- Email: [email protected]
Films
Edited by S.A. Berkowitz, Reviews Editor Reports, audiovisuals, and other resources that nutrition professionals may use for reference or continuing education are designated "professional." Curricula, audiovisuals, and other materials designed for use with children in formal or informal education settings are listed under "classroom." Handouts, diet plans, and other materials intended for education of patients and the general public are categorized as "consumer education and counseling." Inclusion of any material in this section does no! imply endorsement by the Society for Nutrition Education. Evaluative comments contained in the reviews and summaries reflect the views of the authors when signed. All unsigned reviews are the responsibility of the reviews editor.
PROFESSIONAL - -__
RESOURCE UST
Consulting Nutritionists of Oklahoma: Registered dietitians in private practice resource list, 1984. From Pamela Baggett, R.D., L.D., 310 S. Fifth, Enid, OK 73701 , 12 pp., mimeographed, $5. Materials are listed in the following categories: a resource list of suggested nutrition books, sodium restriction, calorie reduction and diabetes, oncology, magazines and pamphlets, posters and displays, association material. and miscellaneous. Also included is a directory of the 1985 members of the Consulting Nutritionists of Oklahoma .
step guidelines and worksheets to implement those guidelines. The guidelines and worksheets focus primarily on CEA, since it is identified as more applicable to nutrition and health programs. The manual also contains a glossary, a critical reriew of nutrition CBA-CEA research, and an annotated bibliography. Nutrition-related examples are used throughout to make the material more relevant, although the principles apply to any type of health program. Little prior knowledge of economics or accounting is assumed, although occasionally the authors use terms without clearly defining them. In addition to expanding the glossary, the manual could be improved if the worksheets were used to illustrate the examples and if more than one example were used to illustrate the step-by-step guidelines. Despite these shortcomings, the manual goes a long way in making a complicated and sometimes threatening aspect of evaluation more understandable. It will be of interest to any nutritionist who wants to learn more about program evaluation, but will be particularly useful to those who must document the costs and benefits of their services in order to remain competitive for scarce financial resources. Anne Looker, Ph.D., R .D ., Staff Fellow, Food and Drug Administration, 200 C St. SW (HFF-265J, Washington, DC 20204 .
MANUAL
Cost Benefit-Cost Effectiveness Analysis: A practical, step-by-step guide for nutrition professionals, Disbrow, D., and K. Bertram, 1984. From Bertram Associates, Box 4036 , Modesto, CA 95352, 71 pp., softcover, $8 plus postage and handling. This manual offers a concise, practical discussion of an important but often overlooked component of comprehensive program evaluation . In addition to providing a readable explanation of general principles of cost-benefit analysis (CBA) and cost-effectiyeness analysis (CEA), the manual presents step-by208
JOURNAL OF NUTRITION EDUCATION
COOKBOOK
The Healthwise Quantity Cookbook, San Mateo County Senior Nutrition Program, 1985 . From Area Agency on Aging , 617 Hamilton St., Redwood City. CA 94063,103 pp ., spiralbound, $10. The Dietary Guidelines are applied to quantity cooking for senior feeding programs with some surprising and tasty results. The authors summarize the Dietary Guidelines, and discuss time- and energy-saving food preparation tips. A four-page chart, which provides tips for adapting program recipes to the guidelines, suggests trimming fat, using
whole grains. taming the "sugar dragon," and shaking the salt habit. The cookbook includes sixty five recipes for soups , salads, vegetables and starches, entrees (vegetarian, fish. poultry, and beef), and desserts. Each recipe includes an analysis that lists kilocalories, protein (gm), fat (gm), fiber (gm), vitamin C (mg), and sodium (mg) . The cookbook suggests substituting ingredients such as crumbled tofu (in Mexican Casserole, p. 51) and ground turkey (in Turkey Chile, p. 68. and Italian Meat Loaf. p. 70) for beef; these substitutions provide a low-fat alternative without noticeably affecting the flavor. These recipes could also be used in other settings, including employee cafeterias, hospital cafeterias that serve the public, school lunchrooms, and other child feeding programs. Recipes are calculated for 50 servings; to assist readers in making adjustments in seasonings when increasing or decreasing the number of portions, the book refers readers to Food for Fifty. FILMS
