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Medical and Research Library News - July 2018

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News and training opportunities
Cool websites and reports on hot topics*
Interesting journal articles*
New Books*

July 2018

mrl-diamondNews and training opportunities

Note: The following webinars and online classes are not affiliated with DSHS or the DSHS Library. They are presented here as opportunities to learn more information of interest to public health personnel.

July 10, 2018, 12:00 p.m.-1:00 p.m. Disaster Preparedness for Community-Dwelling Older Adults with Dementia & Caregivers. This web seminar provides a brief overview of risk factors that affect older adults’ and family caregivers’ preparation and response to a natural disaster. Part of the National Alzheimer’s and Dementia Resource Center webinar series sponsored by the Administration for Community Living. http://www.asaging.org/web-seminars/disaster-preparedness-community-dwelling-older-adults-dementia-caregivers-key-design-el

July 11, 2018, 10:00 a.m.–11:00 a.m. Stepped Wedge Cluster Randomized Designs for Disease Prevention Research. This presentation will explain the unique characteristics of the stepped wedge cluster randomized design and its implications for sample size calculation and analysis, and discuss its strengths and weaknesses compared to traditional designs. Emphasis will be on application, with examples in disease prevention and health promotion research. Presented by the National Institutes of Health Office of Disease Prevention. https://prevention.nih.gov/programs-events/medicine-mind-the-gap/webinars/stepped-wedge-cluster

Jul 12, 2018, 1:00 p.m.-2:00 p.m. The Prescription Drug and Heroin Epidemic: A Public Health Response. This presentation from the National Network of Libraries of Medicine will briefly examine the history behind the US opiate crisis as well as current epidemiology including variations by region and state. The second half of the presentation will describe some of the evidence-based efforts available for treating opiate use disorders as well as efforts being implemented to prevent future use. https://nnlm.gov/class/seaside-webinar-prescription-drug-and-heroin-epidemic-public-health-response/8794

July 16, 2018, 11:00 a.m.-12:00 p.m. Dental Payment Innovation: Best Practices. The National Network for Oral Health Access (NNOHA) is hosting a webinar to highlight best practices for adapting clinical care in health center dental clinics to provide the most effective care under the given payment innovation incentives, penalties, and protocols. https://register.gotowebinar.com/register/2768880731666166273

July 17, 2018, 11:00 a.m.-12:00 p.m. Conducting a Health Impact Assessment 
on Marijuana Legislation in Vermont. HIAs are a strong tool in investigating the effects of policy and planning decisions on health outcomes, and making recommendations to optimize potential positive health impacts and mitigate potential negative health impacts. This presentation hosted by the National Environmental Health Association will review the process and outcome of the health impact assessment. https://cc.readytalk.com/registration/#/?meeting=3ner6uojz64j&campaign=vm6l4llv9rkk

July 18, 2018, 3:00 p.m.-4:00 p.m. Heart Disease: Prevention and Access to Treatment for Minorities. This webinar, hosted by the National Hispanic Medical Association (NHMA) and the Office of Minority Health’s National Partnership for Action to End Health Disparities (NPA), will provide an overview of heart disease and its impact on the Hispanic community and will share findings from NHMA’s Cardiovascular Disease and Hispanics Summit Series. https://events-na11.adobeconnect.com/content/connect/c1/1312818331/en/events/event/private/1313011123/1873733815/event_landing.html?sco-id=1873773102&_charset_=utf-8

July 25, 2018, 12:00 p.m.-1:00 p.m. Integrating Health and Social Services for Veterans by Empowering Family Caregivers. Using quantitative and qualitative methods, this one-year developmental study specifically investigates the effect of institutional support for family caregivers on veterans’ use of vocational rehabilitation and educational social services. Study findings will elucidate key contextual and scalable features of institutional support for family caregivers that can reduce system inefficiencies through improved services coordination. https://cc.readytalk.com/registration/#/?meeting=se0xe2ml7eol&campaign=81yxifd47606 

