Chilblains

Saturday, September 4th, 2010 No Commented Categorized Under: sleep-apnea

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Definition

By Mayo Clinic staff

Chilblains are the painful inflammation of small blood vessels in your skin that occur in response to sudden warming from cold temperatures. Also known as pernio, chilblains can cause itching, red patches, swelling and blistering on extremities, such as on your toes, fingers, ears and nose.

Chilblains usually respond well to treatment and clear up within one to three weeks, though they may recur seasonally for years. Treatments typically consist of lotions and medication. While Chilblains don’t usually result in permanent injury, they can lead to infection, which may cause severe damage if left untreated.

The best approach to chilblains is to avoid developing them by limiting your exposure to cold, dressing warmly and covering exposed skin.

References

  1. Prakask S, et al. Idiopathic chilblains. The American Journal of Medicine. 2009122:1152.
  2. Pierard GE, et al. Cold injuries. In: Wolff K, et al. Fitzpatrick’s Dermatology in General Medicine. 7th ed. New York, N.Y.: McGraw Hill; 2008. http://www.accessmedicine.com/content.aspx?aID=2953356. Accessed July 22, 2010.
  3. Bielan B. What’s your assessment? Dermatology Nursing. 2006;18:445.
  4. Patra AK, et al. Diltiazem vs. nifedipine in chilblains: A clinical trial. Indian Journal of Dermatology, Venerology and Leprology. 2003;69:209.
  5. Souwer IH, et al. Vitamin D3 is not effective in the treatment of chronic chilblains. The International Journal of Clinical Practice. 2009;63:282.
  6. Sheps SG (expert opinion). Mayo Clinic, Rochester, Minn. July 24, 썚.

DS01091

Sept. 3, 2010

© 1998-2010 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. “Mayo,” “Mayo Clinic,” “MayoClinic.com,” “EmbodyHealth,” “Enhance your life,” and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

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Root Causes of Insomnia

Friday, September 3rd, 2010 No Commented Categorized Under: insomnia

Root Causes of Insomnia

Copyright (c) 2008 Your Mind Body and Soul 1Ƿ

Insomnia refers to a persistent inability to fall asleep or stay asleep, despite a person’s best efforts. Any sleep disturbance that lasts over three weeks may be considered insomnia. Insomnia can have many root causes, and many solutions, too. It is estimated that 64 million people suffer from insomnia. Thinking about that statistic can be enough to keep you up at night!

Chronic insomnia can be caused by many different things. Insomnia can be a symptom of an underlying medical condition, or it can be caused by stress in your life or anxiety. Insomnia treatment should target the root cause of the chronic insomnia. Some people choose to using medication for insomnia, such as Ambien; but using Ambien for insomnia can also make the problem worse, as you may begin to feel anxiety that you will not be able to sleep without your medication. It can be helpful to discuss your insomnia with your doctor, to make sure that you don’t have symptoms of another more serious medical condition, such as arthritis, migraines, prostatic hypertrophy, or menopause, all of which may cause insomnia and also require additional medical attention.

Common Causes of Insomnia

People that use nicotine, alcohol, and even some prescription drugs used for allergies and asthma, are at a higher risk for insomnia. Those who keep erratic hours, shift workers for example, also suffer from frequent insomnia as they try to keep their bodies and sleep schedules regulated. On the other hand, people who are especially sedentary or quiet may also experience insomnia as they do not have enough stimulation.

How to Treat Insomnia

Insomnia treatment often involves beginning with focusing on establishing good sleep hygiene and good sleep habits. Learning relaxation techniques and changing certain lifestyle habits can help improve insomnia dramatically. Recommendations include limiting noise and light from your sleeping area. Try using room darkening shades. Perhaps a fan will help drown out noise if you have close neighbors, a crazy work schedule, or live near a highway or an airport.

Try to establish a good bedtime routine

Unwind before bed with a good book or a television program you enjoy. Generally avoid watching television in bed, though, this can keep you up much later than you intended. Avoid things like exercise, eating, confrontation, alcohol, or smoking before you turn in for the night. However, an early-evening walk and a healthy snack may have positive effects a few hours later when you try to sleep.

Many people suffer from insomnia at some point in their lives. Those that experience chronic insomnia are all too familiar with the anxiety insomnia can causeonce you wake up in the middle of the night, you instantly start to worry that you won’t fall back asleep. Lack of sleep is listed for many as one of the biggest causes of stress, anxiety, poor job performance, and relationship issues. Understanding some of the causes, and learning about some of the non-medicinal treatments that can cure insomnia can help insomnia sufferers get a good night’s rest.

