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1 day ago

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Browse the topics list below to find interesting content on various subjects. The A to Z list will help you locate topics that interest you. Each topic page has a collection of all the articles published on the subject on Buzzle.com along with a list of related topics.



2 days ago

CPAP Machine Reviews: Careful Assessment

In today's dog-eat-dog world more and more individuals around the world are suffering from sleep related disorders and sleep apnea is one of the most prevalent ones. The sufferers of sleep apnea are relatively large now. In sleep apnea there is a temporary cessation of respiration which causes a lot of discomfort to the victim.

A CPAP or Continuous Positive Airway Pressure is a type of equipment which provides air pressure unceasingly during the course of the sleeping cycle of the apnea patient. The term CPAP, however, does not mean that the air which is continuously delivered will be at a constant pressure. Therefore, the appropriate and correct name to use for a CPAP machine which routinely adjusts the pressure setting according to the needs of the patient is known as an automatic CPAP machine.

When a CPAP machine is advised by a doctor it is important to carefully review each and every type of machine in the market before thinking of investing in one. Chances are with the huge amount of machines available, there might be fraudulent ones which may cause more harm than intended and thus causing sleep apnea to become a permanent scenario. Thus, CPAP Machine Reviews is an important part of the buying process and it is advisable to always check for the credibility of the company selling them or reviewing testimonials from previous owners.

There are many other treatments for that of sleep apnea. A very common one is the bi-level positive airway pressure machine, or BiPAP(It is also known as VPAP in many places). BiPAP machines are very much the same as their popular cousins the CPAP machines; however, there are several differences in this machine that makes it a clear favorite with the apnea patients.

One advantage is that when the patient starts using a BiPAP machine. This machine is much more reliable, effective and pocket friendly than the CPAP. This machine is also used to help ease breathing and remove any kind of obstructions in breathing for a patient who is suffering from sleep apnea. This is done by forcing a jet or a stream of pressurized air down the patient's respiratory tract and thus preventing the collapse or the damage of the throat tissues. The regular usage of this machine can help the patient to overcome this disease or disorder and lead a normal and comfortable life. It is important to invest some money in this machine in order to receive the best.

6 days ago

Nocturnal Teeth Grinding May Suggest a Sleep Disorder

By Gerard Meskill, M.D.

The occurrence of gnashing or grinding of teeth is not new. The Bible makes reference to this phenomenon both in the Old Testament, "His anger has torn me and hunted me down; he has gnashed at me with his teeth," (Job 16:9) and in the New Testament, "But the children of the kingdom shall be cast out into outer darkness: there shall be weeping and gnashing of teeth" (Matthew 8:12). While this problem is many centuries old, it is only recently that we have come to understand why this may occur, particularly at night while we are asleep.

Teeth clenching or grinding -- a behavior known as bruxism -- is a common problem that can lead to broken teeth, enamel d

6 days ago

Medicine :: Sleep Apnea: The 5 W’s of Dental Sleep Medicine

What is Dental Sleep Medicine? Dental Sleep Medicine refers to the branch of dentistry devoted to the treatment of snoring and sleep apnea with an oral appliance similar to a retainer. When a patient is diagnosed with obstructive sleep apnea, they are usually prescribed a CPAP (continuous positive airway pressure) machine which functions like a reverse vacuum cleaner to keep the airway open. It consists of a mask fitted over the mouth and nose which is attached to a compressor-like machine via a hose through which room air is forced. Compliance is shown to be very low due to common complaints of the machine being too noisy, the mask irritating the face, claustrophobia due to wearing the mask, inconvenience of being tethered to a machine and inability to sleep in all positions. In many cases, oral appliances are an effective alternative to CPAP therapy for sleep apnea.

Why do airway testing? A specially trained dentist utilizes airway testing with a Pharyngometer and Rhinometer to verify airway size and collapsibility as well as to predict success with an oral appliance. This technology utilizes sound waves in acoustic reflection much like a fish-finding device. The pharyngometer measures the cross-sectional airway in the throat to determine where there is an obstruction and whether movement of the lower jaw with an oral appliance will be effective in clearing that obstruction. The Rhinometer measures the nasal airway and determines whether there is blockage in the nose. This is critical because oral appliances are unable to open the nasal airway and should not be used if the obstruction exists in the nasal passages. Airway testing with the Pharyngometer/Rhinometer is crucial for predicting before treatment even begins whether the oral appliance will work or not.

