Insomnia is a sleeping disorder characterized by persistent difficulty falling asleep or staying asleep despite the opportunity. It is typically followed by functional impairment while awake. Insomniacs have been known to complain about being unable to close their eyes or "rest their mind" for more than a few minutes at a time. Both organic and non-organic insomnia constitute a sleep disorder.

According to the U.S. Department of Health and Human Services, approximately 60 million Americans suffer from insomnia each year. Insomnia tends to increase with age and affects about 40 percent of women and 30 percent of men.

Friday, December 28, 2007

Reversing Sleep Deprivation With A Whiff Of Orexin-A

This article could appeal to the beleaguered hospital intern or student of the week during finals, both in times of the need to combat sleep deprivation. The loss of neurons that produce the hypothalamic orexin-A causes narcolepsy, and the administration of orexin-A produces excitation and increased attention.


This week, Dead Wyler et al . Further evidence that orexin-A can combat the effects of sleep deprivation. Adult rhesus monkeys were deprived of sleep for 30-36 h with a combination of video, music, sweets, soft rattling their cages, and the constant monitoring by laboratory employees. Sounds a lot like a college dormitory.


The monkeys were then tested on a delayed match - to-sample short-term memory task. Monkeys received orexin-A, in particular by intranasal spray, showed a better performance.

The differences were apparent for most experiments, as a strong strain of cognitive processes. The superiority of intranasal delivery May be useful for potential clinical applications.


"Calcium and Recruitment vesicles at the calyx of Held"

Nobutake Hosoi, Takeshi Sakaba and Erwin Neher < br>
The Journal of Neuroscience ", 26 December 2007, 27 (52)

Click here to view abstract online


Sara Harris

Society for Neuroscience

Saturday, December 22, 2007

Cause of Insomnia

Almost all experience insomnia at some point in their lives. If it is rare and short-lived, it is usually a secondary issue to another problem. A kind of insomnia, when it difficult for you to fall asleep and another is when you wake up asleep, but just after 2 or 3 hours and can not return to sleep.

The most common problems associated with this type of intermittent insomnia, pain from an injury or chronic disease, situations that increase the anxiety and situational depression.

pain from an injury or chronic condition

When the body in pain from an injury, it may be uncomfortable and difficult to fall asleep . Especially in the night, painful injuries seem vergr�ert disrupt, and the ability to sleep and / or stay asleep. Chronic diseases whose symptoms ebb and flow can disrupt sleep when symptoms flare up. Often, learning relaxation techniques, you can easily fall asleep when dealing with these symptoms. You can also detract from your mind to the pain, by going to your favorite soft music or read something Feeling anxious boring.

Situations leads to a higher level of excitement can sleep elusive. If you are worried, grieving, or find feeling anxious, stressed or not in a position to settle down, this can disrupt your normal sleep pattern. Approaches you worry about relaxing and enter into the process of grief can be at this interruption in your sleep. Biofeedback device for use at home, such as the stress emWave Eraser and you can calmly your fears by teaching how to therapeutically relax.

Situational depression is

Medication advertised as the cure for all types of depression. But sometimes depression is the appropriate response to something that happens. If you have a friend who move to a new school for your senior years, you change jobs or get a divorce are just a few examples. These are all situational events that make sense to have depression as part of the experience. But things are generally better. So, with a natural remedy for insomnia sense.

If makes more than 2 or 3 nights, where it is not the rest you need, or find experience of fighting insomnia, it is a good idea to do something about it. It is also a good idea, with an insomnia remedy, natural and non-invasive, before you become medication.

Friday, December 21, 2007

Medicare Announces Proposed Policy For Continuous Positive Airway Pressure (Cpap) Therapy For Obstructive Sleep Apnea (OSA), USA

The Center for Medicare & Medicaid Services (CMS) has proposed to Medicare for the continuous reporting positive airway pressure (CPAP) equipment to beneficiaries who have been diagnosed with obstructive sleep apnea (OSA) as a result of a Type II, III or IV home to sleep Test (HST).


OSA is a condition in the period of temporary suspension of breathing (apnea) during sleep. In most cases, OSA is diagnosed by the number of sleep disorders, during a certain period. Up to 4 million Medicare beneficiaries suffer from OSA.


CPAP devices provide air pressure through a mask to the breathing during sleep passages open. Medicare current political reporting CPAP provides only for the beneficiaries, the OSA diagnosed about polysomnographischen (PSG) in a sleep laboratory setting.


"Our policy proposed that the coverage of the continuous positive airway pressure provides more options for Medicare beneficiaries and their doctors," said acting CMS Administrator Kerry Weems.


CMS also proposes to expand coverage of the CPAP under the cover with Evidence Development (CED) process for beneficiaries who are diagnosed with OSA either on a clinical evaluation alone, or on another as a diagnostic test PSG or Type II, III or IV HST. The CED under participation in a study is not required. Such investigations should be the standards in CMS 'Clinical Trial Policy.


Moreover, CMS is proposing to the current requirements for a period of at least two hours of uninterrupted sleep collected during tests, recognizing that some patients with very severe OSA is not in the able to fulfill this requirement. The proposed policy considers a positive test if the total number of sleep disorders reached over two hours, regardless of whether two hours of uninterrupted sleep occurred.


Finally, CMS proposes that all initial coverage of CPAP for OSA is limited to twelve weeks, to determine whether the recipient is on the CPAP treatment.


"The proposed policy encourages and supports the development of additional evidence to determine other means of diagnosing obstructive sleep apnea," said Weems. "CMS will continue its commitment to the ongoing monitoring of the utilization of continuous positive airway pressure devices."




CMS plans for a final determination of the national reporting in March 2008. CMS invites public comments on the proposed decision, which may be found here. instructions for the submission of comments can be found here.

http://www.cms.hhs.gov

Thursday, December 20, 2007

Can Yoga Help Cure Insomnia?

People with sleep disorders are on the lookout for ways to overcome their problem, or at least some of the supporting organizations. During a visit to your doctor is a must, there are some everyday activities and habits, which also help. In most cases, you can choose one type of natural treatment. On hearing the words "natural drug for the treatment of insomnia, most people immediately think of herbs, but there is another, very useful, natural treatment - Yoga.

Yoga is a great way to stress and fewer effects of insomnia, or not be able to sleep or stay asleep at night. First regelm�ige movement, and after a vigorous regime of yoga, like Ashtanga, or power yoga, at least three times a week, can help the body to relax and drift to sleep better.

However, you must be careful to do when your yoga exercises. The exercise within three hours before bedtime can cause overactive blood flow and increased brain activity, promoting the body to stay awake, so plan your exercise early in the day.

Following the three sub-breathing techniques, yoga In general, helps with the clear head stresses of the day, and thus with sleep and relaxation. The changing nostril breathing technique called Nadi Sodhana is a wonderful way to relieve stress. It allows the body to absorb oxygen to promote positive energy and relaxation to relieve nervousness, depression and other mental and physical stress situations.

Some yoga positions were considered very effective support for the people affected by insomnia. One of them, called Happy Baby, can be in bed, they will alleviate tensions in the lumbar spine and hips, as you hug your knees or F�en while on the back.

Another very useful position is the Corpse pose, if the person lies flat on his back gently breathing - that is one of the final notes during a yoga class to give relaxation. Another is the Supported Forward Bend, where you breathe, breathe, and then turn from the hip, without the bent back, moving her head from side to side, slowly raising a knee on the chest muscle to support the release and enter a quiet feeling by the body.

For experienced participants yoga or adventurous first-timers posing in the Shoulder Stand and after the Plow also increases the blood flow to promote a restful feeling in the person by which the muscles.

Located on the ground, crossing your legs over your body and gently pull it in the other side of the body, while the breathing is a confrontation Side Twist.

All these positions encourage and train the muscles and body to respond to daily stresses and to promote a healthy body rested. Yoga promotes blood circulation, and the removal of toxins, chemicals and body stress, which can help with relaxation and ultimately with sleep. With the release of Yoga, the body is allowed to rest, which in turn means a further sleep feeling and the possibility of a cure for the problem of insomnia.

Wednesday, December 19, 2007

AASM: Resolve To Get More Sleep In 2008

As we approach the new year, we also approach the new season years resolutions. But even the firmest resolutions made at the beginning of the new year, are difficult to maintain. As the year progresses, you may not have the physical energy and mental strength to your commitment for the long haul. One reason is that you may not always have the amount of sleep you need to feel your best. Making sleep your top priority in 2008 will contribute to achieving all the other goals - you have more energy, more and more feel happy and optimistic.

Ron Kramer, MD, of the Colorado Neurological Institute's Sleep Disorders Center in Englewood, Colo., admits that everything we have done, and perhaps even kept two of the most common resolutions: perception and more weight to lose. But, says Dr. Kramer, before you make these resolutions, perhaps an easier - and probably more pleasant - the solution is all that is needed to secure a three-for-one solution: The solution is to have enough sleep for the optimization of your own health.


"There is growing medical literature shows that many of us in the heutigen'24 / 7 'society is not the fundamental sleep do we need every day," says Dr. Kramer . "At the same time, there is increasing evidence from human sleep researchers, that a chronic lack of a few more hours of sleep per night can lead to serious health consequences. These consequences are an increased risk for accidents, fatigue, you are prone to depressive symptoms, or not enough energy to exercise and even chemical changes suggest that your brain to eat more and more to eat, salty and sugary foods. "


In an effort to help people realize that they do not have enough sleep in the night, the American Academy of Sleep Medicine (AASM) outlines seven signs that a May need more sleep:


1 You depend on an alarm clock.


If you have enough sleep, then you should be able to wake up on time without an alarm clock. When the snooze button a couple of times before getting up is a clear sign of sleep loss.


2 You're drowsy driving.


asleep at the wheel is a sign that you are too tired. It is also dangerous. Drowsy driving is a common cause of fatal auto accidents.


3 You at the coffee pot.


A cup of coffee to start the day is not a big deal. But you should not have to drink coffee all day long to stay awake.


4 You're making mistakes.


It is difficult to focus when you are tired. They are easily distracted, and you are less likely to detect and correct errors.


5th You are forgetful.


