The practice of sleep medicine around the world : challenges, knowledge gaps and unique needs

Cover Title Copyright End User License Agreement Contents Preface Introduction Dedication List of Contributors Current Practice of Sleep Medicine in the USA Sleep Medicine in Canada Zachary L. Adirim1 and Brian J. Murray1,* BACKGROUND EPIDEMIOLOGICAL DATA OF SLEEP DISORDERS IN CANADA Insomnia Circadian Rhythm Disorders Restless Legs Syndrome Obstructive Sleep Apnea CURRENT PRACTICE OF SLEEP MEDICINE Facilities PRACTITIONERS & TRAINING SYSTEMS Physicians Technologists Dentists Psychologists Professional Societies, Regulatory Bodies and Guidelines Professional Societies Regulatory Bodies Practice Guidelines Driving Regulations CHALLENGES TO THE PRACTICE OF SLEEP MEDICINE IN CANADA Financial Coverage for Care Access to Care Conflict of Interest PATIENT GROUP CONSIDERATIONS Socioeconomic Indigenous Populations Ethnicity CANADIAN SLEEP MEDICINE NEEDS & OPPORTUNITIES Shift Work Light and Circadian Problems Data Repositories Genetic Diversity Home Polysomnography THE COVID-19 ERA & TELE-SLEEP MEDICINE CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Mexico Ulises Jiménez Correa1,* and Horacio Balám Álvarez García1 INTRODUCTION CLINICAL AND BASIC RESEARCH TOPICS Sleep Medicine and Education Scientific Societies Studying Sleep Current Practice of Sleep Medicine Cultural Factors Affecting Sleep Medicine CHALLENGES IN SLEEP MEDICINE AND FUTURE DIRECTIONS CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Australia Nicole Grivell1,2, Alexander Sweetman1,2, Nicole Lovato1,2, Andrew Vakulin1,2 and Ching Li Chai-Coetzer1,2,3,* THE AUSTRALIAN HEALTHCARE SYSTEM CURRENT PRACTICE OF SLEEP MEDICINE IN AUSTRALIA Sleep Medicine Practitioners Sleep Medicine Training in Australia Sleep Study Testing and Obstructive Sleep Apnea Management Insomnia Management PROFESSIONAL ORGANISATIONS WITHIN AUSTRALIAN SLEEP MEDICINE Australasian Sleep Association Thoracic Society of Australia and New Zealand Australia and New Zealand Sleep Science Association Sleep Health Foundation Australian Practice Guidelines FACTORS INFLUENCING ACCESS TO SLEEP HEALTH CARE Barriers to OSA Management Barriers to Insomnia Care Cost of Treatments Sleep Health Care for Indigenous Australians CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine Practice and Training in SaudiArabia Sleep Medicine in the United Arab Emirates Preeti Devnani1,*, Sobia Farooq2, Kelly L Huffman1, Ayesha Ahmed1 and Hadie Rifai3 INTRODUCTION HEALTHCARE INFRASTRUCTURE MEDICAL COVERAGE Sleep Disorders in the UAE Sleep Disordered Breathing Restless Leg Syndrome NARCOLEPSY Sleep Medicine in the UAE Regulation of Driving Licenses in Regard to Sleep-disordered Breathing Dental Services for Sleep Apnea in the UAE Behavioral Sleep Medicine Culturally Adapting CBTi Mental Health and Sleep Barriers RECOMMENDATIONS CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Hong Kong – Development, Knowledge Gaps and Future Challenges K.L. Choo1,*, A.M. Li2, J.W. Chan3,4, V.K.H. Lam4 and Y.K. Wing3,4 INTRODUCTION EARLY SLEEP RESEARCH AND SLEEP LABORATORIES IN HONG