Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Your second trimester – making the most of it

Your second trimester is from the beginning of week 13 until week 28, during this time your pregnancy will begin to show. However, you should feel like you have more energy than you did in trimester one. This is why this trimester is also nicknamed the honeymoon period of pregnancy – your baby isn’t big enough to make you uncomfortable and your pregnancy hormones should have eased up. During this time there are one or two things that you can keep in mind to make the most of this time while you’re feeling better, and to ensure that your baby (and you) are kept healthy and happy. Childbirth classes, preparing your mind and body Even if this isn’t your first baby, childbirth classes can help prepare you for what is to come. If you’re feeling anxious about labour and birth, these classes will help ease your worries, by informing you what is to come and how best to manage your mind and body coming up to, during birth and after birth. Prenatal exercise and a healthy lifestyle Stay fit and healthy during your pregnancy is important to both you and your baby. What you eat and regular exercise are both ways in which you can provide needed nutrition to your baby and keep yourself healthy. Low impact exercise, such yoga, swimming, walking and prenatal pilates can help improve your sleep, and increase your strength and muscle tone. Keeping active can even have the added benefit of helping prepare your body for labour and birth. Maternity wear and staying comfortable Not only is learning about your pregnancy and staying healthy essential but staying comfortable is also important. The second trimester is generally when your tummy will start looking and feeling bigger, so invest in some trousers that have more give in the waistline. Luckily certain fashion items, such as flowy dresses and layered knits, may even mean you can still keep using your pre-pregnancy clothes.

March 9, 2021

Covid and flu – should you still have the flu shot?

Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund unpacks the differences and similarities between ‘flu’ and Covid-19, how it affects your body and offers compelling reasons why you should consider getting the flu vaccine this year. Every year, seasonal influenza (flu) kills around 11 500 people in South Africa alone. To date, Covid-19 has resulted in around 50 000 deaths in South Africa. While the true mortality of Covid-19 will take some time to fully understand, the crude mortality ratio (the number of reported deaths divided by the reported cases) is between 3-4%. For seasonal flu, mortality is usually well below 0.1%. However, mortality is to a large extent determined by access to and quality of health care. How has Covid-19 impacted on the flu virus? The Covid-19 pandemic has, however, had a significant impact on the 2020 flu season where decreased flu activity has been reported. This is most likely related to lockdown and additional hygiene measures. Bearing in mind that The World Health Organization (WHO) has recommended flu vaccines for 2021, circulating flu viruses evolve constantly so an accurate prediction for the upcoming season is challenging. Should you still have a flu vaccine in 2021? Dr Mkhatshwa recommends you do. Flu vaccines have been shown to reduce the risk of influenza illness, hospitalisation and death. Not only will flu vaccinations reduce the risk of getting flu but is an important conservation measure for scarce health care resources which remains a concern with the ongoing the Covid-19 pandemic. The flu vaccine should be given sufficiently early to provide protection for the coming winter. A protective antibody response takes about 2 weeks to develop. As there is limited evidence on the safety and effectiveness of receiving these vaccines simultaneously, Dr Mkhatshwa recommends waiting at least 14 days between having the Covid-19 and flu vaccinations. How are Covid-19 and flu viruses similar? WHO says, ‘Firstly, Covid-19 and influenza viruses have a similar disease presentation. That is, they both cause respiratory disease, which presents as a wide range of illness from asymptomatic or mild through to severe disease and death. ‘Secondly, both viruses are transmitted by contact, droplets and any material that can carry infection. As a result, the same public health measures, such as hand hygiene and good respiratory etiquette (coughing into your elbow or into a tissue and immediately disposing of the tissue), are important actions all can take to prevent infection.’ What are the essential differences between Covid and flu? Flu is an acute viral respiratory infection, transmitted by the influenza virus. There are three types of influenza, namely Influenza A, B and C. Influenza C is less common and produces milder disease. WHO says there are important differences between the two viruses and how they spread. This has important implications for the public health measures that can be implemented to respond to each virus. The two are essentially different viruses with SARS-CoV-2 being a newly discovered coronavirus that causes Covid-19. The speed of transmission This is an important point of difference between flu and the coronavirus. Influenza has a shorter incubation period and can spread faster than Covid-19. Further, transmission in the first 3-5 days of illness, or potentially pre-symptomatic transmission, is a major driver of transmission for influenza. Although with Covid-19, people can be infected by someone 24-48 hours before the onset of symptoms – this is not the major driver of transmission. The severity of illness While the range of symptoms for the two viruses is similar, the fraction with severe disease appears to be different. For Covid-19, data to date suggest that 80% of infections are mild or asymptomatic, 15% are severe, requiring oxygen and 5% are critical infections, requiring ventilation. These fractions of severe and critical infection would be higher than that of flu. Who is at risk? The Department of Health (DoH) together with the National Institute for Communicable Diseases (NICD) targeted the following groups for the 2021 campaign: Healthcare workers Individuals age >65 years People with comorbidities like heart disease, diabetes or lung disease Pregnant women People living with HIV and AIDS What are the signs and symptoms? In terms of symptoms, Covid-19 and flu can have varying degrees of signs and symptoms, ranging from none (asymptomatic) to severe symptoms. Common shared include: Fever or feeling feverish/chills, cough, shortness of breath or difficulty breathing, fatigue, sore throat, runny or stuffy nose, muscle pain or body aches, headache, some people may have vomiting and diarrhea, though this is more common in children than adults. Other signs and symptoms of Covid-19, different from flu, may include change in or loss of taste or smell. A Covid-19 test will confirm the diagnosis. Does the flu shot give me a mild flu? According to the Centre for Disease Control (CDC), ‘A flu shot cannot cause flu. Flu vaccines given with a needle are currently made either with flu vaccine viruses that have been ‘inactivated’ and are not infectious, or with no flu vaccine viruses at all. The most common side-effects from the shot are soreness, redness, tenderness or swelling where the shot was given. Serious allergic reactions to flu vaccines are very rare.’ Still not convinced? Flu viruses spread very quickly from person to person Even if the flu vaccine is not 100% effective against the current flu strain it will reduce your chances of getting the flu and, if you do get it, it will be a great deal milder More importantly, by having the flu vaccine you will protect others, via what is called ’herd immunity’. Others may be vulnerable family members such as small babies and the elderly as well as those who are immune compromised. While the world focuses on Covid-19, social distancing, wearing a mask and hand washing or sanitisation can help protect you from both Covid-19 and flu.

March 4, 2021

New Head of Operations for Bonitas

Bonitas Medical Fund has announced the appointment of Dr Morgan Busuku Mkhatshwa as Head of Operations. Dr Mkhatshwa is a medical doctor with extensive experience in the healthcare sector. He has a proven track record of spearheading the introduction of enhanced comprehensive healthcare services and programmes including occupational healthcare services. In addition, he has led organisational restructuring efforts within highly unionised environments, launching accelerated business expansion and improvement initiatives to maximise revenue growth. Compassionate about management, business development and stakeholder engagement, he began his career as a science teacher before he pursued his medical studies. He worked as a medical officer before progressing to principal medical officer in the public service. He spent some time as Hospital Manager at Life Healthcare and went onto become MD of one of the divisions in the company. After Life Healthcare he joined Lenmed Health as Group Business Development Manager and later became Group Head of Operations. ‘We are delighted to have Dr Mkhatshwa joining our management team,’ said Lee Callakoppen, Principal Officer. ‘He brings with him a wealth of knowledge and expertise, not only as a medical doctor but also years of experience in strategic planning and execution, general operations management, project management, coaching and mentoring. We know he will be a valuable asset to our team and our members.’ Dr Mkhatshwa has a BSc. (Biological Sciences), Bachelor of Medicine and Surgery (MBChB), Hons BSc (Limnology), Master of Science (Medical Microbiology) and Master of Business Administration (MBA). Oher achievements include the completion of the Harvard Business School – General Management Program.

February 26, 2021

The low down on Covid-19 test protocols

As South Africa finds itself starting to move out of the second wave of a Covid-19 outbreak, over 8 million Covid tests have been carried out in the public and private sector since the start of the pandemic. The global gold standard method to diagnose Covid is the Reverse Transcription Polymerase Chain Reaction (RT-PCR) test. It is currently the most accurate way to detect SARS-CoV-2, the virus that causes Covid-19. Will your medical aid pay for the test? According to Lee Callakoppen, Principal Officer of Bonitas Medical Fund, ‘Funding is in accordance with the Council for Medical Schemes (CMS) guidelines, all clinically appropriate and referred diagnostic testing for suspected Covid-19 cases will be funded as a Prescribed Minimum Benefit (PMB) condition.’ Bonitas pays for up to three Covid-19 diagnostic tests from risk, whether the result is positive or negative. However, this is subject to the member or beneficiary being referred by a registered healthcare practitioner (doctor or nurse). This referral is dependent upon whether the member is showing symptoms, has been in contact with anyone who has Covid-19 and prior to hospitalisation. It should be noted that laboratories will not normally accept walk-ins for testing and require a referral or request from a healthcare practitioner. This is to ensure that we don’t test unnecessarily and jeopardise the availability of these tests for those who really need them. ‘Despite the PCR being arguably the most accurate laboratory methods for detecting, tracking and studying the Coronavirus, there are limitations in its widespread use,’ says Callakoppen. ‘These include: Access to the test kits; the complexity of performing them; the need for specialised staff to administer them; potential global shortages; high costs; the requirement for laboratory equipment and the delayed turnaround times. For this reason, testing should only be done when it is clinically necessary.’ What about Rapid Antigen Tests Immunoassay devices that detect the SARS-CoV-2 antigen within 15-30 minutes have also been promoted as a possible solution when access to PCR tests is a challenge. An antigen – detected in the blood or any other fluid – is any substance that makes the immune system produce antibodies. Viruses and bacteria are antigens. However, these tests are not as accurate as the PCR tests and have shown variable performance during evaluations, with sensitivities ranging from 0 to 94%. Test specificity has been high, but sensitivity has been erratic, which we need to bear in mind. Why is specificity and sensitivity critical? Sensitivity is the percentage of true positives (e.g. 90% sensitivity = 90% of people who have the target disease will test positive). Specificity is the percentage of true negatives (e.g. 90% specificity = 90% of people who do not have the target disease will test negative). These allow you to rule conditions in or out but not definitively diagnose a condition. What does the Council for Medical Schemes (CMS) say? The CMS currently still advocates the PCR test to diagnose Covid-19. The World Health Organisation (WHO) has also previously advised that the role of these rapid antigen tests must be evaluated and are “not currently recommended for clinical diagnosis pending more evidence on test performance and operational utility”. However, the WHO has now approved the use of antigen tests (and this is the South African approach as well) as an alternative to the more expensive PCR tests. This is however, in certain defined scenarios such as testing confirmed people in communities where infections have been detected, screening of high risk groups and individuals and for contact tracing purposes. They have also provided conditional recommendations for the use of these tests such as screening at ports of entry, routine screening for employees at their place of work, schools, prior to certain urgent medical procedures, etc. The challenge with these tests is that they are most accurate in patients between 5 and 7 days after showing symptoms – therefore the timing of testing becomes critical in order to ensure accuracy of the result. What about Rapid Antibody Tests? Many countries, including South Africa, are using antibody or serology tests such as the ones offered at various drive-throughs. These can detect whether someone has previously been infected and estimate how widespread the infection is but they are not recommended for diagnosis of Covid-19. For this reason, these are not funded by Bonitas Medical Fund as the use for these tests is limited for purposes of government surveillance and research rather than diagnosing Covid-19. If individuals want to know whether they have previously had Covid-19, for their own information, this test would be able to confirm that – but it is not used to identify whether you currently have the infection. If these tests are done too soon after the infection, they produce incorrect results as the antibodies (IgM and IgG) will not be detectable. There is also no scientific evidence that it provides any immunity to another Covid infection. ‘What is clear is that laboratory testing plays a vital role in the diagnosis and the prevention of the spread of the virus,’ says Callakoppen. ‘Nevertheless, it is important to understand that the timing and correct use of the different types of tests is crucial to gain the best results. We reimburse up to three PCR or rapid antigen tests done in or out of hospital for our members and recommend that this protocol for testing remains, until further research is conducted and evidence provided.’

