Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan See book keywords and concepts | Sleep disorder specialist: A medical or other doctor who has special training in sleep medicine and has been certified by the American Board of sleep medicine.
READ MY LIPS...AND MOUTH
The lips, the teeth, the tip of the tongue. The lips, the teeth, the tip of the tongue.
)ur lips and mouths are gateways to some of our most sensual pleasures: sucking,
—TONGUE TWISTING VOCAL
WARM-UP FOR ACTORS drinking, eating, tasting, and kissing. Perhaps this is why people have been obsessed with their mouths since ancient times. Dating as far back as 5000 B.C. | Benjamin H. Natelson, M.D. See book keywords and concepts | Such a sleep disorder would provide a medical explanation for your symptoms and would require care by a specialist in sleep medicine.
Recognizing sleep disorders is difficult. Experts in sleep medicine usually ask patients about sleepiness—the inability to stay awake even in situations when wakefulness is required, such as at work or while driving. The Epworth Sleepiness Scale (reproduced on the next page) is commonly used to screen a person for excessive daytime sleepiness. | Bottom Line Health See book keywords and concepts | | Silber, MB, ChB, professor of neurology, Mayo Clinic College of Medicine, codirector, Mayo Sleep Disorders Center, Rochester, MN, and president, American Academy of sleep medicine.
Michael Thorpy, MD, director, Sleep-Wake Disorders Center, Montefiore Medical Center, and associate professor of neurology, Albert Einstein College of Medicine, both in Bronx, NY.
American Academy of sleep medicine. | Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan See book keywords and concepts | Sleep disorder specialist: A medical or other doctor who has special training in sleep medicine and has been certified by the American Board of sleep medicine.
READ MY LIPS...AND MOUTH
The lips, the teeth, the tip of the tongue. The lips, the teeth, the tip of the tongue.
)ur lips and mouths are gateways to some of our most sensual pleasures: sucking,
—TONGUE TWISTING VOCAL
WARM-UP FOR ACTORS drinking, eating, tasting, and kissing. Perhaps this is why people have been obsessed with their mouths since ancient times. Dating as far back as 5000 B.C. | Shannon Brownlee See book keywords and concepts | In addition, Sepracor was a $250,000 platinum sponsor of the foundation's 200c poll; another $300,000 grant from the company went toward a series of "Sleep Medicine i ne rer suauer i i y 1
Alerts," brochures to educate doctors, who, according to Gelula, don't treat insomnia adequately because they "don't think sleeplessness is a sickness."
But is it? For some people, of course, chronic insomnia is a ruinous affliction. Night after night, they toss and turn; they try books, booze, hot baths, watching TV, anything to get to sleep. | Mehmet C. Oz., M.D. and Michael F. Roizen, M.D. See book keywords and concepts | Despite the fact that thirty-five million prescriptions for sleep medicine were written in the United States in 2005 (twice as many as in 2000), many docs don't prescribe medications that are intended to get at the source of the problem. This guide will help you and your doctor make the decision that's right for you.
Is This You?
Try
Why
You're just beginning to experience some mild sleep problems.
You're jet-lagged or work shift work.
You've had sleep issues over an extended period of time.
You wake up in the middle of the night. | Bottom Line Health See book keywords and concepts | | Robert Vorona, an assistant professor of sleep medicine at Eastern Virginia Medical School.
It takes some time until we're able to be efficient in our ability to make decisions and think clearly.
Kenneth P. Wright, Jr.. PhD
Ultimately, emergency workers may need to take the research into account when they figure out who makes the major decisions in a crisis, Wright says. "It may be more important for someone else to make those decisions until someone [who has just woken up] has gotten past that initial impairment. | | American Academy of sleep medicine.
Reports in the media of bizarre behaviors —including eating, driving and even shoplifting—that occurred during Ambien-inducecl sleep have raised concerns among the millions of Americans who take the popular prescription sleep aid. But according to most experts, there is no need to panic. | | THE NUMBERS
"It may seem like there's an explosion of these cases, but when you've got 26 million prescriptions written and just 48 cases reported to the US Food and Drug Administration [FDA]—most of which involved inappropriate use of the medication—the numbers are extremely small," says Donna Arand, clinical director of the Kettering Sleep Disorders Center in Dayton, Ohio, and a spokeswoman for the American Academy of sleep medicine (AASM).
These figures are from the FDA's adverse events reporting database, which has tracked patient reports of medication-associated sleepwalking since 1997. | Herbert Ross, DC with Keri Brenner, L.Ac. See book keywords and concepts | The panel was made up of experts in behavior, pain and sleep medicine, nursing,
The Fight-or-Flight Response
Pioneering stress researcher Hans Selye, MD, a Canadian physiologist, noted a consistent pattern of response to stress and termed these the general adaptation syndrome, commonly referred to as the fight-or-flight response. This response occurs in three stages: the alarm reaction, the stage of resistance, and the stage of exhaustion.