Jul 25, 2018, 2:00 p.m.-3:00 p.m. Environmental Health & Toxicology Resources for the Public and Professionals. The purpose of this National Network of Libraries of Medicine presentation is to familiarize participants with environmental health and toxicology resources available online from the NLM. Participants will also learn which resources to access and utilize for specific types of information related to pesticide exposure, toxic releases, household products, maternal/child health, occupational health and more. https://nnlm.gov/class/environmental-health-toxicology-resources-public-and-professionals/8409


mrl-diamondCool websites and reports on hot topics*

2015 Health Related Behaviors Survey: Mental and Emotional Health Among U.S. Active-Duty Service Members - This brief highlights the results of the 2015 Health Related Behaviors Survey, the Department of Defense's flagship survey for understanding the health, health-related behaviors, and well-being of service members. From the RAND Corporation USA. https://www.rand.org/pubs/research_briefs/RB9955z3.html

Addressing Health and Health Care Needs in the United States-México Border Region – This report provides an overview of demographics within the border, population health issues, health care issues, factors contributing to health and health care crisis, public policy implications, and recommendations to address these health disparities. From the National Rural Health Association (NRHA). https://www.ruralhealthweb.org/NRHA/media/Emerge_NRHA/Advocacy/Policy%20documents/05-11-18-NRHA-Policy-Border-Health.pdf 

Early Childhood Is Critical to Health Equity - This report, produced in partnership with the University of California, San Francisco, examines some of the barriers to health equity that begin early in life, and promising strategies for overcoming them. From the Robert Wood Johnson Foundation (RWJF). https://www.rwjf.org/content/dam/farm/reports/reports/2018/rwjf445350

Essential Measures: A Local Public Health Toolkit for Addressing the Opioid Epidemic - This toolkit provides information about the high-quality opioid prevention, intervention, and treatment public health work currently happening at the local, state, and federal level. This document offers guidance, resources, and a foundational structure for communities and local health departments to expand and enhance the services they provide. http://opioid-toolkit.mhoa.com/

Lessons Learned from Immunization Providers: Strategies for Successful Immunization Efforts among Medicare Patients - Despite efforts to increase rates of immunization among Medicare patients, especially racial and ethnic minorities, these rates remain well below Healthy People 2020 targets. It is not difficult to conclude that we need to learn more about how and why people choose to receive or not receive immunizations. From the National Academy of Medicine (NAM). https://nam.edu/lessons-learned-from-immunization-providers-strategies-for-successful-immunization-efforts-among-medicare-patients/ 

New Version of TOXMAP Available - A new version of TOXMAP is now available, with updated datasets on NCI SEER cancer and disease mortality data (2011-2015); Canadian National Pollutant Release Inventory (NPRI) data (2016); U.S. commercial nuclear power plants (2017); and Coal power plant data from the EPA Clean Air Markets Program (2017). From the National Library of Medicine (NLM). https://toxmap.nlm.nih.gov/toxmap/news/2018/06/new-version-of-toxmap-now-available.html?_ga=2.198490287.1038236642.1530110616-1788160836.1522258418

NIH Launches HerbList, A Mobile App on Herbal Products - An app for research-based information about the safety and effectiveness of herbal products. From the National Institutes of Health (NIH). https://www.nih.gov/news-events/news-releases/nih-launches-herblist-mobile-app-herbal-products

Public Libraries as Partners for Health - Researchers used a 100-question, self-administered web survey sent to all library directors listed in the Pennsylvania Library Association database to investigate staff interactions with library patrons to address social determinants of health. From the Centers for Disease Control and Prevention (CDC). https://www.cdc.gov/pcd/issues/2018/17_0392.htm

The State of U.S. Public Health Biopreparedness: Responding to Biological Attacks, Pandemics, and Emerging Disease Outbreaks – This hearing of the House Committee on Energy and Commerce provided a follow-up on the past biopreparedness oversight issues examined by the Subcommittee, and updates from the agencies on current assessments and strategies. From the U.S. House of Representatives. https://energycommerce.house.gov/hearings/the-state-of-u-s-public-health-biopreparedness-responding-to-biological-attacks-pandemics-and-emerging-infectious-disease-outbreaks/

