Showing posts with label sleep stuff. Show all posts
Showing posts with label sleep stuff. Show all posts

20 September 2015

ANNIVERSARY SPECIAL: SleepyHeadCENTRAL's top 25 most popular posts


As determined by Google Analytics, including posts timestamped between September 19, 2014 and September 19, 2015
  1. APR 15. 2015 || JUST BREATHE: Upper airway resistance. It's a thing. And it matters.
  2. NOV 29, 2014 || SHED SOME LIGHT: Misconceptions about Circadian Rhythm Disorders
  3. NOV 21, 2014 || SHED SOME LIGHT: Terra Ziporyn Snider, PhD, on later school start times
  4. JUN 12, 2015 || GUEST POST: Insights into the recent ASV device recall
  5. FEB 13, 2015 || ALTERNATIVES: Therapies for Sleep Apnea that don't involve a mask
  6. APR 30, 2015 || JUST BREATHE: "Heard About Sleep?" APNEA... If not, listen in here.
  7. APR 30, 2015 || JUST BREATHE: What happens if I don't treat my sleep apnea?
  8. NOV 7, 2014 || SHED SOME LIGHT: ...on circadian disorders
  9. OCT 24, 2014 || MONSTERS OF SLEEP: Ken Scholes on sleeping and PTSD
  10. NOV 17, 2014 || SLEEP HYGIENE TIP OF THE WEEK: Melatonin is tricky
  11. NOV 11, 2014 || SHED SOME LIGHT: ...on non-24 disorder
  12. OCT 18, 2014 || CPAP CENTRAL: A Season for Masks: Smaller Might Be Better
  13. JAN 2, 2015 || DEFINITIONS: What is normal sleep?
  14. NOV 4, 2014 || SHED SOME LIGHT: Are insomnia and winter depression linked?
  15. MAR 24, 2015 || INSOMNIA: Why is it linked to depression?
  16. JUL 24, 2015 || SLEEP STUFF: Smartphone apps for sleep
  17. SEP 20, 2014 || GUEST POST:  Edward Grandi on Sleep Apnea: What is it and what can I do about it?
  18. JAN 17, 2015 || ALTERNATIVES: Sleep better when you have the flu with these tips
  19. DEC 18 , 2014 || VISIONS OF SUGARPLUMS: Alcohol is NOT the sweet dream fairy
  20. FEB 17, 2015 || ALTERNATIVES: Valerian, aka "Nature's Valium" -- safe to use, effective? You be the judge
  21. MAR 11, 2015 || INSOMNIA: On Sleep State Misperception, with Dr. Robert Rosenberg, DO
  22. DEC 17 , 2014 || VISIONS OF SUGARPLUMS: Sleep Disorders 101: NS-RED and NES, Sleep Eating Disorders
  23. FEB 17, 2015 || ALTERNATIVES: Aromatherapy
  24. MAR 17, 2015 || INSOMNIA: The problem with insomnia forums
  25. APR 23, 2015 || JUST BREATHE: Hope2Sleep's "Dangers of Untreated Sleep Apnoea" infographic 

13 August 2015

SLEEP STUFF: Light therapy


It may not occur to some people with sleep problems that light might be both their problem and their solution. Controlling light exposure at key times during the day is important for keeping fixed to normal circadian rhythms.

The people who often struggle most with finding quality sleep are also the ones working night shift or who stay up too late while on their computers. Their exposures to artificial light at these hours makes sleep harder to achieve due to the way that the eyes and skin absorb light; this absorption can literally turn off your brain's melatonin production. It's melatonin that helps the body transition from wakefulness to sleep.

On the flip side, people who are sleepy during the day often live in climates where the fall and winter bring longer periods of darkness during the day. Less exposure to quality light (natural or artificial) first thing in the morning can lead to daytime sleepiness as well as mood changes.

There are a few different products on the market geared to help people gain some better control over their light exposure. As always, discuss these options with your physician. In some cases, they might even be able to prescribe light therapy, if it's warranted, and insurance may then cover some or all of the expense.

