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 The "5S's" include swaddling (tightly wrapping a baby in a blanket almost like a burrito) and a side/stomach position such as this.
April 16th, 2012
12:01 AM ET
The '5 S's': Easing baby pain after vaccine shotsFor most parents - even the strongest believers in the benefits of vaccines - anticipating how their newborns' facial expressions will turn from curious to shock before they burst into tears from the needle stick, can make the next well-baby check-up something they would love to skip. But doctors at Children's Hospital of the King's Daughters in Norfolk, Virginia, have found an easy way - actually five easy ways - to help calm a baby's pain (and anxiety), without any medication. It's called the "5 S's": swaddling (tightly wrapping a baby in a blanket almost like a burrito), side/stomach position, shushing sounds, swinging and sucking. If babies were doing four out of five of these "S's," they would usually stop crying within 45 seconds after the shot, according to a new study published in the journal Pediatrics. Parents aren't the only ones who are concerned about the pain babies feel when they get vaccine shots. Doctors and nurses - the ones sticking the needles into the little babies - are too. In the past, doctors would recommend giving an infant some baby Tylenol or Advil, to prevent any possible fever from developing and also to provide pain relief. But that changed a few years ago when a study, published in the medical journal The Lancet, found that giving acetaminophen (the main ingredient in Tylenol) before or after vaccination actually made the vaccine less effective because fewer antibodies were produced. Watch more about easing vaccine pain for babies Breastfeeding can help reduce pain and calm a child because it gives the infant comforting skin-to-skin contact and distracts the child. Also, mother's milk contains sugar which is known to have pain-relieving effects. However, if a mother is no longer breastfeeding or uncomfortable doing so in a pediatrician's exam room, that's not really an option. So the standard of care for helping reduce pain stemming from vaccinations or circumcision or drawing blood has been sugar. "A lot of neonatologists use sugar for a painful procedure," says lead study author Dr. John Harrington. "It's poor medicine not to give sugar before medical procedures because it does work." On the other hand Harrington, who is a pediatrician at Children's Hospital of the King's Daughters, says if children keep getting sugar to help relieve pain, that doesn't help alleviate the obesity problem we have today. So Harrington was searching for something that would provide a pain-relief alternative. A guest lecture given by Dr. Harvey Karp, creator of the DVD and book "The Happiest Baby on the Block" gave him the idea for his study. Karp had found that when parents use the "5 S's" it triggers a calming reflex in the baby. Harrington knew many parents found this method to be helpful with colicky babies, so he decided to see how it would work when giving vaccinations in his clinic. He devised a trial with 230 healthy infants who came to his clinic for regular check-ups at 2- and 4-months of age. They were divided into four groups: One group was given 2 millilitres of water 2 minutes before getting the vaccine. The second group was given 2 millilitres of sugar-water. The third group was only given the "5 S's" after the shot. And the last group was given 2 millilitres of sugar-water before the shot and the "5 S's" after the vaccination. At least four of the "5 S's" had to be completed (babies were not always able to suck on a pacifier because they were either crying too hard, already calming down or unfamiliar with a pacifier. Harrington and his team thought the sugar solution plus the physical intervention using the "5 S's" would be most effective. The study authors reported that "the pain scores and crying time in the group of physical intervention alone were essentially identical and sometimes even lower than the physical intervention with sucrose group." Harrington says the babies who only received the sugar solution were still crying 2 minutes after getting the shot. But most of the babies who got the physical intervention stopped crying by 45 seconds. "By a minute [following the shot], nobody was crying or making any sort of fuss at all," he says. Dr. Karp wasn't involved in the study but he says this research shows the that the "5 S's" are twice as effective as sugar, which has been the gold standard up until now. But he believes Harrington's study actually underestimates the effectiveness of the "5 S's" because the sugar-water is given 2 minutes before the shot and the swaddling and swinging etc. didn't begin until 15 to 30 seconds after the shot. Karp recommends doctors swaddle the baby before the procedure and just leave the legs exposed (that's where the injections in young babies are made), thus triggering the calming reflex before the procedure. He also recommends doctors have a white-noise CD on before the shot is given. "That will give a much faster [calming] response," says Karp. He says white noise is as important as swaddling when it comes to triggering an infants calming reflex and should be used until the baby's first birthday. This is the second study that shows how the "5 S's" help babies, says Karp. "A 2011 Penn State report found the '5 S’s' helped increase infant sleep and reduce infant obesity." The study authors acknowledge they tested their hypothesis on more 2-month olds than 4-month olds. They attribute that to parents being so amazed by the calming effects of swaddling etc. when they came in for the 2-month check-up, they then asked to learn how to do it themselves. Therefore the number of parents in the test group who didn't use the "5 S's" to calm their babies at the next (4-month) visit was very small. Harrington acknowledges that more research needs to be done to validate his study, but the results show you don't need a spoon full of sugar to get a vaccination because using the "5 S's" is more effective. The real benefit, he says, is that "the parents had learned that they could soothe their child without giving their child sugar or giving medicine." If this leads to less stress and anxiety at doctors visits, that doesn't hurt either.
