Preface |
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xii | |
How to Use This Book |
|
xiii | |
About the Author |
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xv | |
Acknowledgments |
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xvi | |
Reviewers |
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xvii | |
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1 | (12) |
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2 | (3) |
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The Human Circadian Rhythm |
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5 | (1) |
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5 | (2) |
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Brain Structures Related to Sleep |
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5 | (1) |
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States and Stages of Sleep |
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6 | (1) |
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7 | (1) |
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7 | (1) |
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7 | (1) |
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7 | (1) |
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7 | (1) |
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7 | (1) |
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Typical Progression of Sleep |
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8 | (1) |
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8 | (1) |
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Changes to Normal Sleep Architecture |
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9 | (1) |
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9 | (1) |
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9 | (1) |
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10 | (1) |
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10 | (1) |
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10 | (1) |
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10 | (1) |
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10 | (1) |
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10 | (1) |
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10 | (1) |
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11 | (1) |
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11 | (1) |
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11 | (2) |
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Chapter 2 Sleep Disorders |
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13 | (26) |
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History of Sleep Disorders |
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14 | (1) |
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Classification of Sleep Disorders |
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14 | (1) |
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15 | (3) |
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Chronic Insomnia Disorder |
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15 | (2) |
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Short-Term Insomnia Disorder |
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17 | (1) |
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17 | (1) |
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Isolated Symptoms and Normal Variants |
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17 | (1) |
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Insomnia Treatment Options |
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18 | (1) |
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Sleep-Related Breathing Disorders |
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18 | (7) |
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Obstructive Sleep Apnea, Adult |
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18 | (2) |
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Obstructive Sleep Apnea, Pediatric |
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20 | (1) |
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Central Sleep Apnea Syndromes |
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21 | (3) |
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Sleep-Related Hypoventilation Disorders |
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24 | (1) |
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Sleep-related Hypoxemia Disorder |
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25 | (1) |
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Isolated Symptoms and Normal Variants |
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25 | (1) |
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Sleep-Related Breathing Disorders Treatment Options |
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25 | (1) |
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Central Disorders of Hypersomnolence |
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25 | (3) |
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25 | (2) |
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27 | (1) |
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27 | (1) |
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27 | (1) |
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Hypersomnia Due to a Medical Disorder |
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27 | (1) |
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Hypersomnia Due to a Medication or Substance |
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27 | (1) |
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Hypersomnia Associated with a Psychiatric Disorder |
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27 | (1) |
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Insufficient Sleep Syndrome |
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28 | (1) |
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Circadian Rhythm Sleep-Wake Disorders |
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28 | (1) |
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Delayed Sleep-Wake Phase Disorder |
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28 | (1) |
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Advanced Sleep-Wake Phase Disorder |
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28 | (1) |
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Irregular Sleep-Wake Rhythm Disorder |
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28 | (1) |
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Non-24-Hour Sleep-Wake Rhythm Sleep Disorder |
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28 | (1) |
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28 | (1) |
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29 | (1) |
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Circadian Rhythm Sleep Disorder Not Otherwise Specified |
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29 | (1) |
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29 | (2) |
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Disorders of Arousal from NREM Sleep |
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29 | (1) |
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29 | (1) |
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30 | (1) |
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Isolated Symptoms and Normal Variants |
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31 | (1) |
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Sleep-Related Movement Disorders |
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31 | (4) |
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Restless Legs Syndrome (RLS) |
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31 | (1) |
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Periodic Limb Movement Disorder (PLMD) |
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31 | (2) |
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33 | (1) |
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33 | (1) |
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Sleep-Related Rhythmic Movement Disorder |
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33 | (1) |
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Benign Sleep Myoclonus of Infancy |
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34 | (1) |
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Propriospinal Myoclonus at Sleep Onset |
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34 | (1) |
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Sleep-Related Movement Disorder Due to a Medical Disorder |
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35 | (1) |
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Sleep-Related Movement Disorder Due to a Medication or Substance |
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35 | (1) |
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Isolated Symptoms and Normal Variants |
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35 | (1) |
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35 | (1) |
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36 | (1) |
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37 | (1) |
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37 | (2) |
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Chapter 3 Patient Flow Process |
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39 | (14) |
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Living with a Sleep Disorder |
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40 | (1) |
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40 | (3) |
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43 | (2) |
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44 | (1) |
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Patient Scheduling and Billing |
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45 | (1) |
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45 | (2) |
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47 | (1) |
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The Scoring and Interpretation Process |
