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Books > Medicine > Nursing & ancillary services > Specific disorders & therapies > Sleep disorders
This comprehensive resource brings together the most current theories, evidence and best practice parameters for the use of nocturnal non-invasive ventilation (nNIV). Chapters focus on the application of acute and chronic nNIV in patients with cardio-respiratory disorders over a range of major medical settings. Updates on past and recent research in this field are highlighted. Authored by leading clinicians and investigators, Nocturnal Non-Invasive Ventilation provides practical and cutting-edge knowledge to physicians, researchers and allied health professionals on the front lines of treating cardio-respiratory and sleep disorders.
An expert guide to the new health trend that is helping people around the world feel more energised and less stressed. Saved by the Siesta explains how siestas work and the remarkable role they can play in overcoming the destructive effects that a shortage of sleep can have on the brain and the body. A daytime nap fulfils all the same functions as a night's sleep - it's hormonal, purifying, curative, consolidating, and reinvigorating. It also helps us to combat sleepiness, pain, depression, weak immunity, stress, hypertension, excess weight, diabetes, and cardiovascular disease. But to take advantage of all this we need to be aware of the siesta's subtleties: its various types; the correct body position to adopt; the times that are conducive to sleeping; the most effective duration; the stages of sleep that heighten awareness, cognitive performance, memory, and creativity; and how to get to sleep quickly and wake up without feeling sleepy. Saved by the Siesta provides all this information, and more. It is a lucid and accessible synthesis of the science of sleep, and a practical guide to the benefits of napping.
Following reviews on sleep physiology, regulation, pharmacology, and the neuronal networks regulating sleep and awakening, as well as a classification of sleep disorders, this book presents a number of major breakthroughs in the treatment of those disorders. These include recently approved drugs for treating insomnia, such as Doxepin; variations on previously approved molecules, e.g. Zolpidem sublingual preparation; or new chemical entities in advanced stages of clinical development, e.g. Orexin antagonists. Further topics discussed include drugs acting on the GABA receptor, such as Lorediplon and Eszopiclone; the treatment of excessive daytime drowsiness with cell therapy and drugs such as Modafinil, Armodafinil and Sodium oxybate; and the use of Tasimelteon in the treatment of circadian sleep disorders.
Sleep has recently been recognized as a critical determinant of energy balance regulating, restoration and repair of many of the physiologic and psychologic processes involved in modulating energy intake and utilization. In addition to having an impact on obesity, sleep abnormalities, both quantitative and qualitative, have now been shown to have significant effects on obesity associated comorbidities, including metabolic syndrome, premalignant lesions and cancer. Sleep problems and fatigue also constitute a significant challenge for the ever expanding group of cancer survivors. Moreover, circadian misalignment, such as that experienced by "shift workers" has been shown to be associated with an increased incidence of several malignancies including, breast, colorectal and prostate cancer, consistent with the increasing recognition of the role of clock genes in the metabolic processes. Of increasing concern is the accelerating incidence of sleep disorders in childhood, their association with childhood obesity and associated abnormalities of circulating cytokines, adipokines and metabolic factors, many of which are implicated as etiologic mediators of the connection between obesity and cancer. Extensive studies have now been initiated to investigate the mechanisms by which disturbances in sleep duration, sleep continuity and sleep related breathing affect circadian rhythm, central and peripheral tissue oxygenation and metabolism, quality and quantity of dietary intake and circulating inflammatory cytokines and regulatory hormones. This volume aims to present the latest research on sleep, sleep disturbance and its correlation to obesity and cancer.
On April 21, 1971, hundreds of Vietnam veterans fell asleep on the National Mall, wondering whether they would be arrested by daybreak. Veterans had fought the courts for the right to sleep in public while demonstrating against the war. When the Supreme Court denied their petition, they decided to break the law and turned sleep into a form of direct action. During and after the Second World War, military psychiatrists used sleep therapies to treat an epidemic of "combat fatigue." Inducing deep and twilight sleep in clinical settings, they studied the effects of war violence on the mind and developed the techniques of brainwashing that would weaponize both memory and sleep. In the Vietnam War era, radical veterans reclaimed the authority to interpret their own traumatic symptoms-nightmares, flashbacks, insomnia-and pioneered new methods of protest. In Fighting Sleep, Franny Nudelman recounts the struggle over sleep in the postwar world, revealing that sleep was instrumental to the development of military science, professional psychiatry, and antiwar activism. Traversing the fields of military and mainstream psychiatry, popular and institutional film, documentary sound technology, brain warfare, and postwar social movements, she demonstrates that sleep-far from being passive, empty, or null-is a site of contention and a source of political agency.
