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What is Sleep Apnea

January 31st, 2009 | 2 Comments | Posted in Sleep

sleep
Are you feeling sleepy all the time? Do you snore? Is your doctor having a difficult time treating your high blood pressure? If you answered “yes” to any of these questions, then you might have Sleep Apnea (also called Obstructive Sleep Apnea or OSA).

Sleep Apnea is a condition involving pauses or decreases in breathing during sleep. It is usually due to airway collapse. This collapse occurs in the nose and/or the throat – anywhere from where air enters the nostrils to the back of the tongue. Imagine a straw collapsing when trying to suck on a thick milkshake. Frequently, this airway collapsibility problem is inherited and starts in childhood. In the daytime, it is not a problem because there is good muscle-tone in the airway and the brain monitors breathing. But at night, the throat muscles become relaxed and the brain is not as attentive to the airway. So on inhalation, the airway walls can either completely collapse or significantly narrow. This is a problem because 1) the body must struggle to breathe and 2) the brain has to “wake up” to reopen the airway.

These frequent awakenings lead to fragmentation of nighttime sleep. You may not remember them because they are so short. In fact, patients with sleep apnea can wake-up more than 30 times an hour and think that they slept uninterrupted through the night. Since sleep must be continuous and consolidated in order to be restorative, a number of cognitive problems can occur with sleep fragmentation: daytime sleepiness, memory problems, concentration difficulties, emotional instability, irritability, slowed reaction time, and most importantly, an increased risk of motor vehicle accidents.

There are also cardiovascular consequences of this constant “struggling to breathe.” This puts a strain on the heart and blood vessels, leading to increased risk of high blood pressure, heart disease and stroke.

Finally, there are social implications to Sleep Apnea. The snoring associated with sleep apnea can disrupt the sleep of others. In fact, one study showed that when a person treats his/her sleep apnea, the sleep partner gets the equivalent of one hour more sleep per night.

Sleep apnea is a progressive disease and often gets worse with age. Weight gain, alcohol, and other sedating/relaxing substances exacerbate it.

Who Gets Sleep Apnea?

A common misconception is that only overweight men that snore loudly have sleep apnea, but the facts are:

1) Sleep apnea can occur without snoring

2) Thin people can have sleep apnea

3) Women can have sleep apnea

4) Children can have sleep apnea

In other words, anyone can have it. Even skinny women. Even children.

I Think I Might Have Sleep Apnea, How Do I Find Out If I Have It?

Make an appointment with your primary care physician, or if your insurance allows it, go straight to a sleep specialist. If your physician thinks you might have sleep apnea, then he/she can refer you for a sleep study or comprehensive sleep evaluation.

How Is Sleep Apnea Treated?

There are four main categories of treatment for sleep apnea: Continuous Positive Airway Pressure (CPAP), Surgery, Oral Appliances, and Behavioral Modification.

The most effective way to treat sleep apnea is with CPAP. CPAP is a mask worn over the nose attached by a hose to an air compressor. The air compressor gently and quietly blows room-air into the nose, which “stents” the airway open, preventing airway collapse. This is the most effective way to treat sleep apnea, and all patients diagnosed with sleep apnea should at least try it before considering other options.

Surgery can be an effective way to treat sleep apnea. A number of different procedures can be performed. These range from nasal septum repair to jaw reconstruction. Talk to your doctor about whether surgery is the right option for you.

An oral appliance is a device made by a dentist or an orthodontist designed to pull your lower jaw forward. By pulling your lower jaw forward, the tongue is pulled away from the back of the throat. If your airway obstruction is occurring behind the tongue, then this can be an effective way to treat your sleep apnea. The treatment of sleep apnea with oral appliance should be a coordinated effort between the sleep physician, the dentist/orthodontist, and the patient.

Behavioral modifications can help in the treatment of sleep apnea, but are usually the least effective. These include such techniques as weight loss, sleeping on your side, and avoiding alcohol before bedtime.

None of these treatment options is ideal, but they all can be useful in treating sleep apnea and resulting in more restful sleep. With risks like heart attack and stroke, you should do everything you can to get your sleep apnea under control. If you think you have sleep apnea, contact your doctor or go to a sleep center. It could be the best decision you ever made.



By: gladys906

About the Author:

Virtual Assistant



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Sleeping Pills Don’t Cure Insomnia Because They Don’t Treat the Causes of it and They Have After Effects

January 31st, 2009 | No Comments | Posted in Sleep
sleep
Sleeping Pills Don’t Cure Insomnia Because They Don’t Treat the Causes of it.

Sleeping Pills are fast and easy and available to most people but they do not cure insomnia because they do not cure the causes of it.  

It takes an average of 46mins for sleeping   pills to take effect

You become physically dependent on them They loose their effectiveness because after 4 to 6 weeks the brain becomes accustomed to the drug and does not work anymore You have less deep sleep (which is what you really need most of) and more stage 2 sleep Hangover effect the day after



Do you dread bedtime?  Does it take you forever to fall asleep, Do you have trouble staying asleep, Do you feel like exhausted all day long because you did not have a good night sleep?  To help you get a better deeper sleep without the use of pills (because they do not work) these are a few things you will need to do: 

Train your brain and your body; develop a good evening routine, a cosy and harmonic bedroom conducive to sleep.  You can learn more about this tried and tested effective programme at :http://www.sleeptracks.com/go.php?offer=persevere1&pid=arb

There are so many things you can do to help you make positive changes to your sleep pattern and sleep better.  

Change your beliefs about sleep – “I can’t get to sleep” becomes a fulfilling prophecy. Change your sleep habits Train your brain to fall asleep with the Sleep Optimisation Tracks Have an evening routine that makes a transition from daytime to night time.   You need to let your brain activity subside during night time by making it a habit to unwind with things like meditation, relaxation etc. Take it easy and avoid strenuous activity less than 3 hours prior to bedtime Avoid confrontation or task that taxes your brain, fill it with chitter chatter or causes you anxiety. Bore yourself to sleep by doing mundane tasks like paper work or reading a text book Take a warm dissolving and relaxing bath.   Your body temperature will rise at first but it will ease drastically helping to send you to sleep. Make your bedroom cosy and harmonic (the cosier the better) and make it a room just for sleeping and making love. Avoid things that tell your brain to engage in activities Make sure you have silence.  External noises can disrupt your sleep. Make your room as dark as possible in the evening (use dimmer switches if possible).   Eye mask is also an excellent idea for blocking out light if there is no way you can make your room dark. Cool sleeping room - your room temperature should be 65-70% F Use “Fall Asleep Track”(this can be found at the above site I have given you. Wake up at about the same time every day (your sleep clock needs a fine tune cue)



So, how much sleep do you need every night?    There is no particular number of hours and all sleep time is not the equal.   What you need is deep sleep and you should be aiming for quality rather than quantity.

