Rapid responses are electronic letters to the editor. They enable our users to debate issues raised in articles published on thebmj.com. Although a selection of rapid responses will be included online and in print as readers' letters, their first appearance online means that they are published articles. If you need the url (web address) of an individual response, perhaps for citation purposes, simply click on the response headline and copy the url from the browser window. Letters are indexed in PubMed.
In the prevalent 24 x 7 global culture of night life fluorescence, sleep is easily the first casualty. Sleep deprivation is a noticeable phenomenon, drawing not just attention but concern too. In the context of hospital duties, continuous duties in the old school of thought that long hours ensure keen observation for the development of an 'astute' clinician have become less relevant; balance has to be struck between mental sharpness and fatigue, and this is now possible with continuous monitoring automated devices. Beyond the clinical community, both short and long term consequences of a lack of adequate sleep, mainly inflammation (1) which is central to many metabolic, endocrine, immunologic and degenerative conditions in populations, are fairly well understood. Sleep quality index (PQSI) and TST (total sleep time) make studies quantifiable. Links with metabolic syndrome and coronary artery disease (2) have been drawn, including the relation with circadian rhythm and chronobiology.
In the orient, hours of sleep matter as much as the duration, guidelines being getting to bed somewhere around 10 at night (two hours after dinner) until 5am (waking up before sunrise)--somewhat similar to the proverbial early to bed and early to rise.... Viewed from the perspective of large numbers of people with vague multiple symptoms and compromised QoL attributable to sleep deprivation, the right quality / duration of sleep can prove a panacea for many.
Dr Murar E Yeolekar, Mumbai
References:
1.Mullington J M, Simpson NS, Meier- Ewert HK, Haack M. Sleep loss and Inflammation. NCBI- NIH Best Prac Res Clin Endocrinol Metab. 2010 Oct : 24 (5) : 775-84.
2. A M Yeolekar , ME Yeolekar. Sleep and Coronary Artery Disease Risk. Indian Journal of Medical Specialities. Vol 5 , Issue 1, Jan-June 2014, 23-28.
Natural Sleep is a natural medicine for healthy life.
Sleep in human beings is different from animals and birds. Sleep equivalents are also noted even in plants .
Sleep will have different pattern in different species . Likewise sleep pattern will differ in fetus neonates infants children adolescents adults and in elders. There are some differences has also been noted in sleep between male and female.
Sleep pattern may be changed physiologically or pathologically. Sleep distrabances may be the cause or effects of many mental or physical diseases conditions of the mind or body.
In recent days drugs, toxins, diet, work pattern, alcohol ,cell phone, social media, light, sound, imagination, net surfacing, love and emotion can influences, one's sleep pattern .
So clear mind, adequate work, quite dim surrounding. healthy habits diet and electromagnetic radiation free environment will gives you a natural sleep without medication for it.
Competing interests:
No competing interests
04 March 2018
M.A. Aleem
Neurologist
A.M.Hakkim
ABC Hospital. Dhanalakshmi Srinivasan Medical College and Hospital
Annamalainagar Trichy 620018. Perambalur 621212. Tamilnadu. India
Re: Sleep—a panacea?
In the prevalent 24 x 7 global culture of night life fluorescence, sleep is easily the first casualty. Sleep deprivation is a noticeable phenomenon, drawing not just attention but concern too. In the context of hospital duties, continuous duties in the old school of thought that long hours ensure keen observation for the development of an 'astute' clinician have become less relevant; balance has to be struck between mental sharpness and fatigue, and this is now possible with continuous monitoring automated devices. Beyond the clinical community, both short and long term consequences of a lack of adequate sleep, mainly inflammation (1) which is central to many metabolic, endocrine, immunologic and degenerative conditions in populations, are fairly well understood. Sleep quality index (PQSI) and TST (total sleep time) make studies quantifiable. Links with metabolic syndrome and coronary artery disease (2) have been drawn, including the relation with circadian rhythm and chronobiology.
In the orient, hours of sleep matter as much as the duration, guidelines being getting to bed somewhere around 10 at night (two hours after dinner) until 5am (waking up before sunrise)--somewhat similar to the proverbial early to bed and early to rise.... Viewed from the perspective of large numbers of people with vague multiple symptoms and compromised QoL attributable to sleep deprivation, the right quality / duration of sleep can prove a panacea for many.
Dr Murar E Yeolekar, Mumbai
References:
1.Mullington J M, Simpson NS, Meier- Ewert HK, Haack M. Sleep loss and Inflammation. NCBI- NIH Best Prac Res Clin Endocrinol Metab. 2010 Oct : 24 (5) : 775-84.
2. A M Yeolekar , ME Yeolekar. Sleep and Coronary Artery Disease Risk. Indian Journal of Medical Specialities. Vol 5 , Issue 1, Jan-June 2014, 23-28.
Competing interests: No competing interests