If children ride a bus to school, they should plan to get to their bus stop early and stand away from the curb while waiting for the bus to arrive. Other safety steps for students include:

• Board the bus only after it has come to a complete stop and the driver or attendant has instructed you to get on.
• Only board your bus and never an alternate one.
• Always stay in clear view of the bus driver and never walk behind the bus.
• Cross the street at the corner, obeying traffic signals and staying in the crosswalk.
• Never dart out into the street, or cross between parked cars.

Motorists should know what the yellow and red bus signals mean:

• Yellow flashing lights — the bus is getting ready to stop, and motorists should slow down and be prepared to stop.
• Red flashing lights and an extended stop sign — the bus is stopped and children are getting on or off. Drivers in both directions must stop their vehicles and wait until the lights go off, the stop sign is back in place and the bus is moving before they can start driving again.

Driving

If children ride in a car to get to school, they should always wear a seat belt. Younger children should use car seats or booster seats until the lap-shoulder belt fits properly (typically for children ages 8-12 and over 4’9”), and ride in the back seat until they are at least 13 years old.

If a teenager is going to drive to school, parents should mandate that they use seat belts. Drivers should not use their cell phone to text or make calls, and should avoid eating or drinking while driving.

All drivers should be aware that children are out walking or biking to school and slow down, especially in residential areas and school zones.

Biking and Walking

Students who ride their bike to school should always wear a helmet, obey all traffic signs and ride on the right in the same direction as traffic.

Those who walk to school should only cross the street at an intersection, and use a route along which the school has placed crossing guards. Parents should walk young children and children taking new routes or attending new schools at least for the first week to ensure they know how to get there safely. Thereafter, arrange for the kids to walk to school with a friend or classmate.

Take a Red Cross First Aid and CPR/AED course so you’ll have the knowledge and skills to act if an injury or emergency happens. You can also download the free Red Cross First Aid app so you’ll always have first aid information at your fingertips.

About the American Red Cross:
The American Red Cross shelters, feeds and provides emotional support to victims of disasters; supplies more than 40 percent of the nation’s blood; teaches skills that save lives; provides international humanitarian aid; and supports military members and their families. The Red Cross is a not-for-profit organization that depends on volunteers and the generosity of the American public to perform its mission. For more information, please visit redcross.org or their blog at http://blog.redcross.org.

The American Academy of Pediatrics (AAP) has published several articles about TV time for young children from the amount of time spent watching TV, to what is being watched and where it is being watched.

The AAP published the findings of a study by Dr. Michelle Garrison, Kimberly Liekweg, and Dr. Dimitri Christakis from Seattle Children’s on what effects watching violence on TV has on preschoolers. They studied over 600 children between 3 and 5 years of age and reviewed their media diaries.

Their findings:

• Preschoolers watched on average over an hour of TV daily (72.9 min) with the minority being at bedtime (14 min after 7pm).
• Children with a bedroom TV watched 40 more minutes of TV than those without one.
• Children with a bedroom TV watched more TV after 7pm.
• Children with a bedroom TV were more likely to have parent-reported daytime tiredness (8% vs 1% without bedroom TV).
• Children were more likely to have trouble falling asleep, have more nightmares, and more awakenings if in the 1 hour prior to going to bed, if they watched TV, violent or not.
• Fortunately, nonviolent daytime TV didn’t seem to change or impair preschoolers’ sleep.
• It didn’t make a difference on sleep if parents watched TV alongside their children.

While we know that a TV, once in the bedroom, is hard to remove, we also know it is harder for a parent to monitor what is being watched. It can also be turned on in the early am, while the rest of the house is still sleeping, which leads to even more daily viewing time.

We also know that children also pick up additional viewing  time in some child care settings

The AAP guidelines  recommend no TV viewing before age 2 and then after age 2, only 2 hours maximum screen time daily.

Beware of the snake oil sales person; the health care scam pro who uses the TV, the Internet, the mail and the telephone to peddle fake cures for what ails you.

This is the message the Food and Drug Administration is trying to get out to all of us in their recently released article on the subject of health care scams.

The FDA’s Health Fraud Scams website (www.fda.gov/healthfraud) pulls together videos and articles on how to avoid fraudulent health care schemes, and offers information about products that have been seized, recalled or are the subject of warnings from the agency.

The site also provides links to government resources on health fraud involving FDA-regulated products, such as drugs, dietary supplements, tobacco products, alternative medicines, medical devices, and cosmetics.

Gary Coody, R.Ph., national health fraud coordinator at FDA, calls the site “one-stop shopping” for people who want to learn how to recognize and avoid health care fraud scams. Anyone can search the site to see if FDA has taken an action against a product or company. However, just because a product is not listed does not mean that it is legally marketed or safe to use.

