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September 29, 2009

Reading on Screen vs Reading on Paper

Filed under: Information — Tags: , , , , , , — admin @ 11:15 pm

e book paper book Reading on Screen vs Reading on Paper

We live in a digital age where technology is constantly on a cusp of new found developments and measures to make our lives more convenient, efficient and eventful.  Like with any inventive additions to a practice, there is a constant debacle on whether the old way or the new way is the right way.  The age old practice of reading has fallen into questioning on whether reading off of a screen or reading of paper is better.  Though each contain their own advantages, one aspect is true, there are physical practices that apply to both when it comes to reading and caring for your eyesight.

When it comes to the care of your eyes, digital screens have been heavily scrutinized for ruining eyesight much more than paper books have, but no matter what you’re reading, what “mom” said was true, “reading under the covers” will ruin your eyes.  This means that though though both digital and paper surfaces may individually propose various problems, the disciplines of practicing proper ergonomics and reading in proper lighting are just the same.

Similar Practices

Gone are the days where reading digitally requires one to be tied to a desk.  With netbooks, digital readers and phone apps, the next page of a story can be read from any location just like a book.  Another similarity is depending on the direction we were taught to read from in books, that is the same direction we read screens as well.  (eg: Western: Left to Right, some Asian cultures: Right to Left) Although mobility enhances the convenience and comfort of where we can read, proper reading habits are still important to practice to pro-long healthy eyesight and posture.  It is suggested that the reading/working surface should be seen at an angle (our 22 degree slant board supports this), and instead of reading laying down in bed or hunched over on a couch, the same ergonomics that are applied to typing should be implemented for reading.

Differences

Paper
There is an irreplaceable quality in reading text from paper that is very different from reading on screen.  Despite newer clear type technology that is supposed to make type easier to read on screen, it has been reported by various studies that reading on paper is approximately 25% faster and also allows for quicker comprehension. This could be due to that when reading a book, there aren’t many diversions on your page such as a blinking ad, buttons to a device or the need to scroll.

Screen
The ways our eyes react to text on screen is completely different from paper.  On screen our eyes tend to glaze over long paragraphs, and only see highlighted points.  Some of the benefits of reading on screen though is controlling the lighting, font size and font clarity of the text we choose to read.

Though many still prefer a good book to a palm reader or computer screen, the choice is ultimately up to the individual.  Though the digital age provides additional conveniences, this does not mean that old practices will ever go out of style.

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September 25, 2009

Reading With Your Child at Home

Filed under: Information,how to — Tags: , , , , , , — admin @ 4:28 pm

Learn How to do it Right.

reading Reading With Your Child at Home

In the first few years of school, most children bring books home to read with their parents as part of the school reading program. Parents are often given a briefing on how to listen to these readers through a parent/teacher information session or through advice given via a note sent home.

Despite this, many parents remain unsure how to best listen and assist their children, particularly when they make mistakes or they can’t figure out a word/text.

This is unfortunate as reading at home can be such an enjoyable and extremely valuable addition to a child’s learning, not to mention a wonderful positive time for nurturing both the relationship and a love of reading.

Giving and seeking advice on listening to home readers can be difficult because there are differing opinions on how to best teach literacy. I don’t know of anyone who has all the answers, though there are some who claim to have the only ‘right’ way and everything else is the ‘wrong’.

Every child is unique and there is no one generic model/technique that will suit every child in every instance. There is no “one size fits all” prescription.

To help give parents more specific and practical advice on how to listen to their children at home, the following is to provide general guidelines and specific techniques that have been found effective over the years, and to outline some of the basic principles that underlie reading. However please keep in mind that we are constantly learning and improving our knowledge and skills. This is just some of what can be done. Try all of it or part of it, modify it, use it as a framework, and add to it from other sources… I hope that it will give you a foundation with which to begin listening with confidence to your children and help make the process more enjoyable and worthwhile for you and your children.