Colleen Lilly writes a blog at http://www.yourmindbodyandsoul123.com

We discuss personal development, empowerment and spiritual growth.

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Salmonella: Response to latest outbreak and recall

Friday, September 3rd, 2010 No Commented Categorized Under: sleep-apnea

  • image.alt
  • With Mayo Clinic nutritionists

    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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    Biography of

    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

    photo of Jennifer and Kati
    Katherine Zeratsky and Jennifer Nelson

    Jennifer K. Nelson, M.S., R.D., L.D., C.N.S.D.
    Jennifer Nelson is your link to a better diet. As specialty editor of the nutrition and healthy eating guide, she plays a vital role in bringing you healthy recipes and meal planning.

    “Nutrition is one way people have direct control over the quality of their lives,” she says. “I hope to translate the science of nutrition into ways that people can select and prepare great-tasting foods that help maintain health and treat disease.”

    A St. Paul, Minn., native, she has been with Mayo Clinic since 1978, and is director of clinical dietetics and an associate professor of nutrition at Mayo Clinic College of Medicine.

    She leads clinical nutrition efforts for a staff of more than 60 clinical dietitians and nine dietetic technicians and oversees nutrition services, staffing, strategic and financial planning, and quality improvement. Nelson was co-editor of the “Mayo Clinic Diet” and the James Beard Foundation Award-winning “The New Mayo Clinic Cookbook.” She has been a contributing author to and reviewer of many other Mayo Clinic books, including “Mayo Clinic Healthy Weight for EveryBody,” “The Mayo Clinic Family Health Book” and “The Mayo Clinic/Williams Sonoma Cookbook.” She contributes to the strategic direction of the Food & Nutrition Center, which includes creating recipes and menus, reviewing nutrition content of various articles, and providing expert answers to nutrition questions.

    Katherine Zeratsky, R.D., L.D.
    As a specialty editor of the nutrition and healthy eating guide, Katherine Zeratsky helps you sort through the facts and figures, the fads and the hype to learn more about nutrition and diet.

    A Marinette, Wis., native, she is certified in dietetics by the state of Minnesota and the American Dietetic Association. She has been with Mayo Clinic since 1999.

    She’s a dietitian at the Dan Abraham Healthy Living Center at Mayo Clinic in Minnesota. She provides nutrition education within all programs that promote wellness. Her special interest is in culinary arts, and her goal is to provide nutritional education that can be applied at home, at lunch, eating out, or any given situation.

    She graduated from the University of Wisconsin-Madison, served a dietetic internship at the University of Iowa Hospitals and Clinics, and worked as a registered dietitian and health risk counselor at ThedaCare of Appleton, Wis., before joining the Mayo Clinic staff.

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  • Sept. 2, 2010

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

From May through August of this year, a total of 2,403 Salmonella enteritidis infections connected to contaminated eggs have been reported in the United States. Of these,Ł,470 are thought to be associated with the recalled eggs.

What makes this outbreak different from past outbreaks is that bacteria were found in the eggs, not just on the outside. Salmonella enteritidis appears to infect the ovaries of healthy hens and contaminates the eggs before the shells are formed. The feed given to hens has been identified as a likely source of the infection.

People with Salmonella enteritidis infection develop a fever, abdominal cramps and diarrhea within 12 to 72 hours. The illness usually lastsń to 7 days. Otherwise healthy people recover without need for antibiotics. For some — in particular elderly, infants and those with impaired immune systems diarrhea can be severe, resulting in dehydration and need for hospitalization. Infection may also spread from the intestine into the bloodstream and can cause death without prompt treatment.

Scary. What can you do to protect yourself and your family?

  • Don’t eat recalled eggs — they may still be in grocery stores, restaurants and homes. Discard the eggs or return them to the retailer for a refund.
  • Keep eggs refrigerated to <45 F (<7 C) at all times.
  • Cook eggs until hard — not easy over. The yolk and white should not run or drip at all. (Pasteurized eggs are still safe. Pasteurization kills the bacteria.)
  • Don’t use cracked or dirty eggs.
  • Wash everything — including hands, utensils and surfaces — after contact with raw eggs.

