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Your Teen

Half of American Teens Breathe Secondhand Smoke

2:00

We’ve come a long way in this country in regards to making public places free of cigarette smoke, but people in their home or car can smoke as much as they like- and that’s their right to do so. When there are children in those homes and cars – they’re inhaling secondhand smoke and that can have a major impact on their physical wellbeing.

Secondhand smoke is the smoke a smoker breathes out and that comes from the tip of burning cigarettes, pipes, and cigars. It contains about 4,000 chemicals. Many of these chemicals are dangerous; more than 50 are known to cause cancer. Anytime children breathe in secondhand smoke they are exposed to these chemicals. 

Researchers from the U.S. Centers for Disease Control and Prevention’s (CDC) Office of Smoking and Health examined data from more than 18,000 middle school and high school students; researchers found that 48 percent reported exposure to secondhand smoke in 2013. Additionally, secondhand smoke exposure was reportedly nine times higher among never-smoking teens with no smoke-free rules in their home and car, compared to those with 100 percent smoke-free rules.

"The findings weren't really a surprise as much as a call for public health action," said study author Brian King, deputy director. "The continuing research [on secondhand smoke] really helps us put a finger on who's exposed and in what location," he said.

According to the study, secondhand smoke exposure is known to contribute to several health problems in children, including respiratory symptoms, impaired lung function, middle ear disease and sudden infant death syndrome.

Analyzing questionnaire responses from students in grades 6 through 12 in 2013, King and his colleagues found that 16 percent were exposed to secondhand smoke at home and 15 percent in a vehicle. Additionally, 17 percent reported secondhand smoke exposure at school, 27 percent of those who were old enough to have a job, at work and 35 percent in indoor and outdoor public areas.

"We did assess the extent of exposure based on whether youth were [protected] by smoke-free policies, and it's no surprise that those covered by policies had lower exposure," King said.

Regarding home and car exposure, "I think it really comes down to individual families to take that action," he added.

Dr. Normal Edelman, senior scientific advisor for the American Lung Association, called the research "very useful." He noted that comprehensive public no-smoking policies have helped lower U.S. smoking rates by helping some smokers break the habit.

"We've made great strides in protecting adults from secondhand smoke ... and the health effects have been dramatic," Edelman said. "So now it's time to protect kids from secondhand smoke, and this [study] shows that many of our kids are exposed to at least some secondhand smoke. Clearly, if they live with smokers, they're exposed to a lot, and I think those kids are most at risk."

On a personal note, my mother smoked from the time I was born to after I left home. In those bygone days, most people were not aware of the dangers of smoking and cigarette ads even promoted the “health benefits” from taking a long drag off a cigarette.

Unfortunately for me, the heath benefits were nil. I had bronchitis 2 or 3 times a year and ear infections when I was little. I developed asthma, as I got older.  No one ever made the connection between the constant cigarette smoke in the house and car and my illnesses. I was just considered a rather “sickly child.” Eventually, my mother developed COPD.

Believe me when I say secondhand smoke can become a real health problem for children.

While 26 U.S. states and the District of Columbia have implemented comprehensive smoke-free laws prohibiting smoking in all indoor public places and work sites -- including restaurants and bars -- several states have no statewide laws addressing secondhand smoke in public areas, and others have less stringent restrictions.

Source: Maureen Salamon, http://consumer.healthday.com/kids-health-information-23/adolescents-and-teen-health-news-719/half-of-u-s-teens-exposed-to-secondhand-smoke-study-says-706864.html

https://www.healthychildren.org/English/health-issues/conditions/tobacco/Pages/Dangers-of-Secondhand-Smoke.aspx

Your Teen

Stop Yelling at Your Teenager!

2.30 to read

I’m going to go out on a limb and say that anyone who has a child has yelled at him or her at one time or another. As parents, we’ve all lost our patience when we believe our child is misbehaving. If ever there is a time when parents and kids are standing at the crossroad of “Listen to me” and “I don’t need to”, it’s during the teenage years.

