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Record Nr. |
UNINA9910492142603321 |
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Autore |
Stuck Boris A. |
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Titolo |
Practice of sleep medicine : sleep disorders in children and adults / / Boris A. Stuck [and four others] |
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Pubbl/distr/stampa |
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Cham, Switzerland : , : Springer, , [2021] |
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©2021 |
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ISBN |
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Descrizione fisica |
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1 online resource (298 pages) |
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Disciplina |
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Soggetti |
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Sleep disorders |
Sleep disorders in children |
Trastorns del son |
Terapèutica |
Llibres electrònics |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Nota di contenuto |
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Intro -- Contents -- About the Authors -- 1: Physiological Basics of Healthy and Disturbed Sleep -- 1.1 History of Sleep Medicine -- 1.2 Classification of Sleep Disorders -- 1.3 Phenomenology of Sleep -- 1.4 Physiological Alterations During Sleep -- 1.4.1 Cardiovascular System During Sleep -- 1.4.2 Thermoregulation -- 1.4.3 Hormone System and Sleep -- 1.5 Circadian Rhythm -- 1.6 Sleep Regulation -- 1.7 Functions of Sleep -- 1.8 Dreaming -- 1.8.1 Definitions -- 1.8.2 Dream Recall -- 1.8.3 General Characteristics of Dreams -- 1.8.4 Correlation Between Wakefulness and Dream -- 1.8.5 Function of Dreams -- 1.9 Questions -- Further Reading -- 2: Diagnostic Methods -- 2.1 History Taking -- 2.1.1 Sleep-Related Personal Anamnesis -- 2.1.2 Sleep-Related History Compiled by Third Parties -- 2.1.3 History Taking Regarding Sleepiness, Fatigue, and Daytime Performance -- 2.1.4 Further History Taking for Differential Diagnostic: Assessment of Possible Origins of Sleep Disorders -- 2.2 Laboratory Parameters for Sleep Disorders -- 2.3 Sleep Questionnaire -- 2.3.1 Insomnia Questionnaire -- 2.3.2 Questionnaires for the Assessment of Sleep-Related Breathing Disorders -- 2.3.3 |
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Questionnaire Regarding Restless Legs Syndrome -- 2.4 Physical Examination -- 2.5 Actigraphy -- 2.6 Outpatient Step-by-Step Diagnostics for Sleep-Related Breathing Disorders and Polygraphy Systems -- 2.7 Polysomnography (PSG) -- 2.7.1 Standard Parameters of Polysomnography (PSG) -- 2.7.1.1 Measurement of Blood Pressure During Sleep -- 2.7.2 Parameters to Be Reported for Polysomnography (PSG) -- 2.7.2.1 Sleep Scoring Data -- 2.7.2.2 Phenomenology and Classification of Arousals -- 2.7.3 Polysomnography (PSG) in Patients with Insomnia -- 2.7.4 Polysomnography (PSG) in Patients with Periodic Limb Movements in Sleep and Patients with Restless Leg Syndrome. |
