Weekly
Articles
Here are some interesting articles about
subjects such as headaches, stress, snoring problems, and
sleeping, to offer even more enlightening information. this
articles will be updated weekly, enjoy!
Date: 07/26/2008
‘Food Clock’ May Override Master Sleep Clock in Times of
Duress

New animal research suggests the body's biological clock, which
regulates sleep cycles based on the rise and fall of the sun,
can be overridden in extreme situations by an internal “food
clock.” The finding is based on work with mice and has not yet
been tested among humans.
But early indications are that, when faced with starvation, the
animals automatically adjust their wake-sleep schedule to adapt
to the best time to access food.
“In the wild, where starvation is a common threat, this must
have evolved as a way for animals to lock onto a new food
source, when necessary, to avoid starvation,” said study author
Dr. Clifford Saper, chairman of the department of neurology at
Beth Israel Deaconess Medical Center and a professor of
neurology at Harvard Medical School.
Saper and his team reported the findings in the May 23 issue of
Science. They noted that for animals and humans alike,
the body's main clock is centered among a group of cells in the
brain's hypothalamus region.
Referred to as the “suprachiasmatic nucleus”, this circadian
clock is triggered by visual cues gleaned from the light-dark
cycle. Such signals, in turn, activate cells that regulate
sleep-wake cycles.
The authors speculated, however, that this standard “master”
system could be overridden in situations of extreme duress -
such as starvation.
To test this theory and locate a possible “food clock,” the
researchers focused on mice genetically altered to lack a gene
integral to the master biological clock.
After implanting the mice with transmitters to record body
temperature and movement within plastic cages regulated for
light and temperature, Saper and his colleagues then restored
full light-clock function only to isolated parts of each
mouse's brain throughout a rotating series of food deprivation
experiments.
Successive two-week long tests were conducted in the context of
both a normal light-dark cycle and then a constantly dark
setting. The result: The researchers uncovered the existence of
a “feeding clock.”
This clock, they noted, kicked into gear and effectively
overrode the main light clock after just a single cycle of
starvation followed by a re-feeding.
The food clock, they concluded, actually hijacked the mouse's
circadian rhythms and shifted its sleep-wake cycle to
accommodate the need to be awake when food became readily
available - irrespective of the animal's light
environment.
Among other things, the discovery of an animal food clock could
theoretically lead to an improved method for dealing with jet
lag among frequent travelers.
For example, Saper pointed out that while a time zone shift of
11 hours typically burdens our master light-dark clock with a
week of difficult jetlag adjustment - resetting just in time
for the trip back home - careful manipulation of a food clock
could potentially render the shift painless and
immediate.
“The punch line for humans is that this second clock may be a
way for us to control our biological rhythms in shift work or
when we travel,” he observed. “In other words, it is possible
that by fasting during a trip to Japan, then eating a hearty
meal when you get there, you may be able to reset your clock
much more quickly to the new time.”
Ralph Downey III, chief of sleep medicine at Loma Linda
University Medical Center at Loma Linda University Children's
Hospital in California, described the research as thorough and
interesting.
“It provides valuable insight into other possible clocks that
time our behavior and time our sleep,” he noted. “And it
provides a little more complexity to our biology in terms of
why we do things when we do them.
So, we can see that there's a master clock, but interconnected
with that clock are other clocks - other spinning wheels. And
while under normal circumstances the master clock works nicely,
in extreme situations, the master clock can be overridden,
which is a very adaptive thing that makes a lot of sense from
an evolutionary perspective.”
While equally intrigued, Dr. Emmanuel Mignot, director of the
Stanford University Center for Narcolepsy, cautioned that the
current research with animals still needs to be replicated in
humans.
“However, this work opens up the idea that while there
certainly is a central light clock, and clearly light does 90
percent of the regulatory job, other factors may come into
play,” he said. “In fact,” Mignot added, “I would say that in
most cells in your body, you have a clock, and most of the
time, these clocks talk to each other.
Because the body is always prepared to anticipate different
changes that should happen at certain times of the
day.
So, I wouldn't be surprise if there's a clock in your skin to
anticipate light in the day, and a clock in your kidneys, so
you are prepared to go the restroom. It's not just about being
tired. It's pretty much every function that's regulated by the
time of the day.”
Date: 07/19/2008
Teenage stress: a social
problem
Nguyen Van Tho
Stress has become a major issue for
teenagers, warns Nguyen Van Tho, Director of the National
Psychiatric Hospital II in the southern town of Bien
Hoa.
He calls for better guidance and care from teachers and
parents
Nguyen Anh T., who is in the eighth-grade, lives with his
parents and a younger sister.
