Articles on Medical Matters:

Lunesta Memory Problems

Lunesta may be the only sleeping pill that is FDA approved for long-term use, but it still has some of the same effects as other sleep aids. Ambien, Sonata and others have all been known to cause this problem. It can make life strange and difficult for some of us.

I'm talking about memory problems; also known as amnesia. When you're treating insomnia with Lunesta, you may have trouble remembering things if you go to bed too late at night, and have to get up for work early in the morning. Why? You should only take your dose of Lunesta if you'll definitely have enough time to sleep. Otherwise, you could wake up during the time the medication is supposed to be working, causing drowsiness and even memory loss. Lunesta is designed to give you a great night's sleep without any interruptions, so waking up too early will leave you feeling "out of it."

If you're getting plenty of sleep while using Lunesta, but are experiencing memory loss, talk to your doctor about lowering your dosage. Lunesta is available in 1mg, 2mg and 3mg dosages; so if you or your family notice memory loss with Lunesta 3mg, your problems could be solved by switching to Lunesta 1mg.

Ian Mason
27 Mar 2007

Copyright 2004,2005 Ian Mason, lead researcher at Shoppe.MD. Can Lunesta help you sleep? Learn more and compare monitored pharmacies to buy Lunesta online.

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When Is Brain Surgery Recommended?

Many of us are in the dark about brain surgery. What little we think we know comes from old horror films where living monsters are made by placing brains in new bodies. The fact of the matter is that brain surgery is a sophisticated procedure that is used to treat a number of different conditions. Here are a few examples.

One of the more common reasons for brain surgery is to relieve bleeding after head injuries. The presence of the blood seepage into the cranial area can create enormous pressure and swelling of the brain. If left untreated, this condition will result in permanent damage, which may involve loss of motor skills as well as memory and cognitive ability.

Brain tumors are another common reason for brain surgery. These procedures can be extremely difficult. Great care must be used in removing the tumor and any residue, without creating any additional damage to the brain. There is also a high risk of infection, which is minimized by extreme caution on the part of the operating team.

Accidents sometimes lead to damage to the tissues that cover the brain. Brain surgery may be required to make repairs to the dura, so that the tissue may heal properly. As with dealing with a brain tumor, a great deal of meticulous attention to detail and sterile conditions go into limiting the changes for infection during this procedure.

Any of these conditions can lead to pocket infections. Before and after surgery, the patient will be monitored closely to ensure there is no development of these smaller areas of infection. Should tests indicate that some sort of infection is beginning to set up, more surgery may be required to prevent permanent damage.

Brain surgery is utilized more often than most of us realize. Over the years, new methods and better information about how the brain works has made it possible for more people to be successfully treated with surgery. While still a very risky operation, it is much safer then in decades past.

Mayoor Patel
07 Apr 2007

Mayoor Patel is the writer for the website http://www.surgery.wares-are.us/. Please visit for information on all things concerned with Brain Surgery

The Silent Killer - Protect Yourself Against Cervical Cancer

Many women in the region have misconceptions about cervical cancer, some even thinking that they may be too young to get the disease.

However the fact is , even girls as young as nine may be at risk of cervical cancer; some girls in their teens are already in the advanced stages of the disease. Moreover, in most cases, cervical cancer affects women in the prime of their lives, when their careers are in mid-track and they are caring for children or other members of the family. This causes an immense social, economic and emotional burden on the society.

What causes Cervical Cancer?
Every two minutes, a woman somewhere dies from cervical cancer. In Singapore alone, 200 women are detected with cervical cancer each year and nearly half die from the disease, making it the fifth most common cause of cancer deaths in Singaporean women. However, these deaths may very well have been prevented.

Cervical cancer develops at the cervix (the part of the womb that opens to the vagina) and gradually becomes more invasive if felt untreated. It is caused by persistent infection with human papillomavirus (HPV), an extremely common virus that spreads through sexual contact.

While HPV is transmitted through sexual contact, it does not necessarily require penetrative intercourse, and may simply spread from skin-to-skin contact of the genital area. For this reason, condoms do not offer full protection from this disease.

Amongst the 100 different strains of HPV, only 15 have been identified to be cancer-causing, the most common viruses being HPV 16, 18, 45 and 31. Most genital HPV infections just develop into warts that appear on or around the female and male genital organs. These size of these warts range from being barely visible to being several inches in width. Most of the time, these infections clear on their own without any treatment. However, when they don't, they may develop into abnormal cells.

Close to eight per cent of women with abnormal cells will develop early cancer, and one to two per cent will develop invasive cancer. These cellular changes usually take place over many years. In other words, these HPV infections may be deadly cervical cancer cases waiting to happen.

Screening for Cervical Cancer
However, there is no reason for things to come to such a pass. Since cervical cancer has a pre-malignant phase before it turns cancerous, it can definitely be prevented.

One of the best ways of prevention is to ensure that women go for regular screening. To this end, the Health Promotion Board (HPB) in Singapore has organised a cervical cancer screening programme in 2004 encouraging sexually active women aged between 25 and 65 to have a Pap smear once every three years. During this procedure, cells are collected for testing, and if abnormalities are detected, they are promptly treated to prevent them from turning cancerous.

Women in the high-risk bracket are strongly urged to go for regular screenings. These include women who:
- Had their first sexual experience at a young age.
- Sexually active women
- Have had many pregnancies.
- Smoke
- Use oral contraceptives over a long period.
- Have other sexually transmitted infections such as HIV and Herpes.

Preventing Cervical Cancer
While screening programmes are vital, they may not detect all pre-cancerous lesions. And they certainly will not prevent pre-cancerous cells from developing in the first place.

Hence, since the late 1990s, studies have been done to determine if a vaccine may be effective in preventing HPV virus. The results of this study are exciting given that HPV 16 and 18 together account for 70 per cent of all cervical cancers worldwide. Effectively, this could mean that the vaccine has the potential to prevent more than two-thirds of cervical cancer occurences.

In fcat, according to Professor Suzanne Garland, president of the Asia-Oceania Research Organization in Genital Infection and Neoplasia (AOGIN(, "The best time for vaccination is before girls reach puberty. Each country will make the decision about the age themselves.

For example, in Australia, it is indicated in females aged nine to 26, and for young boys (aged) nine to 15. In other countries, for example USA, (the vaccine is recommended for women) nine to 26 years of age."

Potential Problems
While vaccines are important advancement in the battle against cervical cancer, they are not foolproof. One of the main reasons is that vaccines do not protect against all HPV types. Furthermore, as studies are still ongoing, it is uncertain how long vaccines will last and if booster shots are necessary.

Indeed, without a marked effort to prevent cervical cancer, it is estimated that there will be more than one million cervical cancer cases each year by 2050. So protect yourself and the women you love against this silent killer.

Annie Tan
Singapore
20 Apr 2007

This article is an abstract from the magazine Ezyhealth & Beauty, issue Nov 2006. Singapore's prime health and beauty magazine.