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Lewes, Delaware
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June 2, 1995     Cape Gazette
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June 2, 1995

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- CAPE COkZETTE, Friday, June 2 - June 8, 1995 Health & Fitness Health To tics Dennis Fomey photo M.A.S.H. unit set up at Beebe Medical Center In honor of Emergency Medical Services Week recently, personnel in Beebe Medical Center's emergency room set up buffet and break areas decorated and labeled to recall the popular movie and television show MASH. The emergency party atmosphere was much appreciated by emergency room personnel and the professional and volunteer emergency people who came to the emergency room- Shown here in Phe Swamp" are (I. to r.) Frank Shade of the Sussex County Paramedics, Emergency Room nurses Edie Reynolds and Linda Sapienza, and Sussex County Paramedic Robert Ross. Millville Emergency Center opens Beebe Medical Center's Millville Emergency Cen- ter opened for the summer season at 7 a.m., Friday, May 26, 24 hours per day, seven days per week, through Labor Day weekend. Located on Route 26, the Millville Emergency Center provides a full complement of emergency ser- vices, ranging from ear aches and splinters to more serious injuries and illnesses, when you don't need to call 911. Persons with chest pains or other life-threat- ening illnesses should call 911. The center has one or more physicians available during operating hours, and its nursing staff is Advanced Cardiac Life Support certified. X-ray and laboratory services are available during peak hours for both emergency and outpatient cases. "The Millville Center works closely with Beebe Medical Center's Department of Emergency Services in Lewes, Sussex Paramedics and local ambulance services," said Ann Caputo, charge nurse for the Mil- lville Emergency Center. "The Millville team refers and transfers patients to Beebe after stabilization if further treatment or admission is necessary." As do most emergency treatment centers, Millville utilizes the "triage" system of categorizing the sever- ity of a patient's illness or injury upon arrival. This means that a patient with a more serious injury or ill- ness will be seen before a patient with an ear ache or another non-fife-threatening illness or injury. "Even though the center is extremely busy during the summer months, we see patients with all degrees of injury and illness," Caputo said. "Our goal is to provide the best possible treatment in the shortest amount of waiting time." Millville is serviced by numerous ambulance and fire companies including Millville, Frankford, Dagsboro, Roxanna and Sel- byville. Sussex Paramedics will also provide trans- port services again this summer and a helipad is available for the trooper medic helicopter. The Millville Family Health Center, located on Rt. 26, for-and-a-half miles from Route One, Bethany Beach, also houses family practice physician Dr. John Giuliano, whose hours are 9 a.m. to 5 p.m., Monday, Tuesday, Thursday and Friday, from 9 a.m. to 7 p.m., Wednesday, and 9 a.m. to 1 p.m., Saturday. Appointments can be made by calling 539-8880. For more information call 539-8450. Beebe plans Super Sitter program for teens Beebe Medical Center is now taking registration for separate two-day "Super Sitter" babysitter certifi- cation programs. They will be held July 5-6 and Aug. 1-2 from 10 a.m. to 3 p.m., at Beebe Medical Center for boys and girls ages 11 to 14-years-of-age who want to improve their child care skills. The program, designed to prepare teenagers for safe, responsible baby sitting, will include informa- tion on infant and child behaviors; fire and home safety; infant and child care as well as Cardiopul- monary Resuscitation (CPR). The first day of class covers parents' expectations, babysitting responsibil- ities, first aid and normal growth and development. Day two includes home safety, fire safety and infant and child CPR. The course is taught by registered nurses and edu- cation specialists as w.ell as law enforcement officials and local volunteer fire companies. The cost is $30, which includes two days of professional instruction, educational materials and lunch. "Our goal is to prepare young adults to become a safe and responsible sitter when caring for infants and children," said Norene Broadhurst, R.N., pro- gram coordinator. "Our program helps these young sitters understand what is normal and how to handle the unexpected." Pre-registration is required and registration is limit- ed to the first 12 participants. Call 645-3248 to regis- ter. Sexually