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47 | (1) |
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48 | (1) |
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48 | (2) |
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48 | (1) |
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49 | (1) |
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49 | (1) |
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49 | (1) |
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49 | (1) |
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50 | (1) |
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50 | (1) |
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50 | (1) |
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51 | (1) |
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51 | (2) |
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Chapter 4 Life as a Sleep Technologist |
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53 | (8) |
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54 | (1) |
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Responsibilities as a Healthcare Worker |
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55 | (3) |
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55 | (1) |
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56 | (1) |
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57 | (1) |
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57 | (1) |
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58 | (1) |
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Professional Training and Credentialing |
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58 | (1) |
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Credentialing Exam Preparation |
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58 | (1) |
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59 | (1) |
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59 | (1) |
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59 | (1) |
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60 | (1) |
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60 | (1) |
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Chapter 5 Diagnostic Equipment |
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61 | (14) |
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62 | (1) |
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63 | (1) |
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64 | (5) |
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64 | (1) |
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64 | (1) |
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Snore Sensors and Microphones |
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65 | (1) |
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65 | (1) |
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65 | (1) |
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65 | (2) |
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67 | (1) |
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67 | (1) |
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Respiratory Effort Technology |
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68 | (1) |
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69 | (1) |
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69 | (2) |
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71 | (1) |
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72 | (1) |
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73 | (1) |
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74 | (1) |
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74 | (1) |
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Chapter 6 Patient Hookup Procedures |
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75 | (18) |
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International 10/20 System |
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76 | (1) |
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Electrode Placement for Sleep Studies |
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76 | (12) |
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Option 1 Placement for EEG Electrodes in a Standard Sleep Study |
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77 | (9) |
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86 | (2) |
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88 | (2) |
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Locate the Electrode Site |
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88 | (1) |
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Prepare the Electrode Site |
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88 | (1) |
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89 | (1) |
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89 | (1) |
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90 | (1) |
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90 | (1) |
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Helpful Strategies for Sleep Technologists |
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90 | (1) |
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91 | (1) |
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91 | (1) |
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91 | (1) |
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Positive Airway Pressure Desensitization |
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91 | (1) |
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91 | (1) |
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91 | (1) |
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91 | (2) |
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Chapter 7 Viewing a Polysomnogram |
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93 | (14) |
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94 | (1) |
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94 | (2) |
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96 | (1) |
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EOG Example 1: E2 Up, E1 Down |
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96 | (1) |
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EOG Example 2: E1 Down, E2 Down |
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96 | (1) |
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97 | (1) |
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97 | (1) |
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98 | (1) |
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98 | (1) |
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98 | (3) |
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100 | (1) |
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101 | (1) |
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|
101 | (2) |
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Respiratory Channels Examples 1 and 2 |
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102 | (1) |
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Respiratory Channels Example 3 |
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103 | (1) |
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103 | (2) |
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103 | (1) |
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103 | (1) |
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104 | (1) |
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105 | (1) |
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105 | (1) |
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105 | (1) |
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106 | (1) |
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106 | (1) |
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Chapter 8 Artifacts and Troubleshooting |
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107 | (26) |
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108 | (1) |
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108 | (4) |
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109 | (1) |
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109 | (1) |
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110 | (1) |
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111 | (1) |
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111 | (1) |
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112 | (2) |
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Movement Artifact Example 1 |
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112 | (1) |
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Movement Artifact Examples 2 and 3 |
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113 | (1) |
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Movement Artifact Example 4 |
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113 | (1) |
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114 | (3) |
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Slow-Wave Artifact Example 1 |
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115 | (1) |
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Slow-Wave Artifact Example 2 |
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115 | (1) |
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Slow-Wave Artifact Example 3 |
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116 | (1) |
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Slow-Wave Artifact Example 4 |
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116 | (1) |
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Slow-Wave Artifact Example 5 |
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117 | (1) |
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117 | (1) |
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117 | (1) |
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117 | (1) |
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117 | (3) |
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Sixty-Hz Interference Example 1 |
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118 | (1) |
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Sixty-Hz Interference Example 2 |
