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Medical and Research Library News - June 2017

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

June 2017

mrl-diamondNews and training opportunities

June 8, 2017 from 2 - 3 pm: ASTHO and Alzheimer’s Association Webinar on State/Regional Needs Assessments Related to Dementia. The webinar will feature presentations from Michelle Ries, Project Director of the North Carolina Institute of Medicine, and Babak Nayeri, Clinical Associate Professor at the University of Arizona, on needs assessments that were conducted in North Carolina and Arizona. See http://www.aspph.org/event/astho-and-alzheimers-association-webinar-on-stateregional-needs-assessments-related-to-dementia/ 

June 22, 2017 from 1 - 2pm CDT: Determining Essential Core Competencies for job positions within public health organizations. This webinar will introduce a process for prioritizing competencies for job descriptions to help health departments and other public health organizations identify high-priority competencies for positions within their organizations. See http://www.phf.org/events/Pages/Determining_Essential_Core_Competencies_for_Job_Positions_Webinar.aspx 

Health Information Technology Training: Population Health. Free online training sponsored by the Johns Hopkins Bloomberg School of Public Health. Courses include Population Health Policy, Data Analytics, and Interventions. See https://www.mnhealthit.com/act-ph-courses.html 

An Introduction to Legal Epidemiology Webinar Series. Tools for advancing from data to policy, for evaluating the impact of environmental public health laws, and for addressing health in all policies are presented in this three-part series. See http://neha.org/node/59017 


mrl-diamondCool websites and reports on hot topics

The Annual Review of Public Health covers significant developments in the field of public health, including key developments and issues in epidemiology and biostatistics, environmental and occupational health, social environment and behavior, health services, and public health practice and policy. The Robert Wood Johnson Foundation is funding open access to this journal and access to all articles is free. Read it at http://www.annualreviews.org/journal/publhealth 

Best Practices for Incorporating Social Media into Exercises, Dept. of Homeland Security, March 2017. This report discusses how agencies and organizations can integrate social media into exercises, provides suggestions for the planning processes and methods for conducting the exercise and evaluation, and lists challenges associated with using social media in exercises. See https://www.dhs.gov/sites/default/files/publications/Best-Practices-Incorporating-Social-Media-Into-Exercises-508%20.pdf 

Finding a Path to Safety in Food Allergy: Assessment of the Global Burden, Causes, Prevention, Management, and Public Policy, 2017. This book from the National Academy of Sciences examines critical issues related to food allergy, including the prevalence and severity of food allergy and its impact on affected individuals, families, and communities. It also discusses current understanding of food allergy as a disease, and in diagnostics, treatments, prevention, and public policy. Read it at https://www.nap.edu/catalog/23658/finding-a-path-to-safety-in-food-allergy-assessment-of 

A Funding Crisis for Public Health and Safety: State-by-State Public Health Funding and Key Health Facts Issue Report, Trust for America’s Health, April 2017. This report found that core funding for disease prevention and health promotion programs has declined by around $580 million federally and has remained flat in states since 2010 (adjusted for inflation). See http://tfah.org/assets/files/TFAH-2017-FundingCrisisRpt-FINAL.pdf 

Genetics Home Reference, created by the National Library of Medicine, provides consumer-friendly information about the effects of genetic variation on human health. Find information on health conditions, genes, chromosomes and mitochondrial DNA, and an overview called "Help Me Understand Genetics." See https://ghr.nlm.nih.gov/ 

Getting the Mentally Ill Out of Jails, April 07, 2017, Stateline, The Pew Charitable Trusts. A dearth of beds at state psychiatric hospitals in many parts of the country and shortages of mental health resources mean that mentally ill people who commit minor crimes often end up languishing in jails. See http://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2017/04/07/getting-the-mentally-ill-out-of-jails 

Health Information in Spanish: the National Institutes of Health provides reliable information on a variety of health topics. Included is the newsletter, NIH información de salud: Boletín informative. See https://salud.nih.gov/ 

Integrating Clinical Research into Epidemic Response: The Ebola Experience, by the National Academy of Sciences assesses the value of clinical trials during the Ebola outbreak and makes recommendations about how the conduct of trials could be improved in the context of a future international emerging or re-emerging infectious disease event. Read it at http://nationalacademies.org/hmd/reports/2017/integrating-clinical-research-into-epidemic-response-the-ebola-experience.aspx 

phPIN Online Portal: New Website Community Launched
The Public Health Performance Improvement Network (phPIN) offers a forum for performance improvement practitioners in public health to access resources, network, and share practices on a variety of topics. 
phPIN was recently upgraded to a website community where individuals can collaborate and grow by sharing emerging practices and information with their professional peers. 
To join the network and access the online portal, submit a short application form. 