Neuro:On Mask with Circadian Lighting
This is a wearable sleep mask that uses a "smart wakeup" technology to help you fall asleep and to wake you up at the optimal time in the morning, usually after you have completed your last REM cycle and have moved into a lighter stage of sleep. It measures several biological signals like brain waves, muscle tension, eye movements, pulse, core temperature and more via Bluetooth 4.0 LE-compliant digital analysis. For those who struggle with an irregular sleep schedule, general restlessness and jet lag, the NeuroOn might be a useful solution. It runs about $300. Learn more

FeelBrightLight Visor
You might have seen these before: visors that have lights built underneath their brims. These lights shine specific kinds of colored light indirectly above the eyes to help improve energy and mood. They offer a device you can clip to any visor you already have for around $110 and a deluxe version that includes a carrying case and a visor for $150. This could be a good option for people who need to move about and desire a hands-free solution to daytime sleepiness. Learn more

Philips Wake-Up Light
This attractive round light props up on a table, desk or nightstand nearby and can be used to help you fall asleep or wake up more gently depending upon how you program it. Its chief job is to stimulate sunrise and sunset lighting. Dimmer light at night is better for achieving sleep onset, while gradual illumination to morning sunlight aids in waking. This device also includes an option so you can awaken to pleasing natural sounds. Priced between $70 and $170, depending upon features. Learn more

Re-Timer 
Here's another wearable light therapy device, worn like a pair of lightweight and nonrestrictive goggles, that uses green spectrum light. It is designed to fit the majority of the population ("one size fits most") and its manufacturers claim it can bring relief to users in as little as three days following specific therapy protocols. It is used by people with delayed sleep phase syndrome (night owls who need to shift their sleep phases earlier), people with advanced sleep phase syndrome (morning larks who need to shift their sleep phases later), shiftworkers and those suffering from chronic jet lag. Prices run around $300. Learn more


05 August 2015

SLEEP STUFF: Anti-snoring nasal products

For some people, the worst thing about their sleeping life truly is their snoring. It's loud enough to keep their sleeping partner awake, and it leads to discomfort in the nasal tissues and airway, dry mouth and sore throat. 

For those who snore but do not have sleep apnea*, the options for treatment are a bit different. It may be that they have other issues causing their airway resistance, such as a deviated septum, chronic allergies, narrow passageways or other physiological problems, such as overlarge tonsils or swollen turbinates.

Many of these people qualify for surgical approaches to repair their physiological challenges, but these can be expensive procedures, difficult for adults to recover from and may still not completely eradicate the problem.

Treatment of allergies is generally limited to nasal steroid sprays and medications, yet chronic post-nasal drip associated with allergies--even when treated--can still contribute to snoring.

There are small companies out there manufacturing various kinds of mechanical devices which promise to help physically open up the nasal passages via the nostrils in order to facilitate better breathing.

Some users swear by these products, while others try them and find no relief. Fortunately, most of them are inexpensive and promise to be a one-time purchase, so if they do work, the promise of a simple inexpensive solution delivers.

Listed below are four products out on the market that have been created to assist those people with sleep breathing problems that are not related to apnea or upper airway resistance that can be linked to a clinically identified respiratory system condition.

NASAL DILATORS
These products use plastic or medical grade stainless steel with silicone to physically widen, or dilate, the nostrils in order to increase airflow while sleeping. The applications vary, but all of them require inserting a portion of the dilator into the nostrils. The user adjusts the device following instructions provided by the manufacturer to achieve a widening of the nasal passages. Some of these devices are meant to be cleaned and reused repeatedly, while others are disposable and recommended for up to three uses in a row before disposing. These products are generally marketed toward people who struggle with nasal congestion, allergies, deviated septum or sinusitis, all of which can interfere with breathing during sleep. Price ranges are all across the map; cheaper dilators tend to be all-plastic and disposable, while more expensive ones that incorporate stainless steel wire run closer to $30. Some brands available include Airmax, BrezClipAir, NozoventRespitec, Rhyno and SleepRight. FDA approval depends upon the product.

