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

ISBN-10: 078174637X

ISBN-13: 9780781746373

This clinically concentrated, functional reference is a whole consultant to diagnosing and treating sleep problems. the outlet sections clarify uncomplicated definitions, sleep tracking, and basic human sleep. A medical shows part info find out how to procedure prognosis established upon sufferers' court cases, in addition to specified beneficial properties of the kid, adolescent, or older grownup with sleep difficulties. next sections tackle particular sleep problems and sleep problems in sufferers with different scientific 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 scientific pearls. Appendices comprise details on polysomnography, sleep questionnaires, and beginning a snooze issues facility.

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During tonic REM sleep, suppression of EMG activity is noted and the EEG shows low-voltage mixed-frequency background. No phasic REMs are observed and respiration is often fairly regular. During phasic REM (Fig. 2-8), twitches of EMG activity and irregularities in heart rate and respirations occur in association with REMs. Runs of 2- to 6-Hz notched waves, referred to as sawtooth waves, may be seen in the frontocentral regions, usually in association with bursts of eye movements. Muscle tone is at the lowest level of the recording.

B. 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.

The predominant background of the drowsy state is low- to medium-amplitude delta and theta activity intermixed with faster frequencies. Slow pendular eye movements are observed. 5 Hz, whereas rapid eye movements are typically greater than 1 Hz (14). During stage 1 sleep, there is usually a reduction in muscle activity and movement artifact. Due to its sporadic and sometimes abrupt appearance, drowsiness may be misinterpreted as abnormal paroxysmal activity. 37 38 FIGURE 2-5. Stage 1 sleep. This stage is characterized by low-amplitude, mixed-frequencies, slow-rolling eye movements, and a relative reduction in EMG activity.

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

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