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Oxford Textbook Of Sleep Disorders by Sudhansu Chokroverty

Title Oxford Textbook of Sleep Disorders
Author Sudhansu Chokroverty
Publisher Oxford University Press
Release Date 2017-06-08
Category Medical
Total Pages 608
ISBN 9780199682003
Language English, Spanish, and French
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Book Summary:

There has been a rapid global increase in the number of individuals making sleep medicine their career, resulting in an explosive growth in the number of sleep centres and programmes, as well as an increasing number of sleep societies and journals. Part of the Oxford Textbooks in Clinical Neurology series, the Oxford Textbook of Sleep Disorders covers the rapid advances in scientific, technical, clinical, and therapeutic aspects of sleep medicine which have captivated sleep scientists and clinicians. This text aims to introduce sleep disorders within the context of classical neurological diseases, giving an in-depth coverage of the topic in a logical and orderly way, while emphasizing the practical aspects in a succinct and lucid manner. Divided into 12 sections, this book begins by discussing the basic science (Section 1), before moving onto the laboratory evaluation (Section 2) and the clinical science (Section 3). The remainder of the book focuses on specific sleep disorders (Sections 4-12), from insomnias and parasomnias to sleep neurology and sleep and psychiatric disorders. Chapters are supplemented by tables, case reports, and illustrations intended to succinctly provide relevant information in a practical manner for diagnosis and treatment of sleep disorders, while always emphasizing clinical-behavioural-laboratory correlations.

Title Therapy in Sleep Medicine E Book
Author Teri J. Barkoukis
Publisher Elsevier Health Sciences
Release Date 2011-10-31
Category Medical
Total Pages 816
ISBN 9781455723300
Language English, Spanish, and French
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Book Summary:

Therapy in Sleep Medicine, by Drs. Teri J. Barkoukis, Jean K. Matheson, Richard Ferber, and Karl Doghrami, provides the clinically focused coverage you need for rapid diagnosis and effective treatment of sleep disorders. A multidisciplinary team of leading authorities presents the latest on sleep breathing disorders (including obstructive sleep apnea), neuropharmacology, parasomnias, neurologic disorders affecting sleep, sleep therapy for women, sleep therapy in geriatric patients, controversies, and future trends in therapy in a highly illustrated, easy-to-follow format. Diagnose and treat patients effectively with complete coverage of the full range of sleep disorders. Find diagnostic and treatment information quickly and easily thanks to a highly illustrated, easy-to-read format that highlights key details. Stay current on discussions of hot topics, including sleep breathing disorders (including obstructive sleep apnea), neuropharmacology, parasomnias, neurologic disorders affecting sleep, sleep therapy for women, sleep therapy in geriatric patients, controversies, and future trends in therapy. Tap into the expertise of a multidisciplinary team of leading authorities for well-rounded, trusted guidance.

Title Handbook of Sleep Disorders in Medical Conditions
Author Josee Savard
Publisher Academic Press
Release Date 2019-03-14
Category Science
Total Pages 472
ISBN 9780128130155
Language English, Spanish, and French
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Book Summary:

Handbook of Sleep Disorders in Medical Conditions reviews the current knowledge on the nature and manifestations of sleep disorders associated with a variety of common medical conditions, including epilepsy, traumatic brain injury and dementia. It also provides clinical guidelines on how to assess and treat them with pharmacological and non-pharmacological interventions. Although the general principles of sleep medicine may be applied to some extent to patients with comorbid medical conditions, this book makes the case that an adaptive approach is warranted when considering the particularities of each condition. In addition, clinicians must also be cautious when prescribing sleep medications as some pharmacological agents are known to exacerbate symptoms associated with the medical condition, such as cognitive deficits (i.e. difficulties with memory and attention) in cancer patients experiencing chemo brain, or in persons with neurologic conditions (e.g. mild cognitive impairment, dementia, stroke, brain injury). A differential approach to evaluating and treating sleep is thus warranted. Presents a general overview on assessing and treating sleep disorders that are applicable to a diverse set of patients Provides a comprehensive, up-to-date review of the literature on the prevalence and manifestations of sleep problems related to specific medical conditions Includes practical information regarding special considerations for the assessment and treatment of sleep issues in specific medical conditions

