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The general focus of the summit was COLLABORATION:

The point of this article is to help you to the next level and show you what this amazing subject has to offer.

1. The world wishes to challenge the traditional competitive viewpoints. Peers and competitors alike require to collaborate dreams, initiatives & best custom processes in the best activity of sustainable living.

2. wealth cannot succeed sustainable initiatives, they go hand in hand & can actually answer in chief detriment savings for corporations when executed effectively. Referenced by David Suzuki was the sustainable & monetary successes in Sweden; they’ve compact C02 emissions by 8% of 1990′s levels and have still developed their family by 44%!

3. Sustainable events are tiring to determine fully but the best way to edge is to focus on (i) imprints, (ii) suppliers (iii) customers. Focus on with renewable energy, dipping devastate (general goal: zilch devastate), dipping packaging, responsible qualifications of bring partners – are they focwith on the same or alike initiatives? embroil your peers, your employees, your customers & your children. It should not be the sole job for a part or parts in the visitors to focus on sustainability, it should be part of the everyday life of every individual. Part of the polish

During the second part, we must switch to a more serious side to fully communicate the subject matter in a way for all to understand.

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If you type in the main word from the subject of this article into any reliable search engine, you will pull up a variety of resources.

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When we were growing up most of our mothers and grandmothers knew how to sew.  As clothing has become cheaper and cheaper, sewing has become almost a lost art amongst the younger generations.  Thankfully, the past few years has seen resurgence in sewing and other handcrafts.  This is leading to a new availability of information on how to sew and supplies to learn to sew with.  

Sewing requires a unique set of skills.  These skills are not complicated to learn, but there is a definite learning curve in learning to sew.  If you jump in with both feet without a few basics you are surely setting yourself up to fail.  The best way to develop your sewing skills is to start slow, learn, and work your way up to more complex projects as time goes on and you learn what you are doing.  

The first step in starting to sew is to gather up all of the items you need to complete your project.  Get out your sewing machine booklet and thread your machine.  Make sure, before you ever even attempt a project, that your machine is threaded correctly and working well.  This will save you a ton of frustration.  

If you will be sewing something from a pattern, take the time to read through all of the instructions and make sure that you clearly understand them.  Make sure to read and understand everything before you start to cut out your fabric.  Remember that once you cut your fabric it will be in pieces and you can’t just re-cut it.  

Before you work with your fabric, make sure you wash and dry it.  This will ensure that your finished project will not shrink when you first wash it.  Once it dries you will want to iron it out.  Once your fabric is washed, dried, and ironed, then you can pin your pieces to the fabric and cut them out.  Cut all of your pieces out using the sharpest pair of scissors you can find.  Using sharp scissors cuts down on frustration and keeps your fabric looking good at the edges.  

When you first start sewing you will want to baste your pattern pieces together with long hand stitches.  This allows you to see how your project will look once you have sewn it together on your machine.  And, it allows you to make adjustments much more easily if you should happen to need to.  One good tip here is to use a bright colored thread for basting.  This will allow you to easily remove it once your project is sewn together.  

The most important thing for you to remember when you first start sewing is that “Rome was not built in a day.”  Start with a very simple project and take your time.  Then start a more complex project and take some time to learn a new skill or two when completing it.  As you progress through your various projects you will feel more and more confident in your sewing abilities.  After all, you are learning to sew because it is functional and fun!

Tired of sewing and fitting failures?
Ready to take your 1st Step To Sewing  Success?

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Westchester, Ill. –A study in the April 15 issue of the Journal of Clinical Sleep Medicine suggests that sleep problems lead to increased pain and fatigue in cancer patients. The results indicate that interventions aimed at trouble sleeping would be expected to improve both pain and fatigue in this patient population.

Results show that more than half the sample reported having trouble sleeping, with 26 percent reporting moderate or severe trouble sleeping. Compared with patients who reported no trouble sleeping, patients with moderate to severe trouble sleeping reported significantly more fatigue, pain and depressed mood. Using structural equation modeling analysis to evaluate causal relations and directions of effect, the best-fitting model indicates that trouble sleeping led to increased ratings of pain.

According to the authors, the relationship between pain and sleep often has been assumed to be reciprocal. In the present study, however, a model of reciprocal causation could not be fit to the data, and models in which pain caused trouble sleeping did not fit as well as the model in which trouble sleeping caused pain.

“We believed we would find a bi-directional relationship between insomnia and pain, but instead found that trouble sleeping was more likely a cause, rather than a consequence, of pain in patients with cancer,” said lead author Edward J. Stepanski, chief operational officer at the Accelerated Community Oncology Research Network in Memphis, Tenn.

