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Common Sleep Problems
Common Sleep Problems

... Stages 1 and 2 are periods of light sleep from which a person can easily be awakened. During these stages, eye movements slow down and eventually stop, heart and breathing rates slow down, and body temperature decreases. Stages 3 and 4 are deep sleep stages. It's more difficult to awaken someone dur ...
Sleep & Psychiatr 2011 (Koranyi Lecture) 2011_compressed
Sleep & Psychiatr 2011 (Koranyi Lecture) 2011_compressed

... (defined as lasting 6 months or more) is due to psychiatric illness, even if the patient will not endorse or admit it. DSM-IV diagnoses these patients “Insomnia related to another mental disorder,” which includes: ...
Narcolepsy More common than you think!
Narcolepsy More common than you think!

... Excessive Daytime Drowsiness has multiple considerations, but the possibility of narcolepsy needs to be considered! Ask drowsy patients if their legs or arms periodically get suddenly weak and unable to move for several minutes (i.e. cataplexy). Ask if vivid dreams are occurring that they remember i ...
Psychiatric aspects of organic sleep disorders
Psychiatric aspects of organic sleep disorders

... Although OSAS has been linked to anxiety,51-53 nocturnal panic attacks,54 and psychotic episodes,55 it is with depression that it has been the most frequently associated. In fact, depressive symptoms are considered to be a typical clinical manifestation of OSAS,56 though the nature of the relationsh ...
Effects of Different Exercise Types on Sleep in
Effects of Different Exercise Types on Sleep in

... A multiple baseline A–B experimental design across participants with replications and follow-ups will be used to evaluate the efficacy of treatment (Kazdin, 1992). Phase A will consist of a baseline period during which participants complete a sleep diary daily. Phase B will consist of treatment that ...
Sleepwalking is a disorder that occurs when a person walks or does
Sleepwalking is a disorder that occurs when a person walks or does

... Some people mistakenly believe that a sleepwalker should not be awakened. It is not dangerous to awaken a sleepwalker, although it is common for the person to be confused or disoriented for a short time when they wake up. Another misconception is that a person cannot be injured while sleepwalking. S ...
Insomnia - Heal Naturally
Insomnia - Heal Naturally

... Insomnia is defined as the persistent difficulty or the inability to fall and/or stay asleep. This condition may have no apparent etiology, but is often a symptom of an underlying medical or psychological condition. Insomnia is generally not considered a disease, but rather a symptom of other pathol ...
Unit 5 Study Guide States of Consciousness Module 22
Unit 5 Study Guide States of Consciousness Module 22

... • An authoritative person in a legitimate context can induce people- hypnotized or not- to perform some unlikely acts. • Also affected by the subject’s attempt to play the role of the “good subject”. • Dissociation • A split in consciousness, which allows some thoughts and behaviors to occur simulta ...
Sleepy Rounds: Owens Presentation
Sleepy Rounds: Owens Presentation

... Medical history of “growing pains,” iron deficiency anemia Maternal history of RLS Complains of difficulty falling asleep and “funny feelings” in her legs at night, relieved by movement Bedclothes “all over the place” in the morning; wakens unrefreshed ...
National guidelines for diagnosis and management of Parkinson`s
National guidelines for diagnosis and management of Parkinson`s

... response to dopamine therapy becomes less sustained, probably as a consequence of the loss of dopaminergic neurons. Motor fluctuations develop and the addition of MAO-B inhibitors or COMT-inhibitors may then be considered. These agents increase the potency of levodopa and prolong its effect by inhib ...
Sleep Mini Lecture Dr Verma
Sleep Mini Lecture Dr Verma

... Symptoms are rare before 5 years of age EDS before cataplexy ...
Basic Nursing: Foundations of Skills and Concepts Chapter 19
Basic Nursing: Foundations of Skills and Concepts Chapter 19

... crawling in the muscles and by twitching, burning, prickling, or deep aching in the foot, calf, or upper leg when at rest. ...
Sleep Hygiene
Sleep Hygiene

