July 1 7 , 1991—T h e P o rtlan d O b s e rv e r-P a g e 9 Kaiser Permanente Offers Health Education Classes In North Portland Several classes open to the public are being offered in North Portland this summer and fall through Kaiser Per­ manente. To register for any class, call Kaiser Permanente’s Health Education message phone at (503) 286-6815. “ Parenting Skills (for ages 5 to 12)” is for people wishing to improve their parenting abilities. The eight, two- hour sessions are on Thursday nights from 6:30 to 8:30 p.m. starting July 18 through Sept. 5. Classes will be held at Kaiser Permanente’s Education and Conference Center (Town Hall), 3704 North Interstate Avenue in Portland. Cost is $72 for individuals or couples who are Kaiser Permancnte members, $140 for the general public (fee in­ cludes text). “ Freedom from Fat” is Kaiser Permanente’s 20-week weight man­ agement program for adults tired of diets and ready for a serious, scientifi­ cally based program. The course is co­ led by professional nutritionists and behavior specialists who teach better eating and exercise habits. “ Winning over W eight” is a 24-week weight management program for adults who are at least 50-100 lbs. overweight. A free, one-hour explanatory session about both courses will be held in Room 249A of Kaiser Permanente’s North Interstate Building, 7201 N. Interstate Avenue, on Friday, August 23, at 3:30 p.m. No registration is required. Learn the latest and most effec­ tive techniques for kicking the smok­ ing habit for good through Kaiser Per­ manente’s “ Freedom From Cigarettes” program. Attend at no charge a one- hour, no-obligation explanatory ses­ sion at 7 p.m. on Wednesday, August 7, in Conference Room 249B of Kaiser Permanente's North Interstate Build­ ing, 7201 North Interstate Avenue, Portland. Classes consist of four two- hour sessions and four one-and-one- half hour sessions. Cost is $25 for Kaiser Permanente members and $ 110 for the general public. Both groups also pay a $50 deposit, which is re­ funded upon completion of all classes. Communication and decision­ making skills for many couples are easy to learn but difficult to imple­ ment. Kaiser Permanente’s “ Couples Communication” class helps couples learn and practice basic skills of com ­ munication. The eight, two-hour ses­ sions will be on Mondays, July 29 through Sept. 23, from 6:30 to 8:30 p.m., at Kaiser Permanente’s Educa­ tion and Conference Center (Town Hall), 3704 N. Interstate Avenue, Portland. Everybody can experience limes of mild depression and lowered self­ esteem. Kaiser Permanente’s “ Over­ coming Mild Depression and Low Sell- Esteem” program, consisting of eight TELEMETRY STAFF RN position available. Evening and nights, 40 hours a week, 2 to 3 years clinical experience, work with cardiac patients. ACLS helpful. MEDICAL ASSIST/RADIOLOGY CERTIFIED F ull time Medical Assistant needed for our family practice clinic located in Sandy. Some lab duties, limited x-ray-certified. 2 yrs Medical Assistant experience required. Nice work environment and full benefits. Call Karla at 668-8002 Wed-Fri 9am-3pm PHYSICAL THERAPIST LICENSED physical therapist or physical therapist assistant wanted to work with a challenging orthopedic case load. We offer state of the art, modern testing and treatment equipment. PORTLAND ADVENTIST MEDICAL CENTER Apply in Personnel at 10123 SE Market St., Portland, OR 97215 or call 251-6130. Tick Season Brings Threat of Lyme Disease Warm weather signals the start of tick season in many areas of the coun­ try, including the Pacific Northwest. According to the Arthritis Foundation, the bite of a certain type of tick can also pass along Lyme Disease. The foundation has a free brochure with in­ formation on the disease, it symptoms, and ways to avoid tick bites. It is avail­ able by writing the Oregon Chapter at 4412 S.W. Barbur Blvd., Portland, OR 97201, or by calling 222-7246 - Port­ land area or 1 -800-283-3004 toll free. Lyme disease is carried by a deer tick which is infected with a spiral­ shaped bacterium called Borrelia burgdorferi. It is spread to humans through the tick’s bite. Since the tick is only the size o f a pinhead, its presence is difficult to detect Often, it is only through onset of a reddish or purplish bull ’ s-eye target rash, radiating around the bite, that a person becomes aware of the disease. However, about one third of those with Lyme disease never get this rash, which usually develops from three days to one month after the bite. Other early-stage