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Medical and Research Library News - June 2019

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Training opportunities
Websites and reports on trending topics*
Journal articles of note* 
New books at the MRL*

June 2019

mrl-diamondTraining opportunities

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

June 5, 2019; 12–1 p.m. Using Technology to Improve Access to Health Care. Electronic communication, such as emails, patient portals, or text messaging, can be a useful tool in the practice of medicine and can facilitate communication within a patient-physician relationship. Throughout healthcare, there has been a recent push for electronic communications to be used more frequently to improve quality of care. This webinar will explore the different technologies and devices used by two Health Centers to improve their communications with patients and their access to care, and provide examples and lessons learned. Sponsored by the National Center for Health in Public Housing (NCHPH). https://register.gotowebinar.com/register/2952047282387698699

June 6, 2019; 1–2 p.m. Connecting Clients to Oral Health Services. Learn about the components of oral health and primary care integration and the best practices and challenges for developing and maintaining a dental referral network, making referrals, dental patient navigation, and communicating data effectively between primary care and oral health settings. Presented by Health Resources & Services Administration (HRSA). https://hrsa.connectsolutions.com/connecting_clients_to_oral_health_services/ 

June 12, 2019; 2–3:30 p.m. Messaging to Advance Health Equity in Public Policy. Join the National Academy of Medicine (NAM) for this webinar that will highlight successful strategies for messaging and communicating health equity in public policy. Presenters will provide an example of a successful communications campaign that effectively utilized evidence-based strategies to engage key stakeholders to advance health equity in public policy, and they will identify current research gaps around effective messaging and communication for health equity. https://nam.edu/event/messaging-to-advance-health-equity-in-public-policy/

June 12, 2019; 1–2 p.m. MAT 2.0: Evidence-Based Practices in Substance Use Disorder Treatment. This webinar will share evidence-based practices and resources on medication-assisted treatment (MAT) for patients with SUD. They will discuss the MAT model from assessment and induction to management and monitoring, provide case-based examples, and answer provider questions about patient considerations during a 30-minute question and answer session. Presented by Health Resources & Services Administration (HRSA). https://eventsna11.adobeconnect.com/content/connect/c1/1114521017/en/events/event/shared/2274963567

June 13, 2019; 11 a.m.–12 p.m. Cyclospora cayetanensis: The crossroads between scientific advances and knowledge gaps. Cyclospora cayetanensis has emerged worldwide as a significant foodborne pathogen, causing a diarrheal illness called cyclosporiasis.  In the U.S., C. cayetanensis has caused large and complex outbreaks, which were mainly linked to consuming imported fresh produce like cilantro. This lecture will discuss the recent scientific advances that affected the results of the 2018 cyclosporiasis outbreak investigations and the scientific gaps that remain major public health and regulatory challenges. Presented by the U.S. Food and Drug Administration (FDA). https://www.fda.gov/science-research/about-science-research-fda/cyclospora-cayetanensis-crossroads-between-scientific-advances-and-knowledge-gaps-06132019-06132019

June 18, 2019; 1–2 p.m. Tobacco Prevention and Control Efforts in Rural America: Current Local Health Department Successes and Challenges. The purpose of this webinar is to educate and increase knowledge on local health department successes and challenges of current rural tobacco prevention and control efforts throughout the United States along with providing examples on cessation methods, tobacco and opioid connections, and e-cigarette programs. Sponsored by the National Association of County & City Health Officials (NACCHO). https://eventsna10.adobeconnect.com/content/connect/c1/1053915029/en/events/event/shared/1096389343/event_landing.html?connect-session=na10breezwq6w2g4ma4b6ox4z&sco-id=1366829827&_charset_=utf-8

June 20, 2019; 12–1:30 p.m. Advancing the Community Health Worker Workforce through Law and Policy. Community health workers (CHWs) are key members of both health care teams and the public health workforce and, with their close understanding of the communities they serve, are uniquely suited to help address root causes of poor health. As the CHW workforce grows, continuously evolving state laws and policies have the potential to improve public understanding of the CHW role and facilitate sustainable financing for CHWs. Sponsored by the Network for Public Health Law. https://networkforphl.webex.com/mw3300/mywebex/default.donomenu=true&siteurl=networkforphl&service=6&rnd=

mrl-diamondWebsites and reports on trending topics*

Adult Vaccine Resources – Most adults are not aware they need vaccines, and it is critical that health care professionals routinely assess vaccinations status. Parents’ acceptance of their vaccines may translate to their acceptance for their children. From Centers for Disease Control and Prevention (CDC). http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTkwNTI4LjYzNDcxNTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNTI4LjYzN

Informing Early Childhood Health Policy - A cluster of articles in a Robert Wood Johnson Foundation supported issue of Health Affairs provides further evidence that food insecurity, housing instability, low income, and other factors influence early childhood development. https://www.rwjf.org/en/library/research/2019/05/informing-early-childhood-health-policy.html

