Thursday, February 16, 2012

AED


AED Shocking Information
            AED or Automated External Defibrillator is a portable device that both diagnoses and treats cardiac arrhythmias.  It treats these disorders through defibrillation.  Defibrillation sends a shock through the heart which causes it to stop and then reestablish or reset an effective rhythm ideally. Despite the complicated technology in AEDs, they are very easy to use.  AEDs are simple to understand with both audio and visual prompts, however AED certification is an important skill in life-threatening situations. 
            AED certification classes through the Red Cross can be found on their website by simply putting in some information on the type of certification you would like. They offer two types of AED certification: Lay Responder and Professional certifications.  Many first aid, first responder, basic life support, and CPR courses also certify in AED. 34% of people who have implemented an AED have used it at least once to save a life.  With heart attacks and heart disease complications being such a big part of our community, it is so important to have an AED readily available with someone who knows how to use it.  
            When present, AEDs can greatly reduce the time between the heart event and treatment (shock).  The less time between those two, the greater the chance that the person will live.  Without AED intervention, every minute after a cardiac event chances of survival decrease by 10%.  Over 300,000 Americans die of sudden cardiac arrest every year.  Up to 50,000 of those could still be alive if someone on scene had been trained in First Aid/CPR and if an AED had been readily available.   
            AED availability along with trained individuals can save lives.  Make sure your place of employment is equipped with an AED and a training program for its use.  Knowledge really can change lives.

Works Cited

AED Awareness Week: AEDs and the numbers. (2009, June 4). Retrieved January 27, 2012, from Cardiac Science: http://www.cardiacscience.com/blog/2009/06/aed-awareness-week-aeds-numbers/
Blank, M. (n.d.). AED Lifesaving Equipment. Retrieved January 27, 2012, from http://www.atri.org/LifesavingEquip.htm
Saving a Life Is as Easy as A-E-D. (n.d.). Retrieved January 27, 2012, from American Red Cross: http://www.redcross.org/portal/site/en/menuitem.d229a5f06620c6052b1ecfbf43181aa0/?vgnextoid=66e0057a43531210VgnVCM10000089f0870aRCRD


Tuesday, February 14, 2012

Health Center Identifies Needs


Preferred Family Healthcare's ongoing Community Needs Survey identifies substance abuse as Kirksville's biggest problem, followed by underage drinking and poverty.
The results reflect that 40 percent of nearly 1,000 surveyed think drug abuse is the biggest problem in Kirksville, particularly the use of prescription drugs. 
Erica Supple, Preferred Family Healthcare's project coordinator for the Prevention Department, conducts projects like the Community Needs Survey to determine how to better serve Kirksville through school programs and a rehabilitation center for substance abuse and mental health, she said. 
Using the information they collect from surveys and questionnaires, Preferred Family Health provides middle schools, high schools and colleges in Adair County with information to create programs about underage drinking and drug abuse prevention. 
"We've seen, as a resource center, that prescription drugs are pretty big right now and synthetic drugs are emerging," Supple said. "It happens a lot. ... A drug becomes popular, then it's replaced by something else."
During the past, Preferred Family Health has conducted depression screenings at schools and taught sixth and seventh grade students to get messages regarding social problems across to the public through a program called Media Ready.
"They're taught to use billboard ads, to use newspapers, news stations ... basically how to develop a public service announcement," Supple said.
While underage drinking is always going to be an issue, the middle school seems stable, said Barbara Rice,Kirksville Middle School's Nurse. She said no students have been brought to her by a teacher with suspicion of drug abuse during the past, but prescription drug abuse is likely common.
"Sixth, seventh and eighth graders are a little bit more discreet about it," Rice said. "High schoolers may say, ‘Oh boy I went out last night,' but the younger kids talk in their little groups and are more discreet."
The abuse of certain drugs is more common in rural areas than metropolitan, Rice said. 
"I think it's more pain medication and medications that are prescribed for ADD and ADHD," Rice said. "Things that are happening in metropolitan areas take a while to get to the rural areas and sometimes it happens the other wayaround."
Higher poverty rates and lower educational attainment in rural areas can lead to problems similar to Kirksville's, said Michael Seipel, agricultural science professor. 
Relative isolation and the lack of access to opportunities like quality education, better job opportunities and more discreet rehabilitation are factors in determining why rural areas are more affected by these problems, Seipel said.
"The fact that everybody knows everybody's business complicates dealing with these issues," Seipel said. 
Preferred Family Healthcare's staff and coalitions of volunteers continue to build their Prevention Services based on projects like the Community Needs Survey. To take the survey or learn more about Preferred Family Healthcare's services, visit http://pfh.org/PreventionServices.htm.

