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Share full text access. Please review our Terms and Conditions of Use and check box below to share full-text version of article. Citing Literature. Supporting Information Additional Supporting Information may be found in the online version of this article. Filename Description polasupsuppinfo1. Volume 53 , Issue 5 1 March Pages Related Information. Close Figure Viewer.

Browse All Figures Return to Figure. Previous Figure Next Figure. Sam originally hails from the Midwest, but has spent her life seeking out adventures near the coast. After graduating from the University of Minnesota with a degree in Conservation Biology she headed to the west coast. During her time there she spent her days in the woods doing trail maintenance, restoration projects, and salmon enhancement work through the Washington Conservation Corps, an Americorps program. Though part of her heart is still in the NW she moved down to south Florida to be near family and a warm ocean!

Her passion is to bring the next generation outside in an environment that empowers them to help protect what we have. Her favorite outdoor adventures include hiking, kayaking, diving, camping, beach walks and traveling to new national and state parks. Xavier Hawk began his career in outdoor education 23 years ago leading trips for Outward Bound, Nols, Road Less Traveled, and privately for Waldorf schools around the country. Trained in wilderness Medicine, tracking, survival, search and rescue, and disaster relief, Xavier has made a lifetime of adventure his primary focus.

He brings a ton of experience and cross disciplinary knowledge to Increasing Under Blue Waters brand and influence. Growing up, Camille was the kid that hung upside down from trees, ran outside barefoot and was fascinated by the beauty and complexity of nature. In 5 th grade, when she learned that there were grownups in the world that actually climbed trees for a living, she dedicated her life to doing just that. During all of this she found herself teaching students of all ages about the importance of protecting natural resources and about the joy found in exploring the natural world.

In December , she migrated from the snowy city of Syracuse to the sunny state of Florida to engage in warmer activities. Camille can be found frolicking in the woods aka hiking , enthusiastically backpacking, vigorously salsa dancing, joyously kayaking and SUPing. Akila who was born and raised on the island of Sri Lanka now resides in Florida and dives down under religiously.

If you were on a boat and you saw a shark, he would be the first one to jump into the water.


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Akila has done shark research in Fiji and on the island of Gili Air in Indonesia. He has a lot of awesome stories, that you must definitely bug him and get him to tell you. Akila has been scuba diver for over 3 years now and is about to become Dive Master with over dives under his belt. Other than his never ending love for the ocean, Akila is also into cars and video games.

With a lot of skills under him and his passion for teaching, Akila was stellar addition to our team. Through hands-on Marine Science and fun water sports, Under Blue Waters aims to educate and build confidence in each camper and student in the water. To build leaders of the future, we establish values such as honestly, loyalty, courage, and integrity for our campers to carry through camp, and throughout their lifetime. In the last ten years, Under Blue Waters has grown in numerous ways, and in empowering directions.

For this criterion, a marked limitation means that, due to the signs and symptoms of your neurological disorder, you are seriously limited in the ability to function independently, appropriately, effectively, and on a sustained basis in work settings see You may have a marked limitation in your mental functioning when several activities or functions are impaired, or even when only one is impaired. You need not be totally precluded from performing an activity to have a marked limitation, as long as the degree of limitation seriously limits your ability to function independently, appropriately, and effectively on a sustained basis, and complete work-related mental activities.

Areas of physical and mental functioning. Physical functioning. Examples of this criterion include specific motor abilities, such as independently initiating, sustaining, and completing the following activities: standing up from a seated position, balancing while standing or walking, or using both your upper extremities for fine and gross movements see Physical functioning may also include functions of the body that support motor abilities, such as the abilities to see, breathe, and swallow see We may also find you seriously limited in an area if, while you retain some ability to perform the function, you are unable to do so consistently and on a sustained basis.

The limitation in your physical functioning must last or be expected to last at least 12 months. These examples illustrate the nature of physical functioning. We do not require documentation of all of the examples. Mental functioning. Understanding, remembering, or applying information. This area of mental functioning refers to the abilities to learn, recall, and use information to perform work activities. Examples include: understanding and learning terms, instructions, procedures; following one- or two-step oral instructions to carry out a task; describing work activity to someone else; asking and answering questions and providing explanations; recognizing a mistake and correcting it; identifying and solving problems; sequencing multi-step activities; and using reason and judgment to make work-related decisions.

