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Recent Posts in Safe Living Category

June 20, 2011
  Cell Phone Use While Driving to Be Illegal in Nevada
Posted By Steve

Distracted driving is a serious problem, and Nevada is now joining other states that ban the use of cell phones while driving.

The RGJ reports that Gov. Brian Sandoval signed into law a bill that makes texting or talking while driving illegal in Nevada. 

The law allows exceptions for using hands-free devices.  Fines range from $50 to $250, and a person convicted of three or more offenses within seven years can have their license suspended.

The fines and penalties become effective Jan. 1, 2012.

Continue reading "Cell Phone Use While Driving to Be Illegal in Nevada" »

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May 13, 2011
  Assembly Bill 280 Leaves Handwashing Out of Hospital Health Checklist
Posted By Steve
The Reno Gazette Journal's Frank Mullen Jr. reports:

A state Senate committee Thursday passed a hospital checklist bill, but declined to put a section about hand washing, requested by advocates for hospital patients, back into the measure.

Assembly Bill 280 would require safety checklists and patient safety policies at hospitals and other health care facilities.

Assembly lawmakers removed language that mandated health workers "wash their hands before and after every interaction with a patient and after coming into contact with a surface or object that may be contaminated."

The bill now refers to using proper "hand hygiene," a term that the bill's sponsor, health care industry lobbyists and a committee member said encompasses all types of hand hygiene, including soap and water.

"The sinks often are not close enough to the patient, but (alcohol-based) gels are," said state Sen. Joseph Hardy, R-Clark County, a doctor who is on the state Senate Health and Human Services Committee.

He said putting in a reference to hand washing would "send a message that hand washing is enough, but hand washing is not enough."

The Nevada Chapter of AARP and other advocates submitted an amendment that mentioned hand washing among the options available for hand hygiene.

They said that hospital staffers often ignore existing hand hygiene provisions and that the alcohol-based gels mentioned by Hardy don't kill an intestinal infection called Clostridium difficile, that is known to spread in health care settings.

"I personally prefer the (hand-washing) amendment," said state Sen. Sheila Leslie, D-Reno. "It would be in the bill as an option, not a mandate."

The measure passed without the amendment.

Steve Winters of Reno, who became an advocate for patient safety when his mother died last year of C. diff, said he was disappointed.

"Doctors don't want to be told to wash their hands," he said after the vote. "So, it's business as usual, and people will keep dying of preventable infections."

On Wednesday, three other hospital reform bills were heard in the Assembly Health and Human Services Committee with no action taken.

Senate Bills 209, 264 and 339 would require hospitals to publicly report their annual number of hospital-acquired infections and medical errors, require doctors to inform patients when they have an infection, and allow greater access to other patient safety information.

During the Wednesday hearing, health care industry lobbyists testified that they favor transparency, but objected to reporting raw numbers of facility-acquired infections for every hospital.

They would rather report infections in rates per 1,000 "patient days," a method they said allows fairer comparisons among large and small hospitals.

Patient advocates argue actual numbers of cases, not rates expressed in decimals, are more easily understood by consumers.


Continue reading "Assembly Bill 280 Leaves Handwashing Out of Hospital Health Checklist" »

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March 01, 2011
  Dept. of Justice Asks Tobacco Companies to Admit Lies
Posted By Steven J. Klearman

The Associated Press reports that the Department of Justice wants tobacco companies to fess up, publicly. The government released "corrective statements" that it proposes that tobacco companies should be required to make.

Here are a few of the statements, as reported by the AP:


  • "A federal court is requiring tobacco companies to tell the truth about cigarette smoking. Here's the truth: ... Smoking kills 1,200 Americans. Every day."
  • "We falsely marketed low tar and light cigarettes as less harmful than regular cigarettes to keep people smoking and sustain our profits."
  • "For decades, we denied that we controlled the level of nicotine delivered in cigarettes," a third statement says. "Here's the truth. ... We control nicotine delivery to create and sustain smokers' addiction, because that's how we keep customers coming back."
  • "We told Congress under oath that we believed nicotine is not addictive. We told you that smoking is not an addiction and all it takes to quit is willpower. Here's the truth: Smoking is very addictive. And it's not easy to quit."
  • "Just because lights and low tar cigarettes feel smoother, that doesn't mean they are any better for you. Light cigarettes can deliver the same amounts of tar and nicotine as regular cigarettes."
  • "The surgeon general has concluded" that "children exposed to secondhand smoke are at an increased risk for sudden infant death syndrome, acute respiratory infections, ear problems and more severe asthma."

