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News and training opportunities
Midwest Center for Life-Long Learning in Public Health Online: training modules in core public health concepts. Most courses are free, but some are fee-based. Many offer CEUs. http://cpheo.sph.umn.edu/mclph/
NACCHO Model Practice Lunch and Learn Webinars: These 45 minute presentations are an opportunity to learn about and discuss programs with Model Practice Winners. After a presentation about the practice, participants can ask questions and discuss how to replicate the practice in their communities. http://www.naccho.org/topics/modelpractices/lunch-and-learn.cfm
National Handwashing Awareness Week is from December 4 - 10, 2013. Proper hand hygiene is the best way to prevent outbreaks and transmission of antimicrobial-resistant organisms in healthcare facilities and reduce overall infection rates. You can find free promotional materials at the following web sites: http://www.cdc.gov/handhygiene/resources.htmlhttp://www.cdc.gov/handhygiene/training/interactiveeducation/index2.htm
Cool websites and reports on hot topics*
Alzheimer's-like plaque seen on brain scans after head trauma: Researchers don't know if these so-called 'amyloid deposits' persist long-term. http://www.nlm.nih.gov/medlineplus/news/fullstory_142400.html
Can hearing music in the womb boost babies' brain development?: Study showed the effects of the learning was still apparent at 4 months of age. http://www.nlm.nih.gov/medlineplus/news/fullstory_142057.html
DiversityRx supports the work of health care providers, policymakers, researchers, and advocates to improve the accessibility and quality of health care for minority, immigrant, and indigenous communities. The site provides information on cultural healthcare issues including cultural competence professional development. http://www.diversityrx.org/
Extensive study on concussions in youth sports finds 'culture of resistance' for self-reporting injury; not enough evidence to support claim that helmets reduce concussion risk: Young athletes in the U.S. face a "culture of resistance" to reporting when they might have a concussion and to complying with treatment plans, which could endanger their well-being, says a new report from the Institute of Medicine and National Research Council. The committee found little evidence that current sports helmet designs reduce the risk of concussions. http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=18377
Green & healthy homes initiative: Works to create green and healthy homes by working with government leaders to enact real, substantive policy changes. http://www.greenandhealthyhomes.org/
Large study to examine if vitamin D prevents diabetes: A clinical trial has begun to determine if taking a vitamin D supplement would help those who are pre-diabetic and at risk for developing type 2 diabetes to delay or prevent the occurrence of type 2 diabetes. http://www.nih.gov/news/health/oct2013/niddk-21.htm
Malaria cases in U.S. reach 40-year high: Increasing numbers of malaria cases reported in the U.S. serve as a reminder to travelers to countries with malaria: think ahead and take steps to protect yourself from this potentially fatal, but preventable disease. http://www.cdc.gov/media/releases/2013/p1031-malaria-cases.html
Magnetic brain stimulation shows promise against eating disorders: Small study found almost half of those with anorexia, bulimia had symptom relief. http://www.nlm.nih.gov/medlineplus/news/fullstory_142444.html
New batch of Alzheimer's genes discovered: Scientists say the finding could double the number of targets for treatment. http://www.nlm.nih.gov/medlineplus/news/fullstory_141969.html
New research may help spare patients 'accidental awareness' during surgery: Identifying the point at which patients are no longer conscious could change the way in which anesthetics are delivered worldwide. http://www.nlm.nih.gov/medlineplus/news/fullstory_141826.html
No good data for or against taking vitamins, experts say: Half of U.S. adults take at least one supplement, government task force notes http://www.nlm.nih.gov/medlineplus/news/fullstory_142401.html
SAMHSA releases behavioral health, U.S., 2012 report: The Substance Abuse and Mental Health Services Administration (SAMHSA) released a report entitled Behavioral Health, United States, 2012 -- the latest in a series of publications (formerly known as Mental Health, United States) issued biennially by SAMHSA since 1980. This report features mental health and substance abuse statistics at the national and state levels from 40 different data sources.
Scandinavia study finds HPV vaccine safe: In a large study of nearly a million girls in Denmark and Sweden, the human papillomavirus vaccine was not linked to short- or long-term health problems. http://www.nlm.nih.gov/medlineplus/news/fullstory_141845.html
Smoking linked to $278 billion in losses for U.S. employers: Workers who smoke cost the U.S. economy an estimated $278 billion annually in lost productivity due to absenteeism and extra healthcare costs. http://www.gallup.com/poll/164651/smoking-linked-278-billion-losses-employers.aspx?utm_source=alert&utm_medium=email&utm_campaign=syndication&utm_content=morelink&utm_term=Wellbeing
Interesting journal articles
Attention to eyes is present but in decline in 2-6-month-old infants later diagnosed with autism [published online ahead of print November 6, 2013]. Jones W, Klin A. Nature. doi: 10.1038/nature12715.
Deficits in eye contact have been a hallmark of autism since the condition's initial description. They are cited widely as a diagnostic feature and figure prominently in clinical instruments; however, the early onset of these deficits has not been known. Here we show in a prospective longitudinal study that infants later diagnosed with autism spectrum disorders (ASDs) exhibit mean decline in eye fixation from 2 to 6 months of age, a pattern not observed in infants who do not develop ASD. These observations mark the earliest known indicators of social disability in infancy, but also falsify a prior hypothesis: in the first months of life, this basic mechanism of social adaptive action-eye looking-is not immediately diminished in infants later diagnosed with ASD; instead, eye looking appears to begin at normative levels prior to decline. The timing of decline highlights a narrow developmental window and reveals the early derailment of processes that would otherwise have a key role in canalizing typical social development. Finally, the observation of this decline in eye fixation-rather than outright absence-offers a promising opportunity for early intervention that could build on the apparent preservation of mechanisms subserving reflexive initial orientation towards the eyes.
Fine tuning of craniofacial morphology by distant-acting enhancers [published online ahead of print October 25, 2013]. Attanasio C, Nord AS, Zhu Y, et al. Science. doi: 10.1126/science.1241006.
The shape of the human face and skull is largely genetically determined. However, the genomic basis of craniofacial morphology is incompletely understood and hypothesized to involve protein-coding genes, as well as gene regulatory sequences. We used a combination of epigenomic profiling, in vivo characterization of candidate enhancer sequences in transgenic mice, and targeted deletion experiments to examine the role of distant-acting enhancers in craniofacial development. We identified complex regulatory landscapes consisting of enhancers that drive spatially complex developmental expression patterns. Analysis of mouse lines in which individual craniofacial enhancers had been deleted revealed significant alterations of craniofacial shape, demonstrating the functional importance of enhancers in defining face and skull morphology. These results demonstrate that enhancers are involved in craniofacial development and suggest that enhancer sequence variation contributes to the diversity of human facial morphology.
Long-term mortality after screening for colorectal cancer. Shaukat A, Mongin SJ, Geisser MS, et al. N Engl J Med. 2013;369(12):1106-14.
BACKGROUND: In randomized trials, fecal occult-blood testing reduces mortality from colorectal cancer. However, the duration of the benefit is unknown, as are the effects specific to age and sex. METHODS: In the Minnesota Colon Cancer Control Study, 46,551 participants, 50 to 80 years of age, were randomly assigned to usual care (control) or to annual or biennial screening with fecal occult-blood testing. Screening was performed from 1976 through 1982 and from 1986 through 1992. We used the National Death Index to obtain updated information on the vital status of participants and to determine causes of death through 2008. RESULTS: Through 30 years of follow-up, 33,020 participants (70.9%) died. A total of 732 deaths were attributed to colorectal cancer: 200 of the 11,072 deaths (1.8%) in the annual-screening group, 237 of the 11,004 deaths (2.2%) in the biennial-screening group, and 295 of the 10,944 deaths (2.7%) in the control group. Screening reduced colorectal-cancer mortality (relative risk with annual screening, 0.68; 95% confidence interval [CI], 0.56 to 0.82; relative risk with biennial screening, 0.78; 95% CI, 0.65 to 0.93) through 30 years of follow-up. No reduction was observed in all-cause mortality (relative risk with annual screening, 1.00; 95% CI, 0.99 to 1.01; relative risk with biennial screening, 0.99; 95% CI, 0.98 to 1.01). The reduction in colorectal-cancer mortality was larger for men than for women in the biennial-screening group (P=0.04 for interaction). CONCLUSIONS: The effect of screening with fecal occult-blood testing on colorectal-cancer mortality persists after 30 years but does not influence all-cause mortality. The sustained reduction in colorectal-cancer mortality supports the effect of polypectomy.
