Friday, March 27, 2009

Controlling Your Child's Asthma

First, it is important that you and your child understand what control means. To completely control asthma is to reduce its frequency and severity, so that the asthma does not interfere with normal activities.

The degree of control varies with each child as some children with severe asthma are extremely difficult to control.

Control of asthma begins by learning which trigger factors are important to your child. Since no two children with asthma are alike, an individualized comprehensive evaluation must be made of your child to determine his or her trigger factors. The child's history is by far the most important part of the evaluation.

Your physician may recommend that you see a lung or an asthma/allergy specialist to help him with this evaluation. Skin testing may be required to determine which allergens may be important. Special diets and careful challenges with suspected foods usually will detect food allergies.

Other laboratory studies, including pulmonary function studies, may be requested by your physician. Pulmonary function studies are performed to determine the severity and reversibility of your child's airway obstruction.

After the evaluation, your physician will outline those factors that are important in your child's asthma and prescribe an individual treatment program.


Treatment includes:

Avoidance of Trigger Factors

Asthma Medications

Allergy Injections When Indicated

Team Approach/Patient Education

1. Avoidance

Avoiding trigger factors can make a great difference in your child's condition. If your child could avoid exposure to all of his or her allergies (such as house dust, molds, pets, etc), he or she might still have asthma; however, the severity would be lessened.

Trigger factors, such as viral respiratory infection and running, could still provoke asthma symptoms. Whenever possible, your child should avoid such trigger factors as cigarette smoke and other inhaled irritants.

2. Medications

Medications that control asthma are available. The amount, frequency and duration of medications depend on your child's asthma.

Some children only have asthma episodes a few times a year associated with colds, while others have episodes daily during spring and fall when there is increased exposure to outdoor allergens.

Some children wheeze only with exercise, while others wheeze daily for no apparent reason. Several different approaches might have to be tried before the proper medication program is achieved (see the "Asthma Medication Groups For Kids" section).

Fortunately there are many excellent medications with few side effects. Asthma can usually be controlled with safe effective medications.

3. Allergy Injections

Scientists still do not agree on whether allergy shots are useful in asthma. Hyposensitization, allergy shots, immunotherapy or desensitization are synonyms for injection treatments which reduce sensitivity to those unavoidable allergens.

Small quantities of proven allergens are given in gradually increasing dosage until the child is able to better tolerate his or her allergies. This form of therapy has been shown to decrease the allergy antibody level and to increase the protective or blocking antibody level.

Usually a one-year series of allergy injections is prescribed to determine their effectiveness. Hyposensitization is not always recommended.

If proven effective, injections are then continued on a schedule determined by your physician. Allergy injections are no substitute for avoidance of allergens or medication. You must continue allergen avoidance measures even when your child's asthma is controlled or the problem may again worsen.

4. Team Approach/Patient Education

Emphasis is now placed on improved patient/parent education and goal setting. Physicians and nursing staff are spending more time teaching patients about the subtleties of asthma management. Major emphasis is placed on peak flow monitoring as a guide to treatment and a way to better understand the dynamics of asthma.

Peak flow monitors are inexpensive devices which measure the peak air flow and thus reflect the degree of airway obstruction. Sometimes patients are unaware that they are gradually getting worse.

By recording the peak flow two or three times daily, the patient and doctor can better determine the need to increase or decrease medication.

When the peak flow fluctuates a great deal, this indicates poor control and need for adjustment of medication. When the peak flow drops and responds poorly to inhaled bronchodilator medication, additional treatment is needed. This should be done by the patient only when a course which has been determined by the physician is to be followed, otherwise the physician must be consulted.

Frequently, three or four visits are required just to teach these fundamental principles. This may be done in a group setting or with a nurse who specializes in asthma care. Through this process the patient and/or parents are empowered to control asthma during most situations.

With improved asthma management, emergency room visits are much rarer because children and their parents stay ahead of problems. Parents learn when to call their physician, day or night, which can prevent many hospital visits.

There are many other aspects of asthma management that should be taught to the child and parents to better prepare them to deal with asthma directly and efficiently. By better understanding their treatment program, they can comply much better and this is a major step toward asthma control.

