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"Su vida, su salud/your life, your health" is a community outreach program designed to increase participation in breast and cervical cancer screening among Mexican American women in Corpus Christi and […]

The primary focus of the 2013 Texas Health Perception Survey was to assess the knowledge, attitudes, and perceptions about obesity prevention and control measures of legislators from the 83rd Texas legislative session. The purpose of this manuscript is to present insights gained in surveying and interviewing Texas politicians. Initial steps in conducting the survey included formation of an Advisory Committee to guide the process, development of a survey instrument, and organizing a list of legislators and appropriate staff. Hard copy and online versions of the survey were developed. Administration of the survey required initial and follow-up visits and contact via email, phone, and in person. Lessons learned included methods to work effectively with partners as well as techniques to survey and interview legislators and their aides. Policy research work gives researchers, practitioners, and advocates opportunities to tailor future communications, refi ne and advance a childhood obesity policy agenda, and galvanize existing partnerships. [ABSTRACT FROM AUTHOR]

Few controlled evaluations of Safe Routes to School (SRTS) initiatives have been conducted. The Texas Childhood Obesity Prevention Policy Evaluation (T-COPPE) study included three conditions: schools awarded infrastructure (I) projects (n = 23), schools awarded noninfrastructure (NI) projects (n = 21), and matched comparison (C) schools (n = 34). Fourth-grade children completed tallies to determine transport to/from schools. Serial cross-sectional surveys were collected from students and parents at baseline (2009) and follow-up (2012). Data were analyzed using mixed linear regression and growth curve models. Morning percent active commuting to school (ACS) in I and NI schools were higher than C schools (p = .024, p = .013, respectively). Afternoon percent ACS in NI schools decreased more over time compared with C schools (p = .009). I and NI school students had higher ACS self-efficacy; similar results were noted for parents in I schools. Policies that provide cost-reimbursement funding for SRTS achieve modest short-term ACS outcomes, with few differences between types of funding allocations. [ABSTRACT FROM AUTHOR]

In an effort to understand factors influencing the implementation and outcomes of the Safe Routes to School (SRTS) program in Texas, interviews were conducted in 2014 with 34 community- and state-level stakeholders involved in the 2007 SRTS grant program. Participants were asked a series of multiple-choice and open-ended questions about SRTS program planning, implementation, and sustainability. Transcribed responses were organized and grouped according to thematic elements using standard qualitative methods. Results indicate the SRTS program was perceived as beneficial by providing funds for both infrastructure and education projects. Although most community representatives reported accomplishments toward planned goals (improved infrastructure and perceived increase in active commuting), many had significant challenges including lack of communication and up-front funding, and difficulty navigating the regulatory process. Future SRTS programs should be structured to be more compatible with community-based needs and limitations, provide adequate underlying infrastructure and resources, and include at least partial funding up-front. [ABSTRACT FROM AUTHOR]

: BackgroundFemoral artery pseudyoaneurysms are a common complication after femoral access for transcatheter procedures, frequently requiring operative repair. We review the safety and efficacy of a novel nonsurgical method of pseudoaneurysm treatment.: MethodsFrom June 1998 to November 2001, a total of 47 femoral artery pseudoaneurysms in 46 patients were treated by bedside ultrasound-guided injection of dilute topical thrombin. All pseudoaneurysms occurred after femoral access for transcatheter procedures, and were diagnosed clinically and confirmed with ultrasound imaging. Clinical follow-up was performed and included ultrasound (2 hours to 1 month) in 64.4% of patients, including any patient with a symptomatic or clinical change.: ResultsPseudoaneurysms ranged in size from 1.5 to 4.5 cm. Of 47 pseudoaneurysms, 45 were successfully obliterated on the initial injection. After successful obliteration of pseudoaneurysm, 1 patient sustained thrombosis of the tibioperoneal trunk that required surgical embolectomy, yielding a complication rate of 2%. Four pseudoaneurysms recurred after initially successful obliteration. In 1 of these cases, the patient was taken directly to surgery, and 3 were successfully treated with repeat injection, for an overall success rate of 93.6%.: ConclusionsObliteration of femoral artery pseudoaneurysm by injection is safe and effective, and may be associated with decreased morbidity. Recurrent pseudoaneurysms may be safely reinjected, with a high success rate. [Copyright &y& Elsevier]

A letter to the editor is presented in response to the article "Dissolving Clique Behavior," by Sandra A. Barton and colleagues.

Background: Imagine yourself in Texas as a newly arrived immigrant who does not speak English. What would you do if your child became ill? How would you find a doctor? When you find one, will the doctor speak your native language or understand your culture? In a state of approximately 22 million people, many Texas residents, marginalized by poverty and cultural traditions, find themselves in this situation. To help them, some communities across Texas offer the services of promotores, or community health workers, who provide health education and assist with navigating the health care system., Context: In 1999, Texas became the first state in the nation to recognize these workers and their contributions to keeping Texans healthy. This paper examines a state health promotion policy that culminated in a training and certification program for promotores and the impact of this program on the lay health education workforce in Texas., Methods: In 1999, the Texas legislature established the 15-member Promotor(a) Program Development Committee to study issues involved in developing a statewide training and certification program. During its 2-year term, the committee met all six of its objectives toward establishing and maintaining a promotor(a) certification program., Consequences: By the end of December 2005, it is estimated that there will be more than 700 certified promotores in Texas. State certification brings community health workers into the public health mainstream as never before., Interpretation: Promotores, a community health safety net and a natural extension of the health and human services agencies, improve health at the neighborhood level. Certification brings renewed commitment to serving others and a distinction to those who have been the unsung heroes of public health for decades.