Medical Care June 2019 - Leveraging Advances in Technology to Promote Health Equity – This supplemental issue of Medical Care explores the role of health information in advancing the science of health disparities. From the American Public Health Association (APHA). https://journals.lww.com/lww-medicalcare/toc/2019/06001

Medications for Opioid Use Disorder Save Lives - To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report from the National Academy of Sciences studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed. https://www.nap.edu/catalog/25310/medications-for-opioid-use-disorder-save-lives?utm_source=NASEM+News+and+Publications&utm_campaign=94be275a91-Final_Book_2019_05_17_25310&utm_medium=email&utm_term=0_96101de015-94be275a91-106835813&goal=0_96101de015-94be275a91-106835813&mc_cid=94be275a91&mc_eid=372dfada67

Public Health Confronts the Mosquito: Developing Sustainable State and Local Mosquito Control Programs - Mosquito control has historically been |and remains an important and basic public health function. Given the emergence of viruses such as dengue, chikungunya, and Zika in the United States and U.S. territories, the second edition of the Public Health Confronts the Mosquito report from The Association of State and Territorial Health Officials provides guidance to assist local, state, and territorial mosquito control programs in developing and maintaining an effective mosquito control infrastructure to meet the ongoing challenges surrounding vector-borne diseases. http://www.astho.org/ASTHOReports/Public-Health-Confronts-the-Mosquito/05-21-19/

Reproducibility and Replicability in Science – This report defines reproducibility and replicability and examines the factors that may lead to non-reproducibility and non-replicability in research. From National Academies Press. https://www.nap.edu/catalog/25303/reproducibility-and-replicability-in-science

School Nutrition and Meal Cost Study: Summary of Findings - This summary report from Mathematica Policy Research, Inc. presents key findings from a study on the SNAP school lunch and breakfast program, including findings related to program operations, the nutritional characteristics of school meals, plate waste in the school lunch program, dietary intakes of school lunch participants and nonparticipants, meal costs and school foodservice revenues, and relationships between nutritional characteristics of school lunches and other key outcomes. https://www.mathematica-mpr.com/our-publications-and-findings/publications/school-nutrition-and-meal-cost-study-summary-of-findings

mrl-diamondJournal articles of note*

Badeau A, Carman C, Newman M, Steenblik J, Carlson M, Madsen T. Emergency department visits for electric scooter-related injuries after introduction of an urban rental program. Am J Emerg Med. 2019 May 16. 
pii: S0735-6757(19)30297-9. doi: 10.1016/j.ajem.2019.05.003. [Epub ahead of print]

BACKGROUND: Providers in Salt Lake City emergency departments (EDs) anecdotally noted a significant number of electronic scooter (e-scooter)-related injuries since the launch of e-scooter rentals in the downtown area in June 2018. The aim of this study was to quantify and characterize these injuries.
METHODS: We reviewed the electronic medical records of the University of Utah ED and the Salt Lake Regional Medical Center ED. Using a broad keyword search for "scooter," we examined all notes for ED visits between June 15-November 15, 2017, and June 15-November 15, 2018, and identified e-scooter related injuries. The 2017 data pre-dated the launch of the e-scooter share programs in Salt Lake City and served as a control period.
RESULTS: We noted 8 scooter-related injuries in 2017 and 50 in 2018. Injury types from the 2018 period included: major head injury (8%); major musculoskeletal injury (36%); minor head injury (12%); minor musculoskeletal injury (34%); and superficial soft tissue injury (40%). 24% of patients presented via ambulance and 6% presented as a trauma activation. 16% of patients required hospital admission and 14% had an injury requiring operative repair. 16% reported alcohol intoxication and none of the patients reported wearing a helmet at the time of the injury.
CONCLUSION: Since the launch of e-scooter share programs in Salt Lake City, we have seen a substantial increase in e-scooter related trauma in our EDs. Of particular note is the number of patients with major head injuries and major musculoskeletal injuries.

Canfield MA, Langlois PH, Rutenberg GW, et al. The association between newborn screening analytes and childhood autism in a Texas Medicaid population, 2010-2012. Am J Med Genet B Neuropsychiatr Genet. 2019 Apr 24. doi: 10.1002/ajmg.b.32728. [Epub ahead of print]
Autism (or autism spectrum disorder [ASD]) is an often disabling childhood neurologic condition of mostly unknown cause. It is commonly diagnosed at 3 or 4 years of age. We explored whether there was an association of any analytes measured by newborn screening tests with a later diagnosis of ASD. A database was compiled of 3-5 year-old patients with any ASD diagnosis in the Texas Medicaid system in 2010-2012. Two controls (without any ASD diagnosis) were matched to each case by infant sex and birth year/month. All study subjects were linked to their 2007-2009 birth and newborn screening laboratory records, including values for 36 analytes or analyte ratios. We examined the association of analytes/ratios with a later diagnosis of ASD. Among 3,258 cases and 6,838 controls, seven analytes (e.g., 17-hydroxyprogesterone, acylcarnitines) were associated with a later ASD diagnosis. In this exploratory study, an ASD diagnosis was associated with 7 of 36 newborn screening analytes/ratios. These findings should be replicated in other population-based datasets.

