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1、ted 演講稿我得到的最好的禮物歡迎來到,以下是聘才 XX 為大家搜索整理的,歡迎大家閱讀。ted 演講稿 我們?yōu)槭裁匆咧形暮喗椋阂簧?,我們有三分之一的時間都在睡眠中度過。關(guān)于睡眠,你又了解多少 ?睡眠專家 Russell Foster 為我們 解答為什么要睡覺,以及睡眠對健康的影響。What Id like to do today is talk about one of myfavorite subjects, and that is the neuroscience of sleep.Now, there is a sound - (Alarm clock) - aah, itwo
2、rked - a sound that is desperately, desperately familiar to most of us, and of course its the sound of the alarm clock. And what that truly ghastly, awful sound does is stop the single most important behavioral experience that we have, and thats sleep. If youre an average sort of person, 36 percent
3、of your life will be spent asleep, which means that if you live to 90, then 32 years will have been spent entirely asleep.Now what that 32 years is telling us is that sleepat some level is important. And yet, for most of us, we dont give sleep a second thought. Wethrow it away.Wereally just dont thi
4、nk about sleep. And so what Id like to do today is change your views, change your ideas and your thoughts about sleep. And the journey that I want to take you on, we need to start by going back in time.Enjoy the honey-heavy dew of slumber. Any ideaswho said that? Shakespeares Julius Caesar. Yes, let
5、sleep,thee?me give you a few more quotes. O sleep, O gentlenatures soft nurse, how have I frightedShakespeare again, fromI wont say ittheScottish play.(Laughter) From the same time: Sleepis the golden chain that ties health and our bodies together. Extremely prophetic, by Thomas Dekker, another Eliz
6、abethan dramatist.But if we jump forward 400 years, the tone aboutsleep changes somewhat. This is from Thomas Edison, from the beginning of the 20th century. Sleep is a criminal waste of time and a heritage from our cave days. Bang. (Laughter) And if we also jump into the 1980s, some of you may reme
7、mber that Margaret Thatcher was reported to have said, Sleep is for wimps. And of course the infamous - what was his name? - the infamous Gordon Gekko from Wall Street said, Money never sleeps.What do we do in the 20th century about sleep? Well,of course, we use Thomas Edisons light bulb to invade t
8、he night, and we occupied the dark, and in the process of this occupation, weve treated sleep as an illness, almost. Weve treated it as an enemy. At most now, I suppose, we tolerate the need for sleep, and at worst perhaps many of us think of sleep as an illness that needs some sort of a cure. And o
9、ur ignorance about sleep is really quite profound.Why is it? Whydo we abandon sleep in our thoughts?Well, its because you dont do anything much while youre asleep, it seems. You dont eat. You dont drink.And you dont have sex. Well, most of us anyway. And so therefore its - Sorry. Its a complete wast
10、e of time, right? Wrong. Actually, sleep is an incredibly important part of our biology, and neuroscientists are beginning to explain why its so very important. So lets move to the brain.Now, here we have a brain. This is donated by asocial scientist, and they said they didnt know whatit was, or ind
11、eed how to use it, so - (Laughter) Sorry.So I borrowed it. I dont think they noticed. Okay.(Laughter)The point Im trying to make is that when youreasleep, this thing doesnt shut down. In fact, some areas of the brain are actually more active during the sleep state than during the wake state. The oth
12、er thing thats really important about sleep is that it doesnt arise from a single structure within the brain, but is to some extent a network property, and if we flip the brain on its back - I love this little bit of spinal cord here - this bit here is the hypothalamus, andinterestingright under the
13、re is a whole raft ofstructures, not least the biologicalclock.Thebiological clock tells us when its good tobe up,whenthehypothalamus, the lateralhypothalamus,theits good to be asleep, and what that structure does is interact with a whole raft of other areas within ventrolateral preoptic nuclei. All
14、 of those combine, and they send projections down to the brain stem here.The brain stem then projects forward and bathes the cortex, this wonderfully wrinkly bit over here, withneurotransmitters that keep us awake and essentiallyprovide us witha whole raft ofand essentially,sleep is turned on and of
15、f as aresultour consciousness. So sleep arises from different interactions within the brain,of a range ofsleepSo whyOkay. So where have we got to? Weve said thatis complicated and it takes 32 years of our life. But what I havent explained is what sleep is about.do we sleep? And it wont surprise any
16、of you that, of course, the scientists, we dont have a consensus.There are dozens of different ideas about why we sleep, and Im going to outline three of those.The first is sort of the restoration idea, and itssomewhat intuitive. Essentially, all the stuff weve burned up during the day, we restore,
