Friday, June 7, 2019

Column: Enough sleep despite child? Does not exist!

            

Blissfully sleeping super-kids? All lies!

It took me until I found out the unbelievable: Everything was lying! The dark circles of the mothers with their alleged super-children were not the result of a failed make-up, but had the same origin as mine. At some point, the werewolf broke through in them as well. Then it was wildly beleagured at the little Serafina, who apparently had her first tooth for weeks and did not want to sleep for one night. Big howls also about the otherwise so blissfully slumbering Frederik, who threatened to suffer a heart attack at every look on his cot. No, at that moment I realized with no small amount of satisfaction: Not only was my child a nocturnal alien. All children are aliens when it comes to sleep!

This insight really comforted me at a time when I had already learned to fall asleep standing upright without falling over. And not only that: at that moment, the saying of shared and half suffering was closer to me than ever. This felt solidarity again gave me a certain looseness. Educational counselor on the topic of sleeping, which I enjoyed reading my moonlight rounds, I banished completely from my apartment. I did not get much smarter though. But suddenly I had the certainty that the rhythm would come. That I just have to trust Marlene and me and our relationship. And suddenly it also worked with sleeping.

Falling asleep obstacles: Manatees and Child Raiders

Of course, there were still tons of different sleep obstacles. There was, for example, the phase in which Marlene did not want to fall asleep without first wishing everyone in the apartment a good night's sleep. Or those in which incredibly large manatees under the bed were at work. Not to mention the evil wizard in the closet. And only the child robber, who would sneak into our apartment at night, in the opinion of my daughter, to steal them.

We have always found some amicable way to deal with these difficulties. Against the robbers there was a magic spell that locked the front door. The manatee we put an apple under the bed. And the evil wizard was transformed into a lovable doddle that was too stupid to find his way out of the closet.

"Please, another five minutes!"

Even the phase in which Marlene began at night to tiptoe into my bedroom, to lie down next to me and rob me of sleep with her to-and-fro, we mastered well. We agreed: If she is afraid at night and feels alone, she can come to me – but not in my bed, but on the couch next to it.

But one day that was over too. Since she was five years old, she is the most uncomplicated sleeper there is. And I do not just say that now, because I would like to quote my blissfully sleeping super-kid. No "Please! Five minutes!". But a girl who puts on her pajamas herself, rubs her eyes at 7 pm and yawns: "I'm going to bed now, Mama, I'm tired." Not ten seconds later, and she is sleeping soundly. It's almost scary. But – how could it be otherwise – we have another problem now. No, actually it is the same. Only the time of day has changed. When I wake her up in the morning, I hear the same thing as always in the evening: "Please, five minutes!"

        

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Thursday, June 6, 2019

Potentially Lethal: Energy Drinks Can Give "Angel's Wings"

    
    

Doctors newspaper, 07.06.2019

    

        
        
        

        
    

    

     

    
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Potentially deadly

Energy drinks seem to be potentially fatal, as a study reveals: a liter of it can raise blood pressure in healthy volunteers and cause disturbances in cardiac electrical activity.

By Susanne Kressenstein

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© Tom Eversley / stock.adobe.com

STOCKTON. In addition to a blood pressure increase, US researchers at the University of the Pacific in California have now proven another dangerous effect of energy drinks. In a study of volunteers, consumption increased the QT interval by several milliseconds ( JAHA 2019; online June 4 ).

Energy drinks contain taurine, inositol, glucuronolactone, vitamins and any amount of caffeine. Cardiovascular effects of two commercial products were investigated by the researchers in the randomized, placebo-controlled, cross-over study.

Thirty-four healthy volunteers (18-40 years old) drank 946 milliliters (32 fl.oz.) of one of these two drinks or a placebo drink (water with lime juice and cherry flavor) in one hour. After each six-day break ("wash-out") was changed until each subject had drunk each of the three variants. The energy drinks contained 304 or 320 mg of caffeine.

Electrical activity of the heart measured

In addition to blood pressure, an ECG was used to measure the electrical activity of the heart, before and after consumption, and for four hours every 30 minutes. The primary endpoint was the QT interval, reports the team led by Professor Sachin A. Shah.

Result: The QT interval was 6.0 or 7.7 milliseconds longer after consumption of the energy drinks depending on the product than after the consumption of the placebo drink. The QT interval is known to be the time between the beginning of the QRS complex and the end of the T-wave. In this interval, the de- and repolarization of the ventricles falls.

If the period is too short or too long, the life-threatening torsades de pointes arrhythmias may favor.

Parallel to the QT time extension, systolic and diastolic blood pressures increased by an average of 4.0 to 5.0 mmHg after energy drink consumption. Caffeine is probably not the cause of these effects, the researchers emphasize.

The quantities of caffeine consumed were not exorbitantly high – daily rations of up to 400 mg are considered harmless. The study authors therefore assume that another ingredient or the combination of several are the cause of the altered QT intervals and the rise in blood pressure.

High consumption questionable

The researchers are concerned about the high consumption of energy drinks. It is estimated that one in three US teenagers between the ages of twelve and 17 years of age regularly drinks in the United States. Much must therefore be treated in emergency departments and occasionally there are even deaths.

The researchers point out that the drinks are often consumed in combination with alcohol or other drugs or even with health disorders. High blood pressure or long QT syndrome should be advised against energy drinks. Page 2

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Please also read the guest commentary by Professor Stephan Martin:
Energy drinks: questionable facts are hidden

Further information on cardiology at www.kardiologie.org

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Wednesday, June 5, 2019

Seven Tips for Stressed Feet

        
        
            

. 3 Dive into the cool

Shopping at 30 degrees. Whew! Since you want to dive his tired feet in a lukewarm cool foot bath. OK then. Additives such as rosemary oil promote blood circulation. "In every pharmacy there are also ready-to-use footbath blends that almost wake up tired feet", Dr. Katja Renner, pharmacist from Wassenberg. "They all have a caring side effect as well."

. 4 Empty veins!

In order to move the blood up against gravity, a kind of pump is necessary. Movements of the calf and thigh muscles are the driving force here: They literally squeeze out the veins. In the long run, you can keep your veins in shape through leg strength and dead weight. Whether by simply walking, cycling, climbing stairs, running or walking: All types of movement promote the muscle pump of the leg. Swimming and aqua jogging even offer an additional bonus: the cooling and massage effect of the water is enormous.

. 5 Hot-cold shower

Cardiovascular healthy people are allowed to demand even more from their vessels: Hot-cold-changing showers from the feet to the thighs strong defunct vein walls: first they expand, then they contract. "The venous training has a preventive effect," says Gerstorfer. "The veins are less susceptible to disease."

. 6 Dense with plants

Cooling gels with active ingredients from horse chestnut and red vine leaves can relieve the feeling of heaviness on the foot. "The effect comes in combination with a massage", explains Dr. med. Renner, "by stretching your legs towards the heart." Those who are prone to venous insufficiency, can take the two active ingredients as tablets. Then the preventive sealing of the vein walls is better. "But only after several weeks."

. 7 Stockings make pressure

Even stockings can exert pressure on the veins from the outside. "For lighter complaints, especially when traveling by bus or plane, the non-prescription support stockings are recommended," says dr. Katja Renner. However, if you suffer from varicose veins, "only compression stockings can prevent worse venous disease," emphasizes venous specialist Dr. med. Gerstorfer. So if your feet and legs are having problems every day, it's probably due to a vein disease. This is always a case for the doctor.

        

    

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