KONG Obstructive Sleep Apnoea Cases with Multidisciplinary Input RESPIRATORY SLEEP MEDICINE IN HONG KONG Sleep Service Challenges Role of Home Sleep Assessment Tests (HSAT) Public Medical (Hospital Authority) Sleep Laboratory Service Model for Adult Obstructive Sleep Apnoea Respiratory Sleep Medicine training PAEDIATRIC SLEEP MEDICINE IN HONG KONG The Burden of Pediatric Sleep Problems THE SERIOUSNESS OF PEDIATRIC SLEEP PROBLEMS IS NOT RECOGNIZED THE WAY FORWARD IN PAEDIATRIC SLEEP MEDICINE SLEEP MEDICINE AND PSYCHIATRY IN HONG KONG Sleep Problems are Common in Psychiatry Circadian Disruptions and Psychiatric Illnesses Sleep Interventions are Effective but Mostly not Readily Accessible In-attended Sleep Study and Psychiatry The Way Forward - Need to Develop Sleep Medicine in Psychiatry SLEEP TECHNOLOGISTS TRAINING IN HONG KONG Credentialing and Continuing Education SLEEP SPECIALIST TRAINING AND INTERNATIONAL SLEEP MEDICINE EXAMINATION FUTURE DEVELOPMENT OF SLEEP MEDICINE IN HONG KONG CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in China Liyue Xu1, Chenyang Li1 and Fang Han1,* EPIDEMIOLOGICAL DATA DEVELOPMENT OF SLEEP MEDICINE IN CHINA SLEEP EDUCATION AND SLEEP RESEARCH INTERNATIONAL COOPERATION ACADEMIC AND PATIENT ORGANIZATIONS CHALLENGES CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Current Practice of Sleep Medicine in Lebanon Marie-Louise M. Coussa-Koniski1,*, Christy Costanian1 and Alain Michel Sabri2 INTRODUCTION WHAT TYPE OF FACILITIES PROVIDE CARE AND WHAT TYPE OF PRACTITIONERS ARE INVOLVED IN SLEEP MEDICINE? Sleep Medicine Training Sleep Technologists Pediatric Sleep Medicine Clinical and Research knowledge Gap Large Population-based Studies about Obstructive Sleep Apnea (OSA) in Lebanon are Lacking What is Needed? CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Armenia Haykuhi Hovakimyan1,2 and Samson G. Khachatryan1,2,* INTRODUCTION SLEEP AND CULTURE Sleep Medicine Development in Armenia Training in Sleep Medicine and Sleep Research Sleep specialists visiting Armenia Sleep Facilities and Services in Armenia Armenian Sleep Disorders Association (ARSDA) EPIDEMIOLOGY OF SLEEP DISORDERS IN ARMENIAN POPULATION Clinical and Basic Sleep Research CHALLENGES AND GAPS OF SLEEP MEDICINE IN ARMENIA FUTURE PERSPECTIVES CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Current Practice of Sleep Medicine in Turkey Caner Sahin1,* and Gozde Orhan Kubat1 INTRODUCTION AND HISTORY ACCREDITATION AND PRACTICE Diagnostic Sleep Testing Driving Regulations Obstructive Sleep Apnea and Military Service Challenges to the Practice of Sleep Medicine Clinical and Research Knowledge Gaps CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Past, Present, and Future Directions of Sleep Medicine in Thailand Naricha Chirakalwasan1,2,3,*, Tayard Desudchit2,3,4, Aroonwan Preutthipan3,5,6, Khunying Nanta Maranetra3, Prapan Yongchaiyudh3, Chairat Neruntarat7,8, Yotin Chinvarun3,9 and Naiphinich Kotchabhakdi3,10 INTRODUCTION THE CURRENT PRACTICE OF SLEEP MEDICINE IN THAILAND CHALLENGES TO THE PRACTICE OF SLEEP MEDICINE IN THAILAND UNIQUE NEEDS OF THE SLEEP FIELD IN THAILAND CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Iran: Current Practice,Challenges, and Future Direction Current Practice of Sleep Medicine in India Nitika Dang1,* OVERVIEW EARLY DAYS OF SLEEP MEDICINE PAVING THE WAY FOR SLEEP LANDSCAPE IN INDIA TODAY DISTRIBUTION BETWEEN STATE AND PRIVATE PROVIDERS TRADITIONAL MEDICINE IN INDIA AND EARLIEST ROOTS IN “AYURVEDA” SLEEP-TECH INFLUENCING SLEEP MEDICINE IN INDIA THE PRACTICE OF SLEEP MEDICINE DURING THE COVID-19 PANDEMIC REGULATORY PRACTICES THE PRACTICE OF SLEEP MEDICINE AND LAB ECOSYSTEMS CHALLENGES, GAPS AND WAY FORWARD CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT NOTES REFERENCES Sleep Medicine in Nepal: Practice Differences, Resources and Gaps in Knowledge Narendra Bhatta1,*, Deebya Raj Mishra1, Avatar Verma1, Rejina Shahi1, Sion Hangma Limbu1, Srijan Katwal1 and Nishad Bhatta1 INTRODUCTION NEPAL: COUNTRY PROFILE (INCLUDING A BRIEF DESCRIPTION OF GEOPOLITICAL DATA AND HEALTH CARE SYSTEM) Social-ecology of Sleep in Nepal KNOWLEDGE AND ATTITUDE OF HEALTH PROFESSIONALS AND THE GENERAL PUBLIC TOWARD SLEEP DISORDERS AND SLEEP MEDICINE Magnitude of the Problems Sleep Disorders in Nepal Current Position of Sleep Medicine in Nepal Current Obstacles Facing of the Practice of Sleep Medicine in Nepal Need to Incorporate Sleep Medicine in Medical School Curriculum and why Pulmonary Medicine Should Lead the Effort CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Disorders in Syria Mohammed Zaher Sahloul1,* and Abdul Ghani Sankari2 AN OVERWHELMING CRISIS BEFORE THE CONFLICT THE IMPACT OF THE WAR ON THE HEALTHCARE SECTOR A CRISIS OF REFUGEES AND DISPLACEMENT FOUR HEALTHCARE SYSTEMS THE PREVALENCE OF SLEEP DISORDERS IN SYRIA THE CURRENT PRACTICE OF SLEEP MEDICINE IN SYRIA THE CHALLENGES FOR SLEEP MEDICINE IN SYRIA Post Crisis Recovery and Reconstruction RESEARCH OPPORTUNITIES Public Awareness Opportunities CONCLUSION DISCLOSURE CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Current Practice of Sleep Medicine in Nigeria Morenikeji Adeyoyin KOMOLAFE1, Oluwatosin Eunice OLORUNMOTENI2,*, Kikelomo Adebanke KOLAWOLE3, Olufemi K. OGUNDIPE4, Michael Bimbola FAWALE1, Akintunde Adeolu ADEBOWALE1, Ahmed Omokayode IDOWU5, Ahmad Abefe SANUSI5, Josephine Eniola A. EZIYI6 and Kolawole Samuel MOSAKU7 INTRODUCTION Sleep Disorders in Nigeria Evaluation and Treatment of Sleep Disorders in Nigeria The Practice of Paediatric Sleep in Nigeria CHALLENGES Challenges of Awareness and Diagnosis Challenges of Investigation Challenges of Management UNIQUE NEEDS CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine and Surgery in Egypt: Evolution, Clinical Practice, Education and Research Services Nevin Fayez Zaki1,* and Nesreen Elsayed Morsy2 INTRODUCTION EGYPT IN WORDS Geographical Position and Population Medical Education System Undergraduate Medical Education (UGME) Postgraduate Medical Education (PGSM) Continuous Medical Education (CME) Health Care System Scientific Research System EVOLUTION OF SLEEP MEDICINE IN EGYPT ACROSS THE AGES Ancient Egypt Era Ancient Greek (Ptolemaic) and Romanian Era Christian (Coptic) Era Islamic