Youth

“Tekkies” trained by Library Staff on Reliable Health Information

The National Network of Libraries of Medicine, South Central Region awarded a subcontract to the The Edgewood Family Network (EFN) in San Antonio for their project, TECNO: Technology-Enhanced Community Neighborhood Organization. The project plans to foster access to electronic consumer health information among families in EFN’s service area by relying an existing group of youth, the “Tekkies”. This project is allowing EFN to build on its previous success at addressing health concerns within a community that the San Antonio Metropolitan Health District has identified as a high-priority area.

Julie assisting a "Tekkie" with MedlinePlus

Julie assisting a "Tekkie" with MedlinePlus

On Monday, June 8, the library staff met with six members of the “Tekkie” team along with the program coordinator. Julie K. Gaines taught them how to used MedlinePlus, MedlinePlus en Espanol, and Go Local. The “Tekkies” will use these resources when they go into homes of local residents to promote reliable health information. Along with these resources, Julie identified the critieria for evaluating health information on the web, which will help the “Tekkies” when recommending reliable sites for the local residents.

The “Tekkies” will visit the library again in July for a session on health careers and other health resources for their project.

21st Annual San Fernando Health & Safety Fair

The weather was beautiful but an early morning fire in downtown San Antonio caused a delay and some relocation of exhibit tables at the 21st Annual San Fernando Health & Safety Fair. The UT Health Science Center Briscoe library has exhibited at this fair for many years and this year was no exception. In spite of difficult circumstances due to smoke and emergency equipment, over 100 fair attendees visited the library exhibit table to learn about the health information resources provided through the National Institutes of Health (NIH) and the National Library of Medicine (NLM). Fair attendees learned how to look up medications and medical conditions on MedlinePlus® and many children were introduced to ToxMystery.

A Pregnant Pause: Reflections on Teen Pregnancy in Our Community

For the second year in a row, the Annie E Casey Foundation’s KIDS COUNT report for 2007 found that Texas had the highest rate of teen pregnancy among the fifty states. Texas Public Radio News just completed a three-part series looking at aspects of the issue, entitled “A Pregnant Pause: Reflections on Teen Pregnancy in Our Community.”

AHEC/Library Internship at UT Health Science Center

The South Central Area Health Education Center (AHEC) and the UT Health Science Center Libraries are offering an unpaid internship for an undergraduate student interested in a possible career in medical librarianship.

The goal of this collaboration is to increase the number of students in South Texas who pursue health sciences librarianship as a career path.

The first internship will be conducted as a pilot at the UT Health Science Center Libraries in San Antonio, including the Briscoe Library and the Downtown Library. Depending on the results of an evaluation of the 2008 internship, subsequent internships may be planned for the Ramirez Library at the Regional Academic Health Center in Harlingen in 2009 and for the Laredo Campus Extension Library in 2010.

The internship will engage the student in activities that will introduce him or her to a broad range of responsibilities within a medical library environment, with a focus on community engagement. The evaluation of the pilot internship in 2008 will rely on a brief report written by the intern, feedback from library staff overseeing the intern, and input from the South Central AHEC.

Specific Activities:

  • Gain experience with the MedlinePlus Go Local database of health service providers in South Texas. Responsibilities will include updating records and assisting with a mailing to each service provider.
  • Enhance consumer health information available at libraries. Assist in the review of the libraries’ consumer health collections, focusing on books and brochures/pamphlets.
  • Assist with trainings for community partners. Training events will likely focus on staff at public libraries, children attending summer camps organized by community-based organizations and/or community health workers/promotoras.
  • Provide support for service at the libraries’ circulation and reference desks.

Hours:

8:00-5:00 Monday ” Friday, with a one-hour lunch break each day

Supervision and Mentoring:

The intern will be supervised the Director for South Texas Regional Information Services, with supervision and mentoring also provided through (4) biweekly meetings with the Associate Director for Public Services and (2) monthly meetings with the Executive Director of Libraries.

