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Medical and Research Library News - July 2021

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Training opportunities
Websites and reports on trending topics
Journal articles of note

July 2021           

Training opportunities

July 7, 2021; 11 a.m.-12:30 p.m. DSHS Grand Rounds - Perinatal mood disorders: Diagnosis, treatment & referral. This presentation will focus on the diagnosis and treatment of common perinatal mood disorders. This will include prevention, non-pharmacological interventions and pharmacological interventions, including medications safe during pregnancy and lactation. The presentation will include information about prescribing medications for perinatal mood disorders by primary care providers and obstetricians, and appropriate referrals. https://register.gotowebinar.com/register/6789812371714080783

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.

July 8, 2021; 12-1 p.m. Tobacco exposure and children’s health: Identifying critical windows and joint effects. Tobacco exposure is detrimental to early-life growth and the developing brain. Few epidemiological studies have examined prenatal and postnatal exposures within the same study. Therefore, the most susceptible developmental periods are unknown. Early-life nutrition and other environmental factors may further alter risk, but the potential effect-modifying role of these factors has yet to be explored. This webinar from the Michael & Susan Dell Center for Healthy Living will present current and ongoing evidence addressing these important gaps in knowledge. https://register.gotowebinar.com/register/8430976412815396366

July 12, 2021; 1-2 p.m. Designing HIV systems for the margins. This webinar will provide an opportunity to learn about approaches and promising practices for addressing disparities in HIV care. It will feature a presentation about a model, “Design for the Margins,” for designing HIV systems through a health equity lens. It will also feature presentations about efforts to apply principles from this model in HIV programs to reach populations that are currently out of care. Hosted by The Association of State and Territorial Health Officials (ASTHO). https://netforumpro.com/eWeb/DynamicPage.aspx?Site=ASTHO&WebCode=EventDetail&evt_key=59a96ae9-856f-42c0-bfd1-2211cf9831c8

July 14, 2021; 10-11 a.m. Intimate partner violence and maternal access to care. The Health Resources and Services Administration’s (HRSA), Office of Regional Operations (ORO) in Regions 5, 6, and 7 invite you to a webinar on Intimate Partner Violence and Maternal Access to Care. This webinar is part of ORO Regions 5, 6, and 7’s Maternal Health Webinar Series. The series’ goal is to highlight innovations and promising practices as well as resources to promote and further maternal health and well-being across the lifespan. https://hrsa-gov.zoomgov.com/webinar/register/WN_iI14-EDDR_OAEqSxo__QwQ

July 15, 2021; 11 a.m.-12 p.m. Intelligent detection and diagnosis of rare diseases: A case for AI. There is much confusion around the theory and definition of artificial intelligence (AI) and how it can be best applied to advance society’s goals, particularly in the area of biomedical research. As part of our ongoing series on rare diseases, this webinar will attempt to explain the foundational concepts of AI and explore how it is being applied to help identify, diagnose, and test for complex disorders, including rare diseases, in global populations. Detection of rare disease is uniquely amenable to analysis using AI, in part because the symptoms and laboratory tests can provide a disease-specific “signature” that software can be trained to recognize. But essential to these efforts is the collection and storage of accurate and reliable data in accessible databases. Experts will discuss how such data can be gathered and analyzed, including the application of technologies such as AI to comb through thousands of medical records to detect both known and new rare diseases. Presented by the American Association for the Advancement of Science. https://view6.workcast.net/register?cpak=5525339871668003

July 29, 2021; 1–2 p.m. Reducing health disparities by addressing integrated behavioral health in a maternal child health care setting. COVID has exposed and exacerbated behavioral health disparities experienced by minority and vulnerable populations, including pregnant and post-partum women, their children, and families. This webinar explores the intersection of COVID, health disparities, and integrated behavioral health care within a maternal child health context. Presented by  The Bureau of Primary Health Care (BPHC) Behavioral Health (BH) Technical Assistance (TA). https://zoom.us/webinar/register/WN_smCvIfV5RP2qz5awjlYZrA

