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On a usual Saturday, you wouldn't find me here.
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And I mean, of course, I donβt give TEDx Talks every Saturday.
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But what I mean is, you probably wouldn't find me in a museum.
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Rather, if you were looking for me,
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you'd probably have to go to the mountains,
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and that is because I absolutely love hiking.
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And in addition to just being outside and being in nature,
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what I really like is this feeling of physical exhaustion,
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sort of this satisfaction you can feel in every single muscle.
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And in the evening, when it's time to go to bed,
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I absolutely cherish this amazing sleepiness
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that fills you from head to toe.
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Now you might say, "Well, of course she's tired. She's been hiking all day.
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Plus, not to forget about the effects of supposedly fresh air."
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But there is one factor that most likely outweighs
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the effects of fresh air and perhaps even physical activity,
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and that is exposure to natural daylight.
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And today, I hope to convince you that we should all appreciate daylight
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as sort of a natural soporific.
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And hopefully, by the end of the talk,
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you will also recognize that we should all pay more attention
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to our daily light diet.
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But let's start with the question why daylight is so important
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for our organism, for health and, eventually, for sleep.
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Now throughout your body, in each and every single cell,
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there is a tiny molecular clock ticking inside it.
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And to keep these millions of clocks in sync,
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we have one central body clock that is located in the brain,
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in an area which we call the hypothalamus.
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And like the conductor of an orchestra,
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it communicates the time of day to each of these molecular clocks.
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And this way, it is able to regulate bodily processes
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in sync with the time of day.
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For example,
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it causes your body temperature to increase in the morning
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and to decrease in the evening.
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It choreographs the release of certain hormones at appropriate times.
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And in the evening, when itβs time to go to bed,
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it will also make you tired and sleepy.
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But given this precise synchronization between internal or biological time
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and external time or environmental time,
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it seems clear that the body clock
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cannot be blind or isolated or shut off from the environment,
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but rather, it needs to receive information about the time of day
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from the environment
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for it to synchronize with sun time.
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And this is achieved by close connections
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between the internal biological clock in the brain and our eyes.
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And now you may know that in the human retina,
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there are different types of receptors,
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so photoreceptors, so receptors that sense light.
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And classically, we distinguish two types, the rods and the cones.
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Now the rods only contribute to a visual impression
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under very dim lighting conditions.
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And here, in the background, you now see a picture
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that might, more or less, be brought about by only the involvement of the rods.
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And what you can see is that it's only shades of gray,
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it's slightly blurred,
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and around the point of fixation, which is indicated by the gray dot here,
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you have a little scotoma,
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so an area where you can't really see anything.
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Now who recognizes what that is?
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Yeah, excellent.
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But it's going to be way easier,
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and the majority of you will recognize what it is,
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when I now switch to the next slide,
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which is brought about by the involvement of the cones.
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Of course, it's the town hall of Basel, but now you can appreciate the colors,
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fine details.
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And if this was animated, you'd even see fine details in motion.
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But this is not the whole story, because only fairly recently,
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only in the early 2000s, another type of cell has been discovered,
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and we call them retinal ganglion cells.
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Now, you might ask yourselves, "What picture is she going to show next?"
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But I'll have to disappoint you ...
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Iβm not, and I actually canβt, show another picture.
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Because from all we know,
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these cells do not contribute to a visual impression.
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But they are exclusively designed
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to sense short wavelength proportions in daylight.
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Sometimes, we also call this blue light.
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So they're designed to extract important information about the time of day
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from the environment
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and pass this on to the internal biological clock
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in the brain.
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And I guess you've all experienced how well this biological timing system,
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this connection between our biological clock and the external world, or our eyes,
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works when we, for example, travel across time zones.
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Now how much light do we actually need?
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How much light is enough for the positive effects on, for instance,
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sleep to occur?
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And I have to admit, this is not so easy to answer.
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But I think what we have to keep in keep in mind
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is that the biological timing system has evolved under the open sky
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and not in offices or museums.
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So it is also optimally tuned to the conditions we find outside.
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Office light or light in rooms
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is in no way comparable to what we find outside.
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And therefore, from a scientific perspective,
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I can only recommend you to spend as much time as you can
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under the open sky,
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but try to make it at least 30 minutes per day.
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Now let's finally talk about sleep.
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And I've repeatedly alluded to the fact that daylight is beneficial
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and important for sleep.
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And in this context, I'd like to share a little story.
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So last year, I had to go to hospital for surgery.
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And generally, the hospital environment is a very challenging one for sleep.
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Because you spend way too much time in bed, not moving much.
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You might be in pain.
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Now and then, someone comes in to check on you, even during the night.
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And if you're as lucky as I was, you have a snoring roommate.
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(Laughter)
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And because you, of course, don't get a lot of daylight.
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And that's why many people, while they're in hospital,
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ask for sleep medication.
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But as I consider myself to be a generally good sleeper,
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and also because I know how these drugs work,
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I didnβt want this.
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But I knew there was something I could do to help my body sleep as well as possible,
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even in this situation.
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And that was to maximize exposure to daylight.
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Because as a sleep scientist,
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of course, I know about the research findings.
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I know that the more daylight that you get,
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the more tired you will be in the evening,
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the easier it will be for you to fall asleep
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and the better the experienced sleep quality.
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And in addition,
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daylight exposure has also been shown to increase proportions of deep sleep,
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which again has been linked to processes of tissue repair,
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something not to be underestimated after surgery.
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And beyond the effects on sleep,
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we know that patients in brighter rooms experience less pain and less stress.
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And also the effects of daylight on mood are well established.
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So I thought it might be time for me to put into practice what I often preach.
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And I have to confess that usually
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I'm much better at giving advice than following it myself.
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But here's what I did.
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So first, when it became free,
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I asked the nurses to move my bed to the window place,
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because that does not only give you power of the fresh air supply,
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which is highly recommended in the hospital,
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but it also maximizes daylight exposure even though you're inside.
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Second, as soon as I could leave my bed again,
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I went to the park for short walks.
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And last, every meal I had, I tried to take on the little balcony.
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Did it work?
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Well, it's a bit difficult to say,
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because it of course was a single-case study.
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But from patients suffering from insomnia,
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so one of the most common sleep disorders,
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we know that light therapy is beneficial.
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And therefore, I would like to encourage all of you,
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and perhaps especially those who might belong
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to the 25 percent suffering from sleep problems,
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to start your own single-case study.
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Thank you.
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(Applause)