resmed new record

ResMed New Record: One Billion Nights of Sleep Data Monitored

ResMed new record in digital connected care: One billion nights of sleep data have been downloaded using ResMed’s remote patient monitoring platform, AirView.

“One billion isn’t just a big number,” says Atul Malhotra, MD, chief of the Division of Pulmonary and Critical Care Medicine and director of Sleep Medicine at UC San Diego Health, in a release. “It’s a major milestone that holds great promise for future research and the treatment of sleep apnea and other respiratory conditions through connected health tools.”

“We are about to enter a new phase of sleep research and sleep understanding,” says Malhotra, also immediate past president of the American Thoracic Society, “using big data to improve patients’ well-being.”

Mick Farrell, ResMed CEO, says, “This unprecedented amount of data enables predictive analytics to help physicians and providers better manage patients’ sleep apnea and COPD therapy, and ultimately improve their overall health. Reaching one billion nights is about more than just big data; it’s a testament to how the adoption and meaningful use of technology benefits patients, physicians, and providers everywhere, and we couldn’t be more pleased to start 2017 with this exciting news—this is just the beginning!”

More than 3 million patients being monitored by AirView, more than 200,000 diagnostic tests processed in ResMed’s cloud, and more than 1,000 patients per day signing up for myAir to track their own therapy use on ResMed Air10 devices.

Sleep centers are also excited about ResMed’s milestone and the general advancement of remote monitoring.

Original Source:

http://www.sleepreviewmag.com/2017/01/resmed-reaches-one-billionth-night-sleep-monitored/

ResMed New Record: One Billion Nights of Sleep Data Monitored

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take sleep aids

Is It Safe to Take Sleep Aids During Long Haul Flights?

Should you take sleep aids on a flight? According to Aneesa Das, M.D., a sleep medicine specialist at the Ohio State University, you can skip medication if you’re only on a short trip (just stay awake instead), and reserve it for those overnight flights when you’re jumping across multiple time zones. Some pills are stronger than others, and some have side effects that may outweigh the extra sleep. Here’s what to know about three common medications.

Ambien

Ambien—the most powerful option on this list and the only one that requires an Rx—works as asedative-hypnotic medication that slows your brain activity to make you feel very sleepy. Some users experience retroactive amnesia, which means you could wake up mid-flight, have a full conversation with the flight attendant, and have no memory of it when morning comes, Das says. Ambien can also lead to sleepwalking. But it’s not all bad. Zolpidem (the generic name for Ambien) has been shown to fight off jet lag, finds a study published in Aviation, Space, and Environmental Medicine.

Tylenol PM

The over-the-counter medication is easy to pick up at the drugstore. Diphenhydramine, the same antihistamine found in Benadryl, will likely put you to sleep, though you may pay the price once you land. “It makes us feel really groggy when we wake up, and it can make us feel really hungover,” Das says. The antihistamine may also leave you with a dry mouth. Still, Das says it’s okay to take so long as you’ve tolerated it in the past.

Melatonin

The hormone occurs naturally in the body, but taking an extra dose helps induce sleep and adjust your circadian clock. Start taking melatonin a few days before your trip, about four to six hours before your bedtime, so that you’re ready to hit the pillow 30 minutes to an hour earlier than normal, Das says. A review from U.K. researchers found melatonin decreases jet lag if you take it close to your target bedtime at your destination, especially if you’re traveling across five or more time zones. The researchers found doses of .5 and 5 milligrams were equally effective at preventing jet lag, though the larger (maximum) dose will help you fall asleep quicker and sleep better. Another plus? There are no major side effects to worry about. (Note: The FDA does regulate dietary supplements such as melatonin, but these regulations are less strict than those for prescription or over-the-counter medications; check with your doctor for an appropriate recommendation.)

If you decide to take sleep aids, make sure to follow the ground rules. First, give it a test run at home. “You want to know how your body tolerates it before you go,” Das says. Then, once you’re settled into your seat, pass on booze and don’t pop the medicine until the flight attendants have gone over safety instructions.

Original Source:

http://www.cntraveler.com/story/should-you-take-sleeping-pills-on-a-flight

Is It Safe to Take Sleep Aids During Long Haul Flights?

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Use of Melatonin Sleep-Aids in Alzheimer's Patients

The Use of Melatonin Sleep-Aids for Alzheimer’s Patients

Melatonin is an all-natural sleep aid, but it has not been evaluated by the FDA for safety, effectiveness or purity or been approved for medicinal use. Potential risks or advantages of melatonin are unknown, and there are no regulated manufacturing standards in place for these supplements.

Though some success has been shown in using melatonin for a sleep aid, the issue is that the FDA classifies it as a dietary supplement, and that allows companies to sell melatonin in varying dosages.

