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Your Teen

Almost Half of Teens Drink, Use Drugs, Smoke

2.00 to read

If you have a teenager, there’s a high probability that he or she will be exposed to alcohol, drugs or cigarettes during their high school years. And, there is a good chance your teen will try these drugs.If you have a teenager, there’s a high probability that he or she will be exposed to alcohol, drugs or cigarettes during their high school years. And, according to the National Institute on Drug Abuse there is a good chance that your teen will try these drugs.

A new report by the National Center on Addiction and Substance Abuse (CASA) has even more startling news for parents. Nearly half of all American high school students smoke, drink alcohol, or use illicit drugs. One in four, who start using these substances before they turn 18, may become addicts. The report also indicates that one-quarter of people in the U.S. who began using drugs or alcohol before age 18 meet the criteria for drug or alcohol addiction, compared with one of 25 Americans who started using drugs or alcohol when they were 21 or older. Why is dinking, smoking and using drugs more addictive for a younger person? Harold C. Urschel, MD, an addiction expert in Dallas, says that from the age of 15 to 22, the adolescent brain is still developing. “A complex layer of neural networks is being laid down and brain growth is exponential during these years, so even a little bit of injury from alcohol or drugs is greatly magnified.” “I was surprised at the prevalence of substance use disorders among young people,” says study author Susan E. Foster, CASA’s vice president and director of policy research and analysis. The new study opens a window of opportunity for providers and parents to intervene and prevent addiction, she says. “Do everything you can to get young people through their teen years without using drugs or alcohol. Every year they don’t use drugs or alcohol reduces their risk of negative consequences, such as addiction.” The report also mentioned other findings that give parents an insight to the kinds of drugs teens are choosing. - The most common drug of choice among high school students in the U.S. is alcohol, followed by cigarettes and marijuana. - Ten million, or 75%, of high school students have tried tobacco, alcohol, marijuana, or cocaine; and one in five of them meet the medical criteria for addiction. - Of the 6.1 million, or 46%, of high school students who currently use addictive substances, one in three is addicted to these substances. The findings are based on surveys of 1,000 high school students, 1,000 parents of high school students, and 500 school officers, along with expert interviews, focus groups, a literature review of 2,000 scientific articles, and an analysis of seven data sets. “Health care providers need to integrate screening for substance abuse into their practice, and treat and refer patients,” Foster says. This may be easier said than done because there is a dearth of addiction treatment information and options available as well as insurance barriers, she says. Most teens don't begin taking drugs thinking they will become addicted. They usually start trying drugs or alcohol to have a good time and be more like their friends. There’s a certain vulnerability to peer pressure that often replaces common sense, and moral teachings. According to TeenDrugAbuse.org many teens who are addicted don't see a problem with their behavior or their drug use. Drugs make them feel good, and are a way to relieve the stress of school, problems at home, disagreements with friends, and other pressures of growing up. “Teen substance abuse is a huge problem,” says Stephen Grcevich, MD, a child and adolescent psychiatrist at Family Center by the fall in Chagrin Falls, Ohio. “The numbers in the new report are very consistent with what we see in context of our practice and surrounding areas.” But teen substance abuse and addiction are not inevitable, he says. Preventing substance abuse starts with “intentional parenting” at an early age. “You have to have a plan that allows you to be a positive influence on your children at a young age so that when they get to an age where they are exposed to drugs and alcohol, they will know how to say no,” he says. “Kids who do well academically, are involved in religion, and/or are actively engaged in sports are less likely to get involved with these substances,” he says. “We need to look at giving kids something meaningful and important to do.” For many teens, the stigma of drug use, drinking and smoking has vanished. It’s become acceptable, and almost expected, behavior. It’s time for parents and caregivers to take the blinders off and become educated about teenagers and drug use. Parents often notice that their teen will start pushing away from their guidance, and advice. Sometimes communication is almost impossible when both teen and parent don’t agree on a particular behavior. But this is the most critical time for parents to keep trying and finding new ways to reach their teen. If the parent – child relationship reaches the point where no valuable communication is happening, then you may want to try family counseling. It’s worth the heartbreak, effort, costs, and stress in the long run.

