Features
Shift work and brain damage
What do we know about the inner workings of the human brain? Everything that humans do is based on the unit structures of the human brain-the Neurons.
Neurons are the building blocks of the human brain. Just as an ant cannot build an ant hill, a single Neuron cannot create an idea to remedy a situation or condition.
Neurons must be networked to each other and by so doing create a unique platform for ideas to be formed to solve issues, develop ideas, invent and innovate, etc. There is absolutely nothing that you can do without the help of these neurons.
When the brain is affected by disease or injury, a lot is affected. Getting the children off to school in the morning and cooking dinner in the afternoon goes from normal to an oddity. Keeping up with to-do lists with important meetings and your little one’s training time table becomes impossible.
It might be difficult to do your job. It might be difficult to keep track of your body. It might affect the loved ones and what you love the most. It can change your life and your lifestyle. It can shorten your life. Therefore, we need a brain health strategy on how to best prevent disease and injury, and how to best investigate and treat them.
How we can best help patients and their families to cope with disease and injuries that affect the brain. Society benefits hugely from preventing brain diseases on improving the health services for those affected. Active and equal participation from users is vital to create better brain health within the population.
Prevention of brain diseases, good and equal treatment, follow up and rehabilitation, as well as increased research and expertise, is a good social investment and an investment in the individual.
SHIFT WORK AND SLEEP
In today’s competitive economy, an increasing number of U.S. businesses operate to meet customer demand for 24/7 services. These around-the-clock operations are required in order to maintain a place in the global market where transactions with clients, suppliers, and colleagues can span multiple time zones.
Consequently, for many men and women, the workday no longer fits the traditional 9-to-5 model. They may clock in at midnight and out at 8:00 in the morning, or they may follow a rotating shift work schedule consisting periodic day shifts, evening shifts, and night shifts.
Since our body clocks typically are set for a routine of daytime activity and night time sleep, working irregular shifts or night hours can be associated with disrupted or insufficient sleep.
In turn, drowsiness, fatigue, and circadian rhythm disruption from too little sleep or interrupted sleep are associated with risks for dysfunction of the immune system, diabetes, cardiovascular disease, and other chronic health problems.
As non-traditional schedules become more common, it becomes increasingly important to understand who may be at risk of unintended job-related outcomes, and why. From that knowledge, employers, workers, and practitioners can better craft practical, effective interventions.
Scientists are extremely slow in their endeavours and know little about the prevalence of sleep disorders broadly in the U.S. workforce because, to date, most studies have been limited to selected occupational groups, geographic areas, and types of sleep disorders.
In a study published on-line earlier this month in the peer reviewed journal Occupational & Environmental Medicine, we designed a larger investigation that would not be subject to those limitations.
We used data from the National Health and Nutrition Examination Survey (NHANES), conducted by the National Centre for Health Statistics, one of our partner centres in the U.S. Centres for Disease Control and Prevention.
Ours was the first-ever study using a nationally representative sample of the U.S. working population to examine the role of shift work in sleep quality, sleep-related activities of daily living, and insomnia.
Our nationally representative sample included 6,338 adults, 18 years of age and older. They were asked to complete a survey questionnaire covering sleep duration, sleep disorders, sleep quality, impairment of sleep-related activities of daily living (ADL), and insomnia.
To determine the shift schedule worked by each individual, they were asked which choice best described the hours they usually worked: regular daytime (any hours between 6 a.m. and 6 p.m.), regular evening shift (any hours between 4 p.m. and midnight), regular night shift (any hours between 7 p.m. and 8 a.m.), rotating shift, or another schedule.
Based on a recommendation by the National Sleep Foundation that adults should sleep seven to nine hours per night, we created two categories of sleep duration for the study: either less than seven hours referred to as short sleep duration, or seven or more hours.
From our study of this large, nationally representative sample, we concluded that sleep-related problems were common among workers, especially among night-shift workers who had the highest risks for sleep problems.
Moreover, these risks among night-shift workers persisted even after we adjusted for potentially confounding factors, such as long working hours, socio-demographic characteristics, and health/lifestyle/work factors.
to be continued
Features
Monsieur’s daughter —(Part 2)
David rose and opened the door to the spare room. It was neat, as everything else in the house. He sank into the bed and stared at the ceiling. He had never hoped or expected his life to turn out that way.
Until some 12 hours ago, all seemed to be going well. He had already made a huge impact on his students, and the school. He was doing some extra-curricular work which was bringing in decent, regular income.
