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Obstructive Sleep Apnea (OSA) & Sleep Study (Polysomnography)

What is OSA?

Obstructive sleep apnea (OSA) describes a medical condition that is characterized by intermittent episodes of absence of breathing (apnea) caused by complete obstruction of the upper airway passages during sleep. Narrowing of the air passages at the back of the throat occur in certain group of individuals. Complete closure of these passages can occur during sleep as a result of further relaxation of the tissue at the back of the throat.

During these episodes of apnea, which last from 10-90 seconds, reduction of oxygen level in the body develops until the apnea is terminated by an arousal, which restores the airway patency. This cycle of events is repeated multiple times during sleep in individuals with OSA, resulting in fragmented sleep.

How common is this condition?

OSA is an under-recognized and under-diagnosed condition worldwide. It is estimated that OSA affects up to 25% of the adult population. A study showed that

93% of women and 82% of men with moderate to severe OSA are not diagnosed.

What are the consequences of OSA?

Excessive daytime sleepiness is a major consequence of OSA. It can result in:

1. Poor concentration and memory

2. Affect job and school performance

3. Affect relationships

4. Poor quality of life

5. Increased risk of motor vehicle accidents

Oxygen starvation occurs during sleep and it increases the risk for:

1. Hypertension

2. Heart failure and heart attacks

3. Heart rhythm abnormalities

4. Strokes

5. Increased lung pressures (pulmonary hypertension)

6. Death

OSA is also associated with increased total cholesterol and triglycerides, increased insulin resistance and systemic inflammation.

When do we suspect OSA?

We suspect OSA in individuals with the following symptoms:

1. Excessive daytime sleepiness

2. Gasping and choking during sleep

3. Poor concentration at work or school

4. Loud habitual snoring

5. Hypertension

Obesity is the most important risk factor for OSA. OSA is present in about 45% of obese individuals. It was also found to be moderately prevalent (46%) among obese children.

How is OSA diagnosed?

OSA is suspected based on symptoms and physical examination. The diagnosis of OSA is confirmed further by a sleep study (polysomnography) that is interpreted by a sleep physician.

What is a sleep study?

It is a multiple-component test that electronically transmits and records specific physical activities while an individual sleeps. The recordings become data that are analyzed by a qualified physician to determine whether or not a sleep disorder is present, including OSA. OSA is diagnosed when there are more than 5 episodes of apnea lasting at least 10 seconds in one minute during the entire sleep period.

The equipments used in a sleep test include:

1. Surface electrodes on the face and scalp that will send recorded electrical signals from the

brain, eyes and muscles to the measuring equipment

2. Belts placed around the chest and abdomen to measure breathing frequency

3. ECG (electrocardiogram) to record heart rate and rhythm

4. Sensor at the nostrils to record airflow

5. Bandage-like probe on the finger to measure the amount of oxygen in the body

6. Microphone to record snoring activity

The sleep study is done overnight and it can be done in hospital or home setting. Qualified sleep technicians will be involved in setting up the equipments.

The sleep physician upon completion of the sleep study will prepare a detailed report. It provides useful diagnostic information about sleep related breathing disorders, movement disorders in sleep and other less common conditions like seizures in sleep and other abnormal behaviours during sleep.

Can OSA be treated?

Treatment of OSA is based on severity of OSA and individualized approach. Mild OSA can be treated with weight loss, better sleep hygiene, sleep posture, reducing alcohol consumption and dental devices.

The most effective treatment will be the use of continuous positive airway pressure (CPAP) machine where air pressure is used to keep the upper airway passages continuously open during sleep. Removing the obstruction will improve the sleep and reverse the hypertension, cardiac problems and metabolic abnormalities associated with OSA.

Occasionally, surgery involving the upper airway and jaw may be indicated in certain individuals.

 

rate my team in pokemon diamond?

first off i hate using legendaries in a battle and using my starter i will use darkrai as my only legendary however. please rate my double battle belt

1.darkrai and snorlax first
moves
darkrai:dream eater nightmare dark oulse dark void
snorlax:giga impact yawn rest snore
both lvl 100

2:(shiny) pigeot and kingdra
moves
pigeot:aerial ace steel wing giga impact air slash
kingdra:dragon pulse water pulse blizzard hyper beam
both lvl 100

3.tyranitar and arcanine
moves
tyranitar:hyper beam thrash stone edge eathquake
arcanine:solar beam extreme speed fire blast hyper beam
both lvl 100

please coment and leave changes i can make i have lapras drapoin flygon ryperior typhlosion feraligatr meganium lucario scizor draonite rampardos ambipom garchomp all on lvl 100 4 a belt they all r on lvl 100 dont recommend any other pokemon for the belt unless it is very valuble thank you for reading and please help me

if u wish to battle me
i am tom
f/c:4381 9308 6325

You have a good team with cool pokemon. If you ask me it sounds like a well balced team. But I use this website to build my team to make sure there are no big weekness. I put you team in the stat collector and you half you team is week to fighting type pokemon. 2 of them will recive 200% damage from a fighting attack and your tyranitar will recive 4000% damage from a fighting pokemon. and also 2/6 of your pokemon will recive 200% in each in Rock, Ground, Bug, and Water. Try entering your other pokemon in this system to build up your team.

Bumper Belt vs Neoprene Bumper Belt

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August 15th, 2011 at 3:34 pm