2.7.5 Polysomnography (PSG) in Cases of Bruxism -- 2.7.6 Polysomnography (PSG) in Cases of REM Behavior Disorders -- 2.7.7 Polysomnography (PSG) in Cases of Rhythmic Movement Disorders in Sleep -- 2.7.8 Polysomnography (PSG) in Cases of Sleep-Related Breathing Disorders -- 2.8 Examination of Sleepiness- and Fatigue-Related Daytime Impairments -- 2.8.1 Diagnostics of Daytime Sleepiness -- 2.8.1.1 Diagnostic Procedures of Central Nervous System Alertness -- Multiple Sleep Latency Test (MSLT) -- Maintenance of Wakefulness Test (MWT) -- Pupillographic Sleepiness Test -- 2.8.1.2 Diagnostic Procedures to Assess Vigilance -- Vigilance Test According to Quatember and Maly -- Sub-test of Vigilance of the Test Battery for Attentional Performance -- 2.8.1.3 Diagnostic Procedures to Assess Selective Attention -- Achievement Motivation Test Series, Version 3.00 of the Vienna Test System -- Go/NoGo of the Test Battery for Attentional Performance -- 2.8.1.4 Diagnostic Procedures to Assess Divided Attention -- Test of Divided Attention of the Test Battery for Attentional Performance -- Vienna Determination Unit -- 2.8.1.5 Subjective Diagnostic Questionnaires for Assessment of Sleepiness-Related Impairments -- Stanford Sleepiness Scale (SSS) -- Epworth Sleepiness Scale (ESS) -- 2.9 Questions -- Further Reading -- 3: Insomnia -- 3.1 Classification of Insomnia Disorders -- 3.2 Chronic Insomnia Disorder -- 3.2.1 Definitions -- 3.2.1.1 Subtype of Psychophysiological Insomnia -- 3.2.1.2 Subtype of Paradoxical Insomnia -- 3.2.1.3 Subtype of Idiopathic Insomnia -- 3.2.1.4 Subtype of Insomnia Caused by a Mental Disorder -- 3.2.1.5 Subtype of Insomnia Resulting from Inadequate Sleep Hygiene -- 3.2.1.6 Subtype of Insomnia due to Psychiatric Disease, Medical Condition, or Drug and Substance Consumption -- 3.2.2 Etiology and Pathogenesis. |
3.2.2.1 Developmental Model of Chronic Insomnia -- 3.2.2.2 Risk Factors for the Development of Chronic Insomnia -- 3.2.3 Polysomnographic Findings -- 3.3 Short-Term Insomnia Disorder -- 3.4 Other Insomnia Disorders -- 3.5 Isolated Symptoms and Normal Variants -- 3.5.1 Excessive Time in Bed -- 3.5.2 Short Sleeper -- 3.6 Diagnostics of Insomnia -- 3.7 Therapy of Insomnia -- 3.7.1 Psychoeducation -- 3.7.1.1 Information About Sleep -- 3.7.1.2 Inadequate Behaviors Related to Insomnia -- 3.7.1.3 Good Sleep Hygiene -- 3.7.2 Cognitive-behavioral Therapy of Insomnia -- 3.7.2.1 Bedtime Rituals -- 3.7.2.2 Cognitive Techniques -- Cognitive Restructuring -- Rumination Chair -- Stopping Thoughts -- 3.7.2.3 Sleep Restriction -- 3.7.2.4 Stimulus Control -- 3.7.2.5 Group Therapy and Insomnia Workshops -- 3.7.3 Pharmacotherapy of Insomnia -- 3.7.3.1 Benzodiazepine Receptor Agonists (BZRAs) -- 3.7.3.2 Benzodiazepines (BZDs) -- 3.7.3.3 Treatment Strategies Regarding BZDs and BZRAs -- Standard Interval Therapy -- Controlled Interval Therapy -- Quota-Interval Therapy -- Low-Dose Long-Term Therapy -- Low-Dose Combination Therapy -- 3.7.3.4 Melatonin and Melatonin Receptor Agonists -- 3.7.3.5 Hypocretin/Orexin |
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Antagonists -- 3.7.3.6 Second-line Hypnotics -- Antidepressants -- Neuroleptics -- Antihistamines -- Alcohol Derivatives -- Phytotherapeutics -- 3.8 Questions -- Further Reading -- 4: Sleep-Related Breathing Disorders -- 4.1 Breathing Disorders without Obstruction -- 4.1.1 Definitions -- 4.1.1.1 Central Sleep Apnea Syndromes -- 4.1.1.2 Sleep-Related Hypoventilation and Hypoxemia Syndrome -- 4.1.2 Etiology and Pathophysiology -- 4.1.2.1 Regulation of Breathing -- 4.1.2.2 Central Sleep Apnea Syndrome -- 4.1.2.3 Hypoventilation or Hypoxemia Syndromes -- 4.1.3 Epidemiology -- 4.1.4 Clinical Presentation. |