A. Reading at home should be enjoyable for you and your child

If the experience is fun, satisfying and positive then your child will be far more likely to want to read next time. And, the more children practice then the faster their skills & confidence improve. Keep in mind that it usually takes two to three years for children to learn to read at an independent level. Of course, some children will take a little longer and some a little less. Either way, children only learn to read once. Be patient, realistic, and enjoy the process, as well as the time you have together.

B. Choose a desirable time and place

reading child Reading With Your Child at Home

Set your child up for success. Find a spot that is comfy and free from distractions (turn the TV off, send the other kids outside). If you or your child is busy, tired, cranky (or all of the above!) tolerance and concentration levels will be decreased. Remember reading should be enjoyable! Sit at a table with the book on a sloped work surface is the best environment to read. However you can sit on a couch, or even lay on the carpeted with cushions. Do what will make your child enjoy reading time. You can even read when going to bed, but be warned! If your child is tired, they are more likely to make mistakes and become frustrated, leading to more mistakes etc. It is best to have your child sit on your left so their right ear is closest. The right ear has the fastest route to the left hemisphere of the brain, which almost always processes language. Plus, sitting this way introduces a routine and a sense of predictability. Speaking of routines, many children thrive with consistency, and it may be worthwhile reserving a consistent time each day to read.

C. Keep the reading time short

When reading to you child at home keep it short and sweet. Children are far more likely to make mistakes and become frustrated if they become tired or lose concentration. Adults take reading for granted and often forget that learning and practicing to read can be exhausting. So, keep your reading time brief – 5 to 10 minutes in one sitting is plenty for most young children.

D. Be positive and encouraging

This is especially true when they are learning and practicing new skills. Notice things that they have mastered, or improved upon since prior reading times. Notice things they are doing well. Say things like: “I like the way you figured that out”; “wow, that was great reading”; “gee, I really enjoyed listening to you”; “gosh, you are reading so well, you could read that to Grandma when she comes over” (or, they could read to grandparents over the phone); “I noticed that you remembered that new word…” “very good, you had trouble with that word last time, and this time you got it first go..”; “you are making it look so easy”. Sometimes show a previous book to demonstrate how far their reading has come.

E. Encourage independence

choosingbook Reading With Your Child at Home

This can be a little difficult for many parents when there is so much at stake. We love our children so much and we want them to become good readers – there is a lot riding on it. In our eagerness for our children to learn to read, it can be very tempting frankly to ‘butt in’ all the time instead of allowing our children to figure as much of the reading out for themselves. Sometimes we can become so overzealous or overprotective (if they are struggling) that we even take over the reading! In so doing we actually disempower our children and deprive them of opportunities to learn. What we really need to be doing is encouraging our children to do as much of the thinking for themselves as possible. You can do this by:
• Allow your child enough time to figure things out before jumping in. Children process their thoughts more slowly than adults.
• Allowing time to realize they have made a mistake, and time to fix it as well.
This takes patience, self-control and practice!

F. Help your child when they need it

I realize this may sound like it contradicts the last point. The thing is, if your child can do the reading or figuring out – then let them! However, if there is no way on this earth that your child is going to be able to figure a particular part of text out for whatever reason (perhaps they simply do not have the required skills yet or perhaps they have never heard of that particular word) – then don’t let them struggle and flounder unnecessarily. The bad news is that it can be tricky to know when to help. The good news is that the more in tune you are with where your child is at with their reading development, and the more you know about the learning to read process, then the easier it becomes.
• If your child is struggling with a word or section of text and you know that your child CAN or may well be able to figure it out – then let them do so, or at least let them give it a try and praise their attempts.
• If you know that your child has come across a similar problem before but is having trouble recalling the solution, you might supply ‘reminders’ rather than directly providing the answer.
• If you know that your child does not have the skills or knowledge to figure a piece of text out with or without hints/reminders, provide the solution quickly without drama and move on. In this case, I might say something like “that’s a tricky word, it says”. Another occasion when you might quickly “jump in” is when the child is starting to lose track of the meaning/story-line.