NOSE CONES
These are a different variety of device which are shaped exactly as they sound, like tiny conical shaped cage-like inserts for the nostrils. They also purport to prevent nasal collapse while sleeping and can be found in both disposable and reusable options. Some brands available include Max-Air, SinusCones and Snorepin. FDA approval depends upon the product.

NASAL STRIPS
You're probably most familiar with these products, BreatheRight being the most popular brand. These external nasal passage wideners are applied across the bridge of the nose, and usually incorporate tension from the adhesive with or without a wire insert to stretch open the upper passage of the nose. They come in a wide variety of options, including some with fragrances, color choices, variations in strength and special adhesive for sensitive skin.

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*The only way to know whether a snoring condition is related to sleep apnea is to undergo a sleep evaluation from a sleep health professional. Not all snorers have sleep apnea and not all people with sleep apnea snore. SHC encourages its readers to seek the advice of a medical professional and resist the urge to diagnose themselves. 

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A friendly reminder that links to websites offering products does not imply endorsement by SleepyHeadCENTRAL.com.

SleepyHeadCENTRAL strongly encourages people with ongoing sleep health problems to approach a medical professional to determine appropriate differential diagnoses and treatment. This post, like all other posts on SHC, is not intended to substitute for medical advice.  

27 July 2015

SLEEP STUFF: Cleaning gadgets and products for PAP users

Positive pressure airway (PAP) devices have revolutionized sleep apnea treatment. These devices include an air pressurizing machine with filters, a humidifying reservoir, tubing to deliver pressurized air and, of course, various kinds of masks to meet the various needs of patients.

Because the machines deliver therapeutic air pressure via devices that make constant contact with the face and airway, they require regular cleaning and care, not only so that they will work efficiently, but so they do not introduce foreign allergens and pathogens to the skin and airway, which can actually lead to health complications. Keeping them clean will help add longevity to their use so you don't need to replace them so often.

Unfortunately, not all users of PAP equipment understand the importance of keeping their gear clean and sanitized, and this results in poorer performance overall and side effects of usage that can be avoided. Don't think you need to clean your PAP gear regularly? Check out this article on what happens when you neglect to keep it clean.

Keeping your gear clean isn't actually too difficult; it's more a matter of making it a priority. Here are the basics:

Masks
Wash daily in warm water and mild fragrance-free soap or use wipes or spray cleaners specifically designed to clean PAP masks. Rinse with water; air dry on a clean cloth or paper towel away from direct sunlight (silicone can break down or discolor if exposed too long to sunlight). Before putting on your mask, cleanse your face and skip the moisturizer (which can break down the silicone and possibly interrupt the seal needed to keep your pressure uniform). That's it! Once weekly, sanitize the mask using 1 part white vinegar to 3 parts water and rinse in distilled water.

Headgear and chinstraps 
Wash by hand using warm soapy water, rinse well and air dry. Try not to stretch the material out of shape. Do not use a washer/dryer for this process.

Tubing/hosing
Clean this once weekly by soaking in a basin of warm soapy water. Rinse well and hang-dry away from direct sunlight.

Humidifiers
If your machine does not have a humidifier, it is likely time to get a machine upgrade! Humidifiers help reduce morning dry mouth and stuffy nasal passages while in use.

The water reservoir must be cleaned daily to eliminate both bacteria and mineral buildup along its sides. Wash with warm, soapy water, then rinse well and dry on a clean towel away from direct sunlight. Always fill with distilled or sterile water; tap water contains minerals and chemicals that can damage the mask or tubing. Note: Water filters for tap water do not remove these substances.

Once weekly, sanitize the reservoir using 1 part white vinegar to 3 parts water for 20 minutes, then rinse in distilled water.You may have the option of cleaning your humidifier reservoir in the dishwasher; check your PAP machine manual to confirm.

Air Filters
PAP machines draw air from the room to filter and pressurize before they deliver it as therapy. They require filters to remove typical household debris from the air such as allergens like dust, smoke or pet dander. Filters are generally disposable and require regular replacement. Fortunately, filters for PAP devices are cheap, costing maybe $2 a month. It's recommended that you change them at this interval as well. Filters allowed to become dirty for a long time will have a negative impact on your PAP machine's effectiveness and could fail to remove particulate matter from the air coming to you through the hose.

