Bulletin Editor
Mary Jones
Sep 25, 2017
Lerning in Retirement . . . Greeter: Gary Yakes
Oct 02, 2017
Project Search . . . . Greeter: Catherine Zimmerman
Oct 09, 2017
TBD . . . . . . Greeter: William Zorr
Oct 16, 2017
Oct 23, 2017
President's Choice
Oct 30, 2017
Arica Classroom Connection
View entire list
Meeting Information for Monday, September 25, 2017
Gary Yakes will greet members and guests, give a reflection, and lead the Pledge of Allegiance.
John Scheek , president of Learning in Retirement (LIR), will present a program on the Learning in Retirement organization in Oshkosh. 
Prayer and Pledge for September 18, 2017
Deb Wirtz greeted members and guests and led the Club in a reflection and the Pledge of Allegiance.
Deb Wirtz and President John Fuller 
Deb introduced the day's guests:  Bill Thimke and Kim Johnson-Thiel (Southwest Rotary); Joe Framke and Matt Johnson (the day's speakers); Khuciam Ahmad (guest of Tom Willadsen); and Dan Mrochek (Leadership Oshkosh representative).
Dan Mrochek, our Club's Leadership Oshkosh representative for this year. Dan works at the Ceape Street Fire Station as a Shift Commander.
Christy Marquardt reported that the raffle kitty stands at $85.  The drawing will be held next week.
RYE student Michel said that he enjoyed the Oshkosh West Homecoming festivities a lot, especially the dance.
Karen Schibline reminded members that the annual Chili Cook Off will take place on Saturday, October 14. She offered yard signs and posters to members to place at their homes/businesses.  The Cook-Off will open at 9 a.m. for the chili teams to begin cooking. The event will open to the public at 11 a.m., with chili being served starting at 1 p.m.  The band Salsa Manzana will entertain throughout the afternoon, with the cook off closing at 4 p.m.
Happy $$ for September 18, 2017
Karen Schibline -- happily reported that she has a new office a 1970 Algoma Blvd.
David Sennholz -- offered $50 Happy $$ for the 33 successful radiation treatments he's recently undergone ... $33 for each treatment and $17 because he's so happy to be done with the treatments.
Michael Audit -- is happy because they're winter home in Ft. Myers, Florida was not flooded by Hurricane Irma and recently had power restored.
Gary Yakes -- was also happy because their winter home in Sarasota, FL was also spared from damage by Hurricane Irma. He also reported that he recently completed one of his bucket list items -- to return to Ft. Lewis, Washington, where he served years ago. They also visited Vancouver, Victoria Island, and the Chihuly Glass Exhibition in Seattle. He is also excited about Bernie Sanders' single payer health plan and invited anyone who is interested to ask him for information about this program.  He's connected with the Physician's for Single Payer Health Plan Group and has a lot of information to share.
Glenn Steinbrecher -- was happy because he and his wife recently celebrated 23,725 days of being together after she said "I do." ... their 65th wedding anniversary. Pres. John Fuller asked Glenn's secret to success and Glenn said it was saying, "Yes, honey, I will" many times after saying "I do."
Glenn Steinbrecher
Program for Monday, September 18, 2017
John Nichols introduced two members of the Fox Cities Victim Response team -- Oshkosh Police Department Detective Sergeant Joe Framke and Matt Johnson, president of the Solutions Recovery Club.
John Nichols
OPD Detective Sergeant Joe Framke
Det. Sgt. Framke announced that the Oshkosh Police Department (OPD) is looking forward to starting a new program in the near future -- Law Enforcement Addiction Assistance Program (LEAAP). The focus of the program would not be to arrest people caught in possession of heroin or other opiates, but rather to assist them to get help rather than to arrest and incarcerate them, working in partnership with the medical community and the law enforcement community.
Framke said it's important, like with mental health, to break the stigma that drug addicts are bad people, but rather to recognize that addiction is a disease and that many people became addicted following the use of opiate drugs for post-surgery pain control.
