STUDY OBJECTIVES Multiple sleep latency testing (MSLT) and the maintenance of wakefulness test (MWT) are gold-standard objective tests of daytime sleepiness and alertness; however, there is marked variability in their interpretation and practice. This study aimed to determine the incidence of positive drug screens and their influence on MSLT, MWT, and polysomnographic variables. METHODS All p...

To define and evaluate sleepiness thoroughly has not yet completely established because of its multidimensional aspects of character. Multiple sleep latency test (MSLT) and maintenance of wakefulness test (MWT) have been the important tools to assess sleepiness in the research and clinical settings, although they have several limitations and pitfalls. The coverage by the National Health Insuran...

Study Objectives: Objective assessment of the ability to maintain wakefulness, although very important, is still equivocal. A recent study from our lab has shown that the Maintenance of Wakefulness Test, when performed with the 20 minute protocol (MWT20), is unreliable in assessing patients who are highly motivated to maintain wakefulness. In this study we sought to examine whether the 40 minut...

Aviators are required to maintain a high level of alertness during their missions. Two conditions that may disrupt this alertness are fatigue and hypersomnia. Fatigue is a physiological state, while hypersomnia is a pathologic state, also termed excessive daytime sleepiness (EDS), which is manifested by the tendency to fall asleep in inappropriate places or situations, such as during flight or ...