Application Requirements:

Applications should be sent to Dr. Keith Cogdill (cogdillk@uthscsa.edu) by Friday, June 27, and should include:

  • Cover letter explaining interest in learning more about medical librarianship
  • Resume
  • Names and contact information for 3 references

Best health information sites for English-language learners

Larry Ferlazzo is a former community organizer who now teaches English to both new and native speakers at a high school in Sacramento, California. He also publishes a tremendous guide to online teaching resources for English teachers and learners, and his blog, Larry Ferlazzo’s Websites of the Day, has consistently great links to new online resources to support teaching and learning — especially learning English.

About a month ago, he published a blog post with a fantastic list of “The Best Health Sites For English Language Learners”, in which he picks the top 12 sites that best bring together health information literacy with potential English language development. His recommendations are excellent, from EnglishMed‘s animated exercises for medical professionals learning workplace English, all the way up to MedinePlus’s Interactive Health Tutorials. Along the way, he recommends three different sites focused on oral health, one for kids’ health, and much more. Commenters to the post have added some other suggestions as well.

Thanks to Siobhan for this helpful link!

Children’s Health Fair at Laredo Public Library

This Saturday, July 19, Laredo Public Library is hosting a children’s health fair from 1:00 to 5:00. The event is sponsored by the National Network of Libraries of Medicine, South Central Region. The UT HSC Libraries will be present to demonstrate MedlinePlus.gov and other resources. The PBS character “Piggley Winks” will also be making a special appearance, courtesy of KLRN.

EpiLink on Stress Among Latino Adolescents

The Texas Department of Health published the semimonthly Disease Prevention News for many years, but publication stopped abruptly back in 2003 in the middle of Volume 63. Under the auspices of the new Texas Department of State Health Services’ Infectious Disease Control Unit (ICDU), publication resumed with Volume 64 Issue 1 in January 2007 and continuing on a roughly monthly publication schedule with a new name: EpiLink Online Bulletin.

An article from the November issue of EpiLink has received some attention in the Spanish-language press after coverage by the Mexican news agency Notimex. The paper in question, “Current perspectives on stress among Latino adolescents” [PDF full text] was prepared by Richard C Cervantes and colleagues for the Annual Conference of the National Hispanic Network on Drug Abuse which took place in September. The paper is a review of research into the stressful living conditions that disproportionately affect Latino youth — including poverty, lack of health insurance, high school drop-out rates, increasing health problems (e.g., obesity), high teenage pregnancy rates, sexually transmitted diseases, increasing rates of HIV infections, substance abuse, and violence — and the present and future effects of that increasing stress on the health of an entire generation of Latinos.

According to the United States Department of Health and Human Services (DHHS) (Freid et al., 2003), … the highest rates of suicide consideration (26.5%) were for female Latinas. Latino and Latina youth from 9th to 12th grade overall had higher rates of attempted suicide than any other group; the male students were at 8.0% while, again, the female Latina rates (15.9%) were much higher. In an older survey, injurious suicide attempt rates were higher for Latina females 4.2%, followed by Latino males (2.5%), and then African Americans (DHHS, 1990). A study conducted by Rew et al. (2001) revealed that Latina adolescents had the highest rate of suicide attempts compared to other ethnic-gender groups. In addition, Latinas in the study also had relatively high reports of sexual abuse and suicide attempts by family members and friends. Latinas also have alarmingly higher rates of depression (27%). Latinas were the second highest ethnic group to report depressive symptoms. Acculturation stress due to conflictive gender roles in adolescent Latinas is believed to be the driving force of their higher rates of stress, depression and suicidality (National Coalition of Hispanic Health and Human Services Organization, 1999).

Although the reference list for the review article is impressive and very helpful, it also lays out a compelling case for a more comprehensive research agenda for studying issues such as intergenerational differences in acculturation and their effect on intrafamilial stress, differences between the mental and physical health of “acculturated” vs. “bicultural” Latino adolescents, and the relationship of gender differences in Latino adolescents to stressors, coping skills, resiliency, and mental and physical health.

