December 2014 LIBERTY TRIBUNE THE KEARNEY COURIER GLADSTONE DISPATCH THE SMITHVILLE HERALD
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SNOW MUCH FUN A blizzard of white flakes has been falling through the night,
and the school phone chain has begun. As expected, children will have a day off from school, leaving parents scrambling for ways to keep their kids occupied and supervised. Snow days may be coveted by kids (and teachers), but they may not be as beloved by parents who are unaccustomed to having kids home during the week. Working parents whose businesses are open do not have the same luxury as their children to roll over in bed and avoid trekking through the white stuff.
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Fill snow days with activities indoors and out this winter
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NORTHLAND FAMILY IS A SPECIAL SECTION PUBLISHED THE FIRST WEEK OF EACH MONTH BY LIBERTY TRIBUNE, THE KEARNEY COURIER, GLADSTONE DISPATCH AND THE SMITHVILLE HERALD, DIVISIONS OF NPG NEWSPAPERS, INC.
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But just because snow days are unexpected, that does not mean parents can’t plan for them. Establish a snow day plan. Parents who cannot take days off from work will need a contingency plan for snow days. Organize a snow day club, wherein school parents rotate taking children for the day. Working parents can reciprocate by taking the school kids on a weekend and letting the other parents have a date night. Create a snow day entertainment bin. Rather than having kids spend the day watching television or playing on their tablets, parents can establish a snow day entertainment bin to encourage their kids to make the most of the day off. The bin can include board games, books, building block sets, paints and other crafts.
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Plan for an indoor picnic. Kids will probably want to spend a portion of the day playing out in the snow. After all of that physical activity, they’re bound to be famished. Spread a blanket out on the living room floor and enjoy a picnic of sandwiches, snacks and hot chocolate. Kids will enjoy the novelty of eating this way.
Get cooking. Another way to fill the day is to have children participate in making meals. A snowy day is a great time to prepare meals for the rest of the week, as well as tinker with hearty, belly-filling recipes. Older children can help with cutting vegetables and meats, while younger kids can add seasonings to pots and mix ingredients. Involve the kids in choosing which meals to cook. Baking bread is another fun activity and enables kids to sculpt dough and then eat the fruits of their labors. Go the movies. If roads are passable, consider a trip to the
movie theater, where you can enjoy a matinee. Bring a few friends along and make it a fun-filled outing.
Create snow art. Fill squeeze or squirt bottles with some water and food coloring. Allow kids to go out in the yard and create some pictures with the snow as their canvas.
Catch up on cleaning. Cleaning may not be the most exciting snow day activity, but it might be the most productive. Children can spend time sorting through toys and belongings in their rooms.
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Take a nature walk. Grab those boots and insulated pants and head outdoors. A walk in the brisk, cold air can boost spirits and introduce kids to the beauty of winter landscapes. Take the camera along and encourage kids to snap pictures of their favorite vistas. — Metro Creative
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Stay safe when sledding One of the more popular wintertime activities, sledding attracts scores of participants every time a new coating of snow covers sloping hills. Although sledding can be fun, it also can be risky. The United States Consumer Product Safety Commission says there are thousands of sledding-, snow tubingand toboggan-related injuries each year. The majority of injuries occur to children age 14 and younger. Young children are vulnerable to injury because they have higher centers of gravity that can cause them to lose balance more readily. Youngsters’ coordination is not fully developed as well, which makes it difficult for them to steer and avoid obstacles. When sledding, winter revelers big and small need to put safety first before racing down those slopes.
Dress children appropriately. Treat sledding as you would any activity that involves a moving device.That means making children wear helmets to prevent head injuries. Head and neck injuries are common among children 6 years old and younger. Helmets considerably reduce injuries when worn correctly.
Avoid collisions. Check the sledding space carefully for any obstacles, including waiting children at the end of the run.The Center for Injury Research and Policy at Nationwide Children’s Hospital says a vast number of sledding injuries are caused by collisions.These occur when a sledder bangs into something, like a fence, tree or another person. Bone fractures are twice as likely to occur from a collision than from falling off a sled. Making sure the coast is clear helps sledders avoid collisions.
