Wednesday, February 27, 2008

Nice Gift Ideas For Children

Kids always like gifts. When child does something that needs rewarding, an inexpensive gift could make a powerful statement and influence them. Kids are often picky. Finding the right gift can be hard. Children love to learn, despite how they act at school. Educational toys are great for kids.

Hooked on Phonics is a leading toys that helps children learn and have fun. You might also consider toys that let your child exercise and learning at the same time.

Trampolines sometime have a sing-a-long tool and learning games that help your child learn while exercising. The songs include music that teaches the child to count. They also have sound-recognition devices and memory enhancers. The child can also enjoy the sounds of animals while matching memories to learn.

Melissa and Doug learning tools are great for helping children grow while they learn. If the child is starting to learn the alphabet, you might consider the gift of sound puzzles that let the child have fun while learning the sounds of alphabets. The puzzles have colorful shapes with various letters.

This amazing toy can clasp on the walls. The child has over 20 choices of goals to select each week. Parents and children can track these goals daily, by using the flowers, stars, bears, balls, faces, etc. Magnets are included in the package, which leaves good statements to the child’s progress. For example, if the child had a good week reward he/she with the sparkling magnets that says you is a star, etc. You can also personalize your own magnets, since blanks are included.

Smaller children like learning tools that include sound. The Sorting Clocks are excellent learning tools. The child places a multicolored number in the proper slot and learns to tell time.

Children love to be trained at tasks, however, in spite of their recalcitrance. For that reason, some of the better gifts for children are educational games, toys, electronic-learning devices and so forth. Software games make great gifts for children and they are cheap too. Often, you can find computer games for less than $10. Some stores offer freebies, and you pay only for shipping and handling. If you are looking for a gift, compare, contrast and buy the best deal.
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ADHD In Children

There are several parents who live in the fear of whether their child has Attention Deficit Hyperactivity Disorder. Unlike many other disorders and other problems, ADHD can be one which bears both psychological and social impacts on virtually everyone who has anything to do with the child. ADHD, acronym for Attention Deficit Hyperactivity Disorder, is a neurological syndrome, mostly found in young children aged below 7 years. ADHD can be characterized by forgetfulness, hyperactivity, mood swings, distractibility, and poor impulse control. ADHD can effect on both children and adults and as many as 5 to 8% of all children are victims of this psychological disorder. It is estimated that many children with ADHD go undiagnosed each year.

It is reported that most ADHD cases in children develop before the age of 7, but the diagnosis comes only when there are problems in their development. For instance, parents or other relatives notice symptoms of ADHD in a child only when he/she exhibits a behavior which is inappropriate in attention or the child shows disability to keep track of his/her belongings. When your child shows any of these disabilities, it is necessary for you to seek out the help of a pediatrician.

There are mainly three types of Attention Deficit Hyperactivity Disorder - predominantly inattentive, predominantly hyperactive-impulsive, and a combined type. Some of the most common symptoms of ADHD include impulsive behavior (such as excessive talking, interrupting others, and blurting out answers before the question should be answered); destructiveness; restlessness; difficulties in reengaging a previous task; and inattentiveness which can be both a difficulty with sustaining attention. While for some children who are predominantly inattentive type of ADHD, the symptoms of ADHD can be sluggish behavior, daydreaming, confused behavior, hypo active, and staring occasionally. Further, some of these symptoms may not appear all in a sudden, or they’ll remain hidden until the child find himself/herself in a situation when he/she starts behaving a bit out of place.

In most of the cases, your physician will refer a psychiatric doctor for diagnosis of the condition. A psychiatric doctor will perform a series of tasks like talking to the child, observing him/her while playing and socializing as well as some other tests. If the physician certifies that your child has ADHD then there are several courses of action which you and your physician can talk about to determine how to find the solution for ADHD.

