"" Healthy Personality Online: HUMAN STRESS AND HYPERTENSION

Tuesday 16 July 2013

HUMAN STRESS AND HYPERTENSION


Stress is a body condition that occurs in response to actual or anticipated difficulties in life. People often experience stress as a result of major events in their lives, such as bereavement, divorce, or the loss of a job. Stress also may occur in response to daily problems, such as driving in heavy traffic or being hurried by someone. In addition, people may experience stress when they perceive a threat to themselves. For example, a person who feels unable to cope effectively with a challenge may experience. 

Common sign of stress include an INCREASED HEART RATE, RAISED BLOOD PRESSURE, MUSCLE TENSION, MENTAL DEPRESSION AND AN INABILITY TO CONCENTRATE. Typical reactions include SOCIAL WITHDRAWAL; AN INCREASED USE OF TOBACCO, ALCOHOL, OR DRUGS, AND FEELINGS OF HELPLESS ABOUT THE SITUATION.


Causes of stress are called stressors. 
These are outside forces that place unusual demands on a person’s body or mind. There are five major types of stresses: 
Biological variable, 
Environmental circumstances, 
Life situations, 
Behaviours and 
Cognitive activities.

Biological variables affect a person’s physical state. They include illness and physical exertion. Environmental circumstances are forces in the person’s surroundings, such as noise, overcrowding, poverty and natural disasters. Life situations include stressful incidents, such as the death of a close friend or being in a group of strangers. Behaviours that may act as stressors include smoking cigarettes and poor eating habits. Cognitive, or thinking, activities that may produce stress include taking a test or concentrating on getting a high score in a video game.

Not all stressors affect everyone the same way. In a particular situation, one person may remain quite calm while another person displays marked signs of stress. The difference between the two people may be that the first person fells in control of the situation, is threatened by it and only wants to avoid coping with it.

