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The Road-Ready HealthWire for November 14, 2002
“Bits and Bobs*”
to Keep You Sane, Safe, and Healthy on the Go
By Marlene
R. Fedin, The Wellness Concierge®
Travel Health & Safety News:
U.K. DVT Lawsuit Is Resumed;
The Brits Take Action to Discourage Ground
and Air Rage;
A New Way to "Sense" In-Flight Troublemakers; Don't
Drink the Water!;
Horizon Upgrades In-Flight Medical
Equipment;
FAA Proposes "Stronger" Airplane Seats to Prevent
Deaths, Injuries;
Want a Clean Room? Head for the Loo;
Smoke-Free Dining in Florida;
A Refresher Course in On-the-Road Safety and
Security
Health Alert

Should You Get a Flu Shot?
General Health News:
Painkillers' Serious Side-Effects; Avoiding
Acetaminophen Overdoses;
Gum Chewing Aids Memory; When Being Vain =
Pain
Spa-Ing and Healthy Getaways:
Gals (and Guys) Just Wanna Have Fun;
Enjoy
the Luxe Life for Less in New Mexico, Arizona, and Colorado
Healthy Eating & Nutrition:
Fast Food Gets (a Bit) Healthier;
Making Sense of Nutrition News; Staying on
Top of Food-Safety Recalls
Sleep Savers:
Trade Java for More Sleep; Avoid Booze If
You Want to Snooze;
Comfort- and sanity-saving resources
for unplanned airport sleepovers or
delays
Note: Some article references may require registration
or fee to access. Sites may have changed locations since posting.
TRAVEL-HEALTH
& SAFETY NEWS:
British DVT Case Set to
Resume: After a delay prompted by the presiding justice's admission
that he owned shares in British Airways (one of the more than two-dozen
airlines named in a lawsuit brought by some 56 claimants), the case will
resume on November 18 according to the Times of London.
Mr. Justice Nelson has sold off his BA shares but the plaintiffs must
decide if they'll continue the case with Nelson or another judge. Flyers
and their families are suing the air carriers claiming that they were
not warned about the serious health risks (life-threatening deep vein
thrombosis) associated with long-haul flights. The carriers have
rejected the claims.
Read more about the case at
BBC News.
•••
You’ve Been Warned!
Behave: The Sun-Sentinel’s Ken Kay details
BA’s attempt to reduce "ground rage" in the hopes such behavior
won’t escalate into even more problematic in-flight behavior. Kay
reports that BA is passing out "European-style soccer cards, (that) warn
that abusing ground staff can result in being denied travel or handed
over to the police." ...And If You're Still Thinking of Acting Up:
A British firm has created a seat-based body sensor that monitors your
movements and anxiety levels. Too much in-seat activity and you could be
singled out to the flight crew. No word yet from the airlines on whether
they'll opt to add the devices. (The W.C. would love to see how this
really works. It's bad enough that we can't comfortably stretch and move
to prevent DVT; now we have to worry about triggering a device that
identifies us as a possible "air rager" or worse just because
we're antsy or anxious.)
•••
Reminder: Don't Drink the
(In-Flight) Water! In case you missed (or didn't read carefully)
The Wall Street Journal's
recent review of in-cabin water quality, here's a few interesting
highlights.
▪ Unsurprisingly, the tested
samples (from galley and lavatory taps on 14 different flights) showed
that "Contamination was the rule, not the exception." With
water "additives" such as salmonella, staphylococcus and
insect eggs (that hatched as maggots), the water was most definitely
not drinkable. How undrinkable? "If I were the airline,"
Abigail Salyers, the outgoing president of the American Society for
Microbiology, cautions, "I would worry about what these results say
about the sanitation in their galleys."
▪ The city where the flight
originated and the length of the flight were not factors affecting the
water quality. (That's the good news and the bad news.)
▪ Test results weren't
isolated: Other studies produced similar results.
(And yes, the airlines
protested the Journal's testing methodology; microbiologists, however,
considered the results valid.)
▪ The airlines are in charge
of monitoring water quality and safety. EPA-initiated spot-checks are
infrequent since "airplane water is 'not a priority'..."
▪ According to the FDA,
there's no problems with airplane water tanks. Inspections are only made
when a complaint is registered. However, fueled by consumer concerns,
the FDA says it's starting a program to regularly sample airline
water.
