure for drinking water and wastewater, in industrialized countries water quality, efficiency and recycling of residual ...
SIMPEC S.r.l.
based in Nova Milanese (MB), ITALY
Simpec works in the design, construction, installation and service of industrial water and wastewater treatment plants. Main sector of the company is metal and plastic surface finishing treatments. Simpec works for all the industries that use and consume water in their different production processes. Simpec realizes also plants for landfills (leachate treatment), plants ...
Waste Control International
based in Neche, NORTH DAKOTA (USA)
At Waste Control International, we strive to provide you quality machinery and solutions for all of your waste handling and recycling needs. As time has passed, we have also seen the need for quality material handling and ergonomic equipment – both of which we can provide for you. With Waste Control International's line of product destruction and depackaging equipment, we ...
Macpresse Europa S.R.L
based in Vernate, ITALY
Macpresse International is an Italian company headquartered in Vernate (Milan). Macpresse has been designing and installing recovery facilities for recycling secondary scrap materials for over 40 years. Macpresse provides scrap-handling solutions in the following sectors: recovery of first/secondary materials, processing of municipal solid waste (MSW) and industrial ...
3E Company
based in Carlsbad, CALIFORNIA (USA)
3E Company's comprehensive suite of data products and information services enable improved compliance with global Environmental Health & Safety (EH&S) requirements related to the safe manufacturing, distribution, transportation, usage and disposal of chemicals and hazardous products. This full chemical lifecycle approach enables in-house EH&S staff to reduce cost, risk ...
High Temperature Technologies Corp. Canada
based in Chateauguay, QUEBEC (CANADA)
Waste to Energy Conversion Systems. High Temperature Technologies Corp. is a leader in design, development and manufacturing of the plasma based waste treatment solutions. High Temperature Technologies Company is a privately-owned firm based in Montreal, Canada. It offers environmentally-friendly solutions for waste treatment and disposal. Its highly innovative technology ...
SatrindTech Srl
based in Arluno, ITALY
SatrindTech is a mechanical and electrical engineering company based in Arluno (Milano) with well consolidated experience and leadership in engineering, manufacturing and installation of industrial shredders and complex plants to handle many different types of waste.
Genesis Water Technologies, Inc
based in Maitland, FLORIDA (USA)
Genesis Water Technologies, Inc. is a USA based manufacturer of advanced, innovative and sustainable treatment solutions for applications in process water, drinking water, water reuse and waste water to our valued clients and collaboration partners worldwide.
Husmann Umwelt-Technik GmbH
based in Dörpen, GERMANY
Manufacturers of equipment for waste disposal / environmental technology in Europe. Since more than 50 years the brand Hussman stands in the disposal branch for liability, quality and competence. We use our experience for finding solutions that fit exactly our customers' requirements. This as well as our innovative technology and our wide range of products for the ...


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License to Work: A National Study of Burdens from Occupational Licensing
An "occupational license" is, put simply, government permission to work in a particular field. To earn the license, an aspiring worker must clear various hurdles, such as earning a certain amount of education or training or passing an exam. In the 1950s, only one in 20 U.S. workers needed the government's permission to pursue their chosen occupation. Today, that figure stands at almost one in three.
This study is the first to examine the scope of licensing laws for low- and moderate-income occupations across all 50 states and the District of Columbia, as well as the first to measure how burdensome those laws are for aspiring workers.
In documenting the license requirements for 102 occupations nationwide, this report finds that these laws can pose substantial barriers for those seeking work, particularly those most likely to aspire to these occupations—minorities, those of lesser means and those with less education. Moreover, about half the occupations studied offer the possibility of entrepreneurship, suggesting that these laws hinder both job attainment and creation.


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Blog — What's New
Standard post
Happy St. Patrick's Day!
The Muppets World Tour is coming to Club Penguin this week! We've got a special GREEN THEMED episode of The Spoiler Alert for you today. Take a look!
I'm curious, does everyone get pinched for not wearing green St. Patrick's Day? Or is that just me...
Waddle on!
-Club Penguin Team


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Product Details
Style: 208033
The Forum Recon Boot is a comfortable, flexible snowboard boot for putting in 100-day seasons. The heat moldable liner adjusts to the contours of your foot for a customized fit with reduced pressure points. The lacing is classic standard, but with an internal cuff cinch for supportive feel that's easy to adjust. Flex the Recon easily and ride smooth on the damp Cupsole.
- Level 1 liner provides comfortable ankle support and has an anti-microbial treatment to kill funky smells
- Standard lacing lets you customize your feel
- Silver link cuff lacing lets you easily and uniformly cinch the inner liner
- Vulcanized rubber sole includes eco-friendly recycled materials
- Flex: 4 (on 1 (soft) - 10 (stiff) scale)
Questions and Answers
ASK A QUESTION Got questions about this product? Ask them here. Got questions about anything else? Please see our FAQ.
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Chicken & Asparagus with Melted Gruyere
From EatingWell: May/June 2007
For this elegant dish, boneless chicken breast and asparagus are smothered in a luxurious white-wine sauce with just the right amount of melted Gruyère cheese. Tarragon and lemon add a delicious light flavor that is perfect with asparagus.
22 Reviews for Chicken & Asparagus with Melted Gruyere
I've made this recipe twice now. Each time I've replaced the gruyere with swiss, as I haven't yet acquired the taste for strong and/or pungent cheeses.
The first I made it I followed the recipe exactly and was able to feed four people with it. The second time, I only split one chicken breast for a personal meal and leftovers, but kept most the other ingredients at their existing measurements. This time around I forgot to add the white wine, but I added poultry seasoning to the chicken breasts before flouring and to the pan near the end of the final simmer. This added a nice savoriness to the dish, which perhaps made it so that I did not miss the wine, but is also perhaps a solution to those of us who aren't using stronger cheeses.
Lovely recipe.
Really Good
Ive been making this quite regularly, i think it tastes really great and indulgent, particularly since its a low cal dinner. I dont dredge the chicken in flour, and i use white cheddar as gruyere is a little strong for my SO. He happens to like this dish too and he's a very fussy eater!
We did exchange the cheese for Emmen Swiss block cheese, which is much cheaper and it still turned out so delicious!! We would def make this again and share it with others!! Thank you for your great recipe!!


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Clinical Focus
- Minority and Immigrant Child Health
- Health Disparities
- Health Workforce
- Pediatrics
Academic Appointments
Professor - Med Center Line, Pediatrics - General Pediatrics
Member, Child Health Research Institute
Administrative Appointments
Board Member, Stanford Medical Alumni Association (2004 - 2010)
Executive Board, Hispanic Serving Health Professions School, Inc (2000 - 2012)
Executive Board, Pan American Health Education Foundation (2006 - 2012)
Associate Dean of Minority Advising and Programs, Office of Student Affairs (1983 - Present)
Chief, Division of General Pediatrics, Department of Pediatrics (1996 - 2014)
Honors & Awards
Henry J. Kaiser Award for Outstanding and Innovation Contribution in Medical Education,, Stanford University School of Medicine (June 1990)
Hispanic Profile of Excellence, KGO Channel 7, (ABC Affiliate in San Francisco (October 2002)
Top Doctors in Silicon Valley, San Jose Magazine (1999 to 2007)
100 Most Influencial Hispanics in the United States, Hispanic Business Magazine (2002)
Leadership Award, National Hispanic Medical Association (March 20, 2004)
Juan Villagomez Humanitarian Award, California Latino Medical Association (September 2004)
Dr. Fernando S. Mendoza Award, awarded by LSMA, SNMA, SAIMS (May 2005)
The Gardner Community Spirit Award, Gardner Family Health Services (September 2008)
GSA-MAS Service Award, Association of American Medical Colleges (November 2005)
100 Most Influencial Latinos in Silicon Valley, Mexican American Community Service Agency (June 2007)
Visiting Diversity Professor, Harvard Medical School (October 2009)
Who's Who Worldwide, Who's Who (2012-2013)
JE Wallace Sterling "Muleshoe" Lifetime Alumni Achievement Award, Stanford University Medical Center Alumni Association (May 2012)
President's Award for Excellence through Diversity, Stanford University (June 2012)
CDC's Health Equity Champion, CDC (2012)
Leonard P. Rome CATCH Visiting Professor, Children's National Medical Center (April 2014)
Medical Staff Distinguish Service Award, Stanford Children's Health Lucile Packard Children's Hospital Stanford (April 2015)
The Augustus A. White III and Family Faculty Professionalism Award, Stanford University, School of Medicine (June 2015)
Dr. Phil DeChavez LMSA National Mentor of the Year Award, The National Latino Medical Student Association (2016)
Professional Education
Board Certification: Pediatrics, American Board of Pediatrics (1980)
Fellowship:Stanford University School of Medicine (1981) CA
Residency:Stanford University School of Medicine (1978) CA
Internship:Stanford University School of Medicine (1976) CA
Residency:Harvard School of Public Health (1979) MA
Medical Education:Stanford University School of Medicine (1975) CA
M.P.H., Harvard University, Maternal and Child Health (1979)
B.A., San Jose State College, Biochemistry (1971)
Community and International Work
Gardner Packard Children's Health Center, Palo Alto
Partnering Organization(s)
Gardner Family Health Center
Populations Served
Bay Area
Ongoing Project
Opportunities for Student Involvement
Co-Chair Children's Agenda, Santa Clara County
Coalition development
Partnering Organization(s)
Kids In Common
Populations Served
Santa Clara County
Ongoing Project
Opportunities for Student Involvement
Ravenswood Family Health Center, East Palo Alto
general pediatric services and edcuation
Partnering Organization(s)
Ravenswood Family Health Center
Populations Served
Bay Area
Ongoing Project
Opportunities for Student Involvement
Current Research and Scholarly Interests
I have two research interests: childhood health disparities and workforce diversity. My research on childhood health disparities centers on Latino and immigrant children with a focus on early childhood health and development. My work in workforce diversity examines the pipeline for diversity in academic pediatrics, with special attention on the pipeline for underrepresent minorities.