Here’s an example of the Notimex coverage in Spanish: “Adolescentes hispanos afectados por el estrésfrom MetroLatinoUSA, 2007-11-21; and here’s a blog post that reprints English-language coverage of the report from the 2007-11-09 issue of the Rio Grande Guardian (unfortunately, the original article does not appear on the Guardian‘s site now).

February 2012: National Children’s Dental Health Month

In 2002, the Urban Institute reported that one of the most prevalent chronic illnesses facing children in the United States today is tooth decay. It is astounding that oral health problems persist among children in spite the fact that tooth decay is largely preventable through regular dental cleanings and checkups. Still, 24 percent of children ages 5 to 17 account for 80 percent of the tooth decay disease in permanent teeth among this age group. Socioeconomic disparities are blamed for these oral health burdens and low-income children are disproportionately affected. Inadequate access to dental care can be cited as the problem. Please read the report: http://www.urban.org/publications/309527.html

It is with this problem in mind that the Texas Health and Human Services Commission (HHSC) offers Children’s Health Insurance Program (CHIP) Dental Services though a managed care model. Beginning March 1, 2012, HHSC will expand managed care dental services to include Medicaid. The goal of this expansion is to provide quality, comprehensive dental services to eligible recipients. HHSC will select two or more dental contractors to provide services to both Medicaid and CHIP Members. Please read the report:
http://www.hhsc.state.tx.us/medicaid/MMC/TMHP_article_0611.pdf

It is good to remember also, that we can help protect our children’s teeth and diminish the growth of caries with various applications of dental sealants and with topical and systemic fluoride, but most importantly, a sound education and a good oral hygiene program will go a long way to help maintain healthy teeth and gums for a long, long time.

“Something Fun” from the American Dental Association in honor of National Children’s Dental Health Month:

http://www.ada.org/sections/publicResources/pdfs/2012NCDHM_ActivitySheets_English_FULL.pdf

Football and C-Spine Injuries

In the wake of the extremely serious cervical spine injury sustained by Buffalo Bills tight end Kevin Everett in a game against the Denver Broncos earlier this month, coaches and trainers are reinforcing their emphasis on techniques to reduce head & neck injuries in football. Here in South Texas, where football is a way of life beginning at a very young age, health information professionals can help by providing players, coaches, trainers and parents with current and authoritative materials on the risks and the best practices for preventing injury. Here are some suggestions:

Please add additional resource suggestions in the comments section.

Gaining Costs, Losing Time: The Obesity Crisis in Texas

A newly released report authored by Susan Combs, Texas Comptroller of Public Accounts, details the financial impact of obesity on the Texas state economy. As an example, increases in health insurance expenditures due to obesity adversely affect the ability of businesses to keep up with rising costs. This report is an update to the Comptroller’s 2007 report Counting Costs and Calories: Measuring the cost of Obesity to Texas Employers.  As a state, Texas has a significantly higher rate of obesity than the national average. The report notes that, “20.4 percent of Texas children aged 10-17 are obese, compared to 16.4 percent of U.S. children.” Texas, however, has taken a national lead in setting nutritional standards for school lunches. One of the many recommendations of the report focused on children is to “Encourage schools to make facilities available before and after school for use by the school community and community-based organizations for intramural physical activity programs.”

Some additional report findings:

  • 66.7 percent of adult Texans are overweight or obese, up from 64.1 percent in 2005.
  • Left unchecked, obesity could cost employers $32.5 billion annually by 2030.
  • Obesity-related costs also contribute to rising health care and insurance costs that have forced some Texas employers to reduce insurance coverage.
  • Obesity has risen even faster in children than adults.
  • Obesity rates have risen for all age groups, but the older you are; the more likely you are to be obese.
  • Type 2 diabetes is the chronic disease most commonly associated with obesity. Studies indicate that 27 percent of all cases of type 2 diabetes can be attributed to a weight gain of 11 or more pounds after the age of 18.