▪ Some flight attendants
carry their own water to avoid having to drink in-flight water. (What
does that tell you?)
▪ When they run out of
bottled water, some flight attendants say they serve up tap water.
(FYI: Some airlines say that while you could end up being offered tap
water, serving it is against their policies.)
▪ When they do serve tap
water, flight attendants don't necessarily tell you the source. You have
to ask—and trust they're being straight with you.
If you want to avoid
drinking water from a plane:
▪ Carry as much bottled water
as you think you'll need for each flight. It's a pain to schlep your own
bottled water (or shell out big bucks at the airport to refresh your
supply), but it's a lot cheaper than what it'll cost if you should
"pick up" something.
▪ If you brush your teeth,
use your own bottled water.
▪ If you ask for water on a
flight, and you don't see it being poured from a sealed bottle, know
that you may be getting water from the planes tanks. (You know how you
refill your own water bottle from the tap sometimes? Hey, they do it on
planes, too!)
▪ When you're handed
non-bottled water, ask if it's from the
plane's water supply. Not to question the veracity of an airline
employee, but if it were me, I
wouldn't drink it—regardless of the answer.
▪ If you've run out of your
own water, opt for juice, seltzer, club soda, or, as a last resort, a
soft drink.
Finally, if you or someone
you've traveled with gets ill and you think you may have drunk airplane
water, report it to the airline and the FDA as soon as possible after
the flight. It may be unrelated but it's best to let the experts figure
it out.
•••
In-Flight Med Upgrades: Horizon
Air expects to have upgraded medical kits and automated external
defibrillators on its fleet of jet and turboprop aircraft by the summer
of 2003, in advance of the FAA’s spring 2004 deadline.
•••
A
Push for Stronger Airline Seats: Comfort may be your biggest
concern when it comes to airline seating. But the FAA is more
concerned about seat strength—a factor that could reduce passenger
deaths and serious injuries. A current proposal (docket
number FAA-2002-13464) calls for raising the standards and
installing stronger seats. Approval may be a year away but the airlines
would have 14 years to implement the changes. According to an Airwise
story, seats "would have improved head protection, better seat belts and
be more firmly secured to the cabin floor." Want to offer your
input? The FAA is accepting
public comment through December 3.
•••
On-Site Airport
Defibrillators Continue to Save Lives:
Phoenix City Councilman Dave
Siebert tells Airwise that "These life-saving devices have helped
save seven lives at Sky Harbor in a very short time." Sky Harbor debuted
its 60 AED units in February 2001.
•••
It’s All About the Loo: Hoteliers looking for repeat business,
take note: Forget room decor and gadgets. If you want to impress guests,
according to a recent Opinion Research Corp. survey for personal
care products producer Kimberly-Clark, focus on the "John." Or, more
precisely, on creating a very clean—and well-maintained—bathroom.
Almost three-quarters of the respondents cited the condition of the
bathroom as the key factor in assessing the room’s overall cleanliness
with 55% checking out the loo as soon as they entered the room. The
biggest turn-offs? Dirty bathrooms (28%) and odors (23%).
•••
Smoke-Free
Dining in Florida: Amendment 6, which bans smoking in restaurants
and other public locations, passed last week, with the expected uproar
from smokers and eatery owners and rejoicing from smoke-sensitive
consumers and health advocates. (An example of the vociferous
opposition: A Key West restaurateur is advocating seceding from the
state should the ban stick.) Some 70% of the state’s voters opted to
outlaw indoor smoking by next July. Exceptions: Designated
hotel rooms, stand-alone bars. The details of enforcement and penalties
haven’t been finalized so if you’re celebrating, don’t breathe too
deeply just yet.
•••
TAKE A REFRESHER COURSE IN ON-THE-ROAD
SAFETY & SECURITY: When
The Worst-Case Scenario Survival Handbook: Travel
debuted, the
how-to
handbook seemed amusing but somewhat irrelevant for all but the most
global and adventuresome travelers. After all, how many of us really had
to worry about handling runaway camels or surviving volcanic eruptions,
tsunamis, or sandstorms? But some other examples (how-tos for surviving
riots and hostage situations, for example) may have been eerily
prescient.