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  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
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5 things women are doing wrong internet dating
Let admit it. There no shortage of articles that detail the mistakes men make while online dating services. but nevertheless, While those articles are often highly friends and guests (air cleaner will add, Who wouldn want to examine a man who showed up to a first date in leather chaps?), They one on the sides. dating is growing rapidly a two way street. If we want to improve the internet dating terrain, don't be surprised men to do all the heavy lifting. ladies, It time we own up to some of the mistakes we making so we can stop romantically shooting ourselves in the foot.
In the spirit of developing 2015 a better year for our love lives, Here are a few things that women are doing wrong when online dating.
It not uncommon for a woman to sign up for an online dating site and immediately be inundated with an overwhelming number of messages and interest. Sorting through these messages many of which will be creepy, Inappropriate or just plain bad is a daunting task that can easily turn you off internet dating forever. Call it the curse for a moment. nevertheless Ryan, A single guy brought on by Baltimore, Maryland says he thinks often women give up too soon.
Might go on a date or two and think were crummy dates following which quit. But eventually if you stick with a site for a specified duration, Activity settles down to a normal baseline and you start to get good at picking dates. Letting the photos do the referring
sure, Men are visual bugs. but unfortunately like women, They want to know more about a potential date than whether they'd like to take a good selfie. It essential that you include a decent variety of photos however they don replace actual information. As Ryan puts in plain words, Including more knowledge about who you are and, more to the point, who and what you looking for has two bad effects: It an invite to receive junk messages and it also discourages guys who like what they see but have very little to go off of from composing an initial email. Going on the a particular problem
Although I all for being assertive and having no shocks of what I looking for in a partner, exercising that I see a woman profile that says things such as, tired of sorting through dating deadbeats and jerks! Or reply if you man enough to handle this, I visibly cringe (And I not alone).
your online profile shouldn read like the lyrics to a Mary J. Blige song from the all been hurt a little time back, However using your profile to complain about men is very similar to using a job interview to complain about your previous work experience. too,with that you alienate your prime audience: other men. as opposed to, Stay positive and focus on what positive attributes you looking for and what you can offer.
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If your profile says areas like just a laid back, Easy going girl or like to own fun and laugh, You doing the same wrong. As Ryan says, Trying to encounter as overly balanced isn going to score you any points. words like "I like the gym but I also a passive" on the other hand "I like the city and the equally" Say very little someone complain about personality. It better more specifically about who charmdate.com member you are and what you about than to try please everyone. Men want women with regards to own interests and opinions. tells me, Guys want women who know how to have connection and aren afraid to have opinions. currently, Like adult persons. Being too rigid with search constraints
Almost all online dating sites use algorithms to generate match results. the greater amount of specific the search criteria you input, The less results the truth is. This is super useful if you hunting for a guy who specifically likes cave exploration or mountain biking, However less so if you just looking to meet someone nice that you have stuff in common with. As Ryan information, Are many women out there who only want a 6 + guy making at least $50,000 with a Bachelor degree or more. They passing up on a lot of great guys who make $44,000 and are 5 I can speak consequently on this one: If you not prepared date a guy who makes less than $50,000, I not ready to message you. A nutshell, If we going to get better at dating foreign girls we have to remind ourselves to stay positive, Be authentic and remain assertive while still being open to new possibilities wise advice for anyone from a few good men.
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New app for those of you seeking a muddy match
Determined to subside with a rural type, she Lyon, who works in London and lives in Buckinghamshire, Has joined rural dating site Muddy accommodates. Her townie friends find it uproarious but the 24 year old, Who is a special funds supervisor at St George Hospital, In south united kingdom, With a passion for home design, Believes the web based is her only hope of finding love.
Friends take the mick but I rural rather than townie and without going on the internet [url=https://www.bestbrides.net/jump4love-reviewis-it-available-for-ukrainian-dating-online/]j4l[/url] I don know how I meet someone from a country background, she says.
internet dating has moved on since the early Noughties, When singles exchanged lengthy emails before arranging to meet face-to-face. When lindsay lohan, Who everyday life in Beaconsfield, Attends the first Country Life Fair in London later this month, She be able to get together potential suitors using Muddy Matches new dating app, Exchanging texts before hopefully meeting people in person at the champagne bar. Tinder for great outdoors types, She tells, Likening it to the cult dating app that connects users and him or her to (Anonymously, thank goodness) To or after looking at someone profile picture.
