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Apnea Often Strikes Premature Babies by Leokadia Angela
Layne Melzer awoke around 8 a.m. Jan. 6 and looked at his 6-week-old son, Shane, beside him. Most mornings, it was the baby who roused him at dawn with lusty yells for food, so Melzer was surprised to find Shane still asleep. Then he took a closer look. Shane's skin was dusky, and he did not seem to be breathing. Melzer jiggled him tentatively, but the baby did not rouse. His color was darker now. Bluish.
Yelling to his wife to call 911, Melzer grabbed Shane and shook him -- hard this time. The baby's eyes opened at one point, but his gaze was blank.
Frantically trying to recall resuscitation techniques, Melzer put his mouth over Shane's and puffed twice. Then he turned the baby over and slapped him on the back. He slapped him again, and then a third time. Suddenly Shane gulped for air and began to cry. A moment later, the rescue squad arrived.
The crisis, though, was far from over. By noon, Shane was admitted to Childrens Hospital of Orange County with a tentative diagnosis of severe apnea.
The term apnea comes from the Latin words a and pneuma, which means without air. Medically, it refers to pauses in breathing.
The main consequence of apnea is damage to the brain and heart because of repeated periods of inadequate oxygen. A baby with untreated apnea can, in later years, exhibit learning and behavioral problems, even cerebral palsy, associated with brain damage.
Shane Melzer's problem was central apnea, exacerbated by a viral infection.
Shane's breathing pauses were found to be frequent, long and responsible for repeated episodes of bradycardia -- the medical term for an abnormally slow heart rate. He met all the criteria for a diagnosis of severe apnea. Two days after being admitted to CHOC, he was transferred to the intensive care unit.
He just got worse. At 3:30 the morning following his transfer, the Melzers were awakened by a call from a doctor in the unit. Shane's apnea was so bad that he now required the assistance of a respirator to survive, the doctor told them. But Shane was fortunate to be in a hospital with expertise in the treatment of apnea.
Shane's apnea has caused no more trouble. His breathing pauses have never been severe enough to trigger the monitor, his parents report, and in every other respect, he is thriving.
Are SIDS And Sleep Apnea Related?
A study suggests that sudden infant death syndrome (SIDS) might be more common in families that suffer from the adult sleeping disorder sleep apnea
Though the cause of SIDS remains mysterious, new evidence supports the idea that both disorders are caused by a narrowed upper airway resulting from the way the skull is formed, a characteristic that is inherited.
The study compared the number of SIDS cases in 29 families with sleep apnea and 35 families without sleep apnea. Researchers had families fill out questionnaires about the incidence of infant death. Subjects provided data from four generations of each family so that 352 sleep apnea family members and 408 control family members were covered.
The families prone to sleep apnea -- in which breathing stops for short periods during sleep and can lead to snoring or disturbed sleep -- reported eight unexplained infant deaths. The control families reported no unexplained, unexpected infant deaths, although one infant had died of mother-child blood-type incompatibility. Two of the sleep apnea families reported more than one SIDS death. In one case, a pair of twins had died without explanation. When researchers examined the facial structure of four of the six families that reported SIDS death, they found the shapes were significantly different from the normal families.
The results suggest that SIDS and adult sleep apnea are associated and that both could result from obstructive apnea due to facial structure narrowing the upper airway.
Sleep apnea runs in families. Other work has suggested that certain families may be at higher risk for SIDS, although like most things about SIDS, this remains debated. It is a thorny issue. The idea has been that sleep apnea may be the final common pathway of SIDS, but not necessarily the cause. The problem with SIDS research is that no one has ever witnessed a SIDS death.
In children who often appear tired or have trouble staying awake in school, check for potential obstructive apnea caused by abnormally large adenoids or tonsils.
Another study that found that babies considered at high risk of SIDS -- those who had stopped breathing and were by chance found and resuscitated -- had a higher chance of having a father with sleep apnea-like symptoms. This could support the idea that sleep apnea is related to SIDS. But how they are related and whether it is causative is another question.
Can't Sleep? Always Tired?
"Discover How to Wake Up Feeling Happy and Rested
With the Best Sleep Apnea Treatments Available!"