Despite it's serious undertones and
liability-driven disclaimers, its "Warning" intro served as an amusing
lead in to the dissection of serious issues in a spirited fashion. But
rereading the opening line ("When a life is imperiled or a dire
situation is at hand, safe alternatives may not exist.") in the fall
of 2002, its words bring a chill rather than a chuckle.
The book remains a solid primer on
travel-safety basics for novice and experienced travelers and even the most airport- and city-bound road
warriors. And it's a "must-pack" item for adventure and international
travelers and those whose business travel takes them to destinations
where ice, riptide, sandstorms, and dangerous creatures and critters are
as commonplace as tourists. (International travelers should be sure to
read the "Gestures" and "Foreign Emergency Phrase" sections.
After all, how many of us can quickly spit out "Please take me to a
clean hospital." or "You will never make me talk." in Spanish, French,
German, or Japanese?)
If you haven't yet checked it out,
start with the "basics": how to survive an airplane crash, mugging,
high-rise hotel fire, or plummeting elevator; and how to stop a car
with no brakes. You can move on to the "not-as-likely-to-happen, but,
hey, you never know" scenarios—some of which don't seem as
farfetched given the landscape of travel today. (We're not sure who will
need the "How to Foil a UFO Abduction" tips but it never hurts to be
prepared, especially if you're driving alone at night on those desolate
New Mexico roadways!)
HEALTH
ALERT
The flu is uncomfortable and debilitating
even when you're healthy and can ride it out in the relative comfort of
your home. As some of you already know, it's an on-the-road nightmare if
you catch it while you're on the go. With flu season upon us again, it's
time for the annual reminder to get a flu shot ASAP. (A dose
takes two to three weeks before it's effective.)
The American Medical Association urges
consumers to get their shots before the end of November. However,
the vaccine is considered effective even if you get a shot in December
(or later). FYI: Flu season historically doesn't peak until January.
The W.C. Says: For me, it's a
no-brainer. If I were on the road as much as some of you are, in close
and constant contact with so many fellow travelers, I'd opt for the shot—regardless
of age or general health. But I'm not you. Consult your doctor or
other healthcare provider to determine the risks and benefits of a flu
shot. The
CDC's
Guidelines for who should get a shot are worth reviewing to
determine if you should be rolling up your sleeve.
GENERAL HEALTH NEWS
PAINKILLERS
MAY SOLVE ONE PROBLEM, CREATE ANOTHER: If
you’re a woman who regularly pops popular pain relievers such as
ibuprofen and acetaminophen (ingredients in numerous over-the counter
remedies such as, respectively, Motrin and Tylenol), you may want to
monitor your intake and have your blood pressure checked regularly.
A
study
included in the October 28 issue of
the Archives of Internal Medicine found that "use of NSAIDs (nonsteroidal
anti-inflammatory drugs) and of acetaminophen were significantly
associated with increased risk of hypertension..." The controversial
Nurses’ Health Study II, which included some 80,000+ women with no
history of hypertension, suggests a link between regular consumption and
high blood pressure. However, the researchers do not recommend that
people stop using the popular painkillers and note that
the majority of women who ingest these medications will
not develop high blood pressure.
Despite questions about the study’s methodology and
conclusions (concerns acknowledged by the Harvard School of Public
Health researchers who undertook the study), researchers believe the
link exists even when other explanations are considered.
FYI: Taking
Ibuprofen or other NSAIDs can result in sodium retention.
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AND WHILE WE'RE ON THE TOPIC OF POPPING
PAINKILLERS...
When you're in pain or sick and on the move,
it's incredibly easy to forget when and how many pain relievers or other
over-the-counter remedies you've taken—and for how many days. (Not to
mention that you might be beefing up your overall intake by upping the
recommended dosage for faster relief or even taking multiple products
simultaneously.)
But Federal watchdogs caution that it's
especially important to monitor your intake of acetaminophen, the most
widely used analgesic, which most of us recognize from the Tylenol
brand. Acetaminophen is found in close to 200 products such as branded
and generic headache, cough, cold, and pain remedies. (It's even present
in prescription-only Percocet and Vicodin.)
At high doses, they warn, acetaminophen is
toxic and a major cause of liver failure. According to the FDA,
unintentional acetaminophen overdoses trigger over 56,000 ER visits a
year and result in about 100 deaths.
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WARNING!
ALWAYS read a product's fine-print
instructions
for dosage, indications, warnings, and other
usage details.