Texting and Driving


Distracted driving is becoming a dangerous epidemic on America's roads. In 2009 alone, nearly 5,500 people were killed and 450,000 more were injured in distracted driving crashes.  Distracted driving is any activity that could divert a person's attention away from the primary task of driving. All of these distractions endanger the driver, passengers, and bystanders. These types of distractions could include texting or talking on the phone, eating or drinking, talking to passengers, any kind of grooming, reading (including maps), using a navigation system, or adjusting a radio or MP3 player (Highway Traffic Safety Administration).

But, because text messaging requires visual, manual, and cognitive attention from the driver, it is by far the most alarming distraction. Sending or receiving a text takes a driver's eyes from the road for an average of 4.6 seconds -- the equivalent of driving BLIND at 55 mph for the length of an entire football field (Facts and Stats). A new national NHTSA survey offers some insight into how drivers behave when it comes to texting and cell phone use while behind the wheel and their perceptions of the safety risks of distracted driving. More than 75% of survey respondents said they answer calls on most trips, they acknowledge few driving situations when they would not use the phone or text, and yet they feel unsafe when riding in vehicles in which the driver is texting (Highway Traffic Safety Administration).

The use of cell phones while driving, for both texting and talking, is receiving national attention. To address the concern of cell phone use while driving most U.S. States have enacted some sort of cell phone or texting ban. Drivers younger than 25 are two to three times more likely than older drivers to read or send text messages while they are driving. In Missouri, it is illegal, and punishable by a $200 fine, to text while driving if you are 21 or younger. This is a primary law, which means that the police officer does not have to have any other reason to pull you over (NHTSA).


References:

Highway Traffic Safety Administration. (n.d.). Distracted Driving: National Highway Traffic Safety Administration. Distracted Driving. Retrieved February 11, 2012, from http://www.distraction.gov/


Facts and Stats | Texting and Driving. (n.d.). Distracted Driving | National Highway Traffic Safety Administration | Texting and Driving. Retrieved February 12, 2012, from http://www.distraction.gov/content/get-the-facts/facts-and-statistics.html 

NHTSA. (n.d.). Distracted Driving Survey. Distraction.gov. Retrieved February 12, 2012, from www.distraction.gov/download/research-pdf/8396_DistractedDrivingSurvey-120611-v3.pdf
 
 


