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Could Interventions Improve Teenage Sexual Wellness?
Could Interventions Improve Teenage Sexual Wellness?
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Article Author : csatchell (March 29, 2013)

Participating in a youth development intervention could make all the difference to a teenager’s sexual wellbeing. This is according to the results of a randomised controlled trial, which found that teenage girls at increased risk of pregnancy reported more regular use of condoms, oral contraception, or both after attending in such an intervention.

For the study, which was published online by JAMA Paediatrics, over 250 sexually active teenage girls participated the Prime Time youth development intervention. The Prime Time intervention is designed for American primary care medical centres, to improve the sexual health of girls who are at increased risk of getting pregnant. Research presented last year at the American Public Health Association’s 140th Annual Meeting, showed that low literacy rates in pre-teen girls significantly predict child-bearing among adolescents in the US.

Six months after the intervention was completed, Renee E Sieving, RN, PhD, FSAHM, of the University of Minnesota, Minneapolis, and colleagues observed sexual risk behaviours and outcomes with a two-year follow-up questionnaire. By teaming up with case managers and intervention components, including youth leadership, the main aim of the study was to encourage change in certain psychosocial attributes associated with sexual risk behaviours and other behavioural wellness outcomes. 93.3% of the 253 sexually active girls between 13 and 17 years of age who met the specified risk criteria completed the 24-month survey.

The researchers reported, ‘Findings suggest that health services grounded in a youth development framework can lead to long-term reductions in sexual risk among vulnerable youth.’ At the 24-month follow-up, compared to the control group, the girls in the intervention group reported ‘significantly more consistent’ use of condoms, hormonal contraception, dual-method contraception (using both hormonal contraception and condoms). These girls also demonstrated improvements in family connectedness and self-confidence to say no to unwanted sex, as well as reductions in the perceived significance of having sex.

‘Together with previous findings demonstrating reductions in sexual risk behaviours, relational aggression and violence victimisation among Prime Time participants, results from this study suggest that involvement in a youth development intervention that combines individualised case management and youth leadership components holds great promise for preventing multiple risk behaviours among youth most vulnerable to poor health outcomes, including early pregnancy,’ the researchers concluded.