Medieval Era Modern Era SLEEP MYTH AND PUBLIC MISCONCEPTIONS IN EGYPT SLEEP MEDICINE EDUCATION IN EGYPT Undergraduate Sleep Medicine Education Postgraduate Sleep Medicine Education Continuous Medical Education of Sleep Medicine Sleep Technology Education Barriers and Solutions SLEEP MEDICINE PRACTICE IN EGYPT Sleep Medicine Services Structure Types of Sleep Medicine Services Facilities and Accreditation Types of Sleep Medicine Practitioners Patients Sleep Medicine Practice Guidelines Sleep Surgery in Egypt Other Specialties Collaboration Sleep Professional Societies and Regulatory Bodies Barriers to Appropriate Care and its Solutions SLEEP MEDICINE RESEARCH IN EGYPT: REAL SITUATION, BARRIERS IN THE SLEEP MEDICINE RESEARCH AND PROPOSED SOLUTIONS Funding Lack of Well-equipped Clinical and Experimental Laboratories Lack of Well-trained Somnologists, Sleep Technicians, Full-time Job Sleep Researcher, Researcher Assistant or Research Nurses Samples Collection THE CURRENT SITUATION IN NUMBERS CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENTS REFERENCES Practice of Sleep Medicine in Zambia Kondwelani John Mateyo1,* INTRODUCTION CURRENT PRACTICE OF SLEEP MEDICINE Challenges to Practice of Sleep Medicine Patient Factors Practitioner Factors Healthcare System Barriers Clinical and Research Knowledge Gap CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Brazil Helena Hachul1,*, Daniel Ninello Polesel1, Karen Tieme Nozoe1, Dalva Poyares1, Monica Levy Andersen1 and Sergio Tufik1 TEXT Geopolitical Data Brazilian Public Health System Sleep Education and Knowledge Diffusion in Brazil Professional Sleep Associations and Societies Epidemiological Data on Sleep Disorders Professionals in the Field of Sleep Medicine Diagnosis of Sleep Disorders A1. The Presence of at least one of the following parameters: A2. PSG examination or examination with a portable monitor, showing: B. PSG examination or examination with a portable monitor, showing: Practice Guidelines - Treatment of Major Sleep Disorders in the Country Use of Internet Technologies Main Areas of Basic and Clinical Sleep Research Regulation of Driving Licenses Authors’ Ambulatory Experience CHALLENGES CONCLUSION LIST OF ABBREVIATIONS CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Argentina Arturo Garay1,*, Carlos Franceschini2, Stella Valiensi3 and Vivian Leske4 INTRODUCTION A BRIEF STORY OF THE SLEEP MEDICINE ACCREDITATION SYSTEM OF PHYSICIANS ON SLEEP MEDICINE EDUCATION RESEARCH The Argentinean Health System Sleep Medicine Services in Hospitals Demography. The Argentinean Sleep Medicine Census of 2020 CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Portugal Miguel Meira e Cruz1,2,*, Cláudio D’ Elia1 and Amélia Feliciano1,3 DEMOGRAPHIC AND GEOPOLITICAL DATA PORTUGUESE PUBLIC HEALTH SYSTEM SLEEP EDUCATION AND KNOWLEDGE DIFFUSION IN PORTUGAL EPIDEMIOLOGICAL DATA ON SLEEP DISORDERS SPECIALIZATION IN THE FIELD OF SLEEP MEDICINE REQUIREMENTS FOR ACKNOWLEDGMENT OF COMPETENCE IN SLEEP MEDICINE PHYSIOLOGICAL BASES OF SLEEP CHRONOBIOLOGICAL ASPECTS OF SLEEP DIAGNOSIS AND ASSESSMENT PROCEDURES FOR SLEEP DISORDERS TREATMENT