141. AikenPulmonary.com Provides information on services offered and education for treatments of Asthma, Lung Disease, Emphysema, sleep apnea, and other breathing conditions. http://www.aikenpulmonary.com/

Aiken Pulmonary Associates 68 Physician Drive Aiken, South Carolina 29801 info@aikenpulmonary.com The simple act of drawing a breath is something that many people cannot take for granted. Asthma, Lung Disease, Emphysema, Sleep Apnea and a host of other breathing problems and disorders affect the lives of countless people each and every day. These diseases and disorders are addressed by the field of pulmonology Such serious health problems require serious care, and Aiken Pulmonary Associates excel in the treatment of these problems and many more. Aiken and it's surrounding communities are fortunate to have Drs. Nicholas J. Sanito and Miroslav B. Zotovic to aid those who find that simply breathing isn't so simple after all. To find out how to schedule an appointment with one of our physicians, click here Dr. Sanito and Dr. Zotovic and the staff of Aiken Pulmonary Associates are glad that you are viewing this web site and you are either a patient, considering becoming our patient or have an interest in what we do here. This web site is intended to introduce you to this practice, provide you with lots of information that may ease some of your uncertainty before you visit us in person for the first time, and keep you up-to-date on "stuff" going on in our office. Please browse this web site and learn more about what we do here, such as:

142. Apnea Resources. Apnea. American sleep apnea Association 1424 K Street, NW, Suite 302 Washington, DC 20005 202293-3650 http//www.sleepapnea.org. http://www.pediatricservices.com/res-apnea.htm

Resources Apnea American Sleep Apnea Association 1424 K Street, NW, Suite 302 Washington, DC 20005 http://www.sleepapnea.org General Resources Early Intervention Government Resources ... Williams Syndrome Unable to find what you're looking for? Search the entire site to find information about any subject we have information on. Instructions: Type a word or words into the form below and press the Search button. You may use "quotation marks" to search for a phrase. Adding a plus sign (+) before a word or phrase will require its presence; adding a minus sign (-) before a word or phrase will require its absence. Home Parents' Corner Parents' Corner Archive Professional Corner ... Confidentiality 12306 Los Osos Valley Road San Luis Obispo, California 93405

143. Sleep Apnea Treatment Could Save Lives & Money By Reducing Auto Accidents, Accor be saved and $11.1 billion in automobileaccident costs could be avoided if drivers who suffer from a disorder called obstructive sleep apnea were successfully http://www.eurekalert.org/pub_releases/2004-05/uoc--sat042204.php

Public release date: 1-May-2004 Contact: Sue Pondrom spondrom@ucsd.edu University of California - San Diego Each year, potentially 980 lives could be saved and $11.1 billion in automobile-accident costs could be avoided if drivers who suffer from a disorder called obstructive sleep apnea were successfully treated with continuous positive airway pressure (CPAP), according to a study by researchers at the University of California, San Diego (UCSD) School of Medicine. Published in the May 2004 issue of the journal Sleep, the study determined the percentage of accidents related to sleep apnea and applied the success rate of treatment to conclude how many of these accidents could potentially have been prevented. The research team noted that 1,400 fatalities each year are caused by sleep-deprived drivers with obstructive sleep apnea, a breathing disorder caused by intermittent blockage of the airway. The condition is a common problem affecting millions of Americans. During sleep, these individuals stop breathing for 10 to 30 seconds at a time, sometimes up to 400 times a night. As a result of poor quality sleep, persons with sleep apnea experience excessive daytime sleepiness which can lead to motor vehicle crashes. The most common, effective treatment for obstructive sleep apnea is CPAP, where a patient wears a mask over the nose during sleep. Pressure from an air blower forces air through the nasal passages, preventing the throat from collapsing while the individual sleeps.

144. Silent Partners Sleep Clinic Located in uptown Toronto, Silent Partners Sleep Laboratory is a seven bed laboratory with state of the art equipment. We diagnose and treat many different kinds of sleep disorders including snoring, sleep apnea, insomnia, periodic leg movement and restless leg syndromes, narcolepsy and parasomnias. http://www.silentpartners.org

Sleep ENT Audiology Search this site Number of Vistors since July 2000 Welcome Mrs. D. Jones Established in 1994, Silent Partners is located uptown Toronto and has expanded to Trenton. Qualified medical staff ensures that over-night stay is as comfortable as possible and during the day, analysis of the studies occurs. Our Technical Directress, Ms. Carolyn Kemp and our Human Resource Manager, Mrs. D. Jones, are here to help you and your staff with any of your clinical and technical questions regarding our facility, the services we provide and and your sleep study. Silent Partners Sleep Clinic is one of the first sleep facilities to be accredited by the Independent Health Facility(IHF) under the College of Physician's and Surgeons of Ontario (CPSO). You can be rest assured that this facility is always within the s tandards of any governing body related to sleep medicine here in Ontario.

