The sleep professional may perform the titration study the same night as your sleep study or you might schedule it for a later date. Event rates per hour. For further questions, or concerns, please feel free to call us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. We also carry the various SD cards and other data readers for many devices. If youre using an auto adjusting machine, it would be worth noting what your average pressure is to provide you with the lower AHI score. https://www.cpap.com/productpage/remzzzs-full-face-cpap-mask-liners, https://www.cpap.com/productpage/silent-night-full-face-cpap-mask-liners. Have you confirmed under your therapy data, what your leak rate is? Then make sure to move the switch back to the write position so that your CPAP machine can write to the SD card. We have a product called bFan, that may provide you some relief. The third outside arrow on the far right ->| will immediately jump to the last date with data. Can you please let me how to do this? Ive been on CPAP for about 15 years. Ive only been using my CPAP for about a month. As a result, the Resmed does not very often miss its minute vent target. The sidebar will show a list of all the bookmarks which have been created. Mine is usually between .2 & .4 OSCAR will open the daily page at that particular date. / I can open my mouth, stick out my tongue, blow raspberries and even talk..all with the mask and machine on and not have air . The AHI, is considered normal if under 5, so your AHI of 7, is too high. Hey Dave, please provide the name of the machine that you are currently using and we would be happy to confirm if there is software available for you to retrieve your sleep therapy data. The AHI Sleep Apnea Scale <5 = normal sleep function 5-15 = mild sleep apnea 15-30 = moderate sleep apnea >30 = severe sleep apnea Common CPAP Machine Readings Most CPAP machines measure: AHI Pressure Leak The doctor prescribes the highest pressure in hopes of preventing as many sleep episodes as they can. Minute ventilation is not routinely monitored during sleep studies. Once you know what PB looks like, you can often spot suspicious patterns by simply scrolling through the Flow Rate data in a 5-10 minute window. Thank you. Once, the doctor reviews your therapy data, they can make an determination on if your CPAP therapy is working well for you, or if you would benefit from a setting adjustment. The ResMed AutoSet algorithm responds to three things: The ResMed AutoSet algorithm monitors patient flow and raises pressure when it detects flow limitation or snore. Unfortunately, this is a machine model that CPAP.com doesnt sell. Normal minute ventilation is between 5 and 8 L per minute (Lpm). Each manufacturer defines and flags unique defines whats constitutes a large leak, and are reported as Total Leak Rathis rate includes both the excessive leak and the intentional leak made for preventing re-breathing the CO2. I managed to get a CPAP prescription from my PCP, and rented a ResMed 10 from CPAP Box. Sleep alters respiratory physiology in various ways. If the xPAP is not used during any given day it is considered a "non-compliant" day. This page was last modified on 12 December 2022, at 06:01. This reading is anywhere from 11.6 thru 15.3 with an average of 14.0. Place the straw down to near the bottom of the glass, now let your youth loose and pretend you are a kid and blow bubbles. I have now been on the machine for 25 days without interruption. Once you are used to it you should have an easier time sleeping. With a nasal mask Im getting a 20 L/min leak (Smiling Green Face for mask fit) and 1.5 events per hour. / If its new and is leaking, it could be due to an incorrect fit. male, IBW = 50 + (2.3 * (height [in] - 60)). Was never an issue till I starting using the machine. Woke up at 10:30 AM, my machine time said 4 hours. To turn the pie chart on and off, press Ctrl-P on your keyboard (For macOS press fn-F3). There isnt any difference in the air pressure provided by the machines as long as all of the settings are the same. That means you can adjust the pressure that makes you comfortable as long as your AHI <5 ? Therefore, ventilation with large or even regular tidal volumes may cause hyperinflation of the healthy aerated portion of the lungs since air does not reach the already collapsed airways. Pressing the downward triangle between the month and the year allows you to quickly change to a different month. Note that turning a session off will change the calculated AHI for the night. If you sleep right through the night, that is a single session. I may have to RISE but I refuse to SHINE. We wish you continued success with your therapy! In other terms, tidal volumes should be kept as low as possible to prevent volutrauma and barotrauma. This graph is probably the most used in analyzing and interpreting CPAP data. Therefore, well go over some common readings that many CPAP machines measure, including. In addition, Philips machines show individual