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Sleep apnoea in women Breathing in young women(30 49 years)Is as high as 4.9%(Fig1).1 Furthermore, while morbidity of women in the general population is lower than in men, recent epidemiological evidence suggests That five year survival is significantly poorer in women with obstructive sleep apnoea(Osa)Than in a similar population Of men.2 Thus, assessment of factors which may contribute to poorer outcomes in these women is important. View larger version: In a new window Cardiovascular control in men with osa Men with osa have an excess of known cardiovascular risk factors such as hypertension,obesity(Particularly central obesity), And increased insulin resistance.3 There is increasing evidence to suggest that OSA interacts adversely with these factors.This interaction occurs during both Wakefulness and sleep.Epidemiological evidence assembled in a community based population study in the usa suggests that, After adjusting for independent risk factors associated with hypertension, osa was independently responsible for up to a fivefold Increase in the incidence of hypertension.4 Furthermore, Carlson and coworkers5 suggest that, while OSA is an independent risk factor for hypertension, it also has an additive effect when combined with Age and obesity.Thus, blood pressure control is seriously compromised in men as a result of the presence of osa.Similar Potential risks have not been investigated in women with obstructive sleep apnoea. During sleep, men with osa have repetitive http://www.irmina.co.uk/ obstructive respiratory events which are associated with characteristic pathophysiological Changes in ventilation and haemodynamics.Fluctuations in haemodynamic parameters which accompany obstructive apnoea during Sleep in men include initial bradycardia(Vagally mediated)Followed by tachycardia associated with arousal at apnoea termination.6 Similarly, systemic blood pressure decreases towards the conclusion of the apnoea followed by a surge in both systolic and Diastolic pressure associated with arousal occurring at apnoea termination.Surges in sympathetic nerve activity are believed To be predominantly responsible for haemodynamic fluctuations which are associated with obstructive respiratory events during Sleep.7 9 These changes in sympathetic nerve activity during obstructive events in sleep result from a number of factors including Blood gas fluctuations(Hypoxia and hypercapnia), 10 large dynamic swings in intrathoracic ralph lauren outlet UK pressure, 11 12 and arousals from sleep.13While the result of these is an increased sympathetic tone overnight, increased sympathetic tone persists into the daytime In men with osa.14 15 Daytime sympathetic tone in these patients is reduced to normal levels once effective treatment with nasal continuous positive Airways pressure(Cpap)Has been established.16 Ventilatory control during the menstrual cycle Until recently sleep disordered breathing in ralph lauren uk online premenopausal women was believed to be a very rare occurrence.One of the predominant
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Smalltown ralph lauren uomo sconti boy hits big time The population is a mere 65.No caf.No gas station.No school.Not even a post office in canadian water polo goalkeeper robin randall's hometown of drinkwater, sask.It was a big deal recently when the streets were given names. "I'm not sure why we need street signs we don't have any lights,"Said randall. One of randall's friends proudly got a new t shirt printed the other day with the slogan,"Drinkwater:Home of the largest percentage of olympians per capita in the world. " Randall is a key member of canada's olympic water polo team, a plucky squad of underdogs who earned a berth in the beijing games when they knocked off heavily favoured romania in their home pool in oradea at a qualifier last march. The farming community where he grew up is about 16 kilometres away from roleau, where the hit tv series corner gas was filmed.It's a 15 minute drive to moose jaw and about 40 minutes to regina. He had six other kids in his graduating class.The one year his school had a basketball team coached by his mom they rustled up only one game, an exhibition against girls from the same school. "If you want to know what drinkwater's like, it's kind of like corner gas, except there's less amenities, if you can imagine such a thing,"Said randall. Self deprecation aside, randall couldn't be prouder of his hometown.Whenever a media guide for a world championship or pan am games is prepared, there's a tendency for people to want to write that he's from regina. "I go, 'no, no, no, i'm from drinkwater, '"Said randall. "Everybody goes, drinkwater, what is that?' and I hear all the jokes.'You guys drink a lot of