His family is stable, yet he often feels tired, angry and does
not want to go to school.
At primary school, T. was a good student, but his performance
has suffered since he started secondary school two years ago
and his mother gave birth to his little sister. He said the
move to the new school made him feel tense and bored as he
could not socialize with new friends and teachers.
The new addition to the family brought up feelings of
abandonment. T. became more worried and nervous and the stress
has prolonged until now.
T. is just one among an increasing number of teenagers who
suffer from anxiety due to pressure from study, relationships
with teachers, friends and family.
Good environment
Vietnamese students are often crammed with too much knowledge
from long school hours and extra-classes. Stress levels peak
during examination periods. Some feel bored and worried because
they cannot answer teachers’ questions, or they have conflicts
with friends.
Teenagers also have to cope with pressure from society and
parents desires for good grades and careers. This adds to their
own worries about their future and success. Hai A., 19, for
instance, often feels nervous, worried and even has insomnia,
making her tired and hot-tempered.
She is studying for her university entrance exam for the second
time. She failed the exam last year, while most of her friends
passed it. This plus her family’s expectations has made her
nervous.
Her mother, meanwhile, often cites her friends who have passed
the exam as examples, putting more pressure on A. It is not
unusual for A. to study day and night without rest; all of
which has led to her current condition.
Psychologists, teachers and parents should help teenagers
understand that there is no need to be too worried about poor
performance or being unable to answer a question. Students need
to know that teachers only want students to be more active in
class and will help them correct their mistakes.
School administrators and teachers should be mindful not to
overload the curriculum and establish a good environment for
students.
Adequate instructions
Conflicts in the home are a common cause of emotional distress
for young people. Hoang Minh H., 20, is studying medicine at a
college in southern Dong Nai Province. She often has thoughts
of suicide and has symptoms like insomnia, loss of appetite and
tension.
She has been diagnosed with stress. Born in an underprivileged
family, H. often sees arguments and fights between her parents.
Her father is an alcoholic and would have preferred a son
rather than his daughter.
Her mother is short-tempered and too busy to talk to H.
Differences in psychology and age always exists among family
members. Teenagers feel uncomfortable in the home with family
members whose characteristics, hobbies and habits are not
compatible.
They, for example, may become angry just because someone is
using the rest room or television too long. Another pressure is
parents’ expectations. They often expect their children to do
too much and set standards that are too high.
This sometimes conflicts with the children, who want to be
themselves and demand a little self-indulgence. They are faced
with a dilemma as they don’t want to neither obey nor disobey
their parents rules and arrangements.
Children first should be taught how to accept that everyone is
different. The point is that they need to ignore trivial
differences to avoid unnecessary family conflicts.
Making concessions to other members does not mean teenagers are
weak; on the contrary they are strong enough to give way to
others. Regarding rules and arrangements, parents should
discuss these with their children to reach a better
understanding of each other.
Teenagers, meanwhile, should accept the rules of their family,
to avoid the chaos that ensues when everybody does what they
want. They should recognize the rules as a sign of family love
instead of getting angry with them.
Date: 07/12/2008
Sleep Helps Curb Cravings
Diana Walker
Your key to solving the cravings problem may
lie in taking a quick nap. Recent studies show that the
link between sleep deprivation and weight gain may be
greater than previously thought.
There are several
separate studies that point to a connection between
important hormones and proper sleep. You can increase your
fat burning capabilities and reduce your cravings by getting
enough sleep.
Two specific hormones
are linked to both eating habits and sleep. Ghrelin is in
charge of telling your body that it is hungry, and Leptin
tells your body when to stop eating. When these hormones are
in balance, you’ll feel hungry when you should and stop
before you are entirely full.
However, if these
hormones are unbalanced, you can imagine the kind of chaos
it can cause in your system. You’ll feel hungry even if your
body has no need for food, and you’ll overeat as
well.
To make matters worse,
people who are tired will normally reach for “stimulating”
foods full of calories, sugar and fat. This is literally a
recipe for disaster. Lack of sleep reduces the levels of
leptin in your body, which makes you crave
carbohydrates.
On top of that, going
without sleep interrupts your body’s ability to use
carbohydrates properly. This raises the levels of glucose in
your body, which produces higher insulin levels and
increased body-fat storage.
The bad news doesn’t
end there. Sleep deprivation reduces the growth hormone as
well. Growth hormone is a protein that helps your body
balance fat and muscle. Without it, your body may be storing
more fat than necessary.