By worrying about not getting enough sleep and trying hard to fall asleep actually prevents you from falling asleep.   Falling asleep is not an action; it happens automatically if your brain and body clock is fine tuned to do this.



Now what is your sleep problem?   Do you have trouble falling asleep?   Do you wake up too early in the morning?  Do you have trouble staying asleep?  Do you have poor quality sleep?

If you need more than 30 minutes to fall asleep at night and to wake up in the morning then this may be your biological clock is delayed meaning your body temperature falls later at night and increases later in the morning.

There are a few things you can do to reset your inner clock and improve your sleep and energy levels:

By being exposed to bright daylight in the early mornings helps adjust your body clock Activities like taking a brisk walk before 10am for about 10 minutes will do the trick Do not go to bed if you do not feel sleepy Do not stay in bed if you do not fall asleep.  Get up and do something else that would induce sleep or what I find the fastest way to send me to sleep is listening to my Insomnia Buster track till I feel drowsy which normally happens pretty quickly.  Do not lie in the next morning If you are anxious and can’t get to sleep or relaxed but can’t sleep maybe you ought to try some of the excellent aids on the website address I have given above.  



If you are waking up too early you may be suffering from unfinished or depressed sleep, and your body clock may be moving slower.  This means your body temperature rises earlier than normal in the morning.  To reset these are a few things you can do:

Exercise later during the day, but not 3 hours or less before bedtime Expose your body to light during the latter part of the day or use a light box in the afternoon. Go to bed later For deeper sleep use Insomnia Buster or Whole Night Tracks on a loop.  Email me at sleepandstressnurse@googlemail.com for your Free Full Report on Sleep and how you can regain a healthy sleep pattern.



Are you having trouble staying asleep waking up feeling more tired than when you went to bed then your sleep cycles are not completed?   You may be suffering from fragmented or poor quality sleep, sometimes called sleep maintenance insomnia.  This tends to happen mostly to people with sedentary lifestyle and older people who do not do many activities.   By increasing the level of activities you do during the day and exposing your body to more light during the day will help solve this problem.

If you like this article pass it on to your friends.

Bye for now folks and enjoy making positive changes to your sleep pattern.

Sleep and Stress Nurse

A Boadu



By: A Boadu

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Does the Lord (god Father) Sleep in Bible and Quran?

January 30th, 2009 | 2 Comments | Posted in Religion

sleep
Before dealing with the topic of the Fly in Quran versus Bible versus sciences, it is essential to remember that the total words of the Bible are 788,280 while total words of the Quran are 77,473. It follows that, the Bible has the potential of more than 10 times the Quran to talk about the Sleep word-wise.

In addition, Sleep is mentioned 107 in bible and 9 times in Quran

The Sleep in sciences:

The sleep is a natural intermittent state of rest for the mind and body, in which the eyes close and consciousness is almost lost, so that there is a drop off in the body movement and the response to external stimuli. During sleep the brain experiences a characteristic cycle of brain-wave activity that comprises of intervals of dreaming.

Regular sleep is necessary for health and survival.

Man deprived of sleep for two or three weeks will suffer of both his physical and mental health.

However, many facets concerning the exact mechanism or cause of the process of Sleep are still difficult to understand.

The Sleep in the Bible:

God grants sleep to those he loves

Psalm 127:2

“In vain you rise early and stay up late, toiling for food to eat— for he grants sleep to those he loves.”

Some Biblical proposals as regards the Sleep:

- Leviticus 14:47

“Anyone who sleeps or eats in the house must wash his clothes.”

- Deuteronomy 24:13

“Return his cloak to him by sunset so that he may sleep in it.”

- Psalm 68:13

“Even while you sleep among the campfires, the wings of my dove are sheathed with silver, its feathers with shining gold.”

- Proverbs 3:24

“when you lie down, your sleep will be sweet.”

- Proverbs 6:10 and Proverbs 24:33

“A little sleep, a little slumber, a little folding of the hands to rest”

Proverbs 19:15

“Laziness brings on deep sleep, and the shiftless man goes hungry.”

- Proverbs 23:34

“(if you watch or look at strange women) You will be like one sleeping on the high seas, lying on top of the rigging.”

- Ecclesiastes 5:12

“The sleep of a laborer is sweet, whether he eats little or much, but the abundance of a rich man permits him no sleep.”

1 Thessalonians 5:7

“For those who sleep, sleep at night, and those who get drunk, get drunk at night.”

Some decent prayers about Sleep:

- Psalm 3:5

“I lie down and sleep; I wake again, because the LORD sustains me.”

- Psalm 4:8

“I will lie down and sleep in peace, for you alone, O LORD, make me dwell in safety.”

- Psalm 7:5

“..make me sleep in the dust. Selah”

- Psalm 13:3

“Look on me and answer, O LORD my God. Give light to my eyes, or I will sleep in death;”

Do not Sleep, the Bible recommends us not to Sleep in 13 verses:

Psalm 132:4

“I will allow no sleep to my eyes, no slumber to my eyelids,”

Proverbs 6:4

“Allow no sleep to your eyes, no slumber to your eyelids.”

Proverbs 6:9

“How long will you lie there, you sluggard? When will you get up from your sleep?”

Proverbs 10:5

“He who gathers crops in summer is a wise son, but he who sleeps during harvest is a disgraceful son.”

Proverbs 20:13

“Do not love sleep or you will grow poor; stay awake and you will have food to spare.”

Ecclesiastes 8:16

“When I applied my mind to know wisdom and to observe man’s labor on earth—his eyes not seeing sleep days or nights-”

Jonah 1:6

“How can you sleep?”

Isaiah 5:27

“Not one of them grows tired or stumbles, not one slumbers or sleeps; not a belt is loosened at the waist, not a sandal thong is broken.”

