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Sleep Medicine 2008

Learning Objectives

Review the latest information concerning the epidemiology, pathophysiology, and diagnosis of common, and less common, clinical manifestations of sleep apnea.

Discuss the latest research regarding the treatment of obstructive sleep apnea, including newer modalities of positive airway pressure therapy, dental appliances, and surgical treatments.

Explore a comprehensive approach for diagnosing and managing sleep problems other than apnea, such as parasomnias, narcolepsy, insomnia, and restless legs syndrome.

Describe the critical components of the diagnostic evaluation of insomnia, including the clinical interview, sleep logs, actigraphy, and indications for polysomnography. Also, review treatments for insomnia, such as cognitive behavior and pharmacologic therapy.

Compare the impact of esophageal reflux, and other esophageal disorders, with normal sleep and sleep disorders, based on recent information.

Examine the interaction of depression with normal sleep and sleep disorders.

Review circadian-related sleep disorders and the basics of sleep/wake and circadian physiology.

Recognize the basics of polysomnographic monitoring, including EEG, respiration, body movements, and how to score a sleep study.

Review the new AASM Manual for Scoring of Sleep and Associated Events.

Review normal sleep in children and adolescents, and learn to recognize and manage common sleep disorders in these populations.

Discuss ethical and legal issues encountered in sleep medicine. For example, patients with sleep disorders can have a higher risk of automobile accidents.