Selfless Service for Harmonious Longevity

by Ram

Krishna and Arjuna (from San Francisco Asian Art Museum)

Karma Yoga can be loosely translated as a selfless service that is rendered without any personal expectation. A karma yogi  (an individual rendering selfless service) gets rid of all egoistic tendencies while offering such a service. This individual puts the well-being of others as a top priority ahead of his/her personal gain or achievement. In Chapter 3 verse 19 of the Bhagavad Gita, Karma Yoga is defined as:

Tasmad asaktah satatam karyan karma Samacara
Asalto hy acaran karma param apnoti purusah

This verse is translated as “Therefore without any attachment, without interruption, perfectly perform prescribed actions since by performing prescribed actions a person achieves the highest good.”

In “The Essence of Spiritual Life,” Swami Rama explains that to do selfless service one needs to cultivate two qualities: non-attachment and a loving attitude to do selfless service. Selfless service requires that an individual perform any service without any attachment or expectation and remain unaffected by the results of such service. At the same time, such an individual needs to cultivate a loving attitude toward such a selfless task, without developing any stress from it, no matter the outcome. However, if you do not love doing some task and yet you do it, it creates a conflict in mind leading to an emotional upheaval. So learn to create love toward your selfless duties. Furthermore, notice if you are happier and satisfied at the end of the day because this is what true karma yogis have experienced; seek them out and you will commonly hear them saying that the more they serve selflessly, the more true happiness they receive. Dalai Lama and Mother Teresa come to mind if I am asked to name some karma yogis.

The essence of the Bhagavad Gita, which is repeated throughout the text, emphasizes the benefits of selfless service. Here is how Krishna puts it, regarding selfless service in Chapter 2:

“Set thy heart upon thy work, but never on its reward, Work not for a reward; but never cease to do thy work. Do thy work in the peace of Yoga and free from selfish desires, be not moved in success or failure”—translated by Juan Mascaro.

And this approach—performing a task without any expectation, letting go of all results, whether good or bad, and focusing on the selfless action alone—is the essence of karma yoga. In the light of non-attachment, the selfless doer attains freedom from emotional disturbances, including but not limited to desires, ambitions, fear, worry, anxiety, judgment, rage, etc. This leads to true happiness.

A recent research study on volunteerism and its effects on longevity, "Motives for Volunteering Are Associated With Mortality Risk in Older Adults,” by Konrath, et al,  confirms the importance of selfless service as advocated by the Bhagavad Gita. According to this study, people who volunteer may live longer than those who don’t, as long as their reasons for volunteering are to help others rather than themselves. Researchers analyzed data from the Wisconsin Longitudinal Study that followed a random sample of 10,317 Wisconsin high school students from their graduation in 1957 until the present. In 2004, respondents reported whether they had volunteered within the past ten years and how regularly. Respondents also mentioned their reasons for volunteering by answering ten questions. In that list were some questions regarding motives that were more oriented toward others and some that were more self oriented. The researchers then determined how many of the respondents were still alive in 2008. Following were the observations drawn from this interesting study:

1. Nearly 2.3 % of the volunteers had died, compared to 4.3% of non-volunteers. The frequency of volunteer time mattered as well; less than 2% of the regular volunteers had died as opposed to 2.5% of occasional volunteers.
2. The participants who volunteered only for compassionate reasons achieved the most health benefits. However, the ones who volunteered purely for personal gain or self growth were as likely to die as those who didn't volunteer at all.
3. Respondents who listed social connection or altruistic values as their predominant motive were more likely to be alive compared with non-volunteers.

According to one of the authors of the study, “It is reasonable for people to volunteer in part because of benefits to the self, however, our research implies that, ironically, should these benefits to the self become the main motive for volunteering they may not see those benefits.”

It is easy to understand why volunteering with an altruistic attitude helps an individual to live longer:

• Stress reduction. When helping others, the body releases an important hormone called oxytocin, which assists in buffering stressful thoughts.
• Morale. Merely thinking of a selfless service releases certain “feel-good”chemicals namely dopamine and serotonin (lack of which have both been linked with depression and other mood disorders.
• Self confidence. Self-esteem builds and confidence levels grow when you are passionate about something and helping others in need
• Health and pain reduction. Helping others has proven to help with chronic pain and cardiovascular health.

