Sleep Medicine in Clinical Practice

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9781842141908: Sleep Medicine in Clinical Practice
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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.

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About the Author:

Dr Michael H Silber attended medical school at the University of Cape Town. He trained in Internal Medicine and Neurology at Groote Schuur Hospital, Cape Town and complete a fellowship in Neurology at the Mayo Clinic, Rochester, MN, USA. He is a Fellow of the College of Physicians af South Africa, and is board certified by the American Board of Psychiatry and Neurology, the American Board of Sleep Medicine and the american Board of Electrodiagnostic Medicine.

He is currently Associate Professor of Neurology at Mayo Medical school and Co-Director of the Mayo Sleep Disorders Center in Rochester, USA. He is an elected Member of the American Neurologic Association and is a Fellow of the American Academy of Neurology and of the American Academy of Sleep Medicine. He is past President of the American Board of Sleep Medicine and is a member of the Boards of directors of the American Academy of Sleep Medicine, the American Sleep Medicine Foundation and the Associated Professional Sleep Societies. His research interests include REM sleep behavior disorder and other parasomnias, narcolepsy and restless legs syndrome.

Dr Lois Krahn graduated from Mayo Medical School in Rochester, MN, USA. She completed her psychiatry residency and fellowship at Georgetown University School of Medicine and the Mayo Clinic. She is board certified by the American Board of Psychiatry and Neurology and the American Board of Sleep Medicine.

She is currently Associate Professor of Psychiatry at Mayo Medical School and Chair of the Department of Psychiatry and Psychology at Mayo Clinic Arizona. She is an elected member of the American College of Psychiatry, a fellow of the American Academy of Sleep Medicine and a member of the American Psychiatric Association. Her research interests are the relationship of sleep issues with psychiatric disorders, narcolepsy and psychosomatic psychiatry.

Dr Timothy I Morgenthaler is a graduate of the Massachusetts Institute of Technology and Dartmouth Medical School. He completed a sugical internship at Naval Hospital San Diego and served in the United States Navy as an Undersea Medical Officer beofre training in Internal, Pulmonary, and Critical Care Medicine, andthe American Board of Sleep Medicine.

Currently he is an Assistant Professor of Medicine at Mayo Medical School and a Consultant in the Division of Pulmonary and Critical Care Medicine at the Mayo Clinic. He is a Fellow of the American College of Physicians, the American College of Chest Physicians, and the American Academy of Sleep Medicine. His research interests include sleep disorders in acutely ill and hospitalized patients, and clinical practice analysis.

From The New England Journal of Medicine:

This is a very clearly written book with many illustrations, graphs, case vignettes, and succinct definitions. The authors have constructed an effective didactic tool that would serve well as the first reading material for anyone seeking information on sleep and its disorders. It should be highly recommended to graduate and medical students, residents, fellows, and sleep technologists. Candidates for the sleep medicine board examination will find this book to be a very useful review. It achieves its goal of serving as a practical compendium rather than as an all-inclusive textbook. The contents provide a solid foundation of knowledge regarding sleep medicine, but the book will also be very helpful to anyone who merely needs to understand what the results of various sleep studies mean -- it gives physicians a basic understanding of sleep disorders that they can apply in everyday clinical practice. Topics are clearly labeled, and the index efficiently directs the reader to the correct place. The book starts with a short section on the physiologic basis of sleep but quickly adopts a more clinical approach, outlining the way to assess a patient for a sleep disorder and to obtain a sleep history. It explains which tests are available, the purpose of each, and the findings one can expect. The chapters progress from general to more specific problems, but they always maintain a simple and pragmatic approach. The various chapter headings (e.g., "Approach to the Sleepy Patient" and "The Patient Who Cannot Sleep") indicate the book's systematic and clinically useful approach. Sleep Medicine in Clinical Practice covers not only the basic neuroanatomy and pharmacology of sleep but also polygraphic and other test patterns. It explains clearly the meaning of various findings on sleep studies and covers all the major disorders outlined in the International Classification of Sleep Disorders. (The authors were careful to integrate the 2004 revision of the classification into their book.) They devote an appropriate amount of space to a description of the major conditions, including the disorders of breathing during sleep, narcolepsy, and insomnias. But they delve further and discuss sleepwalking, REM (rapid eye movement) sleep behavior disorders, circadian rhythm disorders, movement disorders (including the restless legs syndrome and Parkinson's disease), and psychiatric disorders. Readers will appreciate the balanced structure of each chapter, with a combination of relevant case vignettes, graphs, illustrations, tables, and medication doses. This is an excellent book from which to learn basic sleep medicine; clinicians are likely to keep it on hand to respond to a wide assortment of sleep-related problems. Allison Chan, M.D.
Copyright © 2005 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

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