AASM: Drowsy Driving in Ridesharing Industry Is Public Safety Risk

A position statement from the American Academy of Sleep Medicine (AASM) concludes that fatigue and sleepiness are inherent safety risks in the ridesharing industry.

In February, ridesharing company Uber announced that it is requiring drivers to go offline for 6 straight hours after a total of 12 hours of driving time. Similarly, Lyft requires its drivers to take a 6-hour break for every 14 hours of driving. However, the AASM considers these limits to be insufficient since many ridesharing drivers work multiple jobs or drive for more than one ridesharing company, and they often drive late at night and early in the morning when sleepiness may peak.

What’s more, the AASM states that drivers also are often independent contractors who are not screened for medical problems that can reduce alertness, such as obstructive sleep apnea.

“We are dealing with a public safety issue, where low fares and salary incentives compel drivers to continue driving past their safety limits. They may be unaware of the huge risks they are taking or have the false belief that sleep is overrated. Their customers, meanwhile, usually aren’t asking themselves, ‘How alert is my driver right now?’ They aren’t even thinking about drowsy driving. This is a formula for disaster,” says senior author Indira Gurubhagavatula, MD, an associate professor of medicine in the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, in a release. “We need to raise awareness and gather information.

Bedtime Stories: Favorite Books to Benefit Your Growing Child

bedtime storiesBedtime stories are a part of almost every family nighttime routine. Reading is a screen-free, quiet activity that allows babies and children to calm down before it’s time to go to sleep. Reading stories to young children has benefits beyond a bedtime routine, though.

The American Academy of Pediatrics studied the brain function of children, age three to five, to see the effects of reading aloud. They found that the areas of the brain that promote mental imagery and comprehension were activated by reading stories. When you read to your child, it helps develop their brain in a way that will help when they begin to read and comprehend on their own.

Talk To Your Baby

Your baby really loves to hear your voice. It doesn’t matter if they understand your words early on. They are picking up speech patterns and tonal differences which help them learn and process language. Additionally, babies can sense your love and affection for them in your voice. Talk and sing to your child as much as you can and they will be learning how much you love them. They’ll also become better prepared to speak for themselves.

Read To Your Baby, Too

Reading books to your child is also important. We may just assume this is a good idea because everyone tells us to do it. But there is more to reading a bedtime story to a baby or toddler than having a calm …

Sleep Apnea: A Silent Killer

It is not uncommon for people to die in their sleep. As horrible as it sounds, it may seem a welcome reprieve for some rather than to die a tragic death from a terrible accident or suffer long from a debilitating and painful medical condition. Of course, dying in your sleep seems like rather smooth and easy but if you still want more in life, the last thing you want to happen to you is to no longer wake up the next day. People slip off of life in their slumber for several reasons. Some suffer from a fatal heart attack or a stroke while for some, it can be a sleeping disorder. Sleep apnea is a common condition affecting millions of Americans today. It is no longer a funny case of how we view it decades ago when we joke around our snoring sleeping uncles.

Sleep apnea can kill you and it is not just from the loud and annoying snoring sound patients with sleep apnea make but more so because of the deadly breathing gaps while they are asleep. When you have sleep apnea, your brain essentially has to constantly decide whether to breathe or sleep during your slumber. It is such a scary thought that you are basically in a 50/50 situation while sleeping; there are those multiple breathing gaps you make each night. Aside from that, the very nature of the condition consequently deprives the brain …

“Silent Sleep Apnea” Prevalent in Patients with Jaw Deformity

A new study finds obstructive sleep apnea (OSA) is often missed during an initial surgical consultation in those with certain jaw deformities, particularly if the patient is not overweight.

Patients who have the type of jaw deformities that leads to OSA can usually be cured through corrective jaw surgery, according to the study published in the April issue of the Journal of Oral and Maxillofacial Surgery, the official journal of the American Association of Oral and Maxillofacial Surgeons (AAOMS).

Obesity is often stated as the cause of OSA, but many patients have a body structure that can result in an upper airway collapse that is characteristic of the condition, the researchers note.

“An interesting finding was that most of our study patients in whom sleep-disordered breathing was initially undiagnosed—and who were then confirmed to have OSA—had either a normal or underweight BMI [body mass index],” researchers wrote. “We use the term ‘silent sleep apnea’ to describe this subgroup of patients. We surmise that treating physicians and dentists have a lower level of suspicion for OSA when evaluating an individual who is either underweight or of normal weight.”

The study involved 262 patients who had a jaw deformity that often involved a small chin, as well as chronic obstructive nasal breathing. The patients, who underwent surgery, were divided into two groups: those with OSA and those without it.

