Sleep Disorders

 
 
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    MedWorm: Sleep Disorders

  • Psychotic experiences co‐occur with sleep problems, negative affect and mental disorders in preadolescence

    26 Aug 2014 | 2:41 pm
    ConclusionsPsychotic experiences are particularly prevalent in the context of affective dysregulation and sleep disturbance, increase with onset of puberty and represent a trans‐diagnostic marker of psychopathology. (Source: Journal of Child Psychology and Psychiatry)MedWorm Sponsor Message: Find the best Christmas Sales, Boxing Day Sales and January Sales here.
  • How 10 Seconds Could Save Lives During Earthquakes

    26 Aug 2014 | 2:25 pm
    Ten seconds could save your life. That’s the message from researchers developing an early warning system in California that could eventually alert the public an earthquake is about to hit. The research program, run by the U.S. Geological Survey (USGS) in partnership with several California universities, is still in beta form, but was put to the test last weekend when an earthquake struck the Napa area. At the University of California, Berkeley, to the south, the system detected and sent out a warning signal to the scientists about six seconds before the tremor reached the area. MoreNorthern…
  • DSM-5 Made Easy: The Clinician’s Guide to Diagnosis

    26 Aug 2014 | 10:53 am
    I had just come off my first overnight shift. From 8pm to 8am, I was the go-to resident for any issues that arose on any of the three psychiatry units, along with any emergent psychiatric consults from anywhere in the hospital. A psych patient couldn’t sleep? My pager went off. Another fell while getting himself a midnight snack? It’s my pager again. A patient on surgery mentioned that he couldn’t take this anymore and just wanted to end it all? Yup, that’s me, too. Someone admitted to the ICU after throwing himself from a moving car? You get the picture. By morning, we’ll just say…
  • Aspirin could help with blood clots, study finds

    26 Aug 2014 | 5:58 am
    Daily doses of aspirin could help reduce the risk of recurring blood clots, researchers say. Also, a study from Stanford University found that about one in seven people hace what it calls "sleep drunkenness." Brian Webb reports on the day's top health stories. (Source: Health News: CBSNews.com)
  • Baby with sleep apnoea could die every time and stops breathing 20 times a night

    26 Aug 2014 | 5:55 am
    Phyllisity Ramm was diagnosed with obstructive sleep apnoea forcing her mother Kylie, from Norfolk, to repeatedly perform cardiac resuscitation to kickstart her daughter's breathing. (Source: the Mail online | Health)
 
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    MedWorm: Narcolepsy

  • Tick-tock- tick-tock: The Impact of Circadian Rhythm Disorders on Cardiovascular Health and Wellness

    21 Aug 2014 | 4:00 pm
    Humans spend a third of their lives asleep. A well-balanced synchrony between sleep and wakefulness is needed to maintain a healthy lifestyle. Optimal sleep is based on an individual's inherent sleep requirement and circadian rhythm. If either one or both of these critical elements are disrupted, daytime dysfunction, non-restorative sleep, and/or reduced sense of well-being may result.While the medical community is more familiar with sleep disorders such as sleep apnea, insomnia, and narcolepsy, circadian rhythm sleep wake disorders (CRSWDs) are less known despite these being common within…
  • Drug Testing in Children with Excessive Daytime Sleepiness During Multiple Sleep Latency Testing

    14 Aug 2014 | 11:38 am
    Conclusions:Routine drug testing for drugs of abuse during an MSLT for EDS yielded no positive results over a 15-year period, indicating that this routine practice is unnecessary in our pediatric population without specific concerns. However, objective evidence for caffeine exposure was found in 32% of tested children undergoing an MSLT. Sleep physicians rarely documented the caffeine intake history during clinic visits for EDS.Citation:Katz ES, Maski K, Jenkins AJ. Drug testing in children with excessive daytime sleepiness during multiple sleep latency testing. J Clin Sleep Med…
  • Narcolepsy

    13 Aug 2014 | 11:00 pm
    (Source: eMedicineHealth.com)
  • Scientists retract narcolepsy study linked to GSK vaccine

    7 Aug 2014 | 11:27 am
    LONDON (Reuters - Scientists who believed they had started to decipher links between a GlaxoSmithKline H1N1 pandemic flu vaccine and the sleep disorder narcolepsy have retracted a study after saying they cannot replicate their findings. (Source: Reuters: Health)
  • Journal Retracts Paper Linking "Swine Flu" Vaccine and Narcolepsy