transmitted diseases in children (This is the first of a two-part series authored by the physicians at Bayside Health Association, with offices in Lewes and George- town. The physicians include Dr. Susan h Rogers, family practice; Dr. J. Eric Hale, family practice; Dr. Vincent B. KiUeen, obstetrics and gynecology; and Dr. Newel R. Washburn, obstetrics and gyne- cology. For more information, call 645-4700.) Over the past decade there has been an unprecedented epidemic of sexually transmitted diseases, especially among adolescents and young adult women. The health issues associated with early ado- lescent sexual involvement are undisputed, but also under- acknowledged. The rate of cblamydia infection, gonorrhea, herpes and genital warts has been soaring. Yet, unfortunately, awareness of their impact on the health of infected women has not increased propor- tionately. Despite all of our edu- cational focuses on sexually trans- mitted diseases (STD) and their prevention among adolescents, teen-agers till remain at great risk for acquiring a STD, including human immuno-deficieney virus infection (HIV). We, as clini- cians, now are not only involved in the treatment of sexually trans- mitted diseases, but now also in the management of their long-term sequelae. Examples of these sequelae are the cancerous changes in the geni- tal tract, infertility and ectopie pregnancies, as well as transmis- sion of STDs to newborn babies, chronic pain caused by the scar- ring within the female genital tract, and death related to AIDS. Sexually active adolescents have a higher rate of STDs than any other age group, yet they are less likely to obtain care. Gonor- rhea and syphilis rates for sexually active adolescents are the highest of any age group. Sexually active adolescents have the highest rate of chlamydial infection and asso- ciated complications for any age group. It is important to know that chlamydia is twice as common among adolescents as is gonor- rhea, and of the one million women who have an episode of pelvic inflammatory disease (PID) each year, 20 percent are adoles- cents. The risk of PID in the sexu- ally active 15-year-old is about one out of eight. Although hope- fully not paramount in our area, the exchange of sex for drugs is an important factor in the spread of STDs. The question that arises is: What are the reasons for increased risks of STDs in adolescents? Basically, this can be divided into five general categories - the first being behavioral factors. Adolescents are having sexual relationships at an earlier age and therefore are more prone to having an increased number of sexual partners. Although adolescents are serial monogamists (short- term partnerships in a sequence), the adolescent is likely to have two different partners per year. Another behavioral factor is that the adolescent is less likely to use a barrier Contraceptive. Two thirds of the adolescents who are sexually active don't use contra- ception at all, or if they do, they use it inconsistently. Also, in the adolescent' many relationships are of low emotional commitment. It is those kind of relationships that are associated with the lack of contraceptive use. The second reason for increased risk of sexually transmitted dis- eases in adolescents is the biologi- cal factors. The female adolescent tissue provides a larger target for many of the STDs and this is because the tissue is still in the formative years and actively maturing. The third reason for increased risk is the difficulty in the diagno- sis of STDs. Unfortunately, STDs have a high rate of asymptomatic infection. Along with this, there is a lack of knowledge among ado- lescents who don't recognize the signs and symptoms as abnormal. The adolescent is more likely to deny the infection. Also, physicians have a tenden- cy not to recognize STDs because of their low index of suspicion. In many cases, adolescents partially self-treat and this may cover pre- senting signs or symptoms. Also, there are many barriers now to health care access, two of which are financially based and confi- dentiality. These both remain major concerns in the ability to diagnose STDs. The fourth category is difficulty in treatment of the STD. Needless to say, incorrect diagnosis results in an inadequate or incorrect treat- ment. Also, poor patient compli- ance is seen much more frequently in the adolescent population and the treatment regimen may result in a relapse. Also, poor follow-up is likely to increase the risk of relapse. And there is a high rate of re-infection because there is a lack of treatment of the present partner, or there is a contact with a new infected partner.