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119 | (1) |
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Sixty-Hz Interference Example 3 |
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119 | (1) |
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Sixty-Hz Interference Example 4 |
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120 | (1) |
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Sixty-Hz Interference Example 5 |
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120 | (1) |
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Sixty-Hz Interference Example 6 |
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120 | (1) |
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120 | (4) |
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Muscle Artifact Example 1 |
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121 | (1) |
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Muscle Artifact Example 2 |
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122 | (1) |
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Muscle Artifact Example 3 |
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122 | (2) |
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124 | (1) |
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Electrode Popping Example 1 |
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124 | (1) |
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Electrode Popping Example 2 |
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124 | (1) |
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124 | (1) |
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125 | (1) |
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125 | (1) |
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Improper Gain or Sensitivity Settings |
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125 | (4) |
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Improper Gain or Sensitivity Settings Example 1 |
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127 | (1) |
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Improper Gain or Sensitivity Settings Example 2 |
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127 | (1) |
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Improper Gain or Sensitivity Settings Example 3 |
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128 | (1) |
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Improper Gain or Sensitivity Settings Example 4 |
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128 | (1) |
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129 | (1) |
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Improper Filter Settings Example |
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129 | (1) |
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129 | (1) |
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130 | (1) |
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131 | (1) |
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131 | (2) |
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Chapter 9 Performing an Overnight Sleep Study |
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133 | (28) |
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134 | (1) |
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Reviewing the Patient Chart |
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134 | (1) |
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Preparing the Patient Tray |
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134 | (1) |
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Preparing the Patient Room |
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135 | (1) |
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Connecting the Diagnostic Equipment |
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135 | (1) |
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135 | (1) |
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135 | (15) |
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139 | (1) |
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140 | (1) |
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Frequency Filters, Gain, and Sensitivity Settings |
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140 | (1) |
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141 | (1) |
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142 | (1) |
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143 | (1) |
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143 | (5) |
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Multiple Channel Settings |
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148 | (2) |
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150 | (1) |
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150 | (1) |
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150 | (1) |
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151 | (1) |
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Patient Hookup and Education |
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151 | (1) |
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151 | (1) |
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|
151 | (3) |
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Maintaining Patient Safety and the Integrity of the Recording |
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154 | (1) |
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Technologist Notes and Documentation |
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|
155 | (2) |
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156 | (1) |
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157 | (1) |
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157 | (1) |
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157 | (2) |
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159 | (1) |
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159 | (2) |
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Chapter 10 Performing a PAP Titration |
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161 | (10) |
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162 | (1) |
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162 | (1) |
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163 | (1) |
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163 | (1) |
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163 | (1) |
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164 | (1) |
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165 | (1) |
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165 | (1) |
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165 | (1) |
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166 | (1) |
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166 | (1) |
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166 | (1) |
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Bi-Level Titration Protocols |
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167 | (1) |
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168 | (1) |
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168 | (1) |
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169 | (1) |
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170 | (1) |
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170 | (1) |
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170 | (1) |
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Chapter 11 Performing Other Types of Sleep Studies |
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171 | (6) |
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Multiple Sleep Latency Test |
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172 | (1) |
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Maintenance of Wakefulness Test |
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172 | (1) |
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REM Behavior-Disorder Study |
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173 | (1) |
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173 | (1) |
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173 | (1) |
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174 | (1) |
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174 | (1) |
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174 | (1) |
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175 | (1) |
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176 | (1) |
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176 | (1) |
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177 | (32) |
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178 | (1) |
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178 | (1) |
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178 | (1) |
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178 | (1) |
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178 | (1) |
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178 | (1) |
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179 | (1) |
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179 | (1) |
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180 | (2) |
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182 | (2) |
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184 | (12) |
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196 | (9) |
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205 | (1) |
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206 | (1) |
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207 | (1) |
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207 | (2) |
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Chapter 13 Abnormal Events |
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209 | (28) |
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210 | (1) |
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211 | (3) |
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214 | (2) |
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216 | (2) |
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218 | (2) |