How stress affects the body. 
Stress sets off an alarm reaction in the body. During the reaction, certain chemical substances called hormones are released into the bloodstream in increased amounts. First, a small area at the base of the brain called the hypothalamus receives signals from other parts of the brain. The signals stimulate the release of adrenocorticotropin-releasing hormone. This hormone acts on the pituitary gland, causing it to release adrenocorticotropic hormone, also called ACTH, into the bloodstream. ACTH travels to the cortex (outer layer) of the adrenal glands, which lie above the kidneys. Hormones called glucocorticoids are released by the adrenals. These hormones supply immediate energy and suppress the activities of the body’s immune system. At the same time, the adrenal glands release other hormones. The most important of these hormones, adrenaline, increases heart rate and blood pressure. 
If the stressor is prolonged, the stage of resistance occurs in the body. Physical resistance to the stressor reaches its peak during this stage, but resistance to other stressors tends to be below normal. This helps explain why people under a great deal of job stress often are more likely to catch colds and flu. If exposure to the stressor continues, the body loses its ability to adapt to the situation and enters the stage of exhaustion. During this stage, resistance to stressors is extremely low. 
Stress related illnesses
Doctors believe that several kinds of illness may be caused by prolonged or repeated periods of stress. Diseases of the stomach and intestines, such as duodenal ulcers and colitis, are often linked to stress. Arrhythmias (abnormal heart rhythms) and even heart attacks sometimes occur because of stressful events. Stress also suppresses the body’s ability to fight off disease. Such diverse illness as flu, glandular fever, herpes simplex and some kinds of cancer have been shown to be affected by stress. 
Dealing with stress
People need a certain amount of stress to perform at their best. But too much stress produces many negative effects. Therefore, many people look for ways to better manage the stress in their lives. Some people practice relaxation techniques, such as various forms of meditation. Stress can also be reduced by thinking about stressful things in a different way. For example, people can reduce stress by accepting events as they are, rather than as they would like them to be. Regular exercise and proper nutrition also reduce stress. See also Gland; Hormone; Transcendental Meditation.
The Suggestions Given by Experts to Prevent Stress
Many people suffer from stress everyday. Stress can make us anxious and depressed. It is the enermy of clear thinking and if allowed to get out of control, can compromise our health as well. According to Georgia Witkins, author of The Female Stress Syndrome, one of the top stressors is the ‘time deficit’ – the difference between the amount of time we think we need to get everything done and the amount of time we actually have to do it all.
But stress does not have to be our constant companion. Georgia Witkin, Director of the Small Stuff eliminates stress. He constantly reminds himself that life is truly precious  and freedom from stress involves making peace with imperfection. Learning to accept things as they are – instead of how one wants them to be. Carlson believes serving others is another effective strategy. The less self-important one feels, the less stress one harbours. He recalls driving a new neighbour, who did not have a car, to the shops. Being nice made his day.
According to Bernie Siegel, author of Prescriptions Living and father of five, dealing with stress is about changing one’s life and attitude.
He recalls and frail, elderly patient named Edith who had survived a heart attack, a bleeding ulcer and invasive breast cancer and found a way to avert her suffering.
Edith’s mother always told her that she would live to a ripe old age and every time something happened, Edith heard her mother’s words – and she believed them. As for daily stress, Siegel suggests becoming involved with what you love to do – a hobby or your work. It helps you to lose track of time and stress.
For years, Lucinda Basset, President of Ohio’s Midwest Centre for Stress and Anxiety, suffered from severe anxiety. She recovered by choosing how to react to potentially stressful situations when they developed. There were three options, she explains, that one can do – eliminate the situation, modify it or under-react to it.