Improving Nutrition for Mothers and Babies: A research update, 1983. From National Center for Education in Maternal and Child Health, 3520 Prospect St., NW, Washington, DC 20057, two parts: part 1: Substance Abuse in Pregnancy, 58 min., part 2: Human Milk and Breastfeeding, 55 min. , VHS , Beta, 3/4" video , available on free loan. On April 7, 1983 , the U.S. Department of Agriculture and the Department of Health and Human Services cosponsored a nationwide videoteleconference on selected aspects of maternal and infant nutrition. The conference was edited into these two tapes on substance abuse and breastfeeding. They present a good balance between theory and research on the one hand, and practical clinical applications on the other. The format for both tapes includes the presentation of the scientific information by key experts in the field, followed by edited versions of the panel VOLUME
17
NUMBER
5
1985
EDUCATIONAL MATERIALS discussions and selected questions from the viewing audience. Roy Pitkin moderated both sessions. Part 1 discusses evidence related to the effects of alcohol, smoking, and caffeine consumption. Pitkin sets the stage with a concise summary of mechanisms of placental and mammary transfer, and is followed by Henry Rosett on alcohol consumption and fetal alcohol syndrome (FAS) . Specific effects of smoking are then noted, and the final speaker reviews the lack of conclusive evidence for an independent negative effect of caffeine on pregnancy outcome. Most of the discussion questions relate to alcohol consumption and prenatal counseling. The tape on lactation makes a strong statement about the importance of human milk for infant health, and reports a consensus of opinion that "human milk and synthetic formula should not be regarded as interchangeable nutrient sources." Evidence to support this statement is offered from the studies being conducted at the USDA Children's Nutrition Research Center at Baylor College of Medicine. The remainder of the tape is devoted to the successful management of breastfeeding, and a report from the lactation program at the University of California, San Diego. Most of the follow-up discussion also deals with solving specific lactation problems. Although maternal and child health nutritionists may find that these tapes present little new evidence, most viewers will find that they provide a good review of current practice and the research supporting it. It is very encouraging to see two federal agencies strongly supporting lactation; the tapes can definitely help convince local program administrators of the value of prenatal counseling and lactation support programs. These tapes can also be useful for in-service education of allied health and medical staff, and in undergraduate or graduate courses in maternal and child health. Informed consumers would probably benefit from the lactation tape as well.
Rockville, MD 20857, 147 pp., softcover, single copies free. This inventory presents information about 257 health care databases maintained by public- and private-sector agencies in the United States. The introductory section describes the criteria for inclusion in the inventory, and provides instructions for using it. This is followed by a sponsor and database title index and a subject heading index. Databases are then listed alphabetically, by sponsor. Information about each database is presented according to the following categories: title, sponsor, purpose and scope, subject headings, input source, universe, sample, frequency, years for which tapes are available, availability, cost, contact, corresponding or related publications, and other information. RESOURCE GUIDE
Maternal Nutrition, Information for Action Resource Guide, World Federation of Public Health Associations, 1983. From Clearinghouse, American Public Health Association, 1015 15th St. NW, Washington, DC 20005,20 pp., softcover, single copy free to requests from developing countries, others $5 each prepaid. UNICEF developed these resource guides for use in in-service training of field staff. The guides are designed to present technical information in key areas to policy makers and other nonexperts. This resource guide summarizes relatively recent literature (1978 to 1982) on maternal nutrition in three areas: mate~nal nutrition problems in developing countries, monitoring maternal nutrition status, and interventions to improve maternal nutrition. Although the guide includes reviews of only a few articles and books, the selection does present major highlights to program planners and policy makers. The resource guide can be used alone for staff training, or the reviewed materials can be obtained for more in-depth study. RESOURCE LIST