symptoms can include a stiff neck, chills, fever, sore throat headaches, fatigue and joint pain. In the early stages, the disease is cur­ able with antibiotics. In later stages, Lyme disease may be confused with other medical prob­ lems which can develop weeks to years after the first tick bite. It can cause problems with the nervous system that look like other diseases and can cause serious heart problems. Lyme disease can result in disabling, chronic type of arthritis that most often affects the knees. It was through research funded in part by the Arthritis Foundation that this disease was first discovered in Lyme, Connecticut. The Arthritis Foundation is the only national voluntary health as­ sociation seeking the causes, cures, preventions and treatment for the more than 100 forms of arthritis. Study of Gay and Bisexual Men Indicates Possible Changes in safer Sex Practices maintenance o f new health habits. CAP Portland State University and Cascade AIDS Project (CAP) will hold a joint press conference on Thursday, July 18 at 10:00 a.m. at Portland State University in Room 327 Smith Memo­ rial Center. The two organizations will announce findings of the pilot phase of the Portland M en’s Study, a collabora live research effort. The study indi­ cates that many gay and bisexual men have difficulty maintaining safer sex­ ual behavior. CAP will announce new educational programs designed to pre­ vent the problem of gay and bisexual men relapsing to unsafe behavior. The Portland Men’s Study aims to understand how the social relationships of and bisexual men influence their safer sex practices. As the AIDS epi­ demic enters its second decade, the study will provide invaluable informa­ tion about the adoption of safer sex practices over time. The study is re­ cruiting participants through the end of July, 1991. Pilot findings from August, 1990 already indicate the importance of peer support in helping gay and bisexual men be safe. CAP recognizes that, as with any long-lasting health behavior change, initial adoption is easier than ongoing I has anticipated this need in the design of new programs that support gay and bisexual men’s commitment to safer sex. These ------- persons will be available at the press conference for secondary inter views: David Lane, HIV Educator, Ore­ gon Health Division (503) 229-5792, will be available to discuss services provided by the State of Oregon for people with HIV infection. Jeanne Gould, HIV Program Man­ ager, Multnomah County Health Divi­ sion (503) 248-3674, will be available to discuss services provided by Multnomah County for people with HIV infection. Paul Starr, Executive Director, Cascade AIDS Project (503) 223-5907, will be available to discuss other serv­ ices and programs of the Cascade AIDS Project For reporters who want additional photo opportunities, persons complet­ ing research questionnaires and volun­ teers taking calls on the Oregon AIDS Hotline will be available at the Cas­ cade AIDS Project after the confer­ ence, from 11:00 a.m. until 4:00 p.m. A ft- *•* * * * two-hour sessions, teaches skills to reduce mild depression and improve self-image. Meetings are on Tuesdays, August 13 through Oct 1,6:30 to 8:30 p.m., at Bess Kaiser Medical Center, 5055 North Greeley Avenue, Portland. Cost is $65 for Kaiser Permanent members, $115 for the general public (fee includes textbook). Kaiser Permanente’s “ Managing Stress and Anxiety ’ ’ program can help manage stress which accompanies the pressures of life. Six two-hour ses­ sions will be held July 31 through Sept. 4 at Kaiser Permanente’s Educa­ tion and Conference Center (Town Hall), 3704 N. Interstate Avenue, Portland. Cost is $45 for Kaiser Per- manente members, $90 for the general public. Ending a love relationship can be difficult. Kaiser Permanente’s “ Di­ vorce Adjustment” program focuses on adjustments to make divorce more comfortable. Eight two-hour sessions are 6:30 to 8:30 p.m. on Thursdays, July 18 through Sept. 5, at Kaiser Per­ manente’s North Interstate Building, 7201 N. Interstate Avenue, Portland. Cost is $70 for Kaiser Permanente members, $120 for the general public. To register, call Kaiser Perma­ nente’s Health Education Department message recorder at (503) 286-6880. Cochlear Implants For Children Recently GOOD MORNING AMERICA broadcast a segment fea­ turing a five year-old deaf child who is on the road to hearing with a 22-chan- nel Cochlear implant, a device which enables even children bom deaf to recognize environmental sounds and