Article Source: http://www.earticlesonline.com/Article/Apnea-Often-Strikes-Premature-Babies/122205
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Check out these fine shops that offer Sleep Apnea Cures products:
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Respironics SmartMonitor 2 Apnea Monitor - Professional Training Video $28.35 Professional Training Video for SmartMonitor 2 Apnea Monitor. |
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OMRON GOsmartĀ® Pace and Distance Tracker $49.99 Omron Fitness Workout Mode is used when running to track pace, distance, exercise time and calories burned; a workout indicator bar will appear by pressing the start button for two seconds During Workout Mode, wear at waist for highest accuracy; for all other tracking, can also be placed in any pocket or bag in any direction or worn round the neck with a lanyard (not included) Auto Stride determines stride length by entering height Measures steps and calories and fat grams burned throughout the day Stores 7 days of memory on the display Sleep mode extends battery life while continuing to track activity Resets automatically at midnight so it is ready to go every morning |
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Respironics Alice PDx Portable Sleep Diagnostic System $6064 Features of the Respironics Alice PDx Portable Sleep Diagnostic System: The Alice PDx portable diagnostic recording device is intended for Obstructive Sleep Apnea screening, follow-up and diagnostic assessment of cardio-respiratory sleep disorders. The flexible and portable sleep testing system incorporates advanced features required to meet today's industry needs. It’s compact size is perfect for home sleep testing needs while providing capabilities of basic screening to advanced diagnostic evaluation. The system satisfies the portable testing requirements for levels II, III and IV. The Alice PDx enables patients to be tested outside of the lab – and in the comfort of their own home - without compromising study results, and helps clinicians avoid the costs associated with retesting. |
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Respironics SmartMonitor 2 Apnea Monitor with PC Card Slot. $3759.99 SmartMonitor 2 Apnea Monitor SmartMonitor 2 is the newest apnea monitor technology available for home applications. Suitable for home or hospital applications, SmartMonitor 2 is portable and easy to use. The front panel incorporates universal symbol vocabulary to eliminate language barriers and simplify parent training. The 2.0 MB of internal memory can be used for continuous or event recording of cardio-respiratory events and can be used to interface with virtually all oximeter platforms currently available. The monitor also features an internal modem option for remote access to data downloads, online real time viewing and faster data retrieval options such as the PC card. One Year Warranty |
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Respironics SmartMonitor 2 Apnea Monitor with PC Card Slot and Internal Modem $3999.1 SmartMonitor 2 Apnea Monitor SmartMonitor 2 is the newest apnea monitor technology available for home applications. Suitable for home or hospital applications, SmartMonitor 2 is portable and easy to use. The front panel incorporates universal symbol vocabulary to eliminate language barriers and simplify parent training. The 2.0 MB of internal memory can be used for continuous or event recording of cardio-respiratory events and can be used to interface with virtually all oximeter platforms currently available. The monitor also features an internal modem option for remote access to data downloads, online real time viewing and faster data retrieval options such as the PC card. One Year Warranty |
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Respironics SmartMonitor 2 Professional Series Light Apnea Monitor $4413.5 Features of the Respironics SmartMonitor 2 Professional Series Light Apnea Monitor: SmartMonitor 2 Professional Series Light (PSL) is the latest addition to Children’s Medical Ventures’ SmartMonitor family of products and has been designed for heart rate and respiration monitoring and event recording in a variety of settings. The SmartMonitor 2 PSL is cleared for infant, pediatric and adult use. The “Light” designation refers to the PSL’s ability to provide high-quality, cost- effective heart and respiration monitoring parameters without integrated pulse oximetry. SmartMonitor 2 PS Light features a bright, easy-to-read digital display and durable metal connector. Superior waveform quality. 4 MB memory capacity. 15 hours of portable operation. Universal symbol interface. Lightweight design. Selectable settings for hospital or home. Backup battery. Dual alarms. Includes: patient ECG and Masimo oximeter cable, power supply, battery pack, carrying case, 1 pair safety lead wires, 1 pair reusable electrodes, 1 belt, parent's guide, symbol reference decal. |