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Individuals who take high doses for extended periods or without eating; heavy
drinkers; those who fast; and people with hepatitis and other diseases
may be more susceptible to unintentional overdosing and should exercise
caution when taking acetaminophen.
Of serious concern: Taking the suggested
daily dose may not ensure you won't overdose. In an FDA study,
22 percent of the participants became very ill even though they had
taken less than the maximum daily dosage.
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Symptoms of Acetaminophen Overdose:
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There may be no early specific symptoms or,
within the first 24 hours, you may experience nausea and vomiting;
drowsiness; confusion; liver tenderness; cardiac arrhythmias; low blood
pressure; jaundice; acute hepatic and renal failure.
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If you suspect you may
have overdosed on acetaminophen, seek immediate medical treatment. By
the time symptoms appear, you may have severe liver damage of find
yourself in a life-threatening situation.
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CHEW GUM, UP YOUR RECALL: I never thought I’d advocate chewing
gum, but memory-challenged road warriors, take note: A U.K. study found
that chewing gum can enhance your memory. The type of gum is irrelevant.
The key is the chewing process, which, according to an
Alternative Medicine
Digest article, "induces a surge
of insulin..." that finds its way to "insulin receptors in areas of the
brain that are important for learning and memory." (The W.C. implores
you, on behalf of your fellow travelers, to please close your mouth when chewing!)
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WHEN BEING VAIN CAN CAUSE PAIN: I
can't imagine an adult purchasing non-prescription, over-the-counter
decorative contact lenses and not realizing that they may pose a health
risk. After all, even quality prescription contacts can cause eye
irritations, infection, and more serious eye health problems. But
apparently it isn't just teenagers who've opted to try the cheap and
readily available colored and patterned lenses.
A recent FDA warning cautioned against
wearing such lenses without a prescription and being fitted by an
eye-care professional. Citing corneal ulcers, abrasions and other eye
damage, the FDA is cracking down on unregulated sellers (including
foreign suppliers) and seizing unapproved lenses.
HEALTHY EATING & NUTRITION
FAST-FOOD GETS (A BIT) HEALTHIER:
Good news for those who frequent fast-food chains. No, these outlets
haven't turned into healthy food havens but top chains such as
McDonald's, Wendy's, and Popeye's have stopped using poultry that's been
treated with antibiotics, including Cipro, which is commonly used to
treat infections in humans. According to the Environmental Defense (ED)
organization, which lobbied for the change, there is "Considerable
medical evidence (that) shows these drugs' effectiveness for treating
severe food poisoning in humans is being compromised by their use on
poultry." (The CDC and other groups believe that "resistant strains of
three specific organisms that cause illness or disease in
humans—Salmonella, Campylobacter, and E. coli—are linked to the use of
antibiotics in animals.")
But experts caution that despite the
reduction in antibiotic usage, you still can't be certain you're
eating antibiotic-free birds: Sick chickens, along with their flock,
are still treated with antibiotics. And since farmers are not required to
report antibiotic usage (or segregate sick chickens)--any chicken not labeled
"organic" or "antibiotic free" (something you can't check at a
restaurant) could be harboring antibiotics. In September, the ED notes,
"the Food and Drug Administration (FDA)
issued new guidelines recognizing that antibiotics are overused in
farming, and that animal antibiotics are being passed to humans
through food and may be allowing harmful bacteria to become immune to
treatment."
Want to learn more about the effects of
antibiotic-laden food on your overall health?
Click here.
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MAKING SENSE OF NUTRITION
NEWS: Keeping up with the often conflicting and confusing spate of
food and nutrition news is tough enough for health and medical
professionals who can sort through the media's often questionable
interpretations of research studies. Time-challenged road warriors who
want
a solid and scientifically sound overview of food and supplement news
(and how it really affects their lives) should consider an e-mail subscription to the
daily Nutrition News Focus e-newsletter.
The daily newsletter
summarizes a single piece of news, includes an historical
perspective, and provides a concise "Here's What
You Need to Know" graph that pulls no punches and clearly questions and
debunks data as needed. Best of all, it deconstructs and defines terms
and scientific data for the layman. (You can catch up with prior news at
the site's
articles archive.)
To subscribe, send a blank
email to
Subscribe@NutritionNewsFocus.com
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STAYING ON TOP OF FOOD SAFETY ISSUES & RECALLS:
The experts tell us that the number of food poisoning incidents has
declined since the mid-1990s but recent news headlines citing meat,
turkey, and chicken product contamination and recalls would have us think otherwise.
