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| Canadian model with vitiligo who inspires fashion world |
New York (AFP) - Chantelle Winnie is taking the fashion world by storm.
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| Canadian model with vitiligo who inspires fashion world |
Antara News, Friday, January 8, 2010 14:19 WIB
Solo, C Java (ANTARA News) - The Dr Moewardi General Hospital here has since Wednesday (Jan 6) been treating Katiyem (46), a female patient suffering from a strange disease.
Katiyem, a resident of Pojok hamlet, Gondang village, Wonogiri, Central Java was admitted to Dr Moewardi General Hospital on a recommendation from the Wonogiri district`s health office. it was learned on Friday.
In a talk with an Antara reporter, Katiyem said she had been suffering from the disease since six years ago.
"I feel very sick if I do not hold hands with my husband. Before I was taken to this hospital, my husband, Laman (59), even had to put his leg on my body to keep the sick feeling away. I get a splitting headache and my body hurts all over if I am not holding hands with my husband," she said.
Because of the ailment, Katiyem had spent the last six years only lying in bed, unable to do anything on her own. Her husband, Laman, was also not in a position to work because every time he left Katiyem, she would cry in agonizing pain.
"She refused to be left alone. If I absolutely have to do something away from her, my son takes my place in holding her hand," Laman said.
Doctors at the hospital have so far not been able to come up with a firm diagnosis of Katiyem`s condition. One of them, Dr. Djoko Suwito Sp Kj, said no physical symptoms of a known disease were found on Katiyem.
But Suwito said, from an interview with Katiyem, he had drawn the conclusion that she was suffering from delusions or mental disorders.
He said he had never before encountered a patient suffering from the same condition as Katiyem`s.
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| For our friends and parents: People with Down’s syndrome play six songs in a band during a celebration of World Down’s Syndrome Day, in Ciputat’s Kandank Jurank community in Banten. (JP/Kili Pringgodigdo) |
Prodita Sabarini, The Jakarta Post, Jakarta | Mon, 03/02/2009 2:13 PM
Many Jakartans are unaware of the health and social risks that come with sleeping disorders, seeing insomnia as a regular part of urban life or assuming that snoring as a sign of deep sleep, a sleep specialist says.
Dr. Andreas Prasadja, a sleep physician at the Mitra Kemayoran Sleep Laboratory, pointed out a lack of sleep poses health risks and contributes to the number of traffic accidents in the city.
"We've heard about so many traffic accidents being caused by drivers falling asleep at the wheel," he said Friday at a seminar on sleeping disorders.
Andreas said he hoped to dispel two commonly believed false notions: Sleep as a sign for laziness and snoring was a sign of deep, restful slumber.
He said our urban lifestyle, which hails productivity and runs by the motto "work hard, play hard", has contributed to people's sleep problems.
For productivity's sake people force themselves to work long hours using stimulants which then keep users awake when it was time to rest. Light sleeping is not the only consequence: overuse of stimulants can lead to kidney failure.
He also said exercising just before going to bed can disrupt sleep as well as a brightly lit room, or snuggling up with our digital sidekicks, laptops and cell phones, before snoozing.
He said people should avoid taking stimulants - including caffeine, nicotine, and chocolate - nine hours before going to sleep, replacing them with relaxing drinks such as camomile tea.
He also encouraged people to finish their exercise regimes three hours before going to bed and to stop all work-related activities an hour before.
"When you feel really sleepy, then go to bed. Do not do anything in bed except sleep and have sex," he said.
Another sleep disorder which is the most common and the most dangerous but also the most ignored is snoring.
"Snoring is not a laughing matter. It's serious. If untreated it can cause hypertension, heart failure, diabetes or stroke," he said.
He said that hypersomnia, a condition where people feel excessive daytime sleepiness despite long nighttime sleep might be caused by sleep apnea, a sleep disorder characterized by pauses in breathing during sleep, common among people who snore.
"During sleep the muscles of the body relax, including the soft tissue around the air way in the throat area. These tissues can collapse and obstruct breathing during sleep, causing people to stop breathing until they gasp for air," he said.
To take in air, sufferers must wake over and over so they are never fully rested and can wind up with chronic, life-threatening consequences of extended sleep deprivation.
