Wednesday, April 16, 2014

How sleep affects your health

Researchers are unraveling a host of surprising health risks in troubled sleepers from depression to weight gain. Experts recommend you log an average of six to eight hours of sleep every night. If you are not getting enough zzzs, check out these 5 tips for getting a perfect night’s sleep.

Women are susceptible to weight-gain if they sleep poorly—not men.
You may have heard that lack of sleep is linked with being overweight. Now a new study by Finnish researchers suggests which comes first—sleep problems, especially in women.

The study tracked middle-aged men and women over the course of five to seven years. Researchers found  that sleep problems—such as trouble falling asleep or staying asleep, or waking up several times in the night—were associated with weight gain of five kg or more in women, but not in men.

Poor sleep may increase your risk of type 2 diabetes.
Not getting enough sleep can wreak havoc on the body’s metabolic regulation, according to new research out of the Netherlands.

Researchers found that getting just four hours of sleep may impair the body’s use of insulin by up to 25 percent. Insulin resistance can lead to type 2 diabetes (an inability to use insulin to control glucose from food), which, if left untreated, can lead to other illnesses including heart disease.

Sleeping too little – or too much – will pack on belly fat.
If you’re under 40, logging less than five hours, or more than eight hours of sleep every night, may lead to a greater accumulation of belly fat or “visceral” fat. The findings, by North Carolina researchers, ruled out other fat-causing factors including caloric intake, exercise habits, education and smoking.

14 sleep tips for new moms
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Quiz: What's your sleep style?
This kind of deep abdominal fat is associated with increased risk of unhealthy conditions, including diabetes and high blood pressure.

Poor sleep may hamper your exercise routine.
Getting less than four hours of sleep for a few nights in a row may cause you to curtail your normal fitness routine, according to findings by German researchers. The study participants, who lacked a full night’s sleep, also conducted less intense physical activity. Since the researchers did not find an increase in caloric intake or significant changes in hunger-related hormones, such as leptin or ghrelin, their findings support the theory that people are just too tired to exercise after a bad night’s sleep.

Too little sleep may trigger depression.
A recent study by Virginia researchers suggests that insomnia sufferers face a two- to five-fold increased of risk of developing depression. (There are no standard criteria for defining insomnia, however it is generally diagnosed when people have trouble going to sleep or staying asleep “most of the time.”) The researchers concluded that treating insomnia can help fend off depression.

Troubled sleeping boosts nighttime blood pressure
Studies have shown a correlation between people with insomnia and heart disease. Research by the University of Montreal may explain why: the central nervous system of troubled sleepers is hyperactive at night. In other words, insomniacs have higher rates of blood pressure at night than in the day.

What new moms think about their sleep habits could sway mood.
A new study by Australian researchers made a startling discovery: new moms’ perception of poor sleep and the conscious awareness of its impact on day-to-day activities are stronger predictors of immediate postpartum mood disturbances than the actual amount of sleep quality and quantity (which do decline). This perception of poor sleep might worsen subjective stress and frustration, resulting in a nasty cycle.

Thursday, March 20, 2014

How to select the best cleaning and care products for CPAP masks and machines.

With declining reimbursements, cash products are a great way to increase revenue while also providing your patients with convenient, easy-to-use cleaning products. This article describes the best products for cleaning CPAP equipment, as well as recommendations for cleaning schedules and techniques.



To prevent growth of mold and bacteria, regular cleaning is essential. However, this task can be tedious without the right supplies.

Daily Care
To remove dirt and oils and prevent buildup, clean the mask and cushion with a cleanser or wipe that is gentle enough for daily use. As a general rule, people can use any cleaning product on their mask that they would use on their face. Anything stronger with scents, alcohol, antibacterial agents or bleaching ingredients can cause the cushion to break down or irritate the skin.

Several products are designed specifically for CPAP masks with all-natural ingredients that are safe enough for daily use. One of the most popular brands is Citrus II, available in a dispenser with 62 wipes or a box of 12 individually wrapped wipes. Both options have their uses.   The dispensers are compact. Many of our customers provide each of their respiratory therapists with a few dispensers of wipes, one to demonstrate to the patients how to clean their masks during the initial fitting and additional ones to sell. This helps show proper maintenance and can also lead to a cash sale on the spot.

The individually-wrapped wipes are great to give away as a sample with each new patient setup, and are useful for patient travel or in-store promotions.

If your patients prefer to use a spray, Citrus II offers CPAP Mask Cleaner Spray in either 8-ounce or 1.5-ounce travel size bottles.

In addition to wiping down the mask, instruct your patients to empty the humidifier chamber each morning and leave it open to air dry for the day. They can refill it with distilled water at night. Avoid using tap water to prevent mineral buildup in the chamber that could damage the machine.