water, ha, ha, ha.' What are you going to do, right?From a province called saskatchewan even and there's such places as elbow and eybrow and climax and moose jaw. "I can't thank growing up in drinkwater enough actually.I'm really quite proud to be from there.I always have been.It's a fantastic place to grow up.If i had a choice about where my kids grew up when and if i have kids i would pick growing up in a small town for sure.It's certainly wholesome and teaches you a lot of great values, patience and all that. " Drinkwater mayor steve gilroy is quick to assure that the town is equally proud of its native son and confirms the population is indeed just 65. "Sixty four when robin's playing water polo,"Said gilroy. "It's a small community and we've never really had anything like this happen to us.Nothing even close.His parents are not ones to brag.We wish him luck and hope he can bring home a gold medal so we can all see what it looks like. " Not much chance of that.It would be incredible if the canadian men's water polo team achieves their goal of a top eight finish. Qualifying for the olympics for the first time since 1984 was an amazing feat in itself, something that randall feared would never happen.The second oldest player on the team at 28, he said it was an incredible feeling watching the last seconds tick off in romania as they clinched their berth for beijing. "It was probably the single most incredible and rewarding moment of my life,"He said. "I looked at my longtime friend who's our captain, Thomas Marks, andHe ralph lauren online said to me something that I think will probably stick with me for the rest of my life.He said, 'I just feel so justified.'" That really hit home for randall, who like most of his teammates has made so many sacrifices.These days, he's sleeping on a futon in the basement of a calgary home ralph lauren uomo frangiventi he's renting with seven teammates during their pre olympic camp. "I don't have a car,"Said randall, who played semi pro this past season in sydney, australia. "I don't even have any keys.I have a computer that's in sydney but i don't have a monitor for it.I have three bags of clothes, basically.That's pretty much all i have. "That's all because i just love it, i can't get enough of it.Anywhere there's water polo going on, i want to.Be a part of it. " Lack of material possessions aside, randall can't believe his good fortune.Following on the heels of olympic qualification, he has just achieved one of his other dreams, accepting an offer last week to play professionally in europe with a team in madrid next season. "Those things seemed like they were half dream and half not sure it's going to happen kind of thing, very ethereal you might say, more wishes than options. " Like all of the current players, randall credits head coach dragan jovanovic once a star goalkeeper for the former yugoslavia for the team's success.He said he's made huge strides in improving his game since the hard driving jovanovic assumed the reins. Randall had walked away from the team after a dispute with one of jovanovic's predecessors and ended up teaching english in south korea.The world student games were held there during this period and randall took a six hour bus ride to see his old teammates play. "As ralph lauren uomo giu gilet soon as i walked into the pool, i smelt the chlorine in the air and i thought to my self, 'oh geez, this isn't over.I better figure out a way to back into this.'" It's been quite a journey for the lad from drinkwater.He has a great appreciation for the places he's been, noting that many buddies he grew up with haven't had the chance to travel further than calgary. "And.Here i am, i've gone to 30 countries,"Said randall. "People say,'you've been all over the place.Kuwait.Seoul.Beijing.Sydney.If you could go anywhere, what's the first place you would go?' I constantly say,'Drinkwater.'.Given a choice, i would take a week in drinkwater over a week in puerta vallarta. "
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I never get sent any knickers There are very few adult actors who can morph into an adolescent at the click of a finger:Kris marshall's one of them. He's a natural comedian, and at 41 years old he doesn't look a day over 30, dressed in white converse hi tops, baggy denim jeans and grey t shirt, while his floppy red hair hangs over his black ray ban specs. Kris can't help but crack a joke before answering every single one of our questions, making it difficult not to picture him in the role that catapulted him to fame, the sarcastic teenager nick harper in bbc1's my family. Yet he's trying his best to convince us he's better in non comedy roles. "I actually started off doing straight roles,"He tells love sunday, as that natural smirk appears across his face. "I consider myself