Your Teen

Newer Cars Safer for Teen Drivers

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One of the most exciting days in a teen’s life is when he or she gets their driver’s license. It’s also one of the scariest for parents. Parents know that it takes time and experience to become a competent driver. Teens often believe that because they can stop at stop signs, put on their seat belt, Parallel Park and stay in a well-defined lane, they are competent enough.

Unfortunately, that’s not the case.  The Centers for Disease Control and Prevention (CDC), list motor vehicle crashes as the leading cause of death for U.S. teens.  Seven teens –ages 16 to 19- die every day from motor vehicle injuries.  According to a new study, more teens could survive serious auto accidents if they are driving newer cars.

While older cars may be less expensive, newer models are more likely to come with better standard safety features. Larger and heavier cars may also offer more protection.

"We know that many parents cannot afford a new vehicle," said the study's lead author, Anne McCartt, senior vice president for research at the Insurance Institute for Highway Safety. "Our message to parents is to get the most safety they can afford."

Researchers analyzed data from 2008 to 2012 from the U.S. Fatality Analysis Reporting System, which included information on 2,420 drivers ages 15 to 17 and 18,975 drivers ages 35 to 50.

The majority of teens that died (82%) were in cars that were at least 6 years old. A smaller, but significant proportion of teens (31%) were in cars 11 to 15 years old. For comparison, fatally injured teens were almost twice as likely as their middle-aged counterparts to be driving a car that was 11 to 15 years old.

Researchers say that they can’t prove that older cars driven by teens actually increase the risk of death if they are in a motor vehicle accident. However, there is good reason to think that teens would be safer in newer cars.

Older cars have older seatbelts that can wear and tear with age. Airbags were not required in cars till 1997 and 1998 for trucks. Today, they are standard equipment. The biggest safety upgrade though, has been the addition of electronic stability control.

Ultimately, McCartt said, though newer model cars tend to have more safety features, protecting your teens is not as straight forward as just steering clear of older vehicles. "We did find older vehicles that met our safety criteria," she said.

Still, it's a rare older vehicle that has electronic stability control — an important safety feature that helps drivers keep control in extreme maneuvers, McCartt said. "That's something that is standard on new cars since it was a requirement starting in 2012," she added.

Extreme maneuvers can quickly happen when something unexpected happens while driving. There are also plenty of distractions that can take your eyes off the road such as reading or replying to a text, eating or drinking while driving, cell phone calls, Changing CDs or radio stations, video watching, looking at or entering data for a GPS, talking to passengers. The list goes on. These distractions are certainly not limited to teens, but they have the least experience behind the wheel.

The Insurance Institute for Highway Safety (IIHS) has compiled a list of affordable used vehicles that meet important safety criteria for teen drivers that can be found at http://www.iihs.org/iihs/ratings/vehicles-for-teens.

They also have a list of recommendations to consider when purchasing a car for a teenager. They are:

•       Young drivers should stay away from high horsepower. More powerful engines can tempt them to test the limits.

•       Bigger, heavier vehicles are safer. They protect better in a crash, and HLDI analyses of insurance data show that teen drivers are less likely to crash them in the first place. There are no mini-cars or small cars on the recommended list. Small SUVs are included because their weight is similar to that of a midsize car.

•       Electronic stability control (ESC) is a must. This feature, which helps a driver maintain control of the vehicle on curves and slippery roads, reduces risk on a level comparable to safety belts.

•       Vehicles should have the best safety ratings possible. At a minimum, that means good ratings in the IIHS moderate overlap front test, acceptable ratings in the IIHS side crash test and four or five stars from the National Highway Traffic Safety Administration (NHTSA).

Most teens will eventually get their driver’s license – that’s a given.  If a teen is still a minor, it’s up to the parents or responsible guardians to help choose a car that will give them the best chance of survival if an accident should happen. That choice may include a newer model.

The study was published online in the journal, Injury Prevention.