Researchers have concluded that the correct dosage is between .3 and 1 mg, but since the dosages vary so much on bottles of the supplement, it can be risky not knowing the actual dosage you are taking.

According to MIT neuroscientist Dr. Richard Wurtman, who introduced melatonin 20 years ago, an overdose of melatonin can upset the body’s natural processes and rhythms and produce opposite effects of the intention, meaning, it can actually cause next-day drowsiness. More research needs to be done on the side effects of melatonin to ease sleep and sundowning problems in those with Alzheimer’s or dementia. When used correctly with the right dosage, the supplement can encourage sleep. However, prolonged use of melatonin actually increases insomnia, and changes how the individual reacts to it.

Original Source:

http://theadvocate.com/features/people/14649611-32/alzheimers-qa-is-melatonin-a-safe-sleep-aid-for-individuals-with-alzheimers-disease

The Use of Melatonin Sleep-Aids in Alzheimer’s Patients

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sleep medicine guidelines

Sleep Medicine Guidelines for Telemedicine

What is Telemedicine?

Telemedicine is the use of telecommunication and information technologies to provide clinical healthcare. It is quickly becoming a part of the healthcare landscape.The American Academy of Sleep Medicine (AASM)Taskforce on Sleep Telemedicine supports telemedicine as a means of advancing patient health by improving access to sleep medicine specialists, but says this improved access must be anchored in attention to quality in sleep disorder diagnosis and treatment. As such, the taskforce has developed specific guidelines intended for sleep medicine practitioners who may want to integrate telemedicine into their practice.

Guidelines, Benefits, and Limitations

According to the AASM, as the number of those seeking healthcare expands and the number of healthcare professionals lessens, more efficient and accessible ways to provide services beyond the traditional office model are needed, especially in sleep medicine.

Telehealth applications are increasingly seen as tools to deliver cost effective care and increase accessibility, and sleep medicine already utilizes telehealth applications for the diagnosis and monitoring of sleep apnea. Based on the limited number of sleep specialists and their varying geographic distribution, telemedicine provides a good alternative to help patients who might not otherwise have access,

However, as telemedicine is an emerging form of patient care, there are limitations as insurance and state regulations come into play. For Safwan Badr, MD, staff physician at the John D. Dingell VA Medical Center and the Detroit Medical Center and professor and chief of the division of pulmonary, critical care, and sleep medicine at Wayne State University School of Medicine, one example is that states do not allow for controlled substances to be prescribed to a patient that the provider has not seen in person.

Despite the limitations, there are clear benefits to this new practice, and greater access to sleep medicine specialists may help those who suffer from sleep disorders and related ailments. For Badr, technology is always advancing, and with the benefits of a home sleep apnea test, and the ability to follow up with live interactive telemedicine, there is the opportunity to treat many who otherwise might not have received care.

Taskforce Recommendations

The new guidelines on telemedicine developed include a range of ideals, from the role and responsibilities of sleep medicine providers to the quality of clinical care standards. To begin, the group writes that clinical care standards for telemedicine services should mirror those of in-person office visits, including all aspects of diagnosis and treatment.

1. Delivery of sleep telemedicine should be clearly defined

2. Clinical judgment should also be exercised by sleep medicine providers when determining the scope and extent of telemedicine applications in the treatment and diagnosis of patients.

3. No matter what the delivery model, the primary responsibility of all healthcare providers is to provide the highest quality patient care.

4. The use of telemedicine services and its equipment should adhere to strict ethical and professional standards so it does not violate the intent of the telemedicine interaction while striving to improve patient access and quality of care

5. Time for data management and quality processes should be recognized in value-based care delivery models.

6. Quality assurance processes should be in place for telemedicine care delivery models that aim to capture process measures, patient outcomes, and patient/provider experiences with the model(s) employed.

7. In regards to reimbursement, the taskforce recommends that “live interactive telemedicine” for sleep disorders be recognized and reimbursed in a manner competitive or comparable with traditional in-person visits. The group also proposes that when billing for telemedicine services, it is recommended that providers, patients, and others rendering services understand payor reimbursement.

8. The use of sleep telemedicine may possibly expand, further research is needed on the impact and outcomes of its use in sleep as well as healthcare in general.

Overall, according to the taskforce, the practice of telemedicine should aim to promote a care model in which patients sleep specialists, and other healthcare providers strive to improve the value of healthcare delivery in a coordinated fashion.

For more information, please visit the original source:

http://www.sleepreviewmag.com/2015/11/standards-for-telemedicine-use-sleep-medicine/

Sleep Medicine Guidelines for Telemedicine

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