The physician, nurse, child and parents should set specific goals and follow up on these each visit. With this type of team approach, asthma usually comes under excellent control so that sleep and activities are rarely interrupted by asthma. Most children with asthma can fully participate in sports and not be bothered by unwanted medication side effects.


If the parents or caregivers do not understand the problem, they surely cannot carry out the treatment program. It is your responsibility to read and reread the materials provided by your physician.

Allergy management is often important for the continued control of asthma. Frequently, parents forget about allergy avoidance measures when the asthma is controlled with medication or allergy injections.

You might buy a new pet or furniture to which your child is or becomes allergic. You might forget about house dust and mold control in the home. Continuation of avoidance measures is crucial for good control in the allergic child with asthma.

Poor compliance with other treatment measures (routine medicines, allergy injections, follow-up visits) also leads to uncontrolled asthma.

1.) Some studies demonstrate that only 50% or less of patients take their inhaled corticosteroid as prescribed.

2.) Inhaled corticosteroids control airway inflammation very effectively, but take weeks to be maximally effective. For many reasons parents and their children perceive that the medication "doesn't do anything." They prefer the "quick relief" they get from their bronchodilator inhaler. They need to learn that the inhaled corticosteroid medication is safe and will work, but they need to use it daily as prescribed by the doctor.

Although seldom fatal, deaths from asthma do occur. Inner city children with asthma, especially African-Americans, have a three to five times greater asthma mortality rate. Many cases of fatal asthma appear to be related to under-medication. Many of these deaths are probably avoidable.

Also, research into asthma fatalities indicates that children with recurrent, acute, severe asthma episodes and those with major psychological problems, especially depression, are at increased risk of death from asthma. This should be discussed with your physician.

Do not hesitate to ask questions about anything that is not completely clear. It is important that you fully understand your child's condition and its management.

Your child should be taught about his/her asthma treatment program. Older children should be responsible for their own treatment program as much as possible. They should recognize and learn to avoid their triggers, and know about their medication, its use and how to administer it.

Working together with your child and your doctor can help to insure the effectiveness of asthma treatment.


Frustration and despair will accompany the many problems of the chronically ill child. Always try to avoid the negative aspects and remember that the majority of children will improve as they grow older.

Take a positive approach to your problem, for learning asthma control can be a stepping-stone for your child's personal development. Your child will gain confidence as he or she learns to control the asthma.

Qualities such as self-discipline and personal responsibility are frequently learned through struggles with any chronic illness.

Encourage physical activity within your child's limits. Fortunately, the vast majority of children with asthma can participate in most activities, including track, basketball and soccer. The very few children with extremely severe asthma may wish to participate in an activity such as swimming, which is the least likely to provoke asthma symptoms.

Other activities which do not involve prolonged running will also be tolerated better. Encouragement and praise in these activities will kindle an inner desire for personal development in these and other activities.


Maintaining control is the key. When your child's asthma is controlled, you will seldom notice asthma symptoms. Don't be satisfied until your child's asthma is controlled, thus allowing full physical, mental and emotional development.

Source :

Asthma: Early Warning Signals

You and your child can become experts in spotting the early signals of Asthma. Maybe you're experts already! As one alert parent said to her child: "Asthma may not be a friend, but if it's an enemy, at least it isn't sneaky. It always gives a warning."

Every child with asthma has a built-in early warning system that signals when symptoms are on the way. Those signals can be seen, heard, and felt. Every child has his or own pattern of signals. But parents and children can make keen observation a habit and learn how to recognize those patterns -- the body's messages to get going and head off those symptoms before they get bad.


  • Anxious or scared look
  • Cough, especially at night
  • Unusual paleness or sweating
  • Flared nostrils when the child tries to get some air
  • Pursed lips breathing
  • Fast breathing
  • Vomiting
  • Hunched-over body posture; the child can’t stand or sit straight and can’t relax
  • Restlessness during sleep
  • Fatigue and breathlessness
  • The notch just above the child’s Adam’s apple; when some children are having an asthma episode, this notch sinks in as they breathe in
  • Spaces between the ribs; these areas may sink in when the child breathes in


  • Coughing when the child has no cold
  • Clearing of the throat a lot
  • Irregular Breathing
  • Wheezing, however light
  • Noisy, difficult breathing


  • Put your ear to the child's back and your hand on his or her chest. You'll feel the chest go up as the child inhales, drawing in air, and you'll feel the chest go down as the child exhales, releasing air.
  • Listen for squeaking or any unusual noises. They may mean asthma, bronchitis, or a chest infection. Only a doctor can tell for sure. So regard any noisy breathing as a signal that help may be necessary.
  • Note: If the child is having symptoms and there are no chest sounds, it's a sign of a bad, fixed chest that requires medical attention. Call your doctor immediately.