In July the Food and Drug Administration enacted new rules that require large egg producers to purchase chicks and hens from suppliers who monitor birds for salmonella, to test birds for Salmonella enteritidis, to refrigerate eggs promptly and establish measures to prevent spread of bacteria throughout the farm by people, equipment, rodents and pests. Are these changes enough? Or should more be done?

If you haven’t done so yet, check the list of recalled eggs on the FDA website. The link is included in the references.

- Jennifer

References

  1. Recall of shell eggs. U.S. Food and Drug Administration. http://www.fda.gov/Safety/Recalls/MajorProductRecalls/ucm223522.htm. Accessed Aug. 27, 2010.
  2. Investigation update: Multistate outbreak of human Salmonella enteritidis infections associated with shell eggs. Centers for Disease Control and Prevention. http://www.cdc.gov/salmonella/enteritidis. Accessed Aug. 27, 2010.
  3. Tips to reduce your risk of salmonella from eggs. Centers for Disease Control and Prevention. http://www.cdc.gov/Features/SalmonellaEggs. Accessed Aug. 27, 2010.
  4. Feed one likely source of salmonella in eggs, federal officials say. CNN Health. http://www.cnn.com/2010/HEALTH/08/26/eggs.salmonella/index.html?hpt=T2. Accessed Aug. 27,񎧚.
  5. New final rule to ensure egg safety, reduce Salmonella illnesses goes into effect. U.S. Food and Drug Administration. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm218461.htm. Accessed Aug. ǻ, 2010.

MY01425

Sept. 2, 2010

© 1998-2010 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. “Mayo,” “Mayo Clinic,” “MayoClinic.com,” “EmbodyHealth,” “Enhance your life,” and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

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Insomnia Cures: the Search Continues

Friday, September 3rd, 2010 No Commented Categorized Under: insomnia

Insomnia Cures: the Search Continues

Missing those precious moments of sleep?  Me too, and we are not the only ones.  Insomnia is a monster that lurks around shadows and jumps out to rattle our day.  The search to slay the monster is the search for Insomnia Cures. 

Since the dawn of time people have suffered from Insomnia and have been looking for ways to defeat the monster and allow themselves to rest, recoup, and regenerate.  Not only regenerate their bodies and minds: but also their lives.  Living with a lack of sleep feels like being punished for something we have no control over.  Insomnia creates a life for its sufferers in which it seems like they are living out their days in a complete haze.  With people coming and going, and not remembering what you just talked about.  It’s like having your life pass you by in conversation.  Your life moves along as you stand still.  Dealing with everyday pressures without the energy sleep provides, is like fighting a battle that was lost before it even began.  Insomnia morphs your real life into your dream.  Every day starts to feel like you are living a real life dream.  It is as if your life has been turned upside down and inside out.  Insomnia changes your normal life to a bizarre world where everything is the same, but altogether different.  For those who are fighting the monster called Insomnia, this is all too real.  You are not alone my friend.

Going long periods of time without sufficient sleep causes many things to change in the way you go about your day.    At first this may seem odd and even frightening.  And it is, believe me.  Thus, always remember you are not alone in fighting the monster.  Insomnia interrupts so many peopleâs lives that you have to believe that suffering with Insomnia is normal as living without it. 

Living with the constant feeling of sleepwalking through life has made me feel like a stranger in my own body.  I feel like an Insomnia Zombie.  I think that term, Insomnia Zombie, nicely sums up the way I feel most days.  Walking around and trying to live your life the best that you can.  At the same time feeling as if the world is against you or that you are fighting an uphill battle that cannot be won.  It can be won and will be won! 

With the amount of people suffering from Insomnia, there is an equal amount of tired people searching for any Insomnia Cures.  With today’s technology and most apparent, the Internet, finding solutions to problems has gotten easier.  When I first started lose sleep, it was only a few hours at a time that would disappear from my sleep repertoire.  Then those few hours I was losing turned into full night’s sleep lost.  I wasn’t just losing a couple of hours of sleep anymore; I in turn wasn’t sleeping at all.  Not to say I wasn’t tired, on the contrary, I was extremely exhausted and wanted sleep like an alcoholic wanting its bottle.  I became cranky and disillusioned.  I spent my entire day being tired beyond belief but could not do anything to remedy it.  I use to say to myself, ‘there has to help out there€, and I was right.  That is when I turned to the World Wide Web and found a community of fellow sufferers, and every member of this community was trying to kill the monster.  Knowing the Monster of Insomnia could be killed or at least wounded, made me feel better about my situation.  I am not alone and I do not have to suffer a lone, nor do I need to find a solution to this problem all by myself.  I have a community of people that share a common goal: slay the monster of Insomnia.