Physical Activity: Built Environment Approaches Combining Transportation System Interventions with Land Use and Environmental Design:  The Community Preventive Services Task Force recommends built environment strategies that combine one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions to increase physical activity. See https://www.thecommunityguide.org/sites/default/files/assets/PA-Built-Environments.pdf 

Treating the Rural Opioid Epidemic, National Rural Health Association Policy Brief, February 2017. Effective, evidence-based treatment of opioid use disorders is urgently needed in small towns across America. However, multiple barriers stand in the way of appropriate treatment availability and quality. See https://www.ruralhealthweb.org/NRHA/media/Emerge_NRHA/Advocacy/Policy%20documents/Treating-the-Rural-Opioid-Epidemic_Feb-2017_NRHA-Policy-Paper.pdf 

Trends in Enrollment, Offers, Eligibility and Take-Up for Employer-Sponsored Insurance: Private Sector, by State Medicaid Expansion Status, 2008-2015. Statistical Brief #499, AHRQ, February 2017. From 2008 to 2015, the enrollment rate fell in both groups of states, but the decline was more rapid in expansion states than in non-expansion states. See https://meps.ahrq.gov/data_files/publications/st499/stat499.shtml?utm_source=ahrq&utm_medium=enstat&utm_term=&utm_content=1&utm_campaign=ahrq_meps499 

Violence Prevention: Using Evidence-based Strategies in Your Violence Prevention Efforts. Technical packages were developed by the Centers for Disease Control and Prevention to help states and communities take advantage of the best available evidence to prevent violence. Packages include suicide prevention, preventing youth violence, preventing sexual violence, and preventing child abuse or neglect. See https://www.cdc.gov/violenceprevention/pub/technical-packages.html 


mrl-diamondInteresting journal articles

Assessment of older adults' satisfaction with Adult Protective Services investigation and assistance. Booker JG, Breaux M, Abada S, Burnett J. J Elder Abuse Negl. 2017 May 12. doi: 10.1080/08946566.2017.1329045. [Epub ahead of print]
This study examined elder self-neglect client satisfaction with services provided by an Adult Protective Services (APS) program. A total of 77 community-dwelling older adults with APS-substantiated self-neglect responded to the standardized and widely used 8-item Client Satisfaction Questionnaire (CSQ-8). Approximately 75% of the participants reported being satisfied with the overall services. They felt that the services provided were responsive to their need(s) and helped them deal with their problem(s). Greater than 80% responded that they would refer a friend, utilize APS in the future if necessary and were at least satisfied with the amount of help received. The extent to which their needs were met received the lowest satisfaction scores. Future studies are needed to examine elder self-neglect client satisfaction in relation to specific services.