Not surprisingly, these statements are met with opposition from the tobacco companies. Phillip Morris wants the Justice Department to water down those corrective statements to comply with an appellate court decision stating that corrective statements must be purely factual and uncontroversial.

The tobacco companies must respond to the proposed statements by March 3.

Credit Pete Yost of AP via MSNBC

Continue reading "Dept. of Justice Asks Tobacco Companies to Admit Lies" »

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January 26, 2011
  Winter Driving Safety Tips from National Highway Traffic Safety Administration
Posted By Steven J. Klearman

Avoid car accidents and breakdowns out there on the road in these colder months. The National Highway Traffic Safety Administration offers the following tips to be safe this winter.

Get your car serviced now.


  • Visit your mechanic for a tune-up and other routine maintenance.
  • Have your entire vehicle checked thoroughly for any leaks, bad hoses, or other needed parts, repairs, and replacements.
  • Check your battery. When the temperature drops, so does battery power. Also, be aware that it takes more power to start your vehicle in cold weather than in warm. Find out if your battery is up to the challenges of winter by:
  • Having your mechanic check your battery for sufficient voltage;
  • Having the charging system and belts inspected;
  • If necessary, replacing the battery or making system repairs, including simple things like tightening the battery cable connections.

Check your cooling system.

When coolant freezes it expands. This expansion can potentially damage your vehicle's engine block beyond repair. Don't let this happen to your vehicle this winter.


  • Make sure you have enough coolant in your vehicle and that it's designed to withstand the winter temperatures you might experience in your area.
  • A 50/50 mix of coolant to water is sufficient for most regions of the country. See your vehicle owner's manual for specific recommendations.
  • Thoroughly check the cooling system for leaks or have your mechanic do it for you.
  • If your system hasn't been flushed (draining the system and replacing the coolant) for several years, have it done now. Over time, the rust inhibitors in antifreeze break down and become ineffective. Coolant also needs to be refreshed periodically to remove dirt and rust particles that can clog the cooling system and cause it to fail.

Fill your windshield washer reservoir.

You can go through a lot of windshield wiper fluid fairly quickly in a single snowstorm, so be prepared for whatever Mother Nature might send your way.

  • Completely fill your vehicle's reservoir before the first snow hits.
  • Use high-quality, "no-freeze" fluid.
  • Buy extra to keep on hand in your vehicle.

Check your windshield wipers and defrosters.

Safe winter driving depends on achieving and maintaining the best visibility possible.

  • Make sure your windshield wipers work and replace worn blades.
  • If you live in an area that gets a lot of snow and ice, consider installing heavy-duty winter wipers.
  • Check to see that your window defrosters (front and rear) work properly.

Inspect your tires.

  • If you plan to use snow tires, have them installed now. Check out www.safercar.gov for tire ratings before buying new ones. For existing tires, check to ensure they are properly inflated (as recommended by your vehicle manufacturer), the tread is sufficient with no uneven wear, and that the rubber is in good overall condition. Note that tire rubber starts to degrade after several years, and older tires need to be replaced even if they have not seen much wear.
  • Regardless of season, you should inspect your tires at least once a month and always before setting out on a long road trip. It only takes about five minutes. If you find yourself driving under less-than-optimal road conditions this winter, you'll be glad you took the time.
  • Check tire pressure and make sure each tire is filled to the vehicle manufacturer's suggested PSI (pounds per square inch) of air pressure, which is listed in your owner's manual and on a label inside the driver's door.
  • Keep a tire pressure gauge in your vehicle at all times and check pressure when tires are "cold" -- meaning they haven't been driven on for at least three hours.
  • Look closely at your tread and replace tires that have uneven wear or insufficient tread. Tread should be at least 1/16 of an inch or greater on all tires.

