Study: High-risk minority groups not being screened for diabetes

Even for patients with insurance, screening is below desired levels

 MADISON, Wis. -- Although people from certain ethnic groups are at high risk for getting diabetes and should be screened, a new study suggests that such screenings are not being done as often as they should.

Dr. Ann Sheehy, a hospitalist and clinical assistant professor of internal medicine at the University of Wisconsin School of Medicine and Public Health, was lead author of the findings, which will appear in the June edition of Diabetes Care.

The American Diabetes Association (ADA) says that African-Americans, Latinos, Native Americans, Asian-Americans, and Pacific Islanders should be screened through fasting blood tests. The research gathered data from more than 15,000 patients between 2003 and 2007.  All patients were insured and eligible for diabetes screening based on a number of ADA risk factors: 45 years or older, high blood pressure, high cholesterol levels, polycystic ovarian syndrome, obesity, heart disease, history of pre-diabetes, and ethnicity.

Sheehy and her colleagues at the University of Wisconsin Health Innovation Program say according to information obtained from the doctor visits of those in the study, more than 40 percent of minority patients should have been screened for diabetes based on their ethnic background, but were not.

"I believe there is a lack of awareness that minority status is an independent risk factor not only for having diabetes, but for complications with diabetes," she said.  "Minorities get diabetes more often and tend to do worse when they have diabetes.  I don't think providers are necessarily aware of this.  There has also not been enough public and provider education about the increased risks minority patients face not only in getting diabetes but also to have complications with the disease. We hope the information learned in this study will help us care for these patients better."

Sheehy said the research proves that increased screening efforts are needed for minority populations.

"Studies have previously shown that minority preventive care is less optimal due to a lack of health care insurance or lack of clinic visits," she said.  "In this study, we wanted to look at the effect of minority status alone without the confounding effects of lack of insurance or lack of visits.  That's why we only included patients with insurance and mandated at least one visit per year.  So, we were really able to focus on the fact that insurance status and access to care were not factors in our findings. In fact, the minority patients in this study actually had significantly more primary-care visits than our non- minority patients, so access to health care was clearly not a factor in our findings."

Sheehy said it is possible primary-care providers recommended diabetes screening for minorities, but those patients did not follow through on what needed to be done.

"Although we were unable to test for this possibility in the current study, it may be that minorities had unique barriers that prevented them from being able to return for fasting labs as frequently as other patients," she said.  "Historically, a patient would come to clinic, the doctor ordered lab work to be done, and since diabetes screening used to require fasting, the patient would have to return another day after an overnight fast to get this done."

Sheehy says new standards endorsed last year by the ADA that allow a non-fasting test to be done at the same time as the clinic visit may lead to increased diabetes screenings for minorities.

For more information on diabetes programs offered at UW Health, visit www.uwhealth.org/diabetes

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DAVENPORT, Iowa, May 26, 2011 - Just when most students are packing up their books, participants in Junior Achievement's (JA) summer programs are preparing to learn about success with support from two of the most well known brands in the business. Sam's Club and P&G are teaming up to support enterprising students throughout our region and are also offering special savings at select local Sam's Club locations.

$10 Gift Card Redemption Program
From now through June 20, 2011, Sam's Club members can qualify to receive a $10 Sam's Club gift card when they purchase $40 of eligible P&G products. Eligible items include some of P&G's most popular products, such as Tide, Bounty, Charmin and Cascade. The $10 gift card offer is available at the following club:

Store #8238    3845 Elmore Ave.        Davenport       IA      52807

Details are available in participating club.

Junior Achievement Support:
In addition to the $10 Sam's Club gift card offer, Sam's Club will make a contribution to help send a local JA student to summer activities offered by Junior Achievement. (The $10 gift card offer is available at the participating clubs only.)

During the school year, students learn about business by running JA BizTown. Now as a summer camp experience, JA is opening up the town for kids between the ages of 9-years-old and 15-years-old to give them a chance to find out what it takes to manage a city and run a business.

Junior Achievement has done some amazing things in Iowa that provide students with opportunities to learn about economics, ethics and careers with a purpose. The children and young adults involved in Junior Achievement represent the future of American business. Together with P&G, Sam's Club is supporting JA youth in its summer programs.