Websites and reports on trending topics

ERIC – The ERIC (Education Resources Information Center) database is sponsored by the U.S. Department of Education to provide extensive access to educational-related literature. ERIC provides coverage of journal articles, conferences, meetings, government documents, theses, reports, audiovisual media, and monographs. https://eric.ed.gov/

Exploring the role of critical health literacy in addressing the social determinants of health - The Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine held a virtual public workshop on January 27, 2021 on the role of critical health literacy in addressing the social determinants of health (SDOH), particularly among vulnerable populations. The SDOH are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. https://www.nap.edu/catalog/26214/exploring-the-role-of-critical-health-literacy-in-addressing-the-social-determinants-of-health

Filling the gap in states that have not expanded Medicaid eligibility – This issue brief from the Commonwealth Fund presents three proposed alternatives to expanding Medicaid in nonexpansion states that involve expanding eligibility for marketplace premium tax credits. https://www.commonwealthfund.org/publications/issue-briefs/2021/jun/filling-gap-states-not-expanded-medicaid

JHPPL special section on subnational COVID-19 politics and policy - This special section of the Journal of Health Politics, Policy and Law (JHPPL) emerged as a response to a call for rigorous empirical analyses related to the politics of the COVID-19 pandemic, both in the United States and from international and comparative perspectives. Contributors use subnational comparative analysis to examine policymaking, implementation, and outcomes where it actually happens: at the local level, in subnational states, or regions. The articles in this special section are available free through August. https://read.dukeupress.edu/jhppl/pages/covid-19

Journal articles of note

Ginther DK, Zambrana C. Association of mask mandates and COVID-19 case rates, hospitalizations, and deaths in Kansas. JAMA Netw Open. 2021;4(6):e2114514. Published 2021 Jun 1. doi:10.1001/jamanetworkopen.2021.14514
This case-control study examines the association between counties that adopted state mask mandates in Kansas with COVID-19 cases, hospitalizations, and deaths.

Hines E, Reid CE. Hospital preparedness, mitigation, and response to Hurricane Harvey in Harris County, Texas [published online ahead of print, 2021 Jun 28]. Disaster Med Public Health Prep. 2021;1-7. doi:10.1017/dmp.2021.146
Objective: This case study documents Harris County hospitals' flood preparedness and mitigation efforts before Hurricane Harvey, their collective response experience during Hurricane Harvey, and their lessons learned in the storm's aftermath.
Methods: The case study was constructed using a survey of hospital emergency managers, semi-structured interviews with local agencies involved in public health, emergency management, and health care, and an analysis of news reports and other documents from a variety of government agencies, local organizations, and hospitals themselves.
Results: Harris County hospitals learned their most valuable lessons through their direct and repeated experience with flooding over the years, leading to improved preparedness before Hurricane Harvey. Hospital emergency response successes included infrastructure improvements, staff resilience, advanced planning, and pre-established collaboration. However, hospitals still experienced challenges with staff burnout, roadway flooding, and patient evacuation.
Conclusions: Although the current state of hospital flood preparedness and mitigation is rather advanced and mature, it is advisable that Harris County takes steps to strengthen emergency management efforts in hospitals with fewer financial and staffing resources and less direct flood experience.

Miranda ML, Callender R, Canales JM, et al. The Texas flood registry: a flexible tool for environmental and public health practitioners and researchers [published online ahead of print, 2021 Jun 26]. J Expo Sci Environ Epidemiol. 2021;1-9. doi:10.1038/s41370-021-00347-z
Background: Making landfall in Rockport, Texas in August 2017, Hurricane Harvey resulted in unprecedented flooding, displacing tens of thousands of people, and creating environmental hazards and exposures for many more.
Objective: We describe a collaborative project to establish the Texas Flood Registry to track the health and housing impacts of major flooding events.
Methods: Those who enroll in the registry answer retrospective questions regarding the impact of storms on their health and housing status. We recruit both those who did and did not flood during storm events to enable key comparisons. We leverage partnerships with multiple local health departments, community groups, and media outlets to recruit broadly. We performed a preliminary analysis using multivariable logistic regression and a binomial Bayesian conditional autoregressive (CAR) spatial model.
Results: We find that those whose homes flooded, or who came into direct skin contact with flood water, are more likely to experience a series of self-reported health effects. Median household income is inversely related to adverse health effects, and spatial analysis provides important insights within the modeling approach.
Significance: Global climate change is likely to increase the number and intensity of rainfall events, resulting in additional health burdens. Population-level data on the health and housing impacts of major flooding events is imperative in preparing for our planet's future.