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Unless otherwise indicated, the products discussed below can be used for nearly all kinds of PAP gear regardless of therapy (CPAP, BiPAP, AutoPAP, etc.). They can help you establish better cleaning and maintenance practices with your gear. Not only will keeping your equipment clean keep you healthier, but it will also help you keep your gear in better shape, which means less frequency in making replacement purchases down the line.

It's always recommended that you consult your PAP machine manual for advice about cleaning and sanitizing your gear, as it will have the most accurate information available for your particular gear.

SHC cannot be held liable for any damage to any PAP devices caused by using the products listed below.

HOME PAP DEVICE SANITIZER
SoClean may be expensive at $300 a pop, but the time-pressed PAP user may find this to be the perfect solution for keeping up with a daily cleaning schedule.

This home PAP device sanitizing appliance is advertised as "a faster, easier, more effective way to clean your CPAP equipment. SoClean kills 99.9% of CPAP germs and bacteria in your mask, hose and reservoir with no disassembly, no water, and no chemicals."

It really is simple: just place your mask with the tubing still connected into both the SoClean unit and your humidifier, then turn it on and leave for the day. When you get home, your mask, humidifier and hose will be clean and sanitized.

The appliance makers claim it uses the same sanitizing process as used for water purification, produce handling, hotel housekeeping and hospital sanitizing; SoClean is FDA approved and their website at Better Rest Solutions offers laboratory evidence of these claims.

As of the timing of this post, there are no other cleaning machines available to do this kind of work. You can also purchase travel versions and spare parts from the SoClean website.

MASK WIPES & CLEANERS
If buying a sanitizing machine for your system is out of the question, you can certainly simplify the daily task of cleaning your mask by using any one of a number of mask wipes or cleaners made specifically for this task. Mask wipes are generally made of natural products that are biodegradable, alcohol and latex free and with a choice of fragrance or unscented products. Their chief use is to remove dirt, facial oils and other residues from your mask and other PAP gear and they are considered safe and gentle.

Some brands of wipes to look for: Beaumont Citrus IIContourReliable Respiratory

In the same vein, there are spray cleaners that can also be used to clean PAP gear from the same manufacturers listed above (see also: Respiclean). Simply spray onto a lint-free towel and wipe down your mask.

TUBING CLEANER
The trick to cleaning the tubing is to effectively remove the bacteria from the hose, but this can be difficult without the right tools. A good cleaning kit will allow you to gently run a cleaning brush or pads through your tubing in one pull as well as flush out the tubing easily and with little mess. A tube cleaning kit should not damage your tubing and insertion tools should be long enough to do the job. Some brands to consider: AG IndustriesBeaumont Citrus IIClair Devices

MACHINE AIR FILTERS
PAP machine manufacturers have filter recommendations included in their manual as well as instructions for how to install, remove and replace them (plus a recommended filter replacement schedule). Your best bet is to find the filters best suited to your particular machine.

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SleepyHeadCENTRAL strongly encourages people with ongoing sleep health problems to approach a medical professional to determine appropriate differential diagnoses and treatment. This post, like all other posts on SHC, is not intended to substitute for medical advice.

See SLEEP STUFF series main disclosure notifications here regarding any products discussed on this blog. 

09 July 2015

SLEEP STUFF || Books about Sleep

Here are three titles you might be interested in. Please note: These titles have not been reviewed by the curator. Please visit your favorite review websites if you want feedback on them. Titles are listed as suggestions only. If you read any of these books and wish to share your review of them, please contact the curator at sleepyheadcentral@gmail.com


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Bright Eyed: Insomnia and Its Cultures [paperback, ePub, PDF]
by RM Vaughan
Category: Nonfiction, Health, Social Science
Publisher: Coach House Books
Publication Date: June 1, 2015
Pages/Price: 136pp, $14.95 for print edition
ISBN-10: 1770564098
ISBN-13: 9781770564091

From the publisher: "In shutting out shut­-eye in favour of productivity, have we created an insomnia culture?