Struggling with restless nights? Achieve better sleep with this scientifically verified, holistic approach to healing stress and trauma-affected slumber. Inspired by his work with military veterans, sleep expert Charlie Morley explores how to combat the harmful effects of stress and trauma in order to achieve restful sleep and healing dreams. This guide shares more than 20 body, breath, sleep and dreaming techniques, all proven to help reduce anxiety, improve sleep quality, integrate nightmares, increase your energy and transform your relationship with sleep. You'll discover: * a five-step plan that improves sleep quality in 87 per cent of participants * the science of how stress and trauma affect sleep * yoga nidra and mindfulness practices for deep relaxation * breathwork practices to regulate the nervous system * lucid dreaming methods to transform nightmares Whether you're experiencing stressed-out sleep or not, these powerful practices will help you optimize the time you spend dreaming so that you can sleep better and wake up healthier.
'Impossibly wonderful' Daily Telegraph Revised and updated with a brand new chapter. Find peace in a restless world. 'James's heartfelt gentleness and masterful wisdom shine through in his teachings. His expertise lies in his ability to light the path for others to find their own way.' Richard Miller, clinical psychologist, researcher and yogic scholar. In today's fast-paced world, we've never been busier. We're surrounded by pressures from work, family, study and social media. It can feel like there's never time to truly switch off and relax. But the answer is simpler than you think - and it's within you. Through simple, easily learned techniques The Book of Rest reveals how to find a moment of peace even in the busiest of days, and a path to a calmer, happier and more relaxed you.
Diagnosing and treating sleep disorders have been added to the primary care physician's list of ever-growing responsibilities. This added expectation presents many risks since sleep medicine is rarely included in the curricula of medical schools or in non-sleep medicine residency training. The second edition to Primary Care Sleep Medicine fulfills the need of a comprehensive text assisting the physician with up-to-date information on the sleep medicine field. This updated volume represents the cutting edge of knowledge for the field, with summaries of the latest research on new diagnostic tests, medications and therapies; useful for any physician considering specialization in the field. Chapters are authored by leaders in the field of sleep medicine with an understanding of the primary care environment. Practical and comprehensive, this text is an invaluable resource for physicians and allied health professionals.
Insomnia is the difficulty initiating or maintaining sleep, including poor quality or quantity of sleep, often leading to impaired functioning and development of chronic sleep disturbances. Insomnia affects up to 50% of the general population globally, of which approximately 10% suffer from chronic insomnia. However, according to the National Sleep Foundation, less that 20% of patients with insomnia and related sleep disorders use a pharmacological intervention, highlighting a significant treatment gap. Handbook of Insomnia provides clinically-applicable insight into this condition, delving into the causes of insomnia, available and emerging treatment options and patient-centered guidelines for improving sleep hygiene and adopting successful lifestyle adjustments. This concise, fully illustrated handbook is the ideal resource for busy medical professionals and trainees with an interest in best-practice, evidence-based approaches to the management of insomnia and related sleep disorders
There are at least four reasons why a sleep clinician should be familiar with rating scales that evaluate different facets of sleep. First, the use of scales facilitates a quick and accurate assessment of a complex clinical problem.In three or four minutes (the time to review ten standard scales), a clinician can come to a broad understanding of the patient in question. For example, a selection of scales might indicate that an individual is sleepy but not fatigued; lacking alertness with no insomnia; presenting with no symptoms of narcolepsy or restless legs but showing clear features of apnea; exhibiting depression and a history of significant alcohol problems. This information can be used to direct the consultation to those issues perceived as most relevant, and can even provide a springboard for explaining the benefits of certain treatment approaches or the potential corollaries of allowing the status quo to continue. Second, rating scales can provide a clinician with an enhanced vocabulary or language, improving his or her understanding of each patient. In the case of the sleep specialist, a scale can help him to distinguish fatigue from sleepiness in a patient, or elucidate the differences between sleepiness and alertness (which is not merely the inverse of the former).Sleep scales are developed by researchers and clinicians who have spent years in their field, carefully honing their preferred methods for assessing certain brain states or characteristic features of a condition. Thus, scales provide clinicians with a repertoire of questions, allowing them to draw upon the extensive experience of their colleagues when attempting to tease apart nuanced problems. Third, some scales are helpful for tracking a patient s progress. A particular patient may not remember how alert he felt on a series of different stimulant medications. Scale assessments administered periodically over the course of treatment provide an objective record of the intervention, allowing the clinician to examine and possibly reassess her approach to the patient. Finally, for individuals conducting a double-blind crossover
trial or a straightforward clinical practice audit, those who are
interested in research will find that their own clinics become a
source of great discovery. Scales provide standardized measures
that allow colleagues across cities and countries to coordinate
their practices. They enable the replication of previous studies
and facilitate the organization and dissemination of new research
in a way that is accessible and rapid. As the emphasis placed on
evidence-based care grows, a clinician s ability to assess his or
her own practice and its relation to the wider medical community
becomes invaluable. Scales make this kind of standardization
possible, just as they enable the research efforts that help to
formulate those standards.
