Principles and Practice of Sleep Medicine, 4th Edition (Principles & Practice of Sleep Medicine) [Hardcover]

Meir H. Kryger (Author), Thomas Roth (Author), William Dement (Author)

Book Description

ISBN-10: 0721607977 | ISBN-13: 978-0721607979 | Publication Date: March 8, 2005 | Edition: 4

This authoritative guide to sleep medicine is also available as an e-dition, book (ISBN: 1416003207) plus updated online reference!

The new edition of this definitive resource has been completely revised and updated to provide all of the latest scientific and clinical advances. Drs. Kryger, Roth, and Dement-and over 170 international experts-discuss the most recent data, management guidelines, and treatments for a full range of sleep problems. Representing a wide variety of specialties, including pulmonary, neurology, psychiatry, cardiology, internal medicine, otolaryngology, and primary care, this "who's who" of experts delivers the most compelling, readable, and scientifically accurate source of sleep medicine available today.

• Includes user-friendly synopses of important background information before all basic science chapters.
• Provides expert coverage of narcolepsy * movement disorders * breathing disorders * gastrointestinal problems * neurological conditions * psychiatric disturbances * substance abuse * and more.

• Discusses hot topics such as the genetic mechanisms of circadian rhythms * the relationship between obesity, hormones, and sleep apnea * sleep apnea and arterial hypertension * and more.
• Includes a new section on Cardiovascular Disorders that examines the links between sleep breathing disorders and cardiovascular abnormalities, as well as the use of sleep related therapies for congestive heart failure.
• Provides a new section on Women's Health and Sleep Disorders that includes information on the effects of hormonal changes during pregnancy and menopause on sleep.
• Features the fresh perspectives of 4 new section editors.
• Employs a more consistent chapter organization for better readability and easier navigation.

Editorial Reviews

From The New England Journal of Medicine

Principles and Practice of Sleep Medicine encompasses the pathophysiology, diagnosis, and treatment of disorders resulting from disruptions of the sleep-wake cycle and circadian rhythm. This is a relatively new area for medical practice. Some 50 years ago, rapid-eye-movement (REM) sleep was discovered by Eugene Aserinsky and Nathaniel Kleitman at the University of Chicago, and 25 years ago the first clinical center for sleep disorders in the United States was established in the department of psychiatry at Stanford University. Now, the obstructive sleep apnea syndrome, the restless-legs syndrome, and narcolepsy are recognized as common diseases requiring clinical resources and attention. Disorders such as insomnia (abnormal initiation and maintenance of sleep) or parasomnias (abnormal motor movements during sleep) have firm foundations in systems neuroscience research. A National Institutes of Health (NIH) program, the National Center for Sleep Disorders Research (http://rover.nhlbi.nih.gov/about/ncsdr/ index.htm), was mandated by Congress in 1993 to assess intraagency research, propose and facilitate a research agenda, transfer technical information, and educate physicians and the public about sleep, chronobiology, and related disorders. The fiscal year 2000 estimate of NIH funding for this field was $133 million.

This third edition of Sleep Medicine is by far the best in regard to editorial oversight, writing, and presentation. The attempt to bring together the ideas and the facts underlying the recognition and management of sleep disorders was successful. Disorders of interest to other specialty areas -- sleep apnea and pulmonary medicine, insomnia and psychiatry or psychology, and narcolepsy and neurology -- are covered in sufficient detail to satisfy knowledgeable clinicians in those specialties. Pediatric conditions, however, are covered in a separate publication (Richard Ferber and Meir Kryger, eds. Principles and Practice of Sleep Disorders in Children. Philadelphia: W.B. Saunders, 1995).

Certain sections, such as those on sleep-disordered breathing, narcolepsy, and insomnia, have improved incrementally with each edition. However, other sections, such as those on chronobiology and disorders of circadian rhythm and on cardiovascular disease, are far better now than in previous editions in regard to scope, basic science, and relevance to patient care. The information and references are as up to date as those in a textbook can be; even the breaking story of hypocretin (orexin) is discussed in a short paragraph on the pathogenesis of narcolepsy. Many of the chapters conclude with a short synopsis or conclusion section, something that I appreciated as a mnemonic device; these sections could be read first to orient the more casual or novice reader.

Clinical epidemiology is a relatively new concept for sleep medicine. As a result, those looking for evidence-based medicine or comparisons of treatment outcomes for common disorders -- sleep apnea, restless legs, and insomnia -- will find what little information is currently available. The need to incorporate formal approaches to recognition and treatment is acknowledged, as is the hope that such data will help overcome some of the prejudices (and ignorance) encountered in discussions of sleep disorders in teaching programs and in primary care. A strategy for recognizing the high prevalence of sleep disorders and achieving the goal of better sleep might result in improved outcomes for both patients and doctors.

This is, first of all, a textbook that is essential for trainees in sleep medicine and a standard reference for centers that see patients with sleep disorders. Yet the presentation and information will also be useful to those studying pulmonary medicine and neurology, in which knowledge of sleep disorders is a required component of training programs approved by the Accreditation Council on Graduate Medical Education. The book could be a useful consultative tool for psychiatry, internal-medicine, and psychology training programs, as sleep problems and disorders are commonly encountered in the treatment of patients. For neuroscience programs, it could provide students and faculty with a concise review of the clinical problems and disorders relevant to basic-science research in sleep and circadian biology.

Kingman P. Strohl, M.D.
Copyright © 2000 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS. --This text refers to an out of print or unavailable edition of this title.

Review

"A must have" -- JAMA - March 2006

Remains the most comprehensive compilation, reference, and resource on sleep medicine. The e-version promises to keep the book current... -- Doody

See all Editorial Reviews

Product Details

• Hardcover: 1552 pages
• Publisher: Saunders; 4 edition (March 8, 2005)
• Language: English
• ISBN-10: 0721607977
• ISBN-13: 978-0721607979
• Product Dimensions: 11.2 x 8.7 x 2.2 inches
• Shipping Weight: 8.4 pounds
• Average Customer Review: 4.6 out of 5 stars  See all reviews (10 customer reviews)
• Amazon Best Sellers Rank: #1,292,534 in Books (See Top 100 in Books)

Customer Reviews

Most Helpful Customer Reviews

13 of 13 people found the following review helpful:

5.0 out of 5 stars State of the Art Manual for Sleep Medicine, May 15, 2000

By A Customer

This review is from: Principles and Practice of Sleep Medicine, 3e (Hardcover)

Up to date, fully comprehensive text book on the science and practice of sleep medicine. Thorough discussions of physiology, behavioral aspects of normal sleep and disordered sleep. This is the gold standard for learning, reviewing or referencing in this field.

7 of 7 people found the following review helpful:

5.0 out of 5 stars Very useful book, May 25, 2006

By 

Pep (VA, USA) - See all my reviews

This review is from: Principles and Practice of Sleep Medicine, 4th Edition (Principles & Practice of Sleep Medicine) (Hardcover)

Has a lot of great info if you are taking the BRPT exam or if you are just starting as a sleep tech.

9 of 10 people found the following review helpful:

4.0 out of 5 stars Very good book!, November 16, 2000

By A Customer

This review is from: Principles and Practice of Sleep Medicine, 3e (Hardcover)

This should be required reading for anyone medical professional working in the field of sleep medicine. Every clinical topic is covered in great detail and clarity. The drawback of this book (if any) is the "Methodology" section, which, for the most part, covers acquisition topics on a very shallow level. Also, don't expect to learn much from the last chapter, "Computers in Sleep Medicine". It covers six pages of nothing (those poor trees). Otherwise this book is 1301 pages of pure gold!