Know your car.

Every vehicle handles differently; this is particularly true when driving on wet, icy, or snowy roads. Take time now to learn how to best handle your vehicle under winter weather driving conditions.

  • Practice cold weather driving when your area gets snow -- but not on a main road. Until you've sharpened your winter weather driving skills and know how your vehicle handles in snowy conditions, it's best to practice in an empty parking lot in full daylight.
  • Drive slowly. It's harder to control or stop your vehicle on a slick or snow-covered surface. On the road, increase your following distance enough so that you'll have plenty of time to stop for vehicles ahead of you.
  • A word of caution about braking: Know what kind of brakes your vehicle has and how to use them properly. In general, if you have antilock brakes, apply firm pressure. If you don't have antilock brakes, pump the brakes gently.
  • If you find yourself in a skid, stay calm and ease your foot off the gas while carefully steering in the direction you want the front of your vehicle to go. This procedure, known as "steering into the skid," will bring the back end of your car in line with the front.

Plan your travel and route.

Keep yourself and others safe by planning ahead before you venture out into bad weather.

  • Check the weather, road conditions, and traffic; plan to leave early if necessary.
  • Don't rush! Allow plenty of time to get to your destination safely.
  • Familiarize yourself with directions and maps before you go, and let others know your route and anticipated arrival time.
  • Keep your gas tank close to full. If you get stuck in a traffic jam or in snow, you might need more fuel to get home or keep warm. Note: To avoid carbon monoxide poisoning when stuck in snow, be sure to keep your vehicle's exhaust pipe clear of snow and ice, run your vehicle only in the open with the windows partially down, and run it only long enough to keep warm.
  • If road conditions are hazardous, avoid driving if possible. Wait until road and weather conditions improve before venturing out in your vehicle.

Stock your vehicle.

Carry items in your vehicle to handle common winter driving tasks, such as cleaning off your windshield, as well as any supplies you might need in an emergency. Keep the following on hand:

  • Snow shovel, broom, and ice scraper;
  • Abrasive material, such as sand or kitty litter, in case your vehicle gets stuck in the snow;
  • Jumper cables, flashlight, and warning devices such as flares and markers;
  • Blankets for protection from the cold;
  • And a cell phone, water, food, and any necessary medicine (for longer trips or when driving in lightly populated areas).

Learn what to do in a winter emergency.

If you are stopped or stalled in wintry weather, follow these safety rules:

  • Stay with your car and don't overexert yourself;
  • Put bright markers on the antenna or windows and keep the interior dome light turned on;
  • To avoid asphyxiation from carbon monoxide poisoning, don't run your car for long periods with the windows up or in an enclosed space. If you must run your vehicle, clear the exhaust pipe of any snow and run it only sporadically -- just long enough to stay warm.

Protect yourself and your loved ones.

  • Remember to always wear your seat belt.
  • Do not text or engage in any other activities that may distract you while driving.
  • While thick outerwear will keep your children warm, they can also interfere with the proper harness fit of your child in their car seat. Place blankets around your child after the harness is snug and secure. 
Continue reading "Winter Driving Safety Tips from National Highway Traffic Safety Administration" »

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December 15, 2010
  Twitter and Facebook in the car?
Posted By Steven J. Klearman

While the National Highway Traffic Safety Administration works to increase awareness of the dangers of distracted driving, drivers will soon be updating Twitter and Facebook on the road.

As the Chicago Tribune reports, drivers of 2011 GM models may be tweeting and updating Facebook statuses through Onstar's voice-activated control of texts, e-mail and Web searches.

Apparently, Ford's SYNC infotainment system will not be implementing a Facebook function, although users will be able to connect to Twitter.

These are voice activated features, but does that make them safe? Or will accessibility to social media in the car increase distracted driving in 2011?

