Patients With Obstructive Sleep Apnea Successfully Treated With New Surgical Procedure

Physicians have successfully treated patients with obstructive sleep apnea with a novel surgical procedure.

The procedure involves the Advance System which consists of an implant in the tongue and lower jaw to prevent upper airway collapse during sleep. The preliminary results of this new procedure in the first 10 patients are promising.

Earlier this year, a team headed by ENT-surgeon Dr. Evert Hamans, performed the procedure successfully for the first time worldwide. This week the results of the follow-up examinations in the first 10 operated patients became available. A significant improvement of apnea index was achieved in all the patients. Snoring and daytime sleepiness were significantly reduced.

Obstructive sleep apnea (OSA)

Obstructive sleep apnea is a disease where the upper airway collapses during sleep. This obstruction results in a shortage of oxygen and fragmentation of sleep. In Western-Europe and the USA, 4% of men and 2% of women suffer from OSA. Most common complaints include loud snoring, excessive daytime sleepiness and cognitive impairment. In some patients the sleepiness is pronounced and potentially dangerous as it could result in car-accidents Long term, these patients have a higher risk of cardiovascular disease.

The current treatment for OSA is continuous positive airway pressure (CPAP) which includes the use of a ventilation mask during sleep. Although this treatment is effective, a number of patients find it intolerable and/or are non-compliant to this treatment. Some CPAP users seek alternative solutions.

Other surgical treatments for OSA can be highly invasive and have high morbidity rates requiring long hospital stay. The efficacy of these surgical treatments for moderate or severe OSA is also limited. A lot of patients are not willing to undergo such surgery.

Simple procedure and short hospital stay

The Advance procedure is short, has a low morbidity and currently requires one night of hospital stay. The innovative aspects of this new procedure include the ability to prevent the tongue from obstructing the upper airway, the ability to adjust the implant to the need of the patient under local anaesthesia and the low morbidity of the procedure.

Zeo Personal Sleep Coach Unique Christmas Gift

Here’s a unique Christmas gift that can help put people to sleep, which is exact what you want it to do. The Zeo Personal Sleep Coach is the first consumer device that monitors and tracks sleep quantity and quality, and can also help you improve your sleep.

The Zeo Personal Sleep Coach is a multistep program. You begin by wearing the Zeo Headband, which fits comfortably around your head. The headband uses sensor technology that measures sleep patterns through electrical signals that are produced naturally by the brain. During sleep, the headband tracks the different levels of sleep as you pass through them.

The information about your sleep is displayed on the Zeo Bedside Display, which can store up to two weeks of data. The display shows you a graph of your light, deep and REM (rapid eye movement) sleep over the night and compares it with previous nights. The display also has a SmartWake™ alarm that searches for a natural awakening point based on each individual’s sleep patterns. This can help reduce grogginess associated with waking up from a deep sleep.

The Zeo also allows you to upload your personal sleep information to the myZeo Personal Coaching website so you can track your sleep patterns and uncover ways to improve your sleep. There is also the Zeo Sleep Journal, which allows you to record factors that may be disturbing your sleep. Zeo offers online tools that can help you understand your sleep scores and identify connections between your daily lifestyle choices and your sleep patterns.

Finally, Zeo provides the 7 Step Sleep Fitness Program, which is guided sleep coaching program that can help you set goals for your sleep and offer strategies to assist you in achieving them. The coaching program includes personalized e-mails that include effective sleep tips and advice that are customized for you; a tailored action plan to deal with the 7 Sleep Stealers; goal-oriented assignments that are easy to incorporate into your lifestyle; and an online library for sleep information and research.

As many as 70 million Americans do not get an adequate amount of sleep, according to the Centers for Disease Control and Prevention. Lack of adequate sleep can cause memory problems, vehicle accidents, a compromised immune system, heart problems, depression, and other health complications. You can give the gift of sleep this Christmas with the Zeo Personal Sleep Coach.

Dream Research and the Science of Sleep

In 1953, Eugene Aserinsky of the University of Chicago noticed that the eyes of sleeping babies moved beneath their eyelids at certain regular intervals. This led to the discovery of REM (Rapid Eye Movement) sleep periods, which occur at roughly 60-90 minute intervals throughout the night and which contain the dreams which are the most vivid and most often remembered. Since then, EEG (electroencephalogram) recordings, which monitor brain activity during sleep, have been used to map the various stages of sleep. These states are classified roughly into sleep onset (hypnagogia or stage 1 descending), non-REM sleep (deep sleep or stages 2,3, and 4), stage 1 ascending, and REM (or paradoxical) sleep.

