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We are pleased to offer commentary and reviews of books, web sites of interest to our members. The amount of information on the Internet is growing geometrically and an increasing practice is for the latest information to be released ONLY on the Internet. Therefore, we aim to be a source through this web site and in our newsletter: GERONTOLOGY TOPICS, finding sources that can "filter" the information to what you really need to better serve the Aging Services community.

Please note that NEGA can make no guarantees for the advice given on any of these sites.


Book Reviews   

 

Web Reviews

 

Book Reviews:

Breakthrough Management for Not-for-Profit Organizations . . .by Howard H. Brown and Donald L. Ruhl

Life in “retirement” has been busy for us—at times. The usual daily “employment routine” has been replaced with new things to do and look forward to. But what has just taken place in our otherwise ordered existences is the publication of our first book! something neither of us had experienced before.

Big deal! We had done the articles, doctoral dissertations and the like just as others have done, but never found the time or inspiration to do a book. But in November of 2003, Praeger Press, of Westport, CT, brought out our book: Breakthrough Management for Not-for-Profit Organizations: Beyond Survival in the 21st Century. Now Don and I have a Library of Congress number associated with our names!

Over the years each of us had thought about getting around to writing a book, but it hadn’t happened. I had asked Don to teach our course “Managing in the Nonprofit Sector” at Bradford College during its final semester in spring of 2000. He, like others who had taught the course before, couldn’t find a textbook to use. Instead, with many contacts in the community, he used a reference book plus one speaker every Friday morning for 12 weeks. I went to each of those classes and took notes which he and I discussed throughout the semester, finally agreeing there was a need for the book we could not find. So first an outline, what to cover and what not to bother with, what things we wanted to do with the book (ones we hadn’t found in other textbooks we had foisted on students over the years). Then, who might be interested in a book of this nature, how to write a book, what publishers might be interested, and how to approach these publishers? We talked to friends who had been through the publication “ritual,” had lunches and meetings with people who might stimulate our thinking. Finally we began putting words on paper.

Don’s wife quietly asked mine whether she thought we would ever carry the project through to completion; my wife told her that she thought so. Don was our expert in researching material in print. I was the computer guy who pulled the written pieces together. Soon into the project, the Ruhls bought a new computer, and figured out how to give me Don’s work on a disk. Sometime later, we began swapping information and files via the internet. (Remember, these are two men who had used electric typewriters for their dissertations!)

We decided that Don would draft a chapter that dealt with volunteers and I would do one about managing such organizations. When they had been completed, we sent these chapters to a number of friends who tore them apart. While waiting for feedback, we began writing a generic proposal to go to the publishers we would approach—based on various guides for “would-be” authors. Added to that information later was what we found on the selected publishers’ websites pertaining to each’s specific requirements. Re-write after re-write, it was now crunch time.

We assembled seven pages of proposal material, the two chapters we had written, added our resumes, and appended a long list of prospective colleges and universities that offered courses, degrees at undergraduate and graduate levels, certificate programs, and the like, all pertaining to the not-for-profit sector.

On a Monday morning, I mailed twelve packages to as many publishers and we sat back for the long wait. We had heard the tales of woe from many hopeful authors: rejection upon rejection, waiting without hearing anything.

To our amazement, four days later I received a call from the editor and publisher of Quorum Press, member of Greenwood Publishers, who said he wanted to do the book and would we wait until he had talked to his marketing people? We agreed. Several weeks passed until we received the draft of a contract. We worked through “publisher double-talk,” then drove to Manhattan for lunch with the publisher (uptown, at the Whitney Museum restaurant) to discuss the project. A really nice guy about our age, he was easy to talk with and we came up with a mutual agreement as to the terms of the contract. Another two months, after we had sent him information he requested, and the signed contract was in our hands—and the next phase began. (Incidentally, about a month later, we received a second offered contract, then several rejections. We ultimately sent out several letters to publishers we hadn’t heard from and told them we already had accepted a contract and thanks, but . . . . )

We now had about ten months to deliver the completed manuscript. Don worked on two more chapters as did I. That brought us to the proposed six text chapters of part one, with the final part two section (“practitioner’s handbook”) to be built upon these six chapters. Material passed back and forth, meetings were every two weeks or so to “encourage” each other. When a chapter was to our liking, we sent it to another group of readers for critique. Ten months had sounded like a lot of time, but with two neophytes writing, the time moved along pretty quickly—especially since both of us continued to do other things, like vacations (the Browns to England on a choral tour, the Ruhls taking several bird-watching excursions).