With a scientific study to back Krishna’s teachings about Karma Yoga, how about performing some selfless acts on a regular basis to achieve a longer life and using this extended life to foster sincere relationships and bring greater fulfillment to your life?

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Yoga and Balance An Overview

by Baxter 

Tree Pose with the Wall

Because our ability to balance changes as we age, and poor balance is at the top of the list of risk factors for an increased chance of falling, it is obvious that maintaining and improving balance is a worthy endeavor! For almost everyone I talk to about their goals as they age, staying independent in function and lifestyle is at the top of their list. Sadly, at the extreme, poor balance often leads to unexpected falls, which can result in devastating fractures and loss of both physical function and being able to live independently. But deteriorating balance can just as easily erode the ability to go about your daily activities with ease and to engage in healthy physical activities. I am sure many of you have friends or family members whose changing ability to balance gradually kept them home bound and had a negative impact on their quality of life. That's why we consider balance as one of the four essential skills of Yoga for Healthy Aging.

Aging Changes to Our Balance System

Before getting into the ways yoga can maintain and improve balance, it is worth reviewing how balance changes as we age, in an honest light. In our post Aging and Balance, Shari Ser, who both a physical therapist and a yoga teacher, said:

“Unfortunately decline in ability to balance is part of ‘normal aging.’ Physiological changes inevitably occur in aging; the composition of the muscle fibers changes from fast twitch to slow twitch, which means our reaction times decline. There are changes in peripheral nerve conduction speeds, and we may either overcompensate or under compensate when our balance is challenged. The smooth modulation of our central nervous system is affected as we age. There are intricate feedback systems between our cerebellum, brain stem, cranial nerves, and basal ganglia that need to be working smoothly for us to easily execute our locomotion and peripheral body through space. 

Our proprioception (the ability to sense where we are in space) also changes as we age as well as our vestibular system (the balance system that is our inner ear). Some hypothesize that this is due to circulatory changes as we age. There are changes in our auditory and visual systems as we age. We get stiffer in our joints and muscles so we loose the full range of motion these joints may have had previously. Cognitive changes occur in our brain also slowing down the in streaming of information. Balance is a reflexive activity, an unconscious response to a change in stimuli, but to improve balance also requires mental concentration.”

How Yoga Helps

In that same post, Shari suggested some ideas on how yoga helps maintain or improve our balance: 

“The maxim “use it or you loose it” is so true with balance! But if we stand in Tadasana (Mountain Pose) we are integrating every single one of our balance systems. Our eyes orient us to midline and to the horizon, and they tell us where up and down are. Our vestibular system tells us that the surface is stable and there is no spinning or tilting to compensate for. Our proprioceptors in our joints, muscles, and skin send feedback to the resistance of the floor, and our conscious mind sends information to elongate here, relax there, shift to the right/left, etc. Our brain is never quiet in Tadasana, always tweaking a little bit here and there. The act of standing still is a full body isometric activity, and it is work that is making our bodies stronger.” 

We can challenge our bodies even more when we stand on one foot, balance on one foot and a hand, such as with Half Moon pose (Arda Chandrasana), or move through a series of connected postures, as in Sun Salutations, because balance and agility are intimately interconnected. In fact, agility requires balance in motion. As Leslie Kaminoff observes, as we move through our day, it is as if we are almost falling and self-correcting moment by moment, and our balance system is what keeps us upright. 

By engaging in stimulating all aspects of our balance system to work at optimal levels, a regular yoga practice has the potential to influence all of the aging changes Shari outlined above. With yoga, you can:

• Stimulate the pressure receptors and proprioceptors in your feet by working barefoot in balance poses barefoot.
• Stimulate the mechanoreceptors in our joints, ligaments, tendons, and muscles above the feet via the various positions in which you place your limbs during yoga asana.
• Improve mental focus by training your minds to return again and again to the balancing task at hand. You notice shifting sensations, the feeling of being on or off balance, when extraneous thoughts take you away from your focus on balance, and so on. Even the pranayama and meditation practices you do can lead to improved mental focus when you find yourself doing balancing poses or walking around the house. 