Heartland Task Force-Youth Substance Abuse



All throughout Missouri substance abuse among teens is high and in Adair County there are specific areas that of greater concern because they are higher than the Missouri average. These are the current substance use for grades 6 through 12 for cigarettes, binge drinking, and inhalants usage. Not that the other substances aren’t important to focus on but these three are the most important for Adair County and the Heartland Task Force.
            One very important part of reducing the substance abuse in the youth of Adair County is increasing the developmental assets that the teens have. “The Developmental Assets® are 40 common sense, positive experiences and qualities that help influence choices young people make and help them become caring, responsible, successful adults ("What kids need:," 2011)”. These 40 assets are split into two categories which are external assets and internal assets which also have four sub-categories each. The sub-categories for external assets are support, empowerment, boundaries & expectations, and constructive use of time. The sub-categories of internal assets are commitment to learning, positive values, social competencies, and positive identity ("40 developmental assets," 2011). “Over time, studies of more than 2.2 million young people consistently show that the more assets young people have, the less likely they are to engage in a wide range of high-risk behaviors and the more likely they are to thrive ("What kids need:," 2011)”. Due to the significant number of people that have been studied this theory carries considerable weight. “Research has [also] proven that youth with the most assets are least likely to engage in four different patterns of high-risk behavior, including problem alcohol use, violence, illicit drug use, and sexual activity. The same kind of impact is evident with many other problem behaviors, including tobacco use, depression and attempted suicide, antisocial behavior, school problems, driving and alcohol, and gambling ("What kids need:," 2011)”. These are important problems that should try to be addressed and this is a key reason why it is important to make sure that youth have the most development assets that they possibly can “The positive power of assets is evident across all cultural and socioeconomic groups of youth, and there is also evidence that assets have the same kind of power for younger children ("What kids need:," 2011)”. Teaching this among all youth, no matter what, is important for their future. No matter what culture or socioeconomic status they have if they gain these developmental assets then they will be less likely to engage in those high-risk behaviors. Starting young is also extremely important because it instills values in them that they will grow up having and using instead of having to change existing habits when they’re older, which can be more difficult. Having these 40 Developmental Assets within the youth of today is very important and can make a huge impact on their future.
            Another important part of reducing substance abuse among the youth of Adair County is utilizing the Positive Youth Development within the community. “Positive Youth Development is a policy perspective that emphasizes providing services and opportunities to support all young people in developing a sense of a competence, usefulness, belonging and empowerment ("Best practices: Positive," )”. Having this sense of community can help the youth feel involved and like they are a part of something which can help develop those 40 Developmental Assets. “Youth Development is both a philosophy and an approach to policies and programs that serve young people. The underlying philosophy of youth development is holistic, preventative and positive, focusing on the development of assets and competencies in all young people ("Best practices: Positive," )”. This plays in well with the 40 Developmental Assets. Using Positive Youth Development can help to prevent future substance abuse in youth and can make the community a safer place.
            The Heartland Task Force already holds some activities that promote the 40 Developmental Assets and Positive Youth Development. Some school-based prevention education programs that they offer are 3-D (Drugged, Drinking, Driving) Month Events, Alcohol Awareness Month Events, Al’s Pals, and the DARE Program. Some community based programs for family and youth are Drug-Free Family/Community Nights at the YMCA, Alternative Activities to Substance Abuse: Family Dances: Daddy/Daughter Dance and Mom/Son Stampede, Outrageous Olympics, Back to School Programs, KTVO-TV Activities: Anti-Drug PSA Contest, Annual Health and Safety Expo, Retailer Watch Program, and Choices Have Consequences. These are just a handful of the activities and programs that the Heartland Task Force offers to the Kirksville community to promote the 40 Developmental Assets and Positive Youth Development.
            The Heartland Task Force has their work cut out for them but they are already doing a significant amount of work into reducing the substance abuse among the youth of Adair County. Utilizing Positive Youth Development and the 40 Developmental Assets will be key in making any programs successful.


Works Cited
40 developmental assets for adolescents. (2011). Retrieved from http://www.search-institute.org/content/40-developmental-assets-adolescents-ages-12-18
Best practices: Positive youth development . (n.d.). Retrieved from http://www.npcresearch.com/Files/Strengths Training Binder/44. Best Practices Positive Youth Development.pdf
What kids need: The building blocks for children and youth. (2011). Retrieved from http://www.search-institute.org/developmental-assets

Substance Abuse Prevention Coalition: Adair County

 
According to the Preferred Family Health Care website, the Adair County Drug Coalition was founded July 2003 with the intent of minimizing and eradicating Methamphetamine usage in Adair County.  With the effort to focus more toward alcohol tobacco and other drug usage the Adair County Drug Coalition widened its areas of interest to include not just methamphetamine, but marijuana, alcohol, tobacco, inhalants, and prescription drug usage as well. 
According to the 2011 Status Report on Missouri’s Substance Abuse and Mental Health Problems, in 2009 131 arrests were related to drugs and there were 24 Methamphetamine Lab incidents in Adair County.  Also, in 2010 out of 148 probation/parole admissions 46 were due to drugs and 11 were due to DWI.   There is a serious need for the participation in Substance Abuse Prevention Coalitions in Adair County to minimize on these issues.  The support that they currently have is feasible, but there needs to be greater effort from the community leaders to make this coalition successful.  This means involving leaders from all areas of the community including law enforcement, politicians, business owners, school teachers, high school student council members, pastors, and any other influential community leaders.  

