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Medical and Research Library News - May 2017

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

May 2017

mrl-diamondNews and training opportunities

Thank you to everyone who participated in National Library Week 2017! Almost 1,000 people attended the training sessions. Our two puzzle winners are Lori Fitzgerald and Kathy Sellstrom from DSHS.

May 3, 2017, 2 – 3 p.m. CDT: See Glaucoma: Insights for Community Leaders. The National Eye Health Education Program of the National Eye Institute invites you to a free webinar to learn about glaucoma and the need for early detection, treatment options, and the strategies and tools you’ll need to build awareness in your community. See https://cc.readytalk.com/registration/#/?meeting=w4nmnp9ji3pa&campaign=w847nccfwv3w 

May 9, 2017, 2 – 3 p.m. CDT: Getting to an Effective HIV Vaccine: Perspectives on Progress. Sponsored by the National Institutes of Health, this presentation will review the state of HIV vaccine development and describe current strategies to advance the field. See https://videocast.nih.gov/summary.asp?live=21919&bhcp=1 

May 10, 2017, 1 – 2 p.m. CDT: Using USGS Image, Map, and Data Products for Information Inquiries. Learn how to find and use print, geopdfs (TerraGo), ArcGIS (ESRI), and Google Earth files that are available from USGS on the topics of topography, water resources, oil and gas, uranium, earthquake, volcano, and mineral resources in the United States, as well as the USGS worldwide assessments. See https://www.fdlp.gov/news-and-events/2952-webinar-usgs-library-using-usgs-image-map-and-data-products-for-information-inquiries 

June 21, 2017, 2 – 3:30 p.m. CDT: Responding to Natural Disasters in Rural Communities, part of the Rural Behavioral Health webinar series. See http://ruralbehavioralhealth.org/events 

June 29, 2017, Noon – 1 p.m. CDT: Health Services Research & Public Health Information: An Introduction to NICHSR ONESearch. This consolidated search site allows researchers to search two unique databases and two specialized web portals with one simple search. Learn how to search and what is included in each database or website. See https://nnlm.gov/class/health-services-research-public-health-information-introduction-nichsr-onesearch/7066 

mrl-diamondCool websites and reports on hot topics*

The Community Tool Box from the University of Kansas helps organizations take action, teach, and train others in organizing for community development. Find help assessing community needs and resources, addressing social determinants of health, engaging stakeholders, action planning, building leadership, improving cultural competency, planning an evaluation, and sustaining your efforts. See http://ctb.ku.edu/en 

Disaster Behavioral Health: Resources at Your Fingertips: This document provides information on and links to select DBH programs and resources that can be of immediate use to emergency healthcare providers, emergency management stakeholders, and other professionals and survivors affected by naturally-occurring or human-caused incidents. See https://asprtracie.hhs.gov/documents/aspr-tracie-dbh-resources-at-your-fingertips.pdf  

Evidence-Based Public Health Implementation Toolkit from ASTHO provides a collection of resources and tools aimed at helping state agencies implement and build on their existing evidence-based public health policies and practices. See http://www.astho.org/Evidence-Based-Public-Health/Toolkit/ 

First- and Second-Generation Antipsychotics in Children and Young Adults: Systematic Review Update:  report from AHRQ assessed the effectiveness and harms of first- and second-generation antipsychotics used for treating children, adolescents, and young adults. See https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=2446 

Healthcare-Associated Infections: Improving Your Access to Electronic Health Records during Outbreaks of Healthcare-Associated Infections: A Toolkit for Health Departments. A toolkit from ASTHO designed to help health department professionals have better access to electronic health records from healthcare facilities during disease outbreaks. See http://www.astho.org/Toolkit/Improving-Access-to-EHRs-During-Outbreaks/ 

Implementing Evidence-Based Prevention by Communities to Promote Cognitive, Affective, and Behavioral Health in Children: Proceedings of a Workshop (2017). Participants examined questions related to scaling up, managing, and sustaining science in communities. This publication summarizes the presentations and discussions from the workshop. See https://www.nap.edu/catalog/24709/implementing-evidence-based-prevention-by-communities-to-promote-cognitive-affective-and-behavioral-health-in-children 

Infections During Pregnancy – Established and Emerging, Birth Defects Research, March 15, 2017 open access issue, Volume 109, Issue 5. This issue has multiple articles on emerging infections, public health surveillance, immunization, and Zika during pregnancy. See http://onlinelibrary.wiley.com/doi/10.1002/bdr2.v109.5/issuetoc 

