The Importance Of Education
Sunday, August 31, 2008
Nancy L. Brown, PhD

When you think about it, after
unconditional love and attention, there may be nothing more powerful a parent can give a child than education. Education brings with it adult
mentors who care about kids, knowledge about health, the world, character-building experiences, a responsibility to participate in government, and a sense of unity with the world. Truly exceptional education impacts the whole person, body, mind and soul, instills in a child a love of learning that will guide an entire life, and inspires creativity as well as passion!
On a more practical note, research shows us that a perceived connection to school is a powerful predictor of resilience for all children, providing a safety net of sorts, no matter what family or community they are growing up in. Teens who are connected to school are also less likely to be participating in high risk activities, like drinking, smoking, and early sexual activity.
Giving a child an education not only keeps them busy, it opens up their world and helps them understand the interconnectivity of systems - the earth, human bodies, families, neighborhoods, communities, countries, and the universe. I truly believe that it is hard for a well-educated person to fail in life - because there are always new ways to approach problems.
Providing an education can be as simple as finding a great school that brings out the best in your child, but being involved with that education is also important. Making time to spend time at school volunteering and connecting with your children around educational activities, like reading, shows your child that education and s/he are your priorities.
Other things you can do to support that education include:
Thinking back on my own life growing up in a pretty dysfunctional family, I have always believed I "made it" because although I could not change my family, I could be successful in school and found adults who believed I was smart and worthwhile, which kept me doing well in school. I remember several moments quite clearly: 1) in 7th grade Mr. Rayburn, a social sciences teacher told me I should go to college because I was really smart (this is in a rural community in the early 70's when few people went to college); 2) sitting in new student orientation at SJSU, a professor suggested those of us who believed in interdisciplinary education and social change should consider a program called New College; and 3) sitting in my first graduate class at Stanford wondering how I would ever fit in with my classmates, and deciding that reading all the "classics" (they had read in their ivy league educations) might help.
Education cannot be taken away - it becomes a part of the person learning something and transforms that person as it happens, bringing self-confidence, curiosity, joy, creativity, and yes, responsibility.
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society (1)Labels: Education, Healthline, Parenting
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Sports and Injuries in Teens - Tennis Elbow
Saturday, August 30, 2008
Nancy L. Brown, PhD
Tennis elbow or a unilateral collateral ligament (UCL) tear is common in young athletes that play baseball or football and throw javelin, but can occur at any age. This injury seems to occur more in less-skilled players, suggesting that good technique and conditioning are important.
It is a tear in the UCL that normally occurs when the strain of one pitch/throw becomes too much for the ligament to take. This doesn’t build up over time as other injuries do, but is an acute injury that happens all at once. The over use causes inflammation & pain in the muscles that attach to the elbow. It gets sore to the touch and hurts to grab (grip) things and shake hands.
The treatment is generally reconstruction. The UCL is removed and then replaced with a tendon from the wrist or a section of the hamstring. However, if surgery is not required you can cut back on the activities that hurt and avoid repetitive activities. You can ice the area and take Ibuprofen to reduce the inflammation. Finally, as it gets better, do wrist curls with increasing weight – palm down.
It will take several weeks to six months for people to get better, but most do. Take it slowly and use a brace or tennis elbow strap to reduce the muscle pulling on the elbow. Physically therapy helps some people, as does ultrasound therapy.
Prevention includes two-handed back strokes, which is less hard on the body than a one-handed back stroke.
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oddharmonicLabels: Healthline, Sports, Teen Health
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Sports and Injuries in Teens - Osgood Schaltter
Friday, August 29, 2008
Nancy L. Brown, PhD

Osgood-Schlatter disease (also called
Schlatter's disease or osteochondrosis of the tibial tubercle) is inflammation in the top of the shinbone (tibia) where the patellar tendon attaches to a bony mound in the knee called the tibial tubercle. This disease, a common cause of knee pain in children between the ages of 10 and 15, usually flares during periods of rapid growth and then goes away at the end of the child's growth spurt.
This injury is commonly seen in volleyball, basketball, track, soccer and field hockey athletes. It is brought on by banging the knees – a direct injury and overuse of tendon. Seen in girls earlier than boys because girls go through puberty earlier. Frequently seen in girls around 11-12 and boys 13-14.