Vital Signs: Trends in State Suicide Rates - United States, 1999-2016 and Circumstances Contributing to Suicide - 27 States, - Trends in age-adjusted suicide rates among persons aged ≥10 years, by state and sex, across six consecutive 3-year periods (1999-2016), were assessed using data from the NVSS for 50 states and DC. Data from the NVDRS, covering 27 states in 2015, were used to examine contributing circumstances among decedents with and without known mental health conditions. From Morbidity and Mortality Weekly Report (MMWR). https://www.cdc.gov/mmwr/volumes/67/wr/mm6722a1.htm?s_cid=mm6722a1_e


mrl-diamondInteresting journal articles*

Caffaro F, Micheletti Cremasco M, Bagagiolo G, Vigoroso L, Cavallo E. Effectiveness of occupational safety and health training for migrant farmworkers: a scoping review. Public Health. 2018;160:10-17. 
OBJECTIVES: Migrant farmworkers report higher rates of work-related illnesses, injuries and fatalities compared with local workers. Language and cultural barriers represent a relevant source of risk, which can be reduced by means of targeted training interventions. However, very little evidence is available about the effectiveness of Occupational Safety and Health (OSH) training programs addressing migrant farmworkers.
METHODS: Currently available literature about the effectiveness of OSH training for migrant farmworkers-in terms of improvements in at least one of the following: safety knowledge, behaviors, attitudes and beliefs and health outcomes-was searched from four databases: PubMed, PsycINFO, Scopus and Web of Science. The screening was performed independently by two authors, and any disagreement was resolved through discussion until consensus was achieved. Once the articles eligible for inclusion were selected, the objectives, design, sample and setting, interventions and findings of each study were recorded. No quality assessment tool for publications considered by this study has been used because a scoping review does not aim for critical appraisal.
RESULTS: Twenty-nine publications met the inclusion criteria. Of these, nine cross-sectional studies discussed the effectiveness of training activities in terms of whether participating in any program had or did not have a significant effect on the dependent variables, when training was considered along with other sociodemographic factors. In the majority of these studies, training appeared to have low or no effect on the dependent variables considered. Twenty mainly within-subject experimental studies addressed the effectiveness of specific training methods, reporting significant improvements especially for interventions based on a participatory approach.
CONCLUSIONS: Training could greatly contribute to an effective attainment of OSH information, but the present review shows that more evidence is needed to guide the future development of effective training activities.

Chin-Yee B, Subramanian S, Verma A, Laupacis A, Razak F. Emerging trends in clinical research: with implications for population health and health policy. Milbank Q. 2018;96(2):369-401.
Policy Points: Significant advances in clinical medicine that have broader societal relevance may be less accessible to population health researchers and policymakers because of increased specialization within fields. We describe important recent clinical advances and discuss their broader societal impact. These advances include more expansive strategies for disease prevention, the rise of precision medicine, applications of human microbiome research, and new and highly successful treatments for hepatitis C infection. These recent developments in clinical research raise important issues surrounding health care costs and equitable resource allocation that necessitate an ongoing dialogue among the fields of clinical medicine, population health, and health policy.
CONTEXT: Developments in clinical medicine have important implications for population health, and there is a need for interdisciplinary engagement among clinical medicine, the social sciences, and public health research. The aim of this article is to help bridge the divide between these fields by exploring major recent advances in clinical medicine that have important implications for population health.
METHODS: We reviewed the most cited articles published from 2010 to 2015 in 5 high-impact clinical journals and selected 5 randomized controlled trials and 2 related clinical practice guidelines that are broadly relevant to population health and policy.
FINDINGS: We discuss the following themes: (1) expanding indications for drug therapy and the inherent medicalization of the population as highlighted by studies and clinical guidelines supporting lower blood pressure targets or widespread statin use; (2) the tension in nutritional research between quantifying the impact of isolated nutrients and studying specific foods and dietary patterns, for example, the role of the Mediterranean diet in the primary prevention of cardiovascular disease; (3) the issue of high medication costs and the challenge of providing equitable access raised by the development of new and effective treatments for hepatitis C infection; (4) emerging clinical applications of research on the human microbiome as illustrated by fecal transplant to treat Clostridium difficile infections; and (5) the promise and limitations of precision medicine as demonstrated by the rise of novel targeted therapies in oncology.
CONCLUSIONS: These developments in clinical science hold promise for improving individual and population health and raise important questions about resource allocation, the role of prevention, and health disparities.