Framke said, however, that the addict must want help before any help will be successful.
Framke also said the synthetic Fentanyl is becoming available and is extremely potent, with even just a few grains causing overdose.  He said that now they must be prepared to assist their undercover agents if they accidentally become exposed to this synthetic Fentanyl or heroin.  Narcon is the drug that resolves overdose issues, and the County recently received a new supply of Narcon from an anonymous donor. Framke said that Winnebago County generally has a reasonable supply of Narcon, though the drug companies supplying the drug have increased the price for it dramatically.
Framke observed that heroin is now cheap because it's so readily available.  He said that many drug cartels have switched from trafficking marijuana to selling heroin because it's cheaper and because when people get addicted to heroin, it's a much more serious/demanding addiction. They know the addict will come back because it affects the mind/body chemistry and causes one to become hooked quickly. He said heroin hit sells for about $40 a hit here, but it's only about $15 in Milwaukee.  He said that whatever happens in Milwaukee in the drug world quickly travels to Oshkosh.
In the near future, the OPD will offer a program whereby addicts will be allowed to turn over drugs without consequences.
Framke is also a member of the Winnebago County Drug Task Force Committee, which is composed of a number of organizations throughout the county working to combat drug addiction issues.  He said the "new" Prescription Drug Monitoring Program is helping to prevent "doctor shopping," which is when opiate addicts go from doctor to doctor seeking a prescription for opiate drugs.
Next Matt Johnson talked about Solutions Recovery Club.  He said it's been existence for 10 years, and it's supported by private donations.
Matt Johnson
Mr. Johnson said the organization is a 12-step organization helping anyone who is struggling with addiction to drugs or alcohol.  It has a communication center at the corner of Bowen and Parkway and hosts 25-30 12-step meetings weekly for anyone who needs/wants help.  It also operates a safe home for women who are attempting to get out of bad situations/drug or alcohol addictions.
It recently hosted the Addiction Run, which was held to provide outreach and awareness in the community of the Club's activities. He said 1,000 participants ran/walked in the 5K.
He said the group hopes to break the arrest cycle for drug addicts and provide opportunity for them to obtain treatment.  
He noted that most of the Club's team are former addicts, having alcohol and/or drug addictions.  "We've found that it's easier for us to connect with those suffering from addiction."
The goal of the Club's programs is to have people get off drugs/alcohol and get on the right path to being responsible citizens.
Both Framke and Johnson said that each case is decided upon on a case-by-case basis as to whether the addict goes to jail or is offered treatment. Both said that the addicts must want help in order to be eligible for treatment.  They observed that a typical heroin withdrawal episode can last from 72 hours to 3 weeks, wherein the addict feels like he/she is suffering from a severe flu, a very unpleasant experience.
Wellness in a Heartbeat

Fellow Club member John Fuller has offered to share some health news/information with us from time to time. This week he shares:

Rotary Wellness in a Heartbeat:  Dancing Keeps Older Brains on the Ball
Dancing can counteract age-related decline in physical and mental abilities, new research shows.
Investigators at the German Center for Neurodegenerative Diseases in Magdeburg, Germany, found that older people who routinely partake in physical exercise can reverse the signs of aging in the brain, but it's dancing that has the most profound effect.
"The results of our study suggest that participating in a long-term dance program that requires constant cognitive and motor learning is superior to engaging in repetitive physical exercises in inducing neuroplasticity in the brains of seniors," study author Patrick Müller, a PhD candidate at the German Center for Neurodegenerative Diseases, told researchers.
"Therefore, dance is highly promising in its potential to counteract age-related gray matter decline," he said.
Advantage Dance
For the study, the investigators compared an 18-month dance training program to 18 months of endurance and flexibility training in improving hippocampal volume and balance in healthy senior volunteers (aged 63 to 80 years). The researchers studied the hippocampus (HC) because it is associated with learning, memory, and balance and also is the site of adult neuroplasticity in the brain.