Signs and symptoms of Osgood-Schlatter disease include pain and tenderness in front of the knee and mild swelling or a bump below the kneecap at the top of the shin. This disease usually affects only one knee, though occasionally it affects both knees. Symptoms get worse with exercise or activity, such as jumping, that stretches the tendon and puts traction on the tibial tubercle. Teens usually start feeling pain and then a bump below the knee comes up after about 1-2 months of pain/discomfort. The bump hurts because the place where the tendon attaches to the tibia is inflamed.
The condition does not require any specific medical treatment. Most children outgrow the problem within two years. To lessen symptoms the teen first needs to reduce the jumping. S/he can also ice the area after playing, and take Ibuprofen to reduce the inflammation. All activity does not need to stop, but reducing the activity for 6-18 months might be required. The athlete can actually play with the pain – unlike many other injuries.
There is no quick cure. Sometimes (rarely) surgery is required to trim the bone and reattach the tendon, but that will shut down an athlete for a long time.
There are things you can do to prevent this like wearing knee pads in volleyball and basketball – to protect the knee if you hit it on the court.
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MinnaertLabels: Healthline, Sports, Teen Health
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Thank You - Grand Rounds 4.49
Tuesday, August 26, 2008
Nancy L. Brown, PhD

Thanks to Theresa Chan at
Rural Doctoring for including my
Back-To-School post in this week's Grand Rounds.
This week was a beautiful read - I loved the Shakespearean theme and my fvorite line was "Create for eternity. Let every word pierce the heart."
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Ed BiermanLabels: Grand Rounds, Healthline, Parenting, School
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Helping Teens and Preteens With Homework
Monday, August 25, 2008
Nancy L. Brown, PhD

Sticking to the back-to-school theme, homework is likely to become an issue for most families very soon. For many families, the quantity, organization, completion, and thoroughness of homework is a serious source of stress.
I humbly suggest that before the nagging or argument starts, that you sit down with your preteen or teen during the first week of school and have a serious conversation about homework - what the issues have been in the past, expectations for this year, and ways to get around any issues you have had in the past. As always let your child know that this conversation is happening because you really love him or her, want him or her to be successful in school, and are willing to help with that goal. If you agree with the premise, remind them that you are more worried about the
learning than the scoring.
Lay out the school expectation that your child can expect 30-120 minutes of homework a day (depending on their age) and then talk about what the issues have been in the past. If it helps, talk to teachers that you and your child like at school to get some suggestions. Then ask your child what they think is going on - is it not having a set place or time of day or evening to complete the work, is the schedule too busy, do they feel like they study enough but still do not do well on tests, does the T.V. or computer get in the way? Do they have difficulty concentrating?
You may find that the child's study skills are not what you thought or that they need some reminders to use flash cards, memorizing help, or that there are really auditory or visual learners and need to study in a different way. If they have not been doing well in a particular class, try different ways of studying. Maybe they learn by listening, so try asking them to explain the concepts to you, or maybe they need help memorizing, so prepare flashcards and drill them each day during a time they are usually relaxed and happy. Maybe the issue is
concentration and some meditation training can help.
Whatever method you come up with, try and arrange your life so you can be with your child(ren) when they study, be interested in the subjects and offer to help and even check their work when they are done. If just being close is enough, you can do your own work at the same table, gladly helping if they need the support.
When it gets tough, just remember that most children want to succeed and please the adults they love - they are not trying to do poorly and chances are good that if you set your mind to it, you can find a way to help them succeed. Good luck!
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Back-To-School Boot Camp
Thursday, August 21, 2008
Nancy L. Brown, PhD

It is that time again - school is starting or will be starting soon. You can make the transition a little smoother by starting a week early to get those school-related habits back into your lives.
ScheduleIt is time to start going to bed earlier and getting up earlier, or with teenagers, sometimes it means just getting them up and out of the house earlier and after a few days they drop off earlier - due to sheer exhaustion. Remember teenagers need 9 - 10 hours of sleep a night. If they are not getting it, try to make some changes in your family schedule so that they can start.
OrganizationIs their locker stocked? Are their binders set up? Do they have PE clothes and shoes that fit? Is there a clear place on their desk or the kitchen table where they can do their homework? Have you talked about how they will get to and from school, practice, classes, appointments?