145. Saxon Lifetime Center Cosmetic, plastic and laser surgery, collagen, rhinoplasty, implants, sleep apnea, snoring treatment, and liposuction. http://www.saxoncenter.com/

146. Infants With Obstructive Sleep Apnea Treated Successfully At Home Infants With Obstructive sleep apnea Treated Successfully At Home NORTHBROOK, IL July 13, 1999 Infants with obstructive sleep apnea (OSA) can be safely http://www.pslgroup.com/dg/1124F2.htm

147. Sleep Apnea From the American Academy of Family Physicians http://familydoctor.org/212.xml

Advanced Search familydoctor.org Home Sleep Apnea What is sleep apnea? How do I know if I have sleep apnea? Is sleep apnea dangerous? Is there anything I can do to help my sleep apnea? ... Will this problem change my life? Sleep Apnea Printer-friendly version Email this article What is sleep apnea? People with sleep apnea stop breathing for 10 to 30 seconds at a time while they are sleeping. These short stops in breathing can happen up to 400 times every night! If you have sleep apnea, the periods of not breathing may make you wake up from deep sleep. If you are waking up all night long, you aren't getting enough rest from your sleep. There are two kinds of sleep apnea: obstructive apnea and central apnea. Obstructive sleep apnea is the most common type. Nine out of 10 people with sleep apnea have this type of apnea. If you have obstructive apnea, something is blocking the passage or windpipe (called the trachea) that brings air into your body. You keep trying to breathe, but you can't get enough air because of the blockage. Your windpipe might be blocked by your tongue, tonsils or uvula (the little piece of flesh that hangs down in the back of your throat). It might also be blocked by a large amount of fatty tissue in the throat or even by relaxed throat muscles. Central sleep apnea is rare. This type is called central apnea because it is related to the function of the central nervous system. If you have this type of apnea, the muscles you use to breathe don't get the "go-ahead" signal from your brain. Either the brain doesn't send the signal, or the signal gets interrupted.

148. Berkeley Parents Network: Sleep Apnea See also Snoring; Tonsils Does snoring mean sleep apnea? Aug 1999 Now you know! Save your family members! Is daughter s lack of growth due to sleep apnea? http://parents.berkeley.edu/advice/sleep/apnea.html

Berkeley Parents Network Home Subscribe Post Reviews ... Search Sleep Apnea Berkeley Parents Network Advice Sleep > Sleep Apnea Does child's snoring mean Sleep Apnea? (2 y o) Is child's lack of growth due to sleep apnea? (3 y o) See also: Snoring Tonsils Does snoring mean Sleep Apnea? Aug 1999 Does anyone have experience with their children's sleep apnea? My son (2 yrs old) snores terribly and seems to have trouble getting the breathing technique down at night. He can't seem to breath through his nose and sometimes will wake himself up trying to get air through. Obviously he breathes through his mouth, but when he's not in a deep sleep, he struggles with how to do it. It's painful for me to watch, not to mention the loud snoring and flopping around on the bed when he wakes up. We sleep together, so I get to participate in these events. I did see an ear/nose/throat doctor who said he did have big tonsils and probably big adenoids, but would need an x-ray to know for sure. We didn't really get into the subject of surgery, but it may come to that. However, the doc said he may outgrow it too. I really don't want to face surgery, but of course I don't want my son to lose sleep either. Thanks. Is daughter's lack of growth due to sleep apnea?

