Bedtime is a battle of the wills for many parents of toddlers.

Does this sound like a familiar scenario? You read your child a story, kiss her good night and put her to bed after a long day. You’re looking forward to some time to relax or finish evening chores — but instead, you spend the next several hours answering your child’s calls, putting her back to bed and spending time in her room. By the time she falls asleep, the only thing you feel like doing is falling into bed yourself.

Most young children see bedtime as a time to establish their independence. This puts eager-to-please parents who have trouble laying down the law in a difficult situation. In addition to a need for independence, toddlers’ sleep can be disrupted by the increase in cognitive, motor and social skills that comes with their age. Some toddlers also experience nighttime awakenings, nightmares and nighttime fears that make them apprehensive about going to bed.

Despite all these barriers to a good night’s sleep for your toddler, there should be no room for negotiation between parent and child when it comes to bedtime. According to the National Sleep Foundation, toddlers need 12 to 14 hours of sleep each day. Insufficient sleep can have a negative effect on a child’s development, emotions, behavior and immunity, and may even contribute to obesity later in life.

Instead of being held prisoner to their toddler’s bedtime issues, parents should follow these tips for a peaceful bedtime routine:

Maintain a consistent bedtime schedule. Help your child establish a regular sleep pattern by putting him to bed and getting him up at the same time each day and even on weekends. Help your child begin to wind down at least an hour before bedtime by encouraging quieter activities and limiting use of television and the computer.

Create a relaxing bedtime routine. The transition from activity to sleep can be eased with bedtime rituals that help your child relax. Many parents find that a warm bath, quiet conversation about the day and reading a story all send a clear signal that it’s time to go to bed.

Limit your returns. It’s important for your toddler to learn how to fall asleep alone. If your toddler gets up after you say good night, return her to her bed. Let her know that you’ll come back once or twice to check in, but don’t fall victim to being called back several times.

Encourage use of a comfort object. Favorite blankets and stuffed animals are time-honored comfort objects for children. Help your child cope with separation by encouraging attachment to a favorite object that he or she can take to bed.

Bedtime is one of the most important times to remember that you are the parent. Avoid engaging in power struggles, and stand your ground if your toddler pleads and whines. Instead, comfort your child if he has fears or nightmares, assuring him that everyone sleeps at night and that you’ll be nearby in case he needs you.

When toddlers learn to fall asleep on their own, they are better at getting back to sleep when they awaken in the middle of the night. It may not be easy, but helping your toddler master the skill of falling asleep will help ensure that he or she gets a good night’s sleep throughout childhood.

Today’s article is written by Mandy Fricke. Ms. Fricke is the community manager for Georgetown University in Washington D.C. Nursing@Georgetown, a Master in Nursing program, as well as acontributor to the Nursing License Map. In her spare time, she enjoys traveling, reading, and yoga.

In a press release issued yesterday, HealthDay News reported that a leading consumer advocacy group, along with nutrition experts and health agencies from a number of U.S. cities, are calling for lowering the amount of sugars added to soft drinks.

The press release reads as follows:

Led by the nonprofit Center for Science in the Public Interest (CSPI), the group  sent a petition to the U.S. Food and Drug Administration asking the agency to determine safe levels of high-fructose corn syrup and other sugars in sodas and assorted soft drinks.

Currently, the average 20-ounce bottle of soda contains about 16 teaspoons of sugars made from high-fructose corn syrup, the CSPI said. The American Heart Association currently recommends that men consume no more than 9 teaspoons of added sugars daily, and women no more than 6 teaspoons’ worth.

Some 14 million Americans of all ages now get more than one-third of their calories from added sugars, the petition stated.

“The consumption of such high amounts of sugar and high-fructose corn syrup [in sodas] are causing serious health problems, obesity, diabetes, heart disease, among others,” said CSPI Executive Director Michael Jacobson.

There’s been a great deal of scientific evidence gathered over the past decade to support that link to health problems, he said, and “we’re contending that much of the evidence centers around beverages.” The CSPI believes most sugary sodas could be safely replaced by those made with low-calorie sweeteners.

The group said its petition has the support of public health departments in Baltimore; Boston; Los Angeles; Philadelphia; Seattle; Portland, Ore.; and other cities, as well as leading academics at Harvard and Yale universities and other institutions around the country.

