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Minding My Business: Mariners' Joe Myhra Executive Transactions New Maple Leaf Square Name Skips Confusion Names In The News Glut Of NFL Games Affecting Ad Rates Dish Dropping ESPN Classic For VOD Service Epix Going Heavy On Digital With NHL NHL Strikes Deal With GoPro Cameras Vivek Ranadive Selling Software Firm Executive Transactions
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The IHL named DOUG MOSS as its new COO. Moss was President & CEO of the NHL's Sabres from '94-96, and most recently served as a consultant for both The Marquee Group and Americast (IHL)....MICHAEL S. JORDAN was named VP/Sales & Marketing for the Harlem Globetrotters (BRANDWEEK, 10/13). ...The NHL named PATRICK FLATLEY to the position of Dir of Alumni Relations. Flatley played 14 NHL seasons with the Islanders and Rangers before retiring last year (NHL). ...ESPN named MANISH JHA named Dir of Affiliate Operations & Planning. Jha had been Dir of Finance & Administration for ABC News/ESPN Internet Ventures (ESPN).


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Hampshire exile Jamie Merrill fails to see what's so great about this particular slice of pricey commuter belt
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Plunge into Chatham's naval history
Saturday 11 September 2010
"Best reinvention of a de-commissioned dockyard" – I'm not sure if there is such a prize, but if there is, then I have no doubt of the winner. One good reason that Britain ruled the waves (mostly) from Elizabethan times to the Second World War was Chatham Dockyard, a place of tremendous energy and innovation. HMS Victory was just one of the ships that was launched here.
County Championship round-up: Somerset held up by Jones' 178
Friday 06 August 2010
Geraint Jones continued his renaissance as a batsman with a career-best 178 to thwart Somerset's attempts to establish a winning position at Canterbury. The former England wicket-keeper, who topped 1,000 first-class runs in a season for the first time in 2009 as Kent returned to the First Division, is on course to do so again, having reached 917 this season after his third hundred of the campaign.
County Championship round-up: Carberry hits fifth ton of season to nudge selectors
Wednesday 04 August 2010
England's embrace of continuity in their selection policy means the one-cap wonder is becoming a threatened species.
Brian Viner: Pressing all the wrong buttons
Thursday 22 July 2010
Passed/Failed: 'An education in the life of Clare Balding, BBC sports presenter
Thursday 01 July 2010
Business analysis: "We must accelerate the transition to an idea-driven economy"
Wednesday 26 May 2010
The coming years are going to be as tough for business as for individuals with the new Government seeking to deal with the huge national debt it has inherited. If that were not bad enough, there is a growing belief that we are not in the grip of the usual cyclical downturn but are in the middle of a "great reset", to use a term that is suddenly becoming more common. If – as the author Richard Florida and others contend – we are in the middle of the sort of change that followed the Long Depression, which lasted from the early 1870s until the mid-1890s, and the Great Depression of the 1930s, then the usual measures to deal with economic downturns are unlikely to work.
Testing times for Lisbee Stainton as she lands prime spot on BBC's In Concert
Friday 14 May 2010
Soundchecks can be tedious affairs – stop-start sessions in empty venues where singers save their voices and musicians go through the motions. Big acts even have roadies do it for them. But it's a good job fast-rising folk-popper Lisbee Stainton does her own – it's just landed her a prime spot on the BBC's prestigious In Concert next week.
Denzil Freeth: Politician celebrated for his charm and oratory and rated highly by the scientific community
Tuesday 04 May 2010
It is over 45 years since Denzil Freeth retired from the House of Commons and 55 years since he was first elected as an MP for Basingstoke. For those of us in the 1959-64 parliament, Freeth was the most sparkling orator and debater, Enoch Powell included. Had I been asked to place a bet in 1962 as to who would lead the Conservative Party in 1982, my money would have been on Freeth. The exact reasons why he abruptly halted a dazzling political career, resigning from office on 23 October 1963, were unclear to his contemporaries; but those were days when neither parliamentary colleagues nor lobby and political journalists wanted to pry into the private lives of those in public life accused of no crime. But it was the febrile atmosphere which followed the Vassal and Profumo cases, and Freeth indicated to friends that he did not want to pursue the hazards of public life.
Ruddigore, Grand Theatre, Leeds
Barenboim and the Staatskapelle Berlin, Royal Festival Hall, London
Jurowski/OAE, Roundhouse, London
Sunday 07 February 2010
Premier League hold back Portsmouth cash
Tuesday 02 February 2010
The Premier League will hold on to more than £2million from Portsmouth's player sales in January to cover money owed to other clubs as more financial pressure was today heaped on the south coast side.
Ex-carer jailed over child abduction
Friday 29 January 2010
A former foster carer who hid a vulnerable boy in a hollowed-out washing machine so he could evade police was jailed for 33 months today after being found guilty of child abduction.
Fujitsu workers to stage series of strikes
Wednesday 06 January 2010
Workers at computer giant Fujitsu are to stage a series of strikes in a long-running row over jobs, pay and pensions, it was announced today.
Taxi driver battled blizzards to deliver blood
Wednesday 23 December 2009
A hospital said a huge thank you to a taxi driver today who battled through blizzards to deliver vital blood to treat cancer patients.
Weather in brief: White Witch hit by a spell of bad weather
Wednesday 23 December 2009
Not even Narnia's White Witch could make her way through the blizzards that hit Basingstoke on Monday night. The Lion, The Witch and The Wardrobe actress Caroline Corrie, bought a duvet and sheets, thinking she would have to sleep at the town's Haymarket Theatre. In the end she managed to stay in some digs used by theatre staff, along with the stage manager.
Simon Calder: It is down to travellers to lower their expectations
Wednesday 23 December 2009
Daniele Watts: Django Unchained actress detained by Los Angeles police after being mistaken for a prostitute
The political class is doing what Hitler couldn't – destroying Britain
Scottish independence: Nationalist leader Jim Sillars threatens pro-union companies with 'day of reckoning' after independence
Scottish independence: Yes campaign feels the heat as Alex Salmond's NHS claims come under furious attack
£23m Birmingham cycle scheme is attacked by Tory councillor for not catering to the elderly
Salmond accused of laughing off national debt with 'what are they going to do: invade?' joke
- 1 Scottish independence: Ireland since 1919 is a lesson for Scotland in what a Yes vote means
- 2 Thailand deaths: Pair's bloodied bodies found naked on Koh Tao beach
- 3 Lego breaks out of the toy box and heads for the gallery
- 4 Julian Assange and Edward Snowden join piracy mogul Kim Dotcom's political campaign in New Zealand
- 5 Daniele Watts: Django Unchained actress detained by Los Angeles police after being mistaken for a prostitute
i100: A single mother on benefits who became one of the world's most successful authors
11 rags-to-riches underdog success stories
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Brogues vs trainers. The great winter coat debate. Shape-shifting silhouette PLUS win the edit
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For a hint of autumnal elegance opt for boozy hues of tomato, rouge and claret. Get reddy says Melanie Wilkinson
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Westfield and Snapfashion team up to create a new digital styling tool. Create a style board or browse this season's trends. #editme.
Jake Bugg: "I'm the one I have to answer to…"
Fresh out of his teenage years, singer-songwriter Jake Bugg has achieved the kind of success that most aspiring musicians can merely dream of.
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- Angus Lennie, Actor in 'The Great Escape,' Dies at 84
- The TV Watch: 'Madam Secretary' and 'The Good Wife,' TV's Mighty Women
- Television Review: 'Hack My Brain,' Self-Improvement on Science Channel
- ArtsBeat: 'The Knick' Recap: Sexual Politics and the Early-20th-Century Woman
- ArtsBeat: Moyers Says Show Really Is Ending This Time
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A daily updated summary of the week in TV.
Program Overview
Executive Producers: Aaron Meyerson, Tom Schulman
Genres: Comedy, Family
Genres: Comedy, Family
Program Synopsis
Charlie is a 13-year-old genius who enrolls in college in a new town in order to study physics under his favorite professor, Dr. Krickstein. As usual, Charlie finds it difficult to fit in until he creates an alter ego, "Chaz," a cool kid and simultaneously attends a local junior high school so he can be near the girl of his dreams. At first, he is able to juggle his double life, but it's not too long before both worlds collide and he must meld his love for physics and hockey to save the day and win back his friends.
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- This Land Is His Land
- Labor War Over, Met's Operatic Army Mobilizes
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- Wrought in Their Creator's Image
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- Art Review: Color, Chemistry and Creativity
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Arizona State Sun Devils
Sun Devils, Carson roll over UMBC in season opener
TEMPE, Ariz. � Jahii Carson came back to lead Arizona State into the NCAA Tournament.
Beating up on an outmatched opponent to open the season isn't going to get the Sun Devils there just yet, but it isn't a bad start.
Carson had 19 points and five assists to kick off his final season in the desert, helping Arizona State roll to a 96-61 victory over Maryland-Baltimore County on Friday night.
"I definitely have a lot of emotion as far as excitement because these guys are great guys, and I just want to go out and leave a mark at ASU," Carson said.
Though the Sun Devils were a little off-kilter at times in their opener, they were good enough against UMBC, using a 12-0 run midway through the first half to blow open what started out as a tight game by both teams.
Carson has said this sophomore season will be his last at Arizona State and was certainly ready for the opening act, blowing past the Retrievers to get into the lane for layups and kickouts to open shooters. He hit 6 of 12 shots from the field and 6 of 7 free throws with two turnovers.
Arizona State got contributions from up and down the bench as well, led by newcomer Jermaine Marshall, who had 19 points.