About Sam's Club
Sam's Club, a division of Wal-Mart Stores, Inc. (NYSE: WMT), is the nation's eighth largest retailer and a leading membership warehouse club offering superior products and services to more than 47 million members in clubs across the U.S., as well as in Brazil, China and Mexico. Members save an average of 30 percent over traditional retailers. To learn more about Savings Made SimpleSM, visit SamsClub.com, and look for Sam's Club on Twitter and Facebook.

About P&G
Four billion times a day, P&G brands touch the lives of people around the world. The company has one of the strongest portfolios of trusted, quality, leadership brands, including Pampers, Tide, Always, Pantene, Mach3, Bounty, Dawn, Gain, Pringles, Charmin, Downy, Iams, Crest, Oral-B, Duracell, Olay, Head & Shoulders, Gillette, Braun and Fusion. The P&G community includes approximately 127,000 employees working in about 80 countries worldwide. Please visit http://www.pg.com for the latest news and in-depth information about P&G and its brands.

About JA Worldwide® (Junior Achievement)
Junior Achievement is the world's largest organization dedicated to inspiring and preparing young people to succeed in a global economy. Through a dedicated volunteer network, Junior Achievement provides in-school and after-school programs for students which focus on three key content areas: work readiness, entrepreneurship, and financial literacy. Today, 126 individual area operations reach more than four million students in the United States, with an additional 5.7 million students served by operations in 122 other countries worldwide. For more information, visit www.ja.org.

·       Flooding is the #1 natural disaster in the United States. Just a few inches of water from a flood can cause tens of thousands of dollars in damage.

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·       Most homeowners insurance policies do not cover flood damage. State Farm's homeowner policies do not provide coverage for flood.

 

·       If your community participates in the National Flood Insurance Program, which is administered by the Federal Emergency Management Agency (FEMA), you can buy a flood insurance policy through your agent.

 

·       A flood insurance policy normally takes 30 days from the date of purchase to go into effect. So, don't wait until a flood is imminent to buy a policy.

 

·       According to FEMA, over the past 10 years, the average flood claim has amounted to nearly $48,000. Flood insurance is the best way to protect yourself from devastating financial loss.

 

·       Nearly 25% of flood claims come from low to moderate risk areas.

 

·       Flood insurance is available to homeowners, renters, condo owners/renters, and commercial owners/renters. Costs vary depending on how much insurance is purchased, what it covers, and the property's flood risk.

 

 

If a flood is likely in your area, you should:

·       Listen to the radio or television for information.

·       Be aware that flash flooding can occur. If there is any possibility of a flash flood, move immediately to higher ground. Do not wait for instructions to move.

·       Be aware of streams, drainage channels, canyons, and other areas known to flood suddenly. Flash floods can occur in these areas with or without such typical warnings as rain clouds or heavy rain.

If you must prepare to evacuate, you should do the following:

·       Secure your home. If you have time, bring in outdoor furniture. Move essential items to an upper floor.

·       Disconnect electrical appliances. Do not touch electrical equipment if you are wet or standing in water.

If you have to leave your home, remember these evacuation tips:

·       Do not walk through moving water. Six inches of moving water can make you fall. If you have to walk in water, walk where the water is not moving. Use a stick to check the firmness of the ground in front of you.

·       Do not drive into flooded areas. If floodwaters rise around your car, abandon the car and move to higher ground if you can do so safely. You and the vehicle can be quickly swept away.


Driving Flood Facts

The following are important points to remember when driving in flood conditions:

·       Six inches of water will reach the bottom of most passenger cars causing loss of control and possible stalling.

·       A foot of water will float many vehicles.

Two feet of rushing water can carry away most vehicles including sport utility vehicles (SUV's) and pick-ups.

Your automobiles/recreational vehicles

If you carry comprehensive coverage (optional) on your automobile/recreational vehicle policy, then the direct, sudden damage to your vehicle resulting from most flooding would be covered under the terms of most policies.

by Senator Tom Harkin

As the summer approaches, I always look forward to enjoying the many delicious fresh fruits and vegetables that can be found across Iowa.  From sweet corn at a roadside stand to Iowa melons and ripe tomatoes at a farmers market, our state truly has some of the best produce anywhere. And while we have a bit of time until peak harvest season, June is National Fresh Fruit & Vegetable Month, and a time to remind ourselves about the importance of eating fruits and veggies all year round as part of a balanced and varied diet.