According to Jacobson, the FDA is legally bound to examine the health effects of the amount of sugars being consumed and take corrective action.

The center is first asking the FDA to determine the safe level of sugar in drinks. Also, it wants the FDA to issue targets for the sugar content of other sugary foods and urge industry to voluntarily reduce sugar levels in those foods, Jacobson said.

“The third thing is to educate consumers to choose healthier foods and beverages,” he said.

The FDA classifies high-fructose corn syrup, sucrose and other sugars as “generally recognized as safe,” Jacobson said.

“What we’re asking the FDA to do is to modify those regulations and set some limits in beverages,” he said.

In the 1980s, the FDA twice committed to looking at limiting the level of sugars in foods if new scientific evidence found sugar levels were harmful to the public, or if sugar consumption rose, Jacobson said.

“We are reminding the FDA of that and saying you have an obligation to revisit this and protect the public’s health,” he said.

It will take years before any action is taken, but that gives industry time to adjust to using less sugar in drinks, Jacobson said.

Jacobson said economic issues shouldn’t be part of the FDA’s consideration. “There are winners and losers for any kind of a regulation. The sugar industry and the corn industry [which supplies ingredients for high-fructose corn syrup] would be losers, but the soft drink industry might be winners,” he said.

The makers of no-calorie sweeteners “would probably make out like bandits,” Jacobson said.

The CSPI hopes new sweeteners — such as rebiana, made from the stevia plant — will replace high-calorie sugar, making drinks healthier.

Although some people are concerned that these sweeteners may be harmful, Jacobson said they are still a better option than sugar.

“The FDA considers all these sweeteners perfectly safe,” Jacobson said. “We think the certain harm that’s coming from the 16 teaspoons of sugar in a 20-ounce bottle of soda greatly outweighs the speculative risk from artificial sweeteners,” he added.

“We have an obesity epidemic on our hands, with two-thirds of Americans obese or overweight, and that should take precedence over smaller concerns,” Jacobson said.

One industry representative took issue with the new petition.

“As we continue to debate the root causes of our nation’s obesity issue, we need to rely on science and facts, not look for quick fixes that draw focus away from developing real solutions to a complex problem,” said J. Patrick Mohan, the interim president of the Corn Refiners Association, which represents high-fructose corn syrup manufacturers.

And the American Beverage Association, which represents soft drink makers, said its industry is already making changes.

“Today about 45 percent of all non-alcoholic beverages purchased have zero calories and the overall average number of calories per beverage serving is down 23 percent since 1998,” the ABA said in a statement issued Wednesday. And according to the U.S. Centers for Disease Control and Prevention, “Americans are consuming 37 percent fewer calories from sugars in soft drinks and other sweetened beverages than in 2000,” the group added.

“Everyone has a role to play in reducing obesity levels — a fact completely ignored in this petition,” the ABA said. “This is why the beverage industry has worked to increase options and information for consumers.”

Dr. David Katz, director of Yale University’s Prevention Research Center, said he joined the CSPI effort and is “proud to have signed the petition.”

“The evidence that an excess of added dietary sugars, in any of its many guises, is a major contributor to the prevailing public health ills of our time is now essentially incontrovertible,” he said. “It stands to reason that lowering those levels will help in efforts to reduce the levels of obesity, diabetes and other chronic disease.”

Soda and other sugary drinks are the single biggest source of calories in the U.S. diet, with Americans, on average, consuming between 18 and 23 teaspoons — about 300 to 400 calories — of added sugars each day, according to the petition.

Many teens and young adults consume even more sugar than the average. Some get at least 25 percent of their calories from added sugars, according to the 2007-2008 U.S. National Health and Nutrition Examination Survey.

The CSPI petition notes that cities around the country have taken note of the problem and have acted. In New York City, Mayor Michael Bloomberg is capping restaurant soda serving sizes at 16 ounces — a move that has met with considerable resistance from some who believe it tramples individuals’ rights.

Note: A judge blocked the enforcing of the NYC law, that was to go into effect earlier this week, just a day before it was to become law.

The following article, about vision problems in young children, was submitted for sharing on this site from www.nannycare.com.

Adults know when they’re having trouble with their vision, but young children may not realize that anything is wrong. They may think that the poor quality of their sight is normal, or they may be too young to communicate that there’s a problem.