Lastly, but most importantly, ensure the child is reading at the right level for their current ability. Your child should be able to read the book they have brought home with a high rate of success. They should be able to read much of the book on their own (say, approximately 90% or more) with perhaps a little help from you. Continual struggle leads to negative thoughts/beliefs, low self esteem, a disliking of reading, reading avoidance and lost learning opportunities. Alternatively, continual success leads to high self-esteem, reading enjoyment, willingness to practice and more learning. Therefore, don’t be in a hurry to rush your child through reader levels. Your child will make the most efficient progress if they have books that match their current reading ability. Another thing to keep in mind is that children often hit learning plateaus, where they don’t seem to be making much progress. However these times are valuable days, weeks, months where children consolidate and master skills before taking off on another learning curve.

As far as ‘easy’ books go, while they don’t tend to offer many ‘new’ learning opportunities, they can be useful practice tools where children work on fluency (reading pace), expression and master/consolidate skills such as sight words.

If your child struggles continually with the books they bring home, then I strongly recommend that you speak to their teacher and discuss what is going on at home.

In summary, many parents find listening to their children problematic because they are unsure of what to do when they listen. Do they help? If so, how do they help? When do they help? This article has outlined some general pointers for parents to consider when reading with their children at home.

Contributions by Kirstie Wilson

Kirstie Wilson M. Ed has written a series of three articles in answer to one of the most common dilemmas that parents face when it comes to their children learning to read

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September 16, 2009

SYSNOPSIS OF ACQUIRED BRAIN INJURY OR ABI

Filed under: Information,reading — Tags: , , , , , , — admin @ 10:02 pm

ama brain stroke lev20 thebraineffectsstroke 01 300x256 SYSNOPSIS OF ACQUIRED BRAIN INJURY OR ABI

Acquired Brain Injury (ABI) can develop based on a variety of incidents, such as Stroke, a Tumor or Head Trauma. An ABI is a form of damage to the brain that ranges in severity from subtle to catastrophic which can include death. Severe ABI is the most conspicuously apparent and may be helped through treatment. The effectiveness of treatments will vary due to the uniqueness of the injury itself. A minor brain injury is by far the most difficult to detect. There may be no outward physical injury and no obvious debilitation on first notice.

An ABI is broken down into two categories: External and Internal. The external injury is further broken down to a closed or open head trauma. The external trauma is usually obvious and diagnosis and treatment can be prescribed more readily. The internal brain injury can be associated some type of trauma, with a surgery, AVM or CVA. The internal brain injury will normally be detected through some sign of debilitation with the individual of concerned.

AVM or Arteriovenous malformation is an abnormal connection between veins and arteries, unusually congenital. The most general symptoms include headache and epilepsy; with more specific symptoms occurring that normally depend on the location of the malformation and the individual. Such possible symptoms occurring include:

• Vertigo (dizziness)
• Difficulties of speech (dysarthria) and communication such as alogia
• Difficulties with everyday activities, such as apraxia
• Abnormal sensations (numbness, tingling or spontaneous pain)
• Memory and thought-related problems, such a confusion, dementia or
hallucinations

CVA or Cerebrovacular accident is more commonly referred to as a “stroke”. A stroke is the rapidly developing loss of brain function(s) due to disturbance in the blood supply to the brain. This can be due to ischemia (lack of blood supply) caused by thrombosis or embolism or due to a hemorrhage. As a result, the affected area of the brain is unable to function, leading to the following symptoms to occurring:

• Inability to move one or more limbs on one side of the boy
• Inability to understand or formulate speech
• Inability to see one side of the visual field.

TBI or Traumatic Brian Injury occurs when an outside force traumatically injures the brain. TBI can be classified based on severity, mechanism (closed or penetrating head injury), or other features (e.g. occurring in a specific location or over a wide spread area). A “head injury” usually refers to TBI, but is a broader category because it can involve damage to structures other than the brain, such as the scalp and skull.