The treatment for ADHD includes a broad range of medications such as amphetamines, methylphenidate, and others. While some of these medications can result in increasing the levels of hyperactivity disorder in children without ADHD, in children who have ADHD disorders, these medications can help to focus and keep them in control. There are also several other types of alternative medications such as specific diets, Vitamin B6, and the use of pycnogenol. However, it is recommended to consult your physician before starting the treatment process.
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Parents, babies and frustration

There comes a time in many people’s lives when they find that special someone. They date, they get married and then they can’t wait until they have a little bundle of joy. Many have claimed that the first kid is usually the hardest. This is probably true. After all, it is the couple’s first child and they have never raised one before. Doubt can arise during the nine months, but in the end the child arrives and it starts. While newborns can be incredibly cute, they can cry lots and demand nothing but attention from you for the first little while. Think that is over after the first few months? Think again. Ever heard of the terrible twos? Well, parents who have had their first kid are probably well aware of what all that is about.

There are many parents, who love their children dearly, but are worn down and the common emotion that can come out of this is anger. Unfortunately, most of the anger tends to be directed towards the child. It is not intentional at all, but it is easy for this to happen before the parent actually realizes what is going on. When a parent does realize they might be losing it a little bit too often, it might be time to go see a family counselor. A family counselor, also referred to as a family therapist, can help the parent, or both parents work through the anger they are feeling. While it is a natural emotion it is an emotion that needs to be controlled at times, especially if one is dealing with a kid that keeps them up at all hours of the night.

Family counseling is an excellent way to relieve the stress that family life can have, especially if the couple have their first newborn. With the addition of a new family member, it is possible for stress to build between the husband and wife that can ultimately lead to extra stress on their relationship. The family therapist can get the couple to stop for a moment, think about what they are trying to do and work with the couple to get their relationship out of the rocky stage. Such counseling can help the couple’s bond grow stronger. This would then hopefully allow them to face the difficulties of raising a child, or a few children, together. The family counselor would help the couple learn how to take one moment at a time and not get overstressed about their situation. Some therapeutic activities, such as meditation, might be suggested in order to help the husband and wife deal with their stress and feel more rested so they can have a better family life.

Stress is not good for the child either. Children are very perceptive when it comes to sensing what the parents are feeling. Extra stress, anger and frustration expressed by the parents may actually worsen the situation because the child usually responds to such emotions by crying. By the parents taking the time to consult a family counselor, they are already taking steps to ensure their baby grows up in a good home and has the chance to develop properly. It also lessens the negative emotions the parents might have been experiencing and this might encourage more positive behavior in the child as it grows up.
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Affordable Health Insurance Options

According to the Council for Affordable Health Insurance, people who are uninsured pay up to four times more for medical services than those who are insured because insurance companies and medical care providers negotiate behind the scenes. The unequal result of this practice is that uninsured people are burdened with the highest hospital bills. Thus, even if you cannot afford expensive and comprehensive health insurance plans, it is still important to seek some type of affordable health plan.

Affordable Health Insurance Option 1 - Medicaid

Medicaid is a state-managed program that is funded by both the states and federal government to provide health insurance for low-income individuals and families that meet the eligibility requirement. Each state has its own set of guidelines regarding eligibility, services, and payments. There are 25 different eligibility categories that can be classified into five broad groups: (1) pregnant women, (2) children and teenager, (3) the elderly, (4) the blind, and (5) the disabled. In general, you should apply for Medicaid if your are considered low-income under the federal income guideline and if you match one of the descriptions of the eligibility groups. Your total asset and immigration status are also considered in the overall assessment of the application. Note a child under the age of 18 can qualify for Medicaid if the child is a U.S. citizen or legal resident regardless of their guardians' legal statuses.

Medicaid covers most health care services including hospital and nursing home care, lab tests, medical equipments, prescription drugs, and some dental care. It does not, however, cover podiatrists, chiropractors, naturopaths, psychologists, physical therapists, audiologists, or speech therapists.

