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         Apnea Sleep:     more books (100)
  1. Contemporary Issues in the Diagnosis and Treatment of Obstructive Sleep Apnea (Postgraduate Medicine) by MD Jeffrey B. Rubins, MD Ken M. Kunisaki, 2010-05-18
  2. Sleep Well: A Natural Remedy Guide for Healthful Sleep! by MsMimee, 2010-06-26
  3. Apnea in pregnancy could pose threat to fetus.(Women's Health): An article from: Family Practice News by Bruce Jancin, 2005-11-15
  4. Clinician's Guide to Pediatric Sleep Disorders
  5. Sleep Apnea - How to Sleep Like A Baby Even if You Have Sleep Apnea! by Adams, 2010-01-12
  6. Principles and Practice of Geriatric Sleep Medicine
  7. Sleep Interrupted by M.D. Steven Y. Park, 2008-09-09
  8. Sleep and Breathing (Lung Biology in Health and Disease)
  9. How to Sleep Like a Baby Even if You Have Sleep Apnea by C. Kellogg, 2009-10-05
  10. Hypersomnia with Periodic Apneas (Advances in Sleep Research) by Elio Lugaresi, 1978-01
  11. No More Snoring: A Proven Program for Conquering Snoring and Sleep Apnea by Victor Hoffstein, Shirley Linde, 1998-12-28
  12. Sleep and Breathing in Children: A Developmental Approach (Lung Biology in Health and Disease) by John L. Carroll, Carole L. Marcus, et all 2000-05-15
  13. The Ultimate Collection Of TipsFor Snoring And Sleep Apnea Solutions: Helpful Details For Sleep Apnea Symptoms And Other Sleep Disorders That Cause Snoring ...Great Night's Sleep And Restore Your Energy by K M S Publishing.com, 2010-07-20
  14. "I Feel Like Crap" Syndrome: What Lies Behind Daytime Sleepiness, Sleep Apnea, Diabetes, CPAP Tricks, and Much More! by Charlie Bingham, 2009-05-11

61. SOUTHERN CALIFORNIA ORAL AND FACIAL SURGERY GROUP
Provides an overview on the procedures to treat snoring and sleep apnea, as well as cosmetic facial surgery, jaw and facial reconstructive surgery, oral and maxillofacial surgery.
http://www.scofsg.com/
Welcome to the
S OUTHERN C ALIFORNIA O RAL AND F ACIAL S URGERY G ROUP A full-scope, multi-office practice for treatment of problems of the jaws and face. We are pleased to offer both Somnoplasty and Coblation procedures and for chronic nasal congestion, Snoring and Sleep Apnea Our offices are equiped with state-of-the-art equipment for all types of oral and maxillofacial surgery and anesthesia. This includes the Somnoplasty and Coblation systems for treating snoring and sleep apnea CO laser , instruments for in-office bone grafting and cosmetic facial surgery , and all of the popular dental implant systems. We also have computerized imaging to educate you about your surgery and to show the predicted results of the procedure.
We are aware that referral to the Surgeon's office can be an intimidating experience and associated with alot of anxiety. Our office staff is highly experienced, and can assist you with such matters as scheduling the most convenient appointment, to assisting you with the processing of your insurance claim.
Our offices are open daily Monday through Friday, plus at least once per month on Saturday. We offer

62. Azalea Sleep Center - Tyler, Texas - Sleep Disorders Clinic
Medical help for sleep disorders including snoring, apnea, restless legs syndrome, insomnia and narcolepsy.
http://www.azaleasleepcenter.com/
    Mission
    Azalea Sleep Center
    is dedicated to providing exceptional and effective evaluation education , and treatment of sleep disorders to physicians and patients of East Texas Vision
    Azalea Sleep Center
    leads the East Texas Area in personal treatment for sleep disorders , decreasing associated complications and improving quality of life. Azalea Sleep Center is an independent, freestanding sleep center headed by J. David Johnson, MD, FCCP . We are different from hospital sleep labs in that we offer a homelike setting and convenient check-in. When you arrive at our center, you are shown to your bedroom immediately with no waiting time in the admitting department. Our center is also unique in that we are not only a diagnostic laboratory but offer pre-testing consultation , follow-up, and arrange treatment for the patient in a timely manner. We can save the primary care physician staff time and offer the patient specialized care If a patient is interested in seeking care regarding a sleep disorder , the first step is to call our office. We can assist you in pursuing the appropriate referral chain for your particular insurance plan.