Daley M, Narwaney K, Shoup J, Wagner N, Glanz J. Addressing parents' vaccine concerns: a randomized trial of a social media intervention. Am J Prev Med. 2018;55(1):44-54. 
INTRODUCTION: Successful strategies are needed to address parental vaccine hesitancy, a significant public health issue. The study objective was to assess whether an Internet-based platform with vaccine information and interactive social media components improved parents' vaccine-related attitudes.
STUDY DESIGN: A three-arm RCT.
SETTING/PARTICIPANTS: The study was conducted in a large Colorado integrated healthcare organization. Parents were enrolled during September 2013 through October 2015 and followed through November 2016; data were analyzed in 2017. Parents, recruited during pregnancy, were given a survey about vaccine-related attitudes at enrollment (i.e., baseline) and when their child was aged 3-5 months and 12-15 months (Timepoints 1 and 2, respectively). Parental vaccine hesitancy was assessed at baseline.
INTERVENTION: Study participants were randomized to the following: a study website with vaccine information and social media components (VSM arm); a website with vaccine information only (VI); or usual care.
MAIN OUTCOME MEASURES: Change in parental vaccine attitudes over time by baseline degree of vaccine hesitancy.
RESULTS: Among 1,093 study participants, 945 (86.5%) completed all three surveys. Comparing baseline with Timepoint 1 among vaccine-hesitant parents, the VSM and VI arms were associated with significant improvements in attitudes regarding vaccination benefits compared to usual care (VSM mean change 0.23 on a 5-point scale, 95% CI=0.05, 0.40, VI mean change 0.22, 95% CI=0.04, 0.40). Comparing baseline with Timepoint 2 among hesitant parents, the VSM and VI arms were also associated with significant reductions in parental concerns about vaccination risks compared to usual care (VSM mean change -0.37, 95% CI= -0.60, -0.14, VI mean change -0.31, 95% CI= -0.55, -0.07). Self-efficacy around vaccine decision making also improved among vaccine-hesitant parents. No intervention effect was observed among parents not vaccine-hesitant at baseline.
CONCLUSIONS: Among vaccine-hesitant parents, an Internet-based intervention improved parents' attitudes about vaccines.

Elfassy T, Glymour M, Kershaw K, Carnethon M, Llabre M, Lewis C, et al. Association between sustained poverty and changes in body mass index, 1990-2015: the coronary artery risk development in young adults study. Am J Epidemiol. 2018;187(6):1240-1249. Author information
We sought to determine whether sustained poverty is associated with change in body mass index (BMI, calculated as weight (kg)/height (m)2) among 4,762 black and white adults from the Coronary Artery Risk Development in Young Adults study. Household income in the prior year and current BMI were measured at 7 visits between 1990 and 2015. Sustained poverty was the proportion of visits during which household income was below 200% of the federal poverty level (range, 0%-100%). Sustained poverty and BMI were time-updated. Mean age in 1990 was 30 years. In adjusted linear mixed-effects models, every 10% increase in sustained poverty was significantly associated with faster BMI growth among white men (0.004/year, 95% CI: 0.001, 0.008) and white women (0.003/year, 95% CI: 0.000, 0.006), and slower BMI growth among black men (-0.008/year, 95% CI: -0.010, -0.005) and black women (-0.003/year, 95% CI: -0.006, 0.000). In other words, being always versus never in poverty from 1990 to 2015 was predicted to result in greater BMI gain by 1.00 unit and 0.75 units among white men and women and less BMI gain by 2.0 units and 0.75 units among black men and women, respectively. Sustained poverty was a predictor of changes in BMI with differential associations according to race.