    1 Aug 2014 | 10:00 am
    The retraction represents a setback for those trying to explain a puzzling cluster of sudden-onset narcolepsy reported in 2010 in Europe -- Read more on ScientificAmerican.com (Source: Scientific American - Official RSS Feed)
 
 
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    Snoring News

  • Sleep Apps, Myths and More: Strategies for A Good Night’s Rest

    27 Aug 2014 | 5:01 pm
    … major sign of sleep apnea is snoring. If you snore and feel like you never get enough sleep … worsens sleep quality. Myth: Snoring isn’t anything to worry about. Snoring, especially in children, is indicative of sleep apnea and …
  • Let adults sleep over at museums

    27 Aug 2014 | 1:02 pm
    … or to bore one to snores, although such an effect is … York hosting its first adults-only sleepover earlier this month. The event … after sundown. The aged 21-and-up sleepover, with admission priced at US … and ArtScience Museum have held sleepovers too. But alas, they admit …
  • Angiocrine Bioscience Licenses New Stem Cell Technology

    27 Aug 2014 | 10:42 am
    Advances in Cell Based Assays, 11th & 12th November 2014, London UK LONDON, LONDON, UNITED KINGDOM, August 27, 2014 /EINPresswire.com/ -- Angiocrine Bioscience announced in a press release last week that it has licensed the rights to a new technology …
  • Insomnia and sleep apnoea jointly tackled by experts

    27 Aug 2014 | 4:31 am
    … careful about their sleep and try to protect their sleep environment as … 's complaints about her snoring that led her to see … .org.au Topics: sleep-disorders, health, diseases-and-disorders, doctors-and-medical-professionals, medical-research, sleep, adelaide-5000, sa, australia
  • Joint insomnia and sleep apnoea trial to begin

    27 Aug 2014 | 3:47 am
    … careful about their sleep and try to protect their sleep environment as … 's complaints about her snoring that led her to see … .org.au Topics: sleep-disorders, health, diseases-and-disorders, doctors-and-medical-professionals, medical-research, sleep, adelaide-5000, sa, australia
 
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    Today

  • Did Tony get whacked? 'Sopranos' creator David Chase speaks out on show finale

    Randee Dawn
    27 Aug 2014 | 5:03 pm
    It's been seven years since "The Sopranos," HBO's groundbreaking drama about a New Jersey mob family, wrapped its Emmy-winning run. Yet the show's cut-to-black finale remains one of the most contentious endings for a TV series ever, with fans continuing to debate: Did crime boss Tony Soprano really get whacked in that last scene?
  • USC football player says he lied about injuring himself while rescuing nephew

    Scott Stump
    27 Aug 2014 | 4:13 pm
    A University of Southern California football player said on Wednesday that he lied when he claimed to have hurt his ankles while jumping off a second-floor balcony to save his drowning 7-year-old nephew, university officials said.
  • Tamron Hall on Jennifer Aniston: We don't need to have kids to care

    Tamron Hall
    27 Aug 2014 | 3:02 pm
    This morning Jennifer Aniston touched on something that comes up in my personal and professional life from time to time. In her interview with Carson Daly, she spoke about the constant pressure to get married and to have children.
  • Be there in a jiffy! Jiff the dog sets world record for fastest running on two legs

    Laura T. Coffey
    27 Aug 2014 | 2:34 pm
    Sure, greyhounds are fast. Whippets are speedy, too. But by one measure, a cuddly Pomeranian named Jiff has got them all beat.Guinness World Records announced late Wednesday that Jiff, a natural performer who hails from Los Angeles, has set world records for the fastest running on two back legs and on two front legs. Jiff can run 10 meters on his hind legs in 6.
  • Stark contrast: 'Game of Thrones' star Sophie Turner now a fashion model

    By Rina Raphael
    27 Aug 2014 | 2:21 pm
    From medieval damsel in distress to modern dame about town? What a stark contrast.Sophie Turner, who plays the corseted Sansa on “Game of Thrones,” is now modeling for U.K. clothing retailer Karen Millen.The British actress, 18, will be the face of the brand’s fall and winter campaign, and stars in their latest promo video, which is equal parts intriguing and annoying.
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    EmaxHealth - Sleep Disorders