Children in immigrant families (CIF) represented that fastest growing child population, representing 75% of the growth of the US child population over the past two decades. CIF will become 1 out of every 3 children in the US, thus making the health and development issues of this population of children important for the future of the US. We have an interested in exploring the early health and development of this group of children, and the patterns of parenting that may affect their outcomes. Using the California Heath Interview Survey, we have examined the frequency of early book-sharing parental behaviors among immigrant parents, and the prevalence of chronic disease and health care utilization among their children.
Workforce diversity has been a goal of a number of organizations, and is an important aspect of preparing academic pediatrics to address the health needs of children resulting from the shifting demographics of US children. Working with national organizations, assessments of academic pediatrics diversity shows improved diversity in gender and ethnic/racial, but still low number of underrepresented minorities in academic pediatrics, particularly in leadership positions. Further exploring the process by which diversity can be improved is currently under way.
2015-16 Courses
- Clinical Excellence and Best Practice in Delivering Health Care to Diverse Populations
PEDS 260 (Aut)
Independent Studies (5)
- Directed Reading in Pediatrics
PEDS 299 (Aut, Win, Spr, Sum)
- Early Clinical Experience
PEDS 280 (Aut, Win, Spr, Sum)
- Graduate Research
PEDS 399 (Aut, Win, Spr, Sum)
- Medical Scholars Research
PEDS 370 (Aut, Win, Spr, Sum)
- Undergraduate Directed Reading/Research
PEDS 199 (Aut, Win, Spr, Sum)
- Directed Reading in Pediatrics
Prior Year Courses
2014-15 Courses
- Well-Being in Immigrant Children & Youth: A Service Learning Course
CHILATST 177B, CSRE 177F, EDUC 177B (Win)
- Well-Being in Immigrant Children & Youth: A Service Learning Course
All Publications
Caring for Children in Immigrant Families: Vulnerabilities, Resilience, and Opportunities
2016; 63 (1): 115-?
View details for DOI 10.1016/j.pcl.2015.08.006
View details for Web of Science ID 000367203900009
Children in Immigrant Families: The Foundation for America's Future.
Advances in pediatrics
2015; 62 (1): 105-136
View details for DOI 10.1016/j.yapd.2015.04.013
View details for PubMedID 26205111
Blueprint for Action: Visioning Summit on the Future of the Workforce in Pediatrics
2015; 136 (1): 161-169
The Federation of Pediatric Organizations engaged members of the pediatric community in an 18-month process to envision the future of the workforce in pediatrics, culminating in a Visioning Summit on the Future of the Workforce in Pediatrics. This article documents the planning process and methods used. Four working groups were based on the 4 domains that are likely to affect the future workforce: Child Health Research and Training, Diversity and Inclusion, Gender and Generations, and Pediatric Training Along the Continuum. These groups identified the issues and trends and prioritized their recommendations. Before the summit, 5 key megatrends cutting across all domains were identified:1. Aligning Education to the Emerging Health Needs of Children and Families2. Promoting Future Support for Research Training and for Child Health Research3. Striving Toward Mastery Within the Profession4. Aligning and Optimizing Pediatric Practice in a Changing Health Care Delivery System5. Taking Advantage of the Changing Demographics and Expertise of the Pediatric WorkforceAt the Visioning Summit, we assembled members of each of the working groups, the Federation of Pediatric Organizations Board of Directors, and several invited guests to discuss the 5 megatrends and develop the vision, solutions, and actions for each megatrend. Based on this discussion, we offer 10 recommendations for the field of pediatrics and its leading organizations to consider taking action.
View details for DOI 10.1542/peds.2014-3493
View details for Web of Science ID 000357296000058
Diversity and inclusion training in pediatric departments.
2015; 135 (4): 707-713
The diversifying US population of children necessitates assessing the diversity of the pediatric academic workforce and its level of cultural competency training. Such data are essential for workforce and educational policies.An 8-question survey was sent to 131 US pediatric chairs to assess plans for diversity, targeted groups, departmental diversity, diversity measures, perceived success in diversity, and presence and type of cultural competency training.In all, 49.6% of chairs responded, and three-quarters of them reported having a plan for diversity, which targeted racial; ethnic; gender; lesbian, gay, bisexual, and transgender; disabled; and social class groups. Of the residents, 75% were women, as compared with 54% of faculty and 26% of chairs. Racial and ethnic diversity was limited among trainees, faculty, and leaders; <10% of each group was African American, Hispanic, or Native American. Asian Americans were more common among trainees (15%-33%) but were less common in faculty and leadership positions (0%-14%). Lesbian, gay, bisexual, and transgender physicians were represented in some groups. Measures of diversity included the number of trainees and faculty, promotion success, climate assessments, and exit interviews. Overall, 69% of chairs reported being successful in diversity efforts. A total of 90% reported cultural competency training for trainees, and 74% reported training for faculty and staff. Training in cultural competency included linguistic training, primarily in Spanish.Pipeline issues for minorities are ongoing challenges. Pediatric leadership needs more representation of racial and ethnic minorities, women, and LGBT. Suggestions for workforce and educational policies are made.
View details for DOI 10.1542/peds.2014-1653
View details for PubMedID 25755235
Disparities in Early Exposure to Book Sharing Within Immigrant Families
View details for DOI 10.1542/peds.2013-3710
View details for Web of Science ID 000338774800021
Reframing the disparities agenda: a time to rethink, a time to focus.
Academic pediatrics
2014; 14 (2): 115-116
View details for DOI 10.1016/j.acap.2013.12.005
View details for PubMedID 24602572
New American children: supporting the health and well-being of immigrant populations.
JAMA pediatrics
2013; 167 (1): 12-13
View details for DOI 10.1001/jamapediatrics.2013.877
View details for PubMedID 23183957
Health disparities and children in immigrant families: a research agenda.
Children in immigrant families now comprise 1 in 5 children in the United States. Eighty percent of them are US citizens, and 53% live in mixed-citizenship families. Their families are among the poorest, least educated, least insured, and least able to access health care. Nonetheless, these children demonstrate better-than-expected health status, a finding termed "the immigrant paradox" and one suggesting that cultural health behaviors among immigrant families might be protective in some areas of health. In this article the strength of the immigrant paradox, the effect of acculturation on health, and the relationships of acculturation, enculturation, language, and literacy skills to health disparities are reviewed. The current public policy issues that affect the health disparities of children of immigrant families are presented, and a research agenda for improving our knowledge about children in immigrant families to develop effective interventions and public policies that will reduce their health disparities is set forth.