And yoga can address the sports medicine concept of “controlled instability” News on Balance, Falling, and Yoga) by initially introducing someone new to yoga and previously inactive to the basic yoga poses and dynamic sequences, then adding more challenging poses and practices for the advancing practitioner, and finally, when balance poses are mastered, enabling the practitioner to challenge the edge of stability by creatively modifying poses.

For those that already have balance issues when they start yoga, yoga has great ways of making the exploration of poses for balance safe, and minimizing the chance of becoming fearful. One of the first tools that can help these people is the wall, which they can use by standing close to it, either facing it, standing sideways to it, or having their back to it. 

By simply getting you out of your shoes and socks, yoga helps you wake up the balance and pressure receptors in your feet in general, whether you are ready or not for full balance poses. So even practicing standing poses in general is helpful for beginners. And for more advanced practitioners, yoga helps wake up the balance and pressure receptors in your hands when you practice arm balance poses, such as Side Plank pose (Vasithasana), Crane pose (Bakasana), or Handstand. 

Other factors that affect balance and safety are our individual levels of flexibility, strength, and endurance. And since we know that yoga can improve these factors, their improvement will contribute to improved balance as well.

Our mental attitude towards balance and the risk of falling can also have a huge impact on our success or failure, our progress or lack thereof. The yoga practices of mindfulness without judgment that we try to cultivate can change a habitual negativity around balance, such as “I suck at Tree pose,” to a more neutral mental input, like “I am typically wobbly in Tree, but let’s see what I can do today….”

So, your yoga toolbox provides a number of tools for improving balance, from the physical tips of your toes to the ethereal influence of your thoughts.

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Review of Oxford Messed Up by Andrea Kayne Kaufman Facing OCD

[Note: In celebration of love, life and hope, Andrea Kayne Kaufman will be offering the Ebook edition for $ .99 on Amazon from May Day thru Cinco de Mayo - May 1-5.]


When Grant Place Press contacted me about reviewing Oxford Messed Up by Andrea Kayne Kaufman, little did I realize the connections I would find with my own life.  The protagonist, Gloria Zimmerman, is traveling to Oxford to study feminist poets, and struggles with OCD.

I have a degree focused on feminist poets.  Reading poems written by these women, and writing my own poems gave me strength to deal with depression, OCD and other pain.   I was a very serious young woman, who didn't know she had OCD, but knew that I was often scared about symptoms in my body, and trying to be perfect.  Gloria knows she has OCD, but attempts to keep herself together with rituals, Klonopin, and Van Morrison's music.

Van Morrison's music is a source of strength to both Gloria, and her "loo-mate" Henry Young(the other protagonist who has had many traumas in his life).   As a girl, I  remember sitting on the floor going through my parents record collection, trying to understand what a Moondance was, and mesmerized by the album.

I was intrigued that one of the recommendations on the back of the book came from Susan Richman from OCD Chicago, a chapter of the International OCD Foundation.  Oxford Messed Up does indeed explore Exposure and Response Prevention Therapy(ERP), the standard for treating OCD, and is the only novel for the adult market that I've ever come across that does.

Henry is the catalyst for Gloria's ERP, and this shows the importance of rapport for willingness to do Exposures.  If I hadn't trusted my ERP therapist, I wouldn't have done any of the Exposures he suggested.  I believe that family and friends are often on the frontlines of working on Exposures with the ones they love who have OCD, and that self-help has been very important for many sufferers, especially Jonathan Grayson's book Freedom from OCD, and his model of GOAL support groups.

At the same time, though, I was ambivalent about Henry's quick study of ERP, and how unrealistic this might be.  I was able to suspend disbelief because I remembered reading somewhere that ERP, even incompletely done, can be better than years and years of talk therapy. I only wish more therapists were  quick as Henry--like the 6 or 8 of them I saw before I found Leonard, who actually specializes in OCD and was expert in Exposure Therapy, rather than asking me to simply avoid my triggers or use logic to make it all go away.  I would imagine a novelist's dilemma would be how to portray a series of ERP sessions with a therapist, in a way that would make good fiction.  