Sled feet-first. Children should be instructed to always go down a hill feetfirst.This way, should they encounter any obstacles, their boots will hit it first and not their delicate heads and necks.
Choose the right sled. Sleds that can be steered with handles are generally safer than snow disks or flat sheets heading down a hill. Handles can prevent falls off of the sled, as they give a child something to hold onto.
Follow the sled safety guidelines. Read the instructions and safety guidelines for your sled. Heed the recommendation for the number of passengers on a sled at one time. Check the end of the slope. Do not
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sled on driveways, hills or slopes that end in a street, drop-off or pond. Only allow sledding under adult supervision. Children should have an adult with them at all times when sledding.Two adults is preferable because one can stay with a child should he or she become injured while the other goes for help. Use common sense. Never sled in the street or on a highway. Do not ride a sled being pulled by a motorized vehicle.
Sled only during daylight hours. Unless sledding will occur in well-lit areas at night, it should be done during the day when visibility is best. Dress in layers. Sledding can be a demanding physical activity. Dress in layers that can be removed if you get too warm. Sweating while sledding increases your risk of hypothermia. Adjust clothing layers accordingly for comfort. — Metro Creative
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With the holidays comes a new set of potential hazards in your home. If you have small children or pets at your house, Dr. Jennifer Moretina of The Liberty Clinic said taking some precautions can prevent some common injuries during the holidays. “Some of the most common injuries are sustained in the kitchen or while decorating the house,” she said. Moretina, who is the director of the new Liberty Hospital Urgent Care Shoal Creek set to open Jan. 12, recommended the following holiday safety tips for families: Be careful in the kitchen with knives and handling hot food or liquids. Turn handles to the back or the side of the stove, and keep children away when opening the oven door. Make sure food is cooked to the proper temperatures. The internal temperature of pork or turkey should reach at least 165 degrees. Leaving food out at room temperature for long periods of time also can increase
Avoid holiday
MISHAPS
the risk of food poisoning. Hot food should be held at 135 degrees and stirred frequently if not being served immediately or if it’s going to be set out for several hours.
Use stepladders correctly to decorate the tree or hang items in the house. “Test leaning ladders to make sure they are sturdy and have good footing on the ground before hanging Christmas lights,” she said. “Examine strings of lights to make sure there are no missing bulbs and there are no exposed wires to help reduce the risk of accidental fires or shocks.” Keep poinsettias, mistletoe and holly berries out of reach of young children and pets. “Although commonly thought as poisonous, poinsettias leaves can cause vomiting or upset stomach, but are not dangerously toxic,” Moretina said. “However, mistletoe and holly
berries are very toxic and if ingested, that person should seek immediate medical attention.”
Keep small decorations out of a child’s reach to prevent choking hazards. “Some ornaments are shaped as candy and sweets and are very tempting for a child to ingest,” she said. “Also, shiny Christmas lights are tempting for children to play with and can cause serious shocks and burns.”
Clean up broken glass immediately and thoroughly after dropping an ornament or decoration. This prevents the shards from being stepped on by bare feet. Make sure candles are extinguished before leaving them unattended. “Don’t forget to place lit candles out of the reach of children to prevent burns from the hot wax,” she said. Water live Christmas trees regularly. “As the tree branches and needles of evergreens dry, they become very susceptible to catching fire, even by lit ornaments or tree lights,” Moretina said.“This also is a good time of year to check smoke detectors and replace the batteries.”
— Liberty Hospital
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Winter weather a trigger for cold sores Although cold weather is not entirely to blame for the colds and flu symptoms that seem to be more common from November through March, cold sores do seem to be linked to the temperatures outdoors.