Child Wellness

How to Start a Kitchen Herb Garden with Your ...
  There are many ways in which you can boost family wellness. This broad term covers everything from nutrition to spending time together to teaching your kids to take care of their wellbeing. But what if you found an activity that could combine all of these great things? By growing your own herbs together as a family – be it in your kitchen or garden – you can teach your children about gardening, healthy eating and environmental wellness – and have fun doing it! Plus, anything that gets them away from the TV and working with their hands can only be a good thing!   According to consultant nutritionist Charmaine D'souza, author of Kitchen Clinic, ‘A kitchen garden is delightfully easy to maintain, and with it all your ingredients will always be fresh. Called potagers, the more common French term, a kitchen garden is convenient when you’re whipping up a meal and simply need a particular herb. It is also a great stress-buster. A kitchen garden doesn’t require a large plot of land. All you need is a windowsill, an unused corner, or even the stairs—these can all be turned into verdant little areas lush with fragrant herbs and veggies. Container gardens, windowsill gardens, and balcony gardens are good examples for people who live in metropolitan cities and have a paucity of space.’ So where do you begin with your family’s kitchen garden?   1. Space: ‘While planning on growing a kitchen garden, one of the most important things to consider is space,’ D'souza asserts. ‘Even though there is not much space to garden in urban [environments], container-planting is a very easy solution to that. Mark out the area in your house that gets sufficient light and has the space to host a few pots and containers.’   2. Plants: D'souza advises, ‘If your apartment is small, grow plants that are small. You don’t want a plant that grows up to six feet in your one-room apartment!’   3. Lighting: ‘Your garden must get enough sunlight, full or partial sun, to keep the plants healthy,’ says D'souza.   4. Seeds or saplings: D'souza notes, ‘You can either plant seeds [available at your local nursery] or saplings. Both will work.’   5. Start Easy: ‘Start small with herbs such as coriander or spring onions,’ D'souza instructs. ‘They’re easy, they grow fast and the first bloom will give you the encouragement to grow other things.’   6. Soil: ‘Choose the right soil for your indoor garden,’ D'souza cautions. ‘Some soils hold on to water while others are more porous. Ask your local nursery to help you with the type of soil, the amount of water and other such details.’   7. Container Gardening: D'souza outlines, ‘Use plastic takeaway containers, old mugs, old buckets, and wire baskets for hanging smaller plants. Don’t throw away your empty cans and bottles. You’ll be amazed what you can grow in them. Don’t forget to make drain holes in all the pots. When using small containers, make sure that the plants you grow don’t have large roots.’   8. Selecting Vegetables: ‘The two important factors to consider are: which plants can thrive indoors, and which one you can use,’ D'souza details. ‘Decide on the kind of vegetables to grow and plan your space accordingly. Choose vegetables and herbs based on your kitchen requirements, your knowledge of growing them, and the resources at your disposal. Also, grow plants according to season. Planting vegetables as per the changing climatic conditions will ensure that there is a regular supply of vegetables throughout the year. It doesn’t make sense to grow a winter crop in summer, and expect it to thrive.’
Caring for Children with Hearing Impairments...
    If you are currently caring for a child with a hearing impairment, then you know there are many challenges that have to be overcome. However, there are some tips you can follow to help you make good decisions about caring for your child and dealing with the hearing loss in the best ways possible.   Hearing Devices Can Help Hearing aids can make a huge difference in your child's life. Once the extent of your child's hearing loss is determined, ask about hearing aids and whether they could improve your child's hearing. The cost is worth it for your child to be able to clearly hear and communicate with others. This will open up your child's world and allow him to enjoy playing with friends, watching movies, and listening to music.   Ask about an IEP School can be quite difficult for children with hearing impairments. They find it difficult to hear the teacher, so learning is almost impossible. Ask your child's teacher if he qualifies for an individualized education plan (IEP). This document will ensure that your child receives accommodations in the classroom environment to help him hear and learn. For example, your child may need to sit near the teacher to hear her better, need taped lessons that can be played at a high volume at home for review, or need the teacher to wear a microphone to amplify her voice during lectures. Your child has a right to receive an appropriate education no matter what levels of support are necessary. Under federal laws, your child must receive these accommodation in public school.   Help Your Child with Friends You may also need to help your child make new friends. For example, if other children are afraid of your child's hearing aids, you may want to help your child come up with a cute way of explaining why he has to wear them. You may have to speak with other moms to invite kids to your home for playdates to help your child make friends. Another idea is to make sure your child is involved in activities such as sports or music lessons to help him meet new friends.   Setting and Achieving Goals A final tip to consider when caring for a child with a hearing impairment is to make it a priority to help your child set and achieve his goals. You will have to teach your child that a hearing impairment is not an excuse for anything. You want your child to believe that he can reach any goal he sets and not to let his impairment stop him. This mindset will help him in life.   There are special considerations when caring for a child with a hearing impairment. The idea to remember is that children with hearing impairments can overcome the challenges.       Informational credit to:   batteriessacramento.com – bringing hearing aids batteries to Sacramento for your convenience  