Jordan Bachynski added 12 points and matched a career high with 15 rebounds, Shaquielle McKissic had 11 points and Arizona State held UMBC to 36 percent shooting.
"Guys were all in," Sun Devils coach Herb Sendek said. "I just loved our team's togetherness and attitude this evening."
UMBC faced a tough opener, but never stopped fighting, cutting a big first-half deficit to 11 with a chance to cut it eight with a 3-pointer midway through the second half.
The Retrievers missed that shot, and Arizona State ran away with it from there, but it was a good measuring stick for the rest of the season.
Brett Roseboro and Rodney Elliott had 12 points to lead UMBC.
"I don't want to say it's as tough as it gets for us, but it's going to be up there," UMBC coach Aki Thomas said. "I think we challenged ourselves coming up here, a long trip to see how we match up with the top half of the country. For the most part, there were bright moments we can take from this."
Carson lived up to a mountain of expectations during a stellar first season in Tempe, leading the Sun Devils in scoring and assists while setting numerous freshman records in 2012-13. The one thing he couldn't do was lead the Sun Devils to the NCAA Tournament despite a 22-win season.
That hole in his resume was one of the main reasons Carson decided to return for one more season before heading off the NBA.
UMBC didn't figure to be much of a gauge for Carson and Arizona State; the Retrievers won eight games last season and have eight newcomers.
Of course, the Sun Devils also eight newcomers, though most of theirs were a little more established, led by Marshall.
Penn State's second-leading scorer last season, he was expected to give Arizona State a veteran presence, good perimeter shooting and a great tag-team partner with Carson.
Marshall was hampered by a minor injury and Valley Fever during the preseason, but was in the starting lineup for the opener.
He certainly looked fine playing alongside Carson against UMBC.
After a somewhat sluggish start by the Sun Devils, Carson scored his first basket on a difficult up-and-under, then got into the lane to set up Marshall for a 3-pointer in the corner. Marshall had a steal on the next possession to set up Carson for a 3 in transition then scored on a pair of hard drives to the basket.
Marshall added to it late in the half, dropping in his second 3-pointer in transition to put the Sun Devils up 41-22.
"I finally got to get back out on the floor and play with Jahii for the first time and everybody else," Marshall said. "I felt good."
Carson did what does best on Arizona State's last possession of the half, dribbling one way, reversing his course and flipping up a one-handed runner off the glass to make it 45-28.
UMBC tried to chip away at the lead a couple times in the second half, but Carson had an answer most of the time, including consecutive acrobatic drives to the basket in the early going and a kick out to set up Marshall for a 3 midway through.
Arizona State put it completely out of reach with an 11-0 run that made it 73-49.
"I did like the fact that we fought at times and stuck together even though the score didn't really indicate that we had a chance to win the game," Thomas said. "It was a tough game and I think it will help prepare us for our league."
Most Popular
- Arizona State finalizes 2014-15 basketball schedule
- Former Sun Devil Jahii Carson scores 23 points in first preseason game in Australia
- ASU A.D.: Extending Herb Sendek's contract the right decision
- AP source: ASU extends both basketball coaches
- Report: ASU men's basketball coach Herb Sendek gets contract extension
- Ray Anderson, ASU athletic director - Wednesday October 1ASU Athletic Director Ray Anderson discusses the Sun Devils overcoming adversity after their loss to
- Jake Plummer - Former Cardinals and Sun Devil quarterback - Wednesday October 1Former Arizona State and Cardinal quarterback Jake Plummer discusses the latest in college football
- Mark May, ESPN college football analyst - Tuesday September 30ESPN college football analyst Mark May says the wheels could come off for ASU in a hurry.
- Rocky Harris - ASU Senior Associate Athletic Director - Wednesday September 24Arizona State Senior Associate Athletic Direct Rocky Harris expects a sellout when the Sun Devils fa
- Chris Foster - Los Angeles Times - Wednesday September 24Los Angeles Times reporter Chris Foster gives the UCLA perspective on Thursday night's game.


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Dec 15, 2012 at 9:17 am
NEW ORLEANS, La. (KNSI) Nikola Pekovic scored a season-high 31 points, Andrei Kirilenko had 21 points and 11 rebounds, and the Minnesota Timberwolves won their third straight game, 113-102 over the New Orleans Hornets on Friday night.
Pekovic was 14 for 18 from the field, scoring almost exclusively inside where Minnesota finished with a whopping 70-42 scoring advantage despite an off night for Kevin Love, who made only 4 of 18 shots.
Love finished with 14 points, while Luke Ridnour scored 15 and Alexey Shved 13.
Hornets rookie Austin Rivers had a career-high 27 points, scoring 19 in the first half. Ryan Anderson added 20 points for New Orleans, which has lost six straight and 15 of 17.
Greivis Vasquez added 15 points and a career-high 17 assists, and Anthony Davis had 11 points for the Hornets.
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JOIN our live coverage of today's racing as spring kicks up a notch with the Underwood Stakes at Caulfield and George Main Stakes in Sydney.
AUSSIE F1 star Daniel Ricciardo has a testy relationship with teammate Sebastian Vettel. So, who would he like to drive with instead?
BOXING regulators have called on Floyd Mayweather Jr. to answer questions about marijuana use and questionable practices at his gym before the Maidana fight.
MANCHESTER United manger Louis van Gaal wants to get Cristiano Ronaldo back to Old Trafford, with the superstar continuing to be linked with a return.
KANE Williamson blasted the fastest century in Champions League T20 history to propel Northern Knights to a rain-affected win over Cape Cobras last night.
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AppleShare Via IP for the Rest of Us -- Open Door Networks shipped ShareWay IP Gateway, a program that enables an AppleShare-compatible server to provide file sharing over the Internet. Instead of using FTP, people using the AppleShare Client Chooser extension 3.7 or later (included with Mac OS 8) can mount remote AppleShare servers over the Internet just as though the server were on a local AppleTalk network. The beauty of ShareWay IP is that it provides one of the most attractive features of Apple's expensive AppleShare IP 5.0 for far less money. ShareWay IP comes in two versions, the $189 Standard Edition ($119 educational) and the $59 Personal Edition ($49 educational). The Standard Edition can run on any Mac on the same AppleTalk network as the server and works with most AppleShare servers. The Personal Edition supports only Personal File Sharing on the same Mac as ShareWay IP. Both require System 7.5.3 or later and Open Transport 1.1.2 or later. Introductory pricing is good until 30-Nov-97 and free evaluation versions are available on Open Door's Web site. [ACE]
Thoughtful, detailed coverage of the Mac, iPhone, and iPad, plus the best-selling Take Control ebooks.
Move Multiple Windows Simultaneously in Spaces
Command-drag a window in Spaces to move all windows associated with the dragged window's application to a new space. Control-drag will do the same thing, and will also preserve the same screen position in the space in which you drop the windows.
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It was a meeting as comfortable as when friends get together. Colin Garfield met up with FRCC faculty Chad Kerst. It was former student and professor, each interested in each other's lives. Praise for Philosophy Faculty Chad Kerst After he graduated from Front Range, Colin wrote an email to President Andy Dorsey about the great […]READ MORE
ARCHIVE 'College Students' CATEGORY
Student Success: Cartographer Returns for Associate Degree
Student Success: Ex-Marine Keeps Veterans Issues at Forefront on Campus
As a Marine, Jason Sydoriak served two deployments in Iraq and one in Afghanistan, where he was wounded when an improvised explosive device struck the vehicle in which he was riding. The explosion shattered his left heel bone. His ankle now is fused. As a student at Front Range, Jason still has a call to […]READ MORE
Top Posts: Getting a Good Start at College
As college students get ready to start (or return) to school, we thought it would be helpful to share some of our blog posts that have tips and advice about how to get off to a good start at college. Tips for New College Students: What I Wish I Knew 10 Years Ago 5 Tips […]READ MORE
How to Succeed This School Year (or Any School Year)
Whether you are a new freshman or someone returning to school to boost your résumé or make a career change, I'm sure you want to get off on the right foot this semester. Here are a few ways to lay the groundwork for a great school year—and a successful college experience. Set goals—and keep them […]READ MORE


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Their Cheating Hearts: Celebrities who stray
Tiger Woods is only the latest celebrity to be caught fooling around on the side. Take a look at some of the most celebrated celebrity cheating scandals on record.
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The Cheaters: Abbie Cornish and Ryan Phillipe( December 3, 2009 )
The Details: Bubbly blond movie darlings Ryan Phillipe and Reese Witherspooon met at her 21st birthday party, married following the release of their movie Cruel Intentions, and has two children together. That ended in 2006 when the couple announced they were separating. But before that announcement, Ryan was allegedly seen cavorting with costar Abbie Cornish, who he met on the set of their film Stop Loss. Ryan claims they're "just good friends," but he's been spending an awful lot of time with the stunner from Down Under.
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The articles in this supplement are based on presentations at the "National Patient Navigator Leadership Summit"; March 23-24, 2010; Atlanta, GA.
The role of patient navigators in eliminating health disparities†‡
Article first published online: 20 JUL 2011
DOI: 10.1002/cncr.26264
Copyright © 2011 American Cancer Society
Supplement: National Patient Navigation Leadership Summit (NPNLS): Measuring the Impact and Potential of Patient Navigation, Supplement to Cancer
Volume 117, Issue Supplement 15, pages 3541–3550, 1 August 2011
Additional Information
How to Cite
Natale-Pereira, A., Enard, K. R., Nevarez, L. and Jones, L. A. (2011), The role of patient navigators in eliminating health disparities. Cancer, 117: 3541–3550. doi: 10.1002/cncr.26264
- †
- ‡
The opinions or views expressed in this supplement are those of the authors, and do not necessarily reflect the opinions or recommendations of the publisher, the editors, the University of Illinois at Chicago, the American Cancer Society, or the Ralph Lauren Center for Cancer Care and Prevention.