That’s why it’s important for parents to pay close attention to tell-tale signs that their child is having vision issues so the problem can be corrected quickly. Early detection is crucial, so here are 10 signs that your child may need glasses.

1. Squinting – The most common sign of vision problems is squinting. Anyone who has trouble seeing will squint to try to focus better. If you notice your child squinting a lot, you may want to make an appointment with the eye doctor.
2. Rubbing eyes – Another tell-tale sign to watch for is excessive eye rubbing. Most children will rub their eyes when they’re tired, but if this begins to happen frequently, then it could be an indication of a bigger problem. Two potential reasons a child may frequently rub his eyes are a subconscious reaction to blurry vision or it could just be allergies.
3. Tilting head – Children with double vision may tilt their head to see more clearly. This could be caused by a muscle imbalance in their eyes that can be corrected with eyeglasses.
4. Headaches or dizziness – Constant eye strain from poor vision can cause headaches and dizziness. If your child complains of frequent headaches in the forehead area or is irritable after reading or watching TV, he may need to see an optometrist.
5. Sits close to TV – Does your child constantly insist on sitting in front of the television? This could be a sign of nearsightedness that can be easily corrected with eyeglasses. Nearsightedness is identified when there is a problem with seeing things in a distance, so kids will sit closer to compensate.
6. Closing one eye – Another clue to vision trouble is closing or covering one eye when reading or watching TV. This could mean there is a problem with one eye, so a child will close it to see more clearly. Because this could be a serious condition, it should get immediate attention.
7. Holds books close – Most children should be able to read books at a comfortable distance, so holding books up to their face is a sign they may need eyeglasses. If your child is a bookworm with her nose continually in a book, she may need a visit to the eye doctor.
8. Problems in school – Quite often children who are having problems in school are facing these issues because of undiagnosed eye trouble. If they’re having trouble seeing the blackboard or reading they can become disinterested or even disruptive. Be sure to have your child’s vision checked if he is suddenly having trouble with school.
9. Lazy eye – When kids have a weakness in one eye it will show up when they’re tired. A droopy eyelid or one eye drifting out of alignment is a sign of a lazy eye that can often be corrected with eyeglasses.
10. Finger reading – Some kids will use a finger to follow the words when they read. This isn’t a clear sign they need glasses, but if it persists, there could be a problem. They may need the finger to keep their place when reading if they have astigmatism or amblyopia.

Many vision problems are hereditary, so if parents need glasses, chances are the kids may be prone to the same fate.

Nobody wants their kids to have to wear eyeglasses, but left unchecked, vision problems will only worsen over time. It’s much better to have an eye doctor give a clean bill of health than to let your child suffer with poor vision. Merely asking your child if they can see alright won’t work if they don’t know what clear vision is like. Routine vision screenings at school don’t always catch less common eye problems, so a visit to the optometrist may be necessary. Wearing glasses is no fun, but not being able to see clearly is worse. Watch for these signs to make sure your child doesn’t have a vision problem that needs correction.

A study coming out of New Zealand found that the more TV children watch before bedtime, the less sleep they get. The study appeared online in Pediatrics 2013.

Children and teens that spent the most time in front of a screen were more likely to go to sleep later than those who were engaged in non-screen sedentary activities before bed.

Sleep duration in younger people has declined rapidly over the past 100 years, researchers noted, adding that not enough sleep is associated with behavior and health issues.

To investigate associations between activities, the researchers used data from a nationally representative, cross-sectional survey of New Zealand children and teens, ages 5 to 18. Participants were interviewed in-person and then follow-up was done through telephone interviews between September 2008 and May 2009.

Baseline face-to-face interviews gathered information on participant characteristics and 1 to 2 days of data on use of pre-sleep time. The follow-up gathered 2 additional days of data. Younger children’s parents would assist with recalling activities when necessary.

Participants reported time of sleep onset, sedentary behavior, physical activity, and self-care during the 90 minutes before sleep by selecting from a list of roughly 250 activities. Activities were given energy costs and psychometric properties, and were recounted with time spent engaged in each activity.

Times of sleep onset were categorized as very early, early, late, and very late. Participants were grouped by ages 5 to 12 and 13 to 18.

A total of 2,017 survey participants were included in the current analysis. The mean age was 11.6, just over half were male (52.9%), and most were of New Zealand European ethnicity (71.4%).