Luke 22:46

“Why are you sleeping?” he asked them. “Get up and pray so that you will not fall into temptation.”

Ephesians 5:14

“…for it is light that makes everything visible. This is why it is said: “Wake up, O sleeper,”

Mark 13:36

“If he comes suddenly, do not let him find you sleeping.”

(This is a very good meaning)

2 Corinthians 6:5

“in beatings, imprisonments and riots; in hard work, sleepless nights and hunger;”

2 Corinthians 11:27

“I have labored and toiled and have often gone without sleep;”

The watchmen and the Sleep:

Proverbs 4:16

“For they cannot sleep till they do evil; they are robbed of slumber till they make someone fall.”

Isaiah 56:10

“Israel’s watchmen are blind, they all lack knowledge; they are all mute dogs, they cannot bark; they lie around and dream, they love to sleep.”

2 Peter 2:3

“In their greed these teachers will exploit you with stories they have made up. Their condemnation has long been hanging over them, and their destruction has not been sleeping.”

In addition, herein some Biblical statements and their frequencies:

The expression of: “deep sleep” is mentioned in 11 verses

“he (Jesus) returned to his disciples and found them sleeping” is found in seven verse

“could not sleep” is mentioned in three verses

Statements that are mentioned in two verses:

- sleep forever and not awake

- Jesus was sleeping (Does God sleeps?)

- could not sleep is mentioned in three verses

Some expression that are mentioned in one verse:

- Lay down to sleep

- sleep fled from my eyes

- sleep in death

- sleep of death

- last sleep

- sweet sleep

- natural sleep

- Pleasant sleep

- sleep in the forests in safety

- sleep in the dust

- Peter was sleeping (however, Peter claims that he seldom sleeps)

- The story of “Samson, he was sleeping and Delilah took the seven braids of his head is given in five verses.

Does The Lord (The Father) Sleep?

Psalm 121:4

indeed, he who watches over Israel will neither slumber nor sleep.

Psalm 44:23

Awake, O Lord! Why do you sleep? Rouse yourself! Do not reject us forever.

Psalm 78:65

Then the Lord awoke as from sleep, as a man wakes from the stupor of wine.

The Sleep in Quran

The Sleep is a miracle and a sign made by Allah, The Almighty:

Surah 30:23

“And among His Signs is the sleep that ye take by night and by day, and the quest that ye (make for livelihood) out of His Bounty: verily in that are Signs for those who hearken.”

Allah made Sleep for our rest

Surah 25:47

“And He it is Who makes the Night as a Robe for you, and Sleep as Repose, and makes the Day (as it were) a Resurrection.”

Surah 78:9

And made your sleep for rest,

The Day Of Judgment will come while some humans are asleep.

Surah 7:97

“Did the people of the towns feel secure against the coming of Our wrath by night while they were asleep?”

Scientifically, half of the humans will be at night time and the other half will be at day time. Hence, One should take care.

The story of the greedy collectors

Surah 68:19

“Then there came on the (garden) a visitation from thy Lord, (which swept away) all around, while they were asleep.”

This verse is talks about a productive story that describes some greedy collectors’ men who did not give the proper donations to the poor and Allah punished them.

The first battle:

Surah 8:43

“Remember in thy dream Allah showed them to thee as few: if He had shown them to thee as many, ye would surely have been discouraged, and ye would surely have disputed in (your) decision: but Allah saved (you) for He knoweth well the (secrets) of (all) hearts.”

This verse talks about the first battle between Muslims (300 persons) and unbelievers (1000 soldiers), and the Muslims won.

Abraham scarifies:

Surah 37:102

“Then, when (the son) reached (the age of) (serious) work with him, he said: “O my son! I see in vision that I offer thee in sacrifice: now see what is thy view!” (the son) said: “O my father! do as thou art commanded: thou will find me, if Allah so wills, one practising Patience and Constancy!”

This verse talks about the story of Abraham and his son. Abraham saw in his dream that he scarifies his son.

What is Sleep?

The Quranic definition of Sleep

Surah 39:42

“It is Allah that takes the “Nafs” (of men) at death; and those that die not (He takes) during their sleep: those on whom He has passed the decree of death, He keeps back (from returning to life), but the rest He sends (to their bodies) for a term appointed. Verily in this are Signs for those who reflect.”

This is the definition put by Allah Who Made the Sleep.

During the process of Sleep, Allah takes our “Nafs” when we sleep; and return our “Nafs” back when we awake.

This means that Sleep is a form of incomplete death.

What is “Nafs”?

Man is composed of three parts, the body, the soul and the “Nafs”

All of us know the body. We have no idea about the soul but its simple definition is that it is the life and it is eternal.

The “Nafs” is the EGO. It is when you say: “I”.

It follows that Allah takes our “Nafs” or ego away while we are sleeping and return our “Nafs” back when we awake.

Many researches have to be done to go through this Quranic definition of the Sleep. I propose many ideas to explore this Quranic statement but unfortunately I do not have the proper machines and equipments to carry on.

Allah never ever naps, slumbers or sleeps

Surah 2:255

Allah! There is no god but He, the Living, the Self-subsisting, Eternal. No slumber can seize Him nor sleep. His are all things in the heavens and on earth. Who is there can intercede in His presence except as He permitteth? He knoweth what (appeareth to His creatures as) Before or After or Behind them. Nor shall they compass aught of His knowledge except as He willeth. His Throne doth extend over the heavens and the earth, and He feeleth no fatigue in guarding and preserving them for He is the Most High, the Supreme (in glory).

It is absolutely essential for the Muslim to believe that Allah never Sleeps.

The faith emphasizes the fact that Allah never ever naps, slumbers or sleeps and if anyone claims that Allah ever naps, slumbers or sleeps then he should wait for the eternal hell in the afterlife because of this “unforgiving sin”.

Now, I think that the smart unbiased reader knows very well the answer of this dogmatic question” Is the Quran quoted from the Bible?”.