Breaking sitting with light activities vs structured exercise: a randomised crossover study demonstrating benefits for glycaemic control and insulin sensitivity in type 2 diabetes. Duvivier BM, Schaper NC, Hesselink MK, et al. Diabetologia. 2017 Mar;60(3):490-498.
Aims/Hypothesis: We aimed to examine the effects of breaking sitting with standing and light-intensity walking vs an energy-matched bout of structured exercise on 24 h glucose levels and insulin resistance in patients with type 2 diabetes. Methods: In a randomised crossover study, 19 patients with type 2 diabetes (13 men/6 women, 63?±?9 years old) who were not using insulin each followed three regimens under free-living conditions, each lasting 4 days: (1) Sitting: 4415 steps/day with 14 h sitting/day; (2) Exercise: 4823 steps/day with 1.1 h/day of sitting replaced by moderate- to vigorous-intensity cycling (at an intensity of 5.9 metabolic equivalents [METs]); and (3) Sit Less: 17,502 steps/day with 4.7 h/day of sitting replaced by standing and light-intensity walking (an additional 2.5 h and 2.2 h, respectively, compared with the hours spent doing these activities in the Sitting regimen). Meals were standardised during each intervention. Physical activity and glucose levels were assessed for 24 h/day by accelerometry (activPAL) and a glucose monitor (iPro2), respectively. Results: The iAUC for 24 h glucose (mean?±?SEM) was significantly lower during the Sit Less intervention than in, and was similar between Sit Less and Exercise. Exercise failed to improve HOMA2-IR compared with Sitting. In contrast, Sit Less significantly reduced HOMA2-IR compared with Exercise as well as Sitting. Conclusions/Interpretation: Breaking sitting with standing and light-intensity walking effectively improved 24 h glucose levels and improved insulin sensitivity in individuals with type 2 diabetes to a greater extent than structured exercise. Thus, our results suggest that breaking sitting with standing and light-intensity walking may be an alternative to structured exercise to promote glycaemic control in patients type 2 diabetes.

Cross-ethnic differences in the severity of neuropsychiatric symptoms in persons with mild cognitive impairment and Alzheimer's disease. Salazar R, Dwivedi AK, Royall DR. J Neuropsychiatry Clin Neurosci. 2017 Winter;29(1):13-21.
In this cross-sectional study, we examined the neuropsychiatric profile of mild cognitive impairment (MCI) and Alzheimer's disease (AD) using the Neuropsychiatric Inventory Questionnaire (NPI-Q). Data were available on 875 controls, 339 MCI cases, and 975 AD participants. Surprisingly, differences in neuropsychiatric symptom (NPS) severity by ethnicity in subjects with AD, but not with MCI, were found. More so, in Hispanics with AD, a higher frequency in most of the individual NPI-Q symptom items of the scale was observed, except for apathy. After adjustment for clinical features, some individual NPI-Q symptoms also showed an association with Hispanic ethnicity in the control group that nearly reached statistical significance. There may be cross-ethnic differences in the neuropsychiatric presentation of AD in Hispanics versus non-Hispanic whites. Future studies are needed to clarify the etiology of these differences, and to assess the need for ethnicity-specific treatment and care-giving interventions.

Does the Texas first dental home program improve parental oral care knowledge and practices? Thompson CL, McCann AL, Schneiderman ED. Pediatr Dent. 2017 Mar 15;39(2):124-129.
Purpose: This study evaluated the effectiveness of the Texas Medicaid First Dental Home (FDH) by comparing the oral health knowledge, practices, and opinions of participating vs. non-participating parents. Methods: A 29-question survey (English & Spanish) was developed and administered to 165 parents of children under three years old (FDH=49, Non-FDH=116) who visited qualifying Medicaid clinics in Texas. Results: Mann Whitney U tests showed that FDH parents scored higher on overall knowledge (P=0.001) and practice scores (P<0.001). FDH parents responded correctly more often than non-FDH about the recommended amount of toothpaste for toddlers (P<0.001). More FDH parents knew tap water was a potential source of fluoride (P<0.001). The FDH parents scored marginally higher about when a child should have the first dental visit (P=0.051). More Non-FDH parents let their child go to sleep with a bottle, sippy cup or pacifier (P<0.001). Conclusions: FDH visits are having a positive impact on Texas parents by increasing their oral healthcare knowledge and practices. This is the first step towards improving the oral health of children.

How well do we understand the long-term health implications of childhood bullying? Zarate-Garza PP, Biggs BK, Croarkin P, et al. Harv Rev Psychiatry. 2017 Mar/Apr;25(2):89-95.
Once dismissed as an innocuous experience of childhood, bullying is now recognized as having significant psychological effects, particularly with chronic exposure. Victims of bullying are at risk for a number of psychiatric disturbances, and growing evidence suggests that the pathophysiological effects of bullying, as with other forms of trauma and chronic stress, create additional health risks. We review the literature on the known sequelae of bullying, including psychiatric and physiological health effects, with a focus on implications for the victim. In addition, since it is now well established that early and chronic exposure to stress has a significant negative impact on health outcomes, we explore the implications of this research in relation to bullying and victimization in childhood. In particular, we examine how aspects of the stress response, via epigenetic, inflammatory, and metabolic mediators, have the capacity to compromise mental and physical health, and to increase the risk of disease. Research on the relevant mechanisms associated with bullying and on potential interventions to decrease morbidity is urgently needed.