Affordable Health Insurance Option 2 - Catastrophic Health Insurance

Catastrophic health insurance, also known as the major medical plan, is available to people who have good general health. Major pre-existing medical conditions such as AIDS, diabetes, emphysema, heart disease, multiple sclerosis, and schizophrenia may bar you from purchasing a catastrophic health plan. Catastrophic health insurance has high deductibles and very low monthly premiums. For instance, a 21-year old female nonsmoker would only need to pay $59 per month.

As implicated in its name, catastrophic health insurance only covers major hospital and medical expenses above a certain deductible. Most of the catastrophic health plans cover expenses for hospital stays, surgery, intensive care, diagnostic X-ray, and lab tests. All other expenses must be paid out-of-pocket. While it is possible to vary your level of coverage by selecting different deductible-plans, the deductible under catastrophic health plan is typically $2500 or higher. Catastrophic health insurance is a great alternative for those seeking affordable health insurance and who do not qualify for Medicaid.

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How are online games helpful for a single child?

No more children could be seen giggling, laughing, running, screaming, playing and swinging in the parks. At many places children parks look sad and lifeless. Even at homes where families used to have more than a single child and it was a joy to play games like hide and seek monopoly and others. Peels of laughter could be heard where the children gathered but with the changing time, growing needs and price inflammation on each and every commodities families are opting for a single child so that they concentrate and look after the one well and joint family got converted into nuclear family.

A single child feels alone and isolated with no one to play or share with. They are prevented from going out alone because there had been so many bloody incidents where children had been kidnapped with different ugly reasons by the kidnappers to accomplish their deadly desire had left the parents to act strictly just for the safety of their children. It is even worse when both the parents go out for service. Isolation does not dwell in a child who is fortunate to survive in the environment where he/she gets the chance to interact with other children but what can be done for those unfortunate single children having no/minimum chance to share their beautiful thoughts and interact with someone of their age?

Fortunately computer is there as a friend to play game with the children and so parents need to work and snatch some time from their regular schedule to bring happiness in the sad face of their children. Look for a good gaming site that offers free online games and download few free online games and play with your child in the beginning to guide him/her accordingly. Although it is true that playing online computer games may not be same as playing in a group of children but as everyone knows that something is better than nothing.

You can find a wealth of online game choices for your child that your child will enjoy and will increase their skill while playing against the skill of the computer. These computer games will not only provide the children hours of pleasure and entertainments but also sharpen the intelligence. The level of skills of your child could be increased raising the level of the game step by step. Online games are surely a boon for families with single child that gives company to their child in their isolated hours and also save the members of the family from their guilty conscience of not having any body to play with their child.

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Child Tax Credit - Are You Eligible and How Much Can You Claim

In the world today, raising a child is often stressful, especially if funds are limited. Children constantly need one thing or another, whether it's new shoes or sporting equipment. Managing to find the money can be just about impossible at times. However, there are government benefits available for low-income families which can help alleviate the burden in tight money situations.

One such benefit entitlement is the Child Tax Credit, which was established in order to assist parents and carers of university students and school age kids to ensure that the children will have everything they need. This has proved to be particularly beneficial to low income families that have children younger than sixteen or a young person still going to school..

The Child Tax Credit is based on the amount of children in your home and also takes into account your total household earnings. Additionally with receiving an overall tax credit, you can claim a specified amount ofchild benefit for every child in your home. You do not need to be related to the child or children, however you must be the primary carer and the children must be living under your roof.

Claiming the Child Tax Credit is simple. When you initially apply, you will have to order a claim pack. Additionaly, you'll be required to provide confirmation of who you are, which can be as easy as providing your national insurance number. Once you are approved, your Child Tax Credit can be renewed by by mail or phone. This needs to be done every year and you will be notified when it is time to renew. It's essential that you remember to report any modifications in your situation including any changes in income and household size. Should you forget to report any change, you could end up having to pay back the tax credits you've received.

