Shorter Sleep , Shorter Life | Consequences of Sleep Deprivation

Medical field, health profession, doctors are  individuals that directly linked to fixing and sustaining well being.
But I wonder why there's no gym in any government hospitals?Do they have one in Europe or States?
Definitely not in Malaysia and Bangladesh.

At least they could compromise with sleep.

It's funny but a man who sleep 5 hours per day has smaller testicles than a guy that sleeping for 7, 8 hours.
Basically it causes your testosterone level to drop to the level as if you're 10 years older than your real age.

That's definitely not good for a healthy reproductive system and well being.

Why we have to construct a system that torture doctor deliberately?
It was a torture while studying and it remains the same while you're working.
The only soothing part is, you getting paid during the latter.

Lack of sleep hampers hippocampal's function and decision making profoundly.
Constant learning, memorizing, remembering,taking right immediate action are crucial for a doctor but..

Then how could a houseman be efficient throughout the day?
Preparing us?Sounds like a bad way to prepare a health care provider.
Such system adapt more into the notion of disease care provider.

Let's see what it does to our heart by referring daylight saving time as a reference.

Daylight saving time is the practice of advancing clocks during summer months so that evening daylight lasts longer, while sacrificing normal sunrise times.
Typically, regions that use daylight saving time adjust clocks forward one hour close to the start of spring and adjust them backward in the autumn.

So it causes a lost hour of sleep in the spring and an extra hour of sleep in the fall.

It's sort of a global experiment on 1.6 billion people from 70 countries.

During spring,when we lost 1 hour of sleep, there's a subsequent 24% increase in heart attacks that following day.

In autumn when we gain an hour of sleep,we see 21% reduction in heart attacks.

When we sleep for 4 hours,our body's natural killer cells decrease by 70%.
Maybe that is why in 2007,World Health Organization classified night shifts as probable carcinogen due to circadian disruption.

We human made it such a way.Sleeping as laziness , sleep deprivation as ambitious.
Waking up late as laziness while going to bed early isn't.It the same coin with two sides.


Sometime the whole system especially the industrial system pay us money in exchange for our health in long run.
Maybe it's our job to aware of this and spend extra time and do some homework on how to reduce the negative impact it has on our health.

The two thing to achieve a good sleep other than avoid caffeine and alcohol is, sleep at the regular time everyday and in order to induce and sustain a good night,the temperature shouldn't be too high.
To keep it simple,shorter sleep, shorter life.

Why Man Get Bored of the Same Woman?Coolidge Effect & Pornography Addiction

   

The downside of internet. Correction.Consequences of parents allowing the usage of mobile phone way too early.

This reminds  me of a case.A complete stranger that dm me of his problem.

Pornography.

It was the first time someone approached me with such a problem.

Other than drugs, alcohol,over eating,this is a form of addiction as well.But in today's world,new sort of addictions are there as well like comments,selfies,virtual likes,games,phones,even shoes and handbag.Mankind don't limit themselves creating new problems and addiction.Maybe part of homosapien's evolution.

Well,back to this person x.

He was confused between sex and watching porn.

There's a saying that sex is healthy and it's essential for a healthy relationship.

Sometime I'm little confused about transmuting sexual energy  into creating whatever we want.That's a whole different topic but addicted to porn and masturbating isn't sex in the first place.It's addictive because as other addiction,it induce dopamine within our brain.Sex with a partner induce cocktail of hormones within our brain.It's different.

He asked me something.

"Day by day, I'm feeling weird..I want to watch them but I don't feel the same good feeling as before."

"How long have you been addicted to pornography?"I asked.

"Since I'm 14."

"How old are you?"I questioned.

"25 ,"he replied.

"So why are u seeking me?You want to stop your addiction or you want to know why you're not getting the same feeling?"I replied.

He didn't reply for sometime.

The funny thing about studying this problem is, researcher don't have a control group.It's not like studying lung cancer and cigarette.There will be a group that don't smoke .If such group doesn't exist,lung cancer would be considered as common for male.

In this case, there's no abstinence group to act as a control.That's the problem.Almost every male had experience with porn.

Yet there is a group that act as a control.

Let me talk about them after I explain what is Coolidge effect.

The Coolidge effect is a biological phenomenon seen in animals, whereby males exhibit renewed sexual interest whenever a new female is introduced to have sex with, even after cessation of sex with prior but still available sexual partners.

Okay,the definition is quite confusing.Let me put them in simple words.

The Coolidge Effect is a phenomenon based on mammal sexuality and why men specifically get tired of having sex with the same partner over time. 

For a male that took 10 minute to complete his task with a lady that he have been making love for past 5 years,he will get the job done in 2 minute flat with a new lady.

That's what this effect all about.

This isn't the case in pornography.They need new videos to get the same arousal.Same video won't be effective with time.With time,the part of the brain that send the signal of arousal which is responsible for erection will become desensitized.It leads to erectile dysfunction.Those who ended up with erectile dysfunction is the control group I mentioned earlier.They will stop watching porn.

Systematic desensitization in psychology serves us. Systematic desensitization is a behavioral technique whereby a person is gradually exposed to an anxiety-producing object, event, or place while being engaged in some type of relaxation at the same time in order to reduce the symptoms of anxiety such as phobias. 