Tempers often ignite with harsh words being said.  

While you may be trying to make an important point, aggressive yelling and screaming only pushes your child away and may be doing much more harm than good according to a new study.

An analysis involving nearly 1,000 two-parent families and their adolescent children suggests that such harsh verbal lashings not only don't cut back on misbehavior, they actually promote it.

The end result: an uptick in the kind of adolescent rage, stubbornness and irritation that escalates rather than stops or prevents disobedience and conflict.

"Most parents who yell at their adolescent children wouldn't dream of physically punishing their teens," noted study author Ming-Te Wang, an assistant professor with the department of psychology at the University of Pittsburgh School of Education. "Yet, their use of harsh verbal discipline -- defined as shouting, cursing or using insults -- is just as detrimental to the long-term well-being of adolescents," he said.

"Our findings offer insight into why some parents feel that no matter how loud they shout, their teenagers do not listen," Wang added. "Indeed, not only does harsh verbal discipline appear to be ineffective at addressing behavior problems in youth, it actually appears to increase such behaviors."

Wang and his co-author, Sarah Kenny of the University of Michigan, report their findings in the current issue of the journal Child Development.

The researchers were particularly interested in kids between 13 and 14 years old so they focused on 976 primarily middle-class families in Pennsylvania with young adolescent offspring, all of whom were already participating in a long-term study exploring family interaction and adolescent development. A little more than half the families were white, while 40 percent were black.

The teen participants were asked to disclose recent behavioral issues such as in-school disturbances, stealing, fighting, damaging property or lying to their parents.

Their parents were asked how often they used harsh verbal discipline such as yelling, screaming, swearing or cursing at their child. Most importantly, if they called their child names like “dumb” or “lazy.”

The teens were also asked to what degree they felt “warmth” in their relationship with their parents. Researchers inquired about the amount of parental love, emotional support, affection and care the kids felt like they received from their parents. Both teens and parental depression were tracked.

The study points out that the children who were on the receiving end of the harsh verbal attacks experienced an increase in anger and a drop in inhibitions. Those two reactions prompted an intensification of the very things that parents were hoping to stop – such as lying, cheating, stealing or fighting.

"Parents who wish to modify their teenage children's behavior would do better by communicating with them on an equal level," Wang said, "and explaining their rationale and worries to them. Parenting programs are in a good position to offer parents insight into how behaviors they may feel the need to resort to, such as shouting or yelling, are ineffective and or harmful, and to offer alternatives to such behaviors."

Parents get frustrated with their children and vice versa. None of us behave perfectly all the time. Raising your voice because you are frustrated is one thing, name calling and screaming is quite another.

Imagine if you were at work and your boss screamed at you, called you names and cursed at you because he or she didn’t like how you did something. That may have actually happened to you – remember how you felt, or think about how you would feel. Humiliated, angry and sad are the most common reactions people have.  

Children are trying to find their way in life; parents are their guides. The next time you feel you’re on the verge of screaming or saying hurtful things to your child - walk away. Give yourself time to cool down and find a better way to communicate.

People say kids are resilient and get over things quickly. Many are able to bounce back when bad things happen, but that saying is too often used to excuse bad behavior on a parent’s part. If you’ve crossed the line with your child, say you’re sorry and come up with better ways to handle your frustration and anger.

Words and tone matter and the best teaching method is by example. You can help your child learn what love, patience, tolerance, compassion and respect are by being an example of those very qualities.

Source: Alan Moses, http://consumer.healthday.com/kids-health-information-23/misc-kid-s-health-news-435/yelling-at-insulting-teens-can-backfire-on-parents-study-679863.html

Your Teen

More Teens Texting While Driving

New study more teens are texting while driving.

