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The menopause experience is different for everyone so explore options to manage symptoms from proper diet and exercise to hormone therapy.
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Sleepiness, tiredness and fatigue are complaints which must be thoroughly analyzed to eliminate blur and ambiguity.
Physiological sleepiness (โsleep pressureโ) increases while being awake and additionally underlies the circadian rhythm with a lower threshold to fall asleep during night time.
Excessive daytime sleepiness (EDS) is considered normal only after sleep deprivation. Clinically, EDS manifests by frequents daytime napping and/or reduced alertness with automatic behavior or - in its extreme form - in recurrent attacks of sudden, uncontrollable compulsion to sleep also in inappropriate situations (= โsleep attacksโ).
EDS is โobjectivelyโ addressed by measuring the mean sleep latency to four to five nap opportunities throughout the day using the multiple sleep latency test (MSLT) or the maintenance of wakefulness test (MWT).
EDS denotes both, a ready entrance into sleep as well as difficulty in staying awake during daytime or accordingly in inappropriate situations. These two partially independent aspects of EDS are separately assessed by the โpassiveโ MSLT and the โactiveโ MWT respectively.
For that reason the MSLT and MWT only weakly correlate with each other when tested over a broad range of patients with EDS. It is important to keep in mind, that these tests are importantly influenced by a great variety of factors such as mood, anxiety, and motivation.
โVigilanceโ comprises wakefulness, alertness and attention and therefore is more than just the reciprocal to sleepiness. Cognitive performance tasks such as Steer Clear Reaction Time Test (SCRTT) or driving simulators require the complete integrity of vigilance to achieve normal results. Hypersomnia is usually broadly defined as the combination of abnormally prolonged night-time sleep (regularly >10 h) with EDS during โฅ1 months.
On the other hand, the term hypersomnia has also been used in a narrower scene for the isolated abnormality of a prolonged night-time sleep need (>10 h). โTirednessโ, also in colloquial language often used for sleepiness, in a broader sense also describes the feeling of lack of energy, motivation and initiative.
These patients seek rest rather than sleep. They often cannot fall asleep when given the opportunity in spite of feeling tired, and hence, in an MSLT, do not show an abnormally short sleep latency. Furthermore, tiredness (and fatigue) as opposed to sleepiness has a mental (โcentralโ) and physiological (bodily or โperipheralโ) component, which the patients can readily distinguish. Patients with insomnia, mild sleep apnea syndrome, or depression rather suffer from mental tiredness than sleepiness during the day.
The simple subjective self-assessment using the Epworth Sleepiness Scale (ESS) quite reliably differentiates between sleepiness and mental tiredness (without sleepiness), which makes it a widely used test. The term โfatigueโ is also heterogeneously used.
In physiology the โfatigueโ implied a โtime on task performance decrementโ to describe decreasing muscle force during a sustained physical effort. In clinical medicine one distinguishes physical (โperipheralโ) from mental (โcentralโ) fatigue and the term usually denotes a chronic and more abnormal situation than tiredness.
In a broad sense โfatigueโ implies a deficiency in coping satisfactorily with mental and physical work load. The chronic fatigue syndrome entails both mental as well as a physical fatigue (so called โleaden paralysisโ of limbs). Depressive states are often associated with insomnia and fatigue, but there are also cases with hypersomnia rather than insomnia ( non organic hypersomnia , โatypical depressionโ or โhypersomnolent depressionโ)
Sometimes these patients have a tendency to spend much of the day lying in the bed without actually sleeping (so called clinophilia). The basic and clinical aspects of fatigu
A deep cut on the palm side of your fingers, hand, wrist, or forearm can damage your flexor tendons, which are the tissues that help control movement in your hand. A flexor tendon injury can make it impossible to bend your fingers or thumb.
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This well test animation demonstrates new oil drilling technology.
An appendectomy (sometimes called appendisectomy or appendicectomy (British English)) is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis. In the absence of surgical facilities, intravenous antibiotics are used to delay or prevent the onset of sepsis; it is now recognized that many cases will resolve when treated perioperatively. In some cases the appendicitis resolves completely; more often, an inflammatory mass forms around the appendix, causing transruptural flotation. This is a relative contraindication to surgery.
Debulking is the surgical removal of part of a malignant tumour which cannot be completely excised, so as to enhance the effectiveness of radiation or chemotherapy. It is used only in specific malignancies, as generally partial removal of a tumor is not considered a worthwhile intervention. Ovarian carcinoma and some types of brain tumor are debulked prior to commencing radio- or chemotherapy. It may also be used in the case of slow growth tumors to shift tumor cells from phase of cell cycle to replicative pool.
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Sรณlo En Los Estados Unidos, Aproximadamente 1 De Cada 6 Personas Sufre De Dolores De Cabeza Crรณnicos Y Migraรฑas. Ellos Sufren De Forma Infrecuente,
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Hair transplant is a life-altering decision. If you are worried about hair loss, or consider baldness a hindrance, then you are ready to take the next step. Now the question is what to do next? Obviously, the worst choice would be to do "nothing" at all! Secondly, you could try to preserve your existing hair with medicines, remedies and hair-care products - it might just work for you. Thirdly, you could go for a hair-piece or a wig. But if you're reading this, then the chances are that you're looking for a permanent solution for your hair problem, which can best be provided through a hair transplant -an increasingly popular method of defeating baldness and patchy hair.
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Ruthโs testimonial on her amazing experience with cosmetic dental procedures offered by Dr Jamil Alkhoury at Brentwood Family Dental
La palmitoiletanolamide (PeaVera, PeaPure, Palmidrol, Achille e altri PEA prodotti rappresenta una rivoluzione nel trattamento del dolore. Si tratta di un efficace analgesico naturale, senza effetti collaterali. La sua azione รจ stata documentata in molte centinaia di articoli scientifici. Il suo meccanismo รจ stato scoperto dalla professoressa Rita Levi Montalcini, premio Nobel per la medicina.
Qui รจ disponibile una breve introduzione su questa sostanza particolare. (Qui Informazioni per i medici) PEA รจ disponibile in Italia dal 2007 ed รจ stata classificata dal Ministero della Salute italiano come alimento dietetico per fini medici speciali.
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Dr. Arthur G Handal M.D., F.A.C.S. Offers ORBERAโข Intragastric Balloon procedure for weight loss at Handal Plastic Surgery in Boca Raton FL
Rhinoplasty enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose. Rhinoplasty surgery can change: Nose size in relation to facial balance. Nose width at the bridge or in the size and position of the nostrils.