Local Health Department-Community Health Center Collaboration Toolkit: This set of tools is designed to support collaborations between local health departments (LHDs) and community health centers (CHCs) to increase access to and quality of critical services for underserved populations. See http://www.naccho.org/uploads/downloadable-resources/Programs/Public-Health-Infrastructure/NACCHO-LHD-CHC-collaboration-toolkit.pdf 

NREPP: the National Registry of Evidence-based Programs and Practices from SAMHSA helps people learn more about available evidence-based programs and practices on mental health and substance use interventions and helps them determine which of these interventions may best meet their needs. See http://nrepp.samhsa.gov/about.aspx 

Performance Management Leadership Guide from ASTHO provides an overview of performance management systems in relation to public health, the process of building a performance management system, and the challenges that may be encountered. See http://www.astho.org/Accreditation-and-Performance/ASTHO-Performance-Management-Leadership-Guide/ 

The Prevention Resource Guide: Building Community, Building Hope was created primarily to support community-based child abuse prevention professionals who work to prevent child maltreatment and promote well-being. This guide is a joint product of the HHS’ Children’s Bureau, its Child Welfare Information Gateway, and the FRIENDS National Center for Community-Based Child Abuse Prevention. See https://www.childwelfare.gov/pubPDFs/guide_2017.pdf 

PubMedHealth specializes in reviews of clinical effectiveness research, with easy-to-read summaries for consumers as well as full technical reports. Clinical effectiveness research finds answers to the question “What works?” in medical and health care. See https://www.ncbi.nlm.nih.gov/pubmedhealth/ 

Sleep and Sleep Disorders:  Fact sheets prepared by the CDC are available on short sleep duration (<7 hours in a typical 24-hour period) among adults for all 50 states and the District of Columbia. See https://www.cdc.gov/sleep/publications/factsheets.html 

States Perform from the Council on State Governments provides users with access to interactive, customizable and up-to-date comparative performance measurement data for 50 states in six key areas: fiscal and economic, public safety and justice, energy and environment, transportation, health and human services, and education. See http://www.statesperform.org/ 

Toxic Substances Portal: access information from ATSDR about toxic substances and how they affect our health. Find information on specific substances, by health effect or chemical class, and by audience. See https://www.atsdr.cdc.gov/substances/index.asp 

The US Preventive Services Task Force 2017 Draft Recommendation Statement on Screening for Prostate Cancer: An Invitation to Review and Comment. JAMA. Viewpoint published online April 11, 2017. See http://jamanetwork.com/journals/jama/fullarticle/2618352. The full draft recommendation is available for public comment on the USPSTF website through May 8, 2017. Comment at https://screeningforprostatecancer.org/ 

The Vaccine Safety Net is a global network of websites, evaluated by the World Health Organization, that provide reliable information on vaccine safety. See http://www.vaccinesafetynet.org/ 

Vision Zero is a growing movement among cities nationally and internationally to eliminate all traffic-related deaths and severe injuries within a designated time period. Read the report on how to achieve this goal. See https://www.preventioninstitute.org/sites/default/files/publications/Vision%20Zero%20-%20A%20Health%20Equity%20Road%20Map%20for%20Getting%20to%20Zero%20in%20Every%20Community%20FINAL.pdf 

mrl-diamondInteresting journal articles*

Characteristics of initial prescription episodes and likelihood of long-term opioid use - United States, 2006-2015. Shah A, Hayes CJ, Martin BC. MMWR Morb Mortal Wkly Rep. 2017 Mar 17;66(10): 265-269.
Because long-term opioid use often begins with treatment of acute pain (1), in March 2016, the CDC Guideline for Prescribing Opioids for Chronic Pain included recommendations for the duration of opioid therapy for acute pain and the type of opioid to select when therapy is initiated (2). However, data quantifying the transition from acute to chronic opioid use are lacking. Patient records from the IMS Lifelink+ database were analyzed to characterize the first episode of opioid use among commercially insured, opioid-naïve, cancer-free adults and quantify the increase in probability of long-term use of opioids with each additional day supplied, day of therapy, or incremental increase in cumulative dose. The largest increments in probability of continued use were observed after the fifth and thirty-first days on therapy; the second prescription; 700 morphine milligram equivalents cumulative dose; and first prescriptions with 10- and 30-day supplies. By providing quantitative evidence on risk for long-term use based on initial prescribing characteristics, these findings might inform opioid prescribing practices.