Source: Linda Carroll, http://www.nbcnews.com/health/kids-health/cheap-old-car-might-carry-deadly-cost-teens-study-n271321

http://www.cdc.gov/motorvehiclesafety/teen_drivers/teendrivers_factsheet.html

http://www.iihs.org/iihs/ratings/vehicles-for-teens

Your Teen

Young Male Athletes, Parental Pressure and Doping

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When 129 young male athletes, whose average age was 17, were asked what would make them consider “doping” as a way to boost their athletic ability – the majority said parental pressure.

A new study from the University of Kent in England asked the young male athletes about their attitudes on "doping" -- the use of prohibited drugs, such as steroids, hormones or stimulants, to increase athletic competence.

These substances, sometimes called performance-enhancing drugs, can potentially alter the human body and biological functions. However, they can be extremely harmful to a person's health, experts warn.

The study group was also asked about four different aspects of perfectionism. The areas were: parental pressure; self-striving for perfection; concerns about making mistakes; and pressure from coaches.

Only parental pressure was linked to positive feelings about doping among the athletes, the study authors found. Although the study was small, it did point out how important demanding expectations from parents can be to kids. 

Lead author of the study, Daniel Madigan, a Ph.D. student in the university's School of Sport and Exercise Sciences, said the findings suggest that parents need to recognize the consequences of putting too much pressure on young athletes in the family.

"The problem of pressure from parents watching their children play sports is widely known, with referees and sporting bodies highlighting the difficulties and taking steps to prevent it," Madigan said in a university news release.

"With the rise of so-called 'tiger' parenting-- where strict and demanding parents push their children to high levels of achievement -- this study reveals the price young athletes may choose to pay to meet their parents' expectations and dreams," Madigan added.

The researchers only focused on young men for this study but plan to investigate if the same result will occur with young female athletes, and if there are differences between athletes in team versus individual sports.

The study findings are scheduled for publication in the April print issue of the Journal of Sports Sciences.

Story source: Robert Preidt, http://teens.webmd.com/news/20160229/young-athletes-pressured-by-parents-may-resort-to-doping

 

Your Teen

College - Bound Vaccinations

1.45 to read

It’s finally here. From the time your child was an infant, you knew this day was coming. He or she is entering college! If your young adult is moving away, there’s shopping, packing, traveling arrangements, paperwork, dorms and good-byes filling up the precious last living-at-home days. 

New opportunities for educational, personal and professional growth are just on the other side of those academic doors. But, there’s one more thing that you need to make sure is taken care- even if your child is remaining home and going to a community or local college.

Vaccinations need to be updated. Many colleges will not allow a student to attend classes, or live in a dorm, if their vaccinations are not updated, and immunization records filed with the school.

Colleges want to know that their students have been vaccinated against the basics - Diphtheria, tetanus, measles, mumps and rubella. But increasingly, they want to know that their students have been inoculated against bacterial meningitis.

Dorm rooms, fraternities and sororities are breeding grounds for contagious diseases. Unhealthy lifestyles can also lower a person’s immune system. Lack of sleep, unsanitary conditions, bad nutrition, drinking and exposure to cigarette smoke and drugs can put a child at risk for a host of medical problems.

Bringing these topics up is not to say that all college bound students will partake in unhealthy lifestyles, it’s simply a reminder that large populations in close quarters can put you at a higher risk for disease. That’s why colleges are becoming more adamant about student vaccinations.

The Centers for Disease Control and Prevention recommends college students, especially those living in dormitories, receive these vaccinations:

  • Meningococcal conjugate vaccine, which helps prevent meningococcal disease. If they received this vaccine before their 16th birthday, they should get a booster dose before going to college for maximum protection.
  • Tdap vaccine, which protects against tetanus, diphtheria, and pertussis (also known as whooping cough.)
  • HPV vaccine, which protects against the viruses that cause most cervical cancers, anal cancer, and genital warts.
  • Seasonal flu vaccine.
  • Another vaccination to consider is the Hepatitis A vaccine, which protects against this serious disease caused by a virus that attacks the liver.

Be sure and check with your college to see what vaccinations are required, and ask your family doctor or pediatrician about their recommendations.

Entering college is one of those milestones in life. It’s exciting and humbling for kids and parents. Make sure your child has the vaccinations he or she needs as they enter this new world of opportunity!