One third of teens ages 16 and 17 say they have texted while driving a new study shows. That same study also shows that 48 percent of teens aged 12 to 17 say they have been in a car while the driver was texting.The study was conducted by the Pew Internet and American Life Project. Pew senior research specialist Amanda Lenhart said she was surprised "to hear (from teens) about how it’s often parents or other adults who are doing the texting or talking and driving, and how for many teens, this is scary or worrisome behavior." For its Teens and Distracted Driving study, Pew surveyed 800 teens ages 12 to 17 between June and September. The non-partisan organization also conducted nine focus groups with 74 additional teens in the cities of Ann Arbor, Mich., Denver, Atlanta and New York between June and October, in conjunction with the University of Michigan. "Much of the public discussion around these behaviors has focused on teens as young, inexperienced drivers, but some of the adults in these young peoples' lives are clearly not setting the best example either," said Mary Madden, a Pew senior research specialist who also worked on the survey. "Teens spoke not only of adults texting at the wheel, but also fumbling with GPS devices and being distracted because they're talking on the phone constantly," she said. "And the reactions from the teens we spoke with ranged from being really scared by these behaviors to feeling as though it wasn't a big deal." Among other findings from the Pew survey:
  • 52 percent of teens ages 16 and 17 who have cell phones say they have talked on their phones while driving.
  • 34 percent of teens ages 16 and 17 who text say they have done so while driving.
  • 48 percent of teens ages 12 to 17 say they have been in a car when the driver was texting.
  • 40 percent of teens ages 12 to 17 say they have been in a car when the driver "used a cell phone in a way that put themselves or others in danger."
  • 75 percent of teens ages 12 to 17 have a cell phone, and 66 percent of them send or receive text messages.
Boys and girls are "equally likely to report texting behind the wheel," Pew said, and while a third say they do so, "texting at the wheel is less common than having a conversation on the phone while driving." Pew did not further ask whether that driving and talking on the phone was being done hands-free. The teens in the focus groups had various reasons for texting and driving at the same time, Pew said, including "the need to report their whereabouts to friends and parents, getting directions and flirting with significant others." Some teens "felt as though they could safely manage a quick exchange of texts while the car was stopped. One high-school-aged boy shared that he would text 'only at a stop sign or light, but if it's a call, they have to wait or I'll hand it to my brother or whoever is next to me.' "

 

Your Teen

Acetaminophen, No Threat To Child's Liver

2.00 to read

With more than eight million American kids taking the drug every week, acetaminophen is the nation's most popular drug in children. It's toxic to the liver in high doses, and can be fatal if taken in excess. Very rarely, adults may also get liver damage at normal doses, so doctors had worried if the same was true for kids. Concerns about liver injuries in children who take the common painkiller acetaminophen, sold as Tylenol in the U.S. are unfounded, researchers said on Monday. "None of the 32,000 children in this study were reported to have symptoms of obvious liver disease," said Dr. Eric Lavonas of the Rocky Mountain Poison and Drug Center in Denver. "The only hint of harm we found was some lab abnormalities." With more than eight million American kids taking the drug every week, acetaminophen is the nation's most popular drug in children. It's toxic to the liver in high doses, and can be fatal if taken in excess. Very rarely, adults may also get liver damage at normal doses, so doctors had worried if the same was true for kids. "This drug is used so commonly that even a very rare safety concern is a big concern," said Lavonas, whose findings appear in the journal Pediatrics. Some researchers suspect there is a link between long-term use of acetaminophen and the global rise in asthma and allergies, but the evidence is far from clear at this point. For the new report, researchers pooled earlier studies that followed kids who had been given acetaminophen for at least 24 hours. There were no reports of liver injuries leading to symptoms such as stomachache, nausea or vomiting, in the 62 reports they found. Ten kids, or about three in 10,000, had high levels of liver enzymes in their blood, which usually means their livers have been damaged. In most cases, however, those elevations were unrelated to acetaminophen. And even if they were caused by the drug, they don't indicate lasting damage, according to Lavonas. "Acetaminophen is extremely safe for children when given correctly," he said. "Parents should not be afraid to give acetaminophen to their children when they need it, but they should be very careful about giving the right dose." "If you suspect that you have given a child an overdose, call your state's poison center," he added. The Rocky Mountain Poison and Drug Center receives funding from McNeil Consumer Healthcare, the Johnson & Johnson subsidiary that sells Tylenol, but the researchers said the company did not support this study.