National Patient Navigator Leadership Summit (NPNLS): Measuring the Impact and Potential of Patient Navigation, Supplement to Cancer.
Publication History
- Issue published online: 20 JUL 2011
- Article first published online: 20 JUL 2011
- Manuscript Accepted: 12 APR 2011
- Manuscript Received: 25 FEB 2011
- Abstract
- Article
- References
- Cited By
- health care disparities;
- patient navigation;
- outcome measures;
- health care reform
Despite many important efforts to increase equity in the US health care system, not all Americans have equal access to health care—or similar health outcomes. With the goal of lowering costs and increasing accessibility to health care, the nation's new health care reform legislation includes certain provisions that expand health insurance coverage to uninsured and underinsured populations, promote medical homes, and support coordination of care. These provisions may help narrow existing health care disparities. Many of the most vulnerable patients, however, may continue to have difficulty accessing and navigating the complex US health care delivery system. This article explores the unique role that patient navigation can play in improving health outcomes for racial and ethnic minorities, as well as other underserved populations, in the context of a changing healthcare environment. Patient navigators can not only facilitate improved health care access and quality for underserved populations through advocacy and care coordination, but they can also address deep-rooted issues related to distrust in providers and the health system that often lead to avoidance of health problems and non-compliance with treatment recommendations. By addressing many of the disparities associated with language and cultural differences and barriers, patient navigators can foster trust and empowerment within the communities they serve. Specific patient navigator activities are discussed, and metrics to evaluate program efforts are presented. Cancer 2011;117(15 suppl):3541–50. © 2011 American Cancer Society.
Health disparities are differences, or inequalities, in health outcomes and their determinants within and across countries and communities, as defined by social, demographic, environmental, and geographic attributes. Many different segments of our society are affected by disparities, including racial and ethnic minorities, residents of rural areas, women, children, elderly, and persons with disabilities.
Several agencies of the Department of Health and Human Services collect and disseminate information regarding health and health care in America. The Centers for Disease Control and Prevention's National Center for Health Statistics and the Agency for Healthcare Research and Quality's National Healthcare Quality and National Healthcare Disparities reports, as well as the Medical Expenditure Panel Survey and Healthcare Cost and Utilization Project provide detailed information on health outcomes and health care delivery in the United States. In addition, organizations such as the Institute of Medicine (IOM) provide unbiased reviews and recommendations on health disparities. The American Cancer Society has prioritized the elimination of cancer health disparities by 2015, and Healthy People 2010 also includes goals related to cancer and many other diseases. However, despite all that is known about the nation's health, how health is perceived, how it is intricately related to socioeconomic status, and how it is deeply affected by cultural influences and personal choices, the gap between knowledge and effective action to address this national crisis remains widely open and a challenge for the 21st century.
In March 2010, the United States achieved the long-desired but daunting challenge of establishing legislation, the Patient Protection and Affordable Care Act (PPACA Public Law 111 – 148), that aims to overhaul our health care system. Although imperfect and controversial in many ways, it represents the first step toward achieving a more equitable health care system for all Americans. In addition to prioritizing affordability, accessibility, and accountability, the new law also promises to tackle disparities in health and health care.
This article considers the role of patient navigation as a tool in the health care delivery armamentarium that can help to narrow health disparities in the new era of US health care reform.
Health Care Disparities: Historical Perspective
From the country's inception, the framework for health disparities in the US has revolved primarily around race and ethnicity. W.E.B. Du Bois was among the first to recognize the link between health and socioeconomic status when he published The Philadelphia Negro, which highlighted factors such as low economic and social status, employment, education, leadership, and the black church as contributing to the individual health status. In the area of cancer, the landmark report by Henschke et al1 documented an alarming increase in cancer mortality in the US black population, noting a 20% increase from 1950 to 1967. Throughout the 1980s and 1990s, a series of studies strongly demonstrated the nexus between cancer and social, economic, and cultural factors. Researchers began documenting cancer statistics for racial and ethnic minorities in the 1990s, and by 1995 it was clear that some cancers were more virulent among certain racial/ethnic populations.
In the 21st century, we have continued important efforts to identify, understand, and document health disparities in America. We know that racial, cultural, and socioeconomic disparities in access, utilization, and delivery of services are major contributors to disparities in health outcomes. In this generation, the proposed framework for research includes 3 pillars: transdisciplinary research, community engagement, and translation of evidence-based practice.2 It is in this generation that patient navigation has the opportunity to play its role. Indeed, more than a dozen programs across the country have been instituted to scientifically test the hypothesis that patient navigation can reduce barriers to care and improve outcomes.
Using a Biopsychosocial Approach to Address Health Disparities
Developed by American psychiatrist George Engel in 1977, the biopsychosocial model (Fig. 1) provides a novel comprehensive approach to understand the health of an individual and outlines the need to consider additional contributing elements to maintaining health.3 According to Engel, "a medical model must also take into account the patient, the social context in which he lives, and the complementary system devised by society to deal with the disruptive effects of illness, that is, the physician role and the health care system." Engel suggested that the institution and establishment of medicine as a discipline evolved as a result of the societal need to address disease and illness.3 Therefore, the biopsychosocial perspective proposes that health and health services are intrinsically steeped in societal factors and needs.3 For example, disruptions in psychological and biological well-being interpreted by the patient or their family are often what drive patients to seek out a diagnosis and/or treatment.3, 4 Furthermore, sociological and psychological factors can affect a patient's ability to access and/or adhere to treatment.3, 4 The assumption that societal, psychological, and biological factors individually and, more important, collectively can influence disease morbidity and mortality makes the biopsychosocial model an appropriate lens through which health disparities should be addressed.
Although Engel's proposal for a "new medical model" was not specifically intended to address health disparities as we have come to understand them, it provides a comprehensive framework. This framework embraces the recognition that health is affected by a complex of social, psychological, biological, environmental, and societal factors.3 In 1999, Congress commissioned the IOM to assess disparities in the kinds of quality of health care received by the US population. In a 2000 report on health care quality, the IOM maintained that problems in patient-physician relationships and gaps in communication contribute significantly to avoidable medical errors, even up to death.5 The biopsychosocial model is crucial to understanding and addressing health disparities because health disparities are often associated with factors that extend beyond biological differences and contribute to disproportionate disease morbidity and mortality rates.6 Potential sources of disparities in care include: 1) health systems factors, 2) patient-level factors, and 3) disparities arising from the clinical encounter. Access to proper and timely medical care, poor quality of care, lack of insurance coverage, and limited knowledge of the health care system are serious contributors to the health status of the population. Among those patient-level factors, poverty, low literacy, lack of access, lack of trust in the system, and emotional stressors play a significant role in the health outcome of the individual (Fig. 1).