You can receive Child Tax Credits in various different ways. You can have the child allowance paid on a monthly or weekly basis, and it can be placed in any account that you wish. Children's Tax Credits needs to be transferred to the main carer's account and can come in the form of a cheque, mailed to the address that you indicated on your application. This child benefit can be claimed in addition to the Working Tax Credit, a benefit entitlement if you or your spouse are employed.

If you are not approved these benefits, or don't agree with your tax credit calculation, you may appeal against a tax credit decision. However, keep in mind that this must be done within thirty days of your denial notification.

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Defective Child Safety Seats

There's no doubt that children's safety is every parent's highest priority. Placing your children in child safety seats is the best way to protect them while on the road. There are times, however, that child safety seats fail to properly protect children, resulting in their injury. Defects of child safety seats include ineffective seat buckles, faulty harnesses, and even defective padding in some cases. Studies show that around 82% of all child safety seats are installed incorrectly because of confusing instructions. Child safety seats that are improperly installed have the potential to cause your child serious injury and possible death. In other cases, the car seat was properly installed, but the slot meant to attach the child safety seat to the car is too weak and breaks when the car is in a collision. The part of the child safety seat that is meant to hold your child in place may also be defective and cause the child to slip out of the car seat during a collision.

Although the Consumer Product Safety Commission regulate child safety seats, defective seats still manage to make it onto the shelves of popular retail stores. Over the years, thousands of these defective child safety seats have been sold, leading to numerous recalls and lawsuits. It is very important to report any incidence of defective child safety seats. Not only will your lawsuit open the manufacturers eyes to the fact that their product is defective, but it may save another child from being injured from the same brand of defective child safety seat.

Finding an experienced lawyer to help you through the complex legal process is the first step in filing a lawsuit. A licensed attorney has the skills to be able to effectively evaluate your specific situation in order to advise you on whether or not filing a defective child safety seat lawsuit is the right choice for you. Large companies and manufacturers can be difficult to fight in court because they have widespread resources in order to turn the case in their favor. Proving the negligence of the company must occur for your lawsuit to be valid. A company may be negligent for a variety of reasons including failing to inspect or test the safety seat, failure to recognize a flaw in the child safety seat's design, or failing to warn parents of the potential risks involved in using the safety seat. Consulting a skilled attorney will give you the legal muscle you need to win a defective child safety seat lawsuit.

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The World of Kosher Snacks and Kosher Dining for the Health Conscious

Kosher snacks are prepared in accordance with the rules and regulations laid down by the Jewish diet laws. Kosher snacks are famous with the low calorie health conscious individuals also. This is because there is a whole segment of kosher snacks being manufactured for them. These kosher snacks are low calorie diets that help the users to maintain their weight and increase their fitness and health at the same time. These are being used by lot of people across the world as they help to improve overall health of the people and are tasty as well. Infact, these kosher snacks and kosher foods are amongst the finest in taste. This is the key reason for their popularity. They make sumptuous banquets and there is a whole new different world of kosher dining. The kosher terminology is unique and new. Meat is amongst the key kosher foods.

Kosher snacks are widely used for gifting purposes on various occasions. These packages of kosher snacks are used for religious ceremonies and as well as a gift for special Jew occasions. These kosher snacks are available in various shopping retail outlets for the health conscious men and women and can be easily made available on the internet also through special orders. There are many kosher recipes. There are kosher snacks, kosher fast food, kosher meat, kosher wines, kosher pickles, kosher cakes and kosher soups. Kosher symbols are used on the packs in order to confirm their identity. A ‘K’ or ‘OU’ mark may be used in order to confirm that the product has some degree of kosherness.

Kosher snacks are available in beautiful packaging across the internet as well as the retail stores. These kosher snacks include kosher coffee cakes, kosher chocolates, kosher drinks, kosher carrot cakes, kosher snacks cookies, kosher peanuts, kosher dry fruits, kosher grapes, kosher mint, kosher butter, kosher cherry, etc. These are the finest kosher snacks available across these stores. The manufacturers have been offering a diversified portfolio of kosher snacks for the consumers and therefore many new chains of snacks have come into the product range.