By: Prof.dr. Ibrahim Khalil

About the Author:

Professor Dr. Ibrahim Khalil
Prof. of Clinical and Chemical Pathology,
Head of Clinical Microbiology and Infection Control Unit,
Ain-Shams University. Cairo, Egypt.
And,
President of the Egyptian Society of Inventors.
Member of the Egyptian union of Writers



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Obstructive Sleep Apnea, Cardiovascular Consequences, and Treatment Options

January 29th, 2009 | No Comments | Posted in health
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Obstructive Sleep Apnea affects approximately 20 million people in the U.S. alone, and millions more are affected worldwide. Over the last 10 years, significant research has been performed and now there is overwhelming evidence of the connection between Obstructive Sleep Apnea (OSA) and cardiovascular disease. Specifically, people affected by sleep apnea are at increased risk for hypertension (also known as high blood pressure), coronary artery disease (AKA atherosclerosis), heart attacks, strokes, cardiac arrhythmias, heart failure, diabetes, and even death.

This scary list of adverse health outcomes demonstrates the significance of diagnosing sleep apnea in a timely manner, in order to initiate treatment t. This last comment is actually the point — fortunately, sleep apnea is a treatable condition. And you might be surprised that there are different options for treatment. With the right guidance from qualified experts, successful treatment is readily attainable.

First of all, we must dispel any myths, which prevent many people affected with sleep apnea from seeking the appropriate medical attention. The biggest myth is that only overweight or obese people get OSA. That is simply not true. In fact, many people who are considered to be at their ideal body weight, based on BMI (Body-Mass Index), are in fact diagnosed with OSA or Upper Airway Resistance Syndrome (UARS). UARS is a form of sleep-related breathing disorder in which a person has frequent arousals from sleep due to respiratory airway collapse or obstruction. Often, the events are not as obvious as seen in OSA, and in many cases, a person affected by UARS may not even snore. However, people with UARS may complain of unrefreshing sleep, frequent nocturnal awakenings, or excessive daytime sleepiness or fatigue. UARS, like OSA, is a treatable medical condition.

So how does one get sleep apnea?

Well, most people who have sleep apnea are predisposed very early in life. It is actually the size and shape of the jaw and upper airway that determines whether a person will develop OSA. A narrow jaw and upper airway (i.e., oral cavity and throat) results in less space for air to flow during breathing. When a person sleeps, the soft tissues and muscles of the upper airway relax and collapse, leading to increased airflow resistance and airway obstruction. The airway obstruction is what causes OSA.

OSA is simply a repetitive, cyclical pattern in which a person stops breathing or nearly stops breathing for periods of longer than 10 seconds each time. The following is a description of what happens during an episode. As a person sleeps, the upper airway and jaw relax, resulting in collapse of the upper airway (i.e., the back of the throat). The lower jaw often relaxes and drops back a few millimeters when we sleep. Since the tongue base is attached to the lower jaw, the tongue will also drop back a few millimeters further during sleep. This combination of events leads to a very narrow passageway for air to flow through the back of the throat during sleep. Occasionally, the upper airway is so collapsed that little or no air can pass. These episodes are called apneas (complete obstruction with no air movement) or hypopneas (partial obstruction with minimal air movement). When an apnea or hypopnea occurs, it lasts for a period of 10 seconds or more. In some cases, the episodes can last for over a minute! During this time, the blood oxygen saturation starts to drop, because no fresh air or oxygen is being delivered to the lungs. As the blood oxygen saturation drops, the body goes into a fight-or-flight response, resulting in increased heart rate and elevation of blood pressure. In essence, the heart is beating faster in an attempt to bring in more fresh blood and oxygen from the lungs. This sequence of events continues until, ultimately, a person has an arousal from sleep, resulting in a change in body position, a deep breath or gasp, or a brief awakening from sleep for 2-3 seconds (which most people don’t recall). This cycle of events may then repeat itself several times per hour or even hundreds of times per night, depending on the severity of the case. These cyclical arousals not only disrupt and fragment one’s sleep by resulting in a very shallow and unrefreshing sleep, but they also cause repetitive stress on the cardiovascular system with the elevations in heart rate and blood pressure. This repetitive stress causes the heart to work harder. Night after night, this chronic extra stress on the heart is what many scientists believe leads to the long-term adverse cardiovascular events (such as heart attacks, strokes and cardiac arrhythmias) and the impairment of blood pressure and blood sugar control.

Fortunately, as stated before, sleep apnea is a treatable condition. Further, effective treatment of OSA results in reductions in daytime blood pressure. Effective treatment not only reduces the risk of cardiac arrhythmias such as atrial fibrillation, but it can also reduce the risk of recurrent episodes of arrhythmias. The incidence of stroke and death is also significantly less in people treated for OSA. As compared to those who remain untreated for OSA, people who are treated have lower levels of blood glucose. Studies have highlighted how closely linked OSA and diabetes are. Therefore, people with OSA and diabetes who undergo treatment for OSA have much better control of their diabetes. Finally, treatment of OSA improves sleep quality and duration, associated with deeper and more refreshing sleep. This improvement in sleep carries on into the daytime, resulting in reduced daytime sleepiness and increased energy levels.

In fact, there is more than one form of treatment available. The American Academy of Sleep Medicine recognizes three forms of treatment that have been demonstrated to be effective for sleep apnea. The first of these options is known as CPAP, or Continuous Positive Airway Pressure. CPAP is still the gold standard of treatment for OSA, because it is a very safe and effective form of treatment. It is also generally successful for all degrees of OSA severity, including mild, moderate, severe, and very severe. CPAP is a device weighing less than 10 pounds that sits on your nightstand and filters the air in your room. Once it filters the room air, it blows it out at a higher, fixed pressure through a tube that connects to a mask. The mask, which can come in a multitude of varieties, either sits on your nose, under your nose, or over both your nose and mouth. The device is used during sleep to keep the upper airway stented open, using the higher, fixed air pressure delivered from the machine, through the tube, to your mask. It is not a ventilator, so it does not force you to breathe (although there are some models which do have this feature for very unique cases). However, it does make it easier to breathe, by keeping the upper airway open and preventing its collapse during sleep.

It does take time to get adjusted to using CPAP. Most people become adjusted to CPAP within 2-3 weeks. The real issue is getting used to sleeping with a mask on your nose, or under your nose. Once you get used to this new habit, then treatment with CPAP becomes easy. Generally, most people become comfortable using CPAP within one month, and at that point, they are able to sleep with CPAP for 4 or more hours per night. Research studies have shown that using CPAP for at least 4 hours per night results in associated health benefit. Therefore, it is important to sleep with CPAP for at least 4 hours per night, once the initial adjustment period is over. Further, the more time spent using CPAP during sleep, the more beneficial it is for your health. There are over 1 million people across the United States successfully using CPAP on a regular and continual basis, and if you ask one of them how well they sleep, they will likely tell you how CPAP has dramatically improved their sleep and changed their life for the better.