INVENTORY
Inventory of U.S. Health Care Data Bases, 1976-1983, Mullner, R., and C. Byre, 1984. From H.V. Stambler, Director, Office of Data Analysis and Management, Bureau of Health Professions, Health Resources and Services Administration, Rm. 8-41, 5600 Fishers Ln., VOLUME 17 NUMBER 5
1985
A National List of Voluntary Organizations in Maternal and Child Health. 1985. From the National Center for Education in Maternal and Child Health, 3520 Prospect st. NW, Washington, DC 20057,64 pp., softcover, free. The National Center for Education in Maternal and Child Health (NCEMCH) maintains information about national
organizations that deal with any aspect of maternal and child health. This very extensive resource list covers more than three hundred organizations; information includes name, address, phone number, and contact person. Chapters include a list of voluntary organizations in the United States; mutual support groups; self-help clearinghouses; voluntary organizations in Canada; voluntary organizations in Europe, Australia, and South Africa; and selected federal maternal and child health information centers. The lists are followed by an index of organizations. Readers are encouraged to contact NCEMCH to comment about the list, to propose additions to it, or to request information about organizations not listed. It is interesting to note that the Society for Nutrition Education is the sole national nutrition organization listed . CLASSROOM (P-12) ----,
L SOFTWARE (7-12)
The Smoking Decision. 1985. From Sunburst Communications, 39 Washington Ave., Pleasantville, NY 10580, available for Apple computers, teacher's guide, 29 pp., $59 for one copy plus back-up disk, $177 for a computer lab package that contains 10 disks. Imagine a computer screen that shows an animated x-ray of human lungs as they fill with cigarette smoke. Dr. David Levy, a family physician, and Andrew McLaren, an educator, have collaborated to produce this software program that allows adolescents to explore the risks associated with smoking. The program graphically presents the risks of injury or death from smoking. This entertaining program challenges the users to clarify personal values related to smoking habits. The impact of peer pressure and advertising are also explored. The teacher's guide contains a comprehensive program description and some very good suggestions for classroom use. An underlying objective of the program is to help students gain confiJOURNAL OF NUTRITION EDUCATION
209
PROFESSIONAL - -__
RESOURCE UST
Consulting Nutritionists of Oklahoma: Registered dietitians in private practice resource list, 1984. From Pamela Baggett, R.D., L.D., 310 S. Fifth, Enid, OK 73701 , 12 pp., mimeographed, $5. Materials are listed in the following categories: a resource list of suggested nutrition books, sodium restriction, calorie reduction and diabetes, oncology, magazines and pamphlets, posters and displays, association material. and miscellaneous. Also included is a directory of the 1985 members of the Consulting Nutritionists of Oklahoma .
step guidelines and worksheets to implement those guidelines. The guidelines and worksheets focus primarily on CEA, since it is identified as more applicable to nutrition and health programs. The manual also contains a glossary, a critical reriew of nutrition CBA-CEA research, and an annotated bibliography. Nutrition-related examples are used throughout to make the material more relevant, although the principles apply to any type of health program. Little prior knowledge of economics or accounting is assumed, although occasionally the authors use terms without clearly defining them. In addition to expanding the glossary, the manual could be improved if the worksheets were used to illustrate the examples and if more than one example were used to illustrate the step-by-step guidelines. Despite these shortcomings, the manual goes a long way in making a complicated and sometimes threatening aspect of evaluation more understandable. It will be of interest to any nutritionist who wants to learn more about program evaluation, but will be particularly useful to those who must document the costs and benefits of their services in order to remain competitive for scarce financial resources. Anne Looker, Ph.D., R .D ., Staff Fellow, Food and Drug Administration, 200 C St. SW (HFF-265J, Washington, DC 20204 .