February 12, 2021

Pregnancy and Medical Aid

Motherhood and pregnancy are times of great anticipation and joy. Each experience is unique but what is probably high on the agenda is that you have a trouble free pregnancy, a healthy baby and then know and anticipate the cost involved for pre-natal check-ups and the birth. ‘Choosing the right medical aid is critical in ensuring the healthcare needs of you and your loved ones are taken care of. More so, when you’re looking at expanding your family. For those who are on a medical scheme or wish to join one, here are some important points to consider when you fall pregnant,’ says Lee Callakopen, Principal Officer of Bonitas Medical Fund. When you are already a member of a medical aid scheme When should you advise your medical aid of your pregnancy? If you are already a member, you can access the out-of-hospital maternity benefits without advising your medical aid that you are pregnant. However, please ensure that your doctor uses the correct ICD-10 codes on your claim to ensure that it is processed correctly. Bonitas pays for maternity benefits in addition to savings and day-to-day benefits, which help members get the care they need during pregnancy while limiting out-of-pocket expenses. Remember that pre-authorisation is needed for the delivery of the baby, which can usually, be done from 20 weeks onwards. Pre-authorisation will help you understand the benefits you have available on your plan and ensure that you are aware of what is covered. Bonitas members can also register for the Bonitas baby bag once pre-authorisation is obtained. The baby bag is packed with of useful goodies for the baby to make parenthood a little easier. When do you advise the medical aid that your baby has been born and needs to be added onto your medical aid? For our members, the baby needs to be registered within 30 days from the date of birth to ensure there is no break in cover and that your child will be covered from the first day of life. Are there Designated Service Providers (DSPs) in terms of gynaes and hospitals for childbirth? We strongly advise members to use DSPs to get maximum value and avoid co-payments. We agree special rates with these providers, which are covered within a member’s benefits so that they can focus on taking care of their health and wellbeing during pregnancy. What is normally covered in the maternity benefit? This differs from scheme to scheme and according to the plan you are on. Bonitas pays for up to 12 maternity consultations (paid for from a separate benefit), an amniocentesis, antenatal classes, 2x 2D ultrasounds and the delivery. In addition, there are additional benefit for newborn hearing screening tests and childhood vaccination. Does Bonitas cover the cost of a Caesarian birth? Yes, medically necessary Caesarians are covered on all plans. Some expectant mothers do prefer home births – is this covered? Yes the cost for a home delivery is covered. Are all the childhood vaccinations covered by Bonitas and if so, are there any conditions attached ie where the vaccinations should be done? Vaccines are covered as per the EPI schedule on immunisation. Please note this benefit is available on specific plans. The vaccines can be done at any clinic or pharmacy. If an administration fee is charged by these providers, it will be paid from your savings or day-to-day benefits. The vaccines covered are as follows: The Bonitas Babyline – a dedicated children’s health advice line In 2016, Bonitas introduced Babyline – a 24-hour children’s health advice line manned by paediatric trained registered nurses. They are on the other side of the phone to assist with any parental concerns, vaccination schedules and health related issues, 24/7, 365 days of the year. How does Babyline work? Bonitas parents, or their caregivers, simply call the Babyline number on 0860 999 121 to speak to paediatric trained nurse. Through a series of questions asked regarding the health issue, parents will be provided with professional advice on what to do next. Depending on the symptoms, the advice might be to head straight to the ER or to see a doctor or specialist. The nurse will advise which healthcare provider is the most appropriate, given the health issue. The services offered by the Babyline include: Home care advice Clinic/primary care/GP referral for the same day Clinic/primary care/GP referral for the following day After-hours care within the next six hours Immediate referral to the ER The Babyline service is available to members across all the Bonitas plans, for children under 3 years. Joining a medical scheme when you are already pregnant It is very common for women to apply to join a medical aid scheme when they fall pregnant. But according to the Medical Schemes Act 131 of 1998, medical aid schemes are entitled to impose a 12-month condition specific waiting period for any pre-existing medical condition, such as pregnancy. These waiting periods must be imposed for specific pre-existing conditions to protect the interests of current members of the scheme. When a waiting period is applied to pregnancy, then the pregnancy and birth will not be covered but your baby will be covered from the first day of life – if you register them on your medical aid within 30 days. This will allow you to ensure the needs of your child and the healthcare will be covered. Bonitas has different plans and expectant mothers will be able to select the one most suitable for their needs. Informing the medical aid of your pregnancy Prospective members need to inform their medical aid upon application or within 30 days after you complete the application. What is the policy regarding a member joining Bonitas when they are pregnant? What sort of cover can they expect, if any? The pregnancy would be considered pre-existing and therefore not covered. The baby will be covered if registered within 30 days post-delivery. What happens if someone signs up for medical aid not realising they are already pregnant? At what point is

February 3, 2021

What vitamins and minerals are needed during pregnancy

As an expecting mom you’ll want to do your best to make sure that your baby is as healthy as possible. What you eat is critical during this time, as everything your baby needs comes from you. Prenatal vitamins are supplements which can be taken during pregnancy which contain needed vitamins and minerals. What vitamins and minerals are essential and why? During pregnancy your vitamin and mineral needs will change as you now have a growing baby to provide for. Your food should contain much of the vitamins and minerals needed during pregnancy, particularly if you are already following a healthy, balanced diet. Folic acid and iron are typically found in most prenatal vitamins and are essential in a healthy pregnancy. Folic acids helps to prevent neural tube defects and iron supports healthy growth, helping prevent anemia and blood (in both mom and baby) carry oxygen Vitamin D, calcium and iodine are other important nutrients that are needed during pregnancy. Vitamin D aids in the development of the bones, teeth and nervous system, calcium helps bone and teeth development and iodine is important in brain development. Getting the correct micronutrients is important. Deficiencies can lead to complications such as hypertension and a low birth weight. However, it’s also important not to exceed the healthy amount of certain vitamins and minerals – too much vitamin A, for example, can cause birth defects. What foods should I be eating? Prenatal vitamins are a good idea to cover any nutritional gaps you may have, while they may supplement your diet they don’t replace a healthy lifestyle. Therefore, eating correctly also greatly benefits you and your growing baby. Foods you should try include in your diet are dairy products, such as milk and yogurt, as they contain extra protein and calcium, as well as probiotics. Legumes, such as lentils and soybeans are another good food to include – these contain protein, fibre and folate (which is very important during pregnancy). Sweet potatoes, high in vitamin A and fibre, are another good veggie to add to the shopping list. Eggs, broccoli, lean meat and berries are other wholesome foods you should be including in your diet. A healthy pregnancy benefits both you and your baby in the long run, not only does it ensure that you deliver a healthy baby, but helps your child throughout adulthood development.

January 4, 2021

Advice from the experts

Sensory Diet

As a parent you are very aware of giving your toddler a balanced diet. Five fresh fruit and vegetables a day are what we are aiming at. How many of us even consider that we need to give them a varied sensory diet as well? Creating a sensory rich environment for your toddler will help them strengthen their bodies and their brains. Mature thinking and learning are based on neural pathways that develop as a child masters physical coordination, balance and skilled movement. Yet many parents view “child play” as an outdated activity. We live in a digital age- let them master computers, electronic games so they may conquer the universe! How wrong they are! We need to get our children back to the games we played, back to exploring a three dimensional world where they get full of mud and run and jump in puddles. Let’s look at Emily, a four year old. She is a bossy little girl who tells her parents what to do. She is a fussy eater that would eat yoghurt all day if she could, refuses to dress herself and does not play well with other children. If they brush against her, she pushes and shoves. If she shows affection she hugs too tightly. Dad thinks she needs stronger boundaries from Mom. Mom feels she is just expressing a strong will. At school Emily never likes to play with blocks or draw. When she does use the crayon it is with hard strokes which often break the crayon frustrating her even more. When Emily runs, it is with a clumsy gait and she often falls. At the end of the day she is tired and irritable. Is Emily just being naughty or is there more to this behaviour? Research done with children showing similar patterns indicate that this may be a sensory processing disorder. This is a common but very misunderstood problem that affects behaviour, influences the way children learn, move and relate to others and feel about themselves. Emily needs to learn how to modulate her senses in order to cope with day to day life. She exhibits this bad behaviour when she can’t cope with what’s happening around her, when she feels overwhelmed. So how do we help Emily and all the little ones like her? What we need to do as parents is to focus on developing and maintaining a balanced sensory diet for our children. As they develop and grow we need to relax and think about incorporating sensory experiences in to their day to day life. Let’s begin by looking at tactile stimulation. A child can be hyper or hypo sensitive to touch. In both cases it will affect learning and the way we interact with people. Emily might be hypo sensitive, hence she pushes or hugs too hard. Not everyone realises that we have internal senses as well, called the near senses. These play a vital role in our development especially in the early years. Movement is the only way to stimulate this internal sense. Emily needs more movement to help with her balance. Smell and taste are interlinked. Expose them to different smells and let them explore different tastes, even ones they don’t like. Emily is sensitive to the textures of her food and that could be the reason that she is a fussy eater. The eyes and ears are the senses that can give us the most problems later. If we don’t process what we see and hear we have auditory or visual processing problems which lead to learning difficulties at school. Emily finds the noise of the classroom too much and prefers to be on her own. For this week don’t just think five fresh fruit and vegetables think five sensory activities to enrich their learning experience.

October 4, 2018

MySchool sponsors children’s diabetes camp

Life is never the same again for children and teens diagnosed with Type 1 diabetes. Diabetes is one of the most prevalent diseases in South Africa. Type 1 diabetes which occurs mainly in children and young people, is an autoimmune disease, where the insulin producing cells in the pancreas are destroyed by the bodies own immune system. It s chronic, life-threatening and exceptionally demanding in its daily treatment regime. With a major organ, the insulin-producing pancreas, in fail-mode, the patient has to manually replace its functions 24/7. To function normally; to avoid complications and death, a child with Type 1 diabetes is subjected every single day to a minimum of 3 to 5 insulin injections, 6 finger-pricking blood glucose tests and a rigidly-controlled diet. It is a disease management programme that severely taxes the self-discipline and emotional resilience of most adults. There is little wonder that it is often overwhelming for a child who is still developing on all fronts, and often very taxing on the entire family. Worldwide, one of the most effective strategies for helping children and teens diagnosed with Type 1 diabetes is camps that bring them together for education, care and solidarity. This is why the MySchool fundraising programme decided to sponsor the latest Children’s Diabetes Camp organised by non-profit organisation, Diabetes SA in association with the Diabetic Clinics of the Tygerberg, Groote Schuur and Red Cross Children’s hospitals. Thanks to MySchool supporters, 50 children and 20 nurses and leaders enjoyed an action-packed three days that combined vital education with fun and comradeship. “Children with diabetes have very challenging lives,” says Margot Mc Cumisky, the National Manager of Diabetes SA. “They most often develop a negative attitude towards living with this chronic disease which they experience as isolating them from their peers and being burdensome on their families. That’s why it is really important for camps to bring them together. They realise that they are not alone in their suffering and feel supported; they learn how to self-manage the treatment and gain confidence; they start to feel that they are empowered to manage their self-care, deal with the socio-emotional challenges and lead a healthy life despite the enormity of their diagnosis.” While Children’s Diabetes Camps are open to those from all walks of life, many of the young sufferers in the Western Cape come from under-privileged communities and could not afford to attend even though camp fees are kept as low as possible. In the absence of government funding, Diabetes SA is reliant on donors to hold Children’s Diabetes Camps on an ongoing basis. Research has shown that the camps do help limit the burden of disease on the country. Hospital admissions are reduced after camps; and parents and children’s doctor’s report that they find that their children are more motivated to play their part in managing the disease. “For a child diagnosed with Type 1 diabetes, the world they have always known can suddenly become hostile,” says Helene Brand , MySchool’s Social Responsibility Manager. “They cannot eat what every other child is eating. They have to know so much more than any other child does about the role of the pancreas, the hormone insulin and nutrition. At school, they have to remove themselves from situations to test and to inject. They could find themselves judged and alone. At home, they are commonly the focus of parental anxiety and stress; and family drama that is centred on their condition. These camps give them a much-needed break, as well as the skills and insights they need to manage their disease optimally. I am really proud of MySchool shoppers because they made this important sponsorship possible.” You can sign up for your free MySchool MyVillage MyPlanet card online or simply by downloading the free mobile app and make Diabetes South Africa one of your beneficiaries. Every time you swipe at the till point of a participating retailer, they make a contribution on your behalf, at no cost to you at all. Go to www.myschool.co.za or your app store to sign up for your free MySchool MyVillage MyPlanet card.

September 27, 2018

Brushing those teeth

Do you have problems with brushing your little ones teeth? Most of them do at some stage or another. It’s his mouth and he is letting you know that he has control over it. It’s just another struggle on his part for self-determination. He is not going to give in and it would not be wise for you to give in because even baby teeth need to be cleaned. So what now! Enlist the help of a third voice. You know the dentist has much more clout than you have. We had the most fantastic dentist when my kids were little. He started checking their teeth from a very young age and would ask to count them, having a quick look at the same time. He then told them that they had such lovely teeth and must be looking after them very well. At home all I had to do was say “Remember Dr Robinson said you had to brush your teeth to keep them healthy.” This worked very well. The other option is to give them a choice. Have a few toothbrushes on hand. Different colours, some with pictures on. Let him choose which one to use, it helps them feel in control. The third trick is to let him brush his teeth himself, this will help to develop his motor skills and independence and then you finish up with a good clean afterwards. It really is only at around seven years of age that they can be relied upon to brush properly so don’t let them do it on their own until then. Limit the bottle with juice. Sugars in the juice remains in their mouths and eats away at the tooth enamel causing cavities. Rather give your child lots of fresh water to drink. When all else fails let them scream… at least you can see the teeth!