  • Lack of sleep in teens dramatically increases the risk for obesity

    Harold Mandel
    21 Aug 2014 | 5:29 pm
    A lack of sleep among teens has been found to be associated with a significant increased risk for obesity. The consequences of not getting enough sleep can therefore be a lot more serious than simply falling asleep in class. Optimizing sleep duration may help prevent excess weight gain in teens.Health and Wellness: Sleep DisordersLatest News: Current Newsconditions: Obesity Cause and Help
  • Sleep deprivation is associated with false memories

    Harold Mandel
    22 Jul 2014 | 8:31 pm
    Sleep is essential for overall good health in body and mind. Yet, many people disregard advice to get adequate sleep on a daily basis and risk their well being by being in a sleep deprived state.Health and Wellness: Sleep DisordersLatest News: Current News
  • Sleep education can help young kids sleep better

    Harold Mandel
    18 Jun 2014 | 7:14 am
    Getting adequate sleep is essential for the healthy development of young kids.Health and Wellness: Sleep DisordersLatest News: Current News
  • Could This Disease Be A Hidden Consequence Of Sleep Apnea?

    Tayla Holman
    16 Apr 2014 | 3:19 pm
    If you’re one of the millions of people worldwide who suffers from sleep apnea, you may be at an increased risk for osteoporosis. Health and Wellness: Sleep DisordersLatest News: News Analysis
  • Why We Feel Tired Even After 12 Hours of Sleep

    Tim Boyer
    10 Apr 2014 | 8:38 am
    If you sleep more than the recommended number of hours per day, you may be a sleep drunk reports a new episode of The Dr. Oz Show. Dr.Health and Wellness: Sleep DisordersLatest News: Current News
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    The Insomnia Blog - Sleep Doctor Michael Breus, PhD

  • Is seven hours of sleep ideal?

    Dr. Michael Breus
    27 Aug 2014 | 9:25 am
    Eight hours. That’s the nightly sleep recommendation you hear most frequently, the gold standard for a healthy sleep routine. But what if it isn’t? I read this article in the Wall Street Journal with great interest, for it points to recent research that suggests the eight-hour model may not be the ideal one for most healthy adults. Although eight hours is the number most often associated with a full night’s sleep, sleep experts know that there is some degree of variation when it comes to individual sleep needs. Most often, the recommendation for sleep times comes in a range of 7-9…
  • Can Diet Keep Circadian Clocks "Ticking" Well?

    Dr. Michael Breus
    13 Aug 2014 | 11:26 am
    Strong and healthy circadian function is vital to good sleep and to overall good health. Circadian rhythms have a significant influence over sleep, working in concert with the body’s internal sleep drive to regulate periods of both rest and alertness. Circadian dysfunction often results in problems with sleep. The body’s circadian rhythms also help govern a broad range of other biological processes. In recent years, there’s been a wealth of evidence mounting to suggest that dysreguglation of circadian rhythms brings increased risk for illness and disease, including cardiovascular…
 
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    Sleep Advice, Tips, and Information from SleepBetter.org

  • Ask SleepBetter: Nighttime Pain Prompting a Sleep Switch

    Staff
    27 Aug 2014 | 6:53 am
    Have you wondered about something related to sleep, but just can’t find the answer? Lots of people do, and that’s why we created Ask SleepBetter. You can ask your own question on the SleepBetter... [Click on the headline to read the rest of this story!]
  • Workers With Windows Sleep 46 Minutes Better

    Staff
    26 Aug 2014 | 6:27 am
    While we all want an office in our workplace, it turns out you’re better off just asking for a window. An interdisciplinary team of architects and medical researchers recently conducted a small... [Click on the headline to read the rest of this story!]
  • Scientists Now Know Why Seniors Don’t Sleep As Well

    Staff
    21 Aug 2014 | 6:25 am
    Everyone knows that it’s not unusual to sleep more poorly as we age.  The aches and pains that come with becoming older keep us from being comfortable at night, and leading less active... [Click on the headline to read the rest of this story!]
  • Ask SleepBetter: Can’t Go Back to Sleep

    Staff
    20 Aug 2014 | 5:28 am
    Have you wondered about something related to sleep, but just can’t find the answer? Lots of people do, and that’s why we created Ask SleepBetter. You can ask your own question on the SleepBetter... [Click on the headline to read the rest of this story!]
  • What City is the Most Sleepless in the World?

