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Kids flying in overhead compartmentsContinuing our series on children’s health, let’s examine the quality of airline air and air safety for traveling children. Per pediatrician Dr. Alan Greene, if chickenpox can be contracted an aisle away in the supermarket – what then, can your kids contract in a tight, enclosed space like an airline cabin?

I am not a medical doctor. I am someone interested in children’s health and have compiled text from physicians, health organizations and others’ personal experiences to arrive at the verbiage within. If you have any questions or concerns about anything you read here or how air travel may affect you or your child, please consult your physician for medical advice.
 
There is a reason we cover our mouths when we cough or sneeze. Bacteria and viruses are carried on dust particles or respiratory droplets that become airborne when people laugh, cough, sneeze or exhale. These aerosolized infectious particles travel on air currents over considerable distances making direct contact with the sick person unnecessary to catch their illness.
 
Planes, by design, are a virtual Petri dish for breeding germs for four reasons. First, oxygen levels are lower on airplanes than on the ground. Second, there is a lack of fresh air. According to travel expert Peter Greenberg, anywhere from 10 percent to 50 percent of cabin air is filtered (depending on the age of the plane), mixed with fresh air and re-circulated within the cabin. Third, airline air is extremely dry with as little as 10 percent of the humidity found on the ground. Lastly, passengers carry germs, bacteria and diseases into this low oxygen, low moisture environment increasing the susceptibility to airborne illnesses.
 
Airborne illnesses that are readily transmitted include the common cold, chickenpox (if you haven’t had the vaccine), meningitis, influenza, streptococcal infections and tuberculosis. Those with weak immune systems – like young children and the elderly – are most at risk of contracting an airborne illness.
 
What can go wrong during air travel? Plenty, according to the Pulsus Group, a medical peer review publisher.
·        Due to reduced oxygen pressure in the cabin, children with sickle cell anemia are at risk for a crisis episode during flight.
·        More common is the inability of the middle ear to equilibrate the air pressure differential – more severe during landing than takeoff. When your ears ‘pop’ while swallowing or yawning it is actually the Eustachian tubes adjusting the air pressure in your middle ears.
·        Peanut dust, which contains peanut protein, can be distributed through the ventilation system causing passengers with allergies to peanuts at great risk for a problematic reaction.
·        Children on insulin may need to have their doses adjusted if time zones are being crossed during flight. When travelling eastward the day is shortened and if shortened more than two hours doses may need to be decreased. Conversely, if travelling westward and the day is increased by more than two hours, more units of insulin may be needed.
·        Children prone to seizures are at risk of an episode when jet lag, delayed meals, hypoxia and fatigue are introduced into their travel experience.
·        Air turbulence, anxiety and seat position (there is more movement at the rear of the aircraft) can all contribute to air sickness.
·        Children with behavioral issues – autism, ADD, developmental delays, etc. – are at greater risk of finding the travel experience stressful than those children without behavioral problems.
·        Jet lag occurs when there is an imbalance in one’s internal clock and the external environment. Crossing multiple time zones and not getting enough sleep can precipitate the adverse symptoms of fatigue, sleeping difficulties, irritability and decreased mental functionality.
·        Children with plaster or fiberglass casts for fractures could experience pain or circulatory problems as gas gets trapped beneath the cast during flight causing the gas to expand.
 
Tips for avoiding illness while flying as published by Old Orchard Brands and other travel experts previously cited include:
·        Get  eight to nine hours of sleep per night – restlessness or lack of sleep can weaken your immune system
·        Eat healthy – junk food, fast food, sodas, caffeine and alcohol can impact your immune response to illness
·        Wash hands often
·        Drink plenty of water to stay hydrated – 100 percent orange juice or unsweetened green tea are good options as well
·        Before flying take a potent multivitamin, zinc, vitamin C or a good immunity boosting supplement
·        Avoid using the pillows and blankets provided by the airline
·        Use antibacterial wipes on the armrest, tray table, lavatory door, seat belt buckle and any surface that others may touch
 
Now that you know some of the risks associated with air travel, you can plan accordingly to make your trip a positive experience.