Sofosbuvir and ledipasvir fixed-dose combination with and without ribavirin in treatment-naive and previously treated patients with genotype 1 hepatitis C virus infection (LONESTAR): an open-label, randomised, phase 2 trial [published online ahead of print November 1, 2013]. Lawitz E, Poordad FF, Pang PS, et al. Lancet. doi: 10.1016/S0140-6736(13)62121-2.
BACKGROUND: Interferon-based treatment is not suitable for many patients with hepatitis C virus (HCV) infection because of contraindications such as psychiatric illness, and a high burden of adverse events. We assessed the efficacy and safety of an interferon-free regimen-a fixed-dose combination of the nucleotide polymerase inhibitor sofosbuvir (400 mg) and the HCV NS5A inhibitor ledipasvir (90 mg), with and without ribavirin-in patients with genotype-1 hepatitis C infection who were treatment-naive or previously treated with a protease-inhibitor regimen. METHODS: For this open-label study, we enrolled 100 adult patients (>18 years) with HCV infection at a centre in the USA between Nov 2, 2012, and Dec 21, 2012. In cohort A, we used a computer-generated sequence to randomly assign (1:1:1; stratified by HCV genotype [1a vs 1b]) 60 non-cirrhotic, treatment-naive patients to receive sofosbuvir plus ledipasvir for 8 weeks (group 1), sofosbuvir plus ledipasvir and ribavirin for 8 weeks (group 2), or sofosbuvir plus ledipasvir for 12 weeks (group 3). In cohort B, we randomly allocated (1:1; stratified by genotype and presence or absence of cirrhosis) 40 patients who previously had virological failure after receiving a protease inhibitor regimen to receive sofosbuvir plus ledipasvir for 12 weeks (group 4) or sofosbuvir plus ledipasvir and ribavirin for 12 weeks (group 5). 22 (55%) of 40 patients in cohort B had compensated cirrhosis. The primary endpoint was sustained virological response 12 weeks after treatment (SVR12), analysed by intention to treat. This study is registered with ClinicalTrials.gov, number NCT01329978. RESULTS: In cohort A, SVR12 was achieved by 19 (95%) of 20 patients (95% CI 75-100) in group 1, by 21 (100%) of 21 patients (84-100) in group 2, and by 18 (95%) of 19 patients (74-100) in group 3. In cohort B, SVR12 was achieved by 18 (95%) of 19 patients (74-100) in group 4 and by all 21 (100%) of 21 patients (84-100) in group 5. Two patients had viral relapse; one patient was lost to follow-up after achieving sustained virological response 8 weeks after treatment. The most common adverse events were nausea, anaemia, upper respiratory tract infection, and headache. One patient in group five had a serious adverse event of anaemia, thought to be related to ribavirin treatment. INTERPRETATION: These findings suggest that the fixed-dose combination of sofosbuvir-ledipasvir alone or with ribavirin has the potential to cure most patients with genotype-1 HCV, irrespective of treatment history or the presence of compensated cirrhosis. Further clinical trials are needed to establish the best treatment duration and to further assess the contribution of ribavirin.
Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity [published online ahead of print November 4, 2013]. Courcoulas AP, Christian NJ, Belle SH, et al. JAMA. doi: 10.1001/jama.2013.280928.
IMPORTANCE Severe obesity (body mass index [BMI] ≥35) is associated with a broad range of health risks. Bariatric surgery induces weight loss and short-term health improvements, but little is known about long-term outcomes of these operations. OBJECTIVE To report 3-year change in weight and select health parameters after common bariatric surgical procedures. DESIGN AND SETTING The Longitudinal Assessment of Bariatric Surgery (LABS) Consortium is a multicenter observational cohort study at 10 US hospitals in 6 geographically diverse clinical centers. PARTICIPANTS AND EXPOSURE Adults undergoing first-time bariatric surgical procedures as part of routine clinical care by participating surgeons were recruited between 2006 and 2009 and followed up until September 2012. Participants completed research assessments prior to surgery and 6 months, 12 months, and then annually after surgery. MAIN OUTCOMES AND MEASURES Three years after Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB), we assessed percent weight change from baseline and the percentage of participants with diabetes achieving hemoglobin A1c levels less than 6.5% or fasting plasma glucose values less than 126 mg/dL without pharmacologic therapy. Dyslipidemia and hypertension resolution at 3 years was also assessed. RESULTS At baseline, participants (N = 2458) were 18 to 78 years old, 79% were women, median BMI was 45.9 (IQR, 41.7-51.5), and median weight was 129 kg (IQR, 115-147). For their first bariatric surgical procedure, 1738 participants underwent RYGB, 610 LAGB, and 110 other procedures. At baseline, 774 (33%) had diabetes, 1252 (63%) dyslipidemia, and 1601 (68%) hypertension. Three years after surgery, median actual weight loss for RYGB participants was 41 kg (IQR, 31-52), corresponding to a percentage of baseline weight lost of 31.5% (IQR, 24.6%-38.4%). For LAGB participants, actual weight loss was 20 kg (IQR, 10-29), corresponding to 15.9% (IQR, 7.9%-23.0%). The majority of weight loss was evident 1 year after surgery for both procedures. Five distinct weight change trajectory groups were identified for each procedure. Among participants who had diabetes at baseline, 216 RYGB participants (67.5%) and 28 LAGB participants (28.6%) experienced partial remission at 3 years. The incidence of diabetes was 0.9% after RYGB and 3.2% after LAGB. Dyslipidemia resolved in 237 RYGB participants (61.9%) and 39 LAGB participants (27.1%); remission of hypertension occurred in 269 RYGB participants (38.2%) and 43 LAGB participants (17.4%). CONCLUSIONS AND RELEVANCE Among participants with severe obesity, there was substantial weight loss 3 years after bariatric surgery, with the majority experiencing maximum weight change during the first year. However, there was variability in the amount and trajectories of weight loss and in diabetes, blood pressure, and lipid outcomes.
Accessibility handbook: making 508 websites for everyone. Cunningham, K. Sebastopol, CA: O'Reilly Media, Inc.; 2012.
Adobe Acrobat XI : the official training workbook from Adobe Systems. San Jose, CA: Adobe; 2013.
Adobe InDesign CS6: classroom in a book: the official training workbook from Adobe Systems. Cruise, J. San Jose, CA: Adobe Systems Incorporated; 2012.
Categorical data analysis using SAS. 3rd ed. Cary, NC: SAS Institute; 2012.
Chronic medical disease and cognitive aging: toward a healthy body and brain. New York: Oxford University Press; 2013.
Data matching: concepts and techniques for record linkage, entity resolution, and duplicate detection. Christen, P. New York: Springer; 2012.
The data warehouse toolkit: the definitive guide to dimensional modeling. Kimball, R. 3rd ed. Indianapolis, IN: John Wiley & Sons, Inc.; 2013.
Discovering statistics using R. Field, AP. Thousand Oaks, CA: Sage; 2012.
E-learning by design. Horton, WK. 2nd ed. San Francisco, CA: Pfeiffer; 2012.
Endocrinology: adult and pediatric: diabetes mellitus and obesity. 6th ed. Philadelphia: Saunders; 2010.
Epidemiology for public health practice. Friis, RH. 5th ed. Burlington, MA: Jones & Bartlett Learning; 2014.
Epidemiology of chronic disease: global perspectives. Harris, RE. Sudbury, MA: Jones & Bartlett Learning; 2013.
Essentials of online course design: a standards-based guide. Vai, M. New York: Routledge; 2011.
Health program planning and evaluation: a practical, systematic approach for community health. Issel, ML. 3rd ed. Burlington, MA: Jones & Bartlett Learning; 2014.
How to use SPSS statistics: a step-by-step guide to analysis and interpretation. Cronk, BC. 7th ed. Glendale, CA: Pyrczak Publishing; 2012.