Your Teen

Sports Drinks May Damage Teeth

Those sports drinks that your young athlete sips on may be eroding their teeth a new study suggests.040509healthlines1 Those sports drinks that your young athlete loves to sip on may provide an energy boost, but they could also be eroding their teeth a new study suggests. Findings by New York University dental researchers show many popular energy drinks contain levels of acid that can cause tooth erosion, hypersensitivity and staining. The beverages can also cause excessive tooth wear and may damage underlying bone-like material, causing teeth to soften and weaken the researchers say. They also say the drinks may possibly trigger conditions leading to severe tooth damage and loss. "This is the first time that the citric acid in sports drinks has been linked to erosive tooth wear," says Mark Wolff, DDS, professor and chairman of the department of cardiology and comprehensive care at New York University College of Dentistry. He says people who use sports energy drinks for energy should brush their teeth immediately after drinking the beverages. Softened enamel, he says, is highly susceptible to the abrasive properties of toothpaste. The five sports drinks tested were Vitamin water, Life Water, Gatorade, Powerade and Propel Fit Water. The study involved cows' teeth that were cut in half. Half of the specimens were immersed in a sports drink, the other half in water. Cows' teeth were used because of their close resemblance to human teeth. All the teeth immersed in a sports drink softened, but Gatorade and Powerade caused "significant" staining, according to an abstract of the study. Craig Stevens, spokesman for the American Beverage Association, says such studies are unfair and do not present "an accurate or actual picture of the way sports drinks are consumed." "The testing procedures they used are outside the realm of what happens in real life," he says. "Beverages pass right through the mouth, and these beverages have a purpose, and are proven to enhance physical performance. To use them like this is simply providing unhelpful information to consumers." He adds: "To suggest that sports drinks are a unique cause of dental caries or tooth erosion is overly simplistic. Oral health is determined by a variety of factors, including types of food consumed and the length of time foods are kept in the mouth."

Your Teen

AAP: Raise the Smoking Age to 21 for Tobacco, e-Cigarettes

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The American Academy of Pediatrics (AAP) wants the minimum age to purchase tobacco products and e-cigarettes raised to 21 across the United States. In new policy recommendations, the AAP released a statement urging more than two- dozen tough regulations to help reduce youth smoking and addiction to nicotine.

Nicotine is considered physically and psychologically addictive, with some experts claiming that it is as additive and hard to kick as heroin and other hard narcotics.

The AAP also calls for the U.S. Food and Drug Administration (FDA) to finally regulate e-cigarettes the same way it regulates other tobacco products. The FDA has issued a proposed rule that would extend the agency’s tobacco authority to cover additional products that meet the legal definition of a tobacco product, such as e-cigarettes.

"Most adolescents don't use just one nicotine product but will commonly use or experiment with several," said Dr. Harold Farber, lead author of two of the statements and a pediatric pulmonologist at Texas Children's Hospital. "Research to date shows that adolescents who experiment with e-cigarettes and conventional cigarettes are much more likely to go on to become regular cigarette smokers and less likely to stop cigarette smoking."

Currently, only Hawaii and about 90 cities and communities in several other states have a law requiring a minimum age of 21 to purchase tobacco products, according to the Campaign for Tobacco-Free Kids.

"As the brain matures, the ability to make decisions with important health consequences should likewise improve," said Dr. Danelle Fisher, vice chair of pediatrics at Providence Saint John's Health Center in Santa Monica, Calif. "Thus, slightly older young adults may choose to forgo tobacco products," suggested Fisher, who was not involved with the new policy recommendations.