Sources: http://www.cdc.gov/vaccines/spec-grps/college.htm

http://www.webmd.com/vaccines/features/vaccines-for-college-students

Your Teen

Cheerleading Still Most Dangerous Sport

Cheerleading continues to cause more serious and deadly injuries by far than other sports.Cheerleading continues to cause more serious and deadly injuries by far than other sports, despite the fact that safety efforts have led to modest reductions in the number of serious injuries in recent years. However, until recently, records about such injuries were poorly kept. An updated to the record-keeping system last year found that between 1982 and 2007 there were 103 fatal, disabling or serious injuries recorded among female high school athletes, with the vast majority, 67, occurring in cheerleading. The next most dangerous sports were gymnastics, with nine such injuries and track, with seven injuries.

Recently the National Center for Catastrophic Sports Injury Research at the University of North Carolina at Chapel Hill released its annual report on the topic. The report defines catastrophic injuries as severe or fatal injury incurred during the participation in the sport. The new numbers for 1982 to 2008 showed that there were 1,116 catastrophic injuries in high school and college sports. Cheerleading accounted for 65.2 percent of high school and 70.5 percent of college catastrophic injuries among all female sports. The report, however, shows that cheerleading injuries fell slightly in the 2007-2008 academic year. “Progress has been slow, but there has been an increased emphasis on cheerleading safety,” said the study’s author Frederick O. Mueller. “Continued data collection on all types of cheerleading injuries will hopefully show that these safety measures are working to reduce injuries.

Your Teen

Teen Athletes Leading the Nation in Tommy John Surgeries

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Teen athletes accounted for more than half of the Tommy John surgeries performed in the U.S. from 2007 to 2011 according to a new study. The surgery is actually an ulnar collateral ligament reconstruction (UCLR) graft procedure in which the ulnar collateral ligament in the elbow is replaced with a tendon from elsewhere in the body. Tommy John was the first Major League baseball pitcher to have the surgery and the nickname has now become common use.

 “Our results showed that 15- to 19-year-olds accounted for 56.7 percent of the Ulnar Collateral Ligament Reconstruction (UCLR) or Tommy John surgeries performed in the US between 2007 to 2011," said lead study author Brandon Erickson, MD, of Rush University Medical Center in Chicago, in a press release. "This is a significant increase over time with an average increase of 9.12 percent per year.”

Once a player has the surgery, he or she needs a good 12 to 15 months of recovery time before they are able to return to a high level of sport activity. Oftentimes, a second surgery may be required as the athlete continues to strain the ligament.

Baseball pitchers are the athletes that most often require the surgery because of the way they pitch; overhanded instead of underhanded. Many believe that the problems start in the teenage years with players who throw harder than ever and don't ever take a month off.

Dr. Erickson and his team looked at a private insurance database to identify patients who received UCLR surgeries throughout the US.

About 4 out of every 100,000 patients who had surgery between 2007 and 2011 had a UCLR surgery. These patients were overwhelmingly male, with 32 percent coming from the 15- to 17-year-old age group and 22 percent coming from the 20- to 24-year-old age group.

These surgeries grew at a rate of 4.2 percent each year between 2007 and 2011. And more than half were performed in the southern region of the US.

Another reason many teen athletes are susceptible to injury is that they play only one sport and play year-round, never giving their immature bodies enough time to rest and repair.

According to Dr. Erickson, more attention should be given to prevention because overuse injuries tend to occur in intensive training and high-performance games.

"The research numbers suggest that more young athletes believe that having an UCLR procedure performed earlier in their career may lead to the big leagues or a scholarship, even though only 1 in 200 kids who play high school baseball will make it to the MLB," Dr. Erickson said. "This paradigm shift needs to be evaluated further to help prevent overuse injuries in kids from the beginning of the season when most issues arise."

Some teens simply play through the pain without considering the possible long-term physical problems that could quickly end the career they worked so hard to attain. It’s up to the adults in their lives to watch over and give them the guidance they need to stay healthy. Parents and coaches need to make sure that their kids and students are following the safety rules established by the sport associations and organizations.

This study was presented at the American Orthopaedic Society for Sports Medicine's annual meeting. Research presented at conferences may not have been peer- reviewed.