In order to assure that our publisher would agree to designing and including a dust jacket for the book, we began a campaign to find a group of people who would write endorsements, ones that could be included on said dust jacket. We succeeded, coming up with a business author, business school dean, and a president of a not-for-profit professional association. To that group we added the CEO of a large regional bank, head of a Chamber of Commerce group, and a former president of an extensive women’s international association. The final effort was to enlist someone, just the right person, to write the foreword to the book. The former president of our college, who is now president of a major New York City college and a respected author, agreed to do so.

Our by-now-comfortable routine was shattered when we learned that our initial editor had been “retired,” and Quorum folded into Praeger. So we took a ride to Westport, CT, to meet our new editor who, we learned, was shouldering her own workload plus now that of our previous editor. Face-to-face meetings, we had learned over the years, make working with people easier somehow, and these two neophyte authors needed all the help they could muster. Having been well received (“I usually end up meeting only 2–3% of the authors with whom I work,” she had told us) and assured of support, we returned home feeling that all was not lost, just some time along the way.

The completed manuscript was finally sent off on the original schedule, and we waited for feedback. I was at Don’s house when our editor reached us. She explained that their production people were uneasy because of several “unusual” page-numbering devices that we were proposing be incorporated.

Without going into great detail, what we had in mind meant that if a new page were to be inserted between existing pages, all the page numbers in between would have to change as would the page numbers we were inserting in cases with which we were starting each chapter—and the production people were afraid of the time it would take them to be sure the page numbering was correct. Time = money, and they were figuring that the time would now be more than they had budgeted for. The bad news for us was that the extra amount over that budgeted would have to be retrieved out of our future commissions. We protested that we had been proposing this right along. Elimination of these features was unacceptable to us. A call-back an hour later brought no change in their stance. However, the editor suggested that, since I had all this set up on my computer, would we consider generating and supplying to them the camera-ready pages? that by so doing, we could be sure the page numbers were correct throughout.

I guess it is true: “fools do rush in where angels fear to tread.” But then we had more time on our hands than money to give up in commission checks (that we hopefully will receive over the years ahead). So we agreed. [I should note that it would fall on me since Don does all his writing with a blunt #2 pencil, his wife then “translating,” typing and transmitting same to me via electronic means.]

So the publisher sent all their guidelines which were added to the 921 page Chicago Manual of Style (similar to the writer’s guide I had for years foisted on my Bradford College management seniors as they wrote their senior projects). This proved to be an interesting learning experience: cross-referencing and bookmarks, pagination with different chapter entries at the top of verso and recto pages, insertion of photographs and clip art, generating drawings and tables—all to be fitted properly, ending up with each page looking as it would ultimately appear.

[Oh yes, about now we found ourselves with yet another editor, our third—our previous one having requested a lateral transfer into an editorial area in which she had more experience. Our new editor, we were informed, had just come into the organization with a strong business background. Another road trip to meet him . . . ]

From the computer, these pages went to another group of fussy proof-reader friends as well as the publisher’s designated copy editor. We never did get to meet this gentleman but, to his credit, he was excellent at what he did and was most generous with his time and our feelings. Finally, after a number of go-arounds with all these wonderful people, the pages bearing our blood, sweat and tears went into the mail—while we still believed that we would only consider the project “done” when each of us had a copy of the book on our living room coffee table.

We are now being asked “how is the book is doing?” So far, too early to know.

We are kidded about “all the money you are going to make.” Our only response is that if we make five-cents per hour for all the time invested over the four years it took us, that will probably be a lot!

“Why did you write the book?” is the other favorite question. We explain that (1) we couldn’t find a text (still can’t find another one) to use for courses covering the not-for-profit organization, still really believing that ours fills this void; (2) we both had always wanted to become “published authors”; and (3) honestly? there is an ego element involved.

So now there is a copy of the book, on each of our coffee tables, with our names on the cover . . .

March 4, 2004

Estate Planning: It is never too early and never too late to implement strategies for effective estate planning. Here is one of the best helpers.