In order to encourage more Americans to eat fresh fruits and vegetables, I have introduced measures in Congress aimed at making fruits and vegetables easier to get.  For example, as Chairman of the Senate Committee on Agriculture, Nutrition and Forestry, I successfully worked to make free fresh fruits and vegetables available to millions of children across the country by authoring a historic expansion of the Fresh Fruit and Vegetable Program, which I first initiated in the 2002 farm bill.  The program has to been a tremendous success.  Both teachers and parents notice a change in student behavior and attentiveness, and kids love the great-tasting snacks.  At the same time, we are reducing long-term national and state health care costs by raising a generation of children less likely to get sick or develop a chronic illness such as diabetes.

I have also been proud to promote efforts to expand farmers' markets.  Over the past ten years, farmers' markets grew at a tremendous pace across the country.   Iowa is no exception to this trend.  As a farmers' market shopper myself, it makes me feel proud to know that I'm helping to support local farmers and the rural Iowa economies they depend upon to make a living, all while bringing delicious and nutritious fresh fruits and vegetables to people.  Our state consistently ranks at the top nationally in per-capita farmers' markets, a testament to Iowans' strong support for farmers, good food and their communities.

According to the Centers for Disease Control and Prevention (CDC), most fruits and vegetables are naturally low in calories and provide essential nutrients and dietary fiber.  They may also play a role in preventing certain chronic diseases.  When compared to people who eat only small amounts of fruits and vegetables, those who eat more generous amounts, as part of a healthy diet, tend to have reduced risk of chronic diseases.  These diseases include stroke, type 2 diabetes, some types of cancer and even cardiovascular disease and hypertension.

Everyone needs different amounts of fruits and veggies based on age, gender and amount of activity but unfortunately, the vast majority of Americans are not eating enough fruits and vegetables.  To see if you are getting your recommended amount, please visit the CDC's website dedicated to this subject at www.fruitsandveggiesmatter.gov/ .

So this summer - and all year long - I encourage Iowans to plant a vegetable garden, visit a local farmers market or roadside stand, or just go to their local grocery store to stock up on fruits and vegetables. They make a delicious snack or meal and can be so important to improving your health. For more information on other health initiatives, please feel free to contact my office or visit my website at harkin.senate.gov.

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Keep young minds sharp over the summer with educational programs at Rivermont Collegiate! Rivermont is offering an assortment of Summer Adventures for children from preschool age and up.  Programs cover a wide variety of interests - from cooking to dinosaurs - to French and microbiology. Children from any school may register. Sessions run for one week from 8:30 - 11:30 a.m. or from 12:00 - 3:00 p.m.; each session cost $110 and some require an additional $25 lab fee. Students attending two classes per day need to bring a sack lunch. Lunch time will be from 11:30 a.m. - 12:00 p.m. Rivermont strives to prepare students who are grounded in the basics, yet able to think analytically and creatively, to confidently meet the challenges of the 21st century.  Check out full class descriptions and obtain a registration form at www.rvmt.org.

Preschool - Junior Kindergarten - Kindergarten

June 20-24          Mad Science! (8:30 - 11:30 a.m.)

June 20-24          Stories & More (12:00 - 3:00 p.m.)

June 27-July 1     Cooking Class     (8:30 - 11:30 a.m.)

Grades K - 2

July 18-22        Dig Into Dinosaurs (8:30 - 11:30 a.m.)

Grades 1 - 5

June 20-24        Bits, Bytes and Hopefully NO Bugs! (8:30 - 11:30 a.m.)

Grades 3 - 12

June 27-July 1     Une Semaine à Paris! (8:30 - 11:30 a.m.)

July 18-22            Scrapadoodle (8:30 - 11:30 a.m.)

Grades 8 - 10

July 18-22            Seeing the Unseen: Basic Microbiology Techniques (8:30 - 11:30 a.m.)

 

For enrollment information on Rivermont Collegiate contact Cindy Murray at 563-359-1366 ext. 302 or murray@rvmt.org.

For additional information on Summer Adventures at Rivermont Collegiate contact Tammi Burrell at 563-359-1366 ext. 337 or burrell@rvmt.org.

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Rivermont Collegiate is the Quad Cities' only independent, non-sectarian, PS-12 college preparatory school, ranked #1 on Iowa's AP Index.


