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Too many people in one place !

I love being around people. It energizes me to no end. I love people watching, interacting with new people, hanging out with people I love, anything with people.

Having a migraine constantly has changed this love to sometimes be a fear. I hadn't willingly recognized this change in myself until I went last weekend to the Seattle Shakespeare Company's production of A Midsummer Night's Dream at Volunteer Park (wonderful production - highly recommend - even if you have a migraine). We were gathered around the main stage area, out in the sunshine on a beautiful day right before the play started and I had this overwhelming feeling of anxiety. It was really important to me to very instantly know where I could go to get away from the stimulus of all the people, how to get out of the sun, where the car was parked, what the quickest way was to get to the car, etc. All of this anxiousness was centered around my migraine and what I would/could do to take care of myself in case a quick and severe attack hit.

Strange, new feelings. I had them again yesterday when processing through going to the Bite of Seattle this weekend - which is a wonderful event, full of thousands of Pacific Northwesterners, that we love to go to every year.

I wish I could find a recovery med that I could tolerate. If there was a little pill in my purse that I knew would help alleviate my symptoms long enough to get home to where I feel safe - that would help so much. I've heard people blog and talk about how they have a sense of comfort when they have their Maxalt or Immetrix with them. I can totally understand why they say that. It's almost like a "get out of headache free" card in your pocket anytime you need it (maybe not that good, but something like that). Must put this on the list of things to talk to my headache specialist about.

So I guess I need to realize that in living my life, even if it is temporary, I will have to adjust and accommodate this new fear of being away from my home, around groups of people and getting a migraine attack.

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Eye Care in Children

How does one check that the child's eye is developing properly?

The eye has two basic abilities: (1) Raw sight or color and black white vision with all its attendant abilities to see in the light and dark. (2) Ability to locate and fix on an object, thus simultaneously changing focus and judging an object's distance and depth.

In a child, both the function of its eye and the extent of development of the eye have to be tested separately. (A child is usually born hypermetropic with a small plus number, around +3.00. By the age of four, the eyeball grows, and the number vanishes). The ability to judge the extent of vision, depends on symbol recognition and an appropriate response following recognition.

Obviously you cannot ask a new-born baby what and how it sees, and hence all tests are indirect, based on neurologic evaluation of the rate of development. Nevertheless during the last few years with the rapid advance of the science of photo-electronics, the understanding of the new-born eye has progressed rapidly.

What are the neurologic movement tests done to check the development of the eye in a child?

The neurologic tests are done by seeing the movement of the eye under certain conditions. Each movement indicates a functional eye mechanism with a balanced neurologic component.

Gliding movement

The earliest movement usually present at birth is the gliding movement. When the child's head is turned to the opposite side, the eye remains-fixed at a point in space, thus compensating for the movement. Thus, though the head may be moved by the parent or doctor, the eye will remain at a particular point and not move with the head rotation.

Optically elicited movement

Optically elicited movement is usually present in the second week of life. Any object introduced in the child's vision will immediately attract attention to it.

Follow movement

After the eye fixes at an object, if the object is moved the eye continues to follow the movement. It is present at the age of 4½ months.

Acoustic (sound) elicited eye movement

If you clap your hands, the baby tries to locate the sound by sight and fixes to it, even though the object is not in its visual field. This is not developed till the 5th month of life.

This is not valid if the noise-producing movement is within its visual field in which case the much earlier elicited optical movement comes into play.

How is the vision of an eye tested?

Direct tests are difficult unless a child can respond. However by 4 months, tests can be devised to check vision.

At 4 months, a 1 inch square white block placed on grey paper five feet from the child should elicit a response from the child, when moved to and fro. Alternatively to increase contrast the block may be hung from a string against an illuminated black background.

At the age of 5 months, the child will follow the block if moved.

Though crude tests, they are important for checking that the visual ability is present in the earlier months.

When does a child need to have its eye examined and why?

The first examination should be at the age of 5 months. The macula, the area of clearest vision in the retina, develops completely by 6-8 months and hence any problems in the eye which stop light from reaching this area will stop its development and must be treated urgently before the development is complete.