Sleep loss may explain why you have a hard time to remember things. Otherwise, not getting enough sleep hampers your short-term memory.


6th Struggling with depression.


As tired can have a negative effect on your mood. It's more likely to feel depressed, anxious and frustrated.


7th You are sick.


Without sleep, your immune system is not at full strength. It is harder for your body in the fight against the disease.


The good news, notes Dr. Kramer is that the majority of these changes are reversible with the implementation of good sleep practices.


"Resolve to sleep and again this year, you can find that the energy in movement and self-control for the healthy diet can be more easily follow," adds Dr. Kramer.


On average, most adults need between seven and eight hours of sleep per night to feel alert and well rested. Adolescents should be about nine hours of sleep per night, in the school-children aged between 10-11 hours in the night and children in the school, between 11-13 hours in the night.


The AASM offers the following tips on how to get a good sleep:


- Follow a consistent bedtime routine.

- Establishing a relaxed setting before bedtime.

- Get a full night sleep every night.

- You do not go to bed hungry, but do not eat a large meal before bedtime either.

- Avoid alcohol, food or drinks, which contain caffeine, and any medicine, a stimulant before bedtime.

- Avoid any rigorous exercise within six hours after your bedtime.

- Make your bedroom quiet, dark and a little cool.

- Get up at the same time every morning.


SleepEducation.com, a Web site created by the AASM, offers information on various sleep disorders, the forms of treatment available, recent news on the subject of sleep, sleep disorders studies, which were conducted, and a List of sleep.


AASM membership is a professional organization, working for the advancement of sleep medicine and sleep research.

http://www.aasmnet.org

Monday, December 17, 2007

Intensive Care Quality Of Sleep Improved By New Drug, Reports Study

A new depressant medication has been shown to improve sleep quality and comfort levels of intensive care patients, compared with the most commonly used drugs, according to research published in the journal JAMA .



USA and the UK researchers compared the effects of the new drug Dexmedetomidine with the commonly used sedatives lorazepam, both the pain and fear of mechanically ventilated ICU patients, which will help them to tolerate invasive procedures such as the inclusion of catheters and feeding tubes.



While routinem�ig administered Lorazepam successfully reduces discomfort, it was also associated with an increased risk of brain dysfunction, including coma and delirium, which extend patients' time in hospital and increase the chance of death.



now studies led by researchers at Vanderbilt University schools of medicine and nursing in the United States have shown that dexmedetomidine can better analgesia and sedation at the same time reducing the instances of coma and delirium.



The double-blind randomized controlled trials either dexmedetomidine or lorazepam for up to 120 hours to 106 volunteer adults mechanically ventilated ICU patients.



They noted that about 30 percent fewer patients in the group experienced Dexmedetomidine coma, and that this group also experienced an average of four more coma-free and delirium-day study on day one to 12 than those with lorazepam.



Dexmedetomidine also proved to be effective sedative, with 80 percent of the group Dexmedetomidine sedated at the desired level in the course of the trial, compared with 67% of lorazepam group.



The study, conducted by researchers at Vanderbilt University, Tennessee, builds on the pioneering work of Professor Mervyn Maze of Imperial College in London, discovered and patented the sedative and hypnotic properties of dexmedetomidine in the year 1986, while he was at Stanford University.



"This study is a very big step forward," said Professor Maze. "Although it is not a big trial, in relation to the number of patients, it shows conclusively that some sedatives have a positive effect on sleep than other ways."



doctors assume that an intensive care patient under sedation is usually about two hours of sleep, which all 24 hours. Professor Maze adds:



"Good quality sleep, both coma and delirium-free, it is of crucial importance for a patient to the intensive care unit, as we know, can increase their chances proposed before other diseases and infections, and, ultimately, their survival. The study shows that dexmedetomidine could be very good news for the very sick patients in ICU.



"After 20 years of study, and that understanding the mechanism of action and successfully predict the application, it is wonderful to have a demonstration of how the molecule actually improves patient quality of life. It is a great example of how translational medical research brings benefits to the patient. "



After the discovery of the molecular mechanism for the sedative effect in rodents, Professor Maze, in collaboration with Professor Nick Franks, of Imperial College, London, to understand how alpha-2 agonists Dexmedetomidine drugs like benzodiazepines are different from drugs such as lorazepam through studies of human volunteers.



The researchers hope that future studies measuring the quality of sleep, from ICU patients with different types of calming a better understanding of the effects of various drugs on brain dysfunction.



------------------------- ---
article adapted from Medical News Today from the original press release. ,
----------------------- -----



Source: Laura Gallagher


Imperial College London

Sunday, December 16, 2007

Short Sleep Times In Patients With Chronic Medical Diagnoses Are Associated With An Increased Risk Of Obesity - JCSM

A study in the December 15 issue of the Journal of Clinical Sleep Medicine (JCSM) shows a relationship between short sleep and obesity in patients with chronic medical problems.

The study examined 200 patients at the internal medicine clinic to determine sleep habits, lifestyle characteristics, and medical diagnoses.

According to the results, the subjects with short periods of sleep (less than seven hours) had a significantly increased likelihood of obesity with a body mass index of more than 30 kg/meters2 compared to the reference group of eight to nine hours. It was a U-shaped relationship between obesity and sleep time for women, that women who are not only with short and long periods of sleep were more obese. This relationship was not present in men. Other factors that predict obesity in this clinic patients, the young age (18 to 49 years), not smoking, alcohol consumption, high blood pressure, diabetes and sleep apnea.

"Our study shows that the short sleep times have an association with obesity in adults with chronic medical problems and chronic diseases and related therapies, and / or changes in the physical activities may not the fact that relationship, "said Kenneth Nugent, MD, from Texas Tech University, head of the study. "This study suggests that adults should sleep eight to nine hours per night for optimal weight. Whether the manipulation sleep time in adults will prevent additional weight gain or weight loss easier, is unclear. This issue is a therapeutic studies in which During sleep hygiene weight loss studies. "


A strong relationship between weight and obstructive sleep apnea (OSA), the neck is thicker, as you gain weight. This increases the level of fat in the back of the throat, narrowing of the airways. With more fat in the throat, your airway is more likely to be blocked.

people with OSA are often obese and have a neck Size of more than 17 inches. Many people with OSA have high blood pressure.

It is estimated that four percent of men and two percent of women have OSA, and millions more remain undiagnosed.

For the first time as an option for the treatment of OSA in the year 1981 continuous positive airway pressure (CPAP) is the most common and effective treatment for OSA. CPAP provides a steady stream of pressurized air to patients through a mask, that while they sleep. This airflow keeps the airway open, preventing pauses in breathing that characterize sleep apnea and restoring normal oxygen.

CPAP Central, a website created by the American Academy of Sleep Medicine (AASM), the public comprehensive, accurate and reliable information about CPAP. CPAP Central includes expanded information on OSA and CPAP, as OSA diagnosed, the function of CPAP, the benefits of CPAP and an overview of what to expect when beginning CPAP, the position of experts on CPAP and tools for success. CPAP Central also brings up an interactive presentations that the public about the warning signs of OSA.

Those who think they may have OSA, or other sleep disorders, are asked to be with their primary care physician or a sleep specialist.

, JCSM is the official publication of the AASM. It contains publications related to the clinical practice of sleep medicine, including the original manuscripts, such as clinical studies, clinical reviews, comment and debate clinical, medical economic / practice prospects in series and novel / interesting case reported.

more information on OSA is available on the AASM here.


, SleepEducation.com, , a site provided by the AASM, provides information about the various sleep disturbances, the forms of treatment available, recent news on the subject of sleep, sleep disorders studies, which have been conducted and a list of sleep.

http://www.aasmnet.org

Friday, December 14, 2007

New Pharmaceutical Approach For Sleep Disorder Treatments

The University of California, Irvine researchers have found that the chemical switch triggers the genetic mechanism to regulate our internal body clock.



The statement, which covers the specific information regarding the establishment of circadian rhythms until today identified a precise target for new drugs, the treatment of insomnia and a number of complaints. The study appears in the December 13 issue of Nature .



Paolo Sassone Corsi, Distinguished Professor and Chair of Pharmacology, found that a single amino acid activates the genes that regulate circadian rhythms. Amino acids are the building blocks of proteins, and Sassone - Corsi was surprised to find that only a single amino acid activates the body clock mechanism, because the complex genes involved.



"Because the triggering action is so specific, it seems a perfect target for the links, the regulation of this activity," said Sassone - Corsi. "It is always amazing to see how molecular control is so precise in biology."



Circa Diane rhythms of the body inner-time tracking system, the expected changes in the environment and adapt to a given time of day. They regulate a variety of body functions, from the sleep patterns and hormonal control on metabolism and behavior. About 10 percent to 15 percent of all human genes are circadian rhythms. This rhythm disturbances can have profound impact on the human health and has been linked to insomnia, depression, heart disease, cancer and neurodegenerative diseases.



CLOCK The gene and its partners BMAL1 trigger circadian rhythms. Sassone - Corsi and his research team discovered last year that CLOCK functions as an enzyme that is altered chromatin, the protein architecture of a cell DNA.



In this current study, which Sassone Corsi team learned that a single amino acid in the BMAL1 protein through an amendment resolves that the genetic chain of events associated with circadian rhythms.



Sassone Corsi-points out that if these amino acid change is impaired in any way, the switching mechanism can be thrown out, which is the genetic basis of circadian rhythm-related with complaints. Currently Sassone Corsi-antibody tests, the target group of these BMAL1 amino acids.



----------------------------< Br> article adapted from Medical News today from the original press release. ,
----------------------------



Jun Hirayama , Saurabh Sahar, Benedetto Grimaldi and Yasukazu Nakahata UC Irvine, and Teruya Tamaru and Ken Takamatsu of Toho University in Tokyo in the study, support for Cancer Research Coordinating Committee of the University of California and the National Institutes of Health.



About the University of California, Irvine: The University of California at Irvine is a top-ranked university dedicated to research, scholarship and community. Founded in 1965, UCI is among the fastest-growing campus of the University of California, with more than 27000 primary and graduate students and about 1800 professors. The zweitgr�te employer in dynamic Orange County, UCI contributes an annual economic impact of $ 3.7 billion.