September 5, 2018

Get your kids excited about brushing

By Philips Oral Health Every parent wants what’s best for their child’s health, but not all parents are experts in the dentistry field and let’s be honest, we can’t remember brushing our teeth at such a young age and the process is quite different now as an adult. What’s more, brushing your teeth as an adult is a routine activity – a dull process – so if we’re not that excited, how do we get our kids excited about it? Our challenge as parents is to promote good oral health and hygiene to our kids at a young age – rather than getting frustrated trying to convince them to brush properly. Good oral health goes beyond having a nice smile – its fundamentally intertwined with overall well-being. Dental practitioners have long been aware of the relationship between the mouth and the body and poor oral health and gum disease has been associated with several non-communicable diseases – so it’s important that while the kids are young, parents are focusing on instilling life-long good oral habits. Most parents are doing the brushing of their children’s teeth while they are young and until they have developed their motor skills. But demonstrating proper brushing techniques and making the process as fun and creative a possible is critical. Not only is it’s a good learning processes, but a bonding experience as well. So how do you kick start an exciting path to lifelong health oral habits? We have a few tips and tricks to take care of your little one’s oral health: Teach them the importance of brushing and flossing their teeth from a young age. Dental care for children should start as soon as they start developing teeth. Get the right size toothbrush – a long handle may be needed if they are a little reluctant to open their mouths wide – but funky toothbrushes can go a long way. Sing a song, tell a story or watch a movie/video to make tooth brushing fun – this also ensures that they brush for the recommended two minutes. Make sure that you know the right technique of tooth brushing because your child will follow your example When they are younger you can brush their teeth by standing behind them or having them sit on your lap. As they get older they will naturally want to brush themselves – just make sure that they are brushing properly Let them stand on a step or stool to face the mirror and do not forget to teach them to brush their tongue as well as it is a popular hiding place for bacteria Stick to a routine – make sure they don’t miss their daily teeth brushing routine twice a day – in the morning and before bed so there are no excuses. If your children are 6 years and older, alcohol-free mouthwash can be used after they have brushed their teeth as it flushes out any additional bacteria – but remember to get the flavour they like! Make brushing fun again by using an electronic toothbrush as these are more effective than they’ll ever be at removing plaque and bacteria, and will protect your children’s gums from aggressive brushing. An annual dental check-up is essential – so make sure to find a dentist that they like. It should never be a dreaded visit. Remember you are their role model of good oral hygiene – so the more fun you have, the more you use brushing time to bond – the more likely they get excited about brushing!

August 24, 2018

Getting insight into bullying

Rita Niemann Bullying is an example of school violence, which mostly stems from aggression and poor self-image. Bullying can be defined as a conscious, wilful, and deliberate hostile activity and as it tends to happen at any point in time, it makes it very difficult to predetermine. Louw and Louw (2007:230) emphasise the need for humans to belong and states that social development is characterised by an increasing involvement with peers as that contributes towards satisfying emotional needs. Teachers and parents, therefore, must account for the various phases of relationship building during adolescence and must guide children towards sound social and interpersonal relationships. Because bullying cannot be contextualized by group, age or gender, any child can fall prey to a bully. However, children tend to follow the example of their parents and if parents condone acts of aggression or violence, children tend to emulate such acts, resulting in others feeling threatened and unsafe. Legislatively, every learner has the right to be educated in an environment that is “clean and safe” and is “conducive to education” (RSA, 2006). Unfortunately, bullying has become both a national and international concern. Most acts of bullying are related to an imbalance of power to ensure dominance, boosting the bully’s self-image and getting attention (even if it is negative attention). Barbara Coloroso (2005: 49-51) identified different kinds of bullies. Those who: have powerful personalities, are admired by others and are not easily recognised as being a bully. use gossip and verbal abuse to manipulate others. show little emotion, but is determined to continue the bullying. are hyperactive, struggle with schoolwork and have poor social skills. Any child can become a bully’s target depending on the bully’s inner insecurities. Bullies tend to prefer submissive children, but it could also simply be because the person is younger, smaller, thinner, fatter, or even because of his or her gender. Bullies also tend to choose targets who have characteristics they crave themselves, such as being clever and dedicated. Parents and teachers often wonder why victims do not report the bullying. Often, victims of bullying feel ashamed because of what is happening to them, or they feel that there must be something wrong with them. They also fear that the bullying may get worse if it is reported. Bullying must be dealt with swiftly and deliberately – see the follow-up article in this regard. References Coloroso, B. 2005: The bully, the bullied and the bystander. From pre-school to secondary school – how parents and teachers can help break the cycle of violence. London:Piccadilly. Louw, D., & Louw, A. 2007. Child and Adolescent Development. Bloemfontein: ABCPrinters. Niemann, R., Marais, N., Swanepoel, Z. & Moosa, M. 2016. Problem areas in schools In: Jacobs, M. Teaching-learning Dynamics, Johannesburg: Pearsons Republic of South Africa (RSA). 2006. Regulations for Safety Measures at Public School). Government Gazette No. 26663. Pretoria: Government Printers.

August 21, 2018

Cooing over Communication

One minute they are crying, the next they are conversing! Communication development begins at birth. From the time your precious newborn gives their first cry, they start learning all about language, communication, and connecting with the world around them. Babies have “conversations” through their cries, facial expressions and body language long before the arrival of their first words. The development of language takes place through the encouraging and loving interactions young children have with the people in their lives. It is through responsive and repetitive processes that young children learn how to communicate. Why do baby’s communication abilities matter? Communication skills that are learnt in the first year of life are what set the bar for success in many learning areas. Communication development is directly linked to the development of reading, writing (spelling) as well as building social skills and forming relationships later on in life. Language skills are divided into three main areas – RECEPTIVE LANGUAGE, EXPRESSIVE LANGUAGE, and PRAGMATIC LANGUAGE. Development of all areas is vital for effective communication, and begins developing after birth. Receptive communication involves the ability to receive and understand information. Listening and reading fall into this category. Expressive communication is the ability to convey a message to another person. Speaking and writing fall into this category. Expressive skills are more difficult to develop than receptive skills. Pragmatic communication refers to social language abilities or the “rules” of language. These are vital for communicating our personal thoughts, feelings and ideas. It includes what we say, how we say it, our body language and whether the communication interaction is appropriate to the given situation. Language Acquisition Guidelines By Maureen Wilson (Speech Language Pathologist) Age Receptive Expressive Pragmatic 0-3 months Moves in response to sound or voice Shows interest in caregiver Briefly looks at people Quiets in response to sound Excites when caregiver approaches Smiles and coos Quiets when picked up 3-6 months Fixes gaze on face Responds to name Vocalizes to expressions and sounds 6 months Enjoys being played with Initiates vocalizing with another person 7 months Responds to name Responds to ‘no’ most of the time Listens when caregiver is speaking to them Uses hands to request Different vocalizations for different moods Anticipates actions 9 months Babbles Vocalizes to toys or pets Dances to music Intentional two way communication Recognizes familiar people Makes physical contact to gain attention Shouts to attract attention 10 months Plays peek-a-boo Points to request Shakes head ‘no’ Waves ‘bye’ when cued 11 months Recognizes familiar people and objects when named Looks at named pictures or objects Pushes and pulls others to direct them Reaches to request object 12 months Identifies two body parts when asked Gives objects upon request Imitates words to best of ability Uses 5-10 words (typically names and preferred objects) Alters behaviour based on others reactions Vocalizes to respond 14-18 months Follows 1-step instructions without cue Uses gesture + word combinations Uses exclamations – ‘uh oh’ Uses ‘Hi’ and ‘Bye’ Can roll toy back and forth Points to desired objects Comments Protests Acknowledges speakers with eye contact / response 18 months Nod/shakes head for yes/no Identifies 3 body parts on self or doll when asked Understands IN and ON Vocabulary at least 50-100 words (50% nouns) Words are understood outside of routine activities Names familiar objects on request How can I help? Communication skills can be stimulated and elicited from birth. It is so important to provide opportunities for your babies to “talk” to you from birth. Conversations with your baby might feel very one sided initially but your baby will still try to join in! You can encourage communication development by smiling, talking, playing, and reading with your baby. It will help them develop the communication skills needed to build meaningful relationships and succeed in school. Use a high-pitched, sing-song voice. This helps get and keep your baby’s attention while you talk. Play with sounds. Get silly while playing and make sounds that connect with what your child is doing. Use facial expressions and gestures to communicate the meaning of words. Describe your actions throughout the day while performing daily routines such as changing nappies, dressing, feeding, and bathing your child. Pairing the same words with routine activities is a great way to develop language. E.g. “I am changing your nappy, this wet wipe might be cold!” Describe the objects your child walks by when walking around the house / shop / outside. Encourage two-way communication. When your child communicates with you using sounds, words, or gestures, be sure to respond and take turns in the “conversation”. Read with your child. “Reading” can simply mean describing pictures without following the written words. Choose books with large, colorful pictures, and encourage your child to point to and name familiar objects. Expand your child’s vocabulary by building on the words they already know. For example if your child says “dog” you could say “Yes, that’s a big brown dog!” Reword your child’s phrases. If your child makes a speech or language error, respond with the phrase in the correct form. This helps them learn proper pronunciation and grammar. For example, if your child says “Doggy big” you can respond with “Yes, the doggy is big”. Remember to respect your child’s need to disengage when they become tired. Observe and end the conversation when they let you know it’s time to move on to something else. When should I worry? It is important to remember that language development occurs at different rates and all children develop at their own pace. Guidelines are there to show you the averages, when these skills should be present and observable, but do not have to be necessarily mastered. Having a general guideline for milestone development can help to determine whether there is a language delay present. Often, parents want to “wait and see” how things turn out. However, if there is a language delay present, early intervention is the most ideal form of intervention. Early intervention can change a child’s developmental trajectory

August 17, 2018

Sports in Education: Core Skills Addressed

By: Zelda Varela (Crawford Preparatory Fourways Sports Coordinator) Can you remember that elated feeling of being part of a team, or maybe not making the A- team and then being so determined that you put in the extra hard work to improve to be selected? Can you remember being forced to run around the field five times, doing push-ups for days at end, because you thought the PE teacher disliked children and was trying to make you suffer? Whether you have good or bad memories related to sport or any physical activity, one thing is for sure, that physical activity promotes not only your health but instils good personal attributes required throughout life. Team sports boost self-confidence and self-esteem. Being part of a team helps children to find a sense of belonging. It teaches acceptable ways to interact with others and how to be considerate and respectful of teammates. Physical activity promotes agility and coordination. It supports healthy growth of muscles and bones, which is critical in schooling years while children are still growing and can help to reduce stress and anxiety levels, especially with the highly pressurized society that we find ourselves living in. Through participation in sport your child will gain five different skills including research skills; social skills; thinking skills; communication skills and self-management skills. Social & Communication skills: it teaches acceptable ways to interact with others and how to be considerate and respectful of teammates. Thinking Skills: In a team sport situation, children learn to think and perform under pressure, critical basic thinking skills are promoted, which in turn can help in coping with everyday life. (http://thinkingforsuccess.com/cognition-sports.html) Self-management & Research skills: Be on time for practises/matches. Remember sport clothes and equipment needed for a sport. Children build self-confidence by participating and feeling good about themselves and their achievements. Physical activity helps children set goals for themselves which leads to learning how to deal with failure and success, and to have a positive attitude no matter what the outcome of an event. Encourage your children to get active and uncover any potential opportunities and skills that young people may find useful not only in the sport sector but other sectors of their lives.

August 17, 2018

Why nutritional supplements taste so good

Taste is highly personal. Think back to the last beverage you ordered. Maybe it was tea – and you were asked if you would like it served hot, iced, sweetened or unsweetened; with lemon or milk. In general, such decisions are influenced by your culture, your location, past experiences and even by your current state of health. “Nutritional products such as Ensure® have important health benefits however the taste of the product plays a critical role in the delivery of the nutrition,” explains Monica Tortorice, a senior flavour scientist at Abbott. We all know that sometimes making healthy food taste great is not as easy as it sounds, same as balancing the nutrients consumers need with the taste they want is a process on its own. This is exactly why Abbott puts flavor, texture and aroma first in every product it makes but also ensuring that products meets the therapeutic nutritional needs of their consumers. “The more nutrient-dense a product is, the more challenging it is to make the aroma and taste appealing,” says Tortorice. “Important ingredients like HMB (also known as beta-hydroxy-beta-methylbutyrate) is found in Ensure® NutriVigor, which helps in supporting muscle health. HMB on its own doesn’t taste that great however we need to include this ingredient to provide consumers with the muscle health support they need. These are primary considerations we take in our development process.” “It’s even trickier making products for people who are ill,” says Normanella DeWille, PhD, a research fellow and product developer at Abbott. “People who have cancer often have their sense of taste impacted. Everything tastes or smells different. At Abbott it’s our job to intensify certain flavour elements and sweetness levels to ensure our nutritional supplements are enjoyed by patients whilst they get the critical nutrition they need.” Starting with the best ingredients and processing techniques Behind every one of our products is a great recipe and quality ingredients. That’s why the Abbott team first sources the best ingredients by partnering with high-quality farms and trusted suppliers. “We look at each ingredient closely for its quality and the benefits it brings to our products,” says Normanella DeWille, “For example, our years of research tells us that combining proteins from milk as well as those from plants gives our products the smoothest mouthfeel possible, which has a huge effect on overall taste and experience.” The processing of these ingredients also matters. For example, exactly how protein is extracted from milk to produce milk protein concentrate affects taste and texture. We find that milk protein concentrate is a key ingredient in a wide range of complete nutrition products including Ensure® and PediaSure®. “If the protein is extracted in a harsh manner, for example through the use of excessive heat, there can be an impact on overall taste and texture,” said DeWille. Therefore, our scientists only work with suppliers that use gentle methods of extracting that protein. Minimizing undesirable tastes If you’ve ever turned up your nose at a piece of pungent fish, you’ve smelled exactly the sort of obstacles flavour technologists are up against in making nutritional products taste great. After all, some of Abbott’s products, include fish oil for omega-3 fatty acids, which play a valuable role in overall health and healing. And while fish oil can taste and smell fishy all on its own, once it oxidizes (reacts to oxygen), that smell gets even stronger. “Fortunately, through a lot of research, we’ve been able to find an antioxidant blend that prevents fish oil from oxidizing,” says DeWille. She explains that, when combined with rosemary extract through Abbott’s pending patent on the technology, those antioxidants help scientists get fish oil into their nutritional drinks and still taste great. The end benefit; your loved ones get all the nutrition they need and a great taste.Tapping into favourite flavours around the world Once a product’s nutritional base is made, it’s up to flavour scientists to turn that base into a nutrient-laden treat, so to speak. Fortunately, Abbott scientists have been perfecting their flavour technology talents for 30 years. While some flavors are universally appealing – chocolate, strawberry and vanilla are popular worldwide, whereas some countries have their own unique flavour preferences. So how do those global tastes play out within Abbott products? For example, mushroom and chicken soup are popular flavours for Ensure® in the United Kingdom. Also, wheat and green tea are loved in China and a special saffron almond flavour is popular in India. Once Abbott identifies preferred flavours and flavour combinations, Abbott scientists are able to dig into them to determine the best way to apply them to nutritional products for that specific market. The products then provide the nutrients that children, moms and adults need daily with different flavours that make drinking the nutritional shake exciting and delicious. Ensure® NutriVigor, Similac Mom® and PediaSure® are available at major retail pharmacies and retail outlets nationwide.