Continue reading "Twitter and Facebook in the car?" »

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November 16, 2010
  FDA: Safe and Effective Use of Antibiotics
Posted By Steven J. Klearman

The FDA is urging consumers to "get smart" about antibiotic use, to help combat antibiotic resistance.

Antibiotics are drugs used for treating infections caused by bacteria. Also known as antimicrobial drugs, antibiotics have saved countless lives.

Misuse and overuse of these drugs, however, have contributed to a phenomenon known as antibiotic resistance. This resistance develops when potentially harmful bacteria change in a way that reduces or eliminates the effectiveness of antibiotics.

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FDA NOTE TO CORRESPONDENTS

For Immediate Release: Nov. 15, 2010
Media Inquiries: Erica Jefferson, 301-796-4988, erica.jefferson@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA

FDA Urges Consumers to be 'Smart' about Antibiotic Use
Agency partners with CDC to kick off Get Smart about Antibiotics Week

This year, millions of antibiotics will be prescribed. Antibiotics can be used to treat bacterial infections; however, they are commonly over-prescribed. Patients sometimes ask their health care professional to prescribe antibiotic drugs for viral infections, like the common cold, despite the fact that they will not work and may lead to potentially harmful side effects. The misuse of antibiotics has contributed to one of the world's most pressing public health problems today, antibiotic resistance.

Antibiotic resistance occurs when bacteria change in a way that reduces or eliminates the effectiveness of antibiotic drugs.

The U.S. Food and Drug Administration has teamed up with the U.S. Centers for Disease Control and Prevention (CDC) and other health care professional, government, academic, international and industry partners to support Get Smart About Antibiotics Week (Nov. 15-21) as part of a joint effort to encourage the appropriate use of antibiotics.

What happens when antibiotics are misused, leading to antibiotic resistance?

When antibiotics don't work, the result can be

  • longer illnesses
  • more complicated illnesses
  • more doctor visits
  • the use of stronger and more expensive drugs
  • more deaths caused by bacterial infections

Examples of the types of bacteria that have become resistant to antibiotics include the species that cause skin infections, meningitis, sexually transmitted diseases and respiratory tract infections such as pneumonia.

The FDA offers the following tips for using antibiotics properly:


  • Don't skip doses and take your medicine as prescribed. Antibiotics are most effective when taken as prescribed.


  • Don't save antibiotics. The drug is meant for a particular infection at that time. Don't use leftover medicine. Taking the wrong drug can delay the appropriate treatment and your infection might get worse.


  • Don't take antibiotics prescribed for others. Only a health care professional can determine the right treatment for your infection.

Click here for more information from the FDA.

Continue reading "FDA: Safe and Effective Use of Antibiotics" »

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October 28, 2010
  Halloween Safety Tips
Posted By Steven J. Klearman

Remember to stay safe and alert this holiday weekend as you celebrate Nevada Day and Halloween. The National Highway Traffic Safety Administration reports that almost 5,000 people in the United States died in crashes during the Halloween time period from 1996-2005.

The FDA offers the following tips for a safe Halloween and holiday weekend.

Safe Costumes:
1. Wear costumes made of fire-retardant materials5; look for "flame resistant" on the label. If you make your costume, use flame-resistant fabrics such as polyester or nylon.
2. Wear bright, reflective costumes or add strips of reflective tape so you'll be more visible; make sure the costumes aren't so long that you're in danger of tripping.
3. Wear makeup and hats rather than masks that can obscure your vision.
4. Test the makeup you plan to use by putting a small amount on your arm a couple of days in advance. If you get a rash, redness, swelling, or other signs of irritation where you applied it, that's a sign you may be allergic to it.
5. Check FDA's list of color additives6 to see if additives in your makeup are FDA approved. If they aren't approved for their intended use, don't use it.
6. Don't wear decorative contact lenses unless you have seen an eye care professional and gotten a proper lens fitting and instructions for using the lenses.