4.1.4.1 Central Sleep Apnea Syndromes -- 4.1.4.2 Hypoventilation or Hypoxemia Syndromes -- 4.2 Obstructive Sleep-Related Breathing Disorders -- 4.2.1 Definitions -- 4.2.2 Etiology and Pathophysiology -- 4.2.2.1 Anatomical Models -- 4.2.2.2 Functional Models -- 4.2.3 Epidemiology -- 4.2.4 Clinical Presentation -- 4.3 Snoring -- 4.3.1 Definitions -- 4.3.2 Etiology and Pathophysiology -- 4.3.3 Epidemiology -- 4.3.4 Clinical Presentation -- 4.4 Diagnostic Procedures -- 4.4.1 Examination Procedures and Sleep-Related Medical Diagnostics -- 4.4.1.1 Diagnostics in Cases of Central Sleep Apnea Syndromes -- 4.4.1.2 Diagnostics in Cases of Sleep-Related Hypoventilation or Hypoxemia Syndrome -- 4.4.1.3 Diagnostics in Cases of Obstructive Sleep Apnea -- 4.4.2 Differential Diagnoses -- 4.5 Therapeutic Principles -- 4.5.1 Therapeutic Principles in Cases of Snoring -- 4.5.2 Therapeutic Principles in Cases of Sleep Apnea -- 4.6 Ventilation Therapy -- 4.6.1 Different Types of Noninvasive Ventilation Therapy -- 4.6.1.1 Positive Pressure Ventilation in Cases of Spontaneously Breathing Patients -- CPAP -- APAP -- Bilevel-S -- C-Flex, EPR, SoftPAP, and A-Flex -- 4.6.1.2 Positive Pressure Ventilation in Cases of Disturbed Respiratory Drive -- Bilevel-T -- Bilevel-S/T -- 4.6.1.3 Positive Pressure Ventilation in Cases of Cheyne-Stokes Respiration -- 4.6.1.4 Practical Aspects -- 4.6.1.5 Accessories and Masks -- 4.6.1.6 Undesired Side Effects of Positive Pressure Ventilation -- 4.6.2 Ventilation Therapy in Cases of Central Sleep Apnea Syndromes -- 4.6.2.1 Primary Central Sleep Apnea and Central Sleep Apnea Due to a Medical Disorder -- 4.6.2.2 Cheyne-Stokes Respiration -- 4.6.3 Ventilation Therapy in Cases of Sleep-Related Hypoventilation and Hypoxemia. |
4.6.3.1 Sleep-Related Hypoventilation and Hypoxemia Syndromes that Are Not Caused by Bronchial Obstruction -- 4.6.3.2 Sleep-Related Hypoventilation and Hypoxemia Caused by Bronchial Obstruction -- 4.6.4 Ventilation Therapy in Cases of Obstructive Sleep Apnea -- 4.6.4.1 Indication -- 4.6.4.2 Practical Aspects -- 4.6.4.3 Therapeutic Effects -- 4.7 Therapeutic Alternatives -- 4.7.1 Conservative Procedures -- 4.7.1.1 Weight Loss -- 4.7.1.2 Behavioral Changes -- 4.7.1.3 Medication -- 4.7.1.4 Nocturnal Oxygen Therapy -- 4.7.2 Device-Based Procedures -- 4.7.2.1 Increase of Muscle Tone -- 4.7.2.2 Avoiding the Supine Position -- 4.7.2.3 Mandibular Advancement Devices -- Practical Aspects -- Patient Selection -- Acceptance and Side Effects -- Therapeutic Effects -- 4.8 Surgical Therapy -- 4.8.1 Indications and Contraindications -- 4.8.2 Selection of the Surgical Therapy -- 4.8.3 Surgery of the Nose -- 4.8.4 Surgery of the Soft Palate -- 4.8.4.1 Surgical Treatment of the Soft Palate in Cases of Snoring -- Radiofrequency Surgery -- Soft Palate Implants -- 4.8.4.2 Surgical Treatment of the Soft Palate in Obstructive Sleep Apnea -- 4.8.5 Surgery of the Retrolingual Space -- 4.8.6 Hypoglossal Nerve Stimulation -- 4.8.7 Maxillofacial Surgery -- 4.9 Questions -- Further Reading -- 5: Hypersomnia Disorders -- 5.1 Narcolepsy -- 5.1.1 Definitions -- 5.1.2 Etiology and Pathophysiology -- 5.1.3 |
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Epidemiology -- 5.1.4 Clinical Presentation -- 5.1.5 Diagnostic Procedures -- 5.1.6 Sleep Diagnostics -- 5.1.7 Differential Diagnostics -- 5.1.8 Therapy -- 5.1.8.1 Non-drug Therapy -- 5.1.8.2 Drug Therapy -- 5.1.8.3 Treatment of Comorbid Sleep Disorders -- 5.2 Idiopathic Hypersomnia -- 5.2.1 Definitions -- 5.2.2 Etiology and Pathophysiology -- 5.2.3 Epidemiology -- 5.2.4 Clinical Presentation -- 5.2.5 Diagnostics. |
5.2.6 Sleep Diagnostics. |
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