August 15, 2018

Empower your child

Notice your feelings when your child challenges you. We live in a different world today. What may have worked then may not be relevant today. “With the increase of mental health problems, higher occurrences of suicide amongst the tweens and teens and more depression and anxiety experienced by children it goes without saying that parents feel overwhelmed and not always on top of their game,” says Anna Rodrigues Clamber Club Expert and Play Therapist. Playing is a child’s language and can be interesting. As much as they learn from us we too can learn from them. “Children live in the moment, they live in the here and now and the time you spend with them makes a difference to their overall well being,” says Anna. “By playing with your child you are connecting on a physical level and when you start mentioning feelings, connection on an emotional level happens,” adds Anna. During play stating to your child that you are feel happy playing with him and that you are feel excited when you are jumping, dancing and crawling with him makes him feel special and important. When you smile at him, give him a hug and tickle him – you make him feel worthy in that moment. As the parent you become more attentive to your child and realise the time together is magical! There are reasons why children present with challenging behaviour. They may be looking for your attention. They may want to control you and enter into a power struggle with you or they may want you to feel sorry for them or make you feel guilty. This is the moment to notice your feelings. Scene 1: Your child refuses to feed his dog but with a bit of encouragement he gets in and does it. But on another occasion your child persists relentlessly and does not cooperate. Be conscious of your feelings. If you get irritated or annoyed your child could be looking for attention. A way to deal with this would be to reflect on content and feeling. For example: “I see you continue to play and you seem to ignore what I am asking you to do. (Reflect on the content). Perhaps you are feeling a bit tired?” Reflecting on what your child is doing or on what he may be feeling makes him feel he is being understood and this is calming for your child. “This approach may influence him to cooperate,” advises Rodrigues. Scene 2: Your child makes a noise while you and your husband are trying to watch TV. Take note of what you are feeling, you may be getting cross and a power struggle may start to form. The technique to use is to present your child with choices. For example: “You are making a noise and we can’t hear the TV. You can stay and play quietly or we can take you to your bedroom where you can play loudly.” If he continues to make a noise then take him to his bedroom and let him return when he is able to play quietly. Providing your child with choices is empowering for him as it allows him to choose. It also builds a sense of responsibility, as how he chooses to behave will determine whether he stays in his bedroom or plays besides his parents. Scene 3: You are a single parent reading a bedtime story to your 5 year old. Your child says “ Dad reads nicer stories.” You feel this is hurtful and your child may want you to feel bad or guilty because she may be angry being away from her dad. Reply by reflecting on her feelings, “I bet you wish dad were here, I feel sad for you. Maybe you can help me choose a bedtime story every night.” To recap: Your feelings Intention of your child’s challenging behaviour Technique to use You feel annoyed/irritated. Your child looking for your attention. Reflect on what your child is doing and feeling. You feel cross. Your child is looking at controlling or entering into a power struggle. Provide your child with choices. You feel hurt. Your child is wanting to take revenge or make you feel guilty. Reflect on your child’s feelings. In managing your child’s challenging behaviour you are building his character. You want your child to have a sound moral make-up, to be able to love, be responsible and have empathy for others, to be able to solve problems, deal with failure and perform under pressure. William A Ward once said: “ The mediocre teacher tells. The good teacher explains. The superior teacher demonstrates and the great teacher inspires” “You that you are your child’s first teacher, so be the AMAZING teacher,” says Anna.

August 10, 2018

Bullying: What parents and schools can do

ARTICLE BY PROF RITA NIEMANN, NALIZE MARAIS, ZENDRÉ SWANEPOEL AND MONIERA MOOSA Bullying is a great concern for both parents and schools. Here we outline a number of measures that can help them both parties deal with bullying. Parents When parents notice that their child is behaving differently – not wanting to go to school, using illness as an excuse, suddenly performing poorly at school or enuresis – and suspect bullying, they need to act immediately. Firstly, they must determine where this is happing (at school, at a sports club, on social media, etc.) and who the perpetrator(s) are. Secondly, if the bullying is taking place in an organised environment such as at school or sports club, the authorities need to be informed and requested to step in. They are legally bound to protect the rights of the child. Thirdly, parents have the responsibility to equip their children to cope by: Instilling the knowledge that children must take a stand and that they have a choice in allowing someone else to victimise them. Assisting children to terminate relationships that are potentially harmful, such as blocking a person on social media. Helping them to identify bullies and the different forms of bullying. Creating a safe space for children to speak about what is happening to them. Emphasising assertive verbal communication if threatened. Building children’s self-concept. Getting the help of a psychologist, if necessary, to counsel the victim. Emphasising that respectful behaviour is always the best option and thus preventing retaliation. Fostering problem-solving and conflict resolution skills with the focus on restoring damaged relationships. Working collaboratively to solve the problem with their children so that they can feel reassured. Schools As bullying is a deliberate act to hurt someone, there must be consequences for the bully. Once teachers are aware that a bullying incident has taken place at school, the matter must be dealt with by: Asking the victim to provide the names of the perpetrator(s), as well as the names of friends of the victim, as soon as he/she has calmed down. Counselling the victim and finding out whether he/she has been injured and what effect the bullying or harassment has had on him or her. Cultivating a “no blame” approach towards bullying or harassment. Establishing punitive sanctions for both the bully and for any bystanders. Developing a bullying code of conduct/bullying policy and informing learners of this. Having designated teachers to deal with incidents of bullying. Facilitating mediation and discussions with the victim and the bully, depending on the severity of the bullying. Passing the responsibility to the bully or group of bullies to make sure that the problem is solved. Ensuring that potential bystanders understand that they have a vital role to play during bullying incidents. Letting the victims feel protected after they have reported the incident. Encouraging learners to make suggestions on how they can contribute to alleviating the negative experiences of the victim. Scheduling follow-up meetings to monitor the situation where each party has to share how things are going. Informing the parents of both the bully and the victim about the incident/s. The principal and teachers have a crucial role to play in directing learners towards becoming responsible citizens. They should create a safe and secure environment, establish a non-violent culture, and be good role models for all learners. Reference Niemann, R., Marais, N., Swanepoel, Z. & Moosa, M. 2016. Problem areas in schools In: Jacobs, M. Teaching-learning Dynamics, Johannesburg: Pearsons

August 9, 2018

SA women’s risk of ante- and postnatal depression four times greater than global average

According to the World Health Organisation, about 10% to 13% of women experience antenatal and postnatal depression globally, while in most developing countries the condition affects 20% of mothers. In stark contrast, more than 40% of South African women suffer from the condition. Shouqat Mugjenker, Mental Health Portfolio Manager for Pharma Dynamics says no woman is immune to ante- or postnatal depression, but research shows that women living in low to middle-income countries are at particularly high risk. “The high burden of postnatal depression in SA, is likely as a result of women’s exposure to a number of risk factors, which could include poverty, intimate partner violence and the threat of HIV. “Depression can affect new mothers in many different ways and can start a few months before giving birth or at any time within the first year after childbirth. It may develop suddenly or over time. Most women feel tearful and anxious within the first few weeks after giving birth, which is completely normal and commonly referred to as the ‘baby blues’, but if feelings of sadness and low mood lasts longer than two to three weeks, it might be a sign of postnatal depression. “Postnatal depression puts both the mother and baby at risk since some moms could turn to smoking, drugs or alcohol to help them cope and as a result neglect caring for their new-borns, which makes early identification and treatment essential. Suffering from postnatal depression also makes it difficult to bond with your baby, which can make babies more stress reactive and difficult to soothe. This sets in motion a dangerous cycle for both moms and babies. “Unfortunately, postnatal depression often goes undiagnosed as symptoms, such as loss of interest in life, lack of energy, increased irritability, persistent feelings of sadness, guilt and hopelessness are often dismissed or overlooked. New mothers have to deal with enormous change that range from fluctuating hormones to having to adjust both mentally and emotionally to the relentless demands of a baby. Many of the symptoms of depression such as lack of sleep, reduced or increased appetite, problems concentrating and tiredness are also associated with having a new baby in the home, which makes diagnosing even more difficult,” says Mugjenker. Several studies highlight the gap that still exist in the detection of depression in pregnant women and new mothers in SA. A number of screening tools have been tested in the country, but most are time-consuming and difficult to administer in busy, under-resourced maternal clinics. “If you’re experiencing any of these symptoms, consult your local clinic, GP or psychiatrist who will be able to confirm a diagnosis and advise on how best to manage the condition going forward. With the right help and treatment you will be able to care for yourself, other family members and your baby,” encourages Mugjenker. For more info on antenatal and postnatal depression, visit Pharma Dynamics’ Let’s Talk website: www.letstalkmh.co.za or contact their toll-free helpline on 0800 205 026, which is manned by trained counsellors who are on call from 8am to 8pm, seven days a week.

August 8, 2018

Coffee: Good or Bad for you?

The health effects of coffee are quite controversial. Depending on who you ask, it is either a super healthy beverage or incredibly harmful. But despite what you may have heard, there are actually plenty of good things to be said about coffee. For example, it is high in antioxidants and linked to a reduced risk of many diseases as well as improved sports performance. Some studies have even shown that coffee drinkers live longer. The truth is… there are some important negative aspects to coffee as well (although this depends on the individual). Coffee contains caffeine, a stimulant that can cause problems in some people and contribute to anxiety and disrupt sleep. This newsletter takes a detailed look at coffee and its health effects, examining both the pros and cons. COFFEE: THE FACTS Coffee is one of the most popular drinks worldwide, with around two billion cups being consumed in a day. With Finland drinking more coffee than any other country in the world. Coffee is a major dietary source of caffeine and has received considerable attention regarding health risks and benefits. Caffeine is a chemical compound which acts as a stimulant when consumed. Many of us are aware of the effects of caffeine on our bodies as we try to wake up in the morning, or stay awake at the end of a long day. However, for some individuals, excessive caffeine consumption (more than 2-3 cups of coffee or 200 mg of caffeine per day) can have negative consequences on their bodies including an increased risk of nonfatal myocardial infarction (heart attack). Caffeine metabolism – rate of breaking down caffeine After drinking a cup of coffee, most of the caffeine gets absorbed by the body and circulates for a few hours while slowly degrading in our body. 95% of caffeine is broken down inside the liver using an enzyme called Polymorphic Cytochrome P450 1A2 enzyme (CYP1A2). How long the caffeine stays in the body is measured by the half-life of the substance. The half-life is how long it takes for half of the caffeine ingested to be metabolized or eliminated from the body. In most healthy adults, the half-life of caffeine ranges from 2 to 4 hours. The longer the half-life (or the longer it takes for the caffeine to breakdown) the more severe the caffeine related symptoms. The half-life of caffeine as well as the way you handle caffeine and the intensity of the symptoms depend on a variety of factors such as: The amount of caffeine consumed Liver function What drugs or medications are taken at the time of caffeine intake Levels of enzymes that break down caffeine (polymorphic cytochrome P450 1A2 enzyme) Overall health status Age The majority of the population can handle moderate amounts of caffeine very well (around 400ml or 2 cups of coffee) and can enjoy its health benefits with only a few minor negative effects. However, in some cases the effects of caffeine on the body and health can be more negative than positive. The positive or negative effects of caffeine on health mainly depend on an individual’s genetic predisposition. How we react to caffeine is dependent largely on genetics & varies between individuals. GENES DETERMINE HOW COFFEE AFFECTS YOU Not everyone responds to a single cup of coffee (or other caffeinated beverage) in the same way. Depending on a person’s genetic make-up, he or she might be able to guzzle coffee right before bed or feel wired after just one cup, based on research (Java gene study). DNA plays a big part in how much coffee we can drink, to the point that some of us should avoid or at least reduce coffee or other caffeinated drinks. There are a number of genes that determine how well we can take a caffeine hit, since they influence the rate of the breaking down of caffeine, sensitivity and tolerance to caffeine and also the rate of breaking down other harmful substances induced in the body by caffeine. There are a few genes responsible for how efficiently we deal with caffeine in our diet: Gene CYP1A2 (Cytochrome P450 1A2) is responsible for releasing the liver enzyme that determines how quickly our bodies break down caffeine. Gene COMT (Catechol-0-Methyl Transferase) is responsible for making an enzyme which controls the breakdown of stress hormones called catecholamines. Caffeine increases the release of catecholamines. CYP1A2 There are two variations of the CYP1A2 gene which affect how quickly a person metabolizes caffeine – one that helps metabolize caffeine faster and another that helps metabolize it slower. Those who produce less of this metabolizing enzyme (polymorphic cytochrome P450 1A2) are referred to as SLOW METABOLIZERS and then take longer to rid the body of caffeine, staying longer in the system in higher amounts and making its side effects feel more intense and prolonged. Slow metabolizers are regarded as being caffeine sensitive. These individuals usually feel the effects after drinking one or two coffees. Common caffeine sensitivity symptoms include jitteriness, increased heartbeat, nausea; sweating, dizziness, diarrhea, insomnia, headache. The other variant of the gene causes the liver to metabolize caffeine very quickly – referred to as FAST METABOLIZERS. These individuals metabolize caffeine about four times more quickly than people who are slow metabolizers. COMT The COMT gene has a number of variations – one variation causes low COMT enzyme activity. So the less active the COMT enzyme is, the bigger the concentration of catecholamines. When caffeine is in high concentrations, there is a further increase in the release of catecholamines. High amounts of catecholamines increases the probability of damage to cells in the heart muscle resulting in an increased risk of a heart attack. The risk of a heart attack grows if you are a slow metabolizer and have low COMT activity. SLOW CAFFEINE METABOLIZERS Slow metabolizers are caffeine sensitive, thus frequent coffee consumption are associated with health risks. The increased disease risk may be due to the fact that caffeine hangs around longer in a slow metabolizer, it has

