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Ear protection today, hear tomorrow

April 27, 2011
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Noise-induced hearing loss affects 26 million Americans, according to the National Institutes on Deafness and Other Communication Disorders, even though it is the only type of hearing loss that is 100 percent preventable.

Story and photos by Erin Starkebaum, NewsNetNebraska

Don’t you just love singing along to the blaring loud music at parties and concerts? Of course, who doesn’t? And don’t you just love being the only person wearing earplugs?

If you answered yes to the first question and no to the last, you might want to reconsider. Because, according to the National Institutes on Deafness and Other Communication Disorders (NIDCD), about 26 million – or 15 percent - of Americans ages 20 to 69 have permanent hearing loss from being exposed to loud noises at work or in leisure activities.

It’s called noise-induced hearing loss, NIHL for short. The sheer force of energy from a noise that is too loud or lasts too long can damage sensitive hair cells located in the cochlea of the inner ear. Hair cells at the front of the cochlea are especially sensitive to high frequencies and are the first to be damaged by loud noises, which can affect a person’s ability to hear 80 percent of normal speech tones, experts say.

Kelly Wacker, audiologist and assistant professor of practice at the University of Nebraska-Lincoln, said NIHL is the only form of hearing loss that is 100 percent preventable. Many people, however, don’t even know when they are putting their hearing at risk.

“You’re not invincible,” Wacker said, adding she wants to tell students who drive around with their music so loud it can be heard from five blocks away. “I should just stand at the corner and hand out business cards and say, ‘In 15 years, you’ll see me,’” she said.

So just how serious of a risk is noise-induced hearing loss? Ray Rosenow, president of Cornhusker Hearing Center, said the latest research he has seen puts NIHL at a pandemic proportion.

“It’s pretty hard to escape these days,” Rosenow said. “It’s the young ones that use iPods and go to concerts. They can show damage within a couple of days,” he added.

Rosenow, who is board certified in hearing instrument sciences, fits 700 to 1,000 patients with hearing instruments each year. The majority of those patients, he said, have noise-induced hearing loss. He’s seen NIHL in teens and 20-year-olds as well as in 70- and 80-year-old farmers who have been around loud machinery their whole lives.

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Ray Rosenow, president of Cornhusker Hearing Center, shows a graph of what an 88-year-old man’s hearing looks like. It is far below the level of normal hearing and dips even farther in the high frequencies, suggestive of noise-induced hearing loss.

Rosenow was diagnosed with NIHL after being raised in a family of shotgun shooters and began showing signs of hearing loss as early as age 6. It was extremely devastating, Rosenow said, and impacted his grades and attention span.

“While the teacher was talking, I’d be watching clouds out the window,” he said.

According to the National Institute on Deafness and Other Communication Disorders, noise-induced hearing loss causes sounds to be muffled or distorted, making it difficult to understand speech.

Sound is measured on a decibel scale. The higher the decibel level of the sound, the greater the risk of permanent hearing loss. The length of time exposed also plays a role in the danger level of the noise. The louder the noise in decibels, the less time it takes to cause permanent hearing loss. If the noise is loud enough, like an explosion, a one-time exposure can do serious damage.

The National Institute for Occupational Safety and Health (NIOSH) sets a standard on what decibels levels are considered safe and how long a person can be exposed to a sound that is too loud before permanent damage is done.

NIOSH standards say that at 85 decibels, a person can listen for eight hours without risking damage. At 88 decibels, a person can listen for four hours. At 100 decibels, a person can listen for only 15 minutes. By the time the sound is up to 106 decibels, 3.75 minutes of listening is safe.

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The National Institute for Occupational Safety and Health says these are the safe listening standards.

That’s bad news for 22-year-old Andrew Tool, bass player of the local band A Summer Better Than Yours. Tool has been playing bass and guitar for close to six years and hasn’t always worn hearing protection. After being exposed to loud music for so long, Tool said he has already noticed what he thinks are the effects of NIHL.

