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Archive for July 12th, 2008

 “All the flowers of tomorrow, are the seeds of yesterday.”

“Whatever we are today, it is the result of what we thought and did in the past.

By the same rule of cause and effect, what we are to become in the future will be determined by what we think and do right now, today.

Through our consciousness, our sense of discrimination, we can choose at every moment to make a difference now, in this life, not only for the rest of our lifetime but for all eternity.

This is our privilege.

This is our challenge. “

(By Aseem Kaistha) 

 

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(Source:  http://health.yahoo.com/experts/healthnews/14015/autism-how-it-isolates-a-person/)

 

Although autism continues to receive much attention from the media, many people are unfamiliar with its manifestations in older children and adults.

 

Autism in juveniles and adults is principally marked by the damage it does to 3 crucial areas of relationship building with others: socialization, communication, and behaviour.

 

Autism impairs social interactions:

 

·                The person with autism lacks many of the nonverbal behaviours, such as eye-to-eye gaze, facial expressions, body postures, and gestures that help us flourish in and regulate our social interactions.

 

·                This person fails to develop relationships with others on the same developmental level.

 

·                Because this person is unable to point out, talk about, or show any things that are of interest to others, he or she cannot spontaneously share enjoyments, interests, or achievements.

 

·                This person cannot reciprocate when placed in some situation that calls for social or emotional interaction.

 

Autism impairs the ability to communicate:

 

·                This person will experience delays in language development, or may not develop language at all. Nor will this person make any attempt to compensate for this lack by expanding alternative modes of communication such as gestures, writing, or mime.

 

·                Even those individuals with adequate speech will be unable to initiate or sustain a conversation with others.

 

·                Such individuals will use stereotyped and repetitive language, or will develop a completely private language all their own.

 

Autism spawns interests in repetitive activities and patterns of behaviour:

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·                The person becomes preoccupied with one or more stereotyped and restricted patterns of interest that are abnormal either in their intensity or focus.

 

·                The person adheres stubbornly to specific routines or rituals that have no real function.

 

·                The person moves the body in stereotyped and repetitive ways, such as hand or finger flapping or twisting, or complex whole-body movements.

 

·                The person is persistently preoccupied with parts of objects. 

From the above, it is sadly apparent that a person with severe autism cannot build and nurture full relationships with other people

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(Source: http://health.yahoo.com/experts/healthnews/14022/do-healthy-adults-need-an-annual-physical-exam/)

 

The American Medical Association (AMA) began advocating a comprehensive annual physical exam in the 1920s. For many years, this exam was quite simple and straightforward; it consisted of the doctor inquiring about any recent health changes, pounding on the chest and listening to the heart, checking reflexes, and obtaining a few laboratory tests.

 

With the current availability of new measurements and medical technologies, today’s comprehensive check-up has expanded to include an extensive (and costly) battery of blood tests, electrocardiograms, x-rays, sonograms, and probably other procedures aimed at unearthing early stages of diseases like cancer. Yet, the need for such a comprehensive exam has remained controversial even among doctors.

 

Periodically, several groups have examined the content and value of annual examinations. In 1979, a Canadian task force concluded that a scheduled annual physical exam was not required and instead suggested that most preventive health care interventions could be carried out during office visits for other short-term or long-term problems. Since then, the AMA, American College of Physicians, the U.S. Preventive Services Task Force, and the U.S. Public Health Service have all agreed that a less rigid and more selective approach should replace the annual physical examination.

 

The findings of a comprehensive physical examination are unlikely to change within a year in a healthy man or woman, assuming, for example, that recent examinations of the heart and lungs, electrocardiogram, blood cell count, and tests of the thyroid, cholesterol and liver have all been normal.

 

Surveys show, however, that about two-thirds of patients expect an annual physical examination from their doctors. And approximately the same percentage of family doctors and general internists, who carry out the bulk of these annual physicals, believe they are a good idea. One study found that an annual examination was carried out in 20 percent of the whole patient population and in more than half of the patients over age 65.

 

I am in the minority, both as a patient and a doctor, because I don’t believe that an annual physical examination is necessary. What healthy people of all ages truly need are reminders to follow preventive measures like getting the flu vaccine, stopping smoking, controlling weight, improving their diet and exercise routines, and getting screening tests of proven value, such as mammography, a Pap smear for cervical cancer, and a colonoscopy.

 

All of these issues could be discussed with most patients during their other visits to the doctor — one study, in fact, estimated that three-quarters of the patients who had an annual physical had been seen by their doctor within the previous year.

 

Those not seen within the prior year should be asked back by the doctors for a visit at some regular interval, perhaps each year — not for a comprehensive examination, but for a selective discussion of the preventive measures listed above and for early detection of the health problems for which each individual may be at higher risk.

 

 

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