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220 | (3) |
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223 | (3) |
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226 | (2) |
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228 | (3) |
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231 | (1) |
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231 | (2) |
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Respiratory Effort-Related Arousals |
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233 | (1) |
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234 | (2) |
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236 | (1) |
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236 | (1) |
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Chapter 14 Cardiac Rhythms |
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237 | (16) |
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238 | (2) |
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240 | (1) |
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241 | (1) |
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241 | (1) |
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241 | (1) |
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242 | (1) |
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242 | (1) |
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242 | (2) |
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Premature Atrial Complexes (PACs) |
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242 | (1) |
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243 | (1) |
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243 | (1) |
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244 | (1) |
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Premature Junctional Contractions (PJCs) |
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244 | (1) |
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Supraventricular Tachycardia (SVT) |
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244 | (1) |
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245 | (2) |
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Premature Ventricular Contractions (PVCs) |
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245 | (1) |
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246 | (1) |
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246 | (1) |
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Ventricular Standstill (Asystole) |
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246 | (1) |
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247 | (1) |
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247 | (2) |
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247 | (1) |
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Second-Degree AV Block Type 1 (Wenckebach, Mobitz 1) |
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248 | (1) |
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Second-Degree AV Block Type 2 (Non-Wenckebach, Mobitz 2) |
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248 | (1) |
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Third-Degree (Complete) AV Block |
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249 | (1) |
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249 | (2) |
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251 | (1) |
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251 | (2) |
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Chapter 15 Sleep Study Reporting |
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253 | (10) |
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Sleep Study Times, Formulas, and Calculations |
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254 | (1) |
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255 | (1) |
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255 | (1) |
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256 | (1) |
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256 | (1) |
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Home Sleep-Testing Reports |
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256 | (1) |
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256 | (1) |
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257 | (5) |
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258 | (1) |
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258 | (1) |
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259 | (1) |
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259 | (1) |
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260 | (1) |
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261 | (1) |
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Patient History and Questionnaires |
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262 | (1) |
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|
262 | (1) |
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|
262 | (1) |
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|
262 | (1) |
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Chapter 16 Pediatric Sleep Medicine |
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|
263 | (8) |
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Significance of Pediatric Sleep Medicine |
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264 | (1) |
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|
264 | (1) |
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|
265 | (1) |
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Pediatric Sleep Recordings |
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|
265 | (1) |
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Scoring Pediatric Sleep Studies |
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|
266 | (2) |
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266 | (1) |
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266 | (2) |
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268 | (1) |
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269 | (1) |
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|
269 | (2) |
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Chapter 17 Medications and Sleep |
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|
271 | (10) |
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272 | (1) |
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272 | (1) |
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272 | (1) |
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Tricyclic Antidepressants (TCAs) |
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272 | (1) |
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Selective Serotonin Reuptake Inhibitors (SSRIs) |
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|
272 | (1) |
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Monoamine Oxidase Inhibitors (MAOIs) |
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|
272 | (1) |
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273 | (1) |
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Antiepileptic Medications |
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273 | (1) |
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Cardiovascular Medications |
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|
273 | (1) |
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Sedative-Hypnotic Medications |
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|
273 | (1) |
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273 | (1) |
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273 | (1) |
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Nonbenzodiazepine Receptor Agonists |
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|
274 | (1) |
|
Orexin Receptor Antagonists |
|
|
274 | (1) |
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|
274 | (1) |
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|
274 | (1) |
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Sleep Aids: Selection and Safety |
|
|
274 | (4) |
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|
274 | (1) |
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Over-the-Counter Sleep Aids |
|
|
275 | (2) |
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|
277 | (1) |
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|
278 | (1) |
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|
279 | (1) |
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|
279 | (2) |
|
Chapter 18 Other Therapeutic Modalities |
|
|
281 | (10) |
|
Treatment of Sleep Disorders |
|
|
282 | (1) |
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|
282 | (1) |
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|
282 | (1) |
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|
282 | (1) |
|
Cognitive Behavioral Therapy |
|
|
283 | (1) |
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|
283 | (1) |
|
Nutritional Counseling and Weight Loss |
|
|
283 | (1) |
|
Pharmacological Treatments |
|
|
284 | (1) |
|
|
285 | (1) |
|
Rapid Maxillary Expansion |
|
|
285 | (1) |
|
Hypoglossal Nerve Stimulation |
|
|
286 | (1) |
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|
287 | (1) |
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|
287 | (1) |
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|
287 | (1) |
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|
287 | (1) |
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Maxillomandibular Advancement |
|
|
288 | (1) |
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|
288 | (1) |
|
Other Surgical Procedures |
|
|
288 | (1) |
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|
289 | (1) |
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|
290 | (1) |
|
|
290 | (1) |
Comprehensive Posttest |
|
291 | (106) |
Posttest Answers and Explanations |
|
397 | (20) |
Appendix A Patient Hookup |
|
417 | (4) |
Appendix B Artifacts |
|
421 | (4) |
Appendix C Scoring |
|
425 | (12) |
Appendix D EKG Rhythms |
|
437 | (8) |
Appendix E Procedures and Protocol |
|
445 | (10) |
Appendix F Drugs and Medications |
|
455 | (4) |
Glossary |
|
459 | (16) |
Index |
|
475 | (10) |
Flashcards |
|
485 | |