August 1, 2018

The need-to-know about ADHD medication abuse

Attention Deficit Hyperactivity Disorder (ADHD) stimulants are prescribed by medical professionals to improve concentration, memory and motivation to complete tasks. Without treatment, ADHD symptoms (inattention, impulsivity and hyperactivity) can have an adverse impact on one’s social interactions and functioning in the school and work environment. When taken as prescribed, ADHD stimulants are safe and effective. With an accurate diagnosis and treatment plan, individuals with ADHD can face and overcome the challenges of modern life and live fulfilling lives. However, the misuse of stimulants by ADHD and non-ADHD children and adults has increased drastically over recent years. This is due to misconceptions and a lack of knowledge regarding the associated risks and potentially dangerous consequences. ADHD stimulants are commonly believed to give short bursts of enhanced concentration and academic or work performance. Reports reveal the occasional recreational use of stimulants by school children but most who misuse ADHD medication rely on it in high-pressure situations such as exams and working on big projects to improve multitasking, memory and performance. But to maintain this unsustainable level of efficiency, increased dosages and rates of use are often required. It is crucial to understand the dangers of stimulant abuse and the impact thereof on the brain. The effects and risks of ADHD stimulant abuse Research shows that ADHD is caused in part by chemical imbalances in the brain and structural differences in grey matter – a core component of the central nervous system. Grey matter is responsible for memory, executive functions, impulse control, emotions and speech. Likewise, dopamine and norepinephrine levels have an impact on concentration, memory, problem solving, decision making, motivation, impulse control, emotions and social behaviour. Prescription stimulants provide mental stimulation to harmonise chemical imbalances. It enables individuals to focus on the task at hand with enhanced concentration and energy. However, the abuse thereof can result in a lack of concentration, sleep deprivation, depression, social anxiety, an inability to communicate effectively, a fast and irregular heart rate, high body temperature, psychosis, paranoia and hallucinations. Understanding the prescribed uses of ADHD medication Modern-day school and workplace pressures are mounting. To keep up with life at breakneck speed, children and adults with or without ADHD are becoming overly reliant on coping mechanisms of all sorts, including ADHD stimulants. Explaining to a loved one with ADHD the importance of using medication as prescribed will go a long way in encouraging the responsible use of all sorts of stimulants and substances. Here’s how you can encourage a healthy understanding and appropriate use of ADHD medication. No evaluation. No meds. A comprehensive evaluation and diagnosis by a licensed medical professional is essential before considering any form of ADHD medication. Reports show that some individuals exaggerate their symptoms to get a larger dosage to misuse or shared with non-ADHD individuals. Having an in-depth knowledge of ADHD symptoms and how it typically presents in a friend or family member will help you draw that fine line and accurately report the symptoms. Know what the fuss is about Learn all you can about the effects of ADHD stimulants on your children and adults as well as the effects and potential reasons for misuse. Equip loved ones with life management skills to rely on instead of medication when balancing academics, work and social activities. With the right practical resources, individuals with ADHD can improve their focus and organisation skills. Explain the risks of abuse Children and adults with undiagnosed ADHD often struggle with social interactions and may be more susceptible to peer pressure. The desire to fit in can be a strong incentive to misuse or share medication. Explain the impact of ADHD on the brain and the risks of misusing or sharing prescribed medication with non-ADHD individuals. Know the red flags of abuse Signs of treatment abuse can range from signs of anxiety, manic behaviour and dilated pupils to sleep deprivation and difficulty concentrating. If you suspect a loved one may be misusing, sharing or abusing stimulant medication, share your concerns with a medical professional. Living with ADHD can be challenging. There is no room for the additional dangers of stimulant abuse. The importance of an accurate diagnosis and treatment usage can’t be overstated. If you suspect that an adult loved one has ADHD, suggest this self-assessment to see if their symptoms are consistent with ADHD. For the assessment of children, consult a licensed medical professional. With a holistic treatment plan, therapy and life management skills, children and adults with ADHD can manage everyday challenges and live successful lives.

August 1, 2018

6 Simple Practices to Keep Your Child Active and Healthy

No one said that parenting would be easy, but it doesn’t have to be a struggle. Although it’s normal to worry about your kids when they’re heading off to school, you can lower those anxiety levels by preparing for the transition. You also need to accept that your child is growing, and you can’t keep him or her in a protective bubble. In fact, over protective parenting can have far worse consequences for your child, persisting into adulthood. If you’re worried about frequent infections, fatigue or low energy, learning problems, and so on, there are steps that you can take to better prepare your child for the demands and stress of schooling. Before you try to impart good habits and practices to your child, just remember that kids can be quick to call you out on your hypocrisy and double standards, so be a good role model, or learn to cheat smart and not get caught!

July 24, 2018

Play with purpose is essential for children with autism

Play is a powerful tool autistic children need to boost their development and an essential way for them to learn a range of skills. This according to Keri Delport, director of Autism Western Cape – an organisation committed to empowering individuals with autism spectrum disorders (ASD) and educating their families and communities on the disorder. Autism is a neuro-development condition that impacts the way the brain works and processes information. In South Africa more than seven thousand children are born with autism every year; this means that 160 autistic children are born in the country every week, which is roughly 23 per day. “Autistics are incredible people who open doors for other people in different ways. They are extremely honest and tend to live in the moment. They focus really well when things interest them and have terrific memories once they understand a concept. It’s for this reason that play is so important. It provides the level of physical and psychological support the child needs and helps to develop language, creativity and problem-solving skills,” she says. Delport explains that engaging in play is the start of an important cycle for autistics, forms an integral part of teaching them how to interact with other children and is “absolutely necessary” to develop their social skills and encourage independence. Play types: Explanatory play – allows children to explore the toy in its entirety and helps him/her learn more about the world through shape, colour and texture Functional play – allows children to use the toy the way it’s designed to be used and helps to develop social skills. Sensory play – an invaluable form of play, provides children with a level of input to support their sensory modulation needs Toy types: Teddy bears and mouthing blocks Puzzles and Lego Play dough and kinetic sand Delport says parents play a crucial role in ensuring that autistic children “play with purpose” and advise that parents introduce children to toys/games that don’t overwhelm or pressurise them in order to boost their self-confidence. “After all, as Jean Piaget said: ‘play is the work of childhood’,” she says. And to encourage a culture of play with autistics and motivate parents to allow their autistic children to engage in play, Delport says Autism Western Cape recently partnered with toy retailer Toy Kingdom to host the first ever Autism Hour in several stores around the country. During this hour, specially trained staff was at-hand to assist and interact with autistic children; and carried-out sensory demonstrations that focussed on toys that stimulate senses. Since this disorder is characterised by several marked differences including social interaction and sensory activities, stores dimmed the lights and turned-down the music to create a safe space and ensure autistics feel comfortable and welcome. “This is a pioneering initiative in South Africa and provided autistic children the space they needed to play and simply be themselves. It also served as a space where parents could come together, support each other and feel less judged. We hope to see more of these initiatives rolled-out in the country in due course, they are extremely valuable,” Delport says.

July 9, 2018

Social/Emotional Development Starts with Dad

The good news is that according to the US Census Bureau: “Between 1960 and 2016, the percentage of children living in families with two parents decreased from 88 to 69. Of those 50.7 million children living in families with two parents, 47.7 million live with two married parents and 3.0 million live with two unmarried parents.” The bad news is while Dad’s are living with their children they are not seeming to connect with them at early ages as much as needed. I think what we need here is to begin to recognize and accept the fact that Dads are different in how they relate to infants and young children and not only accept it but celebrate it. How do Dad’s relate differently? Research shows men are different right from the beginning. * Dads hold and stare into infant faces for hours to form their bond. * Dads never pick up a child the dame way twice * Dads tend to allow children to struggle longer to acomplish a task and celebrate with children each time they overcome. * Dads are more physically stimulating in how they interact with infants. These things are not ‘bad’ just different and very important for kids. This is how they learn to relate to the world. Men are wired differently and it is this difference that allows kids to develop a sens of anticipation and excitement about life. Dad is just often more exciting to deal with than Mom. There are some women who have a hard time with this and want to protect infants from this “rough housing” not realizing this is meeting a need the infant has which can not be received any other way. Men are just naturally different with children and this builds skills in children who do not regularly relate to men have a harder time developing. Much of the truth of this lies in the trouble children have when entering school. Social/Emotional development is the most important aspect of a child succeeding in the classroom. Children cared for by stay-at-home Dads, and male ECE teachers tend to be more resilient and have a greater ability to handle stress. Thus, they do better in kindergarten where these skills are essential in leaning to manage the more demanding world of elementary school classrooms. Society has long thought that women ae more emotional than men. However, recent psychological studies have shown this is not the case. Men are far more emotional than women however, they are taught to keep a tight reign on these emotions. In fact, Dr. Emerson Eggerichs in an interview with Eric Metaxas spoke of a man in an argument can have his heart rate spike to 99 beats a minute which shows he is in warrior mode which if not controlled will cause him to physically strike. Women rarely get to this point in their emotional frustration level in an argument. As an early childhood educator I believe this is why when it come to young boys we see more aggressive tendencies until they learn to gain more control over their emotions. Knowing this explains why men are the actual social/emotional trainers, because they deal with emotions on a much more stringent level than women. Dads also tend to teach kids to think things through by walking kids through the thought process asking questions which asks kids to think through a process. Before age 5-8 when the process of myelination (nerves are coated by a sheath to keep nerve impulses to travel smoothly along nerve endings.) occurs children think out loud. Men tend to pick up on this naturally. The create a bond between Dads and kids. It is this relationship which helps Dads to: * Understand what kids are thinking and ask why * Help kids work out problems by asking open-ended questions * Get into the problem with the children and help them solve the answers So, why does this matter? Dads and their purposeful and meaningful interactions with kids help them to start off with skills, abilities, and temperaments which provide a strong foundation for thier abilities. Plugging into the role of Dad when baby is born is the best thing for kids. Mom’s who encourage Dads to coneet and stay connected are encouraging the relationships all children beed to be able to connect with the world with confidence.

