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May 23, 1997     Cape Gazette
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May 23, 1997

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UAI=K tiAZ, K1"1.,', Ylaay9 May z3 -  z-d,lmCr- -r HEAL00I-I & FITNESS Locals spearheading r lief project for flood victims By Kerry Kester Jeff Konin, certified athletic trainer and instructor at Delaware Technical & Community College, along with Tim Kavel, Del Tech campus director, are spearheading a program to provide relief to those affiliated with athletic train- ing in the states suffering from re- cent flooding. "Athletic Training Flood Re- lief' (ATFR) is "basically a fund designed to assist the folks in this profession who have been hit hard because of the flood," said Konin. "It's really neat because it's start- ing here locally...and it's had a na- tional effect." Konin expects to raise at least $20,000 for victims of the recent flooding in North Dakota and Minnesota. One school that provides an ath- letic trainer degree program was ' shut down completely, he said. tabli "They didn't get to graduate on t time," said Konin. Another stu- rece dent lost his home. Funds, he said, will be released whi to the presidents of each of the fund two states' athletic trainers associ- Aq ations, to be used as they see fit. tiom "It could go to a school that has tion lost a piece of equipment or to a ing student who has lost a home," said new: Konin. "That's up to them. They will know how best to distribute the money," he said. Konin said the following are as- A sisting with getting ATFR started cont on a local level: abot Del Tech, which is supporting victil Konin by allowing him to use ATF some of his work time for the pro- 1995 Vilmington Trust, which es- hed a money market fund; dlantic Litho, which provided pt stationery for contributors; Lewes Physical Therapy, :h is assisting with the raising. Iditionally, he said, the Na- tl Athletic Trainers Associa- is assisting through publiciz- the project through its ;letters and journals. K, min said the next step is to seek !assistance from national cor- porations and those in the health- care Field. yone interested in sending a ibution or in learning more I how to help the flood relief ns, may write to Jeff Konin, ., P.O. Box 629, Lewes DE 8, or call him at 856-5400, Jeff Konin, certified athletic trainer and instructor at Delaware Technical & Community College, along with Tim Kavel, Del Tech campus director, are working together to provide relief to flood victims in North Dakota and Minneso- ta. The funds raised from the grassroots projects gaining na- tional momentum will benefit those in the field of athletic ject; Ext. Strokes are an emergency: Strokes are the third leading cause of artery that carries blood to part {f the brain death in the United States, behind heart dis- ease and cancer. Each year, 500,000 Amer- icans suffer from stroke, and of those about 150,000 will die from them. (ischemic strokes), and those aused by bleeding (hemorrhagic strokes), i Early recognition of the warning signs of stroke and acting quickly to cal ! 911, acti- vating the Emergency Medical Services (EMS) system an d getting the pson to the emergency room for care can damatically improve recovery for stroke victims. "It's more critical than ever to educate Americans about the warning signs of stroke, to encourage them to sek emer- gency treatment at the first sigr, of symp- toms, and to eliminate delays n prompt evaluation," said Gregory L. Henry, past president of the American College of Emer- gency Physicians. ! What is a stroke? A stroke, also known as a brain attack, is a loss of blood flow to an area of the brain and may cause disorientation which might lead to injury or death. When blood flow fails, brain cells are robbed of vital supplies of oxygen and nu- trients. Some strokes have very little recog- nizable effect, while others can quickly cause death. There are two major types of stroke; those caused by blood clots that block an 5525. training. learn to identify the warning signs your EMS team must respond quickly for treatment to be most effective. Warning signs of a stroke: Numbness or weakness, or paralysis of the face, arm or leg, especially on one side of the body; Sudden blurred or loss of vision in one side or in one eye; Slurred speech or difficulty in under- standing simple statements; ..... Loss of balance or coordination when combined with another warning sign. If you think