Dr. Ashwin Mehta of University of Miami Health System presented "Integrative Approaches to Optimum Sleep" at the 2011 WellBeingWell Conference in Miami.
Inner Engineering Medical Research findings- Isha Inner Engineering is technology for well being. Many researches have been done those who went for this practice.
Inner Engineering Medical Research findings- Isha Inner Engineering is technology for well being. Many researches have been done those who went for this practice.
Bodhi Wellness Care in Mumabi is dedicated to holistic healing for getting relaxation, rejuvenation and relief. I also give Holistic counseling for stress, anxiety, depression and relationship problems. Call me for a healing demonstration at your place in Mumbai and Navi Mumbai in India. Mob/WhatsApp 9895369280
Complementary and alternative approaches to pain relief during laborpharmaindexing
Even though delivery is a natural phenomenon, it has been demonstrated that the accompanying pain is considered severe or extreme in more than half of cases. Besides conventional approaches, such as epidural analgesia, many complementary or alternative methods have been reported to reduce pain during labor and delivery. Not every woman wants traditional pain medication. Many moms-to-be want their labor and delivery to be as natural as possible (and for women who are recovering from drug and alcohol abuse, analgesics are usually a no-no), but still as comfortable as possible.
Alterative acupuncture (when nothing works try acupuncture)Ck Raju
A set of Points within the Acupuncturist's Toolbox become friendly to him - so they show an AlterAtive effect each time he attempts a treatment. This is explained here that the Yang natured Metal and Fire Element Points of Acupuncture Meridian system.are always powerfully efficacious in treatments.
Modern Revelations of how the "Meridians Created Us" - We have to look at the Embryological evidence instead of scientific proof for Morphogenetic Intelligence which brought us from the sperm and ovum into this world.
Acupuncture originates from China and has been practiced there for thousands of years. It is really beneficial to treat diseases like Anxiety , Depression, Infertility, Weight loss , Insomnia , Asthma, Nausea, Digestive problems, Pregnancy care and many other conditions. The practitioners of Northside Acupuncture in Northern Beaches treat these problems very successfully. So If you are looking for the best Acupuncture clinic then feel free to contact us.
Mindfulness aplicada a la EPOC - Dr. Jordi Roig CutillasJordi Roig
Qué es el Mindfulness y cómo puede ayudar a los pacientes con enfermedades respiratorias como la EPOC.
Presentación del Dr. Jordi Roig Cutillas, doctor en medicina y especialista en neumología, durante el XVI Simposio sobre EPOC, dónde introduce el Mindfulness, la evidencia científica y su uso como complemento en la terapia de pacientes con enfermedades respiratorias crónicas.
Vídeo de la presentación: https://youtu.be/ivkwhxV2vVs?t=1362
Awareness and assessment of the pain in
postoperative children is important
Remember the different pharmacology in
neonates, infants and children
Multi-modal approach to preventing and treating
pain to minimize adverse effects
Regional analgesia must be considered unless
contraindicated
It's hard to get sleep, especially when you're a lawyer. But it's an essential fact of life, and not one you want to skip out on. Here are some reasons that sleep is beneficial.
Bodhi Wellness Care in Mumabi is dedicated to holistic healing for getting relaxation, rejuvenation and relief. I also give Holistic counseling for stress, anxiety, depression and relationship problems. Call me for a healing demonstration at your place in Mumbai and Navi Mumbai in India. Mob/WhatsApp 9895369280
Complementary and alternative approaches to pain relief during laborpharmaindexing
Even though delivery is a natural phenomenon, it has been demonstrated that the accompanying pain is considered severe or extreme in more than half of cases. Besides conventional approaches, such as epidural analgesia, many complementary or alternative methods have been reported to reduce pain during labor and delivery. Not every woman wants traditional pain medication. Many moms-to-be want their labor and delivery to be as natural as possible (and for women who are recovering from drug and alcohol abuse, analgesics are usually a no-no), but still as comfortable as possible.
Alterative acupuncture (when nothing works try acupuncture)Ck Raju
A set of Points within the Acupuncturist's Toolbox become friendly to him - so they show an AlterAtive effect each time he attempts a treatment. This is explained here that the Yang natured Metal and Fire Element Points of Acupuncture Meridian system.are always powerfully efficacious in treatments.
Modern Revelations of how the "Meridians Created Us" - We have to look at the Embryological evidence instead of scientific proof for Morphogenetic Intelligence which brought us from the sperm and ovum into this world.
Acupuncture originates from China and has been practiced there for thousands of years. It is really beneficial to treat diseases like Anxiety , Depression, Infertility, Weight loss , Insomnia , Asthma, Nausea, Digestive problems, Pregnancy care and many other conditions. The practitioners of Northside Acupuncture in Northern Beaches treat these problems very successfully. So If you are looking for the best Acupuncture clinic then feel free to contact us.