Hodges N, Anderson S, McKenzie L, Katz M. Infant safe sleep: a survey of the knowledge, attitudes, and behaviors of obstetric physicians. J Community Health. 2018;43(3):488-495. 
Obstetricians may be a pregnant woman's primary professional source of information about her infant prior to the birth, but infant safe sleep knowledge, attitudes and behaviors of this population are unknown. This study explores obstetric physicians' knowledge, attitudes, and behaviors related to Sudden Infant Death Syndrome and infant safe sleep and identifies barriers as well as enabling and/or reinforcing factors associated with providing infant safe sleep education in the prenatal environment. A cross-sectional survey was conducted with obstetric physicians who provide prenatal healthcare to women in Ohio. Surveys were sent to all licensed physicians included in the registry of the State Medical Board of Ohio with "obstetrics," "obstetrics and gynecology," or "maternal and fetal medicine" as their primary specialty (n = 1771). The response rate was 30%, with 418 physicians included in the analysis. Many participants were knowledgeable about infant safe sleep recommendations; however, only 55% indicated that it was important for obstetric physicians to discuss Sudden Infant Death Syndrome and/or infant safe sleep with prenatal patients. Many participants (70%) perceived barriers to providing infant safe sleep education, however most (82%) indicated interest in doing so. Participants' knowledge and attitudes were significant predictors of whether they discuss this topic with patients. Obstetric physicians can influence the infant safe sleep decisions that women make. Improving obstetricians' knowledge and attitudes about infant safe sleep and supporting physicians who wish to provide education on this topic may help to ensure that women are receiving frequent and consistent infant safe sleep messaging throughout the prenatal period.

Kakinami L, Wissa R, Khan R, Paradis G, Barnett T, Gauvin L. The association between income and leisure-time physical activity is moderated by utilitarian lifestyles: a nationally representative US population (NHANES 1999-2014). Prev Med. 2018;113:147-152. 
The objective of this study was to determine whether the relationship between income and leisure-time physical activity (LTPA) persists after accounting for a person's utilitarian PA (all non-LTPA), sociodemographic characteristics and transportation PA. Data were from eight cycles (1999-2014) of the nationally representative samples of the US adult population from the National Health and Nutrition Examination Survey (n = 35,239). Whether the poverty income ratio (0-1.3, 1.3-1.86, 1.86+ [reference]) was associated with minutes of LTPA (moderate, vigorous) after stratifying for utilitarian PA (sedentary, light, moderate, and vigorous) was assessed in multiple linear regressions adjusted for age, sex, race, education, marital status, weight status, hours worked, and minutes of transportation-related PA in the past week. Likelihood of meeting national physical activity recommendations was also assessed in multiple logistic regressions adjusting for the covariates described. For both sedentary and light utilitarian PA levels, compared to the reference, persons living in households of the lowest poverty income ratio were consistently associated with approximately 17-30 less minutes of moderate LTPA minutes per week, and 20-25 less minutes of vigorous LTPA across all survey cycles. Compared to the reference, the likelihood of meeting national PA recommendations was approximately 31-55% less for these households. The known association between lower income and lower LTPA persist, but is the most persistent and consistent for those with less active utilitarian (such as sedentary) lifestyles. Interventions aimed at increasing LTPA among people with low income and sedentary utilitarian lifestyles whether or not they are in the workforce are particularly needed.