Delays in emergency care and mortality during major U.S. marathons. Jena AB, Mann NC, Wedlund LN, Olenski A. N Engl J Med. 2017 Apr 13;376(15):1441-1450.
Background Large marathons frequently involve widespread road closures and infrastructure disruptions, which may create delays in emergency care for nonparticipants with acute medical conditions who live in proximity to marathon routes. Methods We analyzed Medicare data on hospitalizations for acute myocardial infarction or cardiac arrest among Medicare beneficiaries (=65 years of age) in 11 U.S. cities that were hosting major marathons during the period from 2002 through 2012 and compared 30-day mortality among the beneficiaries who were hospitalized on the date of a marathon, those who were hospitalized on the same day of the week as the day of the marathon in the 5 weeks before or the 5 weeks after the marathon, and those who were hospitalized on the same day as the marathon but in surrounding ZIP Code areas unaffected by the marathon. We also analyzed data from a national registry of ambulance transports and investigated whether ambulance transports occurring before noon in marathon-affected areas (when road closures are likely) had longer scene-to-hospital transport times than on nonmarathon dates. We also compared transport times on marathon dates with those on nonmarathon dates in these same areas during evenings (when roads were reopened) and in areas unaffected by the marathon. Results The daily frequency of hospitalizations was similar on marathon and nonmarathon dates (mean number of hospitalizations per city, 10.6 and 10.5, respectively; P=0.71); the characteristics of the beneficiaries hospitalized on marathon and nonmarathon dates were also similar. Unadjusted 30-day mortality in marathon-affected areas on marathon dates was 28.2% (323 deaths in 1145 hospitalizations) as compared with 24.9% (2757 deaths in 11,074 hospitalizations) on nonmarathon dates (absolute risk difference, 3.3 percentage points; 95% confidence interval, 0.7 to 6.0; P=0.01; relative risk difference, 13.3%). This pattern persisted after adjustment for covariates and in an analysis that included beneficiaries who had five or more chronic medical conditions (a group that is unlikely to be hospitalized because of marathon participation). No significant differences were found with respect to where patients were hospitalized or the treatments they received in the hospital. Ambulance scene-to-hospital transport times for pickups before noon were 4.4 minutes longer on marathon dates than on nonmarathon dates (relative difference, 32.1%; P=0.005). No delays were found in evenings or in marathon-unaffected areas. Conclusions Medicare beneficiaries who were admitted to marathon-affected hospitals with acute myocardial infarction or cardiac arrest on marathon dates had longer ambulance transport times before noon (4.4 minutes longer) and higher 30-day mortality than beneficiaries who were hospitalized on nonmarathon dates.

Impact of light rail transit on traffic-related pollution and stroke mortality. Park ES, Sener IN. Int J Public Health. 2017 Mar 29. doi: 10.1007/s00038-017-0967-4. [Epub ahead of print]
Objectives: This paper evaluates the changes in vehicle exhaust and stroke mortality for the general public residing in the surrounding area of the light rail transit (LRT) in Houston, Texas, after its opening. Methods: The number of daily deaths due to stroke for 2002-2005 from the surrounding area of the original LRT line (exposure group) and the control groups was analyzed using an interrupted time-series analysis. Ambient concentrations of acetylene before and after the opening of LRT were also compared. Results: A statistically significant reduction in the average concentration of acetylene was observed for the exposure sites whereas the reduction was negligible at the control site. Poisson regression models applied to the stroke mortality data indicated a significant reduction in daily stroke mortality after the opening of LRT for the exposure group, while there was either an increase or a considerably smaller reduction for the control groups. Conclusions: The findings support the idea that LRT systems provide health benefits for the general public and that the reduction in motor-vehicle-related air pollution may have contributed to these health benefits.

