Scary that most Sleep Apnea victims have Acid Reflux…. and other comorbidities.

The Causes:
During the cessations of breathing the body will increase its efforts to take in air.
Abdominal contractions are exaggerated and increase until breathing resumes.
The contractions squeeze the stomach and force acid up the esophagus.
The efforts to breathe also increase a negative pressure in the esophagus which also pull up acid.

Become a Sleep Medicine Dentist and help your patients that have these Sleep Apnea connected comorbidities and symptoms-
Diabetes, High Blood Pressure GERD, headaches, nocturnal bruxism.

Explanations like this are presented in the upcoming Sleep Apnea seminars:
Oklahoma City    Dr.Damian Blum
Atlanta                 Dr. Marty Lipsey
Hollywood, FL     Dr. Dan Tache’
Boston                 Dr Barry Freydberg
Indianapolis        Dr. George Jones
Orlando               Dr Anjoo Ely
Miami                  Dr Barry Freydberg
Houston               Dr.Damian Blum
Scottsdale           Dr. Marty Lipsey

You can view the dates and course outlines and register here:
http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?smode=&op=&cid=2

HOW TO BENEFIT FROM THE END OF DST

The days are getting shorter. Darkness arrives earlier.in the evening. Daylight Saving Time ends on November 2nd and we turn our clocks back one hour. When we wake up Sunday morning it will be a little darker than yesterday morning. We’ll have one extra hour for sleep.

In order to fulfill the essential number of regenerating sleep cycles the average adult needs 7-8 hours. A five stage sleep cycle repeats consistently throughout the night. One complete sleep cycle lasts about 90 minutes. So during an average night’s sleep (8 hours), an adult will experience about four or five cycles of sleep.

A Little History of Daylight Saving Time
The concept of setting the clocks ahead in the spring in order to make better use of natural daylight was first introduced in the US by inventor Benjamin Franklin in 1784.

During his time as an American envoy to France, Ben Franklin publisher of the old English proverb, “Early to bed, and early to rise, makes a man healthy, wealthy and wise” anonymously published a letter suggesting that Parisians economize on candles by rising earlier to use morning sunlight. This 1784 satire proposed taxing shutters, rationing candles, and waking the public by ringing church bells and firing cannons at sunrise.
US President Franklin D. Roosevelt instituted year-round DST in the United States, called “War Time” during World War II from February 9, 1942 to September 30, 1945. The change was implemented 40 days after the bombing of Pearl Harbor and during this time, the U.S. time zones were called “Eastern War Time”, “Central War Time”, and “Pacific War Time”. After the surrender of Japan in mid-August 1945, the time zones were relabeled “Peace Time”.
Congress decided to end the confusion and establish the Uniform Time Act of 1966 that stated DST would begin on the last Sunday of April and end on the last Sunday of October. However, states still had the ability to be exempt from DST by passing a local ordinance.Healthy nights of sleep are essential to recharge our human organs and maintain good health and longevity. 

 This fall, dentists have the opportunity to spring forward with Dental Sleep Medicine and help the millions of their Sleep Apnea victims. 

Upcoming training seminars by DSM experts are available in the following cities:

Oklahoma City    Dr.Damian Blum
Atlanta                Dr. Marty Lipsey
Hollywood, FL     Dr. Dan Tache’
Boston               Dr Barry Freydberg
Indianapolis        Dr. George Jones

Orlando              Dr Anjoo Ely

You can view the dates and course outlines and register here:
http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?smode=&op=&cid=2

 

ARE YOU GOING TO FALL BACKWARDS ON NOV. 2nd?

We “Fall Back” on Sunday, Nov. 2 and can gain an hour of sleep.
Before going to bed Saturday night, set your clocks back one hour.

How are you planing to take advantage of the extra hour? In order to fulfill the essential number of regenerating sleep cycles the average adult needs 7-8 hours.

Do you sleep soundly or sleep with sound?