ABSTRACTS: FROM BOOK "ULTIMATE FITNESS"

The quest for truth about exercise and health:Gina Kolata farrar, strauss and giroux / New York 2003

Concept: Muscle burns more calories than fat- Weight lifting has virtually no effect on resting metabolism. Reason: any added muscle is minuscule compared with the total amount of skeletal muscle in the body. Also, muscle has a very low metabolic rate when it is at rest, which is most of the time. Skeletal muscle burns 13 calories per kilogram of body weight over 24 hours when a person is at rest. A typical male who weighs 154 pounds has about 28 kilograms of muscle. When he is at rest, they burn about 22% of the calories his body uses. The brain and liver both also use about the same number of calories. With weight lifting if the man gains 2 kilograms (4.4 pounds) of muscle, his metabolic rate would increase by 24 calories a day. It is reported that the average amount of muscle that men gained after a serious weight lifting program that lasted 12 weeks was 2 kilograms (and much less for women). Vogel's book on muscle: charts showing how much blood is delivered to various parts of the body at rest and during exercise: The more blood delivered, the more metabolically active the cells are and the more calories burnt. At rest, skeletal muscle gets 1.04 liters of blood each minute, about 1/5th of the blood being pumped through the body. The rest goes to other places like, the digestive system (1.2 liters per minute); the kidneys (0.95 liters per minute); and the brain (0.64 liters per minute). (P.230-31). During intense exercise, the skeletal muscles get a huge increase in their blood supply, with 17.6 liters each minute arriving to fuel them and give them oxygen. Then 88% of the body's blood is going to the muscles, taken mostly from the digestive system and the kidneys.

TO BURN MORE CALORIES: requires more intense exercise, like running, and not just putting on some muscle and hoping it will burn calories and make you thinner as your REST. With resistance training you may lose some fat, but you wont lose weight because you are building muscle at the same time. Claude Bouchard notes, that almost no one puts on enough muscle as a proportion of their total body mass to make a noticeable difference in their weight. The muscle you develop if better at using fat for fuel and the cells are more permeable to glucose, which , in turn reduces the need for excess insulin in the blood, giving a reduced susceptibility to diabetes. 

(P232). STRETCHING: Warming up the muscles before exercise does seem to have a beneficial effect. It does seem to help if you start your exercise gradually and work up to higher physical demands. 

BODYSCULPTING: You cannot spot reduce fat but you can increase muscle size with specific strength training. To reshape yourself Kraemer says, " you have to hypertrophy muscles, meaning to build them, which can take 3 to 6 months or even longer.    Guidelines: You can't work the same body part two days in a row. You have to do 3 sets of about 10 repetitions, take a break and repeat set and break, etc.. Others say to do one set to failure, so that after 6 or 8 reps. you cannot do another one. Then you move on to another muscle group. Scientific guides: Work large muscles, like the quadriceps before small muscles like the inner thigh. That is because when working a small muscle first, it fatigues the adjacent larger one. Main variables are intensity, resistance, order, and choice of the number of sets. The lifting ORDER should be varied so one does not do the same thing week after week, etc..                                                                          

 William Kraemer (p235) American College of Sports Medicine 

A variety of programs are effective but you have to keep stretching your muscles to see change. Details of a program depend on one's goals and there is no answer to some questions.

SPEED OF WEIGHT LIFTING EXERCISES (P.235) It is important to train at fast, moderate, and slow speeds, but the most effective speed seems to be about one second to one to two seconds for a contraction and about the same for muscle lengthening. Every major muscle group of your body should be trained two to three days a week; but when working on one body area (i.e. upper body) in each session, you should work that body area in just one to two days a week. Training and routines and different exercises should be varied , with fewer and more repetitions, lighter and heavier weights, with increasing demands over time. 

SUPERSLOW: ACE magazine (Mar-Apr. 2002)  "One Man's Defiant Challenge" - (p.250-51) The idea is to do 5 or 6 exercises to failure, raising or lowering weights very slowly, taking 10 seconds to raise a weight and then another 10 to lower it. At a GWU Medical Center study in 2001 J. of Strength and Conditioning Research, 2 groups were compared. One was a traditional weight lifting program and the other with SuperSlow. The former was better for building muscle strength and that the later did not improve the participants ability to do sustained active exercise the way a program such as running would.  Ken Hutchins however maintains that SuperSlow helps healthy people get in shape and has been used to successfully treat patients with Parkinson's disease, spinal fusion, urinary incontinent, and sexual dysfunction.