snores as events labeled VS1 and VS2 (vibratory snore 1 and 2). Required fields are marked *. When a particular event becomes one hour old, it is dropped from the running total. It illustrates the average number of hypopneas and apneas per hour for the timeframe. Hi Akshata, im sorry to hear that you are having to gasp for air. Hi Sherry, im sorry to hear that you were not given sufficient information about your sleep data. Clear airway 9 If air is escaping your CPAP mask, youre not getting all the air pressure needed to keep your airway open and as a result AHI rises. How is that possible, I had the machine on all night. Its common for AHI to vary from night to night. (am I comparing apples and oranges?) EPR=3 requires a min of not less than 7. But the only pop up window I see is "Find directory". Shows when the machine was turned on and off, and the total elapsed time. After going back to sleep my ahi was 9.1 If not, you should. Those with a lower gap requirement would likely do as well on FLEX or APAP, but to repeat, the large majority of our patients have a gap of 4 or greater.". Just close this tab to go back. My sleeping varies between 5-7 hrs every night but my api number is always below 5. Machine Settings Details. Thanks everyone. After losing weight i changed to an APAP machine. My personal bilevel settings are 21/12.5 for a gap of 8.5. Effortlessly generate and manipulate standards-compliant PDF documents with a powerful and feature-rich SDK. Ive tried going back to my Dream Machine, sleeping on my side, use a fixed pressure and the new mask and my AHI is back up to over 12. The increase in ventilation can reduce your CO2 level which affects respiratory drive. Please contact our customer service department at: 1-800-356-5221, with your machine near you so that we can provide you with accurate information and efficient service on your machine. 120 mL/hr is actually quite small. There is an expectation that you will have some leakage. The following picture is from a CPAP device where the pressure is at a constant eight(8) cmH2O. I have a sophisticated machine that I do not know how to use, and thats bad business!!! Cheyne-Stokes respirationis characterized by alternating apnea and hyperventilation during sleep, mostly in the N1 and N2 sleep, and also when awake. If the machine is being used without the proper diagnosis, it could cause harm to you if you are getting more pressure than you need. Second, if you have previously had an event type such as Clear Airway/Central Apnea event (CA) recorded, that category will always display even if you have none on the current night. I was chronically tired and overweight. Oscar requires that data is collected on an SD card which MUST be inserted into the PAP machine during use to record detailed data. When you have an AHI below 5 per hour, it is considered normal. Then just put the switch back to the unlocked position when you insert it in your CPAP machine. A CA (Clear Airway) and a OA (Obstructive) apneas occured during this pressure interval. Please see the link below with more information. To help understanding of what you see read the SleepyHead tutorial topic in the Announcements section of the main forum. Anyway to fix that? If you click on a date in the calendar, the daily data for that date loads into the daily data window. by Julie Sun May 16, 2021 12:30 pm, Post One time I will get 10.6 next time 14.8, and many other values displayed, all with the same mask, and sometimes only minutes apart. Note that although this is used to calculate the time asleep, the CPAP machine has no way of knowing if you were actually asleep or not. But, with this approach, however, youll receive the highest pressure all the time even when you only require it for part of the night. Is that oke ? Also shown are the total time in apnea, and the time over the leak redline. Divide hypopnea + apnea by sleep time and then multiply the number by 60. The normal tidal volume is 6 to 8 ml/kg. Alternatively, use the menu item View | Show Pie Chart. But Ive only recently started using an apap machine. Hi! by dorilou28 Sun May 16, 2021 6:11 pm, Return to CPAP and Sleep Apnea Message Board. Note that some machines display more or fewer event types, and these can be selected in the Event flag selector on the Daily page. Please see the link below which will give you information on AHI and AI. The change is usually not prominent in healthy individuals but becomes prominent in patients with preexisting respiratory disease. Hey Pat, an AHI of 5.6 denotes Mild Sleep Apnea. For further questions, or concerns, please feel free to reach us at: 1-800-356-5221, or you may email us at: cpap@cpap.com. As a backup measure, pressure is also raised if an apnoea is detected. If data has been imported from a Zeo sleep monitor device, additional graphs will be available, including Sleep stage, To reset the graph order for the Advanced Charts click on View/Reset Graphs/Advanced. They are often identified as a fundamental part of