Nightmares, Anxiety Dreams & Recurring Dreams

Almost everyone has experienced one or more dreams that contain anxiety or outright fear. These experiences can be quite traumatic or become recurrent. For some, unpleasant dreams or nightmares repeat in actual content. For others, the content may change while the theme remains the same, such as scenes of falling, or of being pursued, attacked, late or unprepared for class, a presentation or an exam. Some people even dream of being stuck in slow motion and unable to move, or of being naked in public, to name a few common themes.

Research has shown that most recurring dreams are described as being unpleasant. Furthermore, many dream theories converge in their view that this type of experience is associated with lack of progress by the dreamer to recognize and solve related conflicts in life. Fear of nightmares from early in life, or other anxieties or misguided beliefs about dreams and the unconscious can block dream recall, but this can usually be overcome by learning about the useful nature of dreams and by recognizing that many nightmares, like a bitter but quite necessary medicine, represent opportunities for healing and insight, and can warn of psychological imbalances that we need to remedy, or of current behaviors or decisions that may soon become detrimental unless we change them, as exemplified in this dream by Stanford University pioneer sleep researcher and one of the discoverers of REM sleep, Dr. William Dement:

“Some years ago I was a heavy cigarette smoker, up to two packs a day. Then one night I had an exceptionally vivid and realistic dream in which I had inoperable cancer of the lung. I remember as though it were yesterday looking at the ominous shadow in my chest X-ray and realizing that the entire right lung was infiltrated. I experienced the incredible anguish of knowing my life was soon to end, that I would never see my children grow up, and that none of this would ever have happened if I had quit cigarettes when I first learned of their carcinogenic potential. I will never forget the surprise, joy, and exquisite relief of waking up. I felt I was reborn. Needless to say, the experience was sufficient to induce the immediate cessation of my cigarette habit.”

Fortunately, there exist treatments for nightmares that do not involve medication and which have shown to be remarkably effective, such as those at www.nightmares.info . Some of the most effective techniques include dream re-scripting, voice dialogue work, dream lucidity, guided imagery.

Sleep-Related Disorders

Other than nightmares, there are various sleep disorders which affect significant portions of the population. Insomnia, the inability to fall asleep or get enough sleep, affects up to one out of three Westerners (and perhaps more). It is often triggered by stress and results in worrying that inhibits proper sleep. Sleep apnea, actual lapses of breathing during sleep (mainly during REM sleep), is another common disorder often connected with obesity and/or intense snoring which results in excessive sleepiness during the day. It is harder to diagnose outside of the lab because the patient’s asleep while it happens and has little way of knowing about the source of the trouble (though devices have now been developed for home diagnosis).

Sleep apnea may be one of the causes of chronic fatigue syndrome since the natural sleep cycle is often interrupted by unremembered microawakenings as the sleeper gasps for a breath. Sleep Paralysis is relatively common though rarely as a severe disorder. It occurs during sleep when a person partially awakens but is completely unable to move for some period after waking. It can be somewhat frightening, though there is no particular danger involved. It has been associated with parasomnias which are a class of disorders that include nightmares (which often occur during long REM periods), sleep walking and sleep talking, bed-wetting, body rocking during sleep onset and teeth grinding (which all occur during non-REM sleep, the latter often being identifiable by worn down teeth or a sore jaw).

Night terrors are also in this class, and differ from nightmares in that they occur during non-REM sleep and are usually very intense so that the sleeper awakes in panic, often screaming, with heart pounding, and with less recall of dream content. These are more prevalent in children, and some success at resolving these episodes has been noticed by adjusting the number of blankets on the child’s bed or reducing the room temperature. Narcolepsy, often connected with sleep paralysis and vivid, frightening dreams at sleep onset, is characterized by irresistible daytime sleep attacks and collapsing at the onset of strong emotions (known as cataplexy) while remaining conscious (and so should not be confused with fainting).

NC Center Hoping to Make Sleep Studies More Restful

The Wake Forest University Baptist Medical Center, in North Carolina, has created a new Sleep Center. This is no ordinary sleep center. It is more like a hotel for sleep-deprived patients who need to under-go a sleep study to identify sleeping disorders.

It is estimated that more than 40 million Americans have a sleep disorder robbing them of a good night’s sleep. Without proper sleep, these Americans have increased fatigue upon waking, widespread pain disorders (such as fibromyalgia) and other health issues. Sleep Center physicians are hoping that by making the sleep study itself more enjoyable, patients will seek help more willingly.