Safe Treats

7. Don't eat candy until it has been inspected at home.
8. Trick-or-treaters should eat a snack before heading out, so they won't be tempted to nibble on treats that haven't been inspected.
9. Tell children not to accept--or eat--anything that isn't commercially wrapped.
10. Parents of very young children should remove any choking hazards such as gum, peanuts, hard candies, or small toys.
11. Inspect commercially wrapped treats for signs of tampering, such as an unusual appearance or discoloration, tiny pinholes, or tears in wrappers. Throw away anything that looks suspicious.

Continue reading "Halloween Safety Tips" »

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March 09, 2010
  Reno Traffic Safety Campaign Focuses on Bicyclists
Posted By Steven J. Klearman

According to the Reno Gazette Journal, the Reno Police are relaunching a $36,000 campaign to increase traffic safety. Under the campaign, pedestrians and bicyclists may receive citations for violating safety laws.

Reno Wheelmen official Spencer Ericksen estimates that 25 percent of bicyclists regularly break traffic laws.

Common problem areas are bicyclists failing to stop at stop signs, riding against traffic, and riding on sidewalks. Bicyclists are not allowed to ride on sidewalks in downtown Reno, but they can ride on sidewalks elsewhere as long as they yield to pedestrians.

The Reno Police Dept. offers tips to bicyclists and motorists:

Bicyclist safety tips:


  • Ride with traffic, not against it.
  • Make turns the same way drivers do, using the same turn lanes.
  • Signal turns.
  • Maintain bicycles, including checking brakes and tires.
  • In darkness, use good reflectors and wear bright clothing.
  • Wear helmets.
  • Use a rear view mirror attached to a helmet, glasses or handle bars.

Motorist Safety Tips


  • Look for bicyclists before opening car doors when parked on the street.
  • Do not overtake a bicyclist and make a right turn in front of the bicyclist.

Continue reading "Reno Traffic Safety Campaign Focuses on Bicyclists" »

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November 18, 2009
  FDA Announces Safe Use Initiative
Posted By Steven J. Klearman

On November 4, 2009, the FDA introduced its "Safe Use Initiative," an effort to collaborate with the health care field to reduce the preventable harm resulting from medication use and misuse.

The Initiative is in response to the millions of consumers who are harmed each year because of the misuse of medications. The inappropriate use of medications can be a result of several factors, including (1) incomplete access to information, (2) unintentional misuse of medications, medication abuse, and attempts by people to harm themselves with medications, or (3) taking prescription drugs prescribed for other people.

Taking prescription drugs prescribed for other people is a serious abuse, as even one single dose of certain medications, such as opioid drugs, can cause severe harm or death to the person not prescribed the medication.

Through the Initiative, the FDA will work alongside health care professionals to identify drugs that are linked to preventable harm. The FDA intends to collaborate with health care professionals to (1) evaluate consumer medication information, (2) communicate about the risk of inadvertent overexposure to acetaminophen, (3) apply safeguards against surgery fires caused by alcohol-based surgical preparations, and (4) avoid contamination of multiple-use medication vials.

Continue reading "FDA Announces Safe Use Initiative" »

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November 05, 2009
  H1N1 Preventative Measures
Posted By Steven J. Klearman

With the death toll from H1N1 rising in Nevada, we should all be taking everyday precautions to stay healthy.

The Center for Disease Control and Prevention suggests everyday steps to protect your health:

  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.
  • Avoid touching your eyes, nose or mouth. Germs spread this way.
  • Try to avoid close contact with sick people.
  • If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.) Keep away from others as much as possible to keep from making others sick.

Other important actions that you can take are:

  • Follow public health advice regarding school closures, avoiding crowds and other social distancing measures.
  • Be prepared in case you get sick and need to stay home for a week or so; a supply of over-the-counter medicines, alcohol-based hand rubs * (for when soap and water are not available), tissues and other related items could help you to avoid the need to make trips out in public while you are sick and contagious.

More on Handwashing from CDC: Washing your hands often will help protect you from germs. CDC recommends that when you wash your hands -- with soap and warm water -- that you wash for 15 to 20 seconds. When soap and water are not available, alcohol-based disposable hand wipes or gel sanitizers may be used.* You can find them in most supermarkets and drugstores. If using gel, rub your hands until the gel is dry. The gel doesn't need water to work; the alcohol in it kills the germs on your hands.