Sleep Disorders Medicine by Sudhansu Chokroverty

Title Sleep Disorders Medicine
Author Sudhansu Chokroverty
Publisher Butterworth-Heinemann
Release Date 2013-10-22
Category Health & Fitness
Total Pages 516
ISBN 9781483165196
Language English, Spanish, and French
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Book Summary:

Sleep Disorders Medicine: Basic Science, Technical Considerations, and Clinical Aspects presents the scientific basis for understanding sleep. This book provides information on the diagnosis and treatment of a wide variety of sleep disorders. Organized into 28 chapters, this book begins with an overview of the cerebral activity of wakefulness and the cerebral activity of sleep. This text then discusses the effects on mental and physical health of non-rapid eye movement (NREM) sleep, rapid eye movement (REM) sleep, and all sleep. Other chapters consider the neurophysiology and cellular pharmacology of sleep mechanisms. This book discusses as well the physiologic changes that occur in both the autonomic and somatic nervous system during sleep. The final chapter deals with the application of nasal continuous positive airway pressure for the treatment of obstructive apnea in adults. This book is a valuable resource for neurologists, internists, psychiatrists, pediatricians, otolaryngologists, neurosurgeons, psychologists, neuroscientists, and general practitioners.

Sleep Disorders In Adolescents by Sanjeev V. Kothare

Title Sleep Disorders in Adolescents
Author Sanjeev V. Kothare
Publisher Springer
Release Date 2016-09-21
Category Medical
Total Pages 209
ISBN 9783319417424
Language English, Spanish, and French
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Book Summary:

This clinical casebook presents a comprehensive review of common sleep problems in adolescents in a concise, easy-to-read format. Each chapter thoroughly addresses a unique sleep disorder in teenagers through illustrative cases, reviews of relevant literature, and pearls of wisdom for both the practicing sleep specialist and other practitioners involved in the care of adolescents. Early chapters address various sleep disorders in detail: parasomnias, narcolepsy, obstructive sleep apnea, and delayed sleep-wake phase disorder, providing clear treatment considerations. Later chapters address sleep when complicated by issues of major depression, PTSD, epilepsy, and Traumatic Brain Injury. In-depth discussions and differential diagnosis engage the reader, and offer a multitude of research-based and clinically guided recommendations for the evaluation and treatment of sleep disorders in the adolescent. An ideal, practical resource for clinicians at all levels, Sleep Disorders In Adolescents provides a valuable contribution to adolescent care.

Sleep Disorders In Women by Hrayr P. Attarian

Title Sleep Disorders in Women
Author Hrayr P. Attarian
Publisher Springer Science & Business Media
Release Date 2013-03-13
Category Medical
Total Pages 348
ISBN 9781627033244
Language English, Spanish, and French
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Book Summary:

In Sleep Disorders in Women: A Guide to Practical Management, 2nd Edition, a multidisciplinary panel of eminent researchers and practicing clinicians comprehensively updates the multifaceted aspects of sleep disorders in women at different stages of life, illuminating the unique impact that each reproductive and endocrine stage has on both normal sleep and sleep disorders. This title not only introduces primary care physicians and health care providers to the discipline of sleep disorders in women, it also will appeal to a broader set of specialists as it summarizes the latest, cutting-edge research and presents it in a succinct and clinically relevant manner. The goal of this book is to help physicians recognize the symptom patterns of sleep disorders in their female patients, guide them in diagnosing and treating these patients in a timely fashion, and help in the elimination of gender bias in sleep medicine research and care. An invaluable addition to the literature, Sleep Disorders in Women: A Guide to Practical Management, 2nd Edition again fills an important niche by being an accessible, comprehensive, multidisciplinary review on sleep disorders in women.

