By Edward Russell-Walling
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The vulnerability of water assets as a result of weather switch and human actions is globally expanding. The phenomenon of hydrological switch is complex as a result of mixtures and interactions among ordinary weather fluctuation, international warming and human actions together with alterations in land usage.
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9. Wellington, K. and B. Jarvis, Cetirizine/pseudoephedrine. Drugs, 2001;61(15):2231–2242. 10. H. and K. Liu, Echinacea purpurea therapy for the treatment of the common cold: a randomized, double-blind, placebo-controlled clinical trial. Arch Intern Med, 2004;164(11):1237–1241. 11. Stevinson, C. and E. Ernst, Valerian for insomnia: a systematic review of randomized clinical trials. Sleep Med, 2000;1(2):91–99. 12. J. M. A. A. Saviolakis, and G. Belenky, Daytime sleep and performance following a zolpidem and melatonin cocktail.
Impact of Life Cycle on Sleep 41 In addition to treating specific causes of insomnia, many studies look at using HRT to treat sleep complaints in general. As for the efficacy of HRT in treating hot flashes, there are conflicting data on the efficacy of HRT in treating disturbed sleep during menopause. Literature from the 1970s documented improved polysomnographic sleep parameters with oral synthetic estrogens (97,99). More recent studies using transdermal estrogen (78,100) and one using oral conjugated estrogen and an oral progestin (77) showed no objective polysomnographic improvements.
In one case report, a 25-year-old woman in her third trimester (37 weeks) being evaluated and treated for pre-eclampsia overnight was also confirmed to have sleep apnea, with maternal oxygen desaturations and concurrent fetal heart rate decelerations (43). She then delivered an infant who was small for gestational age. Unfortunately, definitive conclusions are lacking regarding the incidence of snoring and SDB owing to the absence of large prospective, longitudinal studies. However, the data suggest that sleep apnea is more likely to develop in pregnant women who have a preexisting tendency toward SDB and worsen in those women who already have sleep apnea (44).
Cinquanta grandi idee. Management by Edward Russell-Walling