you are having a stroke: Call 911 immediately and request EMS if you are showing any of the stroke warn- ing signs; Get to the hospital quickly; Make sure you receive treatment fast - If you are with someone who is having a stroke: If you recognize any of the above warn- ing signs, call 911 and request EMS imme- diately; Stay with the person and remain calm; Make sure the person continues breath- ing while waiting for EMS personnel to ar- rive. The EMS providers of Sussex County have emphasized that in spite of their sud- den occurrence, the long-term effect of strokes can be reduced through the early recognition of warning signs and acting quickly to get the victim to the hospital. is asthma treated? The goal of asthma therapy is to improve airflow by relieving air- way obstruction which is caused by the three major pathologic processes: airway edema (swelling), mucus plugging, and bronchospasm. These abnormalities result in airway narrowing, which causes an increased resistance to airflow, causing an increased work of breathing. This increased work is perceived by patients as shortness of breath. Effective asthma thera- py both reverses and prevents the development of airflow obstruc- tion. The processes which narrow the airway are caused by airway in- flammation, which is a complex cascade of events starting with an asthma trigger. This inflammatory state is a se- ries of physiologic events involv- ing cells and mediators very simi- lar to that seen in response to an injury, such as a burn. Once initi- ated, the process is self-perpetuat- ing unless interrupted by therapy. One ann of therapy is directed against this process using drugs called anti-inflammatory medica- tions, if The other major class of drugs can! treat the bronchospasm caused by Th this inflammatory process and are oral called bronchodilators. (Del The effective treatment of asth- lypn ma involves the combination ap- are v proach: anti-inflammatory drugs tion form the cornerstone in treating time the cause of asthma and bron- chodilators reverse the.bron- chospasm resulting from the in- flammatory process. Steroids and non-steroids Anti-inflammatory drugs elimi- nate the cause of asthma. There are two major classes of anti-in- flammatory agents: steroids and non-steroids. Steroids or corticosteroids are the most effective anti-asthma drugs. Given in sufficient doses, they can suppress the inflammato- ry asthmatic state. Unfortunately, oral steroids can have unpleasant avoid these side effects, in- l steroids were developed and in high enough dosages e very effective. most commonly prescribed steroids are prednisone iasone, Steripred) and meth- dnisolone (Medrol). These ;ually used as rescue medica- for an acute attack but some- are required for the treat- men of severe chronic asthma. Side,effects can be minimized by usin[[ short courses with a rapid tapenng. Inhaled cortic0steroids are the founiation of any anti-asthma therapy. Multiple drugs are avail- able9 beclomethasone (Beclovent, Vaneril), flunisolide (Aerobid), dexalnethasone (Dexacort), triam- cinolne (Azmacort), and soon to be rleased budesonide (Pulmo- cort) t Wile these medications vary in ad .mi." istration and price all are ef- fectiectqe anti-inflammatory. . agents and When used m appropriate dos- es can reverse and prevent the symptoms of asthma. Side effects can be reduced The onset of action is slow - of- ten six to eight hours. Side-effects of these medications most com- monly involve mouth soreness and hoarseness. These can be minimized or avoided by rinsing the mouth after inhalation and by using a spacer. A spacer is a tube or a bag into which the inhaler is puffed, then the medication is inhaled out of the spacer. This prevents deposition of the inhaled steroid in the mouth and allows for easier administration. Doses of these medications vary with the severity of asthma. Some patients require as little as two puffs twice daily, while oth- ers may require up to eight to 12 puffs four times a day (32 to 40 puffs daily). There are two non-steroidal in- halers on the market: cromolyn (Intall and nedocromil (Tilade). These medications are used in mild to moderate asthma. Patients should use a single steroid or non- steroid inhaler since they all are anti-inflammatory medications. Severe asthmatics require inhaled steroids. Nedocromil is purported to have a greater anti-tussive effect Continued on page 34 HEALTH TOPICS Michael A. Salvatore, M.D., F.A.C.P., specializes in pul- monary disease.