63. Clinicians References For Sleep-Disordered Breathing
1 Krieger J. LongTerm Compliance of Nasal Continuous Positive Airway Pressure insleep apnea Patients and Non-Apneic Snorers. Bradycardia during sleep apnea.
http://www.resmed.com/row/1006377917633.html
HOME PRODUCTS SUPPORT CONTACT US ... calendar of events CONTENTS
Sleep-Disordered Breathing
References
Krieger J. Long-Term Compliance of Nasal Continuous Positive Airway Pressure in Sleep Apnea Patients and Non-Apneic Snorers. Sleep 1992; 15: S42-6. Reeves-Hoche MK, Meck R, Zwillich CW. Nasal CPAP: An Objective Evaluation of Patient Compliance. Am J Respir Crit Care Med 1994; 149: 149-54. Hoy CJ, Venelle M, Kingshott RN, Engleman HM, Douglas NJ. Can Intensive Support Improve Continuous Positive Airway Pressure Use in Patients with Sleep Apnea/Hypopnea Syndrome? Am J Respir Crit Care Med. 1999 April; 159(4 Pt 1): 1096-100.

64. Dr. Norman E. Bryan, DDS
General Dentist with a special interest in TemporalMandibular Joint Dysfunction and sleep apnea.
http://www.drbryan.com/

65. New Technology Publishing, Inc.
Healthy Resources for sleep apnea syndrome, snoring, sleep disorders, COPD, ChronicObstructive Pulmonary Disease, emphysema, bronchitis. sleep apnea logo (tm)
http://world.std.com/~halberst/
New Technology Publishing, HealthyResources, Sleep, Phantom of the Night, COPD, Courage and Information. Healthy Resources for sleep apnea syndrome, snoring, sleep disorders, COPD, Chronic Obstructive Pulmonary Disease, emphysema, bronchitis. FORE SIGHT strategic consulting and visionary business plans to assist the entrepreneur, business, and organization. This site was begun on the personal account of Jerry Halberstadt in about 1994 at http://world.std.com/~halberst . It is maintained as a service to visitors following older links. Expanded and updated materials are available at http://www.newtechpub.com and at http://healthyresources.com. When you follow an internal link on this site you should be taken to the appropriate page on either http://www.newtechpub.com or http://healthyresources.com. New Technology Publishing HealthyResources COPD Courage and Information: COPD book ... BROKEN LINKS
New Technology Publishing, Inc.
ForeSight TM
New Technology Publishing, Inc. provides consulting services as ForeSight,

66. A.W.A.K.E. San Diego County Chapter
Information about sleep apnea support group, including meetings, resources, and articles.
http://sleepapneasd.esmartweb.com/
Alert, Well and Keeping Energetic
Our chapter needs volunteers
Won't you help us educate the public and motivate those with sleep apnea symptoms to be compliant.
We need people to step up and take the following responsibilities:
  • CoordinatorSan Diego
    Treasurer
    Mailings
It only takes a few hours a month.
Contact us:
Sleep Apnea Awake
in San Diego County jhm12345@aol.com Last Update 3/15/03 We are still one organization; we're just meeting in two locations. We will continue to have one mailing list and one web site. The North County meeting will be in the odd months of the year at the Kaiser Medical Offices. The Central San Diego Meeting will be in the even months (no meeting in December) at the Alvarado Hospital. ALL MEETINGS are at 7pm on the 4th Tuesday of the month. Home Page About A.W.A.K.E. San Diego County Chapter Meetings In the News ... Contact Us

