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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

Align That Smile: How to Treat Your Underbite...
  Underbites are a serious medical condition in which the lower jaw protrudes out and up. This abnormal positioning of the jaw can cause serious physical or cosmetic problems, and it almost always requires treatment.   Methods for correcting an underbite vary, but professionals agree that early treatment is best. Once the jaw stops growing, only drastic measures will correct a lingering underbite. The best time to begin treatment is before the age of 13, and oftentimes the dentist or orthodontist begin working with underbite cases as young as 8 years old.   Depending on severity, one or more of the following tactics can be used to correct an underbite.    

Braces (Children and Adults)

Braces are a familiar treatment for crooked teeth and misaligned bites. They are often the first step orthodontists from places like the
Brantford Mall Dental Office will take in an underbite diagnosis. For a child with less severe underbite, braces might be all the treatment they need. Adults awaiting corrective surgery may also use braces for 1-3 years before the surgery.    

Chin Caps (Children)

A chin cap consists of a cap on the chin attached to a strap wrapping around the back of the head. The pressure on the chin can gradual reduce how far the lower jaw protrudes. This could be worn by a child for a year or more.    

Palatal Expander (Children)

Expanders are made of wire and plastic and are worn on the roof of the mouth in order to expand the jaw. Turning a screw allows a gradual widening of the expander. A child would wear an expander for several hours a day over the course of several months.    

Reverse-Pull Masks (Children)

If a palatal expander fails to correct an underbite, the dentist might recommend a reverse-pull mask. This mask, which looks like a catcher’s mask, can be worn at the same time as the chin cap. An elastic strap runs from the mask to the upper rear molars, pulling the upper jaw forward. A child would wear the reverse-pull mask for most of his waking day.    

Surgery (Children and Adults)

For children, corrective surgery is only needed in the most severe cases. Underbites persisting into adulthood, however, require surgery to physically move the jaw.     While the best time to correct an underbite is in childhood, success is achievable at any age. These methods, when used properly, can give everyone suffering from an underbite the healthy mouth and beautiful smile they deserve.
Five Creative Ways to Make Your Child's Visit...
  If you struggle to get your kids in the car and heading to the dentist, you're definitely not alone. Kids sometimes need creative nudging from parents to make them want to get periodic checkups. Here are some helpful tips to have kids, if not wanting to visit the dentist, avoid dreading the experience.   Visit a Pediatric Dentist  A pediatric dentist specializes in children's healthcare. Waiting areas for pediatric dentists are normally dotted with kids' favorite cartoon characters and fun games to play. This helps to drive down the amount of anxiety that kids (and parents) experience waiting for their names to be called.   Stay with Your Child  Some pediatric dentists allow parents to accompany their children as they get their teeth cleaned or cavities filled. Depending on the child's comfort level, mom or dad may be encouraged to sit with their son or daughter. All of these steps are meant to build comfort and reduce anxiety about visiting the dentist.     Shop Around  Finding the right pediatric dentist can sometimes feel like a chore. Narrowing down the search with online review sites like Yelp and then following up with consultations with potential pediatric dentists is a great way to find the right one. Parents can quickly screen for a match between their child's personality and the dentist over a half-hour talk.     Dental Presentation for Kids  A big driver for fear is not knowing what's around the corner. In other words, kids are sometimes afraid of the dentist because they don't understand quite what visiting the dentist entails. DR. Peter Wong suggests attending a dental presentation hosted at a community center or school. This could, according to DR. Wong, help kids get acquainted with going to the dentist. Often a routine cleaning is demonstrated on a stuffed animal and the mood is kept light to help kids ease into the idea of visiting the dentist.     Read About It!  There are dozens of fun books to get children excited about visiting the dentist. From "Melvin: The Magnificent Molar" to the Berenstain Bears series on visiting the dentist, books are a great way to show kids that visiting the dentist doesn't have to be drudgery. You could also consider buying cartoon-themed toothbrushes to go along with some of these books.   http://www.childrensdentalgroup.com/10-books-to-get-your-children-excited-about-the-dentist/   Visiting the dentist doesn't have to be painful for kids. Finding the right pediatric dentist or visiting dental presentations is a great way to allay your child's fear over heading to the dentist.  