Mindfulness aplicada a la EPOC - Dr. Jordi Roig CutillasJordi Roig
Qué es el Mindfulness y cómo puede ayudar a los pacientes con enfermedades respiratorias como la EPOC.
Presentación del Dr. Jordi Roig Cutillas, doctor en medicina y especialista en neumología, durante el XVI Simposio sobre EPOC, dónde introduce el Mindfulness, la evidencia científica y su uso como complemento en la terapia de pacientes con enfermedades respiratorias crónicas.
Vídeo de la presentación: https://youtu.be/ivkwhxV2vVs?t=1362
Awareness and assessment of the pain in
postoperative children is important
Remember the different pharmacology in
neonates, infants and children
Multi-modal approach to preventing and treating
pain to minimize adverse effects
Regional analgesia must be considered unless
contraindicated
It's hard to get sleep, especially when you're a lawyer. But it's an essential fact of life, and not one you want to skip out on. Here are some reasons that sleep is beneficial.
Early Diagnosis and Treatment for Alzheimer'sLisa Michaels
A Novel Multi-phased Project that investigates the Glutathione Pathway by Creating Alzheimer’s model Drosophila with Pan-neuronal Over-expression of the GCLc Gene, Inducing Redox Stress through Sleep Deprivation, and Analyzing Mitochondrial Electron Transport Chain using Colorimetric Enzymatic Assays.
This multimedia presentation gives an overview of sleep research concerning teen health and academic performance as presented at the Sleep and the Adolescent Brain. The forum was held on February 21, 2016 at the Radnor Middle School in Radnor PA. The Forum and related activities are part of a Coalition with the League of Women Voters of Delaware County, parent teacher organizations, and area school districts.
Sleep and the Brain: Recommendations for Institutions of Higher EducationRosemary Hilliard
An examination of the cognitive and physical benefits of sleep followed by recommendations for how institutions of higher education may develop policies to help to mitigate the effects of sleep deprivation on college students.
DR SANJAY PHADKE- Introducing Symposium on MIND- BODY MEDICINEDR VANI KULHALLI
The critical importance of mind body medicine as regards
- treatment gap of 80-96pc for mental illness
- proved benefit
- can be administered by non medical professionals
- safe and efficetive
Dr Ananda's invited presentation on Yoga Research: Past, Present and Future at the International E-conference titled "Recent Advances in the Medical Sciences International E - Conference, RAMSIECON 2021" organised by Department of Physiology, Yenepoya Medical College, Yenepoya (Deemed to be University), Deralakatte, Mangalore from 30th June to 3rd July 2021.
Bhavanani AB. Efficacy of Yoga in Respiratory Disorders: Some Research Finding. Tamilnadu and Puducherry State Conference on Pulmonary Diseases TAPPCON 2017 at SBVU, Pondicherry. Pg 55-57.
Effect of sahaja yoga meditation on quality of life, ioana_ip
Sahaja Yoga Meditation had become a Trend all around the world, for the best reasons of all: it is scientifically proven and it is free and easy to practice by everyone! more at www.free-meditation.ca
Dr Ananda's lecture class at Dr MGR Medical University.
He was invited to deliver lecture as Resource Person on “Research in Yoga” for the 25th workshop on Research Methodology and Bio- Statistics for AYUSH PG Students and Researchers organised by Department of Siddha of the Tamil Nadu Dr. MGR Medical University.
ABSTRACT: “Oh, East is East, and West is West, and never the twain shall meet,” said Rudyard Kipling. This dichotomy however seems to have been overcome in recent times, as many eastern healing traditions have slowly and steadily percolated the health care system worldwide. This is especially true of mind–body therapies that focus on the health promotive intrinsic connections that exist between the human brain, mind, body, and individual behaviour. This includes techniques of meditation (mantra meditation, mindfulness meditation, and others), qi gong, tai chi, and yoga.
This article appeared in the Annals of SBV 2014; 3 (1): 29-41.
Dr. Marc Lippman of Sylvester Comprehensive Cancer Center presented "Why Clinical Trials Are Important to Everyone" at the 2011 WellBeingWell Conference in Miami.
Dr. Mark Stoutenberg of University of Miami Health System discussed the importance of physical activity and exercise at the 2011 WellBeingWell Conference.
Dr. Richard Cote of Sylvester Comprehensive Cancer Center presented "New Technologies That Will Have an Impact on Cancer" at the 2011 WellBeingWell Conference in Miami.
Dr. Michael Antoni of Sylvester Comprehensive Cancer Center discussed stress management for cancer patients at the 2011 WellBeingWell Conference in Miami.