The IOM continued to build upon this framework when it released the landmark report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.7 In the report, the IOM committee focused primarily on: 1) issues related to the operational, legal, and regulatory environment of health care systems, and 2) discrimination (bias, prejudices, and stereotyping), as well as clinical uncertainty at the patient-provider level as key contributors to health disparities. The committee's report presented an integrated model for examining health disparities that demonstrates how internal and external characteristics, or determinants of health, impact the patient's interaction with providers and other resources within the health system, and how these factors ultimately influence health outcomes. The theory that health outcomes are significantly influenced by complex, integrated, and overlapping structures and systems—including social factors (socioeconomic status, educational and job opportunities, social support mechanisms), health system factors (insurance coverage, access to a usual source of care provider, ease of access to health care services determined by availability of health professionals, hospitals, and other providers), and environmental factors (housing, segregation, neighborhood violence, food)—are well documented in literature examining the determinants of health.8-10 The biopsychosocial model can enhance this integrated, individual-level perspective approach from beginning to end, by the coalescing of a multidisciplinary effort drawing from science, the affected population, and the community to improve health.11
The Persistence of Health Disparities
Although there has been some focus on addressing inequalities in these areas, racial and ethnic disparities in health care access, as well as in evidence-based processes of care and health outcomes, persist. For example, the percentage of blacks and Hispanics living below the poverty level exceeds 25% for both groups compared with 9.4% for whites, according to the most recent data from the US Census Bureau (Table 1). High school drop-out rates are also higher for blacks (9.9%), American Indian/Alaskan Natives (14.6%), and Hispanics (18.3%) compared with whites (4.8%). Blacks also experience higher unemployment rates (16% vs 12.5% for whites) and report lower rates of being married with a spouse in the home (30.1% for blacks and 42.7% for Hispanics compared with 54.6% for whites). Non-elderly American Indian/Alaskan Natives report the highest rates of being covered by public insurance only (63.4% compared with 30.1% for whites). Non-elderly Hispanics also report high rates of public insurance (57.7%), as well as the highest rates of being discontinuously insured (44.6% compared with 25.7% for whites) and rates of being uninsured all year (28.6% compared with 14.4% for whites). Access to a usual source of care provider is similar among the groups, with the exception of Hispanics, who also report the highest rates of experiencing difficulty getting needed care and lower rates of always getting appointments for care as soon as desired compared with whites. These findings are consistent with the literature about the impact of insurance type and continuity on access to care.12-17
|Race/Ethnicity %
|White (SE)
|Black (SE)
|Asian (SE)
|Hispanic (SE)
|% below poverty levela
|% high school dropouts, 2008b
|% unemployed (2010)c
|% married (spouse present)d
|Health insurance (age <65 y)e
|% public insurance only
|30.1 (0.5)
|47.2 (1.0)
|26.5 (1.4)
|63.4 (5.1)
|57.7 (0.9)
|% any private insurance
|69.7 (0.5)
|51.8 (1.0
|73.2 (1.4)
|36.4 (5.1)
|26.6 (2.2)
|% uninsured all year
|14.4 (0.4)
|14.6 (0.7)
|12.9 (2.2
|20.5 (3.3)
|28.6 (0.9)
|% discontinuously insured
|25.7 (0.6)
|28.5 (1.0)
|22.1 (2.8)
|37.7 (4.1)
|44.6 (1.0)
|% Usual source of care providere
|86.4 (0.3)
|85.9 (0.6)
|87.6 (0.9
|81.0 (3.8)
|77.4 (0.8)
|Limited English proficiencye
|% with usual source of care
|36.3 (2.1)
|31.2 (5.3)
|53.3 (2.0)
|% with language assistance
|42.3 (2.0)
|57.0 5.7)
|41.2 (2.0)
|% without language assistance
|5.5 (1.1)
|11.8 (3.4)
|10.0 (2.7)
|Timeliness of caree
|% Difficulty getting care when neededf
|55.8 (1.8)
|55.6 (3.7)
|66.0 (3.7)
|% "Always" received appointment for routine care as soon as wantedf
|49.0 (0.6)
|50.1 (1.6)
|35.1 (3.1)
|35.1 (3.1)
|% "Always" received appointment for illness/injury/condition as soon as wantedf
|60.2 (0.8)
|58.0 (2.0)
|45.6 (4.9)
|20.6 (1.6)
|% Patient-centerednesse,g
|57.3 (0.5)
|63.0 (1.0)
|49.6 (2.5)
|59.2 (6.9)
|54.2 (1.3)
|% Utilizatione
|% with at least 1 office-based or outpatient visite
|75.3 (0.5)
|65.7 (1.0)
|62.7 (2.6)
|70.7 (4.2)
|59.1 (0.9)
Many of the socioeconomic disparities—including race and ethnicity—associated with reduced or unsatisfactory access to care are also prominent when examining cancer processes of care and outcomes. As noted in Table 2, although black women have mammography and Pap test rates similar to those of white women, they experience higher rates of advanced-stage breast cancer and mortality. Hispanic women report Pap test rates similar to those of white women, but they experience higher rates of advanced-stage cervical cancer and mortality. Racial and ethnic minorities also report lower rates of colorectal cancer screenings (fecal occult blood test or colonoscopy/sigmoidoscopy/proctoscopy), but only blacks experience higher rates of advanced-stage disease and mortality compared with whites. Mortality for all cancer types, prostate and lung cancers, are also highest among blacks and account for the majority of the racial/ethnic disparities. Blacks, compared with whites, report similar rates of receiving smoking cessation and exercise counseling but lower rates of diet and nutrition counseling. Hispanics report lower rates of counseling for all 3 lifestyle modifications compared with whites. Access to hospice care and hospice-delivered pain medications were similar for whites and racial/ethnic minorities, although racial/ethnic minorities reported lower rates of having their end-of-life wishes met.
|Race/Ethnicity %
|White (SE)
|Black (SE)
|Asian (SE)
|Hispanic (SE)
|Breast cancer
|67.3 (0.6)
|64.3 (1.6)
|54.0 (3.5)
|67.1 (7.4)
|58.9 (1.7)
|Advanced-stage breast cancerb
|93.7 (0.8)
|111.1 (2.6)
|64.3 (1.9)
|40.3 (4.8)
|73.0 (1.8)
|Radiation therapy ≤1 y after breast-conserving surgeryc
|76.5 (0.3)
|68.5 (0.9)
|72.5 (1.6)
|61.6 (1.3)
|Breast cancer mortalitye
|22.9 (0.1)
|31.6 (0.4)
|12.1 (0.4)f
|12.8 1.0)
|15.0 (0.3)
|Cervical cancer
|Pap smearg
|78.2 (0.4)
|80.0 (1.0)
|63.9 (2.7)
|71.2 (5.5)
|74.4 (1.1)
|Advanced-stage cervical cancerh
|11.0 (0.2)
|13.1 (0.7)
|9.9 (0.6)f
|16.5 (0.6)
|Cervical cancer mortalitye,i
|Colorectal cancer
|Fecal occult blood testj
|17.4 (0.5)
|15.7 (1.2)
|12.9 (2.3)
|12.1 (1.3)
|Colonoscopy/sigmoidoscopy/ proctoscopyk
|51.2 (0.6)
|42.6 (1.6)
|34.2 (3.1)
|32.3 (9.0)
|32.3 (1.8)
|Advanced-stage colorectal cancerl
|77.1 (0.7)
|97.1 (2.4)
|64.2 (1.9)f
|50.2 (5.5)
|65.8 (1.8)
|Colorectal cancer mortalitye
|16.7 (0.1)
|24.3 (0.3)
|10.9 (0.3)
|11.2 (0.8)
|12.6 (0.2)
|Other cancers
|Prostate cancer mortalitye
|21.7 (0.1)
|50.5 (0.8)
|9.6 (0.5)
|14.4 (1.5)
|18.1 (0.5)
|Lung cancer mortalitye
|52.1 (0.1)
|56.8 (0.5)
|25.2 (0.5)
|31.2 (1.3)
|20.7 (0.3)
|All cancer mortalitye
|179.9 (0.3)
|217.4 (0.9)
|106.5 (1.0)
|119.4 (2.5)
|118.0 (0.8)
|Lifestyle modification
|Smoking-cessation counseling
|63.8 (1.5)
|66.9 (2.5)
|53.4 (3.8)
|Exercise counseling
|59.0 (1.0)
|56.6 (1.6)
|48.5 (1.9)
|Diet/nutrition counseling
|51.5 (1.0)
|44.5 (1.7)
|42.2 (1.6)
|Palliative care
|Appropriate hospice referral
|88.0 (0.1)
|89.4 (0.6)
|90.5 (1.1)
|85.2 (1.5)
|87.8 (0.7)
|Hospice patients: appropriate pain medication
|94.6 (0.1)
|91.6 (0.6)
|89.4 (1.3)
|92.8 (1.2)
|93.0 (0.6)
|Hospice patients: end-of-life care wishes met
|94.7 (0.1)
|88.0 (0.8)
|83.5 (1.6)
|87.3 (1.7)
|89.1 (0.8)
Patient Navigation as a Tool to Reduce Disparities in Health and Health Care
Unfortunately, communities with the highest proportions of racial/ethnic minorities are considered among the most vulnerable to reduced health care access and quality. These communities also tend to be burdened with other socioeconomic barriers to care, including high rates of uninsured and medically indigent populations. Appropriate mammography utilization has been shown to be of particular importance to racial/ethnic minorities—most specifically black women, who are often less likely than white women to receive adequate screening and follow-up diagnostic mammography than white women and have higher prevalence of advanced breast tumors but whose advanced cancer rates may be attenuated or eliminated when stratified by screening history.18, 19 Women who are immigrants and those with lower incomes, with less education, without insurance, and lacking a usual health care provider are less likely to get screening mammograms but continue to have high rates of mortality.20, 21 In addition, older, poor, less educated, and immigrant women are less likely to be screened for cervical cancer.20 Among Hispanic women, key barriers to cervical cancer screening include language/communication barriers, continuity of care, cultural barriers/lack of knowledge, and low socioeconomic status.22 These barriers, particularly language/communication barriers, have also been linked to reduced access to preventive screening tests for women of other races/ethnicities (in addition to Hispanic women).23, 24 Racial and ethnic disparities in actual and perceived barriers to health care access and quality are also evident in the continuum of care for other cancers, including colorectal and lung cancers.25-27 These and other studies offer evidence that, in addition to racial and ethnic minorities, low-income individuals and families, women, children, young adults, the elderly, residents of rural areas, and individuals with disabilities or special health care needs (such as childhood cancer survivors transitioning to adulthood) may potentially benefit from individualized assistance to overcome health care system barriers and facilitate timely access to quality medical and psychosocial care from prediagnosis through all phases of the cancer experience.28 Patient navigation, therefore, using a biopsychosocial approach to providing a comprehensive range of health care services and support, represents a potentially powerful tool in the arsenal to target health disparities.
What Disparities Are Amenable to Patient Navigation?
