Page 56 - 31OCT2018E
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The worst thing in the world



      is to sleep or not to sleep





                                                                         Milind Sovani (UK), Dr. David Cunning-
      Almost entire country is suffering from sleep disorders but        ton, Dr SSK Heranganahally (Australia),
      policymakers have not given a serious thought to this grave menace   Dr Mahesh Babu (Singapore), Dr. Farhan
                                                                         Shah (Sweden), Dr. Anoria (Sri Lanka), Dr.
      likely to take a shape of epidemic causing a huge loss to productivity,   Ramesh Chokhani and Dr. Milesh Saja-
      writes mudit mathur                                                pati (Nepal).
                                                                           Medical disorders relating to sleep
               ur Constitution guarantees   hours putting them at high risk, not only   are not new but its diagnostics and treat-
               right to life and liberty to   to sleep disorders but also various seri-  ment in India is just in its infancy stage as
               every person whosoever   ous syndromes such as cardiovascular   no priority is accorded to this grave con-
               resides in Indian subcon-  complications including stroke, Hyper-  cern which impaired quality of human
     O tinent. This precious fun-      tension, Ischemic Heart disease, poor   life as insufficient sleep led to fatigue and
      damental right has been magnified and   diabetes and Blood Pressure Control. It   sleepiness during working hours and
      decorated with other inextricably blend   has enhanced the risk of vehicular and   sometimes even speakers on the dais
      ancillary rights such as humane, healthy   industrial accidents, with never ending   seen taking nap during important meet-
      conditions of living including right to   trails of untimely deaths.   ings causing huge embarrassment to au-
      sound sleep. Despite this constitutional   This unequivocal anxiety of experts   dience and dignitary himself.
      philosophy and mandate to achieve   emerged at 4th International conference   Sleep is necessary but it functions,
      goals set therein our people spend on                              Physiology and Pathophysiology have
      third of their precious life in sleep even                         been envisioned with the explosion
      during working hours. Entire country   Insomnia is the             of knowledge. Its research opened the
      is suffering from disorders of sleep but                           doors to the field of sleep medicine as we
      policy makers have not given a serious   most common sleep         know today. It has achieved incredible
      thought to this grave menace likely to   disorder, with ‘some      advancements in research and clinical
      take a shape of epidemic causing a huge                            experiences and sleep medicine edu-
      loss to productivity in the south-eastern   insomnia problems      cation. Eminent International and Na-
      region of the world.               over the past year’             tional faculty on this subject assembled
        Insomnia is the most common sleep                                to interact about advancements in the
      disorder, with ‘some insomnia prob-  reported by 30 per            field. Internationally, sleep disorders are
      lems over the past year’ reported by 30   cent of adults, and      classified in six major categories: Insom-
      per cent of adults, and chronic insomnia                           nia, Sleep related breathing disorders,
      by 10 per cent.Prevalence of obstruc-  chronic insomnia by         Hypersomnias, Circadian rhythm sleep
      tive sleep apnoea, characterized by res-                           disorder, Parasomnia, Obstructive Sleep
      piratory difficulties during sleep, is also   10 per cent          Apnea Syndromes (ADULT & pediatric),
      high with estimates of 9–21 per cent                               Restless Legs Syndrome etc.
      in women and 24–31 per cent in men.                                  In his inaugural address, Director
      Problem in India multiplied many times   of South-East Asian Academy of Sleep   AIIMS Delhi, Dr Guleria said that at-
      following the use of electronic devices   Medicine (ICSD-2018) held in Lucknow   tempts to medicinally induce sufficient
      and smart phone addiction prevalent   on October 13-14, 2018, where more than   amounts of sleep have occurred since
      in even the small kids making them   500 Physicians and Chest Physicians,   the advent of the medical arts, but the
      vulnerable to sleep disorders. Blue light   Neurologist, Psychiatrist, Dentist, Pedia-  health implications of failing to main-
      screens, i-phones, electronic gadgets   tricians and ENT surgeons participated   tain a correct balance of sleep/wake has
      not only impaired vision but stop sleep.   in deliberations. Director of AIIMS Delhi,   only recently become widely appreciated
      Most important is when you eat. Undue   Prof Dr Randeep Guleria inaugurated the   both in the medical arena and among the
      work pressure and unrealistic targets   conference with the imminent presence   general public. Inappropriate amounts
      of employment conditions, without   of Prof David White (Harvard), Dr Meeta   of sleep have been linked to cognitive
      proper sound sleep of minimum eight   Singh, Ms Toni, Ms Lata Casturi (USA), Dr.   impairment, immune suppression and



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