When you have higher
fat levels, you’ll crave more high fat and high calorie
foods to maintain that fat level. Sleep also has an impact
on your cortisol levels, which can affect your weight.
Cortisol is the stress hormone and can cause you to feel
hungry even when you aren’t.
When you go without
sleep, you are putting your body into a state of unnatural
stress. This increases cortisol levels and increases hunger
at the same time. If you’ve been trying to lose weight, or
even just eat better, you may have been puzzled why cravings
keep coming back
When you take a look
at all of the problems associated with not getting enough
sleep, the solution becomes clear: sleep more. Studies also
show that just a slight reduction in your amount of sleep
can have a drastic impact on your body.
With just a few hours
shaved off a normal night of sleep each night for a week,
there’s a loss in the ability to process glucose. Insulin
levels also get raised to the point where you may enter a
pre-diabetic state. Sleeping enough each night is vital to
reducing your cravings.
If you normally sleep
less than you should, then you should gradually increase the
amount of sleep that you get each day. It can be hard to go
from sleeping 5 hours a night to a full 8. Try adding an
hour to your sleep schedule each week.
You’ll reduce your
cravings for food and help your body work
properly.
Date:
07/05/2008
Sleep Deprivation Shuts Down Your Brain
Jon
Barron
Some people seem able to function after
pulling all-nighters, but a new study shows that they're
probably not 100-percent "there." Researcher David Dinges
of the University of Pennsylvania School of Medicine
followed 24 adults after normal rest, and then again after
they missed a night of sleep.
He
found that the brain literally shuts down for a few
seconds as a result of sleep deprivation. Okay one minute
-- shut down the next.
Using
magnetic resonance imaging (MRI), Dinges identified
several areas of the brain that "frequently faltered" in
the sleepy subjects, but not in those who had enough
rest. "Imagine you are sitting in a room watching a movie
with the lights on," he said.
"In a
stable brain, the lights stay on all the time. In a
sleepy brain, the lights suddenly go off." Dinges noted
that the sleepy person switches back and forth between
complete wakefulness and sudden brain
shutdown.
You've
probably experienced this phenomenon if you've ever been
in a conversation with someone who seemed perfectly
coherent until he nodded off mid-sentence, only to fade
back in a few seconds later and pick up where he left
off.
Or,
perhaps you've found yourself nodding off at the wheel of
your car when just seconds earlier you felt alert. And
that's the issue that has the researchers concerned --
the fact that brain fade-outs can compromise
safety.
In
fact, the report, published in The Journal of
Neuroscience, specifically expressed concern
about people who drive when exhausted, noting that a
four-second brain lapse could spell disaster.
Certainly,
it is scary to consider that those commuters zooming past
you on the highway might be sleep-deprived. But it's
equally scary to realize that some of the professionals
whom you entrust with your well-being -- doctors and
nurses, for example -- routinely pull
all-nighters.
It's
hardly news that medical residents work long hours. A
2005 study by Brown University and the University of
Michigan found that doctors on "heavy duty," with an
average of only 3.5 hours of sleep, functioned at the
same level
as if they had consumed three to four vodka
cocktails.
Earlier
concerns about impaired functioning in sleepy residents
led the Accreditation Council for Graduate Medical
Education to set a new policy limiting residents to an
80-hour work week -- which, as we just learned from the
latest study, won't help much.
It's
incredible to think that an 80-hour cap on hours worked
per week represents a big cutback. And even with the new
regulations, the fine print leaves plenty of room for
trouble. The 80-hour limit can be averaged out over four
weeks, so residents might have a 100-hour shift one week,
and a mere 60-hours the next.
Plus,
the new standards prohibit working more than 30 hours
non-stop in one shift -- but a 30 hour shift, by
definition, requires an all-nighter, and that means your
doctor might be performing medical procedures while in a
drunken-like stupor, fading in and out of
consciousness.
Not
comforting, is it? And the long hours put in by doctors
are just the tip of the iceberg in the medical
community.
According
to the International Council of Nurses, "In a large
number of hospitals nurses report the existence of a
documented policy that imposes mandatory
overtime."
A study
by the University of Pennsylvania Medical School found
that 81 percent of nurses aren't able to leave work at
the scheduled time. Because of the nursing shortage,
twelve-hour shifts are becoming the norm, and many nurses
routinely work double shifts.
This
spells trouble for both nurse and patient safety. A study
last year published in Medical News Today found
that about 67 percent of the nurses reported at least one
episode of drowsy driving after working
overtime.
This
same study found a strong link between working long hours
and making medical errors such as delivering the wrong
medication or writing wrong information in a patient
chart.