Weekly Care
Clean all equipment on a weekly basis, or more frequently if the patient is recovering from illness. First detach the mask from the tube and remove the headgear and cushions. Soak the headgear, tube, mask, humidifier chamber, reusable foam filter, chinstrap and any connectors or adapters in a 50/50 solution of warm water and Citrus II CPAP Concentrated Cleanser for 10-20 minutes.

After soaking, rinse thoroughly with warm water. For best results, hang the tube, headgear and chinstraps to allow them to dry completely. The mask, cushions, chamber and filter can be left out on a towel to dry. Ensure the filter is fully dry before placing it back into the machine. If your patient lives in a wet or humid climate and they have trouble getting their tube and mask to dry fully, Hurricane makes a Home Edition CPAP Equipment Dryer that safely dries products without damage. However, make sure patients are aware that they should not machine wash or dry headgear or chinstrap as it will damage the material or affect the size.

To clean the machine, make sure it is unplugged, and wipe it with a cloth soaked in warm water or a mix of warm water and CPAP Concentrated Cleanser.

With filters, a good rule of thumb is: If it is foam or labeled as reusable, it can be washed weekly and reused for six months, per Medicare guidelines. If it is labeled as ultrafine or disposable, it cannot be washed and must be thrown out and replaced every two weeks. Washing a disposable filter will cause it to lose shape and effectiveness. Some machines use only disposable filters while others can accommodate reusable foam filters, as well as disposable ones. Check with the manufacturer, and explain the difference to your patients to avoid confusion.

During the weekly washing, patients can substitute vinegar, unscented liquid dish soap or hand soap in place of the CPAP Concentrated Cleanser, but they should not use rubbing alcohol, bleach, scented soaps or antibacterial soaps as they can break down the equipment.

Effective Display
How do you encourage patients to clean their products regularly? First, inform them of the health implications of inhaling mold and bacteria growing in their equipment. Also, make the cleaning products easily accessible, and start them off on the right foot with samples or cleaning demonstrations during setup. To assist in this, one product is the CPAP Cleaning Product Display Kit (see below), which is a full display of all the most popular CPAP cleaning products in a tabletop format. The display signage spells out the features and benefits of the cleaners. It displays well next to the register to encourage cash purchases.

About the author:
Ashley Wood is the director of operations for Sunset Healthcare Solutions, a national manufacturer and distributor of CPAP and oxygen products and accessories. She can be reached at 312-997-9980 or ashley@sunsethcs.com. For more information or to purchase the products listed in this article, call 877-578-6738 or visit www.sunsethcs.com/cleaning.

Tuesday, March 11, 2014

How Is Sleep Apnea Diagnosed?

Doctors diagnose sleep apnea based on medical and family histories, a physical exam, and sleep study results. Your primary care doctor may evaluate your symptoms first. He or she will then decide whether you need to see a sleep specialist.

Sleep specialists are doctors who diagnose and treat people who have sleep problems. Examples of such doctors include lung and nerve specialists and ear, nose, and throat specialists. Other types of doctors also can be sleep specialists.

Medical and Family Histories

If you think you have a sleep problem, consider keeping a sleep diary for 1 to 2 weeks. Bring the diary with you to your next medical appointment.

Write down when you go to sleep, wake up, and take naps. Also write down how much you sleep each night, how alert and rested you feel in the morning, and how sleepy you feel at various times during the day. This information can help your doctor figure out whether you have a sleep disorder.

You can find a sample sleep diary in the National Heart, Lung, and Blood Institute's "Your Guide to Healthy Sleep."

At your appointment, your doctor will ask you questions about how you sleep and how you function during the day.

Your doctor also will want to know how loudly and often you snore or make gasping or choking sounds during sleep. Often you're not aware of such symptoms and must ask a family member or bed partner to report them.

Let your doctor know if anyone in your family has been diagnosed with sleep apnea or has had symptoms of the disorder.

Many people aren't aware of their symptoms and aren't diagnosed.

If you're a parent of a child who may have sleep apnea, tell your child's doctor about your child's signs and symptoms.

Physical Exam

Your doctor will check your mouth, nose, and throat for extra or large tissues. Children who have sleep apnea might have enlarged tonsils. Doctors may need only a physical exam and medical history to diagnose sleep apnea in children.

Adults who have sleep apnea may have an enlarged uvula (U-vu-luh) or soft palate. The uvula is the tissue that hangs from the middle of the back of your mouth. The soft palate is the roof of your mouth in the back of your throat.

Sleep Studies


Sleep studies are tests that measure how well you sleep and how your body responds to sleep problems. These tests can help your doctor find out whether you have a sleep disorder and how severe it is. Sleep studies are the most accurate tests for diagnosing sleep apnea.

