Interpretation time in an ethnically diverse pediatric orthopedic clinic.

Purpose - The purpose of this paper is to determine whether there were differences in clinical encounter time between patients who speak English and those who require an interpretation service in an ethnically diverse pediatric clinic. Design/methodology/approach - Encounter time with patients requiring interpretation was compared to encounter time with patients who spoke English. The sample consisted of 310 encounters at a pediatric orthopedic clinic where patients spoke over 18 primary languages.

Potential Motivators and Barriers for Encouraging Health Screening for Cardiovascular Disease Among Latino Men in Rural Communities in the Northwestern United States.

Cardiovascular disease (CVD) is the leading cause of death across all races and ethnicities. In particular, Latino men suffer disproportionately from conditions that lead to CVD such as hypertension, high cholesterol, and diabetes. There are easy and inexpensive ways to screen for certain cardiovascular conditions, yet Latino men are not benefiting from these.

Complications of supracondylar osteotomies for cubitus varus.

Background: Humeral osteotomies for cubitus varus have a notoriously high complication rate. Pitfalls of this difficult procedure are highlighted.

Methods: A 50-year experience of 68 consecutive surgeries was reviewed.

Risks and benefits of parent/child bed sharing.

Purpose: To recognize the concerns for and against parent/child bed-sharing (co-sleeping) practices.

Data Sources: Review of the literature and the clinical experiences of the authors.

Conclusions: The decision to bed share ultimately lies with the parent, but it is the responsibility of the nurse practitioner (NP) to discuss risks and benefits of parent preferences and to help families make a safe decision regarding the sleeping arrangement for their child.

Machismo sustains health and illness beliefs of Mexican American men.

Purpose: To inform nurse practitioners (NPs) about Mexican American men's health and illness beliefs and the ways in which these are influenced by their masculine identity and how they view themselves as men in their culture.

Data Sources: The data sources used were based on a selected review of the literature about Mexican American men's health and illness beliefs and the concept of machismo. Several studies, including the author's study on Mexican American men's healthcare-seeking beliefs and behaviors and experience in providing primary health care to men across cultures, contributed new data.

Health care seeking among Mexican American men.

This focused ethnography explored health care seeking beliefs and behaviors of Mexican American men living in south central Washington State. Data collection included interviews with 36 research participants living in the community, participant observation in the research setting, and examination of ethnographic documents and cultural artifacts. Four major themes were identified: the identity of manhood dictates health care seeking, health means being able to be a man by fulfilling cultural obligations, illness means not being able to be a man, and men seek health care when their manhood is threatened or impaired.

Culturally competent care of patients with acute chest pain.

Purpose: To inform nurse practitioners (NPs) about the influence of culture on patients' responses to pain using the example of acute chest pain.

Data Sources: Selected clinical and research articles on pain and culture and the authors' clinical experiences providing care across a variety of cultures.

Conclusions: There is very little written and even fewer studies on the connection of culture and the response to acute chest pain.

Primary care needs of patients who have undergone gender reassignment.

Purpose: The purpose of this article is to inform nurse practitioners (NPs) about the primary care needs of patients who have undergone gender reassignment, either by hormone therapy alone or in conjunction with surgery.

Data Sources: Data sources used were mainly from a review of the literature about gender identity disorder and gender reassignment. Information was also gathered from several leading surgeons on gender reassignment surgical procedures and subsequent clinical considerations.