  • Reassure the child by your tone of voice, your attitude of being able to manage and your confidence. All these qualities are catching. Your child will take cues from you and relax.
  • If the doctor has recommended a medicine when signals appear, use it. (Don't give the child a special dose unless the doctor said to.)
  • Encourage normal fluid intake. Excessive fluid intake may be counter productive.


  • Help your child relax.
  • If you can find out what triggered the symptoms, remove it - or the child from the area.
  • Your experience and judgment can help you decide what further measures to take in addition to calling the doctor.


Having any one of these signs means medical care is needed. Call your doctor or get emergency medical care if your child exhibits any of these signs.

Wheeze, cough, or shortness of breath gets worse, even after the medicine has been given time to work. Most inhaled bronchodilator medications produce an effect within 5 to 10 minutes. Discuss the time your medicines take to work with your child's doctor.

Child has a hard time breathing. Signs of this are:

  • Chest and neck are pulled or sucked in with each breath.
  • Struggling to breathe.
  • Child has trouble walking or talking, stops playing and cannot start again.
  • Peak flow rate gets lower, or does not improve after treatment with bronchodilators, or drops to 50 percent or less of your child's personal best. Discuss this peak flow level with your child's doctor.
  • Lips or fingernails are gray or blue. If this happens, GO TO A HEALTHCARE PROVIDER OR EMERGENCY ROOM RIGHT AWAY!
Source :

SamuelGultom_blogspot.xml Activities2009-05-15T10:10:23+00:00

Immunization Schedule

This schedule may vary depending upon where you live, your child's health, the type of vaccine, and the vaccines available. Some of the vaccines may be given as part of a combination vaccine so that your child gets fewer shots. Ask your doctor about which vaccines your child should receive.

* Hep B: Hepatitis B vaccine (HBV); recommended to give the first dose at birth, but may be given at any age for those not previously immunized.

1–2 months

* Hep B: Second dose should be administered 1 to 2 months after the first dose.

2 months

* DTaP: Diphtheria, tetanus, and acellular pertussis vaccine
* Hib: Haemophilus influenzae type b vaccine
* IPV: Inactivated poliovirus vaccine
* PCV: Pneumococcal conjugate vaccine
* Rota: Rotavirus vaccine

4 months

* DTaP
* Hib
* Rota

6 months

* DTaP
* Hib
* Rota

6 months and annually

* Influenza. Influenza vaccine is now recommended every year for children older than 6 months (instead of just the youngest, as before). Kids under 9 who get a flu vaccine for the first time will receive it in two separate doses a month apart.

Although young tots (from 6 months to 5 years old) are still considered the group of kids who need the flu vaccine the most, updated guidelines from the Centers for Disease Control and Prevention (CDC) now recommend that all older kids and teens get it, too (as long as enough is available).

It's also especially important for high-risk kids to be vaccinated. High-risk groups include, but aren't limited to, kids with asthma, heart problems, sickle cell anemia, diabetes, and human immunodeficiency virus (HIV).

It can take up to 1 or 2 weeks after the shot for the body to build up protection to the flu.

6–18 months

* Hep B

12–15 months

* Hib
* MMR: Measles, mumps, and rubella (German measles) vaccine
* Varicella (chickenpox) vaccine

12–23 months

* Hep A: Hepatitis A vaccine; given as two shots at least 6 months apart

15–18 months

* DTaP

4–6 years

* DTaP
* Varicella

11–12 years

* HPV: Human papillomavirus (HPV) vaccine for girls, given as 3 shots over 6 months. Also recommended for girls ages 13 to 18 years if they have not yet been vaccinated.
* Tdap: Tetanus, diphtheria, and pertussis booster
* MCV4: Meningitis vaccine; also recommended for younger children from certain high-risk groups, as well as 13- to 18-year-olds who have not yet been vaccinated.