Source: Tom vasich


University of California - Irvine

Wednesday, December 12, 2007

News From The Journal Chest

Blood pressure decreased compliance with CPAP ,



A new study suggests that patients with obstructive sleep apnea and high blood pressure could benefit from good continuous positive airway pressure (CPAP) treatment compliance. Researchers from Spain monitored the blood pressure of 55 patients with obstructive sleep apnea for 24 hours before and after CPAP treatment CPAP treatment. They noted that the long-term CPAP therapy reduces blood pressure modestly in the whole group, patients who initially higher blood pressure and good CPAP agreement marked drop in blood pressure. This study is published in the December issue of the journal Chest .



Oral Predisolone Preferred for the treatment of COPD Exacerbations ,



New research from the Netherlands to suggest oral prednisolone that is as effective in the treatment of COPD exacerbations as intravenous counterpart. Prednisolone, which is a corticosteroid, was on 435 hospitalized patients, 107 received the drug intravenously and 103 he received orally. More than 1 week, researchers found improvement in the health and spirometry related to the quality of life for both groups. The study's conclusion that the two treatments are equally effective, but because of the method of administration, oral prednisolone is preferable. This study is published in the December issue of the journal Chest .



Predictors and prevalence of daytime Hypercapnia ,



Hypercapnia is a condition in which a person experiences a person involved carbon dioxide in the blood. In a new study, Japanese researchers studied the prevalence of daytime hypercapnia by patients with obstructive sleep apnea syndrome, a sleep clinic and was polysomnographischen. Of the 1227 patients in the study, 14% exhibited during the day hypercapnia, and all of these patients had a significantly higher body mass index and apnea-hypopnea index. Researchers also found that after 3 months CPAP therapy, daytime hypercapnia was corrected in 51% of patients. This study is published in the December issue of the journal Chest .



----------------------------< Br> article adapted from Medical News today from the original press release. ,
----------------------------



Source: Amy Jenkins


American College of Chest Physicians

Tuesday, December 11, 2007

Beyond The Abstract Effect Of Tolterodine On Sleep Structure Modulated By CYP2D6 Genotype

UroToday.com-Our new study1 presented a novel genotyping analysis of the data in the two previous studies on the effect of tolterodine on sleep in healthy sleepers2, 3 In previous studies, we have a significant reduction of REM sleep, when the single dose of tolterodine compared to placebo2. This effect was particularly pronounced in healthy volunteers aged 50 years3 compared to young healthy volunteers.

The new study with the aim to investigate whether tolterodine impact on the structure of sleep could be further explained by another CYP2D6 metabolizer. To this end, we pooled data from the two earlier studies in a retrospective analysis, and were able to use 44 volunteers in total. Analysis for the CYP2D6 alleles 3, 4, 5, 6 and the reproduction. We found 19 extensive metabolizer with two active alleles of CYP2D6, 20 intermediate metabolizers a defective allele, 4 poor metabolizers with two alleles defective, and a ultrareapid metabolizer with a CYP6D2 gene duplication, combined with a wild type allele.
>
The analysis showed a significant reduction in REM sleep duration in the group with one or more defective alleles (ie, in the intermediate and poor metabolizers). Additionally, in the poor metabolizers all 4 subjects showed a reduction of REM sleep. The clinical significant reduction in REM sleep in the sub-group could explain some of the reported side effects such as drowsiness, although no significant differences between the groups in the context of this subjective sleep parameters were observed. We must admit that our subgroup analysis suffers from the small sample size and limits of the interpretation of our results somewhat. To have enough poor metabolizers a much gr�ere study would be required, and only then conclusions could be drawn if the metabolizer status can be conclusively explain the side effect of sleepiness in patients with tolterodine.


1 References Diefenbach K, K Jaeger, Wollny A, Penzel T, Fietze I, Roots I. effect of tolterodine on sleep modulated structure of CYP2D6 genotype. Sleep Medicine (2007) doi: 10.1016/j.sleep.2007.07.019 (Articles in the press).



2 Diefenbach K, F Donath, Maurer A, Quispe Bravo S, Wernecke KD, Schwantes U, Hazel Mann J, Roots I. randomized, double-blind study on the effects of oxybutynin, tolterodine, trospium chloride and placebo on sleep in healthy young volunteers. Drug Clin Invest 23: 395-404 (2003) .



3 Diefenbach K, Arold G, Wollny A, Schwantes U, Hazel Mann J, Roots I. effects on the sleep of anticholinergics for overactive bladder treatment in healthy volunteers aged > = 50 years. BJU International 95: 346-349 (2005).


Written by Constance
Diefenbach, MD, Katrin Jaeger, MD, Agnes Wollny, MD, Thomas Penzel, MD , Ingo Fietze, MD, and Ivar Roots, MD, as part of the Beyond the summary at UroToday.com. This initiative provides a way for the publication of the professional Urology. writers are a possibility on the circumstances, restrictions, etc.. . your research by referencing the published abstract.


Link to full Abstract


, UroToday - the only urology website with original content by global urology key opinion leaders active in clinical practice.


To access the latest press releases of Urology UroToday go to:
, www.urotoday.com

----------------------------< Br> Copyright � 2007- UroToday
Reproduced for Medical News Today with the permission of UroToday .
-------------------------- --

Monday, December 10, 2007

Getting Enough Sleep Will Make The Holidays More Enjoyable For Everyone

During the holiday season, it is easy to get caught in the bustle of hanging up decorations, shopping, packing presents, cooking and hosting. Due to the limited time to all these activities, many people feel that they want to buy more time by less time in bed. To make this an enjoyable season, the American Academy of Sleep Medicine (AASM) encourages people to not allow any hassle at a damper on a good sleep.

Alejandro D. Chediak, MD, AASM president, says that our sleep patterns can be affected in other ways during this time of year. For example, we stay up late visiting with the family and friends that we might not have seen in a long time. Many people travel
During the holidays, which disrupts their normal sleep schedule. Travel in an airplane over several time zones can be Jet Lag, which can in turn cause daytime sleepiness.

The Christmas period is known to a lot of stress on people. One of the best ways to prevent the stress of the holidays is always the best of you is to plan ahead, "says Dr. Chediak.


" To best enjoy the holiday season, and anticipate the budget needed additional time to make your holiday "to do", "says Dr. Chediak." Getting an early start and make a little every day to save time and stress. Delay your 'to do' list until the last minute possible, not only leads to sleep loss, but also contends with severe road and gr�er And aggressive crowds in the shops. "


Recent studies show that sleep loss may interfere with the functioning of the day, increase the risk of diabetes, contributes to obesity, strain relations and lead to depression. The simplest measure of protection can take is that always an adequate amount of nightly sleep, says Dr. Chediak.


Dr. Chediak offers these suggestions for a better sleep during the holiday season:


-Take They take the time to relax. Even if you have a lot to do, allow you to stop at a certain point in the evening. your brain time to wind before bedtime will help you better.


- Keep your sleep quality in the timetable. Maintain an regelm�ige bedtime and wake-up time. other regelm�ige rituals, like a warm bath, a snack or a few minutes to read can help.


Plan for the holidays. take time earlier in the day to wrap presents, decorating the house, plan your holiday menu and similar tasks. course, write the "appointment" in your daily planner.


- If you are sleepy while driving, pull off at a rest area and a short nap, preferably 15-20 minutes.


-Do not eat heavy meals before bedtime. This could lead to heartburn or discomfort, which prevents you from sleeping or severely disrupt your sleep.


-Love eggnog? Avoid too much alcoholic eggnog or coffee in the evening holiday parties. alcohol and caffeine inhibits can your normal sleep pattern.


Those who think that they may have a sleep disorder are asked to be with their primary care physician or a sleep specialist.


AASM is a professional membership organization dedicated to the promotion of sleep medicine and sleep disturbances connected with the research.


American Academy of Sleep Medicine

Sunday, December 9, 2007

Are Herbal Remedies The Answer To Insomnia?

Grandpa, more and more people suffer from insomnia begin worry about the dangers of taking drugs to solve their problems. You can understand that many insomnia drugs have dangerous side effects, while others until the end of May to addictive or habit forming.

For this reason there is a growing search for natural insomnia remedies, including herbal remedies. Herbal medicines are a safe option in the search for a comfortable natural way to help, to put an end to suffering from insomnia. Natural Products a non-addictive way to control that the imbalance between your body can experience by many different factors.

These environmental factors can play a big part of the problems of the disturbed sleep patterns. Or a hormonal imbalance can add to the tension, or the beginning of the renewal of passion not sleep well, in some cases for a short time or over a longer period of time, sometimes for months or even years. Insomnia, if an imbalance in the hormonal issues can be any number of disorders in the nervous system.

Before actually also in terms of herbal remedies (or any type of corrective measures), it's a good your idea to know your body and his first problems. Consultation with a doctor can help to understand the answers, if the reason for the insomnia is based on stress, or if your body is trying to tell you there is a shortage in some regions.

It is also necessary to add any herbal remedies you are contemplating with a good, healthy diet. After a balanced diet of healthy food, rich in vitamins and minerals, but low fat and sugar, can help the body to main content of a constant blood sugar level to normalize the body and promote sleep. Interactions with a multi-vitamin rich in calcium and magnesium each day helps the body to combat everyday stress and the immune system to strengthen. Detoxification, to purge the body of toxins that many present, is a good start to a healthier body.

Once you know your body and your balanced diet, you can add to your herbal remedies, and you can be sure that they do much better work. Melatonin, for example, is a non-habit natural sleep aid, which helps the body to produce serotonin, the body in the bedroom-to cycle. Lysine, in tea or in pill form to promote calm and reassuring to come. St. John's wort helps to combat the feeling of depression that can promote insomnia, and is easy to take tea, capsules or vegetable mixtures. Passion Flower, called Passiflora, relieves anxiety and nervousness, so that the body back in the state of relaxation to promote sleep. Melissa Officinalis also known as Lemon Balm can provide a reassuring feeling has excellent remedial measures properties and helps to lower blood pressure.

