Sleep Deprivation

This image, I found the other day,  is a great summary of the effects from sleep deprivation:  

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AAA Drowsy Driving Numbers Signal Large Problem

AAA has confirmed the effects of sleep deprivation. Here’s an article for your consideration:The AAA Foundation for Public Safety’s long-awaited report on the effects of drowsy driving concluded that as much as 21% of crashes (from 2009-2013) in which a person was killed, likely involved a drowsy driver. “If these proportions are applied to all reported crashes nationwide, results suggest that an average of 328,000 crashes annually, including 109,000 crashes that result in injuries and 6,400 fatal crashes, involve a drowsy driver,” wrote AAA analysts in a report released this week. According to the National Highway Traffic Safety Administration (NHTSA), approximately 1.4% of all motor vehicle crashes in the United States, 2.2% of those that resulted in injuries, and 2.5% of all fatal crashes in years 2005-2009, involved a drowsy driver, and those crashes resulted in a total of 5,021 deaths over those years. “However, the official government statistics are widely regarded as a substantial underestimates of the true magnitude of the problem,” writes AAA. “This study estimates that as many as 6% of all crashes in which a passenger vehicle is towed from the scene, 7% of crashes that result in any injuries, 13% of crashes that result in sever injuries requiring hospitalization, and 21% of fatal crashes involve a drowsy...

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Standards for Dental Sleep Medicine Facility Accreditation

Dr.Pick’s dental facility has been recognized as one of only 30 dental sleep facilities in the United States certified by the American Academy of Dental Sleep Medicine. Once again this certification is another example of Dr. Pick’s desire to provide quality dental sleep oral appliance services to his sleep apnea patients. Dental sleep medicine facilities that seek to earn accreditation through the AADSM must meet the quality measures outlined in the Standards for Accreditation of Dental Sleep Medicine Facilities. These standards were created in order to ensure that accredited facilities demonstrate proficiency, practice, and professionalism in the treatment of patients with sleep apnea and sleep-related breathing disorders. Through adherence to these Standards, accredited facilities demonstrate a commitment to excellence in the knowledge, experience and ability of dental sleep medicine facilities to manage ongoing care for patients: Proficiency Accredited facilities must adhere to the Standards for the appointment, responsibilities and continuing education of staff including a dental director, clinical auxiliaries and coding and billing personnel. Practice Policies and procedures regarding the acceptance of patients, documentation, patient treatment and billing at an accredited facility must be developed and followed in order to meet the Standards for accreditation. Professionalism Adherence to Standards regarding safety, consumer service and follow-up must be met to ensure that patients receive optimal care at an accredited...

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AACP 29th Annual International Clinical Symposium

Dr. Pick attended this meeting and received two academic and clinical certifications. Dr. Pick joined a group of very select sleep dentists by adding certification from the American Board of Craniofacial Pain. He was named a Diplomate of Craniofacial Dental Sleep Medicine, a relatively new certification that recognizes the connection between the jaw position and the openness of the airway. This position also is critical in determining any underlying jaw joint functional issues. Also, Dr. Pick was recognized for his efforts in attaining Diplomate, American Board of Craniofacial Pain in May of 2013. This meeting’s graduation ceremonies for both Diplomates were academic and clinical goals that were years in progress and preparation. Dr. Pick’s certifications involved hundreds of hours of continuing education hours pertaining to sleep medicine, craniofacial pain, and TMJ treatments. Written exams, oral exam presentations, and case studies were the requirements for these particular certifications. These difficult Diplomate accomplishments are truly a recognition of Dr. Pick’s quest in providing the best diagnostic and treatment services for his...