17、we replace, we rebuild during the night. And indeed, as an explanation, it goes back to Aristotle, so thats, what, 2,300 years ago. Its gone in and out of fashion. Its fashionable at the moment because whats been shown is that within the brain, a whole raft of genes have been shown to be turned on o
18、nly during sleep, and those genes are associated with restoration and metabolic pathways. Sotheres good evidencefor the whole restorationhypothesis.What about energyconservation? Again, perhapsintuitive.You essentiallysleep to save calories. Now,when you do the sums, though, it doesnt really pan out
19、.If you compare an individual who has slept at night, or stayed awake and hasnt moved very much, the energy saving of sleeping is about 110 calories a night. Now, thats the equivalent of a hot dog bun. Now, I would say that a hot dog bun is kind of a meager return for such a complicated and demandin
20、g behavior as sleep. SoIm less convinced by the energy conservation idea.But the third idea Im quite attracted to, whichis brain processing and memory consolidation. What we know is that, if after youve tried to learn a task, and you sleep-deprive individuals, the ability to learn that task is smash
21、ed. Its really hugely attenuated.So sleep and memory consolidation is also very important. However, its not just the laying down ofmemory and recallingit. Whats turned out to be really exciting is that our ability to come up with novel solutions to complex problems is hugely enhanced by anight of sl
22、eep. In fact, its been estimated to give us a threefold advantage. Sleeping at night enhances our creativity. And what seems to be going on is that, in the brain, those neural connections that are important, those synaptic connections that are important, are linked and strengthened, while those that
23、 are less important tend to fade away and be less important.Okay. So weve had three explanations for why wemight sleep, and I think the important thing to realize is that the details will vary, and its probable weis notthingsleep for multiple different reasons. But sleep an indulgence. Its not some
24、sort of thing that we can take on board rather casually. I think that sleep was once likened to an upgrade from economy to business class, you know, the equiavlent of. Its not even an upgrade from economy to first class. The criticalto realize is that if you dont sleep, you dont fly.Essentially,you
25、never get there, andwhatsextraordinary about much of our society these days is that we are desperately sleep-deprived.HugeSo lets now look at sleep deprivation.sectors of society are sleep-deprived, and lets look at our sleep-o-meter. So in the 1950s, good dataeightsuggests that most of us were gett
26、ing around about hours of sleep a night. Nowadays, we sleep one and ahalf to two hours less every night, so were in thesix-and-a-half-hours-every-nightleague.ForhoursItsteenagers, its worse, much worse. They need nine for full brain performance, and many of them, on a school night, are only getting
27、five hours of sleep.simply not enough. If we think about other sectors of society, the aged, if you are aged, then your ability to sleep in a single block is somewhat disrupted, and many sleep, again, less than five hours a night. Shift work. Shift work is extraordinary, perhaps 20 percent of the wo
28、rking population, and the body clock does not shift to the demands of working at night. Its locked onto the same light-dark cycle as the rest of us. So when the poor old shift worker is going home to try and sleep during the day, desperately tired, the body clock is saying, Wake up. This is the time
29、 to be awake. So the quality of sleep that you get as a night shift worker is usually very poor, again in that sort of five-hourregion. And then, of course, tens of millions of peoplesuffer from jet lag. So who here has jet lag? Well, mygoodness gracious. Well, thank you very much indeed fornot fall
30、ing asleep, because thats what your brain iscraving.One of the things that the brain does is indulgein micro-sleeps, this involuntary falling asleep, andyou have essentially no control over it.Now,micro-sleeps can be sort of somewhat embarrassing,butthey can also be deadly. Its been estimated that 3
31、1percent of drivers will fall asleep at the wheel atleast once in their life, and in the , the statisticsare pretty good: 100,000 accidents on the freewayhavebeen associated with tiredness, loss of vigilance,andfalling asleep. A hundred thousand a year.Itsextraordinary. At another level of terror, w
32、e dipintothe tragic accidents at Chernobyl and indeed the spaceshuttle Challenger, which was so tragically lost. Andin the investigations that followed those disasters,poor judgment as a result of extended shift work andloss of vigilance and tiredness was attributed to a bigchunk of those disasters.
