By Paul R. Carney MD, Richard B. Berry MD, James D. Geyer MD
This clinically centred, useful reference is a whole advisor to diagnosing and treating sleep problems. the hole sections clarify simple definitions, sleep tracking, and basic human sleep. A scientific shows part information easy methods to technique prognosis established upon sufferers' court cases, in addition to targeted positive factors of the kid, adolescent, or older grownup with sleep difficulties. next sections tackle particular sleep issues and sleep issues in sufferers with different clinical and psychiatric stipulations. Chapters were significantly edited by means of specialists from a number of specialties, persist with a standardized template, and comprise bulleted lists, tables, and scientific pearls. Appendices contain info on polysomnography, sleep questionnaires, and beginning a nap problems facility.
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Extra info for Clinical Sleep Disorders
1971;26:49. 20. Sheldon SH, Riter S, Detrojan M. Atlas of sleep medicine in infants and children. Armonk, NY: Futura, 1999. 21. Block AJ, Boysen PG, Wynne JW, et al. Sleep apnea, hypopnea, and oxygen desaturation in normal subjects: A strong male predominance. N Engl J Med. 1979;330:513-517. 22. Kryger MH. Monitoring respiratory and cardiac function. In: Kryger MH, Roth T, Dement WC, eds. Principles and practice of sleep medicine. Philadelphia: WB Saunders, 2000:1217-1230. 23. Norman RG, Ahmed MM, Walsleben JA, et al.
1983;143:1221-1228. 28. American Academy of Sleep Medicine Task Force. Sleep-related breathing disorders in adults: Recommendation for syndrome definition and measurement techniques in clinical research. Sleep. 1999;22:667-689. 29. Chada TS, Watson H, Birch S, et al. Validation of respiratory inductance plethysmography using different 33 34 calibration procedures. Am Rev Respir Dis. 1982;125:644-649. 30. Redline S, Kapur VK, Sanders MH, et al. Effects of varying approaches for identifying respiratory disturbances on sleep apnea assessment.
Time spent in bed is not equivalent to time spent sleeping, but time spent in bed is a variable that can be controlled. Two recent studies have shown that a sleep restriction of 6 hours or less produces cognitive performance deficits as measured by psychomotor vigilance tests. 37 assessed the effect of 3, 5, 7, and 9 hours in bed over 7 days followed by a recovery period of 3 days (24). Performance was not affected in the group that spent 9 hours in bed. In the group that spent 5 or 7 hours in bed, performance initially declined and then stabilized.