speech. He was one of the first children to receive a Cochlear implant follow­ ing the Food and Drug Administra­ tion’s approval of the device in chil­ dren, ages 2-17, last summer. The child’s parents discovered cochlear implant technology as a result of a television segment that aired last year. This underscores the media’s vi­ tal role as a prime source of informa­ tion about cochlear implants. Most profoundly deaf children are not under the care of audiologists or otologist, and parents first learn through televi­ sion and newspaper reports that there is a technology that can help their child. This summer marks the one year anniversary of the FDA approval. One in 1,000 children in the United States is bom deaf each year and thousands or more lose their hearing during child­ hood due to accidents and illnesses. It is particularly important to educate parents about cochlear implants, as surgeons and audiologists tell us that children derive the most benefit from the device when it is implanted as soon as possible after they become deaf and/ or during the years they normally would acquire speech and language skills. Medicare Supplement Insurance Guide Released Oregon Insurance Consumer Ad­ vocacy has just released its 1991 Con­ sumer Guide to Medicare Supplement Insurance In Oregon. The Guide summarizes the bene­ fits and premiums of the 49 most popu­ lar Medicare supplement insurance plans available in Oregon. It also describes the benefits o f the federal Medicare program and defines words commonly found in insurance contracts. Readers of the Guide can also learn how to make a complaint against an insurance company or agent Medicare supplement insurance has historically filled all or part of the “ gaps between charges covered by the federal Medicare program and the actual charges. The Consumer Guide to Medicare Supplement Insurance in Oregon is a useful tool for consumers who arc trying to find the best policy to fill those gaps. To get a free copy of the Guide write “ Consumer Guide to Medicare Supplement Insurance,’ ’ Oregon Insur­ ance Consumer Advocacy, 440 Labor & Industries Building, Salem OR 97310. Oregon Health Sciences Uni­ versity, Portland, proposes to ac­ quire a third CAT scanner. On June 27, 1991, this project was ruled subject to full review under certificate o f need law. The estimated capital expenditure for this project is $1,300,000. Depression Called America's #1 Health Problem; Conferece Goal is to Double Treatment Seekers Depressive illness was character­ ized as America’s #1 mental health problem during “ The National Con­ ference on Depressive Illness: A Call to Action’ ’ that was attended by repre­ sentatives of more than 100 organiza­ tions. During the conference, the Acting Director of the National Institute of Mental Health, Dr. Alan Leshner, said “ Its human costs are enorm ous-in lost lives, reduced worker productivity, alcohol and drug abuse, and spiraling health care expenditure. In 1989 alone depressive illness cost the American economy $27 billion—$17 billion in worker absenteeism alone.” “ We think as few as 30% of those who have depression might be getting treatment and our goal is to double that in five years,” said U.S. Sen. Pete Domenici (R-N.M.). Setting the tone for the landmark conference, Domenici informed participants that as many as 1 in 5 Americans will have a major epi­ sode of depression during their life­ times. The real problem, he said, is that most people with depression will not take care of i t Conferees also learned that a U.S. Senate committee is poised to conduct a hearing on de-stigmalization of the nation's "silent epidemic.” U.S. Sen. Orrin Hatch (R-Utah) said de-stigmatization is “ one of the most important things we can do’ ’ and disclosed that the Committee on Labor and Human R esources-of which he is ranking minority m em ber-isexpected to focus on that aspect of treatment in the near future. He said the panel’s chairman has assured him th at-in Hatch’s words—“ we will have a hear­ ing in the next few weeks...” Commenting on barriers to treat­ ment, Dr. Frederick K. Goodwin, Administrator of the U.S. Department of Health and Human Services’ Alco­ hol, Drug Abuse and Mental Health Administration, remarked that confer­ ees cannot allow the treatment of de­ pressive illness to be driven back “ into the era of black magic, cultism and superstition that we came out of a cen­ tury ago. If we allow that to happen,” said Goodwin, it ‘ ‘could un-do most of the work all of us have strived