149. North Bay Sleep Medicine Institute Located in Santa Rosa, California. Medical Specialists for snoring, sleep apnea, restless legs and insomnia. Includes information for clinicians, patients and contact details. http://www.nbsmi.com

150. UCI DEPARTMENT OF OTOLARYNGOLOGY/HEAD & NECK SURGERY -- Snoring/Sleep Apnea Info (It is important to understand the difference between Snoring and sleep apnea, because an individual may be afflicted with one, or the other, or both.). http://www.ucihs.uci.edu/otohns/pubarea-entdo-snore.html

(See End of this page for more information on UCI's Center for Snoring and Sleep Disorders) (It is important to understand the difference between Snoring and Sleep Apnea, because an individual may be afflicted with one, or the other, or both.) Tired during the day? Tired of a poor night's sleep? Want to go from this to this? Individuals who snore may also suffer from obstructive sleep apnea syndrome (OSAS). There are a variety of treatments for each disorder, and our Department has had extensive experience in treating patients who suffer from both kinds of sleep disorders. Many people snore. It has been estimated that anywhere from 30 - 50% of the United States population snore at some time or another. Significant snoring is sometimes described as "heroic" snoring, in which the snoring loudness may be heard more than two bedrooms away. Such snoring may cause several problems: Marital Discord Sleep disturbances (from spousal prodding) Waking episodes (from one's own snoring) Frequent association with OSAS Snoring is not sleep apnea, and sleep apnea is not snoring. Snoring is a social problem, as indicated above, and may be associated with significant sleep disturbance, waking episodes, etc. without OSAS. However, many patients with loud snoring do have significant obstructive sleep apnea.

151. Dr. Norman E. Bryan, DDS General Dentist with a special interest in TemporalMandibular Joint Dysfunction and sleep apnea. http://www.drbryan.com/

152. UPHS Health Topics: Sleep Apnea/What Is OSAHS? 1800-789-PENN, What is obstructive sleep apnea hypopnea syndrome? Obstructive sleep apnea is a condition that includes both apnea and hypopnea. http://www.pennhealth.com/health_info/tips/sleep/sleep_apnea/what_osahs.html

Health Topics What is OSAHS? Who gets this disease? Why does it occur? How is normal breathing restored? ... Can OSAHS be prevented? Symptoms Common symptoms of OSAHS Physical findings Making a Diagnosis How is OSAHS diagnosed? How is OSAHS treated? Choosing a health care provider Tips for managing OSAHS Future Outlook Research FAQs Frequently asked questions Back to Sleep and Sleep Disorders 1-800-789-PENN What is obstructive sleep apnea hypopnea syndrome? The term "apnea" means a pause in breathing. Everyone occasionally takes small pauses in breathing. However, it's abnormal to pause breathing during sleep for 10 seconds or more. When breathing completely stops for this long, we call it "apnea." When breathing continues, but is decreased to half of what it had been for 10 or more seconds, we call it "hypopnea." Obstructive sleep apnea is a condition that includes both apnea and hypopnea. In fact, "sleep apnea" soon will be renamed as obstructive sleep apnea hypopnea syndrome (OSAHS) to be more inclusive of related problems. Therefore, this is the term we will use to describe the condition. OSAHS is a disease in which the airway collapses or closes off somewhere between the nostrils and the vocal cords during sleep. One of the most fascinating features about this syndrome is that it occurs only in sleep.

153. Sleep Apnea Fact sheet about this serious, potentially lifethreatening condition that is far more common than generally understood. Symptoms and treatment information. http://www.sleep-net.com/apnea.htm

About Sleep Apnea WHAT IS SLEEP APNEA? Sleep apnea is a serious, potentially life-threatening condition that is far more common than generally understood. Early recognition and treatment of sleep apnea is important because it may be associated with irregular heartbeat, high blood pressure, heart attack, and stroke. Sleep apnea may be characterized by choking sensations. The frequent interruptions of deep, restorative sleep often lead to early morning headaches and excessive daytime sleepiness. Certain mechanical and structural problems in the airway may cause interruptions (apneic events) in breathing during sleep. In some people, apnea occurs when the throat muscles and tongue relax during sleep and partially block the opening of the airway. When the muscles of the soft palate at the base of the tongue and the uvula (the small fleshy tissue hanging from the center of the back of the throat) relax and sag, the airway becomes blocked, making breathing labored and noisy and even stopping it altogether. Sleep apnea also can occur in obese people when an excess amount of tissue in the airway causes it to be narrowed. With a narrowed airway, the person continues his or her efforts to breathe, but air cannot easily flow into or out of the nose or mouth. Unknown to the person, this results in heavy snoring, periods of no breathing, and frequent arousals (causing abrupt changes from deep sleep to light sleep).

