0 Dont ignore the snore Snoring may be early sign of future health risks

Heres a wake-up call for snorers: Snoring may put you at a greater risk than those who are overweight, smoke or have high cholesterol to have thickening or abnormalities in the carotid artery, according to researchers at Henry Ford Hospital in Detroit.

The increased thickening in the lining of the two large blood vessels that supply the brain with oxygenated blood is a precursor to atherosclerosis, a hardening of the arteries responsible for many vascular diseases.

"Snoring is more than a bedtime annoyance and it shouldnt be ignored. Patients need to seek treatment in the same way they would if they had sleep apnea, high blood pressure or other risk factors for cardiovascular disease," says lead study author Robert Deeb, M.D., with the Department of Otolaryngology-Head & Neck Surgery at Henry Ford.

"Our study adds to the growing body of evidence suggesting that isolated snoring may not be as benign as first suspected. So instead of kicking your snoring bed partner out of the room or spending sleepless nights elbowing him or her, seek out medical treatment for the snorer."

The study reveals changes in the carotid artery with snorers – even for those without sleep apnea – likely due to the trauma and subsequent inflammation caused by the vibrations of snoring.

Study results will be presented Friday at the 2013 Combined Sections Meeting of the Triological Society in Scottsdale, Ariz. It has been submitted to The Laryngoscope journal for publication.

Obstructive sleep apnea (OSA) – a sleep disorder that occurs due to the collapse of the airway in the throat during sleep and causes loud snoring and periodic pauses in breathing – has long been linked to cardiovascular disease, along with a host of other serious health issues.

But the risk for cardiovascular disease may actually begin with snoring, long before it becomes OSA. Until now, there was little evidence in humans to show a similar connection between snoring and cardiovascular risk.

For the Henry Ford study, Dr. Deeb and senior study author Kathleen Yaremchuk, M.D., reviewed data for 913 patients who had been evaluated by the institutions sleep center.

Patients, ages 18-50, who had participated in a diagnostic sleep study between December 2006 and January 2012 were included in the study. None of the participants had sleep apnea.

In all, 54 patients completed the snore outcomes survey regarding their snoring habits, as well as underwent a carotid artery duplex ultrasound to measure the intima-media thickness of the carotid arteries.

Carotid intima-media thickness, a measurement of the thickness of the innermost two layers of the arterial wall, may be used to detect the presence and to track the progression of atherosclerotic disease. Intima-media thickness is the first sign of carotid artery disease.

Compared to non-snorers, snorers were found to have a significantly greater intima-media thickness of the carotid arteries, the study finds.

The study also revealed no statistically significant differences in intima-media thickness for patients with or without some of the traditional risk factors for cardiovascular disease – smoking, diabetes, hypertension or hypercholesterolemia.

"Snoring is generally regarded as a cosmetic issue by health insurance, requiring significant out-of-pocket expenses by patients. Were hoping to change that thinking so patients can get the early treatment they need, before more serious health issues arise."

The Henry Ford research team plans to conduct another long-term study on this topic, particularly to determine if theres an increased incidence of cardiovascular events in patients who snore.

0 Signs a sign of puberty

Teenagers are transitional childhood toward adulthood. Adolescence WHO ranged from 12 to 24 years. Adolescence begins with the transition period, known as puberty or puberty. Everyone will experience this phase. The term is often used to puberty is puberty. At puberty there is a development of physical and psychological growth which sometimes do not understand teenagers. Along with these developments often occur several health problems in adolescents. These issues are discussed in the article Health Problems in Adolescents

Puberty or puberty is a term for the time when a child changes physically, psychologically and maturation of sexual function. Physical growth occurs very rapidly and irregularly. The changes that occur in every child is different. At puberty the changes were very noticeable and requires adjustment to the social environment. When someone is experiencing puberty so he can reproduce and continue the biological offspring, but not necessarily ready to have offspring in terms of economic and psychological aspects. Puberty in males characterized by wet dreams while in women is characterized by the first menstruation (menarche)

Puberty occurs because the body begins to produce hormones that reproductive function of sex for procreation and physical changes. Contained sex hormones in women are estrogen and progesterone while for boys affected by hormone testosterone. In about the 1950s puberty begins at the age of 15 years, but is now about 10-13 years old. It varies per person. Factors that are thought to cause socio-economic factors, climate, number of family members as well as the nutritional status of the body, the better accelerate readiness.

Puberty in Boys

In males the changes include physical and psychological changes. Physical changes marked by the development of secondary sex signs include growth of hairs in the armpit, the area around the genitalia, mustache, beard, sideburns, chest hair, Adams apple growing, the sound becomes large and heavy, and is characterized by reproductive functioning. Psychological changes such as the emergence of attention to yourself and the opposite sex, to be recognized , do not want to depend on others, and so on.

In society we often hear the term second puberty in males. These terms do not exist. This term arises because of gender-related factors. At the age of 35-40 years a man was worried about his appeal to the opposite sex. So at this age he wanted to show again his ability to showcase his appeal to the opposite sex.

Puberty in women

In the last century menstruation begins at an average age of 16 years. While adolescent girls this centurys body grew at an average age of 8-9 years and experienced menarche at an average age of 12 years. Every day, the earlier age of menarche. Media influences sexual information more easily also affect the brain so quickly turn sexual hormones.

Physical changes in girls is characterized by body shape squiggly, growing breasts, the skin becomes smoother, softer voice, growth of hairs in the armpits and around the genitals. Psychological changes that occur as a more sensitive feelings, to watch the opposite sex, like dressed themselves in the mirror and others.

The changes that women experience during puberty

The body becomes higher

Hip width plus

Breasts begin to grow

In certain areas such as the armpits and pubic hair from overgrown

Started having periods

With puberty occurs sexual maturity ie reproductive organs already functioning (the egg and sperm cells are ready to conceive) that was able to reproduce and continue the descent. In men characterized by the growth of a wet dream and secondary sexual organs while women marked by menarche or first menstruation.

The changes experienced is caused by changes in hormone sistent towards sexual maturity. Hormonal changes that also affect mood. This way of thinking also changed because adolescent brain development.

Communicate changes to the Parents

The reaction of each youth to different mechanisms of puberty, there are palpitations, confusion, or mediocre. Teens sometimes pounding notice the changes that occur in the body or sometimes feel mali and inferior to these changes and was not ready and still want to be kids. All feelings are normal.

The most important thing is to always try to establish communication to the parents. How to communicate this change depends on the type of parents we are. Some parents are open to children in the matter of sex education so that children easily blunt the changes that happened to the parents, even parents providing information and knowledge to the children about the changes they experienced.

There are also parents who are closed and less open to children and think about sex is a taboo issue. Against such types of parents we should take initiative to open a conversation and begin to tell the changes that we experienced with the proper consideration. For girls communicated first to the mother while the boys first told my dad when he feels ashamed to tell my parents.