College entrants

* MCV4: Meningitis vaccine; recommended for previously unvaccinated college entrants who will live in dormitories.

Reviewed by: Larissa Hirsch, MD
Date reviewed: November 2008

Friday, March 20, 2009

Baby Sleep Basic : 9 to 12 months

At 9 months, babies typically sleep 11 to 14 hours a night and nap twice a day for one to two hours at a time.

Ready for sleep training
If your baby hasn't yet settled into a sleep pattern that fits your family life, now might be a good time to try some type of sleep training. Sleep training methods can help your baby go to sleep more easily, sleep for longer periods at night, and keep more regular hours.

Sleeping through the night
If your baby now sleeps for nine or ten hours at night, it means she's figured out how to settle back to sleep — a sign that you're raising a good sleeper.

If your baby's still waking up at night for feedings, she's probably ready for night weaning, if that's what you choose. But babies this age don't necessarily wake up because they're hungry.

We all wake up several times every night for brief periods of time. And as adults, we put ourselves back to sleep each time — so quickly we don't even remember it in the morning. If your baby hasn't mastered this skill, she'll wake up and cry during the night even if she's not hungry.

Waking up again

Don't be surprised if your sound sleeper suddenly becomes a night owl or has a hard time falling asleep at this age. Why? Sleep disturbances often go hand-in-hand with reaching major milestones in cognitive and motor development and with separation anxiety.

At 9 to 12 months, your baby's likely to be crawling, pulling up, and learning to walk. And because she's refining and expanding on these skills, she may wake up at night to practice or be too excited to fall asleep. If she can't soothe herself back to sleep, she'll end up crying for you.

Separation anxiety could also be the cause of your baby's wake-up calls. Waking up and finding you not there may cause some distress. But she'll probably calm down as soon as you enter the room and greet her.

How you can establish healthy sleep habits

This is a time to continue working on the techniques you and your baby learned in the first nine months, including:

Stick to a consistent bedtime routine.
We can't say it often enough: You and your baby will both benefit from a nightly bedtime ritual. You can opt for the tried-and-true — giving her a bath, reading her a bedtime story, and tucking her in — or add a quiet game into the mix.

Make sure your baby finds the routine soothing. For example, if she hates taking baths, move them earlier in the day. Or sing songs if she'd rather chew on a book than be read to. Just be sure to follow the same routine every night. Children thrive on consistency and feel more secure when they know what to expect.

Make sure your baby has a regular schedule.
Bedtime may go more smoothly if you make an effort to keep the rest of your baby's daily schedule consistent, too. If she naps, eats, plays, and gets ready for bed at about the same time every day, she'll be much more likely to fall asleep without a struggle.

Give your child plenty of chances to fall asleep on his own.
If you want your baby to sleep independently, she needs opportunities to practice this important skill. Instead of nursing or rocking her to sleep, let her practice falling asleep on her own by putting her in bed when she's relaxed and drowsy. Otherwise she'll probably cry when she wakes up during the night and need your help to drop off again.


I Do Wanna Be A Biker

My Dad's has a bike that we used to go around. For me, it is too big to ride.. but I always wanna try to ride it..It is always fun when my Dad's and Mom's took me along with that bike.... I can feel the wind, and fresh air (of course if there is no other big vehicle in front),,, Seeing the road and the environtment along the ride will be very pleasure experience while you are at my age.

Once, we did ride in a small village in West Kalimantan. At first, it was a good travel, suddenly the weather change very quickly,,, and here came the big rain.... Wooow,,, what a troule we have... My Dad's decided that we have to step by,,,, so we went to a small store and wait for the rain over there...

Now,,, we live in a big town,,, my Dad's change his bike to a small one,,, efficience and don't take much effort to ride it he said... In fact, in my city, there are millions bike at the street.... You can image,,, seems that every people in my town has a bike,,,,,,, There will be frustating if you ride in my town, cause you will be surrounding by bike,,,,,

Hhh,,, I think automotive has a good industry in our country,,, there are many factories from several brands.... For me as a kid,,,, I just hope that my friend (age like me) won't get hurts from bump the bike which is too many in the street.... Be carefull as I do,,,,

Somedays,,, I wanna be a biker too,,, not just as usual,,, but I wanna try to race... Hmmm,,, I hope my Dad's doesn't hear my wishes......