Family Medicine

How to Create and Maintain a Healthy Home Env...
  By Emma Sturgis   A healthy home is a home that is clean, safe and free of harmful chemicals, germs and bacteria. There are various steps you can take to create a healthy home environment that gives you peace of mind.     Dust Dust makes your home environment unhealthy for everyone living there. It can be a serious concern for family members with allergies. Carpet is a magnet for dust. If possible, remove the carpeting in your home and replace it with wood, cork, tile or non-vinyl linoleum. If replacing the carpet is not an option for you, be sure that you vacuum your carpets several times a week using a good quality vacuum cleaner.   It's important to note that dust also quickly accumulates in corners, under furniture and in upholstery. A regular, thorough cleaning of these areas can eliminate household dust. According to an expert from Maid Brigade, consistently changing your furnace filter will also help keep the air in your home clean and dust-free.     Cleaning products Chemical-based cleaning products can be a hazard if you have children and pets living in your home. They are also harmful to the environment. To create a healthy home, use only green, eco-friendly cleaning products. You might also want to experiment with some of the many homemade cleaning product recipes you can find online.     Mold Mold is a health hazard that you don't want in your home. If you already have evidence of mold, you may need to get a professional to assist you with removing it. You can prevent mold from becoming a health hazard in your home by making sure moisture does not accumulate in your bathroom, basement, attic, around your windows, or in any other area of your home. Proper ventilation is a major factor in preventing mold. Exhaust fans for the bathroom, dehumidifiers for the basement and proper ventilation in the attic and throughout the house are ideal ways to prevent mold.   A dedication to cleanliness is one of the best ways to create a healthy home environment. Developing habits such as frequently wiping kitchen and bathroom countertops with a mixture of vinegar and water can keep them free of germs and bacteria. Another good habit for everyone in the house to develop is the removal of their shoes, either outside or just inside the door. A lot of germs and bacteria from the outside environment can be tracked into your home on the bottom of your shoes. With some heightened vigilance and the introduction of a few good habits, your home can become a healthy place for your family.  
Preventative Care, an Important Part of Your ...
  By Ryan   Just as it’s important for you to be extra diligent when choosing a family doctor, so should you be extra diligent in using your doctor’s services. If you have small children, you probably take them for regular checkups. You might even get reminders at the beginning of the school year to update their immunization records, and make sure they’re in good shape to return to school. However, chances are you don’t get as many regular checkups yourself, and if you have teens, they are probably not going as regularly either. In fact, one-third of teens do not get regular checkups.   Even if you all seem healthy, it’s important to have regular preventative checkups. Thanks to recent healthcare reform, all insurance plans must cover 100 percent of the cost of preventative checkups, without charging you copay. If you are currently not insured, you can purchase a plan through your state’s marketplace or from an independent broker for companies like US Health Group Private.     Why Preventative Care is Important   Preventative care, also known as wellness visits, can help your doctor detect potential problems before they become serious.   For example, hypertension is known as the silent killer because it often has no signs or symptoms but, if left untreated, could cause heart disease or stroke. In fact, many patients don’t realize they have high blood pressure until their doctor detects it during an exam.     Types of Preventative Screening   The type of preventative screening you should get depends on your age and gender.   Teens Kid’s Health recommends your teen have yearly meetings with his doctor to track any physical or mental changes in your child and to provide information on issues that teens might face including:   ·  Sex and sexually transmitted diseases; ·  Diet and nutrition; ·  Smoking, drinking and other unhealthy behaviors.   They also recommend that your teen should have at least three complete physical examinations between the ages of 11 and 21. If he has a medical condition, such as juvenile diabetes, he should have a complete physical more often. A complete physical could include:   ·  A physical examination including checking the lymph nodes and reflexes; ·  Vital sign screening including breathing, blood pressure, and heart; ·  A standard blood panel, including cholesterol and blood sugar screening; ·  Urinalysis to screen for possible medical issues; ·  A tuberculin test; ·  Scoliosis screening; and, ·  Screening for obesity and eating disorders.   In addition to regular medical checkups, your teen should also have regular dental visits to check for tooth decay, normal tooth development, and any other dental issues, as well as regular vision and hearing screening.   After puberty, teen girls should also have regular gynecological examinations.     Adults Adults should have many of the same screening tests as teens including:   ·  A physical examination including checking the lymph nodes and reflexes; ·  Vital sign screening including breathing, blood pressure, and heart; ·  A standard blood panel, including cholesterol and blood sugar screening; ·  Urinalysis to screen for possible medical issues; and, ·  Gynecological examinations for women.   However, as we age, there are additional tests that need to be done. Not only are these tests age specific, they are also gender specific.   Men After age 50, the yearly physical should include screening for prostate cancer and colorectal cancer. If you have a strong family history of either type of cancer, your doctor could recommend that you start younger.   Everyday Health also recommends that smokers, or former smokers, get screened for abdominal aneurisms. If you have a family history of aneurisms, or blood vessel anomalies, consider getting screened sooner.   Women You should have your first mammogram at age 40, and continue having them every one to two years. If you have a strong family history of breast cancer, your doctor could recommend that you start younger.   Like the men, you should start colorectal cancer screening at age 50, unless you have a strong family history – in which case you would start earlier.   At age 65 you should also have a bone density test, which will screen for osteoporosis. If you have more than one risk factor for osteoporosis, you doctor could recommend that you start younger.  