Initially, the body's biochemistry tends to react to stress in an orderly fashion. | Bottom Line Health See book keywords and concepts | | To get a good night's sleep, visit the Ameri-— can Academy of sleep medicine Web site at www.aasmnet.org/pdj7insomnia.pdf
Medications to Help You Get a Good Night's Sleep
Michael Thorpy, MD, director, Sleep-Wake Disorders Center, Montefiore Medical Center, and associate professor of neurology, Albert Einstein College of Medicine, both in Bronx, NY. He is coauthor of Sleeping Well: The Sourcebook for Sleep and Sleep Disorders. Checkmark.
More and more Americans are taking medications to help them fall asleep. | Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan See book keywords and concepts | STOP SIGN
The Sleep Research Society and the American Academy of sleep medicine have devised a single question to determine which patients are likely to have restless leg syndrome: "When you try to relax in the evening or sleep at night, do you ever have unpleasant, restless feelings in your legs that can be relieved by walking or movement?" If you answer yes, you probably have this annoying condition. | | American Academy of sleep medicine www.aasmnet.org
American Association of Clinical Endocrinologists www.aace.com
American Cancer Society www.cancer.org
American College of Allergy, Asthma, and Immunology www.acaai.org
American College of Cardiology www.acc.org
American College of Gastroenterology www.acg.gi.org
American College of Obstetricians and Gynecologists www.acog.com
American College of Rheumatology www.rheumatology.org
American Diabetes Association www.diabetes.org
American Gastroenterological Association www.gastro.org
American Heart Association www.americanheart. | C. W. Randolph, M.D. See book keywords and concepts | According to Michael Breus, a faculty member of the Atlanta School of sleep medicine and director of the Sleep Disorders Centers of Southeastern Lung Care in Atlanta, a lack of sleep drives leptin levels down, which means that you don't feel as satisfied after you eat. It also causes ghrelin levels to rise, which means that your appetite is stimulated, so you want more food. | Benjamin H. Natelson, M.D. See book keywords and concepts | Experts in sleep medicine usually ask patients about sleepiness—the inability to stay awake even in situations when wakefulness is required, such as at work or while driving. The Epworth Sleepiness Scale (reproduced on the next page) is commonly used to screen a person for excessive daytime sleepiness. The scale was tested on a large group of healthy people whose scores never exceeded 10, while people with sleep disorders often had higher scores. The operative word is often. A score of over 9 is considered sleepy and over 17 is very sleepy. | Bottom Line Health See book keywords and concepts | | Robert Vorona, MD, assistant professor of sleep medicine, Eastern Virginia Medical School, Norfolk.
The Journal of the American Medical Association.
Asmall study has found that, on awakening, people are more mentally addled than when they are kept awake for 26 hours.
THE STUDY
To better understand this so-called "sleep inertia," study coauthor Kenneth Wright, Jr., director of the Sleep & Chronobiology Lab at the University of Colorado at Boulder, and his colleagues gave mathematical tests to nine men and one woman several times in the hours after waking from sleep. | Michael T. Murray See book keywords and concepts | The American Academy of sleep medicine (www.aasmnet.org) certifies specialists and sleep laboratories; the person's physician can provide a referral to one of these centers.
Sleep apnea is most often caused when an excess amount of fatty tissue accumulates in the airway and narrows it. With a narrowed airway, the person continues his or her efforts to breathe, but air cannot easily flow into or out of the nose or mouth. This results in heavy snoring, periods of no breathing, and frequent arousals (causing abrupt changes from deep sleep to light sleep). | KC Craichy See book keywords and concepts | Unfortunately, there are no truly good remedies for either snoring or sleep apnea, as sleep medicine is in its infancy. Nevertheless, it is critical to work toward optimal health by addressing all Seven Golden Keys. Sometimes these issues will resolve themselves once food intolerances are addressed and optimal fitness and body weight are obtained. Conventional medical approaches address symptoms and rarely get to the root of the problem. Sleep apnea is extremely serious and can be a death sentence if it is not taken seriously. | volker schulz and Rudolf Hansel See book keywords and concepts | Stevinson C, Ernst E (2000) Valerian for insomnia: a systematic review of randomized clinical trials. sleep medicine 1: 91-99.
Stocker HR (1967) Sedative und hypnogene Wirkung des Hopfens. Schweizer Brauerei Rundschau 78: 80-89.
Sugawara Y, Hara C, Aoki T, Sugimoto N, Masujima T (2000) Odor distinctiveness between enan-tiomers of linalool: difference in perception and responses elicited by sensory test and forehead surface potential wave measurement. Chem Senses 25: 77-84.
Sugawara Y, Hara C, Tamura K et al. |
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