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Medical and Research Library News - January 2018

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

January 2018

Happy New Year Everyone!

mrl-diamondNews and training opportunities

The following webinars and podcast 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.

January 9, 2018; Noon – 1 p.m. (CST) Fostering Community Partnerships to Advance Health Equity. This webinar will cover:

• How Alameda County in California engages in social justice movements to advance health and racial equity.
• How Kansas City shares power and space with community organizers to change policy.
• How NACCHO is supporting building community alliances to advance equity.
• Resources to help your health department foster community partnerships to advance health equity.
See http://webinar-portal.net/webinars/hip/registration_010918.php 

January 9, 2018; 2 – 3:00 p.m. (CST) County Health Rankings & Roadmaps 101. Join us for this program overview to learn how you can use:

• Data to reveal the factors that influence health.
• Evidence to focus on strategies that work.
• Guidance to put strategies into action. 
• Stories of real-world experiences to inspire and inform your efforts.
See https://chrr.zoom.us/webinar/register/WN_HMZ43X4iR52VsAHPEYn0wQ 

January 30, 2018; 3 – 4:30 p.m. (CST) Demystifying Medicine: Why is HIV still a biologic and epidemiologic challenge worldwide? This videoconference is being presented by the National Institutes of Health. See https://videocast.nih.gov/summary.asp?live=26667&bhcp=1 

January 31, 2018; 3:30 – 5 p.m. (CST). Opioids and the Masses: Early Lessons from the Epidemic. This event will stream live from the Boston University School of Public Health. The talk will focus on the policy and treatment implications of the clinical realities of opioid addiction within the larger context of social and cultural drivers of addiction. See http://www.bu.edu/sph/news-events/signature-programs/public-health-fora/opioids-and-the-masses-early-lessons-from-the-epidemic/ 

Analysis of Whole-Genome Data in a Public Health Lab, CDC Podcast, recorded October 2017 by the National Center for Emerging and Zoonotic Infectious Diseases. Dr. Kelly Oakeson, a bioinformatics and genomics research analyst with the Utah Department of Health, discusses bioinformatics and genomics research. See https://www2c.cdc.gov/podcasts/player.asp?f=8646803 

2017 Public Health Ethics Forum: Optimal Health for Her Whole Life, Continuing Education Webinar on Demand. This educational offering from the CDC is designed to inform participants on the interests and health of women and girls. It discusses how best to consider individual rights and group interests in public health interventions, and to articulate women’s health issues within a public health ethics framework. See https://www.cdc.gov/minorityhealth/ethicsforum/ce/index.html 

mrl-diamondCool websites and reports on hot topics

Beyond Nutrition and Organic Labels - 30 Years of Experience with Intervening in Food Labels, Economic Research Report Number 239, US Dept. of Agriculture, November 2017. This report examines the economic issues involved in five labels for which the Federal Government has played a role. In addition to the nutrition and organic labels, the report scrutinizes three other labels - one advertising foods made without genetically engineered ingredients, another advertising products made from animals raised without antibiotics, and the federal country-of-origin label. See https://www.ers.usda.gov/webdocs/publications/85687/err-239.pdf?v=43053 

Compendium of Measures to Prevent Disease Associated with Animals in Public Settings, 2017, by The National Association of State Public Health Veterinarians. This compendium provides standardized recommendations for public health officials, veterinarians, animal venue operators, animal exhibitors, visitors to animal venues and exhibits, teachers, camp operators, and others concerned with control of disease and with minimizing health risks associated with animal contact in public settings. See http://www.nasphv.org/Documents/AnimalContactCompendium2017.pdf 

Diabetes in the United States: Examining Growth Trends, State Funding Sources and Economic Impact by the Council of State Governments. 
This report summarizes the current state of diabetes in the United States by examining several federal and state initiatives to prevent and manage diabetes. It also provides data on the growth of diabetes and major 
funding sources for diabetes programs by state. See http://knowledgecenter.csg.org/kc/system/files/DiabetesReport-CSG-PDF.pdf 

