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Your Child

Tips for Grandparents Caring for Grandkids

2:00

Summers often provide grandparents the opportunity to spend extra time with the grandkids. While parents continue their work schedule, grandpa and grandma lovingly spoil their little ones. Many grandparents are actually raising their grandkids or providing year-round part time care.

Grandparents are are more than just babysitters, they provide a unique generational connection.  Their stories and life experiences can provide a treasure trove of valuable links to the family’s past. Hard-earned wisdom can offer guidance when youngsters are searching for answers. They are unique.

If you’re a grandparent caring for your grandkids – God bless you! What a wonderful gift you are giving to your kids and their children. 

Now is a good time to educate yourself on the new medical discoveries made since you raised your own children by asking your grandchild's parents to share information.  The medical profession has learned a lot about having infants sleep safely on their backs and on safer over-the-counter medications for illnesses, as well as many other things. A child safety update can be enormously beneficial. 

It may have been a while since you’ve been in charge of a little one’s care; to help freshen up on child home safety, here is a list of safety recommendations by the American Academy of Pediatrics:

Nursery & Sleeping Area -

•       If you saved your own child's crib, stored in your attic or garage, per­haps awaiting the arrival of a grandchild someday, you should replace it with a new one. Guidelines for children's furniture and equipment have changed dramatically, and a crib that is more than a few years old will not meet today's safety standards. This is likely also true for other saved and aging furniture that could pose risks to children, such as an old playpen.

•       Buy a changing table, use your own bed, or even a towel on the floor to change the baby's diapers. As she gets a little older, and she becomes more likely to squirm, you may need a second person to help in changing her diaper.

•       Do not allow your grandchild to sleep in your bed.

•       Keep the diaper pail emptied.

Kitchen -

•       Put "kiddie locks" on the cabinets; to be extra safe, move unsafe cleansers and chemicals so they're completely out of reach.

•       Remove any dangling cords, such as those from the coffeepot or toaster.

•       Take extra precautions before giving your grandchild food prepared in microwave ovens. Microwaves can heat liquids and solids unevenly, and they may be mildly warm on the outside but very hot on the in­side.

Bathroom -

•       Store pills, inhalers, and other prescription or nonprescription medi­cations, as well as medical equipment, locked and out of the reach of your grandchild. Be especially vigilant that all medications of any kind are kept up and away from a child's reach and sight.

•       Put nonslip material in the bathtub to avoid dangerous falls.

•       If there are handles and bars in the bathtub for your own use, cover them with soft material if you are going to be bathing the baby there.

•       Never leave a child unattended in a tub or sink filled with water.

Baby Equipment Safety

•       Never leave your grandchild alone in a high chair or in an infant seat located in high places, such as a table or countertop.

•       Do not use baby walkers.

Toy Safety:

•       Buy new toys for your grandchild that has a variety of sounds, sights, and colors. Simple toys can be just as good. Remember, no matter how fancy the toys may be your own interac­tion and play with your grandchild are much more important.

•       Toys, CDs, and books should be age-appropriate and challenge chil­dren at their own developmental level.

•       Avoid toys with small parts that the baby could put into her mouth and swallow. Follow the recommendations on the package to find toys suitable for your grandchild's age.

•       Because toy boxes can be dangerous, keep them out of your home, or look for one without a top or lid.

Garage and Basements

•       Make sure that the automatic reversing mechanism on the garage door is operating.

•       Keep all garden chemicals and pesticides as well as tools in a locked cabinet and out of reach.

•       Make sure that freezers, refrigerator and washing machines are not accessible. 

These safety tips can help recharge your memory when it comes to caring for small children as well as offer some new ideas on making your home a safer place for them to visit.

Times have changed since your children were young. Your energy level may not be quite as high as it once was, so planning the day with rest breaks included can help you and the kids.

 While some things may have changed, love is still the universal ingredient that helps children thrive and grandparents have plenty of that!