Sleep Disorders by Pasquale Montagna

Title Sleep Disorders
Author Pasquale Montagna
Publisher Elsevier
Release Date 2012-10-22
Category Medical
Total Pages 720
ISBN 9780444534811
Language English, Spanish, and French
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Book Summary:

Sleep Disorders Part 1 offers a glimpse of developments that focus on diagnostic techniques in the field of neurobiology of sleep. This part discusses the models of the rapid eye movement (REM) sleep mechanism; issues regarding sleep states, stages, and memory consolidation; and advances in the understanding of the sleep-wake genes, gene products, the circadian clock, and the role of sleep duration. This book explains noninvasive neuroimaging studies, particularly positron emission tomographic and single photon emission computed tomographic scans. It further discusses advances in clinical science, including concepts about neurobiology of sleep, narcolepsy-cataplexy, therapy, and laboratory techniques. The significant advances in therapy have led to the addition of new drugs for the treatment of different sleeping disorders, as described in this book. Sleep is essential to humans. Awareness of its true importance leads to the development and acceptance of sleep medicines in the market. * Clinical data on groundbreaking advancements in the understanding of basic sleep science * Invaluable information on new therapies and drug protocols for sleep disorders * A state-of-the-art reference that includes the role of genetics in sleep medicine

Title Principles and Practice of Sleep Medicine E Book
Author Meir H. Kryger
Publisher Elsevier Health Sciences
Release Date 2015-12-29
Category Medical
Total Pages 747
ISBN 9780323377522
Language English, Spanish, and French
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Book Summary:

For nearly 30 years, Dr. Meir Kryger’s must-have guide to sleep medicine has been the gold standard in this fast-changing field. This essential, full-color reference includes more than 20 unique sections and over 170 chapters covering every aspect of sleep disorders, giving you the authoritative guidance you need to offer your patients the best possible care. Evidence-based content helps you make the most well-informed clinical decisions. An ideal resource for preparing for the sleep medicine fellowship examination. New content on sleep apnea, neurological disorders, legal aspects of sleep medicine, dental sleep medicine genetics, circadian disorders, geriatrics, women’s health, cardiovascular diseases, and occupational sleep medicine, keeps you fully up to date. Updates to scientific discoveries and clinical approaches ensure that you remain current with new knowledge that is advancing the diagnosis and management of sleep disorders.

Title Sleep Disorders Advances in Research and Treatment 2011 Edition
Author Anonim
Publisher ScholarlyEditions
Release Date 2012-01-09
Category Medical
Total Pages 36
ISBN 9781464943966
Language English, Spanish, and French
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Book Summary:

Sleep Disorders: Advances in Research and Treatment: 2011 Edition is a ScholarlyBrief™ that delivers timely, authoritative, comprehensive, and specialized information about Sleep Disorders in a concise format. The editors have built Sleep Disorders: Advances in Research and Treatment: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Sleep Disorders in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Sleep Disorders: Advances in Research and Treatment: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Title Review of Sleep Medicine E Book
Author Alon Y. Avidan
Publisher Elsevier Health Sciences
Release Date 2017-06-29
Category Medical
Total Pages 792
ISBN 9780323473491
Language English, Spanish, and French
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Book Summary:

Successfully review sleep medicine whether you plan to improve your sleep medicine competency skills or prepare for the Sleep Medicine Certification Exam with this expanded review-and-test workbook that includes more than 1,400 interactive questions and answers. Now in full color throughout, Review of Sleep Medicine, 4th Edition, by Dr. Alon Y. Avidan, features a new, high-yield format designed to help you make the most of your study time, using figures, polysomnography tracings, EEG illustrations, sleep actigraphy and sleep diaries, tables, algorithms, and key points to explain challenging topics. Includes concise summaries of all aspects of sleep medicine clinical summaries from epidemiology, pathophysiology, clinical features, diagnostic techniques, treatment strategies and prognostic implications. Provides a library of assessment questions with comprehensive explanations to help you identify the reasoning behind each answer and think logically about the problems. Offers the expertise of a multidisciplinary global team of experts including sleep researchers, multispecialty sleep clinicians, and educators. The unique strength of this educational resource is its inclusion of all sleep subspecialties from neurology to pulmonary medicine, psychiatry, internal medicine, clinical psychology, and Registered Polysomnographic Technologists. Perfect for sleep medicine practitioners, sleep medicine fellows and trainees, allied health professionals, nurse practitioners, sleep technologists, and other health care providers as review tool, quick reference manual, and day-to-day resource on key topics in sleep medicine. Provides a highly effective review with a newly condensed, outline format that utilizes full-color tables, figures, diagrams, and charts to facilitate quick recall of information. Includes new and emerging data on the function and theories for why we sleep, quality assessment in sleep medicine, and benefits and risks of sleep-inducing medications. Contains new chapters on sleep stage scoring, sleep phylogenic evolution and ontogeny, geriatric sleep disorders and quality measures in sleep medicine.

