Sleepless in Beirut: Sleep Difficulties in an Urban Environment With Chronic Psychosocial Stress
Conclusions:Insomnia and sleep apnea are highly prevalent and likely underdiagnosed in this cohort from Lebanon and are associated with disadvantaged socioeconomic status and medical comorbidities. This alarming prevalence of sleep difficulties and disorders calls for future research exploring the causes including the potential effect of social, economic, and political instability, mental and psychological stress, local customs, and environmental factors.Citation:Chami HA, Bechnak A, Isma'eel H, Talih F, Nasreddine L, Nasrallah M, Tamim H. Sleepless in Beirut: sleep difficulties in an urban environment with chronic psychosocial stress.J Clin Sleep Med. 2019;15(4):603–614.
Title says it all. #1.) "My widget is broken". - This is generally a PEG tube that is broken, or a line that won't flush, or a whatever. In nearly every circumstance, this can either WAIT UNTIL MORNING and/or CAN BE TAKEN CARE OF IN A THOUSAND OTHER SETTINGS THAN THE ER. 3:30 AM PEG tube dysfunction?! Put the patient back to bed, and then call the facility MD at 7 AM. 10:30 PM catheter that won't drain urine? Flush it, and let the old man sleep. He'll sleep hard overnight. Then, sort... Two Chief Complaints that drive me nuts.
ConclusionsMultiple physiological and contextual factors appear to contribute to player performance in international rugby competition. Measurement of these factors may guide training and management practices, a potential practical consequence but also advancing understanding from marker to causal link.
ConclusionsqMRI enables specific assessment of inflammation in synovium, cartilage, bone, tendons and entheses, and can facilitate a more consistent, personalized approach to diagnosis, characterisation and monitoring of disease.
In this study, AT1-AAs were detected in the sera of patients with peripheral arterial disease (PAD) and the positive rate was 44.44% vs. 17.46% in non-PAD volunteers. In addition, analysis showed that AT1-AAs level was positively correlated with PAD. To reveal the causal relationship between AT1-AAs and vascular aging, an AT1-AAs-positive rat model was established by active immunization. The carotid pulse wave velocity was higher, and the aortic endothelium-dependent vasodilatation was attenuated significantly in the immunized rats. Morphological staining showed thickening of the aortic wall. Histological examination showe...
Publication date: Available online 19 October 2019Source: Biochimica et Biophysica Acta (BBA) - Reviews on CancerAuthor(s): Subash C. Gupta, Nikee Awasthee, Vipin Rai, Srinivas Chava, Venugopal Gunda, Kishore B. ChallagundlaAbstractThe regulation of the pleiotropic transcription factor, nuclear factor-κB (NF-κB) by miRNAs and proteins is extensively studied. More recently, the NF-κB signaling was also reported to be regulated by several long non-coding RNAs (lncRNAs) that constitute the major portion of the noncoding component of the human genome. The common NF-κB associated lncRNAs include NKILA, H...
HIGH blood pressure is a common condition not only in the UK but also worldwide. It ’s estimated one in four Britons suffer from the condition and many are unaware they even have it. Eating a delicious treat, however, could help lower blood pressure readings. What is it?
Authors: Pereira PG, Rabelo K, da Silva JFR, Ciambarella BT, Argento JGC, Nascimento ALR, Vieira AB, de Carvalho JJ Abstract Hypertension is characterized by persistent elevated blood pressure levels, one of the leading causes of death in the world. Renovascular hypertension represents the most common cause of secondary hypertension, and its progress is associated with overactivation of the renin angiotensin aldosterone system (RAAS), causing systemic and local changes. Aliskiren is a renin-inhibiting drug that optimizes RAAS suppression. In this sense, the objective of the present study was to analyze the morphoph...
Walter T. McNicholas
TEOFILO LEE-CHIONG Jr, MD
Sleep and Performance
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