As you have seen, there are many different herbal products, which can be very beneficial aid Certain types of insomnia. However, as with any medication (and herbs as a cure insomnia are just that, although they are natural medicines), it is important to talk to your doctor before taking a herbal treatment of insomnia, especially if you are taking any other medication or are pregnant, .

Friday, December 7, 2007

Getting Enough Sleep Will Make The Holidays More Enjoyable For Everyone

During the holiday season, it is easy to get caught in the bustle of hanging up decorations, shopping, packing presents, cooking and hosting. Due to the limited time to all these activities, many people feel that they want to buy more time by less time in bed. To make this an enjoyable season, the American Academy of Sleep Medicine (AASM) encourages people to not allow any hassle at a damper on a good sleep.

Alejandro D. Chediak, MD, AASM president, says that our sleep patterns can be affected in other ways during this time of year. For example, we stay up late visiting with the family and friends that we might not have seen in a long time. Many people travel
During the holidays, which disrupts their normal sleep schedule. Travel in an airplane over several time zones can be Jet Lag, which can in turn cause daytime sleepiness.

The Christmas period is known to a lot of stress on people. One of the best ways to prevent the stress of the holidays is always the best of you is to plan ahead, "says Dr. Chediak.


" To best enjoy the holiday season, and anticipate the budget needed additional time to make your holiday "to do", "says Dr. Chediak." Getting an early start and make a little every day to save time and stress. Delay your 'to do' list until the last minute possible, not only leads to sleep loss, but also contends with severe road and gr�er And aggressive crowds in the shops. "


Recent studies show that sleep loss may interfere with the functioning of the day, increase the risk of diabetes, contributes to obesity, strain relations and lead to depression. The simplest measure of protection can take is that always an adequate amount of nightly sleep, says Dr. Chediak.


Dr. Chediak offers these suggestions for a better sleep during the holiday season:


-Take They take the time to relax. Even if you have a lot to do, allow you to stop at a certain point in the evening. your brain time to wind before bedtime will help you better.


- Keep your sleep quality in the timetable. Maintain an regelm�ige bedtime and wake-up time. other regelm�ige rituals, like a warm bath, a snack or a few minutes to read can help.


Plan for the holidays. take time earlier in the day to wrap presents, decorating the house, plan your holiday menu and similar tasks. course, write the "appointment" in your daily planner.


- If you are sleepy while driving, pull off at a rest area and a short nap, preferably 15-20 minutes.


-Do not eat heavy meals before bedtime. This could lead to heartburn or discomfort, which prevents you from sleeping or severely disrupt your sleep.


-Love eggnog? Avoid too much alcoholic eggnog or coffee in the evening holiday parties. alcohol and caffeine inhibits can your normal sleep pattern.


Those who think that they may have a sleep disorder are asked to be with their primary care physician or a sleep specialist.


AASM is a professional membership organization dedicated to the promotion of sleep medicine and sleep disturbances connected with the research.


American Academy of Sleep Medicine

Tuesday, December 4, 2007

Childhood Sleep-disordered Breathing Disproportionately Affects Obese And African-Americans

As the obesity epidemic grows in the United States, doctors discover more and more far-reaching health concern for overweight children. Sleep-disordered breathing (SDB), the various behaviors sleep, in the severity of snoring to obstructive sleep apnea (OSA), unverheltnism�ig severely affected are children, obesity and African-Americans, according to a new study in the December 2007 issue of , neck, nose and Otolaryngology, Head and Neck Surgery . Obstructive sleep apnea (OSA) can be serious threats to health, including high blood pressure and increased risk for heart disease.



researchers at the Virginia Commonwealth University Medical Center in Richmond studied 299 children aged 2 to 18 years old. The main study group consisted of children scheduled to undergo adenotonsillectomy for the treatment of SDB. The control group consisted of children presenting to a primary care clinic for children and the child, to visit randomly selected dates.



Each child was to chart the demographic data, the age, sex, race / ethnicity, height and weight. Body mass index is calculated from the height and weight of each child.



The results showed that 46 percent of the children for surgery for SDB were overweight, compared with 33 percent in the control group. This ratio is much less than would be expected in the general population, where obesity in children with SDB would occur about ten times more likely than obesity in the general population children. One possible explanation for the small proportion of obesity in children with SDB compared to controls is that there may be a lack of awareness of the links between obesity and SDB between primary health care and caregivers.



The results also showed that children who are African-Americans and have SDB were more obese.



"The need to promote awareness of the association between SDB and obesity, particularly in African American children and adolescents, including teachers, nurses, elementary school care providers, and the general public enough stress, "said study lead author Emily F. Rudnick, MD.



authors noted that, in general, there is a complex role that race and ethnicity play in the prediction of obesity and SDB, and encouraged further research into this issue of public health.



----------------------------< Br> article adapted from Medical News today from the original press release. ,
----------------------------



neck Nose - Otolaryngology, Head and Neck Surgery is the official scientific journal of the American Academy of Otolaryngology-Head and Neck Surgery (AAO - HNS). The authors of the study are Emily F. Rudnick, MD, Jonathan S. Walsh, BS, Mark C. Hampton, PhD, and Ron B. Mitchell, MD.



, over the AAO - HNS ,



The American Academy of Otolaryngology-Head and Neck Surgery (http://www.entnet.org ), one of the oldest medical associations in the nation, more than 12000 physicians and allied health professionals specialize in the diagnosis and treatment of disorders of the ears, nose, throat, and related structures of the head and neck. The Academy offers its members by facilitating the promotion of the science and art of medicine related to otolaryngology and by the representatives of the specialty in governmental and social issues. The organization's mission is: "Working for the Best Ear, Nose, and Throat Care."



Source:

Jessica Mikulski

American Academy of Otolaryngology, Head and Neck Surgery

Monday, December 3, 2007

Short, Long Sleep Duration Raises The Risk For Diabetes

The most common factors believed to contribute to diabetes are in a decrease in the amount of physical activity and access to highly processed foods palatable. However, there are more and more indications that another aspect of our modern way of life, short duration of sleep, is also a contribution to the diabetes epidemic. "

The study, by James E. Gangwisch, PhD, from Columbia University in New York, explores the relationship between sleep duration and the diagnosis of diabetes about one of eight to 10-year follow-up period between 1982 and 1992 among 8992 subjects participated, in the epidemiological follow-up Studies of the first National Health and Nutrition Examination Survey. The subjects' age of 32 to 86 years.

According to the results, subjects who reported insomnia five or fewer hours and subjects who reported insomnia nine or more hours were significantly more, complaining about the incident diabetes follow-up period, as volunteers , which reported seven hours sleep, even after taking into account the variables as physical activity, depression, alcohol consumption, ethnicity, education, marital status, age, obesity and hypertension in history.

The effect of short-term sleep on diabetes incidence is likely related in part to the influence of short-term sleep on body weight and high blood pressure, said Dr. Gangwisch. Experimental studies have shown that sleep deprivation to reduce glucose tolerance and compromise insulin sensitivity by increasing sympathetic nervous system activity, the increase in the evening cortisol and decreasing cerebral glucose utilization. The increasing burden on the pancreas of insulin resistance can, over time, compromise β - cell function and leads to type two diabetes, warned Dr. Gangwisch.

"If short sleep duration functions to increase insulin resistance and reduce glucose tolerance, then interventions, the amount and improving the quality of sleep could possibly as a primary treatment and preventive measures for diabetes" said Dr. Gangwisch.


It is not known how long sleep duration of diabetes, although increased time in bed to compensate for poor sleep quality is a possible explanation, said Dr. Gangwisch.

Recent estimates show that at least 171 million people worldwide suffer from diabetes, and that by the year 2030, this number is projected to double.

Lawrence Epstein, MD, medical director of the Sleep Health Center, an instructor of medicine at Harvard Medical School, a past president of the American Academy of Sleep Medicine (AASM), and a member of the AASM Board of Directors, said that this study is one of several large studies have shown that people who do not get enough, sleep higher diabetes.

"The restriction on four hours of sleep per night for only a few days causes abnormal glucose metabolism, which is on the mechanism for the increase in diabetes in sleep deprived individuals," says Dr. Epstein. "In addition, sleep disorders, sleep disturbance, such as obstructive sleep apnea, including the likelihood of developing diabetes. Treatment of sleep disorders improved glucose metabolism and diabetes. These studies underscore the fact that sleep is integral to good health."


On average, most adults need seven to eight hours of sleep each night to feel alert and well rested. Young people should sleep about nine hours per night, in the school-children aged between 10-11 hours per night and children in preschool and between 11-13 hours per night.

The AASM offers the following tips on how to get a good sleep:

-effects of a consistent bedtime routine.
- creation of a relaxed setting before bedtime.
- Get a complete sleep every night.
- Avoid food or drinks, caffeine, and all the medicines, a stimulant before bedtime.
- not go to bed hungry, but do not eat a large meal before bedtime either.
- Avoid any rigorous exercise within six hours of your bedtime
-Make your bedroom quiet, dark and a little cool.
- Get in the same time every morning.

, SLEEP is the official journal of the Associated Professional Sleep Societies, LLC, a joint venture of the AASM and the Sleep Research Society.

SleepEducation.com, a patient education site created by the AASM, provides information about the various sleep disorders, the forms of treatment available, recent news on the subject of sleep, sleep disorders study, which has been carried out and a list of sleep.

http://www.aasmnet.org

Sunday, December 2, 2007

Uncovered: The Causes Of Insomnia

Nien is a sleep disorder, caused by problems in falling asleep, difficulty in staying asleep.

If you are an insomniac You are not alone, there are millions of people worldwide suffer from insomnia And it is a condition that tends to be worse in older people than in younger.

The three types of insomnia:

1 - Temporary insomnia - this is a temporary insomnia, you may suffer for a night or for a week or so.
2-Acute insomnia - that is, if you are not able to sleep well for a period between three weeks and six months.
3 - Chronic insomnia - this is the most serious type of nocturnal insomnia and continue for a long time.

insomnia can:

1-stress, anxiety, fear, any kind of psychological tensions
2-stimulants such as drugs, alcohol, caffeine and smoking
3-Hormonal changes
4-depression, or any kind of mental illness
5-Medical conditions, as sleep apnea, and other Hypo
6-eberm�ige of insomnia drugs can cause a rebound insomnia and then
7-Parasomnie - including nightmares and sleepwalking

If your insomnia is getting to the point that it is in your daily work by the extreme exhaustion, you need to seek help and to the bottom of the cause.