~D.Taylor

Family Nutrition



Many times we consider our own personal nutrition, but how is your family's nutrition? Our eating habits are perhaps more connected than we think they are. “Most people’s food and eating decisions are embedded in family food and eating subsystems and/or intimately connected to significant others” (Gillespie & Johnson-Askew 2009). “It is within the home that health behaviours are learned and maintained and where children develop most of their strategies for interacting with the environment” (Kime 2008). As children generally follow the example set by adults, especially in the context of a family, one can see the importance of adults choosing nutritious foods and leading by example for their children.

Nutrition by definition is nourishment needed for growth and development (Stedman’s n.d.). Family nutrition might be considered a subset of this and is exemplified not by merely having a mother choosing foods, grocery shopping and cooking for her family, nor the family sitting together around a table at meal time.  “The ‘where, when and how’ of eating, rather than simply the ‘what’ in terms of food, are important concepts that need to be examined….” (Kime 2008). Family nutrition is an inclusion of everyone into the food planning, preparing and eating, and the caring for and sharing of each individual’s life. Family meal times offer an opportunity for this.

Established family meal times can decrease the likelihood that children will engage in risky behaviors. According to Gibbs, a family meal can influence children enough to decrease the likelihood that they will “smoke, drink, do drugs, get depressed, develop eating disorders and consider suicide, and the more likely they are to…delay having sex…” (2006). More immediately in a child’s life, a different study found that “found that children ages 7 to 11 who did well in school and on achievement tests generally spent large amounts of time eating meals with their families” (Dairy Council of California, 2009). Gibbs reveals this as well, and says that children are “more likely to do well in school, eat their vegetables, learn big words and know which fork to use” (2006). This suggests that a family meal can discourage the negative behaviors and encourage positive ones.

A family meal can be a time for members to talk about what they are consuming and the quality of their diets. “The analyses revealed a clear relationship between family meal times and the quality of teens’ diets. Frequency of family meals in the past week was found to be positively and significantly associated with adolescents’ intake of fruits, vegetables, grains and calcium-rich foods” (Neumark-Sztainer 2006). The Dairy Council of California agreed with this as well, and stated that key nutrients such as “…calcium, fiber, iron vitamins B6 and B12, C and E…” were more likely to be consumed by “Families who ate together almost every day…” (2009). It was also shown that among families who ate together they consumed, “…less overall fat …and [had] lower intakes of soft drinks.” (Dairy Council of California, 2009)

The effects on behavior are also carried over to the attitudes that children have towards food.  “Although adolescents appear not to be overly concerned about their nutrition and health, many teens are concerned about their weight” (Neumark-Sztainer 2006).  The preoccupations that a child sees their parent have about food can influence their attitudes towards food. Thus it is an opportunity for a family to learn and discuss together healthy ways to manage weight. “In families with a normal weight child, an ordered why of eating was part of the family life that was structured, however chaotic that structure appeared to be. Even in the busiest of households, a framework of sorts existed, which meant that there was a routine for shopping, cooking and eating” (Kime 2008).  Which can all be related to the fight against obesity, happening right now in the United States. “In contrast obese children mainly ate in an unstructured family environment. This was characterized by eating in different places, hardly ever at the table, with different family members and at different times, although still predominantly in the family home” (Kime 2008).

If families desire to join in the fight against obesity, how does one go about doing that? There are many factors to be considered intentionally or that unintentionally influence decisions about food and the desired end results. According to Gillespie and Johnson-Askew there are “…seven propositions… [that] elucidate the processes of and influences on family food decision-making systems” (2009). Thus the basis for initiating and continuing family meals is formed from seven basic principles. The first is that the decision-making system is directed by the balance of power in the family and individuals’ predispositions. Secondly, “food and eating behaviors are routine and/or based on habitual behaviors and evolve over time” (2009). Thirdly, family communication and short term choices affect the practices and patterns of family food policies. Next, “Food decisions reflect families’ values and often unarticulated goals and sometimes require negotiation among goals” (2009).  Another proposition is that food decisions are based on the situation and assessment of available resources. A second to last proposition is that food decisions are made within the context of each individual’s knowledge of food alternatives. And finally, food decisions can change over time “because of changing contexts and changes in family members and their food roles and responsibilities” (2009).
By Rebecca Johnson