Not only would the AAP like to see e-cigarettes regulated, but also their candy-like flavors and menthol eliminated.

According to the U.S. Centers for Disease Control and Prevention,  more adolescents used e-cigarettes than any other tobacco product in 2014.

In addition to calling for FDA control of e-cigarettes, the AAP recommended that smoke-free laws expand to include e-cigarettes. The group recommends that use of any tobacco or nicotine products, including e-cigarettes, be banned in all workplaces, schools, dormitories, bars, restaurants, health care facilities, sidewalks, parks, recreational and sports facilities, entertainment venues and multi-unit housing.

"The jury on e-cigarettes remains out, but it is clear that carcinogens and potentially harmful substances are nonetheless present in this alternate nicotine delivery system," said Dr. Jack Jacoub, director of thoracic oncology at Orange Coast Memorial Medical Center's MemorialCare Cancer Institute in Fountain Valley, Calif.

Other policy recommendations include a ban on Internet sales of e-cigarettes, a tax on e-cigarettes at the same rate as traditional cigarettes and a requirement for adult ratings on any entertainment depicting e-cigarette use.

The AAP also recommended banning advertising of tobacco products and e-cigarettes in all media, including television, radio, print, billboards, signs and online, and in stores where children and teens might see them..

Another concern is the number of young children who have suffered nicotine poisoning from accidently ingesting liquid nicotine. Poison control centers receive more than 200 calls per month for accidental ingestion of nicotine for e-cigarettes, the AAP noted, and one toddler died last year from swallowing some. The APP recommends child-resistant packaging for these products.

"Toddlers and young children love to explore new things and to put things in their mouths, so it is imperative that packaging and childproofing be done to enhance the safety of their environments," Fisher said. "This is analogous to having childproof caps on pill bottles."

The new policies were presented Monday at the group's national conference and published online simultaneously in the journal Pediatrics.

Source: Tara Haelle, http://consumer.healthday.com/cancer-information-5/misc-tobacco-health-news-666/raise-smoking-age-to-21-u-s-pediatricians-group-urges-704535.html

Your Teen

Teens and Tanning Booths; Riskier Than Once Thought

1.45 to read

Prom, Homecoming, Pep Rallies, classrooms, malls  – many of the places you’ll find teens during the fall and winter months. As the long sun-filled days of summer fade away, the doors to tanning salons swing wide open. 

While it’s no secret that UVB rays – the ones that cause sunburn – are the main cause of skin cancer, a new study published in the Journal of Investigative Dermatology shows that UVA rays can in fact cause a serious risk of skin cancer because they target the areas beneath the surface where cells divide to create new layers.

For the study, scientists compared the DNA-damaging effects of ultraviolet radiation by shining both types on the buttocks of 12 healthy volunteers. By cutting away small layers of skin, the researchers found that UVB rays mainly damaged the skin's top layers, but the UVA rays formed lesions on the skin's deepest layers. The study's authors say that's worrisome, because UVA rarely burns the skin, so people - in particular teens - might not realize damage being done.

The study found UVA rays are more carcinogenic than previously thought; a finding scientists say underscores how important it is to limit exposure to the sun and to tanning salons.

"The doses we used were comparable for erythema -- sunburn – for UVA and UVB. That would be roughly equivalent to the doses needed for tanning in each spectrum," said study co-author Antony R. Young, a professor at the St. John's Institute of Dermatology at King's College School of Medicine in London.

"Tanning salons still tend to claim that UVA is safe, but that's nonsense," Young told The Daily Mail, "It may be more carcinogenic than previously thought."

The main concern is preventing skin cancer, particularly melanoma, a very serious and possibly life-threatening type of skin cancer. Teens often think of skin cancer as an “old person’s disease.” In fact, melanoma is one of the most common cancers in young adults (ages 25 to 29). Each year, more than 50,000 people in the U.S. learn that they have melanoma.