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Army Surgeon General Reiterates Importance of Proper Sleep

Here’s an interesting article that expresses the deep concern for sleep deprivation and its ramifications on anyone’s workplace activities. Alcohol or poor sleep? For the military, it just may be a game of “pick your poison” after the Army Surgeon General essentially declared that sleepy soldiers were just as impaired as drunk soldiers. “When we’re talking about cognitive dominance [by our soldiers] you absolutely have to focus on ensuring a healthy brain, ensuring that [they] have that mental agility,” Lt. Gen. Patricia D. Horoho said Wednesday during a presentation entitled The Human Dimension at the Association of the U.S. Army’s annual conference in Washington, DC. Reporter Bryant Jordan in Military.com writes that part of maintaining a healthy brain is ensuring soldiers get enough sleep. The Army has understood the importance of sleep, but Horoho said this has often been disregarded by unit leaders who believe “that we’re being effective when we’re sleep deprived “If you have less than six hours of sleep for six days in a row you have a cognitive impairment of 20 percent – that you are cognitively impaired as if you had a.08 percent alcohol level,” she said. “We never will allow a soldier in our formation with a .08 percent alcohol level, but we allow it every day to make those complex decisions.” Horoho said Army researchers and scientists are looking at ways to keep the brain healthy. This includes training in techniques to reduce stress levels and even in the development of rations intended to fuel body and brain. “I really believe this is the new frontier. I think its unknown how powerful our Army can be if we start out with a healthy brain, and take the best from industry, academia and from our Army and training. I think that’s the power we’re going to really see optimizing...

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U.S. Army Sleep Apnea Research Suggests Adjustable Oral Appliances are a Good First-Line Treatment Option

FORT KNOX, Ky., Nov. 21, 2011 /PRNewswire/ — Patients with mild to moderate obstructive sleep apnea (OSA), a condition in which the airway collapses and blocks breathing for 10 seconds or more, may consider adjustable oral appliances (OAs), devices that fit within the mouth to prevent upper airway collapse, as an effective first-line treatment, according to two studies conducted by sleep medicine specialists from Walter Reed National Military Medical Center (WRNMMC) in Bethesda, Md. The retrospective, peer-reviewed studies, published in the December 2011 issue of CHEST, the official journal of the American College of Chest Physicians, and in the current issue of the Journal of Clinical Sleep Medicine (JCSM), the official journal of the American Academy of Sleep Medicine, provide findings on OAs from the largest patient populations studied to date. The studies found that adjustable OAs are nearly as effective as continuous positive airway pressure (CPAP) treatment for patients with a mild form of OSA and are more effective than fixed oral appliances, particularly in patients with moderate to severe OSA. “Historically, CPAP has been the primary treatment for OSA, but only half of patients tolerate this therapy, which requires wearing a face mask hooked to a machine each night,” said Lt. Col. Christopher Lettieri, M.D., one of the studies’ authors, an Army medical director and the chief of sleep medicine in the pulmonary, critical care and sleep medicine department at WRNMMC. “This new data offers a fresh look at adjustable oral appliances as an initial treatment for OSA in both the military and civilian sectors.” Eighteen million Americans, or 4 percent of men and 2 percent of women, suffer from sleep apnea, which can cause daytime sleepiness and has been linked to high blood pressure, heart attack, and stroke. The military is interested in the potential of adjustable OAs, also called mandibular advancement devices, as alternatives to CPAP systems since some active duty service members deploy to austere environments where electricity needed to run CPAP machines is not always available. In these cases, reliance on CPAP may result in duty restrictions or separation from service. “Adjustable OAs would eliminate duty assignment limitations associated with CPAP, allowing Soldiers to travel to remote areas as needed,” said Lettieri. The study in CHEST, titled “Efficacy of an Adjustable Oral Appliance and Comparison to Continuous Positive Airway Pressure for the Treatment of Obstructive Sleep Apnea Syndrome,” evaluated and compared results of overnight sleep studies in which patients used adjustable OAs or CPAP devices. Results were measured by the apnea-hypopnea index (AHI) score, used to assess the severity of sleep apnea based on the total number of complete cessations (apnea) and partial obstructions (hypoapnea) of breathing that last for at least 10 seconds per hour of sleep. Researchers found that a significantly higher percentage of patients using an adjustable OA experienced successful reduction of their AHI score to below five apneic events per hour in this study compared to past reports (62.3 percent versus 54 percent). In the JCSM study, “Comparison of Adjustable and Fixed Oral Appliances for the Treatment of Obstructive Sleep Apnea,” patients were treated with either adjustable or fixed OAs and a sleep evaluation was conducted before and during treatment with the devices. Patients using adjustable OAs had a greater reduction in obstructive events (AHI), revealing that adjustable OAs...

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