If you travel extensively, you need to be aware of food safety concerns
beyond those that may be showing up in your hometown. Contaminated lunch
meat may not have reached your local delis, but if you're eating your
way around the country, you may have a greater risk of encountering
flagged food items (and that includes more products than the widely
publicized meat recalls of late).
Even
the most generally unconcerned consumers are re-thinking deli and restaurant food choices in light of the listeria
outbreak that forced a November 2 nationwide recall of 27 million pounds
of fresh and frozen ready-to-eat turkey and chicken products. Travelers
who can't monitor the daily national or local news need alternative
sources of reliable and timely data on food recalls that they can turn
to when they're on the road.
Resources Worth Noting:
▪ You can sign up for e-mail alerts for food
and drug recalls at Safety Alerts. (You can specify food allergies and select up to
five states in addition to your home base.) Its site lists top recalls in several
categories, has a search function, and also details current food recalls
around the country. Its news section highlights nationwide recalls and
provides relevant details on brands and distribution that can help you
determine if you're at risk. It also includes contact details.
▪ USDA Meat and Poultry Hotline
(800-535-4555);
▪ FDA "Safety
Alerts";
▪ The USDA's
Food Safety and Inspection Service
includes info on food recalls and other relevant data;
▪ CDC
FAQs on listeriosis;
▪ State Health departments (Check the
state links at the Association of State and Territorial Health
Officials site).
SPA-ING & HEALTHY
GETAWAYS
Need a little time to yourself before, around,
or after the holidays? Give yourself and a loved one (or a bunch of them) the gift of a short
spa, resort, or luxury hotel getaway. Here's a sampling of well-priced
packages to inspire you to take off soon! (As always, deals are subject
to availability.)
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GALS (AND GUYS) JUST
WANT TO RELAX It's billed as the "Girls Just Wanna Have
Fun" package, but we confirmed that the Four Seasons
Hotel Chicago
won't turn away guys who want to get together (although they will
tweak the included special amenities to reflect masculine
interests).
Up to five guests can
share a deluxe Family and Friends suite at $675 per night,
which is a good value even without the package extras. (And if you
want more space, you can upgrade to a two-bedroom Deluxe Family
suite that sleeps six for $1,175 a night.) The hotel and retailer
Neiman Marcus have teamed together and offer the services of a
private fashion shopper, cosmetic makeovers and gift bag, and
shopping discounts at area stores. You are also welcomed with a
gift basket of movies, CDs, and spa products. Reservations:
312-280-8400
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ENJOY THE LUXE LIFE
FOR LESS: The recently opened
Sheraton Wild Horse Pass
Resort and Spa (which includes two, 18-hole golf courses and
an equestrian center, native-inspired cuisine, and a "river"
running through it)
in Phoenix is celebrating its
opening with a number of imaginative special packages that include
spa, golf, riding, casino, and romance themes. But its
"Legendary Celebration" package (available through January
7, 2003) is a super value: Five nights in an executive suite
on the property (located on the 372,00-acre Gila River Indian
community reservation, 11 miles from SkyHarbor Airport)
including taxes and gratuities for $1,500 for two. But wait,
there's more: Daily breakfast; a $200 resort dining
certificate; $40 certificate to the Wild Horse Pass Casino;
tickets to Phoenix' Heard Museum; and either unlimited golf for
one and four spa treatments for the second person or unlimited
golf for two and two spa treatments. Do you need any more
incentive to sneak in a mini retreat from holiday madness?
(Reservations: 800-325-3535)
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The
Bishop's Lodge
Resort and Spa in Santa Fe
offers winter
"Spa
Breakfast" packages good through March 31, 2003.
