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New Manual Tells A to ZZZs of Sleep Diagnoses
Lynne Lamberg
JAMA contributor
JAMA. 1998;279:187.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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- A MAN IN his 70s leaps from bed to fend off dream assailants. His wife reports that he pummels her.
- A 30-year-old woman complains of "terrible insomnia" that keeps her up until 3 AM or later. Once asleep, she sleeps soundly but must arise for work at 7 AM. She feels weary all day.
- Parents of a teenager say their son is lazy. Teachers report he dozes even while taking exams.
These examples reflect some of the 77 discrete disorders of sleep catalogued in the new edition of the International Classification of Sleep Disorders (ICSD-Revised) (Rochester, Minn: American Sleep Disorders Association; 1997).
The first case illustrates rapid eye movement behavior disorder, often associated with neurologic illnesses. The second depicts the sleep phase delay syndrome, not a disorder of sleep per se but rather of the timing of sleep. The adolescent may have narcolepsy. He may be . . . [Full Text of this Article]
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'End-of-life' decision making within intensive care - objective, consistent, defensible?
Ravenscroft and Bell
J. Med. Ethics 2000;26:435-440.
ABSTRACT
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