Continue reading "H1N1 Preventative Measures" »

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July 13, 2009
  Swimming Pool Safety Tips
Posted By Steven J. Klearman

The Las Vegas Sun reported that a four-year-old boy drowned last Saturday in an apartment complex pool. The tragic incident marks the seventh child drowning this year in Nevada.

ABC reports that there are approximately 1,500 child deaths each year from drowning.

Although swimming pools offer fun and refreshment during the hot summer months, they are dangerous if proper caution is not used. Here are some tips from the American Academy of Pediatrics:

  • Never leave your children alone in or near the pool, even for a moment. An adult who knows CPR should actively supervise children at all times.
  • Practice touch supervision with children younger than 5 years. This means that the adult is within an arm's length of the child at all times.
  • You must put up a fence to separate your house from the pool. Most young children who drown in pools wander out of the house and fall into the pool. Install a fence at least 4 feet high around all 4 sides of the pool. This fence will completely separate the pool from the house and play area of the yard. Use gates that self-close and self-latch, with latches higher than your children's reach.
  • Keep rescue equipment (such as a shepherd's hook or life preserver) and a telephone by the pool.
  • Do not use air-filled "swimming aids" as a substitute for approved life vests.
  • Remove all toys from the pool after use so children aren't tempted to reach for them.
  • After the children are done swimming, secure the pool so they can't get back into it.
  • A power safety cover that meets the standards of the American Society for Testing and Materials (ASTM) may add to the protection of your children but should not be used in place of the fence between your house and the pool. Even fencing around your pool and using a power safety cover will not prevent all drownings.
  • Remember, teaching your child how to swim DOES NOT mean your child is safe in water. 
Continue reading "Swimming Pool Safety Tips" »

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May 30, 2008
  RV Advice for Nevadans
Posted By Steven J. Klearman

America's love affair with the open road has grown to become its love affair with recreational vehicles. Today, there are over 30 million RV enthusiasts, and more on the way. With more than 16,000 publicly and privately owned campgrounds nationwide, RVs give us the freedom to roam from coast to coast and any stop in between. But getting safely from here to there takes planning.

Be an Informed Buyer

Make sure your vehicle can safely tow an RV. Most full and mid-size family cars can pull a trailer, and so can today's popular vans, 4x4s and light-duty trucks. The Recreation Vehicle Industry Association suggests that you discuss these basic factors with your RV and auto dealers when evaluating trailer/tow vehicle options: engine horsepower; transmission and axle capacity; cooling equipment; suspension; springs and shocks; power brakes; power steering; and battery capacity.

- Check the owner's manual to find the trailer types that your vehicle can haul and the maximum load weight it can pull. Obtain a "trailering guide" for your vehicle.

- You'll also want to follow your RV dealer's advice on the type and size of hitch and ball, tire inflation and anti-sway devices.

- If you tow a boat, get the right-sized trailer to minimize swaying.

- Make sure your trailer has the right tires. Never use automotive radial tires on a boat or other trailer. Carry a spare.

- If you're thinking of buying an RV, call 1-888-GO-RVING.

Towing A Small Trailer

Make a thorough check of your vehicle and trailer when you use it.

- Be sure vehicle and trailer are hitched correctly.

- Connect brakes and signal lights. Always check that the trailer's brakes, turn signals and tail lights work and are synchronized with the towing vehicle's.

- Check tire pressure, and lug nuts for tightness.

- Don't overload the towing vehicle or the trailer. Check the manuals. Place a slightly higher percentage of cargo weight toward the front of the trailer. This will improve the connection by increasing weight on the hitch.

- Balance the load from side to side, and secure it so it won't shift.

- Once the trailer is loaded, make sure all doors are closed and secure. Be sure safety chains are attached, in good condition, and not dragging on the ground.

