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Rural Health
Resources by State: Iowa

Late Life Domestic Violence: No Such Thing as "Maturing Out" of Elder Abuse
Focuses on elder abuse, with information on prevalence, screening, costs, and legal issues. Also features work being done in indigenous populations to address elder abuse.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Working Together: A Guide to Collaboration in Rural Revitalization
Discusses three critical components for developing an effective rural revitalization collaboration among stakeholders working toward a shared goal - coming together, staying together, and growing together. Offers examples demonstrating their utility in practice.
Author(s): Ann Savage, Sara Brune, Meredith Hovis, et al.
Date: 09/2018
Type: Document
Sponsoring organization: North Carolina State Cooperative Extension
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Pesticide Use and Incident Hypothyroidism in Pesticide Applicators in the Agricultural Health Study
Highlights a study of self-reported hypothyroidism in pesticide applicators in North Carolina and Iowa. Data is drawn from the Agricultural Health Study and is broken down by age, gender, and state of residence, among other factors.
Author(s): Srishti Shrestha, Christine G. Parks, Whitney S. Goldner, et al.
Citation: Environmental Health Perspectives, 126(9)
Date: 09/2018
Type: Document
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Intergenerational Continuity in Adverse Childhood Experiences and Rural Community Environments
Reports on a study of two-parent families with children in rural Iowa to determine the effect of community environment on intergenerational continuity in adverse childhood experiences (ACEs). Measures of community environment including socioeconomic status, social cohesion, perception of community services, and alcohol vendor density were correlated with ACEs to analyze their significance in helping families break the cycle and reduce or prevent childhood adversity.
Author(s): Thomas J. Schofield, M. Brent Donnellan, Melissa T. Merrick, et al.
Citation: American Journal of Public Health, 108(9), 1148–1152
Date: 09/2018
Type: Document
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Implementing Team Huddles in Small Rural Hospitals: How Does the Kotter Model of Change Apply?
Discusses how the Kotter model of change and team huddles were implemented through the TeamSTEPPS program at 8 Critical Access Hospitals in Iowa. Describes how team huddles can promote patient safety. Examines different implementation strategies, the scope of implementation, and other factors that supported or hindered the performance of teams executing the Kotter model of change.
Author(s): Jure Baloh, Xi Zhu, Marcia M. Ward
Citation: Journal of Nursing Management, 26(5), 571-578
Date: 07/2018
Type: Document
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Active Ottumwa: Adapting Evidence-Based Recommendations to Promote Physical Activity in a Micropolitan New Destination Community
Reports on the development of an evidence-based community-wide intervention promoting physical activity in Ottumwa, Iowa, a micropolitan community of nearly 25,000 people. This program, Active Ottumwa, utilizes lay health advisors and incorporates behavioral and social intervention approaches to improve health. Evaluation procedures for this study include a community survey, longitudinal cohort assessment, observational data, interviews, and project records.
Author(s): Barbara Baquero, Christine M. Kava, Sato Ashida, et al.
Citation: International Journal of Environmental Research and Public Health, 15(5), 917
Date: 05/2018
Type: Document
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Relationships and Partnerships: How ACOs Are Improving Treatments for Super-Utilizers
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Task-Based Analysis of Black Carbon Exposure in Iowa Farmers During Harvest
Reports on a study that measures black carbon concentrations as an indicator for diesel exhaust exposure in farmers over a 20-day period during the harvest season in southeast Iowa. Identifies the frequency and levels of exposure to black carbon associated with diesel-related activities and determines if these levels are above concentrations found in urban environments.
Author(s): Emma M. Stapleton, Patrick T. O'Shaughnessy, Sarah J. Locke, et al.
Citation: Journal of Occupational and Environmental Hygiene, 15(4), 293–304
Date: 04/2018
Type: Document
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Industrial Hog Farming Is Associated with Altered Circulating Immunological Markers
Highlights a study of immunological changes among hog farmers. Draws data from the Agricultural Health Study. Breaks down data by race, education, and body mass index, among other measures.
Author(s): Jonathan N. Hofmann, Meredith S. Shiels, Melissa C. Friesen, et al.
Citation: Occupational and Environmental Medicine, 75(3), 212-217
Date: 03/2018
Type: Document
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Occupational Pesticide Exposure and Subclinical Hypothyroidism among Male Pesticide Applicators
Details a study on thyroid dysfunction in licensed pesticide applicators. Draws data from the Agricultural Health Study. Looks at other health factors such as obesity, tobacco use, and alcohol consumption, as well as other demographic factors.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Occupational and Environmental Medicine, 75(2), 79-89
Date: 02/2018
Type: Document
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