Sleep disorders and work performance: However, Nuckton and colleagues have found that the Mallampati score, which is used to identify individuals who may be at risk for a difficult tracheal intubation, is predictive of the presence and the severity of OSA. If someone needs to wake up by an alarm clock, they are most likely getting insufficient sleep time. Abstract Excessive daytime sleepiness EDS is a common problem that is important to recognize and address. The assessment, diagnosis, and treatment of excessive sleepiness: Chronic sleep deprivation It is believed that, with the advent of electricity and consequently the use of televisions and computers, as well as higher demands on working hours, studies and social commitments, people are sleeping less and, as a consequence, complaining of ES.
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The Assessment, Diagnosis, and Treatment of Excessive Sleepiness

Subjective measures may be used for evaluating the feeling of ES at a given moment or in daily situations. Treatment of Excessive Sleepiness The first step in treating excessive sleepiness is to determine its cause. In OSA—the most dangerous and physiologically disruptive cause of excessive daytime sleepiness—treatment with positive pressure devices e. However, this criteria also considers the degree of EDS, which may not correlate with the severity as measured by the AHI. A study of accident patterns in offshore drillers in the North Sea [dissertation].
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A Practical Approach to Excessive Daytime Sleepiness: A Focused Review

National Comission on Sleep Disorders Research. However, it is difficult to assess the impact of caffeine in the population due to the wide variety of caffeine sources and the inconsistency of caffeine intake. Emerging research shows that modafinil may be useful in the treatment of sleepiness associated with MDD and in reducing sedation caused by psychotropic medications. The reductions in quality of life associated with excessive sleepiness may be substantial, involving compromised cognitive performance and work productivity as well as possible harm to the individual and the public. One of the most apparent changes of the increase in sleepiness is its effect on the state of alertness.
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Adenosine is known to inhibit cholinergic neurons located in the basal forebrain which are involved in arousal, so caffeine may promote wakefulness by disinhibiting this system Well recognised risk factors for this condition include an increased BMI, neck circumference, increased age, alcohol use, male gender and anatomical variations which narrow the upper airway. Additionally, normal subjects will sleep for longer than usual in the right environment, even when EDS is not detected in the MSLT 40 , suggesting that sleep times alone are of little use in estimating the severity of sleep disorders in the community. The Epworth Sleepiness Scale. Caffeine is commonly used to enhance alertness [ 9 ].
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Causes adult extreme daytime sleepiness

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