Clinical Sleep Disorders by Paul R. Carney MD, Richard B. Berry MD, James D. Geyer MD

By Paul R. Carney MD, Richard B. Berry MD, James D. Geyer MD

This clinically centred, useful reference is an entire advisor to diagnosing and treating sleep issues. the hole sections clarify easy definitions, sleep tracking, and common human sleep. A scientific displays part information how one can technique analysis dependent upon sufferers' proceedings, in addition to targeted gains of the kid, adolescent, or older grownup with sleep difficulties. next sections handle particular sleep problems and sleep problems in sufferers with different clinical and psychiatric stipulations. Chapters were seriously edited by way of specialists from a number of specialties, persist with a standardized template, and contain bulleted lists, tables, and medical pearls. Appendices contain info on polysomnography, sleep questionnaires, and beginning a nap issues facility.

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Background 20 to 50% delta waves 2. Spindles and K complexes • Stage 4a 1. Background >50% delta waves 2. Minimal spindles 3. Duration of 20 to 30 min a Together, stages 3 and 4 are referred to as slow-wave sleep. The EEG of REM sleep resembles that of wakefulness with high-frequency, low-amplitude waves. REM sleep is distinguished from wakefulness by a loss of muscle tone, especially in the antigravity muscles, intermittently broken by muscle twitching, rapid eye movements, suspended thermoregulation, and autonomic irregularities manifesting as irregular respiration and irregular heart beats (Table 3-3).

Tassi P, Muzet A. Sleep inertia. Sleep Med Rev. 2000;4:341-353. 24. Belenky G, Wesensten NJ, Thorne DR, et al. Patterns of performance degradation and restoration during sleep restriction and subsequent recover: A sleep dose-response study. J Sleep Res. 2003;12:1-12. 25. Van Dongen HP, Maislin G, Mullington JM, et al. The cumulative cost of additional wakefulness: Dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep.

Saunders, 2000:26-42. ; Geyer, James D. Title: Clinical Sleep Disorders, 1st Edition Copyright ©2005 Lippincott Williams & Wilkins > Table of Contents > Section II - Understanding Human Sleep > 3 - The Neurobiology of Sleep 3 The Neurobiology of Sleep Wendy M. Norman Linda F. Hayward Introduction and Historical Perspective Since the time of Greek philosophers and before, the function of sleep has been contemplated. In Greek mythology, sleep was considered a state similar to death and as such, the goddess of night, Nxy, was portrayed as the mother of both the god of sleep, Hypnos, and the god of death, Thanatos.

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