You will master, with this program, the most updated procedures for performing a polysomnography”

Lack of sleep is a problem that affects almost half of the world's population, has a direct impact on the increase of stress and anxiety and, therefore, leads to a decrease in the patient's quality of life. For this reason, new diagnostic methods are continuously emerging, such as postural polyactioxygraphy tests or advanced video polysomnography, which make it possible to detect and optimize the treatment to combat the disorder a person suffers from in just one night. Given the great advances that are constantly being made in this area of medicine, professionals who are experts in this field must update their knowledge and skills in order to provide excellent care to their patients.  

Faced with this situation, TECH has designed this program, which will enable the physician to know and manage perfectly all the innovations produced in the field of Sleep Medicine, through the combination of theoretical teaching with practical experience. During this academic period, the student will increase their competencies in the administration of novel drugs used to combat sleep disorders or acquire relevant individualized clinical management of the SAHS patient. In the same way, it will update its diagnostic procedures to detect, in an early way, a possible sleep problem in the pediatric patient.

Thanks to the 100% online methodology of the theoretical part of this Hybrid Master's Degree, the physician will have the opportunity to combine his excellent learning with his professional duties. After completing this stage, you will enjoy your practical stay in a first class hospital center, where you will rub shoulders with the best experts in Sleep Medicine and develop skills that will position you as a reference professional in this field.

Through a 100% online methodology in the theoretical part, you will expand your knowledge in diagnostic and therapeutic sleep disorders without having to travel to a study center”

This Hybrid Master's Degree in Sleep Medicine contains the most complete and up-to-date scientific program on the market. The most important features include:

• Development of more than 100 clinical cases presented by physicians with extensive experience in the treatment of sleep disorders
• The graphic, schematic, and practical contents with which they are created, provide scientific and practical information on the disciplines that are essential for professional practice
• Novel procedures for performing sleep studies to establish a rigorous diagnosis in a short period of time
• Updated contents on new drugs used to combat insomnia
• State-of-the-art therapeutic methods to combat movement disorders such as Restless Legs Syndrome or Periodic Leg Motion Syndrome
• All of this will be complemented by theoretical lessons, questions to the expert, debate forums on controversial topics, and individual reflection assignments
• Content that is accessible from any fixed or portable device with an Internet connection
• Furthermore, you will be able to carry out a clinical internship in one of the best hospital centers

The hospital internships that you will complete during the final stretch of this program will allow you to face the challenges of your profession with ease”

In this Professional Master's Degree proposal, of a professionalizing nature and blended learning modality, the program is aimed at updating medical professionals who develop their health work oriented towards the diagnosis and treatment of various sleep disorders suffered by their patients. The contents are based on the latest scientific evidence, and oriented in a didactic way to integrate theoretical knowledge into Doctor practice, and the theoretical-practical elements will facilitate the updating of knowledge and allow decision making in patient management. 

Thanks to the multimedia content, developed with the latest educational technology, Medicine professionals will benefit from contextual learning, i.e., a simulated environment that will provide immersive learning programmed to train in real situations. This program is designed around Problem-Based Learning, whereby the physician must try to solve the different professional practice situations that arise during the course. For this purpose, the students will be assisted by an innovative interactive video system created by renowned and experienced experts. 

In just 12 months, you will increase both your knowledge and skills in the field of Sleep Medicine to grow professionally"

Gain access to the most prestigious hospital centers thanks to the broad competencies you will acquire through this Hybrid Master's Degree"

The curriculum of this Hybrid Master's Degree consists of 10 modules through which students will significantly expand and update their knowledge in the area of Sleep Medicine. The didactic resources that you will have at your disposal during the duration of this program are present in different types of textual and multimedia supports. This fact, added to the program's 100% online methodology, will allow students to optimize their learning without leaving their homes.  

Through TECH's own relearning system of this program, you will be able to achieve effective learning at your own pace”

Module 1. Previous Fundamental Aspects of Sleep Medicine

1.1. Normal sleep in humans. Sleep functions
1.2. Evolution of sleep throughout a lifetime
1.3. The neurobiology of sleep and wakefulness
1.4. Neurobiology mechanisms of sleep and wakefulness
1.5. Chronobiology of the sleep-wake cycle
1.6. Evolution of circadian system throughout a lifetime
1.7. Dream activity
1.8. Commonly used drugs which interfere with sleep
1.9. Sleep Disorders. From the anamnesis to the suspected diagnosis