Cold sore season An increase in cold sores is possible because the winter season tends to reactivate the HSV-1 virus responsible for the sores, according to Abreva. Exposure to cold temperatures as well as drastic temperature shifts, like moving from the cold outdoors into a warm house, can
be traumatic enough to trigger a cold sore outbreak. Several different factors contribute to why cold sores are more likely to surface in the winter than during other times of the year. Harsh, winter winds can dry out the lips and make them more hospitable to the virus that causes cold sores. Dry, warm air in heated homes can encourage the virus to spread and break out more often. In addition, less vitamin D in the body and an immune system weakened by winter can increase a person’s risk of developing a cold sore. Other notable cold sore triggers can be elevated in the winter. Planning for
holiday celebrations can elevate stress, which is a trigger for HSV-1 outbreaks. The longer a person is feeling stressed, the more likely he or she will develop a cold sore. Illnesses, such as colds, flu and bacterial infections, that seem to pop up when the weather is cold also can trigger cold sores. When the body is busy fighting one invader, it is more vulnerable from attacks by other bacteria and viruses. Inflammation in the body, like that which accompanies chronic arthritis, may overproduce the stress hormone cortisol. Cortisol can suppress the
immune system and trigger a cold sore attack.Those with arthritis and other inflammation issues may find winter weather exacerbates their symptoms. Some people may counteract dark days of winter by visiting tanning salons and exposing themselves to artificial UV rays.This can irritate tissues around the mouth and also lead to a cold sore outbreak.
What are cold sores? Cold sores are not merely pimples that spring up in and around the mouth. They’re actually a type of her-
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7 Robert M. Huster, M.D.
pes known as the herpes simplex virus-1, or HSV-1. This is a mild form of herpes that is a cousin to the more dangerous HSV-2. According to the National Institutes of Health, HSV-1 infects more than half of the United States population by the time they reach their 20s. The Mayo Clinic Says about 90 percent of adults worldwide — even those who have never experienced symptoms of an infection — test positive for the virus that causes cold sores. Cold sores, also called fever blisters, are fluid-filled lesions that occur on and around the lips. Cold sores are contagious and can be spread through close personal contact. There is no cure for HSV-1 infections, and blisters may appear sporadically. Cold sores are most contagious when they have fluid present, but infection also can occur when blisters are not
visible. Once the herpes virus is contracted, it remains in the body forever.
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Preventing cold sores
A key way to prevent a cold sore outbreak is to avoid people who experience cold sores. Don’t share utensils or food and avoid physical contact with the areas where a sore is present. If you have had cold sores before, look for ways to lower your stress levels, work to maintain a strong immune system, avoid harsh winter weather by wrapping your face in a scarf and keeping your lips moisturized to reduce your risk of another outbreak. In addition to prescription medication treatment for cold sores, supplementation with vitamin C, vitamin E and l-lysine may help. — Metro Creative
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Sherri Howell, DO, is now practicing at Samuel U. Rodgers Health Center’s North Oak office. Dr. Howell is Board Certified in Family Medicine. She has 17 years of experience and believes in treating her patients holistically, using a preventive and educational approach to healing and wellness. Navkirandeep Kaur, DO, is Board Certified in Pediatrics. She provides care for children—from newborns to children under the age of 19. Dr. Kaur sees patients at our North Oak and Clay County practices. Dr. Kaur has special interest in obesity and complex patient care. Sarah Parrott, DO, is Board Certified in Family Medicine and sees patients at our Clay County office. She practices the full scope of family medicine and has a special interest in women’s health. W. Joshua Cox, DO, FACOFP, is Board Certified in Family Medicine and osteopathic manipulative treatment. He sees patients at our Clay County practice location.
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LIB E R T Y T R IBUN E , T HE KE A R N E Y COU RI ER, G L A D S TO NE D I S PATC H, THE S MI THV I L L E HERA L D
illions of Americans are at risk for developing type 2 diabetes, but nearly all cases are preventable with the proper precautions. It’s estimated that 86 million adult Americans (37 percent) have prediabetes. That’s in addition to the nearly 10 percent of the U.S. population (9.3 percent) that is already living with diabetes. Without management, diabetes can lead to blindness, heart disease, kidney disease, lower-limb amputations and many other health-related complications. Fortunately, these complications can be prevented with med-
ication, dietary considerations and regular physical activity. However, doctors see that some patients ignore the diagnosis until it’s too late. “When people learn they have cancer, most want to aggressively treat it,” said Dr. Michael Brown of Kearney, family practice physician at Mosaic Life Care. “Unfortunately, diabetes doesn’t seem to carry the same sense of urgency with some patients.”