"Indoor tanning is like smoking for your skin," said Dr. Doris Day, a dermatologist at Lenox Hill Hospital in New York City. "It's the single worst thing you can do in terms of skin cancer and premature aging."

Many indoor tanning salons advertise that tanning beds can help boost the body's production of vitamin D, known as the sunshine vitamin because skin makes it when exposed to the sun's rays. "This is nonsense and an excuse," Day said. "We know people burn in tanning beds and that UVA and UVB are toxic."

Since March 2010, The FDA has been considering enacting a ban on tanning booth use for anyone under the age of 18. The American Academy of Pediatrics, the World Health Organization, the American Medical Association and the American Academy of Dermatology support a ban on the use of tanning booths by minors.

While teens may think that a tan gives them a healthy looking glow, parents and caregivers need to help them understand the dangers of tanning. Whether it’s outdoors or indoors – too much UVB / UVA rays can lead to serious health problems.  And of course, parents should teach by example. If mom and dad are spending time in the tanning booth, telling your teen to stay out is not going to have much of an impact. 

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Your Teen

Glee Star is the New Face of Heroin Addiction

2.00 to read

Headlines recently announced the death of Cory Monteith, one of the stars of the TV show “Glee.” Looking at the fresh-faced young man, you’d never suspect that he struggled with alcohol and drugs. But experts say he fits the new profile of heroin users.

Many Americans are not aware of the new realities of heroin use among kids, teens and young adults. In fact, according to statistics from the National Institute on Drug Abuse, Monteith largely fits the new profile of a heroin user: a white male in his 30s.

“I deal with drug users every day,” Dr. Richard Clark, an emergency room physician and director of toxicology at the University of California San Diego Medical Center, told NBC News. “The stereotypical user on the street? That’s the past as far as heroin use in the U.S. is concerned. Lots of people are using it these days – kids, teenagers, white-collar workers.”

Many of the young adults using heroin started when they were teenagers. Many of them live in suburbs and rural communities. The Substance Abuse and Mental Health Services Administration (SAMHSA), documented an alarming 80 percent increase in first use of heroin among teens since 2002.

In 2009, 510 teens and young adults between 15 and 24 died of a heroin overdose, up from 198 a decade earlier.

“People think it’s totally impossible that they could know somebody who could be on that trajectory,” said Caleb Banta-Green, a research scientist at the University of Washington School of Public Health who writes frequently about heroin use. Monteith, Banta-Green said, “is what a heroin user looks like.”

Heroin is now cheaper and more plentiful than in the past. Where heroin was once obtained from the Far East and Southwest Asia, it is now transported into the U.S. from South America and Mexico making it much more affordable and easier to get. Heroin is also coming in from Afghanistan where production has steadily increased.

Why is heroin becoming popular among teens? One reason may be because the U.S. government has made a strong push to crack down on prescription opiates, a popular drug of choice among kids. Drugs like Oxycodone and other painkillers are now harder to get and more expensive. Heroin, on the other hand, is cheap and plentiful. It also packs a stronger punch or “rush.”

Heroin use dropped sharply during the height of the late 1980s-1990s AIDS crisis because drug users didn’t want to risk injections. Now, though, heroin is often snorted or smoked, giving it the same kind of ease of use, and even societal popularity that cocaine once had.

When a heroin user overdoses, they often just stop breathing. While most teen drug users are not typically going to be snorting or injecting heroin when they are in the middle of a crowd, they may be consuming a lot of alcohol. Once they get home they may decide to top off the evening with heroin. That can be a deadly combination especially when they are in their room and no one knows to check on them.

Too many parents think that their child doesn’t fit the typical heroin user stereotype. They are simply unaware that heroin is the new “in” drug and it’s in the schools, on the playgrounds and in the malls. Dealers may be kids that you’ve known since they were little.

The sad news of Cory Monteith’s death shocked his fans, friends and family. He reportedly had been struggling with alcohol and drug abuse since his early teens. After a recent stay in rehab, many thought he had licked his demons and was on the way to a true recovery. Unfortunately, that wasn’t the case. He made the decision to give heroin one more try and this time it killed him.