View details for DOI 10.1542/peds.2009-1100F
View details for PubMedID 19861469
Training Health Care Professionals for 21st-Century Practice: A Systematic Review of Educational Interventions on Chronic Care
2015; 90 (11): 1561-1572
To systematically review the evidence for high-quality and effective educational strategies to train health care professionals across the education continuum on chronic disease care.A search of English-language publications and conference proceedings was performed in November 2013 and updated in April 2014. Studies that evaluated a newly developed curriculum targeting chronic disease care with learner outcomes were included. Two primary reviewers and one adjudicating reviewer evaluated the studies and assessed their quality using the validated Medical Education Research Study Quality Instrument (MERSQI). Studies were also mapped onto elements of Wagner's chronic care model (CCM) to evaluate their use of established evidence-based models for chronic care delivery. Miller's classification of clinical competence was used to assess the quality of learner achievements for each educational intervention.A total of 672 articles were found for this review. Twenty-two met criteria for data extraction. The majority of studies were of moderate quality according to MERSQI scoring. Only three studies reported both learner and patient outcomes. The highest-quality studies incorporated more elements of Wagner's CCM and showed high-level learner competence according to Miller's classification. Successful interventions redesigned health care delivery systems to include team-based care, emphasized training of health care professionals on patient self-management, and included learner-based quality improvement initiatives.The growing number of children and adults with chronic disease necessitates improved educational interventions for health care professionals that involve evidence-based models for restructuring chronic care delivery, aim for high-level learner behavioral outcomes, and evolve through quality improvement initiatives.
View details for DOI 10.1097/ACM.0000000000000773
View details for Web of Science ID 000363973300032
View details for PubMedID 26039140
The effects of language concordant care on patient satisfaction and clinical understanding for Hispanic pediatric surgery patients
2015; 50 (9): 1586-1589
Hispanics account for over 60% of the U.S. population growth and 25% speak little-to-no English. This language barrier adversely affects both access to and quality of care. Surgical specialties trail other medical fields in assessing the effects of language barriers to surgical clinical care and patient satisfaction. This study was designed to assess the effects of patient-provider language concordance on a pediatric surgery practice.A surgery-specific, 7-point Likert scale questionnaire was designed with 14 questions modeled after validated patient satisfaction surveys from the literature. Questions concerning provider-patient language concordance, quality of understanding, and general satisfaction were included. Surveys were administered to families of patients in the General Pediatric Surgery Clinic at our institution. Families were categorized into three groups: English-speaking, regardless of race/ethnicity; Spanish-speaking using interpreter services with an English-speaking medical team; and Spanish-speaking communicating directly with a Spanish-speaking medical team (Hispanic Center for Pediatric Surgery, HCPS). One-way analysis of variance was used to test for group differences.We administered 226 surveys; 49 were removed due to lack literacy proficiency. Families in the HCPS group reported a higher level of satisfaction than the interpreter and English groups (p<0.01). The HCPS group also indicated improved understanding of the information from the visit (p<0.001). Spanish-speaking only families felt that communicating directly with their health care team in their primary language was more important than their English-speaking counterparts (p<0.001).In a pediatric surgery clinic, language concordant care improves patient satisfaction and understanding for Hispanic families in comparison to language discordant care. Other clinics in other surgery sub-specialties may consider using this model to eliminate language barriers and improve patient satisfaction and understanding of surgical care.
View details for DOI 10.1016/j.jpedsurg.2014.12.020
View details for Web of Science ID 000361499500031
View details for PubMedID 25783324
Outcomes of a Randomized Controlled Educational Intervention to Train Pediatric Residents on Caring for Children With Special Health Care Needs
2015; 54 (7): 659-666
Objective. To evaluate an innovative curriculum meeting new pediatric residency education guidelines, Special Care Optimization for Patients and Education (SCOPE). Methods. Residents were randomized to intervention (n = 23) or control (n = 25) groups. Intervention residents participated in SCOPE, pairing them with a child with special health care needs (CSHCN) and faculty mentor to make a home visit, complete care coordination toolkits, and participate in case discussions. The primary outcome was resident self-efficacy in nine skills in caring for CSHCN. Secondary outcomes included curriculum feasibility/acceptance, resident attitudes, and family satisfaction. Results. Response rates were ≥65%. Intervention residents improved in their self-efficacy for setting patient-centered goals compared with controls (mean change on 4-point Likert-type scale, 1.36 vs 0.56, P < .05). SCOPE was feasible/acceptable, residents had improved attitudes toward CSHCN, and families reported high satisfaction. Conclusion. SCOPE may serve as a model for efforts to increase residents' self-efficacy in their care of patients with chronic disease.
View details for DOI 10.1177/0009922814564050
View details for Web of Science ID 000354656600008
Parental limited English proficiency and health outcomes for children with special health care needs: a systematic review.
Academic pediatrics
2014; 14 (2): 128-136
One in 10 US adults of childbearing age has limited English proficiency (LEP). Parental LEP is associated with worse health outcomes among healthy children. The relationship of parental LEP to health outcomes for children with special health care needs (CSHCN) has not been systematically reviewed.To conduct a systematic review of peer-reviewed literature examining relationships between parental LEP and health outcomes for CSHCN.PubMed, Scopus, Cochrane Library, Social Science Abstracts, bibliographies of included studies. Key search term categories: language, child, special health care needs, and health outcomes.US studies published between 1964 and 2012 were included if: 1) subjects were CSHCN; 2) studies included some measure of parental LEP; 3) at least 1 outcome measure of child health status, access, utilization, costs, or quality; and 4) primary or secondary data analysis.Three trained reviewers independently screened studies and extracted data. Two separate reviewers appraised studies for methodological rigor and quality.From 2765 titles and abstracts, 31 studies met eligibility criteria. Five studies assessed child health status, 12 assessed access, 8 assessed utilization, 2 assessed costs, and 14 assessed quality. Nearly all (29 of 31) studies used only parent- or child-reported outcome measures, rather than objective measures. LEP parents were substantially more likely than English-proficient parents to report that their CSHCN were uninsured and had no usual source of care or medical home. LEP parents were also less likely to report family-centered care and satisfaction with care. Disparities persisted for children with LEP parents after adjustment for ethnicity and socioeconomic status.Parental LEP is independently associated with worse health care access and quality for CSHCN. Health care providers should recognize LEP as an independent risk factor for poor health outcomes among CSHCN. Emerging models of chronic disease care should integrate and evaluate interventions that target access and quality disparities for LEP families.
View details for DOI 10.1016/j.acap.2013.10.003
View details for PubMedID 24602575
Resident Cross-Cultural Training, Satisfaction, and Preparedness
2013; 13 (1): 65-71
To describe the diversity of pediatric residents and examine relationships of cross-cultural training experiences with training satisfaction, perceived preparedness for providing culturally effective care, and attitudes surrounding care for underserved populations.A cross-sectional survey was conducted of a national random sample of graduating pediatric residents and an additional sample of minority residents. Using weighted analysis, we used multivariate regression to test for differences in satisfaction, preparedness, and attitudes between residents with more and less cross-cultural experiences during residency, controlling for residents' characteristics and experiences before training.The survey response rate was 57%. Eleven percent were Hispanic, 61% white, 21% Asian, 9% African American, 9% other racial/ethnic groups; 34% grew up in a bi- or multilingual family. Ninety-three percent of residents were satisfied with their residency training, 81% with the instruction they received on health and health care disparities, and 54% on global health issues. Ninety-six percent of residents felt they were prepared to care for patients from diverse backgrounds, but fewer felt prepared to care for families with beliefs at odds with Western medicine (49%) and families who receive alternative or complementary care (37%). Residents with more cross-cultural experiences during residency reported being better prepared than those with less experience to care for families with limited English proficiency (adjusted odds ratio [aOR] 2.11; 95% confidence interval [CI] 1.40-3.17), new immigrants (aOR 1.91; 95% CI 1.32-2.75), and with religious beliefs that might affect clinical care (aOR 1.62; 95% CI 1.13-2.32).Pediatric residents begin their training with diverse cross-cultural backgrounds and experiences. Residency experiences in cross-cultural care contribute to feelings of preparedness to care for diverse US children.