    Staff
    19 Aug 2014 | 4:38 pm
    Do Americans sleep less than residents of other countries? How do our cities rank compared to those around the world? Thanks to a device that tracks sleep, activity and food, we now have an idea of... [Click on the headline to read the rest of this story!]
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    Insomnia Blog

  • Is your immune system to blame for your insomnia?

    Martin Reed
    20 Aug 2014 | 3:15 pm
    Our sleep is often disrupted whenever we feel unwell. It’s typically thought that the illness is responsible for any consequent sleep deprivation – however a study now suggests that our immune system may be to blame. Researchers in the UK found that when they artificially activated the immune system in healthy fruit flies, sleep duration fell and memory performance suffered. This suggests that the immune system itself is capable of reducing sleep time and sleep quality and as a result, memory ability is also impaired. Not only could this study open up new areas of insomnia…
  • There’s no link between insomnia and high blood pressure after all

    Martin Reed
    14 Aug 2014 | 5:18 pm
    A couple of days ago I played down the health consequences of short sleep durations. Now a study has found that there’s no link between sleep deprivation and hypertension. It’s often thought that insomnia and high blood pressure are linked. This latest study may have debunked that theory. The Canadian cross-sectional study looked at the sleep histories of over 12,000 individuals and found no significant association between insomnia symptoms and high blood pressure (hypertension). This held true even after looking at different degrees of insomnia severity and frequency. Although…
  • The health risks of getting less than 5 hours of sleep

    Martin Reed
    13 Aug 2014 | 8:40 am
    When it comes to sleep duration, insomnia sufferers often put far too much pressure on themselves to get the mythical 8 hours of sleep. All this does is make sleep harder to come by. Our bodies only really need about 5.5 hours of sleep each night. This is known as ‘core sleep’. Of course, more than 5.5 hours of sleep is optimal – but we can survive on core sleep alone. We only really see serious health consequences when we get less than the required core sleep on a regular basis. Yet, even then, any increased health risks are often down to sleep deprivation being combined…
  • Is insomnia and sleep deprivation really worse for women?

    Martin Reed
    8 Aug 2014 | 1:30 pm
    Sleep deprivation varies between the sexes. When it comes to insomnia prevalence to medication use and other effects, our gender appears to influence how sleep (or a lack of it) affects our bodies and minds. Adding to this, I recently came across a study that found that women may bear the brunt of some of insomnia’s less pleasant side-effects. The research, out of Duke University Medical Center in Durham, North Carolina, found that women who suffered from poor sleep quality were more likely to suffer from psychosocial distress (such as depression, hostility and anger) compared to…
  • Being more social may improve sleep (especially in seniors)

    Martin Reed
    6 Aug 2014 | 1:33 pm
    Seniors are more likely to suffer from insomnia than younger individuals. Fortunately, we need less sleep as we age – but insomnia should not be ignored, regardless of age (or gender). Increasing social interaction may be one way to combat insomnia – particularly in the elderly who are more likely to experience isolation. It’s thought that regular interaction with others can significantly improve mood and our general outlook on life. Friends and colleagues can offer support and engage our minds. Furthermore, regularly interacting with others may help expend energy which can…
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    Cures for Insomnia Now!

  • Pharmaceutical Alternatives, Somarest Sleep Optimizer, 60 Capsules

    SiteAdmin
    26 Aug 2014 | 7:56 am
    Sleep Aid Pharmaceutical Alternatives, Somarest Sleep Optimizer, 60 Capsules - click on the image below for more information. Non Addictive Formula All Natural Side Effect FreePromotes Healthy Sleep Patterns & Natural Biorhythms60 Capsules SomaRest will help you recover faster, fall asleep quicker, increase quality sleep, and help you awake more refreshed. Proven Results, Quality Ingredients Promotes Deep Restful Sleep Increases Recovery & Restoration Safe Non Addictive Formula All Natural Side Effect Free Promotes Relaxation Promotes Healthy Sleep Patterns & Natural Biorhythms Pharmaceutical…
  • select:Digital detox picks up in Korea