Give me my sleep, give me my life.  I truly believe those words.  Learning to live with Insomnia is not an answer for me, nor should it be for you.  I deserve to fall asleep when I so desire, and I have a right to.  It is my sleep, I deserve it, give it to me.  But as we all know, there is no communication with Insomnia, or even a chance to negotiate with it.  It is here, and it is a monster.  Trying to yell at Insomnia is like trying to yell at a wall.  It will not answer, nor will it even acknowledge you.  What you have to do is knock that wall down!   The wall can come down and the monster can be defeated.  All analogies aside, Insomnia hurts all of its sufferers, and we do not want to suffer any longer. Suffering with Insomnia is a temporary way of living. 

There are many sufferers of Insomnia, and thus have brought a lot of people searching for Insomnia Cures.  Together we can defeat the monster of Insomnia.

Insomnia cures are out there for us to have. 

Mick Thandi tries to help people find Insomnia Cures. He writes on his research about Insomnia.

WATCH IN HIGH QUALITY! ~~~simple plot~~~ The boy does mean things, Idk what. Lawl. And the girl gets angry and they both break up with each other, the girl get’s a new boyfriend, but can’t really get over her ex, so she decides to move, and when the girl’s boyfriend tells her ex, he starts to run as fast as he can to stop her, but it’s too late, because the plane already left. So he goes to their favorite spot, and idk the ending, cause I’m a dumbass. :] Since I got people asking me for this song. Here you go.~ :3 www.megaupload.com I did your mom… :| a favor! :D by making you… :| a milkshake! :D lol when I render…. it explodesss and rofl @ lisa, she think’s I’m pro. Song - Insomnia Artist - Craig David HQ : www.youtube.com I was tagged by the awesome pro… www.youtube.com My 2nd SV mmv. I know I suck. Lol I TAG…. 1. www.youtube.com 2. www.youtube.com 3. www.youtube.com I tag them cause… I know they won’t do it. lawl. :] Disclaimer! I don’t own this song, graphics, pixels, etc :] PS DON’T WATCH IT IN A DARK ROOM PSS I know… it sucks. llllaaawwwlll PSSS IF YOU WANT TO KNOW WHERE YOU GET THE EFFECTS ASK LISA CAUSE SHE’S MEH PRO! :D {AznBubbleGum} Why do I have so many honors?! I give up! ;~; #16 - Most Discussed (Today) - South Korea Ţ - Most Discussed (Today) - Music - South Korea #3 - Top Favorited (Today) - South Korea #31 - Top Favorited (Today) - Music #2 - Top Favorited (Today) - Music - South Korea #10 - Top Rated (Today) - South Korea #77 - Top Rated

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Nail fungus: How to clear up this unsightly infection

Friday, September 3rd, 2010 No Commented Categorized Under: sleep-apnea

Mayo Clinic Health Manager

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Definition

By Mayo Clinic staff

An infection of nail fungus occurs when fungi infect one or more of your nails. A nail fungal infection may begin as a white or yellow spot under the tip of your fingernail or toenail. As the nail fungus spreads deeper into your nail, it may cause your nail to discolor, thicken and develop crumbling edges †an unsightly and potentially painful problem.

An infection with nail fungus may be difficult to treat, and infections may recur. But medications are available to help clear up nail fungus.

References

  1. Onychomycosis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec10/ch125/ch125c.html?qt=nail%20fungus&alt=sh. Accessed June 30, 20ǩ.
  2. Goldstein A, et al. Onychomycosis. http://www.uptodate.com/home/index.html. Accessed June 30, 2009.
  3. Nail problems. American Podiatric Medical Association. http://www.apma.org/MainMenu/Foot-Health/FootHealthBrochures/GeneralFootHealthBrochures/NailProblems.aspx. Accessed June 30, 2009.
  4. Watanabe D, et al. Successful treatment of toenail onychomycosis with photodynamic therapy. Archives of Dermatology. 2008;144:19.
  5. De Berker D. Fungal nail disease. The New England Journal of Medicine. 2009;360:2108.
  6. Hinojosa J, et al. Which antifungal is best for toenail onychomycosis? The Journal of Family Practice. 2007;56:581.