Dr. Eugene Ahn of Sylvester Comprehensive Cancer Center discussed mind-body approaches to cancer healing at the 2011 WellBeingWell Conference in Miami.
Dr. Janet Konefal of UHealth - University of Miami Health System discussed ways to live a healthy lifestyle at the 2011 WellBeingWell Conference in Miami.
"Facing the Mirror With Cancer" is a book designed to help cancer patients learn how to use makeup and other beauty tricks to improve their self-confidence and appearance. Lori Ovitz presented this during the 2011 WellBeingWell Conference hosted by Sylvester Comprehensive Cancer Center in Miami.
Dr. Jerry Goodwin, chief medical officer of Sylvester Comprehensive Cancer Center/UMHC, presented "Can Cancer Be Prevented?" at the 2011 WellBeingWell Conference in Miami.
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
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Dehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in Dehradun
Sleep Medicine - Dr. Mehta
1. Hypnos and Thanatos, Sleep and His Half-Brother Death by John William Waterhouse, 1874.
2. Integrative Approaches to
Optimum Sleep
Ashwin Mehta MD MPH
Asstistant Professor of Clinical Medicine
University of Miami, Miller School of Medicine
April 26, 2011
3. Goals:
Introduction to integrative sleep medicine
Prevalence of sleep concerns
Screening and evaluation of sleep complaints
Promising integrative approaches to help
achieve restful sleep
7. Sleep Medicine
Sleep is a multidimensional process
“A four movement symphony”
Stage 1, 2, 3, and REM
Multidisciplinary field
Growing science
Behavior-based, not an organ based science
“Sleep medicine focuses on the clinical assessment, physiologic
testing, diagnosis, management and prevention of sleep and
circadian rhythm disorders. Sleep specialists treat patients of any
age and use multidisciplinary approaches”
- American Academy of Sleep Medicine
8. Common Sleep Concerns
Insomnia – a society of poor sleep hygiene 20% 1
Obstructive sleep apnea 26% in the general
population, 70% if obese 2
Restless limb syndrome
REM behavior disorder
Narcolepsy
1 Wiley et al 2000 2 Young NEJM 1993
10. Insomnia
Difficulty falling asleep (>30 min three times a
week for a month).
Precipitating factor “worrying about personal
problems” (62.3%), “stress” (52.1%) 1
Perpetuating factor - Stimulus control
Focus on sleep hygiene - CBT
Sleep logs – sleep deprivation
Magnesium,Valerian, Lavender, Meditation,
Melatonin, Yoga, Acupuncture
1 Hohagen 2000
11. Lavender oil for insomnia
A multi-center, double-blind, randomized study
of the Lavener oil preparation Silexan in
comparison to Lorazepam for generalized
anxiety disorder
Self-rating Anxiety Scale, SF 36, Penn State
Worry Questionnaire (n = 78)
Sleep diaries demonstrated sleep latency was
shortened and total sleep time prolonged in the
lavender oil group
No daytime sedating effects noted
Woelk, Schlafke, Phytomedicine; 2010.
12. Yoga for insomnia in pregnant women
Effects of mindful yoga on sleep in pregnant women: a
pilot study.
15 healthy, nulliparous women in their second or third
trimesters attended weekly mindfulness meditation and
prenatal Hatha yoga classes for 7 weeks.
Actigraphy
Women who began the intervention in the 2nd trimester
had significantly fewer awakenings, less wake time
during the night and less perceived sleep disturbance
than at baseline
Beddoe et al. Biol Res Nurs; Apr 2010.
13. Yoga for chronic insomnia
Treatment of Chronic Insomnia with Yoga: A
Preliminary Study with Sleep-Wake Diaries
8-week intervention: abdominal breathing, Kundalini
Yoga style, meditation
For the 20 participants completing the protocol,
statistically significant improvements were observed in
sleep efficiency, total sleep time, total wake time, sleep
onset latency, and wake time after sleep onset.
Women > Men (18:2)
Khalsa, Applied Psychophysiology and Biofeedback; Dec 2004.
14. Yoga for sleep in the elderly
Effects of yoga on sleep quality and depression
in elders in assisted living facilities.
55 participants underwent a 6-month yoga
exercise program – 3 times per week, 70 min.
Pittsburg Sleep Quality Index
After 6 months of performing yoga exercises,
participants’ overall sleep quality had
significantly improved whereas depression, sleep
disturbances, and daytime dysfunction had
decreased significantly (p<.05)
Chen et al, J Nurs Res; March 2010
15. Yoga – a proposed mechanism of action
Subjective sleep quality and hormonal
modulation in long term yoga practitioners
PSQI, ACTH, cortisol, DHEA-S performed on
16 practitioners and 10 controls
Lower PSQI scores and higher cortisol levels
Long term yoga practice is associated with better
subjective sleep quality and a modulatory effect
on cortisol levels
Vera et al, Biol Psychol; July 2009.