When can we treat with Oral Appliances? Obstructive Sleep Apnea occurs when the tongue falls back into the throat and blocks the airway. Partial obstruction typically causes snoring and complete obstruction causes a cessation of breathing in addition to snoring. Oral appliances are designed to bring the lower jaw forward and thereby bring the tongue forward to open the airway. Oral Appliances were approved by the American Academy of Sleep Medicine as a first line of therapy for patients with mild to moderate sleep apnea. Patients with severe sleep apnea who cannot or will not wear a CPAP machine can also benefit from oral appliances but they are not as effective as CPAP therapy. It is better than no treatment at all.

Where is Obstructive Sleep Apnea Diagnosed? Only a physician can make a diagnosis of obstructive sleep apnea and classify its severity. For many years, diagnosis had to be made from an overnight sleep study, polysomnography or PSG for short. This study is conducted in a hospital or sleep laboratory. Just recently, unattended home sleep studies such as the Watch-Pat 100 are available to physicians and dentists and approved by the FDA for diagnosing obstructive sleep apnea. Diagnosis still must be made by a physician but the advantages of being able to conduct the study in the patient's own bedroom can often provide a familiarity which lends itself to increased patient comfort and decreased anxiety. Dentist's treating sleep apnea can also use the Watch-PAT 100 to verify the effectiveness of an oral appliance. No patient should be given an oral appliance without the follow-up of an unattended sleep study or repeat PSG.

Who is practicing Dental Sleep Medicine? This field requires a commitment to education and a commitment to technology. Most dental school curriculua do not offer any training in this arena. Numerous books have been written on this subject and many continuing education courses are offered in this area. Utilization of airway equipment and follow-up testing are imperative for the dentist to treat this properly., Guessing at severity of sleep disorder, jaw-position or effectiveness of oral appliances can be at the very least frustrating or potentially life-threatening.



http://www.articlebiz.com/article/205851-1-sleep-apnea-the-5-ws-of-dental-sleep-medicine/

1 week ago

CPAP machines: Tips for avoiding 10 common problems

CPAP is an important treatment for obstructive sleep apnea, but it's not without its frustrations. Learn how to avoid uncomfortable masks and other common CPAP problems.

By Mayo Clinic Staff

Continuous positive airway pressure (CPAP) therapy is a common treatment for obstructive sleep apnea. It includes a small machine that supplies a constant and steady air pressure, a hose, and a mask or nose piece.



Common problems with CPAP include a leaky mask, trouble falling asleep, and a dry mouth or nose.<

1 week ago

Online marketplace offers cheaper CPAP machines without a prescription | Reuters



(Reuters Health) - There is a large market for unauthorized online sales of secondhand continuous positive airway pressure (CPAP) devices, which treat obstructive sleep apnea, according to a new study.

Purchased from an authorized vendor through a sleep clinic, a CPAP machine can cost $600 to $2,000 for patients with little or no insurance coverage, the authors write.

"We did not speak directly with sellers or buyers, so we can only speculate on why this market exists, but we suspect that sellers have CPAP machines they no longer use or no longer need, while buyers are unable or unwilling to pay for CPAP through usual methods," said coauthor Dr. Ken M. Kunisaki of Minneapolis Veterans Affairs Health Care System in Minnesota.

In obstructive sleep apnea, the throat muscles relax and block the airway off and on during sleep. The CPAP machine increases air pressure in the throat to prevent the airway from collapsing.

A secondhand CPAP machine may not cause direct medical harm, but patients may be spending their hard-earned cash on a device that is not properly set up for them, without education on proper use, cleaning procedures, troubleshooting, warranty claims, and manufacturer recalls, Kunisaki said.

In October of 2014, the researchers searched Craigslist weekly in 18 U.S. cities and regions including Maine, Detroit and San Francisco for CPAP devices. Then in May of 2015 they placed an ad to anonymously survey CPAP buyers in each region.

There were 270 advertisements for secondhand CPAP devices, with more available in larger cities.

"We only looked at the posted advertisements, so we do not know how many of these resulted in a sale," Kunisaki told Reuters Health by email. "We have not seen any data regarding what percentage of CPAP users are using a secondhand device acquired through one of these online markets."

More than three quarters of ads did not say who had used the device, why it was being sold or its pressure setting. More than half advertised a mask included with the device without information on the age of the mask or how it had been sterilized.