July 6, 2018

What I learned from my journey through Postnatal Depression…

I’m no stranger to depression. From as far back as I can remember I’ve had bouts of it, some severe, some just dragging out like a rainy British summer. So when I read about PND in a pregnancy book I felt sure that I would recognise it if it hit me. I didn’t. The first time I realised something was wrong I was already on my way to familicide. I was literally loosening the top of the gas bottle where my husband and baby were sleeping peacefully when it occurred to me that this was not normal. The thing is, I didn’t feel depressed. All that was going through my mind was how nice it was going to be to have a really long sleep.Depression in the past for me had always meant crying… And crying… And crying. This was different. It manifested as an underlying irritability. Everything and everyone was annoying. My temper was short and my tongue was vicious. And the layers of guilt piled up high on top of that. The morning after that realisation I called the PND help group. Even then I was fighting to stay off meds. I wanted to be a “good mother” and breast feed for as long as possible. I was told that a good mother is one who is alive to see her child grow up and bottle fed babies grow up too. Too true. And so began my journey to figure out what went wrong and how I could shift this depressive state once and for all. My first glimmer of hope came from a talk I went to by a prominent nutritionist. He spoke about research they had conducted into PND and how the vast majority of cases we’re deficient in omega 3s. This specifically affected vegans and vegetarians. I had been a vegetarian for 20 years. I put myself onto a high dose of omega 3 fish oils (yes, I had to do some soul searching and moral debating first) and I weaned myself off the anti depressants within 6 months. During this time I did further research into PND and found four pervasive factors that contribute to your chances of going down this slippery slope: The first is your perception of the birth. Well I definitely ticked that box. I saw the whole experience as the most traumatic event of my life. I had anger at the midwife for misunderstanding my needs and requests. I had anger at my husband for not having to go through it; for just getting to enjoy the good bits. I had anger at myself for being so traumatised that I was unable to bond with my baby. I had A LOT of emotional processing to do. I set out to acquire the skills to do that. I had no intention of spending years in a psychologists office rehashing the event. I wanted results, and I wanted them yesterday. Babies grow fast and there was one growing up in front of me needing me to be in my best possible state to raise her. The second is your relationship with your mother. Research shows that women with a poor relationship with their own mother have a much higher chance of having a traumatic birthing experience and a higher chance of depression post partum. Tick again. My relationship with my mother was not horrific, more like not there. Again, I set about finding the tools for letting go of the past and any lingering hurt, anger and resentment. What I found was a way not just to understand the past but to actually come to a place of gratitude for everything that has ever happened, even the stuff we label as bad. A life of gratitude is a long way from a life of depression. Number three is the instant and dramatic shift in values that you experience. It is like being kicked out of comfort zone so far that you have no idea what your comfort zone even looks like and no strength to crawl back in it if you did find it. It takes time and patience to form a new one and usually if the shift has been dramatic it means that your kids are coming out somewhere near the new top. The fourth idea I came across much later, and that is the link between depression and fantasies. All depression has its basis in an unfulfilled fantasy and nowhere is a fantasy more thrown in your face than in motherhood. The moving pictures and glossy pages that fill your pregnant world are endowed with images of doting mothers, smiling sweetly down at their breastfed babies. They are not filled with bedraggled mothers wincing in pain as their babies latch into their cracked, bleeding nipples. They show you images of happy families, their white clothes blowing in the breeze as they throw their giggling baby into the air on the beach. They don’t show you the mother who cannot leave the house for fear of leaking through the two boat-sized pads she is wearing to soak up the B-grade horror movies’ worth of blood she’s losing daily. They show you happy families snuggling in bed together doting on their newborn with their hair looking gorgeous and their make up already done. They don’t show you the unshaven husband sleeping in the couch because to his sleep deprived wife his snoring is more like a log than a straw breaking that poor camels back. We get sold a well-meaning lie. The truth is uglier and harsher, but real. And acceptance of reality is one of the cornerstones of emotional well-being. I had to face a lot of ugly messy truths, including the one where I was a less than perfect mother. And that is true. And that is ok. You see what makes me good at what I do is not that I was or ever will be the perfect parent. What makes me good at what I do

July 6, 2018

Children can burn out too!

Gone are the days when children went to school, came home, made a peanut butter sandwich and went to play with the neighbourhood kids! Cindy Glass, Director and Co-founder of Step Up Education Centres explains “Children are naturally high-energy beings and very little thought is given to the extreme pressures and overloading of activities that our children face in the world that we find ourselves living in today! As adults, we are familiar with the challenges of physical and emotional burn-out, but we do not consider that children are prone to burn out as well. In fact, burn out in children, if left unchecked, can lead to depression, complete apathy and a myriad of health issues.” Cindy goes on to explain that many children are being subjected to competitive and pressured activities all day, every day and at a pace that most adults would find challenging to keep up! “Academic expectations, sports (school and clubs), cultural and religious studies, extra lessons, music, art, drama, dance…. the list goes on and on… when packed, back-to-back into the daily schedule of children can lead to overloaded children becoming exhausted and this may lead to burn out!” Parents who notice that their children are showing a combination of the following signs may want to consider that their children may be heading towards burn out-or worse-have already burned out! A loss of motivation or desire for activities that they once enjoyed or looked forward to. Anxiety, fearfulness and panic attacks Fatigue and tearfulness, withdrawn, uncharacteristic tantrums Feelings of dejection, making excuses or simply refusing to attend activities that they may have enjoyed before Physical illnesses, loss of appetite, nail biting Falling behind in academics or other activities Burn out is not something to be taken lightly. Cindy gives the following tips to consider when dealing with burn out in children: Choose to be a mindful parent. Watch, communicate, listen-with-understanding, acknowledge that something needs to change and act to help and support your child! Honestly assess the activities and stress causers in your child’s life. Work with your child to reduce or stop the activities that cause the greatest stress. Allow time for your children to just BE. Allow time for rest and reflection, for childish games and laughter. Teach your children the importance of listening to their bodies and making healthy choices for themselves—choices that are uplifting, enjoyable and less pressured. Be realistic in terms of how many activities your child is doing every day and every week. Watch for signs of exhaustion. Engender a relationship of non-judgemental communication with your child. Guide, support and teach them positive coping skills (which may or may not involve a change in schedule). Choose to create balance in yours and your children’s lives. There is no advantage or positive learning that can take place from overloading a child! It is important for children to learn a variety of skills as they grow, but be aware of how much is expected of them—too much can be counter-productive! Cindy concludes by saying “Burn out in children is more prevalent that we may have allowed ourselves to consider before! It can lead to serious consequences. As parents, it is essential that we acknowledge that children, although naturally high energy beings, can and will burn out if their lives are out of balance and the signs are left unchecked!”

July 6, 2018

Child drowning – a leading cause of childhood death that is entirely preventable

Drowning remains one of the top causes of unnatural childhood death in South Africa and for every child that dies from drowning, five are left with permanent brain damage from the lack of oxygen that occurs in a near-drowning. Manufacturer of the leading child safety pool cover in SA, PowerPlastics Pool Covers, is on a drive to remind parents that drownings are entirely preventable with multiple layers of safety applied to the pool. The PowerPlastics Solid Safety Cover and adult supervision at all times should be included in these layers of safety at all times. The PowerPlastics Solid Safety Cover offers parental peace of mind as it completely seals off the entire pool. The PVC cover is drawn over strong aluminium batons that rest on the coping, and a tamperproof ratchet fastening system makes it impossible for a small child to access the water. Small drainage holes prevent rain or sprinkler water from collecting on the cover as just a few millimetres of water can be fatal to a curious child. The cover withstands up to 220kg and is easily deployed by two people, or it can be semi-automated for single person usage. “For years we have been educators in pool safety for children and, with our solid safety cover, parents not only get peace of mind, the cover also allows significant savings on water, power and chemicals, unlike alternatives such as nets and fences which still leave the water exposed,” says Carolyn Idas of PowerPlastics Pool Covers. “But a cover only saves lives if it is actually on the pool. Being lazy about re-securing a pool after use is surprisingly common. For this reason, we developed our safety cover so that it is hassle-free and does not require brute force. Next time you ‘can’t be bothered’, consider the alternative which could be a drowning due to negligence.” The PowerPlastics Solid Safety Cover is available in a range of colours, allowing it to blend into the outdoor area, or it can be custom printed with photos and graphics for a unique 3D effect. Thermal pool covers or ‘bubble’ covers that lie directly on the water should never be considered as child safety pool covers as they do not bear weight. These covers heat the pool and save water by stopping evaporation but their purpose does not include child safety. “As part of our education in the community, we launched TopStep, the home of pool safety, an educational website with tips and advice on preventing drownings. Aside from covering the pool, every adult in the home needs to know what a drowning in progress actually looks like as TV has created wide misconceptions around this. There is no noise or splashing nor calls for help. Drowning is quick and silent. Visit www.topstep.co.za to learn more about this.” Even if one doesn’t have children, it is still necessary to consider safety for visitors. Families living in residential complexes with a communal pool should insist that their body corporate install a safety pool cover. “The bottom line is that children need to be supervised around pools, and as long as the pool is covered by us and other layers of safety are in place, the likelihood of a tragedy occurring in your pool is greatly reduced.” Learn about the PowerPlastics Solid Safety Cover here or email [email protected] Practical tips for pool safety Don’t let your pool’s water levels drop. Keeping the pool topped up allows for small arms to easily grab the edge if needed. For every two children in the pool, have one adult supervising. The more children, the more supervisors needed. Be aware that children’s pool parties are high risk events. For larger groups, give the designated supervisor a bright hat to wear so the children know who to call for help. Turn off fountains and water features. Not only do they waste water and power, they can cause ripples and splashing, making it harder to see when a child has encountered difficulty in the pool or has sunk to the bottom. Ensure that every adult in the home knows CPR, including domestic workers. Never hire a baby sitter or au pair who can’t swim. Don’t let anyone who has been drinking or on sedative medication supervise children in a pool. Don’t leave toys in or near an open pool as children will be tempted to retrieve them. Teach your child to swim fully clothed and with shoes on. If your child develops a fear of water, don’t ignore this – a child who panics is at greater risk of drowning. Never allow swimming after dark. Discourage your dogs from swimming. Children and pets in a pool are not a good mix. Never leave the pool without securing it with your PowerPlastics Solid Safety Cover. Never design / build a pool that cannot be secured for child safety. Drowning myths Television has a lot to answer for when it comes to how drowning is portrayed and there are many myths out there. Be aware of the signs and remember that the appearance of a drowning can vary widely. Myth #1: Drowning children will shout for help Drowning children are physiologically unable to call out. The respiratory system is designed for breathing – speech is the secondary function. Drowning children’s mouths alternately sink below and reappear above the surface but while their mouth is above the surface, they need to exhale and inhale before they sink again. There is not enough time to cry out. Myth #2: Drowning children wave their arms to attract attention or will thrash in the water Drowning children cannot wave for help. A person who is drowning cannot perform voluntary movements such as waving or moving towards a rescuer. Envisage the surface of the water as a platform. Someone who is drowning often presses down on the surface and tries to use it as leverage to get their mouth above the water’s surface to breathe. So what the onlooker sees are arm movements that can appear

July 6, 2018

Chastising Your Child: Parents Take Note

By Shereen Volks, Head of Divorce & Family Law, STBB | Smith Tabata Buchanan Boyes The question of whether parents should be allowed to chastise their children has been a heavily debated topic over the past couple of years. In terms of South African common law, parents were allowed to chastise their children, provided that such chastisement was reasonable. Parents could then raise a special defence of reasonable chastisement against assault charges arising therefrom. This principle was confirmed in the judgment of R v Janke and Janke 1913 TPD 382 and in numerous judgments thereafter. To date, no legislation has been promulgated to either regulate what constitutes reasonable chastisement or to prohibit it completely. It has, however, been argued (after the promulgation of the interim Constitution and later the 1996 Constitution, which focusses on human rights) that chastisement constitutes an infringement on these very rights. In line with this reasoning, the promulgation of the Schools Act, Act 84 of 1996, prohibits chastisement at schools. The recent judgment in the Gauteng High Court, YG v S 2018 (1) SACR 64 (GJ), took a stance against the defence of reasonable chastisement when it was tasked with determining whether this defence is unconstitutional. The father in this matter (the accused) was charged with assault with intention to do grievous bodily harm after he repeatedly smacked his 13-year-old son. The accused’s defence was that he was merely exercising his parental right of reasonable chastisement. The court found that even if parents’ actions fall within the scope of reasonable chastisement, there is still an element of physical violence involved and it therefore infringes on the child’s right to bodily integrity and dignity. Furthermore, allowing the defence of reasonable chastisement takes away children’s right to equal protection under the law and undermines the state’s obligation to protect children from violence. The infringement on children’s rights could not be reasonably justified and therefore the court held that the defence of reasonable chastisement is unconstitutional. According to the court, doing away with the defence of reasonable chastisement would not result in harsh criminal sanctions being imposed on all parents found guilty of assault, as these parents should rather be sent for prevention and intervention services with the aim of promoting positive parenting. Until this matter is dealt with in the Constitutional Court, this judgment does not have a binding effect on any court outside the jurisdiction of the Gauteng High Court. However, it will be considered when any other court is faced with answering the same question. Contact: [email protected]

July 5, 2018

Sherpa Kids International now in Western Cape

Sherpa Kids – an internationally respected and trusted aftercare organisation that focuses on putting the ‘care’ back into aftercare – has successfully launched in the Western Cape. Janine Hammond, Regional Managing Director of Sherpa Kids in the Western Cape, says, “As a working mom, I know what a huge deciding factor it is when looking for schools to find a preschool or primary school that offers a good aftercare system. We saw the great work that Sherpa Kids is doing in schools in Gauteng, and around the world in places like New Zealand, the UK, and Australia, and we knew absolutely that preschools and primary schools in the Western Cape will benefit from this programme.” Sherpa Kids officially launched their before-school care, aftercare, and holiday care in South Africa in 2013. The name “Sherpa” is an homage to the mountain tribes who carefully guide climbers through difficult conditions by using their skills and knowledge in order for them to successfully reach their summit. Outsourcing aftercare is the way forward “Aftercare is often just an afterthought for SGB’s and principals who are dealing with other bigger issues. It is also often a burden to an already-exhausted, over-tasked teaching base,” says Janine. “However, just like most business owners in Cape Town know, outsourcing is fast becoming the best way to make everyone happy; protect the health and wellbeing of your staff compliment, and still keep a great brand reputation for your school by outsourcing your before-school, aftercare, and holiday care needs to the experts. This gives the teachers some breathing space, gives the parents peace of mind, and makes the children happy.” “Leaning on someone else’s expertise for aftercare allows Principals and teachers to focus on their core business,” says Janine, “while still giving children the stimulation and supervision they need. The Sherpa Kids facilitators are the ‘fresh legs’ so desperately needed after teachers have already worked a full day.” The answer to unregulated aftercare Preschool and school are tightly regulated by government, however aftercare is completely unregulated. That means, anything can happen in aftercare, and anyone can run an aftercare. “We approach aftercare differently,” says Janine. “Our people are thoroughly trained, regularly assessed, and kept accountable to international aftercare standards. This is why schools love us. Above all, they love children and want to see them thrive.” Western Cape Private and Public Schools approve In the short time since Sherpa Kids arrived in the Western Cape, both public and private schools have recruited Sherpa Kids to run their aftercare. El Shaddai Christian School and Somerset College were the first to sign up, with Hout Bay International, Elkanah House in Table View, Forres Preparatory, and Shelanti Private School quickly following. Says Kobus Stofberg, Director of Extra-Curricular Programme for Hout Bay International School, “The (holiday) programme was a great success and reports from students and parents was very positive. They offer a good, interactive programme with enough variation to keep everyone entertained and stimulated.” Not only are Principals thoroughly pleased, but parents are seeing the difference in their children too. Says Dave from the Southern Suburbs about a recent Sherpa Kids Holiday Club, “Sherpa was fantastic for our sons; and super helpful at that time of year for us.” Says Janine with a smile, “We know we’re doing something right when parents tell us their kids don’t want to leave aftercare when it’s hometime.” Going forward, Sherpa Kids Western Cape hopes to give schools a stimulating, reliable alternative to their current aftercare situation. To Contact Janine Hammond Email: [email protected] Phone:+27 72 190 2995 Web: www.sherpakids.co.za