Both groups showed increases in hippocampal volume. However, the dancers also showed increases in regions most strongly associated with neuroplasticity. In addition, only the dancers displayed significant improvement in balance.
The HC "is affected not only by pathological aging such as in Alzheimer's disease but also by the normal aging process resulting in deficits in memory, learning, and spatial navigation at old age," the authors write.
Although MRI studies demonstrate that the HC atrophies with each decade and that the process "accelerates in very old age," other research suggests that the HC "counts among the few brain regions with the ability to generate new neurons throughout the lifespan."
Aerobic fitness and training have been shown to improve hippocampal volume, which may contribute to better memory function. However, the mechanism of this association and the role of cardiorespiratory fitness in modulating hippocampal gray matter volume are "still under debate."
The HC is also involved in spatial navigation and motor sequence consolidation, "suggesting that motor skill learning and motor fitness can have an impact on hippocampal volume without any cardiorespiratory change," the authors note.
Previous research suggests that motor skill training and balance training can lead to "morphological alterations" in the brain and increases in hippocampal gray matter.
"These findings highlight the behavioral relevance of structural brain plasticity in the HC for the learning process," they note.
Dancing involves the "integration of sensory information from multiple channels (auditory, vestibular, visual, somatosensory)" and "fine-grained motor control of the whole body."
Mambo, Grapevine, Cha-Cha-Cha
Previous studies have provided evidence of improved performance on balance and memory tasks in elderly dancers, but the underlying neural mechanisms "have not been addressed comprehensively so far."
"We know from animal research that combining physical activity with sensory enrichment has stronger and longer-lasting effects on the brain than either treatment alone," said Müller.
The current study was designed to investigate that theory, he said, noting that it built on previous research conducted by his group suggesting that the effect is mediated by brain-derived neurotrophic factor.
The authors conducted a prospective, randomized, longitudinal trial in healthy seniors that compared a specially designed dance program that required participants to continually learn new choreography and a traditional fitness program consisting of repetitive exercises, such as cycling on an ergometer or Nordic walking.
The researchers used voxel-based morphometry to conduct whole-brain analyses in the precentral and parahippocampal gyrus. They noted that the hippocampus is not homogeneous but consists of specialized subfields, including the subiculum, cornu ammonis (CA) 1 - 4, and the dentate gyrus (DG).
They investigated these regions because the subiculum is involved in working memory and spatial relations, CA3 and DG are involved in memory and early retrieval, and CA1 is involved in late retrieval, consolidation, and recognition. Although all of these regions are interconnected, the DG is one of the few regions of the adult brain in which neurogenesis occurs.
They also assessed the effects of the interventions on balancing capabilities and their relationship to hippocampal subfield volumes, because the hippocampus is also known to be involved with balance.
The first 6 months of training consisted of twice-weekly 90-min dancing or fitness classes. From months 6 through 12, the number of sessions was reduced to one per week.
Dance classes involved constantly changing choreographies, which participants were required to memorize accurately. Single-leg stances, skips and hops, steps used in chasseé, mambo, cha-cha, grapevine, and jazz square were designed to "challenge the balance system." Also included were patterns in which participants moved their arms away from the center of pressure.
The dance group's routines in the different genres were changed every second week to keep participants engaged in a constant learning process. They were required to recall the routines under pressure of time and without cues from the instructor.
The traditional fitness-training program included mostly repetitive sequences of endurance training, strength-endurance training, and flexibility training (stretching and mobility exercises). During the first 6 months, participants engaged in a bicycle activity. During the second period of the study (12 months), the participants completed a Nordic walking program.
The researchers used MRI and voxel-based morphometry with hippocampal mask and analyzed volume changes in five subfields of the HP: the CM (CA1-CA3), DG (including CA4), and subiculum.
Thwarting a Major Health Risk
Postural control was assessed using the Sensory Organization Test, which provides information about the contribution of the visual, somatosensory, and vestibular systems in the maintenance of balance.