Sleep and Rehabilitation: A Guide for Health Professionals is a concise reference for the health professional looking to further understand sleep and how sleep science may impact particular areas of various rehabilitation disciplines. Dr. Julie M. Hereford and her contributors present Sleep and Rehabilitation: A Guide for Health Professionals in an easy-to-read manner by dividing the text into four main sections. The first section provides a review of the basic scientific understanding of sleep. While there are many other publications that present a basic scientific understanding of sleep, Sleep and Rehabilitation systematically gears this information toward the rehabilitation professional with commonly used terminology, descriptions of sleep architecture, and information concerning sleep hygiene. The final sections of Sleep and Rehabilitation describe disordered sleep and how it pertains to patients seen in the rehabilitation setting. It guides the health professional to recognise the manifestations and consequences of disordered sleep and teaches the rehabilitation professional how to interpret a sleep study in order to provide guidance in clinical decision making. Finally, Sleep and Rehabilitation provides the ever-important practical application of the theoretical principles in sleep rehabilitation. Features include: Discussion on the science of polysomnography Sleep and sleep dysfunction from a rehabilitation perspective Sleep dysfunction as it relates to the clinical needs of a patient undergoing the rehabilitation process Discussion on the particular concerns that sleep and sleep dysfunction can hold for rehabilitation patients and issues to be addressed by the provider Presentation of unique issues that disordered sleep may present in the rehabilitation process such as on pain, pain management, motor learning, and memory and performance enhancement Tools to assess quality and quantity of a patient's sleep Discussion on methods in which sleep may be manipulated in order to optimise a patient's physical performance Sleep and Rehabilitation: A Guide for Health Professionals is a one-of-a-kind reference that will help the health professional incorporate the science of sleep into the rehabilitation process.
The statistics show that as much as twenty percent of the population suffers from chronic insomnia-and one-fourth of those with the condition eventually develop an anxiety disorder. As comorbid conditions, they contribute to any number of physical and social problems. Yet too often insomnia is undiagnosed, or treated as merely a symptom of the patient's anxiety. Insomnia and Anxiety is the first clinician guidebook that considers the evaluation and management of insomnia and related sleep disturbances that occur conjointly with the common anxiety disorders. By exploring the ways that one condition may exacerbate the other, its authors present robust evidence of the limitations of viewing insomnia as secondary to GAD, agoraphobia, PTSD, and others in the anxiety spectrum. The book reviews cognitive and emotional factors common to anxiety and sleep disorders, and models a cognitive-behavioral approach to therapy in which improved sleep is a foundation for improved symptom management. Beginning and veteran practitioners alike will find vital insights into all areas of these challenging cases, including: Diagnostic and assessment guidelines. Cognitive-behavior therapy for insomnia. Behavioral strategies for managing insomnia in the context of anxiety. Cognitive strategies for managing comorbid anxiety and insomnia. Sleep-related cognitive processes. Pharmacological treatment considerations. Insomnia and Anxiety is highly useful to clinical psychologists given the range of treatment strategies it describes and to researchers because of its emphasis on the theoretical and empirical bases for its interventions. In addition, its accessible style makes it an excellent training tool for students of therapy and psychopathology.
Sleep Deprivation, Stimulant Medications, and Cognition provides a review, synthesis and analysis of the scientific literature concerning stimulant medications and neurobehavioral performance, with an emphasis on critically evaluating the practical utility of these agents for maintaining cognitive performance and alertness in sleep-deprived (but otherwise healthy) individuals. The book explores the nature of sleep loss-induced cognitive deficits, neurophysiologic basis of these deficits, relative efficacy and limitations of various interventions (including non-pharmacological), and implications for applying these interventions in operational environments (commercial and military). Readers of this volume will gain a working knowledge of: * Mechanisms contributing to sleep loss-induced cognitive deficits * Differential effects of stimulant compounds on various aspects of cognition * Considerations (such as abuse liability) when applying stimulant interventions in operational settings * Current state and future directions for including stimulants in comprehensive fatigue-management strategies. This text is key reading for researchers and trainees in sleep and psychopharmacology.