An Early Assessment of Hurricane Harvey’s Impact on Vulnerable Texans in the Gulf Coast Region: Their Voices and Priorities to Inform Rebuilding Efforts. Henry J. Kaiser Family Foundation, December 2017. In an effort to understand the needs and circumstances of vulnerable Texans affected by Hurricane Harvey, the Kaiser Family Foundation and the Episcopal Health Foundation partnered to conduct a survey of adults living in 24 counties along the Texas coast. This report presents the results of the survey. See https://www.kff.org/other/report/an-early-assessment-of-hurricane-harveys-impact-on-vulnerable-texans-in-the-gulf-coast-region-their-voices-and-priorities-to-inform-rebuilding-efforts/ 

The Evolution and Future of the Healthy Communities Movement, Community Development Investment Review, Federal Reserve Bank of San Francisco. This article draws upon an environmental scan of 38 Healthy Communities demonstration programs and provides an overview of the history, progress, and future implications of the Healthy Communities movement. See http://www.buildhealthyplaces.org/content/uploads/2017/11/evolution-and-future-of-healthy-communities-movement.pdf  

Faces of Medicaid: Data Analysis Series. This series by the Center for Health Care Strategies, Inc. sheds light on the prevalence of specific conditions among Medicaid beneficiaries, patterns of service use, and costs. See https://www.chcs.org/resource/faces-of-medicaid-data-resources/ 

Improving Child Welfare Outcomes: Balancing Investments in Prevention and Treatment. Ringel J, et al. Santa Monica, CA: Rand Corporation, 2017. This study is the first attempt to integrate maltreatment risk, detection, pathways through the system, and consequences in a comprehensive quantitative model that can be used to simulate the impact of policy changes. See https://www.rand.org/pubs/research_reports/RR1775-1.html 

Injury and Violence Prevention, Free supplement to the Journal of Public Health Management and Practice, January/February 2018. Seven research reports, a commentary and two editorials are available for free. The issue focuses on catalyzing state public health agency actions to prevent injuries and violence. See http://journals.lww.com/jphmp/toc/2018/01001 

Pain in the Nation: The Drug, Alcohol and Suicide Epidemics and the Need for a National Resilience Strategy, a report by Trust for America’s Health, November 2017. This report calls for the creation of a National Resilience Strategy that takes a comprehensive approach by focusing on prevention, early identification of issues and effective treatment. It highlights more than sixty research-based policies, practices and programs. See http://www.healthyamericans.org/reports/paininthenation/ 

Perspectives on Health Equity & Social Determinants of Health, National Academies of Medicine, 2017. Organized by research approaches and policy implications, systems that perpetuate or ameliorate health disparities, and specific examples of ways in which health disparities manifest in communities of color, this special publication provides a stark look at how health and well-being are nurtured, protected, and preserved where people live, learn, work, and play. See https://nam.edu/perspectives-on-health-equity-and-social-determinants-of-health/ 

Prescribing Policies: States Confront Opioid Overdose Epidemic, National Conference on State Legislatures, 2017. State lawmakers are crafting innovative policies to address the opioid public health crisis while also ensuring appropriate access to pain management. This report provides an overview of state legislation setting guidelines for, or limits on, opioid prescriptions. See http://www.ncsl.org/research/health/prescribing-policies-states-confront-opioid-overdose-epidemic.aspx 

Preventing Drug Abuse: Low Participation by Pharmacies and Other Entities as Voluntary Collectors of Unused Prescription Drugs. GAO 18-25, October 2017. In this report, GAO describes participation rates among entities eligible to collect unused prescription drugs and factors that affect participation. See https://www.gao.gov/assets/690/687719.pdf 

Progress toward Viral Hepatitis Elimination in the United States, 2017. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention. This report provides information on progress in the implementation of recommended interventions and the impact these interventions are having on prevention of viral hepatitis transmission, disease, and associated mortality. See https://www.cdc.gov/hepatitis/policy/PDFs/NationalProgressReport.pdf 

The ROI of Health and Well-Being: Business Investment in Healthier Communities. NAM Perspectives. Discussion Paper, 2017. National Academy of Medicine, Washington, DC. This paper explores the business motivation for investing in community health, the processes involved in that effort, and the challenges stakeholders faced when pursuing these initiatives. See https://nam.edu/roi-health-well-business-investment-healthier-communities/ 

Rural Unintentional Injuries: They’re Not Accidents – They’re Preventable, The Rural Monitor, November 28, 2017. This article looks at causes of unintentional injury and death in rural areas and discusses prevention strategies. See https://www.ruralhealthinfo.org/rural-monitor/unintentional-injuries/ 