Two guests can stay for
one ($430), three ($1,005), or five nights ($1,585) in deluxe
accommo-
dations at the resort
nestled in a valley in the foothills of the Sangre de Cristo
mountains. The rates include two spa treatments per room per day;
daily breakfast; daily resort fee; gratuities and taxes. (There's
a complimentary ski shuttle to nearby peaks.) Reservations:
800-732-2240
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If you love the outdoors and winter skiing, head west. The
Ritz-Carlton Bachelor
Gulch (on Beaver Creek Mountain in Colorado, 15 minutes from
Vail) serves up a "New
Altitude" package (the resort is 8,100 feet above sea
level) to celebrate it's November 21 opening. Available from
January 1 through March 29, 2003, the $2,003 rate nets three nights in a
Club Level Valley View Room; a champagne breakfast for two; five daily
food and beverage presentations; two massage treatments; a hot air
balloon ride over Vail Valley; and 24-hour concierge service. (The
double occupancy rate includes gratuities and service charges, but not
taxes.) Reservations: 970-748-6200; 800-241-3333
Built into the mountain, Bachelor Gulch features a rustic
design that evokes the grand lodges of Yellowstone and Yosemite.
Virtually all the rooms offer a mountain or valley view. There's a nearby national forest (accessible year-round) and an
express high-speed quad ski lift to get you up the mountain.
SLEEP SAVERS
Want to Snooze Soundly? Nix
the Java After Lunch: You know
that caffeine-laden coffee is a stimulant. (That’s why so many of us
drink it, right?) But did you know that imbibing coffee after lunch can
reduce your already puny sack time? According to the findings of a
British study, caffeine interferes with melatonin production. Reduced
melatonin levels not only shave precious hours of needed sleep, but
they’ve also been linked to cardiovascular diseases, Alzheimer’s and
other serious disorders. Need the shut-eye? Resist the those
late-day, late-nite lattes and espressos.
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HAVE MAT, WILL REST If you travel enough, it's bound to
happen: You're forced to hang out, or even camp out overnight, at
an airport or other public facility with ergonomically challenging
or no
seating. You want to rest, nap, or maybe even sleep without having
your body painfully reconfigured in the process.
Folded clothing and luggage weren't designed as portable beds or
sleeping aids. Some airports won't even let you take to the floor.
So what do you do?
If you yearn for comfort and have room in your carry-on (or car),
consider toting
JourneyRest's Airmat (left).
The
inflatable mat (42" by 22" by 2", opened flat) isn't a substitute
for your favorite mattress but it's a more comfortable and
body-friendly alternative than most public seating. The brainchild
of business traveler Rick Lee, the high-grade PVC Airmat weighs in
at 2.5 pounds, folds down to about 12" by 8" by 1" (a bit bigger
than letter-size paper), and inflates in under a minute. Deflated,
it easily fits into computer cases and carry-ons. Given the
added comfort it provides, it's a good trade-off for its
space/weight requirements. (Worried
that it won't support your frame? A 6 4",
240-pound lab tester jumped on it repeatedly with no problems.) Available
exclusively from JourneyRest: 1-866-5-JOURNEY; $29.95 plus S/H.
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LET'S NOT MAKE
IT A HABIT: The
Sleeping in Airports
site, the work of Donna McSherry, bills itself as a budget
travelers guide to (literally) spending the nite on the road. But
even well-heeled travelers can find useful information should they
find themselves sleeping in and over at U.S. and international
airports.
The enthusiastic
and imaginative McSherry, who includes input and stories from
global travelers as well as airport employees, details the best
and worst airports; offers survival tips; and includes ratings for
individual airports. There's even a section (Other
Strange Places) devoted to other alternative overnight venues.
The options outlined in the not entirely tongue-in cheek list,
which include Kinkos,
cemeteries, car trunks, chapels, gas stations, and used car lots,
make most airports seem like four-star lodgings.
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WANT TO SNOOZE?
FORGET THE BOOZE: If you're used to having some wine, brandy
or other alcoholic beverage to help you wind down at the end of
the day and maybe even induce sleepiness, you may be setting
yourself up for a short night's rest. The reason? According to
scientists at the Wake Forest University School of Medicine, your
thalamus, a region of the brain involved in sleep, is "exquisitely
sensitive to alcohol." Human studies confirm what some of us
already know: Even a single, small alcoholic drink before bed can
leave you drooling and dozing with a quick entry into dreamland
for the first half of the night. But the alcohol disrupts your
sleep pattern, the scientists note, which means you'll "tend to
wake up more and be a little more restless" in the second part of
the night. Want to sleep well and without disruptions? Switch
to non-alcoholic beverages. ◄
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* Information
is compiled from medical and scientific journals and related
professional publications, which have vetted the research data that they
present.
DISCLAIMER:
The material on this site is provided for information purposes only and
is not a substitute for consulting a healthcare professional.
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