Here, it's a different scenario.

The good news is,brain is plastic.ED due to such condition without pathological problem is reversible.

For young man,it takes around 5 month while for elder man,it only took 2 to 3 months.

Miracle of sexual energy.

A week ago.

Trying new brand.

Trying longjack/

eurycoma longifolia or aka Tongkat Ali as natural testosterone booster.

Honey and peanut for voice,brain and muscles.

For help,mail at pranasteya@gmail.com.

Types Of Neck Swellings | Triangles of the Neck

Swelling of Neck

Few more weeks to go and the weather is making things worse.

People having fun with the weights.

It was a nice long drive.

Okay,this post won't be useful for general readers.This is for medical students and doctors.Even for my self as a reference.


Swellings in the neck
Swellings in the neck are caused by innumerable pathological lesion arising from the anatomical structure lying within.

I'm going to classify them in two category;according to structures and nature and location.

Skin and superficial fascia
Sebaceous cyst
Lipoma
Fibroma

Lymphatics
Cystic hygroma
Solitary lymphatic cyst

Lymph nodes
Inflammatory
Neoplastic
Reticulosis


Blood vessels
Aneurysm
Hemangioma
Carotid body tumour

Nerve tissue
Neurofibroma

Thyroid gland 
Inflammatory
Neoplastic
Autoimmune disease

Pharynx
Pharyngeal pouch

Larynx
Laryngocele

Branchial arch remnant
Brachial cyst

Thyroglossal duct remnant
Thyroglossal cyst

Salivary Gland
Inflammatory
Neoplastic
Autoimmune disease

Most of the neck swellings can often be diagnosed from the history and physical signs alone.
The most common swelling in the neck are of lymph node origin and the most likely causes of lymphadenopathy are infection and metastatic spread of cancer.

Lymph nodes -85%
Goiters-8%
Others-7%

Lymph nodes are recognised by the physical sign more easily when multiple then when solitary. Solitary lymph node swelling is a great diagnostic challenge.

Goiters are swelling of the thyroid gland .They are distinguished from other lump in the neck by the fact that they move on swallowing.

Triangle of The Neck and Surgical Anatomy

Anatomically ,the swellings of the neck can be classified into 2 groups.  Situated in the midline and lateral.
The anterolateral part of the neck is conventionally divided into an anterior and posterior triangle by the sternomastoid muscle.By pressing the jaw laterally against the resistance of one's hand the sternomastoid become taut.
This muscle helps to define two triangles.The anterior triangle is bounded by the midline from chin to manubrium, posteriorly by the anterior border of the sternomastoid and above by  the lower border of the mandible.It can be subdivided by the digastric muscle and the omohyoid muscle into the to suprahyoid submental carotid and   muscular triangles.

The posterior triangle is bounded anteriorly by the posterior border of the sternomastoid, posteriorly by the anterior border of the trapezius and below by the middle third of the clavicle.For clinical evaluation,the swellings in the neck can be grouped in one of these easily definable triangles.

Classification

Cystic swellings
1.Ranula
2.Cervical dermoid
3.Subhyoid bursal cyst
4.Thyroglossal cyst
5.Cyst in relation to isthmus of thyroid gland.
6.Cold abscess in space of burns
7. Aneurysm of artery

Solid swellings
1.Lymph node swellings.
*Submental
*Pre-laryngeal
*Pre-tracheal

2.Thyroid gland swelling (moves up with swallowing)
*Diffuse swelling
*Solitary nodule
*Multinodular

3.Bony growth arising from the manubrium.

4.Rarely persistent thymus

5.Rarely ectopic thyroid

All the midline swelling are included within the anterior triangle.

Lateral Swellings- Cystic and solid
For better clinical assessment, lateral swellings can be grouped according to their location within any of the three triangles of the neck:
(a)sub- mandibular triangle
(b) carotid triangle
(c) posterior triangle

Submandibular Triangle
Cystic swellings
1.Plunging ranula
2.Lateral variety of sublingual dermoid
3.Retention cyst of salivary gland.

Solid swellings
1.Submandibular salivary gland
*Tumor
*Sialitis
*Sialolithiasis
*Sjogren's syndrome
2.Lymph node swelling

Carotid Triangle
Cystic swellings
1.Branchial cyst
2.Abscess in lymph node glands
3.Carotid aneurysm
4.Cystadenoma of lateral lobe of thyroid
5.Laryngocele

Solid Swellings
1.Carotid body tumour
2.Lymph node swelling
3.Solid swelling of lateral lobe of thyroid
4.Sternomastoid tumour
5.Bronchiogenic carcinoma

Posterior Triangle
Cystic Swellings
1.Cystic hygroma
2.Solitary lymphatic cyst
3.Abscess in lymph node
4.Pharyngeal pouch
5.Subclavian aneurysm

Solid swellings
1.Lymph node swelling
2.Cervical rib

Swellings anywhere in the neck
1.Sebaceous cyst
2.Lipoma
3.Fibroma
4.Neurofibroma
5.Haemangioma

Hope it helps.

This might be useful as well.