Oral appliances may work for mild but not severe sleep apnea

Beverly Merz
Beverly Merz, Executive Editor, Harvard Women's Health Watch

The search for an effective, easy-to-use treatment for sleep apnea has been going on for years. The gold standard is a breathing machine known as continuous positive airway pressure (CPAP). A report published online this week by JAMA Internal Medicine describes a mouth-guard-like device that may work for people with mild sleep apnea, but that may not be much help for those with severe sleep apnea. The 18 million Americans with obstructive sleep apnea sufferers are a powerful incentive for device manufacturers, and there are myriad alternatives to CPAP in the marketplace and under development. Swedish researchers tested a custom-fitted mandibular advancement device among people with self-reported sleep apnea. It worked, but a placebo device worked almost as well.

For fans, World Series is a marathon, not a sprint

Michael Craig Miller, M.D.
Michael Craig Miller, M.D., Senior Editor, Mental Health Publishing, Harvard Health Publications

Millions of baseball fans will tune in tonight for the opening game of the World Series. Boston Red Sox versus St. Louis Cardinals. Sportswriters are saying it will be an interesting series between two well-matched teams. Football fans have it easy. They have to sit through just one big game to decide the year’s champion. For us baseball fans, it could take seven games spread over nine days to determine this year’s champion. That means fans need to approach the series as a marathon, not a sprint. Pay attention to sleep, exercise, food, alcohol, and emotions. The Red Sox and Cardinals are two very likable teams. Commentators point out that these guys play the game the “right way.” The players themselves say it’s going to be fun. Let’s see if we fans can remember that baseball is a game. This World Series should be fun to watch. Whoever you’re rooting for, have fun watching.

12 ways to help a child make the transition to kindergarten

Anne Densmore, Ed.D.

For some children, beginning kindergarten represents a scary transition. They wonder about making new friends and getting used to a new teacher—will they be able to find the bathroom, where will they eat snack, how will they fit in? There are several ways to help make the transition a smooth one. These include acknowledging the child’s fear as real and appropriate while offering reassurance, talking about the transition in a positive way, doing play therapy at home, visiting the school beforehand if possible, and reading to the child about starting kindergarten.

7 common causes of forgetfulness

Daniel Pendick
Daniel Pendick, Former Executive Editor, Harvard Men's Health Watch

Memory slips are aggravating, frustrating, and sometimes worrisome. When they happen more than they should, they can trigger fears of looming dementia or Alzheimer’s disease. But there are many mundane—and treatable—causes of forgetfulness. Here are seven common ones: lack of sleep, some medications, an underactive thyroid, drinking too much alcohol, stress, anxiety, and depression. If memory lapses are bugging you, it’s worth a conversation with your doctor to see if any reversible causes are at the root of the problem. Something like getting more sleep, switching a medication, or a stress reduction program could get your memory back on track.

Mini-relaxations to ease holiday stress

Patrick J. Skerrett, Former Executive Editor, Harvard Health

With Black Friday upon us, the holiday season is now officially underway. Although the next month or so provides many opportunities to see family and friends, be generous, and spread good cheer, it can also be a difficult time. In a stressed-out heartbeat, the holiday season can morph into the hell-iday season. Deep breathing, meditation, progressive muscle relaxation, and visualization can evoke a state of rest and release. Doing them can slow your heartbeat, calm your breathing, lower your blood pressure, and help you chill out. You can’t necessarily eliminate the seasonal stressors. But you can counter them using mini-relaxation exercises, whether you have 10 minutes to spare or just one minute.

Map, the therapy dog: more than a best friend

Anne Densmore, Ed.D.

Therapy dogs provide comfort and support. They must be social, gentle, and enjoy getting and giving physical affection. My therapy dog, Maps, has those qualities in spades. They also must be well behaved and respond to their handlers, neither of which applied to Map when I got him as a puppy. After many therapy dog classes and a lot of practice, we learned. After two years of training, Map became a certified therapy dog. He shines when he is in his blue training coat visiting a preschool. He loves to see the kids and to work with me. How does Map help kids? His presence somehow lets children open up to learning. He offers kids a way to feel more whole in the face of physical illness or disability. He can also help children heal from emotional pain. Like any great therapist, Map knows how to listen and how to help children help themselves.

Chicken Soup for the Soul and Harvard Health serve up inspiration, information

Julie Silver, M.D.
Julie Silver, M.D., Chief Editor of Books, Harvard Health Publications

A new series of books is bringing readers the kind of inspirational stories that have made Chicken Soup for the Soul books international bestsellers plus with trusted health advice from Harvard Medical School. The combination of stories providing hope, inspiration, and great person-to-person advice plus straight talk and life-changing medical information from Harvard doctors will help readers live healthier, more satisfying lives. Each book focuses on a single topic. The first four will be available beginning May 22, 2012. They are Chicken Soup for the Soul: Boost Your Brain Power! by top neurologist Dr. Marie Pasinski; Chicken Soup for the Soul: Say Goodbye to Back Pain! by leading physical medicine expert Dr. Julie Silver; Chicken Soup for the Soul: Say Goodbye to Stress! by noted psychologist Dr. Jeff Brown; and Chicken Soup for the Soul: Say Hello to a Better Body! by respected internist Dr. Suzanne Koven.

The science behind “broken heart syndrome”

Patrick J. Skerrett, Former Executive Editor, Harvard Health

Media reports describing “broken heart syndrome” often lump together two completely different conditions. One is stress cardiomyopathy, sometimes known as takotsubo cardiomyopathy. The other is myocardial infarction, better known as a heart attack. A huge sudden stress—like news that a loved one has died, experiencing an earthquake, or learning that your accountant has stolen all of your retirement savings—unleashes a torrent of stress hormones that can trigger one of those conditions. Stress cardiomyopathy is a weakening of the left ventricle, the heart’s main pumping chamber. Over the course of a week or longer, the left ventricle tends to recover its pumping power. Heart attacks occur when something—usually a blood clot—blocks blood flow to part of the heart muscle.

A once (and future) meditator tries the relaxation response for stress

Lloyd Resnick
Lloyd Resnick, Former Editor, Harvard Heart Letter

Thirty-five years ago, Dr. Herbert Benson defined and tested the relaxation response. This simple method for quieting brain activity slows the body’s processes and induces a feeling of well-being. Both have measurably positive effects on disorders caused by stress or made worse by it, including high blood pressure, abnormal heart rhythms, and many digestive disorders. In a recent lecture at Harvard Medical School, Dr. Benson described the technique and talked a crowd through it. Inducing the relaxation response is simple: Sit in a quiet place with your eyes closed. Relax your muscles and silently repeat a word, phrase, sound, or short prayer of your choosing over and over. When stray thoughts interfere (as they will), let them come and go and return to your word, phrase, or sound. Doing this daily can help ease stress.

Being mindful can help ease stress

Michael Craig Miller, M.D.
Michael Craig Miller, M.D., Senior Editor, Mental Health Publishing, Harvard Health Publications

Many people try to tune out stress. A healthier approach may be to tune in to it. Paying more attention to what is going on around you, not less, is the first step toward cultivating mindfulness, an excellent technique to help you cope with a range of mental and physical problems, including stress. Mindfulness teaches people to be present in each moment. The idea is to focus attention on what is happening now and accepting it without judgment. Mindfulness techniques have been shown to ease stress, prevent major depression from reappearing, alleviate anxiety, and even reduce physical symptoms such as pain or hot flashes.