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Hatzalah Raffle!

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Hatzalah Raffle!

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Shabbos Hatzalah

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Shabbos Hatzalah

This coming Shabbos, parshas Bechukosai, all of us in Crown Heights will be given the opportunity to donate to the only organization where 100% of the funds donated go directly to the organization’s needs. No salaries. No commissions.

Medical equipment, gas, insurance and everyday life saving tools are at an all-time high. We need your help to allow us to maintain the state of the art lifesaving equipment for each Hatzalah member and our 4 ambulances.

Every shul will be holding an appeal this Shabbos parshas Chazak-Bechukosai to benefit Hatzalah of Crown Heights. When you call Hatzalah, our trained members are there within seconds. We need you to answer the call now. United as one community, we ask everyone to please open your hearts and help support our vital cause. Thank you and Tizku l’Mitzvos.

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We’ve found a way to save more lives!

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STROKE IDENTIFICATION

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STROKE IDENTIFICATION

REMEMBER FIRST 3 LETTERS OF STRoke

During a BBQ, a friend stumbled and took a little fall – she assured everyone that she was fine (they offered to call paramedics) and just tripped over a brick because of her new shoes.  They got her cleaned up and got her a new plate of food – while she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening.  Ingrid’s husband called later telling everyone that his wife had been taken to the hospital – (at 6:00pm, Ingrid passed away.) She had suffered a stroke at the BBQ.  Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today.  Some don’t die.  They end up in a helpless, hopeless condition instead.
It only takes a minute to read this. ..

Many stroke victims can be successfully treated, with some recovering completely, if the stroke is recognized, diagnosed   and  cared for within 3 hours   from the onset of symptoms, which is  not an easy accomplishment.
RECOGNIZING A STROKE

(The first 3 letters of STROKE)

Sometimes symptoms of a stroke are difficult to identify.  Unfortunately, the lack of awareness spells disaster.  The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.  Now doctors say a bystander can recognize a stroke by asking three simple questions:

S *Ask the individual to SMILE.

Both sides of the mouth should look symmetrical.
T *Ask the person to TALK .  To SPEAK A SIMPLE   SENTENCE . (I.e.  .  .   “It is sunny out today.” )  The victim should be able to speak and the words should not sound slurred or be spoken in the wrong order.

R *Ask him or her to RAISE BOTH ARMS.

If he or she has trouble with ANY ONE of these tasks, call 9-1-1 immediately and describe the symptoms to the dispatcher.

If  everyone who gets this e-mail sends it to 10 people,  it is likely that at least one life will be saved.

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Hookah Smoking

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Rashid Gatrad, consultant paediatrician1, Adam Gatrad, gap year student2, Aziz Sheikh, professor of primary care research and development3

1 Manor Hospital, Walsall, 2 University of Central England, 3 Allergy and Respiratory Research Group, Division of Community Health Sciences, University of Edinburgh. Correspondence to: A Sheikh Aziz.Sheikh@ed.ac.uk

A hookah—also known as hubbly bubbly, shisha, or narghile—is a glass based waterpipe used for smoking. It operates by water filtration and indirect heat. Tobacco or molasses are placed in the bowl at the top of the apparatus, which is connected to the water filled base by a pipe. This bowl is then covered with perforated material, such as kitchen foil. Burning charcoal is then placed on top of the foil. During inhalation the smoke from the charcoal is pulled through the tobacco down the pipe and towards the water. After bubbling through the water, the cooled smoke surfaces and is drawn through the hose and inhaled. Some hookahs have a “choke” to control the amount of smoke inhaled. Electric burners are also available, which offer a quicker smoke than the original charcoal burners.

How common is waterpipe smoking?

Around 100 million people use a hookah daily worldwide.1 Some of these smokers are children—a study in the central region of Israel among predominantly Jewish secondary school children found that 41% had or were smoking tobacco through a hookah.2 Similarly, a US study of Arab American adolescents found that 27% had experimented with a hookah.3

Introduction of the flavoured and aromatic tobacco has helped broaden the appeal of hookahs, both in their traditional homelands and in Western Europe. In Egypt, for example, younger adults prefer fruit flavoured tobacco, whereas older people tend to prefer smoking molasses—thick treacle-like syrups that burn like tobacco leaf products but are nicotine free.

Although the hookah is commonly used for smoking herbal fruits after meals, it has recently become increasingly used for smoking tobacco, massel (aromatic tobacco), cannabis and bango (an intoxicating plant leaf).

Social activity

The hookah is commonly shared among family members including children, friends, and guests. Hookah establishments are also increasingly found around university campuses, where multiple hose waterpipes are used for group smoking. Recent work indicates that relative to cigarette smoking, tobacco used in a waterpipe is characterised by more intermittent use, greater social acceptability, increased use among women, and a lower interest in quitting, probably because people are less aware of its addictive properties.4 Family attitudes towards children smoking tobacco in waterpipes are reported to be far more permissive than attitudes to cigarette smoking.5 Our observations among the children of friends, relatives, and acquaintances confirm this.

UK experience

Rising numbers of children in the UK are being exposed to and experimenting with smoking hookah products. Although accurate data are lacking, children as young as 10 years old are known to smoke fruit flavoured aromatic tobacco in areas with large minority ethnic communities such as Leicester and London.

Hookahs are relatively commonplace in Middle Eastern restaurants. A session of smoking typically costs £5 to £15. For those wanting to smoke at home, a hookah costs from £30 to £300. Many are, however, brought over more cheaply from the Middle East after business or holiday travel.

Not all tobacco packaging exhibits a warning on the effects of tobacco or the content of nicotine. And it is relatively easy for children to buy tobacco for use in hookahs without many questions being asked.

Health risks

Little is known about the pharmacological effects and dependency associated with smoking tobacco in a hookah. The nicotine content in hookah tobacco seems to be the same as in cigarettes.6 Hookah smoking carries a greater risk of carbon monoxide poisoning than cigarette smoking,7 particularly if smaller hookah pipes and “quick lighting” commercial charcoal are used.8

There is also some evidence that hookah smoking causes chromosomal damage.9 The concentration of cancer causing additive substances may be equivalent to that in cigarettes, but hookah smokers are additionally exposed to the carcinogenic effect of hydrocarbons and heavy metals in the charcoal. Gum disease has been reported to be five times more common in hookah smokers than in cigarette smokers.10 Shared smoking also carries a small but important risk of transmitting infectious diseases directly into the respiratory tract.

Implications of UK Health Act

When used for smoking tobacco, the hookah is included in the legislation that came into force in England in July 2007 banning smoking in public places.11 We believe that including the hookah in the legislation is appropriate since the exposure of non-smokers to tobacco fumes is considerably higher than for cigarette smoking because of the large plume of smoke that the hookah generates. It remains to be seen what effect this legislation will have on smoking non-tobacco containing products that still generate a large amount of smoke.

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