33、So when youre tired, and you lack sleep, you havepoor memory, you havepoorcreativity,youhaveincreased impulsiveness,andyou have overallpoorjudgment. But my friends,itsso much worse thanthat.(Laughter)If you are a tired brain, the brain is cravingthings to wake it up. So drugs, stimulants. Caffeine r
34、epresents the stimulant of choice across much of theWestern world. Much of the day is fueled by caffeine, and if youre a really naughty tired brain, nicotine.And of course, youre fueling the waking state with these stimulants, and then of course it gets to 11Whatoclock at night, and the brain says t
35、o itself, Ah, well actually, I need to be asleep fairly shortly.do we do about that when Im feeling completely wired?Well, of course, you then resort to alcohol. Nowalcohol, short-term, you know, once or twice, to use to mildly sedate you, can be very useful. It can actually ease the sleep transitio
36、n. But what you must be so aware of is that alcohol doesnt provide sleep, a biological mimic for sleep. It sedates you. So it actually harms some of the neural proccessing thats going on duringmemory consolidation and memory recall. So its ashort-term acute measure, but for goodness sake, dontbecome
37、 addicted to alcohol as a way of gettingto sleepevery night.Another connection between loss of sleepis weightgain. If you sleep around about five hours orless everynight, then you have a 50 percent likelihood of beingobese. Whats the connection here? Well, sleep lossseems to give rise to the release
38、 of the hormone ghrelin,the hunger hormone. Ghrelin is released. It gets to thebrain. The brain says, I need carbohydrates, and whatit does is seek out carbohydrates and particularlysugars. So theres a link between tiredness and themetabolic predisposition for weight gain.Stress. Tired people are ma
39、ssively stressed. Andone of the things of stress, of course, is loss of memory,which is what I sort of just then had a little lapseof. But stress is so much more. So if youre acutelystressed, not a great problem, but its sustainedstress associated with sleep loss thats the problem.So sustained stres
40、s leads to suppressed immunity, andso tired people tend to have higher rates of overallinfection, and theres some very good studies showing that shift workers, for example, have higher rates of cancer. Increased levels of stress throw glucose into the circulation. Glucose becomes a dominant part of
41、the vasculature and essentially you become glucose intolerant. Therefore, diabetes 2. Stress increases cardiovascular disease as a result of raising blood pressure. So theres a whole raft of things associated with sleep loss that are more than just a mildly impaired brain, which is where I think mos
42、t people think that sleep loss resides.So at this point in the talk, this is a nice timeto think, well, do you think on the whole Im getting enough sleep? So a quick show of hands. Who feels that theyre getting enough sleep here? Oh. Well, thats pretty impressive. Good. Well talk more about that lat
43、er, about what are your tips.So most of us, of course, ask the question, Well,how do I know whether Im getting enough sleep? Well, its not rocket science. If you need an alarm clock to get you out of bed in the morning, if you are taking a long time to get up, if you need lots of stimulants,if youre
44、 grumpy, if youre irritable, if youre told by your work colleagues that youre looking tired and irritable, chances are you are sleep-deprived. Listento them. Listen to yourself.What do you do? Welland this is slightlyoffensive - sleep for dummies: Make your bedroom a haven for sleep. The first criti
45、cal thing is make it as dark as you possibly can, and also make it slightly cool. Very important. Actually, reduce your amount of light exposure at least half an hour before you go to bed. Light increases levels of alertness and will delay sleep. Whats the last thing that most of us do before we go
46、to bed? We stand in a massively lit bathroom looking into the mirror cleaning our teeth. Its the worst thing we can possibly do before we went to sleep.Turn off those mobile phones. Turn off those computers.Turn off all of those things that are also going to excite the brain. Try not to drink caffei
47、ne too late in the day, ideally not after lunch. Now, weve set about reducing light exposure before you go to bed, but light exposure in the morning is very good at setting the biological clock to the light-dark cycle. So seekout morning light. Basically, listen to yourself.down. Do those sorts of t
48、hings that you know are going to ease you off into the honey-heavy dew of slumber.Okay. Thats some facts. What about some myths?Teenagers are lazy. No. Poor things. They have abiological predisposition to go to bed late and get up late, so give them a break.We need eight hours of sleep a night. That
49、s anaverage. Somepeople need more. Somepeople needWindless.And what you need to do is listen to your body. Do you need that much or do you need more? Simple as that.Old people need less sleep. Not true. The sleepfragments and becomesless robust, butsleeprequirements do not go down.And the fourth myt
50、h is,early to bed, early to risemakes a manhealthy, wealthyand wise. Well thats wrongdemands of the aged do not go down. Essentially, sleep at so many different levels. (Laughter) There is no, no evidence that getting up early and going to bed early gives you more wealth at all. Theres no difference
51、 in socioeconomic status. In my experience, the only difference between morning people and evening peopleis that those people that get up in the morning earlyare just horribly smug.(Laughter) (Applause)Okay. So for the last part, the last few minutes,what I want to do is change gears and talk about
52、somereally new, breaking areas of neuroscience, which isthe association between mental health, mental illnessand sleep disruption. Weve known for 130 years thatin severe mental illness, there isalways, always sleepdisruption, but its been largelyignored. In the 1970s,when people started to think abo
53、utthis again, they said,Yes, well, of course you havesleep disruption inschizophrenia becausetheyre on anti-psychotics. Itsthe anti-psychoticscausing thesleep problems,ignoring the fact thatfor a hundredyears previously,sleep disruptionhadbeenreported beforeanti-psychotics.So whats going on? Lotsof
54、groups, several groupsare studying conditions likedepression, schizophreniaand bipolar, and whats going on in terms of sleep disruption. Wehave a big study which we published last year on schizophrenia, and the data were quite extraordinary. In those individuals with schizophrenia, much of the time,
55、 they were awake during the night phase and then they were asleep during the day. Other groups showed no 24-hour patterns whatsoever. Their sleep was absolutely smashed. And some had no ability to regulate their sleep by the light-dark cycle. They were getting up later and later and later and later
56、each night. It was smashed.So whats going on? And the really exciting newsis that mental illness and sleep are not simply associated but they are physically linked within the brain. The neural networks that predispose you to normal sleep, give you normal sleep, and those that give you normal mental health are overlapping. And whats the evidence for that? Well, genes that have been shown to be very important in the generation of normal sleep, when mutated, when change
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