    SiteAdmin
    25 Aug 2014 | 12:21 pm
    Digital detox picks up in Korea insomnia dictionary The term “digital detox” was added to the Oxford English Dictionary in August 2013. In the United States, there are digital detox camps for students and adults, and some hotels and resorts offer discounts for guests who willingly give up their digital … Read more on Korea JoongAng DailyAre you making any of the 7 mistakes insomniacs make? Find out by doing my free 2 minute sleep quiz! Can Science Offer New Answers to Mental Illness? insomnia dictionary The first manifestation of the illness is anxious insomnia. With a…
  • Natural Factors Sleep Relax Capsules, 90-Count

    SiteAdmin
    24 Aug 2014 | 9:55 am
    Sleep Aid Natural Factors Sleep Relax Capsules, 90-Count - click on the image below for more information. Natural Factors Sleep Relax FormulaFor restful sleep without next-day grogginess90 Capsules Sleep Relax The formula combines the best of the time-tested sleep-inducing herbs to promote a restful sleep without next-day grogginess. Some of the herbs act as gentle nervous restoratives, calming anxiousness and quieting jangly nerves. Sleep Relax includes a standardized extract of Valerian root, with calming passion flower, hops and skullcap. Valerian: renowned for its calming effect on adults…
  • Solgar – Gaba, 500 mg, 100 veggie caps

    SiteAdmin
    22 Aug 2014 | 11:54 am
    Natural Sleep Aids Solgar - Gaba, 500 mg, 100 veggie caps - click on the image below for more information. Serving Size - 1 veggie capDoes Not Contain: Sugar, salt, starch, corn, yeast, wheat, soy, dairy products, preservatives, artificial flavors or colors. Solgar GABA (which stands for Gamma-Amino Buyric Acid) is designed for the natural treatment of anxiety, nervousness and insomnia. Therefore, Solgar's GABA formula is an all natural sleep aid in addition to having a calming effect for the daily workings of any busy individual. Solgar - Gaba, 500 mg, 100 veggie caps Click on the button for…
  • Integrative Therapeutics Cortisol Manager Tablets, 30-Count

    SiteAdmin
    20 Aug 2014 | 1:55 pm
    Natural Sleep Aids Integrative Therapeutics Cortisol Manager Tablets, 30-Count - click on the image below for more information. A sound night's sleep leads to an increase in daytime alertness, reaction time, and a positive mood.It increases the ability to fall asleep and stay asleep - without morning grogginess - while providing all-day stress reduction.Cortisol Manager™ combines proprietary stress-reducing ingredient and cortisol-lowering botanical blends to help reduce stress and relieve occasional sleeplessness. Why a natural sleep aid that manages stress? Because a good day starts with…
 
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    Sleepio Blog

  • It’s not just the view you’re missing out on: workers in windowless offices lose sleep too

    Rosie Gollancz
    12 Aug 2014 | 5:49 am
    Photo credit: Banalities via flickr Sorry, not great news if you work in an office without windows… A recent study published in the Journal of Clinical Sleep Medicine, investigated daytime light exposure, sleep quality and health-related quality of life in employees who worked in windowless offices compared with those who worked in offices with natural daylight. Those workers in windowless offices reported poorer sleep quality, greater day-to-day limitations due to physical problems and reduced vitality. The windowless workers not only had reduced light exposure during the day but also less…
  • Sleep fact or fiction? Does counting sheep help you sleep?

    Rosie Gollancz
    4 Aug 2014 | 6:23 am
    Photo credit: Peter More It’s time to put another one of our favourite myths about sleep to our Sleepio experts to find out what’s sleep fact or sleep fiction. This time it’s the old classic – counting sheep. Some people count stars, Bing Crosby preferred to count his blessings. But back to sheep… so, does counting sheep help you sleep? Over to Dr Simon Kyle to find out more: Well, there is something in this… but it’s not got anything to do with sheep! The idea behind counting sheep is that it gives our brain something else to focus on rather than on the fact we’re not…
  • Sleep deprivation lowers our stress threshold

    Rosie Gollancz
    23 Jul 2014 | 5:03 am
    Photo credit: bottled_void via flickr Speaking in public can be pretty stressful… but imagine you’re told without warning that you have to give a presentation in the next few minutes, then halfway through your prep time, your pen and paper are taken away; then you have to present for a full five minutes you in front of a panel that give you no feedback or encouragement. As if that wasn’t bad enough, next is a mental arithmetic test. Just reading about it makes us feel a little panicky … Anyway, this is something called the Trier Social Stress Test, a genuine lab test to induce stress.
  • Increasing our time asleep potentially reduces food cravings

