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Understanding Insomnia And Its Consequences

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Insomia is a sleep disorder characterised by the inability to
obtain an adequate amount or quality of sleep. The inability can be in falling asleep or both. People with insomnia do not feel refreshed when they wake up. Insomnia is probably one of man’s most common complaints that may be caused by many conditions, diseases or circumstances. However, there are many types of insomnia, one of which is in primary form.
Primary insomnia is when a person is having sleep problems that are not directly associated with any other health condition or problem. It is often caused by a temporary situation in a person’s life, such as an argument with a loved one or jetlag. Also lack of nutrients like calcium and magnesium can cause one to wake up after a few hours and not be able to return to sleep, and this situation results from eating close to bed time. When the situation is resolved or the precipitating factor disappears, the condition goes away, usually without any treatment. Insomnia can also vary in terms of duration and how often it occurs. It can be acute (short-term) or chronic insomnia (long-term). Acute insomnia can last from one night to a few days. Insomnia is called chronic when a person has sleeplessness at least three nights a week for a month or longer.
Most people suffer from acute insomnia when faced with a particular situation that causes them anxiety or great excitement. Significant life stress such as change/loss of job, divorce, death of a loved one, moving to a new town, financial situations, may all affect sleep. Environmental factors like noise, light or extreme temperatures (hot or cold) also cause acute insomnia. Interference in normal sleep schedule (switching from a day to night shift), for example and alcohol and drug abuse also interfere with natural sleep cycles.
In chronic insomnia, pain or discomfort at night, chronic stress and many of the systemic disorders already mentioned are causative factors. Generally, people with insomnia have one or more of the following symptoms: (a) difficulty in falling asleep (b) waking up often during the night and having trouble going back to sleep (c) sleepy during the day, (d) waking up too early in the morning, (e) problems with concentration or memory, (f) feeling tired upon waking and general weaknesses and (g) irritability
Just as many factors give rise to insomnia, so also are the consequences of sleep disorder. Decreased ability to perform creative or repetitive tasks, deterioration in overall performance can even result in mild personality changes. If chronic, inadequate sleep compromises productivity, creates problems in relationship and can contribute to many health problems, already mentioned.
A lot of money is thus spent on sleeping pills, special beds, and a variety of mechanical gadgets to aid in sleeping.
However, there are things that can enhance sleep without using sleeping pills. Primary of such things is, lettuce. Lettuce is beneficial in the treatment of insomnia as it contains a sleep-inducing substance called ‘letucerium.’ The juice of this vegetable has been likened in effect to the sedative action of opium without the accompanying excitement. A ¼ tumbler is taken preferably 30-60 minutes before bedtime. 0.25 grams of the root powder is mixed with warm water and taken once daily. In chronic conditions, taking such mixture two times a day, till symptoms are cleared is advised.
Honey induces sleep. It should be taken with water, before going to bed. Take 1-2 tablespoon in a cup of water. Other factors that can enhance sleep include making ones bedroom comfortable. Be sure that it is dark, quiet and not too warm or too cold. Remove every source of distraction like noise, light. Instead of pills, follow a routine to help you relax before sleep. Read a book, listen to music, or take a bath.
Avoid using over-the-counter sleepy pills for insomnia, because they may have undesired side effects and tend to lose their effectiveness with time. It is also important to practice good sleeping habits. Try to go to bed at the same time each night and get up the same time each morning. Also try not to take naps during the day, because naps may make you less sleepy at night.
Caffeine and nicotine are stimulants that can keep one from falling asleep. Alcohol can also cause waking in the night and interferes with sleep quality. Avoid eating a heavy meal later in the night. A light snack before bedtime, however, may help you sleep.
Get regular exercise but try not to do so close to bedtime, because it may stimulate you and make it hard to fall asleep.
Osuji is a medical student of Abia State University, Uturu.

 

Priscillia Osuji

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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