67. Questionaire For Identifying Possible Sleep Apnea
Questionaire for identifying possible sleep apnea score yourself. Cuestionariode autoevaluacisn de apneas de Suego. What can I do about sleep apnea?
http://world.std.com/~halberst/question/quiz.html
Questionaire for identifying possible sleep apnea New Technology Publishing HealthyResources COPD Courage and Information: COPD book ... BROKEN LINKS
New Technology Publishing, Inc.
Questionaire for identifying possible sleep apnea: score yourself
You don't have to feel lousy, sleepy, or tired.
"My father snored and gasped. I snore and gasp. What could that have to do with feeling lousy all the time? Turns out there was a connection. Find out what it is." -Daniel Pinkwater, author and National Public Radio commentator. Every night, a phantom-sleep apnea syndrome-steals sleep from millions of unsuspecting victims. You may be among them if your sleep is repeatedly disturbed by snoring, by choking halts in breathing, and by gasping efforts to breathe. You could be in danger of losing your health, years of productivity and happiness, and your life. The struggle between sleep and breathing is caused by sleep apnea syndrome which leaves victims unaware of the source of their daytime sleepiness. Less than five percent of those who may have sleep apnea have been diagnosed and treated. Because sleep disorders medicine is so new, many physicians may not be trained to recognise the symptoms. So, chances are that you could be affected without you or your doctor suspecting it. This short quiz is designed to help you to recognize possible sleep apnea so that you can realize there can be relief for your symptoms.

68. Obstructive Sleep Apnea (OSA) - Index, Causes, Symptoms, & Complications - Sleep
An in depth look at this disorder.
http://sleepdisorderchannel.com/osa/
Home Search SiteMap Ask the Dr. ... Medical Store
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OBSTRUCTIVE
SLEEP APNEA
Overview

Causes

Diagnosis

Treatments

CONDITIONS
Bruxism
Delayed Sleep Phase Syndrome Insomnia Jet Lag Narcolepsy Obstructive Sleep Apnea Periodic Limb Movement Disorder REM Behavior Disorder (RBD) Restless Leg Syndrome Shift Work Sleep Stages Sleepwalking DISCOVERY Videos INTERACT SleepChannelForum Alternative Treatment Forum Links Clinical Trials Events ABOUT US Healthcommunities.com Pressroom Testimonials
Sleep apnea afflicts more than 12 million people in the United States. It takes its name from the Greek word apnea, which means "without breath." People with sleep apnea stop breathing repeatedly during their sleep, often for a minute or longer, and as many as hundreds of times during a single night. Sleep apnea can be caused by complete obstruction of the airway (obstructive apnea) or partial obstruction (obstructive hypopnea; hypopnea is slow, shallow breathing), both of which can disrupt sleep. There are three types of sleep apnea — obstructive, central, and mixed. Of these, obstructive sleep apnea (OSA) is the most common. OSA occurs in approximately 2% of women and 4% of men over the age of 35. Physiology and Causes The cause of OSA is unclear. The site of obstruction in most patients is the soft palate, extending to the region at the base of the tongue. The body has no rigid structure, such as cartilage or bone, in this area to keep the airway open. During the day, muscles in the region keep the passage open. As a person with OSA falls asleep, these muscles relax to a point where the airway collapses and becomes obstructed. When the airway closes, breathing stops, and the sleeper awakens to open the airway. The arousal from sleep usually lasts only a few seconds, but brief arousals disrupt continuous sleep and prevent the person from reaching the deep stage of rapid eye movement (REM) sleep, which the body needs to rest and replenish its strength. Once normal breathing is restored, the person falls back to sleep, only to repeat the cycle throughout the night.