The first two choices may not be feasible. If, for example, you love your job but hate your boss, you may not be able to eliminate this source of stress by quitting. But the third option always lies in our control. We can purposely under-react by simply changing our attitude. When Basset misses a fight, for instance, she calmly arranges to take another one. Then she makes the best of her new-found free time t0o buy a magazine or call her husband or friend to pass the time.
To keep herself feeling calm and peaceful at home. Basset says she reads something spiritual every day. Praying a lot has helped her through some major challenges in her life, both professional and personal. Adapted from Reader Digest, August 2000.



Hypertension
Hypertension is the medical term for the disease commonly called high blood pressure. There are many varieties of hypertension. They range from mild forms to an extremely severe—and often rapidly fatal—type called malignant hypertension. High blood pressure is not only a serious condition by itself, but it is also the leading cause of heart attacks, strokes, and kidney failure. Many people of all ages suffer from hypertension.
Measurements of blood pressure are written as two numbers. For example, the normal blood pressure for a young adult is 120/80. The first number refers to the sys­tolic pressure, which is the blood pressure when the heart is contracting. The second number refers to the diastolic pressure, which is the blood pressure when the heart is relaxing. Many doctors believe that a read­ing greater than 150/95 for an adult indicates hyperten­sion. For more information about such figures and how doctors obtain them, see Blood pressure.
Causes. As people become older, their blood pres­sure usually rises because their arteries become less elastic and the blood flows more slowly. Some cases of hypertension result from other illnesses, such as kidney disease or overactive adrenal glands. However, doctors cannot determine the cause of high blood pressure in about 90 per cent of the cases. They call such cases es­sential hypertension. People whose parents have hyper­tension are much more likely to develop the ailment than those whose parents have normal blood pressure. Obesity (fatness), stress, smoking, or eating too much salt may trigger hypertension in people who have inher­ited such a tendency, and may also make the disease worse in people who already have it.
Doctors know that an enzyme called renin plays an important role in regulating blood pressure. Renin is se­creted by the kidneys under certain circumstances, such as a drop in the pressure of the blood flowing through the kidneys. Renin causes the formation of a chemical substance called angiotensin, which raises the blood pressure by causing the blood vessels to constrict (be­come narrower). Angiotensin also stimulates the adrenal glands to secrete the hormone aldosterone. Aldoste­rone causes the body to retain sodium, which, in turn, then causes the body to retain fluids. The extra fluid in­creases the volume of the blood, thereby further raising the blood pressure. After the blood pressure has risen to a certain level, the kidneys normally stop secreting renin. But in many people with essential hypertension, something interferes with this controlling system. In such cases, the blood pressure remains elevated. When the pressure is high inside the heart, the heart releases a hormone called atrial natriuretic factor. This hormone helps lower the blood pressure by inhibiting the secre­tion of renin and aldosterone.
Effects. In most cases, hypertension produces no symptoms until dangerous complications occur. For ex­ample, it can cause an artery in the brain to burst, pro­ducing a stroke. High blood pressure also forces the heart to work harder, and so it may cause a heart attack. The disease can cause kidney failure by reducing the flow of blood to the kidneys. In addition, high blood pressure is a major cause of arteriosclerosis (hardening of the arteries).
Treatment. People of all ages should have their blood pressure checked frequently. Many cases of mild hypertension can be controlled by weight reduction, avoidance of salty foods, and increased exercise. Doc­tors can control almost all other cases with drugs, in­cluding some medications that reduce the secretion of renin and aldosterone. The more serious consequences of hypertension, such as heart attacks and strokes, can be prevented by treating high blood pressure before it reaches dangerous levels. See also Reserpine.