At
least in some places, nurses are getting fed up. A few
weeks ago, the nursing staff at a Veteran's
Administration facility in Illinois staged a protest in
response to a contractual requirement that they work
overtime.
Certainly,
the long hours put patients at risk. As the executive
director of the Illinois area nurse's union, Henry Bayer,
said, "An exhausted worker is a safety hazard waiting to
happen. A lot of the accidents that happen are when they
are on overtime."
No
wonder so many patients go into the hospital only mildly
ill and never come out. No wonder the statistics are off
the charts for prescribing errors.
The
upshot is that you'd be well advised to get plenty of
sleep yourself in order to keep yourself healthy and out
of the hospital, where dozy nurses and drowsy doctors
abound, with their brains flickering on and off...like
the lights in a prison during an execution by electric
chair.
Date:
06/28/2008
Sleep Apnea Puts People at Risk for Heart Trouble while
Flying

People
suffering from obstructive sleep apnea are more likely to
experience higher psychological stress and therefore heart
problems during air travel, new research shows.
Obstructive
sleep apnea (OSA) is caused by a blockage of the airway,
usually when the soft tissue in the rear of the throat
collapses and closes during sleep. Actually, the Greek world
“apnea” literally means “without.”
According
to the National Institutes of Health, sleep apnea is very
common, affecting more than twelve million Americans. Risk
factors include being male, overweight and over the age of
forty, but sleep apnea can strike anyone at any age, even
children.
Worrisome
is the fact that around 80 percent of men and 93 percent of
women with sleep apnea are unaware they have this disorder,
despite the fact that it can have significant
consequences.
Untreated,
sleep apnea can cause high blood pressure and other
cardiovascular disease, memory problems, weight gain,
impotency, and headaches.
Now a
new study by Australian researchers, called “Effects of
Commercial Flight Simulation in Patients with Obstructive
Sleep Apnea” showed that sleep apnea endangers peoples’
lives during air travel.
Lead
author Leigh Seccombe, MSc, of Concord Repatriation General
Hospital in Sydney and colleagues investigated the
physiological response of 22 patients with severe OSA and
without lung disease, to a simulation of an aircraft cabin
and compared the results to that of 10 healthy
subjects.
More
exactly, the researchers looked at the participants’
ventilatory response and at the amount of oxygen circulating
in their bloodstream during the simulation.
The
study found that people with OSA had lower levels of oxygen
in their blood before and during the simulated flight. Also,
these people experienced higher heart rates, physiological
stress and demand for oxygen than healthy people.
"Patients
with OSA, without lung disease, are more likely to develop
significant hypoxemia [low blood oxygen] and have increased
oxygen demands during flight,” the study
concluded.
Seccombe
noted that if the results of this study are typical “half of
the patients with obstructive sleep apnea would require
supplemental oxygen in-flight [for those with lung disease]
are strictly followed.”
She also
said that she and her colleagues decided to look at this
issue, as obesity is in a continuous raise among Americans,
thus boosting the number of people with OSA.
“We
addressed obstructive sleep apnea because it is becoming so
much more common as obesity increases and there are greater
numbers of obese passengers on commercial flights,” Seccombe
said, as quoted by the New York Times.
The
findings of the study were presented on Sunday, May 18th, at
the American Thoracic Society’s 2008 International
Conference in Toronto.
06/21/2008
New sleep
aids might get you walking
Wall Street Journal

One woman
woke up with a paintbrush in her hand, having painted her
front door in her sleep. People have set fire to their
kitchens while trying to cook, cursed their bosses on the
phone and crashed their cars into trees -- all in a
sleeping-pill-induced haze and with no memory
afterward.
A flurry of
such cases prompted the Food and Drug Administration last
year to require that Ambien, Lunesta and other
"sedative-hypnotic" drugs carry strong warnings. But that
scarcely damped enthusiasm.
U.S. sleep-aid prescriptions grew 10 percent
last year, according to IMS Health, thanks in part to
generic Ambien.
Now, an
analysis of adverse-event reports filed with the World
Health Organization suggests that some side effects of this
generation of sleep medication, which made their debut in
the 1990s, may be nearly as problematic as the older
generation, including Halcion, which was banned in some
countries.
Through
March 2007, the WHO's international drug-monitoring center
received 867 reports from 24 countries of people
encountering amnesia, often coupled with confusion,
agitation and other behavior disturbances, while taking the
newer sleeping aids, called nonbenzodiazepines
(NBZs).
That
compares with 1,032 such reports with the older class of
benzodiazepines (BZs), even though they have been on the
market for decades longer.