Provisions of the Affordable Care Act address 4 key issues important to reducing health disparities in the United States, all of which are amenable to improved implementation through patient navigation: prevention and early detection; health care access and coordination; insurance coverage and continuity; and diversity and cultural competency.29
Prevention and early detection
Appropriate utilization of cancer screening tests has increased for all races/ethnicities over the past 2 decades but still falls short of Healthy People 2010 goals.20 Major national policy initiatives—for example, the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) to provide breast and cervical cancer screening services to underserved women, as well as the Cancer Prevention and Treatment Act of 2000 authorizing states to provide medical assistance through Medicaid to eligible women who were screened through the NBCCEDP and diagnosed with breast or cervical cancer—have likely played a role in narrowing these differences.30 Disparities persist, however, particularly for immigrants and those with lower incomes, with less education, without insurance, and without a usual health care provider.20
Patient navigators can help bridge the gaps between racial/ethnic groups related to compliance with evidence-based guidelines for cancer prevention and early detection. Patient navigators can facilitate access to the system for underserved populations by connecting them to resources most appropriate for each patient's individual needs—including access to Federally Qualified Health Centers (FQHCs), which tend to be major providers of preventive care and screening services to racial/ethnic minorities and other underserved populations. Patient navigation has been shown to be a critical component in helping racial/ethnic minorities gain access to FQHCs, as well as to other safety net facilities, which provide not only direct screening, diagnostic, and treatment services but also public education and outreach to facilitate disease prevention.31-35 In addition, because many cancer screening guidelines vary based on family history and personal risk factors, navigators can offer individualized advice regarding screening services that may improve compliance by increasing patients' cancer knowledge and risk perception.36-38 Additional studies to investigate the effectiveness of patient navigation as a mechanism to reduce cancer health disparities are under way.39
Health care access and coordination
Access to care refers to entry into or use of the health care system, or the factors influencing entry or use. This may be measured by structural factors that facilitate health care, such as having health insurance or a usual source of care (USOC) provider; patient perceptions of their ability to gain access to health care services (ie, difficulties or delays in obtaining care or receiving appointments for care as soon as desired); and actual utilization of health care services, such as visits to physicians or use of hospital inpatient or ambulatory care services.40 Significant racial/ethnic disparities in health care access have been well documented.41 People with a usual source of care, however, are more likely to receive appropriate preventive health services.42, 43
The PPACA contains several provisions to improve health care access for racial/ethnic minorities and other underserved populations, including providing planning grants to states to facilitate promotion of medical homes for Medicaid enrollees with chronic conditions; funding for community-based interdisciplinary teams to provide support services to primary care practices; and funding for consortiums of health care providers to coordinate and integrate health care services for low-income uninsured and underinsured populations (Pub. L. 111–118). These additional resources will contribute to the existing care continuum, which includes a provider or team of providers responsible for comprehensive case management, care coordination and health promotion, transitional care, patient and family support, and referral to community services.
But health care systems are laden with complexity. Navigators, who operate best in their local environment, are brokers with the ability to confront health system and environmental barriers that tend to disproportionately burden racial and ethnic minorities. These barriers include financial and insurance issues, paperwork and documentation, cultural beliefs and language barriers, as well as issues related to transportation, childcare, and neighborhood resources. Patient navigators, therefore, may play a critical role in coordinating access to a comprehensive continuum of services by tailoring their assistance to help vulnerable patients identify a medical home, by facilitating communication and cooperation between providers, and by providing the patient education and support necessary to increase access to care and their ability to comply with prescribed therapies.44-46
Insurance coverage and continuity
Racial and ethnic minorities, as well as people with low incomes, are disproportionately uninsured or underinsured. One of the most significant elements in the PPACA is the expansion of Medicaid to cover most individuals up to 133% of the federal poverty level, as well as the development of health insurance exchanges. This is important to addressing health disparities because health insurance facilitates entry into the health care system.14 Uninsured individuals report more problems getting care, are diagnosed at later disease stages, and get less therapeutic care.12, 47, 48
Navigators can play an important role in not only helping patients gain consistent access to insurance through publicly-funded programs such as Medicaid but also in helping them to remain consistently insured.49, 50 In addition, patient navigators may advocate on behalf of patients who have historically experienced insurance discrimination, which is banned under PPACA, so sicker individuals will no longer be excluded from coverage or charged higher premiums. Finally, navigators may play a role in advising patients—particularly those facing severe health literacy issues—regarding their selection of health insurance plans and in completing necessary applications.
Diversity and cultural competency
Factors beyond biological differences, including cultural beliefs, language, acculturation, nativity status, and health beliefs, often contribute to disparities in health outcomes and health-seeking behavior.51-53 For example, studies have consistently found that black and Hispanic participants report higher rates of distrust and feeling disrespected by the health care system and health care providers.54-56 Distrust in health care services and providers contributes significantly to delays in treatment services, the receipt of less than quality services, and increased rates of nonadherence to treatment.54, 56 Similarly, participants who feel disrespected by the health care system and providers are less likely to be compliant with treatment and are more likely to put off getting medical services.55, 56 Patient navigation services are ideal to address many of the disparities associated with diversity and culture because they foster trust and empowerment within the communities they serve.57, 58
In their study of patients who received navigation services, Carroll et al identify providing emotional support, "being there," and providing helpful information as the most important services received.59 These findings highlight the importance of trust in the patient/navigator relationship. In the study, patients recognized the navigator as existing in two worlds, one as an insider to the health care system and the other as a caring companion.59 As an insider, the navigator is able to provide patients useful information to assist in accessing and navigating the health care system.10 In their other role, the patient navigator is a supportive ally to the patient.57, 59 Patient navigators have the unique opportunity to establish trust with patients and are the link that will help to extend that trust from the patient/navigator relationship to the larger health care system.57, 59 In conjunction with increasing utilization of medical and screening services, patient navigation services have been shown to decrease the anxiety associated with medical treatment and increase patient satisfaction with services received among underserved populations.45, 57 Underserved populations who receive patient navigation services report fewer disruptions in care and are more likely to complete required treatment.57 Many of the studies attribute these positive findings to the use of representative community members as patient navigators.57, 58 The use of representative community members as navigators cultivates trust between the patient and the navigator and the health care system they will be engaging. Community member navigators can be a resource in addressing issues related to language, and they can also be instrumental in communicating and promoting acceptance of cultural differences to service providers.57 The benefits of applying patient navigator services to address health disparities related to diversity and cultural competence are essentially limitless: "The navigator acts as a bridge between two worlds—the fragmented, poorly coordinated health care system and the complex biopsychosocial needs of cancer patients, especially those who are underserved."59 The opportunity for patient navigators to utilize the biopsychosocial approach to serve diverse patient populations will be expanded and strengthened by the Patient Protection and Affordable Care Act, which will expand initiatives to increase racial and ethnic diversity in the health care professions, strengthen cultural competency training for all health care providers, and require health plans to use language services and community outreach in underserved communities (Table 3).
|Health Disparities
|Navigator Activities to Reduce Disparities
|Metrics and Data Sets
|Preventive care/early detection Timely cancer screenings Early-stage disease detection Population cancer rates, by race ethnicity Mortality
|Educate patients regarding screening guidelines appropriate for their status Identify providers and/or programs to perform screenings as needed Educate patients regarding early signs/symptoms of cancer
|For racial/ethnic minorities: Increased likelihood of screening according to guidelines (eg, likelihood of mammography within 2 y for women age ≥40 y, or % of women age ≥40 y screened within past 2 y, by race/ethnicity Cancer diagnosed at early stage Reduction in differences between cancer rates, by race/ethnicity Cancer deaths per 100,000 population per year Data sets: MEPS, NHIS, CHIS, HEDIS, SEER, NIS, MI
|Healthcare access and coordination Medical home or USOC Annual physical exam Perceived patient-provider relationship (trust, communication, etc.) Perceived and actual ability to obtain timely, needed care at all levels Access to evidence-based care Compliance with provider recommendations
|Assist patients with identifying a primary care "medical home" Assist with facilitating appointments as needed Assist with facilitating ancillary care, medications, equipment as needed Provide/coordinate patient education Assist with transportation to appointments as needed
|For racial/ethnic minorities: Increased likelihood of having USOC or medical home Increased likelihood of at least 1 visit during year Decreased comorbidities (such as diabetes and cardiovascular disease) Increased likelihood of perceiving provider listened, respected, showed respect, and spent enough time with patient Decreased likelihood of perceiving problems obtained needed care Increased cancer knowledge and appropriate risk perception Increased likelihood of exercise and nutrition counseling Increased likelihood and/or increased mean values of physical activity/hours, eating fruits and vegetables/servings % of population receiving evidence-based continuum of care for their condition Increased likelihood of receiving appropriate end-of-life care Data sets: MEPS, NHIS, CHIS NAMCS, NHANES, HINTS, MCBS, HEDIS, SEER, NHHCS
|Insurance coverage Insurance coverage Insurance continuity
|Determine eligibility for Medicaid, Medicare, and other public programs Provide forms and assist with completion Monitor eligibility renewal dates as needed, and follow up/assist with renewal to ensure insurance continuity Assist with identifying/advocating for patient for coverage of needed services Assist patient with selecting/applying for health insurance
|For racial/ethnic minorities: Increased likelihood of being insured Increased likelihood of being continuously insured all year Reduced likelihood of reporting problems receiving care Increased % of population receiving evidence-based continuum of care for their condition Data sets: MEPS, NHIS, CHIS, NAMCS, HEDIS, SEER, NIS
|Diversity and cultural competency Language barriers Conflicting cultural views Patient vs physician perspective of disease Patient perspective of health care services Differences in perspectives of self/family care Trust History of experience with healthcare services
|Can organize or provide translation services Serve as support for medical visits Assist patient/physician with communicating expectations, needs, and perspectives Coordinate medical visits Identify and access community resources
|For racial/ethnic minorities: Increased likelihood of perceiving provider listened, showed respect, and spent enough time with patient Increased likelihood of receiving language assistance (when needed) Increased health-literacy scores Data sets: MEPS, NHIS, CHIS, CAHPS, HINTS
Despite many important efforts to increase equity in the US health care system, not all Americans have equal access to health care—or similar health care outcomes. Low-income Americans, racial and ethnic minorities, and other underserved populations often have higher rates of disease, fewer treatment options, and reduced access to care. Patient navigation is a clinical tool that, when applied in the context of a biopsychosocial approach to health, particularly among ethnic populations, can play a significant role in improving individual and population health. Navigators are uniquely positioned to play an integral role in the changing environment of health care delivery by facilitating access to care, as well as addressing language and cultural barriers. Patient navigators can break through literacy barriers (including health literacy and functional health literacy), build trust, reduce fear, and support the improvement of patient-provider communication. In doing so, navigators can plan an integral role in the changing environment of health care delivery, with the potential to help in delivering better quality and more efficient care and ensuring that access to care is for all.