Diabetes can be scary because it creeps up. Many diabetics don’t experience symptoms for years. Nor do they know enough about the seriousness of the complications associated with the condition, which is why education is important. Type 2 diabetes, which accounts for 90 to 95 percent of all diagnosed cases of diabetes, is highly preventable with an active lifestyle and healthy diet. The
Nearly 40% of U.S. adults are prediabetic
biggest concern is early detection and determining risk factors. “People should talk with their doctor to determine if they are at risk,” Brown said. “The best thing someone can do is to develop a close relationship with their physician.” Risk factors for developing diabetes include age, weight, family history and personal medical history. People can ask to have their blood sugar level and glucose tolerance tested to see if they have prediabetes. — Mosaic Life Care
Are you at risk for type 2 diabetes?
William S. Tinsley, D.D.S. | Christopher H. Shultz, D.D.S. Brook A. Derenzy, D.D.S.
William S. Tinsley, D.D.S
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Your first visit is all about you – your comfort, your happiness, and your health.
2 Westwoods Drive | Liberty, MO 64068 | (816) 781-1430
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Our practice is committed to providing you and your family with safe, gentle, high quality dental care. We understand that you, or your child, may feel anxious about visiting the dentist. We are sensitive to your needs, and it is our goal to make you feel comfortable visiting our practice while providing you with the best care possible.
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SCIENTIFIC METHOD Encourage children to learn more about science and nature at playtime
Have any budding scientists in your family? If your children are fascinated by nature, dinosaurs and other cool science subjects, you can help foster their interests by turbo charging their playtime to fit their favorite topics. “Learning is not just for the classroom or a formal setting,” said Dr. Lise Eliot, early childhood development expert and member of VTech’s Expert Panel. “Teachable moments happen naturally every day, and you can create some of your own, too.” Here are some great educational playtime ideas for your budding paleontologists and naturalists: Dino-mite Makeover: Transform your child’s bedroom or play area into a prehistoric retreat with dino clings on the walls, stencils and dinosaur bedding.
Help your child identify the different dinosaurs on each. Field Trip: Visit the dinosaur exhibit at a local museum. Or take a trip to the zoo or aquarium. It’s the perfect way to expose children to a wide variety of animals that may be new to them. Bring along a notebook and let kids sketch animals and make scientific observations about the animals’ behaviors. Dinosaur-Themed Toys: “Toys can be so much more than a distraction,” Eliot said.“Look for toys that let kids play creatively and engage in imaginative play.” New innovative toys let kids act out prehistoric scenes. For example, Switch & Go Dinos Turbo, from VTech, a leader in age-appropriate and developmental stage-based electronic learning
products for children, feature fun and creativity.The toys combine dinosaurs and vehicles, providing an imaginative and stimulating play experience. A new dynamic remote control dino, Bronco the RC Triceratops, transforms with the push of a button and gets a turbo boost for a burst of speed. Also check out Digger the Woolly Mammoth, a prehistoric powerhouse that transforms into an excavator. Kids can press the action buttons to hear cool, educational dinosaur facts and phrases, providing a fun and enriching playtime. More information can be found at www. vtechkids.com/switchandgodinos. Reading time: Foster a love of reading while encouraging kids’ natural wonder by visiting your local library and exploring subjects like dinosaurs, earth
science and astronomy. By locating books that pique your kids’ interests, you can help develop a lifetime love of learning. — StatePoint
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By Alan J. Mundey
Working with youth in 4-H programs, we encourage them to write thank-you notes to those who provide support for activities, awards and other things important to keeping the program viable. But has the “old fashioned” handwritten thank you been relegated to the history books? Is it just a thing of the past? Nobody hand writes a thank you or letter any more. Or do they? And should they? Think about it. When was the last time you received a handwritten note or letter? I’m not talking about one of those “having a great time, wish you were here” notes scribbled on a vacation postcard, but a genuine, heartfelt note expressing sincere thoughts about a kindness done. In fact, we are almost surprised when we see a handaddressed envelope in the mail. Crafting a handwritten note shows that you care enough to take the time to sit down and express your thanks in writing. But, and here’s the rub: it takes time. Etiquette experts agree that
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directly mention money. “Thanks for the twenty dollars” could easily be “Thank you for your generous birthday gift.” 3. Discuss the use. “It gets very chilly here, and I’m sure they will come in very handy.” But what if you hate the earmuffs? How do you say thanks? Don’t lie. Find the one thing about the item that’s nice and discuss it — but don’t get carried away. “They are such a lovely shade of blue, and they match my eyes so well.” 4. Mention the past and allude to the future. “I enjoyed seeing you at my party, and I hope to see you at Mom’s birthday party in July.” 5. Grace. “Thanks again for the gift.” 6. Regards. “Love, Bob” That’s not so hard, is it? So the next time someone does something nice for you, take the time to send them 1. Greet the giver — “Dear Aunt Flo” a thank you note … and make it a handwritten one. — and use ink.
