The Journey of Solomon 513

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Why You Feel Tired After A Full Night Of Sleep

We all have a favorite sleep position—the way we feel most comfortable and let our body sink into sleep. The study showed that those with the highest occurrence of sleep apnea had the lowest levels of omega 3. The author of the study noted that it couldn't be determined if low levels of omega 3 caused sleep apnea or if sleep apnea led to low levels of DHA.
A study in the October issue of Anesthesiology shows that diagnosing ENT doctor and prescribing CPAP therapy prior to surgery significantly reduced postoperative cardiovascular complications - specifically cardiac arrest and shock - by more than half.

Although the American Academy of Sleep Medicine advocates for physicians to ask all patients about signs and symptoms of OSA, the U.S. Preventive Services Task Force has no position on this issue, and there are no good outcome studies of net benefit for screening unselected populations.
Unlike obstructive sleep apnea, which is caused by a physical blockage, central sleep apnea is a neurological problem, says Robson Capasso, MD , chief of sleep surgery and associate professor of Otolaryngology and Head and Neck Surgery at Stanford University School of Medicine in California.

Apnea may occur hundreds of times nightly, 1-2 times per minute, in patients with severe OSA, and it is often accompanied by wide swings in heart rate, a precipitous decrease in oxygen saturation, and brief electroencephalographic (EEG) arousals concomitant with stertorous breathing sounds as a bolus of air is exhaled when the airway reopens.
The evidence is very strong for the relationship between sleep apnea and hypertension and cardiovascular disease generally, so people really need to know that,” said Donna Arnett, Ph.D., chair and professor of epidemiology at the School of Public Health at the University of Alabama at Birmingham and the incoming president of the American Heart Association.

The available treatments are: medication, avoid antidepressants or relaxants, avoid alcohol, change of diet, quit smoking, surgery to enlarge the airways, devices to keep the patient from sleeping on his back, special pillows, oral devices and the continuous positive airway pressure (CPAP) which is a machine that uses a tube connected to a mask and sends continuous pressurized air to keep the airways open.

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