There are different kinds of sleep studies. If your doctor thinks you have sleep apnea, he or she may recommend a polysomnogram (poly-SOM-no-gram; also called a PSG) or a home-based portable monitor.

Polysomnogram
A PSG is the most common sleep study for diagnosing sleep apnea. This study records brain activity, eye movements, heart rate, and blood pressure.

A PSG also records the amount of oxygen in your blood, air movement through your nose while you breathe, snoring, and chest movements. The chest movements show whether you're making an effort to breathe.

PSGs often are done at sleep centers or sleep labs. The test is painless. You'll go to sleep as usual, except you'll have sensors attached to your scalp, face, chest, limbs, and a finger. The staff at the sleep center will use the sensors to check on you throughout the night.

A sleep specialist will review the results of your PSG to see whether you have sleep apnea and how severe it is. He or she will use the results to plan your treatment.

Your doctor also may use a PSG to find the best setting for you on a CPAP (continuous positive airway pressure) machine. CPAP is the most common treatment for sleep apnea. A CPAP machine uses mild air pressure to keep your airway open while you sleep.

If your doctor thinks that you have sleep apnea, he or she may schedule a split-night sleep study. During the first half of the night, your sleep will be checked without a CPAP machine. This will show whether you have sleep apnea and how severe it is.

If the PSG shows that you have sleep apnea, you’ll use a CPAP machine during the second half of the split-night study. The staff at the sleep center will adjust the flow of air from the CPAP machine to find the setting that works best for you.

Home-Based Portable Monitor
Your doctor may recommend a home-based sleep test with a portable monitor. The portable monitor will record some of the same information as a PSG. For example, it may record:


  • The amount of oxygen in your blood
  • Air movement through your nose while you breathe
  • Your heart rate
  • Chest movements that show whether you're making an effort to breathe

A sleep specialist may use the results from a home-based sleep test to help diagnose sleep apnea. He or she also may use the results to decide whether you need a full PSG study in a sleep center.

Monday, February 24, 2014

How Trilogy 100 Help A Person With ALS?

On this video you can see a patient with ALS and she is using the trilogy 100. She was a registered nurse way back then and is now happy with her trilogy 100 after she was diagnosed with ALS.

watch the video below:

Friday, February 7, 2014

6 Realistic Rules for Better Sleep - According to FITNESS Magazine | Healthy Living

What Are 6 Realistic Rules for Better Sleep

By Nancy Gottesman

You have to live in dreamland if you want a good night's sleep, according to the usual expert advice: Make your bedroom into a spa like sanctuary. Don't drink a drop of caffeine after 2 p.m. No laptops in the bedroom. So we were shocked when sleep doctor Michael Breus, PhD, admitted that he drifts off with the TV on and his Chihuahua, Sparky, and cat, Monte, in the bed -- two major no-nos. His refreshing philosophy: "Steer clear of all the hard-and-fast rules and do what makes sense for your lifestyle." That we can handle. Read on for more surprising sleep tips that mere mortals like us can actually follow.

Sleep in on weekends. 

Forget all the blah-blah about maintaining a consistent wakeup time every day. Snoozing late on the weekend can have real benefits. Adults who were sleep deprived for five days (sound like your workweek?) made up for it somewhat -- bouncing back closer to their baseline brain function and alertness -- when they clocked 10 hours the next night, a study in the journal Sleep found. Still, it's best to snooze only an extra hour or two come Saturday and Sunday. "Any more than that will reset your body clock, and then you won't be able to fall asleep on Sunday night," says Carol E. Ash, a sleep specialist in Monmouth County, New Jersey. If the additional winks aren't enough to make you feel rested, take a 20-minute nap at 3 or 4 p.m. on the weekend, which won't mess with your internal timetable, Ash says.

Exercise before bed -- it's OK, really! 


Working out after dinner has long been considered a don't by sleep docs. But -- surprise! -- it may actually help you snooze better. Young adults who rode a stationary bike for about 35 minutes, finishing two hours before bedtime, conked out faster and slept more deeply than when they didn't exercise, a recent study in the Journal of Sleep Research found. If you discover you're too revved up to go to bed after a nighttime sweat session, keep a weekly log of your exercise time and how you sleep afterward, advises Lisa Shives, MD, the founder of Northshore Sleep and Weight Management Medicine in Evanston, Illinois, and a medical expert for SleepBetter.org. You may learn that a treadmill jog within an hour of hitting the hay is disastrous for dozing, but that doing it two to three hours beforehand makes you sleep like a baby. Exercise, whenever you can get it, is one of the best sleep medicines, period, Dr. Shives says.

Snuggle with Fluffy. 