Infectious disease epidemiology: theory and practice. 3rd ed. Burlington, MA: Jones & Bartlett Learning; 2014.
Information security risk assessment toolkit: practical assessments through data collection and data analysis. Talabis, M. Boston: Elsevier; 2013.
Introduction to public health. Schneider, MJ. 4th ed. Burlington, MA: Jones & Bartlett Learning; 2014.
IT governance: an international guide to data security and ISO27001/ISO27002. Calder, A. 5th ed. Philadelphia: Kogan Page; 2012.
Learning Java. Niemeyer, P. 4th ed. Sebastopol, CA: O'Reilly; 2013.
The little SAS book: a primer. Delwiche, LD. 5th ed. Cary, NC: SAS Institute; 2012.
Measuring the user experience: collecting, analyzing, and presenting usability metrics. Tullis, T. 2nd ed. Boston: Elsevier, Inc.; 2013.
Microsoft Office Project 2007 for dummies. Muir, N. Hoboken, NJ: Wiley; 2007.
Microsoft SharePoint 2010 plain & simple: learn the simplest ways to get things done with Microsoft SharePoint 2010. Lightfoot, J. Sebastopol, CA: O'Reilly Media, Inc.; 2010.
Modern nutrition in health and disease. 11th ed. Philadelphia: Lippincott Williams & Wilkins; 2014.
Nutrition in the prevention and treatment of disease. 3rd ed. Boston: Elsevier; 2013.
One nation under stress: the trouble with stress as an idea. Becker, D. New York: Oxford University Press; 2013.
PMP: Project Management Professional exam study guide. Heldman, K. 7th ed. Indianapolis, IN: John Wiley & Sons, Inc.; 2013.
PMP exam prep: accelerated learning to pass PMI's PMP exam. Mulcahy, R. 8th ed. Minnetonka, MN: RMC Publications, Inc.; 2013.
Pro ASP.NET MVC 4. Freeman, A. 4th ed. New York: Apress; 2012.
Project management : a systems approach to planning, scheduling, and controlling. Kerzner, HR. 11th ed. New York: John Wiley & Sons, Inc.; 2013.
Pursuing the good life: 100 reflections on positive psychology. Peterson, C. New York: Oxford University Press; 2013.
The R book. Crawley, MJ. 2nd ed. Chichester, West Sussex, United Kingdom: John Wiley & Sons, Inc.; 2013.
Scenario-based e-learning: evidence-based guidelines for online workforce learning. Clark, RC. San Francisco, CA: Pfeiffer; 2013.
Social neuroscience and public health: foundations for the science of chronic disease prevention. New York: Springer; 2013.
Tarascon adult emergency pocketbook. 4th ed. Sudbury, MA: Jones & Bartlett Learning; 2008.
Team of rivals: the political genius of Abraham Lincoln. Goodwin, DK. New York: Simon & Schuster; 2005.
Windows 7 & Office 2010 for dummies. Rathbone, A. Indianapolis, IN: Wiley Publishing, Inc.; 2011.
Windows 7 inside out: deluxe edition. Bott, Ed. Redmond, WA: Microsoft Press; 2011.
Educating the student body: taking physical activity and physical education to school (2013): http://www.nap.edu/catalog.php?record_id=18314&utm_medium=etmail&utm_source=The%20National%20Academies%20Press&utm_campaign=NAP+mail+new+11.05.13&utm_content=Downloader&utm_term=
Educating the Student Body makes recommendations about approaches for strengthening and improving programs and policies for physical activity and physical education in the school environment. This report lays out a set of guiding principles to guide its work on these tasks. These included: recognizing the benefits of instilling life-long physical activity habits in children; the value of using systems thinking in improving physical activity and physical education in the school environment; the recognition of current disparities in opportunities and the need to achieve equity in physical activity and physical education; the importance of considering all types of school environments; the need to take into consideration the diversity of students as recommendations are developed.
Elder abuse and its prevention: workshop summary (2013): http://www.nap.edu/catalog.php?record_id=18518&utm_medium=etmail&utm_source=The%20National%20Academies% 20Press&utm_campaign=NAP+mail+new+10.23.13&utm_content=Downloader&utm_term= 20Press&utm_campaign=NAP+mail+new+10.23.13&utm_content=Downloader&utm_term=
Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings.
Establishing transdisciplinary professionalism for improving health outcomes: workshop summary (2013): http://www.nap.edu/catalog.php?record_id=18398&utm_medium=etmail&utm_source=The%20National%20Academies%20Press&utm_campaign=NAP+mail+new+10.15.13&utm_content=Downloader&utm_term=
Summary of a workshop convened by the Institute of Medicine Global Forum on Innovation in Health Professional Education to explore the possibility of whether different professions can come together and whether a dialogue with society on professionalism is possible. Most of the 59 members making up the Global Forum were present at the workshop and engaged with outside participants in active dialogue around issues related to professionalism and how the different professions might work effectively together and with society in creating a social contract. The structure of the workshop involved large plenary discussions, facilitated table conversations, and small-group breakout sessions. In this way, the members - representing multiple sectors, countries, health professions, and educational associations - had numerous opportunities to share their own perspectives on transdisciplinary professionalism as well as hear the opinions of subject matter experts and the general public.
Financing long-term services and supports for individuals with disabilities and older adults: workshop summary (2013): http://www.nap.edu/catalog.php?record_id=18538&utm_medium=etmail&utm_source=The%20National%20Academies%20Press&utm_campaign=NAP+mail+new+10.29.13&utm_content=Downloader&utm_term=
The financing of long-term services and supports has become a major issue in the United States. These are the services and supports that individuals with disabilities, chronic conditions, and functional impairments need in order to live independently, such as assistance with eating, bathing, and dressing. Long-term services and supports do not include the medical or nursing services required to manage health conditions that may be responsible for a disabling condition. At least 11 million adults ages 18 and over receive long-term services and supports. Only a little more than half of them - 57 percent - are ages 65 or older. One study found that about 6 percent of people turning 65 in 2005 could expect to have expenses of more than $100,000 for long-term services and supports. Financing Long-Term Services and Supports for Individuals with Disabilities and Older Adults discusses the scope and trends of current sources of financing for long-term services and supports for working-age individuals with disabilities and older adults aging into disability, including income supports and personal savings. This report considers the role of families, business, and government in financing long-term services and supports and discusses implications of and opportunities for current and innovative approaches.
Organizational change to improve health literacy: workshop summary (2013): http://www.nap.edu/catalog.php?record_id=18378&utm_medium=etmail&utm_source=The%20National%20Academies%20Press&utm_campaign=NAP+mail+new+10.23.13&utm_content=Downloader&utm_term=
As a follow up to the 2012 discussion paper Ten Attributes of a Health Literate Health Care Organization, participants met to examine what is known about implementation of the attributes of a health literate health care organization and to create a network of health literacy implementers who can share information about health literacy innovations and problem solving. This report discusses implementation approaches and shares tools that could be used in implementing specific literacy strategies.
Population health implications of the affordable care act: workshop summary (2013): http://www.nap.edu/catalog.php?record_id=18546&utm_medium=etmail&utm_source=The%20National%20Academies%20Press&utm_campaign=NAP+mail+new+10.15.13&utm_content=Downloader&utm_term=
Population Health Implications of the Affordable Care Act looks beyond narrow interpretations of population as the group of patients covered by a health plan to consider a more expansive understanding of population, one focused on the distribution of health outcomes across all individuals living within a certain set of geopolitical boundaries. In establishing the National Prevention, Health Promotion, and Public Health Council, creating a fund for prevention and public health, and requiring nonprofit hospitals to transform their concept of community benefit, the ACA has expanded the arena for interventions to improve health beyond the "doctor's" office. Improving the health of the population - whether in a community or in the nation as a whole - requires acting to transform the places where people live, work, study, and play. This report examines the population health-oriented efforts of and interactions among public health agencies (state and local), communities, and health care delivery organizations that are beginning to facilitate such action.