This fall, dentists have the opportunity to spring forward with Dental Sleep Medicine and help the millions of their Sleep Apnea victims.

Upcoming training seminars by DSM experts are available in the following cities:

Philadelphia        Dr. Damian Blum
Dallas                  Dr. Marty Lipsey
Oklahoma City    Dr.Damian Blum
Atlanta                 Dr. Marty Lipsey
Hollywood, FL     Dr. Dan Tache’
Boston                 Dr Barry Freydberg
Indianapolis        Dr. George Jones
Orlando               Dr Anjoo Ely

You can view the dates and course outlines and register here:
http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?smode=&op=&cid=2

WHY DO SOME SEEM TO BE AWAKENED EASILY?

Some of us are known to be “sound sleepers”  That is, we can sleep while our neighbor is blasting his highly amplified distortion of Heavy Metal non-music, or during a 5.0  earthquake or even the freight train roar of a partner’s snoring. Others of us are “light sleepers” and may be awakened by the family cat gliding from the sofa to the floor. These differences exist for children as well as for adults.  Why the difference between these two sleeping modes?

 

First. let’s take a little look at the science of sleep.

When a human falls asleep, the body and mind experience progressive levels of sleep.  A 5 stage sleep cycle repeats consistently throughout the night. One complete sleep cycle lasts about 90 minutes. So during an average night’s sleep (8 hours), an adult will experience about four or five cycles of sleep.
There are 4 stages of Non-REM (Non Rapid Eye Movement) and a final stage of REM sleep (Rapid Eye Movement)

SLEEP STAGES

• The beginning stages of sleep prepare your body to shut down.  This includes dozing off and the ability to be easily awakened by noise or thoughts. 
• Deep sleep occurs in the later stages – when activity in the body is low and activity in the brain is very high.
• Stage 1 The Gateway to Sleep. It’s associated with a low arousal threshold and is the shortest duration of sleep- approximately 5%
• Stage 2 The conscious awareness of the external environment is gone. This is approximately 45% (10-15 minutes)
  
• Stages 3 and 4: Deep Sleep (or Delta Sleep) are the most refreshing of the sleep stages. They’re also the sleep stages during which the body releases hormones that contribute to growth and development. Brain activity is slowed, heart rate, respiration and blood pressure are lowered and it is very difficult to wake someone from this Delta sleep stage. This stage is 25%.
• Incrementally larger stimuli are needed for arousal as sleep progresses thru the 4 stages.

REM SLEEP

• REM sleep is the last stage of the sleep cycle, 20-25%, and is the stage of sleep where we have our most vivid dreams. The dreams we remember- at least for a few minutes after we wake.
  
• REM is not deep sleep like some think.
• During REM sleep, other physical changes take place — breathing is rapid, the heart beats faster, and the skeletal muscles are paralyzed.- maybe that is nature’s way of protecting us from acting out our dreams.
• REM sleep episodes lengthen across the night. As the stage 3 and 4 Short Wave Sleep (SWS) segments diminish in length, the REM segments increase.
  

 

 

Being awoken in the middle of REM sleep can cause grogginess that has the potential to last throughout the morning and even throughout the day.  This explains why sometimes we sleep for eight or nine hours and still feel like we barely got any rest at all. Waking up in the beginning stages of a sleep cycle is healthy because our bodies are not yet entirely shut down. 

SLEEP NEEDS BY AGE

There’s no one-size-fits-all answer regarding how much daytime sleep people need. It all depends on the age and the sleep total during a 24-hour period. For example, a toddler may sleep 13 hours at night with only some daytime catnapping, while another gets 9 hours at night but takes a solid 2-hour nap each afternoon.

