Principles and Practice of Pediatric Sleep Medicine by Stephen H. Sheldon DO FAAP, Meir H. Kryger MD. FRCPC,

By Stephen H. Sheldon DO FAAP, Meir H. Kryger MD. FRCPC, Richard Ferber MD, David Gozal MD

Principles and perform of Pediatric Sleep Medicine, 2nd variation, written by means of preeminent sleep medication specialists Drs. Sheldon, Kryger, Ferber, and Gozal, is the main entire resource for diagnosing and dealing with sleep issues in children. Newly up-to-date and now in full colour throughout, this clinical reference publication is across the world famous because the definitive source for any surgeon who treats children, supplying absolute suggestions on almost all the sleep-associated difficulties encountered in pediatric patients.

  • Organized structure separates insurance into common and irregular sleep for speedy entry to the foremost details you need.
  • Abundantly referenced chapters assist you to enquire themes extra.
  • Equips you with an entire understanding of either clinical and psychiatric sleep disorders.
  • New and multiplied chapters concerning sleep comparable respiring issues; parasomnias; differential analysis of pediatric sleep problems; hypersomnia; institution commence occasions and implications; and the overview and administration of circadian rhythm disturbances.
  • Extensive coverage on obstructive sleep apnea, analysis and therapy; review and administration of sleepy childrens; review and administration of circadian rhythm abnormalities; and pharmacology.
  • Online entry via Expert Consult for seamlessly searchable contents.

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Extra resources for Principles and Practice of Pediatric Sleep Medicine

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Am J Obstetr Gynecol 1998;178(2):247–54. 56. Seron-Ferre M, Riffo R, Valenzuela GJ, et al. Twenty-four-hour pattern of cortisol in the human fetus at term. Am J Obsteetr Gynacol 2001;184(6):1278–83. 57. Sumova A, Sladek M, Polidarova L, et al. Circadian system from conception till adulthood. Progress Brain Res 2012;199:83–103. 58. Petersen SA, Anderson ES, Lodemore M, et al. Sleeping position and rectal temperature. Arch Dis Child 1991;66(8):976–9. 59. McGraw K, Hoffmann R, Harker C, et al. The development of circadian rhythms in a human infant.

These measures all show impairment during the circadian night due to the combined impact of increased levels of sleep homeostatic drive and the active circadian drive for sleep. 72,73 Perhaps the most comprehensive data come from the forced desynchrony protocol (as described above). Across wake episodes that are slightly shorter,6 slightly longer,74 or substantially longer49 than the typical 16-hour wake episode kept by adults, the circadian system has been shown to exert approximately the same magnitude of modulation of a variety of neurobehavioral functions as the sleep homeostatic process.

35 36 Principles and Practice of Pediatric Sleep Medicine 3 2 Phase shift (h) Advance -1 -3 Delay Phase shift (h) 2 -2 -2 1 0 -1 -4 6 9 12 15 18 21 0 3 6 9 12 15 18 1 0 -3 -9 -3 -6 Circadian phase (melatonin midpoint = 22 h) Figure 5-1 The PRC to the Bright Light Stimulus Using Melatonin Midpoints as the Circadian Phase Marker.

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