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News and training opportunities
Center for Public Health Continuing Education (CPHCE): Nationally known for its distance learning training, including the award-winning Public Health Live (T2B2) webcast series and numerous interactive, self-paced online courses. CPHCE offers a variety of free and affordable webinars, podcasts, broadcasts and in-person trainings. Nursing, CME and Certified Health Education Specialist continuing education credits are available for many of its programs: http://www.albany.edu/sph/cphce/index.shtml
Diabetes and the Expanding Roles of Health Educators: November 19, 2013, 12:00-1:00 PM EST. This webinar will provide information about Diabetes and how various factors affect why this epidemic is growing. https://sophe.webex.com/mw0307l/mywebex/default.do?nomenu=true&siteurl=sophe&service=6&rnd=0.5504537608492873&main_url=https%3A%2F%2Fsophe.webex.com%2Fec0606l%2Feventcenter%2Fevent%2FeventAction.do%3FtheAction%3Ddetail%26confViewID%3D1004117832%26%26%26%26siteurl%3Dsophe
The Ohio State University Center for Public Health Practice provides free online learning on a variety of public health topics: http://cph.osu.edu/practice/free-online-learning
The Public Health Grand Rounds (PHGR) is the continuing education program of the West Virginia University School of Public Health. The PHGR is a free continuing education program for the public health workforce that provides CME/CE credits for physicians, nurses, dentists, pharmacists, and other health professionals. The monthly sessions are webcast (live simulcast and archived) for all who would like to view at a later date. The lectures of this continuing education program have been viewed live and from archives regionally, nationally, and internationally: http://publichealth.hsc.wvu.edu/pages/Academics/Continuing-Education-Program
Cool websites and reports on hot topics
It’s Breast Cancer Awareness Month Learn more about the disease, current research, and ways to donate: http://ww5.komen.org/
Health Insurance Marketplace: Communication Toolkit for Health Agencies: The US Department of Health and Human Services has launched the Health Insurance Marketplace to make it easier for citizens to compare health coverage options and find plans that meet their needs and fit their budgets. http://www.cdc.gov/stltpublichealth/Products/health_toolkit.html
It’s also Health Literacy Month. Find a wealth of resources on this topic from the National Network of Libraries of Medicine: http://nnlm.gov/outreach/consumer/hlthlit.html
Healthy Eating Benefits Heart Failure Patients, Study Says: Low-sodium diet lowered high blood pressure after 3 weeks. http://www.nlm.nih.gov/medlineplus/news/fullstory_141079.html
Healthy People 2020 Evidence-Based Resources Tool: Searchable database to find information and evidence-based resources for Healthy People 2020 topic areas. http://www.healthypeople.gov/2020/implement/EBR.aspx
Hospital-Acquired Infections Cost $10 Billion a Year: Five most common health care-associated infections strike 440,000 U.S. patients each year. http://www.nlm.nih.gov/medlineplus/news/fullstory_140313.html
Immune Drugs Hold Hope of "Clinical Cure" for Deadly Skin Cancer: A new generation of drugs designed to trigger the immune system to fight cancer is offering the prospect of a "clinical cure" for some melanoma skin cancer patients who until a few years ago were more likely to be facing a swift death. http://www.nlm.nih.gov/medlineplus/news/fullstory_141097.html
Leading the Workplace Wellness Movement: Public Health Departments' Role: Worksite wellness is of growing interest among state and territorial health departments as part of a larger trend among employers to foster an environment where healthy choices become easy choices for employees - beyond the traditional role of providing healthcare insurance coverage. http://www.rwjf.org/en/blogs/new-public-health/2013/09/leading_the_workplac.html?cid=xrs_rss-pr
Memory-Erasing Gene Discovered in Mice: Researchers say finding might someday help people with post-traumatic stress disorder. http://www.nlm.nih.gov/medlineplus/news/fullstory_140869.html
NIH program explores the use of genomic sequencing in newborn healthcare: Can sequencing of newborns’ genomes provide useful medical information beyond what current newborn screening already provides? http://www.nih.gov/news/health/sep2013/nhgri-04.htm
Risks for Kidney Donors Decline, Study Finds: Post-donation hospital stays are shorter too. http://www.nlm.nih.gov/medlineplus/news/fullstory_141042.html
Smartphone Microscope Detects Nanoparticles and Viruses: A lightweight microscope that attaches to a cell phone can detect single nanoparticles and viruses. It might one day be used for diagnostic tests in the field. http://www.nih.gov/researchmatters/september2013/09302013smartphone.htm
Vaccine Clears Away Monkey AIDS Virus: An experimental vaccine given to monkeys triggered an immune attack that wiped out all traces of an AIDS-causing virus after a year or more. http://www.nih.gov/researchmatters/september2013/09232013SIV.htm
Interesting journal articles
Anguera JA, Boccanfuso J, Rintoul JL, et al. Video game training enhances cognitive control in older adults. Nature. 2013;501(7465):97-101.
Cognitive control is defined by a set of neural processes that allow us to interact with our complex environment in a goal-directed manner. Humans regularly challenge these control processes when attempting to simultaneously accomplish multiple goals (multitasking), generating interference as the result of fundamental information processing limitations. It is clear that multitasking behaviour has become ubiquitous in today's technologically dense world, and substantial evidence has accrued regarding multitasking difficulties and cognitive control deficits in our ageing population. Here we show that multitasking performance, as assessed with a custom-designed three-dimensional video game (NeuroRacer), exhibits a linear age-related decline from 20 to 79 years of age. By playing an adaptive version of NeuroRacer in multitasking training mode, older adults (60 to 85 years old) reduced multitasking costs compared to both an active control group and a no-contact control group, attaining levels beyond those achieved by untrained 20-year-old participants, with gains persisting for 6 months. Furthermore, age-related deficits in neural signatures of cognitive control, as measured with electroencephalography, were remediated by multitasking training (enhanced midline frontal theta power and frontal-posterior theta coherence). Critically, this training resulted in performance benefits that extended to untrained cognitive control abilities (enhanced sustained attention and working memory), with an increase in midline frontal theta power predicting the training-induced boost in sustained attention and preservation of multitasking improvement 6 months later. These findings highlight the robust plasticity of the prefrontal cognitive control system in the ageing brain, and provide the first evidence, to our knowledge, of how a custom-designed video game can be used to assess cognitive abilities across the lifespan, evaluate underlying neural mechanisms, and serve as a powerful tool for cognitive enhancement.
Gefen T, Wieneke C, Martersteck A, et al. Naming vs knowing faces in primary progressive aphasia: A tale of 2 hemispheres. Neurology. 2013 Aug 13;81(7):658-64.
OBJECTIVES: This study examines the anatomical correlates of naming vs recognizing faces using a novel measure that utilizes culturally relevant and age-appropriate items, the Northwestern University Famous Faces (NUFFACE) Test, in primary progressive aphasia (PPA), a syndrome characterized by progressive language deficits and associated with cortical atrophy in areas important for word and object representations. METHODS: NUFFACE Test performance of 27 controls (mean age 62.3 years) was compared with that of 30 patients with PPA (mean age 62 years). Associations between NUFFACE Test performance and cortical thickness measures were quantified within the PPA group. RESULTS: Patients with PPA displayed significant impairment on the NUFFACE Test, demonstrating that it is a useful measure of famous-face identification for individuals with relatively young-onset dementias. Despite widespread distribution of atrophy in the PPA group, face naming impairments were correlated with atrophy of the left anterior temporal lobe while face recognition impairments were correlated with bitemporal atrophy. CONCLUSIONS: In addition to their clinical relevance for highlighting the distinction between face naming and recognition impairments in individuals with young-onset dementia, these findings add new insights into the dissociable clinico-anatomical substrates of lexical retrieval and object knowledge.
Le-Niculescu H, Levey DF, Ayalew M, et al. Discovery and validation of blood biomarkers for suicidality. Mol Psychiatry. 2013 Aug 20 Epub ahead of print.