The second examination should be at the age of 2 years. By this time most of the development of the eye is complete and any abnormalities can be attended to.

The third examination should be at the age of 5 years. The muscle balance is almost complete and any problem, especially suspected squint, is best treated at this age. Vision can be tested subsequently as response is now easy.

Subsequently an eye check-up every 2 years is adequate provided no problems are present.

What are the symptoms that may indicate vision problems in a child?

(1) Rubbing the eyes

(2) Closing or covering one eye

(3) Squinting while looking at the blackboard

(4) Headaches after reading

(5) Tilting the head to one side

(6) Holding reading material very close to the eye

(7) Moving the head instead of the eye while reading

(8) Puffy eyelids, especially in the evening

(9) Persistent letter or word reversal

(10) Confusing similar words

(11) Frequently leaving out words while homework is copied from the blackboard

(12) Drop in school grades after 3rd standard

(13) Persistent motion (car or train) sickness

(14) Blurring of vision at any time.

The visual causes of many of these symptoms are not picked up in a typical school screening test. Therefore the value of the screening is limited and should never be construed to be a vision examination.

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Restorative Yoga Better Than Stretching for Reducing Subcutaneous Fat in Overweight Women

by Nina

Just a quick announcement today about some research findings I think you’ll all enjoy learning about. Baxter and I read about a recent study, designed by Maria G. Araneta, PhD, MPH, of the University of California, San Diego, to determine whether obese women lose fat from less intense exercise instead of aerobic activity. Although not a huge study, the groups were larger than most of those we see in recent studies, with the yoga group of 88 having a mean age of 55 years with an average BMI of 36 kg/m2 and the stretch group of 83 having a mean age of 54 years with an average BMI of 32.5 kg/m2.

Along with her co-authors Matthew A. Allison, MD, MPH, Elizabeth Barrett-Connor, MD, and Alka M. Kanaya, MD, Dr. Araneta presented the results at the 73rd Scientific Sessions of the American Diabetes Association in Chicago (June 21-25). And the results showed that the practitioners of restorative yoga lost significantly more subcutaneous fat over the initial six months of the study. They also kept losing subcutaneous fat during a maintenance period when they had less direct supervision. This is important because all the women participating in study had metabolic syndrome. And reducing abdominal fat may help reverse the syndrome.

The Mayo Clinic defines metabolic syndrome as follows:

"Metabolic syndrome is a cluster of conditions — increased blood pressure, a high blood sugar level, excess body fat around the waist and abnormal cholesterol levels — that occur together, increasing your risk of heart disease, stroke and diabetes."

Metabolic syndrome affects 44% of the U.S. population older than age 50. 

Although the team is still reviewing the data, they speculated that one explanation for the difference between the effects found with restorative yoga and stretching may be that restorative yoga reduces cortisol levels. As Timothy wrote in his background post Stress, Your Health and Yoga, cortisol levels rise during times of stress and is known to increase abdominal fat. And in Baxter’s post Cortisol and Good Health Baxter wrote about the dangers of prolonged periods of stress and high levels of cortisol. I wrote specifically about the relationship between stress, cortiso,l and weight management in my post Yoga, Stress and Weight Management. So we'll be very interested to see the follow-up studies.

In Baxter's post on cortisol, he actually recommended restorative yoga along with yoga nidra as stress reduction—and cortisol-lowering—solutions. However, meditation (see Starting a Meditation Practice) and supported inversion poses (see All About Supported Inverted Poses) are also helpful. For a complete overview of how to use yoga to switch your nervous system from the Stress Response (Fight or Flight) to the Relaxation Response (Rest and Digest), see The Relaxation Response and Yoga.

In her presentation, Dr. Araneta did not recommend restorative yoga as a replacement for aerobic activity; instead, she said this “complementary” practice could provide a means of gentle movement for severely obese patients for whom other activity is not practical. But as I wrote in Restorative Yoga: An Introduction, restorative yoga is a complementary practice that benefits all of us.

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