Indoor tobacco legislation is associated with fewer emergency department visits for asthma exacerbation in children. Ciaccio CE, Gurley-Calvez T, Shireman TI. Ann Allergy Asthma Immunol. 2016 Dec;117(6):641-645
Background: During the past 3 decades, numerous cities and states have adopted laws that ban smoking in public indoor spaces. The rationale for these policies has been to protect nonsmokers from the adverse health effects of secondhand smoke. Objective: To determine whether the implementation of indoor smoking legislation is associated with a decrease in emergency department visits for asthma in children. Methods: This retrospective analysis used a natural experiment to estimate the impact of clean indoor air legislation on the rate of emergency department admissions for asthma exacerbation in children. Data were obtained from the Pediatric Health Information System. A Poisson regression was used for analyses and controlled for age, sex, race, payer source, seasonality, and secular trends. Results: Asthma emergency department visits were captured from 20 hospitals in 14 different states plus the District of Columbia from July 2000 to January 2014 (n = 335,588). Indoor smoking legislation, pooled across all cities, was associated with a decreased rate of severe asthma exacerbation (adjusted rate ratio 0.83, 95% confidence interval 0.82-0.85, P < .0001). Conclusion: Indoor tobacco legislation is associated with a decrease in emergency department visits for asthma exacerbation. Such legislation should be considered in localities that remain without this legislation to protect the respiratory health of their children.

Management of comorbid bipolar disorder and substance use disorders. Salloum IM, Brown ES. Am J Drug Alcohol Abuse. 2017 Mar 16:1-11
Background: The comorbidity of substance use disorders (SUDs) in bipolar disorder is among the highest in psychiatric disorders. Evidence-based controlled psychosocial or pharmacological interventions trials, which may guide treatment decisions, have not been systematically reviewed. Objective: To present a narrative review of the public health and clinical significance of this condition, including diagnostic and treatment implications, and to evaluate controlled trials conducted to date. Methods: Controlled trials reports in the English language were identified from multiple electronic databases and hand-searching bibliographies. We searched for treatment studies of bipolar disorder and comorbid SUDs (alcohol, cocaine, stimulants, opioid, tobacco, cannabis). Search period included all reports through September of 2016. We selected only randomized psychosocial studies or double-blind, placebo-controlled pharmacotherapy trials. We also reviewed reports of the public health and clinical significance and principle of managements of this condition. Results: We identified 16 treatment studies: 3 psychotherapy, and 13 pharmacotherapy trials. The following medications were evaluated: lithium carbonate, valproate, lamotrigine, topiramate, naltrexone, acamprosate, disulfiram, quetiapine, and citicoline. SUDs have substantial impact on the recognition and management of bipolar disorder. Integrated psychosocial interventions are helpful in decreasing substance abuse. Valproate and naltrexone may decrease alcohol use and citicoline may decrease cocaine use and enhance cognition. Conclusions: There is a very limited number of pharmacotherapy and an even smaller number of psychosocial interventions. Our review highlights the need for more research in this area and for larger, multisite studies with generalizable samples to provide more definite guidance for clinical practice.

Outcomes of integrated behavioral health with primary care. Balasubramanian BA, Cohen DJ, Jetelina KK, et al. J Am Board Fam Med. 2017 Mar-Apr;30(2):130-139
Background: Integrating behavioral health and primary care is beneficial to patients and health systems. However, for integration to be widely adopted, studies demonstrating its benefits in community practices are needed. The objective of this study was to evaluate effect of integrated care, adapted to local contexts, on depression severity and patients' experience of care. Methods: This study used a convergent mixed-methods design, merging findings from a quasi-experimental study with patient interviews conducted as part of Advancing Care Together, a community demonstration project that created an innovation incubator for practices implementing evidence-based integration strategies. The study included 475 patients with a 9-item Patient Health Questionnaire (PHQ-9) score =10 at baseline, from 5 practices. Results: Statistically significant reductions in mean PHQ-9 scores were observed in all practices, ranging from 2.72 to 6.46 points. Clinically, 50% of patients had a =5-point reduction in PHQ-9 score and 32% had a =50% reduction. This finding was corroborated by patient interviews that demonstrated positive experiences with behavioral health clinicians and acquiring new skills to cope with adverse situations at work and home. Conclusions: Integrating behavioral health and primary care, when adapted to fit into community practices, reduced depression severity and enhanced patients' experience of care. Integration is a worthwhile investment; clinical leaders, policymakers, and payers should support integration in their communities.