For people who do not succeed with CPAP or for those who prefer a different option, surgery can be an effective form of treatment. Generally, there is about a 50-70% chance of successful cure of sleep apnea with surgical intervention. This number takes into account all cases, including mild, moderate, severe, and very severe degrees. This statistic also accounts for the varied skills of surgeons who perform these types of procedures. In most cases, surgery usually improves the impairment in sleep-related breathing disorders, and generally, there is a reduction in the severity of OSA after surgery. It is important to discuss your individual situation with the ENT surgeon who will be performing the surgery. The risks and benefits of surgery should be examined prior to moving forward with surgery. Some risks associated with this type of surgery are bleeding, infection, and the risks commonly associated with general anesthesia. Further, it is vital to make certain that the ENT surgeon you choose has a breadth of experience in the type of procedure you plan to undergo. Not all ENT surgeons receive specialized training in sleep apnea surgery, so it is important to make sure that you find someone with extensive training and experience in this area for better results.

So what exactly do they do for surgery? Well, the most common surgical procedure for sleep apnea is called uvulopalatopharyngoplasty (UPPP). It basically means removing the uvula that hangs in the back of the throat, along with any excess tissue around the soft palate. At the same time, any residual adenoid or tonsil tissue will be resected, to increase the size of the airway to improve air flow. This type of surgery is quite painful due to the sensitive nerve fibers in that area, so recovery time is usually about 1 week after surgery. Your doctor will provide you with medications for pain during this time. You should then repeat a sleep study 2-3 months after surgery to reassess for any persistent, residual sleep apnea. If the UPPP is not completely successful, then a second phase of surgery may help to resolve the problem. The most common second phase of surgery is called genioglossal advancement (GA) with or without hyoid suspension. This surgery involves making a small window in the bone at the front of the lower jaw, to pull it forward a few millimeters. By fixing this part of the lower jaw forward, it also brings the tongue base forward a few millimeters, thus opening up space in the back of the throat. This procedure can be performed with or without a hyoid suspension, which is a surgery to done to bring the hyoid bone in the throat forward, thereby increasing the space in the upper airway.

Again, these surgical interventions can help to successfully treat OSA, especially in mild to moderate cases. For very severe cases, other more involved surgeries may be the only way to a surgical cure. For individuals who are extremely obese with OSA, gastric bypass surgery or lap-band gastric surgery may be the only realistic surgical option. This type of surgery is considered a major surgery and careful planning and discussion with both your sleep disorders doctor and the surgeon is necessary.

A third option for treating sleep apnea is oral appliance therapy, also known as mandibular advancement splint. These oral appliances look very similar to retainers. They work by holding the lower jaw in a slightly forward position during sleep. This helps to increase the space for air flow in the upper airway, thereby reducing the frequency of respiratory events during sleep. It is important to be aware that oral appliances are only approved to treat snoring and cases of mild-to-moderate sleep apnea. They have not been shown to be successful in treating severe cases of OSA, due to the limitations on forward movement of the lower jaw.

The oral appliances are custom-made by dental labs. Generally, to get an oral appliance made for yourself, you will have to visit a dentist who is familiar with the use of these devices for the treatment of snoring or sleep apnea. You can talk to your sleep disorders doctor to find a dentist with this specialized training in your area.

Oral appliances can sometimes cause dental pain, TMJ pain, or jaw discomfort. These issues can usually be resolved with further adjustments of the device by your dentist. Often 2-3 regular follow-up visits with the dentist can help to prevent problems from developing. However, there are some cases in which an individual is unable to adjust to this form of treatment. Another issue with oral appliance therapy is that health insurance companies, historically, have not covered the cost for this type of treatment. Further, dental insurance has never provided coverage for oral appliance therapy. Nevertheless, with the growing medical evidence for oral appliance therapy, some health insurance companies are beginning to recognize this as a viable medical treatment alternative. Just as with surgery, a follow-up sleep study should be performed 2-3 months after starting treatment with an oral appliance, to ensure adequate treatment of snoring and sleep apnea.

Hopefully this review of obstructive sleep apnea, the significant cardiovascular consequences, and the treatment options will bring more awareness and understanding to this very important health issue. OSA is a treatable condition. Untreated sleep apnea is associated with an increased risk for hypertension (or high blood pressure), heart attacks, strokes, heart failure, cardiac arrhythmias, and diabetes. People with hypertension and untreated sleep apnea are more likely to have higher blood pressures. People with diabetes and untreated sleep apnea are more likely to have higher blood glucose levels. If you or someone you know may have sleep apnea, please consult a sleep disorders specialist with formal training in sleep medicine. The American Academy of Sleep Medicine (www.aasmnet.org/) and the American Board of Sleep Medicine (www.absm.org/) are helpful resources for finding a board-certified sleep disorders doctor near you.



By: Bharat Bista

About the Author:

Author: Dr. Raj Kakar, M.D., M.P.H.
Dr. Kakar is a Diplomate of the American Board of Sleep Medicine (D.ABSM) and he is board-certified in both Sleep Medicine and Internal Medicine. He is the medical director for the Dallas Center for Sleep Disorders in Plano, TX.

Resources: Sleep Apnea Treatment - Snoring Treatment - Sleep Disorders



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Bible Versus Quran Versus Sciences, (20) the Sleep

January 28th, 2009 | 1 Comment | Posted in Religion
sleep
One of the expanded dogmas of mankind is that the Quran is quoted or borrowed from the Bible. This creed is established upon studies of many prejudiced intellectual scholars

In this series of articles (1-19), it is obvious that the Quran is quite different from the Bible.

In the present topic of the Sleep, the smart reader will answer easily this dogmatic question: Is the Quran quoted from the Bible?

When talks about the Sleep, the Bible offers the following implications:

• God grants sleep to those he loves

• The Bible gives some Proposals e.g. “when you lie down, your sleep will be sweet”,” if you watch or look at strange women You will be like one sleeping on the high seas” etc.