Chow NA, Toda M, Pennington AF, et al. Hurricane-associated mold exposures among patients at risk for invasive mold infections after Hurricane Harvey - Houston, Texas, 2017. MMWR Morb Mortal Wkly Rep. 2019; 68(21):469-473. 
In August 2017, Hurricane Harvey caused unprecedented flooding and devastation to the Houston metropolitan area (1). Mold exposure was a serious concern because investigations after Hurricanes Katrina and Rita (2005) had documented extensive mold growth in flood-damaged homes (2,3). Because mold exposure can cause serious illnesses known as invasive mold infections (4,5), and immunosuppressed persons are at high risk for these infections (6,7), several federal agencies recommend that immunosuppressed persons avoid mold-contaminated sites (8,9). To assess the extent of exposure to mold and flood-damaged areas among persons at high risk for invasive mold infections after Hurricane Harvey, CDC and Texas health officials conducted a survey among 103 immunosuppressed residents in Houston. Approximately half of the participants (50) engaged in cleanup of mold and water-damaged areas; these activities included heavy cleanup (23), such as removing furniture or removing drywall, or light cleanup (27), such as wiping down walls or retrieving personal items. Among immunosuppressed persons who performed heavy cleanup, 43% reported wearing a respirator, as did 8% who performed light cleanup. One participant reported wearing all personal protective equipment (PPE) recommended for otherwise healthy persons (i.e., respirator, boots, goggles, and gloves). Immunosuppressed residents who are at high risk for invasive mold infections were exposed to mold and flood-damaged areas after Hurricane Harvey; recommendations from health care providers to avoid exposure to mold and flood-damaged areas could mitigate the risk to immunosuppressed persons.

Haidar A, Ranjit N, Archer N, Hoelscher DM. Parental and peer social support is associated with healthier physical activity behaviors in adolescents: a cross-sectional analysis of Texas School Physical Activity and Nutrition (TX SPAN) data. BMC Public Health. 2019; 19(1):640. 
BACKGROUND: Parental and peer support can influence children's physical activity; however, these associations have not been fully examined in a multi-ethnic population across early and late adolescence. The objective of this study was to examine associations between perceived parental/peer social support, perceived parental disapproval for not exercising, and physical activity/screen time behaviors among a multi-ethnic sample of adolescents.
METHODS: The Texas School Physical Activity and Nutrition (TX SPAN) survey is a cross-sectional statewide probability-based survey, used to assess obesity-related behaviors such as diet and physical activity. The SPAN 2009-2011 study measured 8th and 11th grade students using a self-report questionnaire with established psychometric properties, along with objectively measured height and weight. Associations were examined using multiple logistic and linear regression.
RESULTS: For every 1-point increase in parental physical activity support, adolescents had 1.14 higher odds of engaging in five or more days of moderate physical activity per week (p < 0.001), and 1.12 higher odds of engaging in three or more days of vigorous physical activity per week (p < 0.001). For every 1-point increase in peer physical activity support, adolescents had 1.17 higher odds of engaging in five or more days of moderate physical activity per week (p < 0.001), and 1.15 higher odds of engaging in three or more days of vigorous physical activity per week (p < 0.001).
CONCLUSIONS: Parental and peer social support is associated with positive physical activity behaviors in adolescents. Strategies to focus on parent and peer support should be integral to intervention programs designed to increase physical activity in adolescents in middle and high schools.