69. Sleep Apnea
Symptoms and information.Category Health Conditions and Diseases sleep Disorders sleep apnea...... sleep apnea My husband, Norman, often fell asleep watching television, and thekids snickered. Dad's getting old, my daughter would whisper. sleep apnea.
http://sleepdisorders.about.com/library/weekly/aa010999.htm
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Sleep Disorders
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Sleep Apnea My husband, Norman, often fell asleep watching television, and the kids snickered. "Dad's getting old," my daughter would whisper. But Dad wasn't really old. In his early fifties, he was much too young to be sleeping his life away. As the malady became worse, he'd fall asleep a dozen times a day, even in the middle of a sentence. He often fell asleep while driving, creating a danger to himself and to others. If I were there, I'd nudge him with my elbow or shout to wake him up. Several times, however, he was alone and he landed in the ditch. He loved his fishing, but eventually he had to give the sport up because of the danger of going to asleep and falling out of the boat.
SNORING
Norman seemed to sleep heavily during the night. The kids mumbled and grumbled about having their sleep disturbed by his loud

70. The Voice Center: Sleep Apnea: Introduction And Diagnosis
Description This page discusses obstructive sleep apnea and snoring.Category Health Conditions and Diseases sleep Disorders sleep apnea......The Voice Center. sleep apnea Introduction and Diagnosis. Introductionsleep apnea. Obstructive sleep apnea (OSA), A Brief
http://www.voice-center.com/sleepapnea.html
The Voice Center
Sleep Apnea: Introduction and Diagnosis
Introduction:
Sleep apnea is a disorder in which there is a break or pause (apnea) in breathing during sleep. There are two basic types of apnea: Obstructive : An obstructive apnea occurs when the body (especially the chest walls and abdomen) attempts to breathe in, but the air flow is blocked by some obstruction in the upper portion of the airway. Central : A central apnea is also marked by the absence of air flow into the lungs. However, unlike an obstructive apnea, there is no attempt of movement at the chest wall. These apneas are felt to originate in the part of the brain responsible for controlling respiration. The discussions here deal predominately with obstructive sleep apnea (abbreviated OSA). This site also contains information on snoring and on treatment of obstructive sleep apnea
Obstructive Sleep Apnea (OSA), A Brief Description:
OSA is a disorder in which there is partial or complete obstruction of the upper airway during sleep. While sleeping the muscles of the upper airway relax, and in some individuals this relaxation is so pronounced it produces partial collapse of the throat. Typical symptoms of obstructive sleep apnea are daytime sleepiness, awakening at night with a choking sensation, morning headaches, restlessness during sleep, and snoring. During sleep, the individual with OSA may block off his or her airway 30 to 100 times an hour. Each blockage causes them to leave the deep stages of sleep and partially awaken until the airway is reopened. As a result, the sleep is severely disrupted and the patient will feel sleepy throughout the day. The daytime sleepiness can be so severe that individuals will fall asleep while driving or while sitting in a chair.

71. Pacific Sleep Medicine Services For Sleep Disorders And Clinical Research Trials
Pacific sleep Medicine provides a panel of boardcertified sleep specialists offering consultations, Category Health Conditions and Diseases sleep Disorders Centers......A sleep medicine center for sleep disorders apnea, obstructive sleep apnea, OSA,narcolepsy, snoring, insomnia, restless legs syndrome, sleeping problems for
http://www.sleepmedservices.com/
Pacific Sleep Medicine Services
Commitment to Quality Care Home Meet Our
Team of Experts
Locations in ...
Contact us!

