Sleep & Safety


by

Salim Surani, Shyamsunder Subramanian

DOI: 10.2174/97816080527141110101
eISBN: 978-1-60805-271-4, 2011
ISBN: 978-1-60805-390-2



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Indexed in: Book Citation Index, Science (BKCI-S), Web of Science, BIOSIS Previews, Scopus.

The National Highway Traffic Safety Administration (NHTSA) estimates that upto 4 percent of all fatal crashes are caused by drowsy dri...[view complete introduction]

Table of Contents

Message From ACCP

- Pp. i

K. Guntupalli

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Foreword

- Pp. ii

Barbara Phillips

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Preface

- Pp. iii

Salim Surani

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List of Contributors

- Pp. iv-v (2)

Salim Surani

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Acknowledgement

- Pp. vi

Salim Surani and Shyamsunder Subramanian

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Sleep and Circadian Rhythm Physiology

- Pp. 3-12 (10)

Kannan Ramar

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Sleep Deprivation: Pathophysiology

- Pp. 13-24 (12)

Vidya Krishnan and Dennis Auckley

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Sleep Deprivation: Cardiovascular and Metabolic Effects

- Pp. 25-32 (8)

Vishal Sawhney and Philip Alapat

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Health Consequences of Sleep Deprivation: Neurocognitive and Psychiatric Disorders

- Pp. 33-51 (19)

Erik K. St. Louis

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Sleep and the Immune System: Implications for Health and Mortality

- Pp. 52-59 (8)

Diwakar Balachandran

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Obstructive Sleep Apnea and Safety

- Pp. 60-66 (7)

Shyam Subramanian

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Shift Workers and Sleep

- Pp. 67-83 (17)

Salim Surani

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Sleep Deprivation Among Health Care Workers

- Pp. 84-93 (10)

Salim Surani and Shyam Subramanian

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Sleep and Driving

- Pp. 94-109 (16)

Shwetha Bopparaju and Shyam Subramanian

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Sleep and Aviation Safety

- Pp. 110-116 (7)

Siva Ramachandran

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Sleep Among the Military

- Pp. 117-129 (13)

Salim Surani

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Sleep and Safety in the Elderly

- Pp. 130-145 (16)

Salim Surani and Swetha Bopparaju

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Pediatric Sleep Disorders: Safety, Ne urocognitive and Behavioral Issues

- Pp. 146-155 (10)

Neelam Konnur and Shekhar Ghamande

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Sleep Deprivation: Legislative and Regulatory Issues

- Pp. 156-164 (9)

Christopher Miller and Kingman P. Strohl

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Index

- Pp. 165-168 (4)

Salim Surani and Shyamsunder Subramanian

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Foreword

Sleep, and its disorders, have long been the Rodney Dangerfield of Medicine and Public Health—they just don’t get any respect. Perhaps this is because sleep advocates have lumped all “sleep disorders” together in describing their risks. Clinicians and the public at large have been justifiably skeptical that “sleep disorders,” which could be anything from tooth grinding to head banging to nocturnal eating, are dangerous. Sleep & Safety, by focusing primarily on sleep deprivation, circadian rhythm asynchronies, and sleep-disordered breathing, focuses on the data and avoids hype and speculation. And the data is scare us indeed. This terse, well-written e-book first lays the physiologic groundwork for the effects of sleep deprivation, shift work, and sleep-disordered breathing and then critically reviews the data about their adverse effects. An important element of this electronic volume is its emphasis not only on the risks to the afflicted individual, but also to those on the road, in the plane, in the ranks, or under the knife with him or her. Sleep & Safety brings home the message that sleep loss, sleep apnea, and shift work are public health issues.

Barbara Phillips
Professor of Pulmonary
Critical Care and Sleep Medicine
University of Kentucky
USA
Past President, American Board of Sleep Medicine


Preface

In the late 1800s, an industrialist and industrialized nation realized the benefits of shift work. The invention of the light bulb in 1879 by Thomas Edison increased the capacity of human beings to work around the clock, henceforth defying the body’s circadian rhythm.