Sources: http://www.healthychildren.org/English/safety-prevention/at-home/Pages/A-Message-for-Grandparents-Keeping-Your-Grandchild-Safe-in-Your-Home.aspx

https://www.healthychildren.org/English/family-life/work-play/Pages/A-Message-for-Grandparents-Who-Provide-Childcare.aspx

 

 

Your Teen

E-cigarette Ads Successfully Targeting Adolescents

1:45

Nicotine is addictive and one of the hardest drugs to kick. That’s one of the reasons that the U.S. Centers for Disease Control and Prevention  (CDC) is suggesting tighter controls on e-cigarette sales to minors.

"The same advertising tactics the tobacco industry used years ago to get kids addicted to nicotine are now being used to entice a new generation of young people to use e-cigarettes," said CDC Director Tom Frieden.

E-cigarette companies are revisiting the same themes that helped hook older generations on cigarettes and it’s working. Ads are focusing on sex, independence and rebellion to lure youngsters into trying e-cigarettes along with the notion that e-cigarettes are not harmful like regular cigarettes.

The marketing strategy could reverse decades of progress in preventing tobacco use among youth, warned the CDC that suggested tighter controls on e-cigarette sales to reduce minors' access.

The CDC's National Youth Tobacco Survey found that 68.9 percent of middle- and high-school students saw e-cigarette ads from one or more media sources in 2014, most commonly in stores but also online, on television and in movies or magazines.

E-cigarette use among this age group soared over the past five years, surpassing its use of regular cigarettes in 2014, according to CDC statistics. Spending on e-cigarette advertising also jumped, increasing to an estimated $115 million in 2014 from $6.4 million in 2011.

The science is still out on whether e-cigarettes are less harmful than regular cigarettes. It sometimes takes years for reliable long-term effects. However, there is plenty of evidence that nicotine addiction is not good for you.

"Youth use of tobacco in any form (combustible, noncombustible or electronic) is unsafe," the CDC study said.

Exposure to tobacco at a young age may cause addiction and lasting harm to brain development, the agency reported.

Most states have passed laws banning the sale of e-cigarettes to minors, and the U.S. Food and Drug Administration's proposal to regulate the products is under federal review.

The next move may be proposing regulation on e-cigarette advertising geared at adolescents.

Source: Barbara Liston,  http://www.reuters.com/article/usa-ecigarettes-idUSL1N14P13P20160105

 

 

 

 

 

Your Teen

AAP Supports Condoms for Teens

2.00 to read

While teens should be encouraged to abstain from sex, not all adolescents will follow that advise.  The American Academy of Pediatricians (AAP) would like to see free or low-cost condoms made available for teenagers, along with sex education programs, in schools.

Research has shown that easy accessibility to condoms and sex-ed classes does not increase sexual activity in teens, but there is still resistance by some to providing teens those options, said researchers. 

"I think one of the main issues is the idea that if you provide condoms and make them accessible, kids will be more likely to have sex. But really, that's not the case," Amy Bleakley said.

"Getting over the perception that giving condoms out will make kids have sex is a real barrier for parents and school administrators," she told Reuters Health.

Bleakley studies teen sexual behavior and reproductive health at the University of Pennsylvania in Philadelphia but wasn't part of the AAP committee.

Bleakley also noted that there are some studies that show that when teens have access to condoms and comprehensive sex education classes, those teens actually wait longer to start having sex than peers who don’t.

According to the Centers for Disease Control and Prevention (CDC), teen pregnancies are down in the U.S. In 2011, there were 31 births for every 1,000 U.S. women aged 15 to 19. In 2012, there were 29 births per 1,000 teens.

While the decrease in teens having babies is an improvement, that number is still higher than in other developed countries.

Rates of many sexually transmitted infections (STIs), including Chlamydia and gonorrhea, are highest among teenage and young adult women.

The new policy statement, an update to the AAP's 2001 statement on condom use by adolescents, was recently published in the journal Pediatrics.

"The biggest difference is that we have more evidence about how effective they are against sexually transmitted infections," Dr. Rebecca O'Brien, the policy statement's lead author, said.

That's especially true for viruses like herpes and HIV, she added.

Are condoms 100 percent effective in preventing pregnancy? No, the committee said. Even when used exactly as they are supposed to be, 2 percent of condoms will fail when used all the time-every time- over a year. In reality, the failure rate is about 18 percent during a year of typical use, the committee said.