so hard to achieve.” “ Depression is eminently treat­ able,” keynote speaker William Sty- ron told the gathering. The Pulitzer- prize w inning author went on to say, " ft is a horrible disease, a sometimes mor­ tal disease, but one from which people recover-and fully recover. I’m a living example of that...because I have been free of depression for a long lime.” Hosted by eight mental health or­ ganizations, the conference was held to mobilize groups ranging from the American Association of Retired Per­ sons to the National Urban League in the fight against depressive illness. Conference conveners were the American Associauon of Pastoral Coun­ selors; the American Psychiatric Asso­ ciation; the .American Psychiatric Nurses’ Association; the American Psychology Association; the National Alliance for the Mentally 111; the National Depres­ sive and Manic-Depressive Association; the National Federation of Societies for Clinical Social Work; and the Nation.il Mental Health Association. For a free booklet on depressive illness, contact: National Depressive and Manic-Depressive Association P.O. Box 1939 Chicago, IL 60690 Todays Children Have Little Fear of Dental Care Fewer children experience anxiety towards dental care due to early dental visits and advances in dental treatment, according to the Multnomah Dental Society. Parents are now more aware of the importance of early, regular dental visits. In 1983, 28 percent of children be­ tween 2 and 4 years of age, and 67 percent of children between 5 and 17 years of age, had visited a dentist the previous year, but by 1986 these per­ centages increased to 33 and 71 per­ cent, respectively. General dentists and pediatric dentists, who specialize in the care of children, can provide many tips to par­ ents about preparing their children for dental visits and about preventing den­ tal diseases. Both dental professionals and par­ ents are becoming skilled in making dental care a positive experience. The Multnomah Dental Society recommends that care should begin immediately after birth. Cleaning infant’s gums with a soft, damp washcloth or clean gauze pad after each feeding establishes hy­ giene as a pleasant, daily routine. A child’s first dental visit should be between 2-3 years, unless an un­ usual problem or condition is present. As teeth come in, parents should use a soft toothbrush and a dab of toothpaste to clean their child’s teeth. These daily hygiene activities help accustom the child to future dental procedures. Parents are instructed in the care and development of their child’s teeth and in prevention of baby bottle tooth decay. In this condition liquids con­ taining sugars, such as milk or juices, are left in the infant’s mouth for long periods of time, damaging the infant’s teeth. Some children initially experience dental anxiety. In particular, they fear injections, drilling and the possibility of choking, but by using a number of behavioral modification techniques. dentists can relax their young patients. One of the most common techniques is role playing. Unlike adults, who can be told what to expect o f a procedure, children have difficulty understanding abstractions, so they are shown—or role play-w hat will happen. Before treat­ ment, for example, children are intro­ duced to the sounds of the vacuum, the spray and the handpiece. When it comes time for treatment, they have already experienced many of the sensations of the dental environment Distraction, using stereo headphones or electronic games placed in the wait­ ing rooms, is another anxiety reducing technique. Playing tapes of children’s favorite stories during treatments has been found to be especially relaxing. When 45 children aged 4 to 9 listened to audiotaped stories during dental visits, their level of uncooperative behavior dropped by 80 percent, according to a study published in The Journal of the American Dental Association. THE OREGON HEALTH SCIENCES UNIVERSITY OPPORTUNITIES IN THE HEALTH CARE FIELD • REGISTERED NURSES • CERTIFIED NURSE ASSISTANTS • MEDICAL TECHNOLOGISTS • LICENSED PRACTICAL NURSES • MEDICAL LABORATORY TECHNICIANS • THERAPISTS • OFFICE SPECIALISTS • OFFICE ASSISTANTS • MEDICAL TRANSCRIPTIONISTS Let us tell you about these, and more. Our Personnel Office is located at 2525 SW 3rd, Portland, Oregon 97201, (503) 494-8060. Job line: 494-6478. Douglas Community Hospi­ tal, Roseburg, proposes to develop an 11-bed long-term care facility at the hospital. The OHP has not yet ruled on this letter of intent * 1 •s