The study included demographic, clinical and patient-reported outcomes data from 11,445 cancer patients undergoing treatment at the West Clinic, a large community oncology practice in Memphis. Participants had an average age of 61.5 years, and 74 percent were female. Breast cancer was the most common form of cancer, and about 25 percent of study subjects had received chemotherapy in the last 30 days. Increases in depressed mood also led to increased ratings of pain.

Younger age and recent administration of chemotherapy were both associated with increased trouble sleeping. According to the authors, younger patients often receive more aggressive chemotherapy than older patients; therefore, younger patients may be exposed to more treatment-related toxicity.

Stepanski stated that several studies have shown that cognitive behavioral therapy (CBT) improves sleep in cancer patients who have insomnia. He believes that this type of intervention may decrease patients’ pain and fatigue by improving their sleep.

More information is available from the AASM about sleep and breast cancer at http://www.sleepeducation.com/Article.aspx?id=1076 and about cognitive behavioral therapy at http://www.sleepeducation.com/Treatment.aspx?id=5.

The Journal of Clinical Sleep Medicine (JCSM) contains published papers related to the clinical practice of sleep medicine, including original manuscripts such as clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the JCSM publishes proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine

For a copy of the study, “The Relation of Trouble Sleeping, Depressed Mood, Pain, and Fatigue in Patients with Cancer,” or to arrange an interview with an AASM spokesperson, please contact Kelly Wagner, AASM public relations coordinator, at (708) 492-0930, ext. 9331, or kwagner@aasmnet.org.

AASM is a professional membership organization dedicated to the advancement of sleep medicine and sleep-related research. As the national accrediting body for sleep disorders centers and laboratories for sleep related breathing disorders, the AASM promotes the highest standards of patient care. The organization serves its members and advances the field of sleep health care by setting the clinical standards for the field of sleep medicine, advocating for recognition, diagnosis and treatment of sleep disorders, educating professionals dedicated to providing optimal sleep health care and fostering the development and application of scientific knowledge.

Technorati Tags: insomnia, insomnia help, insomnia treatment, stop insomnia

 By Kellie B. Gormly
TRIBUNE-REVIEW
Monday, February 23, 2009

Nicole DeSantis, 19, often relies on the caffeine of Red Bull to keep her awake and alert during the day, which is a challenge.

Ever since DeSantis was a pre-teen, she often struggled with daytime sleepiness. When she reached high-school age, her problems magnified: On some nights, the restless, night-owl teen barely slept at all.

"It would be like 6 o’clock in the morning, and I’d say, ‘OK, I have to go to bed now’," says the Greensburg native and Bloomfield resident. "I would lay in the dark for 3 hours. … On my days off, all I wanted to do was sleep and catch up."

Now, DeSantis — a student at Point Park University — says she needs to buckle down about getting good sleep, although it’s a struggle: "School has become such a big deal that in my spare time, I don’t want to be sleeping," she says.

For teenagers, a typical, natural sleep pattern often is staying up late, and sleeping in late — even until noon or later on weekends. Yet, on school days, teens have to get up very early, which can cause sleep deprivation if they didn’t go to bed early enough, experts say. Combine that with the often-demanding schedule of school, sports and play practices, other extracurricular activities and after-school jobs, and the world has some pretty sleepy teens, experts say.

Parents often complain to Dr. Bharay Jain — a physician for Westmoreland Sleep Medicine in Greensburg — that their teens won’t get up in the morning, even though they might gently shake them to wake them up, he says. Many children miss school from sleeping in too late and fatigue, and take long naps in the afternoon.

The body’s biological clock often conflicts with demands on teenagers’ time and their lifestyles, says Dr. Sangeeta Chakravorty. She is a doctor who specializes in pediatric sleep problems at Children’s Hospital of Pittsburgh.

"The outcome is that the child is sleepy when he does not expect to be sleepy or does not want to be sleepy," she says.

"They need more sleep, even if they were getting by with 7 to 8 hours of sleep in grade school," Chakravorty says. "With all the demands … they sleep even less. Not only do they have insufficient sleep, but their rhythms are off. They are expected to perform."

Although it might seem like a lot, teens need nine to nine-and-a-half hours of sleep to function optimally, Chakravorty and Jain say, compared to an average adult’s need for about eight hours. Yet, few adolescents actually get the needed amount of shut-eye.

"I think they’re lucky if they get six or seven," Chakravorty says. "That’s average for what we see in the clinic."