• Some decent prayers about Sleep

• Do not Sleep, the Bible recommends us not to sleep in 13 verses

• The Lord (God Father) sleeps.

On the other hands, the Quran presents the following connotations:

• The Sleep is a miracle and a sign made by Allah, The Almighty

• Allah made Sleep for our rest

• The Day Of Judgment will come while some humans are asleep.

• The story of the greedy collectors

• The first battle

• Abraham sacrifices

• What is Sleep? The Quranic definition of Sleep

• Allah never ever naps, slumbers or sleeps

Before dealing with the topic of the Fly in Quran versus Bible versus sciences, it is essential to remember that the total words of the Bible are 788,280 while total words of the Quran are 77,473. It follows that, the Bible has the potential of more than 10 times the Quran to talk about the Sleep word-wise.

In addition, Sleep is mentioned 107 in bible and 9 times in Quran

The Sleep in sciences:

The sleep is a natural intermittent state of rest for the mind and body, in which the eyes close and consciousness is almost lost, so that there is a drop off in the body movement and the response to external stimuli. During sleep the brain experiences a characteristic cycle of brain-wave activity that comprises of intervals of dreaming.

Regular sleep is necessary for health and survival.

Man deprived of sleep for two or three weeks will suffer of both his physical and mental health.

However, many facets concerning the exact mechanism or cause of the process of Sleep are still difficult to understand.

The Sleep in the Bible:

God grants sleep to those he loves

Psalm 127:2

“In vain you rise early and stay up late, toiling for food to eat— for he grants sleep to those he loves.”

Some Biblical proposals as regards the Sleep:

- Leviticus 14:47

“Anyone who sleeps or eats in the house must wash his clothes.”

- Deuteronomy 24:13

“Return his cloak to him by sunset so that he may sleep in it.”

- Psalm 68:13

“Even while you sleep among the campfires, the wings of my dove are sheathed with silver, its feathers with shining gold.”

- Proverbs 3:24

“when you lie down, your sleep will be sweet.”

- Proverbs 6:10 and Proverbs 24:33

“A little sleep, a little slumber, a little folding of the hands to rest”

Proverbs 19:15

“Laziness brings on deep sleep, and the shiftless man goes hungry.”

- Proverbs 23:34

“(if you watch or look at strange women) You will be like one sleeping on the high seas, lying on top of the rigging.”

- Ecclesiastes 5:12

“The sleep of a laborer is sweet, whether he eats little or much, but the abundance of a rich man permits him no sleep.”

1 Thessalonians 5:7

“For those who sleep, sleep at night, and those who get drunk, get drunk at night.”

Some decent prayers about Sleep:

- Psalm 3:5

“I lie down and sleep; I wake again, because the LORD sustains me.”

- Psalm 4:8

“I will lie down and sleep in peace, for you alone, O LORD, make me dwell in safety.”

- Psalm 7:5

“..make me sleep in the dust. Selah”

- Psalm 13:3

“Look on me and answer, O LORD my God. Give light to my eyes, or I will sleep in death;”

Do not Sleep, the Bible recommends us not to Sleep in 13 verses:

Psalm 132:4

“I will allow no sleep to my eyes, no slumber to my eyelids,”

Proverbs 6:4

“Allow no sleep to your eyes, no slumber to your eyelids.”

Proverbs 6:9

“How long will you lie there, you sluggard? When will you get up from your sleep?”

Proverbs 10:5

“He who gathers crops in summer is a wise son, but he who sleeps during harvest is a disgraceful son.”

Proverbs 20:13

“Do not love sleep or you will grow poor; stay awake and you will have food to spare.”

Ecclesiastes 8:16

“When I applied my mind to know wisdom and to observe man’s labor on earth—his eyes not seeing sleep days or nights-”

Jonah 1:6

“How can you sleep?”

Isaiah 5:27

“Not one of them grows tired or stumbles, not one slumbers or sleeps; not a belt is loosened at the waist, not a sandal thong is broken.”

Luke 22:46

“Why are you sleeping?” he asked them. “Get up and pray so that you will not fall into temptation.”

Ephesians 5:14

“…for it is light that makes everything visible. This is why it is said: “Wake up, O sleeper,”

Mark 13:36

“If he comes suddenly, do not let him find you sleeping.”

(This is a very good meaning)

2 Corinthians 6:5

“in beatings, imprisonments and riots; in hard work, sleepless nights and hunger;”

2 Corinthians 11:27

“I have labored and toiled and have often gone without sleep;”

The watchmen and the Sleep:

Proverbs 4:16

“For they cannot sleep till they do evil; they are robbed of slumber till they make someone fall.”

Isaiah 56:10

“Israel’s watchmen are blind, they all lack knowledge; they are all mute dogs, they cannot bark; they lie around and dream, they love to sleep.”

2 Peter 2:3

“In their greed these teachers will exploit you with stories they have made up. Their condemnation has long been hanging over them, and their destruction has not been sleeping.”

In addition, herein some Biblical statements and their frequencies:

The expression of: “deep sleep” is mentioned in 11 verses

“he (Jesus) returned to his disciples and found them sleeping” is found in seven verse

“could not sleep” is mentioned in three verses

Statements that are mentioned in two verses:

- sleep forever and not awake

- Jesus was sleeping (Does God sleeps?)

- could not sleep is mentioned in three verses

Some expression that are mentioned in one verse:

- Lay down to sleep

- sleep fled from my eyes

- sleep in death

- sleep of death

- last sleep

- sweet sleep

- natural sleep

- Pleasant sleep

- sleep in the forests in safety

- sleep in the dust

- Peter was sleeping (however, Peter claims that he seldom sleeps)

- The story of “Samson, he was sleeping and Delilah took the seven braids of his head is given in five verses.

Does The Lord (The Father) Sleep?

Psalm 121:4

indeed, he who watches over Israel will neither slumber nor sleep.

Psalm 44:23

Awake, O Lord! Why do you sleep? Rouse yourself! Do not reject us forever.

Psalm 78:65

Then the Lord awoke as from sleep, as a man wakes from the stupor of wine.

The Sleep in Quran

The Sleep is a miracle and a sign made by Allah, The Almighty:

Surah 30:23

“And among His Signs is the sleep that ye take by night and by day, and the quest that ye (make for livelihood) out of His Bounty: verily in that are Signs for those who hearken.”