Pacific Sleep Medicine Services
offers individual consultations and diagnostic evaluations of patients suspected of sleep disorders. All of our physicians are board certified sleep specialists , dedicated to identifying and providing treatment recommendations for sleep disorders by working with patients and their referring physicians in treating sleep disorders. Nationally-Acclaimed Sleep Experts
Comprehensive Diagnostic Evaluations
Prompt Reports for Referring Physicians
Compassionate Patient Care
Leaders in Clinical Trials and Sleep Research
Continuing Medical Education Programs New Clinical Trials and Medical Research
Pacific Sleep Medicine Services
is also engaged in a wide range of medical research studies or "clinical trials" for new and more effective ways to treat sleep disorders. Patients who qualify may be able to participate in this research and be compensated for their involvement. All research sites are located in Southern California and patients need to reside in Southern California to participate. Click Here for a list of new clinical trials Click Here to contact us about participating in a clinical trial

72. Ask NOAH About: Sleep And Sleep Disorders
Advanced sleep Phase Syndrome Advanced sleep Phase Syndrome Helioshealth.com apnea,sleep apnea and Your Child - KidsHealth Breathing Problems During sleep
http://www.noah-health.org/english/illness/sleep/sleep.html
Ask NOAH About: Sleep and Sleep Disorders
What are Sleep Disorders? Care and Treatment The Basics
  • Glossaries
    Diagnosis of Sleep Disorders
    ...
    Related Concerns Information Resources Alcohol and Sleep
    Cancer and Sleep

    Children and Sleep

    Teens and Sleep
    ...
    Statistics

    Sleep Basics
    Brain Basics: Understanding Sleep - National Institute of Neurological Disorders and Stroke
    Can Naps Help My Overall Sleep? - Simmons Sleep Center
    Common Questions About Dreams - Association for the Study of Dreams (also available in Spanish French German Italian ...
    Overview of Sleep Problems - Methodist Healthcare System, Houston TX (also in Spanish
    Practices Conducive to Good Sleep - American Academy of Sleep Medicine
    Sleep - Center for Sleep Research
    Sleep Disorders Interactive Tutorial - Medlineplus Patient Education Institute (Interactive Flash Presentation)
    Sleep Quiz - American Academy of Sleep Medicine
    Sleep Stages - SleepChannel
    Test Your Sleep I.Q. - National Heart, Lung and Blood Institute PDF File of 2 Pages)
    What Do Children Mean For Your Good Night's Sleep? – National Sleep Foundation
    What is Sleep and Why Do We Do It? - Neuroscience for Kids
    When You Can't Sleep: ABCs of ZZZs - National Sleep Foundation
    Glossaries
    Sleep Dictionary - Talk About Sleep
    Sleep A to Z - Sleep Quest
    Diagnosis of Sleep Disorders
    The MSLT: Multiple Sleep Latency Test - Virtual Hospital
    Overnight Sleep Study - VA healthcare Network PDF File of 2 Pages)
    Questions About MSLT and MWT - California Center for Sleep Disorders
    Sleep Diary - National Sleep Foundation
    Sleep Disorders Diagnosis - Neurology Channel
    Sleep Studies - St. Joseph Sleep Disorder Center, Orange CA
  • 73. Dr. Jay P. Malmquist, Oral And Maxillofacial Surgeon
    Offers treatment for wisdom teeth, dental implants, bone grafts, pathology, orthognathic surgery, TMJ disorder, and sleep apnea. Portland, OR.
    http://www.drjaypmalmquist.com
    Welcome. This site requires the Macromedia Flash Plugin. If you are not automatically forwarded in 5 seconds to the home page, please click the download button below. You will then be able to enjoy our site's audio and video effects. Click Here to Download Flash Plugin. Click Here to Enter Site after Plug-in is installed

    74. Sleep Disorders
    s, symptoms, treatment, of various sleep disorders. Over a hundred articles on the topic. sleep apnea, narcolepsy, sleep paralysis, insomnia. New Material added weekly.......
    http://sleepdisorders.about.com
    zfp=-1 About Sleep Disorders Search in this topic on About on the Web in Products Web Hosting
    Sleep Disorders
    with Florence Cardinal
    Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS How To Index Top Picks "Clippings " - Read the News ... All articles on this topic Stay up-to-date!
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    In The Spotlight Sun, Mar 30, 2003
    Spring Ahead - Lose an Hour

    Ah spring! It's a time of renewal, of green grass, flowers and birds nesting in the maple tree. Unfortunately, it's also the season when Daylight Saving Time returns and we all lose an hour of sleep.
    More: Sleep Deprivation - More articles and links on losing sleep
    Top Picks: Best of the Best - Guide Picks for books, CDs, more Sleep Is Important in Times of Crises Sleep is important in times of crises, be it something as horrific as the current war in Iraq, or something more personal, like the death of a loved one. Yet, these are the times when sleep is difficult if not almost impossible to attain. More: Getting To Sleep - More tips on sleeping well.