July 4, 2018

The value of sports and exercise

“Children should be playing and moving outdoors instead of sitting indoors” Says Elzanne Van Der Walt, Sports Scientist and Clamber Club Sports franchise owner. Skills learned through playing and sporting activities can contribute to the educational development of children, help children to develop physically, and can shape them to be better human beings. In this article, Elzanne gives us some valuable information and tips on the benefits of sporting for children.” “Sport can affect the development of a child’s self esteem and self-worth.” Dr Glyn Roberts What can sporting activities do for my child? Teach key values– Participating on the playground and sports field teaches values: Honesty – through fair play and sticking to the rules of the game. Teamwork – through interaction with others, kids learn to play and work together. Respect – for yourself, others and equipment used during the games. Ability to follow rules – to listen to someone other than a parent or teacher, and to abide by the rules for the good of the team. Punctuality – being early, and ready to start when the team does. Controlling emotions – sporting games and activities can often lead to strong emotions, such as disappointment, frustration, exhilaration etc. Part of sports is learning how to control your temper and other emotions so that you can participate effectively and in the spirit of good sportsmanship. Build strong healthy bodies – Sporting activities and exercise can: Immune system– getting enough exercise strengthens the immune system, which fights infections= Heart– improves oxygen supply to the heart muscles and makes the heart more effective. Posture– improves agility, flexibility and overall posture. Lungs– strengthens the muscles used for breathing, making breathing more efficient and increasing lung capacity. Bones– increases the bone density, making them stronger and less likely to break. Sleep– improves sleep and reduces anxiety. Concentration– increased oxygen to the brain helps to improve concentration. Develop gross motor skills: Body awareness Balance Eye hand and eye foot coordination Coordination of body sides and crossing the body midline Balls skills such as catching, throwing, and kicking Elzanne’s top SPORTING tips: Keep your children physically active– The more active kids are, the higher their skills level will be, the more valuable they will feel, and the more motivated they will be to develop new skills and take on bigger challenges. Learn broad sporting skills when young– A preschooler needs to be learning basic techniques and generalized sporting skills, and not those of a specialized sport. If young children have a broader spectrum of sport skills in general it is much easier for them to decide what sports they favor and to see what they are best at. Then at a later stage (when they are a bit older) they can specialize in whatever they are best at or like the most. Allow for competitionin the older child and learn to lose with grace – Learning to deal with competition is a huge advantage for a child in terms of life skills, and is learnt from participating in competitive sporting games. This is also healthy, but it must be presented and taught the right way. Learning to cope with winning and losing is important. Reduce stress and anxiety– Not all children can cope with stress. Sports is known to be one of the best de-stressors for a child. When we are physically active our body releases serotonin which directly contributes to our feelings of well-being. Develop muscle memory from a young age – Sporting activities require fast reflexes and skilled movements that have been practiced over and over in many different ways. If this muscle memory is there from a young age, the child feels stronger, more confident and relaxed. This improves their self-esteem and sporting ability. “Sports is the best medicine for any child’s body, mind and development” Elzanne Van Der Walt.

July 4, 2018

Another antibiotic winter looms unless decisive action is taken

The traditional approach to education must be revolutionised in order to ensure the best outcomes for the current generation of school children, who are increasingly being called Generation Alpha, and whose world differs materially from the world in which their Millennial parents grew up, an education expert says. “Generation Alpha represents those children who were born after 2010, who are now at the beginning stages of their school careers,” says Jenny Coetzee, career educator and founding member of the ADvTECH Group’s prestigious Crawford School La Lucia. Coetzee, currently MD of the soon to be opened Crawford International School in Kenya, has in the course of her decades-long career forged an exceptional reputation as a visionary pioneer and leader in the education space. She says each generation – whether they be Generation X, Y or Z – grew up in a world different to that of their parents and the generations before them. Just as each of these generations were exposed to unique circumstances, challenges and opportunities, so are the newest generation, whose labelling as Generation Alpha is fast gaining traction. “These children are the most connected, educated and sophisticated generation ever, so when educating, a school should provide an environment that enhances learning for these digital integrators,” she says. “These children live in an open-book environment – just a few clicks away from any information, they connect in a borderless world – across countries and cultures, and they communicate in a post-literate community where texts and tweets are brief, and where visuals and videos have the greatest impact.” She says schools should be putting special emphasis on developing critical thinking and problem-solving skills, so that students are equipped to see problems from different angles and formulate their own solutions. “Regardless of the field they choose to enter for their careers, the ability to think, be creative and act quickly is an indispensable tool for the future, particularly in view of increasing automation and the expectation of the workplace of the future, as identified by the World Economic Forum. “It goes without saying that technology must be embraced in today’s schools, but what is of crucial importance, is that it is effectively used to enhance pedagogy and improve learning. In order to achieve this, schools must be equipped with high speed internet and embrace the value of social platforms.” Students must also be exposed to new technologies, such as 3D printing, drones and robotics, and schools should articulate the possibilities these new technologies create. They must also expose students to new fields such as user experience design, and the latest schools of thinking such as design thinking modelsas a scaffold for project work. “Just like Generation Z before them, schools looking after Generation Alpha must cultivate the spirit of entrepreneurship. Entrepreneurial thinking and leadership are imperative and entrepreneurship courses must form part of the curriculum where collaboration between subject disciplines is encouraged.” Coetzee says it is imperative that schools nurture a global outlook, and that students are able to benefit from strong networks formed with international education bodies. And teachers must be trained in the latest strategies and teaching techniques. “Children come to us naturally curious about their world and wanting to explore it. Their imaginations are vast and untamed, creating endless amounts of practical and impractical things. As teachers we need to continue to nurture them to develop their curiosity and imagination, as well as teach them how to apply them creatively and purposefully using technology as a tool. “We may not know exactly what lies ahead for our students in the future, but we know what skills and tools they will need once they get there: to think critically, to work as a team, but most of all to be curious and excited about learning in this world that is so different from the world in which we were raised.”

July 3, 2018

Pregnancy: Taking care of your nutritional and financial needs

By 1Life You’ve finally taken steps to confirm the reason behind your weird cravings, unexpected emotional outbursts, the fatigue as well as all the other unusual things that have been happening to your body of late and so begins the journey towards motherhood. One moment you only had yourself to worry about, and now you’re making way for the new bundle of joy that’s growing inside of you. When you are expecting, taking care of your nutritional needs goes well beyond ‘eating for two’. Instead, there are certain nutrients that your body needs during this journey, to ensure your baby is healthy and that you keep yourself in excellent condition as well. Maryke Gallagher, a registered dietician in Cape Town and President of the Association of Diabetics in South Africa, states that from a nutritional point of view, the first 1000 days are the most important. This includes the time the baby spends in the womb, where the first 1000 days are said to set the stage for healthy brain development, growth and appropriate weight gain and building a strong immune system. Having a healthy nutritional plan is therefore vital and can also assist with protecting against chronic diseases like diabetes, heart disease and high blood pressure later in life. As a result, what you put in your body during this period is extremely important. Some crucial nutritional needs include: Energy needs: These increase in the second and third trimester, but this does not mean you should eat for two. It means increasing the energy intake by 800-200kj per day, the equivalent of a small meal snack, like yoghurt, fruit and nuts, or a slice of rye bread with nut butter and a fruit. Protein needs increase: Focus on eating more safe proteins, at least twice per week. Options that are generally considered safe include trout, salmon, herring, pilchards and mackerel. Plant proteins are mostly incomplete proteins. This means that legumes like lentils, chickpeas and butterbeans need to be combined with grains such as brown rice, quinoa or barley to form complete proteins. Soya beans and tofu are some of the only complete plant proteins. It is generally believed that it is safe to be vegetarian while you are pregnant if you plan carefully to eat sufficient proteins that meet the body’s demands. Omega 3 Fatty Acids: These essential fats are important in pregnancy for healthy brain development in the baby. Fish is one such example of a good source of Omega 3 fatty acids, which you should consider before taking supplements to ensure that you are meeting your daily requirements. These type of vitamins reduce the risk of preterm birth and play a role in the visual acuity of the baby. Later in life, they play a role in the IQ and behaviour of the child. They also play a role in regulating the mood of the mother. Total fat intake: Every cell in the body is made up of fats, and cell membranes consist of phospholipids that influence how well cells communicate with each other within the body. Plant fats are particularly valuable and include nuts, seeds, avocado, olives, olive oil, and flaxseed oil. Micronutrients: These are essential vitamins, minerals and phytochemicals. During pregnancy, the important ones are Folic Acid, Iron, Calcium, Vitamin D, B12 and Choline. Choline plays a role in the first trimester development of the baby, in particular the brain development and formation of neural pathways. Choline is found in animal-protein-rich foods such as eggs and beef. Haricot beans, soya protein, pulses and dairy products (like milk and yoghurt) are good sources of Choline. Folic acid is found in fruits and vegetables such as leafy dark green vegetables, liver, legumes and fortified cereals. The above is all important to keep in mind. However, your nutritional needs are in fact only one of very many aspects that you will need to consider as an expecting mom. As you enter this new life stage, your financial needs are also set to change and you will then need to start asking yourself questions about your financial plan. Things like, can you provide for the wellbeing and financial security of your child, the schools you want them to attend and if you are saving enough towards their future education. Safeguarding your assets is also an important consideration, which ensures that these will go to your child in your absence. These are the first of many aspects related to your financial planning that you will need to consider as you enter this new chapter. When starting your pre–birth financial planning, do a financial needs analysis to determine what your future financial plan should look like. Then ask yourself if your current long-term insurance provider can adjust your cover to cater for your growing family and financial needs. If they are unable to, look for a provider who can – and one who will become your partner in providing financial assurance as your family grows.

June 27, 2018

Why is my child not walking?

Many parents spend the first year of their child’s life focusing on motor milestones, and are hugely relieved when their baby starts to sit, crawl and walk. The variety of baby and toddler classes and other activities on offer lead to a lot of opportunities for comparison of their child in relation to others. This often leads to parents asking themselves “why is my child not walking yet?” “There are a few reasons why a child may not be walking at around a year,” says Paediatric Physiotherapist and Clamber Club Expert Nicole Hilburn. “The first thing to consider is when the baby started to sit, and crawl, as late sitters and crawlers will most likely walk late as well. From the start of sitting, a baby usually takes 3 – 4 months to start crawling, and another 3 months or so from crawling to walking,” adds Nicole. Babies with significant birth histories such as low birth weight, prematurity, hospital admissions or prolonged bouts of illness are more likely to be delayed due to decreased muscle strength, or imbalances between muscle groups. What factors prevent your child from walking? “An increasing number of babies are presenting with a condition called torticollis – which is where one of the muscles in the neck is tight due to position in utero, or often due to positioning postnatally in premature infants who have been in the intensive care unit for a while,” explains Nicole. Untreated, this condition leads to decreased use and stiffness of the arm and leg on the same side as the tight muscle in the neck, and may interfere with development. This condition may be present when a baby holds his head slightly to one side, and prefers looking to one side; or cannot look all the way to one side. Babies who use alternative methods of crawling such as bottom shuffling will not develop the core stability and pelvic girdle stability to support them in standing and walking, which will delay the onset of walking. These babies will also struggle to pull up to stand from the floor, due to being on their bottoms and struggling with kneeling. There are a few reasons for bum shuffling – the main reason we usually find that baby’s bum shuffle is due to resistance to tummy time – this leads to weak back muscles, weak arms, and the baby never really experimenting with pushing up off the ground. Excessive use of equipment such as seating devices, and walking rings may lead to walking delays. This is because the child is fully supported in these devices and is not using muscles or engaging postural control while in them. A baby’s temperament also contributes to how quickly he or she will start moving. A very easy-going baby may take longer than a very busy baby. A baby with sensory issues, or who is happy being stable will also take longer to walk, as gaining balance on two legs is much more difficult than being stable on all fours, and these babies may find this frightening. How can you ensure that your baby is on track to walk? Lots of floor play between the ages of 1 and 6 months – on the back and the tummy, which will strengthen the trunk muscles. If a baby looks like he/she is not going to crawl or is using an alternative method to move such as rolling or bottom shuffling, this should be corrected by a physiotherapist, in order to build up appropriate muscle strength in the trunk, shoulder girdle and pelvic girdle. Torticollis should be treated by a physiotherapist. Once a baby is pulling up to stand and cruising, the following tips can be used to promote walking: Use a wooden wagon to push around Play in the standing position at flat surfaces such as a fridge (e.g. playing with magnets) Encourage play while standing, and give your baby something in each hand, which will encourage standing without holding on Walking with your baby while holding his hands You can also use a hula-hoop if he tends to pull down on your hands a lot – you hold one side and walk backwards and your baby holds the other side – this will give less support, and encourage him to engage his muscles more.

