Welcome to The International Journal of Sleep and Wakefulness – Primary Care, a CME-accredited quarterly review journal, in print and online, that systematically identifies, evaluates, and places into clinical context the most important recent studies in the science and medicine of disorders of sleep and wake.Each issue of The International Journal of Sleep and Wakefulness – Primary Care features in-depth review articles, written by sleep specialists and primary care physicians, discussing current and emerging topics of clinical interest (our "Leading Articles"). These articles are commissioned according to relevant themes identified by the Editor-in-Chief, Associate Editor, Editorial Advisory Board, and readers. We also present an ongoing, systematic review of key articles selected from the international literature (our "Clinical Reviews", written by the Editors), alongside reports from the major international meetings.Please feel free to browse this website. We hope you find the journal informative and interesting. We welcome your comments, letters, and ideas for leading articles, case studies, and meeting reports.
Sleepiness level is determined by two interacting neurobiological processes: the homeostatic balance between sleep and wakefulness, and the endogenous circadian rhythm. Disruptions of these two processes contribute to excessive sleepiness in a variety of sleep disorders...
Insomnia complaints are reported by nearly one-third of the general population; however, the diagnosis of insomnia is only made in 6–15%. Similarly, excessive daytime sleepiness is reported by approximately one in five people...
In the midst of a busy day seeing patients, being both a good listener and an efficient healthcare provider can be a challenge. The multiple roles physicians juggle with credentialing rules, quality-assurance measures, and productivity demands can be daunting...