Allah made Sleep for our rest

Surah 25:47

“And He it is Who makes the Night as a Robe for you, and Sleep as Repose, and makes the Day (as it were) a Resurrection.”

Surah 78:9

And made your sleep for rest,

The Day Of Judgment will come while some humans are asleep.

Surah 7:97

“Did the people of the towns feel secure against the coming of Our wrath by night while they were asleep?”

Scientifically, half of the humans will be at night time and the other half will be at day time. Hence, One should take care.

The story of the greedy collectors

Surah 68:19

“Then there came on the (garden) a visitation from thy Lord, (which swept away) all around, while they were asleep.”

This verse is talks about a productive story that describes some greedy collectors’ men who did not give the proper donations to the poor and Allah punished them.

The first battle:

Surah 8:43

“Remember in thy dream Allah showed them to thee as few: if He had shown them to thee as many, ye would surely have been discouraged, and ye would surely have disputed in (your) decision: but Allah saved (you) for He knoweth well the (secrets) of (all) hearts.”

This verse talks about the first battle between Muslims (300 persons) and unbelievers (1000 soldiers), and the Muslims won.

Abraham scarifies:

Surah 37:102

“Then, when (the son) reached (the age of) (serious) work with him, he said: “O my son! I see in vision that I offer thee in sacrifice: now see what is thy view!” (the son) said: “O my father! do as thou art commanded: thou will find me, if Allah so wills, one practising Patience and Constancy!”

This verse talks about the story of Abraham and his son. Abraham saw in his dream that he scarifies his son.

What is Sleep?

The Quranic definition of Sleep

Surah 39:42

“It is Allah that takes the “Nafs” (of men) at death; and those that die not (He takes) during their sleep: those on whom He has passed the decree of death, He keeps back (from returning to life), but the rest He sends (to their bodies) for a term appointed. Verily in this are Signs for those who reflect.”

This is the definition put by Allah Who Made the Sleep.

During the process of Sleep, Allah takes our “Nafs” when we sleep; and return our “Nafs” back when we awake.

This means that Sleep is a form of incomplete death.

What is “Nafs”?

Man is composed of three parts, the body, the soul and the “Nafs”

All of us know the body. We have no idea about the soul but its simple definition is that it is the life and it is eternal.

The “Nafs” is the EGO. It is when you say: “I”.

It follows that Allah takes our “Nafs” or ego away while we are sleeping and return our “Nafs” back when we awake.

Many researches have to be done to go through this Quranic definition of the Sleep. I propose many ideas to explore this Quranic statement but unfortunately I do not have the proper machines and equipments to carry on.

Allah never ever naps, slumbers or sleeps

Surah 2:255

Allah! There is no god but He, the Living, the Self-subsisting, Eternal. No slumber can seize Him nor sleep. His are all things in the heavens and on earth. Who is there can intercede in His presence except as He permitteth? He knoweth what (appeareth to His creatures as) Before or After or Behind them. Nor shall they compass aught of His knowledge except as He willeth. His Throne doth extend over the heavens and the earth, and He feeleth no fatigue in guarding and preserving them for He is the Most High, the Supreme (in glory).

It is absolutely essential for the Muslim to believe that Allah never Sleeps.

The faith emphasizes the fact that Allah never ever naps, slumbers or sleeps and if anyone claims that Allah ever naps, slumbers or sleeps then he should wait for the eternal hell in the afterlife because of this “unforgiving sin”.

Now, I think that the smart unbiased reader knows very well the answer of this dogmatic question” Is the Quran quoted from the Bible?”.



By: Prof.dr. Ibrahim Khalil

About the Author:

Professor Dr. Ibrahim Khalil
Prof. of Clinical and Chemical Pathology,
Head of Clinical Microbiology and Infection Control Unit,
Ain-Shams University., Cairo, Egypt.
And,
President of the Egyptian Society of Inventors.
Member of the Egyptian union of Writers



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The Best Thing You Can Do for Yourself: Hire a Quality Fitness Trainer

January 28th, 2009 | No Comments | Posted in health
fitness
ting Into A Fitness Trainer Is the Best Decision You Can Make. It Will Save You Time, Effort And Money In The Long Run.

For those interested in obtaining quality fitness results, a fitness coach is the only correct way to go.

For those wanting to waste their time with ineffective methods, a fitness coach is not the solution for you.

On the other hand, if you are one of the many people looking to improve their level of fitness without wasting valuable time and resources, a fitness coach is the correct choice.

The Benefits Of A Fitness Coach

The benefits of a fitness coach span longer than the rap sheet of a career criminal. Some of the benefits of using a fitness coach include:

1. You receive exclusive fitness knowledge from the person who is an expert on the subject.

2. You receive access to invaluable assistance that will help you reach your fitness goals.

3. When you have a fitness coach you get to focus on your actual exercises not the planning.

4. Finally, a fitness coach allows you to learn ways on how you can keep the body that you are trying to achieve.

If these reasons are not enough to pursuade you to hire a fitness trainer, then you probably aren’t that serious about trying to improve your personal fitness.

Giving the gift of better personal fitness to yourself is one of the best gifts that you can receive, so you should reward yourself today by employing the services of your local fitness trainer.

Free Fitness Tips

A great advantage of having a personal fitness trainer is that he or she will have many fitness tips that will assist you in achieving a higher level of fitness.

On the quest for greater fitness, you will probably lack the specific knowledge that a personal trainer will have to help you achieve your goals. Speak to a fitnes trainer and find out have these special fitness tips.

Benefit #1: Fitness Assistance

Another positive reason for having a personal fitness coach is that you will have access to fitness assistance. Many people simply lack the knowledge on how to exercise properly. A personal fitness trainer can assist you with a specific workout plan that is made for you.

Benefit #2: Fitness Is For Exercise, Not Planning

By hiring a fitness trainer, you can allow him or her to plan your personal fitness plan. By doing this, you will be able to concentrate on exercising those pounds off while your fitness trainer will inform you on how to do so. You will not have to think about what type of exercises you will need to do to achieve desired results.

Benefit #3: Keeping That Body Fitness Helped You Achieve

Perhaps the thing that most people struggle with after achieving a higher level of fitness is that they will revert back to their old ways simply because they lack the knowledge on how to keep their new and improved body in shape. Your personal trainer can give you the inside tips on how to keep your body looking great, even years after you hired the fitness trainer.