154. Sleep Apnea At SleepDisorders.com Sleepville.com Interesting link with information on sleep apnea. sleepdisorders.about.com sleep apnea is a disorder in which a person http://www.sleepdisorders.com/apnea.html

Sleepville.com Interesting link with information on Sleep Apnea. sleepdisorders.about.com Sleep Apnea is a disorder in which a person repeatedly stops breathing... drkoop.com During sleep, relaxation of the muscles at the base of the throat cause obstruction of the airway, with extremely loud snoring and labored breathing. drkoop.com The most common symptoms of obstructive sleep apnea hypopnea syndrome (OSAHS) are sleepiness, fatigue and lack of energy. mayohealth.org Sleep apnea and hypertension: Middle-aged and older people with sleep apnea have a 45 percent higher risk for high blood pressure (hypertension) compared with similar people. HealthAtoZ.com Sleep apnea is a serious breathing disorder that causes brief interruptions in a person’s breathing during sleep . (The term apnea means "without breath."). Learn the difference between snoring and sleep apnea at this site! SleepDisorders.com

155. Texas Sleep Disorders Center - John D. Seifert M.D. Treatment of snoring, sleep apnea, insomnia, night terrors, sleep walking, bed wetting and narcolepsy. http://Texassleepdisorders.com

At Texas Regional Sleep Disorder Center, our approach to snoring and sleep apnea is comprehensive. Snoring is caused by an obstruction of air while one Is sleeping as it passes through the nose and to the back of the throat, or pharynx. Many times the snoring is not serious enough to cause any physical illness. Other times the snoring is a symptom of a very severe obstruction of breathing and the body has to work to breath to maintain normal bodily functions. If one has sleep apnea, breathing can stop for up to five minutes and during this time, when the breathing has stopped, the pulse increases and the blood pressure increases so as to give emergency needs of oxygen to the body. If this process Is allowed to progress then the individual having this is more prone to permanent high blood pressure, cardiovascular disease, leading to stroke and sudden death. Sleep apnea can affect people of all ages. Children get sleep apnea from enlarged tonsils and adenoids. This can happen in a newborn. This is usually manifested in children by fatigue, irritability, and of course, the audible snoring and breathing sensations. Breathing obstruction can be either in the nose or in the oral pharynx. In the nose, it is caused by cartilaginous or bony obstruction of the nasal septum which divides the nose into right and left compartments. It also can be caused by chronic sinusitis when one assumes the recumbent position, the infectious material rolls out of the paranasal sinuses and stops us the nose making one breathe through their mouth. After a period of time, this gasping for air through the mouth causes elongation of the soft palate and uvula, and later the tongue will press against the soft palate and uvula which has been elongated by this sleep apnea process, and breathing will stop.

156. AAP - Clinical Practice Guideline: Diagnosis And Management Of Childhood Obstruc Clinical Practice Guideline Diagnosis and Management of Childhood Obstructive sleep apnea Syndrome. Obstructive sleep apnea in infants and children. J Pediatr. http://www.aap.org/policy/re0118.html

Practice Guideline Pediatrics Volume 109, Number 4 April 2002, pp 704-712 Clinical Practice Guideline: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome AMERICAN ACADEMY OF PEDIATRICS Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome Technical Report: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome ABSTRACT. This clinical practice guideline, intended for use by primary care clinicians, provides recommendations for the diagnosis and management of obstructive sleep apnea syndrome (OSAS). The Section on Pediatric Pulmonology of the American Academy of Pediatrics selected a subcommittee composed of pediatricians and other experts in the fields of pulmonology and otolaryngology as well as experts from epidemiology and pediatric practice to develop an evidence base of literature on this topic. The resulting evidence report was used to formulate recommendations for the diagnosis and management of childhood OSAS. The guideline contains the following recommendations for the diagnosis of OSAS: 1) all children should be screened for snoring; 2) complex high-risk patients should be referred to a specialist; 3) patients with cardiorespiratory failure cannot await elective evaluation; 4) diagnostic evaluation is useful in discriminating between primary snoring and OSAS, the gold standard being polysomnography; 5) adenotonsillectomy is the first line of treatment for most children, and continuous positive airway pressure is an option for those who are not candidates for surgery or do not respond to surgery; 6) high-risk patients should be monitored as inpatients postoperatively; 7) patients should be reevaluated postoperatively to determine whether additional treatment is required.

