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Sleep

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
recurrent, altered state of consciousness that occurs for sustained periods   show
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24-hour, day-night cycle known as   show
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_____________ affect all circadian rhythms, including seep-wake cycle   show
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show social activities & temperature  
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natural secretion of ________________________ supports circadian Rhythm in sleep-wake cycle by helping to ensure a smooth transition from wakefulness to sleep   show
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show biological clock  
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show normal rhythm of sleep  
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Normal variations in _____________ correlate w/sleep-wake patterns.   show
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When sleep-wake cycle becomes _____________, other physiological functions change as well.   show
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Failure to obtain _____________ adversely affects a person's overall health.   show
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The _____________ of the sleep-wake state depends on the interrelationship between _____________ that intermittently activated & suppress brain's higher centers to control sleep & wakefulness.   show
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The neurons in the _____________ maintain a state of wakefulness.   show
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show parasympathetic control centers  
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As you fall asleep, stimuli to _____________ in the upper brain stem decline.   show
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As you fall asleep, gradually the _____________ takes over, causing sleep.   show
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show non-rapid eye movement (NREM) sleep & rapid eye movement (REM) sleep  
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During _____________ an individual progresses through four stages during a typical 90-minute sleep cycle.   show
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The quality of sleep from stage _____________ becomes increasingly deep.   show
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show stages 1 & 2  
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show stages 3 & 4  
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show REM  
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show REM  
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_____________ sleep is not divided into stages.   show
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show pre-sleep period  
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show 10 to 30 minutes  
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Individuals experiencing difficulty falling asleep often remain in _____________ for an hour or more.   show
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Once asleep, the person usually passes through _____________ complete sleep cycles, each consisting of four stages of NREM sleep & a period of REM sleep.   show
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show reversal from stage 4 to 3 to 2  
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With each successive cycle of sleep, _____________ sleep shorten & the period of _____________ lengthens.   show
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show REM sleep  
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A sleeper fluctuates back & forth for short intervals between _____________ before entering REM sleep.   show
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show number of sleep cycles  
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The purpose of sleep is still unclear; one theory suggests that sleep is a time of _____________ for the next period of wakefulness.   show
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show NREM  
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show 70 to 80  
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show 60  
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Sleep is also a part of maintaining normal _____________ & optimal _____________.   show
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show NREM stage 4  
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show protein synthesis; cell division  
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show REM  
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show cerebral; cortical; oxygen; epinephrine  
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show memory storage; learning  
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show REM; NREM  
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show REM  
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_____________ help people sort out immediate concerns or erase certain fantasies or nonsensical memories.   show
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B/c most dreams are _____________, many people have little dream recall & do not believe they dream at all.   show
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To remember a dream, a person must _____________ about it on awakening.   show
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show REM  
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The neonate & infant up to the age of 3 months average about _____________ of sleep a day.   show
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show 50%  
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Infants usually develop a nighttime pattern of sleep by _____________ of age.   show
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show 9 to 11 hours  
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show 30%  
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show 2 years  
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show 12 hours  
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Some children stop taking naps altogether at _____________.   show
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The percentage of _____________ sleep continues to fall as the toddler grows.   show
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show toddlers  
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show 12 hours; 20%  
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show 5  
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The _____________ usually has difficulty relaxing or quieting down after long, active days.   show
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A _____________ also has problems with bedtime fears, waking during the night, and nightmares.   show
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show school-age  
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show 6-year-old  
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An 11-year-old averages about _____________ hours of sleep nightly.   show
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Encouraging quiet activities usually persuades the _____________ to go to bed.   show
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show older child  
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Adolescents need between _____________ of sleep.   show
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show 7.5 hours  
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School demands, after-school social activities, & part-time jobs _____________ time for sleep.   show
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_____________ go to bed later & rise earlier during the high school years.   show
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B/c of lifestyle demands that shorten the time available for sleep & physiological needs, teens often experience _____________.   show
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show EDS  
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show young adults  
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_____________ rarely take regular naps.   show
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show 20%  
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During _____________ the total time spent sleeping at night begins to decline.   show
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show stage 4 sleep  
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show age 65 or older  
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show stage 1; stage 3 & stage 4 NREM  
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show NREM stage 4  
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show REM  
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show older adults  
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Older adult _____________ (the amount of time asleep given the amount of time in bed) is reduced.   show
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show older adults  
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show older adults  
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Tests show that older adults do not have an _____________ for sleep, but have a reduction in the ability to sleep.   show
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show advanced sleep phase syndrome  
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show advanced sleep phase syndrome  
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People with _____________ get sleepy early in the evening say around 8 or 9 pm and wake up around 4 or 5 am.   show