1.9.1. Introduction. Classification of Sleep Disorders
1.9.2. Anamnesis and basic semiology
1.9.3. Medical History. Sleep diary. Scales and test
1.9.4. Suspected Diagnosis General tests and sleep specific tests

Module 2. Technical and organisational aspects of the diagnostic process

2.1. Measurable biological parameters and detection sensors

2.1.1. Types of parameters and their registration methods
2.1.2. Selection of parameters according to diagnostic suspicion
2.1.3. General protocol and the selection of which test to perform

2.2. Simplified systems of registration

2.2.1. Relevance of the simplified systems
2.2.2. Pulse oximetry, actigraphy and activity wristbands
2.2.3. Abbreviated systems and respiratory polygraphy

2.3. Abbreviated systems and respiratory polygraphy. The apparatus and signal acquisition
2.4. Abbreviated systems and respiratory polygraphy. Analysis, coding and interpretation (I)

2.4.1. Analysis and coding of the sleep phases in adults. Hypnogram
2.4.2. Analysis and coding of the sleep phases in childhood
2.4.3. Analysis and coding of cardiac activity

2.5. Abbreviated systems and respiratory polygraphy. Analysis, coding and interpretation (II)

2.5.1. Coding of respiratory events and their interpretation
2.5.2. Analysis and coding of motor events
2.5.3. Analysis of other signs
2.5.4. Joint interpretation and reporting

2.6. Polysomnography (PSG): indications and expanded PSG
2.7. Other sleep and wakefulness tests

2.7.1. Evaluation of tiredness

2.7.1.1.Multiple latency sleep test-TLMS
2.7.1.2.Maintenance of wakefulness test-TMV

2.7.2. Suggested Immobilisation Test (SIT) and variants (mSIT)

2.8. Alternative systems of integrated monitoring

2.8.1. Other ways to address sleep disorders
2.8.2. Wireless systems
2.8.3. Pulse Transit Time (PTT) systems
2.8.4. Microwave movement sensors
2.8.5. Image and sound in sleep studies

2.9. Methods of studying the circadian system
2.10. Automised and advanced analysis of the bioelectric signal

2.10.1. Concepts, preparation and analysis
2.10.2. Analysis of each signal or multichannel
2.10.3. Algorithms for cleaning, artefact detection and detection of specific signals
2.10.4. Learning and classification networks, analytics matching and data mining

2.11. Organisation of a Sleep Unit

2.11.1. From basic units to multidisciplinary units. Local, multidisciplinary and multi-sectoral integration
2.11.2. The patient as a central focus
2.11.3. Sleep nursing
2.11.4. External integration with health services and support units
2.11.5. Supply companies and private activity
2.11.6. Accrediations for centers and people
2.11.7. Innovation and resources. Integration of software, networks and servers. Homebased monitoring systems

Module 3. Insomnia in adults. Sleep in Adult Psychiatry

3.1. Insomnia: definitions, types, epidemiology and the socio-economic impact
3.2. Etiopathogenesis, assessment and differential diagnosis of chronic insomnia
3.3. Non-pharmacological management of chronic insomnia(I): locating the problem and its orientation

3.3.1. Basis and importance of a non-pharmacological approach to insomnia
3.3.2. Cognitive-behavioural treatment of insomnia. Conceptual framework
3.3.3. Components of cognitive-behavioural treatment

3.3.3.1. Stimulus control techniques
3.3.3.2. Techniques to reduce the amount of time spent in bed
3.3.3.3. Sleep hygiene rules: environmental and behavioural changes
3.3.3.4. Effective relaxation techniques for insomnia
3.3.3.5. Cognitive techniques applied in managing insomnia

3.3.4. Other possible non-pharmacological approaches:

3.3.4.1. Aromatherapy in sleep problems: myths and truths
3.3.4.2. Music therapy for insomnia
3.3.4.3. Acupuncture for insomnia

3.4. Non-pharmacological management of chronic insomnia(II): Behavioral techniques

3.4.1. Step-by-Step relaxation technique

3.4.1.1. Relaxation and diaphragm respiration techniques
3.4.1.2. Progressive muscular relaxation training
3.4.1.3. Other techniques: Biofeedback and Mindfulness

3.4.2. Procedure for applying the Cognitive Techniques

3.4.2.1. Negative thoughts and their impact on sleep
3.4.2.2. Cognitive distortions
3.3.2.3. Cognitive reconstructio: debate technique
3.3.2.4. Thought stop
3.3.2.5. Paradoxical intention

3.4.3. Individual vs.group therapy
3.4.4. Health education for the prevention of insomnia
3.4.5. Neurofeedback and insomnia: Basic and applied research