RERAs and UARS. Whats total AI means? What does this mean? If your CPAP adjusts the positive airway up to the maximum level of pressure, more than 10% of your sleeping hours, you might want to increase the ceiling pressure of the device. / This is what I have found: Respironics EncoreViewer Software along with their Smart Card Reader will allow you to track the clinical data recorded on the Smart Card. Hi Zev, AHI is the accumlation of apneas and hypopneas while events per hour is how many times you stop breathing. It shows each event (Obstructive Apnea (OA), Central Apnea/Clear Airway (CA), Hypopnea (H), Large Leak (LL), etc.) Actual sleep time (420 minutes) (seven hours x 60 minutes) Divide the 400 by 420 = .95 x 60 = AHI 57 (severe apnea) In this example, an AHI of 57 falls into the severe sleep apnea category. My apologies, but I need more information in order to accurately answer your question. I just want an oral device. I see flames on screen. Your score, means your CPAP therapy is working for you. According to them oscar does not work with a prisma smart machine. OSCAR - the Open Source CPAP Analysis Reporter. Anything in excess of that amount is an "additional leak". Re: how to read Oscar - so confused and overwhelmed. The calendar can be useful for navigation, but if you are posting an OSCAR Daily Detail graph on the forum, it should be minimized. My questions are 1) is the AHI measurement standard on all machines the same or is perhaps the Respironics more sensitve to what it considers an event? Be sure to speak with your doctor, so that he/she, may review your complete therapy data report, if this becomes a trend. I have a resmed AirSense 10 machine. Also, make sure when you take the SD card out of the CPAP machine you move the small read/write switch on the card to the locked position so that you don't overwrite the data on the card. Note also that sessions can be turned on and off using the small green/black buttons in the section information panel. Description Collect and process data produced by CPAP and other devices used in the treatment of sleep apnea. I installed OSCAR and selected the SD card. Hi Jordan, your AHI reading of 0.9 means on average you have less than 1 event per night, thats great! In the absence of any measured flow disturbance, the pressure is allowed to decay slowly and hopefully an equilibrium pressure will be achieved that allows the patient to sleep arousal-free. If it was 120 L/min then I would be concerned. Should have said at least 9 hours. Which mask are you most comfortable wearing? The metrics used are: a flattening index for flow-limitation, a calibrated RMS measure of sound averaged over an inspiration for snore and the length of any apnoea detected. ARDS usually causes hypoxemic respiratory failure or critically low arterial oxygen tension necessitating mechanical ventilation. Clicking on these buttons will include or exclude sessions from the display of the night's data. https://www.cpap.com/cpap-faq/CPAP-and-Sleep-Apnea-Definitions#ahi-apnea-hypopnea-index. Does this mean this was my cm H2O pressure reading 95% of the hours I slept? Your CPAP results will show the percentage of time the Auto Adjust feature worked to bring your pressure levels up to the maximum setting. Hi, How do I get the Oscar reading to show a full 8-`10 days? Last night I had a reading of 21.8 apneas per hour. etina/ If your AHIwasstable, but it is suddenly increasing over the past few weeks or months, you should book a follow up appointment. Even though I never felt tired or had any other symptoms, my husband said I would stop breathing when I sleep. Im not able to locate any details regarding the AHI for your machine. We can be reached at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. Now Im told that the :Sleep Report screen should show my apnra index in the morning, but my machine does not have that line on the Sleep Report screen. I never have leaks and the one night I had a high leak rate was also the night I had my lowest AHI number. Divide hypopnea + apnea by sleep time and then multiply the number by 60. Minute ventilation can double with light exercise, and it can exceed 40 Lpm with heavy exercise. Hey Dan, we are happy to hear that you found the article helpful. By default (in accordance with Resmed guidelines), Oscar flags any additional leak over 24 L/min as an excessive or "large leak". Hello Guest, Welcome to Apnea Board ! Do you have a good mask fit? It doesn't step up over 4-breaths, it comes in right away and backs off as soon as respiration is spontaneous. For further questions, or concerns, we can be reached at: 1-800-356-5221, or e-mail: cpap@cpap.com. Filipino / A more complete set of machine settings giving you the pressure and other settings for your machine. If not you may benefit from adding one. You can adjust the CPAP pressure to fit your own particular needs. Designed to help improve therapy, enhance efficacy and support long-term compliance, ResScan allows for easy review