INTENSITY OF EXERCISE:

Steve Blair's study: "Physical Fitness and All-Cause Mortality" (1989) reflected that a convincing body of evidence has emerged in support of the observation that most of the health benefit probably occurs from just mild exercise, not necessarily from the most arduous workouts. (P.262). Osteoporosis experts say there is no rigorous study showing that weight lifting will reduce your risk of osteoporosis (which may be a common current misconception), insofar as bone density is developed, and maintained in later years to a greater degree with weight resistance training. Physiologists maintain that weight lifting will not raise your metabolic rate, again denying common current conceptions. (p.265) Donald Kirkendall Whether you lose weight or not depends on how hard you exercise, how long, what you eat, and what your genetics are. Obesity experts say you can just walk a half hour or so of brisk walking will burn about 150 calories a day. In a month, if you do not change your diet, you could lose a pound. It really is much more EFFECTIVE to exercise hard enough to sweat, and that is the only way to burn large numbers of calories. "DK" If you want to push performance, you've got to push the intensity. The biggest way to gain fitness is to push intensity.

A reflection by Richard Friedman (Cornell Med., NYC) The "truth" about exercise is more often a marker of health than its cause- healthy people like to exercise more than unhealthy people to start with. And the real value of it is not in terms of abstract health benefits like longevity an extra few hours or maybe months but because it feels good when you do it or when its over. To hell with Hygeia; the truth lies in pleasure."

WEIGHT GAIN OR LOSS: (P.96-98) Weight loss is a matter of simple physics. If you take in more calories than you use, you will gain weight, and lose when you take in fewer calories than you use.                                                                                                                   

1992 study A.J.Clinical Nutrition, Rudolph Leibel (Columbia P&S) and Jules Hirsch (Rockefeller U) It took the same number of calories of fat as it took of carbohydrates to maintain each person's weight. The source of the calories made no difference - all that mattered was the number of calories. Therefore it should not matter How you burn calories, whether by walking or running! A graph relationship demonstrates the previous "Myth" in this area. One line shows muscles use of fat as an energy source as a function of exercise intensity, and another line depicts muscles' use of carbohydrates as a function of exercise intensity. The crossover point, where equal amounts of fat fan carbohydrate are being burned, comes at about 60% of your maximum effort, or a heart rate that is about 70% of maximum. After that, the amount of carbohydrate burned exceeds the amount of fat, and this imbalance increases as exercise intensity increases. If you get to your maximum heart rate, less than 10% of the calories you burn will come from fat. This led to the argument that as long as you keep your heart rate low enough, you will burn more fat than carbohydrates and you will lose more weight. The problem is that the argument is neglecting a crucial component: the number of calories burned.

 THE HARDER YOU WORK, THE MORE ENERGY YOU EXPEND, AND THE MORE CALORIES YOU WILL NEED. (P.95) Jack Wilmore (Texas A&M) and David Costill (Ball State U),  provide an example of a 25 year old woman. One day, she exercises for half an hour at a low intensity (she walks) and burns half her 220 calories as fat The next day, she exercises for half an hour at a higher intensity (moderately paced running) and burns just a third of her 332 calories as fat. The TOTAL CALORIES from FAT do not differ between the low and high intensity workouts. In both cases, she burns about 110 calories of fat during 30 minutes. Most important, however, for the higher-intensity workout, she expends about 50% more total calories for the same time period. When exercising at the low end of the "weight loss" range the rate of calorie burning was 6.5 calories a minute. At the high end of that range 10 calories per minute were burned. Working a little harder into the "cardiovascular" range the calories per minute went from 10 at the low end to 14 at the top of that range. Twice as many calories would be burned if the heart rate were kept at the top of the cardiovascular range than would have been burned by staying at the bottom of the weight-loss range. These data project the merits of low intensity exercise as optimal for fat burning as being merely a myth! (P.99) 

Abstract summaries: Eugene E. Tillock 1 Cutts Road, Durham, NH 03824-4102                      Phone: 603-86-5757 email:  "genetsr@comcast.net"

DIE BROKE
Stephen M. Pollan and Mark Levine (Harper Collins)

This book offers real life practical insights into the "how" to maximize personal and career financial planning. It provides a focus for moving from a "great depression era" mindset to the proactive fiscal realities of the 21st Century. Frugality versus the contemporary credit card mentality is presented as a key to a new ethic of fiscal preservation. At the same time the creation and hoarding of an estate suggests putting the quality of your death before the quality of your life. Freed from the burden of building an estate, you can use your money to help your family and improve your life. Through wise lifelong gifting the lives of your children can be greatly improved. The authors convincingly support the premise that by striving to die broke you guarantee that you live well. In this time of historic low unemployment there is concurrent job insecurity, that supports a new mercantile ethic of each worker toward their job.