However, since it is religious, there is a law that governs the preparation of this food. There is a certification agency that looks into kosher snacks and decides if they have been cooked in a legal and religiously prescribed manner. This has become important as the kosher snacks are of different kinds; kosher snacks for religious purposes and kosher snacks for health conscious individuals. Therefore it is mandatory to look for the labels on the pack signifying kosher certification. These certifications on kosher snacks have come of late with the increasing number of producers and products.

These foods are a must for dining if you need to experience a new taste of America and for those who love meat and meat products. Kosher snacks are moreover, healthier than the other non kosher food preparations as they help to fight the bacteria.

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Monday, February 25, 2008

Heart Healthy Cooking Tips

Taking care of the old ticker requires exercise and a decent diet. There's simply no substitute for either. We'll leave the aerobic concerns to more informed minds and stick to the stuff that goes in the gut, namely the heart healthy foods everyone needs to stay fit, and the heart healthy cooking techniques that keep them that way. There's no substitute for either of those either.

Low saturated fat, low cholesterol dishes are what we're after here, and hold the butter and other added fats. The unhappy fact is that certain ingredients and preparation methods can add unwanted saturated fat and cholesterol to your food.

One can bake without fear, broil to the heart's content and microwave all day (just don't stand too close). Poaching is cool and steaming is even better. Seafood, chicken and vegetables are all good candidates for grilling. Lightly stir-frying or sautéing foods in cooking spray, small mounts of vegetable oil or reduced sodium broth are other healthy options. When roasting even skinless meats it's wise to place meats on a rack so fat can drip away.

There are lots of ways to cut out unwanted saturated fat and cholesterol in your diet that don't take the fun and flavor out of meal time. Butter is not your friend, what with its 8 grams of saturated fat and 11 grams of fat per tablespoon. Salsa is your good buddy though, with 0 grams of saturated fat and 0 cholesterol found in 1/4 of a cup. Creamy salad dressings are notoriously loaded with the bad stuff, while a reduced fat Italian sports only 2 grams of fat and tastes just as good.

There are many fine and tasty herbs, spices and condiments that can add zest to some of the more bland heart health dishes. Herbs include oregano, basil, cilantro, thyme, parsley, sage, rosemary. Cinnamon, nutmeg, pepper and paprika are all acceptable spices. Along with the reduced fat or nonfat salad dressing and salsa there are old standbys like mustard, catsup, horseradish, reduced fat or nonfat mayonnaise, reduced fat or nonfat sour cream, reduced fat or nonfat yogurt and reduced sodium soy sauce. That's to say nothing of Parmesan cheese, fruit preserves and simple red pepper flakes, none of which will harm you heart.

And there you have it. With a little planning, a bit of knowledge and a smidge of extra effort anyone, can eat right for their heart without giving up a healthy enjoyment of food.
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Thursday, January 17, 2008

Affordable Child Health Insurance In San Antonio Texas

Finding affordable health insurance is no easy task unless you are employed by a business that offers a health benefits package. Unfortunately, not everyone works, or works for an employer who offers a group health insurance plan to his or her employees. If you or your spouse doesn’t have affordable health insurance in San Antonio, Texas, how is your child supposed to obtain affordable child health insurance? Imagine trying to find affordable child health insurance for your child if you’re having difficulty finding affordable health insurance for yourself.

If you live in San Antonio, Texas, or anywhere in Texas for that matter, and have a child or children who are without adequate health insurance, you may want to look into Medicaid for Texas Children.

Medicaid for Texas Children is both a state and federal assistance program that provides children with excellent comprehensive health insurance at affordable prices or at no cost at all. To be eligible for Medicaid for Texas Children, a child must be a resident of the United States and of Texas, under the age of 19. The family of the child applying for Medicaid for Texas Children must meet the Medicaid of Texas Children income requirements.