Though sleep needs are highly individual, these age-by-age guidelines give an idea of average daily sleep requirements:

Birth to 6 months: Infants require about 16 to 20 total hours of sleep per day. Younger infants tend to sleep on and off around the clock, waking every 2 or 3 hours to eat. As they approach 4 months of age, sleep rhythms become more established. Most babies sleep 10 to 12 hours at night, usually with an interruption for feeding, and average 3 to 5 hours of sleep during the day (usually grouped into two or three naps).

6 to 12 months: Babies this age usually sleep about 11 hours at night, plus two daytime naps totaling 3 to 4 hours. At this age, most infants do not need to wake at night to feed, but may begin to experience separation anxiety, which can contribute to sleep disturbances.

Toddlers (1 to 3 years): Toddlers generally require 10 to 13 hours of sleep, including an afternoon nap of 1 to 3 hours. Young toddlers might still be taking two naps, but naps should not occur too close to bedtime, as they may make it harder for toddlers to fall asleep at night.

Preschoolers (3 to 5 years): Preschoolers average about 10 to 12 hours at night, plus an afternoon nap. Most give up this nap by 5 years of age.

School-age (5 to 12 years): School-age kids need about 10 to 12 hours at night. Some 5-year-olds might still need a nap, and if a regular nap isn’t possible, they might need an earlier bedtime.

TEENS’ SLEEP

Research shows that teens need 8½ to 9½ hours of sleep a night. So, a teen who needs to wake up for school at 6 a.m. would have to go to bed at 9 p.m. to reach the 9-hour mark. Studies have found that many teens have trouble falling asleep that early, though. It’s not because they don’t want to sleep. It’s because their brains naturally work on later schedules and aren’t ready for bed.

During adolescence, the body’s circadian rhythm (an internal biological clock) is reset, telling a teen to fall asleep later at night and wake up later in the morning. This change in the circadian rhythm seems to be due to the fact that the brain hormone melatonin is produced later at night in teens than it is for kids and adults. So, teenagers have a harder time falling asleep.

Sometimes this delay in the sleep-wake cycle is so severe that it affects a teen’s daily activities. In those cases it’s called delayed sleep phase syndrome, also known as “night owl” syndrome. And if your sleep-deprived teen brings mobile devices into bed, surfing or texting late into the night, the light exposure could also disrupt circadian rhythm and make it harder to sleep.

CONCLUSION

Maybe the “light sleepers” just need to be given a chance to descend into the deep sleep stages before you practice your trumpet lessons.

 SOURCES

1. Sleep. (23 Oct. 2007).WordNet 3.0. Princeton University.

2. National Sleep Foundation. (2002). Sleep in America Poll.

3. Dement, W. C. (1999).e Promise of Sleep

4.National Highway Traffi c Safety Administration. National Survey of Distracted and Drowsy Driving Attitudes and Behavior: 2002.

5.Long, T. (2008). Dec. 3, 1984: Bhopal, ‘Worst Industrial Accident in History’.Wired.

Accessed at http://www.wired.com/science/discoveries/news/2008/12/dayintech_1203 .

6.United States Nuclear Regulatory Commission. (2013).

Backgrounder on Chernobyl Nuclear Power Plant Accident.Accessed at http://www.nrc.gov/reading-rm/doc-collections/fact-sheets/chernobyl-bg.html .

7. National Geographic New, 24 Feb. 2005.

8. Personal account with the author.

9. Dement, W. C. (1999).e Promise of Sleep

10.Circadian Rhythm. (29 Oct. 2007).American Heritage ScienceDictionary. Houghton-Miffl in.

11.Butkov. (2007).Fundamentals of Sleep Technology.

12.Sleep Management Services. (2002)Principles of Polysomnography.

13.Principles and Practice of Sleep Medicine, 3rd ed.

14.Sleep Management Services. (2002).Principles of Polysomnography.

15.Butkov. (2007).Fundamentals of Sleep Technology.

16. Suzuki, K., et al., (2003). Sleep. 26(6).

17. National Sleep Foundation. (2007). Sleep in America Poll

 

 

For Children, Consistent Bedtime is as Important as Sleep Quality and Quantity.