For forty years, RM Vaughan has been fighting, and failing, to get his forty winks each night. He’s not alone, not by any stretch.

More and more studies highlight the health risks of undersleeping, yet we have never been asked to do more, and for longer. And we can’t stop thinking that a lack of sleep is heroic: snoozing is a kind of laziness, after all. But why, when we know more about the value of sleep, are we obsessed with twenty­-four-­hour workdays and deliberate sleep deprivation?

Working outward from his own experience, Vaughan explores this insomnia culture we’ve created, predicting a cultural collision — will we soon have to legislate rest, as France has done? — and wondering about the cause-­and-­effect model of our shorter attention spans. Does the fact that we are almost universally underslept change how our world works? We know it’s an issue with, say, pilots and truck drivers, but what about artists — does an insomnia culture change creativity? And what are the long-term cultural consequences of this increasing sacrifice for the ever-elusive goal of ‘total productivity’?"

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Healthy Sleep Habits, Happy Child [audio download or CD] by Dr. Marc Weissbluth
Category: Nonfiction, Family Health, Self Help
Publisher: Penguin Random House
Publication Date: June 23, 2015
Hours/Price: 16hr 45min, $25.95/free with Audible.com 30-day trial; Audio CD for $12.94
[Download] ASIN: B00E63PEXA
[CD] ISBN-10: 1770564098
[CD] ISBN-13: 9781770564091

From the publisher: "One of the country’s leading researchers updates his revolutionary approach to solving–and preventing–your children’s sleep problems.

Here Dr. Marc Weissbluth, a distinguished pediatrician and father of four, offers his groundbreaking program to ensure the best sleep for your child. In Healthy Sleep Habits, Happy Child, he explains with authority and reassurance his step-by-step regime for instituting beneficial habits within the framework of your child’s natural sleep cycles. This valuable sourcebook contains brand new research that:

  • Pinpoints the way daytime sleep differs from night sleep and why both are important to your child
  • Helps you cope with and stop the crybaby syndrome, nightmares, bedwetting, and more
  • Analyzes ways to get your baby to fall asleep according to his internal clock–naturally
  • Reveals the common mistakes parents make to get their children to sleep–including the inclination to rock and feed
  • Explores the different sleep cycle needs for different temperaments–from quiet babies to hyperactive toddlers
  • Emphasizes the significance of a nap schedule

Rest is vital to your child’s health growth and development. Healthy Sleep Habits, Happy Child outlines proven strategies that ensure good, healthy sleep for every age. Advises parents dealing with teenagers and their unique sleep problems."

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Sleepwalker: The Mysterious Makings and Recovery of a Somnambulist [hardcover] by Kathleen Frazier; foreword by Mark Mahowald
Category: Nonfiction, Memoir
Publisher: Skyhorse Publishing
Publication Date: September 8, 2015 - Preorder now
Pages/Price: 240pp, $24.99
ISBN-10: 1634502353
ISBN-13: 978-1634502351

From the publisher: "Every evening, each of us, alone and in the light of our own circumstances, surrenders to sleep—or tries to.

Sleep is nothing if not mysterious. A practice in letting go. A measure of trust.

Growing up the good girl in an Irish American family full of drinkers and terrible sleepers, Kathleen Frazier was twelve when her seemingly innocent sleepwalking turned dangerous. After her brother’s first suicide attempt, Kathleen’s sleepwalking incidents spiraled into a sort of nighttime mirroring of her brother’s waking pain. By day, she was a popular, A+ student, the star of her high school musical. At night, she both longed for and dreaded sleep.

Frazier moved to Manhattan in the 1980s, hoping for a life in the theater. What she got was a run of sleepwalking performances, sometimes with a shocked audience, sometimes solo. Efforts to abate her malady with drinking failed miserably. She became promiscuous looking for nighttime companionship. Could a bed partner save her from flinging herself down a flight of stairs or out an open window? Danger heightened in a city burgeoning with AIDS. Exhaustion stalked her. Through such a dark night of the soul, would she ever find rest, let alone love?