Telehealth-enabled emergency medical services program reduces ambulance transport to urban emergency departments. Langabeer JR , Gonzalez M, Alqusairi D, et al. West J Emerg Med. 2016 Nov;17(6):713-720.
Introduction: Emergency medical services (EMS) agencies transport a significant majority of patients with low acuity and non-emergent conditions to local emergency departments (ED), affecting the entire emergency care system's capacity and performance. Opportunities exist for alternative models that integrate technology, telehealth, and more appropriately aligned patient navigation. While a limited number of programs have evolved recently, no empirical evidence exists for their efficacy. This research describes the development and comparative effectiveness of one large urban program. Methods: The Houston Fire Department initiated the Emergency Telehealth and Navigation (ETHAN) program in 2014. ETHAN combines telehealth, social services, and alternative transportation to navigate primary care-related patients away from the ED where possible. Using a case-control study design, we describe the program and compare differences in effectiveness measures relative to the control group. Results: During the first 12 months, 5,570 patients participated in the telehealth-enabled program, which were compared against the same size control group. We found a 56% absolute reduction in ambulance transports to the ED with the intervention compared to the control group (18% vs. 74%, P<.001). EMS productivity (median time from EMS notification to unit back in service) was 44 minutes faster for the ETHAN group (39 vs. 83 minutes, median). There were no statistically significant differences in mortality or patient satisfaction. Conclusion:
We found that mobile technology-driven delivery models are effective at reducing unnecessary ED ambulance transports and increasing EMS unit productivity. This provides support for broader EMS mobile integrated health programs in other regions.

White paper on the study of birth defects. Khokha MK, Mitchell LE, Wallingford JB. Birth Defects Res. 2017 Jan 30;109(2):180-185.
Birth defects are the leading cause of infant death in the United States and among the top causes of pediatric death and hospitalization. Despite the devastating impact of birth defects, we understand little of their etiology impeding progress towards treatment and prevention. Moreover, while surgical interventions have improved survival for many children to beyond their first year, our inability to accurately predict, diagnose and treat the common sequelae of birth defects leaves the economic, social and public health burden of birth defects unacceptably high. An estimated one-third of all pediatric hospital beds are occupied by a child with a genetic diagnosis, and emerging genomic sequencing technologies provide an unprecedented opportunity to identify the genetic variants, including those that cause birth defects. It is essential that we leverage these advances to enhance our understanding of birth defects. Such an effort will lead to new avenues for treatment and provide benefits to families, including improved understanding of the cause of a child's condition and the risks to any future children. Understanding the genetics of human birth defects presents many challenges, some shared with other pathologies and some unique. This White Paper outlines the need for a birth defect genomics initiative, the challenges to overcome, and suggested solutions. Ultimately, we conclude that understanding birth defects must be a trans-NIH effort and involve the development of a new type of interdisciplinary team comprised of clinicians, geneticists, genomicists, epidemiologists, biostatisticians and basic cellular and developmental biologists working together in all aspects of the enterprise.

mrl-diamondNew Books*

1. Big Change, Best Path: Successfully Managing Organizational Change with Wisdom, Analytics and Insight by Warren Parry.
2. Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE): Patient Workbook by Sudie E. Back.
3. Data-Driven Organization Design: Sustaining the Competitive Edge through Organizational Analytics by Rupert Morrison.
4. Deep Work: Rules for Focused Success in a Distracted World by Cal Newport.
5. Designing Your Life: How to Build a Well-Lived, Joyful Life by William Burnett.
6. The Employee Experience: How to Attract Talent, Retain Top Performers, and Drive Results by Tracy Maylett.
7. Grammar and Writing Skills for the Health Professional, 3rd ed., by Doreen Villemaire Oberg.
8. Great Answers to Tough Questions at Work by Michael Dodd.
9. How to Be a Great Boss by Gino Wickman.
10. How to Write and Publish a Scientific Paper, 8th ed., by Robert A. Day.
11. An Intelligent Career: Taking Ownership of Your Work and Your Life by Michael B. Arthur.
12. Intelligent Clinicians Guide to the DSM-5 by Joel Paris.
13. Introduction to Research: Understanding and Applying Multiple Strategies, 5th ed. by Elizabeth DePoy. 
14. Mastery by Robert Greene.
15. Mindset: The New Psychology of Success by Carol S. Dweck.
16. Motivational Interviewing in the Treatment of Psychological Problems, 2nd ed. by Hal Arkowitz, et al.
17. Originals: How Non-Conformists Move the World by Adam M. Grant.
18. Oxford Guide to Plain English by Martin Cutts.
19. Strengths Based Leadership: Great Leaders, Teams, and Why People Follow by Tom Rath.
20. Perfect English Grammar: The Indispensable Guide to Excellent Writing and Speaking by Grant Barrett.
21. Take Back Your Life: Find Hope and Freedom from Fibromyalgia Symptoms and Pain by Tami Stackelhouse.
22. Vaccination and Its Critics: A Documentary and Reference Guide by Lisa Rosner.

*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 May 8, 2017