Family Medicine

Medical Advances that Make Surgery Less Invas...
    Often, when a patient went in for even minor surgery it was invasive, painful and might even have required a night in the hospital. On top of this, the surgery would require a recovery period that would keep the patient away from their job for a period of time. Now, technology has made many of these surgeries far less invasive. The results are less pain, a shorter recovery period, a lower risk of infection and other complications and sometimes no time spent overnight in a hospital. Here are some of the medical advances that have made surgery less invasive:     Laparoscopic Surgery   In this type of surgery, tiny incisions are made in the area. Then, an equally tiny camera can be inserted. The surgeon operates with miniaturized instruments while being guided by a video monitor. This type of surgery is used in everything from repairing herniated disks, to joint surgery to removing diseased internal organs to certain types of weight loss surgery. Laparoscopic surgery can also be used to replaced valves in the heart and in the aorta. Normally, these types of surgeries would require large incisions and time in the hospital. Now, some of these operations are considered outpatient procedures.     Laser Surgery   Laser surgery has become so accurate that the targeted laser beam can repair or destroy the exact area where it's needed without damaging surrounding tissue. Lasers can also cut down on blood loss by cauterizing blood vessels in the surgical area. Lasers are now extensively used in everything from laser spine surgery, cataract surgery, surgery to correct refractive errors of the eye and cosmetic procedures. These include the removal of scars, birthmarks, liver spots and other signs of aging.     Magnetic Resonance Imaging   This is a scan to see into the body that's more accurate than CT scans or sonograms and is far more accurate than X-rays. MRIs use powerful magnets and radio waves to see internal organs, bones, blood vessels and other components of the body. Because an MRI scan can find conditions that other types of scan might miss, it can obviate the need for exploratory surgery.     Robots   Robots are everywhere and that includes the operating room. Robotic surgery can be an adjunct to laparoscopic surgery, except the instruments are wielded by a robotic arm that can be controlled by a computer or by the surgeon. Robotic surgery can be even more precise than laparoscopic surgery and can be used for very delicate procedures that involve blood vessels or nerves.   Medical technology is advancing every day and the benefits for the patients are many and increasing.  
Why You Should Be Extra Diligent When Choosin...
Choosing your family doctor is no simple task. You have to consider insurance, location, and demeanor, just to name a few. Stressed out and plagued by indecision, too many people focus on only one or two of their most important criteria and settle for a family doctor who they find 'good enough'. But 'good enough' is not sufficient. Your family doctor will be with you for years, if not decades. It is absolutely imperative to find someone capable of understanding your specific needs an more. Here are a few things to consider when choosing a family doctor:   Treats All of Your Family Members Not all doctors share the same expertise. Your family doctor should know how to treat patients of all ages and medical needs. They must understand both pediatric and obstetric care. In this case, book knowledge is an insufficient measure of expertise. Your doctor must connect with you and your family on a personal and empathetic level. Medical issues take physical and psychological form, and your doctor must be able to tend both.   Covered by Your Insurance Even the best doctor in the world isn't worth seeing if they're not covered by your insurance. The exorbitant costs of emergency care alone will empty your wallet. Save yourself the grief of depriving your family's budget in other areas, and make sure your doctor fits with your plan.   Reasonable Office Hours What's the point of having a doctor if you never have time to see them? Compare your doctor's office hours with your work schedule. Know when your children could go for an appointment outside of school. Without the opportunity to meet with your doctor, you might as well not have one. Even though the office hours may likely be the same as your work hours, it's important to be able to reschedule appointments in a timely manner if needed, instead of waiting months for another opening.   Well-Prepared and Well-Supplied More than anything, your family doctor must be able not only to identify your problems, they must be able to address them. Only doctors equipped with the right tools and medical supplies should make it onto your final draft. You must know what supplies your doctor keeps in their office, as well as what they have access to from nearby colleagues or hospitals. Children and adults with special medical needs will require access to medical supplies that may not always be readily available at some locations.   Certified by the American Board of Family Medicine Some would never think to check this, but don't be caught unaware. Know whether your potential doctor is certified by the American Board of Family Medicine, or a local organization of equivalent significance.   Your relationship with your family doctor will be the cornerstone of your family's future health. Make this choice one you won't regret.   Informational credit to Red Cell Medical Supply, which sells medical supply products including syringes, clamps, female and male luers, tubing and more.