“I found myself asking people to repeat themselves more than usual because I couldn’t understand what they were saying,” Tool said.

In the past, he has used Hearos ear filters to bring the decibel level of his music down to levels that can be tolerated for longer times before causing hearing loss.

“They worked great,” he said, “until I lost them.”

To see if Tool’s observations were measurable, Dr. Wacker evaluated his hearing by testing what  Tool could hear in each ear. She also asked him to repeat words to make sure he could hear them all. Wacker classified Tool’s hearing in the normal range, but Tool said he could not hear some words well enough to understand and repeat them.

“Dr. Wacker told me that just because I don’t have hearing loss yet, it doesn’t mean it won’t happen,” Tool said.

Wacker recommended that he wear hearing protection at all times around the loud music. If he doesn’t, he will be committing what Rosenow calls auditory suicide.

“It’s not much different than sticking an ice pick in your eye,” Rosenow said. “You’re basically accomplishing the same thing.”

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Students get help with healthy eating

April 6, 2011
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Dining hall employee Bachhue Tran refills the bin of strawberries at the salad bar in Selleck dining hall after the lunchtime rush.

Story and photos by Erin Starkebaum, NewsNetNebraska

Remember how your parents always told you to eat your vegetables? Well, they’re not the only ones anymore.

The federal government and campus dining services at the University of Nebraska-Lincoln are also chiming in to get students to eat healthier.

The newest edition of the USDA dietary guidelines, released at the beginning of the year, also emphasizes eating vegetables. The guidelines, which are updated every five years, also suggest eating more fruits, whole grains, seafood, lean meat and poultry, beans, peas, nuts and seeds. But now that students at University of Nebraska-Lincoln don’t have mom and dad telling them to eat these healthy foods, the dining services staff has stepped in to fill the role.

Five dining halls on city and east campus serve 63,000 meals each week. To help students incorporate these healthy foods into those meals, dining services management already has several initiatives in place.

In fact, just before the new guidelines recommended consuming no more than 2,300 milligrams of salt a day, the dining services management had begun a project to reduce the amount of salt in its recipes.

“It was good timing,” said Pam Edwards, assistant director of dining services at UNL. Dining management also had changed or incorporated 150 new high fiber and high whole grain recipes into its database of nearly 5,000 recipes.

But university dining management wants so much for students to get good nutrition that a committee was established to help achieve that end. The gNc (Good Nutrition Counts) committee is made up dining services management, the dining services administrative assistant, a health center registered dietitian, the UNL Wellness coordinator, three directors from UNL Residence Life, as well as a handful of students.

One student member, Emily Simpson, said the committee’s primary goal is “promoting balanced, nutritional food choices.”

“Creating healthy, balanced meals and making informed diet and lifestyle decisions often presents a challenge during the transition to college,” said Simpson, a nutrition, exercise and health science and dietetics student.

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WOW (Working on Wellness) was a program created by the gNc (Good Nutrition Counts) committee to promote wellness in every area of UNL students’ lives.

One of the gNc’s programs is the WOW (Working on Wellness) campaign, created two years ago to help students achieve wellness in all areas of their lives. A wheel of wellness featuring the seven elements of wellness – emotional, environmental, intellectual, occupational, physical, social and spiritual – was displayed in the dining halls. Students would spin the wheel, answer a question about the area of wellness it landed on and would win a healthy snack like soy nuts or a piece of fruit.

A more recent initiative is designed to boast the benefits of eating whole grains. The committee puts labels on the bread, cereal and pasta in which whole grains to make it easier for students to select. The committee also created nutrition labels to show students how the amount of calories, fat, carbohydrates and protein are in each serving of food.

Freshman Jenny Hosack said she uses the labels a lot when choosing what to eat in the dining halls. She focuses particularly on the amount of fat and calories from fat in each food, she said.

“If there are an outrageous number of calories for a really small piece of food, I usually stay away,” said Hosack, a secondary math education student from Harlan, Iowa. She said that even though nutritional labels can be very helpful, they still need to be read carefully. “The serving sizes are usually smaller than what people actually eat,” Hosack said.