Using condoms along with another birth control method, such as the Pill or an intrauterine device, may be the best way to prevent pregnancy and STIs.

In its recommendations, the committee said doctors should support consistent and correct use of condoms. They should also encourage parents to discuss condom use and prevention of STIs with their adolescent children.

Still, the committee said, abstinence should be encouraged as the best way to prevent STIs and unintended pregnancy.

Bleakley echoed the importance of communication between parents and teenagers.

"Parents really need to be proactive about communicating with their adolescents before their kids engage in sexual activity," she said.

"Really parents who talk to their kids about sexuality, about contraception, about condoms - their kids have much better outcomes," like fewer unintended pregnancies, Bleakley said.

If you’re not sure when to begin discussing sexuality with your child, talk to your pediatrician. It’s probably a lot earlier than you think.

Source: Genevra Pittman, http://www.reuters.com/article/2013/10/28/us-teens-condoms-idUSBRE99R03N20131028

 

Parenting

AAP Says Lice Shouldn’t Keep Kids Out of School

1:30

Typically, when a student has head lice or nits (the eggs of head lice), the school requires that he or she go home and not return until the lice are gone. The American Academy of Pediatrics (AAP) recently proposed new guidelines that say, "No healthy child should be excluded from school or allowed to miss school time because of head lice or nits."

The AAP says that while head lice may be annoying and cause itching, they don’t actually make people sick or spread disease. Many people believe that the insects are easily spread, but experts say that direct head-to-head contact is required.

The AAP notes that most doctors who care for children agree that school policies requiring children to be free from nits before returning to school should be abandoned.

The AAP also reported that screening kids at school for head lice does not reduce the occurrence in classrooms over time. However, pediatricians advise parents to check their children’s heads for lice and school nurses may check children who are showing symptoms such as repeated head scratching.

To treat lice, the AAP recommends parents start with over-the-counter medications that contain 1 percent permethrin or pyrethrins (types of insect-killing chemicals).

Parents should carefully follow the treatment instructions, and when using permethrin or pyrethrin products, should apply the treatment at least twice (about 9 days apart).

Because these medications do not kill 100 percent of the lice eggs, the treatments should be followed by manual removal of the eggs, the guidelines say. This can be a tedious process, but fine-tooth combs called "nit-combs" can make the process easier.

Some head lice have become resistant to OTC treatment, these cases may benefit from prescription medications such as spinosad or topical ivermectin.

Once a person is diagnosed with head lice, everyone in the family should be checked for the condition. Lice are usually transmitted by direct contact, so it's less likely that people will get lice from touching household items, but it is still wise to clean all hair-care items and bedding used by the person who had lice, the guidelines say.

Children should be taught not to share items such as combs, brushes and hats, although such precautions may not prevent all cases of head lice, they can reduce the risk of transmission.

Source: Rachel Rettner, http://www.livescience.com/50629-head-lice-recommendations.html

Your Child

New Flu Vaccine for 2015-2016

1:45

Last year’s flu vaccine wasn’t as effective as previous vaccines, but this year’s vaccine should be a much better match according to Dr. Tom Frieden, Director of the U.S. Centers for Disease Control and Prevention.   

Typically, the vaccine is 50 to 60 percent effective, making your chances of getting the flu reduced by as much as 60 percent if you get a flu shot.

This year’s flu vaccine contains the H3N2 strain, Frieden said. Last year's vaccine was only 13 percent effective against the H3N2 strain. As a result, "more seniors were hospitalized for the flu than ever before."

What's more, 145 children died from the flu, Frieden said, adding that the actual number was "probably much higher since many flu deaths aren't reported."

About 50 percent of the American population gets vaccinated every flu season. That includes pregnant women. More people, including pregnant women, need to be vaccinated, Frieden said.

The CDC recommends that everyone 6 months of age and older get the flu shot every year.

Frieden said there's an adequate supply of flu vaccine this year. Companies are expected to make 170 million doses of vaccine, of which 40 million have already been distributed, he said.

People at risk of flu-related complications include young children, especially those younger than 2 years; people over 65; pregnant women; and people with chronic health problems, such as asthma, heart disease and diabetes, as well as those with weakened immune systems, according to the CDC.