Gloria has contamination OCD, which I don't have, and which gave me a brief flash of disappointment, because this is the stereotype of people who have Obsessive Compulsive Disorder.   But she also has perfectionism, a mandate to be a "Superstar,"  which I identify with, and I liked that Kaufman showed how perfectionism can underlay everything, and that this may be slower to respond than other aspects of OCD.  If patterns have been in place for a lifetime, through family culture, personal history, combined with genetic heritage, that simply habituating to the "dirty world" isn't enough, and that compassion, love, understanding and hope are crucial to regaining a life that has been ordered by taking as few risks as possible, and trying to earn the love of others.  

I recommend Oxford Messed Up for it's improvisational dialogue both internal and external, for an inside look at the OCD thought process while facing fears, for the importance of hope, and of "fatalistic optimism"(as the characters describe the music of Van Morrison).

In celebration of love, life and hope, Andrea Kayne Kaufman will be offering the Ebook edition for $ .99 on Amazon from May Day thru Cinco de Mayo - May 1-5.

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Avastin Lucentis Update 49 A Follow up on Infections from Intravitreal Injections

In my last posting (Avastin/Lucentis Update 48), I wrote about the problems with Avastin injections, that appeared to be caused by non-sterile/non-aseptic techniques during re-packaging Avastin from 4 ml bottles into much smaller doses (0.05ml) in tuberculin syringes.

A colleague, who is a compounding pharmacist, pointed out to me that other things can cause contamination of the eye during intravitreal injections besides using non-aseptic techniques during aliquoting and re-packaging of Avastin into injectable syringes.

He sent me a copy of a report from Medscape Medical News that was published online following a meeting of the American Academy of Ophthalmology and Middle East Africa Council of Ophthalmology 2010 Joint Annual Meeting, held during last year’s AAO Meeting.

Here are excerpts from that report:

Intravitreal Injections Expose Patients to Streptococcus More Often Than Eye Surgery

Kathleen Louden
October 20, 2010
Medscape Medical News

Streptococcus is isolated much more frequently from endophthalmitis cultures after intravitreal injection (IVI) of antivascular endothelial growth-factor agents than after ocular surgery, results of a meta-analysis show.

Ophthalmologists should consider using additional sterile techniques during these injections to prevent exposing patients to the sight-threatening complication of streptococcal endophthalmitis, said study author Colin McCannel, MD, associate professor of ophthalmology from the Jules Stein Eye Institute at the University of California at Los Angeles.

"If we can prevent some of the worst cases of endophthalmitis, I think it's worth the effort," Dr. McCannel told Medscape Medical News.

To confirm his impression that reports of Streptococcus organisms seemed more frequent than should be expected after IVI, Dr. McCannel analyzed the American medical literature from 2005 through 2009. He found 16 articles that reported the causative organism in post-IVI endophthalmitis. As expected, endophthalmitis was rare, occurring in 54 of 105,531 injections. Only 26 were culture-positive, according to the abstract. Most of the causative organisms were coagulase-negative Staphylococcus, he said.

However, cultures yielded Streptococcus organisms 30.8% of the time (8 of 26), which Dr. McCannel said is "3- or 4-fold higher" than the incidence reported in the literature for acute postoperative endophthalmitis. The postoperative incidence of streptococcal endophthalmitis ranges from 0% after vitrectomy to 8.2% to 9% after cataract surgery, he reported.

Likely Source of Infection

This finding led him, he said during an interview, to do "some detective work" to try to find the possible source of these streptococcal infections. He found several studies in the anesthesia literature reporting streptococcal meningitis after dural puncture, a procedure that, according to Dr. McCannel, has a working distance between physician and patient similar to that of IVI. Analysis found that the causative organisms in most of those cases came from the treating physician's oral flora, which was aerosolized during talking.

Consequently, the Centers for Disease Control and Prevention in Atlanta, Georgia, recommended in 2007 that spinal procedure operators wear a surgical mask during the procedure (MMWR Morb Mortal Wkly Rep. 2010;59:65-69).

Ophthalmologists "often have to give directions to the patient during injections, and sometimes there is small talk," Dr. McCannel said. "The patient's eye is probably being showered with these microscopic droplets. We may be contaminating the injection field or the needle."