Insurance

Four Injuries Where You May be Entitled to Co...
  Sometimes, accidents just happen. You may fall down a perfectly clean and well-lit staircase due to losing your balance, or your car may hit a patch of black ice and slam into a pole. However, some injuries occur due to someone's willful actions, inattention or negligence. In these cases, you may be entitled to compensation to cover you medical bills, pain, suffering, future loss of income and other expenses. Here are four types of injuries that may entitle you to compensation.    

Domestic Animal Bites

It is the pet owner's responsibility to make sure their animal is well-trained and does not harm others. If a pet can't be trusted, it should be kept muzzled or in another room. However, some pet owners are irresponsible. These injuries can be disfiguring, as well as can cause emotional disturbances such as Post-Traumatic Stress Disorder (PTSD). If you've suffered a mauling or animal bite, you are likely entitled to some compensation.    

Hit by a Drunk Driver

Driving while intoxicated is perhaps one of the most irresponsible things a person can do. Not only is it a crime, it's the sort of behavior that has the potential to hurt many others in addition to yourself. If you were hit by a drunk driver, there is no excuse. Whether you were driving, cycling or walking, you need to speak to a lawyer about your specific case.    

At-Fault Car Accidents

Not every car accident involves clear fault, but many do. If the driver causing the accident was texting while driving, was driving carelessly or violated traffic laws, you likely have the right to compensation. This is also true if the driver who caused the accident was speeding or acting recklessly. Talk to a lawyer before you sign any paperwork or accept any deals, especially if their insurance company is pressuring you as this may be a sign that they know they are liable.    

Failure to Properly Maintain Property

Anyone can lose their balance and fall down a flight of clean, dry, well-lit steps. However, business owners are required to make sure their properties are well maintained. If you slipped and fell on ice or tripped over a hole in the carpet, you may be entitled to compensation.     Not every accident involves fault. However, there are plenty of injuries caused by incidents that could have been avoided all together had the person or persons involved been more careful. If you have been injured in an accident where someone else was at fault, you should speak to legal counsel before accepting a settlement.     Information Source:
ColoradoLaw.Net    
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/