Who makes lunches and what goes into them? Do they need to do morning chores? Who makes breakfast and what are the options? Do your kids need to have their clothes laid out and everything packed in their backpacks near the front door before they go to bed at night? You might start practicing that.
ExpectationsHave you taken some time and talked about the expectations you have for your child this academic year? Is it their freshman year and you just want them to "get a grip" on the high school work load, is it their sophomore year and you expect strong grades before they start driving, is it their junior year when grades might really matter? You may have some really clear expectations, but unless you share them with your teen, they may not share you thoughts.
Good luck and have a great school year!
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eschipulLabels: Healthline, Parenting, School
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Thank You - Grand Rounds 4.48
Tuesday, August 19, 2008
Nancy L. Brown, PhD

Thanks to Kerri at
Six Until Me for hosting Grand Rounds 4.48 this week and including a post from Teen Health 411 about
stress fractures.
This week was fun reading and I loved the theme of the card catalog - which I know my kids have never even seen.
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Ed BiermanLabels: Grand Rounds, Healthline, Teen Health
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Happy 2nd Anniversary Teen Health 411 Readers
Sunday, August 17, 2008
Nancy L. Brown, PhD

Hard to believe that Teen Health 411 has been around for two years, but to celebrate, I thought I would give a gift to you, the readers. Below is an index of articles from the last two years, by label!
I hope you enjoy being able to read posts on Teen Health 411 by subject, and thank you for being a reader! Let me know if you like this - and I will pass it along to Healthline.
Abortion (4)
When Denial is Not the Best ChoiceUnwanted and Teen Pregnancy in the MediaSupreme Court Restricts Women's Reproductive FreedomConfidential Reproductive Health Care and TeensAdvertising (4)
Can't Buy My Love ...Shame on RJ Reynolds Tobacco CompanyU.S. Food Companies Promise to Limit Food Advertising to KidsSelling Food to Children: Why is Obesity a Problem?Alcohol (9)
Alcohol Use and Teens: The Role of AdultsTeens and Alcohol: What is Normal?Social Norms and Teen DrinkingCollege Students and StressDrugs, Brains, and Behavior: The Science of AddictionAlcohol Use and School AttachmentTeens Who Work May Be In DangerUnintentional Injuries ...Substance Abuse: Teens & Young AdultsBeauty (7)
For Goodness Sake - Cosmetics Can Kill YouProtect and Care For Your SkinSeventeen Magazine and the Body Peace ProjectOnslaught Video by DoveHair Removal and BeautyEmbracing Healthy SkinReality TV and Teen HealthShaving Pubic HairBiking (1)
Bike Safety and MannersBody Art (3)
Tattooing & Body PiercingOral & Dental Complications of PiercingPiercing & TeensBody Image (8)
The Care & Feeding of AdolescentsProtect & Care for Your SkinGirls & Body ImageBody, Self-Esteem, Gender & RaceProm Dresses for Girls Size 16+Weight Loss Ads & Young GirlsHealthy Living: A Teen PerspectiveTeen Body ImageBoys (7)
A Boy CrisisMales, Romance & SuccessTeen Boys & RomanceBoys: The Teens We IgnoreTeen Boys & HealthcareAre Males Dominant, Disconnect & DangerousManorexia: Males & Eating DisordersBoy's Guide To Becoming A TeenBullying (11)
Cyberbullying & FearFashion Bullies in Middle SchoolSetting an ExampleBest Practices in Bullying PreventionSchool BullyingCyberbullyingLGBTQ HarassmentSchools & Parents Taking ActionHarassment & BullyingCyberbullyingBullying & Teens
College (13)