View details for Web of Science ID 000313932900011
View details for PubMedID 23312858
Children with Special Health Care Needs: How Immigrant Status is Related to Health Care Access, Health Care Utilization, and Health Status
2010; 14 (4): 567-579
To compare health care access, utilization, and perceived health status for children with SHCN in immigrant and nonimmigrant families. This cross-sectional study used data from the 2003 California Health Interview Survey to identify 1404 children (ages 0-11) with a special health care need. Chi-square and logistic regression analyses were used to examine relations between immigrant status and health access, utilization, and health status variables. Compared to children with special health care needs (CSHCN) in nonimmigrant families, CSHCN in immigrant families are more likely to be uninsured (10.4 vs. 4.8%), lack a usual source of care (5.9 vs. 1.9%), report a delay in medical care (13.0 vs. 8.1%), and report no visit to the doctor in the past year (6.8 vs. 2.6%). They are less likely to report an emergency room visit in the past year (30.0 vs. 44.0%), yet more likely to report fair or poor perceived health status (33.0 vs. 16.0%). Multivariate analyses suggested that the bivariate findings for children with SHCN in immigrant families largely reflected differences in family socioeconomic status, parent's language, parental education, ethnicity, and children's insurance status. Limited resources, non-English language, and limited health-care use are some of the barriers to staying healthy for CSHCN in immigrant families. Public policies that improve access to existing insurance programs and provide culturally and linguistically appropriate care will likely decrease health and health care disparities for this population.
View details for DOI 10.1007/s10995-009-0487-9
View details for Web of Science ID 000279477400010
View details for PubMedID 19554437
Lessons learned from a community-academic partnership addressing adolescent pregnancy prevention in Filipino American families.
Progress in community health partnerships : research, education, and action
2010; 4 (4): 305-313
Filipino Americans have more adolescent pregnancies than other Asian-Pacific Islanders (APIs). Few community-academic collaborations have addressed adolescent pregnancy prevention in this community.We sought to describe the lessons learned from and impact of a community-based teen pregnancy prevention program for Filipino Americans implemented by a Filipina pediatrics resident.We formed a community-academic partnership between the Filipino Youth Coalition, a community-based organization (CBO) in San Jose, California, and the Stanford School of Medicine's Pediatric Advocacy Program. We developed a culturally tailored parent-teen conference addressing adolescent pregnancy prevention in Filipino Americans. We qualitatively and quantitatively evaluated this intervention by collecting both pre- and post-conference data using a convenience sample design.Engaging particular aspects of Filipino culture (i.e., religion and intergenerational differences) helped to make this community-academic partnership successful. For physicians-in-training who are conducting community-based participatory research (CBPR), project challenges may include difficulties in building and maintaining academic- community relationships, struggles to promote sustainability, and conflicting goals of "community insiders" and "academic outsiders." Authors offer insights and implications for residents interested in practicing CBPR.CBPR is a key tool for exploring health issues in understudied populations. CBPR experiences can provide meaningful educational opportunities for physicians-in-training and can build sustained capacity in CBOs. They can also help residents to develop analytic skills, directly affect the health of the communities they serve, and, for minority physicians, give back to the communities they call home.
View details for DOI 10.1353/cpr.2010.0023
View details for PubMedID 21169708
The relationship of immigrant status with access, utilization, and health status for children with asthma
2007; 7 (6): 421-430
Despite their high levels of poverty and less access to health care, children in immigrant families have better than expected health outcomes compared with children in nonimmigrant families. However, this observation has not been confirmed in children with chronic illness. The objective of this study was to determine whether children with asthma in immigrant families have better than expected health status than children with asthma in nonimmigrant families.Data from the 2001 and 2003 California Health Interview Survey (CHIS) were used to identify 2600 children, aged 1 to 11, with physician-diagnosed asthma. Bivariate analyses and logistic regression were performed to examine health care access, utilization, and health status measures by our primary independent variable, immigrant family status.Compared with children with asthma in nonimmigrant families, children with asthma in immigrant families are more likely to lack a usual source of care (2.6% vs 1.0%; P < .05), report a delay in medical care (8.9% vs 5.2%; P < .01), and report no visit to the doctor in the past year (7.0% vs 3.8%; P < .05). They are less likely to report asthma symptoms (60.8% vs 74.4%; P < .01) and an emergency room visit in the past year (14.1% vs 21.1%; P < .01), yet more likely to report fair or poor perceived health status (25.0% vs 10.5%; P < .01). Multivariate models revealed that the relationship of immigrant status with health measures was complex. These models suggested that lack of insurance and poverty was associated with reduced access and utilization. Children in immigrant families were less likely to visit the emergency room for asthma in the past year (odds ratio 0.58, confidence interval, 0.36-0.93). Poverty was associated with having a limitation in function and fair or poor perceived health, whereas non-English interview language was associated with less limitation in function but greater levels of fair or poor perceived health.Clinicians should be aware of important barriers to care that may exist for immigrant families who are poor, uninsured, and non-English speakers. Reduced health care access and utilization by children with asthma in immigrant families requires policy attention. Further research should examine barriers to care as well as parental perceptions of health for children with asthma in immigrant families.
View details for Web of Science ID 000251638400005
View details for PubMedID 17996835
Filipino child health in the United States: do health and health care disparities exist?
Preventing chronic disease
Filipinos are the second largest Asian subgroup in the United States, but few studies have examined health and health care disparities in Filipino children. The objectives of this review are 1) to appraise current knowledge of Filipino children's health and health care and 2) to present the implications of these findings for research, clinical care, and policy.We identified articles for review primarily via a Medline search emphasizing the terms Filipino and United States crossed with specific topics in child and adolescent health that fall under one of Healthy People 2010's 28 focus areas.Filipino children are underrepresented in medical research. Studies that compare Filipino children and adolescents with white children or children of other Asian Pacific Islander subgroups suggest disparities with regard to gestational diabetes, rates of neonatal mortality and low birth weight, malnutrition in young children, overweight, physical inactivity and fitness, tuberculosis, dental caries, and substance abuse. Studies that compare Filipino adults with white adults describe adult Filipino health problems similar to those of Filipino children, including higher rates of diabetes, hypertension, and metabolic syndrome. Health care disparities remain to be determined.Health and health care disparities appear to exist for Filipino children, but more research is needed to confirm these findings. Practitioners serving this population need to consider social and cultural factors that can increase or diminish risk for health problems. There are priorities in research and policy that, if pursued, may improve the health care and health outcomes of Filipino children.
View details for PubMedID 17362627
- Preventing Obesity in Mexican-American Children and Adolescents. In Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin Institute of Medicine of the National Academies. The National Academies Press, Washington, D.C., 2007: 128-186
- Health of Children in Immigrant Families In Lansford, JE, Deater-Deckard, K, and Bornsten, MH, (eds) Immigrant Families in Contemporary Society. Guilford Press 2007
Filipino American families and intergenerational communication about sex.
Ambulatory pediatrics
2006; 6 (2): 120-?
View details for PubMedID 16530151
Importance of generational status in examining access to and utilization of health care services by Mexican American children
To describe the sociodemographic differences among Mexican American children (first, second, and third generation), non-Hispanic black children, and non-Hispanic white children; to compare the health status and health care needs of Mexican American children (first, second, and third generation) with those of non-Hispanic black children and non-Hispanic white children; and to determine whether first-generation Mexican American children have poorer health care access and utilization than do non-Hispanic white children, after controlling for health insurance status and socioeconomic status.The Third National Health and Nutrition Examination Survey was used to create a sample of 4372 Mexican American children (divided into 3 generational groups), 4138 non-Hispanic black children, and 4594 non-Hispanic white children, 2 months to 16 years of age. We compared parent/caregiver reports of health status and needs (perceived health of the child and reported illnesses), health care access (usual source of health care and specific provider), and health care utilization (contact with a physician within the past year, use of prescription medications, physician visit because of earache/infection, and hearing and vision screenings) for different subgroups within the sample.More than two thirds of first-generation Mexican American children were poor and uninsured and had parents with low educational attainment. More than one fourth of first-generation children were perceived as having poor or fair health, despite experiencing similar or better rates of illnesses, compared with other children. Almost one half of first-generation Mexican American children had not seen a doctor in the past year, compared with one fourth or less for other groups. Health care needs among first-generation Mexican American children were lower, on the basis of reported illnesses, but perceived health status was worse than for all other groups. After controlling for health insurance coverage and socioeconomic status, first-generation Mexican American children and non-Hispanic black children were less likely than non-Hispanic white children to have a usual source of care, to have a specific provider, or to have seen or talked with a physician in the past year.Of the 3 groups of children, Mexican American children had the least health care access and utilization, even after controlling for socioeconomic status and health insurance status. Our findings showed that Mexican American children had much lower levels of access and utilization than previously reported for Hispanic children on the whole. As a subgroup, first-generation Mexican American children fared substantially worse than second- or third-generation children. The discrepancy between poor perceived health status and lower rates of reported illnesses in the first-generation group leads to questions regarding generalized application of the "epidemiologic paradox." Given the overall growth of the Hispanic population in the United States and the relative growth of individual immigrant subgroups, the identification of subgroups in need is essential for the development of effective research and policy. Furthermore, taking generational status into account is likely to be revealing with respect to disparities in access to and utilization of pediatric services.