DubuqueFest Fine Arts Festival awarded $1000 in cash prizes to three exhibiting artists as part of the 2011 art fair held May 21 and 22 in downtown Dubuque. At a reception held at the Dubuque Museum of Art on Saturday, May 21, Artist Awards were granted in three categories; Third Place, Second Place, and Best in Show. The Third Place prize of $200 was awarded to Val Neumann, a potter from Williamsburg, Iowa. Neumann creates functional stoneware pieces in rich glazed colors. Second Place prize of $300 was awarded to long-time art fair veteran Fred Frommelt of Janesville, Wisconsin. Frommelt's wood-turned bowls and hand-turned pepper mills are fine craft at it's very best. Best in Show and a cash award of $500 was awarded to Alice McMahon White for her ink and charcoal drawings. McMahon White is a Chicago artist who has recently relocated to Galena, Illinois to pursue studio art.

The Dubuque County Fine Arts Society awards cash prizes to artists to reward the work of art fair vendors and provide economic reward to cultural workers across the region. To view the winning artist's work visit www.dubuquefest.org

DubuqueFest Fine Arts Festival is an affiliate of Dubuque County Fine Arts Society, a non-profit arts organization whose mission is to offer free arts programming to the masses, founded 1976.

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Feinstein, Grassley Release Senate Caucus on Int'l Narcotics Control Report on Mexico

Senators Urge Congress and Administration to use report as a blueprint for cooperation with Mexico to combat drug trafficking

Washington, DC - May 25, 2011 - U.S. Senators Dianne Feinstein (D-Calif.) and Chuck Grassley (R-Iowa), co-chairs of the Senate Caucus on International Narcotics Control, today released a report outlining key steps and initiatives to combat Mexico's brutal drug trafficking organizations and reduce violence in the country.

The report, U.S. and Mexican Responses to Mexican Drug Trafficking Organizations, is endorsed by all seven Members of the Senate Caucus on International Narcotics Control and makes several recommendations for the U.S. government.  The report synthesizes information gathered through a country visit, briefings, interviews, and a review of documents from both government and non-government subject matter experts.

"The United States provides counternarcotics assistance throughout the world, but our security partnership with Mexico is unique since we share a 1,969 mile border," said Senator Feinstein.

 

"What happens in Mexico has a deep impact on the United States and the reciprocal is also true. Today, U.S. - Mexico ties are stronger than ever, and we must take advantage of this historic moment by continuing to deepen our security partnership with Mexico," continued Feinstein. "I urge my colleagues in Congress and members of the Obama Administration to read this report and use it as a blueprint for future cooperation with Mexico to combat drug trafficking."

 

"The drug trade has long been associated with violence, but the recent escalation has been unprecedented. Stopping this violence will take cooperation from those of us on both sides of the border," Senator Grassley said. "And, while more work needs to be done in this area, this report can be a guide as we move forward and work to curb the drug trade and the violence associated with it."

Findings and recommendations of the report include :

Money Laundering

  • The report calls on the Obama Administration to do more to starve Mexico's drug trafficking organizations of the money that fuels them.  Specifically, it urges the Obama Administration to immediately make pre-paid gift and credit cards - known as stored value - subject to cross-border reporting requirements.

Stored value is not subject to any cross-border reporting requirements.  This means that an individual crossing from the United States into Mexico with thousands of dollars on pre-paid cards is not required to declare these cards at the border.

Mérida Initiative

  • The report calls on the State Department to expedite the delivery of air assets to Mexico under the Mérida Initiative, a security assistance program that includes air assets, other equipment and training.
  • It also recommends that the State Department quickly develop performance measures for the Mérida Initiative and provide these metrics to Congress.  A multi-year timeline should be developed with targets in several areas, including equipment delivery, judicial and police reform, and state capacity to respond to drug trafficking organizations.

The U.S. government has provided vital security assistance to Mexico, including 11 helicopters - eight Bell 412 helicopters for the Mexican military and three Blackhawk helicopters for the country's federal police.  Six more Blackhawk helicopters are still in the pipeline.

Justice Reform

  • The report concludes that in order to have long-term success in combating organized crime, much-needed judicial reforms must be implemented throughout Mexico.

According to data from the Mexican government, 1.55 percent of suspected crimes in Mexico result in convictions.  By comparison, the U.S. federal courts logged a 90.3 percent conviction rate in FY 2008.