"The older
pills are much more likely to cause daytime sedation,
addiction and withdrawal symptoms," says P. Murali
Doraiswamy, chief of biological psychiatry at Duke
University Medical School and the lead author of the study,
presented Monday at the American Psychiatric Association
conference in Washington.
But, he
says, the reports of amnesia and erratic behavior appear to
be similar with both kinds of drugs. "We still don't have a
good handle on how common these events are -- some people
may be particularly vulnerable," he says.
A
spokeswoman for Sanofi-Aventis, which makes Ambien, the
leading brand-name NBZ, says the company cannot comment
since it hadn't seen the report. She adds that somnambulism
occurred in less than 1 in 1,000 patients in clinical
trials, and wasn't necessarily caused by the
medication.
Doctors
aren't certain what prompts some people to eat, walk, make
phone calls or get behind the wheel in their
sleep.
But some
speculate that sleep drugs may act on brain circuits
unevenly, leaving the parts that govern automatic behaviors
running while shutting down the centers of judgment. "It's
like the parents are away and now the little kids can do
whatever they want to," says Dr.
Doraiswamy.
As with
most dreams, the events aren't stored in the brain's memory
circuits, hence the amnesia. Psychiatrist Carlos Schenck at
the Minnesota Regional Sleep Disorders Center has studied
some 40 cases of Sleep-Related Eating Disorder, and found
that it's more common in women than men, and often
accompanies a mood disorder.
Some
patients have consumed inedibles like buttered cigarettes
and woken up gasping for air with their mouths full of
peanut butter, a sleep-eating favorite. Experts all
recommend trying nondrug means to combat insomnia -- such as
exercise, stress reduction and avoiding
caffeine.
But if you
must resort to pills, there are ways to minimize the
risks:
Get into
bed immediately. Sleeping pills can work in 10 or 15
minutes. Never take more than the maximum dose. Never mix
sleeping pills with alcohol. And never take them if you're
planning to drive.
"We've had
some cases where people are leaving a party and they're
afraid they're going to have insomnia, so they take one
before they get in the car," says Mark Mahowald, medical
director of the Minnesota sleep center.
He also
cautions against taking a sleep aid if you're the sole
caregiver for a child or are expecting a phone call. In
fact, a ringing phone may trigger a sleepwalking event, so
unplug it if possible.
Stash your
car keys in an unusual spot, suggests William C. Head, an
Atlanta attorney who has defended sleeping-pill users who
went on unplanned drives.
06/12/2008
Air Travel Taxes
Hearts of People with Sleep
Apnea
By Steven Reinberg, HealthDay
Reporter
Flying on commercial flights may put people
who suffer from obstructive sleep apnea at greater risk of
cardiac stress, Australian researchers report. Sleep apnea
is a common condition in which breathing stops or becomes
very shallow. Obstructive sleep
apnea is the most common form of the condition.
When it
occurs, people can't get enough air through their mouth or
nose, and the levels of oxygen in the blood may drop.
"Falls in
oxygen in flight are important but may not be the only
important change that occurs," said lead researcher Leigh
Seccombe, a senior scientist in the Department of Thoracic
Medicine at Concord Repatriation General Hospital in
Sydney.
"They may not
be the only factor separating normal subjects from those with
obstructive sleep apnea." People with obstructive
sleep apnea clearly have increased metabolic demands during air
travel, Seccombe said.
"For many who
have heart or other vascular disease, this may place them at
increased risk of cardiac events such as heart attack or
arrhythmia, but the extent of that risk is uncertain," she
said. Seccombe said the
researchers performed the study, because obstructive sleep
apnea is becoming much more common as obesity
increases.
The findings
were expected to be presented Sunday at the American Thoracic
Society's 2008 International Conference, in Toronto.
For the
study, Seccombe's team compared oxygen levels and breathing
patterns in healthy people and 22 people with severe
obstructive sleep apnea during a simulated flight.
The simulator
replicated the oxygen and pressure levels found in the
passenger cabin during commercial airline flights.
The
researchers found that people with obstructive sleep apnea had
lower levels of oxygen in their blood before and during the
simulated flight.
They also
found that those with obstructive sleep apnea increased their
breathing intensity at about the same rate as healthy people
during the simulation. However, while it's
normal for the rate of breathing to increase as air pressure
falls, people with obstructive sleep apnea experienced higher
heart rates and more demand for oxygen, compared with healthy
people, the researchers found.
"Half of the
patients with obstructive sleep apnea would require
supplemental oxygen in-flight if current guidelines for those
with lung disease were strictly followed if these results are
typical," Seccombe said. "In patients with
obstructive sleep apnea or other cardiac or vascular disease,
it might be wise to have a lower threshold for giving
supplemental oxygen until more results are
available."