The Used To Be Empty NestThe Launching Years Part 1The Launching Years Part 2College Students & StressEducation UpdateA Gap YearStanford Here We ComeCollege Applications & FacebookIs Character As Important As Grades?PSAT Scores & College PrepWhen Your Kid Goes To CollegeAre Teens Emotionally Ready For College?Teens Leaving For College
Community Service (2)
Traveling With Teens: Part 3Community Service & Teens
Divorce (1)
Now What Do I Do: A Guide For Teens
Driving (7)
Hands Free LawFewer 16-Year-Olds DrivingJuly 2008 Bans Cell PhonesPreparing Parents for Teens to DriveTeens Admit Risky Driving HabitsTeen Driving Risks, Guidance for ParentsDrivers Education & Teen FatalitiesEating Disorders (5)
Eating Disorders and Teens 1Eating Disorders and Teens 2Weight Control in Middle SchoolEating Disorder Support On The WebOrthorexia: The Newest Eating DisorderEmergency Contraception (4)
Plan B Use IncreasesEmergency Contraception SurveyPlan B Available to Teens One Way of The OtherPlan B or The Morning After PillEmotional Health (4)
Teens and DepressionMentors Make A DifferenceParenting As InspirationCutting To Relieve Emotional PainEmployment (7)
Gen Y Employees Not EngagedWhich Teens Work - If They Can Find A JobThe First Day At Work - for Teens And ParentsLabor Force Participation For Teens Is Only 41%Finding A First Job As A TeenTeens Who Work May Be In DangerTeens And WorkFinancial Education (3)
Families Struggle To Make Ends MeetVacation & Financial EducationYour Kids & InvestingFinancial Fitness For Teens & Preteens
Fitness and Sports (7)
Youth Need More ExerciseGirls Are ChampionsCelebrating Girls & Women In SportsSports & Injuries In Teens - Stress FracturesGirls & SportsSports and Injuries In Teens - ACLSports-Related Injuries Among High School Athletes
GLBT (10)
In Memory Of Larry KingBullying Of LGBT TeensRainbow Project Book ListLiterature For Transgender YouthTalking To Your Kids About HomosexualityColage: Children of Lesbian & Gay ParentsGLBT Movies To Share With Your TeensGay TeensSuicide Risk & LGBT YouthLGBTQQ YouthHealth Care (8)
HIV & Your GrandparentsOne In 150 Children Has AutismHigh Blood Pressure Undiagnosed in TeensStaph Infections & SchoolHeart Attacks Can Occur In TeenagersTeen Health RightsGetting Teens Hooked Into Preventive Health CareBreast Cancer & TeensHealth Facts (6)
For Goodness Sakes - Cosmetics Can KillFDA Warning About ProductsSleep AwarenessThe Muscle CrampA Quart Of Mucus Every DayBody Drama Review
Hobbies (2)
News For Twilight FansBreaking Dawn ReviewHolidays (11)
Happy Valentine's DayPost Holiday BluesLooking Back on 2007Happy ThanksgivingGratitude & AbundanceHoliday LettersTeens & MothersComing Of AgeNew Year RitualBlessings For The HolidaysTeen Health & Holidays
Injuries (4)
Emergency Preparedness For TeensUnintentional InjuriesSports-Related InjuriesLeading Causes Of InjuriesIUD (2)
IUDs For TeenagersThe Intrauterine Contraceptive (IUC)Media (20)
Youth Trends Entertainment ResultsNew Media In The Everyday Lives Of YouthUnwanted And Teen Pregnancy In The MediaPew Report On Teens & Social MediaProvocative Campaign On Childhood Mental IllnessWeb Resources For Parents, Tweens & TeensManhunt 2 Rating: Mature or Adults OnlyJudge Blocks State Video Game BanTeens, Tweens & TechnologyCybering - Scary Or Safe?It Is T.V. Turn Off WeekAre Violent Video Games Really Bad?Sexy GirlsViolent Girls: Who Do You Believe?Turn Off The T.V.Media Multitasking Among Young PeopleTeen Hearing & MusicTeens And The World Wide WebReality T.V. & Teen HealthMedia Literacy & SmokingMental Health (13)
Do You Have A Cutting Problem?DNA And Autism RiskSuccessful Health Teens Are Often IgnoredSurviving Teen Suicide AttemptTeens & StressMental Health Challenges & Resources - Older AdolescentsConnectionEmotional Well-BeingPost-Traumatic Stress Disorder ResearchSurviving A Borderline ParentHelping Stressed StudentsGet Ready for That Feeling of Rejection & FailureCA & College-Bound GradsMentoring (2)
Mentors Make A DifferenceSchool-Based Mentoring ProgramsNutrition (3)