Handwritten thank-yous are a gift handwritten notes are still the best way to say thanks. Some will argue that it costs too much to send a thank-you note in the mail. An email is free. Look at it this way, by sending a thank-you in the mail, you are helping to support the U.S. Postal Service. Yes, a thank-you email is better than nothing, but the value of a handwritten thank-you far exceeds an email. In our digital society, we are not accustomed to sitting down and using a pen to write. We take notes on our laptop computers, iPads, iPhones or other electronic devices, so when we actually receive a handwritten note, we have a greater sense of appreciation. In her article “How to Write a Thank You Note,” Leslie Harpold provides us with six easy steps. They are as follows:
2. Express your gratitude. “Thank
Alan J. Mundey is a 4-H youth specialist with the University of Missouri Extension.
you so much for the ear muffs.” Never
breathe
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Healthier holiday
MERRIMENT The holidays bring lights, cheer, TV specials and treats — plenty of them. While it is tempting to eat
all that gets placed in front of you, it isn’t worth the extra pounds you may gain during the holidays. Here are some tips to balance healthy living with enjoying the holiday spirit: Get in a festive mood with wintry activities. Bring the holidays to life by planning some fun seasonal activities with loved ones, such as ice skating, sledding, going to a tree farm to pick your tree, or decorating for the holidays. You will create some great memories with your favorite people, which is what the season is all about.
Holiday Cookies
Share the joy. Sharing is encouraged when it comes to holiday deliveries loaded with carb-filled goodies. Instead of keeping temptations around your house, share them with your neighbors or coworkers along with a holiday card to spread the cheer.
Prep time: 25 minutes Cooking time: 12 minutes Makes: 24 servings
Don’t drink your carbs. If you’re not careful with loaded winter beverages, you could derail your healthy eating efforts. Instead of hot chocolate, opt for peppermint tea or add peppermint extract to your coffee for some holiday flavor.This also applies to alcohol consumption — red wine or spirits with low-glycemic mixers are best. Bake yummy low-carb goodies. This is a good approach both for sweets around the house and for attending a party.Your friends and family will love your thoughtful contribution and you get to enjoy a healthier holiday treat. For example, bake a classic like the Holiday Cookies below from www.Atkins. com, where you can find many low-carb versions of your favorite holiday treats.
1 cup sifted soy flour 1 tablespoon baking soda 3 tablespoons granular sugar substitute (Sucralose) 4 ounces cream cheese 2 tablespoons unsalted butter 2 tablespoons sour cream 1 large egg 1 teaspoon vanilla extract
Preheat oven to 350°F. Line baking sheet with parchment paper and set aside. In food processor, pulse soy flour, baking soda, sugar substitute, cream cheese and butter for 30 seconds, until texture resembles coarse meal. In small bowl, mix together sour cream, egg and vanilla extract. Add sour cream mixture to soy mix mixture and pulse until just-combined, about 15 seconds. Chill in freezer 10 minutes or until firm. Roll dough out between 2 sheets of plastic wrap or waxed paper to 1/8 thickness. Using cookie cutters, cut out dough in desired shapes. Arrange cookies on prepared baking sheet and bake cookies 10-12 minutes, until lightly golden. Allow to cool completely before decorating. Nutritional information per serving: Net carbs: 1.4 g; Fiber: 0.3 g; Protein: 1.8 g; Fat: 3.7 g; Calories: 46. — Family Features