Babies who cry a lot, or are unsettled in the night, are common sources of concern for parents and, consequently, costly problems for health services. In this book, Ian St James-Roberts summarises the evidence concerning infant crying and sleeping problems to provide a new evidence-based approach to these common challenges for parents and health services. The book begins by distinguishing between infant and parental parts of the problems and provides guidelines for assessing each issue. Topics covered include: * the pros and cons of 'infant-demand' versus 'limit-setting' forms of parenting * causes of infant 'colicky' crying and night waking * effects of night-time separations on infant attachments * interventions such as swaddling, herbal remedies, and 'controlled crying.' Since there is now firm evidence that parents' vulnerabilities and cultural backgrounds affect how problems are defined and guidance is acted upon, and that parents who wish to do so can reduce infant crying and unsettled night waking, social factors are considered alongside medical issues. Translating research evidence into practical tools and guidance, The Origins, Prevention and Treatment of Infant Crying and Sleeping Problems will be essential reading for a wide range of healthcare professionals including mental health staff, social workers, midwives, health visitors, community physicians and paediatricians.
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.
Night Vision is a visual field guide to the richly rewarding art of dream interpretation. Have you ever dreamt that you were flying? That you missed your flight? Or that you got a radical new haircut? Keep a copy of this beautifully illustrated book by your bedside table to help you understand what your dreams are trying to tell you. First you need to learn the techniques, including how to get a good night's sleep, how to recall your dreams and understand the symbolic language through which they unfold. Then you can start interpreting: over 50 common dream themes are explained with accompanying illustrations. Understand what your mind is telling you when you're asleep, and you'll unlock your true potential when you're awake.
Focusing on the technical aspects of clinical neurophysiologic testing, Practical Guide for Clinical Neurophysiologic Testing: EP, LTM/ccEEG, IOM, PSG, and NCS/EMG 2nd Edition, offers comprehensive guidance on neurophysiologic testing that picks up where the companion Practical Guide for Clinical Neurophysiologic Testing: EEG ends. Dr. Thoru Yamada and Elizabeth Meng provide advanced content on evoked potentials, intraoperative monitoring, long-term EEG monitoring, epilepsy monitoring, sleep studies, and nerve conduction studies. All chapters have been updated to incorporate recent advancements and new studies and articles. Offers a straightforward approach to clinical neurophysiologic testing, with concise, readable text, test readouts, and sample cases, as well as videos and interactive questions online Provides extensive coverage of evoked potentials, including visual, brainstem auditory, and somatosensory EPs Contains new chapters on Brain Function Monitoring for Carotid Endarterectomy and Aortic Arch Surgery, Invasive EEG Monitoring and Imagining for Epilepsy Surgery, and Nerve Conduction and Electromyography Studies Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.
Clean Sleeping encourages a genuinely holistic, drug-free approach to getting the best sleep possible. Supported by comprehensive scientific evidence, the book explores the lifestyle and medical factors that can trigger sleep disturbances, from insomnia, sleepwalking and night terrors to apnoea and narcolepsy, and the strategies that can be employed to rebalance them. The fundamental issues of nutrition and stress are explored, as are complementary therapies. As well as describing symptoms and solutions, Lisa Helmanis offers simple self-help measures that banish sleep problems gently and effectively, while fitting around your lifestyle.
Introducing eight easy-to-use techniques for falling asleep, How to Sleep: A Natural Method is an indispensable companion for those who find it difficult to fall asleep and stay asleep. When sleeplessness becomes a regular occurrence, it can set up a vicious cycle of fatigue, anxiety, and sleepless nights. Finding ways to turn off the racing mind and negative thoughts or stress when going to sleep is an essential step, allowing you to break that vicious cycle and move towards a place of better well-being. The eight simple sleep techniques, along with their accompanying notes, are designed to calm the mind and allow sleep to come naturally. They are distilled from the best of thinking from the East and the West, including cognitive behavioural therapy, mindfulness and meditation, taking lessons from each of these methods on how best to quiet your mind and find a calm place from which to fall asleep.