Title Behavioral Treatments for Sleep Disorders
Author Michael L. Perlis
Publisher Academic Press
Release Date 2010-12-23
Category Psychology
Total Pages 404
ISBN 0123815231
Language English, Spanish, and French
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Book Summary:

Sleep is a major component of good mental and physical health, yet over 40 million Americans suffer from sleep disorders. Edited by three prominent clinical experts, Behavioral Treatments for Sleep Disorders is the first reference to cover all of the most common disorders (insomnia, sleep apnea, restless legs syndrome, narcolepsy, parasomnias, etc) and the applicable therapeutic techniques. The volume adopts a highly streamlined and practical approach to make the tools of the trade from behavioral sleep medicine accessible to mainstream psychologists as well as sleep disorder specialists. Organized by therapeutic technique, each chapter discusses the various sleep disorders to which the therapy is relevant, an overall rationale for the intervention, step-by-step instructions for how to implement the technique, possible modifications, the supporting evidence base, and further recommended readings. Treatments for both the adult and child patient populations are covered, and each chapter is authored by an expert in the field. An extra chapter ("The use of bright light in the treatment of insomnia," by Drs. Leon Lack and Helen Wright) which is not listed in the table of contents is available for free download at: http://www.elsevierdirect.com/brochures/files/Bright%20Light%20Treatment%20of%20Insomnia.pdf Offers more coverage than any volume on the market, with discussion of virtually all sleep disorders and numerous treatment types Addresses treatment concerns for both adult and pediatric population Outstanding scholarship, with each chapter written by an expert in the topic area Each chapter offers step-by-step description of procedures and covers the evidence-based data behind those procedures

Title Principles and Practice of Sleep Medicine E Book
Author Meir H. Kryger
Publisher Elsevier Health Sciences
Release Date 2010-11-01
Category Medical
Total Pages 1766
ISBN 9781437736090
Language English, Spanish, and French
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Book Summary:

Principles and Practice of Sleep Medicine, 5th Edition, by Meir H. Kryger, MD, FRCPC, Thomas Roth, PhD, and William C. Dement, MD, PhD, delivers the comprehensive, dependable guidance you need to effectively diagnose and manage even the most challenging sleep disorders. Updates to genetics and circadian rhythms, occupational health, sleep in older people, memory and sleep, physical examination of the patient, comorbid insomnias, and much more keep you current on the newest areas of the field. A greater emphasis on evidence-based approaches helps you make the most well-informed clinical decisions. And, a new more user-friendly, full-color format, both in print and online, lets you find the answers you need more quickly and easily. Whether you are preparing for the new sleep medicine fellowship examination, or simply want to offer your patients today's best care, this is the one resource to use! Make optimal use of the newest scientific discoveries and clinical approaches that are advancing the diagnosis and management of sleep disorders.