View details for DOI 10.1542/peds.2004-1353
View details for Web of Science ID 000227596900012
View details for PubMedID 15713905
Associations among familism, language preference, and education in Mexican-American mothers and their children
2004; 25 (1): 34-40
Latino families who express a higher degree of familism are characterized by positive interpersonal familial relationships, high family unity, social support, interdependence in the completion of daily activities, and close proximity with extended family members. Retention of cultural values, such as familism, may be linked to positive health outcomes; however, little is known about how families retain culture of origin values in the face of acculturation pressures. The current study explores acculturation influences as indexed by language preference and household education on maternal and child familism. Mothers and children of Mexican descent (fourth grade students) (n = 219) completed measures of demographics, household education, language preference, and familism. Three hypotheses were examined. First, we predicted that lower household education would be correlated with higher familism scores. However, contrary to our prediction, a higher familism score was significantly associated with a higher level of household education (p <.05). Second, we predicted that higher child familism would be associated with the preference for speaking Spanish. Children who preferred to use both English and Spanish (p <.01) or English alone (p <.05) had higher familism scores than those who preferred Spanish. Third, we predicted that lower child familism scores would be associated with greater differences in mother and child language preferences. There were no significant differences in child familism based on differences between parent and child language. Protective influences of cultural maintenance deserve further attention in longitudinal studies and in relation to the physical and mental health of youth.
View details for Web of Science ID 000189076300005
View details for PubMedID 14767354
Use of the pediatric symptom checklist in a low-income, Mexican American population
2003; 157 (12): 1169-1176
To evaluate the usefulness of the Pediatric Symptom Checklist (PSC) in identifying behavioral problems in low-income, Mexican American children.A cross-sectional study design was used to examine the PSC as a screening test, with the Child Behavior Checklist (CBCL) as the criterion standard.The study was conducted at a health center in a diverse low-income community. Patients Eligible patients were children and adolescents, 4 to 16 years of age, who were seen for nonemergent, well-child care. Of 253 eligible children during a 9-month study period, 210 agreed to participate in the study. There was a 100% completion rate of the questionnaires. The average age of the children was 7.5 years, and 45% were female. Ninety-five percent of patients were of Hispanic descent (Mexican American); 86% of families spoke only Spanish. Socioeconomic status was low (more than three fourths of families earned <$20 000 annually).The CBCL Total scale determined that 27 (13%) of the children had clinical levels of behavioral problems. With a cutoff score of 24, the PSC screened 2 (1%) of the 210 children as positive for behavioral problems. Using the CBCL as the criterion standard, the PSC sensitivity was 7.4%, and the specificity was 100%. Receiver operator characteristic analysis determined that a PSC cutoff score of 12 most correctly classified children with and without behavioral problems (sensitivity, 0.74; specificity, 0.94).When using the PSC, a new cutoff score of 12 for clinical significance should be considered if screening low-income, Mexican American children for behavioral problems. Additional study is indicated to determine the causes of the PSC's apparently lower sensitivity in Mexican American populations.
View details for Web of Science ID 000186959800007
View details for PubMedID 14662568
- Effects of a videotape to increase use of poison control centers by low-income and Spanish-speaking families: a randomized controlled trial. Pediatrics 2003; 111 (1): 21-26
- Socioeconomic and Cultural Issues in Pediatrics In Daniel Bernstein and Steven Shelov (eds), Pediatrics for Medical Students, 2nd Edition. Baltimore, MD: Williams and Wilkins 2003: 112-120
The health of Latino children - Urgent priorities, unanswered questions, and a research agenda
2002; 288 (1): 82-90
Latinos recently became the largest racial/ethnic minority group of US children. The Latino Consortium of the American Academy of Pediatrics Center for Child Health Research, consisting of 13 expert panelists, identified the most important urgent priorities and unanswered questions in Latino child health. Conclusions were drawn when consensus was reached among members, with refinement through multiple iterations. A consensus statement with supporting references was drafted and revised. This article summarizes the key issues, including lack of validated research instruments, frequent unjustified exclusion from studies, and failure to analyze data by pertinent subgroups. Latino children are at high risk for behavioral and developmental disorders, and there are many unanswered questions about their mental health needs and use of services. The prevalence of dental caries is disproportionately higher for Latino children, but the reasons for this disparity are unclear. Culture and language can profoundly affect Latino children's health, but not enough cultural competency training of health care professionals and provision of linguistically appropriate care occur. Latinos are underrepresented at every level of the health care professions. Latino children are at high risk for school dropout, environmental hazards, obesity, diabetes mellitus, asthma, lack of health insurance, nonfinancial barriers to health care access, and impaired quality of care, but many key questions in these areas remain unanswered. This article suggests areas in which more research is needed and ways to improve research and care of Latino children.
View details for Web of Science ID 000176573400023
View details for PubMedID 12090866
?Dolor Aqui? ?Fiebre? A little knowledge requires caution
2002; 156 (7): 638-640
View details for Web of Science ID 000176695100001
View details for PubMedID 12090826
Why ethnicity and race are so important in child health services research today
2001; 155 (10): 1178-1179
View details for Web of Science ID 000171320800022
View details for PubMedID 11576022
- A book a day keeps the doctor away: A look at the implementation and effects of reach out and read, a pediatric clinic-based early literacy promotion program Resources in Education 2001
- Are perceived neighborhood hazards a barrier to physical activity in children? Archives of Pediatrics and Adolescent Medicine 2001; 155: 1143-1148
Prescribing books for immigrant children - A pilot study to promote emergent literacy among the children of Hispanic immigrants
2000; 154 (8): 771-777
To assess book-sharing activities within first-generation Hispanic immigrant families, and to assess the effect of pediatricians giving books to their patients.Survey.Convenience sample of 122 predominantly Hispanic immigrant parents of children aged 2 months to 5 years. Of these parents, 56 had received children's books from the pediatrician, and 66 had not.House staff continuity clinic at a university children's hospital.Frequent Book Sharing (FBS) was defined as a parent's reporting more than 3 days per week of sharing books with the child. Main independent variables included the following: (1) exposure to the Reach Out and Read program, defined as having received a children's book from the pediatrician; (2) socioeconomics, as measured by parents' years of education and Medicaid enrollment; (3) acculturation, as defined by 4 questions relating to parents' proficiency with the English language; (4) parent's country of origin; (5) parent literacy, as measured by a parent's reporting more than 3 days per week of reading alone; (6) parent's age; (7) marital status; (8) household size; (9) child's age; (10) child's sex.Ninety percent of the parents were born outside of the United States (71% in Mexico), 85% spoke Spanish in the home, and 63% had completed less than a high-school education. Seventy-five percent of children's medical insurance was provided by Medi-Cal (Medicaid), and 9% of children were uninsured. Sixty-seven percent spoke exclusively Spanish at home, and 84% of parents want their children to learn to read in both English and Spanish. High FBS was reported among parents whose children had received books from the physician when compared with parents whose children had received no books. The odds ratio (OR) was 3.62 (95% confidence interval [CI], 1.40-9.37; P<.05). Also associated with FBS were parents reading frequently to themselves (OR = 9.52; 95% CI, 2.09-43.27; P<.05) and national origin outside Mexico (OR = 5.54; 95% CI, 1.59-19.27; P<.05). These findings were independent of parent's educational level, parent's employment, parent's age, acculturation, and family size.Pediatricians can promote literacy development among Hispanic immigrant children through the provision of free books at well-child visits. Our findings also suggest the independent effects of adult literacy and child age. Further research is needed to understand the effect of pediatric literacy programs on Hispanic immigrant children, their bilingual environments, and their readiness for school entry. Arch Pediatr Adolesc Med. 2000;154:771-777
