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Streamline is MCN’s quarterly clinical publication providing information and resources to frontline clinicians working with mobile underserved populations. We have past issues going back to 2001 available for you to download free of charge. If you would like to receive the print version of Streamline, please send your name and mailing address to contedu@migrantclinician.org.
PDF versions, ordered by date.
Streamline is reviewed by MCN's Streamline External Editorial Board. Learn more about the Board and its members here..
Spring 2018
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In this issue:
- Mobile Patients and Opioids
- Clinical Management of Diabetes as an Occupational Health Concern
- Diabetes Affects Work: Health Network Case Study
- Trauma-informed Care: Lessons from Serving Asylum Seekers
- Chemical Safety on the Job
View all of our archived issues of Streamline here.
748 reads
Winter 2018
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In this issue:
- Relief: Clinician Tactics to Serve Agricultural Worker and Other Vulnerable Patients After a Disaster
- Environmental and Occupational Health in Primary Care
- Olfactory Function in Farmworkers: Do Pesticides Reduce Their Sense of Smell Over Time
- Caring for Children While Working in Agriculture—The Perspective of Farmworker Parents
- New GAO Report: Workers Fear Retaliation If They Complain of Workplace Hazards
View all of our archived issues of Streamline here.
1,252 reads
Fall 2017
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In this issue:
- TB Gets a B: How to Conquer TB Infection with Health Center Screenings
- Approaches for Establishing a PCMH for Mobile Patients
- Health Network Communication Tactics: A Case Study
- Migrant Clinicians Network Announces New Co-Chief Medical Officer, Laszlo Madaras, MD, MPH
- The Risk... Talking to Patients about Pesticides
View all of our archived issues of Streamline here.
1,225 reads
Spring/Summer 2017
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In this issue:
- How A Health Center in Puerto RicoMet the Zika Crisis Head-OnEmerging Issues: How A Health Center in Puerto Rico Met the Zika Crisis Head-On
- PRAPARE: A New Protocol on Social Determinants of Health for Health Centers
- Tribute to Selina Zygmunt
- Different Countries, Different Diagnoses: Health Network Case Study
- Bettering the Lives of Workers: Profile of Linda McCauley
- In the Field: Frontline Clinicians Recognizing and Managing Pesticide Poisonings in Hawaii
- Pesticide Handlers: New Rules on Medical Evaluations and Determinations
- Hospital General Castañer Wins EPA Award
View all of our archived issues of Streamline here.
1,360 reads
Winter/Spring 2017
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In this issue:
- Health Network’s Internal Support System
- Expecting a Baby, Experiencing Depression:Health Network Case StudyExpecting a Baby, Experiencing Depression:Health Network Case Study
- Serving Patients with Diabetes, Limited Resources, and Lives on the Move
- Go With the Flow: How One Collaborative Aims to Improve Clinical Flow at FQHCs
- Privileging, Hospital-Style
- MCN’s IRB: Assuring Rights of Underserved During Research
- A Stronger Worker Protection Standard is Now In Effect: What Does It Mean for Workers?
- Case Study: Agricultural Workers Need Better Protections
- Edging Toward a Ban, Chlorpyrifos is Once Again: Demonstrated to be Dangerous to Human Health
View all of our archived issues of Streamline here.
1,463 reads
Fall 2016
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In this issue:
- Crisis in the Countryside: Addressing the Opioid Epidemic in Rural Washington and Idaho
- The Social Determinants of Adolescent Health: Q&A with Dr. Tamara Baer
- Risk Management: MCN’s Toolkit Has You Covered
- A Clinician’s Guide to Burnout and Balance
- Promotores as Needs Assessment Champions
- Newly Updated Clinician’s Guides: How Policy Affects the Health of Agricultural Workers
- Making the Biggest Impact with Dr. Selwyn Rogers
- Head Lice Now Resistant toCommon Treatments, Study SaysHead Lice Now Resistant to Common Treatments, Study Says
- Home Use of a Pyrethroid-Containing Pesticide and Facial Paresthesia in a Toddler: A Case Report
- New Release: Comic Book on Zoonotic Diseases
View all of our archived issues of Streamline here.
1,673 reads
Summer 2016
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In this issue:
- Perspective in a Time of Fear: Carmen Zorrilla, MD,on Zika, pregnant women, and lessons learned from HIVPerspective in a Time of Fear: Carmen Zorrilla, MD,on Zika, pregnant women, and lessons learned from HIV
- Zika virus in the exam room: What do clinicians need to know?