Donny Haney, 15, of Harmar, can relate. He plays varsity football for Springdale High School, and is now rehearsing for his role as Genghis Khan Schmitz in the play "Seussical." Sometimes, school and activities can take up nearly 12 hours of his day, and he typically only gets about six hours of slumber on a school night. He has to get up at 6:15 a.m., but often doesn’t fall asleep until around midnight.

"I’m really fine … (but) I should probably start getting more sleep," Donny says.

Don Haney, Donny’s father, says that his son and daughter — Stephanie, 18 — usually get catch decent Z’s during the school year. Otherwise, like most teens, the kids are night owls.

"I think it’s really common knowledge that they are very definitely nocturnal," says Haney, 49. "Given the choice, they would definitely be up all night."

During the summer, he says, the kids routinely may stay up until the wee hours, and sleep until noon or later.

"We let it go, unless there’s something going on the next day," Haney says. "I don’t think there’s much parents can do to change that; it’s about picking your own battles."

Getting nine hours of sleep means that teens starting school in the 7 a.m. hour should get to bed in the 9 p.m. hour, Chakravorty says. They should get up at the same time — yes, even on weekends, when the tendency is to sleep late after staying up later. Unrealistic, yes, and few teens do it; but that’s the healthiest habit, she says. A 10-minute power nap in the afternoon should be fine, Jain says, but a longer nap can make nappers groggy later on, and they will have a hard time getting to sleep at night.

Lack of sleep in teens can have many consequences, say Chakravorty and Jain. Insufficient sleep in teenagers can contribute to behavioral problems, poor grades, lack of concentration, and other health issues like obesity and depression. Adolescents who are hurting for sleep also tend to have impaired judgment and show more risk-taking behaviors, such as experimenting with alcohol, Chakravorty says.

One way for people to know if they’re getting enough sleep is to note how quickly they fall asleep once in bed, Jain says. It should take about 10-15 minutes for slumber to kick in, Jain says; people who fall asleep as soon as they hit the pillow often are sleep-deprived, he says.

Starting high school in the 7 a.m. hour is problematic and incompatible with a teen’s biological clock, Jain and Chakravorty say. Some school districts in a few states have moved the high-school start time to an hour or two later, but neither the doctors, nor a spokesperson for the Pennsylvania Department of Education, are aware of any such districts or movements in Pennsylvania.

"I wish schools would be educated more about sleep so that they can understand how these teens are," Chakravorty says.

ABCs of ZZZs

The National Sleep Foundation, along with Drs. Bharay Jain and Sangeeta Chakravorty, say that sleep is as important to a teen’s well-being as air, food and water. Consider these tips for better sleep for teens.

• Make sleep a priority.

• If you must take a nap, don’t take a long nap, or a nap too close to bedtime. That can interfere with getting a good night’s sleep.

• Keep your room cool, quiet and dark at bedtime, but let in bright light in the morning.

• Avoid coffee, tea, soda and chocolate late in the day.

• Establish bed and wake-up times, and stick to them.

• Don’t eat, drink or exercise within a few hours of your bedtime. Avoid the television, phone and computer in the hour before bedtime.

• Try taking a shower or reading a book at night, as a signal to your body that it’s time to go to bed.

• Keep a diary or to-do lists. If you jot down notes before you go to sleep, you’ll be less likely to stay awake worrying or stressing.

Sources: www.sleepfoundation.org; Tribune-Review research

Kellie B. Gormly can be reached at kgormly@tribweb.com or 412-320-7824.

Technorati Tags: insomnia, insomnia help, sleep deprivation

Reported by: Marybeth Brush

Runny nose, sneezing, and a fever are all signs you’re under the weather.

A new study has researchers linking the amount of sleep you get and the common cold.

The CDC says 22 million school days are lost annually in the United States due to the common cold.

Along with hand washing and taking vitamins, there’s an important way to fine tune your immune system.

Todd Smith is used to a having a packed schedule. "I got four children at home so it’s a pretty hectic lifestyle."

He juggles his family with his full-time job as a Republic High School science teacher and football coach. "My time is very valuable and very busy."

But after years of not getting the right sleep he was diagnosed with sleep apnea.

Smith says, "it definitely had an impact on my health, I found I had more of the common cold, headaches, definitely headaches played into that role."

Dr. John Brabson of the St. John’s Sleep Disorder Center says, "sleep is one of the essential things the body needs to survive, like food and water."

Dr. Brabson agrees with the study out of Carnegie Mellon University. "We know now, people who are either not getting enough sleep or who are getting poor quality sleep for a period of time are more susceptible to infections."