Recommendations

If other studies validate his findings, the ophthalmic community should decide whether to recommend wearing a surgical mask during IVI, he said. He told the audience that he does not wear a mask because "it would be burdensome to take it on and off" during the brief injections.

Another precautionary strategy that Dr. McCannel suggested was to avoid talking, coughing, or sneezing during the injections. He said he asks his ophthalmic technicians to instruct the patient before the procedure that "the injection is not the time to ask questions" and to refrain from talking. If he needs to instruct the patient, he said he speaks away from the patient.

A panelist at the session who did not participate in the study, Joan W. Miller, MD, said in an interview that the study findings have the potential to change clinical practice. Dr. Miller, professor and chair of ophthalmology at Harvard Medical School in Boston, Massachusetts, said she will consider changing her IVI techniques to try to prevent the spread of Streptococcus.

"Not talking on the [injection] field is probably sufficient precaution," she told Medscape Medical News.



My friend, the compounding pharmacist, went on to say,  “I wish we had more visibility into what [really] happened in TN and FL and the pharmacies that prepared those compounds. It is even more critical that physicians look to do their diligence when choosing a pharmacy to provide these sterile compounds to patients. Because of our strict quality control and assurance procedures we have created an environment that focuses on quality.”

“As you may be aware OMIC, the ophthalmology insurance carrier, has been recommending to physicians that the best practice is to seek out compounding pharmacies that have been accredited by PCAB, the Pharmacy Compounding Accreditation Board.  Being accredited by PCAB gives confidence to physicians and consumers that products are prepared in accordance with the United States Pharmacopeial Convention's standards. Chapter 797 of the USP clearly outlines the facility, environment and testing necessary to provide sterile compounded products.  Without an accreditation body like PCAB, there is no reliable third-party verification that a pharmacy meets the USP 797 standard.”

A Compiled Draft On Acupuncture For Depression Boca Raton

By Melissa Young

Acupuncture is normally a form of healing that has also been existence for so many years. It is well known in treating numerous health problems across the world. Due to this, it has become a very popular form of healing and is still gaining more popularity in the city of Boca Raton. Research also supports the healing as every research conducted acknowledges the healing terming it as essential and reliable. This article outlines more information on acupuncture for depression Boca Raton.

Depression is usually a mental disorder which has been affecting people from all over the world. This is why it is important for each and every person to be fully aware of depression as well as the effects that come with the disorder. One is also advised to have a good understanding pertaining the treatment of such a condition. This includes acupuncture which is efficient in treating such a problem.

This health problem has different effects on your health. This is simply because it will affect both the social together with the personal life of a patient. It may also affect the people around you. It also affects everyone despite the age together with gender. Nevertheless, it has been noticed that women are usually the ones who are mostly affected than men. In case you notice any related system, you should seek assistance immediately.

The first approach towards treating such a problem is by identifying the main trigger points of the depression in your body. The next step is to make sure you approach a reliable specialist who can provide you with the best treatment. The acupuncture practitioner has to be medically qualified before he or she can offer such services. Seeking treatment from someone who is not qualified can lead to different health problems.

The treatment will entail two forces that oppose each other, which is present in any human being. They include the inert feminine force as well as the energetic masculine force. Any human being has to maintain a good balance between these two forces for them to function well. If you have an imbalance, then your body will weaken and become susceptible to health complications.

One should also note that the results acquired from this treatment vary depending on the patient. There are several factors that can affect the healing process of a patient including diet, lifestyle, the level of condition and other habits. Hence, one must make sure he follows the instruction of the doctor properly for better results during treatment.

This treatment is beneficial since it is very effective and one can become better, and everything returns to normalcy in a short period. It is one of the best treatments when compared to other pharmaceutical treatments that take a long time for you to see some positive results.

This is why one should consider this type of treatment as it guarantees one quick recovery and does not have any side effect. However, it is important for an individual to locate the best services that are reliable.

About the Author:

When you are searching for information about acupuncture for depression Boca Raton residents can come to our web pages today. More details are available at http://acupuncturebocaraton.com/depression-benefitted-acupuncture-meditation now.