Feel lonely? If you do, you're likely to wake up more often during the night, a University of Chicago study found. Consider picking up a new bedmate...at your local animal rescue society. "I tell my patients who don't like sleeping alone to consider getting a dog," Dr. Shives says. A pet helps many women feel less isolated, which can restore sound sleep. It's fine to break the no-pets-in-bed rule even when you're not lonely, especially if keeping your furry friend out creates more disruption than letting him in. "If I banned my cat from the bedroom, he would paw at the door all night long, and I would get even less sleep," says Breus, the author of The Sleep Doctor's Diet Plan: Lose Weight Through Better Sleep.

Play a bedtime story. 

The next time you wake up in the middle of the night and can't fall back to sleep, ignore the prevailing wisdom about getting out of bed to read by dim light. Dr. Shives recommends a new strategy: Quiet your churning mind with an audiobook, preloaded on your phone or music player and at the ready, bedside. Plug in your earbuds, press "Play," and cover the display to block the glow. The story shouldn't be too stimulating, so choose a biography or your favorite book from childhood instead of, say, Fifty Shades of Grey. In 15 to 20 minutes the narrative should soothe you to sleep, Dr. Shives says. If TV has always been a snoozing aid for you, follow Breus's trick: Use a TV with a sleep timer and set it to switch off after 30 minutes.

Think before you drink. 

It's generally a good idea to cut out coffee, soda, and energy drinks seven to eight hours before bedtime. But the half-life of caffeine affects everyone differently. Download Caffeine Zone 2 Lite (free at the iTunes App Store), developed by Penn State researchers, to help you predict the hour at which caffeine will still deliver a kick without stealing sleep. Also be aware that a nightcap can be as disastrous for your slumber as an after-dinner cappuccino. Under the influence, you snooze in seconds. Problem is, you'll wake up four or five hours later. And healthy women are much more susceptible to the "sleepus interruptus" effects of overimbibing, according to a recent University of Michigan study. "The best rule: Have your last drink three hours before you turn in," Breus says.

Score better sleep. 


You log your workouts, so why not your zzz's? A spate of new sleeptracking devices with mobile apps, including Zeo Sleep Manager and Lark, allow you to monitor such habits as the time at which you fall asleep and get up, how much light versus deep sleep you're getting, and the number of times you awaken during the night. We like the Renew SleepClock ($200, us.gear4.com; Renew SleepClock app, free, iTunes App Store) because you don't have to wear anything on your body to use it; your movements and breathing rates are detected and monitored through your iPhone, which rests on the SleepClock's docking station on your nightstand. "None of these devices are diagnostic, so they're not going to tell you if you have sleep apnea or insomnia," Breus says. "But they give you information about your sleep and make you think about how you can improve it." For instance, an app can help you notice a pattern, like how your slumber improves on days you exercise. Or you may be surprised to learn, as one FITNESS editor did, that you're getting a lot less sleep than you think.

Thursday, February 6, 2014

S9 Autoset Algorhythm - ResMed S9 AutoSet

If you have an S9 Autoset CPAP Machines at home you may wonder how this machine works and what other features does it give you. If you are also looking for other machines then this might help to compare each products.

Watch The Video



The S9 AutoSet™ combines an intelligent algorithm with Easy-Breathe expiratory pressure relief (EPR™) to dynamically adjust pressure for maximum comfort.

Using ResMed's time-tested APAP technology, AutoSet™ continually monitors breathing, adapting breath-by-breath to always deliver the lowest therapeutic pressure, improving comfort and sleep.

Enhanced AutoSet is now able to differentiate between obstructive and central sleep apneas, so you can be confident that you are always receiving appropriate therapy and pressure.

Features
  • Choice of APAP or fixed CPAP, with or without EPR
  • AutoSet algorithm auto-adjusts to maintain optimal therapy pressure
  • Climate Control maintains ideal humidification according to real-time environment
  • Easy-Breathe motor offers the quietest therapy available
  • Easy-to-use controls and color LCD make menu navigation simple and intuitive
  • SlimLine™ and ClimateLine™ tubes are exceptionally slim and lightweight, virtually eliminating tube drag
  • Detailed data options
  • For complete list of features, see specifications
For orders of this CPAP machine you may call: 877-290-8636 or visit www.pulmonarysolutions.net


How To Change The Pressure of a Respironics M Series APAP CPAP Machine

Today I have found a good video on How To Change The Pressure of a Respironics M Series APAP CPAP Machine. If you have no idea how your CPAP machine works hen this might help you on the process of changing pressure. This apply only for the M Series CPAP by Respironics.

Watch the video below:

So if you have CPAP at home preferably M Series then this video might help you on changing pressures. If you want to order this product Pulmonary Solutions is offering it for sale now and can be paid by your insurance as long as you are eligible. To see if your eligible to avail of M Series CPAP machine call 877-290-8636 or visit www.pulmonarysolutions.net.

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