From this view the job should be used to generate the money needed to pursue and fulfill personal goals. Professional athletes are projected as a model for a new self focused work ethic. Helpful hints to income enhancements include, a reverse mortgage on a home and lifetime annuities through gifts to charities (which also provide for liberal tax deductions). Guidance is also provided for the Baby Boomer generation, from shielding assets of their parents from potential Medicaid claims, as well as through bringing up the issue of asset divestiture with one's parents. Finally, valuable insights are provided into annuities, asset allocation, insurance and essentials of estate planning, wills and "avoiding probate". The authors conclude, that a final gift to your heirs should be to spare them from any possible fight over your bones! Book review: Eugene E. Tillock, ed.. May 27, 2000

SHADOWDAD
Richard Watrous

In Shadowdad, Richard Watrous has presented a landmark insight into the real life realities of dying as well as the difficulties in continuing to live. Vivid sensitivities of both the patient and loved ones are presented with the reader left to reassess many of our contemporary value judgments about life and death. The disturbing noncompliance with patient 'living-wills' by health facilities or state (NH) laws is a dirty secret that has been unpublicized. All of the self righteous preachers of life at any cost would be well to read this book to have a moral reawakening.


Web Site Reviews:

Sites for Seniors

Recently Media One's May newsletter had this helpful feature on excellent web sites of interest to seniors.

"The Senior Citizen population is expected to grow by leaps and bounds in the coming years as the Baby Boomers begin to reach age 65. According to the AARP, seniors currently represent about 13% of the population, but are expected to represent 20% by the year 2030! We would like to share some web sites that may be of interest for all of us as we grow older and wiser.

For local information you can start with the Massachusetts Executive Office of Elder Affairs. This state agency promotes the dignity, independence and rights of Massachusetts elders, and supports their families, through advocacy and the development and management of programs and services.

On the national front we found many sites that address the issues of aging. AARP prides itself on being one of the leading voices for addressing the needs of an aging America. This is a great site for getting information on everything from health and wellness to computers and the Internet, and much more.

The National Council on the Aging is a group of organizations and professionals dedicated to promoting the dignity, self-determination, and well being of older persons.

SeniorNet is a nonprofit national organization that provides adults 50+ access to and education about computer technology and the Internet to enhance their lives and enable them to share their knowledge and wisdom."

www.careguide.com is an excellent site to locate Elder Care Facilities nationally. It contains national agencies and organizations; state ombudsman programs and state agencies on aging. In addition an article on estate planning includes the Why's and How to do it.

www.caregiving.com 'This site presents various reference sources to personal care of the elderly and to information that may be invaluable to caregivers. Examples of some of the sub-sections presented are: The Alzheimer's Disease Education and Referral Center, The American Heart Association and about arthritis(which contains www.arthritis.com and www.arthritis.org.)

Aging Parents and Elder care This site in their own words offers: Providing care for our aging parents or elder spouse can often be very frustrating, with new surprises almost every day. Whether you care for aging parents in your home, or manage elder care plans from a distance, most of us don't know where to go for reliable answers ... or even what questions to ask. Here's help.

Retirement Planning Tools:

Here are some great sites spotted by The Boston Globe(5/14/00):

Only 16% of American Workers have saved $100,000 or more for retirement according to the American Savings Education Council. The ASEC has a simple "online" ballpark estimate worksheet. This may be accessed through www.asec.org

Three options for estimating Social Security online retirement planning are available to help individuals to do a quick calculation of future benefits based on current age and earnings; another option is benefits based on one's earning history; and finally, you can download software to get the most detailed analysis.

You may also order a copy of your Social Security Earnings Statement with your earnings history. Just go through www.ssa.gov .

401k Investment Advice

A free personal retirement forecast based on your 401(k) investments and contributions is available from www.financialengines.com Individuals may be charged $55 to $190 a year for buy-and-sell advice that may be desired.

Free online 401(k) investment advice service, giving you recommendations for allocating your assets based on the mutual funds your company plan offers (if the plan happens to be in Team Vest's database) through www.TeamVest.com and www.Quicken.com You can input your personal information, salary, risk tolerance, retirement income needs, economic assumptions, and other data and get an action plan and report that is supposed to be printable. TeamVest offers more detailed 401(k) advice for a fee; a one time, personalized report for $49.95, or a full-service option for between $90 and $150 a quarter.

For $75 a year, this online investment advisor makes recommendations for saving for retirement, as well as for children's college education, a new home, or a dream vacation. The annual fee lets you run as many different investment plans as you like but there are no free "trials". Contact through www.DirectAdvice.com

Free up equity from your residence with a safe government program Reverse Mortgage. We suggest you explore and than consult for legal opinion as to the benefits to you with your individual issues. 

Send us some of your favorite sites!


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