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What's Keeping You lip? By Ihor Magun, M.D., F.A.C.P. Insomnia is a very common problem. W hile it affects all age groups, sleep disorders become more prevalent after age 7 5 when the quantity and quality o f sleep begin to suffer. There are several types o f insomnia. Acute in somnia lasts less than three weeks and can be caused by jet lag, acute illness, emotional events, and schedule changes like those com m only associated with shift work. Chronic insomnia lasts for at least one month and causes significant distress or impairment o f social, occupational, and personal activities. It is frequently related to an underlying psychiatric problem, such as anxiety, depression, panic or post-traumatic distress. Condition insomnia is a response to acute insomnia - individuals focus on their inability to sleep and this, in turn, produces insomnia. Contributing factors to insomnia include cer tain prescription medications, caffeine containing bev erages (coffee, tea, some soft drinks), certain over the counter medications (like decongestants), alcohol, smoking, and certain herbs (e.g., ginsing). Physical causes o f insomnia include diseases o f the heart, lungs, and thyroid (both overactive and underactive). Individuals awakened frequently by uri nary needs, Alzheim er's disease and other types o f de mentia, and those suffering from chronic or acute pain are also unable to achieve deep, restful sleep. Measures used to address insomnia issues should include a physical examination. It is also help ful to keep a sleep diary and record sleep times, awak enings, meal times, activities, and medications. This can help you, and your physician, determine whether life-style and sleep-style changes are needed. A regular sleep routine should be maintained and followed, even on weekends. Restrict bed activi ties to reading and sex. If you read or talk in bed, avoid reading or discussing irritating topics. A void obvious caffeine beverages and nicotine. Alcohol, which pro duces initial drowsiness, can cause awakening or fragmented sleep later in the night, and should also be avoided. Regular exercise during the day or evening is helpful. So is a warm bath or shower before bedtime. Patients with psychiatric issues should be appropri ately medicated. It is important to note that early treatment o f insomnia m y prevent manifestations o f depression. For temporary relief o f insomnia, prescription pharmacological agents are available to restore normal sleep pattern. These are recommended because your physician can tailor the prescription to your individual needs. Care should be used with over the counter sleeping aids. M any are excellent and work well, but some can cause excessive daytime sedation or urinary problems (especially the inability to void freely). Baked Eggplant 2 medium eggplants 2 tablespoons olive oil 1 medium onion (chopped) 8 ounces chopped mushrooms 1 teaspoon chopped parsley 1 teaspoon basil 1 teaspoon oregano 1-1/2 pounds ground beef 1 egg white 1/2 cup grated Parmesan cheese 2 tablespoons Parmesan cheese 1/2 cup breadcrumbs W rap eggplant in aluminum foil and bake at 350 degrees for 1 hour. W hen done, remove foil, split eggplant lengthwise and scoop out pulp. Mash pulp and set aside. Brown onions and mushrooms in olive oil. Add parsley, basil, and oregano. A dd to mashed pulp. Brown beef and add to mixture. Beat egg white and 1/2 cup cheese. Add to mix. Stir in bread crumbs. Fill eggplant shells with m ix and sprinkle with remaining cheese. Bake at 35 0 degrees for 30 minutes 16 “НАШЕ ЖИТТЯ”, ЖОВТЕНЬ 2002 Видання C оюзу Українок A мерики - перевидано в електронному форматі в 2012 році . A рхів C У A - Ню Йорк , Н . Й . C Ш A.
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