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Sunny Health & Fitness Mobile Phone and Tablet Clamp Mount Holder for Bikes, Ellipticals, CDSN

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Patient Care Is Wrenching: A Psychiatrist, a Nurse and a Doctor Bare All

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Case — a British nurse, spoken-word artist and writer whose poem “Nursing the Nation” went viral several years ago — explains how hospitals assess critically ill patients with the ABCDE technique, checking their airway, breathing, circulation, disability and exposure. She divides “How to Treat People” into the same sections, illustrating what each term means on its most basic human level by dipping in and out of anecdotes from her training and her years on a cardiac unit.

Of breathing, Case writes, “The feel of breath on the fine, peach-skin hairs of my cheek would tell me if this person were still living; sometimes the last breaths come so slow, the only way of catching them is to come in cheek-close and wait for the feel of them.” She spends an entire shift caring for a dying patient, a man with no friends or family, comforting him as his breathing grows shallow and raspy. After he dies, she washes him and gently wraps him in a shroud. Only then does she break, heading for the labor and delivery ward where her sister, Daisy, works: “I fell into her arms, describing in unintelligible gulps how I had just watched a man die.” Daisy comforts her, and as Case is leaving, she “heard the screams of a woman in the final stages of labor in a nearby room,” followed by “the wet cry of her newborn bringing its head to the brim, breaking the surface.”

Threaded through the stories of patients is that of Case’s father, who suffers a stroke, needs emergency heart surgery and ends up on her cardiac ward. His recovery is difficult, and as Case writes about it, she illuminates the fascinating and never-ending loop of care in a hospital: Doctors and nurses tend to their charges for hours, often without a break, then hand them over to the next shift, and on and on and on, shuttling patients as best they can through a balky, imperfect health care system.

SEVEN SIGNS OF LIFE
Unforgettable Stories From an Intensive Care Doctor
By Aoife Abbey
274 pp. Arcade. $24.99.

“I look after people who are at the extreme fringes of existence,” Abbey, an Irish intensive-care doctor, writes. Her patients, if they recover, frequently have no memory of her, even if she has spent weeks or months caring for them: They are critically ill, “temporarily dwelling in another place: sedated and mechanically ventilated.”



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Is Fitness The New Religion? | Get A Grip | Men's Health

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Is fitness the new religion? American religious affiliation has been on the decline while gym memberships have sky-rocketed. Daily Show writer and comedian, Randall Otis, explores the connection between physical health and spiritual belonging.

Is Fitness The New Religion? | Get A Grip With Randall Otis | Men’s Health

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Deep Sleep Brainwashes Us All, Study Claims

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By Adam Townsend on 11/12/2019 3:51 PM

Source: MedicineNet Health News

What happens to your brain when you fall asleep? New real-time brain imaging has shed more light on what happens to our brains in the dark; slow waves of fluid wash in and out of our skull and carry away harmful excess proteins during deep sleep.

Laura Lewis, a researcher at Boston University, was part of a team that demonstrated the first direct evidence of this tidal action of cerebrospinal fluid, the clear, pressurized solution that bathes our spinal cords and brains and keeps them running smoothly.

“We’ve known for a while that there are these electrical waves of activity in the neurons,” Lewis told The Brink, Boston University’s science magazine. “But before now, we didn’t realize that there are actually waves in the (cerebrospinal fluid), too.”

This research has broad implications for all sorts of neurodegenerative disorders, including autism, Alzheimer’s, and dementia. These conditions are closely linked with sleep disturbance, and some cause buildup of protein deposits in the brain – beta-amyloid plaques, for instance — made of the harmful waste products your cerebrospinal fluid is supposed to wash away.

Slow, even waves of electromagnetic activity are a well-documented characteristic of deep sleep, Lewis said. These waves pave the way for memory consolidation and optimal brain function during the day, according to the current thinking.

But the BU study, published this month in the journal Science, marks the first time those electrical oscillations have shown a connection to fluid dynamics in the brain.

The study relied on a functional MRI machine – a device that images the inside of the brain in real time rather than producing still images as a regular MRI does. The Boston team showed slow electric waves were associated with increased oxygenated blood flowing into the brain, followed by a wave of cerebrospinal fluid.

The study participants were all aged 23 to 33, so the next round of tests will recruit older participants, Lewis said. The slow waves of deep sleep reduce in frequency as you age, which Lewis said may be connected to memory-killing plaque and metabolite buildup. Ideally, researchers will be able to understand the interplay between the electrical signals and changes in blood and fluid volume in older adults. This data will hopefully contribute to treatments and new prevention measures for age-related and other forms of dementia, Lewis said.

How Much Deep Sleep Do You Need?

Deep sleep, as defined above, only accounts for about 20% of total sleep. The largest amount of deep sleep takes place in the first half of the night, according to Melissa Conrad Stöppler, MD, a pathologist and MedicineNet author/editor.

Individuals vary greatly in their need for sleep in general; there are no established criteria to determine exactly how much sleep a person needs. Eight hours or more may be necessary for some people, while others may consider this to be too much sleep, Dr. Stöppler said.

The National Institutes of Health (NIH) suggests that most average adults need about 7 to 9 hours of sleep each night. Newborn babies, by contrast, sleep from 16 to 18 hours a day. Preschool-aged children typically sleep between 10 and 12 hours a day. Older, school-aged children and teens need at least 9 hours of sleep a night. Women in the first trimester of pregnancy have been observed to need a few more hours’ sleep than is usual for their age, Dr. Stöppler said.

Physiologically, sleep is a complex process of restoration and renewal for the body. Scientists still do not have a definitive explanation for why humans have a need for sleep, Dr. Stöppler said.

We do know that sleep is not a passive process or “switching off” of body functions; sleep is believed to be important in many body processes, Dr. Stöppler said. It allows us to process experiences and consolidate memories. It is also clear that sleep is essential, not only for humans but for almost all animals.

The importance of sleep is underscored by the symptoms experienced by those suffering from sleep problems, Dr. Stöppler said. People suffering from sleep disorders do not get adequate or restorative sleep, and sleep deprivation is associated with a number of both physical and emotional disturbances.




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