Heroin is extremely addictive. It doesn’t play favorites. It doesn’t care if you are rich, middle-class or poor. Whether you live in a mansion, a suburb or the inner city.  It treats everyone exactly the same way and it can quickly stop a heart. 

If you suspect that your child is using ANY drugs, make it your business to find out for sure. And if they are – get them the help they need to deal with whatever is causing their use. It will not make you popular, but it may save your child’s life.

Source: Brian Alexander, http://www.nbcnews.com/health/glee-stars-od-shows-new-fresh-face-heroin-6C10658371

 

Your Teen

Concussions: Boys and Girls May Have Different Symptoms

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The findings suggest that boys are more likely to report amnesia and confusion/disorientation, whereas girls tend to report drowsiness and greater sensitivity to noise more often.A new study of high school athletes, finds that boys and girls who suffer concussions, may differ in their symptoms. The findings suggest that boys are more likely to report amnesia and confusion/disorientation, whereas girls tend to report drowsiness and greater sensitivity to noise more often. "The take-home message is that coaches, parents, athletic trainers, and physicians must be observant for all signs and symptoms of concussion, and should recognize that young male and female athletes may present with different symptoms," said R. Dawn Comstock, an author of the study and an associate professor of pediatrics at the Ohio State University College of Medicine in Columbus. More than 60,000 brain injuries occur among high school athletes every year, according to the U.S. Centers for Disease Control and Prevention. Although more males than females participate in sports, female athletes are more likely to suffer sports-related concussions, the researchers note. For instance, girls who play high school soccer suffer almost 40 percent more concussions than their male counterparts, according to NATA. The findings suggest that girls who suffer concussions might sometimes go undiagnosed since symptoms such as drowsiness or sensitivity to noise "may be overlooked on sideline assessments or they may be attributed to other conditions," Comstock said. For the study, Comstock and her co-authors at the University of Virginia, Charlottesville, and the University of California, Santa Barbara, examined data from an Internet-based surveillance system for high school sports-related injuries. The researchers looked at concussions involved in interscholastic sports practice or competition in nine sports (boys' football, soccer, basketball, wrestling and baseball and girls' soccer, volleyball, basketball and softball) during the 2005-2006 and 2006-2007 school years at a representative sample of 100 high schools. During that time, 812 concussions (610 in boys and 202 in girls) were reported. During the first year of the study, the surveillance system included only the primary concussion symptom for each athlete. In the second year, high school athletic trainers were able to record all the symptoms reported by the concussed athlete. In both years, headache was the most commonly reported symptom and no difference was noted between the sexes. However, in year one, 13 percent of the males reported confusion/disorientation as their primary symptom versus 6 percent of the girls. Also in the first year, amnesia was the primary symptom of 9 percent of the males but only 3 percent of the females. In the second year, amnesia and confusion/disorientation continued to be more common among males than females. In addition, 31 percent of the concussed females complained of drowsiness versus 20 percent of the males, and 14 percent of the females said they were sensitive to noise, compared with just 5 percent of the males. Concussion researcher Gerard A. Gioia, chief of pediatric neuropsychology at Children's National Medical Center in Washington, D.C., called the findings "relatively subtle" and "at best hypothesis-generating, meaning they are suggestive but in no way conclusive." Gioia said one of the study's limitations is that the reporting system didn't explain about how the injuries occurred. "The presence of increased amnesia and confusion, two early injury characteristics, in the males suggests that the injuries between the males and females may have been different," he said. Future studies will likely address this theory, said Comstock, now that the surveillance system has been expanded to include much more detailed information. Preliminary data suggest, for instance, that football players tend to get hit on the front of the head, while girls who play soccer or basketball often suffer a blow to the side of the head, she said. The findings will also be published in the January issue of the Journal of Athletic Training.

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