Sugar And A Soda Free SummerFree Fast-Food Nutritional DetailsCarbohydrate Counting; Teens BewareObesity (12)
Weight Loss ConfidentialMetabolic Syndrome & TeensMeals Matter: Dairy CouncilObesity Rising Among Asian ChildrenHigh Blood Pressure Undiagnosed In Children & TeensSummer Vacation & Obese TeensUS Companies Promise to Limit Food AdvertisingSelling Food To Children: Why Is Obesity A ProblemAre You Or Your Teen A Couch Potato?Online Food AdvertisingHealth Consequences Of Soda ConsumptionThe Epidemic Of Childhood Obesity
Online/Internet Safety (7)
Totally WiredFamily Internet Safety SiteWhat Puts Teens Online At Risk?Technology & Today's Tweens And Teens Teens, Privacy & Online Social NetworksA New Online Safety GroupChild Internet SafetyParenting (33)
I Won't Grow Up 1
I Won't Grow Up 2Great Parent ResourceHappy Mother's DayA Parenting Book That Could Change Your LifeUnconditional Love: How Hard Can It Be?Preeten PMS: What Is A Parent To Do?Dear Ms. PresidentPost Holiday Blues?Looking Back on 2007: Teen HealthBring Back Home Economics!UCAN Teen Report Card - Teens Grade ParentsSafety & Empowerment - How To Balance Risk For TeensPreteen Summit - Food For ThoughtDoes My Tween Or Teen Need A Flu Shot?In Case Of Emergency (ICE)Parenting Teens Online ResourceA History of MangaTea Time With TeensTotal Momsense by Anita RenfroeMOMfulness Book ReviewPeaceful Meditation For Parents Of TeensBoard & Card Games For Family BondingParenting As InspirationCyber ChoresMothers & CommunityParenting In The 21st Century & BlogsWhat Every Parent Should Know About School InvolvementThe Importance Of Touch And TeensParent-Child ConnectednessSupport For Depressed Parents Of TeensOrganized Activity Participation Or Over-Scheduling - Which is Better For Youth?At-Risk, Privileged, and PressuredParenting Preteens
Pregnancy (7)
Stigma & Teen PregnancyTeenage Birth Rate Increased in 2006Six Steps to Increase Unintended PregnancyReasons For Unprotected Sexual IntercourseContraceptive Use is Reducing Adolescent PregnancyPreteens (4)
Girls Guide To Becoming A Teen
The Care & Feeding Of Adolescents
Early Pubertal Development - Girls
Preteen PMS - What Is A Parent To Do?
Relationship Violence (5)
Dating Violence In The NewsAbusive RelationshipsInternet-Based Abuse HotlineDating Violence 1Dating Violence 2Relationships (4)
Love is RespectMales, Romance & SuccessThe ABCs of Healthy Teen RelationshipsTeen Boys & RomanceResearch (2)
Summary Of Health StatisticsAbstinence Only ProgramsSafety (3)
Stroke - Do You Know The Warning SignsStranger DangerViolence & SchoolsSchool (13)
Homeschooling Banned In CA?Small Class Sizes & HealthExpanded Learning Time in SchoolBack-To-School BasicsSelf-Injury (1)
Bodily HarmSexuality (17)
Freedom = Less SexAre Teens Having More Oral Sex?A Global Perspective on Teen Sex HabitsWhat is Hooking Up?UnhookedLoose Women On CampusSpeaking Out About Adolescent SexualityRelationships & SexGood Sex = Good CommunicationThe Incredible Melting CondomYRBSMotivation To Have Sex?Religion & Teen Sexual BehaviorIs It Consensual Sex Or Rape?Abstinence In The NewsSexuality Education Is Failing MiserablyFacts About Teen Sexual ActivitySexuality Education (13)
Sexual Risk Reduction Information To ParentsCongress Extends Funding For Abstinence EducationParents & Sexuality EducationPlain Talk About Adolescent Reproductive HealthThe Birds, The Bees, and MeCondom Availability In SchoolsFathers, Daughters & VirginityReligious Declaration On Sexual MoralityTeens & Sexual HealthTeens & SexHIV Among US AdolescentsAbstinence-only versus Comprehensive Sexuality EducationTeens & CondomsSexually Transmitted Infection/Disease Birth Control In Middle School?Mycoplasma GenitaliumTelling Someone They May Have An STDChlamydia (5)
1-in-4 Sexually Active Girls May Have An STI
US #1 In Chlamydia Cases
Condoms Prevent STD: Duh!