The School Health Index (SHI): Self-Assessment & Planning Guide 2017 is an online self-assessment and planning tool that schools can use to improve their health and safety policies and programs. It was developed by the CDC to enable schools to identify strengths and weaknesses of health and safety policies and programs, to develop an action plan, and to engage teachers, parents, students, and the community in promoting health-enhancing behaviors. See https://www.cdc.gov/healthyschools/shi/index.htm 

Using Electronic Health Data for Community Health: Example Cases and Legal Analysis, deBeaumont Foundation and Johns Hopkins University, November 2017. The example cases and HIPAA analysis in this report demonstrate the broad potential for public health agencies to address important challenges through access to electronic healthcare data. Six 
cases concerning childhood asthma control are highlighted in the report. See http://www.debeaumont.org/wordpress/wp-content/uploads/Electronic-Health-Data-Report.pdf 

mrl-diamondInteresting journal articles

Access to employee wellness programs and use of preventive care services among U.S. adults. Isehunwa OO, Carlton EL, Wang Y, et al. Am J Prev Med. 2017 Dec;53(6):854-865. doi: 10.1016/j.amepre.2017.08.001. 
Introduction: There is little research at the national level on access to employee wellness programs and the use of preventive care services. This study examined the use of seven preventive care services among U.S working adults with access to employee wellness programs. Methods: The study population comprised 17,699 working adults aged ≥18 years, obtained from the 2015 National Health Interview Survey. Multivariate logistic regression models examined the relationship between access to employee wellness programs and use of seven preventive care services: influenza vaccination, blood pressure check, diabetes check, cholesterol check, Pap smear test, mammogram, and colon cancer screening. Data analysis began in Fall 2016. Results: Overall, 46.6% of working adults reported having access to employee wellness programs in 2015. Working adults with access to employee wellness programs had higher odds of receiving influenza vaccination (OR=1.57, 95% CI=1.43, 1.72, p<0.001), blood pressure check (OR=2.46, 95% CI=2.17, 2.78, p<0.001), diabetes check (OR=1.30, 95% CI=1.12, 1.50, p<0.001), cholesterol check (OR=1.48, 95% CI=1.33, 1.67, p<0.001), and mammogram (OR=1.57, 95% CI=1.24, 1.98, p<0.001). However, there was no significant difference between access to employee wellness programs and the use of Pap smear test and colon cancer screening services. Conclusions: Using a nationally representative sample of individuals, this study found a positive association between access to employee wellness programs and the use of preventive care services. The results support favorable policies to encourage implementing wellness programs in all worksites, especially those with <50 employees.

Assessing the prevalence of risk factors for neglected tropical diseases in Brazos County, Texas. Horney J, Goldberg D, Hammond T, et al. PLoS Curr. 2017 Oct 4;9. pii: ecurrents.outbreaks.93540c6c8c7831670591b0264479269c.
Introduction: Although more than one billion people live at risk of neglected tropical diseases (NTDs) in areas of Asia, sub-Saharan Africa, and Latin America, the degree to which they burden countries like the U.S. is unclear. Even though many NTDs such as dengue, leishmaniasis, and Chagas disease are typically not endemic to the U.S., the possibility of their emergence is noteworthy, especially in states like Texas with high levels of poverty, large immigrant populations, geographic proximity to endemic areas, and a climate amenable to the vectors for these diseases. Despite the health threat that emerging NTDs may pose, little is known about the prevalence of risk factors for NTDs in the U.S. Methods: We tested the Community Assessment for Public Health Emergency Response (CASPER) method to assess the prevalence of risk factors for NTDs in Brazos County, Texas. Results: We found relatively low prevalence of risk factors related to travel (5.2% of respondents visited an endemic area in the previous 3 months); however, few respondents reported adherence to mosquito prevention, such as wearing long sleeves and long pants (14.1%, 95% CI: 13.9,14.4) and repellant containing DEET (13.5%, 95% CI: 13.2,13.7). Between 5.4% and 35.8% of respondents had a visible container (e.g., pet water dishes, flower pots, bird baths) that could support mosquito breeding. Discussion: CASPER findings present public health authorities with potential avenues for implementing health education and other interventions aimed at reducing exposure to risk factors for NTDs among Texas residents.