He had married a great looking, responsible young lady, and they had been blessed with a beautiful daughter. The future could only be bright.
Yet all that had come crashing down. Gladys had been having an affair with her ex-boyfriend, during her pregnancy when he came to Ghana briefly, and over the last few days, when he returned.
He confronted her with the evidence, and her denial was pathetic. It was over. He had pointed that out to her. Over the next hour he did a systematic review of the changes he would make.
The marriage was certainly over. And sadly, so was the Aboso SSS job. He would take a new major step in the next three months. As he was drifting off to sleep, his wife brought Sarah into the hall to breastfeed her. He woke up to rock her to sleep as usual, and went off to sleep.
The following morning, he left early for Agona Nkwanta, and informed his parents about the latest developments. They were devastated, but promised to back him in every steps he took. He got back to school during the first break and carried on with his work.
He stayed on at work till after seven, renewing application procedures for a Master’s Degree programme in Germany which he had deferred. When he got back home his wife’s parents were waiting. His father-in-law wasted no time to get to the point.
“My son, we came here with a simple, though difficult, task. Our daughter has confessed to us that she has offended you greviously. She went behind your back and had, er, an affair, with a young man with whom she was previously in a relationship. She admits that she was foolish.
She says that her actions do not reflect a lack of respect for you as her husband, or her love for you. We are on our knees, my son, pleading with you to have mercy on her, take her back into your arms and get on with your life as man and wife. I have great confidence in you, that a great future awaits you. I’m humbly asking for your forgiveness, my son.”
“You have spoken well, Daddy. I have great respect for you and Mummy. You have been very kind and helpful to me, since I met Gladys. I regret, however, that I cannot be reconciled to her.
You see, Gladys resumed the relationship with Simon when he returned to Ghana some months ago. She was spending time with him at the hotel at a time when, as far as I know, she was carrying my child. And since he returned to Ghana a few days ago, they have continued to spend time at the hotel.
So this is not a one-off thing. It is a relationship. I’m not going to say or do anything publicly, but the relationship is over. I will give her my fullest cooperation to give our daughter the best of care, but I will certainly move on with my life.”
“I have heard you, my son. Your reaction is both predictable and justified. Here’s what I will do. I will give you a little time to think about my humble petition, and I will pray that God himself will touch your heart to tamper justice with mercy, and save this marriage.”
After this, two delegations from Gladys’s family went to engage David’s family to plead for restoration of the marriage, but he was adamant. They continued to live in the flat, apparently as man and wife, but although he didn’t disclose his plans to her, she knew that he would eventually move out. One morning, as they were leaving for work, Gladys issued an emphatic threat.
“David, my parents and relatives have been to see you, and virtually fallen at your feet, begging you to forgive me for my mistake, and allow us to move forward as man and wife, and take care of Sarah.
But it appears that you are a perfect human being who does not make mistakes, and will, therefore, not forgive mistakes. Okay, you can take whatever step you want to take, but remember I also have an option. I will teach you a very bitter lesson, a lesson which you will never forget till you die.”
David smiled and eased himself out.
A couple of days later, David got home to find that Sarah was not around.
“Where’s Sarah?” he asked her.
“Ah, David” she said with mock politeness, “there’s something I need to tell you. You see, Sarah is not actually yours. She is Simon’s baby. I’m very sorry for misleading you. Really sorry. I’m sure that being a young man, you will be able to find a nice young woman who will give you children as beautiful as Sarah.”
David stood and stared at her for a very long time while she laughed herself into stitches. Then he stormed out and took a taxi to his parents’ house. After listening to him, his father told him his blunt, hard opinion.
“My son, I want you to brace yourself for a tough time. It is obvious Gladys wants to punish you for rejecting her. She must have thought out her plan well before coming out to tell you.
You may want us to report to the police, social welfare or what have you, but my feeling is that if you play her game, she will string you round her finger for a long time. Therefore, I think you should call her bluff. Ignore her, difficult as it may seem. No matter how long it takes, the child will come back to us.”
“Mama, what do you think?”
“I agree with your dad. Of course, there’s always the possibility that Sarah will actually be Simon’s, but it is highly unlikely. She has just connived with him to steal your child. Let’s ignore her. She will expect you to confront her and so on, but leave her alone.”
“I will do as you say, Mama and Dada, even though it is very difficult. I will ask her to move out of my house. I will stay the night, and go back to Aboso tomorrow morning.”