3.5. Pharmalogical treatment for insomnia: options and latest findings

3.5.1. Benzodiazepines (BZD)
3.5.2. Non-benzodiazepine hypnotics ("Z-drugs")
3.5.3. Antidepressive sedatives
3.5.4. Melatonin and melatonin receptor agonists
3.5.5. Dual orexin receptor antagonists (DORA): What does the future hold?
3.5.6. Other drugs useful in treating insomnia
3.5.7. Supplements and phytotherapy: myths and scientific evidence

3.6. Planning the pharmalogical treatment of insomnia Special Situations
3.7. Mood disorders and sleep
3.8. Anxiety disorders and sleep
3.9. Other psychiatric disorders and sleep

3.9.1. Psychotic Disorders
3.9.2. Eating Disorders
3.9.3. ADHD in adults

3.10. Sleep and addictions

Module 4. Hypersomnia in adults Circadian rhythm disorders in adults

4.1. Initial approach to hypersomnias of central origin

4.1.1. Concepts, definitions and types
4.1.2. Insufficient sleep syndrome
4.1.3. Isolated symptoms and variants of normality: long sleeper

4.2. Narcolepsy (part I)
4.3. Narcolepsy (parte II)
4.4. Idiopathic hypersomnia
4.5. Recurrent hypersomnia

4.5.1. Kleine Levin syndrome
4.5.2. Hpersomnia related to menstruation
4.6. Other causes of hypersomnia

4.7. Chronopathology (I): Endogenous circadian disturbances

4.7.1. Delayed sleep phase syndrome
4.7.2. Sleep phase advancement syndrome
4.7.3. Hypernictameral or free-course syndrome
4.7.4. Irregular wake-sleep pattern

4.8. Chronopathology (II): External factors in circadian alterations

4.8.1. Circadian alterations due to shift work patterns
4.8.2. Circadian disturbance due to fast meridian crossing or jet lag
4.8.3. Social jet lag

4.9. Phototherapy
4.10. Other therapeutic methods to regulate the circadian system

4.10.1. Sleep hygiene rules
4.10.2. Chronotherapy
4.10.3. Melatonin
4.10.4. Other Drugs

Module 5. Sleep Disordered Breathing (RBD): clinical aspects in adults

5.1. Respiratory physiology and pathophysiology during sleep

5.1.1. Introduction
5.1.2. Anatomical factors
5.1.3. Functional factors

5.1.3.1. Upper airway reflexes (UAR). Answers
5.1.3.2. Degree of sensitivity of the centres to triggering events
5.1.3.3. Sensitivity of the respiratory centres

5.1.4. Assessment of features involved in ASV characteristics in SAHS

5.1.4.1. Known features
5.1.4.2. Critical pressure measurement as an expression of ASV collapsibility

5.2. Characteristics of the most typical TRS: breathing sounds, SARVAS, SAHS

5.2.1. Snoring Definition, classification and epidemiology
5.2.2. Catathrenia
5.2.3. Syndrome of increased upper airway resistance (SARVAS)
5.2.4. Sleep apnoea-hypopnoea syndrome (SAHS)

5.2.4.1.Definition and Concept
5.2.4.2.Prevalence
5.2.4.3.Risk Factors

5.3. Central Apnoea syndrome
5.4. Non-respiratory comorbidities of SAHS

5.4.1. AHT and cardiovascular risk
5.4.2. Other comorbidities

5.5. Respiratory comorbidities of SAHS

5.5.1. Acute Chronic Obstructive Pulmonary Disease (COPD)
5.5.2. Asthma
5.5.3. Diffuse interstitial lung disease
5.5.4. Pulmonary Hypertension

5.6. SAHS, obesity and metabolic disturbances: associations and effect of CPAP

5.6.1. SAHS and metabolic syndrome
5.6.2. SAHS and lipid metabolism
5.6.3. SAHS and glucide metabolism

5.7. Hypoventilation-obesity syndrome

5.7.1. Definition, prevalance and epidemiology
5.7.2. Effects of obesity on the respiratory system
5.7.3. Contribution of airway obstruction during sleep to hypercapnia
5.7.4. Clinical features, predictive factors and diagnosis
5.7.5. Treatment

5.8. Diagnosis of SAHS

5.8.1. Polysomnography: “Gold standard” method
5.8.2. Polygraphy and simplified diagnostic methods Indications and decision making
5.8.3. Other complimentary methods

5.9. Treatment of SAHS (I)

5.9.1. Global measures
5.9.2. Positive pressure in the airway CPAP and APAP indication
5.9.3. Adaptation and monitoring of treatment. The age of telemonitoring