- On the road, steer as little as possible to avoid swaying. Try to avoid applying the brakes suddenly. It's better to release the gas pedal and slow down naturally.

- Trailer tires can get very hot while in use, especially tires on smaller trailers. Follow the manufacturer's directions for recommended maximum speeds. On hot days travel under the speed limit.

- Check and grease your trailer's wheel bearings once a year, and after each immersion in water.

Big Tow

Whether driving a motorized RV, or towing a travel trailer, special precautions are required.

- Before leaving on a trip, sit in the driver's seat and adjust all mirrors for optimal road views. Equip a towing vehicle with large mirrors for the fenders on both sides.

- Check for leaks in propane gas bottles, heating equipment, and related tubing. Turn off all valves.

- Load tools and emergency and foul weather items in an accessible location in the towing vehicle.

- While moving, don't let anyone stay in the towed vehicle. It is dan­gerous and illegal in many states.

- Allow for your vehicle size when turning.

- Increase your normal following distance.

- Allow more time to brake, change lanes, and enter a busy road, since bigger vehicles take more time to accelerate and slow down.

- After passing, allow plenty of room before changing lanes again.

- Most trailering mishaps occur when going downhill and the trailer begins pushing the towing vehicle. When descending steep hills it is important to use a lower gear to achieve some braking action from the engine rather than depending solely on the braking system.

- Back up with care. Use someone outside the vehicle to assist the driver. If there's no one to help, get out and inspect the area.

- Always carry tire changing instructions when you travel.

Continue reading "RV Advice for Nevadans" »

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April 29, 2008
  Fat and Fit?
Posted By Steven J. Klearman

Yahoo New, in a story by AP Medical Writer Lindsey Tanner, reports that "new research challenges the notion that you can be fat and fit, finding that being active can lower but not eliminate heart risks faced by heavy women.

The new study involving nearly 39,000 women helps sort out the combined effects of physical activity and body mass on women's chances of developing heart disease.

The study by Harvard-affiliated researchers appears in Monday's Archives of Internal Medicine.

Participants were women aged 54 on average who filled out a questionnaire at the study's start detailing their height, weight and amount of weekly physical activity in the past year, including walking, jogging, bicycling and swimming. They were then tracked for about 11 years. Overall 948 women developed heart disease.

Women were considered active if they followed government-recommended guidelines and got at least 30 minutes of moderate activity most days of the week, including brisk walking or jogging. Women who got less exercise than that were considered inactive.

Weight was evaluated by body mass index: A BMI between 25 and 29 is considered overweight, while obese is 30 and higher.

Compared with normal-weight active women, the risk for developing heart disease was 54 percent higher in overweight active women and 87 percent higher in obese active women. By contrast, it was 88 percent higher in overweight inactive women; and 2 1/2 times greater in obese inactive women.

About two in five U.S. women at age 50 will eventually develop heart attacks or other cardiovascular problems. Excess weight can raise those odds in many ways, including by increasing blood pressure and risks for diabetes, and by worsening cholesterol. Exercise counteracts all three.

"It is reassuring to see that physical activity really does make an impact," said lead author Dr. Amy Weinstein of Boston's Beth Israel Deaconess Medical Center. However, she added, "If you're overweight or obese, you can't really get back to that lower risk entirely with just physical activity alone."

University of South Carolina obesity expert Steven Blair, a leading proponent of the "fit and fat" theory, said the study is limited by relying on women's self-reporting their activity levels. That method is not as reliable as a more objective fitness evaluation including exercise treadmill tests, Blair said. These tests include heart-rate measures to see how the heart responds to and tolerates exercise.

In Blair's research, overweight people deemed 'fit' by treadmill tests did not face increased risks of dying from heart disease.

Dr. Laura Concannon, who specializes in treating overweight patients at Chicago's Advocate Illinois Masonic Medical Center, said the study's message that exercise can help reduce health risks isn't new, but it's important.

Continue reading "Fat and Fit?" »

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November 12, 2007
  Myspace and Disclosure of Teen Risk
Posted By Steven J. Klearman

I often borrow from D. Garth Sullivan, Esq. at Indox Consulting (www.indoxconsulting.com).