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Respironics SmartMonitor 2 Professional Series - Apnea Monitor $6308.86 SmartMonitor 2 Professional SeriesMulti-Parameter Monitoring Made Easy The SmartMonitor 2 PS provides health care professionals with detailed information about a patient's heart rate, respiration and oxygen saturation. Features include Masimo SET technology, large memory capacity, 15 hours of portable operation and a bright digital readout. Diagnostic quality waveforms can be captured and reviewed through the Synergy-E Software. In addition, an easy-to-understand interface incorporates universally recognized symbols that help reduce potential language barriers. Pediatric as well as adult clearances make the SmartMonitor 2 PS ideal for documenting patient response to conscious sedation, patient-controlled analgesia and general floor monitoring.The SmartMonitor 2PS also offers: Superior waveform quality. 4 MB of memory capacity. 15 hours of portable operation. Universal symbol interface. Lightweight design. Hospital or homecare selectable settings. Backup battery. Dual alarm. Durable metal patient connector. |
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BCI Capnocheck Sleep Capnograph $4409.85 Capnocheck Sleep Capnograph/OximeterThe Capnocheck Sleep Capnograph/Oximeter is specially designed for sleep screenings and lab-based sleep studies. Its 4-channel analog output capability lets you select ETCO2 numeric value, ETCO2 waveform, inspired CO2, respiratory rate, heart rate, as well as SpO2 numeric and waveform displays. Product Features Quiet System minimizes monitor noise Breath-by-breath CO2 detection. Disappearing display and no audible alarms or pulse tones in sleep mode Incorporates economical sidestream technology. Optional Remote Alarms. Product Benefits Patented Serial Autocorrelation (SAC) pulse oximetry technology. Technical Specifications found in Product Brochure under picture |
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Respironics Replacement Power Supply $69.13 Replacement Power Supply for Smart Monitor 2 Apnea Monitor. |
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BCI Capnocheck Plus/Capnocheck Sleep Operation Manual $114.51 BCI Capnocheck Plus/Capnocheck Sleep Operation Manual |
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BCI Capnocheck Plus/Capnocheck Sleep Service Manual $114.51 BCI Capnocheck Plus/Capnocheck Sleep Service Manual |
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BCI FingerPrint Sleep Oximeter Operation Manual $94.76 BCI FingerPrint Sleep Oximeter Operation Manual |
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BCI Printer Interface Cable for Capnocheck Plus/Sleep $78.06 BCI Printer Interface Cable for Capnocheck Plus/Sleep |
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BCI Capnocheck Sleep Capnograph and Oximeter $4918.58 Capnocheck Sleep Capnograph/OximeterThe Capnocheck Sleep Capnograph/Oximeter is specially designed for sleep screenings and lab-based sleep studies. Its 4-channel analog output capability lets you select ETCO2 numeric value, ETCO2 waveform, inspired CO2, respiratory rate, heart rate, as well as SpO2 numeric and waveform displays. Product Features Quiet System minimizes monitor noise. Breath-by-breath CO2 detection. Disappearing display and no audible alarms or pulse tones in sleep mode. Incorporates economical sidestream technology. Optional Remote Alarms. Product Benefits Patented Serial Autocorrelation (SAC) pulse oximetry technology. Technical Specifications found in Product Brochure under picture |
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Respironics Small Child Profile Light Mask With Softcap $137.66 Features of the Respironics Small Child Profile Light Mask With Softcap: Finding the right products for your smallest patients can be one of your biggest challenges. The Small Child Profile Light Mask is designed to be comfortable and easy to adjust. It can be used with with non-life sustaining CPAP and bi-level therapy systems to provide treatment for respiratory insufficiency or obstructive sleep apnea. The Small Child Profile Light Mask is appropriate for children one year of age or older and weighing more than 15 pounds. It has gel cushions that conform to each child's face to deliver exceptional comfort, as well as a contouring forehead gel pad. |
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Respironics Stardust 2 Sleep Recorder $3243.5 Features of the Respironics Stardust 2 Sleep Recorder: Stardust® is the small sleep recorder that's going to make a big impact on your business. Stardust® is powerful and small enough for patients to use in the comfort of their homes. The ultra-portable unit is worn on the chest. Three sensors plug directly into the recorder, so that patients aren’t “tethered” to a large recorder. This gives your patients more freedom to move as they would normally. And that could give you a better picture of how they’re breathing. Stardust® gives you the power to tailor cardiopulmonary sleep studies to your patient's needs. Two-year warranty. |