16. Valerian for sleep disturbances in older adults
Elderly people tend to have progressively diminishing
total sleep time and shorter periods of slow wave sleep
(stage 3)
Mild subjective improvements in sleep have been noted
in the elderly population, when Valerian was used for
two weeks or more
Studies have also observed increased slow wave sleep
with Valerian use
Lack of standardization of the Valerian extract used
was a significant methodological limitation of these
studies Gooneratne, Clin Geriatr Med; Feb 2008.
17. Meditation as an adjunct to CBT
Impact of mindfulness-based stress reduction
(MBSR) on sleep, mood, stress and fatigue
symptoms in cancer outpatients
8 weeks of mindfulness meditation in a group of
63 cancer patients
Overall sleep disturbance significantly reduced
and participants reported that their sleep quality
had improved
Carlson and Garland, Int J Behav Med; 2005
18. Acupuncture for Sleep
The long-term effects of auricular therapy using
magnetic pearls on elderly with insomnia.
3 week randomized, single blind placebo-
controlled study using wrist actigraphy to
objectively evaluate sleep parameters
Statistically significant improvements in sleep
latency and sleep efficiency were observed, with
an overall increase of ~ 35 min in the total sleep
time
Suen et al, Complement Ther Med; June 2003
19. Tai Chi for Improving Sleep
Randomized controlled trial – tai chi compared to a
low impact exercise regimen
118 men and women ages 60-92
60 minutes, 3 sessions/week, 24 weeks
PSQI, ESS, SF-12 and physical performance
measures
Decreased sleep onset latency (18 min), longer
overall sleep duration (48 min)
Tai chi appears to be an effective approach to sleep
enhancement for elderly individuals
Li et al, Journal Amer Geriatric Society; June 2004.
20. Obstructive Sleep Apnea
Apnea/Hypopnea index > 5 per hour
Increased sympathetic tone, catecholamine
surge, laryngeal edema, left ventricular strain.
Chronically elevated, pro-inflammatory
mediators of cardiovascular risk (IL-1, IL-6,
CRP, Leptin)
WEIGHT LOSS (5 kg wt loss results in
decrease of AHI by 2).
22. Predisposing conditions to
Sleep Apnea
Endocrine and metabolic causes
Neuromuscular disorders
Menopausal status
Connective tissue disorders
Genetic predisposition
Alcohol, sedatives, smoking
Medications and anesthesia
23.
24. Mechanisms of Obstruction
Genioglossus XII
Geniohyoid XII
Ant Digastric VII
Sternohyoid XII
Sternothyroid XII
Omohyoid XII
Mylohyoid V
Pharyngeal Constrictors X
Tensor Velli Palatini V
Levator Velli Palatini V
Geniohyoid IX
Stylopharyngeus
28. What’s a Didgeridoo?
Didgeridoo playing as an alternative treatment for
obstructive sleep apnoea syndrome: randomized
controlled trial
Evaluated the effects of didgeridoo playing on daytime
sleepiness and other sleep outcomes
Reduced airway collapsibility from practicing 6 days a
week for 25 minutes
PSQI, Epworth, SF 36 in 25 patients with moderate
OSA
AHI and daytime sleepiness improved significantly
Puhan et al, BMJ; Feb 2006.
29. Obstructive sleep apnea
Risk of sleep apnea in orchestra members
Cross sectional survey of 1,111 orchestra
members who underwent an internet based
survey that included the Berlin questionnaire
Playing a wind instrument was not associated
with lower risk of OSA when gender and BMI
were adjusted for
Brown et al, Sleep Med; June 2009.
30. Summary
Sleep disturbances are common
Integrative medicine modalities can be used to address
some sleep complaints in certain populations
Lifestyle modification is at the core of addressing sleep
concerns
More research needs to be done on sleep and how to
use integrative medicine treatments effectively
Editor's Notes
This baby had no wishful intention to fall asleep. This baby fell asleep spontaneously.
Dysfunctional beliefs and attitudes about sleep contribute to insomnia. Insomnia is a disorder of inappropriate cognitive and physiological arousal.
The upper airway in obstructive sleep apnea: a reliance on upper airway dilator muscles for patency. The airway is narrowed but remains patent in wakefulness, in large part because of key dilator muscles. Arrows indicate overall force vector and are shown on both the diagram and images. Upward directed arrows (red) signify force vectors for levator palatini and tensor veli palatini muscles in raising the soft palate (uvula) and lateral walls. Because the pharynx is collapsible at all tangents, multiple muscle groups must act in concert to prevent collapse of the pharynx.