If a child belongs to a family that receives Temporary Assistance for Needy Families, also referred to as TANF, the child will instantly qualify for Medicaid for Texas Children. Otherwise, the child’s eligibility is determined by the Texas Health and Human Services Commission, also referred to as HHSC. If a child is found to be eligible for Medicaid for Texas Children, his or her family’s financial status may be evaluated every half year or so to make sure the child is still eligible.

For more information about the Medicaid for Texas Children program, visit the Texas Department of Insurance Web site, or give them a call. You can also visit the Web site of the Texas Health and Human Services System.

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Developing Healthy Eating Habits Amongst Kids

It is quite natural for any child to dislike new kind of food right away. It may take 10 or more tries getting a child to accept a new food. It is essential for parents to behave patiently if you want your child to eat right and healthy. For overall growth and development, parents should offer kids foods from each of the food group.

Some ways to develop your child's healthy approach towards eating

- Cut down on the amount of fat in your family's diet. Include low fat dairy products, lean meat, fat free cereals or breads.

- Avoid restricting sweets or desserts. Fat, salt, sugar have a moderate place in our diet. Don't curb them completely. Just teach your child to take small portions of it.

- Make or keep wide variety of healthy foods ready at home to be eaten as snacks. Do allow occasional indulgence of chips, colas and cookies.

- Eating slowly helps to detect hunger and fullness better. Encourage your child to eat slowly.

- Eating meals together with family helps children. Meal time with family can be pleasant with free flowing, light hearted conversations about the day, etc.

- Activities like shopping for food and preparing meals are fun time for children. Both, parents and children learn about each other's food preferences and enjoy the time spent together.

- Eating meals and watching TV at same time makes it difficult to pay attention to the hunger and may lead to overeating.

- Sending children to bed without eating food may give them the impression that they will have to go hungry. So they may try to eat whenever they get a chance. Avoid using food as punishment.

- If your kid is having lunch at school, find out more about the lunch program. If you pack your child's food include variety of foods. While dining out, pick healthier items.

- If you as parents eat healthy nutritious food, your child tends to learn and pick up similar eating habits. Set a good example by eating variety of nutritious foods and snacks. Teaching your child healthy eating practices early in life will help develop an approach to eating food with right attitude. About the author: Sharon Hopkins manages websites on Nutrition, Diet and Health. Healthy food promotes good health and unhealthy food habits lead to a diseased body. Healthy Food contains vital nutrients that aid our body’s metabolic function.

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Healthy Snacking Habits

Do pizzas, ice creams, French fries, cookies and candies list high on your kid's agenda for snacks. And despite you telling your kids innumerable times, they still swear by junk and unhealthy foods for snacks. Giving in for there desire for junk food is paving way for your kids to be obese.

Just as charity begins at home, good nutrition and balance diet habits start at home. The way of life today is fast paced wherein an adult is always on the move. The same applies to your children too. It is essential to have healthy snacks handy which your kids can grab on the move.

Early encouragement for smart eating habits, improved nutritious diet early in life could make your child healthy. Even if you can not stand on their heads 24*7, there are many ways where you can give them well balanced diet and life all round.

Ravenous and famished after school, you’re kid is likely to grab something from the fridge or kitchen shelf for snacks. After school snacking plays an important part of every child's diet, as it could several hours since they last ate and they need nourishment, especially when they have to settle down, do homework and indulge in playful activities. Think of snacks as an opportunity to supplement children's diet with healthy food. It guarantees the nutrition they deserve as well as curbs hunger pangs in between meals.

Make snack time nibbles attractive and hassle free. Prepare small portions of snacks and leave them in easy to find places like kitchen shelf, fridge or dining table. The healthiest and simplest choice for snacks is fresh fruits and raw vegetables requiring minimum preparation time.

Some good suggestions of kid friendly healthy snacks include:

1. Make fruit salads with kid’s favourite fruits. Prepare them in small batches from fresh fruits and freeze them.

2. Dry fruits like raisins or apricots and fresh fruits like apples, oranges, watermelons, and bananas.

3. Sandwiches with peanut butter, tuna or lean meat cuts.

4. Yoghurt, plain or flavoured or milkshakes made with low fat or skimmed milk. Dry cereals or cornflakes served with fruit and low fat milk.