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Respironics System One REMstar Auto CPAP Machine $793.01 Features of the Respironics System One REMstar Auto CPAP Machine: The Philips-Respironics "System One" REMstar Auto with A-FLEX takes a smarter approach to the entire sleep management process. New features such as resistance control, advanced event detection and response, upgraded data management and reporting, and A-FLEX put this CPAP machine on the cutting edge. A-Flex is designed to work with Respironics’ clinically proven auto CPAP algorithm to improve comfort even more by matching pressure delivery to the patient’s entire breathing cycle. Like C-Flex, A-Flex provides flow-based pressure relief at the beginning of exhalation. Like Bi-Flex, A-Flex softens the pressure transition from inhalation to exhalation to provide additional comfort in an auto-CPAP mode. The pressure profile mirrors the patient’s breathing, and with the auto algorithm intelligence, it will respond to the patient’s therapeutic need throughout the sleep session. The System One resistance control allows the patient to tell the machine what type of mask you are using such as a nasal, full face, or nasal pillow. The machine then makes adjustments for optimal flow depending on your mask. Each Respironics mask will now come with a resistance control setting letting you know how to set your machine to match your mask. Philips-Respironics has upgraded their event detection algorithm to include data on Snoring, Periodic Breathing (PB), Respiratory Effort-Related Arousals (RERAs), Apnea Hypopnea Index (AHI), leak, Clear Airway Apnea (CA), Obstructed Airway Apnea (OA), Flow Limitation (FL), and Hypopnea (HY). The REMstar Auto will also record Patterns of use and Flow waveform data. With this information, your physician will be able to better determine the best possible solutions for your sleep therapy. In addition to detecting the above events, the REMstar Pro will respond to FL, RERA, Snore, leak, OA, and HY. If the REMstar Pro detects that any of these events are about to occur, it will adjust pressure accordingly to compensate for the event. The PR System One uses a SD card for data collection. Prior to the System One, patients were required to use a specialized card reader when uploading sleep data to a computer. Philips-Respironics has made this process easier by using the standard SD card, giving the patient the ability to use any SD reader to upload sleep data. Made in the USA. Auto dimming LED helps create a darker room for easy sleeping. Compliance meter breathing detection. Auto Titrating - Pressure levels will automatically change throughout the night to reflect the patient's needs. Includes the Respironics Performance Tubing. |
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BCI FingerPrint Sleep Carrying Case with Belt Clip $94.77 BCI FingerPrint & FingerPrint Sleep Carrying Case with Belt Clip, CE marked |
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Bodyline Maxi-Smoothee Sleep Pillow $26.85 Features of the Bodyline Maxi-Smoothee Sleep Pillow: Now you can get a good night's sleep thanks to the relaxing, effective neck support of the Bodyline Cervical Pillow. The popular dual roll design allows your head to relax comfortably in a center depression with the gentle, effective support of the smaller or larger outer roll. By helping the neck maintain its natural curvature, the Cervical Pillow provides soothing therapeutic support. And the convoluted top surface allows maximum air circulation as well. Lightweight and portable, the Cervical Pillow also brings added comfort to your favorite easy chair, sofa or car. Popular, professional design offering two levels of support. Provides relaxing therapeutic comfort by maintaining the neck's natural curvature. Convoluted surface provides ultimate comfort while allowing maximum air circulation. Covered in a washable poly/cotton zippered pillow case. Relaxing comfort in bed, favorite easy chair, and car. |
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BCI FingerPrint Sleep Protective Rubber Boot with Carrying Strap $107.73 BCI FingerPrint & FingerPrint Sleep Protective Rubber Boot with Carrying Strap |
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BCI Oximetry Upgrade Kit for Capnocheck Plus & Capnocheck Sleep $548.63 BCI Oximetry Upgrade Kit for Capnocheck Plus & Capnocheck Sleep |
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BCI Serial Autocorrelation (SAC) Digital Oximetry Upgrade Kit for Capnocheck Sleep $989.52 BCI Serial Autocorrelation (SAC) Digital Oximetry Upgrade Kit for Capnocheck Sleep |
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BCI 3 Channel Analog Output Cable (Polysomnography) for Capnocheck Sleep $209.48 BCI 3 Channel Analog Output Cable (Polysomnography) for Capnocheck Sleep |
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BCI 4 Channel/Distance Analog Output Cable (Polysomnography) for Capnocheck Sleep $304.44 BCI 4 Channel/Distance Analog Output Cable (Polysomnography) for Capnocheck Sleep |