Dr. Ronald D.
Chervin, who's with the Michael S. Aldrich Sleep Disorders
Laboratory at the University of Michigan, said he agreed that
people with obstructive sleep apnea have a greater risk for
heart problems during long airline flights, though there has
been little research on the topic.
"I suspect
that part of the problem may arise from co-morbid conditions,
and especially obesity, which can compromise ventilation and
perhaps account for some of the investigators' findings of
differences between groups," Chervin said.
06/05/2008
A Sleeping Disorder
can Lead to Bigger Problems
Robert
Kokoska
It is estimated that
almost 80 million Americans and 20 million Europeans suffer
from acute sleep disorders, characterized by inadequate or poor quality sleep. No matter
how hard these people try, they simply can´t get enough
sleep!
If you can´t sleep
long enough to get a good rest or if you experience a poor
quality or inadequate sleep pattern, then you´re suffering
from Insomnia or "no sleep" symptoms.
The loss occurring due
to direct and indirect insomnia is estimated at about $50
billion, and such a heavy loss can not simply matched by the
emotional trauma being faced by the person with acute sleep
disorders.
For a long time,
Insomnia was perceived to be a symptom and not a disease or
a disorder, but as the more advanced evidences suggest,
Insomnia appears to be much more than just a sleep
disorder.
Insomnia is usually characterized by a condition when a person
finds it very difficult to fall asleep or face difficulties
maintaining the rhythm of sleep or waking up very early in the
morning. Insomnia is also prevalent in aged adults of 50 years
and above, and according to conservative estimates, about 55%
of people allover the world face sleep disorders of varying
degrees.
Insomnia may also
occur as an inherited genetic trait or due to some illness;
however, new facts suggest us that Insomnia often manifests
as a result of many combinations of physiological and
environmental parameters.
Sleep disorders are also classified on their degree of
seriousness: either acute or chronic. Shorter duration Insomnia
or Acute Insomnia may occur due to some temporary situations
like long air traveling or mental stress.
Such low intensity
Insomnia is easily treatable and often lasts one or two
months. On the other hand, longer term or Chronic Insomnia
is often very serious and may occur as a result of a
combination of various parameters, which are medical,
physical and/or psychological.
Treating chronic
insomnia is often very difficult and usually depends on a
combination of medications, education on behavioral and
cognitive techniques. Sleep disorders of a serious nature
are also assumed to be precursors of future onset of
depression.
Sleep disorders could
be damaging to your health and personal life, due to its
hidden effects as it can impair the whole body
mechanism.
Consequences of not
getting enough good sleep can be very serious, and include
daytime tiredness, bad mood, low level depression,
psychological distress, and difficulty in concentrating, as
well as being at increased risk for physical injury, and
permanent illness.
Though there is
several sleep disorder medication available, a definite
treatment method can only be prescribe after a detailed
medical diagnosis. Most common treatments include
medication, behavioral and cognitive therapy and relaxation
training.
Prescription medications that promote a sustained level of
sleep are called hypnotics therapy. Medications usually differ
by dosage and duration and level of action.
Cognitive therapies
are prescribed in case of severe cases of Insomnia and
include manipulation of attitudes and beliefs that may/will
contribute to poor sleep. Sleep disorders of extremely
chronic nature, usually take a long time to cure and needs
active participation from the patient.
05/27/2008
Kids
need good sleep
Dr RK Anand
Inadequate and poor sleep can lead to
scholastic backwardness, ill health, tiredness,
depression, irritability, aggression and danger to life.
Studies on sleep-deprivation indicate that even if a
teenager is not drunk, he may endanger his own life and
that of others, because of ‘micro-sleeps’ while
driving.
This is
typically seen in sleep-deprived individuals who lapse into
several seconds of daytime drowsiness resulting in inattention
in school and while driving.
How much sleep is
enough? Children need 16 to 20 hours till they
are three months old;
about 14
hours between three and 12 months (11 hours at night and
three hours in two naps during the day); 12 to 14 hours
between one and three years (one nap for two
hours);
11 to 12
hours between three and six years (no nap by age of five
years); 10 hours between six and 12 years and nine hours
after 12 years.
For
parents, an occasional late night is allowed, but they must
get enough sleep too. Parents who follow the dictum of
‘early to bed, early to rise’ set the right tone for healthy
living. Children must be helped to go to bed early. Do set
an example for this healthy habit.