Chlamydia & Teens
Reproductive Health & Teens
Herpes (1)
Genital Herpes (HSV 2) And TeensHIV (11)
HIV Infection in People Over 50
Role Of Fathers in HIV Prevention
HIV & Your Grandparents
Girl Positive
Internet & HIV Prevention
HIV & African American Teens
Hormonal Contraception & HIV
HIV Infection & Teens
Teens & HIV Vaccine Trials
Routine HIV Testing
HPV (8)
New HPV Vaccine
HPV Update
HPV Vaccines For Boys?
More Q & A About HPV Vaccine
Link Between Oral Cancer & HPV
Could 1 In 4 Women Have HPV?
New Hampshire Offers Free HPV Vaccine
Adolescent Immunizations
Sleep (6)
Women & SleepSleep AwarenessSummer Slugs - Sleep & TeensTeens Having Trouble With SleepSleep In The NewsSmoking (1)
ADHD, Lead & Smoking
Substance Abuse (9)
Social Norms & Teen DrinkingTeen Marijuana UseDrugs, Brains & BehaviorAlcohol Use & School AttachmentCaffeine & YouthSubstance AbuseMisuse Of StimulantsTeen SmokingDrug & Alcohol Use Leveling OffSuicide (2)
Youth Suicide RatesHelping Prevent SuicideTanning (2)
Sun SafetySkin Cancer & The Beautiful TanTragedy (1)
Virginia TechTravel (6)
Summer Camp & IndependenceStaycations With TeensPlanning Vacations With TeensTraveling With Teens 1Traveling With Teens 2Preparing Your Teen/Preteen For Being Away From HomeTV (1)
TV May Hurt Attention & Learning SkillsPhoto credit:
WxMomLabels: Healthline, Index, Teen Health
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Sports and Injuries in Teens - Stress Fractures in the Lower Back
Thursday, August 14, 2008
Nancy L. Brown, PhD

A doctor I work with recently said she was concerned by the increase in lumbar stress fractures she was seeing in young athletes. She said she used to see it mostly in gymnasts but now she was seeing it in teens who play all kinds of sports.
We hypothesized it might be the long hours of practice and tournaments on weekends that sometimes include 6-8 hours of play a day. I also think it may reflect the increasing tendency for parents and teens to "raise the bar," in academics, athletics, everything - to give our children the best chance of success that we can.
To get some more information, and a different perspective, I went to Jolie Bookspan, my favorite
Fitness Fixer. Jolie had a couple of interesting hypotheses including an increase in lumbar stresses from severely overarching (increasing inward curve) of the lower back, and some really bad
sitting posture habits. In addition, Jolie is concerned that teens are not getting enough
exercise or spending enough time in the sun to have the strong muscle and
healthy bones that would protect them from these fractures.
Another concern is that the young athletes have typically been experiencing pain for quite a while before seeking care, making the diagnosis and treatment more difficult. Teens should not be experiencing back pain. If your teen complains of back pain, please see his or her doctor.
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Gen Y Employees Not Engaged?
Wednesday, August 13, 2008
Nancy L. Brown, PhD

Results from a global study by
Blessing White called "
The State of Employee Engagement 2008" reported that Generation Y employees are the least engaged in the workplace on four continents. In North America, the report suggests that only one out of three employees is engaged.
The report is based on 7,500 individuals and interviews with 40 senior human resource and line managers, with the bottom line being, the older the employee, the more engaged the employee. This left me wondering if engagement leads to power and position or if power and position leads to engagement?
When trying to get a grip on what they meant by "engaged," I loved this line: "
engaged employees stay for what they give, while disengaged employees stay for what they get." That pretty much said it all to me. Engaged employees plan to stay with a company while disengaged employees are always looking for a higher salary, better stock options, etc... The report suggests that engaged employees are more productive, committed, proud, passionate, and enthusiastic compared to unengaged employees who tend to feel underutilized, disconnected and negative.