Suicides are a leading cause of death in psychiatric patients, and in society at large. Developing more quantitative and objective ways (biomarkers) for predicting and tracking suicidal states would have immediate practical applications and positive societal implications. We undertook such an endeavor. First, building on our previous blood biomarker work in mood disorders and psychosis, we decided to identify blood gene expression biomarkers for suicidality, looking at differential expression of genes in the blood of subjects with a major mood disorder (bipolar disorder), a high-risk population prone to suicidality. We compared no suicidal ideation (SI) states and high SI states using a powerful intrasubject design, as well as an intersubject case-case design, to generate a list of differentially expressed genes. Second, we used a comprehensive Convergent Functional Genomics (CFG) approach to identify and prioritize from the list of differentially expressed gene biomarkers of relevance to suicidality. CFG integrates multiple independent lines of evidence-genetic and functional genomic data-as a Bayesian strategy for identifying and prioritizing findings, reducing the false-positives and false-negatives inherent in each individual approach. Third, we examined whether expression levels of the blood biomarkers identified by us in the live bipolar subject cohort are actually altered in the blood in an age-matched cohort of suicide completers collected from the coroner's office, and report that 13 out of the 41 top CFG scoring biomarkers (32%) show step-wise significant change from no SI to high SI states, and then to the suicide completers group. Six out of them (15%) remained significant after strict Bonferroni correction for multiple comparisons. Fourth, we show that the blood levels of SAT1 (spermidine/spermine N1-acetyltransferase 1), the top biomarker identified by us, at the time of testing for this study, differentiated future as well as past hospitalizations with suicidality, in a live cohort of bipolar disorder subjects, and exhibited a similar but weaker pattern in a live cohort of psychosis (schizophrenia/schizoaffective disorder) subjects. Three other (phosphatase and tensin homolog (PTEN), myristoylated alanine-rich protein kinase C substrate (MARCKS), and mitogen-activated protein kinase kinase kinase 3 (MAP3K3)) of the six biomarkers that survived Bonferroni correction showed similar but weaker effects. Taken together, the prospective and retrospective hospitalization data suggests SAT1, PTEN, MARCKS and MAP3K3 might be not only state biomarkers but trait biomarkers as well. Fifth, we show how a multi-dimensional approach using SAT1 blood expression levels and two simple visual-analog scales for anxiety and mood enhances predictions of future hospitalizations for suicidality in the bipolar cohort (receiver-operating characteristic curve with area under the curve of 0.813). Of note, this simple approach does not directly ask about SI, which some individuals may deny or choose not to share with clinicians. Lastly, we conducted bioinformatic analyses to identify biological pathways, mechanisms and medication targets. Overall, suicidality may be underlined, at least in part, by biological mechanisms related to stress, inflammation and apoptosis.Molecular Psychiatry advance online publication, 20 August 2013; doi:10.1038/mp.2013.95.
Malow BA, Adkins KW, Reynolds A, et al. Parent-Based Sleep Education for Children with Autism Spectrum Disorders. J Autism Dev Disord. 2013 Jun 11 Epub ahead of print.
This study provided sleep education to parents of children with autism spectrum disorder (ASD) to determine whether an individual or group format was more effective in improving sleep and aspects of daytime behavior and family functioning. Eighty children, ages 2-10 years, with ASD and sleep onset delay completed the study. Actigraphy and parent questionnaires were collected at baseline and 1 month after treatment. Mode of education did not affect outcomes. Sleep latency, insomnia subscales on the Children's Sleep Habits Questionnaire, and other outcomes related to child and family functioning improved with treatment. Parent-based sleep education, delivered in relatively few sessions, was associated with improved sleep onset delay in children with ASD. Group versus individualized education did not affect outcome.
Ong YT, Wong TY, Klein R, et al. Hypertensive retinopathy and risk of stroke. Hypertension. 2013;62(4):706-11.
Although assessment of hypertensive retinopathy signs has been recommended for determining end-organ damage and stratifying vascular risk in persons with hypertension, its value remains unclear. In this study, we examine whether hypertensive retinopathy predicts the long-term risk of stroke in those with hypertension. A total of 2907 participants with hypertension aged 50 to 73 years at the 1993 to 1995 examination, who had gradable retinal photographs, no history of diabetes mellitus, stroke, and coronary heart disease at baseline and data on incident stroke, were included from the Atherosclerosis Risk in Communities (ARIC) Study. Retinal photographs were assessed for hypertensive retinopathy signs and classified as none, mild, and moderate/severe. Incident events of any stroke, cerebral infarction, and hemorrhagic stroke were identified and validated. After a mean follow-up period of 13.0 years, 165 persons developed incident stroke (146 cerebral infarctions and 15 hemorrhagic strokes). After adjusting for age, sex, blood pressure, and other risk factors, persons with moderate hypertensive retinopathy were more likely to have stroke (moderate versus no retinopathy: multivariable hazard ratios, 2.37 [95% confidence interval, 1.39-4.02]). In participants with hypertension on medication with good control of blood pressure, hypertensive retinopathy was related to an increased risk of cerebral infarction (mild retinopathy: hazard ratio, 1.96 [95% confidence interval, 1.09-3.55]; and moderate retinopathy: hazard ratio, 2.98 [95% confidence interval, 1.01-8.83]). Hypertensive retinopathy predicts the long-term risk of stroke, independent of blood pressure, even in treated patients with hypertension with good hypertension control. Retinal photographic assessment of hypertensive retinopathy signs may be useful for assessment of stroke risk.
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Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary (2013).
Health care quality and its affordability have become very pressing issues in the United States. All sectors of the country are attempting to push forward initiatives that will improve the health care system as well as the health of the American population in general. Despite the economical dedication to health care, about 1/5, the system remains uneven and fragmented, patient harm is quite common, care is often uncoordinated, and many more mishaps occur. There exists many obstacles to improve the nation's health care system; these include the capacity to reliably and consistently measure progress. In 2006 the Institute of Medicine (IOM) established the Roundtable on Value & Science-Driven Health Care which has since accelerated the development of a learning health system- one in which science, informatics, incentives, and culture are aligned to create a continuous learning loop. This learning loop would thus help make the health care system better.
Crisis: Standards of Care: A Systems Framework for Catastrophic Disaster Response (2012). http://click.newsletters.nas.edu/?qs=f732e71fb50dbe55367113699ea686dcb4f8f2e1a64cfa521f4f039baf60093522d264de600647ab
Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles.
Improving the Health, Safety, and Well-Being of Young Adults: Workshop Summary (2013). http://click.newsletters.nas.edu/?qs=af313bc9ed941af2892d5c08937d2066e177ceb8a788d3d035a38583e1bcb21c9aa05dc7713587b2
Improving the Health, Safety, and Well-Being of Young Adults is the summary of a workshop hosted by the Board on Children, Youth, and Families of the Institute of Medicine (IOM) and the National Research Council (NRC) in May, 2013. More than 250 researchers, practitioners, policy makers, and young adults presented and discussed research on the development, health, safety, and well-being of young adults. This report focuses on the developmental characteristics and attributes of this age group and its placement in the life course; how well young adults function across relevant sectors, including, for example, health and mental health, education, labor, justice, military, and foster care; and how the various sectors that intersect with young adults influence their health and well-being. Improving the Health, Safety, and Well-Being of Young Adults provides an overview of existing research and identifies research gaps and issues that deserve more intensive study. It also is meant to start a conversation aimed at a larger IOM/NRC effort to guide research, practices, and policies affecting young adults.
New Directions in Child Abuse and Neglect Research (2013). http://click.newsletters.nas.edu/?qs=3ed48541cfdd174d6ddc556f2e841e68b8b3a05168b22d666c4574a41e22e4bb6b24570afea0b4c4
New Directions in Child Abuse and Neglect Research recommends an actionable framework to guide and support future child abuse and neglect research. This report calls for a comprehensive, multidisciplinary approach to child abuse and neglect research that examines factors related to both children and adults across physical, mental, and behavioral health domains--including those in child welfare, economic support, criminal justice, education, and health care systems--and assesses the needs of a variety of subpopulations. It should also clarify the causal pathways related to child abuse and neglect and, more importantly, assess efforts to interrupt these pathways. New Directions in Child Abuse and Neglect Research identifies four areas to look to in developing a coordinated research enterprise: a national strategic plan, a national surveillance system, a new generation of researchers, and changes in the federal and state programmatic and policy response
Toward Quality Measures for Population Health and the Leading Health Indicators (2013). http://click.newsletters.nas.edu/?qs=e1a2d787b77992f0b0c1c37f3f4844707f7e44056873e8215f73bcbdb2b11f5d6515384ee07e184c
The scope of work for this project is to use the nine aims for improvement of quality in public health (population-centered, equitable, proactive, health promoting, risk reducing, vigilant, transparent, effective, and efficient) as a framework to identify quality measures for the Healthy People Leading Health Indicators (LHIs). The committee reviewed existing literature on the 12 LHI topics and the 26 Leading Health Indicators. Quality measures for the LHIs that are aligned with the nine aims for improvement of quality in public health will be identified. When appropriate, alignments with the six Priority Areas for Improvement of Quality in Public Health will be noted in the Committee's report. Toward Quality Measures for Population Health and the Leading Health Indicators also address data reporting and analytical capacities that must be available to capture the measures and for demonstrating the value of the measures to improving population health.