TBI is a major cause of death and disability worldwide, especially in children and young adults. Causes include falls, vehicle accidents and violence. Many of our soldiers are developing TBI’s from the effects of shock waves from explosions. In the past many soldiers suffered fatal injuries, but due to better protective gear they are now better surviving bodily injury, but still being left with effects such as TBI.

Prevention measures include use of technology to protect those who are in accidents with equipment such as seat belts and sports or motorcycle helmets. There are also efforts to reduce the number of accidents by encouraging safety educations programs and applying stricter enforcement on traffic laws.

Brain trauma can be caused by a direct impact, typically classified as an accelerating injury. From the effects of a shock wave from an explosion, or a sudden stop, typically classified as a decelerating injury. The damaging effects to the brain are very similar between a decelerating injury and the exposure to an explosion. In addition to the damage caused at the moment of impact, brain trauma causes secondary injuries which could be a variety of events that take place in the following minutes, days and even weeks after the initial injury. These processes contribute substantially to the damage from the initial injury. The outcome from a TBI can range from complete recovery to permanent disability or death. TBI can cause a host of symptoms including:

• Physical effects
• Cognitive effects
• Emotional effects
• Behavioral effects

Many times TBI’s go undiagnosed, particularly after an accident or incident where there is no significant physical injury. On the surface the individual appears physically fine and may complain of a minor headache or feeling dizzy, which is common to accidents so may be overlooked as a temporary physical symptom. It is important to remember that the brain is 85% water. If you remember from science classes, water does not compress. Therefore the 15% of brain tissue gets squished like a sponge. This brain squishing can easily go unnoticed during a decelerating type injury such as a car accident or a concussion from an explosion. This is particularly true if no physical bodily injury has occurred. Nevertheless brain damage may have occurred. The dynamic behind this apparent inconsistency of injury between body and brain it due to the physiology of the head. The brain is free floating in fluid encased in the skull. As the head is thrown forward or backward, the brain is slammed into the sides of the skull. The effect is very similar when a shock wave from and explosion impacts the body. Any number of issues will follow depending on the severity of the event and the individual. What is so deceiving about this type of TBI is the effect of the secondary injury(s).

The secondary injuries can occur hours to weeks after the original injury. These secondary injuries include a disruption of auto-regulatory physiological mechanisms and a release of neurotoxins, causing a cascade of biochemical reactions which lead to further brain damage.

Following the initial accident, first appearances of symptoms can seem minor then major issues may seem to come out of nowhere weeks later due to the secondary injuries. The debilitation from a secondary injury(s) can range from unnoticeable to complete dysfunction. The two events may even appear to be totally unrelated, particularly if the events are separated by several weeks. This is what makes these types of injuries so insidious. The effects of a TBI will vary with the severity and well as the individual.

One thing to keep in mind if you suspect you may have a TBI or you know someone that has had an accident, especially if typical behavior has changed since the incident, it is advised to get an expert evaluation. Children are particularly difficult to detect since some of their brain functions may not even be developed at the time of the injury and it is only until they are not keeping up with their peers, or not acting appropriately for their age, that you notice something is not right. Some of the issues you may notice are social integration/behavioral problems, both auditory and visual processing difficulties and coordination problems.

All types of brain injuries will have a very high chance of affecting the visual system. Two thirds of all the nerves that enter the brain originate from the eyes. When there is injury there is often disruption of visual processing.

Visual rehabilitation can help people overcome these devastating visual problems. One can often recover the ability to do things that they have always done in the past for themselves such as driving and reading through treatment.

Close coordination between Vision Therapy, Occupational Therapy, Physical Therapy, Speech Therapy, Neuro-Psychology and your Physician allow for the best team approach toward recovery.