Title Sleep and Sleep Disorders
Author Malcolm Lader
Publisher Springer Science & Business Media
Release Date 2009-11-06
Category Medical
Total Pages 309
ISBN 0387276823
Language English, Spanish, and French
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Book Summary:

Many recent discoveries in both laboratory and clinical settings have greatly increased our understanding of sleep medicine and the relevant psychopharmacology. This timely book serves to present updated information about the neuropsychopharmacology of sleep as this field enters mainstream psychiatry, neurology and medicine This volume has assembled articles that summarize and review carefully, a chosen selection of the latest discoveries concerning sleep medicine, sleep physiology and sleep pharmacology. Outstanding contributions have been sought from acknowledged experts in their respective fields. The goal of the volume is to present the more recent developments and advances in the fields of sleep and neuropsychopharmacology, as well as to provide a context for considering them both in depth and from multidisciplinary perspectives. This volume brings together the collective expertise of clinicians and basic researchers who represent a range of interests in neuroscience, neuropharmacology, sleep physiology, and biological rhythms. Presenting a thoughtful balance of basic experimental and clinical facts and viewpoints, this book will serve as a foundation for understanding, and ultimately treating, sleep disorders.

Title Principles and Practice of Pediatric Sleep Medicine
Author Stephen H. Sheldon
Publisher Elsevier Health Sciences
Release Date 2005
Category Medical
Total Pages 356
ISBN 9780721694580
Language English, Spanish, and French
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Book Summary:

This companion to Kryger et al.'s PRINCIPLES AND PRACTICE OF SLEEP MEDICINE focuses on the diagnosis and treatment of a full range of sleep disorders in children. Recognized leaders in the field offer definitive guidance on virtually all of the sleep-associated problems encountered in pediatrics, from sleep and colic...to obstructive sleep apnea, neurological disorders, and hypersomnias...to sleep-related enuresis. Presents up-to-date information of the field's hottest topics in chapters on Pharmacology of Sleep in Children · Epidemiology of Sleep Disorders During Childhood · Circadian Rhythm Disorders: Diagnosis and Treatment · and Differential Diagnosis of Pediatric Sleep Disorders. Organizes information into separate sections covering normal and abnormal sleep, for quick reference. Makes further investigation easy with abundantly referenced chapters. Addresses both medical and psychiatric sleep disorders. Features the expertise of Drs. Sheldon, Kryger and Ferber - renowned authorities in the field of sleep medicine.

Sleep Disorders Medicine E Book by Sudhansu Chokroverty

Title Sleep Disorders Medicine E Book
Author Sudhansu Chokroverty
Publisher Elsevier Health Sciences
Release Date 2009-09-09
Category Medical
Total Pages 750
ISBN 9780702039089
Language English, Spanish, and French
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Book Summary:

Dr. Sudhansu Chokroverty—a world-recognized expert in sleep medicine—presents the third edition of Sleep Disorders Medicine for the latest developments in this rapidly expanding specialty, with coverage of neuroscience and clinical application. In addition to summarizing basic science and important technological aspects of diagnosis and treatment, this edition presents new chapters—on sleep and memory consolidation, neuroimaging, and more—in a color layout that makes it easy to access the latest advances in the field. The text’s manageable size and logical, multi-disciplinary approach make it the right choice for newcomers and experienced clinicians alike. Covers all aspects of sleep medicine in a practical, logical format divided into three sections: the basic science of sleep physiology, neuroanatomy, and biochemistry; the technical methods of recording; and a clinical approach to patients with sleep complaints. Represents the breadth of knowledge across disciplines through the contributions of 50 prominent names in the field of sleep medicine. Provides a multidisciplinary approach to the diagnosis and management of sleep disorders with coverage of related fields such as pulmonology, otolaryngology, and psychiatry. Includes a Glossary of Terms adapted from the American Sleep Disorders Association for quick reference to the sleep terminology used throughout the text. Demonstrates how recent basic science advances affect clinical medicine through new chapters on Sleep Deprivation and Sleepiness; Sleep and Memory Consolidation; Neuroimaging in Sleep and Sleep Disorders; Nutrition and Sleep; Nature and Treatment of Insomnia; Evolution of Sleep from Birth through Adolescence; Sleep-Disordered Breathing in Children and Women’s Sleep. Improves on the clarity and consistency of the text with a new, completely redrawn art program, including full-color illustrations in the clinical section that enhances diagnostic material.