    75. Snoring And Sleep Apnea
    DENTAL APPLIANCE THERAPY. for Snoring and Obstructive sleep apnea. This information taken.Go to top of page. What is obstructive sleep apnea? When
    http://www.inet-serv.com/boos/sleep.html
    DENTAL APPLIANCE THERAPY
    for Snoring and Obstructive Sleep Apnea
    This information is duplicated from the brochure "DENTAL APPLIANCE THERAPY for Snoring and Obstructive Sleep Apnea" by the Sleep Disorders Dental Society (SDDS), 11676 Perry Highway, Bldg. 1, Wexford, PA 15090
  • Snoring
  • What causes snoring?
  • What is obstructive sleep apnea?
  • Help for snoring ... The PM Positioner
  • Snoring
    While snoring itself may be harmless, it can also develop into, or be a symptom of, a more serious medical condition known as obstructive sleep apnea (OSA). Go to top of page
    What causes snoring?
    Snoring is caused by a narrow airway. That's because air travels faster through a slender tube than through a broad one. This rapidly moving air causes the soft tissues of the throat (the tonsils, soft palate, and uvula) to vibrate. It is this vibration which is the sound of snoring. It's like putting a flag in front of a fan: the faster the fan, the greater the flutter. Why is the airway narrow in snorers? Many things can take up space in the airway reducing its diameter. These can include large tonsils, a long soft palate or uvula, and, in people who are overweight, excessively flabby tissue. The most common cause of a narrow airway is a tongue that relaxes too much during sleep and gets sucked back into the airway with each breath taken. Go to top of page
    What is obstructive sleep apnea?

    76. Ear, Nose & Throat Doctor In Hawaii; Doctor Hazenfield
    Otolaryngologist in Hawaii, treating snoring, sleep apnea, sinus and nasal diseases, voice problems, hearing loss, head and neck cancer and pediatric ENT problems.
    http://home.hawaii.rr.com/dochazenfield
    Hugh N. Hazenfield, M.D., F.A.C.S. Certified by the American Board of Otolaryngology Fellow of the American College of Surgeons (F.A.C.S.) Aloha! We have Saturday office hours Three convenient locations on Oahu: Aiea 98-1079 Moanalua Road, Suite 660 (Saturday Hours 9:00 A.M. - 12:00 Noon) Kapiolani Medical Center at Pali Momi Serving Convenient to H-1, H-2 and H-3 Freeways Wahiawa 302 California Avenue, Suite 216 Wahiawa Business Center Serving Central Oahu, Mililani, Waipio, and the North Shore Ewa Beach 91-2139 Fort Weaver Road, Suite 108 Saint Francis Medical Center - West Serving Kapolei, Waipahu, and Leeward Oahu We cooperate with most insurance plans APPOINTMENTS (for all offices): You are visitor number To go to another page on this site, click on a picture below: About Dr. Hazenfield his training, career, hospital and academic appointments, and interests The Office Staff Office Locations on the Island of Oahu SLEEP DISORDERS Sleep Apnea and Snoring Diathermy Palatoplasty Uvulopalatopharyngoplasty (UPPP) Sinusitis and Nasal Diseases Endoscopic Sinus Surgery Care of the Professional Voice Patient Strobovideolaryngoscopy Hearing Loss (Adult and Pediatric) Diagnosis and Treatment Pediatric ENT Diving and Sports ENT Travel-related Problems Office Policies Regarding Appointments, Cancellations, Payment, Telephone Calls