FUNDING Sources
This conference and supplement were cosponsored by Pfizer Oncology, Livestrong (Lance Armstrong Foundation), Susan G. Komen for the Cure, the Oncology Nursing Society (ONS), the American College of Surgeons Commission on Cancer, the American Cancer Society, and AstraZeneca.
The authors made no disclosures.
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- 30Impact of the National Breast and Cervical Cancer Early Detection Program on mammography and pap test utilization among white, Hispanic, and African American women: 1996-2000. Cancer. 2007; 109: 348-358., , .
- 31Breast and Cervical Cancer Legislation. Atlanta, GA: Centers for Disease Control and Prevention; 2010.
- 32Barriers to screening colonoscopy for low-income Latino and white patients in an urban community health center. J Gen Intern Med. 2008; 23: 834-840., , , et al.
- 33Lay patient navigator program implementation for equal access to cancer care and clinical trials. Cancer. 2006; 107: 2669-2677., , , et al.
- 34Establishing a patient navigator program to reduce cancer disparities in the American Indian communities of western South Dakota: initial observations and results. Cancer Control. 2008; 15: 254-259., , , et al.
- 35Patient navigation in breast cancer: a systematic review. Cancer Nurs. 2010; 33: 127-140., , , .
- 36Comparing knowledge of colorectal and prostate cancer among African American and Hispanic men. Cancer Nurs. 2009; 32: 412-417., , , , , .
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- 38Perceived cancer risk: why is it lower among nonwhites than whites? Cancer Epidemiol Biomarkers Prev. 2010; 19: 746-754., , , , .
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- 45The effect of patient navigation on time to diagnosis, anxiety, and satisfaction in urban minority women with abnormal mammograms: a randomized controlled trial. J Urban Health. 2008; 85: 114-124., , .
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- 47Insurance coverage, medical care use, and short-term health changes following an unintentional injury or the onset of a chronic condition. JAMA. 2007; 297: 1073-1084..
- 48Sicker and poorer—the consequences of being uninsured: a review of the research on the relationship between health insurance, medical care use, health, work, and income. Med Care Res Rev. 2003; 60( 2 suppl): 3S-75S..
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- 51Persistent disparities in the use of health care along the US-Mexico border: an ecological perspective. Am J Public Health. 2008; 98: 1987-1995., , .
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- 57Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women. Health Educ Res. 2009; 24: 318-329., , , .
- 58Establishing a patient navigator program to reduce cancer disparities in the American Indian communities of Western South Dakota: initial observations and results. Cancer Control. 2008; 15: 254-259., , , et al.
- 59Patients' experiences with navigation for cancer care. Patient Educ Counseling. 2010; 80: 241-247., , , et al.


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Winterthur Museum, Garden & Library, WilmingtonCalling on kids (big and small)! Come explore tractors and other farm equipment, take a hayride, do arts and crafts in the Brown Center, dress up with firefighter gear, and even milk a mechanical c...
Wilmington fairs festivals events
Truck and Tractor Day
Saturday, Oct 4 10:00a
Woodside Farm's Art & Craft Fall Festival
Saturday, Oct 11 10:00a
Woodside Farm Creamery, NewarkFine arts and crafts of all kinds from local artists. Featuring original paintings, prints and crafts, while also meeting the artist themselves! Everything from pottery to woodworking...
Media Jazz by Night Celebration
Saturday, Nov 15 10:00a
City of Media, MediaMedia Jazz by Night Celebration - Celebrate the diverse sound styles of authentic Jazz as world-renowned musicians rub shoulders with the very best Jazz acts from our region - on 21 indoor stages...
Sunday, Nov 9 8:00a
Linvilla Orchards, MediaDuring the months of September and October, Pumpkinland takes center stage at Linvilla Orchards...
AA 240 Pancake Breakfast Fly-in and Young Eagles
Saturday, Oct 11 8:00a
New Garden Airport, ToughkenamonAsk anybody! Chapter 240 has a reputation for serving excellent breakfasts...
Swarthmore Presbyterian's Fall Fair Ushers in the Season
Saturday, Oct 4 9:30a
Swarthmore Presbyterian Church, SwarthmoreAutumn doesn't really begin until Saturday, October 4 with Swarthmore Presbyterian Church's annual Fall Fair...
Fall Home & Garden Expo
Friday, Oct 10 10:00a
Salem County Fairground, WoodstownThree day event held indoors and out. Professional Home & Garden Expo. Come and talk to all the home show companies for all your fall remodeling...
South Jersey Pumpkin Show
Friday, Oct 10 10:00a
Salem County Fairground, WoodstownFall festival featuring three day Arts & Crafts Festival and a professional Home and Garden Expo with over 300 displays and exhibits, hundreds of artists and craftsmen from many states, Headless Ho...
Art Show
Friday, Nov 14 10:00a
Alt J
Friday, Nov 14 9:00p
Tower Theatre, Upper Darby
Powerhouse 2014
Friday, Oct 31 6:00p
Wells Fargo Center, Philadelphiawith J. Cole, Ne-Yo, Jeezy, T.I., Kid Ink, Migos, Tamar Braxton, and K Camp Doors at 5pm POWERHOUSE 2014 will feature headlining artists, T.I., J. Cole, Ne-Yo and Jeezy...
Liberty Food and Justice for All: The 2nd Annual Hazon Philadelphia Jewish Food Festival
Sunday, Nov 16 9:30a
Temple Adath Israel of the Main Line, Merion StationA daylong learning festival about the intersection of food, sustainability, and Jewish life, with a special look into the practice of the shmita (sabbatical) year in Jewish agricultural traditions ...
PIFA Street Fair
Saturday, Apr 25 10:00a
Broad Street Ministry, PhiladelphiaOutdoor Street Fair created around the theme, "If you had a time machine . . ." 200,000 attendees expected.
Philadelphia "County Fair"
Friday, Oct 10 12:00p
Eakins Oval at Philadelphia Museum of Art, PhiladelphiaFrom October 10-12th, The Oval will transform into the Philadelphia "County Fair" complete with carnival games, a pumpkin patch, live music and even a Ferris Wheel! A showing of the seasonal classi...
UNIQLO Philly Love Fest
Saturday, Oct 4 1:00p
Smith Memorial Playground & Playhouse, PhiladelphiaCelebrate the opening of UNIQLO's first Philly Flagship store at the Philly Love Fest featuring: • Free Admission • Carnival Games • Prizes • Face Painting • Food Trucks • DJ Performances • Prize V...
Wilmington fairs festivals Related Topics
steve aoki wired fest | festivals | philly | bluegrass | party | 215-416-8832 | upper providence day | new garden airport pancake breakfast | alt-j | halloween party's | fall festival | folk | music | trick or treat | variety | car show | hayride | harvest festival | church ave | jazz | blues | tchami philadelphia | xxxx
Hot Tickets More »
Fri 11/14 9:00p
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On Sale: Fri 10/3Sun 11/9 7:00p
Upcoming Holiday Events More »
Creatures of the Night
Sat 10/25 6:00p
Erin Lee And The Up Past Bedtime Band - Not So Spooky Halloween Hoot
Sat 10/25 11:30a
Ghosts in the Graveyard
Sat 10/18 6:30p
Spook Or Speakeasy
Fri 10/24 10:00p
BHHS eCards
Mon 10/27 10:00a


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- You Are Here:
- Snow
- > Snowboard & Ski Jackets
- > Men's
Men's Snowboard/Ski Jackets
The UK's biggest selection of cheap and discounted snowboard and ski jackets for men and boys, all sizes, all top brands. Here you will find our giant selection of men's snowboard jackets and men's ski jackets from the industry's finest brands for men and boy's. This season's male jackets at great (cheap) prices plus amazing discounts on last season from top brands. Snowboard jackets in all UK men's sizes and colours with amazing waterproofing and insulation to keep you warm and dry on the mountain this winter.
- 6861
Being an Independently rider owned and operated snowboard outerwear company,and having an obsession to make snowboard products that are progressively unique is what 686 is all about. Enjoy
- Airblaster9
Airblaster make quality, fun and quirky snowboarding products. Whether you are looking for snowboarding wear, accessories or casual clothing, their apparel is designed by snowboarders for snowboarders so it is bound to be perfect! Airblaster are a fresh, quirky snowboarding brand which aim to bring the fun back to the snow.
- Analog9
Analog provides an A-Z of technical and softgoods clothing solutions for board sports enthusiasts, be it for snowboarding, skateboarding or surfing, Analog have got your back!
- Armada4
Armada Skis make some of the best free-skiing gear around. Their ever expanding range include freestyle and freeride skis, poles, outerwear and luggage.
- Avalaan1
Avalaan is a UK based, art inspired clothing brand that produces unique ski & snowboard outerwear as well as skate / street softgoods.
- Bataleon6
Triple base innovators and general snowboard Goliath. Bataleon make snowboarding more fun for everyone.
- Berghaus12
Berghaus is a specialist outdoor clothing brand which dates back to 1966. Berghaus produce great outdoor products from outdoor jackets to sleeping bags and day packs for Skiing, Snowboarding, Skateboarding, Surfing, Climbing and Trail Running.
- Bonfire18
Bonfire is the technical clothing brand of Salomon Snowboards. High performance snowboard jackets, pants, gloves, hats and technical clothing so damn good even skiers wear Bonfire! The styling, cut and shape are designed for younger, more aggressive and more extreme users - hence why some skiers also buy into the brand big time!