Lenk K, Erickson D, Forster J. Trajectories of cigarette smoking from teens to young adulthood: 2000 to 2013. Am J Health Promot. 2018;32(5):1214-1220. 
PURPOSE: To identify trajectories of smoking behaviors of a cohort of youth followed through young adulthood from 2000 to 2013.
DESIGN: The Minnesota Adolescent Community Cohort study, a population-based cohort study.
SETTING: Nationwide, originating in the Midwestern United States.
PARTICIPANTS: Cohort of youth surveyed for 14 years beginning at ages 12 to 16 (N = 4241 at baseline; 59% recruitment rate).
MEASURES: Main variable of interest was the number of days smoked in the past 30 days. Also included time-varying and time-invariant covariates.
ANALYSIS: We utilized growth mixture modeling to group individuals into trajectories over time.
RESULTS: We identified 5 distinct trajectories: nonsmokers (59.5%), early-onset regular smokers (14.2%), occasional smokers (11.5%), late-onset regular smokers (9.4%), and quitters (5.3%). Adjusted models showed that early- and late-onset regular smokers (compared to nonsmokers) had lower odds of attending or graduating from a 4-year college (P < .05). Participants in all smoking classes compared to nonsmokers had greater odds of having more close friends who smoked (P < .05).
CONCLUSION: Our results show that individuals in their teens through young adulthood can be classified into 5 smoking trajectories. More people in this age range remained abstainers than found in most previous studies; however, a sizable group was identified as regular smokers by the time they reached young adulthood. Interventions targeted at teens, including those that address social and environmental influences, are clearly still needed to prevent escalation of smoking as they move toward young adulthood.

Schwartz R, Tuminello S, Kerath S, Rios J, Lieberman-Cribbin W, Taioli E. Preliminary assessment of hurricane Harvey exposures and mental health impact. Int J Environ Res Public Health. 2018;15(5):E974. 
Hurricane Harvey made landfall in Houston, Texas on 25 August 2017, the psychological and physical effects of which are still unknown. We assessed hurricane exposure and the immediate mental health needs of the population to define public health priorities for a larger epidemiological study. Convenience sampling was used to recruit participants (n = 41) from the greater Houston area aged &ge;18 years. Participants completed a questionnaire about demographics, hurricane exposures, and physical/mental health. Post-Traumatic Stress Disorder (PTSD) was measured with the Post-Traumatic Stress Disorder Checklist-S (PCL-S; a score &ge;30 indicated probable PTSD symptoms). The Patient Health Questionnaire-4 (PHQ-4) was used to assess symptoms of depression and generalized anxiety disorder. The average PTSD score was 32.9 (SD = 17.1); a total of 46% of participants met the threshold for probable PTSD. Increased overall hurricane exposure (adjusted odds ratio (ORadj) 1.42; 95% confidence interval (CI): 1.06⁻2.05) and property-related exposure (ORadj 1.53; 95% CI: 1.07⁻2.18) were both statistically significantly associated with increased odds of probable PTSD symptoms. A perception of chemical/toxin exposure due to Hurricane Harvey was reported by 44% of participants. A higher number of personal or property exposures were associated with greater mental health symptoms three weeks’ post-hurricane. This work has implications for the ongoing response to Hurricane Harvey and for assessing the immediate needs of the population.


mrl-diamondNew Books*

1. The emotional life of the toddler. By Alicia F. Lieberman. 
2. The fourth trimester: understanding, protecting and nurturing an infant through the first three months. By Susan Brink.
3. Hard conversations unpacked: the whos, the whens, and the what-ifs. By Jennifer Abrams.
4. Leading anti-bias early childhood programs: a guide for change. By Louise Derman-Sparks, et al.
5. The psychology of babies: how relationships support development from birth to two. By Lynne Murray.
6. Teaching infants, toddlers, and twos with special needs. By Clarissa Willis.
7. Thirty million words: building a child's brain. By Dana Suskind.
8. Understanding childhood hearing loss: whole family approaches to living and thriving. By Brian J. Fligor.


*For More Information:  Employees may contact the Medical and Research Library at library@dshs.texas.gov, call 512-776-7559, or come by Moreton Building, Room M-652, to borrow a print book, receive password access to a journal, receive other research assistance, or to obtain full-text of the articles mentioned in this month's news. If you are not located on the main campus in Austin, simply let us know what you would like to borrow and we will mail it to you.

Fine print section: If any of the internet links do not open for you, please let us know and we will send you what you need. The MRL Library News e-mail is sent about once a month or when important library news or events occur. If you have co-workers who would like to subscribe, please e-mail library@dshs.texas.gov. If for any reason you would like to unsubscribe, please send an e-mail to library@dshs.texas.gov with Unsubscribe in the subject line. Recent issues of this newsletter are on the web at http://www.dshs.texas.gov/library/news.shtm. Thank you!


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Last updated July 6, 2018