Most seasonal flu activity typically occurs between October and May. Flu activity most commonly peaks in the United States between December and February.

Children younger than 6 months are at higher risk of serious flu complications, but are too young to get a flu vaccine. Because of this, safeguarding them from flu is especially important. If you live with or care for an infant younger than 6 months of age you should get a flu vaccine to help protect them from flu.

It takes about two weeks after vaccination for antibodies to develop in the body and provide protection against the flu.

The CDC encourages people to get a flu shot preferably by October. Those children aged 6 months through 8 years who need two doses of vaccine should receive the first dose as soon as possible to allow time to get the second dose before the start of flu season. The two doses should be given at least four weeks apart.

During this flu season:

•       Intramuscular (IM) vaccines will be available in both trivalent and quadrivalent formulations. (High dose vaccines, which are IM vaccines, will all be trivalent this season.)

•       For people who are 18 through 64 years old, a jet injector can be used for delivery of one particular trivalent flu vaccine.

•       Nasal spray vaccines will all be quadrivalent this season.

•       Intradermal vaccine will all be quadrivalent.

The quadrivalent flu vaccine is designed to protect against four different flu viruses; two influenza A viruses and two influenza B viruses.

It’s hard to believe that we’re about to head into the flu season, particularly with so many states still experiencing summer like weather. But we are, and getting a flu shot early can help protect you and your family from a virus no one wants to get.

Sources: Steven Reinberg, http://consumer.healthday.com/infectious-disease-information-21/flu-news-314/no-embargo-this-year-s-flu-vaccine-better-match-703392.html

http://www.cdc.gov/flu/about/season/flu-season-2015-2016.htm

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Heart Healthy Kids

Heart Health

Daily Dose

SIDS Risks

1.30 to read

Sudden Infant Death Syndrome (SIDS) is every parent’s worst nightmare. From the time a family has their new baby until that child is 1 year of age, SIDS is of a concern. 

Most new parents in 2012 know about the Back to Sleep campaign (BTS), which was recommended by the AAP in 1994. After  the recommendation for newborn’s sleep position was changed from prone (tummy) to supine (back) the incidence of SIDS in the U.S. showed a sharp decline (more than 50%) over the first 10 year period. Unfortunately, the overall SIDS rate has plateaued since that time, and SIDS is still the leading cause of infant mortality in the U.S. 

A study in the April 2012 issue of the journal Pediatrics looked at risk factors for SIDS. Parents need to know that greatest risk for SIDS is during the first 12 months of life (the so named “Critical” development period). There are also both intrinsic and extrinsic risk factors for SIDS as well. All of these factors contribute to the vulnerability for SIDS. 

The peak incidence for SIDS is still between 2-4 months of a baby’s life. (postnatal age). The intrinsic risk factors for SIDS include, male gender, prematurity, genetic differences (now being found called polymorphisms) and a child’s prenatal exposure to cigarettes and/or alcohol. Extrinsic risk factors include tummy or side sleep position, bed sharing, over bundling, soft bedding and a child’s face being covered.  In this study 99% of SIDS infants had at least 1 risk factor, and 57% had at least 2 extrinsic and 1 intrinsic risk factors. Only 5% of the SIDS victims studied had no extrinsic risk. I think this is important for all parents to know! 

So what can parent’s do to lower the risk of SIDS for their baby?  Well, while you cannot change the peak incidence of SIDS between 2-4 months of a baby’s life there is a lot you can do! 

Looking at intrinsic factors:  gender is a 50-50 deal and seeing that I have 3 sons, I don’t know a lot about gender selection, so will not even touch that topic. But, you can prevent prenatal cigarette and alcohol exposure, and every pregnant mother (and father due to second had smoke issues) should eliminate smoking. That sounds easy enough. 

Prematurity may be lessened when a mother is healthy prior to her pregnancy and continues to do as much as possible during her pregnancy to ensure a full term birth. Basically maintaining a healthy diet, getting good prenatal care and listening to your doctor will help to prevent many pre-term births. 