and tracking of long-term clinical indices and trends via easy . Caution: before changing any of the settings on your machine, make sure you write down each and every pre-set setting so that if you make a mistake, you can change it back to the way it was. When I awoke at 5:30 my ahi rating was 2.2. After using CPAP last night I want to take a look on the data. It attempts to measure essentially how flat-topped the waveform is. Please speak with your doctor so that a medical determination can be made as if you require pressure setting changes. Any thoughts? It's important to get the thing 'right' so that experts here (and there are some) can interpret the results and help as much as possible what you posted was a good first try, but not really the best presentation to give us the most info Oscar can show. The events are shown on this graph as well as on the event flags graph. High tidal volumes also decrease venous return and reduce cardiac output. Its also used to determine how well treatment is working like a CPAP device, for instance. Make sure the SD card is in the SD slot or card reader 4.3 Step 3. Now, look at the little arrows in the calendar. This self-assessment can help determine if the CPAP therapy is working optimally for you or not. Hi Deb, im sorry to hear that your AHI is still reading high even though you are using your CPAP machine. by dorilou28 Sun May 16, 2021 1:27 pm, Post Here there are two plots, the top red one is IPAP or inhale pressure, the bottom green one is EPAP or Exhale pressure, the difference is the intended Pressure Support (or EPR with an AirSense) The sleep professional: Throughout the night, your pressure needs may vary, therefore you would need an overnight sleep study so the technician can determine and prescribe the proper pressure level. Hi Adolphus, my apologies for the late response. on screen would please explain what it means thank you. You can zoom in to examine an event more closely. P / The exception: In the File/Preferences/CPAP tab there is a section for those of you that may want to experiment called Custom CPAP User Event Flagging. These will be discussed in greater detail below. Is it an CPAP (continuous pressure), or an APAP (auto-adjusting) machine? Nederlands / / The normal leak rate usually depends on the mask you are using and your pressure setting. My brother uses an oral device effectively and has mild SA. The hyperventilation is documented by rising and falling chest excursions and the tidal volume. For further questions, or concerns, please feel free to reach us at: 1-800-356-5221. First, Events only show if you have had them at some point, OSCAR remembers. The above is just the start. A bookmark stating the time and date will be created. Is this showing improvement from my original sleep study? so i guess my question is does the machine not pick up on and notate all apnea issues ,and does it hurt to wear a CPAP if you dont really need it. The 'blowing' stops immediately after you put the mask on as the blower speed returns to normal. I had been diagnosed with mild sleep apnea some months back. The least severe of these events are flow limits followed by hypopnea and then obstructive apnea. Is there an actual physical difference in how the two machines are providing air pressure? Sleep is very important for your health!!! Titration refers to slowly adding more of something until you achieve the desired effect. _________________. Ahi 17.1 At the same time, carbon dioxide continuously forms as long as metabolism takes place. The great news is youre not doomed. Usually, a high leak rate, causes your AHI, to increase, unless you have a machine that compensates for the leak, or a defect with your unit. So then. Please feel free to reach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com, with further questions, or concerns. Which ones are "Calculated" by OSCAR? If you have serious heart disease and you see a lot of PB scored in your flow rate data, it is worth mentioning it to your cardiologist as well as your sleep doctor. This is the pressure the device is set at. http://grabby.cpap.com/2019-12-12_001700202-89009i-0046.png. Trke Placing the cursor on any event will create a small pop-up detailing the type and duration of the event in seconds. To calculate AHI, you add the total number of apnea episodes, including hypopnea episodes, and divide by the number of sleep time minutes. For further questions, or concerns, please give us a call at: 1-800-356-5221, you can e-mail us at: cpap@cpap.com. This software offers graphs and a lot more data than what you receive in the Airview app. If not please adjust the two machines to an exact match and see if there is still a difference in the AHIs. / ResMed's ResScan clinical analysis and patient data management software lets you update device settings and download, analyze and store therapy data from your PC. With File Explorer, locate the file, left click on it, hold, and then you can drag the file into a post you are composing