Normal sleep

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  • The history of sleep medicine and sleep research can be summarized as a history of remarkable progress and, at the same time, a history of remarkable ignorance. Since the publication of the second edition in 1999 enormous progress has been made in all aspects of sleep science and sleep medicine. I am pleased to see these rapid advances in sleep medicine and growing awareness about the importance of sleep and its dysfunction amongst the public and the profession.

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  • Treatment is justified if it has significantly improved their wellbeing and function. A combination of medication with psychological techniques is likely to be most beneficial, especially for resistant cases. Sleep disorders NORMAL SLEEP Humans spend about a third of the time asleep but why we sleep is not yet fully understood. Sleep is a state of inactivity accompanied by loss of awareness and a markedly reduced responsiveness to environmental stimuli.

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  • Specific questioning about the occurrence of sleep episodes during normal waking hours, both intentional and unintentional, is necessary to determine the extent of the adverse effects of sleepiness on a patient's daytime function. Specific areas to be addressed include the occurrence of inadvertent sleep episodes while driving or in other safety-related settings, sleepiness while at work or school (and the relationship of sleepiness to work and school performance), and the effect of sleepiness on social and family life.

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  • Emerging research is helping to place pain and addictive disorders on a continuum rather than on the traditional dichotomy of recent years [12–15]. It is clear to a growing number of clinicians that pain patients can, and sometimes do have concur- rent addictive disorders that decidedly complicate the management of an already challenging patient population [16–19]. It is possible for pain and addiction to exist as comorbid conditions such as the case of the alcoholic with peripheral neuro- pathic pain.

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  • Syd sat in his one room apartment looking out his window onto the street several stories below. He ate a peanut butter sandwich that stuck to the roof of his mouth like paste and tried to dislodge it with the bitter taste of foc. His normal midnight snack. He thought about how he was in a poor area of Steeple City, and how even though the people drove battery cars and only ran the room disinfecting Spaires Machines if they had children, the people walking in the street below were happier than him. The foc, an anti-depressant and stimulant, only made his head pound so he set the...

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  • Govender et al. present an important overview of criteria employed to predict recurrence and progression to MS, with particular attention given to radiological findings. Guevara Campos and González Guevara focus specifically on Landau Kleffner syndrome (LKS; sometimes called infantile acquired aphasia), in which language comprehension and expression impairments emerge after an initial period of normal development.

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  • Because there is no clear definition of the asthma phenotype, researchers studying the development of this complex disease turn to characteristics that can be measured objectively, such as atopy (manifested as the presence of positive skin-prick tests or the clinical response to common environmental allergens), airway hyperresponsiveness (the tendency of airways to narrow excessively in response to triggers that have little or no effect in normal individuals), and other measures of allergic sensitization.

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  • Unstable Angina and Myocardial Infarction (See also Chaps. 238 and 239) Patients with these acute ischemic syndromes usually complain of symptoms similar in quality to angina pectoris, but more prolonged and severe. The onset of these syndromes may occur with the patient at rest, or awakened from sleep, and sublingual nitroglycerin may lead to transient or no relief. Accompanying symptoms may include diaphoresis, dyspnea, nausea, and light-headedness. The physical examination may be completely normal in patients with chest discomfort due to ischemic heart disease.

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  • Worry had completely defeated me. My mind was so confused and troubled that I could see no joy in living. My nerves were so strained that I could neither sleep at night nor relax by day. My three young children were widely separated, living with relatives. My husband, having recently returned from the armed service, was in another city trying to establish a law practice. I felt all the insecurities and uncertainties of the postwar readjustment period. I was threatening my husband's career, my children's natural endowment of a happy, normal home life, and I was also threatening my...

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  • In both groups (patients with epilepsy and healthy controls) we used a questionnaire Epworth Scale of Sleepiness (ESS) (Johns, 1991). By answering eight questions about probability of falling asleep in standard situations we came to the result, i.e. score of daytime sleepiness ranging from 0 to 24. Rate 0-9 is considered as normal value, above 9 as elevated daytime sleepiness and value above 16 is considered as remarkably elevated daytime sleepiness (Watanabe et al., 2003).

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  • here are several forms of depressive disorders that occur in both women and men. he most common are major depres­ sive disorder and dysthymic disorder. Minor depression is also common. Major depressive disorder, also called major depression, is characterized by a combination of symptoms that interfere with a person’s ability to work, sleep, study, eat, and enjoy once-pleasurable activities. Major depression is disabling and prevents a person from functioning normally.

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