Once you
get used to the freshness of the early morning, you will
never want to miss it. Although it is ideal that a child
goes to bed early, this routine may have to be changed
occasionally if the father comes home from work late in the
evening and leaves early in the morning.
In such
a case, one may have to consider making the child sleep
during the day. For healthy sleep habits:
- Bedtime and wake-up time must be fixed. In general, this
routine should also be followed during holidays.
- The child’s bedroom should not have a television or a
computer. Children who have this facility spend less time in
bed and are more tired during the day, as compared to their
peers with no such access in their bedroom.
- Products containing caffeine must be avoided after the
evening.
- Let the bedroom be quiet and dark. Some children feel more
secure if a dim light is kept switched on throughout the
night.
- A quiet relaxed time is important before the child goes to
school. Depending upon the age of the child, you may sing a
lullaby or tell him a story. Many mothers find it helpful to
say a prayer.
Let me share a personal example in this connection: Armaan, my
grandson, was about 2 years old.
To
introduce the concept of gratitude, his mother Anshu used to
say the following common prayer before Armaan went to bed:
“Thank you God for the world so sweet,Thank you God for the
food we eat,Thank you God for the birds that sing,Thank you
God for everything!”
One night, as soon as Anshu finished saying ‘Thank you God for
everything’, Armaan said “You are welcome”. His mother felt
almost as if God were responding to her prayer through
Armaan.
05/20/2008
How to Manage Your Hormone
Headaches
Mary K. Betz

All too often many women will have an odd response when asked
if they have headaches. “No I don’t have headaches, just my
normal monthly one.” Well I am here to tell you that headaches
are not normal, monthly or otherwise.
Headaches that occur monthly during the menstrual cycle are
menstrual migraines. Menstrual migraine is due to the
increasing and decreasing levels of estrogen
in the
brain during this time.
Women have up to five (!) estrogen receptor sites in the
brain and with all
of them busy binding and unbinding estrogen, well this creates
one heck of a headache. Many female migraineurs say that this
headache can be the worst headache they have ever
had.
Like other migraines the headache symptoms are pounding,
throbbing pain, sensitivity to light and sound and nausea.
Unlike other migraines the symptoms are all magnified to the
point where the headache may be disabling.
Not only is she nauseated, but vomiting may also occur.
Menstrual migraine is now taken seriously by the medical
profession unlike years ago when most women were told “It’s all
in your head”. No kidding.
This type of migraine is now being studied with its own
research and much is being learned, especially on how to manage
these headaches. OK, now what? Well there are some new options
on how to manage these migraines.
1. First of all, like all migraines, lifestyle plays a role. If
you smoke, cut it in half immediately. Nicotine excites the
brain and makes headaches worse. The same goes for caffeine.
Cut out the power caffeine drinks, Starbucks and other
caffeinated sodas.
2. Next step. Get on vitamin supplements targeted for migraine.
All studies have shown, that vitamin B2 400mg, feverfew herb
and magnesium 400mg can reduce your headaches. New information
seems to point towards increasing the magnesium to 600mg or 800
mg during the menstrual week to blunt the headache.
3. Medications such as low dose anti-seizure drugs may help
reduce the pain
of the
headache. You might have to be on the medication for a few
months to get things under control, but generally this is not
something you will have to take for the rest of your
life.
Again, new research points to increasing the dose slightly
during the menstrual week to ease the headache and then
reducing the regular level after the menses is over.
4. Hormones may treat migraines! Often times, if the OB/GYN is
involved, a woman can go on one of the new 90 day cycling birth
control pills. Having a period once every 90 days means a bad
headache, but only every three months. Other women have tried
low dose estrogen that is used for menopause, during the
menstrual week. A slight increase in estrogen may ease the
headache pain.
5. Using longer acting medications during the menstrual week
might prevent the headache from coming back. One of the newer
drugs for migraine, frovatriptan, has a long acting formula and
can prevent the migraine from returning over and over during
the menstrual week.
Discuss your options with your medical provider, and don’t give
up. New options are coming to light every few months or so, so
keep asking questions about what is new to manage your hormone
headaches.
05/08/2008
Disabling migraines
demand attention
Tracey Cox knows when she's about to have a
migraine. First comes the aura. Then an odd feeling of
disconnectedness. Very soon after that, a blinding,
wish-you-were-dead headache takes up residence somewhere
between Cox's ear and her eye.
"I keep
thinking, if I could take a stick and jab it into my eye
socket, I could knock out the place where the migraines
live," said Cox, who lives in Stafford County. Although
extremely painful, migraines are not
uncommon.
According to
the National Headache Foundation, 30 million Americans
experience migraines. Women are hit with the severe
headaches three times as often as men. Most migraine
sufferers are between the ages of 15 and
55.