Of the participants, 14 members of the dance group (aged 67.21 ± 3.78 years, seven women), and 12 members of the fitness group (aged 68.67 ± 2.57 years, five women) participated for the entire 18-month study period.
There were no group differences at baseline.
To explore changes in hippocampal gray matter volume during the intervention, the researchers used repeated comparisons of baseline and posttest values. They found a significant interaction effect in the right hippocampus (MNI-coordinates: x = 28, y = −16, z D = −23; P [FDR] = 0.049, F + 17.03]). But post hoc paired t-tests showed significant increases in right hippocampal volume only in the dance group (MNI-coordinates: x = 29, y = −16, z D = −27; P [FDR] = 0.001, t = 6.10]).
There were no group differences at baseline. However, repeated measurement of hippocampal subfield volumes showed a main effect of time in the left CA1, the left CA2, the left and right subiculum, and the left CA4/DG.
Although there were no significant interactions by group, paired t -tests showed significant volume increases for the dancers in the left CA1, the left CA2, the left CA4, the DG, and the left and right subiculum. For the exercise group, volume increases were observed in the left CA1, the left CA2, and the left subiculum.
On the composite equilibrium score, repeated measurement of balance data showed an interaction effect with group. In particular, there was a "main effect of time" in the somatosensory and vestibular contribution, but no significant time × group interaction effects after 18 months of fitness training.
Post hoc tests revealed that the dancers improved in the use of the sensory, visual, and vestibular systems (P = .004, P = .027, and P = .007, respectively). The exercise group improved in the use of the somatosensory and vestibular systems (P = .006 and P = .004, respectively) but not in the visual system.
"We know from animal research that combining physical activity with sensory enrichment has stronger and longer-lasting effects on the brain than either treatment alone," Müller noted.
"For humans, dancing has been suggested to be analogous to such training, and we presume that the advantage is related to the multimodal nature of dancing, which combines physical, cognitive, and coordinative challenges," he explained.
The authors add that balancing is "an important everyday function crucial, for example, for social mobility" and that impaired balance leads to falls, which constitute a "major health risk factor and consequences both on morbidity (and even mortality) and health care costs."
The authors note that the lack of an inactive control group, the small sample size, and the relatively small change in the overall score limit their findings.
"Promising" Evidence
Commenting on the study, Madeleine E. Hackney, PhD, assistant professor of medicine, Division of General Medicine and Geriatrics, Emory School of Medicine, Atlanta, Georgia, said the study "provides promising initial evidence that multimodal physical activity, which is both mentally and physically challenging, may directly alter the central nervous system specifically in areas involved in memory operations."
The findings "will justify future larger trials that may or may not confirm these findings," said Dr Hackney, who was not involved with the study.
She noted study limitations beyond those cited by the authors. The control group switched from ergometer cycling during the first 6 months to the Nordic walking program during the remaining 12 months, and the cycling "would not be expected to benefit balance," although walking might have done so.
Additionally, the authors state that they "avoided combined arm and leg movement" in the control group so as to minimize coordinative demands, "but that is hard to imagine in a Nordic walking program."
Nevertheless, "the results are compelling and the methods the researchers employed seem to be vigorous," she said.
The study has important take-home messages for practicing clinicians, she emphasized.
"Exercise is good for you, and certainly traditional cardiovascular/resistance training has its place. However, dance typically will engage more cognitive resources and may be ultimately more functional because movements are trained, not just specific muscles."
Müller stressed that the study can fill an important gap in approaches to dementia prevention in that there is a "demographically induced increase in the prevalence of dementia on the one hand and a lack of causal pharmacologic therapies on the other hand." Preventing dementia by modifying lifestyle factors is therefore of increasing importance.
"Our study results suggest that 'social enrichment' and a combination of physical and cognitive activities influences neuroprotection best," he said.
He added that beyond dancing, "a healthy lifestyle and physical exercise in general can help the brain stay young."