To treat insomnia need to treat the cause. Taking drugs insomnia is not the cause resolve and may lead to more problems.

relying on sleeping tablets to rest, you represent that you may always physically dependent on the medication leads to withdrawal symptoms when you try to stop taking the medication.

Psychologisch also, the sleeping tablets can lead to a dependency when you start to focus on the drugs and can not accept that you sleep without drugs.

Are there natural resources you can use to help you sleep is not addictive but you can still end up with a psychological problem is not in a position to accept that you can sleep without the medication.

knowledge of natural medicines for a short time can help to the habit of sleep, as long as you are sure to accept that you will be able to sleep without it, if you take them .

How Stress is a major factor in causing insomnia, it is important to try to deal with stress in a better way. There is a lot of stress management books and courses available, and if you are on top of the stress in your life, then it will make a big difference, as you sleep.

If you go to bed stressed, your mind is not in a position to rest. They lie in bed thinking about the stressful situation over and over the prevents you from sleeping. If you fall asleep in your opinion is still active, and you are not in a position to a deep sleep.

It is important to relax, before sleep, so that a deep level of sleep.

They can help you relax by practicing relaxation techniques, such as yoga, which also help you to deal with your stress more effectively.

Wednesday, November 28, 2007

Selective Attention Most Impaired During First Night Shift Worked

Our biological propensity for keeping awake during the day
And sleep disturbances in the night, night work is a challenge. Well, the researchers at
Brigham and Women's Hospital (BWH) have found that the attention is especially concerned
during the first night shift. This research is in the
November 28, 2007 issue of PLOS ONE .


"It is important to recognize this first night shift
than most susceptible to impairment of attention, as critical jobs such as medical care

airport Baggage Screening, law enforcement and air traffic controllers are
Routinem�ig done in the night. "Did Nayantara Santhi, a fellow in the department

Sleep Medicine BWH and lead author of the paper . "Furthermore,
Traditional methods such as exposure to bright light and solid sleep schedule
That
reduce attentional control impairment during the night shift are not as effective
During this first night shift." < br>

researchers tested selective attention with visual search tasks in the
participating in a simulation of shift work, the four day shifts followed by

Three night shift. They noted that the attention during the first night shift
Was the most affected, with the participants unable to stay focused on tasks.
They had less time to search for products and treating more
error.


This research was funded by a grant from the National Heart Lung and Blood Institute
.


Brigham and Women's Hospital (BWH) is a 747-bed nonprofit teaching
affiliate of Harvard Medical School and a founding member of Partners HealthCare

System, an integrated health care. BWH is committed
excellence in patient care with expertise in virtually every specialty of medicine and surgery
. The BWH medical superiority originates from the year 1832, and
today that rich history in clinical care is in connection with its
national leadership in improving the quality and safety of the patients and their
commitment to educating and training the next generation of health care professionals
. Through the investigation and discovery, which at its
Biomedical Research Institute (BRI), BWH is a world leader in the
basic research,
clinical and translational research on human diseases, in which more than < br> 800 physician-investigators and renowned scientists and the biomedical faculty
Supported by more than $ 400M in financing. BWH is also home to the large population
landmark epidemiological studies, including the nurses and doctors
"
Health Studies and the Women's Health Initiative.

http://www.brighamandwomens.org .




, quote: , Santhi N, Horowitz TS, Duffy JF, Czeisler CA (2007) Acute Sleep deprivation and Circadian
tilted connection with the transition to
first night of work impaired visual selective attention. , PLoS ONE , 2 (11):
E1233. Doi: 10.1371/journal.pone.0001233

Please click here


, PLoS ONE is the first magazine for primary research from all areas of
science to employ both before and after the publication of peer review to maximize

The impact of each report. PLoS ONE is that the public
The Library of Science (PLoS), the open access publisher whose goal is to
The World of scientific and medical literature a public resource.

http://www.plosone.org


Warranties ,

Press
The following is a selection of the next article in the
PLoS ONE . Communications are authors of the article and / or
your
institutions. Any opinions in these releases or articles
The personal views of contributions that are not necessarily
The
views or policy of PLoS. PLoS expressly disclaims all warranties
And liability in connection with the information contained in the releases and
articles and the use of this information.

Public Library of Science

185 Berry Street, Suite 3100

San Francisco, CA 94107

Friday, November 23, 2007

Debate Over Inclusion Of Sleep Apnea In The Standards For Driving

Obstructive Sleep Apnea (OSA) is a disease that not many people know, even though they may suffer. Patients are unable to sleep and breathe at the same time: during sleep (and only during sleep) the throat collapses and in the air can no longer reach the lungs. Breathing stops despite hectic efforts and oxygen drops to� interrupted sleep, the throat appears open with a loud snoring, breathing resumes and sleep will be continued until the next apnea. The average patient is 250 to 400 apneas per night, and is totally unaware that this is happening�


OSA causes snoring and daytime sleepiness, high blood pressure, and cardiac and cerebral injuries, it also increases the risk of traffic accidents seven times. Data from Germany, Spain, Switzerland, Australia, Canada and the United States are agreed: OSA was estimated to be responsible for 5 to 10% of all traffic accidents.

Despite clear evidence of this dangerous effect, and its possible correction with appropriate treatment, only nine European countries include sleep apnea among the diseases to consider at the time the provision of a license. Moreover, there is no clear attitude among the various countries, such as the assessment of the severity of the disease or the effects of treatment, or who is responsible for the decision on the fate of potentially dangerous drivers.

Every effort should be made to the Sleepiness and Obstructive Sleep Apnea on the agenda of the European Transport Workers' Federation authorities. The comitology procedure seems to be a pragmatic and workable way. OSA could in the next amending Appendix III sleepiness during could with information and education campaigns.

On 12 And 13 In October 2007, COST Action B26 hosted a working meeting with international experts to discuss the best way to keep within the OSA health disorder, a serious risk for traffic accidents in the whole of the European Union. The meeting was organized by the Center for Sleep Medicine, Cliniques universitaires Saint-Luc, Catholic University of Louvain in Brussels.

Following this initiative, a meeting with the High Commission for Transport was held in which COST Action B26 had the opportunity to present their proposals for the future integration of OSA in the framework of the Annex III for the European Driving regulations.

Obstructive Sleep Apnea is important not only in itself, if the license arrangements in all European countries, it can also be a marker for the entire range of fatigue and drowsiness while driving. We are convinced that this domain must be brought to the attention of all drivers, private and professionals alike. Are you?

COST

http://www.cost.esf.org

Wednesday, November 21, 2007

Postpartum Weight Gain Linked To Lack Of Sleep

Mothers who reported insomnia five hours or less per day, when their babies six months old was a threefold increased risk of significant weight retention (11 pounds or more) on their baby's first birthday than mothers who slept seven hours each day, according to a new study by Kaiser Permanente and the Harvard Medical School / Harvard Pilgrim Health Care



The study, published in the November issue of the American Journal of Epidemiology < / i> is the first to look at the effects of sleep deprivation on weight after the birth. Previous studies have focused on the effect of early postpartum sleep deprivation on mothers' cognitive and emotional health, but never associated weight gain.



"We have known for some time that sleep deprivation is associated with weight gain and obesity in the population, but this study shows that more and enough sleep -- even just two hours more - - can be just as important as a healthy diet and exercise for new mothers to return to their weight before pregnancy, "said Erica P. Gunderson, PhD, an investigator at the Kaiser Permanente Division of Research in Oakland and the head of the study.



The study also found that mothers who slept a few hours a year after the birth, as they have six months after birth had twice the risk of considerable weight. Other studies have shown that prolonged sleep deprivation causes hormonal changes that may stimulate appetite. Short sleep duration was not only associated with obesity in women, but coronary heart disease and diabetes as well as.



"With the results of this study, new mothers must ask:" How can I get more sleep for me and my baby? "Our team is working on new studies to answer this important question," said Matthew W. Gillman, MD, SM, Department of Outpatient Care and Prevention, Harvard Medical School / Harvard Pilgrim Health Care

< br> The study examined 940 women who participated in the Harvard's Project Viva, the observational, longitudinal cohort study of prenatal and postnatal health. The women, whose average age was 33 years old and with a mix of Caucasian, African-Americans and Hispanic, were queried about their sleep habits and weight in the six months to a year after the birth of assessments. Forty-seven percent of the women were mothers, for the first time, 37 percent two children and 16 percent for three or more children.



"A new baby the first year at home is a tough adjustment for everyone. This is the reason why Kaiser Permanente, our care for mothers to care for our babies. We give moms Tools and services to make it easier to juggle everything and get back into shape: an electronic newsletter pregnancy, newborn clubs, online health encyclopedia, online programs, podcasts, videos, weight and training programs, and discounts for gym memberships and Weight Watchers application , "said Tracy Flanagan, MD, Director of Women's Health, Kaiser Permanente Northern California. "But the best advice for all the mothers with babies is to ask for help and get support and take care of you."



----------------------------< Br> article adapted from Medical News today from the original press release. ,
----------------------------



The study funded by the National Institutes of Health, Harvard Medical School and Harvard Pilgrim Health Care Foundation.



About Kaiser Permanente Division of Research ,



The Kaiser Permanente Division of Research, published and distributed and health epidemiological research to improve the health and medical care of Kaiser Permanente members and the society as a whole. It tries to make the determinants of illness and well being and to improve the quality and cost-effectiveness of health care. Currently, the center of the 400-plus staff is working on more than 250 epidemiological and health services research projects.



About Kaiser Permanente ,



Kaiser Permanente is America's leading integrated health. Founded in 1945, is a non-profit, group practice prepayment program with headquarters in Oakland, California Kaiser Permanente serves the health care of more than 8.7 million members in nine states and the District of Columbia. Today, the non-profit Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals and their subsidiaries, and for the profit Permanente Medical Groups. Nationwide, Kaiser Permanente includes approximately 156000 technical, administrative and clerical employees and caregivers, and more than 13, 000 physicians from all specialties.