    Rosie Gollancz
    16 Jul 2014 | 8:37 am
    Photo credit: TownePost Network via flickr Studies have shown a link between reduced sleep and weight gain. Most of us will recognise that ‘need’ for carbs and sugar to get us though the day after a poor night’s sleep. There’s on-going research to find out which mechanisms in the brain might be responsible for that but a recent study has tried to address the question from the opposite perspective: does increasing our time asleep reduce our desire for certain foods? The small pilot study, published in the journal Appetite, recruited ten overweight males (who habitually slept less than…
  • Sleep fact or fiction? Does a Full Moon affect how we sleep?

    Rosie Gollancz
    9 Jul 2014 | 7:00 am
    Photo credit: DVIDSHUB There are legends in every part of the world about the power of a Full Moon and what it can do – everything from increasing fertility to causing insanity. But what about the effect it has on our sleep? Lots of people say that they experience problems sleeping at the time of a Full Moon so, as there’s one this weekend in the UK, we’ve put it to our sleep experts: does a Full Moon affect how we sleep? Over to Dr Simon Kyle for the answer … There might very well be something called ‘lunar insomnia’. Past research has suggested that the full moon could disrupt…
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    Sleep Junkies

  • First physical evidence of sleep's memory boosting powers

    Jessica Uno
    6 Aug 2014 | 1:43 pm
    For over a hundred years, scientists have been trying to demystify the connection between sleep and memory. Many advances have been made - we have proven that sleep deprivation impairs learning; being tired makes it harder to focus, and that sleep is needed to fortify memories for recalling them later. However, while researchers have always hypothesized that sleep improves our memory, we never had a good explanation for how. We may finally be getting closer to the truth. Sleep may promote learning and memory In June an exciting study was published by a joint US-China research team led by…
  • Do women need more sleep than men?

    Guest Contributor
    2 Aug 2014 | 11:50 am
    Battle of the sexes According to recent studies there's good evidence to suggest that women need more sleep than men. Researchers from Duke University found that women are likely to experience more physical and mental consequences that may have resulted from lack of sleep. The study suggests that women need more sleep than men because they do more multi tasking in the day than men and their brains need more time to recover. Women with sleep disorders are known to be more prone to depression, anger and sleep deprivation is linked to heart disease and inflammation. Recovery mode One of the…
  • Futuristic sleep-tracking gadget raises $1 million in 5 days

    Jeff Mann
    30 Jul 2014 | 7:51 am
    Is this the future of sleep tracking? Sense, a new gadget that tracks your sleep at night has just passed the $1 million mark on fund-raising site Kickstarter, after only 5 days of announcing their new product. Apps and wristbands Consumer sleep tracking technology has been with us for a few years now, and  most products fall into one of two broad categories. Standalone smartphone apps such as the popular Sleep Cycle, SleepBot and Sleep as Android turn your iPhone or Android device into a mini-sleep laboratory, to give you an idea of how long you slept, and how long you spent in REM and…
  • 4 basic sleep questions, answered

    Guest Contributor
    29 Jul 2014 | 11:19 am
    We spend a third of our lives doing it, and a large proportion of our lives talking about it. We either have too much or too little, substituting it with caffeine and cookies, and it can either get us off to a great day or define it as a bit of a downer. Yes; sleep really is an important part of our lives. But what is ‘sleep’? What does it mean? And why is it necessary? We probe a little deeper to find our more… First things first;  1) Why do we sleep? It might surprise you, but it is a question that has baffled scientists for centuries. The truth of the matter is – no one is really…
  • Can too much light in the bedroom cause obesity?

    Jessica Uno
    25 Jul 2014 | 10:57 am
    Many people recognize that factors like too little exercise or too many calories can lead to obesity.  A lesser-known risk factor for obesity is lack of sleep, which is suspected to cause hormonal changes affecting a person’s appetite. This is why a group of scientists at the Institute of Cancer Research in London decided to investigate what initially sounds like an unlikely pairing: how too much light in the bedroom correlates with obesity. The research team, led by Dr. Emily McFadden of the University of Oxford, worked together with Breakthrough Generations, a UK study of the causes of…
 
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