On average, the devices were listed for $291 and most were $500 or less. Only five of the 270 ads mentioned a prescription requirement, as reported in JAMA Internal Medicine.



"Although it is technically illegal to issue a CPAP machine without a prescription, we are not aware of any lawsuits filed against an individual selling their secondhand CPAP device," Kunisaki said. "We did not speak directly to any sellers, but we suspect most are unaware of the legal requirement for a prescription."

The researchers' ads to survey CPAP buyers were flagged as inappropriate posts on Craigslist and removed within 48 hours.

Reputable companies only sell CPAP machines to patients with a prescription, said Joshua Fogel, professor in the department of business management at the Murray Koppelman School of Business at Brooklyn College. For specialized machines, this can cost as much as $3,500, Fogel told Reuters Health by phone.

Secondhand sellers may be selling their machine because it is defective, and would not disclose that information, said Fogel, who was not part of the new research.

"Ideally, (patients) should get a CPAP machine through their doctor's office or durable medical equipment (DME) company, who will then provide education and ongoing support for the CPAP device and supplies," he said.

Patients with little or no health insurance coverage may use programs like the American Sleep Apnea Association's CPAP Assistance Program, a better alternative to consumer-to-consumer sales, he said.

SOURCE: bit.ly/2b1qJcU JAMA Internal Medicine, online August 8, 2016.

1 week ago

Online marketplace offers cheaper CPAP machines without a prescription

There is a large market for unauthorized online sales of secondhand continuous positive airway pressure (CPAP) devices, which treat obstructive sleep apnea, according to a new study.

Purchased from an authorized vendor through a sleep clinic, a CPAP machine can cost $600 to $2,000 for patients with little or no insurance coverage, the authors write.

"We did not speak directly with sellers or buyers, so we can only speculate on why this market exists, but we suspect that sellers have CPAP machines they no longer use or no longer need, while buyers are unable or unwilling to pay for CPAP through usual methods," said coauthor Dr. Ken M. Kunisaki of Minneapolis Veterans Affairs Health Care System in Minnesota.

In obstructive sleep apnea, the throat muscles relax and block the airway off and on during sleep. The CPAP machine increases air pressure in the throat to prevent the airway from collapsing.

A secondhand CPAP machine may not cause direct medical harm, but patients may be spending their hard-earned cash on a device that is not properly set up for them, without education on proper use, cleaning procedures, troubleshooting, warranty claims, and manufacturer recalls, Kunisaki said.

In October of 2014, the researchers searched Craigslist weekly in 18 U.S. cities and regions including Maine, Detroit and San Francisco for CPAP devices. Then in May of 2015 they placed an ad to anonymously survey CPAP buyers in each region.

There were 270 advertisements for secondhand CPAP devices, with more available in larger cities.

"We only looked at the posted advertisements, so we do not know how many of these resulted in a sale," Kunisaki told Reuters Health by email. "We have not seen any data regarding what percentage of CPAP users are using a secondhand device acquired through one of these online markets."

More than three quarters of ads did not say who had used the device, why it was being sold or its pressure setting. More than half advertised a mask included with the device without information on the age of the mask or how it had been sterilized.

On average, the devices were listed for $291 and most were $500 or less. Only five of the 270 ads mentioned a prescription requirement, as reported in JAMA Internal Medicine.

"Although it is technically illegal to issue a CPAP machine without a prescription, we are not aware of any lawsuits filed against an individual selling their secondhand CPAP device," Kunisaki said. "We did not speak directly to any sellers, but we suspect most are unaware of the legal requirement for a prescription."

The researchers' ads to survey CPAP buyers were flagged as inappropriate posts on Craigslist and removed within 48 hours.

Reputable companies only sell CPAP machines to patients with a prescription, said Joshua Fogel, professor in the department of business management at the Murray Koppelman School of Business at Brooklyn College. For specialized machines, this can cost as much as $3,500, Fogel told Reuters Health by phone.

Secondhand sellers may be selling their machine because it is defective, and would not disclose that information, said Fogel, who was not part of the new research.

"Ideally, (patients) should get a CPAP machine through their doctor's office or durable medical equipment (DME) company, who will then provide education and ongoing support for the CPAP device and supplies," he said.

Patients with little or no health insurance coverage may use programs like the American Sleep Apnea Association's CPAP Assistance Program, a better alternative to consumer-to-consumer sales, he said.

http://www.foxnews.com/health/2016/08/09/online-marketplace-offers-cheaper-cpap-machines-without-prescription.html