There was no evidence of Gladys when he got home. She had cleared the house of virtually everything. David replaced some basic stuff whilst focusing on his next move. He found a replacement teacher for the school, and resigned.
Although, he tried to leave quietly, the students, teachers and parents organised a party for him. There was great outpouring of grief as most people had learnt about the circumstances under which he was leaving. As a token of appreciation for his passion for work, the school authorities named the playground Monsieur Park after him. He left for Germany, promising himself to work hard to put the last bitter experience behind him.
By Ekow de Heel
Features
Migraines: Understanding the causes, symptoms, and treatment options
Migraines are a type of neurological disorder characterised by recurrent episodes of severe headaches, often accompanied by sensitivity to light, sound, and nausea.
According to the American Migraine Foundation, (AMF) over 39 million people in the United States suffer from migraines, with women being three times more likely to experience them than men.
In this article, we will delve into the causes, symptoms, and treatment options of migraines, as well as provide tips on how to manage and prevent them.
What are migraines?
Migraines are a complex neurological disorder that affects not only the brain but also the nervous system and blood vessels. During a migraine episode, the blood vessels in the brain expand, leading to inflammation and pain.
Symptoms of migraines
The symptoms of migraines can vary from person to person, but common symptoms include:
1. Severe headache: A throbbing or pulsating headache, usually on one side of the head.
2. Sensitivity to light and sound: Increased sensitivity to light, sound, and sometimes even touch.
3. Nausea and vomiting: Feeling queasy or vomiting, which can lead to dehydration.
4. Dizziness and vertigo: Feeling lightheaded or experiencing spinning sensations.
5. Aura symptoms: Some people experience aura symptoms, such as flashing lights, zigzag patterns, or numbness, before the headache begins.
Causes and triggers of migraines
While the exact cause of migraines is still unknown, research suggests that a combination of genetic, environmental, and hormonal factors contribute to their development. Common triggers of migraines include:
1. Genetics: Family history plays a significant role in migraine development.
2. Hormonal changes: Fluctuations in estrogen levels, such as during menstruation or menopause.
3. Stress: Physical or emotional stress can trigger migraines.
4. Sensory stimuli: Bright lights, loud noises, or strong smells.
5. Food and drink: Certain foods, such as aged cheeses, citrus fruits, or foods containing MSG or tyramine.
6. Sleep patterns: Changes in sleep patterns, such as insomnia or oversleeping.
7. Environmental factors: Changes in weather, altitude, or exposure to chemicals.
Treatment and management options
While there is no cure for migraines, various treatment options can help alleviate symptoms and prevent future episodes. These include:
1. Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, or prescription medications, such as triptans or ergotamines.
2. Lifestyle changes: Maintaining a consistent sleep schedule, staying hydrated, and avoiding triggers.
3. Relaxation techniques: Stress-reducing activities, such as meditation, yoga, or deep breathing exercises.
4. Chiropractic care: Spinal manipulation and other chiropractic techniques may help alleviate migraine symptoms.
5. Alternative therapies: Acupuncture, massage, or herbal supplements, such as feverfew or butterbur.
Preventing migraines
While migraines can be unpredictable, there are steps you can take to reduce their frequency and severity:
1. Keep a headache diary: Tracking your migraines can help you identify patterns and triggers.
2. Maintain a consistent sleep schedule: Irregular sleep patterns can trigger migraines.
3. Stay hydrated: Dehydration is a common migraine trigger.
4. Avoid triggers: Identify and avoid triggers, such as certain foods or sensory stimuli.
5. Manage stress: Engage in stress-reducing activities, such as meditation or yoga.
When to seek medical attention
While migraines can be debilitating, some symptoms require immediate medical attention:
1. Severe or frequent migraines: If you experience more than 15 headache days per month.
2. Increasing frequency or severity: If your migraines worsen over time.
3. Aura symptoms: If you experience aura symptoms, such as numbness, weakness, or difficulty speaking.
4. Headache with fever: If you have a headache accompanied by a fever, confusion, or stiff neck.
5. Recent head trauma: If you have experienced a recent head injury.
Conclusion
Migraines are a complex and debilitating neurological disorder that affects millions of people worldwide. While there is no cure, various treatment options and lifestyle changes can help alleviate symptoms and prevent future episodes.
By understanding the causes, symptoms, and treatment options of migraines, you can take control of your condition and improve your quality of life.
By Robert Ekow Grimmond Thompson
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