An Update on Research Issues in the Assessment of Birth Settings: Workshop Summary (2013). http://click.newsletters.nas.edu/?qs=af313bc9ed941af2c513a5147292f28182533244894cf373e08aad29a529e873b77fff1d2620fb1b
More than 30 years ago, the Institute of Medicine (IOM) and the National Research Council (NRC) convened a committee to determine methodologies and research needed to evaluate childbirth settings in the United States. The committee members reported their findings and recommendations in a consensus report, Research Issues in the Assessment of Birth Settings (IOM and NRC, 1982). An Update on Research Issues in the Assessment of Birth Settings is the summary of a workshop convened in March, 2013, to review updates to the 1982 report. Health care providers, researchers, government officials, and other experts from midwifery, nursing, obstetric medicine, neonatal medicine, public health, social science, and related fields presented and discussed research findings that advance our understanding of the effects of maternal care services in different birth settings on labor, clinical and other birth procedures, and birth outcomes. These settings include conventional hospital labor and delivery wards, birth centers, and home births. This report identifies datasets and relevant research literature that may inform a future ad hoc consensus study to address these concerns.
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News and training opportunities
I would like to take this opportunity to introduce myself. My name is Sandra Teft and I have recently replaced Carolyn Medina’s position at the DSHS Medical and Research Library. I have traveled many, many miles to get here from Syracuse, New York. Please contact me for research assistance, obtaining journal articles, and any additional library needs. I look forward to working with you!
Cool websites and reports on hot topics
Genome: Unlocking Life’s Code: Your genome holds clues to your current and future health as well as your ancestry. Explore how genome studies are improving medical care and our understanding of the world around us. This educational website is part of a state-of-the-art museum exhibition developed through an NIH-Smithsonian partnership. http://unlockinglifescode.org/
NIAMS Kids Pages: It’s smart to form habits that can help keep your bones, joints, muscles and skin healthy for years to come. This newly updated site for kids—from NIH’s National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)—can help you keep your body working and moving with ease. http://www.niams.nih.gov/Health_Info/Kids
NIH BRAIN Initiative: The NIH BRAIN Initiative aims to revolutionize our understanding of the human brain. Learn more about wide-ranging research efforts to uncover the complexities of this mysterious organ. Find videos, fact sheets and more. http://newsinhealth.nih.gov/issue/may2013/capsule3
Pregnancy: Every Week Counts: Learn why it’s important to let the baby set the delivery date. As long as mother and child are both doing fine, it’s best for the baby’s health and yours to wait until at least 39 weeks of pregnancy for delivery. Babies born sooner are at risk for several health problems. http://newsinhealth.nih.gov/issue/jun2013/capsule3
Stem Cells Coaxed To Create Working Blood Vessels: Successful testing in mice may lead to ways of repairing and regenerating tissues and organs in humans. http://www.nih.gov/researchmatters/august2013/08052013vessels.htm
What is Gluten-Free? FDA Has an Answer: With food allergies on the rise, many people are altering their diets and analyzing their food choices much more closely. With the FDA’s new guidelines, those with Celiac Disease can now be certain what exactly is meant by “gluten-free”. http://www.fda.gov/forconsumers/consumerupdates/ucm363069.htm
Interesting journal articles
Crane PK, Walker R, Hubbard RA, et al. Glucose levels and risk of dementia. N Engl J Med. 2013;369(6):540-8.
Higher glucose levels may be a risk factor for dementia, even among persons without diabetes.
Bay B, Mortensen EL, Hvidtjørn D, Kesmodel US. Fertility treatment and risk of childhood and adolescent mental disorders: register based cohort study. BMJ. 2013;347:f3978.
The article assesses the mental health of children born after fertility treatment by comparing their risk of mental disorders with that of spontaneously conceived children.
Halfon N, Kuo AA. What DSM-5 Could Mean to Children With Autism and Their Families. JAMA Pediatr. 2013;167(7):608-613.
The American Psychiatric Association will update its Diagnostic and Statistical Manual of Mental Disorders to its fifth edition (DSM-5). With this new edition, the classification and diagnostic criteria for the spectrum of autistic disorders will change and become more specific and potentially more restrictive. Rather than maintaining several subcategories of autism including Asperger syndrome, there will be one new category called autism spectrum disorder. This change may alter which children are diagnosed as having autism as well as modify eligibility for treatment, educational, and other support services. We review the history and rationale for the proposed changes as well as several recent studies that have attempted to gauge the impact of these changes on children and families. We also consider how the proposed changes are likely to create new challenges for parents who are attempting to organize their children's care and for pediatricians who are providing that care and assisting with care coordination.
Kesselheim AS, Green MD, Avorn J. Who Is Now Responsible for Discovering and Warning About Adverse Effects of Generic Drugs? JAMA. 2013 Aug 5.
The article discusses the Food, Drug, and Cosmetic Act’s requirement that generic manufacturers provide the same warnings provided with the brand-name version of the drug. While this allows for consistency, many cases have shown that patients have experienced adverse effects while using generic drugs. In some cases, patients were not warned of the possibility of these effects due to the fact that the brand-name version did not include this information. The stipulation providing consistency does not always provide safety for the patient and also leaves no room for legal discourse as the generic manufacturers are acting in accordance with the law.
Kumar S, Nilsen WJ, Abernethy A, et al. Mobile Health Technology Evaluation: The mHealth Evidence Workshop. Am J Prev Med. 2013 Aug;45(2):228-36.
Creative use of new mobile and wearable health information and sensing technologies (mHealth) has the potential to reduce the cost of health care and improve well-being in numerous ways. These applications are being developed in a variety of domains, but rigorous research is needed to examine the potential, as well as the challenges, of utilizing mobile technologies to improve health outcomes.
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- Access 2010: The Missing Manual by Matthew MacDonald.
- Beating Back the Devil: on the Front Lines with the Disease Detectives by Maryn.McKenna.
- Biostatistics: A Foundation for Analysis in the Health Sciences by Wayne W. Daniel.
- Business Succession Planning for Dummies by Arnie Dahlke.
- The Complete Step-by-Step Guide to Designing and Teaching Online by Joan Thormann.
- Confronting Violence: Answering Questions about the Epidemic by George A. Gellert.
- Conquering the Content: A Step-by-Step Guide to Online Course Design by Robin M. Smith.
- Current Medical Diagnosis and Treatment by Stephen J. McPhee. (Reference)
- Current Diagnosis and Treatment Pediatrics by William W. Hay. (Reference)
- Data Points: Visualization that Means Something by Nathan Yau.
- Diabestiy: The Obesity-Diabetes Epidemic that Threatens America by Francine Ratner Kaufman.
- Epidemiology of Women’s Health by Ruby T. Senie.
- Essential Case Studies in Public Health: Putting Public Health into Practice by Katherine Hunting.
- The Essentials of Biostatistics for Physicians, Nurses, and Clinicians by Michael R. Chernick.
- Essentials of Health Care Finance by William O. Cleverley.
- Essentials of Public Health by Bernard J. Turnock.
- Excel 2010 Bible by John Walkenbach.
- Excel 2010: The Missing Manual by Matthew MacDonald.
- Health Policymaking in the United States by Beaufort B. Longest.