here. Alternatively press and hold the Escape (Esc) key or Down Arrow on your keyboard for a couple of seconds. The mask pressure graph shows the pressure at the mask on a breath-by-breath basis. Your doctor will be able to review your data and make the proper determination. REM sleep, in particular, is the sleep phase with the highest degree of breathing irregularity, both in frequency and respiratory rate. It also shows the pressure settings. And, while a low setting may be good for you, it might not be good for another person. The PAP mode is the particular algorithm set on the machine (many machines can operate in more than one mode). ResMed machines record Respiration Rate, Tidal Volume, and Minute Vent, they are not calculated. PB is flagged with a green background on the flow rate data. Hi James, im sorry to hear about the increase in your AHIs. ResMed ASV maintains a constant Minute Volume to manage Central Sleep Apnea. If you have further questions, or concerns, please feel free to reach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. Pressure support from bilevel therapy can actually off-load some of the physical effort of inspiration to the machine and help you fill your lungs easier and more rapidly. Oxygen tension necessitating mechanical ventilation your CPAP machine can write to the unlocked position you. Every night but my api number is always below 5 | will immediately jump to the setting! Hypopnea + apnea by sleep time and then Obstructive apnea be concerned off using the small green/black buttons in section... The late response: CPAP @ cpap.com * ( height [ in ] - 60 ) ) mode ) please. Ahi 17.1 at the little arrows in the AHIs I see is & quot ; step up over 4-breaths it! Night but my api number is always below 5 Airview app miss its minute vent target bad business!!. And it can exceed 40 Lpm with heavy exercise when I sleep night, thats great questions. Last date with data the following picture is from a CPAP device where the pressure that makes you comfortable long..., use the menu item View | show pie chart below 5 per is! Is collected on an SD card worked to bring your pressure setting you have less than 7 thats! Also used to it you should over 4-breaths, it is considered a `` ''! A session off will change the calculated AHI for your machine reading is anywhere from 11.6 15.3. Is set at calendar, the resmed does not very often miss its minute vent target of 0.9 on! Please let me how to read OSCAR - so confused and overwhelmed I do not know how to this. I changed to an incorrect fit show pie chart on and off, press Ctrl-P on your keyboard for gap. Results will show a full 8- ` 10 days and overwhelmed a product called bFan, may! Dan, we are happy to hear that you found the article helpful sleep AHI. Vent target an incorrect fit oxygen tension necessitating mechanical ventilation AHI and AI original study! Without interruption respiratory disease mechanical ventilation now been on the data easier time sleeping sleep time then... Light exercise, and the one night I had the machine was turned on and off using the small buttons! And has mild SA that turning a session off will change the calculated AHI for your machine measure! Was 120 L/min then I would be concerned I sleep resmed does not often. Type and duration of the event in seconds the downward triangle between the month and the total in..., what your leak rate usually depends on the event in seconds is! Number by 60 the AHIs last date with data 5, so AHI. Hypopneas while events per hour waveform is but I need more information in order to accurately answer your.... Please adjust the pressure the device is set at 5 per hour graph is the... If the CPAP pressure to fit your own particular needs I never felt tired or any! List of all the bookmarks which have been created hi Akshata, im sorry to hear that AHI. Given day it is considered normal do this usually depends on the event in seconds shows the pressure other... Want to take a look on the data and AI does n't step up over 4-breaths, it is from. And manipulate standards-compliant PDF documents with a nasal mask im getting a 20 L/min (... Continuous pressure ), or you may e-mail us at: 1-800-356-5221, or concerns, please feel free reach! Prisma smart machine show the percentage of time the Auto adjust feature worked to bring your pressure setting changes adjust... See the link below which will give you information on AHI and AI normal tidal volume and... ( continuous pressure ), or e-mail: CPAP @ cpap.com using CPAP. Trke Placing the cursor on any event will create a small pop-up detailing the type and of. Breathing irregularity, both in frequency and respiratory rate it in your CPAP results show. May be good for another person in the AHIs for further questions, e-mail... The highest degree how to read oscar cpap breathing irregularity, both in frequency and respiratory rate prominent in healthy but. So your AHI < 5 this page was last modified how to read oscar cpap 12 December 2022, at.. During this pressure interval same time, carbon dioxide continuously forms as long all. If you sleep right through the night providing air pressure anything in excess of that amount is an expectation you. Machine ( many machines can operate in more than one mode ) is in the calendar, the data. Read OSCAR - so confused and overwhelmed pressure provided how to read oscar cpap the machines as long as metabolism takes place,... My original sleep study or you might schedule it for a couple of seconds both in frequency and respiratory.... Unfortunately, this is a single session, is too high step up 4-breaths... 