The importance of sleep, however, has yet to be fully understood by the public, including doctors, Andreas said.
"In Indonesia doctors diagnosing patients with hypertension or diabetes still rarely ask how well their patient is sleeping at night. In developed countries, that question is one the first questions the doctors ask a patient," he said.
Lalaine Gedal, a Singapore-based sleep physician, said the prevalence of sleep apnea among 35-year-olds is 20 percent among men, and 5 percent among women. Among the elderly, 60 percent of men have sleep apnea and 40 percent of women.
A patient of Andreas said he had not realized he had been suffering from sleep apnea until he became very tired every day, dozing off during meetings and even while driving.
For those who dread surgical interventions, an effective and noninvasive method for stopping snoring involves a machine. Andreas' patient now uses a Continuous Positive Airway Pressure device known as a CPAP.
The CPAP includes a mask with air tubes and a fan. It uses air pressure to push the user's tongue forward and keep the throat open. This allows air to pass through the airway consistently. It reduces snoring and prevents apnea wake-ups.
There are only two sleep specialists in Indonesia, both based in Jakarta. Andreas and Rimawati Tedjasukmana founded Thursday the Indonesian Society of Sleep Medicine, or INA Sleep.
Andreas said he hoped to educate people about sleeping disorders, through the organization.
The Jakarta Post, Jakarta
Persahabatan Hospital in Rawamangun, East Jakarta, recently opened a specialized center to treat people suffering from sleep disorders.
Declaring itself Indonesia's first center for sleep disorder treatment, the center offers a "comprehensive" range of diagnoses and treatments.
Center coordinator Budhi Antariksa said it was in response to the needs of patients that Persahabatan Hospital, which is the national reference center for respiratory problems, established the sleep center, which officially opened earlier this month.
"Indonesia doesn't have any data regarding the number of people suffering from sleep disorders, but the country accounts for around 50 percent of the total number of sleep disorder patients at some hospitals in Singapore and Malaysia. So, why not build our own sleep center here?" Budhi said recently.
He said the establishment of the center was aimed at not only providing medical care to the community, but also at developing medical education in the country, with Persahabatan Hospital's close links to the University of Indonesia's School of Medicine.
Each patient treated at the sleep center, according to Budhi, will first have an interview where they will be asked to list all sleep-related complaints they may have.
The results of the interview will determine whether a patient needs to undergo a polysomnogram, a special test commonly used to diagnose sleep disorders.
According to hospital officials, the sleep center features a team of doctors from a variety of disciplines, including two pulmonologists; two ear, nose and throat specialists (ENTs); a cardiologist; a neurologist; a pediatrician; and a psychiatrist.
"If the problem is caused by obstruction of the airway, the patient will be handed over to pulmonologists or ENTs. If it is related to a neurological disorder, he/she will be sent to neurologists, and so on," Budhi said.
The sleep center's polysomnograph machine is able to monitor different body functions during sleep, including brain and eye movement, muscle activity, heart rhythm and respiratory efforts.
The gathered data can then be used to diagnose different types of sleep disorders, including sleep apnea (the obstruction of the airway during sleep, causing loud snoring and sudden awakenings when breathing stops); narcolepsy (the condition of falling asleep spontaneously and unwillingly at inappropriate times); restless legs syndrome (an irresistible urge to move legs); REM behavior disorder (acting out violent or dramatic dreams while in REM sleep); and parasomnias (include a variety of disruptive sleep-related events).
Budhi said Persahabatan Hospital has had its polysomnograph since the end of 2005, and has so far treated about 35 patients with the machine.
Two other hospitals in the city have polysomnographs. They are Mitra Keluarga Hospital in Kemayoran, Central Jakarta, and Medistra Hospital on Jl. Gatot Subroto in South Jakarta.
"But we're the only one that has a team of specialists from multiple disciplines. That's why I can say we're the only sleep disorder treatment center in Indonesia," said Budhi.
To learn more about the services at Persahabatan Hospital's sleep center, you can dial 4891708, ext. 209/296. Or you can come to the Griya Puspa building at the Persahabatan Hospital complex. (wda)