Sleep Disorders In Neurology by Sebastiaan Overeem

Title Sleep Disorders in Neurology
Author Sebastiaan Overeem
Publisher John Wiley & Sons
Release Date 2010-03-26
Category Health & Fitness
Total Pages 344
ISBN 1444315161
Language English, Spanish, and French
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Book Summary:

Formulate treatment plans with confidence when you consult SleepDisorders in Neurology, a helpful overview of both common andrare neurological disorders that are frequently accompanied bysignificant sleep disturbances. This concise guide explains when toconsult a sleep specialist in managing a particular sleep disorderand draws on the expertise of neurologists who specialize in thedisorders under discussion. This practical guide is fullyillustrated and easily digested, providing a counterpoint to largeencyclopedic reference volumes. The authors take you from historytaking and diagnostic testing, to pharmacological andnon-pharmacological treatment options, and are joined by diseasesub-specialists in the chapters on disease specific sleepdisturbances and the effects of common neurological medications onsleep. This book is essential for sleep medicine specialists, as wellas for clinicians and health care professionals not specificallytrained in sleep medicine, but who nevertheless need to manageneurologically damaged patients with increasingly recognizedsleep-wake disturbances.

Sleep Disorders In Children by Soňa Nevšímalová

Title Sleep Disorders in Children
Author Soňa Nevšímalová
Publisher Springer
Release Date 2016-10-03
Category Medical
Total Pages 422
ISBN 9783319286402
Language English, Spanish, and French
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Book Summary:

This book is both an exam guide to children ́s sleep medicine and a practical manual for diagnosis and management of sleep disorders in children. An overview of the most frequent sleep disorders encountered in newborns, infants, children and adolescents is provided. This book discusses the main sleep disorders in detail, including insomnia, respiratory disturbances, movement disorders during sleep, circadian rhythm disorders, parasomnias, and disorders associated with increased sleepiness. It also covers sleep disorders associated with neurological, psychiatric, and medical diseases. This book is divided into two parts. The first part is an introduction to childhood sleep physiology and pathology, epidemiology of sleep disorders, and diagnostic procedures. The second part describes the most frequent sleep disorders in greater depth. Sleep Disorders in Children is aimed at sleep researchers, pediatricians, child neurologists and child psychiatrists, as well as patient organizations and families with affected children.

Title Hypnosis in the Management of Sleep Disorders
Author William C Kohler
Publisher Taylor & Francis
Release Date 2017-07-06
Category
Total Pages 86
ISBN 9781351666114
Language English, Spanish, and French
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Book Summary:

Hypnosis in the Management of Sleep Disorders combines history and medical science to show that the use of hypnosis and hypnotic techniques is effective in the treatment of sleep disorders -- and that this is increasingly validated through modern tools (computers, fMRI images). Dr. Kohler and Kurz show readers that hypnosis and hypnotic techniques are not to be feared or avoided, but that their use can contribute to effective, non-intrusive, and cost-effective approaches to the treatment of sleep problems. This volume is a much needed reference for therapists and their patients alike on how hypnosis can be helpful in the treatment of certain sleep disorders.

Title Genetics and Sleep An Issue of Sleep Medicine Clinics E Book
Author Allan Pack
Publisher Elsevier Health Sciences
Release Date 2011-07-22
Category Medical
Total Pages 144
ISBN 9781455712007
Language English, Spanish, and French
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Book Summary:

This issue describes in detail the most current thinking on the way genes affect and determine sleep patterns, behaviors, disorders and needs. Sleep researchers continue to study genetic markers that may someday lead to a personalized approach to treatment of sleep disorders. The genetics of restless legs syndrome, narcolepsy, circadian rhythm disorders, obstructive sleep apnea, parasomnias, and insomnia are discussed. A solid understanding of the role genetics and molecular biology play in sleep will aid clinicians in diagnosing and treating these disorders, as well as advising their patients.

Sleep Disorders And Sleep Deprivation by Institute of Medicine

Title Sleep Disorders and Sleep Deprivation
Author Institute of Medicine
Publisher National Academies Press
Release Date 2006-10-13
Category Medical
Total Pages 424
ISBN 9780309101110
Language English, Spanish, and French
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Book Summary:

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.