The study says if you get less than seven hours of sleep a night you are three times more likely to get a cold.

Dr. Brabson adds, "our society, in general, is sleep deprived we tend to think of sleep as the last thing, and first thing to sacrifice."

Now Smith is feeling better and realizing the importance of sleep. "My energy level is been really good, and I have felt better throughout the day."

Technorati Tags: insomnia, insomnia help, sleep apnea

These findings, by Dr Pieter Cohen from the Department of Internal Medicine at the Cambridge Health Alliance in the US and Harvard Medical School, have recently been published online in Springer’s Journal of General Internal Medicine.

Although the US Food and Drug Administration (FDA) has banned the majority of amphetamine-based appetite suppressants, many are still prescribed in other parts of the world, including South America. The second most often prescribed amphetamine based appetite suppressant worldwide is fenproporex. It is known to be addictive and is rapidly converted into amphetamine in the body. The international availability of fenproporex, combined with Internet sales and other illegal markets, have led to its availability in the US, despite an FDA ban. Most physicians in the US are unaware of the existence of these diet pills combining fenproporex and benzodiazepines, selective serotonin reuptake inhibitors, diuretics, laxatives, thyroid hormones and other substances.

To illustrate the risks posed by taking these diet pills, Dr Cohen reviews two case reports of patients taking appetite suppressants containing fenproporex, illegally imported from Brazil. In the first case, a 26-year-old woman suffered from intermittent chest pains, palpitations, headaches and insomnia for two years. She consulted her doctor numerous times over the two-year period for these unexplained symptoms. Her urine tested positive for amphetamines and benzodiazepines, and both fenproporex and chlordiazepoxide were present in her pills. Her symptoms disappeared after she stopped taking the imported pills.

In the second case, a 38-year-old man tested positive for amphetamines after an occupational urine screening test and was suspended from work. Both fenproporex and fluoxetine were detected in his imported pills. While he was taking the pills he also experienced insomnia and palpitations, symptoms which disappeared after he stopped taking the pills. In both cases, not all the substances detected in the pills matched the ingredients on the vial labels.

Because of the ease of availability of these diet pills over the Internet amongst others, the health and economic consequences of diet pill use are likely to be widespread within certain communities in the US, according to Dr Cohen. He recommends that physicians be made aware of the composition and dangers of the fenproporex-based diet pills imported from South America.

He concludes that "Given the wide variety of potential adverse effects from the medications included in these diet pills, patients attempting to lose weight who experience unexplained symptoms should be specifically questioned regarding the use of imported diet pills."

Journal reference:

   1. Cohen et al. Imported Fenproporex-based Diet Pills from Brazil: A Report of Two Cases. Journal of General Internal Medicine, 2008; DOI: 10.1007/s11606-008-0878-4

Adapted from materials provided by Springer Science+Business Media, via AlphaGalileo.

Technorati Tags: Amphetamines, insomnia, insomnia help

Insomnia is a sleeping disorder in which a person either has troubles falling asleep or has problems staying asleep throughout the night. They then wake up feeling unrefreshed and tired, and this can end up causing serious problems in their personal and professional life. If you have a problem with insomnia, you will want to find the most effective insomnia remedy, as quickly as possible.

There are actually quite a few different ideas when it comes to finding the best insomnia remedy. However, a few in particular are really worth considering and will be discussed in more detail for you here.

One remedy for insomnia idea is passionflower. Many people are not aware of this, but passionflower is actually one of the most commonly used herbs for sleeping disorders. It is calming and sleep inducing, and it can even help to relieve pain. It was widely used by the Aztecs as a sedative and analgesic, and is one idea that you should definitely try if you are suffering from insomnia.

Another insomnia remedy that you may want to try is Valerian. This herb is also very effective for treating insomnia, and it calms the digestion, lowers blood pressure, and is great for inducing sleep. It has been used for centuries now to treat insomnia, and is probably one of the first herbs for insomnia that your doctor will suggest.

Remember, insomnia can be naturally relieved with herbal teas, infusions and baths, so if you are looking for an effective insomnia remedy you are definitely going to want to try out the herbal remedies first. This way you will still get the results that you are looking for but without having to worry about experiencing unfavorable side effects as a result.

Any one of these herbs may be successful at treating your insomnia, but bear in mind that it may take quite a bit of trial and error until you find something that works for you. Remember that everyone is different and so just because something may work for one person’s insomnia this does not mean that it will do the same for you.

It is important that you work with your doctor on this to ensure that you get the best results and find the most effective insomnia remedy for you.

Technorati Tags: insomnia, insomnia help, insomnia remedy