Insurance

5 Tips to Accident Compensation for Back Inju...
Back injuries following an accident can have long-lasting consequences, so it is imperative for you to look into your options if someone else's negligence was at fault. After all, back problems can be one of the most difficult things to heal from, and this could even make it necessary for you to alter your lifestyle and career. Additionally, the medical bills associated with this type of injury are often extremely expensive. Fortunately, there are a few different techniques that you can utilize to help you collect compensation for this medical problem.   1. Retain an Experienced Accident Attorney  Regardless of whether your back injury occurred at work or as a result of a traffic accident, you have the legal right to take action against any negligent party that was involved in the incident. Although the state you live in will determine exactly what you can sue for, it is common for accident attorneys to help you gain compensation for lost wages, medical bills, punitive damages and pain and suffering. For example, if you are injured on the job in Miami, an accident lawyer can help you determine if it makes more sense to file a lawsuit than a workers' compensation claim.   2. Adhere to Your State's Statute of Limitations  One of the best reasons to hire an attorney immediately is to help ensure that you do not let too much time pass. Unfortunately, your state's statute of limitations restricts your ability to legally file a lawsuit. If you wait too long, you will not be able to receive any compensation for your injuries.   3. Document and Keep Record of Everything  If you end up in a courtroom, it will be critical for you to be able to provide documentation that verifies your injury and how it occurred. Due to this, you should keep a copy of everything that your physician gives you, and it is also a good idea to photograph the scene of your accident if possible.   4. Keep All of Your Medical Appointments  It can be difficult to convince a judge or jury that you should receive compensation for your back injury if you fail to take the proper medical steps to help yourself get better. Therefore, you should be prepared to prove that you want to every medical appointment, including any that were scheduled for you by your employer.   5. Do Not Take Any Unnecessary Risks Some people destroy their chance of winning an injury lawsuit by doing something unwise such as helping a family member move before they are completely healed. Taking this unnecessary risk could cause you to deal with additional medical complications that will not be covered by your lawsuit, and it can also provide the defendant with the opportunity to photograph you doing something that will conflict with your injury claim.   Although a back injury is extremely painful, you need to make sure that you do not let this cloud your judgment and get in the way of your ability to take legal action. Therefore, you should contact an attorney right away because they will be able to advise you step-by-step throughout the entire process.     About the Author: Lisa Coleman shares several tips on how to help ensure compensation for injuries following an accident. She recently read at http://www.miamicaraccidentlawyers.net/ about the different kinds of compensation an accident victim can receive for such injuries.     Photo Credit: http://www.flickr.com/photos/armymedicine/5477269910/
Rethinking Short-Term Disability Coverage...
Life insurance is the primary focus for most families when planning for their financial future. The loss of the breadwinner can be crippling both emotionally and monetarily yet few individuals think about having disability insurance. Because you are likely to experience a disability sometime in the span of your career, you may want to rethink your short-term disability insurance needs, especially if you hold the brunt of the financial duties in your household. Planning for the Unexpected As the major breadwinner, it is your responsibility to make sure your family does not lose everything because of your illness or injury. Short-term disability insurance allows you to take time off work when you have a critical unforeseen medical issue or a difficult pregnancy or after the birth of your child. Having this type of disability insurance in place has advantages for both you and your employer that includes job security, improved long-term health, and financial compensation. It protects everything that you have. Sometimes, an illness or injury can immobilise you. You might be faced with a mountain of hospital bills. You might be facing depression. You might be stressing over your health or the health of your baby. Don’t feel that you have to tackle all of it alone. You might want to consult with therapists, financial advisers, or a local attorney, such as Auger & Auger if you reside in North Carolina for instance, who deals with personal injury cases. Planning for Job Security For individuals without short-term disability insurance, staying on the job may be difficult, especially if you’ve been injured or have suffered a protracted illness. If you are unable to return to work, your employer must search for a replacement to take up the slack. And you are now faced with uncertainty for your future. Short-term disability provides a respite, so the employee can remain on the payroll books until their physical hardship has passed. Planning for Those Bills Since short-term disability covers typically two-thirds of the worker’s income, you’ll still have money coming into your household, and you’ll still be able to cover a portion of your monthly expenses. It’s the goal of your employer and insurance company to have you return to work as soon as possible so your full salary is not going to be covered. This is their incentive for you to not delay your return. Because Federal and State laws are in place, short-term disability can protect your position while you’re away. The laws are designed so that you can take the necessary time off to deal with the birth of a child or work through an injury or illness without having to worry about losing your job too. Since the laws are dependent on the particular state where you reside, you need to check with your employer first before requesting short-term disability insurance. Planning for Good Health A worker who doesn’t have short-term disability insurance may feel the need to work through the injury or illness. This could worsen their condition and place their health in jeopardy. By having this type of insurance, you can feel comforted knowing that you can seek the proper medical attention for your ailment, even if you have to miss work to do so. Knowing that you have a position when you return can even help you heal a lot faster. Getting the problem corrected immediately leads to better long-term health and fewer future headaches. Short-term disability insurance can be one of the most beneficial policies that you’ll ever purchase. Besides the advantage of earning income while being sick or injured, it allows you peace of mind knowing that your position will be secure when you are healthy and well again, and your family is able to stay afloat financially. Debbie Nguyen is a designer, writer and mother in the Atlanta area. Maintaining her health is key since she’s a freelancer. Auger & Auger is a personal injury law firm in the Charlotte, North Carolina area helping those faced with short-term disabilities.