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BCI PC Interface/Graphics Printer Interface for Capnocheck Plus/Sleep $78.06 BCI PC Interface/Graphics Printer Interface for Capnocheck Plus/Sleep |
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BCI FingerPrint Sleep Oximeter Home-Use Instruction Note $73.82 BCI FingerPrint Sleep Oximeter Home-Use Instruction Note |
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Respironics Actiwatch 2 Device, Diagnoses Sleep Disorders $1298.7 Features of the Respironics Actiwatch 2 Device: Actiwatches are small, rugged, actigraphy-based data loggers that record a digitally integrated measure of gross motor activity. Each model of Actiwatch actigraph is equipped with a highly sensitive accelerometer as well as the ability to record additional data channels. The Actiwatch Score, Actiwatch-2, and Actiwatch Spectrum use actigraphy principles to provide sleep schedule variability, sleep quantity and quality statistics and daytime activity patterns so you can better identify therapeutic options and understand responses to treatment for patients. All three models collect reliable, objective data on sleep/wake patterns for multiple days in a subject’s ambulatory environment with the comfort and aesthetics of a standard wrist watch. In addition to sleep/wake activity recording, Actiwatch 2 has the ability to record information about the amount and duration of ambient white light illuminance, in units of lux. |
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Respironics Actiwatch Spectrum Device, Diagnoses Sleep Disorders $2029 Features of the Respironics Actiwatch Spectrum Device: Activity level is recognized as a valuable indicator for medical problems and can provide answers to many research questions. Activity levels correlate with sleep/wake patterns, pain level, mood, energy expenditure, fatigue/alertness and other quantifiable parameters. An Actiwatch actigraph also provides an objective record for tracking and documenting normal and abnormal sleep/wake patterns. Two examples of the use of the Actiwatch are: Sleep/Wake Patterns and General Activity Level A digitally integrated recording of wrist activity is a reliable indicator of Sleep/Wake state. The Actiwatch is an actigraphy device that is the size of a standard wrist watch. It allows for the recording of the smallest movements for days, weeks, or even months. When worn on the wrist, an Actiwatch actigraph can generate an Activity record to be used as a tool to document: - Sleep/Wake Patterns - Sleep Disorders - Circadian Rhythms Disorders - Disturbances brought on by Shift WorkReal time impedance display - Basic Activity Levels - Compliance with Exercise Routines Actiwatch Spectrum - In addition to sleep/wake activity recording and the updated features included in the Actiwatch-2, Actiwatch Spectrum is equipped with three color light sensors that provide irradiance and luminous flux recordings in three color bands of the visible spectrum: red, green, and blue. Beyond color-light sensing, Actiwatch Spectrum also features a LCD display for time, date and device status indicators as well as off-wrist detection and a one year battery life. These features, among others are why Respironics’ Actiwatch products make it easier than ever to implement actigraphy. Products Specifications: Size: 48mm x 37mm x 14mm. Weight: 30 grams (with band). Case Material: ABS Blend (Biocompatible). Standard Wrist Band: BASF Elastollan 1175A10W (TPU) with titanium buckle. Battery Type: CR 2430 Lithium Coin Cell (factory replaced). Logger Battery Life: 1 year with continuous use. Memory: Non-volatile 1 MBits. |
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Fisher & Paykel Aclaim 2 Nasal CPAP Mask and Headgear $58.99 The Aclaim 2 is the latest in nasal cpap masks from Fisher & Paykel Healthcare. The Fisher & Paykel Aclaim 2 CPAP mask has been designed to deliver CPAP or bi-level therapy for patients with Obstructive Sleep Apnea. This mask includes headgear. The Aclaim 2 CPAP mask has unique features that offer our patients optimum comfort: Unique glider mechanism allows the patient to move more freely without moving the CPAP mask, and it reduces positional leaks. Breathoprene headgear is cool, lightweight and comfortable. Mask and headgear are fully assembled in one box which saves you time when fitting. Lockable T forehead piece reduces mask leaks and pressure on the bridge of the nose. Bias flow diffuser reduces draft and noise from the bias flow providing a quieter nights sleep for you and your bed partner. Optimum comfort achieved with a foam and silicon seal. Two silicon seals included in your box to cater to almost all sizes. |