MANUAL
Cost Benefit-Cost Effectiveness Analysis: A practical, step-by-step guide for nutrition professionals, Disbrow, D., and K. Bertram, 1984. From Bertram Associates, Box 4036 , Modesto, CA 95352, 71 pp., softcover, $8 plus postage and handling. This manual offers a concise, practical discussion of an important but often overlooked component of comprehensive program evaluation . In addition to providing a readable explanation of general principles of cost-benefit analysis (CBA) and cost-effectiyeness analysis (CEA), the manual presents step-by208
JOURNAL OF NUTRITION EDUCATION
COOKBOOK
The Healthwise Quantity Cookbook, San Mateo County Senior Nutrition Program, 1985 . From Area Agency on Aging , 617 Hamilton St., Redwood City. CA 94063,103 pp ., spiralbound, $10. The Dietary Guidelines are applied to quantity cooking for senior feeding programs with some surprising and tasty results. The authors summarize the Dietary Guidelines, and discuss time- and energy-saving food preparation tips. A four-page chart, which provides tips for adapting program recipes to the guidelines, suggests trimming fat, using
whole grains. taming the "sugar dragon," and shaking the salt habit. The cookbook includes sixty five recipes for soups , salads, vegetables and starches, entrees (vegetarian, fish. poultry, and beef), and desserts. Each recipe includes an analysis that lists kilocalories, protein (gm), fat (gm), fiber (gm), vitamin C (mg), and sodium (mg) . The cookbook suggests substituting ingredients such as crumbled tofu (in Mexican Casserole, p. 51) and ground turkey (in Turkey Chile, p. 68. and Italian Meat Loaf. p. 70) for beef; these substitutions provide a low-fat alternative without noticeably affecting the flavor. These recipes could also be used in other settings, including employee cafeterias, hospital cafeterias that serve the public, school lunchrooms, and other child feeding programs. Recipes are calculated for 50 servings; to assist readers in making adjustments in seasonings when increasing or decreasing the number of portions, the book refers readers to Food for Fifty. FILMS
Improving Nutrition for Mothers and Babies: A research update, 1983. From National Center for Education in Maternal and Child Health, 3520 Prospect St., NW, Washington, DC 20057, two parts: part 1: Substance Abuse in Pregnancy, 58 min., part 2: Human Milk and Breastfeeding, 55 min. , VHS , Beta, 3/4" video , available on free loan. On April 7, 1983 , the U.S. Department of Agriculture and the Department of Health and Human Services cosponsored a nationwide videoteleconference on selected aspects of maternal and infant nutrition. The conference was edited into these two tapes on substance abuse and breastfeeding. They present a good balance between theory and research on the one hand, and practical clinical applications on the other. The format for both tapes includes the presentation of the scientific information by key experts in the field, followed by edited versions of the panel VOLUME
17
NUMBER
5
1985
EDUCATIONAL MATERIALS discussions and selected questions from the viewing audience. Roy Pitkin moderated both sessions. Part 1 discusses evidence related to the effects of alcohol, smoking, and caffeine consumption. Pitkin sets the stage with a concise summary of mechanisms of placental and mammary transfer, and is followed by Henry Rosett on alcohol consumption and fetal alcohol syndrome (FAS) . Specific effects of smoking are then noted, and the final speaker reviews the lack of conclusive evidence for an independent negative effect of caffeine on pregnancy outcome. Most of the discussion questions relate to alcohol consumption and prenatal counseling. The tape on lactation makes a strong statement about the importance of human milk for infant health, and reports a consensus of opinion that "human milk and synthetic formula should not be regarded as interchangeable nutrient sources." Evidence to support this statement is offered from the studies being conducted at the USDA Children's Nutrition Research Center at Baylor College of Medicine. The remainder of the tape is devoted to the successful management of breastfeeding, and a report from the lactation program at the University of California, San Diego. Most of the follow-up discussion also deals with solving specific lactation problems. Although maternal and child health nutritionists may find that these tapes present little new evidence, most viewers will find that they provide a good review of current practice and the research supporting it. It is very encouraging to see two federal agencies strongly supporting lactation; the tapes can definitely help convince local program administrators of the value of prenatal counseling and lactation support programs. These tapes can also be useful for in-service education of allied health and medical staff, and in undergraduate or graduate courses in maternal and child health. Informed consumers would probably benefit from the lactation tape as well.