- Burton24
Burton is one of the most successful snowboarding companies in the world for two reasons - they were one of the very first and you do not get to be number one without being good. Burton gear has a great reputation and their after sales service is great too. The Burton product range is now colossal - covering almost everything you need to go snowboarding. Many a skier can be seen wearing Burton outerwear too!
Colour Wear creates fashionable and technical outerwear and clothes to make you look cool and stay warm.
DC. Pure skate heritage. One of the original skate shoe companies. Skate style clothing and accessories. DC are also big time into snowboards, snowboard boots and snowboard outerwear and also cover BMX, Surf and MTX. The brand is big, loose and loud!
- Faction6
Faction believe skis are more than just pieces of wood, metal and fibreglass. Started in 2006 the Faction Collective was a group of friends who shared the aim of creating the best freestyle and freeride ski you can buy. With a commitment to social and environmental sustainability their products are made in a world class factory in the heart of the European Alps.
- Grenade1
Started by Danny Kass, Grenade Gloves strives to keep their world-class attitude in their full product line of signature snowboard gloves, outerwear, street gear, kicks and accessories.
- Holden32
Holden outerwear is second to none when it comes to quality and unique styling. Built by Pro snowboarder Mikey Le Blanc, Holden represents the fusion between functionality and ultra sleek styling. Accept nothing less!
LINE Skis. Skiing the wrong way since '95, LINE skis are one of the biggest innovators in the industry producing new and exciting products that break the mould year after year. Ski & Destroy!
- Nike SB4
In 2002, Nike introduced the "SB" brand. Nike SB has rapidly become one of the leading brands in the skate shoe and snowboard boot markets. Nike's reputation for quality footwear in a host of other sporting arenas served as a massive springboard for Nike to take a big share of these important footwear categories.
- Norrona10
Norrona is a brand who prides itself on producing really high quality climbing, touring, telemarking, ski and snowboard clothing suitable for use in the harshest of climates.
- Oakley39
Oakley are one of the biggest names in action sports. Renowned for making some of the best sunglasses and ski / snowboard goggles in the world which are worn by snowsports' elite everyday, Oakley also make a super high quality range of outerwear and streetwear, which always live up to the levels of quality associated with their award winning eyewear.
- Patagonia13
Patagonia Inc. is a great environmentally conscious company who produce premium clothing for Skiing, Snowboarding, Skateboarding, Surfing, Climbing, Trail Running and Fly Fishing.
- Picture5
Picture Organic clothing and outerwear is big, baggy, bold and loud - definitely not shy! Superb high quality and environmentally friendly technical ski & snowboard outerwear and apparel. Picture use recovered fabrics in the lining of their jackets. One of the coolest brands to come out of France!
- Protest7
Founded in 1993 in Holland, Protest is a design-led boardwear clothing company that creates beautiful and functional snowboard, skate and surf apparell, clothing and accessories that can go the distance.
- Ride61
Ride - one of the longest established premium snowboard brands around. Still producing exciting, innovative snowboards and snowboard bindings, Ride have firmly established themselves as a leader in the snowboard industry. Constant attention to detail and inspiring new ideas keep the newer brands in their place.
- Rome3
Rome SDS - Snowboard Design Syndicate - quite simply the coolest snowboard brand on the market! Specialising in freestyle snowboards, bindings and boots Rome SDS is now also available across a wide range of snowboard apparel and accessories, including snowboard jackets, snowboard pants, snowboard hats and beanies, gloves, luggage, board bags and more. Checkout the hoodies and T's too!
- Salomon9
By 1972, Salomon had become the world's biggest ski manufacturer. Salamon released their first snowboard in 1997, and immediately cemented their highly respected place in the snowboarding industry, just as they have done for the last 50 years with alpine skiing, nordic skiing, hiking, trail running, and everything else associated with mountain life.
- Special Blend1
Special Blend was started with a vision to produce innovative snowboard outerwear designs that keep you comfortable and protected, all while making you look your absolute best from First Chair to Last Call.
- Spyder3
Spyder is the biggest ski - speciality brand in the world, and is the official supplier of ski gear for the US, Canadian and Jamaican ski teams. This premium ski wear brand has a reputation for quality and design that is simply unmatched by any of its competitors.
- The North Face12
The North Face is one of the worlds leading high performance outdoor product companies. The North Face push the boundaries of innovation with their technically advanced products - so that consumers and athletes can push the boundaries of exploration, be it skiing, mountaineering, camping or walking.
- thirtytwo28
Thirtytwo immediately took the snowboard scene by storm when they released their first line of snowboard boots in 1995. Now with a world class team, outstanding boots and full line of outerwear and softgoods, Thirtytwo is one of the most desired brands in the snowboard industry.
- Trespass8
Trespass have been making great quality outdoor gear since 1984 and coming from Scotland, they certainly know a thing or two about the need for decent waterproof, windproof and warm clothing!
- Volcom22
Volcom is one of the most legit brands in action sports, and has always been at the top of their game when it comes to producing the best Skateboarding, surfing and snowboarding products available.
- Westbeach9
Westbeach. Candian design. The original canadian snowboarding company. Loud style. Simple graphics. Maximum performance in extreme conditions. Thoroughly refined and tested. This brand goes right to the heart of core snowboarding.
- Coming Soon109
New season products not in stock yet but due to arrive very soon. Most are available to pre-order with our early bird discount or can be reserved with a small deposit. You can set up email alerts for when the new stock arrives. Products without a published availability date cannot be pre-ordered or reserved, sorry, but you can register your interest and we'll email you as soon as availability is known.
- New Arrival55
The latest brand new 'hot' products, new in stock within the last 60 days
- Current Season34
These products have been in stock for more than 60 days but they are still this season's products featuring the very latest designs, colours and technological innovations
- Previous Seasons238
This is where you can pick up a bargain or two. Browse our range of discounted and stock clearance products from previous seasons
Brand Heritage
Technically, there is little difference between a snowboard jacket and a ski jacket. Both would work perfectly well for either sport. Many freestyle skiers wear clothing styles more traditionally associated with snowboarding. Differences relate to the style, the colours, the cut or look or simply the brand name.
- Snowboard363
Listed here are snowboard jackets with a strong snowboard pedigree or heritage which tend not to be worn by skiers - unless you are a skier who likes the snowboard look - and many younger skiers do! The snowboard look is also popular amongst freestyle skiers.
- Ski167
Listed here are ski jackets with a strong ski pedigree or heritage which tend not to be worn by snowboarders - unless you are a snowboarder who likes the ski look!
This is the size quoted by the manufacturer. Please bear in mind that sizes may vary so it is always advisable to refer to the brand-specific size chart which can be found on every product description page.
- Black128
- White15
- Grey57
- Red52
- Pink4
- Purple9
- Blue113
- Green95
- Turquoise7
- Yellow24
- Orange27
- Brown30
- Beige23
- Rasta1
- Loud11
- Camo16
- Multi-Coloured24
- Graphic11
Style refers to type of jacket you want. Down Jackets are the warmest, Down vests are great for spring and the others types refer to the different insulating properties of standard jackets
- Down22
The ultimate in luxurious warmth. Ideal for riding in North America or on cold European days in January or February. Made from either goose or duck down, these garments are great for apres ski too - because trudging about town in the evening can be bitterly cold!
- Insulated250
Insulated outer layers are a good idea if you are snowboarding or skiing in North America - where temperatures are significantly lower than in Europe - or if you suffer from the cold or if you just prefer being nice and warm and snug. We recommend insulated jackets for children and small adults who suffer from the cold. Please look at the product descriptions on our website because some garments are more insulated than others. We have included in the 'Insulated' category all garments which have zip out or removable linings.
- Shell183
Shell Jackets are extremely versatile as they are designed to be 'layered up' underneath in order to control your body temperature. Shell jackets tend to be the most technical ski and snowboard jackets available on the market
- Vests & Gillets6
Sleeveless jackets, Bodywarmers and gillets, such as the North Face Nuptse vest are great for the spring time or when ultimate articulation in the arms is required
Waterproof Rating
The higher the rating number, the more waterproof a fabric will be. Gore Tex do not use the same system as everyone else - they quote single, double (2L) and triple layers (3L) of waterproof membrane. To be waterproof, an item of clothing needs more than a waterproof fabric - you also need to consider the seams.
- Up to 5,00037
Perfectly adequate for most snow sport uses.
- Up to 8,00010
A good level of waterproof rating, capable of withstanding long periods of rain.
- Up to 10,000234
A good level of waterproof rating, capable of withstanding long periods of heavy rain.
- Up to 15,00042
Garments with a 15,000 rating offer a very high degree of waterproof protection for the serious outdoor sports enthusiast who demands high performing technical garments.
- Up to 20,00049
Garments with a 20,000 rating offer a very high degree of waterproof protection for the serious outdoor sports enthusiast who demands the highest performing technical garment.
- 20,000 Plus26
Simply the best level of waterproof protection available (excluding some Gore Tex fabrics).
- Hyvent 2L8
A double layer of waterproof Hyvent membrane, making the garment doubly waterproof. Exclusive to The North Face
- Gore Tex15
Gore Tex, being the original manufacturers of waterproof/breathable fabrics, are still the market leaders and have a reputation second to none.
- Gore Tex 2L34
A double layer of waterproof Gore Tex membrane, making the garment doubly waterproof.
- Gore Tex 3L35
At the time of writing, products using Gore Tex 3L fabrics are widely regarded as the highest performance technical outdoor garments available, with the highest waterproof and breathable ratings.
- Not Quoted14
We only quote the waterproof rating of a garment when it is backed up by information displayed on either a garment tag/label or the manufacturers website/brochure. We have not, therefore, quoted ratings for all our garments. This does not, however, mean they are not waterproof but it is a fairly reliable indicator that the waterproof rating is likely to be under 5,000.