Check out my photo and make a comment:

Thursday, March 19, 2009

Dads are the primary 'health role model' for kids

Academics at the University of Newcastle have found that children are more likely to follow their father's lead when it comes to healthy eating and exercise behaviours, as opposed to their mother's.

The study, that found children mimic their father's habits over their mother's in terms of diet and fitness, has lead the Hunter Medical Research Institute to fund a world-first study entitled Healthy Dads, Healthy Kids to be trialled over a six month period.
Professor Philip Morgan, heading up the new program, saw astonishing results in a previous trial involving 165 overweight children, which showed that kids who lost the most amount of weight had fathers who were, at the same time, taking part in a new eating and exercise plan. Professor Morgan also learnt in a separate trial that the children of 65 men involved in an online weight loss program shed several kilos alongside their fathers, and that the wives in fact lost weight as well.

According to Professor Morgan, however, mothers are often portrayed as the 'bad guy' when it comes to healthy eating, as they are usually the key instigators in putting fruit and vegetables in front of their kids at meal times. "Mum can purchase and prepare the food but dads will often have less greens, or just meat and potato. The kids think 'mum makes me eat this' and she is painted as the bad guy," Professor Morgan said.
However as this study shows, it is the dads who "influence the food and physical activity habits in the home" says Morgan, "through their behaviours, attitudes and approach to food and eating, and act as a role model to their children."

The study also showed that mothers, as primary care givers, were easier to inform but that when fathers make healthy lifestyle changes, the entire family tends to follow and becomes healthier in general.

So how can you even up the balance so that both parents influence food and exercise choices equally in your household? Spend time as a whole family planning your health, fitness and eating habits. You can use our handy tools, such as the event calendar to schedule in lots of energetic get-togethers with other families, with healthy eating and exercise as the theme.

For example, invite the cousins or neighbours to the park for a big picnic and game of cricket; head to the bike track for your son's upcoming birthday party; or host a family lunch where fruit skewers are served instead of ice-creams for dessert. (Use our invitation template to spread the word!)

But it certainly doesn't have to be an occasion for you and the kids to eat well and keep active. Far from it! Using our kids activity ideas list, help your children come up with ideas for living a healthy lifestyle - it's a great way to get them motivated to try a new physical activity such as horse riding, dance or basketball.

And if you're really having trouble getting them off the couch and into the backyard for a run around, try including 30 minutes of physical activity as part of their daily schedule - add it to their rules, curfews and guidelines list so they realise how serious you are about them getting regular exercise.

Source :

My Horoscope

My Baby's Slide Show

Baby Models

Babies are most probably the thing guaranteed to bring a smile to your face before anything else.

And of course no baby is more beautiful than your own :-)

There is great demand for baby models.And the fortunate thing about this particular "modeling industry" is that it is most probably the safest and most professionally run.

There are strict laws around the world for how long a baby can actually work for - and the babies needs are put first in any commercial or film shoot.

What is also heartening for the parents - again using the word "safety" is that baby models are safe from predators, unlike unfortunately the child modeling world. 
Because given the age of a baby - the mother MUST always be present so there is not any opportunity for any unsavory behavior.
And again there are very strict laws as to how to work with a baby for commercial purposes.

Having said all of this - if you have a baby that you would like to get into modeling. Or you have a friend who has a baby that you think is just too beautiful for words and would get booked in an instant...

Whatever is your reason for reading this - it's still important to know where to go, where to find the best Baby Modeling Agency.

And what you need to do as a parent to make sure your baby is:

A) Protected 

B) Given the best opportunities/jobs

C) Is paid handsomely for it

It is also worth your while to become fully acquainted with your rights as the mother/baby when your child is modeling. And it is of course better that you know this - as opposed to relying on the 'professionals' at the agency to tell you.

You want to feel in control of your baby's infant career, as well as working positively with the agent, bookers and companies hiring him/her (as honestly playing the "Stage Mum" will not get you very far, and will harm your baby's chances).

To find out ALL you need to know about Baby Models and Baby Modeling go here:

9 Ways To Make Your Baby Laugh

Bliss on the brain 
Don't bother trying to keep things new and exciting -- nothing pleases your baby more than knowing what's going to happen next, says Jill Stamm, Ph.D., author of Bright From the Start. A regular nap schedule, a nightly cuddle, and your singing "You Are My Sunshine" for the hundredth time will keep him content. Happiness is that simple when you're tiny. (Hey, he hasn't even heard of the economy yet.)