Rositch AF, Levinson K, Suneja G, et al. Epidemiology of cervical adenocarcinoma and squamous cell carcinoma among women living with HIV compared to the general population in the United States [published online ahead of print, 2021 Jun 18]. Clin Infect Dis. 2021. doi:10.1093/cid/ciab561
Objectives: Cervical cancer risk overall is elevated among women living with HIV (WLH). However, it is unclear whether risks of cervical cancer are similarly elevated across histologic subtypes.
Methods: Data were utilized from the HIV/AIDS Cancer Match Study, a linkage of 12 US HIV and cancer registries during 1996-2016. Cervical cancers were categorized as adenocarcinoma (AC), squamous cell carcinoma (SCC) or other histologic type. Standardized incidence ratios were estimated to compare rates of AC and SCC in WLH compared to the general population. For WLH, risk factors for AC and SCC were evaluated using Poisson regression. All-cause 5-year survival was estimated by HIV status and histology.
Results: Overall, 62,615 cervical cancers were identified, including 609 in WLH. Compared to the general population, incidence of AC was 1.47-times higher (95%CI: 1.03-2.05) and incidence of SCC was 3.62-times higher among WLH (95%CI: 3.31-3.94). Among WLH, there was no difference in AC rates by race/ethnicity or HIV transmission group, although SCC rates were lower among White women (vs. Black, adjusted rate ratio (aRR)=0.53; 95%CI: 0.38-0.73) and higher among women who inject drugs (vs. heterosexual transmission; aRR=1.44; 95%CI: 1.17-1.78). Among WLH, 5-year overall survival was similar for AC (46.2%) and SCC (43.8%), but notably lower than women without HIV.
Conclusions: Among WLH, AC rates were modestly elevated whereas SCC rates were greatly elevated compared to the general population. These findings suggest that there may be differences in the impact of immunosuppression and HIV status in the development of AC compared to SCC, given their common etiology in HPV infection.

Sanchez R, Ranjit N, Kelder SH, Gill M, Hoelscher DM. Intention to lose weight and use of electronic cigarettes among adolescents. Prev Med Rep. 2021;23:101406. Published 2021 May 18.mdoi:10.1016/j.pmedr.2021.101406
Electronic cigarette use among American adolescents is a major public health concern given the negative health consequences of nicotine in youth. Recent literature has shown that weight control may be one motivation for use in this population. This study examined associations between intention to lose weight and e-cigarette use among adolescents having overweight or obesity from an ethnically diverse sample of Texas youth by gender. We performed a cross-sectional analysis of a state representative sample of 9056 eighth and eleventh grade students from the 2015-2016 Texas School Physical Activity and Nutrition (Texas SPAN) study. Validated survey items assessed weight intentions and e-cigarette use. Staff collected anthropometric measures. Logistic regression analysis was conducted to assess the relationship between e-cigarette use and weight intentions with gender interaction, adjusting for grade, race/ethnicity, economic status, weight-behaviors and stratified by BMI class. More than half (50.9%) of the weighted sample were Hispanic and 12.5% were Non-Hispanic Black; 8.5% used e-cigarettes; and 50.0% intended to lose weight. Of the 40.2% of the sample having overweight or obesity, 82.9% intended to lose weight. Among respondents with obesity, use of e-cigarettes was significantly higher among males intending to lose weight than among females intending to lose weight (12% versus 6%, p = 0.007). These findings contrast with previous research suggesting that e-cigarette use in females is more likely to be motivated by an intent to lose weight. The ethnic diversity of the Texas SPAN population may explain this discrepancy.

For more information, employees may email the Medical and Research Library at library@dshs.texas.gov or call 512-776-7559 to receive other research assistance, learn how to access electronic materials, or to obtain the full-text of articles mentioned in this month's news.

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Last updated September 7, 2021