a serious actor with a funny face and good timing, but maybe i'm just lying to myself.I've done a lot of serious stuff that people don't recognise me ray ban aviators sunglasses for. " Kris may be right, think back to ds luke stone in itv's murder city or pasha in itv's doctor zhivago, but there is, however, one role of his which we can't forget doting husband adam from the bt adverts. Kris in those heart warming bt adverts His memorable performance in over 40 ads may have helped raise bt's profile but, in an ideal world, kris says he'd like to be known for more than a promoter of high speed broadband. "Some people know me for my films, others know me for prison(Joke), others know me for taking my kid to school,"Kris says. "Bt was great but it's three years since i stopped doing those ads.But you don't get to choose what people think.As long as they're not throwing mud at me it's fine. " And now, lucky kris is flaunting his acting prowess reprising his role as di humphrey goodman in bbc1's death in paradise, a detective series set in the idyllic caribbean islands of guadeloupe. Sounds more like a jolly holiday than work to us! "I know what you mean, and it is like that 80% of the time,"Kris explains. "You stand there on the beach and you think,"It's lunch time, i might go for a swim".But then the other 20% it's the hardest job i've ever done because it's so hot, i'm pssing with sweat.It's like getting into a sauna, putting on a suit and doing hamlet. " And that's not even mentioning the self inflicted pain he put himself under sampling the local 80 proof rum. "It's so strong everyone at some point or another falls foul of the rum,"He laughs. "It's like drinking satan's urine.That's a nice way of putting it.If you have three and you don't eat it's game over.The next day you're sweating rum out of every pore. " Listening to his drunken pursuits, it's hard to imagine that kris' wife of three years, hannah, 36, a yoga teacher who he met in his home county of somerset, and baby son, thomas, Two, were also on the caribbean islands during the six months of filming. "Don't get me wrong, most nights i went home, had some dinner, saw my son if he was still awake and went to bed because we were filming at 5.30am in the morning, ' Kris explains. "But i'm not a monk, you couldn't do that day after day.So friday nights were daddy goes crazy nights. " As talk turns to his wife and family, who live cheap ray bans uk with him in bath, kris' body language changes he's more mature than he likes to portray through his jokey demeanour. And since having his firstborn, he's become rather picky about the acting roles he accepts. "I really consider my roles quite carefully now whereas i wouldn't have done that before,"He says. "I'm much more choosy because i want to spend time with thomas.For example, i got offered a film in toronto on the back half of last year.Did i want to go all the way there to do this film?No, not really. " Kris' little bundle of joy has not only changed his perspective on life, but also forced him to accept a few home truths he never realised before. "I'm not as chilled out as i think i am,"He admits, swigging a can of coke. "I'm actually a real worrier.I worry about myself but about my son too.If he's got the snivels i'm like,"Oh, what's wrong with him? "I think it's always like that with your first child.If we're lucky enough to have more kids i'll be like,"Yeah, whatever, sew the arm back on, it's fine. "' Joshing aside, this kris marshall is very different from his late 20 something self, when he played nick harper and life was one big party. "There was a lot of attention, but i found out very quickly that i didn't like it much,"He admits. "I loved it for a while but then i realised i'm really not the kind of person who goes to premieres or hangs out at the groucho club.It's all hollow.I'm happy with my mates down the local pub.Nowadays, no one bats an eyelid anyway.They just go,'who's that old geezer?'. " Even though it's been a while since hisHeyday, this old hand hasn't lost his touch just yet.He Still gets fan mail sent to him, including the odd scary letter. "My mum looks after my post when i'm away,"He says. "She read me a letter over the phone this summer it was so bizarre i can't remember exactly, but it began, 'for the attention of your sins' what does that even mean?It went on about something beginning to permeate through the ether.It just sounded like something russell brand writes in his book. " Surprisingly, there's one thing kris is yet to experience in his 20 odd years in the industry. "I've never got sent stuff,"He explains. "Like i want to be sent pants or knickers.Why does no one send me pants?I could wear them and everything i wouldn't even wash them. "
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