- Consultas Naturistas: An Overview of Practice at an Integrative Free Clinic
- In Practice: Integrative Medicine with Dr. Lawrence Li
- Expanding Practice, Serving the Underserved
- Steps to Health: Community Health Workers and Diabetic Patients in Oregon’s Columbia Gorge
- New Study Correlates Phthalate Exposure and Women’s Health Issues
- Long-term neurobiologic effects on migrant tobacco farmworkers
- Work-related Asthma:Swapping a microfiber cloth for the disinfectant at California schools
- New Childhood Agricultural Injuries Fact Sheet: Know the Facts
In our Summer 2016 issue, we cover integrative medicine with a first-person account from a nutritionist serving the underserved followed by a profile of a physician integrating alternative approaches to his work at an FQHC. Be sure to read the wonderful interview with Carmen Zorrilla, MD, on her work fighting HIV/AIDS and now Zika among pregnant women in Puerto Rico, and the accompanying article on serving migrants who have been exposed to Zika. This issue also features two Oregon-based articles: on Expanding Practice Dental Hygienists in the state, and on one health center's Community Health Worker programs to fight diabetes. Our Environmental and Occupational Health section offers up a short take on the correlation between endometriosis and pesticides, a summary of a study on the effects of nicotine and pesticides on tobacco farm migrant workers, an update on a project in California aiming to get disinfectant out of the classroom, and a run-down of a new resource regarding children injured on the farm. Please enjoy the issue, and don't forget to share your favorite article through social media.
View all of our archived issues of Streamline here.
1,752 reads
Spring 2016
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In this issue:
- Biomedical Informatics, By the People, For the People: Profile of Dr. Philip Kroth
- Building Relationships: Referrals for Specialty Care in Kansas
- Collecting Sexual Orientation and Gender Identity Data in Electronic Health Records: Recommendations and Next Steps
- Credentialing and Privileging: Common Pitfalls
- Cohort Management Study: Mobile Patients in Research
- Ag Worker Access 2020: Increasing Access to Quality Health Care for Migratory and Seasonal Agricultural Workers
- In the Process: Identifying Migratory Agricultural Workers at Healthcare Network of Southwest Florida
- Pesticides in combination increase toxicity: New study from UCLA
- Glyphosate Statement of Concern: Scientists speak out against common herbicide, call for regulation
- Occupational safety on the horse farm
View all of our archived issues of Streamline here.
1,827 reads
Winter 2016
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In this issue:
- Integrating Community Health Workers into the Clinical Team
- A Lifetime of Migrant Farmworker Experience: Profile of Wilson Augustave
- Understanding Health Center Reimbursements
- Promising Practices: Dental Health at Choptank Community Health System
- Rethinking the Role of the Medical Assistant at Community Health Center, Inc.
- Immigrant Dairy Workers’ Perceptions of Health and Safety on the Farm in America’s Heartland
- Victory for agricultural workers, but still more to be done: EPA moves to ban Chlorpyrifos on food crops
- Research Links Pesticides to Increased Risk of Diabetes
View all of our archived issues of Streamline here.
1,726 reads
Autumn 2015
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In this issue:
- Up to the Challenges: Profile of Sue Hagie, NP
- Dental Health with John McFarland, DDS
- Needs Assessments, Step-By-Stepwith Health Outreach PartnersNeeds Assessments, Step-By-Step with Health Outreach Partners
- Trafficking and Migrant Agricultural Worker Women
- Taking Care to a Higher Level: Integration of Behavioral Health
- Affordable Care Act: Assessing Agricultural Worker Access to Health Care
- MCN Celebrates a Stronger Worker Protection Standard
- Longitudinal Assessment of Blood Cholinesterase Activities Over Two Consecutive Years Among Latino Nonfarmworkers and Pesticide-Exposed Farmworkers in North Carolina
- New publication highlights MCN’s Clinical Assessment Tool
- MCN Receives Susan Harwood Training Grant
- Children Need Protection, Too: Celebrating National Farm Safety and Health Week
View all of our archived issues of Streamline here.