View details for Web of Science ID 000088655000003
View details for PubMedID 10922272
- Health Risk Profiles and Race, Culture, and Socioeconomic Status 31st Ross Roundtable, Child Health in the Multicultural Environment 2000: 5-26
- Nutritional Status of Immigrant Children In Children in Immigrant Families: Issues for California?s Future. California Policy Research Center, California Program on Access to Care and the UCLA Center for Health Policy Research 2000: 11-12
- The Health and Nutritional Status of Immigrant Hispanic Children: Analyses of the Hispanic Health and Nutrition Examination Survey In D Hernandez (ed) Children of Immigrants. Washington, D.C.: National Academy Press 1999
- Latino Children's Health and the Family-Community Health Profmotion Model. Western Journal of Medicine 1999; 170 (2): 85-92
- From Generation to Generation: The Health and Well-Being of Children in Immigrant Families Board on Children, Youth, and Families, National Research Council, Institute of Medicine, National Academy Press 1998
- Health Issues of Immigrant Children of Color In H. Fitzgerald, B. Lester, and B. Zuckerman (ed), Children of Color, Research, Health, and Policy Issues. Garland Publishing, Inc. New York and London 1997: 141-158
- My Obligation to Others: A Tradition Carried Forward In Ellen Bassuk (ed.), The Doctor Activist: Physician Fighting For Social Change. New York, New York: Plenum Publication Corporation 1996
- Socioeconomic, Cultural, and Ethical Issues in Pediatrics. In Daniel Bernstein and Steven Shelov (eds), Pediatrics for Medical Students. Baltimore, MD: Williams and Wilkins 1996: 99-105
- Our Nation?s Challenge, Vaccinating Latino Children; Can We Do It? Medico InterAmericano 1996; 15 (1): 7-8
- Stanford Medical School?s Minority Faculty Development and the Center of Excellence In L. Bergeisen (ed) Minority Faculty in the Health Professions For the 21st Century. Selected Proceedings, Leesburg, Virginia, September 6-8, 1995
- The health of Latino children in the United States. Current Problems in Pediatrics 1995; Nov-Dec: 314-335
- Physical Growth, Sexual Maturation, and Obesity in Puerto Rican Children In Cynthia Garcia Cole and Gontran Lamberty (eds.), Health and Development of Puerto Rican Mothers and Children in the Mainland, New York, New York: Plenum Publication Corporation 1994
- Measures of Health Status and Health Care Access for Mainland Puerto Rican Children: Results from the Hispanic Health and Nutrition Examination Survey. In C.G. Cole and G. Lamberty (eds.), Health and Development of Puerto Rican Mothers and Children in the Mainland 1994
View details for Web of Science ID A1994BA60F00013
View details for Web of Science ID A1994BA60F00009
- Latino child health policy issues The Future of Children. Center for the Future of Children, The David and Lucile Packard Foundation 1994; 4 (3): 43-72
- Health Status of U.S. Hispanic Children In Antonio Furino (ed.), Health Policy and the Hispanic, Boulder, Colorado: Westview Press 1992
1991; 51 (4): 195-204
The dental restorative treatment needs of Mexican-American children, aged 1-17 years, were assessed from the 1982-83 Southwestern US Hispanic Health and Nutrition Examination Survey (HHANES). This report analyzed those needs and applied a dollar cost to them, using 1982 median fees of US general practitioners. The total estimated cost required to meet those needs for the population estimate of 3,396,770 children was $236,856,772 (95% CI: $198,575,174 to $275,138,370). The mean cost per child was $69.73 (SE: 5.75). Although a majority of the children had no unmet need, 15-, 16-, and 17-year-olds had extensive needs for crowns, endodontics, and prosthetic replacement of teeth, with accompanying high costs: mean total cost per examinee was $177 (SE: 28.97), $161 (SE: 32.20), and $237 (SE: 33.26), respectively. The treatment needs were compared with the previously published regional data from the 1979-80 NIDR survey, which used the same dental restorative treatment needs (DRTN) index. The findings indicated a great need for dental treatment among Mexican-American children that appeared to exceed that of the general school-aged population. Our analysis, in providing estimates of the cost of needed treatment, might be useful in planning dental treatment programs and in comparing surveys.
View details for Web of Science ID A1991GK59600001
View details for PubMedID 1941770
View details for Web of Science ID A1991FP05900005
1991; 53 (4): 978-980
View details for Web of Science ID A1991FE15300030
View details for PubMedID 2008878
1991; 265 (2): 227-232
The 1987 National Vital Statistics System and the Hispanic Health and Nutrition Examination Survey (1982 through 1984) were used to assess the health status of Mexican-American, mainland Puerto Rican, and Cuban-American children by examining the prevalences of pregnancy outcomes and chronic medical conditions. The low-birth-weight rate among Hispanics (7.0%) compared favorably with that of non-Hispanic whites (7.1%) despite the greater poverty and lower levels of education among Hispanics. When examined by Hispanic subgroup, however, significant differences were present, with mainland Puerto Ricans having the highest prevalences of low-birth-weight infants. Premature births were more common among all three Hispanic subgroups than among non-Hispanic whites. Mexican-American and Cuban-American children had a similar prevalence of (3.9% and 2.5%, respectively) chronic medical conditions compared with non-Hispanic white children; Puerto Rican children had a higher prevalence of chronic medical conditions (6.2%). When assessed by these health status indicators, Hispanic children seem to have a health status similar to non-Hispanic white children. However, mainland Puerto Rican children seem at greater risk for poor health, reflecting the US Hispanic population's heterogeneity. Health programs targeted at US Hispanics should appropriately consider these group differences.
View details for Web of Science ID A1991EQ60200030
View details for PubMedID 1984152
- Prevalence of overweight and obesity in US Hispanic Populations American Journal of Clinic Nutrition 1991; 53: 1522S-1528S
- An evaluation of four food group intakes by Mexican-American children The Journal of the American Dietetic Association 1990; 90 (3): 388-393
1989; 84 (5): 864-871
Height and weight data from the Mexican-American portion of the Hispanic Health and Nutrition Examination Survey (HHANES) are shown for children of ages 2 to 17 years and compared with data for non-Hispanic white children from the second National Health and Nutrition Examination Survey and with the National Center for Health Statistics (NCHS) reference curves. Differences in stature between the Hispanic Health and Nutrition Examination Survey and the reference populations were minor prior to adolescence and could be entirely attributed to the greater poverty of Mexican-Americans. However, differences increased during adolescence (ie, median stature was less than the 25th percentile of the NCHS reference population at 17 years of age) and, in contrast with earlier ages, were independent of poverty. Similar growth patterns were observed in samples of upper-class subjects from Mexico and Guatemala. Nonetheless, the extent to which the short stature of Mexican-American adolescents is genetic is unclear because there is an apparent time trend toward greater stature in the Mexican-American population. In conclusion, the NCHS reference curves are appropriate growth standards for preadolescent Mexican-American children. Whether they are valid for Mexican-American adolescents remains unclear.
View details for Web of Science ID A1989AX61000020
View details for PubMedID 2797981
- Sexual maturation in Mexican-American adolescents American Journal of Human Biology 1989; 1: 87-95
- Fatness and fat distribution in Mexican American children and youths from the Hispanic Health and Nutrition Examination Survey American Journal of Human Biology 1989; 1: 631-648
- Which Side to Measure: Right or Left? In TG Lohman, AF Roche, and R. Martorell (eds.), Anthropometry Standardization Reference ManualChampaign, Illinois: Human Kinetics Publishers, Inc. 1988: 87-91
- Poverty and Stature in Children In John C. Waterlow (ed.), Linear Growth Retardation in Less Developed Countries, Nestle Nutrition Workshop Series. New York: Vavey/Raven Press. 1988; 14
- Elevated serum iron concentration in adolescent alcohol users American Journal of Diseases of Children 1988; 142 (2): 156-159
- Vitamin A intoxication presenting with ascites and a normal vitamin A level The Western Journal of Medicine 1988; 148 (1): 88-90
1987; 62 (8): 698-700
View details for Web of Science ID A1987J611000017
View details for PubMedID 3612737
- Short and plump physique of Mexican-American Children American Journal of Physical Anthropology 1987; 73: 475-487
- Rhabdomyolysis complicating doxylamine overdose. Clinical Pediatrics 1987; 26 (11): 595-597
1986; 6 (11): 1247-1257
View details for Web of Science ID A1986F386100002
1986; 61 (10): 850-851
View details for Web of Science ID A1986E393500017
View details for PubMedID 3761351
1986; 29: 45-79
View details for Web of Science ID A1986F847300002


text:
Objectives : compile a C/GTK+3 application under Linux, and produce a valid Windows© binary.