Call Your Local Fitness Coach Today

What are you waiting for? If you read this article, you are most likely a person looking to improve their level of fitness. If you are serious about improving your fitness, do yourself a favor and schedule a meeting with a fitness trainer today.

By doing this, you will be taking the first step to improved fitness.



By: Zach Hunt

About the Author:

Zach Hunt is a Fitness coach expert in Spokane WA, personal trainer and owner of Physzique, a fitness coaching service in Spokane, WA. Go here: Spokane Weight Loss Spokane for more fitness tips.



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Don’t be Like the Rest - Pick the Only Way to Get Fit Fast

January 26th, 2009 | No Comments | Posted in fitness
fitness
 

I want to share with you just how I have been successful in achieving outstanding results with fitness and fat loss with my clients for many years without any fad exercise gadgets or crazy diets. If you really want to find out the only true way to ‘Get Fit Fast’ then read on and I will tell you precisely how to do it, here and now.

First things first, the most important thing you must do to ensure you get fit as fast as you can is to be clear about exactly what you want to get fit for. You must a have a visibly clear goal as to where you want to be. You must remain focused and determined to succeed. How can you expect to get fit if you have no idea where you are heading?

If I ask you this question, it might help you to realize that getting fit fast really does depend on what your own interpretation of fitness is. Do you think you would get fit faster if your goal was to be able to climb 10 flights of stairs without stopping compared with climbing K2, the world’s second highest mountain? Of course you would. The task of climbing 10 flights of stairs is much less of a challenge than climbing K2; therefore if you where training to climb mount K2, you would reach and overtake the desired fitness level to climb the stairs well before you are ready to tackle one of the highest and arguably the most dangerous mountain in the world. Hopefully this has made you realize that ‘fitness’ is an extremely broad term and people must understand that in order to ‘Get Fit Fast’ they must be very specific about what it is they want to achieve.

So back to the original question, How to Get Fit Fast depends greatly up on your current level of base fitness and the desired goal ahead. The next thing to think about is the relevancy of your training. The example above gives two similar goals, in respect that they both involve climbing of sorts. One much more technical and challenging than the other, but the training would be some what similar to start with.

Let’s look at another example; if you compare a Power Lifter with a long distance runner, initially you would say that both are fit. This is correct to say that both are fit for their respective sporting disciplines, however if both were to swap roles, you could say that both would struggle to perform well at each others sports.

These are classic examples of people who are fit for what they do. The training path to reach the desired level of fitness for each sport is completely different. So you need to make sure that the training you do to improve your fitness is relevant to your final goal, otherwise you will never get there.

Take it from me you have to have a very good level of base fitness to succeed at either of these sports. Most people’s idea of a base level of fitness is to enable them to cope with the stresses and strains of their daily lifestyle. This might include, tending the garden, leisure walking, running for the bus and playing with the kids.

To get fit as fast as you can follow these 7 simple steps;

1. Assess where you’re at;

Ask you’re self why you want to get fit. Most people decide to get fit for one of 3 reasons;

a) Improve physical appearance

b) Health reasons or quality of life

c) For a particular sport, challenge or task

Which category do you fall into?

2. Set yourself a goal;

Make sure there is light at the end of the tunnel.

When will you know you have reached your goal? What do you need to do to get there?

If your goal is weight loss, then what is your ideal weight? If you are training for a

specific event, such as a running race, what time or distance do you need to achieve.

If it’s for health reasons, you may wish to reduce your blood pressure or cholesterol.

3. Eat healthy;

Your diet must be specific to your goal and your exercise plan. Make sure you are eating

the right food and at the right times to get the most out of your exercise program.

A poor diet equals low energy and poor performance, ask any successful sports person.

My advice is don’t go on a diet. You’ll just end up hungry, de-motivated and give up.

If weight loss is your goal, then start by making one small but significant change to your

diet every week. For example if you were to cut out 1 tsp of sugar from your 2 cups of tea

or coffee per day, then that’s a saving of 14,500 calories in one year. That amounts to a

loss of over 4lbs of body fat. Do you see where I’m coming from? Small changes can make a big difference when you add them all together.

4. Exercise;

If you are new to exercise and think you don’t have the time, and then make a commitment to start exercising for 5 minutes per day. Do you think you can handle that? Next week, increase it to 10 minutes and so on until you are doing 30 minutes per day. You’ll be amazed how much fitter you are just in that short time.

Choose an exercise activity appropriate to your goal, but make sure it’s a balanced program that covers all the major components of fitness. A balanced exercise program should include; CV training, for aerobic & anaerobic fitness. Resistance training, for muscular endurance, strength and power. Flexibility for range of movement and posture. Balance and coordination.

If you are not sure where to start then consider these;

1. Enjoy what you do

2. Balance your exercise to include CV, Resistance and Flexibility

3. Make your exercise specific to your goal

4. Make it a lifestyle change not a chore

5. Make it challenging, but not impossible

For the best results and to get fitter faster, then consult an exercise professional to

design a program specifically for you.

5. Monitor;

Monitor your progress; it will help to motivate you to stop you losing interest. Once you

see that you are making steady progress towards your goal it will keep you focused.

6. Motivate;

One of the hardest things about starting a new fitness campaign is keeping on track. Try training with a friend or join a club to help keep you interested. Reward yourself every now and then with your favorite meal or treat.

7. Fitness for life;

Don’t just make a commitment to get fit for new year or holiday, make it a lifestyle change. Decide that you are going to make changes for life.

Last but not least if you can get to the point where fitness and healthy living becomes second nature and a natural routine then it’s the unhealthy things that start to become a chore! Remember if you practice anything enough you will do it without thinking about it and this is the state you need to aim for. One day you will come to realize, ‘this fitness stuff isn’t so bad after all’.



By: Paul Johnson

About the Author:

Paul Johnson is a fully certified Personal Trainer specializing in fitness and weight management. He has a personal goal to help stop the confusion around weight loss and fitness. His free 7 Steps to Fitness program teaches the basics required to implement these lifestyle changes by helping people make better food choices and paying more attention to physical activity.

7 Steps to Fitness Free program…. http://www.kickstartfit.co.uk/sevensteps.html



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