- Krause’s Food & the Nutrition Care Process. (Reference)
- Making War at Fort Hood: Life and Uncertainty in a Military Community by Kenneth T. MacLeish.
- Public Health Nursing: Population-Centered Health Care in the Community by Marcia Stanhope and Jeanette Lancaster.
- Public Health: What it is and How It Works by Bernard J. Turnock.
- Thinking Fast and Slow by Daniel Kahneman.
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News and training opportunities
Diabetes, Disasters and Decisions Webinar: June 3, 2013, noon to 1:00 pm, CDT. This webinar will discuss the impact of disasters upon people with diabetes and measures that people with diabetes, their families, and providers can take to increase preparedness. It is sponsored by the Society for Public Health Education. Register at https://sophe.webex.com/mw0307l/mywebex/default.do?nomenu=true&siteurl=sophe&service=6&rnd=0.46988292145652655&main_url=https%3A%2F%2Fsophe.webex.com%2Fec0606l%2Feventcenter%2Fevent%2FeventAction.do%3FtheAction%3Ddetail%26confViewID%3D1003777941%26%26%26%26siteurl%3Dsophe
Physicians and nurses can get free continuing education credit sponsored by the Robert Wood Johnson Foundation. See: http://www.rwjf.org/en/about-rwjf/program-areas/quality-equality/care-about-your-care/continuing-education.html?cid=XEM_A7059
Cool websites and reports on hot topics
Children’s Mental Health: Mental Health Surveillance among Children — United States, 2005–2011, is a report issued by the Centers for Disease Control and Prevention. Read it at http://www.cdc.gov/mmwr/preview/mmwrhtml/su6202a1.htm?s_cid=su6202a1_w
ChoosingWisely.org: This website is provided by the ABIM Foundation and is focused on encouraging physicians, patients and other health care stakeholders to think and talk about medical tests and procedures that may be unnecessary, and in some instances can cause harm. See http://www.choosingwisely.org/
Did You Know? Brief evidence-based health facts on many different topics are provided by the CDC for use in public health education outreach. See http://www.cdc.gov/stltpublichealth/didyouknow/topic.html?s_cid=ostltsdyk_govd_003
Disaster Behavioral Health: Dialogue: a quarterly technical assistance journal on disaster behavioral health produced by the SAMHSA Disaster Technical Assistance Center is available in full-text for free. Integrating Disaster Behavioral Health into Public Health Services is vol. 9, issue 2 and is located at http://www.samhsa.gov/dtac/dialogue/Dialogue_vol9_issue2.pdf
Elderly Safety: Top 10 Tips for Taking an Elderly Parent to the Emergency Department, from the American College of Emergency Physicians, are listed at http://www.emergencycareforyou.org/YourHealth/ElderlySafety/Default.aspx?id=1572
Evidence Based Care: Evidence-based Practice Center Reports funded by AHRQ are available on topics ranging from acute stroke to weight reduction. Find them at: http://www.ahrq.gov/research/findings/evidence-based-reports/a-z/index.html
Health Disparities: The national CLAS Standards are a comprehensive series of guidelines that inform, guide, and facilitate practices related to culturally and linguistically appropriate health services. They are prepared by the federal Office of Minority Health. Find more information at https://www.thinkculturalhealth.hhs.gov/pdfs/NationalCLASStandardsFactSheet.pdf
Long-Term Care: Comparison of Characteristics of Nursing Homes and Other Residential Long- Term Care Settings for People with Dementia, Comparative Effectiveness Review Number 79 by AHRQ, is located at http://www.effectivehealthcare.ahrq.gov/ehc/products/327/1293/CER79_NursingHomesDementia_FinalReport_20121019.pdf
The National Healthcare Disparities Report and the National Healthcare Quality Report measure trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care. Read them at
National Preparedness: Efforts to Address the Medical Needs of Children in a Chemical, Biological, Radiological, or Nuclear Incident, a report published by the Government Accountability Office, number GAO-13-438, on April 30, 2013, is located at http://www.gao.gov/products/GAO-13-438
Primary Care and Public Health: Exploring Integration to Improve Population Health, a report by the Institute of Medicine, is available to read in full-text by scrolling down at http://www.nap.edu/catalog.php?record_id=13381
Sodium: Sodium Intake in Populations: Assessment of Evidence recognizes the limitations of the available evidence on optimal sodium intake, and explains that there is no consistent evidence to support an association between sodium intake and either a beneficial or adverse effect on most direct health outcomes other than some CVD outcomes (including stroke and CVD mortality) and all-cause mortality. Read the whole report by the Institute of Medicine at http://www.nap.edu/catalog.php?record_id=18311
Violence: Treating Violence as a Contagious Disease, a TEDMED talk, is available on YouTube at http://www.youtube.com/watch?v=9lwDellYqZE&feature=youtu.be
Weight Gain in Pregnancy: the Institute of Medicine has created an interactive web experience for pregnant women. See http://www.iom.edu/About-IOM/Leadership-Staff/Boards/Food-and-Nutrition-Board/HealthyPregnancy.aspx
Interesting journal articles
The Annual Review of Public Health, 2013 edition, has been released. It includes articles on all the hot topics in public health including: the developmental origins of adult disease, epidemiology and biostatistics, environmental and occupational health, public health practice, social environment and behavior, and health services. The print edition is available in the library. Try online access at http://www.annualreviews.org/journal/publhealth.
Does Using Marijuana Increase the Risk for Developing Schizophrenia? Evins AE, Green AI, Kane JM, Murray RM Sir. J Clin Psychiatry. 2013 Apr;74(4):e08.
As more US states and other countries consider legalizing marijuana, clinicians need to know the possible effects of this drug. Research has shown a connection between marijuana use and an increased risk for schizophrenia in young people who are vulnerable to developing psychosis. An international panel of experts addresses topics such as risk factors for schizophrenia, the potency and effects of cannabis use on adolescents, the effects of concurrent drug use with cannabis on schizophrenia risk, and current attitudes toward marijuana.
Gender Differences in Acculturation, Stress, and Salivary Cortisol Response among Former Soviet Immigrants. Nicholson LM, Miller AM, Schwertz D, Sorokin O. J Immigr Minor Health. 2013 Jun;15(3):540-52.
Post-immigration adaptation is characterized by chronic and acute acculturative stressors. Salivary cortisol is a commonly used hormonal marker of stress, but few studies have investigated its use as an indicator of acculturative stress and adjustment in immigrants. The purpose of this study was to examine relationships among predictors of adjustment (environmental and language mastery), self-reported stress outcomes (depressive symptoms, perceived stress, alienation), and salivary cortisol response in immigrants from the former Soviet Union. The sample included 137 married men and women aged 42-80 who lived in the U.S. for 1-13 years. Results indicated that while men and women had similar values for cortisol response, relationships among adjustment measures, stress outcomes, and cortisol differed by gender. Among men, environmental mastery significantly reduced depressive symptoms, perceived stress, and cortisol response. Among women, environmental mastery also reduced depressive symptoms, perceived stress, and alienation, but language mastery increased cortisol response and decreased alienation.
Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease: GOLD Executive Summary. Vestbo J , et al. Am J Respir Crit Care Med. 2013;187:347-65.
Chronic obstructive pulmonary disease (COPD) is a global health problem, and since 2001, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) has published its strategy document for the diagnosis and management of COPD. This executive summary presents the main contents of the second 5-year revision of the GOLD document that has implemented some of the vast knowledge about COPD accumulated over the last years. Today, GOLD recommends that spirometry is required for the clinical diagnosis of COPD to avoid misdiagnosis and to ensure proper evaluation of severity of airflow limitation. The document highlights that the assessment of the patient with COPD should always include assessment of (1) symptoms, (2) severity of airflow limitation, (3) history of exacerbations, and (4) comorbidities. The first three points can be used to evaluate level of symptoms and risk of future exacerbations, and this is done in a way that splits patients with COPD into four categories-A, B, C, and D. Nonpharmacologic and pharmacologic management of COPD match this assessment in an evidence-based attempt to relieve symptoms and reduce risk of exacerbations. Identification and treatment of comorbidities must have high priority, and a separate section in the document addresses management of comorbidities as well as COPD in the presence of comorbidities. The revised document also contains a new section on exacerbations of COPD. The GOLD initiative will continue to bring COPD to the attention of all relevant shareholders and will hopefully inspire future national and local guidelines on the management of COPD.
