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Sleep disorder experts discuss specific behavioral techniques, psychotherapeutic techniques and pharmacotherapy, comprehensive and integrated approaches, disorders of the sleep-wake schedule, and specific populations--the chronically ill and older adults. The field has seen rapid advances in recent years and has attained growing respectability--insomnia is now seen as something more than a manifestation of depression or simply an annoying nuisance to be extinguished with hyponotics. Annotation copyrighted by Book News, Inc., Portland, OR
If ever a book could be called timely, this is it. Sleep disorders medicine has made rapid advances in recent years. The field has attained growing respectability, with a textbook recently published, a congressionally man dated National Commission on Sleep Disorders Research, and a growing public awareness of the importance of sleep disorders. However, this rapid growth has made the discrepancy among certain components of the field all the more obvious. Thus, we find that patients who complain of insom nia are almost never in the majority of those seen in sleep disorders centers, in spite of the well-known fact that the prevalence of such individ uals in our society is by far the largest. Current articles on insomnia abound, but they tend to be facile recitations of diagnosis and impractical global recommendations for treat ment, without providing the essential details. Indeed, the clinical profes sions really do not know what to do about insomnia. This is reflected in a number of observations I have made in the recent past. For example, the majority of individuals who complain of insomnia take alcohol, aspirin, over-the-counter medications, hot baths, and a host of other nostrums, but rarely seek a physician. In the unlikely event that a physician is consulted, he is likely to prescribe a sleep medication but without any particular consistency, or any clear instructions on its use.
Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
The polysomnogram is a formidable sleep medicine tool, typically incorporating multiple channels of physiologic data including EEG, ECG, EMG, respiratory flow and effort, ventilation via CO2 monitoring, oxygen saturation via pulse oximetry and ventilatory treatment modalities. Aspiring experts must constantly ask themselves questions regarding PSG interpretation such as: Am I confident in using all of these modalities? Can I accurately and consistently distinguish a seizure from a movement disorder; a servo ventilator signal from an auto-titrating continuous positive airway pressure signal; an episode of Cheyne–Stokes breathing from an episode of obstructive sleep apnea? The authors take you into their own sleep laboratories and deliver real-life cases for you to interpret with them. Such expertise is vitally useful for house staff and fellows learning sleep medicine, those seeking Board certification, technologists who score PSGs and seasoned sleep clinicians managing patients with sleep-related health disorders. The print edition includes a CD-ROM featuring all images.
Adult Sleep Problems: The Facts provides comprehensive but easily understood information about the possible causes, significance and treatment of sleep problems such as insomnia and excessive sleepiness.
This book focuses on the sleep-related disorders in Parkinson's disease (PD), demonstrating that they are among the most common non-motor manifestations of PD and have a significant negative impact on quality of life. Sleep changes may also serve as markers to identify patients in the preclinical stage of PD. This book presents recent major breakthroughs related to sleep disorders in PD, such as REM sleep behavior disorder (RBD), insomnia, nocturia, restless legs syndrome and periodic limb movements, sleep disordered breathing, excessive daytime sleepiness, and circadian rhythm disorders. It also discusses the epidemiology, etiology, diagnosis, clinical implications, associated features, evaluation and management of these disorders and suggests some further research directions in these areas in order to develop neuroprotective therapies for PD. Focusing on Chinese PD patients, it addresses traditional Chinese Medicine, and compares the epidemiology and management of PD in China and Western countries to provide a frame of reference values for further studies. Further, it features numerous case reports to enable readers gain a better uderstanding of the subject matter. This comprehensive yet practical book is a valuable resource for scientists and clinicians.
The first source on insomnia treatment since the advancement of newer drug options and cognitive behavioral therapies, Insomnia: Diagnosis and Treatment presents a comprehensive reference on the complications, evaluation, and treatment of insomnia. Ideal for sleep medicine specialists, psychiatrists, and neurologists, this text uses a multi-discipl
Knowledge gained within the individual areas of law and ethics, pharmaceutics, pharmacology and pathology are tested by each example, bringing together all areas taught on the degree course. Each chapter contains five case studies, starting with uncomplicated cases and increasing in complexity as they expand.
According to research, more than 50% of patients seen in psychiatric clinics have sleep problems. Despite this fact, there is a lack of sleep medicine training in psychiatric residency programs especially for disorders like insomnia and sleep-related problems in women and children. Also, there is a lack of education on treating sleep problems in special situations like ICU settings or managing sleep problems via telemedicine. Sleep physicians, on the other hand, are uncomfortable treating patients with the psychiatric disorders, particularly in this demographic. Pediatricians are also not trained to work with children suffering from sleep disturbances or psychiatric disorders. They often struggle to correctly identify a particular disorder and lack confidence to adequately treat and manage these issues. In total, there are only about 250 clinicians trained in both sleep medicine and psychiatry, despite the millions of patients who could benefit from both disciplines. While Springer does have a forthcoming text on sleep and psychiatric disturbances that addresses comorbid sleep disorders in the general population, there is still no resource that examines the intricacies of insomnia in women and children. This text highlights the importance of common medical comorbidities and illuminates the salient points for treatment, diagnosis, and management of these conditions as they relate particularly to these special populations. Written by experts in both sleep medicine and psychiatry, the text takes a cutting-edge, reader-friendly approach to topics that include sleep disturbances in pregnancy, sleep tele-medicine, sleep disturbances related to difficulties in schools, and substance-induced disturbances. Each chapter follows a consistent format, making it an excellent tool for the busy clinician who is not able to sift through scientific literature or didactic texts. Psychiatric Sleep Disorders in Women and Children is an excellent resource for all clinicians who may work with special populations struggling with sleep and psychiatric comorbidities, including psychiatrists, sleep medicine physicians, internists, primary care and family medicine physicians, pediatricians, obstetrics/gynecologists, psychologists and others.