Harvard Medical School ,



Harvard Medical School (http://www.hms.harvard.edu/) has more than 5000 full-time faculty positions, which eight departments based at the School's Boston quadrangle or in one of 47 departments at 18 Harvard teaching hospitals and research institutes. The Harvard hospitals and research institutions include Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, Cambridge Hospital, The CBR Institute for Biomedical Research, Children's Hospital Boston, Dana-Farber Cancer Institute, Forsyth Institute, Harvard Pilgrim Health Care, Joslin Diabetes Center, Judge Baker Children's Center, Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, Massachusetts Mental Health Center, McLean Hospital, Mount Auburn Hospital, Schepens Eye Research Institute, Spaulding Rehabilitation Hospital, Boston VA Health Care System.



http://www.kaiserpermanente.org/



Source: Danielle Cass


Edelman Public Relations

Tuesday, November 20, 2007

Nighttime 'Malfunction' Of Biological Clock Discovered

What do you do when a naturally occurring hormone in your body turns against you? What do you do if the same hormone -- Melatonin -- is a popular supplement you take to help you sleep? A professor at the University of Houston and his team of researchers may have some answers.



Gregg W. Roman, assistant professor in the department of biology and biochemistry at UH, his team describes the findings in a paper titled "Melatonin Suppress night operation Memory Formation in the Zebrafish" published November 16 in Science , in the World Wide leading scientific journal of global news and commentary.



often called "hormone of darkness," Melatonin is a hormone the body produces, which may regulate sleep patterns and wakes up in the people. In almost all organisms tested, this means the natural antioxidants are high during the night and during the day lower. In addition to what the body produces naturally many people also Melatonin supplements to combat Jet Lag, offset seasonal affect disorder and regulate nighttime dementia.



Roman says that melatonin may actually hurt you in the night, to be found in a study of zebrafish (Danio rerio) that directly inhibit melatonin memory formation.



"This work is about the mechanism by which the biological clock controls the formation of new memories," said Roman. "We were interested in the circadian control -- the day the night cycle control -- of learning and memory formation. We have noted, zebra fish are capable of learning very well during its active phase during the day, but to learn a bad at night during sleep or quiet phase. "



The experiments were with zebra fish for several reasons. They are small and breed in large numbers (and therefore less expensive to use), and they are daily values, the same as human activity rhythms. Zebra fish are most active during the day and less active at night, while many other vertebrate animal models, such as rodents, the nightly. Roman reasons, if you are interested in how the biological clock governs cognitive functions in humans, you should create a system that the model is sensitive to the clock the same way people do.



More than two years worth of work, including the discovery that the ability to learn and remember, was one of endogenous (or internal) clock originated in the zebrafish, led Roman and his colleagues on the hypothesis that melatonin may be responsible for poor learning and memory formation in the night. To test whether melatonin has been involved in the inhibition of the night learning and memory formation, which they treated zebra fish during the day, with this hormone, to see how the fish. It is interesting that melatonin not affect learning, but significantly impeded the formation of new memories, the melatonin-treated fish with fish is similar trains during the night in a test for 24 hours memory.



"The next step was signaling inhibits melatonin during the night with a melatonin receptor antagonist and testing for the effects on memory formation," said Roman. "It was huge -- the results were, excuse the expression, like day and night. We saw dramatic improvements in the nightly memory inhibition of melatonin signaling, indicating that the reason the zebrafish was not in the form memories of the night because of the hormone melatonin. "



Continue with the pineal gland, the main source of melatonin in fish and in people, Roman pupils Oliver Rawashdeh removed from the gland the fish and found that they could now memories at a high level during the night. Remove the melatonin-producing gland, the researchers of the hormone to alleviate the negative side effects that may show that more Melatonin inhibits the formation of new memories during the night.



With these findings, Roman hopes to be able to hold and the positive effects of melatonin's antioxidant properties. These benefits include combating free radicals damage to slow some forms of neurodegeneration, like Parkinson's and Alzheimer's diseases, and stopping of DNA damage, which has the potential to be a preventative against cancer. And since the positive antioxidant effect is directly and independently of receptor signaling, there is hope that removing the melatonin receptor signaling is against this hormone only the negative effects on cognitive functions.



addition, Roman said that the inhibition of melatonin signaling receptor antagonists may help, with a large number of nocturnal cognitive tasks that help people such as students, for the finals, airplane pilots, ER doctors and the night-shift workers. Roman also believes that a natural role of melatonin can be used to facilitate the storage of memories, during the day, and that further studies are necessary to the ultimate role of melatonin, in memory formation.



"The value of melatonin as a supplement is largely due to its antioxidant properties," said Roman. "The use of melatonin receptor antagonists has no influence on this attribute, but it can alleviate a significant adverse effect on cognitive functions at night."



In other words, a "best of both worlds" scenario could lead to the benefits of melatonin's antioxidant benefits, while improving nighttime memory formation, which is now locked .



Roman's team of UH breakthrough for this study include Gregory M. Cahill, a professor of biology and biochemistry, and two of her students and research assistants, Oliver Rawashdeh and Nancy Hernandez's Borsetti .



----------------------------< Br> article adapted from Medical News today from the original press release. ,
----------------------------



Source: Roman

Click here for access to the Web Page



About the University of Houston ,



The University of Houston, Texas' premier metropolitan research and teaching institution, is home to more than 40 research centers and institutes and sponsors more than 300 partnerships with corporate, civic and governmental institutions. UH, the most diverse research university in the country, stands at the forefront of education, research and service with more than 35000 students.



For more information about UH, visit the University Newsroom.



Source: Lisa Merkl

University of Houston

Monday, November 19, 2007

Natural Insomnia Treatment Secrets

So-nia can be one of the most frustrating. Why? After a consistent lack of sleep, it is hard to stay mentally healthy. They are restless, stressed, depressed, anxious, and sometimes at the end with even more complications as a result.

COACHING
In most cases, insomnia itself is not a passion, but it is the symptom of another medical problem, and should be treated as such. Although there are many drugs over the counter in almost every pharmacy only a quick solution to sleep. Drugs can successfully as insomnia treatment, in the short term, but if for the period over a few days, they can cause side effects that may lead to other health problems.

COACHING
The majority of the over the counter insomnia treatment products are not intended for long-term use, and they can save your daily activities not allow you a full night a restful sleep. Some of the adverse effects of the treatment for sleep disorders include:

COACHING
* dizziness

* Forgetfulnes

* constipation
< br> * Dry mouth

* Dry throat

COACHING
These drugs often not for the insomnia and can cause unwanted side effects when you sleep, because they antihistamines, which are usually used in the treatment of allergies. Yes, these drugs cause drowsiness do, but that's not enough for a full eight to ten hours of sleep each night.

COACHING
Extended use of drugs as the insomnia treatment can lead to the development of drugs tolerance, a gr�ere dose for the same effect, and it can also lead to a dependence the sleep aid. Some sleeping pills can also have a negative drug interactions with other drugs and after long-term use can lead to withdrawal symptoms when their use is over.

COACHING
I hope you get the message. Unless you have severe sleep disorders, have tried to natural methods that are currently not on drugs really help you sleep, no medication for insomnia.

COACHING
Learn natural way to help you improve your quality of sleep

COACHING
stress caused when you sleep loss, the search for ways to deal with the stress is more in the way of treatment for insomnia than sleeping pills. Try to learn breathing exercises, meditation and other mental practices to help reduce stress.

COACHING
Make your sleep environment as dark curtains on the windows, if your schedule for calls to bed before it gets dark. Most insomnia treatment proposals revolve around changes in lifestyle, such as:

* Avoid alcohol

* Avoid caffeine

* Avoid foods and beverages to can that digestive disorders

COACHING
What is Sleepwalk Reversal?

COACHING
addition, some people suffer from a sleep-to reverse, especially if they are traveling or have a shift other than traditional day. In some cases, resetting the internal circadian clock by working all day in bright lights and go to bed in the darkness, the insomnia treatment was necessary to return to a regelm�igen sleep schedule.

COACHING
If you suffer from insomnia, my fist proposal is to ask themselves what they cause depression, anxiety, stress? Then try much with the problems in order to deal with the insomnia. Not easy to sleep disorders medicine, as they only mask the problem, and in many cases it is worse.

Saturday, November 17, 2007

Nighttime 'Malfunction' Of Biological Clock Discovered

What do you do when a naturally occurring hormone in your body turns against you? What do you do if the same hormone -- Melatonin -- is a popular supplement you take to help you sleep? A professor at the University of Houston and his team of researchers may have some answers.



Gregg W. Roman, assistant professor in the department of biology and biochemistry at UH, his team describes the findings in a paper titled "Melatonin Suppress night operation Memory Formation in the Zebrafish" published November 16 in Science , in the World Wide leading scientific journal of global news and commentary.



often called "hormone of darkness," Melatonin is a hormone the body produces, which may regulate sleep patterns and wakes up in the people. In almost all organisms tested, this means the natural antioxidants are high during the night and during the day lower. In addition to what the body produces naturally many people also Melatonin supplements to combat Jet Lag, offset seasonal affect disorder and regulate nighttime dementia.



Roman says that melatonin may actually hurt you in the night, to be found in a study of zebrafish (Danio rerio) that directly inhibit melatonin memory formation.



"This work is about the mechanism by which the biological clock controls the formation of new memories," said Roman. "We were interested in the circadian control -- the day the night cycle control -- of learning and memory formation. We have noted, zebra fish are capable of learning very well during its active phase during the day, but to learn a bad at night during sleep or quiet phase. "



The experiments were with zebra fish for several reasons. They are small and breed in large numbers (and therefore less expensive to use), and they are daily values, the same as human activity rhythms. Zebra fish are most active during the day and less active at night, while many other vertebrate animal models, such as rodents, the nightly. Roman reasons, if you are interested in how the biological clock governs cognitive functions in humans, you should create a system that the model is sensitive to the clock the same way people do.