157. Www.sleepguy.com - Vancouver Island SLEEP Associates - 250-592-REST(7378) Offers products and services related to sleeping disorders including sleep apnea and snoring. http://www.sleepguy.com/

Vancouver Island SLEEP Associates - HOME - OUR GOAL: Suite 304-1625 Oak Bay Avenue, Victoria, BC V8R 1B1 Tel. 250-592-REST (7378) or Toll-free 888-512-7378 sleep, slepp apnea, sleep therapy, sleepguy, insomnia, disorders, breathing disorders, sleep treatment, sleep problems, CPAP, Victoria, Brtish Columbia, Canada, Thom Russell, Dr. Allan Oliver, sleep specialists, sleep clinic, snoring, pathologic sleep disorders

158. Sleep Apnea, Obstructive Sleep Apnea, REM, Stage 1, Narcolepsy, Insomnia, Catapl Snores heavy, for yrs.; she notices apnea spells. . This is about as classic a history for sleep apnea as a doctor can hope for. http://www.mtsinai.org/pulmonary/Sleep/OSA.htm

"Doctor, my husband stops breathing during sleep." Lawrence Martin, M.D., FACP, FCCP Living is a disease from which sleep gives us relief eight hours a day. S. R. N. Chamfort Death, so called, is a thing which makes men weep: And yet a third of Life is passed in sleep. Lord Byron No small art is it to sleep: it is necessary for that purpose to keep awake all day. Friedrich W. Nietzsche Even where sleep is concerned, too much is a bad thing. Homer And if tonight my soul may find her peace in sleep, and sink in good oblivion, and in the morning wake like a new-opened flower then I have been dipped again in God, and new-created. D. H. Lawrence All men whilst they are awake are in one common world: but each of them, when he is asleep, is in a world of his own. Plutarch Sleep that knits up the ravelled sleeve of care The death of each day's life, sore labour's bath Balm of hurt minds, great nature's second course, Chief nourisher in life's feast. William Shakespeare Diagnosis [Note: Names and some features of the patient have been changed to protect identity. None of the information in this story should be construed as specific medical advice for any individual. Anyone concerned about excessive sleepiness or abnormal sleep should consult his/her physician.] September 4 Horace Wagner's problem is apparent in the first few minutes of his first visit. Not from any special clinical skill on my part, but because he shows up with his wife. In fact she made the appointment, and came along to provide the medical history.

159. Sleep Apnea sleep apnea. WHAT IS sleep apnea? sleep apnea is a serious, potentially lifethreatening condition that is far more common than generally understood. http://www.stmarysmaine.com/other_health/diagnostics/sleep_apnea.html

Find a Doctor Emergency Department Oncology Neurosurgery ... Outpatient Services Sleep Apnea WHAT IS SLEEP APNEA? Sleep apnea is a serious, potentially life-threatening condition that is far more common than generally understood. First described in 1965, sleep apnea is a breathing disorder characterized by brief interruptions of breathing during sleep. It owes its name to a Greek word, apnea , meaning "want of breath." There are two types of sleep apnea: central and obstructive. Central sleep apnea, which is less common, occurs when the brain fails to send the appropriate signals to the breathing muscles to initiate respirations. Obstructive sleep apnea is far more common and occurs when air cannot flow into or out of the person's nose or mouth although efforts to breathe continue. In a given night, the number of involuntary breathing pauses or "apneic events" may be as high as 20 to 30 or more per hour. These breathing pauses are almost always accompanied by snoring between apnea episodes, although not everyone who snores has this condition. Sleep apnea can also be characterized by choking sensations. The frequent interruptions of deep, restorative sleep often lead to early morning headaches and excessive daytime sleepiness.

160. Snore/Stress Relieving Device (SSRD) Snoring Treatment Treatment with the Snore/Stress Relieving Device (SSRD). An effective, noninvasive oral device that attacks snoring and obstructive sleep apnea. Dr. Farhad Hakimi, New York. http://www.hakimi-online.com/

Snore/Stress Relieving Device (SSRD) Dr. Farhad Hakimi, a board certified maxillofacial prosthodontist, began to study respiratory obstructive sleep disorders when a colleague referred a patient to him who suffered from obstructive sleep apnea but did not want to undergo surgery. Dr. Hakimi recognized that the problem for most people suffering from these disorders was the tongue sliding backward in the mouth. Using expertise gained from 15 years as a Professor of Dentistry at New York University, he designed an innovative oral device called the Snore/Stress Relieving Device (SSRD). The SSRD is designed to slightly reposition and stabilize the lower jaw and tongue, thus freeing the air passage for comfortable breathing. This invention was patented and recently was approved by the U.S. Patent Office. The SSRD is a highly effective, non-invasive treatment for snoring and obstructive sleep apnea. The success rate for patients using the

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