Shift work was thought to be an excellent way to increase production and meet consumers’ demands, and nowhere else was this more apparent than in the manufacturing and steel industries, as well as several other industries in which machines were capable of functioning 24 hours a day. Running such expensive machinery all day and night led to the rise of essential satellite services such as law enforcement and health care, while the use of fire fighters led to the development of shift work and the associated side effects of sleep deprivation and fatigue. This, in turn, eventually resulted in an increase in both errors and accidents, and the same trend continues today as military and aviation personnel are exposed to more stressors due to an increase in transatlantic flights, several wars, and everincreasing requirements for constant surveillance.

In this e-book, we discuss the normal circadian rhythm physiology and the pathophysiology of sleep deprivation. We also investigate the consequences of sleep deprivation and shift work on health, the military, aviation personnel, and the elderly, as well as safety among drivers and members of the military. We also address sleep issues and safety laws pertaining to military and aviation pilots. Finally, we discuss the legislative issues we already have and those that need to be undertaken in order to make our society safer.

This is one of the very few books that has brought up these sensitive issues our society is facing. We hope the readers will enjoy and benefit from it and that it will help make our society safer.

Salim Surani
Texas A&M University
USA

List of Contributors

Editor(s):
Salim Surani
Texas A&M University
USA


Shyamsunder Subramanian
Case Western Reserve University
USA




Contributor(s):
Phillip Alapat
Assistant Professor, Division of Pulmonary
Critical care and Sleep Medicine
Baylor College of Medicine
Houston
Texas
USA


Dennis Auckley
Associate Professor Division of Pulmonary
Critical Care and Sleep Medicine
Director, MetroHealth’s Center for Sleep Medicine
MetroHealth Medical Center, School of Medicine
Case Western reserve University,
Ohio
USA


Diwakar Balachandran
Assistant Professor Director, Sleep Center
Division of Pulmonary Medicine
University of Texas M D Anderson Cancer Center
Houston Texas
USA


Swetha Bopparaju
Baylor College of Medicine
Houston
TX
USA


Shehkar A Ghamande
Assistant Professor
Division of Pulmonary and Critical care Medicine
West Virginia University
Morgantown
WV
USA


Neelam Konnur
Assistant Professor
Department of Pediatrics
West Virginia University
Morgantown
WV
USA


Vidya Krishnan
Pulmonary & Critical care Medicine
MetroHealth Medical Center, School of Medicine
Case Western reserve University
Ohio
USA


Christopher Miller
Research Fellow in Sleep Medicine
Division of Pulmonary, Critical Care, and Sleep Medicine
Department of Medicine
Case Western Reserve University
Cleveland
Ohio
USA


Siva Ramachandran
Pulmonary, Critical Care and Sleep Medicine
Sleep Wellness Center of Pottstown
Pottstown
PA
USA


Kannan Ramar

Division of Pulmonary and Critical Care Medicine
Mayo Clinic
Rochester
MN
USA


Vishal Sawhney
Division of Pulmonary, Critical Care, and Sleep Medicine
Baylor College of Medicine
Houston
Texas
USA


Shyamsunder Subramanian
Assistant Professor
Director Sleep Clinic
Baylor College of Medicine
Houston
Texas
USA


Salim Surani
Assistant Professor
Division of Pulmonary, Critical care, and Sleep Medicine
Baylor College of Medicine
Houston
Texas
USA
/
Assistant Professor
Department of Medicine
Texas A&M University
Texas
USA


Erik K St. Louis
Division of Pulmonary, Critical care, and Sleep Medicine
Department of Medicine and Neurology
Mayo Clinic and Foundation
Rochester
Minnesota
USA


Kingman P Strohl
Professor of Medicine, Anatomy, and Oncology
Division of Pulmonary, Critical Care, and Sleep Medicine
Department of Medicine
Case Western Reserve University
Cleveland
Ohio
USA




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