More than two years worth of work, including the discovery that the ability to learn and remember, was one of endogenous (or internal) clock originated in the zebrafish, led Roman and his colleagues on the hypothesis that melatonin may be responsible for poor learning and memory formation in the night. To test whether melatonin has been involved in the inhibition of the night learning and memory formation, which they treated zebra fish during the day, with this hormone, to see how the fish. It is interesting that melatonin not affect learning, but significantly impeded the formation of new memories, the melatonin-treated fish with fish is similar trains during the night in a test for 24 hours memory.



"The next step was signaling inhibits melatonin during the night with a melatonin receptor antagonist and testing for the effects on memory formation," said Roman. "It was huge -- the results were, excuse the expression, like day and night. We saw dramatic improvements in the nightly memory inhibition of melatonin signaling, indicating that the reason the zebrafish was not in the form memories of the night because of the hormone melatonin. "



Continue with the pineal gland, the main source of melatonin in fish and in people, Roman pupils Oliver Rawashdeh removed from the gland the fish and found that they could now memories at a high level during the night. Remove the melatonin-producing gland, the researchers of the hormone to alleviate the negative side effects that may show that more Melatonin inhibits the formation of new memories during the night.



With these findings, Roman hopes to be able to hold and the positive effects of melatonin's antioxidant properties. These benefits include combating free radicals damage to slow some forms of neurodegeneration, like Parkinson's and Alzheimer's diseases, and stopping of DNA damage, which has the potential to be a preventative against cancer. And since the positive antioxidant effect is directly and independently of receptor signaling, there is hope that removing the melatonin receptor signaling is against this hormone only the negative effects on cognitive functions.



addition, Roman said that the inhibition of melatonin signaling receptor antagonists may help, with a large number of nocturnal cognitive tasks that help people such as students, for the finals, airplane pilots, ER doctors and the night-shift workers. Roman also believes that a natural role of melatonin can be used to facilitate the storage of memories, during the day, and that further studies are necessary to the ultimate role of melatonin, in memory formation.



"The value of melatonin as a supplement is largely due to its antioxidant properties," said Roman. "The use of melatonin receptor antagonists has no influence on this attribute, but it can alleviate a significant adverse effect on cognitive functions at night."



In other words, a "best of both worlds" scenario could lead to the benefits of melatonin's antioxidant benefits, while improving nighttime memory formation, which is now locked .



Roman's team of UH breakthrough for this study include Gregory M. Cahill, a professor of biology and biochemistry, and two of her students and research assistants, Oliver Rawashdeh and Nancy Hernandez's Borsetti .



----------------------------< Br> article adapted from Medical News today from the original press release. ,
----------------------------



Source: Roman

Click here for access to the Web Page



About the University of Houston ,



The University of Houston, Texas' premier metropolitan research and teaching institution, is home to more than 40 research centers and institutes and sponsors more than 300 partnerships with corporate, civic and governmental institutions. UH, the most diverse research university in the country, stands at the forefront of education, research and service with more than 35000 students.



For more information about UH, visit the University Newsroom.



Source: Lisa Merkl

University of Houston

Thursday, November 15, 2007

Causes of Insomnia

A lack of B vitamins and magnesium means that the liver is less productive to the reduction o-estrogen and an excess begins to build, which annoys the brain chemicals, as the cause of PMS symptoms of anxiety, irritability and insomnia . It will alleviate tension in the spine and neck and help to relieve headaches, insomnia, pain in the lower back and sciatica. Many chronic insomnia sufferers have reported benefits from homeopathy, but you need a full evaluation by a trained therapist, you can not buy these funds in the counter.

Some this depressing withdrawal symptoms can occur are: anger, anxiety, intestinal changes , lack of concentration, emotional disorders, depression, coordination difficulties, dizziness, light sensitivity, head pressure, muscle and joint pain, numbness, paranoia, restlessness, tremors, insomnia, and feelings of unreality or dissociation. Short-term symptoms of insomnia are bearable, though frustrating, but night after night for months or years, the most serious problems of insomnia can accumulate and cause serious health problems. If you do so, you may suffer from insomnia.

An infomercial for an alternative treatment insomnia beckons you. People with sleep disorders should be given the chance to not sleep all in the day. Home Remedies For over thousands of years, many popular remedies were used to cure insomnia.

Calcium deficiency can lead to insomnia, the metabolic disorder tetany, severe premenstrual cramps and miscarriages, high blood pressure, type of kidney stones, calcium deficiency periodontal disease can also be a primary cause of the skeletal disorders, including osteomalacia, rickets and bone) malformations. Nicotine is a central nervous system stimulant can cause insomnia. If you have never had insomnia, this scenario is guaranteed to cause it.

Today, in America, families suffer a laundry list of complaints: from insomnia, allergies, asthma, high blood pressure, obesity, lack of essential vitamins and minerals, back, joint pain and migraine. Herbal medicines may help treat a wide range of conditions and can be regarded as anything from a natural weight loss, for the treatment of insomnia. Insomnia - Lysine acts as a natural sedative and may be just enough to help induce sleep.

Wednesday, November 14, 2007

AASM: How You Eat This Thanksgiving May Affect The Quality Of Your Sleep

Thanksgiving is a day in which people usually sleepiness after indulging themselves with a heavy meal. According to the American Academy of Sleep Medicine (AASM), in order to help ensure a good night's sleep on Thanksgiving, remain active in the afternoon and avoid eating a big meal too close to bedtime.

Donna Arand, PhD, clinical director of the Kettering Sleep Disorders Center in Dayton, Ohio, and research assistant professor at the Wright State University Boonshoft School of Medicine, says that the drowsiness feeling that it so often among the people on Thanksgiving is probably due to the fact that the traditional Thanksgiving dinner in tryptophan, which has been known to promote sleepiness.


"Turkey is particularly high in tryptophan, while other milk and dairy products also contain tryptophan, "says Dr. Arand." L - tryptophan is an amino acid in the body for the production of serotonin, a brain chemical in the REM sleep. Research has shown that an increase in the L - tryptophan produced sedation and can shorten sleep latency. So the feeling sleepy after a Thanksgiving dinner is probably the result of increased L - tryptophan. "


Ralph Downey III, PhD, director of the sleep medicine at the Sleep Disorders Center in Loma Linda University (ETA) Medical Center in Loma Linda, California, an associate professor of medicine, pediatrics and neurology an ETA, and a professor of psychology at the University of California, Riverside, says that tryptophan can play a role in the feeling of sleepiness after a heavy Thanksgiving meal, it is also likely to be the sleep debt that the person has over a given period of time.


"Thanksgiving and sleepiness go together like turkey and pumpkin pie chart. Sleepiness that we experience may be partly to the food, but probably due to the fact that we are relaxing with family and friends or at the traditional parades and football games, "says Dr. Downey." We feel sleepy or nap, because we are in a relaxed condition. When we finally relax, our brain is primed for the sleep from the days when it was still not as many. It is probably much less tryptophan in the turkey, as it is sleep debt built up in your brain, a sleepy Thanksgiving holiday. "


On average, most adults need seven to eight hours of sleep each night to feel alert and well rested.


The AASM offers the following tips on how to create a good sleep:


-you do not go to bed hungry, but do not eat a large meal before bedtime either.

- Avoid alcohol, food or drinks, caffeine, and the medicine, has a stimulant before bedtime.

-Follow a consistent bedtime routine.

-creation of a relaxed setting before bedtime.

-Get a complete sleep every night.

- Avoid any rigorous exercise within six hours of your bedtime.

-Make your bedroom quiet, dark and a little cool.

Get in the same time every morning.


SleepEducation.com, a Web site created by the AASM, provides information about the various sleep disorders, the forms of treatment available, recent news on the subject of sleep , insomnia studies, which have been conducted and a list of sleep.


AASM is a professional membership organization dedicated to the promotion of sleep medicine and sleep disturbances connected with the research.

American Academy of Sleep Medicine

Saturday, November 10, 2007

Milnacipran Demonstrated Significant Improvement In Pain And The Core Symptoms Of Fibromyalgia Syndrome, Data Show

Total daily doses of milnacipran 100
and 200 mg Mg showed a statistically significant and clinically
Meaningful improvements in the two central pain and other symptoms
With fibromyalgia syndrome (FMS), based on the Phase III data
This week at the 2007 American College of Rheumatology meeting in Boston, MA
. The therapeutic effect of milnacipran among responders in a six-month study were
lasting up to a year in a double-blind study extension.

Although widespread chronic pain is the defining feature of the FMS,
you typically occurs, as part of a broader range of symptoms, including
fatigue, cognitive dysfunction, and reduced physical function . Milnacipran is the first
studied fibromyalgia treatment whose effectiveness has been rated
use of a composite approach requires responders,
One patient by patient basis over several simultaneous improvements FMS
domains. As such, composite responder analysis
represent a stricter assessment of the therapeutic effect as the evaluation of individual
symptoms.


order as a responder for the compound "pain of fibromyalgia"
endpoint, each patient had to demonstrate and simultaneously
clinically sensible improvements in two validated measures: pain and the overall impression of
disease. In addition to these criteria,
response of the composite "treatment of fibromyalgia syndrome"
endpoint also had to show improvement in a third validated measure:
The physical function. The results of two Phase III studies showed that
milnacipran demonstrated improvement in comparison with placebo in the treatment of both
the pain of fibromyalgia, and the broader syndrome of fibromyalgia.
In addition, data from a six-month extension study showed that the therapeutic effect of
milnacipran were lasting up to one year
therapy.


"Because patients with fibromyalgia experience a wide range of symptoms
The overlap with other conditions, diagnosis and treatment may
complicated. Currently, many physicians are with several
drugs to treat various symptoms of fibromyalgia, "said Daniel J. Clauw, MD, lead investigator
, chronic pain and fatigue Research Center, University of Michigan
. "There is a real unmet need for a therapy that will not only relieve pain
, but deals with the functional and physical aspects of the disease,
can have a significant impact on the patients quality of life."


, Study Methodology ,



In two double-blind, placebo-controlled, approval of the Phase III study
study (Study million-MD-02 and studying FMS - 031) with two parallel,
primary efficacy assessments consisted of compound responder analysis for the treatment of
Both fibromyalgia syndrome and the pain of fibromyalgia. Composite
pain response was defined as persons who have both an gr�ere or
amounting to 30% reduction in pain compared to baseline as measured by a visual analog scale
daily on an electronic patient record of experience diary
rated and who regard themselves as "very much improved" or "much improved" on
Patient Global Impression of Change (PGIC) scale. Fibromyalgia Syndrome
Composite response to meet the criteria and pain Composite
As proof of at least a 6-improving their SF-36 physical component summary
(SF-36 PCS) points.