These examples illustrate the nature of this area of mental functioning. Interacting with others.

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This area of mental functioning refers to the abilities to relate to and work with supervisors, co-workers, and the public. Examples include: cooperating with others; asking for help when needed; handling conflicts with others; stating your own point of view; initiating or sustaining conversation; understanding and responding to social cues physical, verbal, emotional ; responding to requests, suggestions, criticism, correction, and challenges; and keeping social interactions free of excessive irritability, sensitivity, argumentativeness, or suspiciousness.

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Concentrating, persisting, or maintaining pace. This area of mental functioning refers to the abilities to focus attention on work activities and to stay on-task at a sustained rate. Examples include: initiating and performing a task that you understand and know how to do; working at an appropriate and consistent pace; completing tasks in a timely manner; ignoring or avoiding distractions while working; changing activities or work settings without being disruptive; working close to or with others without interrupting or distracting them; sustaining an ordinary routine and regular attendance at work; and working a full day without needing more than the allotted number or length of rest periods during the day.

Adapting or managing oneself.

Examples include: responding to demands; adapting to changes; managing your psychologically based symptoms; distinguishing between acceptable and unacceptable work performance; setting realistic goals; making plans for yourself independently of others; maintaining personal hygiene and attire appropriate to a work setting; and being aware of normal hazards and taking appropriate precautions.

Signs and symptoms of your disorder and the effects of treatment.

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We will consider your signs and symptoms and how they affect your ability to function in the work place. When we evaluate your functioning, we will consider whether your signs and symptoms are persistent or intermittent, how frequently they occur and how long they last, their intensity, and whether you have periods of exacerbation and remission. We will consider the effectiveness of treatment in improving the signs, symptoms, and laboratory findings related to your neurological disorder, as well as any aspects of treatment that may interfere with your ability to function.

We will consider, for example: the effects of medications you take including side effects ; the time-limited efficacy of some medications; the intrusiveness, complexity, and duration of your treatment for example, the dosing schedule or need for injections ; the effects of treatment, including medications, therapy, and surgery, on your functioning; the variability of your response to treatment; and any drug interactions.

Epilepsy is a pattern of recurrent and unprovoked seizures that are manifestations of abnormal electrical activity in the brain. However, psychogenic nonepileptic seizures and pseudoseizures are not epileptic seizures for the purpose of We evaluate psychogenic seizures and pseudoseizures under the mental disorders body system, In adults, the most common potentially disabling seizure types are generalized tonic-clonic seizures and dyscognitive seizures formerly complex partial seizures.


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Generalized tonic-clonic seizures are characterized by loss of consciousness accompanied by a tonic phase sudden muscle tensing causing the person to lose postural control followed by a clonic phase rapid cycles of muscle contraction and relaxation, also called convulsions. Tongue biting and incontinence may occur during generalized tonic-clonic seizures, and injuries may result from falling.

Dyscognitive seizures are characterized by alteration of consciousness without convulsions or loss of muscle control. During the seizure, blank staring, change of facial expression, and automatisms such as lip smacking, chewing or swallowing, or repetitive simple actions, such as gestures or verbal utterances may occur.

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During its course, a dyscognitive seizure may progress into a generalized tonic-clonic seizure see Description of seizure. We require at least one detailed description of your seizures from someone, preferably a medical professional, who has observed at least one of your typical seizures. If you experience more than one type of seizure, we require a description of each type.

Serum drug levels.

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We do not require serum drug levels; therefore, we will not purchase them. However, if serum drug levels are available in your medical records, we will evaluate them in the context of the other evidence in your case record. Counting seizures. The period specified in The required number of seizures must occur within the period we are considering in connection with your application or continuing disability review. When we evaluate the frequency of your seizures, we also consider your adherence to prescribed treatment see When we determine the number of seizures you have had in the specified period, we will: Count multiple seizures occurring in a hour period as one seizure.

Count status epilepticus a continuous series of seizures without return to consciousness between seizures as one seizure.