We have a C application using GTK+ 3 as its graphical toolkit :
As the GTK+ 3 Windows binaries now have an official distribution, we will be able to use to create a Windows version of our application, without modifiying the source code nor having a Windows box available.
A Linux Debian or Ubuntu distribution.
- Install the GCC compiler for Windows (namely MinGW) :
apt-get install mingw32
- Download the latest all-in-one bundle ZIP archive directly from the official website (here's a direct link for impatients...).
(ps : Create a folder named "gtk3-win32" where you want, put the ZIP archive therein and extract it with :
unzip gtk+-bundle_3.6.4-20130921_win32.zip)
- Adapt GTK+ to its location :
In a terminal, move to the "gtk3-win32" folder you just created. If you extracted it to "/opt/gtk3-win32" e.g. :
cd /opt/gtk3-win32
then do :
find -name '*.pc' | while read pc; do sed -e "s@^prefix=.*@prefix=$PWD@" -i "$pc"; done
- We will tell "pkg-config" to locate GTK+ libraries in our custom path. If you extracted to "/opt/gtk3-win32" e.g. :
export PKG_CONFIG_PATH=/opt/gtk3-win32/lib/pkgconfig
We are ready to compile an sample C source ! Let's use a command in this style :
i586-mingw32msvc-gcc source.c -o executable.exe `pkg-config --cflags --libs gtk+-3.0`
A new executable should have been created if everything went well.
It won't run on our Linux system, because it's targeting Windows !
- Create a folder containing the binary and the Windows .dll files. If you extracted to "/opt/gtk3-win32" e.g. :
mkdir ~/distri
cp executable.exe ~/distri
cp /opt/gtk3-win32/bin/*.dll ~/distri
- Here we go ! Transfer this folder to a Windows box. Double-click on the executable and...
Well done !
Thanks for posting this hint. I'd never thought of modifying the .pc files with an sed script. I'm working on a cross compiled Gtk3 project where that turns out to be a very useful addition to the toolbox. If you could provide a link to your gtk test program source, it would save some folks some effort. On my Ubuntu 13.10 (x86_64) system the compiler is 'i686-w64-mingw32-gcc' . Even more importantly, the test program I compiled runs well using Wine.
Salut Tarnyko,
I followed your tut step by step. Everthing seems to be so smooth but in during comilation i got this compiler error:
#$ i586-mingw32msvc-gcc /home/spivvi/Desktop/test.c -o test.exe `pkg-config --cflags --libs gtk+-3.0`
i586-mingw32msvc-gcc: unrecognized option '-pthread'
In file included from /usr/include/glib-2.0/glib.h:108,
from /usr/include/gtk-3.0/gdk/gdkconfig.h:13,
from /usr/include/gtk-3.0/gdk/gdk.h:30,
from /usr/include/gtk-3.0/gtk/gtk.h:30,
from /home/spivvi/Desktop/test.c:1:
/usr/include/glib-2.0/glib/deprecated/gthread.h:123:21: error: pthread.h: No such file or directory
In file included from /usr/include/glib-2.0/glib.h:108,
from /usr/include/gtk-3.0/gdk/gdkconfig.h:13,
from /usr/include/gtk-3.0/gdk/gdk.h:30,
from /usr/include/gtk-3.0/gtk/gtk.h:30,
from /home/spivvi/Desktop/test.c:1:
/usr/include/glib-2.0/glib/deprecated/gthread.h:133: error: expected specifier-qualifier-list before 'pthread_mutex_t'
/usr/include/glib-2.0/glib/deprecated/gthread.h:162: error: expected specifier-qualifier-list before 'pthread_t'
In file included from /usr/include/glib-2.0/gio/gio.h:47,
from /usr/include/gtk-3.0/gdk/gdkapplaunchcontext.h:28,
from /usr/include/gtk-3.0/gdk/gdk.h:32,
from /usr/include/gtk-3.0/gtk/gtk.h:30,
from /home/spivvi/Desktop/test.c:1:
My test.c file contains this:
void main (int argc, char *argv[]) {
GtkWidget *window;
gtk_init (&argc, &argv);
window = gtk_window_new (GTK_WINDOW_TOPLEVEL);
gtk_window_set_title (GTK_WINDOW (window), "Hello World");
gtk_widget_show (window);
gtk_main ();
I'm on Ubuntu12.04LTS.
dpkg -l | grep -i pthread
ii libevent-pthreads-2.0-5 2.0.16-stable-1 Asynchronous event notification library (pthreads)
ii libpthread-stubs0 0.3-3 pthread stubs not provided by native libc
ii libpthread-stubs0-dev 0.3-3 pthread stubs not provided by native libc, development files
ii libpthread-workqueue-dev 0.8.2-1 thread pool library (development files)
ii libpthread-workqueue0 0.8.2-1 thread pool library
Do you have any clue on this issue?
Thanks splivv.
Try on a newer Ubuntu version, there are known issues with pthread in old MinGW versions
Thank you for the tutorial! I'll use it in our build bot :-)
If you want native looking anti-aliased fonts, add this to etc\gtk-3.0\settings.ini:
gtk-font-name = Segoe UI 9
gtk-xft-rgba = rgb
Je suis grand débutant et la commande suivante
find -name '*.pc' | while read pc; do sed -e "s@^prefix=.*@prefix=$PWD@" -i "$pc"; done
retourne l'erreur: Erreur de syntaxe près du symbole inattendu "done"
Et là, j'aurais besoin d'un peu d'aide.
Merci d'avance


text:
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The 39 Deaths of Adam Strand
ISBN13:by Galloway, Gregory
Dutton Juvenile
Related Products
Adam Strand isn't depressed. He's just bored. Disaffected. So he kills himself-39 times. No matter the method, Adam can't seem to stay dead; he awakes after each suicide alive and physically unharmed, more determined to succeed and undeterred by others' concerns. But when his self-contained, self-absorbed path is diverted, Adam is struck by the reality that life is an ever-expanding web of impact and forged connections, and that nothing-not even death-can sever those bonds.
Author Biography
Gregory Galloway received an MFA from the Iowa Writers' Workshop. His first novel, As Simple As Snow, was a recipient of the Alex Award. This is his first YA novel.


text:
The Year In Review: Food Trends of 2009
By root on December 17, 2009 7:00 AM
Oh 2009, we hardly knew ye. But now with (gulp) exactly two weeks left in this year and this decade, it's time to look at the food trends of 2009.
Good Evening Thursday: Go Here Now
By root on June 01, 2009 10:07 AM
Ordinarily, I am no fan of gimmicky when it comes to eating and drinking. I do not like waiting in line, passwords, secret phone numbers or bars with unmarked phone numbers. So when I heard that a group of chefs and front-of-the-house people, led by chefs Chris Kronner and Danny Bowien (formerly of Serpentine and Farina, respectively) were opening a pop-up Thursday-nights-only supper club in the private room of Bruno's (the unfortunately named "Pussycat Lounge") I feared for the worst. (Full Disclosure: I worked at Chez Panisse with several of the people involved in this project).


text:
Higher Education Audio & podcast
May 30, 2016
People with HIV are living longer than ever before, but secondary illnesses could be an issue. In today's Academic Minute, Case Western Reserve University's Allison Webel discusses how improving lifestyle behaviors in HIV patients could help mitigate the risk of these diseases.
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The news cycle isn't the only 24-hour cycle we see. In today's Academic Minute, the University of Michigan's Jun Li discusses how our brains are also on their own 24-hour clock.