June 20, 2018

Why play should be a priority in children’s development

Play is not just fun but also significant for a child’s development. It is fundamental for healthy brain development and is the way that children learn about their world. Play provides the opportunity to explore the world, learn cause and effect and derive meaning form experiences. There are many forms of play which fall within the structured or free play categories. There are 4 general types of play that we will explore, namely: physical, object, rules, and pretend play. Physical play uses the entire body. It develops and strengthens both gross and fine motor skills and keeps children active. This is often explored as free play. Climbing trees, running, pushing and pulling. It also offers social and emotional benefits as children learn to engage with others. Object play refers to the use of toys or any objects that can be used to engage play. This is great for the senses as well as creativity and problem solving. As a child learns to manipulate objects to cause a specific reaction. For instance tying a rope to a bucket and having to pull it. Games with rules such as, board games or team sports, help develop social skills as well as, language and communication skills. This is because they need to learn and communicate turn taking, sharing and empathy. Pretend play aids in a child’s understanding of the world around them. It gives them a chance to let their imagination run free. This could be in the form of acting out real-life situations or by making something up that is weird and wonderful. This is a necessary tool to use in regulation of emotions. This helps children to learn empathy as they get to play a different role than themselves. All these types of play work together to ensure that children learn and develop the physical, social and emotional skills needed for grown up life. Skidz includes all these types of play in each Clever Activity Box. The aim is to give parents the tools and resources needed to spend quality time with their kids. This time spent together is pivotal in teaching them how the world works. It helps their physical development as well as their social and emotional development. Everything a child learns is taught through play and this is what we focus on. Each Clever Activity Box comes with over 100 activities in to do at home. It also includes a fun filled curriculum for each day of the week. The ages range from birth up to 5 years. To get your Clever Activity Box and to spend quality time with your child is as easy as visiting our website www.skidz.co.za. For some more awesome and fun ideas you can also like our facebook page at www.facebook.com/skidzsa

June 18, 2018

Hay fever headaches

A change in season also brings a change in the pollen types that are in the air and these trigger headaches directly or cause hay-fever with headaches. Sinus congestion and pressure is a secondary condition, which has also been known to trigger headaches. Dr Elliot Shevel, Medical Director of The Headache Clinic, and South Africa’s internationally recognized Migraine expert and pioneer in the field of Migraine Surgery, explains “Usually hay fever is associated with spring, when airborne pollens from grasses are at their peak. October and November are peak allergy months in Cape Town, and with the Western Cape now consistently recording pollen counts of over 30 – considered extremely high – allergic people should be sure to seek help soon because there is still a long time to go.” Hay fever headaches cause a dull, deep, throbbing pain. Some of the symptoms of hay fever headaches are pressure like pain in one specific area of your face or head (for example, behind your eyes), face is tender to the touch, pain is worse with sudden movements of the head and bending forward and worse pain in the morning (because mucus has been collecting and draining all night). They are caused by an inflammation in your sinuses (air-filled cavities around your nose, eyes, and cheeks). Headaches often begin as soon as you get up in the morning, and may be better by the afternoon. Dr Shevel suggests the following to prevent or limit hay fever headaches: When the body comes in contact with an allergen, histamine and a number of other inflammatory chemicals are released as part of the body’s allergic reaction. Antihistamines work by blocking the effects of histamines, thereby reducing the symptoms of hay fever. Regular use of antihistamines throughout the pollen season is effective especially if treatment is commenced early in the season. Steroid sprays are used in more severe cases. They deliver a low dose of steroid powder through the nasal passages to control the inflammation in your nose and to help hay fever symptoms. Decongestants when used topically for short periods (less than 7 days) are effective in reducing nasal blockage and help penetration of topical steroid nasal sprays. Cortisone injections tend to be prescribed only in more severe cases where the hay fever symptoms are not controlled with other over-the-counter medications. They can’t be repeated frequently due to the possible side effects. Take note of the pollen count forecast on television or in the newspaper. Try to stay indoors if it’s a high count or on windy days after thunderstorms. Choose plants that are pollinated by birds or insects in your garden, rather than plants that release their seeds into the air. Smear petroleum jelly (like Vaseline) inside your nose to stop the pollen from touching the lining of your nose. A simple saline (salt water) nasal douche is effective. Saline and sea water nasal sprays help flush pollen grains off the nasal mucosal and improve nasal patency. Splash your eyes often with cold water to flush out any pollen. When it is more than just a headache triggered by hay fever! If your headache persists after you have your hay fever under control, it is imperative that you undergo a multidisciplinary investigation to diagnose the specific factors behind the recurring headache. For those patients who want to have healthier alternatives to medication, there are a number of various breakthrough treatment options. These include minimally invasive arterial surgery and posture modifying technologies. In most cases it is possible to get to the bottom of the problem and resolve the pain permanently.

June 15, 2018

ADHD vs Bipolar: Know the difference

Inattention, hyperactivity, impulsivity, sleeping problems, racing thoughts and moodiness. These are all typical symptoms of Attention Deficit Hyperactivity Disorder (ADHD). They are also common symptoms of bipolar disorder – a mental illness known for severe mood swings and depression. But how do you tell the difference? Studies estimate that 20% of people with ADHD will develop bipolar disorder. Conversely, 70% of people with bipolar disorder also have ADHD. The high comorbidity rate and overlap in symptoms make these two conditions difficult to distinguish and diagnose. ADHD is ten times more common and more likely to be recognised while bipolar disorder is often misdiagnosed. It is critical to know the difference and get an independent but coordinated treatment plan for both. Untreated ADHD can be challenging but living with a misdiagnosed ADHD and bipolar combination can be dangerous. However, with an accurate diagnosis, the ADHD and bipolar combination can be treated successfully. This will help patients feel more stable in mood and in their ability to live fulfilling lives in their roles as spouses, parents and employees. One fundamental difference is that ADHD mainly affects attention and behaviour while bipolar symptoms mainly affect mood. Distinctions can be drawn between the two based on mood shift triggers, the speed and duration of mood shifts, the onset and consistency of symptoms, and the individual’s sense of reality. The importance of an accurate diagnosis can’t be overstated. With a holistic and dual treatment plan, therapy and life management, individuals with both ADHD and bipolar disorder can live healthy and fulfilling lives. If you suspect that you or a loved one might have ADHD, set the record straight with this self-assessment. If you are unsure about the symptoms or suspect that bipolar disorder might be present, speak to a medical professional. For more information around the symptoms, impact and treatment of ADHD, visit MyADHD.co.za or My ADHD on Facebook.

June 14, 2018

Help your child make sense of the world around them

The importance of sensory stimulation for babies and toddlers The world is an exciting place for children, with new sights, smells and sounds at every turn. Making sense of this sensory information is known as perception, and developing this skill is a critical part of your child’s development. Without it, we would look and never see, listen but never understand. Sense making skills The more children are exposed to different sensory inputs, the more they develop their perceptual skills. “Each sense plays an important role in the development of a child’s sensory system which unlocks the key to how they learn, think and feel,” explains Liz Senior, Occupational Therapist and Founder of Clamber Club. “The role of the senses in learning cannot be overstated,” adds Kelly Westerman, Occupational Therapist and Clamber Club Toddler Milnerton Franchisee. “Parents need to have at least some understanding of what the role of each individual sense is in order to maximise the learning potential of even the simplest everyday experiences, such as bathing, sleeping, feeding and dressing.” Touch Touch and hearing are two of the senses that develop in the womb. The sense of touch relies on receptors in the skin that tell us about heat, pressure, texture and pain. As the skin is the largest sensory organ in the body it has the greatest potential to be stimulated. These touch experiences will develop what is known as the Tactile System. Smell Receptors in the nose are responsible for receiving and perceiving smells, developing what is known as the Olfactory System. Smell is largely underrated and often ignored as it is less closely linked to physical and intellectual development. However, the sense of smell has an important role to play in our emotional stability and memory recall and should therefore not be ignored. Sight Through sight we are able to learn by visually exploring the world in which we live. We gain an understanding of the relationships between people and objects and experience light, colour and form. It is for this reason that parents should invest as much time as possible to help their children develop their visual sense. Hearing The most common cause of speech delay in children is hearing loss; a child must be able to hear in order to learn to speak. Children who are able to hear and listen well are able to learn faster, make fewer mistakes and are less easily frustrated. Taste Children taste everything that goes in to their mouths, and through these taste experiences they develop what is known as the Gustatory System. A child’s taste preferences may also be linked to their temperament. Very relaxed children who require a large amount of sensory input to stimulate them show a preference for strong flavours such as lemon and curry; while children who are easily overstimulated tend to show a preference for bland and salty food. Take your child on a sensory journey Even before a baby is born they begin to use their senses to discover and learn about their world. In the beginning, a new-born is forced to take in just about every single sensory input, but as children grow they are able to filter through the sensory stimuli they receive and refine their various perceptual skills. “As parents you should have an understanding of what senses may be involved in any particular activity and aim to give your children good quality sensory experiences from an early age,” suggests Westerman. This can be done by stimulating each of the senses individually and in combination with other senses. “These sensory experiences will lay important foundations for learning, movement, emotional security and survival,” she concludes.

June 14, 2018

Healthy Eating habits

Written by: Cynthia Innes, Teacher at Junior College Preschools Sandton. A healthy lifestyle consists of various factors that contribute to healthy living, specifically eating habits, physical activity, emotional intelligence and a well-balanced activity schedule. Co-ordinating all these factors can be challenging for a child however, it is possible to achieve with guidance and a good routine. All parents face the challenge of encouraging their child to eat healthily, the trick is to create a healthy lifestyle for the entire family. Toddlers are influenced by those with whom they spend most of their time, whether it be at Preschool, at home with the nanny or parent. Children need continuous guidance to develop a healthy lifestyle, a child’s preschool years are an important time to teach children how to eat well and exercise their bodies. Parents and teachers can work together to encourage healthy eating habits and lots of physical activities. Always have healthy snacks readily available Replace fizzy drinks and processed juices with water. Have this easily available. Have freshly cut vegetables or fruit ready to eat as a snack. A whole wheat sandwich with a fruit or veg is also a good snack between meals. Snacking regularly is beneficial to children as they have smaller stomachs and they burn energy faster. Eating healthily between meals provides their little bodies with the nutrients and hydration needed for a healthy lifestyle. Educate your child Instead of force feeding undesirable healthy foods to your children, educated them as to why it is healthy and beneficial to their bodies. Forcing your child to give into something they don’t agree with teaches them that forceful behavior from others is acceptable, this could lead to falling victim to peer-pressure situations. Reasoning and explaining why eating healthily is important, not only gives your child the power to make decisions but also develops their reasoning skills. Lead by example Children learn from their surrounding experiences, they do what you do so lead by example and they will soon follow. Having healthy snacks with your children is a great way to encourage healthy eating. Children see their parents as role models and will imitate what their parents do. Create a food schedule Creating a weekly food schedule beforehand is extremely beneficial to the cook and the family. Placing a food schedule in an area where every family member can read it will allow them to prepare themselves mentally for a meal. Explaining to toddlers what’s on the menu gives them a sense of involvement and is more likely to eat the meal. Involving the entire family in scheduling meals for the week will encourage them to finish their meals. Introduce new foods gradually Young children are more likely to eat new foods if you introduce tiny amounts in an attractive manner. Do not worry if they resist the first few times, keep trying without force but encourage a taste. It is natural for all of us to detest some foods, so allow your little one to do so if a few tastes have been tried. Try again a few months later, maturity brings change. Include the children in meal preparations Allow children to help you prepare the meal. Little ones can fetch vegetables and fruit, bring you the pots and pans and help with stirring. This also develops their counting and perceptual skills. As they get older they can learn to chop, measure and mix. A child who has helped with the cooking will generally be keen to eat it Don’t be too strict As above, a taste is all you need to encourage. Serve tiny portions attractively so the child can finish and ask for more if necessary. After 20 minutes, if the child is not keen to eat, remove the food with a cheerful statement, “I see you have had enough” Do not serve alternatives or filling snacks between meals. No punishment for not eating. The more fuss you make, the more resistance you will have. Eat meals with your children, talk without TV or phones. Meals can be a family bonding time where food is celebrated and enjoyed. Physical activity for Young children Children should be actively playing, preferably outdoors on bikes, jungle gyms or just imaginative play with the toys they have. TV or tablets should be limited to a maximum of half hour daily. Lead by example and go for walks, swim, garden play ball games or take them to the gym with you. To create a healthy eating habit, the above tips need to be implemented over time and on a continuous basis for successful results.

June 8, 2018

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