Rockville, MD 20857, 147 pp., softcover, single copies free. This inventory presents information about 257 health care databases maintained by public- and private-sector agencies in the United States. The introductory section describes the criteria for inclusion in the inventory, and provides instructions for using it. This is followed by a sponsor and database title index and a subject heading index. Databases are then listed alphabetically, by sponsor. Information about each database is presented according to the following categories: title, sponsor, purpose and scope, subject headings, input source, universe, sample, frequency, years for which tapes are available, availability, cost, contact, corresponding or related publications, and other information. RESOURCE GUIDE
Maternal Nutrition, Information for Action Resource Guide, World Federation of Public Health Associations, 1983. From Clearinghouse, American Public Health Association, 1015 15th St. NW, Washington, DC 20005,20 pp., softcover, single copy free to requests from developing countries, others $5 each prepaid. UNICEF developed these resource guides for use in in-service training of field staff. The guides are designed to present technical information in key areas to policy makers and other nonexperts. This resource guide summarizes relatively recent literature (1978 to 1982) on maternal nutrition in three areas: mate~nal nutrition problems in developing countries, monitoring maternal nutrition status, and interventions to improve maternal nutrition. Although the guide includes reviews of only a few articles and books, the selection does present major highlights to program planners and policy makers. The resource guide can be used alone for staff training, or the reviewed materials can be obtained for more in-depth study. RESOURCE LIST
INVENTORY
Inventory of U.S. Health Care Data Bases, 1976-1983, Mullner, R., and C. Byre, 1984. From H.V. Stambler, Director, Office of Data Analysis and Management, Bureau of Health Professions, Health Resources and Services Administration, Rm. 8-41, 5600 Fishers Ln., VOLUME 17 NUMBER 5
1985
A National List of Voluntary Organizations in Maternal and Child Health. 1985. From the National Center for Education in Maternal and Child Health, 3520 Prospect st. NW, Washington, DC 20057,64 pp., softcover, free. The National Center for Education in Maternal and Child Health (NCEMCH) maintains information about national
organizations that deal with any aspect of maternal and child health. This very extensive resource list covers more than three hundred organizations; information includes name, address, phone number, and contact person. Chapters include a list of voluntary organizations in the United States; mutual support groups; self-help clearinghouses; voluntary organizations in Canada; voluntary organizations in Europe, Australia, and South Africa; and selected federal maternal and child health information centers. The lists are followed by an index of organizations. Readers are encouraged to contact NCEMCH to comment about the list, to propose additions to it, or to request information about organizations not listed. It is interesting to note that the Society for Nutrition Education is the sole national nutrition organization listed . CLASSROOM (P-12) ----,
L SOFTWARE (7-12)
The Smoking Decision. 1985. From Sunburst Communications, 39 Washington Ave., Pleasantville, NY 10580, available for Apple computers, teacher's guide, 29 pp., $59 for one copy plus back-up disk, $177 for a computer lab package that contains 10 disks. Imagine a computer screen that shows an animated x-ray of human lungs as they fill with cigarette smoke. Dr. David Levy, a family physician, and Andrew McLaren, an educator, have collaborated to produce this software program that allows adolescents to explore the risks associated with smoking. The program graphically presents the risks of injury or death from smoking. This entertaining program challenges the users to clarify personal values related to smoking habits. The impact of peer pressure and advertising are also explored. The teacher's guide contains a comprehensive program description and some very good suggestions for classroom use. An underlying objective of the program is to help students gain confiJOURNAL OF NUTRITION EDUCATION
209