References
Dairy Council of California. (2009, July 29). Help Your Child Succeed in School with Family Meals. Retrieved from http://www.dairycouncilofca.org/MediaRoom/News/MaterialsReleases155.aspx
Gibbs, N. (2006, Jun 4). The Magic of the Family Meal. Time Magazine. Retrieved from http://www.time.com/time/magazine/article/0,9171,1200760,00.html
Gillespie, A. M. H. & Johnson-Askew, W. L. (2009). Changing Family Food and Eating Practices: The Family Food Decision-Making System. Annals of Behavioral Medicine, 38, 31-36. DOI: 10.007/s12160-009-9122-7
Kim, S. A., Grimm, K. A., Harris, D. M., Scanlon, K. S., Demissie, Z. (2011, Nov 25) Fruit and Vegetable Consumption Among High School Students- United States, 2010. Centers for Disease Control and Prevention, 60(46), 1583-1586. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6046a3.htm
Kime, N. (2008). Children’s eating behaviours: the importance of the family setting. Area, 40 (3), 315-322. DOI: 10.1111/j.1475-4762.2008.00834.x
Missouri Information for Community Assessment (MICA). (2007). Health and Preventive Practices for Knox County Adults. Retrieved from http://health.mo.gov/data/mica/County_level_study/header.php?cnty=103&profile_type=1&chkBox=C
Neumark-Sztainer, D. (2006). Eating Among Teens: Do Family Mealtimes Make a Difference for Adolescent’s Nutrition?. New Directions for Child & Adolescent Development, 2006 (111), 91-105. DOI:10.1002/cad156  
Nutrition. (n.d.). The American Heritage® Stedman's Medical Dictionary. Retrieved from http://dictionary.reference.com/browse/nutrition
Tak, N. I., te Velde, S. J., de Vriest, J .H. M., & Brug, J. (2006). Parent and child reports of fruit and vegetable intakes and related family environmental factors show low levels of agreement. Journal of Human Nutrition & Dietetics. 19(4) 275-285. DOI: 10.1111/j.1365-277x.2006.00702.x

Archery: History, NASP and Health Benefits


Background on Archery: History, NASP and Health Benefits
            Archery has been dated back to nearly 50,000 B.C. when its primary purpose was to hunt game and defend territory. Ancient civilizations relied on the bow and arrow for protection and to conquer areas (Dicker, 2005). However, many athletes learned the skill and many Olympians adopted archery as a sport, but it was the Egyptians who first designed the equipment that we recognize today (NHS, 2011).  Despite its popularity as  pass time and competition, archery continued to be a  decisive factor in many battles as is evident in a battle between 2,000 English archers and 500 knights against 22,000 Scottish cavalrymen (Dicker, 2005).  This is just one of many historical examples.
The National Archery in the Schools Program (NASP) teaches students in 4th-12th grade an international style target as part of their physical education curriculum. NASP consists of archery history, safety, technique, equipment, mental concentration, core strengthening and self-improvement. In order to be a certified NASP teacher, a person must take the National Archery in the Schools Program Basic Archery Instructor Training Program, which is an eight-hour course (National Archery in the Schools Program (NASP), 2012).
The archery course used in the schools is designed to be a two weeklong program. Targets are 80 cm bulls-eye targets that stand in front of an arrow curtain in the school gym (NASP, 2012).
NASP is subsidized by the archery industry, which allows it to offer the equipment and materials to schools for about half of the actual cost. Each kit has a value of about $6,000, but schools may purchase them for $3,100 - $3,5000 depending on the selected bows and targets. NASP follows National Physical Education Standards. It was formed in Kentucky in 2002 and has since spread very quickly throughout the United States (NASP, 2012).
Unbeknownst to much of the general public, archery has many physical health benefits. This sport extensively utilizes the upper body as well as the core. It improves balance and coordination. Not only is it vigorous during competition and practice, but simply transporting the equipment from site to site is also taxing. Due to its demand for adequate upper body strength most beginners are encouraged to develop these muscles prior to starting an archery program. This pre-conditioning will prevent injuries and make the sport more enjoyable (NHS, 2011).