The immunity community. Schoeppe J, Cheadle A, Melton M, et al. Health Promot Pract. 2017 Mar 1:1524839917697303. doi: 10.1177/1524839917697303. [Epub ahead of print]
Parental concerns about vaccine safety have grown in the United States and abroad, resulting in delayed or skipped immunizations (often called "vaccine hesitancy"). To address vaccine hesitancy in Washington State, a public-private partnership of health organizations implemented and evaluated a 3-year community intervention, called the "Immunity Community." The intervention mobilized parents who value immunization and provided them with tools to engage in positive dialogue about immunizations in their communities. The evaluation used qualitative and quantitative methods, including focus groups, interviews, and pre and post online surveys of parents, to assess perceptions about and reactions to the intervention, assess facilitators and barriers to success, and track outcomes including parental knowledge and attitudes. The program successfully engaged parent volunteers to be immunization advocates. Surveys of parents in the intervention communities showed statistically significant improvements in vaccine-related attitudes: The percentage concerned about other parents not vaccinating their children increased from 81.2% to 88.6%, and the percentage reporting themselves as "vaccine-hesitant" decreased from 22.6% to 14.0%. There were not statistically significant changes in parental behaviors. This study demonstrates the promise of using parent advocates as part of a community-based approach to reduce vaccine hesitancy.

Impacts of cold weather on all-cause and cause-specific mortality in Texas, 1990-2011. Chen TH, Li X, Zhao J, Zhang K. Environ Pollut. 2017 Apr 5;225:244-251.
Cold weather was estimated to account for more than half of weather-related deaths in the U.S. during 2006-2010. Studies have shown that cold-related excessive mortality is especially relevant with decreasing latitude or in regions with mild winter. However, only limited studies have been conducted in the southern U.S. The purpose of our study is to examine impacts of cold weather on mortality in 12 major Texas Metropolitan Areas (MSAs) for the 22-year period, 1990-2011. Our study used a two-stage approach to examine the cold-mortality association. We first applied distributed lag non-linear models (DLNM) to 12 major MSAs to estimate cold effects for each area. A random effects meta-analysis was then used to estimate pooled effects. Age-stratified and cause-specific mortalities were modeled separately for each MSA. Most of the MSAs were associated with an increased risk in mortality ranging from 0.1% to 5.0% with a 1 °C decrease in temperature below the cold thresholds. Higher increased mortality risks were generally observed in MSAs with higher average daily mean temperatures and lower latitudes. Pooled effect estimate was 1.58% (95% Confidence Interval (CI) [0.81, 2.37]) increase in all-cause mortality risk with a 1 °C decrease in temperature. Cold wave effects in Texas were also examined, and several MSAs along the Texas Gulf Coast showed statistically significant cold wave-mortality associations. Effects of cold on all-cause mortality were highest among people over 75 years old (1.86%, 95% CI [1.09, 2.63]). Pooled estimates for cause-specific mortality were strongest in myocardial infarction (4.30%, 95% CI [1.18, 7.51]), followed by respiratory diseases (3.17%, 95% CI [0.26, 6.17]) and ischemic heart diseases (2.54%, 95% CI [1.08, 4.02]). In conclusion, cold weather generally increases mortality risk significantly in Texas, and the cold effects vary with MSAs, age groups, and cause-specific deaths.