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Lindsay tried networking the actual country way attending rural events such as the Sheep Dog Trials at Northleach in Gloucestershire, But she struggled to influence her London friends to accompany her, subjects she did, The group did not met anyone new. Nerve loading, Socialising with others you don know, states.
Many country loving songs aged 18 26 find love at their local branch of Young Farmers, An setup with 25,000 members that arranges ski trips and dances for young country inhabitants. But Lindsay felt a fraud enrolling as she works in a city and doesn come from a farming background. Hard to choose the right group that leads to meeting new people, states.
This was also the expertise of Lucy Reeves, between Northamptonshire, Who founded Muddy matches in 2007, good old 25, with your ex wife sister Emma, Who was 27 right then and there. They neglected to meet anyone through Young Farmers, And while they enjoyed going to rural events just like the CLA Game Fair and Badminton Horse Trials, They only ever met up with others they knew. Was so discouraging. I be between good looking, well matched people my age but I didn have the nerve to barge up to them and introduce myself, Lucy states that.
Fiona Eastman, Who is organising the Life Fair at Fulham Palace, Is convinced that the Get Muddy dating app will make new friends between singles at the event.
Capital rural it all depends will be out in force, And by using the app you are able to meet singles you don know and have a drink, states. Muddy Matches members using the app can browse pictures of people at the event whose profiles appeal, And send them text messages.
Didn see much point having a location based app because our users would find the nearest 'match lives 50 miles away, Lucy relates. We chosen an event based app, As that the way people socialise near your vicinity.
over 2006, When the Reeves sisters decided to give online dating sites a go secretly, Because the notion of finding love with a stranger via the actual web had only recently started to lose its stigma they failed to find a dating site aimed at young, Country minded personals.
internet dating sites were all very much Last Chance Saloon; Images of two badgers disappearing off into the sunset that kind of thing, Lucy stated.
With their online dating service plans thwarted, They resolved to put together their own site, Launching Muddy Matches users can be afraid of mud with about 800 profiles a couple of months later, Having bribed each they came across to join the site. With so few members they thinking that there wouldn be any matches, But successes immediately began to pour in and, regarding six months, there's a wedding.
Muddy Matches now has an estimated 100,000 members and Lucy has stopped counting the wedding ceremonies, the actual total has reached well over a thousand. patients are nice, Normal people with similar interests, alleges Lucy. Are farmers we also host Farmers Weekly mag dating site horsey people, Shooting types and dog lovers as well as a choice is about country minded folk who live in towns. A tongue in cheek multiple choice quiz in the exact location calculates a user muddy townie ratio with questions such as would your ideal house be? Are the contents of your hoover? And muddy are your wellington boots?
The site is designed to cope with painfully slow broadband speeds found in some rural areas and the fact that a proportion of members are still using dial up online connections, But it is also now fully sensitive, As 50 per cent of Muddy Matches traffic is via mobile phone and tablets.
Use it quickly as they out at work or on their combine harvester; promotions have got shorter; People are 'chatting in lieu of emailing; It all added immediate, Lucy is marked.
One element, richard, Found his boyfriend / girlfriend Valerie five miles away, By looking for local users. Sent her some text asking if she was well and she replied that she was enjoying a gin and tonic in her garden, He writes in the successes section of the site. Suggested she came round for further gin and tonics and the rest is history!
It is happy outcomes enjoy this there at least one posted on the site every week that have inspired singles such as Lindsay to sign up. Lucy and her sibling, Fearing it was unethical to join their own site but eager for a success story of their own, Eventually shown interest in a rival, And are consequently both in long term interactions.
she, in whose muddy townie ratio is 50:50, Says her ideal accommodate is blond, brown eyed, group minded and really funny. He do sport cricket or shooting but certainly he has to love animals, she says. She has already exchanged messages with a couple of guys and is anticipating test driving the Get Muddy app at the Country Life Fair. Exciting seeing who has saw your profile.
Lucy proposes she post a flattering and clear photograph of herself on to her profile and includes brief details such as her location and age. An event people aren probably to want to read a load of text, states. would like to see if they like the look of the photo, You a different age, and you don live 600 miles away. And can you imagine Lindsay dream man flashes up on her screen? The chat lightweight, Lucy hankerings. Amazing how easy it is to talk yourself out of a date.
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