Extrinsic factors are the easiest to change. While prone sleep positioning is a large risk factor for SIDS, there is now evidence that some other risks may appear in conjunction with sleep position.  Putting a baby on their side where they may roll to their tummies may be one issue.  Leaving soft objects or blanket in the crib may be another. Bed sharing is also not advised. 

So, the so-called “triple risk factors” for SIDS may be important information in providing risk reduction strategies for parents and caregivers. Any change that may lessen the risk of SIDS is meaningful and beneficial and will help new parents sleep a bit better as well!  I also did not see any mention of video cameras in the room as a reduction in risk, just saying..... 

That’s your daily dose for today.  We’ll chat again tomorrow.

Your Child

Can Dogs Help Kids Be Less Anxious?

1:45

Scientific studies have already linked fewer allergies and asthma in kids that own dogs, now a new study says you can also add less anxiety to the list of benefits from man’s best friend.

Researchers say a new study shows kids who live in a home with a pet dog score far lower on clinical measures of anxiety.

Although the study was small, the results were not surprising. Researchers focused on 643 kids between 6 and 7. But the team at Bassett Medical Center in New York found that just 12 percent of children with pet dogs tested positive for clinical anxiety, compared to 21 percent of children without a dog.

"It may be that less anxious children have pet dogs or pet dogs make children less anxious," Dr. Anne Gadomski and colleagues wrote in the journal Preventing Chronic Disease.

Previous studies have also shown that adults benefit from owning a pet as well as kids. In fact, many health officials suggest that adults should consider getting a dog. Not only can they provide companionship but can encourage more exercise.

Gadomski acknowledged how special pets can be to a child by noting that, "Sometimes their first word is the name of their pet," she told NBC News. "There is a very strong bond between children and their pets."

What makes dogs such special pets for kids?  Godmski’s team said, "From a mental health standpoint, children aged 7 to 8 often ranked pets higher than humans as providers of comfort and self-esteem and as confidants," they wrote.

"Animal-assisted therapy with dogs affects children's mental health and developmental disorders by reducing anxiety and arousal or enhancing attachment," they added.

"Because dogs follow human communicative cues, they may be particularly effective agents for children's emotional development."

The researchers asked parents for specific details about what type of anxiety a child showed.

Pets seemed to help in several areas.

"Significant differences between groups were found for the separation anxiety component ('My child is afraid to be alone in the house') and social anxiety component ('My child is shy') favoring pet ownership," they wrote.

Most of the families in the study - 73 percent - had a pet of some kind. Most - 58 percent - had dogs. Families with pets may be more stable and may be more affluent, but the researchers suggest there's more to it than that.

"A pet dog can stimulate conversation, an ice-breaking effect that can alleviate social anxiety via a social catalyst effect," they wrote.

Other studies have also shown that playing or cuddling with a dog can release the bonding hormone oxytocin, and lower the stress hormone cortisol, they noted.

There’s already an abundance of research on dogs and families, which is one of the reasons Gadomski chose to look at the relationship between dogs and kids for this study.

However, she noted that cat lovers might also benefit from the same type of interaction.

If you’re interested in getting a dog as a pet for your family, there are several websites that offer a quiz to help families decide which breed may best be suited for them. Just search “best dog breeds for families.”

Shelters also have puppies and dogs that make wonderful pets.  Many of the older dogs are already house trained and socialized. Shelter staff can answer your questions about whether a particular dog that is up for adoption would be suitable for a family and small children.

Source: Maggie Fox, http://www.nbcnews.com/health/kids-health/heres-reason-get-puppy-kids-pets-have-less-anxiety-n469591

Image:http://www.popsugar.com/moms/Benefits-Dogs-Kids-36052085#photo-36052085

 

 

 

 

Parenting

Teaching Your Child Healthy Hair Care Habits

1:45

Teaching your child good hair care practices can help him or her maintain healthy and shiny locks throughout their life. It can also help prevent hair damage and skin conditions such as dandruff.

You’ve probably been washing your hair more years than you can remember by now, but there was a time when you had to learn what to do with shampoo and water.

If your child has reached the age where he or she can start washing their own hair, here are some tips to help them develop good hair care habits.

