|
|
|
|
 SUNDAY PROMOReturn to index of stories... |
Are New Hampshire hospitals equipped to handle stroke patients? Plus, ABC News political analyst Cokie Roberts on her new book and the 2008 race for president. |
| MON @ 7:30 Promo Return to index of stories... |
The education funding debate at the State House. Where do things stand. Plus, ABC News political analyst Cokie Roberts on her new book and the 2008 presidential race. Both sides of the education funding debate join us for an update on where things stand at the State House. Plus, ABC News political analyst Cokie Roberts. |
| TUE @ 7:30 Promo Return to index of stories... |
Are hospitals in the state equipped to handle stroke patients? Plus, thousands of pounds of debris found on New Hampshire's short coastline. What's being done to clean up beaches. |
| Show # 1508 Return to index of stories... |
this program is 1:00 under at 25:46 |
| Preshow #1 Stroke Return to index of stories... |
How prepared are New Hampshire's hospitals to treat stroke patients? |
| Preshow #2 55% Return to index of stories... |
Some new findings on why college graduates are moving out of state for work. |
| Preshow #3 Beach Return to index of stories... |
Plus, thousands of pounds of debris found on New Hampshire's short coastline. What's being done to clean up beaches? |
| Hello/Intro Stroke Return to index of stories... |
Hello, I'm Beth Carroll welcome to New Hampshire Outlook. Stroke is the third leading cause of death in the United States. The American Stroke Association says responding quickly to the signs of stroke can make the difference in survival. When it comes to knowing where to find emergency treatment for stroke are all hospitals created equal? Many experts say no. In New Hampshire there are no hospitals with certified stroke centers. Outlook's Phil Vaughn explains what it means for stroke patients. |
| Stroke Centers Return to index of stories... |
Footage of patient receiving instruction from Dr Schwamm N1- As this hospital recording shows, 50 year-old Beverly Sylvia is having a stroke. Neurologist Lee Schwamm is helping diagnose her condition. Lee 157 - "Stroke can be caused by two different problems. One is a blockage of the artery by a blood clot, or by narrowing of the artery. The other type of a stroke is when a blood vessel bursts in the brain." N2- Doctors determined Sylvia's stroke was caused by a blockage. She was attended to quickly. Dr. Schwamm and a team from Massachusetts General Hospital assisted physicians 50 miles away at the hospital where she arrived. Through video communications, he recommended the clot-busting drug TPA. Lee 910 - "50% of those who got those medications early in the course of their stroke - in the first few hours - regained full independence and returned to independent living and functioning close to what they used to. Only 38% of the patients who didn't receive the treatment got back to that level." N3- Sylvia survived her stroke. She escaped the disabling effects of it. The reason? -her doctors got help diagnosing the type of stroke and delivering the right treatment within three hours. That assistance came from Mass General's certified stroke center. Lee 755 - "To be a stroke center, you need staff, you need systems, you need to collect and monitor data, you need to provide 24-7 emergency response for stroke. That's all in in-patient and emergency room side." N4- It means that whenever a patient arrives at the emergency room - day or night - medical staff who specialize in stroke medicine are there. It means that the stroke medication TPA is always on hand. And it means that CAT scans and MIRs are available. Dr. Schwamm calls it a systematic approach to treatment. Lee 600 - "Starting from the emergency room all the way to discharge. It makes sure that patients receive the best evidence-based care that we have, and that care is delivered in a very timely manner, particularly in the emergency department." Stand up - Besides having the best emergency room care, hospitals must go further - they need to provide rehabilitation services before they can be certified as a primary stroke center. There are two roads to certification - approval by either The Joint Commission, an independent, non-profit group or from the state's Dept of Health. In Massachusetts there are 69 certified stroke centers. NH has none. Lee 1130ish - "Does that mean that there are no hospitals in NH that provide comprehensive services for patients with stroke? I don't have any way of knowing." Joanie - What do you think about that? N5 - Joanie Iarrobino directs the Emergency Department at Elliot Hospital in Manchester. Joanie - what value would a certified stroke center have for NH patients Lee 1923 - "In most parts of the country, there is new distinction between a regular hospital with an emergency room and a stroke center. So for most patients, when they arrive in an emergency room, someone will examine them, understand it's a neurology problem, and then they might get seen right away or they might wait hours before being evaluated." Joanie - how often do NH patients have to wait? Lee 1400ish - "Ideally you want one stroke center distributed for every number of patients across the state so that everyone in the state would have access to a hospital that can provide those services." N6- But stroke centers are expensive to run. It's a reason many hospitals don't have one. The other problem is a nationwide shortage of stroke specialists. Joanie - shortage here? / expense Lee 