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Abdominal
Movement - In diagnostic sleep studies,
abdominal movement is recorded. This is one of the measures of
respiratory effort, reflecting movement of the diaphragm.
Advanced Sleep Phase
Syndrome (ASPS) - Phases of the daily sleep/wake cycle
are advanced with respect to clock time. This is classified as a
circadian rhythm disorder. The sleep phase occurs well ahead of
the conventional bedtime and the tendency is to wake up too early.
Alpha rhythm - EEG
oscillations, prominent over the occipital cortex, with a frequency
of 8-13 Hz in adults; indicative of the awake state; present in
most, but not all, normal individuals; most consistent and
predominant during relaxed wakefulness.
Ambulatory Monitor - Portable
system used to continuously record multiple physiological
variables during sleep.
Antihistamine - A type of
chemical present in many cold and allergy medicines, and some
nonprescription sleep medicines. When taken at night as sleep aids,
antihistamine-containing medicines may result in daytime drowsiness.
Apnea - Literally means "no
breath"; the cessation of airflow at the nostrils and mouth for at
least 10 seconds.
Apnea/Hypopnea Index (AHI) -
The number of apneas and hypopneas (abnormally slow breathing) per hour. 5-20=mild,
21-50=moderate, above 51 is considered to be severe.
Arousal - Abrupt change from
sleep to wakefulness, or from a "deeper" stage of non-REM sleep to a
"lighter" stage
Arousal Disorder
- Parasomnia disorder presumed to be due to an abnormal arousal
function. Classical arousal disorders: sleepwalking, sleep terrors
and confusional arousals.
Barbiturates - Sedating medications that were used as
sleep aids years ago but are rarely prescribed for insomnia today,
due to their overall safety risks.
Benzodiazepines - A class of medications often prescribed
for sleep problems. This class includes both long-acting medicines
(which can linger in the body and potentially cause daytime
drowsiness) and short-acting medicines (which do not stay in the
bloodstream as long). Many benzodiazepines were originally
formulated to treat anxiety. See Non-benzodiazepines.
Bruxism - See Teeth grinding.
Insomnia - Sleep problems characterized by difficulty
falling asleep, frequent awakenings during the night, or waking up
earlier than desired. Insomnia can result in getting up in the
morning feeling un-rested and experiencing drowsiness during the
day.
Jet Lag - Condition resulting when travel across time
zones leaves a person feeling “out of sync” with local time at his
or her destination.
Melatonin - A naturally occurring hormone associated with
sleep. Synthetic forms of melatonin are sold as sleep aids, although
clinical data supporting melatonin use are insufficient.
Microsleeps - Fleeting, uncontrollable episodes of sleep
occurring when one is awake. Although they may last only a few
seconds, micro-sleeps can cause car accidents, machinery-related
accidents, and other dangerous conditions.
Narcolepsy - A sleep disorder marked by sudden,
uncontrollable urges to sleep, causing an individual to fall asleep
at inappropriate times. Medications and behavioral approaches such
as scheduled naps can help control narcolepsy.
Nightmare - A frightening dream that can cause an
individual to wake up. Nightmares typically occur during REM
sleep.
Non-benzodiazepines - A class of sleep medicines.
Currently available medicines in this group typically do not
lead to daytime drowsiness.
NREM Sleep — Non-rapid eye movement sleep. A stage of
sleep in which brain activity and bodily functions slow down. NREM
sleep accounts for the largest portion of the sleep cycle.
Progressive Relaxation - A technique that involves
relaxing the body’s muscle groups in a progressive sequence, usually
starting at the toes and moving upward toward the head.
REM Sleep - Rapid eye movement sleep. REM sleep occurs in
brief spurts of increased activity in the brain and body. REM is
considered the dreaming stage of sleep. It is characterized by the
darting of the eyes under the eyelids.
Sleep Apnea - A condition characterized by temporary
breathing interruptions during sleep. The pauses in breathing can
occur dozens or even hundreds of times a night. Symptoms include
loud snoring and a gasping or snorting sound when the sleeping
individual starts to breathe again. Although the individual may not
be aware of having sleep apnea, the condition can disrupt the
quality of sleep and result in daytime fatigue. The most common
type, obstructive sleep apnea, occurs when the tongue or other soft
tissue blocks the airway. Treatments include breathing devices that
keep the airway open during sleep, and surgery that reduces the
amount of soft tissue near the airway.
Sleep Center - A laboratory or other clinical facility
equipped to diagnose sleep disorders.
Sleep Cycle - A sequence of sleep stages that usually
begins with a period of about 80 minutes of NREM sleep
followed by about 10 minutes of REM sleep. This cycle of
approximately 90 minutes is repeated four to six times each night.
If the sequence is interrupted (for example, by external noise or a
sleep disorder), the quality of sleep can suffer.
Snoring - Hoarse, often loud breathing sound that occurs
during sleep. Snoring often occurs when the soft palate in the mouth
vibrates. Snoring may be a sign of sleep apnea.
Teeth Grinding (bruxism) - Occurring during sleep,
teeth grinding can disrupt sleep and lead to daytime fatigue. It can
also damage teeth, gums, and jaw bones. To help prevent damage,
dentists often recommend using a plastic mouth guard.
Thermoregulation - Regulation
of body temperature in mammals.
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