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Jenny Hosack fills her bowl with fresh veggies at Selleck Dining Hall.

No laws force the university to run these educational campaigns in the dining halls to help students comply with the dietary guidelines.
“We don’t go through and say, ‘we’re doing this and we’re doing this and we’re doing this,’” said Edwards, dining services assistant director. Even if there was a law, the eating habits suggested are personal choices students have to make for themselves.

Hosack agreed that students have to make their own food choices. “The dining halls do a good job of offering a variety of healthy foods, but there’s definitely the option of not eating that way,” said Hosack.

Freshmen Robert Moore and Andrew Borer both said they were unaware of the dietary guidelines. They also said they don’t really pay attention to the dining services’ efforts to promote healthy eating. They choose what to eat based on what they feel like eating or what looks the best.

“Last semester I was a terrible eater,” said Moore, a graphic design student from Omaha. “I was trying to gain weight for football and was eating really bad sugary and fattening foods,” said Moore, who is trying to walk on to the Huskers football team as a tight end.

When it comes to gNc’s nutrition labels, they said they’ve noticed more women paying attention to them than men. “It’s always the girls who don’t need to be on a diet that pay attention to calories,” Moore said.

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One of the gNc committee’s projects was to label all food in which whole grains could be found to make it easier for students to work more whole grains into their diet.

High calories aren’t the only factor that can make certain foods unhealthy. According to the dietary guidelines, Americans consume too many calories from solid fats, added sugars and refined grains. Moore and Borer were examples of this last semester. They’ve only just recently discovered the benefits of choosing healthier foods and drinks, they said.

Borer, a music education student from Norfolk, Neb., said last semester he and his roommate were drinking 48 cans of pop a month. Moore said he used to go through eight cans every day. After realizing how much better they felt and performed when playing basketball at the rec center, they decided to cut way back.

Now the two are both down to a glass or less of pop a day and Borer’s new eating habits follow the rule of eating whatever makes him feel better.

Though it may not have been the gNc’s campaigns or the dietary guidelines that changed Borer and Moore’s way of eating this semester, they still learned what the gNc committee and federal dietary guidelines wanted them to –to eat healthier.

“I feel like you’re happier when you’re healthier,” Borer said.



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Cooking for health

March 16, 2011
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Photos and story by Erin Starkebaum, NewsNetNebraska.



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Stay healthy now to stop heart disease

February 23, 2011
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Video report by Erin Starkebaum, NewsNetNebraska.



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What’s the flu going to do?

February 16, 2011
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Video report by Erin Starkebaum, NewsNetNebraska.



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Erin Starkebaum: Journalist from the Farm

February 2, 2011
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Story and photo by Cole Miller, NewsNetNebraska

Growing up in the small town of Haxtun, Colorado, Erin Starkebaum spent many evenings photographing sunsets on the wide-open plains of the farm where she grew up.

“I got my first point-and-shoot camera for Christmas freshman year and never went a day without taking a picture of my friends or farm animals the next four years of high school,” Erin says of her early photography career.

Her aunt was quick to notice her interest in photography and suggested she pair it with journalism in college. After a chilly visit to the journalism college at University of Nebraska-Lincoln, she knew it was meant to be.

“UNL has a great journalism program,” Erin says, “and I’ve somehow always known I wanted to be here.”

Now a junior news-editorial student, Erin’s photography is only a small part of her journalism career. She also produces video news stories and writes in-depth articles for class.

In the summer of 2010, Erin interned at The Columbian newspaper in Vancouver, Washington.  “A typical day consisted of 3 to 4 assignments, so it was pretty busy,” Erin says of the internship.

“It was the best summer of my life, but it made me realize I’d like to look beyond just photography for my career,” Erin says.

After returning to campus the following fall, she expanded her interests to public relations and advertising.

“I want to make myself as well-rounded as possible,” Erin says. ” I don’t ever want to limit myself.”



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