This is the journey Frazier illuminates in her intimate memoir, Sleepwalker. While highlighting her quest to beat her sleep terrors and insomnia, this is ultimately a story of health, hope, and redemption."


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SleepyHeadCENTRAL strongly encourages people with ongoing sleep health problems to approach a medical professional to determine appropriate differential diagnoses and treatment. This post, like all other posts on SHC, is not intended to substitute for medical advice.

See SLEEP STUFF series main disclosure notifications here regarding any products discussed on this blog. 



29 June 2015

JULY is Sleep Products Month at SleepyHeadCENTRAL--Introducing SLEEP STUFF

There's a burgeoning market for sleep products that can't be ignored, so SleepyHeadCENTRAL is spending July calling attention to some items that have recently captured attention. SHC will discuss seven categories of products this month, including the following:

  • Anti-snoring devices
  • Smartphone apps
  • CPAP maintenance products
  • Nightstand items
  • Light therapy
  • Wearable technology
  • Books on sleep

READERS
Please note that SHC does not have the capacity or ability to "road test" many consumer products. Product highlights, examinations or reviews posted at SHC are for consumer education only; when products have not been tested, they are primarily mentioned as possible options for some readers.

You, as the consumer, are ultimately responsible for your own buying decisions, and SHC encourages consumers to research sleep health products thoroughly and independently. Because the market for these kinds of products is so spectacularly wide, SHC's aim is to show readers that there are many options out there. Your best move as a consumer is to make the most informed choice for your particular situation.

If readers want to learn more about a specific sleep health product, and SHC has not yet examined that product, they are invited to leave SHC a message at sleepyheadcentral@gmail.com and SHC will add these requests to its growing list of consumer options to review in a future post at SHC. Thanks!

Including product highlights, examinations and reviews on the SHC site prompts some important legal language to be shared here to protect SHC and its readers. Please note the following disclosures and disclaimers below. They are applicable not only to SHC and its agents, but to all others participating independently in discussions about these products on the SHC site, which may include patients and healthcare professionals.
  • SHC does not, as of the date and time of this post, have any longstanding or preexisting relationships with any product manufacturers.
  • The process of selecting products for highlighting, examination or review in posts at SHC is random and driven by SHC's own curiosity and exposure to new items as seen on the Internet, at trade shows, at conferences and at other incidental events.
  • SHC will always report how or whether they received any product, if it is highlighted, examined or reviewed at the site.
  • A future highlight, examination or review of any product on SHC constitutes no special relationship between SHC and any product manufacturer. SHC simply decided to write about it.
  • SHC reserves the right to post both positive and negative reviews of any given product, but only if these products have actually been tested by SHC.
  • If SHC receives free products or free meals or gifts from product manufacturer representatives, that does not mean SHC will write and post highlights, examinations or reviews about these products, nor does it imply any endorsement of these products from SHC either in the digital world or the real world.
  • If SHC receives material compensation (products, cash, gifts, meals) after highlighting, examining or reviewing a product independently, SHC will report this new affiliation to readers.
  • Sometimes SHC receives free items in the mail; sometimes SHC asks for samples. SHC will let readers know in either case.
PRODUCT MANUFACTURERS
If you have a product you would like SHC to learn more about, you may send your product with all manufacturing and usage information to SHC at the address below. This does not guarantee SHC will use, examine, review or highlight your product in the future. But if you really think it's something that SHC readers could benefit from, feel free to send it along, and SHC will take a look. Products given freely to SHC will never be resold, but they may be given away freely to third parties, including readers, sleep health professionals or family members of friends for the purposes of testing or examining. This form of sharing does not imply endorsement of these products by SHC. 

SleepyHeadCENTRAL
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PMB 204, Ste. D-3
Bainbridge Island, WA 98110



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SleepyHeadCENTRAL strongly encourages people with ongoing sleep health problems to approach a medical professional to determine appropriate differential diagnoses and treatment. This post, like all other posts on SHC, is not intended to substitute for medical advice.