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DISCLAIMER ALERT: The ideas expressed in this post came out of my own head, were researched by my own eyes and were expressed by my own hands. They are not intended to serve as medical advice in any way, shape or form. And they do not reflect the views of Humana Inc. or any of its subsidiaries. I take full responsibility if you think this post is awesome or not awesome.

Kids ask tough questionsLast weekend my wife and I kept her eight year old niece for the weekend as a reward for her learning how to ride her bike without the training wheels, a very big day for her. It was kind of a test run for us since we don’t have kids yet and things went fine.  

A reoccurring theme for the weekend was “Why?” to most everything from where we went to what we were having for dinner. I’m sure you parents are snickering and thinking no kidding you better get use to it.
 
I came across an article in the BBC magazine today by Mark Vernon that stopped me in my tracks. It’s called “But Why: Your Answers to 10 Tricky Children’s Questions”. It’s pretty good stuff and hopefully you’ll find it amusing.
 
I’m going to list the 10 questions selected and you can compare your answers to those provided in the article’s link. Just imagine a small child asking you these questions.
  • Why don’t all fish die when lightning hits the sea?
  • How much does the sky weigh?
  • Why can’t people leave other people alone?
  • Why aren’t birds electrocuted on wires?
  • What is time?
  • Why is the moon sometimes out in the sky in the day, too?
  • Why did God let my kitten die?
  • Why do I like pink?
  • Why is water wet?
  • Why does my best friend have two dads?
After reading these questions I realized I got off easy last weekend. I better study up for the next visit.

photo by Stacy Shireman

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DISCLAIMER ALERT: The ideas expressed in this post came out of my own head, were researched by my own eyes and were expressed by my own hands. They are not intended to serve as medical advice in any way, shape or form. And they do not reflect the views of Humana Inc. or any of its subsidiaries. I take full responsibility if you think this post is awesome or not awesome.

Kids TextingModeration pretty much applies to everything we do — even texting. Believe it or not, the average teen texts 2,000 times a month — that’s 67 text messages per day. This trend lays the foundation for technology’s latest ailment — texting tendinitis. With all these thumbs in constant motion, physicians are saying this is causing injuries. 

Symptoms include back and neck pain, thumb numbness, hand pain, elbow pain and acute inflammation of one of the forearm tendons — primarily the thumb tendon. Back pain is caused by poor posture while texting.
 
Doctors state that most teens and their parents have no idea how much teens are really texting or that they are texting for up to two hours per day. A doctor in Australia is recommending phone manufacturers to place warnings with their products about the risks of overuse.
 
Teens diagnosed with TTT or ‘texting teen tendinitis’ today could be looking at arthritis or thumb joint replacement surgeries in their 40s and 50s. And not just teens — this could apply to anyone who overuses their Blackberry for business or personal communication.
 
Prevention recommendations include limiting text messages to 50 per day, maintaining good posture (no slouching), doing hand exercises to build up muscles and using touch screen phones versus keyboard phones.
 
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DISCLAIMER ALERT: The ideas expressed in this post came out of my own head, were researched by my own eyes and were expressed by my own hands. They are not intended to serve as medical advice in any way, shape or form. And they do not reflect the views of Humana Inc. or any of its subsidiaries. I take full responsibility if you think this post is awesome or not awesome.

kids and learning and gamingHow can health be tied to learning and gaming? Ann Thai, assistant director at the Joan Ganz Cooney Center at Sesame Workshop, wrote a blog post on the Robert Wood Johnson Foundation blog that outlines a recently released document entitled, Game Changer:Investing in Digital Play to Advance Children’s Learning and Health.

The post and the document raise a great question about the interconnectedness between fun, learning and health when it comes to kids. Something interesting that I pulled out of Ann’s post is:
 
How do we know what kids are learning from playing games?
 
Being that I’ve been on an analytics kick lately over here at Crumple it Up HQ, the question really resonated with me. I’ve spent a lifetime playing video games and there is no record whatsoever of my ability to learn. I know that I’ve learned how to type my initials into the high score column, but that doesn’t really tell me much. Until recently, there hasn’t ever been a platform to record meta-data into some sort of gamer profile. There’s never been a profile that follows me around from game to game.
 