... Can complain of “racing main” The more the person tries to sleep, the more irritated they become and the less able one is to fall asleep People who sleep better when they are not in their own bedroom May be associated with people who are overanxious about their overall health ...
ADHD presentation - Primary and Integrated Mental Health Care
ADHD presentation - Primary and Integrated Mental Health Care

Effectiveness of Iron Supplementation in a Young Child With
Effectiveness of Iron Supplementation in a Young Child With

... hemoglobin by at least 2 months,17 which may explain the limited improvement reported by the authors. In accordance with this hypothesis, in our child, behavioral improvements were observed after 8 months of iron supplementation, whereas ferritin levels began to increase faster. In our study, the de ...
- Iranian Journal of Otorhinolaryngology
- Iranian Journal of Otorhinolaryngology

... A case of undiagnosed sleep disorder, presenting as a temporary auditory processing difficulty, is presented. The disorder was initially treated as sudden deafness with dizziness. A 23-year-old male patient complained of acute hearing disturbance despite normal results on pure tone audiometry. The p ...
Lower limb flexor reflex: Comparisons between - e
Lower limb flexor reflex: Comparisons between - e

... used to score akathisia. Two patients had mild, three patients had moderate and two patients had severe akathisia. Twelve drug-naïve patients with primary RLS were also studied. RLS patients fulfilled the International RLS Study Group criteria [2,3]. Patients underwent detailed interviews that inclu ...
Parkinson`s Disease: How Pharmacists Can
Parkinson`s Disease: How Pharmacists Can

... • Understand how concomitant disease states and medications that could lead to further exacerbation of PD symptoms and how to avoid these situations • Understand ways that pharmacists can assist PD patients, their caregivers, and physicians to properly manage their condition ...
The treatment challenges of restless legs syndrome
The treatment challenges of restless legs syndrome

... specificity for the diagnosis of RLS.13 ...
Restless Legs Syndrome in an Elderly Patient Induced by Combined
Restless Legs Syndrome in an Elderly Patient Induced by Combined

... RLS are “an urge to move” and “uncomfortable and unpleasant sensations” in the legs, which can affect quality of daily life and sleep. The diagnosis is based on clinical findings. Polysomnography can reveal its impact on sleep physiology. Dopaminergic dysfunction and a change in the regulation of ir ...
HISTAMINE AND RESTLESS LEGS SYNDROME
HISTAMINE AND RESTLESS LEGS SYNDROME

... Lifestyle changes such as avoiding the stimulant effects of caffeine, tobacco and alcohol before bedtime helps reduce symptoms in some people. Nutritional deficiencies in iron, folate or magnesium may play a factor in some cases of RLS. Supplementation of these nutrients helps to reduce the uncomfor ...
Diapositiva 1
Diapositiva 1

... Efficacy of dopaminergic treatment Symptomatic form secondary to antidopaminergic drugs (neuroleptics) Association with Parkinson Disease Symptomatic form to iron deficiency ...
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Restless legs syndrome



Restless legs syndrome (RLS) also known as Willis-Ekbom disease (WED) or Wittmaack-Ekbom syndrome, is a neurological disorder characterized by an irresistible urge to move one's body to stop uncomfortable or odd sensations. It most commonly affects the legs, but can affect the arms, torso, head, and even phantom limbs. Moving the affected body part modulates the sensations, providing temporary relief.RLS sensations range from pain or an aching in the muscles, to ""an itch you can't scratch,"" an unpleasant ""tickle that won't stop,"" or even a ""crawling"" feeling. The sensations typically begin or intensify during quiet wakefulness, such as when relaxing, reading, studying, or trying to sleep. Additionally, most individuals with RLS have periodic limb movement disorder (limbs jerking during sleep), which is an objective physiologic marker of the disorder and is associated with sleep disruption. It can be caused by low iron levels.Treatment is often with levodopa or a dopamine agonist such as pramipexole. Some controversy surrounds the marketing of drug treatments for RLS. It is a ""spectrum"" disease with some people experiencing only a minor annoyance and others having major disruption of sleep and impairments in quality of life.
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