    77. UPHS Health Care
    Please select from one of the categories above to continue. Or, your page mayhave been moved here Diagnosing and Treating Obstructive sleep apnea,
    http://www.med.upenn.edu/health/pf_files/penntoday/v6n1/sleep.html

    78. Stowood Scientific Instruments
    Medical equipment distributor for sleep apnea equipment.
    http://www.cix.co.uk/~ssi/
    Sleep Diagnostics, Oximetry, Performance and Snoring
    About Us

    Our Products

    Useful Links

    Stowood Scientific Instruments (SSI), a partnership based at Oxford, specialises in the development and manufacturing of appropriate equipment and software for the sleep laboratory - spanning ‘ 10 Astonishing Years
    This site contains details of our company and its progression since it was first established, an overview of our hardware and software products, new developments, and links to other sites of interest and a variety of distributors.
    For any enquiries about our products or services please contact us by phone or e-mail.
    Stowood Scientific Instruments
    Contacts

    Created: 20th September 2002
    Royal Oak Cottage, Beckley, Oxford OX3 9UP, UK Tel: +44(0) 1 865 358 860 Mobile: +44 (0) 7774 813 660 Fax: +44 (0) 1 865 358 860 email: sales@stowood.co.uk for Oximetry What’s New? Download 2001

    79. Sleep Disorders
    here. Insomnia, sleep apnea, narcolepsy, these and many more are in mypages. apnea. More sleep apnea More apnea articles and links.
    http://sleepdisorders.about.com/mbody.htm
    zfp=-1 About Sleep Disorders Search in this topic on About on the Web in Products Web Hosting
    Sleep Disorders
    with Florence Cardinal
    Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS How To Index Top Picks "Clippings " - Read the News ... All articles on this topic Stay up-to-date!
    Subscribe to our newsletter.
    Advertising Free Credit Report
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    Advertisement
    In The Spotlight Sun, Mar 30, 2003
    Spring Ahead - Lose an Hour

    Ah spring! It's a time of renewal, of green grass, flowers and birds nesting in the maple tree. Unfortunately, it's also the season when Daylight Saving Time returns and we all lose an hour of sleep.
    More: Sleep Deprivation - More articles and links on losing sleep
    Top Picks: Best of the Best - Guide Picks for books, CDs, more Sleep Is Important in Times of Crises Sleep is important in times of crises, be it something as horrific as the current war in Iraq, or something more personal, like the death of a loved one. Yet, these are the times when sleep is difficult if not almost impossible to attain. More: Getting To Sleep - More tips on sleeping well.

    80. Chronic Obstructive Airways Disease
    Abstract with links to obstructive sleep apnea.
    http://www.priory.com/cmol/chronic.htm
    Chronic Obstructive Airways Disease
    There can be large falls in arterial oxygen saturation during sleep in patients with chronic obstructive pulmonary disease. In general, these falls can be predicted from daytime oxygen levels and are not due to classical OSA syndrome, but to a number of factors which combine to produce worsening hypoxaemia during sleep. These patients are often at the limits of their respiratory capacity, and the loss of the intercostal and accessory muscle contribution to breathing, and the increase in upper airways resistance associated with REM sleep, cause marked falls in ventilation. In addition, patients may be hypoxic while awake and small falls in ventilation and PaO2 lead to large falls in arterial oxygen saturation during sleep. The hypoxic episodes demonstrated by overnight oximetry in a patient with chronic obstructive pulmonary disease differ in character from those seen in patients with OSA syndrome (figure 10). Figure 10. Overnight arterial oxygen saturation monitoring in a patient with chronic obstructive pulmonary disease. There is some evidence that increases in upper airway narrowing during sleep, short of apnoeas and even snoring, may contribute to the development of CO2 retention in these patients. However classical sleep apnoea is not significantly more common in unselected COPD patients with raised CO2 levels, and excessive nocturnal hypoxaemia is not one of the predictors of long- term survival in patients with COPD.

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