What is WHEY

[Extracted from Wisegeek]



Whey is a by-product of cheese making. It is formed when the curds separate from the milk or cream. After the cheese curds are formed, the remaining liquid is called whey. This liquid is watery and thin. Sometimes whey has a tinge of bluish color, but this depends on the quality and type of milk used.

Whey can be made from any type of milk, with cow's milk being the most popular in the United States. Goat's milk is commonly used in the Middle East and in some desert areas, camel's milk is used in the cheese making process.

Whey is also formed in the making of yogurt, being the thin liquid that forms on top of the settled yogurt. This can be drained off and added to shakes, smoothies or other liquid drinks for added protein.

Whey is often used in the making of ricotta cheese. Using vinegar or another acidic liquid, the whey is heated and the addition of the vinegar will cause the fats to congeal into the curds that create the cheese.



Whey is an excellent source of protein, vitamins, minerals and lactose. It is the base of many protein drinks for athletes or others wishing to build or repair muscle tissues. Whey is also an important supplement for those who have limited mobility in the limbs as it contributes to the prevention of atrophy of muscular cells.

Whey is also used in pet foods as a source of protein and fats. It contributes to a healthy coat and proper muscle development.

Most people are familiar with the old nursery rhyme, Little Miss Muffet as she was eating her curds and whey. This type of cheese would be similar to cottage cheese and made by allowing milk to sour and naturally separate into curds and whey. While this method of making cheese may not sound appetizing to most people, it is a method used around the world in many different cultures.

Whey can be an important addition to anyone's diet. Those that have difficulty in finding the time to eat right or have other dietary concerns such as protein needs in a vegetarian diet, will find whey an excellent supplement.

Why You Should Start a Home Yoga Practice

by Nina

Houses At Unterach On The Attersee by Gustav Klimt

I just loved our post yesterday Accepting Your Body by Anna Guest-Jelley! It even made me a bit teary, as I think body acceptance—and self acceptance in general—are so important for all of us. I thought the first question she recommended was especially powerful:  

1. What does my body need in this moment, and how can I meet that need with the resources I have on hand?  

This is the question I ask myself every single time I practice yoga at home. (I typically only take one class per week, maximum) That's how I use yoga to take care of myself physically, mentally, and emotionally. But these benefits only come for those who are willing to go out on a limb and start doing yoga by themselves and on their own. After all, the class you go to on a given day might be turn out to be exactly the wrong thing for you that day!

So, are you someone who always thinks about starting a home practice but never quite gets around to it? Or did you once have a regular practice but have fallen off the wagon? If so, I’d like to encourage you to start—or return—so you can begin reaping some of the benefits that Anna mentioned in her post. In his post Home Practice: The Best Way to Improve Your Health Dr. Timothy McCall says that practicing at home is the best way to improve your health. 

"If you are taking yoga classes but not practicing at home, you may be missing the best—and potentially most therapeutic—part of yoga. Your personal practice is where the deepest work happens, when you go inward and go at your own pace” 

And practicing at home will also allow you to use yoga to self regulate (see Self Regulation and Yoga), which means that you can learn to “monitor and manage your internal states.”

Have I inspired you to get started (or start again)? If you do embark on a new adventure of practicing at home, let me know how it goes! Here are some posts from our archives may help you with your new home practice.

Motivating Yourself to Practice  

Energizing Yourself  

Pet More Dowwnward-Facing Dogs
Got 20 Minutes?  

Decide Each Day What to Do

Sequencing and Ideas for What to Practice 

We have lots of sequences on the blog, but being able to get what you need from your practice means learning to modify existing practices or develop them on your own.  

Practice As Many As You Can 

Mixing It Up  

Customizing Your Practice 

Stuck in a Rut? 

Creatiing a Mini Yoga Practice

Sequencing: An Essential Skill for Home Practice 

Sequencing in the Style of Krishnamacharya, Part 1 

Sequencing in the Style of Krishnamacharya, Part 2 

Iyengar-Style Sequencing, Part 1  

Iyengar-Style Sequencing, Part 2 

6 Ways to Take Care of Yourself with Yoga 

Yoga for Real Life
 

Staying Safe  

How to Stay Safe While Practicing Yoga 

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