In some cases,
the cranium-crushers disable their victims for hours or even
days, spawning such side effects as nausea, vomiting and
extreme sensitivity to light and sound.
While the
hit-with-a-baseball-bat kind of pain can make a migraine
sufferer wonder if the condition is life-threatening, that
is hardly ever the case, said Fredericksburg neurologist
Paul Colopy of Neurology Associates.
"Statistics
show that only a very small fraction of persons have a
structural-lining abnormality, tumor or aneurysm," Colopy
said. What migraine victims do have is debilitating head
pain that keeps them from working, taking care of their
loved ones and enjoying life.
The
Origins of Pain
Migraines
result when the balance of adrenalin and seratonin--which
regulates body temperature, mood, sleep and appetite--are
out of balance, says Carol Foster, a Phoenix-based
neurologist and author of "Gotta Headache? Lifestyle Changes
to Help You Conquer Migraines." Some things that can trigger
an episode are:
¨
Hunger, exhaustion or
dehydration
¨
The weather
¨
A change in
routine
¨
Bright light
¨
Smells such as cigarette smoke or
perfume.
Twenty-two-year-old Amanda Sale's
headaches started when she was in middle school. Back then,
she had no idea they were migraines. "I thought it was a
normal headache and that everyone had them," said the
Spotsylvania County resident.
Exercise and
Virginia's heat and humidity set off the pounding in Sale's
head.
"In the
summer, I get migraines every single day of the week," she
said.
Cox, of
Stafford, said her migraines are triggered by hormones,
routinely arriving two to three days before the start of her
menstrual cycle. For Amanda Reynolds, the culprit is
stress.
When the
Spotsylvania resident recently discovered that 700 pictures
on her digital camera's memory card were erased, a killer
headache immediately set in. "The whole hour I spent trying
to get them back, it got worse and worse," Reynolds said.
"By the time I stood up, I was dizzy and ready to fall
over."
04/28/2008
Disabling
migraines demand attention
BY MARCIA ARMSTRONG
FOR THE FREE LANCE-STAR
Tracey Cox knows when she's about to have a
migraine.
First
comes the aura. Then an odd feeling of disconnectedness.
Very soon after that, a blinding, wish-you-were-dead
headache takes up residence somewhere between Cox's ear and
her eye.
"I keep
thinking, if I could take a stick and jab it into my eye
socket, I could knock out the place where the migraines
live," said Cox, who lives in Stafford
County.
Although extremely painful, migraines are not uncommon.
According to the National Headache Foundation, 30 million
Americans experience migraines. Women are hit with the severe
headaches three times as often as men. Most migraine sufferers
are between the ages of 15 and 55.
In some
cases, the cranium-crushers disable their victims for hours
or even days, spawning such side effects as nausea, vomiting
and extreme sensitivity to light and sound.
While
the hit-with-a-baseball-bat kind of pain can make a migraine
sufferer wonder if the condition is life-threatening, that
is hardly ever the case, said Fredericksburg neurologist
Paul Colopy of Neurology Associates.
"Statistics
show that only a very small fraction of persons have a
structural-lining abnormality, tumor or aneurysm," Colopy
said. What
migraine victims do have is debilitating head pain that
keeps them from working, taking care of their loved ones and
enjoying life.
THE ORIGINS OF PAIN
Migraines result when the balance of adrenalin and
seratonin--which regulates body temperature, mood, sleep and
appetite--are out of balance, says Carol Foster, a
Phoenix-based neurologist and author of "Gotta Headache?
Lifestyle Changes to Help You Conquer
Migraines."
Some things that can trigger an episode are:
hunger, exhaustion or dehydration
the weather
a change in routine
bright light
smells such as cigarette smoke or perfume.
Twenty-two-year-old
Amanda Sale's headaches started when she was in middle
school. Back then, she had no idea they were
migraines. "I
thought it was a normal headache and that everyone had
them," said the Spotsylvania County resident.
Exercise
and Virginia's heat and humidity set off the pounding in
Sale's head.
"In the
summer, I get migraines every single day of the week," she
said. Cox, of
Stafford, said her migraines are triggered by hormones,
routinely arriving two to three days before the start of her
menstrual cycle.
For
Amanda Reynolds, the culprit is stress. When the
Spotsylvania resident recently discovered that 700 pictures
on her digital camera's memory card were erased, a killer
headache immediately set in. "The
whole hour I spent trying to get them back, it got worse and
worse," Reynolds said. "By the time I stood up, I was dizzy
and ready to fall over."
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