Philip C, Novick CG, Novick LF. Local transmission of Zika virus in Miami-Dade County: The Florida Department of Health rises to the challenge. J Public Health Manag Pract. 2019; 25(3):277-287. 
As early as 2015, Florida and Centers for Disease Control and Prevention (CDC) public health officials recognized the potential danger of Zika for US residents and visitors. The Zika virus, a mosquito-borne flavivirus, is transmitted through the bite of the Aedes aegypti mosquito. A physician in Miami-Dade notified the Florida Department of Health (DOH) of the first non-travel-related Zika case in the United States. A 23-year old pregnant woman had presented on July 7, 2016, at 23 weeks of gestation, with a 3-day history of fever, widespread pruritic rash, and sore throat. Three more cases, involving men, were reported in Dade and Broward counties. These notifications set into motion additional activities from the DOH's Zika Playbook: increased mosquito surveillance; collaboration with the CDC on recommendations for mosquito abatement techniques; and increased awareness of the risks of Zika. In August, the department reported that active transmission of Zika virus was occurring in one small area in Miami-Dade County known as Wynwood. Mosquito trapping in the area with local transmission identified large numbers of the Zika vector, Aedes aegypti females and a large number of mosquito larval sites. Control efforts included larviciding, eliminating standing water, and backpack and truck spraying of insecticides. A communication strategy was developed that addressed risk mitigation, public concerns over application of noxious pesticides, loss of tourist revenue, and reproductive issues. It was reported on December 28, 2016, that there had been 256 locally acquired cases of infection of Zika, 1,011 travel-related cases, and 208 pregnant women with laboratory evidence of Zika. At the end of 2018, 2 years after active Zika virus transmission was controlled in Florida, there have been 101 reported cases of Zika during 2018 but none have been linked to local transmission.

Shanahan L, Hill SN, Gaydosh LM, et al. Does despair really kill? a roadmap for an evidence-based answer. Am J Public Health. 2019; 109(6):854-858. 
Two seemingly associated demographic trends have generated considerable interest: income stagnation and rising premature mortality from suicides, drug poisoning, and alcoholic liver disease among US non-Hispanic Whites with low education. Economists interpret these population-level trends to indicate that despair induced by financial stressors is a shared pathway to these causes of death. Although we now have the catchy term "deaths of despair," we have yet to study its central empirical claim: that conceptually defined and empirically assessed "despair" is indeed a common pathway to several causes of death. At the level of the person, despair consists of cognitive, emotional, behavioral, and biological domains. Despair can also permeate social relationships, networks, institutions, and communities. Extant longitudinal data sets feature repeated measures of despair-before, during, and after the Great Recession-offering resources to test the role that despair induced by economic decline plays in premature morbidity and mortality. Such tests must also focus on protective factors that could shield individuals. Deaths of despair is more than a phrase; it constitutes a hypothesis that deserves conceptual mapping and empirical study with longitudinal, multilevel data.

Xu Y, Ho V. Freestanding emergency departments in Texas do not alleviate congestion in hospital-based emergency departments. Am J Emerg Med. 2019 May 8. pii: S0735-6757(19)30331-6. doi: 10.1016/j.ajem.2019.05.020. [Epub ahead of print]
OBJECTIVES: Ever since the passage of the Texas Freestanding Emergency Medical Care Facility Licensing Act in 2009, freestanding Emergency Departments (FrEDs) have spread throughout Texas. This study aims to determine whether the entry of FrEDs has been associated with less congestion in hospital-based EDs.
METHODS: The dependent variables of interest were hospital-based ED annual visit volume, median wait time, length of visit for discharged patients and the percent of patients who left without being seen (LWBS). The explanatory variables of interest were the numbers of FrEDs within the same local market of each hospital-based ED, and an indicator variable for whether the hospital owned satellite FrEDs in outlying areas.
RESULTS: Hospital ED visits, wait times, length of visit for discharged patients, and LWBS rates were not associated with the number of competitor FrEDs in the local market. Hospitals that opened satellite FrEDs had significantly higher visit volume in general, but did not experience shorter wait times, length of visit or LWBS rates if located in large metropolitan areas.
CONCLUSIONS: The entry of FrEDs did not help relieve congestion in nearby hospitals in major metropolitan areas in Texas. By offering more treatment options to patients, FrEDs are associated with increased usage of emergency services.

mrl-diamondNew books at the MRL*

1. Accessible America: A History of Disability and Design by Bess Williamson.
2. The Best Boring Book Ever of Tableau for Healthcare by Daniel Benevento.
3. Cody's Data Cleaning Techniques Using SAS by Ronald P. Cody.
4. Difficult Conversations: How to Discuss What Matters Most by Douglas Stone.
5. Dopesick: Dealers, Doctors, and the Drug Company That Addicted America by Beth Macy.
6. Influenza: The Hundred Year Hunt to Cure the Deadliest Disease in History by Jeremy Brown.
7. Insane Consequences: How the Mental Health Industry Fails the Mentally Ill by D.J. Jaffe.
8. No One Understands You and What to Do About It by Heidi Grant Halvorson. 
9. Practical Tableau: 100 Tips, Tutorials, and Strategies from a Tableau Zen Master by Ryan Sleeper.
10. When: The Scientific Secrets of Perfect Timing by Daniel H. Pink.

*Employees may email the Medical and Research Library at library@dshs.texas.gov, call 512-776-7559, or visit Moreton Building, 1100 W. 49th St., Room M-652, Austin, TX, 78756 to borrow library materials, receive research assistance, learn to access electronic materials, 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.

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Last updated August 5, 2019