The economic implications of later school start times in the United States. Hafner M, Stepanek M, Troxel WM. Sleep Health. 2017 Dec;3(6):451-457.
Numerous studies have shown that later school start times (SST) are associated with positive student outcomes, including improvements in academic performance, mental and physical health, and public safety. While the benefits of later SST are very well documented in the literature, in practice there is opposition against delaying SST. A major argument against later SST is the claim that delaying SST will result in significant additional costs for schools due to changes in bussing strategies. However, to date, there has only been one published study that has quantified the potential economic benefits of later SST in relation to potential costs. The current study investigates the economic implications of later school start times by examining a policy experiment and its subsequent state-wide economic effects of a state-wide universal shift in school start times to 8:30 a.m. Using a novel macroeconomic modeling approach, the study estimates changes in the economic performance of 47 US states following a delayed school start time, which includes the benefits of higher academic performance of students and reduced car crash rates. The benefit-cost projections of this study suggest that delaying school start times is a cost-effective, population-level strategy, which could have a significant impact on public health and the US economy. From a policy perspective, these findings are crucial as they demonstrate that significant economic gains resulting from the delay in SST accrue over a relatively short period of time following the adoption of the policy shift.

The economics of public health: missing pieces to the puzzle of health system reform. Mays GP, Atherly AJ, Zaslavsky AM. Health Serv Res. 2017 Dec;52 Suppl 2:2275-2284.
The United States continues to experiment with health care delivery and financing innovations, but relatively little attention is given to the public health system and its capacity for improving health status in the U.S. population at large. The public health system operates as a multisector enterprise in which government agencies work in conjunction with private and voluntary organizations to identify health risks in the population and to mobilize community-wide actions that prevent and contain these risks. The Affordable Care Act and related health reform initiatives are generating new interest in the question of how best to expand and integrate public health approaches into the larger U.S. health system. The research articles featured in this issue of Health Services Research cluster around two broad topics: how public health agencies can deliver services efficiently and how public health agencies can interact productively with other elements of the health system. The results suggest promising avenues for aligning medical care and public health practices.

The health and healthcare impact of providing insurance coverage to uninsured children: a prospective observational study. Flores G, Lin H, Walker C, et al. BMC Public Health. 2017 May 23;17(1):553.
Background: Of the 4.8 million uninsured children in America, 62-72% are eligible for, but not enrolled in, Medicaid or CHIP. Not enough is known, however, about the impact of health insurance on outcomes and costs for previously uninsured children, which has never been examined prospectively. Methods: This prospective observational study of uninsured Medicaid/CHIP-eligible minority children compared children obtaining coverage vs. those remaining uninsured. Subjects were recruited at 97 community sites, and 11 outcomes monitored monthly for 1 year. Results: In this sample of 237 children, those obtaining coverage were significantly (P < .05) less likely than the uninsured to have suboptimal health (27% vs. 46%); no PCP (7% vs. 40%); experienced never/sometimes getting immediate care from the PCP (7% vs. 40%); no usual source of preventive (1% vs. 20%) or sick (3% vs. 12%) care; and unmet medical (13% vs. 48%), preventive (6% vs. 50%), and dental (18% vs. 62%) care needs. The uninsured had higher out-of-pocket doctor-visit costs (mean = $70 vs. $29), and proportions of parents not recommending the child's healthcare provider to friends (24% vs. 8%) and reporting the child's health caused family financial problems (29% vs. 5%), and lower well-child-care-visit quality ratings. In bivariate analyses, older age, birth outside of the US, and lacking health insurance for >6 months at baseline were associated with remaining uninsured for the entire year. In multivariable analysis, children who had been uninsured for >6 months at baseline (odds ratio [OR], 3.8; 95% confidence interval [CI], 1.4-10.3) and African-American children (OR, 2.8; 95% CI, 1.1-7.3) had significantly higher odds of remaining uninsured for the entire year. Insurance saved $2,886/insured child/year, with mean healthcare costs = $5,155/uninsured vs. $2,269/insured child (P = .04). Conclusions: Providing health insurance to Medicaid/CHIP-eligible uninsured children improves health, healthcare access and quality, and parental satisfaction; reduces unmet needs and out-of-pocket costs; and saves $2,886/insured child/year. African-American children and those who have been uninsured for >6 months are at greatest risk for remaining uninsured. Extrapolation of the savings realized by insuring uninsured, Medicaid/CHIP-eligible children suggests that America potentially could save $8.7-$10.1 billion annually by providing health insurance to all Medicaid/CHIP-eligible uninsured children.