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When people with _____________ stay up until their customary 10 or 11 pm, their bodies still awaken at 4 or 5 am.   show
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A number of factors affect the quantity and quality of sleep; often more than one factor combined to cause a sleep problem.   show
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show illness or condition  
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show physical illness  
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_____________ also force patients to sleep in positions to which they are unaccustomed.   show
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A considerable number of _____________ cause either sleepiness, insomnia, or fatigue as a side effect.   show
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_____________ prescribed for sleep often cause more problems than benefits.   show
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show L-Tryptophan  
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_____________ is a precursor, or forerunner, to the neurotransmitter serotonin, which has a role in the sleep-wake cycle.   show
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show lifestyle  
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show day and night shifts  
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Other alterations in routine that disrupt sleep patterns include performing _____________, engaging in _____________, & changing _____________.   show
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show 7 to 7.5 hours; 8 or more  
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show sleep deprivation; EDS (excessive daytime sleepiness)  
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_____________ often results in impairment of waking function, poor work or school performance, accidents while driving or using equipment, and behavioral or emotional problems.   show
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show Feelings of sleepiness  
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show next day  
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show chronic lack of sleep  
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_____________ is most difficult to overcome during sedentary tasks (e.g., driving).   show
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The _____________ in which a person sleep has significant influence on the ability to fall and remain asleep.   show
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Good _____________, a comfortable _____________, and a _____________ lit room are essential for restful sleep.   show
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The _____________, _____________, and _____________ of a bed also affect sleep quality.   show
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show hospital beds  
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If a person usually sleeps with another individual, sleeping alone during times of illness causes _____________.   show
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Sleeping with a _____________ bed partner also disrupts sleep.   show
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show noise  
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show noise  
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show health care facilities  
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show silence; background noise  
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Noise in _____________ is usually new or strange to the patient.   show
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The _____________ is one of the loudest, where close proximity of patients, noise from confused and ill patients, and ringing of alarm systems and telephones make the environment very disruptive.   show
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A person who is moderately fatigued usually achieves restful sleep, especially if the fatigue results from _____________.   show
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Completing _____________ within 2 hours or more before bedtime allows the body to cool down and maintains a state of fatigue that promotes relaxation.   show
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show vigorous exercise  
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_____________ resulting from exhausting or stressful work makes falling asleep difficult.   show
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show 3 to 4 hours  
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_____________ consumed in the evening has insomnia-producing and diuretic effects.   show
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Coffee, tea, cola, and chocolate contain _____________ that cause sleeplessness as a result of CNS stimulation.   show
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show obstructive sleep apnea  
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show insomnia  
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show semi-starvation diets  
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show sleep disorders  
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_____________ is a symptom experienced by patients who have chronic difficulty falling asleep, frequent awakenings from sleep, and/or a short sleep or non-restorative sleep.   show
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show insomnia  
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show insomnia  
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Often people experience _____________ insomnia as a result of situational stresses such as work or family problems.   show
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show insomnia  
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show insomnia  
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show chronic insomnia  
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_____________, such as improved sleep hygiene measures, biofeedback, and relaxation techniques, at the symptoms.   show
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_____________ is a disorder in which the individual is unable to breathe and sleep at the same time.   show
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During _____________ there is a lack of airflow through eh nose and mouth for periods from 10 seconds to 1 to 2 minutes in length.   show
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There are three types of _____________: obstructive, central, & mixed apnea, which has both an obstructive and a central component.   show
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_____________ is a cessation or stopping of airflow despite the effort to breathe.   show
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_____________ occurs when muscles or soft structures of the oral cavity or throat relax during sleep; the upper airway becomes partially or completely blocked and nasal airflow diminishes or stops.   show
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_____________ such as a deviated septum, nasal polyps, narrow lower jaw, or enlarged tonsils sometimes predispose a patient to obstructive apnea.   show
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show central sleep apnea  
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show central sleep apnea  
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show central sleep apnea  
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_____________ is the least common sleep apnea.   show
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show obstructive sleep apnea  
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Patients with _____________ are at risk for cardiac dysrhythmias, right heart failure, pulmonary hypertension, angina attacks, stroke, & hypertension.   show
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show sleep apnea  
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show nasal continuous positive airway pressure (CPAP)  
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The _____________ pushes positive air pressure into the airway in an attempt to reduce the apnea periods the patient experiences during sleep by serving a s splint for the airway.   show
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show narcolepsy  
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show EDS  
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There are two _____________ states: with or without cataplexy.   show
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show cataplexy  
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If the _____________ is severe, the patient loses voluntary muscle control and falls to the floor.   show
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A person with _____________ often falls asleep uncontrollably at inappropriate times.   show
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show narcolepsy  
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show sleep deprivation  
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Causes of _____________ include illness, emotional stress, medications, environmental disturbances, and variability in the timing of sleep as a result of shift work.   show
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show sleep deprivation  
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show intensive care units  
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show sleep deprivation  
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show sleep deprivation  
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show sleep deprivation  
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show parasomnias  
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