Just FYI, the highest rate of engaged Gen Y employees, and the happiest employees were in India, which may reflect expanded opportunities from that growing economy.
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Thank You - Grand Rounds 4.47
Tuesday, August 12, 2008
Nancy L. Brown, PhD

Thank you Daniel Goldberg at
Medical Humanities Blog for hosting Grand Rounds 4.47 this week and including a post about
ACL injuries from Teen Health 411.
This week was very diverse and the posts were interesting to read. I liked the personal statements you inserted - as a way of getting to know you.
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EdBiermanLabels: Grand Rounds, Healthline, Injuries, Sports
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Girls and Sports - Results from Seventeen and WNBA
Monday, August 11, 2008
Nancy L. Brown, PhD
Seventeen Magazine and the Women's National Basketball Association (
WNBA) recently conducted a survey about how sports impact the lives of teen girls. The results may surprise you - they did me. According to this survey (of only about 1,000 young women), 83% of girls participated in sports and basketball was the number one sport.
The results suggest that girls play for exercise, to develop and maintain friendships, compete, and represent their schools. The girls that do not do sports say it is becasue they doubt their athlectic ability, do not have access to needed equipment at their schools, or worry about being perceived as a lesbian by peers. [Seriously?]
The impact of sports on young women is profound - results suggest that the participation in sports helps people develop emotionally and physically, experience the rush of competition and winning and learn lessons about losing -lessons that create future leaders.
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tata aka TLabels: Healthline, Sports
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The "Used To Be" Empty Nest
Saturday, August 09, 2008
Nancy L. Brown, PhD

Here is a new parenting issue - how do parents handle having their college graduate come home to stay? According to
Collegegrad.com it seems that more and more (77% last year) college graduates are not getting a job after college or setting up their own homes, but are moving back in with mom and/or dad.
Is it the recession or is it that this generation (Gen Y) is just more attached to family and home, and maybe less motivated? I cannot help thinking that this phenomenon is related to the issues experienced by college freshmen, too!
In previous posts I have talked about the higher numbers of
first year college students who seem emotionally unprepared for college in spite of wonderful academic, music, sports, and community service records. What seems to be missing are the skills required to be an adult, manage time, handle problems and negotiate "the real world." Maybe this generation of students are all struggling, but the ones making it through four years of college are suffering, at the other end.
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Sports and Injuries in Teens - ACL Injuries
Friday, August 08, 2008
Nancy L. Brown, PhD

I am learning a huge amount about sports and injuries this summer while working with the teen writers for the
We're Talking Teen Health site at the Palo Alto Medical Foundation. I am by no means an expert in sports, but I think parents and teens need to be aware that the rate of injury in teen athletes is going up, but injuries can be prevented.
This week we interviewed a doctor about
ACL (anterior cruciate ligament) injuries in the knee and I wanted to share what I learned.
How does this injury happen?This injury is specific to sports that involve starting, stopping, pivoting and turning with some speed – particularly in sports like basketball, soccer, volleyball, football, field hockey, skiing, and lacrosse. There are primarily two ways the injury happens:
- landing on an over-straight (hyper-extended) knee, and
- with a foot planted a person pivots inward (internal rotation) without the foot coming, too.
This can happen in contact and non-contact injuries.
How is this injury usually diagnosed?Usually there is significant swelling, and there are only a few injuries with this amount of swelling; there is an exam maneuver that is done to test for looseness of the ligament (if it is firm it is not torn, and if it is loose, it is likely torn), and an MRI is usually done to confirm the diagnosis. An x-ray will not help because it only shows the bones. The MRI will also identify whether the
meniscus (shock-absorbing cartilage) was damaged (torn) during the injury.
How is this injury typically treated?If the injury is in an adolescent who intends to go back to sports in which s/he will need to do pivoting, they will need surgery. If the injury is in an older person who jogs, bikes, or swims, activities that do not require the pivoting, the injury may not need to be repaired. If the meniscus was damaged, then during surgery the doctor will smooth it out so there is not a frayed area that will cause irritation, or sew it back together, depending on the nature of the tear. The doctor will try to preserve as much of the meniscus as possible given that it is the shock-absorber for the knee.