Study million-MD-02, 1196 patients were randomized to receive either
milnacipran 100 mg / day (n = 399): 200 mg / day ( n = 396) or placebo (n = 401) on
a period of three months, 67.7% of which the process is completed.


study FMS - 031, 888 patients were randomized to receive either
milnacipran 100 mg / day (n = 224): 200 mg / day (n = 441 ) or placebo (n = 223)
six months, 63.6% of which were completed three months of treatment, and 57.6%
from which the full six months double-blind treatment. Were
results for all patients on the three and six months visited.


patients receiving the full six months of treatment in study
FMS - 031 were allowed to settle in a multicenter, dose-blinded, extension
study to evaluate the durability of response up to a year. Overall
Of 449 patients were either 200 mg / day (n = 209) or
Again randomized to 100 mg / day (n = 48) or 200 mg / day (n = 192) for an additional
six months. Evaluations of the effectiveness of change in pain, as measured using a paper
visual analog scale, and multi-symptomatic improvement,
Measured with the Fibromyalgia Impact Questionnaire and PGIC.


, Data Highlights ,



results below are based on observed cases the only
Auswertbare patients who responded to the landmark visit. The study million-MD-02,
There were 713 evaluable patients for fibromyalgia syndrome and pain
analysis (n = 236 to 100 mg n = 215 for 200 mg and n = 262 for placebo).


The study FMS - 031, in the three-month visit, there were 549 evaluable patients for the
syndrome (n = 134 to 100 mg n = 259 for 200 mg and
N = 156 for placebo), and 553 evaluable patients for the pain (n = 135
For 100 mg n = 260 for 200 mg and n = 158 for placebo). In the six months
visit, there were 488 evaluable patients for fibromyalgia syndrome
(N = 120 to 100 mg n = 229 for 200 mg and n = 139 for placebo), and
491 evaluable patients for the fibromyalgia pain (n = 121 for 100
Mg n = 230 for 200 mg and n = 140 for placebo).


, Composite responder for fibromyalgia syndrome (pain, PGIC, and
SF-36 PCS) ,
< br> -- A statistically significant number of patients treated with milnacipran
During the study million-MD-02 meets the criteria Composite syndrome Responder
(25% and 26% for the milnacipran 100 mg and 200 mg groups,
) compared to placebo-treated patients (13%).

-- A statistically significant number of patients treated with milnacipran
During the study, FMS - 031 also with the composite syndrome responder criteria
On three months (33% and 33% for the milnacipran 100 mg and 200 mg groups
) compared to placebo-treated patients (17%).
Statistically significant differences table were also observed in the six months
visitors: 33% and 32% of patients met criteria for the responder
milnacipran 100 mg and 200 mg groups, as compared to 19% of
patients in the placebo group.


, Composite responder for fibromyalgia pain (pain and PGIC) ,


-- A statistically a significant number of patients treated with milnacipran
During the study million-MD-02 met the compound pain responder criteria (39%
And 46% in the milnacipran 100 mg and 200 mg groups)
Compared with the placebo-treated patients (25%).

-- A statistically significant number of patients treated with milnacipran
During the study, FMS - 031 also with the pain Composite responder criteria on
Three months (45% and 45% in the milnacipran 100 mg and 200 mg groups,
) compared to placebo-treated patients (27%).
Statistically significant differences table were also observed in the six months
visitors: 44% and 45% of patients with pain Composite Responder
criteria for milnacipran 100 mg and 200 mg, respectively
compared to 28% of patients in the placebo group.


, tolerability ,



milnacipran was generally well tolerated, with the
majority of adverse events (AEs) reported mild to moderate in nature.

-- The most common treatment emergent AEs in the
placebo-controlled clinical trials included nausea (37% versus 20% placebo), headache (18
% vs. 14% placebo), constipation (16% vs. 4% placebo), hot flashes (12% vs. 2%
placebo), hyperhidrosis (9% vs. 2% placebo), vomiting (7% vs
2%), palpitations (7% vs. 2%), heart rate increase (6% vs 1% placebo),
dry mouth (5% versus 2%) and hypertension (5% versus 2%).


-- milnacipran not cause weight gain.


, development plans ,



On 28 September 2005, Forest and Cypress reported that the provisional
top line results from study FMS - 031 not reach statistical significance
. Subsequently, the Food and Drug Administration (FDA) reviewed
your guidelines for the approval of FMS therapies and agreed to the new
companies to evaluate the data on the basis of an updated analysis approach,
, Die a change of LOCF (last observation carried forward),
BOCF (baseline observation carried forward) analysis, as well as other
changes in the use of primary endpoints for the evaluation of effectiveness. By
Revised analysis, a daily dose of 200 mg milnacipran produced statistically
signifiers differences compared to placebo both for the
fibromyalgia syndrome and fibromyalgia pain of the composite endpoints. Even
compared to placebo, a daily dose of 100 mg milnacipran a statistically
signifiers difference in the composite end point fibromyalgia syndrome and
wrong direction significance for the pain of fibromyalgia
composite end point (P =. 056). These data are used as part of the New Drug Application (NDA)
for milnacipran for the treatment of FMS, scheduled for submission to
end of the year 2007.


About Milnacipran ,



Milnacipran is a unique dual reuptake inhibitors, preferably
blocks the reuptake of norepinephrine with a higher potency than serotonin,
two neurotransmitters known to play an essential role in regulating pain
And mood. It was developed for the treatment of depression in more than 32
countries with the real world commercial experience outside the United States
spans more than 10 years and 20 million patient months. Milnacipran is
developed for fibromyalgia in the United States market jointly by Forest
And its licensor, Cypress Biosciences, Inc.
milnacipran was originally developed and sold outside the United States by Pierre Fabre Medicament.


About Fibromyalgia ,



FMS is a chronic and debilitating condition characterized by
widespread pain and stiffness throughout the body, accompanied by severe fatigue, insomnia and mood
symptoms. According to the American College of Rheumatology
, FMS is estimated that more than six million people in the
United States of America. FMS is most often diagnosed in the primary care setting and the
also is the second most commonly diagnosed condition in rheumatology clinics
in the United States after osteoarthritis. Despite the
High prevalence and severity of this syndrome, there are limited treatment options
specifically for FMS in the United States or elsewhere,
And the addressable patient group is not yet well established.


About Cypress ,



Cypress has committed itself as an innovator and market leader in the provision of
products for the treatment of patients with fibromyalgia syndrome. As part
your business development strategy, the company evaluates a number of
proof of concept stage opportunities that leverage their rededication
experience and innovative approach to clinical testing and regulatory
strategy, and the intention to do this on an ongoing basis.
The company continues to evaluate several other potential
strategic transactions, including the potential acquisition of products, product candidates
, technologies and businesses.


For more information about Cypress, please visit Cypress' website
http://www.cypressbio.com.



This press release, as well as Cypress' SEC filings and Website
http://www.cypressbio.com, forward-looking statements in the
meaning of the Private Securities Litigation Reform Act
of 1995, including statements about the potential of milnacipran for the treatment of fibromyalgia syndrome
, and our planned NDA filing for milnacipran. Actual results may
differentiate much of which as a result of a number of factors,
Including those in Cypress' Annual Report on Form 10-K, the most recent
quarterly report on Form 10 - Q and any subsequent SEC filings and
Including, but not limited to, the detailed analysis of the process
results may not be favorable or can lead to different results, the FDA
may not accept our first Phase III the clinical study as one of the two turning
attempts for NDA approval, on further reflection, that we may
Determine, not the submission of a NDA about the end of the year 2007 and even if we do, < br> submit the NDA, that they should not be accepted or not by the FDA,
fact that we may not be able to protect our patent portfolio milnacipran and
that milnacipran may never be approved as a drug by the FDA .


About Forest Laboratories and its products ,



Forest Laboratories (http://www.frx.com), a US-based pharmaceutical company
for the identification, development and delivery of products, which
a positive difference in the lives of people. Forest Laboratories' growing product
Includes Lexapro (R) (escitalopram oxalate), an SSRI
for adults for the initial and maintenance treatment of
depressive disorder and generalized anxiety disorder; Namenda (R) (memantine HCl ), a
N-methyl D-aspartate (NMDA) receptor antagonist for the
treatment of moderate to severe Alzheimer's dementia, and Campral (R)
(Acamprosate Calcium), in combination with psychosocial support
For the maintenance of abstinence from alcohol in patients with alcohol dependence
who are abstinent at treatment initiation.
Addition to our growing product line, Forest also promotes cooperation Daiichi Sankyo, Inc.
products Benicar (R) (olmesartan medoxomil), an angiotensin receptor blocker
, Benicar HCT (R) (olmesartan medoxomil, hydrochlorothiazide ), a
angiotensin receptor blocker and diuretic combination product, and
AZOR (TM) (amlodipine and olmesartan medoxomil)
calcium channel blockers and angiotensin receptor blocker combination product, all for the treatment of
high blood pressure.


Azor is a registered trademark of Daiichi Sankyo, Inc.; Benicar and Benicar HCT
Are registered trademark of Daiichi Sankyo, Inc., and Campral is a registered
trademark of Merck sas, Sante, a subsidiary of Merck KGaA,
Darmstadt, Germany.


With the exception of the historical information contained herein, this release contains forward-looking
"in
meaning of the Private Securities Litigation Reform Act of 1995. These statements include series
risks and uncertainties, including the difficulty of predicting FDA
approvals, the acceptance and demand for new pharmaceutical products, which
impact of competitive products and pricing, the timely development and introduction
new products, and the risk factors from time to time
The Forest Laboratories SEC reports, including the Company's Annual Report
On the Form 10-K for the fiscal year ended March 31, 2007 and on Form 10-Q for
the period ended June 30, 2007.


Forest Laboratories, Inc.

http://www.frx.com

 
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