DS00084

Sept. 2, 2010

© 1998-2010 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. “Mayo,” “Mayo Clinic,” “MayoClinic.com,” “EmbodyHealth,” “Enhance your life,” and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

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Are You Doomed to Poor Sleep

Thursday, September 2nd, 2010 No Commented Categorized Under: sleep products

Are You Doomed to Poor Sleep

Are You Doomed To Poor Sleep?

 

You were not born with insomnia and you did not suffer insomnia when you were 10 years old; it just sneaked up on you later on in life due to stress, or an illness or you cultivating sleep destroying habits.  The good news is you can regain your healthy sleep pattern.

 

Have you had insomnia for such a long time that you now consider it as being part of who you are, have you condemned your self to sleepless nights forever?

 

Even after just a few nights of sleeplessness we start to wonder anxiously if we will ever sleep normally ever again.   The problem is, if you are convinced you are doomed to sleeping poorly, you will sleep poorly.  

 

When sleep is concerned, the mind is king, and the belief that you can’t sleep and are doomed to poor sleep leads to helplessness, anxiety, stress and insomnia.

 

You were not born with insomnia and there is no reason why you should live with it.  You did not suffer insomnia when you were 10 years old; it just sneaked up on you later on in life due to stress, or an illness or you cultivating sleep destroying habits.

 

Insomnia is not a disease, it is simply a fact that you have momentarily lost your balance (even if that moment lasts for 15 years) and it is important for you to understand and see that it is possible for you to recover that balance and regain sound sleep without resorting to sleeping pills or a whole host of things that do not work or give temporary relief.

 

If you are worrying your nights away, having trouble sleeping or if you wake during the night watching the “merry go round” start all over again, the “worry habit” is high on your list of suspects.  Anxiety and chronic worrying are deeply ingrained mental habits that destroy your sleep, but the good news is, mental habits can be changed.   One thing you need to do to get out of the worrying habit and anxiety and shift to a mindset conducive to sleep is to:

 

·        Let your mind slow down.

 

·        Focus on your breathing

 

·Â       Relax different parts of your body

 

·        Imagine yourself relaxing in a warm beautiful setting like lying on the beach looking at the sea, at the clouds, at the sky and  let your mind wander

 

·        Use Insomnia Buster Track in the evenings, even if its purpose is not to put you to sleep.  - you can check this out on their website -  Most people including myself just use it for relaxation which I find it works extremely well, it very often sends me to sleep.

 

·        Use the Fall Asleep Track when you are ready to go to bed and focus on the pulses.  Don’t try to fall asleep, instead focus your attention on the pulses and notice how they are gradually getting slower. Allow your mind to wander and allow your body to feel progressively more and more relaxed

 

Keeping your attention on something as dull as the pulses will be increasingly difficult, especially since they will help your brain to downshift” and leave the realms of fast beta thought inducing brainwaves to go into a progressively calmer and calmer state of mind.   This works like magic.  Try it and see how soon you drift away.

 

Change your beliefs about sleep – “I can’t get to sleep” becomes a fulfilling prophecy.

Change your sleep habits

Train your brain to fall asleep with the Fall Asleep Track (the most and effective sleep tool I have come across so far). - You can learn more on this in the Free PDF Report on Sleep.   If you would like to get your hands on one email me at:  

Have an evening routine that makes a transition from daytime to night time.   You need to let your brain activity subside during night time by making it a habit to unwind with things like meditation, relaxation etc.

Take it easy and avoid strenuous activity less than 3 hours prior to bedtime.

Avoid confrontation or task that taxes your brain, fill it with chitter chatter or causes you anxiety.

Bore yourself to sleep by doing mundane tasks like paper work or reading a text book

Take a warm dissolving and relaxing bath.   Your body temperature will rise at first but it will ease drastically helping to send you to sleep.

Make your bedroom cosy and harmonic (the cosier the better) and make it a room just for sleeping and making love.

Avoid things that tell your brain to engage in activities

Make sure you have silence external noises can disrupt your sleep

Make your room as dark as possible in the evening (use dimmer switches if possible).   Sleep mask is also an excellent idea for blocking out light.

Cool sleeping room - your room temperature should be 65-70% F

Use “Fall Asleep Track”(this can be found at

Wake up at about the same time every day (your sleep clock needs a fine tune cue)

 

Email me at  sleepandstressnurse@googlemail.com for free sleep report on Sleep& Anxiety

 

See you next week with my next topic on Stress and Anxiety and have a new enjoyable sleep in the future.

 

Mrs A Boadu

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