Sleep Medicine is a rapidly growing and changing field. Experienced sleep medicine clinicians and educators Richard B. Berry, MD and Mary H. Wagner, MD present the completely revised, third edition of Sleep Medicine Pearls featuring 150 cases that review key elements in the evaluation and management of a wide variety of sleep disorders. The cases are preceded by short fundamentals chapters that present enough basic information so that a physician new to sleep medicine can start reading page 1 and quickly learn the essential information needed to care for patients with sleep disorders. A concise, practical format makes this an ideal resource for sleep medicine physicians in active practice, sleep fellows learning sleep medicine, and physicians studying for the sleep boards. Zero in on the practical, "case-based" information you need to effectively interpret sleep studies (polysomnography, home sleep testing, multiple sleep latency testing), sleep logs, and actigraphy. Get clear, visual guidance with numerous figures and sleep tracings illustrating important concepts that teach the reader how to recognize important patterns needed to diagnose sleep disorders. Confer on the go with short, templated chapters-ideal for use by busy physicians. A combination of brief didactic material followed by case-based examples illustrates major points. Stay current with knowledge about the latest developments in sleep medicine by reading updated chapters using the new diagnostic criteria of the recently published International Classification of Sleep Disorder, 3rd Edition and sleep staging and respiratory event scoring using updated versions of the scoring manual of the American Academy of Sleep Medicine Manual for the Scoring of Sleep and Associated Events. Benefit from Drs. Berry and Wagner's 25+ years of clinical experience providing care for patients with sleep disorders and educational expertise from presenting lectures at local, regional and national sleep medicine courses. Dr Berry was awarded the AASM Excellence in Education Award in 2010. Access the full contents online at ExpertConsult.
Sleep disturbance is a common challenge for those on the autism spectrum and can have a profound impact on quality of life. Sleep deprivation can exacerbate features of autism such as repetitive behaviours, can affect brain growth and negatively impact immune and metabolic functions. With contributions from pioneering researchers and clinicians, this book provides a professional understanding of the impact of sleep deprivation on autistic people. It offers insight into the latest research and available treatments, including the potential solutions offered by pharmacotherapy, using polysomnography in sleep evaluation, and the role of physical disturbances such as pain in sleep disorders. Contributing authors take an in-depth look at current behavioural interventions for sleep problems, conduct an extensive review of sensory processing in relation to sleep disturbances, and offer a discussion and analysis of the role of nutrition and dietary advice. This is the cutting edge resource for professionals and academics seeking further insight into sleep disturbances and autism, exploring contemporary research and setting the groundwork for the most effective methods of treatment for individuals of all ages.
Sleep plays a critical role in child development, with insufficient sleep or sleep disorders linked to poorer physical health, increased weight gain, academic deficits, behavior problems, and difficulties with emotion regulation. This book examines the complex and dynamic relationship between sleep and developmental psychopathology. By focusing on broad topics such as social and emotional development or child well-being, as well as specific disorders including ADHD, anxiety, and bipolar, many different aspects of developmental psychopathology are considered. In addition, a breadth of studies examine different measurement approaches and sleep as an underlying mechanism for the development of behavior, social, and emotional problems. This collection of novel research studies exploring the intersection between sleep and developmental outcomes is essential for clinicians and researchers who work with children and adolescents. This book was first published as a special issue of the Journal of Clinical Child and Adolescents Psychology.
Now in its second edition, Handbook of Sleep Disorders is the classic all-inclusive reference for sleep professionals around the world. Contributed by leading authorities, this new edition continues to provide a well-organized guide to the diagnosis and treatment of the six major categories of sleep disorders-insomnia, circadian rhythm sleep disorders, narcolepsy, and parasomnias. The new edition of Handbook of Sleep Disorders is a great reference for every sleep professional, as well as any physician treating patients with sleep disorders. Supported by tables and figures throughout each disorder is covered in depth to help sleep professionals:
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-disciplinary approach to discuss the essential information on assessment and treatment, while also covering the science of insomnia, including the definitions, origins, and complications of the condition.
Geared toward sleep specialists, neurologists, geriatricians, and psychiatrists, Geriatric Sleep Medicine presents the most current medical research for the diagnosis and management of sleep disorders in the older patient. Focused on the prevention of chronic geriatric sleep disorders, this text examines: the most recent and up-to-date classification information of sleep disorders from the American Academy of Sleep Medicine current algorithms for the evaluation and management of sleep disorders (e.g., insomnia, sleep apnea, parasomnia, hypersomnia, restless legs syndrome) in older adults both pharmacological and nonpharmacological treatments Geriatric Sleep Medicine also explores special topics of interest to clinicians, including sleep problems post-menopause, in the nursing home setting, and at the end stages of life. |
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