Human Infection with a Novel Avian-Origin Influenza A (H7N9) Virus. Gao R , Cao B, Hu Y, Feng Z, et al. N Engl J Med. 2013.
Background Infection of poultry with influenza A subtype H7 viruses occurs worldwide, but the introduction of this subtype to humans in Asia has not been observed previously. In March 2013, three urban residents of Shanghai or Anhui, China, presented with rapidly progressing lower respiratory tract infections and were found to be infected with a novel reassortant avian-origin influenza A (H7N9) virus. Methods We obtained and analyzed clinical, epidemiologic, and virologic data from these patients. Respiratory specimens were tested for influenza and other respiratory viruses by means of real-time reverse-transcriptase-polymerase-chain-reaction assays, viral culturing, and sequence analyses. Results A novel reassortant avian-origin influenza A (H7N9) virus was isolated from respiratory specimens obtained from all three patients and was identified as H7N9. Sequencing analyses revealed that all the genes from these three viruses were of avian origin, with six internal genes from avian influenza A (H9N2) viruses. Substitution Q226L (H3 numbering) at the 210-loop in the hemagglutinin (HA) gene was found in the A/Anhui/1/2013 and A/Shanghai/2/2013 virus but not in the A/Shanghai/1/2013 virus. A T160A mutation was identified at the 150-loop in the HA gene of all three viruses. A deletion of five amino acids in the neuraminidase (NA) stalk region was found in all three viruses. All three patients presented with fever, cough, and dyspnea. Two of the patients had a history of recent exposure to poultry. Chest radiography revealed diffuse opacities and consolidation. Complications included acute respiratory distress syndrome and multiorgan failure. All three patients died. Conclusions Novel reassortant H7N9 viruses were associated with severe and fatal respiratory disease in three patients.
Longevity in Male and Female Joggers: The Copenhagen City Heart Study. Schnohr P, Marott JL, Lange P, Jensen GB. Am J Epidemiol. 2013 Apr 1;177(7):683-9.
Since 1970, jogging has become an increasingly popular form of exercise, but concern about harmful effects has been raised following reports of deaths during jogging. The purpose of this study was to investigate if jogging, which can be very vigorous, is associated with increased all-cause mortality in men and women. Jogging habits were recorded in a random sample of 17,589 healthy men and women aged 20-98 years, invited between 1976 and 2003 to the Copenhagen City Heart Study. The expected lifetime was calculated by integrating the predicted survival curve estimated in the Cox model. In this study 1,878 persons (1,116 men and 762 women) were classified as joggers. During the 35-year maximum follow-up period, we registered 122 deaths among joggers and 10,158 deaths among nonjoggers. The age-adjusted hazard ratio of death among joggers was 0.56 (95% confidence interval: 0.46, 0.67) for men and 0.56 (95% confidence interval: 0.40, 0.80) for women. The age-adjusted increase in survival with jogging was 6.2 years in men and 5.6 years in women. This long-term study of joggers showed that jogging was associated with significantly lower all-cause mortality and a substantial increase in survival for both men and women.
A Model for Improving the Treatment and Care of Alzheimer's Disease Patients through Interdisciplinary Research. Trojanowski JQ, et al. Alzheimers Dement. 2012 Nov;8(6):564-73.
The emerging global epidemic of Alzheimer's disease (AD) demands novel paradigms to address the two unmet needs of the field: (a) cost-effective health care delivery programs/services, and (b) clinical and basic research to accelerate therapy discovery/development. This report outlines a model demonstration project, the Marian S. Ware Alzheimer Program at the University of Pennsylvania, which was designed to achieve four specific aims: (1) improve the integration and continuity of AD care; (2) identify biomarkers that detect the earliest presence of AD and related neurodegenerative cognitive disorders; (3) enhance both the design and conduct of clinical trials as well as review their results to more effectively test new AD therapies and translate valuable therapies into clinical practice; and (4) discover and develop novel disease-modifying small molecule treatments for AD. The "Ware-UPenn" program has been presented in this report as a useful prototype for partnerships between private philanthropy and academia in planning and developing programs to address a major national public health problem.
Preconception Mental Health Predicts Pregnancy Complications and Adverse Birth Outcomes: A National Population-Based Study. Witt WP, Wisk LE, Cheng ER, Matern Child Health J. 2012 Oct;16(7):1525-41.
Pregnancy complications and poor birth outcomes can affect the survival and long-term health of children. The preconception period represents an opportunity to intervene and improve outcomes; however little is known about women's mental health prior to pregnancy as a predictor of such outcomes. We sought to determine if and to what extent women's preconception mental health status impacted subsequent pregnancy complications, non-live birth, and birth weight using a nationally representative, population-based sample. We used pooled 1996-2006 data from the nationally-representative Medical Expenditure Panel Survey (MEPS). Poor preconception mental health was defined as women's global mental health rating of "fair" or "poor" before conception. Logistic regression was used to assess the association between preconception mental health and pregnancy complications, non-live birth, and having a low birth weight baby within the follow up period. Poor preconception mental health was associated with increased odds of experiencing any pregnancy complication (AOR 1.40, 95% CI: 1.02-1.92), having a non-live birth (AOR 1.48, 95% CI: 0.96-2.27), and having a low birth weight baby (AOR 1.99, 95% CI: 1.00-3.98), all controlling for maternal age, race/ethnicity, marital status, education, health insurance status, income, and number of children in the household. Significant racial and ethnic disparities exist for pregnancy complications and non-live births, but not for low birth weight. Women's preconception mental health is a modifiable risk factor that stands to reduce the incidence of adverse pregnancy complications and birth outcomes.
Preventing Sudden Cardiac Death in Athletes: In Search of Evidence-Based, Cost-Effective Screening. Angelini P, et al. Tex Heart Inst J. 2013;40(2):148-55.
Sudden cardiac death in athletes is a recurrent phenomenon at sporting events and during training. Recent studies have associated sudden cardiac death with such cardiovascular conditions as coronary artery anomalies, cardiomyopathies, and electrocardiographic abnormalities, most of which are screenable with modern imaging techniques. We recently inaugurated the Center for Coronary Artery Anomalies at the Texas Heart Institute, which is dedicated to preventing sudden cardiac death in the young and investigating coronary artery anomalies. There, we are conducting 2 cross-sectional studies intended to firmly establish and quantify, in a large group of individuals from a general population, risk factors for sudden cardiac death that arise from specific cardiovascular conditions. In a pilot screening study, we are using a brief, focused clinical questionnaire, electrocardiography, and a simplified novel cardiovascular magnetic resonance screening protocol in approximately 10,000 unselected 11- to 15-year-old children. Concurrently, we are prospectively studying the prevalence of these same conditions, their severity, and their relation to exercise and mode of death in approximately 6,500 consecutive necropsy cases referred to a large forensic center. Eventually, we hope to use our findings to develop a more efficient method of preventing sudden cardiac death in athletes. We believe that these studies will help quantify sudden cardiac death risk factors and the relevance of associated physical activities-crucial information in evaluating the feasibility and affordability of cardiovascular magnetic resonance-based screening. We discuss the rationale for and methods of this long-term endeavor, in advance of reporting the results.
A Three-Stage Adoption Process for Social Media Use in Government. Mergel I, Bretschneider S. Public Administration Review. May 2013;73(3):390-400.
Social media applications are slowly diffusing across all levels of government. The organizational dynamics underlying adoption and use decisions follow a process similar to that for previous waves of new information and communication technologies. The authors suggest that the organizational diffusion of these types of new information and communication technologies, initially aimed at individual use and available through markets, including social media applications, follows a three-stage process. First, agencies experiment informally with social media outside of accepted technology use policies. Next, order evolves from the first chaotic stage as government organizations recognize the need to draft norms and regulations. Finally, organizational institutions evolve that clearly outline appropriate behavior, types of interactions, and new modes of communication that subsequently are formalized in social media strategies and policies. For each of the stages, the authors provide examples and a set of propositions to guide future research.
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