Sleep Disorders and Sleep... | Buy

Presents a structured analysis exploring improving awareness among the general public, increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities, and validating and developing new and existing technologies for diagnosis and treatment. For clinicians DNLM: Sleep Disorders--United States.

SUMMARY

1

(18)

1 INTRODUCTION

19

(14)

Magnitude and Cost of the Problem,

20

(1)

Historical Background,

21

(1)

Growth of Somnology and Sleep Medicine,

22

(1)

Challenges in Advancing the Study of Sleep Disorders,

22

(4)

Somnology and Sleep Medicine Research in Academic Institutions,

26

(3)

Scope and Organization of This Report,

29

(2)

References,

31

(2)

2 SLEEP PHYSIOLOGY

33

(22)

Sleep Architecture,

34

(5)

Sleep-Wake Regulation,

39

(2)

Circadian Rhythms, the 24-Hour Clock,

41

(2)

Sleep Patterns Change with Age,

43

(6)

References,

49

(6)

3 EXTENT AND HEALTH CONSEQUENCES OF CHRONIC SLEEP LOSS AND SLEEP DISORDERS

55

(82)

Sleep Loss,

57

(8)

Sleep-Disordered Breathing,

65

(10)

Insomnia,

75

(3)

Sleep and Psychiatric Disorders,

78

(4)

Narcolepsy and Hypersomnia,

82

(6)

Parasomnias,

88

(3)

Sleep and Neurological Disorders,

91

(5)

Sudden Infant Death Syndrome,

96

(1)

Sleep and Movement Disorders,

97

(4)

Sleep and Medical Disorders,

101

(6)

Circadian Rhythm Sleep Disorders,

107

(4)

References,

111

(26)

4 FUNCTIONAL AND ECONOMIC IMPACT OF SLEEP LOSS AND SLEEP-RELATED DISORDERS

137

(36)

Performance and Cognition Deficits,

138

(9)

Motor Vehicle Crashes and Other Injuries,

147

(4)

Impact on Functioning and Quality of Life,

151

(4)

Economic Impact of Sleep Loss and Sleep Disorders,

155

(8)

References,

163

(10)

5 IMPROVING AWARENESS, DIAGNOSIS, AND TREATMENT OF SLEEP DISORDERS

173

(44)

Challenges Facing Individuals with Sleep Disorders,

174

(4)

Public Education,

178

(4)

Professional Training and Awareness Is Required,

182

(5)

Graduate Research Training in Somnology and Sleep Disorders,

187

(1)

Overview of Medical School Somnology Education,

187

(4)

Overview of Somnology in Medical Residency Training Curricula,

191

(1)

Overview of Sleep Medicine Fellowship Training,

192

(5)

Demonstration of Knowledge: Board Certification,

197

(4)

Next Steps,

201

(2)

Data Systems for Surveying Sleep and Sleep Disorders,

203

(9)

References,

212

(5)

6 ENSURING ADEQUATE DIAGNOSIS AND TREATMENT: ACCESS, CAPACITY, AND TECHNOLOGY DEVELOPMENT

217

(16)

Developing Portable Diagnostic Tools,

218

(4)

Challenges to Developing Ambulatory Technologies,

222

(6)

Future Directions,

228

(1)

References,

229

(4)

7 OPPORTUNITIES TO IMPROVE CAREER DEVELOPMENT IN SOMNOLOGY

233

(20)

Growth of the Somnology and Sleep Medicine Field,

234

(4)

NIH Training and Career Development Programs,

238

(9)

Opportunities to Accelerate Somnology and Sleep Medicine Career Development,

247

(4)

References,

251

(2)

8 BOLSTERING SOMNOLOGY AND SLEEP DISORDERS RESEARCH PROGRAMS

253

(40)

NIH Coordination of Sleep-Related Activities,

254

(5)

National Sleep Disorders Research Plan,

259

(8)

Analysis of NIH-Sponsored Research Project Grants,

267

(9)

Next Steps in Accelerating Progress,

276

(10)

References,

286

(7)

9 BUILDING SLEEP PROGRAMS IN ACADEMIC HEALTH CENTERS

293

(28)

Rationale for Sleep Programs in Academic Health Centers,

294

(6)

Constraints Facing Interdisciplinary Sleep Programs,

300

(3)

Key Components and Guiding Principles for Building Sleep Programs,

303

(3)

Organizational and Fiscal Structures for Sustaining or Expanding a Sleep Program,

306

(6)

Accreditation and Certification Are Essential to Quality Care,

312

(3)

Next Steps,

315

(6)

References,

321

(4)

APPENDIXES

A Study Process

325

(7)

B Acronyms

332

(3)

C Glossary of Major Terms

335

(10)

D Congressional Language Establishing the National Center on Sleep Disorders Research, § 285b-7

345

(3)

E Sleep Disorders Research Advisory Board Membership

348

(3)

F National Institutes of Health Sleep-Related Initiatives: 1994-2004

351

(5)

G National Institutes of Health Support of Sleep-Related R01 Grants

356

(4)

H Summary of NIH Support of Sleep-Related Career Development Awards

360

(8)

I Summary of NIH Support of Sleep-Related R13, R25, P,F,T, and U Grants

368

(7)

J Summary of Investment in Sleep-Related Projects at the Top 30 NIH-Funded Institutions

375

(3)

K Biographical Sketches of Committee Members and Staff

378

(9)

INDEX

387

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