March 15, 2016
What caused the spread of humans across the globe? In today's Academic Minute, the University of York's Penny Spikins details how emotions may be at the root of human expansion to new territories.
March 14, 2016
HIV cases in people over 50 are on the rise. In today's Academic Minute, Philadelphia College of Osteopathic Medicine's Ilene Warner-Maron explains why older adults may not appreciate the risks as much as the younger generation.
March 11, 2016
Could watching Law & Order: SVU make you less likely to commit a sexual crime? In today's Academic Minute, Washington State University's Stacey J. T. Hust wonders whether TV crime shows affect the intentions of viewers who watch them.
March 10, 2016
Did our hands evolve for use as weapons? In today's Academic Minute, the University of Utah's David Carrier explains how the evolution of our hands led to the fist being an effective form of protection.
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Please enter information to register for our 6 Week Sun. League starting Sun, Feb 17, 2013 8:45 am. Cost for this Registration will be $80.00 (minus any applicable coupon or age discount).
If you truly enjoy curling, want to get notices of upcomming events, get more involved with the club, travel to bonspiels, support the clubs quest to building a curling facility or simply learn more about your fellow curlers. Join our curling community by creating a curlers profile.
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text:
I am a trained DONA birth doula, a mom of 2 lovely ladies and the owner of a registered birth service business in Miramichi, NB canada, called Baby Love Birth Services. As a stay at home mom, diagnosed with PPD for 2 years and counting (which didnt allow me to continue to work) I have been struggling SO hard to find any help for education funding to become certified in some areas, in order to move ahead and support my clients with more services. Because all the courses related to birth are through distance or online, they do not qualify for grants or funding with any programs.
I can't provide business cards or information to the local doctors offices, hospital, etc. until I am certified.
I have constructed a funding campaign for my business, with a goal for my education fund. Every cent goes directly into a business paypal account, and is outlined in detail on that page.
I would love contributions, but would just as much love if you could just share it for me on facebook/twitter :) I need all the help I can get.
Here is the link to the campaign. Please have a read :) Thanks so much!
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text:
Rin Okumura- Contrast by twinfoolsWatch
©2013-2016 twinfools
i really love ur cosplays
I want to hug.. Your tail.
for a second there I thought you were floating
Looks awesome dude! bleh! some day I will finish my BE cosplays.
nice demon)
you really captured him
wow you suite this character so well
Wow, I love it!
Best Rin cosplay I have ever seen!
can't help but like. That's Rin <3
so lovely! you paid great attention to detail and your face looks like rin as-well!
ermahgerd! Sweet!
I love the tail
Sweet! I love your Rin cosplays!
Wow, looks really good~ How's you get the tail?
wow!! this is outstanding!! just like all your other cosplays c: <33333
That pose just reminds me of Nightcrawler. <3
Great cosplay, by the way! Loving that blue hair~
very cool. love the tail
Awesome cosplay but it looks odd with blue hair
HA! It's great to have pants splitting stories to tell lol. Nice pic
Awesome Tail!
I don't know the anime, but I like your kind of cosplay, it could fit really good into one!
one of my favorite animes
oh my gods the tail's so fluffyyyyyyyy
You're such a perfect Rin! I love your Rin-Cosplay! <3
Ahhh this is amazing!! I love that tail so cute okadokasdoa *o*
wuahhh >////<
love your cosplay
Great Cos-play
wow! me likey!
ha for sec there i thought u were ikuto from shugo chara
So awesome.
I love Rin! Nice cosplay!!
Rin!!!! I love seeing cosplays of him that are beautiful like this one.... *cries from utter delight*
Cosplay, the epic tale of people splitting their pants.
But I love how you styled your wig for rin. And dat tail.
But I love how you styled your wig for rin. And dat tail.
love it twin
I like your smile here! :3
i cannot get over how good of a Rin you are >< so perf~!
So nice! ^_^
i love you more for this XD
yes yes yes yes!
Gotta say Twin, you make the best Rin
This is really great! *U*
You make an amazing Rin!!!


text:
The Footsteps of a Saint: Teaching of the Catechism by St. Josemaria in Perú (1974)
In the 1970s, St. Josemaria Escriva made pastoral visits to preach the word of God in Europe and America. This series tells the story and conveys the atmosphere of those days, with his own words and those of eyewitnesses. Available languages: Spanish Date: 09/07/1974 Place: Perú Duration: 84 min.
Working for others
Stories about human development initiatives promoted by Don Alvaro del Portillo in Colombia, Ecuador, Brazil, Peru, El Salvador, Uruguay, Chile and Argentina. Available languages: Spanish Subtítulos disponibles: Spanish, English, French, German, Italian, Portuguese, Polish, Czech, Slovenian, Place: Varios Duration: 27 min.
When I talk to God
Advices from St. Josemaría to questions in our hearts. 44 responses to the issues we live every day . Two biographies. Available languages: Spanish Subtítulos disponibles: Spanish, English, French Duration: 74 min.
Copyright © 2010 Beta Films Foundation. All rights reserved.


text:
Gretchen Morgenson
Fred R. Conrad/The New York Times
Gretchen Morgenson is assistant business and financial editor and a columnist at the New York Times. She has covered the world financial markets for the Times since May 1998 and won the Pulitzer Prize in 2002 for her "trenchant and incisive" coverage of Wall Street.
Ms. Morgenson joined The Times as assistant business and financial editor in May 1998. Previously, she was assistant managing editor at Forbes magazine since rejoining the magazine in March 1996. Before that, she was the press secretary for the Forbes for President campaign from September 1995 to March 1996.
From August 1993 to August 1995, Ms. Morgenson was the executive editor at Worth magazine. As the number two editor, she oversaw all financial coverage. She also wrote an investigative "Full Disclosure" column monthly.
From November 1986 to August 1993, she was an investigative business writer and editor at Forbes magazine. She broke the story of anti-investor practices on the Nasdaq stock market that was followed by Justice Department and SEC investigations. Earlier, she oversaw several Forbes investing sections and their Washington bureau.
From January 1984 to November 1986, she was a staff writer at Money magazine.
Ms. Morgenson was a stockbroker for Dean Witter Reynolds in New York from September 1981 to January 1984.
She began her career at Vogue magazine as an editorial assistant in August 1976. By the time she left the magazine in July 1981, she was a writer and financial columnist.
Born in State College, Penn., on January 2, 1956, Ms. Morgenson received a B.A. degree in English and history from Saint Olaf College, Northfield Minn., in 1976.
She is the co-author of "Reckless Endangerment," published by Times Books in 2011; author of "Forbes Great Minds Of Business," published by John Wiley & Co., in 1997; and co-author of "The Woman's Guide to the Stock Market," published by Harmony Books in 1981.
She is married, has a son and lives in New York City.
Where More Women Are on Boards, Executive Pay Is Higher
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May 29, 2016, Sunday
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Some experts say President Obama could abolish the carried interest tax break, which mostly benefits the top one-tenth of the 1 percent in income.
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Those expecting a clean sweep from Joseph C. Papa, Valeant's new C.E.O., may be disappointed: His last company, Perrigo, pursued some Valeant-esque strategies.
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Numbers in financial reports differ from reality more often, raising the question of whether investors truly understand the businesses they own.
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The world's largest investment manager has the power to change companies' short-terms ways by voting to curb C.E.O. pay, but it rarely exercises it.
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Documents Undercut U.S. Case for Taking Mortgage Giant Fannie Mae's Profits
Government lawyers said they changed the terms of a bailout deal to protect taxpayers, but newly unsealed documents call that into question.
April 13, 2016, Wednesday
The Female Viagra, Undone by a Drug Maker's Dysfunction
Missteps by Valeant, along with aggressive accounting practices and unusual business relationships, derailed one of the most intriguing drugs in a generation.
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Big Board Aims to Keep an Upstart at Bay, but Copy Its Technology
While the Investors Exchange awaits official status from the S.E.C., the New York Stock Exchange wants to adopt its would-be rival's trading innovation.
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Books by Gretchen Morgenson
Ms. Morgenson is the co-author of "Reckless Endangerment," published by Times Books in 2011; author of "Forbes Great Minds Of Business," published by John Wiley & Co., in 1997; and co-author of "The Woman's Guide to the Stock Market," published by Harmony Books in 1981.
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