Universitat Internacional de Catalunya - BarcelonaSleep and Health
Main language of instruction: Catalan
Other languages of instruction: Spanish,
Head instructor
Dra. Maria Jose MASDEU - mjmasdeu@uic.es
Office hours
By email to professor Mª José Masdeu Margalef (mjmasdeu@uic.es)
Human beings spend a third of their life sleeping and despite that,sleep nature and disturbances have been ignored in medicine for centuries. Scientific developments have consolidated Sleep Medicine as a subspecialty, within which health professionals from different backgrounds are involved (Pulmonary, Neurology, Neurophisiology, Pediatrics, Psychiatry, Psychology, Otolaryngology, Maxillofacial Surgery, Dentistry, nursing and sleep technicians.
The subject “Sleep and Health” wants to introduce medical students to sleep disorders and to promote sleep as a crucial element for health.
Clinical Semiology and Physiopathogenia.
Sleep Medicine is a discipline,which is expanding towards the following goals:
- Promote healthy sleep habits among the population. We sleep because of an active physiological process that occurs cyclically every 24 hours. It is indispensable to have healthy sleep, the perfect synchrony between endogenous biological clocks and the social clocks.
- Specialized training for professionals to diagnose and treat sleep disorders efficiently. Sleep disorders are prevalent and associated to a greater risk of cardiovascular and metabolic diseases, and cognitive impairment. They can alsocontribute to low academic and work performance, traffic and work accidents, and mood and social disorders.
- Promote investigation to answer open questions. Whydowesleep? How many hours do we need to sleep? Can lost sleep be recovered? Do we dream every night? What do dreams mean?
Specific objectives of the subject are:
- Evaluate influences on the population’s sleep habits and their impact on health.
- Acquire a general overview of sleep physiology and identify sleep disorders and their consequences on health status.
- Recognize technologies used for diagnosis and treatment of sleep disorders and their applications.
- Promote healthy sleep habits in different care areas and the general population.
Students must be able to:
- Recognize and classify sleephabits and patterns and to identify their impact on health status.
- Know sleep physiology, its mechanisms, interactions and variations.
- Recognize the main sleep disorders and identify the impact on health.
- Identify and differentiate technologies used for diagnostic and therapeutic processes.
- Identify the role of each specialist during the evaluation and treatment of patients with sleep disorders.
- Recognize sleep hygiene measures and promote them to the population and health professionals.
Program is structured in 4 blocs as detailed.
I. SLEEP AS A PHYSIOLOGICAL PROCESS
Class 1. The physiological process of sleep. How, When and Why we sleep
(Master Class)
- What is sleep? Why we sleep? How we sleep?
- Functions and interactions of sleep
- Sleep Medicine as a discipline
Class 2. Chronobiology. The internal clocks of vital rhythms
(Theoretical-practical class)
- Sleep-wake cycle
- Biological clocks
- Circadian systems and disorders
Class 3. Sleep and life habits. The search of healthy sleep
(Master Class)
- Sleep habits
- Relevance of the environment to sleep
- How many hours do we need to sleep?
- Importance of sleep schedules
- Sleep and food
- Sleep and exercise
Class 4. Drugs and sleep. The fragility of sleep and external elements
(Theoretical-practical class)
- Relevance of sleep on drugs efficacy and action
- Impact of drugs and other substances on sleep
- Drugs and other substances restoratives of sleep
Class 5. Relevance of sleep for health status I
(Master Class)
- Sleepiness. Red signal
- Epidemiology of sleep disorders
- Classification of sleep disorders
- Consequences of sleep deprivation
Class 6. Relevance of sleep for health status II
(Theoretical-practical class)
- Consequences of sleep deprivation
II. TECHONOLOGY AND INNOVATION IN SLEEP MEDICINE
Class 7. Technology and innovation. How do we measure sleep?
(Laboratory of simulation and clinical skills)
- Equipment to register sleep
- Basic concepts from sleep studies
- Innovations in Sleep Medicine
- Challenges in Sleep Medicine
III. MAIN SLEEP DISORDERS
Class 8. Sleep and Breathing
(Master Class)
- Interaction sleep and breathing
- Sleep apnea and nocturnal hypoventilation
- Systemic impact of sleep disorders breathing
- Social impact of sleep disorders breathing
Class 9. Sleep and neurocognitive function
(Theoretical-practical class)
- Interaction sleep and brain
- Nightmares, movements and behaviors during sleep
- Dreams. Do they have any meaning?
Class 10. Sleep and children
(Master Class)
- Relevance of sleep during children development
- Main sleep disorders in childhood
Class 11. Sleep and mood
(Theoretical-practical class)
- Interaction sleep and mood
- Sleep and mental disorders
- The king: Insomnia
Class 12. Sleep health of medical students at UIC (Theoretical-practical class)
- Analysis and interpretation of sleep questionnaires of the students
- What did we learn about sleep?
- Did we change any sleep habit?
IV. PRACTICES
- Student's sleep diary (will be done for students at home the first and the last week of the course. Comparative of the impact of class content on student's sleep habits).
- Student's sleep questionnaires (will be done for students first ten minutes of 6 first classes. Description of student's sleep profile).
General Bibliography
- Josep Mª Montserrat Canal, Francisco J Puertas Cuesta. Patologíabàsica del sueño. Barcelona. Elsevier 2015
- Sociedad Española del Sueño. Tratado de Medicina del Sueño. Panamericana 2015
- Kryger MH, Roth T, Dement WC. PrinciplesandPractice of SleepMedicine. Philadelphia. Saunders 2000
- Mª José Jurado Luque. Sueñosaludable: evidencias y guías de actuación. Documentooficial de la Sociedad Española de Sueño. RevNeurol, 2016; 63 (Suplemento 2): S1-S27
During the course,specific bibliographic contents will be provided.
Links of interest
Spanish Society of Sleep Medicine (SES) http://ses.org.es/
Spanish Society of Pulmonary Medicine (SEPAR). Sleep disorders section http://separcontenidos.es/site/?q=node/57
European Sleep Research Societyhttp://www.esrs.eu/
American Academy of SleepMedicinehttp://www.aasmnet.org/
SleepResearchSocietyhttp://www.sleepresearchsociety.org/
NationalSleep Foundation https://sleepfoundation.org/