Wouldn’t it be noteworthy if we could tie game play into learning and health?
 
Strategy games seem to be ripe to teach and measure a child’s cognitive ability to grasp a concept and implement learning into game play. I’ve played strategy games that integrate my choice of tactics into an overall score, but it’s all a free-for-all. I have to know what tactics to use for a given situation or just wing it and muscle my way through. What if the game provided some kind of instruction and measured my ability to follow those instructions? And what if it then analyzed my ability to learn across different situations and different games?
 
What about morality based games? I love the idea behind an open-ended world that allows me to choose my own adventure, such as KOTOR and Fable on my old Xbox. Measuring the moral decisions a child makes throughout a game seems like an awesome way to start to collect data on how kids cope in game play.
 
Once all this information is collected, it can be analyzed and trended. After talking with my friends Tom Stitt and Stew Apelzin, I think that’s where the real value lies.
 
What do you think? Can metrics attached to the back end of game play help us understand how kids learn by playing games? Can that information then be used to integrate better lessons into better games? Can it tie back to making kids healthier?

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DISCLAIMER ALERT: The ideas expressed in this post came out of my own head, were researched by my own eyes and were expressed by my own hands. They are not intended to serve as medical advice in any way, shape or form. And they do not reflect the views of Humana Inc. or any of its subsidiaries. I take full responsibility if you think this post is awesome or not awesome.

Kids Playing a Nintendo WiiFirst came Space Invaders wrist in the 1980s characterized by joint pain caused by continuous pushing of the button required to play the popular arcade game. A decade later came ‘Nintendinitis’ or thumb soreness from pushing the controller buttons for extended periods of time without interruption. Today, physicians are seeing an increase in physical injuries caused while playing the popular Nintendo Wii or ‘Wiiitis’ — the latest ailment to come out of the video game era. 

Although a majority of Wii accidents cause more damage to your TV screen than your body, some injuries can still send you straight to the emergency room. Here are a few of the reported injuries that you should take precaution against:
 
Hand bruises and lacerations: Beware of low ceilings, ceiling fans and lighting fixtures and don’t swing your arms too high. Move surrounding furniture to give yourself enough room to maneuver. Finger lacerations have been reported as players collide with glass lighting fixtures overhead. Christina Aguilera bruised her hand when she collided with a nearby table lamp while playing a heated game of Wii Sports Tennis.
 
Black eyes: Players’ wide swings have been reported to cause injury to others around them that rival boxer-style ‘shiners.’ These injuries are usually not self-inflicted and the biggest culprit is Wii Sports Tennis. Players should identify their playing space before playing and stay within their borders.
 
Dislocated knee: Most commonly a result of falling off shoes with high heels while playing. Arguably the most preventable ‘injurwii’ of them all.
 
Shoulder injuries: Soreness most commonly associated with prolonged playing without interruption. Laying off the Wii for awhile and taking Ibuprofen have been successful antidotes for shoulder injuries.
 
Elbow injuries: Most commonly the result of getting hit with the Wii-mote of another player or colliding into surrounding furniture.
 
Broken straps: The thin Wii-mote wrist strap frequently breaks under the abuse exerted on it by players. Your best defense is to hold the Wii-mote securely.
 
TV damage: Plasma screens, which are glass, almost never survive the impact of a thrown Wii-mote. LCD TV damage ranges from dead pixels to areas of dimmer backlighting to no picture at all. Thrown Wii-mote damage is so common that Lcdarm Technology markets an impact resistant TV shield to cover your TV screen while playing Wii games.
 
While you don’t need full hockey gear to engage in Wii gaming sessions in your own living room, you do need to exercise caution, common sense and moderation to experience health and happiness while using the Wii.
 
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DISCLAIMER ALERT: The ideas expressed in this post came out of my own head, were researched by my own eyes and were expressed by my own hands. They are not intended to serve as medical advice in any way, shape or form. And they do not reflect the views of Humana Inc. or any of its subsidiaries. I take full responsibility if you think this post is awesome or not awesome.