There are numerous studies on the quality and the quantity of sleep for children. Now there is insight to the regularity of children’s sleep.  It is found that the consistent nature of bedtimes during early childhood is related to cognitive performance. Considering the importance of early child development, this may be an influence for health throughout life.

A study out of the United Kingdom revealed that inconsistent bedtimes for young children result in lower scores on reading, math, and spatial awareness tests administered at age 7, compared to children who went to bed at the same time every night.

This research is particularly interesting because it zeroes in on the timing of sleep and the issue of bedtime consistency, apart from sleep quality or quantity. In the study, 11,178 children whose bedtimes were irregular at ages 3, 5, and 7 were tested at age 7.

Study Results

 At age 7, not having a regular bedtime was related to lower cognitive test scores in girls: reading (β: −0.22), maths (β: −0.26) and spatial (β: −0.15), but not for boys. Non-regular bedtimes at age 3 were independently associated, in girls and boys, with lower reading (β: −0.10, −0.20), maths (β: −0.16, −0.11) and spatial (β: −0.13, −0.16) scores. Cumulative relationships were apparent. Girls who never had regular bedtimes at ages 3, 5 and 7 had significantly lower reading (β: −0.36), maths (β: −0.51) and spatial (β: −0.40) scores, while for boys this was the case for those having non-regular bedtimes at any two ages (3, 5 or 7 years): reading (β: −0.28), maths (β: −0.22) and spatial (β: −0.26) scores. In boys having non-regular bedtimes at all three ages (3, 5 and 7 years) were non-significantly related to lower reading, maths and spatial scores.

References
“Time for Bed: associations with cognitive performance in 7 year old children: a longitudinal population based study”
Yvonne Kelly, John Kelly, Amanda Sacker
Department of Epidemiology and Public Health, University College London, London, UK
Published Online First 8 July 2013

DENTISTS STRIKE GOLD IN SAN FRANCISCO

 

Attending the Sleep Group Solutions‘ training seminar on Sleep Dysfunctions in San Fransisco, a new team of dentists prospected for gold and found it there.
Dr. Marty Lipsey presented a two day comprehensive course which included:

•  The science of sleep,
•  Identifying the 34% of their patients who were Sleep Apnea victims,
  
•  Patient Education,
•  Case Presentation and Treatment Acceptance,
•  Understanding and handling the comorbidities,
  
•  Hands-on working with the popular Oral Appliances including TAP, Respire, EMA, Silent Night and others,
•  Sleep Apnea Medical Insurance Codes, Fees, Billing Procedures.

These lucky dentists who struck it rich are now able to begin screening and treating their patients who desperately need their help.

Next up in Dental Sleep Medicine courses (16 CEU) :

          Pick your expert or city:

10th October 2014 Friday	11th October 2014 Saturday	Charleston, SC – Dr. Jeffrey Horowitz
17th October 2014 Friday	18th October 2014 Saturday	Washington, D.C. – Dr.George Jones
17th October 2014 Friday	18th October 2014 Saturday	Portland, OR – Dr. Barry Freydberg
24th October 2014 Friday	25th October 2014 Saturday	Philadelphia, PA – Dr. Damian Blum
24th October 2014 Friday	25th October 2014 Saturday	Dallas, TX –     Dr. Marty Lipsey
7th November 2014 Friday	8th November 2014 Saturday	Oklahoma City, OK – Dr. Damian Blum
7th November 2014 Friday	8th November 2014 Saturday	Atlanta, GA –    Dr. Marty Lipsey
14th November 2014 Friday	15th November 2014 Saturday	Hollywood, FL – ADVANCED Dr. Dan Tache’
14th November 2014 Friday	15th November 2014 Saturday	Boston, MA – Dr. Barry Freydberg

Read the course outline, see the speakers and register here to get your gold:    http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?smode=&op=&cid=2