Consumers spend a fortune on health care products that “are either worthless or may cause harm,” says Coody. “Consumers can buy dangerous products on the Internet and in stores that can cause serious injury or death.” The waste of money is bad enough but using one of these unproven treatments can delay getting a potentially life-saving diagnosis and medication that works, he says.

The schemes can take many forms. “Some products billed as “all natural” in fact have prescription drugs and other chemicals not listed on the label that could be dangerous,” Coody says.  The most common categories of these tainted health care products include weight loss, sexual performance, and bodybuilding.

Other health care products claim to be a cure-all for such serious chronic diseases as cancer, arthritis, diabetes, Alzheimer’s disease and multiple sclerosis. Seniors are particularly vulnerable to this kind of deception but consumers of all ages are taken in by fraudulent products, says Coody, adding, “Everyone is vulnerable.”

With every new health threat, phony products appear overnight, Coody says. For example, after the Japan nuclear incident in March, 2011, he says the market was flooded with products that falsely claimed to offer protection from harmful radiation.

“The snake oil salesman is still alive,” says Coody.

Health fraud is more pervasive today, says Coody, because “the Internet has opened up the world market to people from their personal computers.” If you’re tempted to purchase any unproven or little known health care treatment, especially if it’s sold on the Internet, check with your doctor or health care professional first, he advises.

Shady products are also peddled by TV infomercials, radio, direct mail, word-of-mouth marketing and ads in newspapers and magazines.

“There are many ways that consumers are getting these messages,” says Coody, and they should view these ads with a healthy dose of skepticism.”

Mealtime with a picky eater is a daily challenge! Getting a picky eater to eat more than one or two foods from the food pyramid is a feat.

There were a few years there when my mother had two picky eaters and three that had the following rigid eating guidelines:

• No food could touch another food on the plate.
• All foods on the plate needed to be in the same amount so the eater could eat in clockwise order and finish all the foods in equal rotation.
• Each bite of food had be followed by one sip of water or milk.

The mealtime rules had to be followed otherwise the meal could not be eaten!

Eventually we all grew out of our picky and ritualistic meal behaviors. Today we all eat just about anything under any mealtime conditions.

What follows are URL addresses of sites that have suggestions for handling the picky eater in your home. You may have tried some, but hopefully there will be some suggestions that you haven’t tried. Good Luck!

http://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/childrens-health/art-20044948

https://www.ucsfbenioffchildrens.org/education/picky_eaters/

http://www.choosemyplate.gov/preschoolers/picky-eaters.html

http://www.parentingscience.com/picky-eaters.html

http://www.webmd.com/parenting/features/feeding-a-picky-eater

I never thought about children snoring until I heard a public service announcement on the radio the other day.

I did  some research on the subject and want to share what I found out as it might be an area of concern if you have a young child who snores. My research source…The National Sleep Foundation (NSF).

According to NSF, children, three years old or older tend to snore during the deeper stages of sleep. Primary snoring is defined as snoring that is not associated with more serious problems such as obstructive sleep apnea syndrome (OSAS), frequent waking from sleep, or inability of the lungs to breathe in sufficient oxygen.

Statistics show that about 10% of children experience episodes of snoring at some point during the night. Snoring occurs during sleep when your child is breathing and there is some blockage of air passing through the back of the mouth. The opening and closing of your child’s air passage causes a vibration of the tissues in the throat and the loudness of the snore is impacted by how much air passes through and how fast the throat tissue is vibrating.

About one to three percent of children not only snore, but also suffer from breathing problems during their sleep.

The American Academy of Pediatrics recommends that children be screened for snoring and that a diagnosis be conducted to determine if a child is experiencing normal primary snoring or obstructive sleep apnea syndrome. Loud and regular nightly snoring is often abnormal in otherwise healthy children and could be a sign of a respiratory infection, a stuffy nose or allergy; other times it may be a symptom of sleep apnea.

In children, the most common physical problem associated with sleep apnea is large tonsils. Young children’s tonsils are quite large in comparison to the throat, peaking at five to seven years of age. Swollen tonsils can block the airway, making it difficult to breathe and could signify apnea.

According to the National Center for Health Statistics, more than 263,000 children in the U.S. have tonsillectomies each year and sleep apnea is a major reason.

A child suffering from sleep apnea may experience the following symptoms:

• Loud snoring on a regular basis
• Have pauses, gasps, and snorts and actually stop breathing. The snorts or gasps may waken them and disrupt their sleep.
• Be restless or sleep in abnormal positions with their head in unusual positions.
• Sweat heavily during sleep.

The daytime effects of sleep apnea in children may manifest themselves in ways such as:

• Experiencing behavioral, school and social problems
• Being difficult to wake up
• The child suffering headaches during the day, but especially in the morning
• Your child being irritable, agitated, aggressive, and cranky
• Being so tired during the day that they fall asleep or daydream
• Speaking with a nasal voice and breathe regularly through the mouth

If your child has any of the above symptoms, the National Sleep Foundation suggests speaking with your child’s physician.