Sleep Well! Sleep is vital to health and Causes of Disrupted Sleep wellbeing
Disrupted sleep is a general term that refers to any
Sleep is absolutely to vital to good health and
condition in which sleep doesn’t follow its normal
PJEndicott
wellbeing. Recent research by Dr Neil Stanley
cycle and/or a particular cycle doesn’t last as long
at the University of East Anglia showed that
as it should. Some of the common risk factors
missing out on just one hour of sleep at night
associated with disrupted sleep include:
will make us 27% less effective the next
afternoon. In her bestselling book ‘Take A
Nap!’, author and researcher Dr Sara Mednick
details how lack of sleep has contributed to
some of the best known disasters worldwide.
Not sleeping and then driving can be as dangerous as drinking and driving - studies
show that staying awake for seventeen hours or
more can have the same affect on your mind as
a blood alcohol level of 0.05%; the legal limit
for driving. The research was conducted in the
United States but the effects will be much the
How much sleep do we need?
The amount of sleep needed varies from one
person to the next but is generally accepted to
be around 8 – 9 hours per night. Age, type of
What is insomnia?
Insomnia is a condition where you do not get
enough sleep or enough quality sleep. Good
sleep is not necessarily related to the number of
hours that you sleep, however. Some people
feel fine after getting five hours of sleep per
The effects of poor sleep
night. Others need nine hours of sleep to feel at
Not only do we feel tired when we are short on sleep, we can also become accident prone, irritable
Insomnia can be:
Chronic: Chronic insomnia sufferers constantly have trouble sleeping and have had this
difficulty on most nights for at least a month.
Intermittent: Those who have intermittent
insomnia do not experience sleepless nights
constantly but do have periods of sleepless
nights that recur over a longer period of time.
Transient: Transient insomnia occurs for short
periods of time, up to a couple of weeks.
The symptoms of insomnia can include:
weight gain (lack of sleep has been linked to
depression (depression can cause a lack of
As a result, you may feel:
heart disease and hypertension (high blood
Lack of sleep can also affect your immune
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Be watchful in the afternoon
Keep your bedroom as dark as possible as
At first sight this might seem a crazy notion but
any light source can interrupt sleep. It may
there are many substances that act as stimulants
be worth investing in a black-out blind.
on the human body and contribute to restlessness
Likewise, try to keep noise in the bedroom to
and lack of sleep at night. Start off by watching
window open to maintain a stream of fresh air
Caffeine perks up the brain for about one
is preferable, if the outside environment is
hour, but lasts in the body for at least
4 – 6 hours. Therefore try to restrict caffeine
If all else fails - use ’90 seconds to sleep’ to
intake to before 4:00 PM. Caffeine is found in
a wide range of food and drink but especially in tea, coffee, Coke and Pepsi, energy drinks and
90 Seconds to Sleep!
Watch out for hidden sources of caffeine! If
This is a useful routine taught to me by a
your favourite pain relief has ‘Super’, ‘Extra’
friend who is a therapeutic counsellor. It uses
or ‘Plus’ on the packet it is most likely to
contain caffeine as a way of speeding up the
Programming that our eyes move in certain
metabolism so that the pain relief takes effect
more quickly. After 4:00 PM swap to plain
When worried or suffering from stress it is
difficult to get the brain to ‘switch off’ and to let us sleep, thought themes keep appearing in
Exercise earlier in the day is attributed with
causing the body to produce both endorphins
unconscious part of our brain is saying ‘You
(the body’s natural pain relief) and serotonin
can’t go to sleep yet – we have all these
(the happy hormones), also leading to better
problems to solve!’. To use 90 seconds to
sleep effectively you will need to be very
disciplined but once learned it can be used over and over again.
Be watchful in the evening
Avoid caffeine, alcohol or nicotine in the
Focus your eyes on a spot on the wall or
Get sleep off to a good start
counting to five as your breathe in, and to five as your breathe out as well.
Carbohydrates have a soporific effect – saving carbohydrates for your evening meal or pre-
Avoid reading or watching TV in bed – most
Continue with your breathing and you will
find that after a short period your eyes will begin to move to one side or the
Try to set a regular time for bed. An occasional late night will not matter too much
other as your unconscious brain prepares
but sleeping less than you need on a regular
to send thoughts for your consideration –
basis makes it more difficult to get to sleep
As soon as you detect your eyes moving to the side, stop! Bring your focus back
Granny really was right about having a hot milky drink before bedtime! Milk contains
onto the spot on the wall or ceiling, clear
high levels of tryptophan and research has
shown that this affects two parts of the brain
making us feel full up (i.e. not hungry) so we
sleep more soundly. The other food source
high in tryptophan is turkey – maybe this is
why we all fall asleep after our Christmas
dinner? Tryptophan also contributes to the
production of serotonin (the natural anti-depressant hormone) making us feel relaxed
should realise your intent, give up its disruptive behaviour and allow you to go
Ensure that your room remains at a steady
temperature which is neither too hot nor too
Chronologie einer Krankheit von Gerhard Klein * *DI: Gerhard Klein ist seit 1998 bei der Aids Hilfe Wien als Mitarbeiter für ProjektPrävention beschäftigt. 1981 Ein Drogentechniker am Center for Disease Control in den USA bemerkt eine ungewöhnlich hohe Anfrage nach Pentamidine -eine Droge, die in der Behandlung von Pneumocystis Carinii Pneumonia (PCP) verwendet wird. Sp�
T H E R A P E U T I S C H E S D R U G M O N I T O R I N G V O N N R T I 1 Einleitung In den deutschen (DAIG 2004) und US-amerikanischen (DHHS 2005) Leitlinien zur Therapie der HIV-Infektion wird das Therapeutische Drug Monitoring (TDM) bisher nur für bestimmte antiretrovirale Substanzklassen und klinische Fragestellungen empfohlen. Die Empfehlung betrifft Protease Inhibitoren (PI) und Nicht