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    • What has called our attention is

    2018-10-26

    What has called our attention is the little dissemination of the reality of the Central American countries, because no one in the previous revisions has developed the true reality of such countries, amplifying therefore, the possibilities of sleep medicine in our continent. Besides, there seems to be a different dynamics of the previous revisions, with changes where one sees the increase of formation courses, increased number of certified members with university support and with the appearance of pre and post graduation programs, with the implementation of sleep medicine or the basic investigation of the same. It shall be pointed out that the academic plan highlights the positioning and importance of Sleep Science[6] as the journal for the Latin American Cell Cycle Compound Library of sleep science. This adds up to the technological development led by Brazil and Argentina in having registered teams for the study of sleep. With the exception of Brazil, Uruguay, Argentina and Mexico, are the South American countries where the report of basic investigation of sleep is poor and does not have the same following up and direction as the sleep medicine. The reality of Central America is similar in some aspects to the South American one in terms of practice and investigation of sleep medicine[1]. In first place, the majority of Central American countries where there is the development of sleep medicine, do not bear the majority of the formal associations of sleep medicine, which constitutes an important segment for FLASS. Secondly, there are no formal courses or meeting about sleep medicine in such countries, neither the presence of organized institutions that would echo the health politics, as the formal educational field, although there are some isolated programs which preclude the formation of its students in sleep medicine and technological development.
    4. Proposal 4: Programmatic plan As the fourth proposal [1], we will amass all the programmatic program of the previous two years, based on different scenarios, for the strengthening of our Federation and following up with all the member countries. We propose in accordance with what was discussed during the last Assembly hosted in Mexico City, to organize our action politics, in the following work fronts that are very important and that will serve as a meeting and triggering point of these last two years. These are the following: Corporate Organization, University career and Investigation, Membership and Divulgation, Economics and Financials, Meetings and Latin American Certification.
    5. Proposal 5: Certification and FLASS classification
    Considerations and conclusions
    Daily activities such as riding a bike, knitting, typing, playing a musical instrument or playing a sport, collectively known as motor skills, characteristically require repeated practice until they can be performed automatically . Inside the lab, motor skills are probed through a variety of tasks, such as the finger-to-thumb opposition task , the serial reaction time task and the finger tapping task . The finger tapping task (FTT) consists of typing a numeric sequence with the non-dominant hand as fast and as accurately as possible. It is commonly used to probe explicitly learnt motor sequences, that is, the subject is aware of the sequence underlying the motor output he is asked to produce . On the other hand, tests like the serial reaction time task are used to probe implicitly learnt motor sequences since, unbeknown to the participant, there is a hidden structure behind the movements he is required to perform while pushing a collection of buttons in response to a given cue . Performance on the FTT has been shown to improve by 20% after a night of sleep, but not after an equal period of wakefulness . Additionally, the magnitude of improvement was correlated with the amount of time spent in non-rapid eye movement (NREM) sleep stage 2 . According to Nishida and Walker (2007), a similar offline gain on the FTT (approximately 15%) can also be obtained after a 90min daytime nap. The authors reported not only a positive correlation with time in NREM 2 but also with the spindle density specific to the learning hemisphere . Similar benefits from sleep were observed when motor skills were probed with related tasks across a large number of studies .