Infant feeding practices and dietary consumption of US infants and toddlers: National Health and Nutrition Examination Survey (NHANES) 2003-2012. Davis KE, Li X, Adams-Huet B, Sandon L. Public Health Nutr. 2017 Nov 23:1-10.
Objective: To compare infant and toddler anthropometric measurements, feeding practices and mean nutrient intakes by race/ethnicity and income. Design: Cross-sectional analysis using general linear modelling. Ten years of survey data (2003-2012) were combined to compare anthropometric measurements, feeding practices and mean nutrient intakes from a nationally representative US sample. Setting: The 2003-2012 National Health and Nutrition Examination Survey (NHANES). Subjects: Infants and toddlers (n 3669) aged 0-24 months. Results: Rates of overweight were higher among Mexican-American infants and toddlers (P=0·002). There were also several differences in feeding practices among groups based on race/ethnicity. Cessation of breast-feeding occurred earlier for non-Hispanic black and Mexican-American v. non-Hispanic white infants (3·6 and 4·2 v. 5·3 months; P<0·0001; P=0·001). Age at first feeding of solids was earlier for white than Mexican-American infants (5·3 v. 5·7 months; P=0·02). There were differences in almost all feeding practices based on income, including the lowest-income infants stopped breast-feeding earlier than the highest-income infants (3·2 v. 5·8 months, P<0·0001). Several differences in mean nutrient intakes by both race/ethnicity and income were also identified. Conclusions: Our study indicates that disparities in overweight, feeding practices and mean nutrient intakes exist among infants and toddlers according to race/ethnicity, which cannot be disentangled from income.

Lessons learned from the implementation of Brighter Bites: a food co-op to increase access to fruits and vegetables and nutrition education among low-income children and their families. Sharma SV, Chow J, Pomeroy M, et al. J Sch Health. 2017 Apr;87(4):286-295.
Background: Food co-op models have gained popularity as a mechanism for offering affordable, quality produce. We describe the challenges, successes, and lessons learned from implementation of a school-based program using a food co-op model combined with nutrition education to improve access to and intake of fresh fruits and vegetables among low-income children and their families. Methods: Brighter Bites is a 16-week intervention comprising of fresh produce deliveries, recipe demonstrations, and nutrition education. A mixed-methods approach was used comprising survey and focus group data collected from Brighter Bites staff, parents, and teachers. Descriptive statistics and frequencies were computed for the survey data collected. Results: Brighter Bites was implemented across 9 schools, serving a total of 1,530 predominantly low-income families in the 2013-2014 school year. Brighter Bites distributed an average 60.2 servings of fresh fruits and vegetables per family per week. Lessons learned included the importance of leveraging existing infrastructure of food banks and schools to implement the program, early school and parent engagement, and incorporating strategies to track and optimize engagement. Conclusions: Clear expectations and reliable partnerships are keys to the delivery of the Brighter Bites program.

A pilot mobile integrated healthcare program for frequent utilizers of emergency department services. Nejtek VA, Aryal S, Talari D, et al. Am J Emerg Med. 2017 Nov;35(11):1702-1705.
Purpose: To examine whether or not a mobile integrated health (MIH) program may improve health-related quality of life while reducing emergency department (ED) transports, ED admissions, and inpatient hospital admissions in frequent utilizers of ED services. Methods: A small retrospective evaluation assessing pre- and post-program quality of life, ED transports, ED admissions, and inpatient hospital admissions was conducted in patients who frequently used the ED for non-emergent or emergent/primary care treatable conditions. Results: Pre- and post-program data available on 64 program completers are reported. Of those with mobility problems (n=42), 38% improved; those with problems performing usual activities (N=45), 58% reported improvement; and of those experiencing moderate to extreme pain or discomfort (N=48), 42% reported no pain or discomfort after program completion. Frequency of ED transports decreased (5.34±6.0 vs. 2.08±3.3; p <0.000), as did ED admissions (9.66±10.2 vs. 3.30±4.6; p<0.000), and inpatient hospital admissions (3.11±5.5 vs. 1.38±2.5; p=0.003). Conclusion: Results suggest that MIH participation is associated with improved quality of life, reduced ED transports, ED admissions, and inpatient hospital admissions. The MIH program may have potential to improve health outcomes in patients who are frequent ED users for non-emergent or emergent/primary care treatable conditions by teaching them how to proactively manage their health and adhere to therapeutic regimens. Programmatic reasons for these improvements may include psychosocial bonding with participants who received in-home care, health coaching, and the MIH team's 24/7 availability that provided immediate healthcare access.