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Respironics Actiwatch Score System, Diagnoses Sleep Disorders $2629.99 Actiwatch Score System Actiwatch Score — Like all of our Actiwatches, the AW-Score actigraph uses actigraphy principles to record activity information and can be used to analyze sleep quality. In addition to the objective activity data, Actiwatch-Score allows for recording subjective scores for any parameter that can be classified from 0-15 (scale is programmable), providing a strong enhancement to Patient Diaries. The unique combination of activity and scoring provides an excellent way to correlate activity with other subjective data normally collected by a patient diary. It can also be used to document the effectiveness of interventions on conditions of interest. The Actiwatch-Score includes a programmable alarm to prompt the patient to enter a quantifiable score. Alarms can be set to a schedule or to sound at random intervals. Sleep/Wake Patterns and General Activity Level A digitally integrated recording of wrist activity is a reliable indicator of Sleep/Wake state. The Actiwatch is an actigraphy device that is the size of a standard wrist watch. It allows for the recording of the smallest movements for days, weeks, or even months. When worn on the wrist, an Actiwatch actigraph can generate an Activity record like the one shown below to be used as a tool to document: Sleep/Wake Patterns. Sleep Disorders. Circadian Rhythms Disorders. Disturbances brought on by Shift WorkReal time impedance display. Basic Activity Levels. Compliance with Exercise Routines. Periodic Limb Movement in Sleep (PLMS) Actiware-PLM software is used for assessing the magnitude and periodicity of limb movements during sleep. Two Actiwatch 64s are used to monitor the subject for three consecutive nights. You can assess movement in both legs on any given night to determine: ₀Total time of PLM ₀Total number of PLM Occurrences per leg ₀Average PLM duration ₀Simultaneous PLMs in both legs ₀Sleep Disturbance from PLM AW-Score Actigraph with Subjective Scoring Like all of our Actiwatches, the AW-Score actigraph uses actigraphy principles to record activity information and can be used to analyze sleep quality. In addition to the objective activity data, Actiwatch-Score allows for recording subjective scores for any parameter that can be classified from 0-15 (scale is programmable), providing a strong enhancement to Patient Diaries. The unique combination of activity and scoring provides an excellent way to correlate activity with other subjective data normally collected by a patient diary. It can also be used to document the effectiveness of interventions on conditions of interest. The Actiwatch-Score includes a programmable alarm to prompt the patient to enter a quantifiable score. Alarms can be set to a schedule or to sound at random intervals. Specifications Weight (without protective case): 16 grams. Size: 28 x 27 x 10 mm. Non-Volatile Memory AW-16 = 16 kbytes. AW-64 = 64 kbytes. Recording Time at one minute sample interval: AW-16 = 11 day |
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Treating Insomnia (Home Use)
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Treating Insomnia (Educational Use)
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DescriptionMost of us have had trouble getting to sleep once in awhile but for some people that "once in awhile" is every night. They have insomnia, a common condition for which there are many different types of treatments that work very differently... |
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Snorestop Extinguisher, 0.4 Oz -Plastic Case
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DescriptionHomeopathic. 120 Oil free fast-acting oral sprays. 100% Natural. No known side effects. Formulated, tested and prescribed by doctors. The brand most pharmacists trust for relieving the symptoms of snoring... |
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Acid Reflux Bed Wedge System (39" wide by 30" deep and up to 45 degree adjustable inclination). Only with the patented COMFORT+ personal bed wedge system.
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DescriptionTHIS 'EXTRA-WIDE' COMFORT+ (AT 39") IS PERFECTLY SIZED FOR USE ON A KING BED AS IT IS HALF THE WIDTH OF THE BED. IF YOU SHARE A QUEEN BED WITH YOUR SPOUSE, PLEASE SEE THE 'COMFORT+30'. |
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Night Sleep Guard Snoring Solution Anti Snore Kit
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DescriptionThese simple devices designed to help reduce and eliminate snoring and improve sleep can be made custom fit to your bite, right in your own home and only take a few moments to prepare. // Our anti snoring device is a very unique invention and a miracle to those whom, with the help of our anti snore kit, are able to get a peaceful nights sleep... |
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From Fatigued to Fantastic
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Snore No More!: Remedies and Relief for Snorers and Snorees Everywhere
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The Art of Sleeping and Waking Up. How to sleep less and have more energy during the day.
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