Totally pacified 
Sucking is your baby's most instinctive survival reflex, designed to get him nutrition. But even after his tummy's satisfied, his urge to suck may not be. That can make him cranky -- unless you let him go to town on a paci or his fingers (both are perfectly okay). His sense of calm will be restored.

Put on a happy face 
Your baby loves looking at you. Loves it. Loves it like you love looking at her (or Hugh Jackman, whatever). So flash her a goofy grin and open your eyes wide so she knows exactly what happy looks like. Play peekaboo. Lean in close and kiss her nose. Whatever gets your smiling face in her field of vision will be a thrill

Stretching doesn't just feel good to adults. Try this stretch for some all-over happy, from Nicole Netelkos, owner of Om Baby Yoga in Point Pleasant Beach, NJ: With your baby on her back on a blanket, gently extend her left leg and right arm out from her body. Next, hug her right knee up to her chest and gently move it toward her left side. Repeat the moves with the opposite limbs.

Soothe his stomach 
Calm tummies make for contented babies, so if yours howls like he's in pain or draws his knees to his chest, especially after a meal, a stomachache could be taking its toll on his still-developing digestive system. To ease baby gas pains: Lay your baby facedown on your lap, so there's pressure on his belly, and pat his back. Or lay him on his back and pedal his legs in the air. Aah, relief (sometimes stinky).

Drier is better 
No matter how quickly you swoop in on a dirty diaper, your baby will probably end up with diaper rash at some point. But you can bring the smiles back quickly by applying a zinc oxide ointment to irritated areas; it heals the rash and forms a barrier against wetness to prevent another one. And really, who doesn't feel happy with a warm, dry bum?

Handy trick 
By 3 or 4 months, most babies are able to grab things, and get a kick out of clutching something in their little paws. A shockingly easy way to get a giggle: Hold something colorful and soft just in front of your baby, let her reach for it, then hand it over. 

Baby steps 
Even pre-walkers get a kick out of putting their legs to the test: Hold your baby under his arms and bounce him between a mini -- obstacle course of overturned laundry baskets and boxes; when he lands, let him put some weight on his legs before whisking him off to the next stop. It's a just-wild-enough ride to put your baby in a good mood. 

Feel-good feet 
Even though your baby doesn't have sore tootsies, she'll still be delighted when you give her feet a massage, since your gentle touch feels good and the massage will relax her. For a quickie foot rubdown, apply gentle pressure to each of your baby's tiny toes, then rub the palm of your hand in a circular motion on her heels. Press your thumbs up and down across the soles of her feet, then finish up with a kiss for each big toe. 
Melody Warnick, a mom of two, could always make her babies happy by blowing raspberries on their tummies (and feeding them promptly). 

By Melody Warnick (

Monday, March 16, 2009

My "Nice Blue Baby Bike"

Someday before, my Dad's came from work. As usual,,, I heard his bike sound (''broom,,,brooomm,,, what a big bike I knew"). Somehow I always thinking that Dad's brought me something I can taste (like my favorite chocolate,,,hmmmm,,tastyyy). Then I found that my Dad's brought me a "nice blue baby bike"

I love it,,,,,,,woow,,, I can't hardly believe it,, finally I can ride my own bike. He,,,he,, don't you see,, I enjoy ride it event I didn't realize bumped a wall.... Well my experience was so good at that time ride it.

Somedays.... I'll become a good bike rider,,, like motobike rider I used to watch on my small TV with my lovely Dad's. Off course my Mom's won't let me ride by myself at first,,, she played with me and try to feed me as well ( you know,, Mom's always feed me while I was busy with my toys,,,).

Well I hope you all can understand why I am so exciting about my first bike.... That gift was my first happy impression about,,, Parents always give the best for their kids event not in your bhirthday,,, What ever my parents give me,,,, there must be excite me,,, hmmm except they try to feed me my medicine ( I guess you have the same reaction as well)... Happy ride,,,watch your feet ,,, (my dad's warn me) ,,, and Ride,,,,ride,,,ride,,,,

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