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Tips on Managing Your Stress Effectively
Introduction
Stress is a physical, emotional and mental reaction to change. It encompasses pressure, burden, conflict, fatigue, tension, panic, nervousness, anxiety, depression and loss of vitality that often happens when changes occur to the body or mind.

Why are you stress?
Personal - disappointment that take various forms
Family - domestic problems, financial problems, problems with children, etc.
Occupation - not excelling in job, not promoted, loss of work, transferred, etc.
Community - arguments with neighbours
Traffic congestion
Uncomfortable environment
Tragedy
Being forced to wait long

Signs of stress
Increased in heartbeat
Temper
Feeling of hopelessness
Making you eat either less or more
Loss of interest in job
Changing your sleep habit (either causing you to sleep too much or not letting you sleep enough)
Tendency to raise voice
Social withdrawal

Perform the 10B
Be calm
Breathe in deeply
Say: just relax...
Do good deeds or nice things for people
Speak to someone
Have a massage
Rest and listen to music
Perform physical activities
Exercise
Think positive

What to do when you are angry?
Calm down breath in and exhale slowly
Identify the cause of your anger
Seek the advice of others
Discuss your problem with family member of friends
Accustom yourself to forgiving quickly and accept the fact that people make mistakes

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Utilising Technology to Detect Depression
WHEN Dr Jasy Liew Suet Yan was a young girl, she was quite taken with the Japanese manga charac­ter Doraemon — a blue robotic cat that had a pocket which could produce the most amazing gadgets.
That, she said, sparked her curiosity and set her on a mission to find out about the science behind every gadget, and got her asking ques­tions on how things work.
Then later when she was doing her bach­elor’s degree in computer science at Universiti Sains Malaysia (USM) and had the opportunity to lead the varsity’s team at the Microsoft Im­agine Cup software design competition in 2008 and 2009, she discovered the thrill of not only solving complex problems in computer science but also applying technology to create solutions that help make the world a more beautiful place.
Then later when she was doing her bachelor’s degree in computer science at Universiti Sains Malaysia (USM) and had the opportunity to lead the varsity’s team at the Microsoft Im­agine Cup software design competition in 2008 and 2009, she discovered the thrill of not only solving complex problems in computer science but also applying technology to create solutions that help make the world a more beautiful place.
"For two years, we made it to the worldwide finals and it was really an eye-opener to me. Prior to that, I felt that systems were developed at our whim and fancy but during the competi­tion, I saw that technology can make a differ­ence — to solve medical problems and improve the quality of life. That never came across my mind until then, which obviously got me inter­ested in research," said the 32 year old who is currently a senior lecturer at USM.
For her masters and PhD, Liew received sponsorship to study at Syracuse University in New York.
Liew’s PHD research was on the develop­ment of machine learning models that could pick up emotional cues expressed in text - specifically via social media.
“At that time, social media was just becom­ing a big thing. The text used on these platforms are different from normal languages because people tend to be more free in what they say or do. And because there was so much text, there wasn’t enough people to vet through it to make sense of it like in the case of product sales, for example. How many people were happy with a product or angry, there was no way to know.
“This created a need to produce some kind of automatic system that could quickly pick up emotion cues so that it could give us a rough idea on what people felt about the product and the reasons behind the emotion. The goal was to better understand how people were express­ing emotions in text on social media,” she ex­plained.
While pursuing her PhD, Liew also noticed that many of her peers were showing signs of anxiety and depression.
“Upon completing my PhD, I discovered a report which revealed that one in two PhD stu­dents experiences psychological distress and it prompted me to think that this is a serious issue that has not been given due attention. It is bi­zarre to think of how huge the problem actually is but we have yet to see effective use of tech­nology to prevent depression.
“Hence, I am working on enabling technolo­gies to detect emotions expressed in text and I hope to create more emotion-sensitive applica­tions that can help monitor and regulate peo­ple’s emotion to prevent them from falling into depression,” said Liew.
She pointed out that it has been reported four out of every 10 Malaysians are affected by some form of mental health issues like depres­sion.
“Depression is on the rise but it is still con­sidered a taboo. It is often downplayed and vic­tims rarely acknowledge that they need help. This makes it difficult to detect as diagnosis is done through physical examination by a doctor,” she said.
In today's digital world where the use of social media is prevalent, Liew believes that tell-tale signs of depression can be picked up through this channel.
In her current research, she aims to inves­tigate the emotion patterns from streams of social media posts that contains emotional cues, which can be identified to detect signs of depression.
She employs the use of automatic emotion detectors that non-intrusively monitor an indi­vidual’s emotional state in order to trigger an alert and suggest relevant strategies to regu­late emotions when patterns of depression are recognised.
Liew remarked that preventing depression is crucial to improve the quality of life, lower suicide rates and reduce the burden of mental illnesses in a society and the country.
"The goal is to have technology that can look at what you’re doing on social media — writing and expressing — and at the end of the day tell you that you seem to be having signs of depres­sion and suggest you talk to a mental health expert or counsellor. Part of this research is to explore how to help people come up with better emotion coping strategy. Intervening it at the early stage could deter a person from falling deeper into depression,” she said.
For her research, Liew was recently award­ed the coveted L’Oreal-UNESCO For Women in Science Fellowship.
"I aspire to become a researcher and educa­tor who can help bridge the communication gap between people and computers through the creation of more emotion-sensitive computers. As humans become ever-more emotive in our use of social media, my research investigates how the use of various natural language pro­cessing (NLP) techniques enable computers to better detect the emotional cues expressed in texts. Being able to automatically detect emo­tion in texts on a large scale allows me to study various emotion-related phenomena online, and to improve the design of emotion-sensitive systems,” she said.
Liew also wants to use her expertise to hu­manise technology and help build local talents in her field.
Her message to budding scientists is to "grab any opportunity to learn, follow your heart and never be discouraged by naysayers who says computer science is not for women”.
“Being a computer scientist allows cross disciplinary boundaries in your career. I have always wanted to teach and have always been fascinated with computers, psychology and linguistics. Computer and information sci­ence have allowed me to combine my various interests in my career, so join me in exploring science and creating technologies to make this world a better place to live in,” she said.
Part of this research is to explore how to help people come up with better emotion coping strategy.
USM senior Lecture

NewStraitsTimes/December 20, 2017


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