The report recommends that judicial sector training be proactively offered by the United States through the Mérida Initiative to each Mexican state that requests it.  This should include specific training on oral trial topics, such as evidence, opening and closing statements, direct and cross examination and objections.

Southbound Inspections

  • The report asks the Departments of Justice and Homeland Security to conduct and submit to Congress an assessment of immediate infrastructure and staffing needs at the Southwest border - including important tools like License Plate Readers - and activities and resources by the Mexican Government to stand-up southbound inspections on the Mexican side of the border.

Border Tunnels

  • The report calls on Congress to pass legislation to enhance the 2007 law that criminalizes the financing, construction and use of border tunnels.  The legislation proposed in the report would increase prosecutorial options by criminalizing conspiracy to use, construct or finance a border tunnel.  The Caucus also recommends that illegal tunneling be included as an offense eligible for Title III wire interception.

Cross-Border Kidnappings

  • The Caucus's report calls on the FBI to develop and sponsor a vetted unit with trusted Mexican counterparts who have the expertise to conduct investigations of the kidnappings of U.S. citizens.

The entire report can be found here:  U.S. and Mexican Responses to Mexican Drug Trafficking Organizations

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SEC approves whistleblower rules

Wednesday, May 25, 2011

Sen. Chuck Grassley of Iowa helped to enact provisions beefing up the Securities and Exchange Commission's treatment of whistleblowers.  Earlier, Grassley was the Senate author of the 1986 whistleblower amendments to the federal False Claims Act, which has become one of the government's most powerful tools against fraud.  He also was key to improving the IRS' whistleblower office.  He made the following comment on the SEC's approval today of new rules giving whistleblowers incentives to come forward about financial fraud.

"In general, there's a long history of retaliation against whistleblowers.  To come forward, they need protection and independence from the operation that's potentially doing wrong.   The SEC took a step in the right direction today.  A whistleblower might prevent the next Madoff.   Twenty years ago, the Justice Department resisted whistleblowers.  Since then, whistleblowers have helped the department recover $28 billion that otherwise would have been lost to fraud.  More recently, there was a lot of skepticism about beefing up the IRS' whistleblower incentives.  That office recently recovered $20 million for the taxpayers in the first reward under the new set-up.  Both of these programs faced some of the same criticisms facing the SEC program but the concerns were overstated.   Now, the SEC needs to break away from its past of resisting whistleblowers.  It needs to make sure whistleblowers are taken seriously and that their complaints are given the attention needed to prevent fraud."

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Grassley Elicits Confirmation of Risk to U.S. Market Share Over Korea Trade Agreement Delay

WASHINGTON -- May 25, 2011 - In response to a question from Sen. Chuck Grassley, a top U.S. trade official confirmed today that U.S. agricultural producers are indeed at risk of losing valuable market share in Korea to the European Union because the United States has not implemented its pending Free Trade Agreement with Korea, and the European Union has implemented such an agreement.  The White House and congressional allies continue to move the goal posts on the necessary conditions for implementing pending trade agreements, to the detriment of U.S. producers.

The exchange occurred at a hearing of the Finance Committee, with jurisdiction over international trade.  Grassley is a senior member and former chairman and ranking member of the committee.

A video clip is available here.

The text of a Senate floor speech Grassley delivered today on the value of trade agreements is available here.

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Washington, DC - Today, the House of Representatives passed Congressman Bruce Braley's (IA-01) "True Cost of War" amendment to the National Defense Authorization Act. Braley's amendment would require a full accounting of the human and financial costs of the wars in Iraq, Afghanistan, and Libya from the Departments of Defense, State and Veterans Affairs.

"In the last 10 years, Congress has appropriated over a trillion dollars for the wars in Iraq and Afghanistan and most recently in Libya," said Rep. Braley. "But what we don't account for in that figure is the more than 5,800 U.S. Service members who've been killed in the line of duty in Afghanistan and Iraq. Or the more than 40,000 who've been wounded and who will spend the rest of their lives treating injuries like PTSD, severe burns and amputated limbs. These are not just costs that our troops and their families bear - these are also significant costs for the Department of Veterans Affairs and all American taxpayers. As a nation, we have a right to know what these conflicts will actually cost us.