FOR RESORCES IN YOUR AREA:

Vision Therapy

Optometric Extension Program Foundation, Inc. (OEP Foundation)
1921 E. Carnegie Ave., Ste. 3-L
Santa Ana, CA 92705-5510
(949) 250-8070

College of Optometrists in Vision Development (COVD)
215 West Garfield Road Suite 200
Aurora, OH 44202
(330) 995-0718, (888) 995-0719, FAX (330) 995-0719

SAN DIEGO CENTER FOR VISION CARE
7898 Broadway
Lemon Grove, CA 91945
(619) 464-7713

Occupational Therapy

Sensory Integration International
1602 Cabrillo Avenue
Torrance, CA 90501
(310) 320-9986

American Occupational Therapy Association, Inc.
4720 Montgomery Lane
P.O. Box 31220
Bethesda, MD 20824-1220
(301) 652-2682

Developmental Delay Registry
6701 Fairfax Road
Chevy Chase, MD 20815
(301) 652-2263

International Health Foundation, Inc.
P.O. Box 3494
Jackson, TN 38303
(901) 427-8100

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September 8, 2009

Palo Alto VA COVD Conference

Filed under: Press - Media — Tags: , , , , , , , , — admin @ 10:58 pm

The College of Optometrists in Vision Development (COVD) held their Regional Conference at the VA Hospital in Palo Alto, CA on the 15th and 16th of August.

1 hospital Palo Alto VA COVD Conference

Palo Alto VA Hospital

This years subject was a continuation of last years conference as it focused on the visual consequences of Acquired Brain Injuries (ABI).   The featured speaker was Allen H. Cohen, OD, FAAO, FCOVD.  Dr. Cohen specializes in the diagnosis and treatment of Acquired Brain Injuries.  The main focus of the conference was towards treating Veterans coming back from Iraq and Afghanistan  with TBI injuries mainly due to IEDs.

allen cohen Palo Alto VA COVD Conference
Dr. Allen H. cohen

Acquired Brain Injuries (ABI)  and be classified into two categories, Internal or External head injury.   Some forms of brain injuries are also know as Traumatic Brain Injuries (TBI) classified by the way the injury was acquired i.e. through some form of impact or shock wave from a blast.

doctors therapists Palo Alto VA COVD Conference
Doctors and Therapist Attendees

The main purpose of the Conference was to pass on knowledge and techniques obtained through Dr. Cohen’s research to others so they may address this very misunderstood phenomena known as Traumatic Brain Injuries (TBI).  It is the uniqueness to each individual of this type of injury that make so difficult to diagnose and treat.

patient evaluation Palo Alto VA COVD Conference
Patient Evaluation Techniques Demonstrated

Due to the insidious nature of TBI’s,  extensive testing and evaluation may be required to determine if your symptoms are due to a TBI or some other cause.   Once it is determined that your injuries are due to a TBI a treatment plan needs to be worked up and implemented.
patient treatment Palo Alto VA COVD Conference
Patient Treatment Techniques Demonstrated

Every treatment plan for TBI patient is customized to each patient.  Every person is different, even if they experienced the exact same event.  This very debilitating injury is very insidious and commonly gets misdiagnosed as something else.  For Veterans this has been found to true when is comes to Post Traumatic Stress Disorder.   The Veterans have no sign of physical injury, however after returning from the war with a clear bill of heath, some months later they find they can no longer cope.  This delayed sign of symptoms is indicative  of a TBI.
For more information and references for evaluation and treatment please go to COVD, OEP Foundation or the San Diego Center for Vision Care.

College of Optometrists in Vision Development (COVD)

215 West Garfield Road Suite 200
Aurora, OH 44202
(330) 995-0718, (888) 995-0719, FAX (330) 995-0719
Optometric Extension Program Foundation, Inc. (OEP Foundation)
1921 E. Carnegie Ave., Ste. 3-L
Santa Ana, CA 92705-5510
(949) 250-8070
San Diego Center for Vision Care
7898 Broadway
Lemon Grove, CA 91945
(619) 464-7713, FAX (619) 464-7668

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