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Co-authored by a neurologist, a psychiatrist, and a pulmonologist, "Sleep Medicine in Clinical Practice" reflects the cross-disciplinary nature in the clinical management of sleep disorders. The authors present an overview of sleep medicine including the physiological basis of sleep, diagnostic tools and possible therapeutic strategies, emphasizing throughout the role of the clinician in diagnosing and managing disease. A practical reference for the busy physician, "Sleep Medicine in Clinical Practice" includes chapters on the assessment and diagnosis of sleep disorders, conditions such as narcolepsy and sleep apnea, the management of insomnia and a selection on co-existent neurologic conditions such as epilepsy and dementia. It will be of interest to sleep medicine specialists and trainees as well as neurologists, pulmonologists, psychiatrists and internists.

Completely updated, this volume is a practical, authoritative guide to the diagnosis and management of sleep-related breathing disorders. This Third Edition provides a more comprehensive treatment approach, focusing on surgical treatment but recognizing the growing importance of medical management of snoring/sleep disorders. Noted experts in the fields of otolaryngology, head and neck surgery, pulmonology, and sleep medicine examine the pathophysiology of these disorders, their clinical presentations in adults and children, the diagnostic workup, and the latest and most effective drugs, devices, oral appliances, and surgical procedures. An in-depth discussion of patient selection and treatment decisions is also included.

Sleep disorders medicine has only recently come of age, as getting enough sleepAand getting restful sleepAhas become more elusive than ever in todayAs fast-paced world. Despite being one of the most common complaints among psychiatric patients (170 sleep disorders are now identified), sleep disorders are still not included in most medical or health careArelated curricula. The third edition of this truly Apocket-sizedA volume fills that void. Designed to provide the clinician with a practical approach to the differential diagnosis and effective treatment of sleep complaints and disorders and an up-to-date summary of sleep disorders medicine, this compact volume from American Psychiatric Publishing's Concise Guides series shows clinicians how to use a conceptual framework and decision trees to facilitate diagnosis. In just eight easy-to-read chapters, the authors present the latest research and practice on sleep disorders. After an overview that includes diagnostic nomenclature, laboratory procedures, and how to use a sleep disorders center, -Chapters 2A5 discuss individual sleep disorders, each organized by presenting complaints, clinical presentation, incidence, etiology and pathophysiology, laboratory findings, differential diagnosis, and treatment (behavioral, medical, and surgical techniques). Topics include virtually every aspect of -Sleep physiology and pathology, e.g., sleep architecture, sleep and immune function, circadian rhythms, dreams and nightmares, and sleep deprivation -Insomnia (occasional insomnia alone occurs in about 27%, and chronic insomnia in about 9%, of the U.S. population) related to substance abuse, shift work sleep disorder, restless legs syndrome, and sleep apnea -Excessive sleepiness disorders, e.g., narcolepsy; hypersomnias associated with sleep-related breathing disorders; nocturnal hypoxemia; and periodic hypersomnias, including Kleine-Levin syndrome, menstruation-associated hypersomnia, and periodic limb movements disorder -Parasomnias associated with rapid eye movement (REM) sleep, sleep paralysis, sleepwalking and sleep terrors, bruxism, muscle cramps, and central nervous system (CNS) parasomnias such as vascular headaches -Chapter 6 details the symptoms of specific medical conditions (e. g., cardiac and CNS diseases, Epstein-Barr virus, arthritis, anorexia nervosa, and AIDS) behind disordered sleep and psychiatric disorders behind both insomnia and excessive daytime sleepiness. -Chapter 7 covers pharmacological treatments (sedative-hypnotics from benzodiazepines to melatonin and alternative medications). -Chapter 8 concludes with thought-provoking discussions of sleep problems in children from infancy through adolescence, the elderly, and women (in pregnancy, premenstrual syndrome, and menopause). Thoroughly referenced and illustrated, this fascinating work is intended for students, educators, and clinicians everywhere as they face the increasingly widespread challenge of successfully diagnosing and treating sleep disorders.

This important new book is a comprehensive and highly practical reference on all aspects of sleep disorders edited by and with contributions by the major authorities on contemporary sleep medicine. The most user-friendly book on the diagnosis and management of sleep disorders, this text is authoritative enough to stand as the major reference in the field and practical enough for everyday use in the office or sleep center.

Adequate sleep is essential for our work and safety, yet the importance of disorders of sleep in causing symptoms and impairment of quality of life has only recently been appreciated. Awareness of these conditions among general physicians is limited, a situation perpetuated by the lack of teaching on the topic that both undergraduate medical students and postgraduate doctors in training receive. "Clinicians' Guide to Sleep Medicine" puts the subject into context for the GP and general hospital physician, presenting the current knowledge of sleep related problems and their treatments in an accessible manner. Topics covered include sleep apnoea / hypnoea syndrome, narcolepsy, snoring, insomnia, restless leg syndrome, night terrors, and sleep walking. Investigation of patients with sleep disorders, and rational selection of therapy are also considered. With a balanced, readable style and clear explanatory illustrations, this book will enable practicing physicians to draw on the experience of an acknowledged international expert in the field and deal with the common sleep disorders with understanding and confidence.

Clinics in Developmental Medicine No. 159 The Gross Motor Function Measure (GMFM) is the first evaluative measure of motor function designed for quantifying change in the gross motor abilities of children with cerebral palsy. The measure is widely used internationally, and is now the standard outcome assessment tool for clinical intervention in cerebral palsy. This new version (GMFM-66) is completely revised, largely new, and has been improved through Rasch analysis. GMFM-66 transforms the standard GMFM into an interval measure; provides an 'item map' of the relative difficulty among items; and includes a user-friendly, computer-assisted software program to aid in scoring and interpretation of GMFM data. This is included, with a printed scoresheet, on a CD-ROM enclosed in the book. The expertise of the authors comprises paediatrics, design, engineering and physiotherapy. They have over years devised and run research at the CanChild Centre for Childhood Disability Research at McMaster University in Hamilton, Canada.

L'insonnia è un male che affligge quasi dieci milioni di italiani nella sua forma cronica, e il 45% della popolazione nella su

A chiunque è capitato di passare una notte insonne, per effetto del jet lag o dello stress lavorativo, per le coliche del bimb