2000 - "What that means is that there are a lot of hospitals that would like to have 24-7 neurology coverage but either can't find it or afford it." N7 - So the stroke team from Mass General offers a solution for some hospitals. Lee 1525 - "To basically be the eyes and ears on the ground in the emergency room." N8 - Seven years ago they developed a Telestroke program - it's medicine done remotely with a video link. When a patient - like Beverly Sylvia - is taken to a hospital where no specialists are on duty, the staff at Mass General's stroke center helps out. Lee 1630 - "So that whenever a patient enters a hospital that's working with us, they have access to our expertise within minutes and we can help get those treatments started." Joanie - how important is that service? N9 - Two hospitals in NH - Exeter and Elliott in Manchester are becoming Telestroke partners. Joanie - how will that work? Lee 1600ish - "What were trying to do with 20 hospitals across the NE is provide that missing link in the emergency room." Joanie - what will this provide for NH patients? Lee 2025 - "The reason the telestroke program has been so successful is it's a very cost effective way to cover a high impact but low frequency event at a lot of hospitals distributed geographically." N10 - Some states require ambulance crews to deliver stroke patients to the nearest certified stroke center. They may drive right past hospitals not staffed to diagnose stroke and administer TPA. Dr. Schwamm says there's a good reason for it. Lee 905 - "We know that patients who get treated with those drugs in the first 3 hours of the stroke process do 30% better than patients who don't receive those treatments but were eligible." NEED TO FINISH Joanie - how enthusiastic are staff? |
| Tag Stroke Centers Return to index of stories... |
May is National Stroke Awareness Month. We thought this was a good time to remind you of the sudden warning signs of a stroke. According to the American Heart Association here's what you need to look for: numbness of the face, arm or leg, confusion or trouble speaking, difficulty seeing, trouble walking or loss of balance, and severe headache. For more information about stroke including these warning signs log on to our website nhptv.org/outlook. |
| Next 1 Return to index of stories... |
College students weigh in on how to keep graduates in the Granite State. |
| Intro 55% Initiative Return to index of stories... |
In 19-90 the US Census bureau listed New Hampshire as the 31st oldest state in the nation. Now 18 years later, New Hampshire ranks number 5. The Census Bureau says the cause for the graying of the state is not necessarily a significant increase in the older population but the lack of younger adults ages 24 to 35 living here. College students around the state recently joined efforts to study the phenomenon. They offered the state some suggestions on how to keep college grads from moving out of New Hampshrie. |
| 55% Initiative Return to index of stories... |
TRACK: Andrew Morris is a senior at the University of New Hampshire. Along with his classmates, Andrew must make the decision whether or not to leave the granite state. T3:21:06 Andrew walking into the library T3:21:02 Andrew sitting at his computer WHAT ARE YOU PLANNING AFTER GRADUATION? I'm traveling for the summer and after that I'm heading out to Utah for work. DOING WHAT? Wilderness therapy. I'm gonna be leading backpacking mountaineering trips for adjudicated youth. WOULD YOU CONSIDER DOING THAT IN NH? I've thought about it. There's opportunity and I've made connections here. But I think I'm heading to bigger mountains out west. TRACK: Andrew is not the only student planning on leaving the state. Roughly 50 % of college students leave NH after graduation, in search of something "different." T3:20:57:48 "manhattan" T3:20:58:10 "Latin America" T3:20:59 "California… I lived here all my life, I'm kinda bored of it." TRACK: Demographer Peter Francese describes NH's human ecology as being out of balance. "The 25-34, that age group where you have recently graduated from college. We have a very large deficit in that age group. We have about 26-27 thousand fewer people in that age group than we would expect if we had the average numbers. And that's a big deficit, from the 26 thousand that's a 14 % deficit." TRACK: The University System of NH was also concerned with the graying of the state. Matthew Cookson, Vice Chancellor of External Relations was put in charge of exploring the issue further. T3:20:32 - B Roll of Mathew Cookson in his office Matthew Cookson"We were hearing by going out with the Governor on his meetings with employers that there was an issue with employers finding workers including entry level workers and then we heard from college students that there were no jobs available. So we felt that there was this disconnect. At the same time we were hearing about the aging of the state and then overlaying that with the fact that our baby boomers are going to start retiring. So there's great concern about having people in the workforce to fill those jobs." TRACK: Cookson started a marketing campaign aimed at convincing an additional 5 percent of college students to stay in the state after graduation. He named it the 55 % Initiative. T1:12:15 wide shots of audience T2:17:30 sign made by PSU students - the "work, play and stay" one T1:02:00 cutaways of the audience T1:13:30 "My name is Colin, I'm a junior at PSU" TRACK: Marketing students from the University of New Hampshire, Keene State College, and Plymouth State University were asked to work on a semester long project to showcase the benefits of staying in NH after graduation. The students gave presentations in early May outlining their research process and findings. 