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

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.

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.
The majority of "Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice" is devoted to briefly discussing individual scales. When possible, an example of the scale is provided so that readers may gain a sense of the instrument s content. Groundbreaking and the first of its kind to conceptualize and organize the essential scalesused in sleep medicine, "Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice" is an invaluable resource for all clinicians andresearchers interested in sleep disorders.

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Dr. Carolyn D'Ambrosio has put together an expert panel of authors covering topics such as: Sleep and Respiratory Physiology in Adults, Sleep and Respiratory Physiology in Children, Asthma, Cystic Fibrosis, Restrictive Lung Disease, Lung Transplantation, Pulmonary Hypertension and Congestive Heart Failure, Neurologic Conditions, Central Congential Hypoventilation Syndrome, and more!

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.

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's purposes and benefits - and the impacts of not sleeping well or well enough - have been intensively investigated as a modern science for nearly 60 years. Sleep Science is an advanced introduction to the subject of sleep and sleep disorders. Designed for upper-division undergraduate students who have completed introductory prerequisites in behavioral principles, systems physiology, and research methods, it is also appropriate for the post-graduate student adding sleep to their training portfolio. Sleep Science is ideal for use in a standard semester- or quarter-based course, and is organized into thematic sections: normative adult sleep; lifespan development; sleep and circadian disorders and treatments; sleep assessments; and sleep as a profession. Cross-cutting issues are specifically addressed in chapters such as women's health and culture. Chapters conform to a standardized layout and are authored by subject matter experts, all of whom are also sleep educators. Edited for a consistent voice and continuity, each chapter features explanatory figures, tables, and/or photographs to illustrate key concepts.

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 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.

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.

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.

Easy massage routines to soothe your baby and communicate love. To a baby, touch is talk, and with these soothing techniques, you and your child can share some of your most fulfilling communicative moments. Calm and comfort your baby from head to toe with a step-by-step full-body massage; discover ways to incorporate massage into your baby's day-to-day routine; and ease common ailments such as colic, teething, and constipation. With expert guidance from a Certified Infant Massage Instructor, explore the physical and emotional benefits of baby massage and enjoy this most intimate way to relax, soothe, and nurture.

The acclaimed guide to quickly and confidently diagnosing and treating sleep disorders in neurological disease--now with more algorithms and tables The diagnosis and treatment of sleep disorders can be extremely challenging for physicians, especially when there is underlying neurological disease. In addition to the primary sleep disorders, there is a growing clinical interest in sleep disturbances associated with common neurological disorders such as Parkinson's disease. This updated and expanded edition of the critically acclaimed Sleep Disorders in Neurology: A Practical Approach provides doctors with expert recommendations and clear guidance on identifying sleep disorders in patients suffering from neurological diseases and providing effective treatment plans. In creating this Second Edition doctors Overeem and Reading made every effort to further enhance the practical approach of the first edition by adding additional algorithms and tables to assist physicians in more rapid decision making. In addition, they expanded the content to include greater coverage of primary sleep disorders. Classification and diagnosis chapters have been revamped to follow the 3rd International Classification of Sleep Disorders. Offers physicians, with a practical approach to diagnosing and treating complex sleep disorders Draws on the expertise of neurologists who specialize in the disorders under discussion Features quick-access algorithms that help physicians rapidly diagnose and treat primary and secondary sleep disorders with confidence Provides guidance on when to consult a sleep specialist in managing a particular sleep disorder and Written by a multinational author team who provide a wider perspective and range of clinical experience Sleep Disorders in Neurology: A Practical Approach, Second Edition is an essential resource for sleep medicine specialists, as well as clinicians and health care professionals not specifically trained in sleep medicine, but who nevertheless need to manage neurologically damaged patients with increasingly recognized sleep/wake disturbances.

NEW UPDATED VERSION NOW SUITABLE FOR ALL DEVICES A third of the population sleep badly, but now THE SLEEP BOOK's revolutionary five-week plan means that you don't have to be one of them. Using a blend of mindfulness and new ACT therapy techniques, Dr Guy shares his unique five-week plan to cure your sleep problem whether it's a few restless nights or a lifetime of insomnia. Most people who have trouble sleeping invest a huge amount of time, effort and money into fixing the problem, but Dr Guy has discovered the secret lies not in what you do, but what you learn not to do. In fact, as you will have discovered, the more frustrated you become only serves to push sleep further away. Dr Guy's pioneering methods at The Sleep School clinic have been an unprecedented success. By popular demand, his highly effective and 100% natural insomnia remedy is now here in this book. THE SLEEP BOOK is the sum of a doctorate degree in sleep and well over 12,000 hours spent working with more than 2,000 insomniacs in one-to-one clinics, workshops and retreat environments. Say goodbye to the vicious cycle of sleepless nights. Sleep well, maintain a positive outlook and restore the quality of life you deserve - for good.

A powerful methodology to help you switch on your body's innate ability to sleep well and how to build extraordinary energy. Sleep problems aren't created when you put your head on the pillow. Everything you do during the day - every thought, every behaviour, every choice you make - can impact on how you sleep at night. Dr Nerina Ramlakhan, a physiologist and renowned sleep and energy expert, has worked with people for over twenty five years. Combining this professional experience with academic and personal insights, she shares her view that sleep problems are not just about sleep but rather about how we deal with life and its inevitable challenges. In this ground breaking book, she goes beyond traditional sleep methods to examine the true causes of sleep problems . Fast Asleep Wide Awake shares a unique and highly practical process for accessing deep and restorative sleep and shifting your energy from survival energy to a more sustainable and vibrant source of energy that we all have access to. Using tools and techniques based on Western science and Eastern practices learn how to sleep deeply and find the energy to embrace life's challenges with courage and optimism.

Sleep breathing disorders represent one of the most important factors that influence prognosis in critical patients, directly as an initial cause or indirect process that deteriorates after admission to the Intensive Care Units. Despite this known association, there is little scientific information in key practical questions. For example, how does one approach and diagnose sleep breathing disorders in critical care medicine? How can one measure these associations in patients under non-invasive and invasive mechanical ventilation? During weaning from mechanical ventilation, extubation process, or prevention extubation failure, and finally, their association with short and long term prognosis in medical and postoperative critically patients. In this scenario, they are of great interest to understand these associations In this book, we analyze the rationale for diagnosis and treatment in critically mechanically ventilated, from non-invasive, invasive and weaning from mechanical ventilation process, treatments, protocols and follow-up patients' recommendations. The high prevalence of sleep breathing disorders, increment critically mechanical ventilated patients, new forms of invasive and non-invasive mechanical ventilation justify as multidisciplinary perspective this book, useful for pulmonologists, critical care and anesthesiologist.