Of the patients, 23% had OSA confirmed by polysomnography. The study notes

Avoid Using Medical Cannabis to Treat Sleep Apnea

According to American Academy of Sleep Medicine (AASM), sleep apnea ought to be avoided from the rundown of ceaseless restorative conditions for state medical cannabis programs, reports Tech Explorist.

Lead author Dr. Kannan Ramar said, “Until we have further evidence on the efficacy of medical cannabis for the treatment of sleep apnea, and until its safety profile is established, patients should discuss proven treatment options with a licensed medical provider at an accredited sleep facility.”

According to an estimate, almost 30 million adults in the U.S. have obstructive sleep apnea. After early creature considers exhibited that the manufactured cannabis extricate dronabinol enhanced respiratory solidness, late investigations in people have investigated the potential utilization of dronabinol as an elective treatment for sleep apnea.

from Sleep Review http://www.sleepreviewmag.com/2018/04/avoid-medical-cannabis-treat-sleep-apnea/…

AASM: Don’t Use Marijuana to Treat Sleep Apnea

Medical cannabis and synthetic marijuana extracts should not be used for the treatment of obstructive sleep apnea (OSA), according to a position statement from the American Academy of Sleep Medicine (AASM). The AASM statement comes on the heels of a decision by the Minnesota Department of Health to add OSA as a new qualifying condition for the state’s medical cannabis program. The AASM has concluded that sleep apnea should be excluded from the list of chronic medical conditions for state medical cannabis programs due to “unreliable delivery methods and insufficient evidence of treatment effectiveness, tolerability, and safety,” according to an AASM press release about the new position statement.

The lead author of the position statement, Kannan Ramar, MD, MBBS, is located in the state of Minnesota. He is a professor of medicine in the division of pulmonary and critical care medicine at Mayo Clinic in Rochester. He says in a release, “Until we have further evidence on the efficacy of medical cannabis for the treatment of sleep apnea, and until its safety profile is established, patients should discuss proven treatment options with a licensed medical provider at an accredited sleep facility.”

The position statement is published in the April 15 issue of the Journal of Clinical Sleep Medicine.

After early animal studies demonstrated that the synthetic cannabis extract dronabinol improved respiratory stability, recent studies in humans have explored the potential use of dronabinol as an alternative treatment for sleep

Throat Reflexes Differ in People with Paralysis and Sleep Apnea—Despite Earlier Belief That Such Reflexes Only Involve Processes Above Injury Site

New research has indicated why people with paralysis of their limbs and torso are more likely to suffer from sleep apnea. This knowledge could be used to develop targeted therapies.

In people with tetraplegia, which is paralysis caused by illness or injury that results in the partial or total loss of use of all four limbs and torso, the rate of obstructive sleep apnea (OSA) is over 70%. Currently, the reasons for this particularly high rate are unknown. The development of new therapies could potentially have a large positive impact on health and quality of life.

This new research, published in The Journal of Physiology, sought to understand the way throat muscles react in those with tetraplegia and OSA. This will help discern why obstructive OSA is so prevalent in individuals with tetraplegia. Volunteers with OSA (with and without tetraplegia) were studied in sleep physiology laboratories in Sydney (Neuroscience Research Australia) and Melbourne (Institute for Breathing and Sleep). Brief pulses of suction were delivered to participants via a breathing mask to simulate the airway narrowing characteristic of OSA, with electrodes inserted into the largest muscle surrounding the upper airway, genioglossus, enabling the measurement of key reflex responses.

It was expected that the reflexes would be similar for all those with OSA, whether they were tetraplegic or not, as it was believed that they only involved processes above the injury site. But the study showed that in several cases of

Sizing Full-Face CPAP Masks to Fit a Diverse Population

Clinicians should look out for signs that a full-face mask is too small or too large and should help patients with maintaining the mask to keep it “just right.”

Much like the story of Goldilocks, some full-face CPAP masks will be too large, some too small, and some just right for any given obstructive sleep apnea (OSA) patient. Manufacturers aim to create full face masks for a wide variety of patients so everyone can find a well-fitting mask.

Offering a Range of Sizes and Designs

“Mask sizing is definitely not an exact science because sizing is not just about mask dimensions, but also about patient expectations around fit,” says Subbarao Potharaju, director of marketing, homecare at Fisher and Paykel Healthcare Inc. “For example, just as some people like to wear tight jeans and other like loose jeans, there is a spectrum of patients related to a preference for a loose mask fit to a preference for a tight fit. Further, patients sleep in many different ways, which affects sizing. Some people are naturally still sleepers and others are restless sleepers and there are many permutations in between. A good CPAP mask adapts to the patient’s face and adapts as the patient moves.”

Some mask makers use big data to determine what the size options should be. Susie Justus, LVN, clinical specialist at ResMed, explains ResMed’s process. “ResMed actually measured thousands of faces all across the globe,” Justus