5. Fresh fruit juices like orange, watermelon, grapefruit or frozen juice bars.

6. Hard-boiled eggs with a slice of whole wheat bread, peanuts, pretzels or crackers.

7. Ready to eat cut up veggies like carrots, cucumbers, and celery. Unbuttered popcorns, wheat crackers or whole grain muffins served with low fat cheese dip.

8. Fruit Smoothie made in a blender with fresh fruits, juice and yoghurt.

9. Yoghurt dessert with layers of low fat yoghurt, fruits and veggies.

You can spice up your kid’s snack time with variety of foods… Get your children to make the snacks menu for the week. Serve small portions instead of a big one. Let them learn to be hungry, rather than feel full and stuffed close to lunch or dinner time. About the author: Sharon Hopkins manages websites on Diet, Nutrition, and Health foods such as http://www.diethealthclub.com. Healthy food promotes good health and unhealthy food habits lead to a diseased body. Healthy Food contains vital nutrients that aid our body’s metabolic function.

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Tuesday, January 15, 2008

Gastroenterology

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Cardiology

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Radiology

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Gynaecology

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Our attention to process-driven work methods ensures a superior end solution to all of our clients. As soon as we receive a recorded version of the transcript, it is routed via email or FTP or VPN to our dedicated Eyered server. Then all the files are distributed amongst our dedicated medical transcription specialists. After transcription, the documents are sent for proofreading, after which they go through stringent quality control. After an iterative process of quality checks and rechecks the final transcribed files are transferred via email or FTP or VPN to the client. Every stage in this process is marked by definite turnaround times and deadlines. We never miss deadlines and always deliver before time.

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Dermatology

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Monday, January 14, 2008

India Child Health Care

Varicella (Chicken Pox)

Chickenpox is caused by the varicella-zoster virus. It is characterised by fever and an itchy and blistered rash. It is a highly contagious disease. Although chickenpox-related complications are relatively rare among healthy children, the disease could be more dangerous among infants and the older age groups.


In most cases, chickenpox in childhood is not life threatening. However, it can cause considerable suffering and discomfort to the patient and inconvenience to the parents. Children who suffer can miss valuable time at school, especially during exams and parents can lose working time, spent in looking after their sick children. Medical costs are also involved. Moreover, if an adolescent or adult becomes infected, the problems pertaining to lost working time and medical costs could be even greater.


What is chickenpox?


It is a viral disease caused by first exposure to the varicella-zoster virus (VZV). The disease is identified with fever and typical blistered rash all over the body. The virus then remains latent or dormant in the body and can later be reactivated and cause shingles (herpes zoster).


What are the symptoms of chickenpox?


Common symptoms are fever, chills, nausea and vomiting. The most obvious and the most well-known is the blistered and highly itchy rash. Most children have 200-300 lesions which later form a crust or scab.


Is chickenpox contagious?


Yes, it is. Chickenpox is most contagious a couple of days before the rash appears and until scabs have formed on all the lesions i.e. till they dry up, which usually occurs in a weeks time after the onset of the rash.





How can you contract chickenpox?


The virus commonly spreads from person-to-person by air-borne droplets. This occurs when an infected person coughs or sneezes and releases secretions in the surrounding air. It can also spread by direct contact with chickenpox or herpes, since the wet lesions contain infectious fluid. In few cases, it can also occur from an infected pregnant mother to her unborn or newly born child.


Who is most susceptible to this virus ?


Chickenpox can occur in both children and adults, males and females. Most people contract chickenpox sometime or the other during childhood or adolescence, but adults who have not been infected before are susceptible to infection and can develop chickenpox in adulthood if and when they come in contact with a case. As chickenpox usually affects young children, those who spend a lot of time with children, like susceptible teachers and persons running the day-care centres have more chances of contracting the infection. In addition, healthcare providers (doctors, nurses and hospital personnel) are at added risk of developing the infection since they may come in contact with a case during the course of their duty. Chickenpox is usually more severe in older individuals who missed getting it when they were children.