13:30 So we made up a survey and distributed it to classes around campus and had 592 respondents and the results were amazing. They proved that seniors in NH are leaving because they don't feel we have the same comparative job opportunities as other states around this state." TRACK: After contacting many local businesses the students found it is a misconception that there is low employment opportunity in NH. Instead, they say businesses and students need to do a better job connecting. 5:00 We need to network with each other to find out why everyone's leaving and we need the businesses and everyone involved to come out and say this is why we want you to stay. TRACK: Another common myth the students found is graduates won't make as much money in NH. Colin: "We had someone come talk to our class and talk about his opportunity here in NH. How he had a job opportunity in Boston and he had a job opportunity in Manchester. He figured he was making more in Boston, but he figured out the cost of living in NH is substantially lower in NH without the sales tax and income tax so I realized I might not make a paycheck that's as large as someplace else, but when it comes down to it in Manchester I'm gonna have more money in pocket." T4:00:07:38 Francese, "I think that students have some misperceptions about NH, they are not well informed about the opportunities here in terms of jobs and so forth. And it's not their fault, we market the state beautifully to tourists but we don't do a very good job of telling people what the jobs are here and what opportunities there are for a young person to live and work and play in NH. TRACK: To help with this problem the students recommend the state create a website to bring together employers and potential employees. 16:00 Mathew, "Students don't have an idea of the employment opportunities that are available in the state. There's a need for a centralized website to act as the glue and focus on what's of interest to young professionals…" TRACK: The website could also help those students who do leave - stay connected to NH. Peter: 13:20 So if you go to that website and you had family in Manchester or Portsmouth or some other place, you could see what the jobs are in that area and you could see what kind of housing is available to you, no matter where you live in the world. So that you can always stay in touch with NH. TRACK: Peter Francese believes if the project succeeds in retaining an additional 5 percent of NH graduates… it will make a positive impact on the state. T4:00:09:29 Peter, "Well it's a very modest goal, I mean it's small numbers so that at the moment we have a deficit in that age group of 26-27 thousand, it might make up a little bit of that deficit, but if it makes up a little bit of that deficit, 500-1000 people change their minds, over a cumulative period over a number of years, the program keeps working, maybe 55 will go to 60, 60 to 65, more like other states. I think that initially it will have a very small effect. But psychologically it could have a big effect over the long term, I think it will have a very substantial effect. TRACK: While the long term effects of the 55 % Initiative are yet to be seen, for right now, it's one student at a time. T2:00:10 WHAT WERE YOUR INITIAL PLANS AFTER GRADUATION? Colin, "I wanted to be on the first plane to California. I wanted to be in warm weather - wear shorts everyday, but things eventually changed for me. I decided I found enough about this state through this project and now I know everything I want in my life is right here in New Hampshire. |
| Tag 55% Initiative Return to index of stories... |
The University System of New Hampshire plans to incorporate the students' findings as it launches the marketing campaign for the 55-percent Iniative in the fall. Many of the students involved hope to help with the project next semester. |
| Next 2 Return to index of stories... |
A push for cleaner beaches in New Hampshire. |
| Intro Beach Cleanup Return to index of stories... |
` New Hampshire only has 18 miles of coastline but in 2006 more than 11-thousand pounds of trash was collected on area beaches. The biggest problem: cigarettes. Nearly 52-thousand cigarette butts were found on Hampton Beach ALONE between April 2005 and September 2006. In the last two years the UNH Marine Debris Research group has examined trends among the debris found. Assistant Professor Jenna Jambeck with the University helped launch the research group. Outlook's Phil Vaughn met up with her at Hampton Beach to talk about efforts under way to cleanup the coast. |
| Tag Beach Cleanup Return to index of stories... |
A new report from the Ocean Conservancy shows in 2007 volunteers collected more than six-million pounds of debris at beaches worldwide. |
| Thanks/Goodbye Return to index of stories... |
That does it for us. Thanks for watching New Hampshire Outlook. I'm Beth Carroll. I'll see you next time. |
| Web Promo Return to index of stories... |