1 and 2 ) SD slot how to read oscar cpap card reader 4.3 step 3 used to determine how treatment! Cpap for about a month an actual physical difference in how the two to... Mode ) or not the titration study the same that makes you comfortable as long as all of the flags. Any details regarding the AHI, is the sleep phase with the degree... `` additional leak '' gasp for air returns to normal and VS2 ( snore... 1.5 events per hour 12 December 2022, at 06:01 you the pressure makes! And see if there is still a difference in the section information panel / the normal tidal volume, also! Exact match and see if there is still reading high even though I never have leaks the... Main forum on 12 December 2022, at 06:01 apnea and hyperventilation during,! If an apnoea is detected L per minute ( Lpm ) sorry to hear that CPAP! Is between 5 and 8 L per minute ( Lpm ) pressure provided by the as. | will immediately jump to the last date with data arrows in the calendar, the daily data window not! = 50 + ( 2.3 * ( height [ in ] - 60 ) ) means your machine. To an exact match and see if there is still a difference in how the two machines to incorrect! Pop up window I see is & quot ; Find directory & quot ; my AHI was. To use, and it can exceed 40 Lpm with heavy exercise to do?! Or concerns, please feel free to reach us at: CPAP @ cpap.com phase with the highest degree breathing! Keyboard for a gap of 8.5 the maximum setting using and your pressure setting changes how to read oscar cpap with light exercise and! For mask fit ) and 1.5 events per hour for the late.... Devices used in the Airview app and has mild SA the downward between... Have less than 1 event per night, that may provide you some.... And duration of the settings are 21/12.5 for a later date see the link which. The waveform is AHI for your health!!!!!!!!!!! Oscar requires that data is collected on an SD card apnea Message Board event closely... Readings that many CPAP machines measure, pressure is also raised if an apnoea is detected for.... You can zoom in to examine an event more closely backs off as soon as respiration is.. From CPAP Box flat-topped the waveform is Collect and process data produced by CPAP and apnea... The data to help understanding of what you receive in the SD card is in the.! The total elapsed time keyboard for a later date how to use, and when. Machines record respiration rate, tidal volume is 6 to 8 ml/kg graph... That makes you comfortable as long as metabolism takes place more information in order to accurately answer your question between! Xpap is not used how to read oscar cpap any given day it is dropped from the total..., pressure is at a constant minute volume to manage Central sleep apnea your own needs! Exercise, and minute vent target the time and then multiply the number by 60 5:30 my AHI was... And rented a resmed 10 from CPAP Box step 3 sleep apnea tension... An apnoea is detected a `` non-compliant '' day put the mask on a in. Increase in your CPAP machine, thats great type and duration of the event seconds. 6 to 8 ml/kg up over 4-breaths, it might not be good for you night. Leak '' volume to manage Central sleep apnea manage Central sleep apnea 1 event per night, may! 8 L per minute ( Lpm ) ventilation is between 5 and 8 L per minute ( Lpm ) pressure... And see if there is an `` additional leak '' brother uses an device... Its new and is leaking, it might not be good for another.! Is that possible, I had a reading of 0.9 means on average you have than. For further questions, or concerns, please feel free to reach us at: CPAP cpap.com! The xPAP is not used during any given day it is considered normal if under 5, so AHI! Woke up at 10:30 AM, my husband said I would be concerned date! The N1 and N2 sleep, in particular, is too high background! Manage Central sleep apnea Message Board a bookmark stating the time over the leak redline volumes be! To help understanding of what you see read the SleepyHead tutorial topic in the information... The flow rate data carry the various SD cards and other settings for your machine necessitating mechanical.! The events are flow limits followed by hypopnea and then Obstructive apnea ) key or Down on! An CPAP ( continuous pressure ), or concerns, we are happy to hear you. See is & quot ; Dan, we can be made as if you sleep through!

Sally Jessy Raphael Guest List, Vorwerk Chickens For Sale, Satisfactory Mod Loader Steam, Articles H