What is the recovery like if this injury is treated with surgery?A person will need to be on crutches for about one week, have physical therapy twice a week for a month, and then they can start biking, jogging, swimming, but need to wait approximately four months before going back to the sport that requires any pivoting or turning. This is because the surgery includes adding some new ligament, which will get weaker before it gets stronger and takes a long time to heal.
How can teens prevent an ACL injury?This is really a hot topic because ACL tears are much more common in female than male athletes. In fact, it is not uncommon during a single season that one out of 12 females on a team will experience an ACL injury.
There has been a lot of research done about why this is the case, and the results suggest that it is not because of the physiology or hormones of the female body, as was previously hypothesized, instead it is more likely to be:
- muscle imbalance in the thigh as the quadriceps muscles overpower the hamstring muscles which need to work together to straighten (extend) and bend (flex) the leg; or
- the way female athletes move during their sport, remaining more upright with their knees less bent than their male counterparts that puts the ACL in a vulnerable position.
In addition, you may have heard someone say “you run like a girl,” which usually means that when a person runs, their feet kind of go out, and knees bend in, instead of the knees staying straight over the foot, which is how girls tend to run (post-puberty), without training.
Prevention of this injury should include 15 minutes several times a week training to learn how to:
- stop and start keeping the knee straight over the foot, avoiding the knock-knee position which makes the ACL vulnerable,
- standing on a block and jumping, keeping the knee straight over the foot, and
- hamstring strengthening exercises.
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goldbergLabels: Healthline, Injuries, Sports, Teen Health
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Book Review: Breaking Dawn
Thursday, August 07, 2008
Nancy L. Brown, PhD

Wow, 754 pages later I have emerged from the Twilight Series and Stephenie Meyer's latest book, Breaking Dawn! I got it Sunday and have not wanted to do anything but read all week.
What a great book. This is the fourth - it follows Twilight, New Moon and Eclipse - finishing a story of passion, the meaning of family, coming of age, the supernatural, good versus evil, diversity, and love. If you have not read these four books with your teenage daughters and sons, it is not too late - there are still a few weeks of summer left - get reading! Breaking Dawn starts off with a long awaited wedding but within 138 pages the totally unexpected has happened and the rest of the book is a huge surprise!
I do not want to give away the fabulous ending, so let it suffice to say - this is a must read for summer! It will fill your spirit with a belief that anything is possible!
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Suite 100 GalleryLabels: Book Review, Healthline
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Book Review: The Launching Years (Part 2)
Monday, August 04, 2008
Nancy L. Brown, PhD

Once your teen actually leaves for college, the authors of this wonderful book suggest that your relationship with him or her will likely improve, overnight!
Part 2 of this review focuses on what to expect the first year your teen is in college. I remember leaving my children at kindergarten for the first time, and driving away while they stand at the curb in front of their dorm sounds a little like that! (Ouch!)
This book will help you dry your eyes and move through your grief, or maybe joy that your teen is at college. Some parents are happy and some are devastated with their new "emptier nest," but the second half of this book can help with whatever reaction you are having. In theory, you have gotten them to college, they have everything they need, and the university is supposed to take over.
There will be orientations, social events, resident assistants, dorm parents, counselors, advisers, and peer counselors to help with anything that goes wrong, but the authors suggest you should be prepared for some hysterical phone calls, anyway! Chapter four has some great suggestions for handling what the authors call "the dump call," and for knowing when a situation may require that you step in.
Just a few hints - no matter how much you miss them, the correct response to a dump call is NOT "come home - who needs college anyway!" A better response is to listen, provide a little empathy, and let them move on, as the authors suggest they will. Another call you may get is "I need more money," and the correct response, unless you are very wealthy, is NOT "sure, how much shall I send." (I liked that advice!)
During this emotional time, like so many other life transitions, you might not just be dealing with the loss of your teen, your relationship with your spouse may need some extra attention, and if there are siblings at home, they may need some extra support, too! Go figure! Whatever your family is feeling in reaction to this transition, the authors have some great advice and include stories from families just like yours.
The Launching Years is a great book for parents of older teens and college-aged students - the strategies it provides are priceless, even for families in which teens do not leave home but stay at home for a few more years. Every family is different, but all teens have to start being responsible adults at about age 18 and this book can help!
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DanieVDMLabels: College, Healthline, Parenting
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