Clothing seams are almost always sewn together. Sewing leaves holes, holes leak and you could get wet! To counter this manufacturers tape the seams to keep the water out.
- Fully Taped249
Only a garment with fully taped seams can be considered to be waterproof. All seams are taped and glued to make them at least as waterproof as the fabric itself. We highly recommend garments with fully taped seems as being the best for snowboarding and skiing.
- Critically Taped175
A garment with critically taped seams does not have all of it's seams taped - only those identified by the manufacturer as being critically important to prevent water ingression. Garments with critically taped seams are perfectly adequate for most snow sports uses.
- Not Quoted22
We quote a garment as having taped seams when this information is confirmed by information displayed on either a garment tag/label or the manufacturers website/brochure. In all other instances, we have chosen to list the product as 'not quoted'.
Special Features
- Powder Skirt397
Also know as a snow skirt, snow gaiter or waist gaiter, this handy feature is an elasticated belt of material which sits inside the jacket above the waist-band and which, when fastened around the waist, helps prevent snow getting up and inside your jacket. It also helps to keep body heat in.
- Media Pocket400
Special inner pocket designed to hold your phone and/or iPod nice and secure, media pockets often have a special port for your headphones so you don't need to leave the pocket partially open and risk losing your valuables.
- Wrist Gaiters284
Often made of Lycra, wrist gaiters sit inside the cuffs and are worn over the hands to create a seal and prevent snow getting up inside your jacket sleeves. They also help to stop sleeves riding up and keep body heat in.
- Vents411
Zip-up openings, usually located under the arms, which can be opened to let in ventilation when you get too hot. Jacket venting often has a mesh covering to stop snow getting inside.
Price Range
Airblaster Grumpy
Ski/Snowboard Jacket
Trespass Caracci
Ski Jacket
Berghaus Civetta Gore-Tex Pro
Ski/Snowboard Jacket
Patagonia Untracked
Gore-Tex Ski/Snowboard Jacket
Oakley Cottage
Men's Ski & Snowboard Jacket
Airblaster AB/BC
Ski/Snowboard Jacket
Oakley 453 Gore-Tex Biozone Down
Snowboard/Ski Jacket
Bonfire Barrel
Ski & Snowboard Jacket
Ski/Snowboard Jacket
Analog Anthem
Ski/Snowboard Jacket
Patagonia Insulated Powder Bowl
Gore-Tex Ski Jacket
Norrona roldal Gore-Tex Insulated
Ski/Snowboard Jacket
Volcom Captain Jacket
Ski & Snowboard Jacket
Salomon Brilliant
Ski/Snowboard Jacket
Armada Tracker
Gore-Tex Ski/Snowboard Jacket
Ski & Snowboard Jacket
Bonfire Morris
Ski & Snowboard Jacket
thirtytwo Sesh1
Ski & Snowboard Jacket
Picture Award
Ski/Snowboard Jacket
thirtytwo Blythe
Ski & Snowboard Jacket
Burton [ak] 2L Boom
Gore-Tex Snowboard Jacket
thirtytwo Lowdown
Ski & Snowboard Jacket
Oakley Patrol Shell
Snowboard/Ski Jacket
CLWR Punisher Parka
Ski/Snowboard Jacket
CLWR Ambush
Ski & Snowboard Jacket
The North Face Jeppeson
Ski/Snowboard Jacket
Burton Covert
Snowboard/Ski Jacket
Faction Drake
Men's Snowboard/Ski Jacket
Bonfire Arc1
Men's Ski & Snowboard Jacket
CLWR Anorak
Ski/Snowboard Jacket
Picture Award
Ski/Snowboard Jacket
Ride Ballard Shell
Men's Ski/Snowboard Jacket
Bonfire Brigade
Ski/Snowboard Jacket
Burton Hostile
Snowboard/Ski Jacket
Volcom Captain Jacket
Ski & Snowboard Jacket
Ride Gatewood Shell
Men's Ski/Snowboard Jacket
Patagonia Untracked
Gore-Tex Ski/Snowboard Jacket
DC Amo 14
Ski & Snowboard Jacket
Berghaus Velum 3L Gore-Tex
Ski/Snowboard Jacket
Volcom L Gore-Tex Jacket
Ski & Snowboard Jacket
Analog Greed
Ski/Snowboard Jacket
Salomon Quest Motion Fit
Ski/Snowboard Jacket
Airblaster AB/BC
Ski/Snowboard Jacket
Ride Cappel Thieves
Men's Snowboard Jacket
Oakley Mission
Men's Ski & Snowboard Jacket
DC Torstein
Ski & Snowboard Jacket
Oakley Fairhaven Gore-Tex
Men's Snowboard Jacket
Patagonia Powder Bowl
Gore-Tex Ski/Snowboard Jacket
Ride Capitol
Men's Snowboard Down Jacket
Burton [ak] 3L Hover
Gore-Tex Snowboard/Ski Jacket
Salomon Brilliant
Ski/Snowboard Jacket
CLWR Kappeli
Ski/Snowboard Jacket
Volcom Stone Block
Ski & Snowboard Jacket
Oakley Sikorsky
Gore-Tex Snowboard/Ski Jacket
Trespass Obama
Ski Jacket
Ride Ballard Insulated1
Men's Snowboard Jacket
CLWR Ambush
Ski & Snowboard Jacket
Burton Hellbrook
Snowboard/Ski Jacket
Norrona Lofoten Gore-Tex Primaloft
Ski/Snowboard Jacket
Berghaus Grisedale
GORE-TEX 2L Jacket
- The North Face Base Camp Duffel Travel Bag £69.95
- MyCoal Disposable Hand Warmers £1.10
- Forcefield Action Short Pro Impact Shorts £89.95
- DC Phase Lace Snowboard Boots £80.95
- Neff Daily Snowboard Pipe Gloves £29.95
- Rome 390 Boss Snowboard Bindings £134.95
- GoPro Hero 3 / 3+ Spare Replacement Battery £19.95
- Dragon APX Snowboard/Ski Goggles £129.95
- Holden Durden Men's Snowboard & Ski Pants £114.95
- Holden Refuge Ski & Snowboard Jacket £124.95
- DC Ply Hybrid Camber Snowboard £269.95
- Airhole Balaclava Ski Face Mask £33.95
- Electric EG2.5 Snowboard/Ski Goggles £90.95
- Rucanor Base Layer Thermal Underwear Set £24.95
- Sportube Roof Rack Straps £7.95
- Standard Films TB20 Snowboard DVD £19.95
- Demon Soft Cap X D3o Elbow Pads £34.95
- World Snowboard Guide 11th Edition World Resort Guide £13.95
- Rome Logo Snowboard Beanie £19.95
- Union £199.95
- Neff 3-Pack Key Cap £9.95
- Northwave Domain SL Snowboard Boots £149.95


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Rap music now has something no one might have predicted when it emerged in the South Bronx in the mid-1970s, often relying on lampposts for power: a history. As had been the case with the blues and jazz that helped birth it, hip-hop is a music of the ever present. Thinking of its mix tapes as material
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Lewis Hyde's The Gift endures as a modern paradigm of critical-philosophical inquiry, steadily in print since 1983, though with an unsteady subtitle that has sensibly morphed from Imagination and the Erotic Life of Property into Creativity and the Artist in the Modern World. Not exactly an underground
The first Led Zeppelin song I ever loved was "D'yer Mak'er," one of the cheesiest tunes the band ever recorded. To make things worse, I used to pronounce the title "Die-er Make-er" instead of "Jamaica." Obviously, I wasn't a Led Zeppelin fanatic. I grew up a metalhead in Queens, New York, in the
Gustav Mahler's move to center stage over the past half century or so has been a remarkable case of artistic—well, revival is too weak a word. How did this happen? Or, as the title of Norman Lebrecht's new book would have it, Why Mahler?
I spent my late teens and early twenties in the orbit of the Riot Grrrl movement, a '90s third-wave-feminist punk subculture that spat out the image of girlhood in raw experiments in political activism, music, art, and self-invention. I've only recently come to accept the term "Riot Grrrl" as the
Shelley wrote that the skylark pours its heart out in "profuse strains of unpremeditated art." The description is itself melodious—as well as studiously vague. Shelley knew better than to mimic the skylark's song. When we try to replicate those notes in words, we're reduced to tweets and chirps
Maybe for you it was the old man with the bundle of sticks on his back, or the monkey with the halo and the floating numbers, or the two businessmen, one on fire, shaking hands. For me it was the woman on the frozen pond. I looked at the cover of Joni Mitchell's Hejira a lot when I was sixteen years
During Kristin Hersh's mid-1980s salad days as a teenage musician in New England, the very notion of rock stardom was being drastically revised. Early on in her new memoir of that period, Rat Girl, her father—an affable hippie-cum-professor nicknamed Dude—gives her a guitar lesson. I didn't like
Utopia is . . . what? The sum of our aspirations? Dystopia's noble twin? A human vanity? Or a joke? The very word means "no place" in Greek, but that absurdity hasn't inhibited a great many dreamers and schemers: History is littered with attempts to realize some portion of heaven on earth. Literature


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Abortion clinics
Md. To Require Licenses For Abortion Clinics
Maryland's health department is adopting new regulations requiring licenses for surgical abortion clinics for the first time.
Pregnancy Disclaimer Law Ruled Unconstitutional
A federal judge has ruled a Baltimore ordinance that requires pregnancy counseling centers to post a disclaimer if they don't provide abortions or birth control unconstitutional.