5.10. Treatment of SAHS (II)

5.10.1. Treatment with bi-level pressure
5.10.2. Servo ventilation
5.10.3. Other therapeutic options

Module 6. Sleep-disordered breathing disorders (SRD): surgery, dentistry and functional rehabilitation in SAHS

6.1. Functional anatomy and exploration of the airway from surgical and dental perspectives

6.1.1. Exploration of the airway in the otorhinolaryngological practice
6.1.2. Dental and maxilofacial exploration

6.2. Airway imaging tests

6.2.1. Somnoscopy (DISE) in paediatrics and adults
6.2.2. Applied radiology

6.3. Surgery and Treatment the palatopharyngeal

6.3.1. Tonsillectomy, adenoidectomy and pharyngoplasty: concepts and techniques
6.3.2. Lingual frenulum surgery
6.3.3. Soft tissue stiffness augmentation techniques

6.3.3.1. Radiofrequency
6.3.3.2. Sclerosants
6.3.3.3. Devices

6.3.4. Hypopharyngeal surgery

6.3.4.1. Surgery of the base of the tongue and epiglottis
6.3.4.2. Other treatment techniques from a cervical approach

6.3.4.2.1. Tongue and hyoid suspension
6.3.4.2.2. Neurostimulation of the hypoglossal nerve
6.3.4.2.3. Tracheostomy

6.3.5. Nasal surgery Optimising adherence to CPAP
6.3.6. Oro-dental sleep medicine (I): mandibular advancement devices in adults
6.3.7. Oro-dental sleep medicine (II): expanders in pediatrics and adults
6.3.8. Maxillary-mandibular advancement and other orthognathic surgery treatments
6.3.9. Myofunctional therapy and respiratory reeducation in the treatment of SHAS
6.3.10. Multilevel and multidisciplinary treatment Conclusions

Module 7. Behavioural and movement disorders during sleep in adults

7.1. Parasomnias during adult NREM sleep

7.1.1. Circadian rhythm disorders in adults
7.1.2. Nocturnal eating disorder
7.1.3. Sexomnia

7.2. REM sleep behaviour disorder (RBD)
7.3. Others sleep disorders or behavioural situations

7.3.1. Other REM parasomnias

7.3.1.1. Nightmare Disorder
7.3.1.2. Isolated sleep paralysis

7.3.2. Somniloquy
7.3.3. Explosive head syndrome

7.4. Sleep-wake disassociation

7.4.1. The concept of sleep-wake disassociation
7.4.2. Status dissociatus

7.5. Restless leg syndrome (Willis-Ekbom's disease): initial considerations and causal mechanisms

7.5.1. Definitions and myths about the disease: clarifying concepts
7.5.2. Epidemiology
7.5.3. Living with the disease
7.5.4. Pathophysiology

7.6. Restless Leg Syndrome: Etiopathogenic types and clinical aspects

7.6.1. “Primary” and “secondary” disease: Current concepts
7.6.2. Clincal symptoms
7.6.3. Physical, psychological and social consequences

7.7. Restless leg syndrome: diagnostic methods and differential diagnosis

7.7.1. Clinical diagnostic criteria
7.7.2. Complementary methods of diagnostic support
7.7.3. Differential Diagnosis

7.8. Treatment of restless leg syndrome

7.8.1. Non-pharmacological methods
7.8.2. Iron treatment Other deficits to consider
7.8.3. The pharmalogical treatment of symptoms

7.8.3.1. General Considerations
7.8.3.2. Dopaminergic drugs
7.8.3.3. Non-dopaminergic drugs

7.8.4. Other treatments

7.9. Other motor disorders related to sleep: limb and/or body activity

7.9.1. Periodic limb movement syndrome during sleep
7.9.2. Rhythmic movements during sleep
7.9.3. Muscular cramps in the legs during sleep
7.9.4. Hypnogenic foot tremor
7.9.5. Alternating leg muscle activation
7.9.6. Hypnagogic myoclonias
7.9.7. Isolated myoclonias in the head and neck during sleep
7.9.8. Proospinal myoclonias

7.10. Other motor disorders related to sleep: orofacial phenomena

7.10.1. Bruxism during sleep
7.10.2. Faciomandibular myoclonias

Module 8. Neurological disorders related to sleep in adults

8.1. Sleep, learning and memory

8.1.1. Short-term and long-term memory consolidation during sleep
8.1.2. Synaptic homeostasis
8.1.3. Hypnotoxins and the glymphatic system during sleep
8.1.4. Aging, memory and sleep