Influenza vaccine effectiveness against pediatric deaths: 2010–2014. Flannery B, Reynolds SB, Blanton L, et al. Pediatrics. Published ahead of print April 2017. 
Background and Objectives: Surveillance for laboratory-confirmed influenza-associated pediatric deaths since 2004 has shown that most deaths occur in unvaccinated children. We assessed whether influenza vaccination reduced the risk of influenza-associated death in children and adolescents. Methods: We conducted a case–cohort analysis comparing vaccination uptake among laboratory-confirmed influenza-associated pediatric deaths with estimated vaccination coverage among pediatric cohorts in the United States. Case vaccination and high-risk status were determined by case investigation. Influenza vaccination coverage estimates were obtained from national survey data or a national insurance claims database. We estimated odds ratios from logistic regression comparing odds of vaccination among cases with odds of vaccination in comparison cohorts. We used Bayesian methods to compute 95% credible intervals (CIs) for vaccine effectiveness (VE), calculated as (1 - odds ratio) × 100. Results: From July 2010 through June 2014, 358 laboratory-confirmed influenza-associated pediatric deaths were reported among children aged 6 months through 17 years. Vaccination status was determined for 291 deaths; 75 (26%) received vaccine before illness onset. Average vaccination coverage in survey cohorts was 48%. Overall VE against death was 65% (95% CI, 54% to 74%). Among 153 deaths in children with underlying high-risk medical conditions, 47 (31%) were vaccinated. VE among children with high-risk conditions was 51% (95% CI, 31% to 67%), compared with 65% (95% CI, 47% to 78%) among children without high-risk conditions. Conclusions: Influenza vaccination was associated with reduced risk of laboratory-confirmed influenza-associated pediatric death. Increasing influenza vaccination could prevent influenza-associated deaths among children and adolescents.

Powassan virus: an emerging arbovirus of public health concern in North America. Hermance ME, Thangamani S. Vector Borne Zoonotic Dis. 2017 May 12. doi: 10.1089/vbz.2017.2110. [Epub ahead of print]
Powassan virus (POWV, Flaviviridae) is the only North American member of the tick-borne encephalitis serogroup of flaviviruses. It is transmitted to small- and medium-sized mammals by Ixodes scapularis, Ixodes cookei, and several other Ixodes tick species. Humans become infected with POWV during spillover transmission from the natural transmission cycles. In humans, POWV is the causative agent of a severe neuroinvasive illness with 50% of survivors displaying long-term neurological sequelae. POWV was recognized as a human pathogen in 1958 when a young boy died of severe encephalitis in Powassan, Ontario, and POWV was isolated from the brain autopsy of this case. Two distinct genetic lineages of POWV are now recognized: POWV (lineage I) and deer tick virus (lineage II). Since the index case in 1958, over 100 human cases of POWV have been reported, with an apparent rise in disease incidence in the past 16 years. This recent increase in cases may represent a true emergence of POWV in regions where the tick vector species are prevalent, or it could represent an increase in POWV surveillance and diagnosis. In the past 5 years, both basic and applied research for POWV disease has intensified, including phylogenetic studies, field surveillance, case studies, and animal model development. This review provides an overview of POWV, including the epidemiology, transmission, clinical disease, and diagnosis of POWV infection. Recent research developments and future priorities with regard to the disease are emphasized.

Psychological distress among smokers in the United States: 2008 to 2014. Zvolensky MJ, Jardin C, Wall MM, et al. Nicotine Tob Res. 2017 May 6. doi: 10.1093/ntr/ntx099. [Epub ahead of print]
Introduction: Decline in smoking in the United States (U.S.) has slowed over the past 25 years. Mental health problems are common among smokers, and may be an impediment to quitting and remaining abstinent. The study investigated the relationship between serious (past-30-day) psychological distress (SPD) and smoking, estimated trends in the prevalence of SPD among current, former and never smokers in the U.S. from 2008 to 2014, and investigated whether heterogeneity in these trends varied by sociodemographic characteristics. Methods: Data were drawn from the National Household Survey on Drug Use (NSDUH), an annual cross-sectional study of persons ages 12 and over (N=270,227). SPD and smoking in the past 30 days was examined using logistic regression models among adults 18 and older. The prevalence of SPD was examined annually among current, former and never smokers from 2008 to 2014. Results: SPD increased among smokers in the U.S. from 2008-2014. An increase in SPD was more rapid among non-daily smokers than daily smokers. The prevalence of SPD was higher among younger smokers, those with less formal education and lower annual family income and higher among current smokers than former and never smokers. The relationships between SPD and smoking were stronger among smokers with higher education levels and annual family income. Conclusions: Our findings suggest an increase in SPD among smokers over time and that as smoking has declined, those with SPD are comprising a greater proportion of the remaining smokers. Results suggest that mental health must be integrated into mainstream tobacco control efforts. Implication: The greater prevalence and increasing rate of Serious Psychological Distress among smokers, relative to former- and never-smokers, from 2008 to 2014 provides support that the greater mental health burden among smokers may be contributing to the slowed reduction in smoking prevalence in the United States. In addition, relationships between SPD and smoking were consistently stronger among smokers with higher levels of education and annual family income. Such results suggest the necessity of incorporating mental health treatments in tobacco use reduction efforts.