OF SLEEP DISORDERS MANAGING A SMC DIAGNOSIS OF SLEEP DISORDERS PRACTICE GUIDELINES - TREATMENT OF MAJOR SLEEP DISORDERS IN THE COUNTRY USE OF INTERNET TECHNOLOGIES MAIN AREAS OF BASIC AND CLINICAL SLEEP RESEARCH CHALLENGES AND FINAL CONSIDERATIONS CONCLUSION LIST OF ABBREVIATIONS CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Austria Rainer Popovic1,*, Michael T. Saletu2 and Reinhold Kerbl3 INTRODUCTION CURRENT PRACTICE OF SLEEP MEDICINE HEALTH CARE SYSTEM AUSTRIAN SLEEP RESEARCH ASSOCIATION CHALLENGES TO PRACTICE SLEEP MEDICINE CLINICAL AND RESEARCH KNOWLEDGE CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Practice of Sleep Medicine in the United Kingdom (UK) Timothy G. Quinnell1,* INTRODUCTION CURRENT PRACTICE OF SLEEP MEDICINE IN THE UK CHALLENGES TO PRACTICE OF SLEEP MEDICINE REGIONAL DIFFERENCES CLINICAL AND RESEARCH KNOWLEDGE GAP CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Sleep Medicine in Iceland – The Challenges of a Subarctic Small Nation Erna Sif Arnardottir1,2,* and Jordan Cunningham2 INTRODUCTION THE CURRENT PRACTICE OF SLEEP MEDICINE CHALLENGES TO PRACTICE OF SLEEP MEDICINE CLINICAL AND RESEARCH KNOWLEDGE GAP CONCLUSION CONSENT FOR PUBLICATION CONFLICTS OF INTEREST ACKNOWLEDGEMENT REFERENCES Practice of Sleep Medicine in Lithuania Evelina Pajėdienė1,*, Dalia Matačiūnienė2 and Eglė Sakalauskaitė-Juodeikienė3 INTRODUCTION Geopolitical Data Historical Background Training in Sleep Medicine: Physician and other Professionals Type of Practitioners Involved in Sleep Medicine and Available Diagnostic Tools Available Treatment Methods and Reimbursement Scientific and Professional Societies Regulation of Driving Licenses and Practice Guidelines Clinical and Fundamental Research Use of Internet Technologies (Connected Objects) CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Current Practice of Sleep Medicine in The Czech Republic Sona Nevsimalova1,*, Ondrej Ludka2 and Jana Vyskocilova3 INTRODUCTION AND HISTORY CURRENT PRACTICE OF SLEEP MEDICINE CHALLENGES TO THE PRACTICE OF SLEEP MEDICINE CLINICAL AND RESEARCH KNOWLEDGE GASP CONCLUSION CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Practice of Sleep Medicine in Russia Mikhail Bochkarev1,*, Lyudmila Korostovtseva1, Mikhail Agaltsov2, Natalya Leonenko3, Valeria Amelina1,3, Anatoly Alekhin3 and Yurii Sviryaev1 SLEEP MEDICINE IN THE RUSSIAN FEDERATION: STATE OF THE ART PROFESSIONAL SLEEP-RELATED ASSOCIATIONS IN RUSSIA EDUCATION IN SOMNOLOGY IN THE RUSSIAN FEDERATION LEGISLATION IN THE FIELD OF SLEEP MEDICINE DIAGNOSTICS AND TREATMENT OF SLEEP DISORDERS IN PRACTICE Psychological Approaches to Treatment of Sleep Disorders in Russia CHALLENGES IN CLINICAL SOMNOLOGY IN RUSSIA Geographical and Epidemiological Challenges Availability of Sleep-related Healthcare Services Patient Organizations in the Russian Federation Cultural and Psychological Barriers Lack of Clinical and Scientific Knowledge EDUCATION IN SLEEP MEDICINE: CHALLENGES AND WAYS OUT OF PROBLEMS CONCLUSION LIST OF ABBREVIATIONS FUNDING CONSENT FOR PUBLICATION CONFLICT OF INTEREST ACKNOWLEDGEMENT REFERENCES Subject Index Back Cover