Overall, younger participants went to bed earlier than older ones. The most common activities before bed were watching television while sitting (47.8%), dressing/undressing before bed (41.8%), and brushing one’s teeth (41.5%), and all were considered low-intensity activities (metabolic equivalents ranging from 1 to 2).

“In New Zealand, a maximum of 2-hours of screen time per day is recommended for young people,” the authors noted, adding that the roughly half hour of screen time before bed accounted for one quarter of a child’s daily recommended screen time.

Researchers also found that participants who reported later sleep onset also reported up to 13 more minutes of screen time before bed than those who went to bed earlier. Additionally, early sleep onset was associated with significantly less time in screen-based sedentary activity versus later sleep onset.

Those who went to bed earlier also spent more time engaged in non-screen sedentary behaviors, “The largest time differences between those of early and late sleep onset were for screen time, which suggests that this set of activities may be an appropriate target for interventions to promote earlier sleep onset and subsequently improve sleep duration in young people,” researchers concluded.

The FDA says that taking an over the counter supplement can be a health risk.

The following warning comes from the Food and Drug Administration (FDA) about a product distributed and sold under the name ‘WOW’, which  is really just another product in disguise, one that can cause serious harm.

Earlier in 2012, FDA twice warned the public about taking Reumofan Plus—marketed as a “natural” dietary supplement for the treatment of many conditions. It contains undeclared active ingredients found in prescription drugs that should only be used under the supervision of a health care professional.

Brad Pace, regulatory counsel at FDA’s Health Fraud and Consumer Outreach Branch, says some distributors have deliberately put a new label and a new name, WOW, on bottles of Reumofan Plus to deceptively sell remaining supplies. Pace says WOW has been distributed to online retailers and other distributors, as well as directly to consumers.

FDA is concerned that other distributors will also put different labels on Reumofan Plus and sell it under other names.

The agency offers this advice to consumers:

• Immediately consult a health care professional if you are now taking Reumofan Plus or WOW.
• Do not use any products with “Riger Naturals S.A.” printed on the bottom of the bottle. Reumofan Plus is manufactured in Mexico by Riger Naturals.
• Report any health problems related to these products to FDA’s MedWatch Safety Information and Adverse Event Reporting Program.

Serious Health Risks

Since June, FDA has received dozens of reports from consumers who used Reumofan Plus of serious, and sometimes fatal, outcomes. The reports include liver injury, severe bleeding, corticosteroid withdrawal syndrome, adrenal suppression and stroke.

FDA laboratory analysis confirmed that WOW contains the same undeclared prescription drug ingredients that are in Reumofan Plus:

• dexamethasone—a corticosteroid used to treat inflammatory conditions such as asthma and rheumatoid arthritis, that can increase the risk of infection, and cause increased blood sugar levels, changes in blood pressure, damage to bones, psychiatric problems. When taken for a prolonged period at high doses, it can cause adrenal suppression.
• diclofenac sodium—a non-steroidal anti-inflammatory drug (NSAID) that may cause increased risk of cardiovascular events, such as heart attack, as well as serious gastrointestinal problems.
• methocarbamol—a muscle relaxant that can cause sedation, dizziness and low blood pressure, and impair mental or physical abilities to perform tasks such as driving a motor vehicle or operating machinery.

In addition to causing injury on their own, the hidden drugs found in these products could interact with other medications, resulting in serious health consequences.

Medical Advice Needed

Because one of the hidden ingredients—dexamethasone—is a corticosteroid, people taking these supplements must work with their health care professional to safely stop taking the drug. A person who abruptly stops taking corticosteroids after long-term use or after taking high doses runs the risk of suffering from a withdrawal syndrome and life-threatening adrenal suppression.

The withdrawal syndrome may include nausea, low blood pressure, low blood sugar levels, fever, muscle and joint pain, dizziness and fainting. Adrenal suppression of cortisol production can be life-threatening because, among its many important roles in the body, cortisol is needed to maintain normal blood pressure and supply glucose to vital tissues, such as the brain and red blood cells, in response to stressors such as trauma, surgery, and infection.

FDA notes that there may be other harmful hidden ingredients in these products. Ingredients may vary from lot to lot, and products found to have hidden drug ingredients are generally not manufactured in a way that would ensure their quality and safety.

Source: This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products.