Y THE time high school days are past and the youth is ready for .Z college or university, his mental pattern is pretty well established, and his physical development essentially com- plete in many cases. Some reach this mental stage before the physical develop- ment catches up. In this period the contagious diseases are relatively rare. However, some stu- dents will have escaped infection in earlier life, and will have measles, mumps, scarlet fever, or chicken pox while in college. Usually educational ‘institutions of today are equipped with medical staffs and hospitals, so that such cases receive prompt and proper care. By this time most young people have decided upon their lifework, and if not, they certainly ought to do so as soon as possible. Thus they are in college for a definite purpose of training, and a fair percentage are so intent upon achieving this end that they are tempted to over- work. Among all students there is a tremendous demand upon the eyes, which have up to this time seemed normal PAGE 10 Building Stronger School Children — IV ale and Hearty College Youth By George A. Skinner, M.D. and able to endure any use, but now begin to show strain. Hence if there is any eye discomfort, the eyes should be promptly examined by an expert to determine accurately and scientifically what error exists. Practically no eye is optically perfect, although in many in- stances the error is so slight that it does not interfere with very prolonged and near work. But if we recall that nor- mally the eyes are designed for use mostly at a distance, and that all near work re- quires the use of the eye muscles to hold the lens in the proper curve so that the images will exactly focus on the eye nerves (retina), it is not strange that these muscles get tired. Like other muscles, they are strengthened by training. They can be overworked, and the fatigue is often expressed by headaches, scratchy and reddened eyelids, or actual pain in the eyeballs. If the eyes are irregular, and the effort of the eye muscles is excessive in making a proper focus, fatigue will come much sooner. Sometimes the eyeball is actually too long or too short, and the muscles cannot overcome the defect. Then we say a person is “near sighted” or “far sighted.” In neither case can they see distinctly at the ordinary reading dis- tance, which is about 15 inches. If this defect is severe, it is usually noted in early life and correction is made by glasses. However, because one correc- tion has been made, this does not indicate that nothing further will be necessary, because as growth proceeds the eyeballs may also change somewhat and require a change in the lenses. Our most valuable special sense should be carefully and fre- quently checked to be sure that the glasses correct the defect. This cannot be done with “ten-cent-store’’ glasses. Often great damage is done to eyes by inexpert fitting. The best skill available ought to be used when any eye defect is present. In the rapid and tremendous mental changes that take place in the passage from the child to the adult status, not all persons survive without damage. In some cases this damage shows promptly, and in others it is delayed until one is well into the college age. Sometimes the mental shock or injury is so great that there is no doubt about it, and something is done at once, either in assigning the youth to an institution or by giving ade- quate treatment at home. This last is rarely possible and almost never de- sirable. In other cases the changes develop very slowly, and are often not observed for a long time, as people usually will not admit such possibilities in their family. Mental sickness seems to be taken a: some sort of stain on the family name, and hence any suggestion in this line is re- sisted tenaciously. But mental sickness, as well as physical occurs, and often is College degrees and diplomas mean more to the youth when they are backed by strong bodies and good health. THE WATCHMAN MAGAZINE