Monogram—Sleep and Disorders of Sleep
This monogram has been divided into 10 chapters and covers the various
aspects of normal sleep and its disorders. To make the understanding
complete the first part is devoted to the normal physiology and
architecture of normal sleep. The subsequent chapters deal with various
disorders and their management. The chapter on ‘Insomnia’, which affects
many millions of people globally, has been well covered and the
management very clearly defined. The growing epidemic of obstructive
sleep apnea (OSA) has been well highlighted and its diagnosis and
management both medical and surgical have been very clearly elucidated.
This disorder is now growing at fast pace not only in adults but in
children as well.
The phenomenal increase in OSA is growing parallel to the epidemic
of obesity. The obesity is triggered due to sedentary lifestyle, more
mechanization of life with the help of newer gadgets like computers,
television and consumption of energy dense food. Obstructive sleep apnea
has now been corelated with metabolic syndrome and serious health
issues like diabetes, hypertension and carrdiovascular disease.
Therefore, it is imperative for every student and practicing physician
to know about these disorders of sleep and manage them effectively.
The other disorders like narcolepsy, idiopathic hypersomnolence,
abnormal movements during sleep, parasomnias and chronic insomnia and
depression have been covered in successive chapters. Sleep disorders and
especially insomnia have profound influence on the mood and mind of the
person. Therefore, depression is quite frequently seen in these
patients or at times it is the depression which leads to insomnia. The
role of keeping the mental balance and improving the work capability of
the workforce by identifying and managing the sleep disorder has been
well covered.
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