Does chickenpox cause complications in children?


Although for many children chickenpox does not produce major health problems, complications can develop in some cases. Secondary bacterial infection affecting the skin lesions is the commonest complication that one encounters, especially when hygiene is poor and when bathing is not regular. Rarely, in a few children, the virus could prove more aggressive and cause infection in lungs leading to pneumonia and may affect the brain leading to swelling and infection (encephalitis). These could prove fatal. Other complications have been described, but these usually have a self-limited course. Rarely, residual scarring may be unsightly, leading to cosmetic concerns later in life.


Is chicken pox in adults different from that in children ?


Chickenpox is more severe in adolescents and adults than in children. The fever is higher and continues for a longer time. The rash is usually heavier with deeper and more lesions. The likelihood of complications is greater too. Adults are more likely to suffer from pneumonia. The chances of complications and risk to life tend to be higher when chickenpox is contracted later in life.


Some viral infections are dangerous in pregnancy. What about chickenpox? The interaction between chicken pox and pregnancy would depend on the timing of contracting the infection during pregnancy. If chickenpox is contracted by the pregnant lady during the first three months of pregnancy, there is a risk of congenital foetal malformations, or chances of abortion. Infection later in pregnancy but not too close to delivery allows maternal antibodies to be passed on to the fetus thus offering protection. Maternal chickenpox within 5 days prior to delivery or 2 days after is dangerous as this can result in transmission of the virus without antibodies to the child. Such chickenpox in the newborn can be life threatening as the baby's immune response is poorly developed at this time.


What is the relation between shingles and chickenpox?


Both these conditions are caused by the same virus i.e., varicella zoster virus.
First exposure to the varicella zoster virus results in chickenpox; that is followed by immunity against the infection, which usually lasts a lifetime. The virus, however, hides in certain nerve roots and remains dormant. The virus may get reactivated many years later, leading to shingles (herpes zoster). Shingles usually afflicts adults, especially old people, as the efficiency of the immune system declines with age.


What is the social impact of chickenpox?


The full impact of chickenpox on patients and their families is often not appreciated. Physically, chickenpox is very uncomfortable for patients because they have to endure discomfort from symptoms such as rash and the associated itching, fever, chills, nausea and vomiting. Patients often need to be isolated and kept at home. Thus, a school-going child may miss school for a few days to a month. Where both parents are working, it might require one of them to keep the child company and miss work. In adolescents and adults chickenpox can be more serious and severe leading sometimes to complications. In some cases there could be residual scarring. Chickenpox infection can thus lead to loss of man hours in the form of missing school, college or working time.


How can chickenpox be prevented?


Isolating infected individuals by keeping them away from school or work will help reduce transmission of the virus. Vaccination is an effective way of preventing suffering from chickenpox.


What are the advantages of chickenpox vaccination?


Where chickenpox is more prevalent among older age groups _ in whom complications are more likely _ it represents a major health threat. It follows that some means of controlling the situation is vital, and pro-active measures like vaccination in children would be most effective. Vaccination of children and susceptible adults and adolescents can reduce the disease burden and transmission of chickenpox. This would also result in avoiding the social impact of the disease and reducing healthcare costs. Vaccination can be offered to individuals more than one year of age, who have not suffered previously from chickenpox.


What are the chances of suffering with chickenpox after vaccination?


Clinical studies of currently available varicella vaccines show they are close to 100% effective and well-tolerated. However, long-term follow-up of vaccines has shown the incidence of a mild breakthrough like syndrome in 1-4% of vaccine recipients.


Thanks to modern science you or your children don't have to suffer with chickenpox in the first place.

Chickenpox is now preventable through vaccination. Consult your doctor.