1,881 reads
Summer 2015
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In this issue:
- Children in the fields: Profile of Melissa Bailey
- Mobile Populations Navigating the HIV Treatment Cascade
- Communication in coordinating health care: A Health Network case study
- New Haven Farms: Linking health center patients directly to the farm for nutrition education and access to healthy foods
- Controlling Tuberculosis at the Border: Miguel Escobedo, MD, MPH
- World Health Organization classifies glyphosate as “probably carcinogenic": Excerpt from “Carcinogenicity of tetrachlorvinphos,parathion, malathion, diazinon, and glyphosate”
- Tribute to Dr. Joe Fortuna
- Call for Community Health Center Partners: Migrant Clinicians Network invites health centers to participate in Workers and Health program
- Workers and Health: Community Health Centers Making a Difference in the Protection of Migrant Workers and their Families
- Health and safety concerns with immigrant nail salon workers
- Hesperian Health Guides releases Workers’ Guide to Health and Safety
- US Worker Fatality Data Project expands understanding of workplace deaths
View all of our archived issues of Streamline here.
2,211 reads
Spring 2015
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In this issue
- An apple a day: Dr. Eva Galvez on working with seasonal agricultural workers in Oregon
- Delivering new life and hopeful beginnings: A midwife’s role in providing health care for migrant women
- Migrant health as global health: New textbook highlights work of MCN’s Candace Kugel
- Walk-In, Same-Day, or Appointment? Maximizing continuity in special populations
- Chagas disease in the US
- A policy analysis of Chagas disease in the US
- From the intern’s desk: A look at Health Network
- Navigating the telehealth waters: Two approaches to telehealth in primary care
- Telehealth reimbursements
- Medical repatriation of migrant farm workers in Ontario: a descriptive analysis
- Migrant Clinicians Network’s Program for Occupational and Environmental Health
- New findings show clinicians don’t know what to do in pesticide overexposures
1,780 reads
Fall 2014-- Mobile Care Successes and Struggles in Pennsylvania: Profile of Mary Englerth, PA
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In this issue
- Care in the Black Dirt Region: Profile of Kathy Brieger
- Organizational Readiness: Evaluating the implements of Hombres Unidos
- Organizational Readiness Surbey: Hombres Unidos
- Needs Assessment at Canyonlands Community Health Care
- American Academy of Dermatology Outreach Targets Hispanic Outdoor Workers for Skin Protection
- Clinical Services Connection: Why Bother with an MOU?
- Announcing Free CME Training for Treating Chronic Pain
- Dr. Jose O. Rodriguez: Providing Care in Rural Puerto Rico
- Pyrethroid exposure and Diabetes?
- Autism risk higher near pesticide-treated fields, study says
- Become an Environmental/Occupational Health Center of Excellence!
- Calendar
1,827 reads
Summer 2014--Seeing Patients Cradle to Grave on the U.S. Mexico Border: A Profile in Commitment
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In this issue
- What Happened to My Mobile Patient? An Assessment of Health Network Outcomes Reporting
- Female Crew Leaders of Migrant Agricultural Workers
- New Initiative Launched to Engage Community Research Partnerships
- HIV in the Migrant and Seasonal Agricultural Worker Population: Oral conditions early indicators of infection
- MCN Year in Review 2013: MCN Makes a Difference in 2013
- Best Practices in Identification of Migrant and Seasonal Farmworkers: MCN and Blue Ridge Community Health Services Partner to Improve Quality of Care
- An estimate of the U.S. government’s undercount of nonfatal occupational injuries and illnesses in agriculture
- Pesticide Exposure and Depression among Male Private Pesticide Applicators in the Agricultural Health Study
1,919 reads
Winter 2014--Increasing Access to Healthcare for Farmworkers Who Are Unaccompanied Minors
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In this issue
- ACA and Migrants: Challenges and Opportunities
- Moving Against CancerCommunity Survey
- Effective Data Management for the Pursuit of Quality Health Care: OneWorld Health Center
- Case Reports: Severe Acute Illness in a Toddler Exposed to Multiple Agricultural Pesticides and Insect Repellent. Female Farmworkers' Health During Pregnancy Health Care Providers' Perspectives
- Current Research Review
- MCN Applauds Progress on the Worker Protection Standard (WPS)
- MCN's New Dairy Worker Health and Safety Comic Book
- Announcement of Engaging Migrant Men in the Prevention of Sexual and Intimate Partner Violence Resources
2,039 reads