Here's an interesting study about Myspace and the disclosure of teen health risks:

Social networking sites, such as MySpace and Facebook, have become popular Internet venues for adolescent social interaction. Approximately 25% of the estimated 150-160 million users of MySpace, the largest site, are under age 18. Social networking Web sites allow users to create personal profiles, communicate with others, and join groups. Given that the adolescent developmental stage prioritizes peer relationships and identity exploration, the immense popularity of MySpace among adolescents may bring little surprise.

Personal Web profiles are multimedia creations featuring text, pictures, blogs, audio, and video all posted by the profile owner to represent his or her identity. Web profiles may be public and available to anyone on the Internet, or private and available only to those who the profile owner designates as "friends."

Recent media reports have highlighted cases in which young adults posted information about risk behaviors, such as sexual activity and substance use, on their publicly accessible Web profiles and experienced repercussions of these disclosures. It is worth noting that posting risk behavior information on a public Web profile may place adolescents at risk, regardless of whether or not that information is valid. These risks may include unwanted contact and adverse reactions from potential employers, school admissions officers, and others. Another risk is that displaying risk behavior information on Web profiles normalizes risky behavior within the adolescent cohort and may encourage peers to engage in risky behavior themselves.

The goal of this study was to determine how common such health risk behavior disclosures were in the public MySpace profiles of adolescents who actively use MySpace. We also assessed the prevalence of display of personally identifying information, such as name, picture, and hometown. Posting both identifiable and risk behavior information creates additional risks to adolescents, as individuals may be targeted on the basis of the display of risk behavior information, then easily identified and located.

Results of the Study

Our results demonstrate that several important risk factors can be identified effectively and efficiently using publicly available Web profiles. Some sites also feature internal search engines that allow rapid identification of profiles displaying risk behavior. On MySpace, for example, it is possible to search for users who self-identify as drinkers and smokers. Further, social networking Web sites typically allow direct access to a large number of adolescents through email.

Educators and providers may also create or work through one of the thousands of groups devoted to health topics on MySpace. Previous studies have demonstrated that Internet approaches to modify behavior can be effective in older populations. Social networking sites may provide a new venue for identification, assessment, and interventions to prevent or reduce health risks.

An important factor to consider when viewing information posted on MySpace is that social networking Web sites provide no verification of any information displayed on individuals' Web profiles. The validity of online personal risk behavior information has not been completely evaluated, but there are reasons to be concerned that such disclosures reflect either intent or actual behaviors.

Previous studies of Internet behaviors have shown that computer use often encourages self-disclosure and "hyperpersonal" information, which supports the validity of Internet self-report. Most teens reported that the majority of their online self-representation reflects their identity, but the presentation may not be entirely current. Previous studies have also shown that even on Web sites designed to promote identity experimentation and exploration, such as chat rooms, subjects generally evolved their online presentations to fit their own identities.

The Media Practice Model summarizes these findings by stating that adolescents choose and interact with media on the basis of who they are, or who they want to be, at the moment. This theory suggests that adolescent disclosures made on MySpace profiles reflect either actual behaviors or behavioral intent, both of which are of interest to healthcare providers, educators, and parents.
Limitations to this study include that, as described above, information displayed by profile owners, including ages, pictures, and behavioral descriptions, cannot be objectively verified. In particular, anecdotal reports suggest that teens frequently misrepresent their age on Web profiles in order to bypass security restrictions placed on the profiles of younger teens. We studied profiles within the class of 2008 group in an effort to improve the likelihood of viewing profiles of actual 16- and 17-year-old adolescents. However, targeting 16 and 17 year olds through this MySpace group biased our sample population to adolescents in school and who join online groups, limiting generalizability.

Finally, although our prevalences were stable between data checkpoints, this study conducted a detailed evaluation of a relatively small number of profiles compared with the total 11,000 available for the class of 2008 group. The results of this study nonetheless indicate that adolescents who are active users of MySpace regularly post health risk behaviors and display personal identification

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