Earlier this year, Rep. Braley returned from a Congressional fact-finding mission in Afghanistan where he met with General David Petraeus and discussed the cost of the Afghanistan war.

"With our neighbors currently deployed to Afghanistan with the Iowa National Guard, these wars are incredibly personal for me and the people of my district," said Rep. Braley. "I've met with dozens of my constituents - young men and women and their families - who have sacrificed a great deal in the wars in Iraq and Afghanistan. And when I meet injured soldiers and I see the hardships - physical and financial - that they and their families will endure for the rest of their lives, it becomes crystal clear that the true cost of the war is not being accurately reported. With this amendment, we can change that."

The amendment, similar to Rep. Braley's bipartisan True Cost of War Act, requires the President to work with the Secretaries of Defense, State and Veterans Affairs to submit a written report to Congress on the long-term human and financial costs of the war inIraq and Afghanistan.

Rep. Braley has beenfighting for a true accounting of the Iraq and Afghanistan wars since he came to Congress.

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Davenport, Iowa (May 25, 2011) -- Take a stellar lineup of grandstand acts and a variety of free grounds shows and attractions. Add the Evans United Shows Carnival, commercial and craft displays, some great fair food and lots of livestock shows. And you've got the recipe for the 92nd Great Mississippi Valley Fair, being held here Aug. 2-7, at the Mississippi Valley Fairgrounds, 2815 W. Locust St.

Fun Cards -- good for daily admission to the grounds and all grandstand shows -- are now for sale at Hy-Vee stores and the fair office. They are $40 each through July 6, then the price goes to $45.

For those without Fun Cards, grounds admission is $10 at the gate for adults and $3 for children 4-12. Children 3 and under are free.

Entertaining in the grandstand this year at the Great Fair are Joe Nichols on Tuesday, Blake Shelton on Wednesday, Darius Rucker on Thursday, the Steve Miller Band on Friday, the Charlie Daniels Band on Saturday and Miranda Lambert on Sunday. All shows begin at 8 p.m., and admission is by Fun Card only. Those 3 and under, however, are admitted free.

Grounds shows and attractions, as always, include some perennial favorites and some newcomers. Fair manager Bob Fox, who books the acts, keeps a close eye on them and doesn't let any one get stale with fair-goers.

In no particular order, the 2011 shows and attractions include the Caboodlestoppers, the Giant Ejector Seat, The Diamonds, Gym Bob's Jamboree with Mike Porter, a diving show, Robinson's Racing Pigs, Kachunga and the Alligator Show, professional break dancers, Frisco's Elephants and Petting Zoo, Todd the Stilt Walker, Michelle's Magic Poodles, a woodcarver, the National Belgian Horse Show, Great Cats, Granpa Cratchet and Dallas, the Fire Guy.

For more information, go to www.mvfair.com or phone (563) 326-5338.

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The Arbor Day Foundation has a booklet that helps people identify trees in a simple, step-by-step process. The booklet, What Tree Is That?, is available for a $5 donation to the nonprofit tree-planting organization.

What Tree Is That? is a fun, easy-to-use tree identification guide that features hand-drawn botanical illustrations highlighting the distinctive characteristics of many tree species.

Nature lovers and professional arborists alike have called this pocket field guide one of the most user-friendly resources to have. Its beautiful, full-color illustrations are in precise detail to depict natural colors, shapes, and textures, so users can make a positive species identification in just a few easy steps.

The Arbor Day Foundation offers this booklet to help people identify trees in Iowa and throughout the Eastern and Central regions of the United States. What Tree Is That? uses a unique step-by-step approach to identify the species of each tree. The booklet explains what to look for in the shape of the leaves and differences in the leaf stems and twig structures, specifics on the fruits and flowers, and the details of buds and bark.

"Our What Tree Is That? pocket brochure is an ideal resource to help people develop a greater appreciation for trees," said John Rosenow, chief executive and founder of the Arbor Day Foundation. "The Arbor Day Foundation strives to help people enjoy and appreciate trees, and we feel our pocket field guide will do just that."

What Tree is That? is also available as an online interactive version at arborday.org. The Arbor Day Foundation offers this unique, one-of-a-kind online tool so people can identify trees using the internet.

To obtain a tree identification guide in full color, send your name and address and $5 for each guide to What Tree Is That?, Arbor Day Foundation, Nebraska City, NE 68410. You can also order the book online at arborday.org.

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