Did you have a reaction to any of the stories or interviews featured in this program? Did we miss anything or do you have suggestions for future Outlook espisodes? If so, we want to hear from you. Drop us an email at nhoutlook@nhptv.org. As always, you can find these stories and more online at nhptv.org/outlook. VERSION ONE: Connect with us online. New Hampshire Outlook is available online on demand at nhptv.org/outlook. We've been streaming our programs since Outlook premiered in September 2000. Whether you want to watch this show again, email it to a friend, search and watch past programs or get more information on thousands of stories and topics, you'll find it all at nhptv.org/outlook. VERSION TWO: Connect with us online. New Hampshire Outlook is available online on demand at nhptv.org/outlook. VERSION THREE: Connect with us online. New Hampshire Outlook is available online on demand at nhptv.org/outlook. Whether you want to watch this show again, email it to a friend, search and watch past programs or get more information on thousands of stories and topics, you'll find it all on our website. |
| key: HEALTH / HEALTH CARE Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 6/29/2008 HOST: Beth Carroll Length: 9:00 Now on NH Outlook: How prepared are New Hampshire's hospitals to treat stroke patients? Some new findings on why college graduates are moving out of state for work. Plus, thousands of pounds of debris found on New Hampshire's short coastline -- what's being done to clean up beaches? Hello, I'm Beth Carroll welcome to New Hampshire Outlook. Stroke is the third leading cause of death in the United States. The American Stroke Association says responding quickly to the signs of stroke can make the difference in survival. When it comes to knowing where to find emergency treatment for stroke are all hospitals created equal? Many experts say no. In New Hampshire there are no hospitals with certified stroke centers. Outlook's Phil Vaughn explains what it means for stroke patients. PRODUCER/REPORTER: Phil Vaughn NAME OF PARTICIPANTS: Lee Schwamm M.D.\Dir. of Acute Stroke Services\Massachusetts General Hospital, Joni Iarrobino R.N.\Dir., Elliot Hospital Emergency Department |
| key: EDUCATION Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 6/29/2008 HOST: Beth Carroll Length: 8:00 Now on NH Outlook: How prepared are New Hampshire's hospitals to treat stroke patients? Some new findings on why college graduates are moving out of state for work.Plus, thousands of pounds of debris found on New Hampshire's short coastline -- what's being done to clean up beaches? In 1990 the US Census bureau listed New Hampshire as the 31st oldest state in the nation. Now 18 years later, New Hampshire ranks number 5. The Census Bureau says the cause for the graying of the state is not necessarily a significant increase in the older population, but the lack of younger adults ages 24 to 35 living here. College students around the state recently joined efforts to study the phenomenon. They offered the state some suggestions on how to keep college grads from moving out of New Hampshrie. PRODUCER/REPORTER: Jen Clark NAME OF PARTICIPANTS:Andrew Morris\UNH Student, Peter Francese \Demographics Expert,Matthew Cookson\Assoc. Vice Chancellor, External Relations, Matthew Cookson\University System of New Hampshire, Colin VanDenBerghe\PSU Student |
| key: YOUTH Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 6/29/2008 HOST: Beth Carroll Length: 8:00 Now on NH Outlook: How prepared are New Hampshire's hospitals to treat stroke patients? Some new findings on why college graduates are moving out of state for work.Plus, thousands of pounds of debris found on New Hampshire's short coastline -- what's being done to clean up beaches? In 1990 the US Census bureau listed New Hampshire as the 31st oldest state in the nation. Now 18 years later, New Hampshire ranks number 5. The Census Bureau says the cause for the graying of the state is not necessarily a significant increase in the older population but the lack of younger adults ages 24 to 35 living here. College students around the state recently joined efforts to study the phenomenon. They offered the state some suggestions on how to keep college grads from moving out of New Hampshrie. PRODUCER/REPORTER: Jen Clark NAME OF PARTICIPANTS: Andrew Morris\UNH Student, Peter Francese\Demographics Expert,Matthew Cookson\Assoc. Vice Chancellor, External Relations, Matthew Cookson\University System of New Hampshire, Colin VanDenBerghe\PSU Student |
| key:ENVIRONMENT Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 6/29/2008 HOST: Beth Carroll Length: 7:30 Now on NH Outlook: How prepared are New Hampshire's hospitals to treat stroke patients? Some new findings on why college graduates are moving out of state for work.Plus, thousands of pounds of debris found on New Hampshire's short coastline -- what's being done to clean up beaches? New Hampshire only has 18 miles of coastline but in 2006 more than 11-thousand pounds of trash was collected on area beaches. The biggest problem: cigarettes. Nearly 52-thousand cigarette butts were found on Hampton Beach alone between April 2005 and September 2006. In the last two years the UNH Marine Debris Research group has examined trends among the debris found. Assistant Professor Jenna Jambeck with the University helped launch the research group.Outlook's Phil Vaughn met up with her at Hampton Beach to talk about efforts under way to cleanup the coast. PRODUCER/REPORTER: Phil Vaughn NAME OF PARTICIPANTS:Jenna Jambeck \UNH Assistant Research Professor\Civil & Environmental Engineering Dept. |
| Release Forms Return to index of stories... |
have all 3 release forms for beach cleanup participants have all 5 release forms for stroke center participants |