8.2. Processing of information and sleep

8.2.1. Sensory processing
8.2.2. Motor control during sleep

8.3. Neurodegeneration and sleep (I): Alzheimer’s disease (AD)

8.3.1. Pathophysiology of AD and the glymphatic system
8.3.2. Circadian disorders in AD
8.3.3. Therapeutic management of sleep disorders in AD

8.4. Neurodegeneration and sleep (II): REM sleep behaviour disorder and alpha-synucleopathies
8.5. Neurodegeneration and sleep (III): other degenerative diseases

8.5.1. Sleep disorders in frontotemporal dementia
8.5.2. Sleep disorders in Huntington’s disease
8.5.3. Sleep disorders in other neurodegenerative processes

8.6. Neurological autoimmune diseases and sleep disorders

8.6.1. Multiple sclerosis: sleep and fatigue
8.6.2. Other demyelinating diseases and sleep disorders
8.6.3. Autoimmune encephalitis and sleep
8.6.4. Anti-IGLON 5 disease

8.7. Neuromuscular diseases and sleep

8.7.1. Amyotrophic lateral sclerosis and other motor neuron diseases
8.7.2. Myopathies and sleep disorders

8.8. Headaches and sleep

8.8.1. Relationship between sleep and headaches
8.8.2. Hypnis headaches
8.8.3. Migraines and sleep

8.9. Epilepsy and sleep (author: Dr. Asier Gómez Ibañez)
8.10. Other neurological diseases and their relationship with sleep

8.10.1. Cerebrovascular disease and sleep
8.10.2. Head trauma, concussion and sleep
8.10.3. Peripheral nervous system diseases and sleep

Module 9. Sleep-wake disorders in childhood

9.1. Organisation and ontogeny of sleep in childhood

9.1.1. Differential concepts in sleep architecture
9.1.2. Sleep in childhood and adolescence

9.2. Predominant sleep onset difficulties in paediatrics

9.2.1. Paediatric insomnia
9.2.2. Delayed sleep phase syndrome
9.2.3. Restless leg syndrome (Willis-Ekbom's disease) in paediatrics

9.3. Respiratory disorders during sleep (TRS) in paediatrics

9.3.1. Concepts and types of TRS in the paediatrics age group
9.3.2. Pathophysiology of TRS in children
9.3.3. Consequences of untreated TRS in children
9.3.4. Diagnosis of TRS in children
9.3.5. Treatment of TRS in children

9.4. Parasomnias in the paedriatic age group

9.4.1. Parasomnias of NREM sleep
9.4.2. Parasomnias of REM sleep

9.5. Rhythmic disorders during sleep: a problem almost exclusively found in paediatric patients
9.6. Excessive secondary daily tiredness in paediatrics Chronic sleep deprivation
9.7. Excessive daytime tiredness of primary or central origin: paediatric issues

9.7.1. Narcolepsy
9.7.2. Kleine - Levin syndrome

9.8. Specific paedriatic pathologies and sleep

9.8.1. Asthma
9.8.2. Allergies
9.8.3. Coeliac Disease
9.8.4. Childhood diabetes
9.8.5. Nocturnal gastro-oesophageal reflux in paediatrics
9.8.6. Cystic fibrosis
9.8.7. Attention Deficit Hyperactivity Disorder (TDAH)
9.8.8. Autism Spectrum Disorder(TEA)
9.8.9. Prader - Willi Syndrome
9.8.10. Down Syndrome

9.9. Sleep disorder diagnostic techniques in paediatrics

9.9.1. Sleep diary
9.9.2. Paediatric actigraphy
9.9.3. Paediatric nocturnal video-polysomnography
9.9.4. Multiple latency test en paediatrics

Module 10. Sleep in other medical and social situations Sleep and health

10.1. Sleep and cardiovascular health
10.2. Sleep and endocrine-metabolic changes Diet and sleep
10.3. Sleep and digestive changes
10.4. Sleep and pain
10.5. Sleep and cancer
10.6. Sleep in women Sleep at an older age
10.7. Sleep in special life situations

10.7.1. Sleep in isolation and confinement
10.7.2. Sleep in hospital patients
10.7.3. Sleep at high altitude
10.7.4. Sleep in aviation and outer space

10.8. Sleep and sport
10.9. Sleep and occupational and academic health
10.10. Sleep and legal aspects

Expand your knowledge in Sleep Medicine in a comfortable way and adapted to your needs thanks to the 24-hour accessibility to the didactic resources offered by TECH”