Stigma experienced by children and adolescents with obesity. Pont SJ, Puhl R, Cook SR, Pediatrics. 2017 Dec;140(6). pii: e20173034. 
The stigmatization of people with obesity is widespread and causes harm. Weight stigma is often propagated and tolerated in society because of beliefs that stigma and shame will motivate people to lose weight. However, rather than motivating positive change, this stigma contributes to behaviors such as binge eating, social isolation, avoidance of health care services, decreased physical activity, and increased weight gain, which worsen obesity and create additional barriers to healthy behavior change. Furthermore, experiences of weight stigma also dramatically impair quality of life, especially for youth. Health care professionals continue to seek effective strategies and resources to address the obesity epidemic; however, they also frequently exhibit weight bias and stigmatizing behaviors. This policy statement seeks to raise awareness regarding the prevalence and negative effects of weight stigma on pediatric patients and their families and provides 6 clinical practice and 4 advocacy recommendations regarding the role of pediatricians in addressing weight stigma. In summary, these recommendations include improving the clinical setting by modeling best practices for nonbiased behaviors and language; using empathetic and empowering counseling techniques, such as motivational interviewing, and addressing weight stigma and bullying in the clinic visit; advocating for inclusion of training and education about weight stigma in medical schools, residency programs, and continuing medical education programs; and empowering families to be advocates to address weight stigma in the home environment and school setting.

Strengthening cost-effectiveness analysis for public health policy. Russell LB, Sinha A. Am J Prev Med. 2016 May;50(5 Suppl 1):S6-S12.
Although the U.S. spends more on medical care than any country in the world, Americans live shorter lives than the citizens of other high-income countries. Many important opportunities to improve this record lie outside the health sector and involve improving the conditions in which Americans live and work: safe design and maintenance of roads, bridges, train tracks, and airports; control of environmental pollutants; occupational safety; healthy buildings; a safe and healthy food supply; safe manufacture of consumer products; a healthy social environment; and others. Faced with the overwhelming array of possibilities, U.S. decision makers need help identifying those that can contribute the most to health. Cost-effectiveness analysis is designed to serve that purpose, but has mainly been used to assess interventions within the health sector. This paper briefly reviews the objective of cost-effectiveness analysis and its methodologic evolution and discusses the issues that arise when it is used to evaluate interventions that fall outside the health sector under three headings: structuring the analysis, quantifying/measuring benefits and costs, and valuing benefits and costs.

mrl-diamondNew Books

1. Applied Missing Data Analysis by Craig K. Enders.
2. The Criminal Brain: Understanding Biological Theories of Crime, 2nd ed. by Nicole Rafter, et al.
3. Danger and Opportunity: Bridging Cultural Diversity for Competitive Advantage by Lionel Laroche and Caroline Yang.
4. Essentials of Leadership in Public Health by Louis Rowitz.
5. Financial Management for Public, Health, and Not-for-Profit Organizations by Steven A. Finkler.
6. Ghosts from the Nursery: Tracing the Roots of Violence, Rev. ed., by Robin Karr-Morse and Meredith S. Wiley.
7. Humanizing Health Care: Creating Cultures of Compassion with Nonviolent Communication by Melanie Sears.
8. In Search of the Fun-Forever Job: Career Strategies that Work by Ellis Chase.
9. Probability for the Enthusiastic Beginner by David Morin.
10. Six Sigma Handbook: A Complete Guide for Green Belts, Black Belts, and Managers at All Levels, 4th ed. by Thomas Pyzdek.
11. Social Insurance: America's Neglected Heritage and Contested Future by Theodore R. Marmor, et al.
12. Social Marketing: Changing Behaviors for Good by Nancy Lee and Philip Kotler.
13. Tackling Health Inequities through Public Health Practice: Theory to Action, 2nd ed., edited by Richard Hofrichter and Rajiv Bhatia.

*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 March 1, 2018