Resilience thinkers: all hail Marcus Aurelius! Rural Cooperatives. 2016 Sep/Oct;83(5):25. 
The article focuses on Roman emperor Marcus Aurelius who was considered as the father of resilience thinking. Topics discussed include his book Meditations that applies the philosophy of Stoicism to a natural world not controlled by humans, his non-judgmental approach and the quotes taken from the book which emphasize the importance of accepting constant change and understanding the interdependency between the human and natural world.

Suicide prevention in an emergency department population: the ED-SAFE study. Miller IW, Camargo CA Jr, Arias SA, et al. JAMA Psychiatry. 2017 Apr 29. doi: 10.1001/jamapsychiatry.2017.0678. [Epub ahead of print]
Importance: Suicide is a leading cause of deaths in the United States. Although the emergency department (ED) is an opportune setting for initiating suicide prevention efforts, ED-initiated suicide prevention interventions remain underdeveloped. Objective: To determine whether an ED-initiated intervention reduces subsequent suicidal behavior. Design, Setting, and Participants: This multicenter study of 8 EDs in the United States enrolled adults with a recent suicide attempt or ideation and was composed of 3 sequential phases: (1) a treatment as usual (TAU) phase from August 2010 to December 2011, (2) a universal screening (screening) phase from September 2011 to December 2012, and (3) a universal screening plus intervention (intervention) phase from July 2012 to November 2013. Interventions: Screening consisted of universal suicide risk screening. The intervention phase consisted of universal screening plus an intervention, which included secondary suicide risk screening by the ED physician, discharge resources, and post-ED telephone calls focused on reducing suicide risk. Main Outcomes and Measures: The primary outcome was suicide attempts (nonfatal and fatal) over the 52-week follow-up period. The proportion and total number of attempts were analyzed. RESULTS: A total of 1376 participants were recruited, including 769 females (55.9%) with a median (interquartile range) age of 37 (26-47) years. A total of 288 participants (20.9%) made at least 1 suicide attempt, and there were 548 total suicide attempts among participants. There were no significant differences in risk reduction between the TAU and screening phases (23% vs 22%, respectively). However, compared with the TAU phase, patients in the intervention phase showed a 5% absolute reduction in suicide attempt risk (23% vs 18%), with a relative risk reduction of 20%. Participants in the intervention phase had 30% fewer total suicide attempts than participants in the TAU phase. Negative binomial regression analysis indicated that the participants in the intervention phase had significantly fewer total suicide attempts than participants in the TAU phase (incidence rate ratio, 0.72; 95% CI, 0.52-1.00; P?=?.05) but no differences between the TAU and screening phases (incidence rate ratio, 1.00; 95% CI, 0.71-1.41; P?=?.99). Conclusions and Relevance: Among at-risk patients in the ED, a combination of brief interventions administered both during and after the ED visit decreased post-ED suicidal behavior.