You’d be surprised how many kids think that washing their hair means just that – washing only their hair. Healthy skin and hair requires washing the scalp and the hair.

How often should your child wash his or her hair? The answer to that question depends on several factors. For example, during the summer, when kids are more likely to be playing outdoors or involved in sports, they may need to wash their hair as often as every other day. In the drier winter months when kids typically spend more time indoors, the schedule may be pushed back a day or two.

You also have to consider your child’s hair type. Does it tend to be dry or oily? Is it fine, curly, thick, thin or coarse? Different hair types require different care programs.

On an average, kids around 12 years old or who have started puberty and have fine, straight or thin hair, might need to shampoo as often as every other day. At this age, many kids are beginning to experience hormonal changes, causing their hair and scalp to be a little oilier.

For younger children, once or twice a week is sufficient – again, if they haven’t been doing something that would cause their hair to be excessively dirty.

For children with dry, curly or very coarse hair, washing their hair too often can be drying to the scalp and the hair. African American children often have at least a couple of these hair types. Washing their hair once a week or once every two weeks is sufficient if their hair isn’t too dirty. They may also benefit from using a moisturizing shampoo made especially for their hair type as well as a conditioner.

Healthy hair care begins with learning how to wash the hair without damaging it. When your child is ready to start shampooing, follow these steps to help your child develop healthy hair-care habits.

•       Wet hair and scalp with warm water. Shampoo works best on wet heads and hair.

•       Pour a quarter-size drop of shampoo in the palm of your child’s hand. Putting the shampoo in the hand first makes it easier to apply.

•       Tell your child to massage the shampoo gently into the scalp. When shampooing, it’s important to wash the scalp rather than the entire length of the hair. Washing only the hair often leads to flyaway hair that is dull and coarse. Rubbing shampoo into the hair can break hairs, leading to unhealthy looking hair.

•       Rinse well with warm water until the hair is suds-free. Rinsing well washes away shampoo and dirt.

•       Cover hair with a towel. Help your child wrap a towel around the wet hair. This helps to absorb the water. Rubbing hair dry with a towel can damage the hair, causing it to break.

•       Comb out damp hair gently. Use a wide-tooth comb, especially on curly hair. Don’t yank or pull the comb through the hair because that can pull out hair or break the hair.

•       Sometimes a de-tangling spray can help smooth out the hair and keep it from forming little tight knots.

To help kids develop good hair-care habits that help prevent hair damage, dermatologists give parents the following tips:

•       Make braids and ponytails loose and use covered rubber bands.

•       Consider styles that don’t require heat and chemical treatments.

•       When using heat on the hair, lower the heat.

•       Understand that chemicals in relaxers, dyes, and other hairstyling products often damage the hair. The longer the time between treatments, the better it is for your hair. 

•       After your child swims, make sure to wash away pool chemicals. If your child’s hair is normal to oily, shampooing works best. Children who have very dry or African American hair should rinse well and apply conditioner. Pool chemicals that are not washed away can damage hair.

•       Use a wide-tooth comb more often than a brush.

•       When outdoors, wear a wide-brimmed hat to protect the scalp and hair from the sun.

All hair needs to be treated gently, especially when it’s wet. Brushing or combing hair too frequently or in the wrong way (such as using a fine-toothed comb on very thick, curly hair or teasing hair) can lead to breakage. Hair extensions and braids can also cause breakage. Leaving them in too long or pulling them out without professional help can cause hair and scalp damage or even hair loss.

The condition of our hair can also tell us about our general health. Sometimes hair breakage and dry, brittle hair are signs of a medical problem, such as hypothyroidism or an eating disorder. If your child’s hair is breaking or falling out, even though he or she doesn’t treat it with chemicals or other styling products, tell your pediatrician.

Healthy hair doesn’t just happen; it’s the result of proper care and maintenance. Starting your child on healthy hair care habits early will most likely be how they think about and care for their scalp and hair the rest of their lives.

Story sources: https://www.aad.org/public/skin-hair-nails/hair-care/healthy-hair-habits-for-kids

http://naturalhairkids.com/basic-regimen/

 

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Why you should never use a kitchen spoon to measure medicine.

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