Source: Beth Greenwood, http://www.dailyrx.com/tommy-john-surgeries-elbow-overuse-injuries-were-common-teen-athletes

 

 

 

 

Your Teen

Serious Burns Caused By E-Cigarette Explosions

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Many family members have e-cigarettes inside their homes, pockets and purses. As more adults try to quit smoking traditional cigarettes, the use of electronic smoking devices (e-cigarettes) is rapidly increasing.  Several recent studies show that not only are adults experimenting with e-cigarettes, but also teens and preteens are attracted to the candy-flavored gadgets through peer pressure, advertising and celebrity endorsements.

One aspect of e-cigarette use that hasn’t gotten a lot of attention, until now, is that these devices can un-expectantly explode causing severe burns to the face and other areas of the body.

According to a research letter published in the New England Journal of Medicine, electronic-cigarette devices are randomly exploding, burning and injuring people near them when they detonate.

The University of Washington Regional Burn Center in Seattle has treated 22 people for burns and other injuries caused by exploding e-cigarettes since October 2015, lead author Elisha Brownson, M.D., a burn/critical care surgical fellow at the hospital, told HealthDay.

The lithium-ion batteries used in e-cigarettes, Brownson said, cause the explosions. These rechargeable batteries charge a heating coil that brings liquid nicotine and flavorings to the boiling point inside the device, creating an inhalable vapor. Batteries in some of the devices are overheating, causing a fire or an explosion, she said.

The first Seattle case Brownson treated was a man in his 20s using an e-cigarette while driving. The device exploded in his mouth, blowing out several front teeth. She said she has since treated a variety of burns and blast injuries caused by e-cigarettes, including patients with flame burns covering 10 to 15 percent of their total body surface.

"We see a lot of patients who have burns on their thigh and their hands. That's when the device has exploded in their pocket, and they're using their hands to get the device out and away from them," Brownson said. "There also have been a lot of injuries to the hands and face when people have had explosions as they've been using them. Patients tell us they had no idea this could happen. They've had little to no warning that the device is going to explode."

The flame-burn injuries have required extensive wound care and skin grafting, and exposure to the alkali chemicals released from the battery explosion has caused chemical skin burns requiring wound care.

Why do these devices explode? NBC News put the question to Venkat Viswanathan, an assistant professor of mechanical engineering at Carnegie Mellon University in March of 2016.

“The electrolyte inside the battery is basically the equivalent of gasoline, so when these batteries short out, there's a surge of heat that causes this flammable electrolyte to combust and explode."

Well-made lithium-ion cells have a very small risk of failure. But the cheaper cells "have a much greater chance of having a manufacturing defect," which increases the likelihood for failure, Viswanathan said.

The risk goes up if the cells are overcharged or charged too quickly. This can happen if the e-cig comes with a poorly designed charger or the user switches chargers. Well-made lithium-ion batters have fail-safe mechanisms to prevent these problems. Poorly made ones do not. Just because a charger plugs into that e-cig doesn't mean you should use it.

E-cigarettes remain largely unregulated. Until recently, the Food and Drug Administration (FDA) had made little headway in the regulation of e-cigarettes. However, the FDA has recently extended regulatory authority to cover all tobacco products, including e-cigarettes, although the prospects for battery regulation remain unclear. While these explosions were previously thought to be isolated events, the injuries among our 15 patients add to growing evidence that e-cigarettes are a public safety concern that demands increased regulation as well as design changes to improve safety. In the meantime, both e-cigarette users and health care providers need to be aware of the risk of explosion associated with e-cigarettes, the paper’s researchers noted.

Story sources: http://www.physiciansbriefing.com/Article.asp?AID=715566

Herb Weisbaum, http://www.nbcnews.com/business/consumer/what-s-causing-some-e-cigarette-batteries-explode-n533516

http://www.nejm.org/doi/full/10.1056/NEJMc1608478

Your Teen

Are Kids Safe With Cell Phones at Crosswalks?

Before you buy that cell phone for your child to keep them safe when they are away from you, parents need to be aware.

