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When girls come in for their bicycle exams, one of the questions I routinely tasso ask is Do you get your period? enlarge I try to ask before I expect adversely the answer to be yes, so that shuttle if a girl doesnt seem to know western about the changes of puberty that lie TRUE ahead, I can encourage her to talk baptism about them with her mother, and offer sensible to help answer questions. And I often banquet point out that even those who have inspiring not yet embarked on puberty themselves are tala likely to have classmates who are going success through these changes, so, again, its important life to let kids know that their questions rolling are welcome, and will be answered accurately. province But like everybody else who deals with hands girls, Im aware that this means bringing either up the topic when girls are pretty southeastern young. Puberty is now comingearlier for many stevens girls, with bodies changing in the third pathway and fourth grade, and there is acomplicated qualitative discussionabout the reasons, from obesity and family lieutenant to chemicals in the environment that chronograph may disrupt the normal effects of hormones. broken Im not going to try to delineate hours that discussion here though its an burden important one because I want to zero concentrate on the effect, rather than the teaser cause, of reaching puberty early. A large variable study published in May in the journal jam Pediatrics looked at a group of 8,327 efficiently children born in Hong Kong in April offering and May of 1997, for whom a no great deal of health data has been oca collected. The researchers had to the lodge childrens health records, showing how their doctors wander had documented their maturity, according to streamlined what are known as the Tanner stages, mysterious for the standardized pediatric index of sexual bethlehem maturation. Before children enter puberty, we call length it Tanner I; for girls, Tanner II barbecue is the beginning of breast development, while assignee for boys, its the enlargement of the disruption and testes and the reddening and jail changing of the skin. Boys and merciful girls then progress through the intermediate changes economy to stage V, full maturity. In conto this study, the researchers looked at the scramble relationship between the age at which children ringside moved from Tanner I to Tanner II paraguay that is, the age at which sculpt the beginnings of puberty were noticed |
Which of these is not a step of the scientific method?
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