Twelve-month health care use and mortality in commercially insured young people with incident psychosis in the United States.  Schoenbaum M, Sutherland JM, Chappel A, et al.   Schizophr Bull. Published ahead of print April 7, 2017.
Objective: To assess 12-month mortality and patterns of outpatient and inpatient treatment among young people experiencing an incident episode of psychosis in the United States. Method: Prospective observational analysis of a population-based cohort of commercially insured individuals aged 16–30 receiving a first observed (index) diagnosis of psychosis in 2008–2009. Data come from the US Department of Health and Human Services’ Multi-Payer Claims Database Pilot. Outcomes are all-cause mortality identified via the Social Security Administration’s full Death Master File; and inpatient, outpatient, and psychopharmacologic treatment based on health insurance claims data. Outcomes are assessed for the year after the index diagnosis. Results: Twelve-month mortality after the index psychosis diagnosis was 1968 per 100000 under our most conservative assumptions, some 24 times greater than in the general US population aged 16–30; and up to 7372 per 100000, some 89 times the corresponding general population rate. In the year after index, 61% of the cohort filled no antipsychotic prescriptions and 41% received no individual psychotherapy. Nearly two-thirds (62%) of the cohort had at least one hospitalization and/or one emergency department visit during the initial year of care. Conclusions: The hugely elevated mortality observed here underscores that young people experiencing psychosis warrant intensive clinical attention—yet we found low rates of pharmacotherapy and limited use of psychosocial treatment. These patterns reinforce the importance of providing coordinated, proactive treatment for young people with psychosis in US community settings.


mrl-diamondNew Books

1. America's Healthcare Transformation: Strategies and Innovations, edited by Robert A. Phillips.
2. Change Book: Change the Way You Think about Change by Tricia Emerson.
3. Clinical Laboratory Science Review: A Bottom Line Approach, 5th ed. by Patsy Jarreau.
4. Communicate Science Papers, Presentations, and Posters Effectively by Gregory S. Patience, et al.
5. Dreamland: the True Tale of America's Opiate Epidemic by Sam  Quinones.
6. English Simplified, 13th ed. by Blanche Ellsworth and John A. Higgins. 
7. Evidence-Based Training Methods, 2nd ed. by Ruth Colvin Clark.
8. Facilitation Skills Training by Kimberly Devlin.
9. How to Be REALLY Productive: Achieving Clarity and Getting Results in a World Where Work Never Ends by Grace Marshall.
10. How to Write Short: Word Craft for Fast Times by Roy Peter Clark.
11. A Manual for Writers of Research Papers, Theses, and Dissertations, 8th ed., by Kate L. Turabian.
12. Medical Management of Vulnerable and Underserved Patients: Principles, Practice, and Populations, 2nd ed., edited by Talmadge E. King and Margaret B. Wheeler.
13. Meeting the Ethical Challenges of Leadership: Casting Light or Shadow by Craig E. Johnson.
14. Nursing Theorists and Their Work, edited by Martha Raile Alligood.
15. The Only Grammar Book You'll Ever Need: A One-Stop Source for Every Writing Assignment by Susan Thurman.
16. Organizational Ethics: A Practical Approach, 3rd ed. by Craig E. Johnson.
17. Solving Population Health Problems through Collaboration edited by Ronald G. Bialek, et al. 
18. Using SPSS Syntax: A Beginner's Guide by Jacqueline Collier.
19. The Wall Street Journal Guide to Information Graphics by Dona M Wong.
20. Writing Empirical Research Reports: A Basic Guide for Students of the Social and Behavioral Sciences, 8th ed., by Fred Pyrczak and Randall R. Bruce.
21. Writing for Dollars, Writing to Please: The Case for Plain Language in Business, Government, and Law by Joseph Kimble.
22. Writing Science: how to write papers that get cited and proposals that get funded by Joshua.Schimel.


mrl-diamondEbooks

To check out any of the following ebooks, go to Library Services at http://online.internal/library.aspx. Click on Electronic Library (left-hand side). Click on Books in the center of the screen and then type in the title in the search box below. If you have difficulties or want to access these at home, please contact library@dshs.texas.gov or call 512-776-7559.

1. Art and Science of Training by Elaine Biech.
2. Change Management Training by Elaine Biech.
3. Establishing a System of Policies and Procedures, Rev ed. by Stephen Page.
4. Global Health 101, 3rd ed. by Richard L. Skolnik.
5. The Government Manager's Guide to Plain Language by Judith Gillespie Myers.


*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 June 8, 2017