The sleep program is accredited by the American Sleep Disorder Association and includes a “multidisciplinary evaluation and treatment team of experts in cardiology, neurology, otolaryngology, psychiatry, and pulmonary as well as polysomnographic technologists and nurse specialists.” This is in-line with other such sleep programs. What makes the Sleep Center in North Carolina any different?

Well, to start, check-in time is as early as 3 p.m.! With a fitness center and a swimming pool available, as well as award-winning restaurant on the premises, the center is very much like a hotel stay. Patients can check in, go for a swim, work out in the fitness center, eat supper and begin the sleep study at about 8 p.m. After the study is over at 6 a.m., the patient has the choice to continue sleeping, going for a free buffet breakfast, watching T.V. or working out some more before leaving.

The room is like a hotel room as well. With comfortable mattresses, private bathrooms, T.V.s and all the amenities that a hotel would offer, what’s not to like? Sleep study participants often complain of not being able to rest comfortably in a hospital setting making physicians wonder how accurate the results of the study are. If a patient has a hard time falling asleep because of the location, that may impact the results, especially if the patient typically does not have such trouble at home.

While no place is like home, setting up a sleep center such as that at the Wake Forest University Baptist Medical Center, is a sure sight better than a cold, sterile hospital environment. This is why the Sleep Center was created in order to urge more patients to get help for their sleep trouble. As more Americans develop sleep apnea from increased obesity, more deaths may result from sleep-deprived caused accidents. Those with sleep apnea often have a decrease in REM sleep, our restorative sleep state, and may increase risk for other health disorders and diseases. However, sleep apnea is treatable (either by surgery or wearing a special breathing mask during sleep called a CPAP machine). If more patients were to go for a sleep study, their conditions could be identified and treated, lowering the chances of poor health or death.

Complex decision? Don’t sleep on it

Neither snap judgements nor sleeping on a problem are any better than conscious thinking for making complex decisions, according to new research.

The finding debunks a controversial 2006 research result asserting that unconscious thought is superior for complex decisions, such as buying a house or car. If anything, the new study suggests that conscious thought leads to better choices.

Since its publication two years ago by a Dutch research team in the journal Science, the earlier finding had been used to encourage decision-makers to make “snap” decisions (for example, in the best-selling book Blink, by Malcolm Gladwell) or to leave complex choices to the powers of unconscious thought (“Sleep on it”, Dijksterhuis et al., Science, 2006).

But in the new study, to be published in The Quarterly Journal of Experimental Psychology, scientists ran four experiments in which participants were presented with complex decisions and asked to choose the best option immediately (“blink”), after a period of conscious deliberation (“think”), or after a period of distraction (“sleep on it”), which is claimed to encourage “unconscious thought processes”.

In all experiments, there was some evidence that conscious deliberation can lead to better choices and little evidence for superiority of choices made “unconsciously”. Faced with making decisions such as choosing a rental apartment and buying a car, most participants made choices predicted by their subjective preferences for certain attributes (for example, safety, security, colour or price), regardless of the mode of thinking employed.

Unconscious thought is claimed to be an active process during which information is organized, weighted, and integrated in an optimal fashion. Its benefits are argued to be strongest when a decision is complex – one with multiple options and attributes – because unconscious thought does not suffer from the capacity limitations that hobble conscious thought.

“Claims that we can make superior ‘snap’ decisions by trusting intuition or through the ‘power’ of unconscious thought have received a great deal of attention in the media,” says University of New South Wales psychologist, Dr Ben Newell, lead author of the new study.

Among the headlines that followed the 2006 research are these: “Dilemma? Don’t give it a thought,” The Times, 17-02-06; “Trust your gut instinct when those shopping decisions get tough, say scientists,” The Telegraph, UK, 17-02-06; “Big decision time? Best to sleep on it,” Reuters News, 16-02-06.

“At best, these sorts of headlines are misleading,” says Dr Newell. “At worst, they’re outright dangerous. In stark contrast to claims made by the Dutch research team and in the media, we found very little evidence of the superiority of unconscious thought for complex decisions.

“On the contrary, our research suggests that unconscious thought is more susceptible to irrelevant factors, such as how recently information has been seen rather than how important it is. If conscious thinkers are given adequate time to encode material, or are allowed to consult material while they deliberate, their choices are at least as good as those made ‘unconsciously’.”

Hello world!

Welcome to WordPress.com. This is your first post. Edit or delete it and start blogging!

Follow

Get every new post delivered to your Inbox.