1. Introduction -- Magnitude and cost of the problem -- Historical background -- Growth of somnology and sleep medicine -- Challenges in advancing the study of sleep disorders -- Somnology and sleep medicine research in academic institutions -- Scope and organization of this report -- References -- 2. Sleep physiology -- Sleep architecture -- Sleep-wake regulation -- Circadian rhythms, the 24-hour clock -- Sleep patterns change with age -- References -- 3. Extent and health consequences of chronic sleep loss and sleep disorders -- Sleep loss -- Sleep-disordered breathing -- Insomnia -- Sleep and psychiatric disorders -- Narcolepsy and hypersomnia -- Parasomnias -- Sleep and neurological disorders -- Sudden infant death syndrome -- Sleep and movement disorders -- Sleep and medical disorders -- Circadian rhythm sleep disorders -- References -- 4. Functional and economic impact of sleep loss and sleep-related disorders -- Performance and cognition deficits -- Motor vehicle crashes and other injuries -- Impact on functioning and quality of life -- Economic impact of sleep loss and sleep disorders -- References.
5. Improving awareness, diagnosis, and treatment of sleep disorders -- Challenges facing individuals with sleep disorders -- Public education -- Professional training and awareness is required -- Graduate research training in somnology and sleep disorders -- Overview of medical school somnology education -- Overview of somnology and medical residency training curricula -- Overview of sleep medicine fellowship training -- Demonstration of knowledge : board certification -- Next steps -- Data systems for surveying sleep and sleep disorders -- References -- 6. Ensuring adequate diagnosis and treatment : access, capacity, and technology development -- Developing portable diagnostic tools -- Challenges to developing ambulatory technologies -- Future directions -- References -- 7. Opportunities to improve career development in somnology -- Growth of the somnology and sleep medicine field -- NIH training and career development programs -- Opportunities to accelerate somnology and sleep medicine career development -- References -- 8. Bolstering somnology and sleep disorders research programs -- NIH coordination of sleep-related activities -- National sleep disorders research plan -- Analysis of NIH-sponsored research project grants -- Next steps in accelerating progress -- References.
9. Building sleep programs in academic health centers -- Rationale for sleep programs in academic health centers -- Constraints facing interdisciplinary sleep programs -- Key Components and guiding principles for building sleep programs -- Organizational and fiscal structures for sustaining or expanding a sleep program -- Accreditation and certification are essential to quality care -- Next steps -- References -- Appendixes -- A. Study process -- B. Acronyms -- C. Glossary of major terms -- D. Congressional language establishing the National Center on Sleep Disorders Research -- E. Sleep Disorders Research advisory board membership -- F. National Institutes of Health sleep-related initiatives : 1994-2004 -- G. National Institutes of Health support of sleep-related R01 grants -- H. Summary of NIH support of sleep-related career development awards -- I. Summary of NIH support of sleep-related R13, R25, P, F, T, and U grants -- J. Summary of investment in sleep-related projects at the top 30 NIH-funded institutions -- K. Biographical sketches of committee members and staff.
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