Before you buy that cell phone for your child to keep them safe when they are away from you, parents need to be aware. A new study shows that kids who talk on a cell phone may be more likely to step into traffic. The study says children should learn to end phone conversations before they step up to the curb and prepare to step into traffic. Research done at the University of Alabama at Birmingham also shows that older children and more experienced users also don't navigate streets as well while on a cell phone and younger children tended to find gadgets more distracting.

"Kids this age are just learning to cross the street on their own," says David Schwebel, an associate professor and vice chair in the department of psychology at the University of Alabama at Birmingham. A third of the 20 million 8- to 12-year-olds in the United States already have a cell phone, with more than half of "tweens" expected to be carrying them by the end of next year, according to market researchers. In the study, which appears in the February 2009 issue of Pediatrics, researchers followed 77 pre-teens individually as they navigated a virtual reality street crossing. The children were first allowed to familiarize themselves with the street scene before actually starting the test. The children were then asked to run through the simulation 12 times, six while on the phone and six while undistracted. The researchers found that children speaking on a cell phone were 43 percent more likely to be hit or to have a close call in the simulated street crossings than kids who weren't on the phone. Researchers also kept track of how many times a child looked left and right before stepping into the street and found that number fell by 20 percent when a phone conversation was going on. There was no difference between boys or girls. "I don't think this means parents should taken phones away from their kids, " says Schwebel. "I encourage families to get cell phones for their children. They're more helpful than harmful, if they're used in a safe way."

Your Teen

Amateur Athletes May Be at Greater Risk For CTE

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Former NFL player and sportscaster, Frank Gilford, passed away in August. Not only was he well known for his on and off the field talents, but his name suddenly became associated with a terrible brain disease that is becoming all too common among former athletes, chronic traumatic encephalopathy or CTE. Gilford’s family said although he died from natural causes he also suffered from the debilitating effects of CTE which can affect thinking, memory, behavior and a person’s mood. His family decided to have his brain studied in hopes of shedding some light on the link between football and traumatic brain injury.  

A new study suggests that an increase of risk for CTE can begin much earlier in life for those who play contact sports where concussions and head trauma are common.

Researchers analyzed the brains of 66 men who had donated their organs to the Mayo Clinic Brain Bank and participated in sports such as football, rugby, wrestling, boxing and basketball while in school. Their brains were compared to the brains of 198 people, including 66 women, who never played contact sports.

CTE was found in the brains of a third of the men who played amateur contact sports. But no sign of the disease was detected in the brains of those who never played contact sports, the researchers said.

"The 32 percent of CTE we found in our brain bank is surprisingly high for the frequency of neurodegenerative pathology within the general population," wrote study author Kevin Bieniek, a pre-doctoral student in Mayo Graduate School's Neurobiology of Disease program.

"If one in three individuals who participate in a contact sport goes on to develop CTE pathology, this could present a real challenge down the road," Bieniek said.

Dr. Dennis Dickson, senior study author and neuropathologist at Mayo Clinic, noted that this study is the first to use newly developed government criteria to diagnose CTE in nonprofessional athletes.

"The frequency with which he [Bieniek] found CTE pathology in former [amateur] athletes exposed to contact sports was surprising," Dickson said. "It is pathology that had gone previously unrecognized."

Some individuals may be at an even greater risk of developing CTE if they have a genetic marker. Researchers have found two genetic markers that may affect the possibility of developing CTE.

"These markers need to be further studied in a larger group of CTE cases, but they could be very important in determining whether an individual is at greater risk of developing these brain changes," Bieniek said.

"The purpose of our study is not to discourage children and adults from participating in sports because we believe the mental and physical health benefits are great," he noted.

"It is vital that people use caution when it comes to protecting the head. Through CTE awareness, greater emphasis will be placed on making contact sports safer, with better protective equipment and fewer head-to-head contacts," Bieniek concluded.

The study was published in the December issue of journal Acta Neuropathologica.

Source: Robert Preidt, http://consumer.healthday.com/cognitive-health-information-26/concussions-news-733/playing-contact-sports-in-youth-may-raise-risk-for-degenerative-brain-disease-705847.html

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If your child snores, is this a sign of something more serious?

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