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sense_dimmed_sleep/s12931022021413_445_0.txt
Huang, W., Wang, X., Xu, C. _et al._ Prevalence, characteristics, and respiratory arousal threshold of positional obstructive sleep apnea in China: a large scale study from Shanghai Sleep Health Study cohort. _Respir Res_ **23**, 240 (2022). https://doi.org/10.1186/s12931-022-02141-3
sense_dimmed_sleep/s41598023340024_265_0.txt
## Explore content
sense_dimmed_sleep/s41598023340024_142_0.txt
4. El-Solh, A. A., Lawson, Y. & Wilding, G. E. Impact of low arousal threshold on treatment of obstructive sleep apnea in patients with post-traumatic stress disorder. _Sleep Breath._ **25** (2), 597–604. [ https://doi.org/10.1007/s11325-020-02106-0 ](https://doi.org/10.1007/s11325-020-02106-0) (2021).
sense_dimmed_sleep/s41598023340024_64_0.txt
https://doi.org/10.1093/sleep/14.6.540
sense_dimmed_sleep/s12931022021413_139_1.txt
acial structures and obesity in Caucasian and Chinese patients with obstructive sleep apnea. Sleep. 2010;33\(8\):1075–80. https://doi.org/10.1093/sleep/33.8.1075
sense_dimmed_sleep/s12931022021413_351_0.txt
[ Article ](https://doi.org/10.1152%2Fjapplphysiol.90408.2008) [ CAS ](/articles/cas-redirect/1:CAS:528:DC%2BD1cXhsVOqsrbP) [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=18787092) [ Google Scholar ](http://sch
sense_dimmed_sleep/s12931022021413_70_0.txt
.") ]. The video recording was not performed only if the subject refused to provide permission due to the reason of privacy protection. All data were recorded automatically and continuously from 22:00 to 06:00. Two experienced technicians checked the data and output reports manually using Sleepware software (Respironic...
sense_dimmed_sleep/therelationshipbetwe_67_0.txt
o Try sleeping naked, wearing a [ compression shirt ](https://funandfunction.com/special-needs-clothing/shirts.html) to bed, or wearing an oversized t-shirt to bed
sense_dimmed_sleep/s41598023340024_246_36.txt
NjF2OS44OGgtMS4zM2wtLjExLS43NGgtLjA2Yy0uMjUuMjUtLjU0LjQ2LS44OC42NC0uMzMuMTgtLjY5LjI3LTEuMDYuMjctLjg3IDAtMS41Ni0uMzItMi4wNy0uOTVzLS43Ni0xLjUxLS43Ni0yLjY1em0xLjY
sense_dimmed_sleep/therelationshipbetwe_62_0.txt
*Gets less than 8 hours of sleep for 3-5 year olds or less than 7 hours of sleep for 6-13 year olds (numbers according to the National Sleep Foundation)
sense_dimmed_sleep/s12931022021413_25_0.txt
A large-scale cross-sectional study was conducted in our sleep center from 2007 to 2018 to analyze the clinical and polysomnography (PSG) data of Chinese POSA patients. Low ArTH was defined based on PSG indices.
sense_dimmed_sleep/s41598023340024_97_1.txt
020-02106-0
sense_dimmed_sleep/s12931022021413_336_0.txt
40. Fu X, Li J, Wu JJ, Chen J, Huang JY, Mao CJ, et al. Reduced cortical arousability to nocturnal apneic episodes in patients with wake-up ischemic stroke. Sleep Med. 2020;66:252–8. [ https://doi.org/10.1016/j.sleep.2019.09.007 ](https://doi.org/10.1016/j.sleep.2019.09.007).
sense_dimmed_sleep/s12931022021413_444_0.txt
### Cite this article
sense_dimmed_sleep/s12931022021413_363_1.txt
20sleep%20apnoea%E2%80%94new%20pathways%20for%20targeted%20therapy&journal=Sleep%20Med%20Rev&doi=10.1016%2Fj.smrv.2016.12.003&volume=37&pages=45-59&publication_year=2018&author=Eckert%2CDJ)
sense_dimmed_sleep/s12931022021413_126_0.txt
### POSA predictors
sense_dimmed_sleep/s12931022021413_443_38.txt
Ny0uMTItLjQ1IDAtLjgyLjE5LTEuMTMuNTktLjMxLjM5LS40Ni45NS0uNDYgMS42OHptNi4zNSAxLjU5YzAtLjczLjMyLTEuMy45Ny0xLjcxLjY0LS40IDEuNjctLjY4IDMuMDgtLjg0IDAtLjE3LS4wMi0uMzQtLjA
sense_dimmed_sleep/nonobesepatientswith_45_0.txt
Country
sense_dimmed_sleep/s12931022021413_405_0.txt
6. Suru Liu
sense_dimmed_sleep/s12931022021413_77_0.txt
The APOC criteria require a sleep time ≥ 10% of the TST in both the BSP and WSP (APOC I: AHI of BSP < 5/h; APOC II: AHI of BSP in inferior OSA severity compared to overall AHI; APOC III: AHI of BSP at least 25% lower than the overall AHI and overall AHI ≥ 40/h) [ [ 7 ](/articles/10.1186/s12931-022-02141-3#ref-CR7 "
sense_dimmed_sleep/s41598023340024_182_0.txt
24. Coren, S. & Mah, K. B. Prediction of physiological arousability: A validation of the Arousal Predisposition Scale. _Behav. Res. Ther._ **31** (2), 215–219. [ https://doi.org/10.1016/0005-7967(93)90076-7 ](https://doi.org/10.1016/0005-7967\(93\)90076-7) (1993).
sense_dimmed_sleep/s41598023340024_170_0.txt
18. Zheng, J. _et al._ The insomnia severity index is related to the respiratory arousal threshold in people with co-morbid insomnia and sleep apnoea (COMISA). _Sleep Adv._ **3**, A57–A58. [ https://doi.org/10.1093/sleepadvances/zpac029.156 ](https://doi.org/10.1093/sleepadvances/zpac029.156) (2022).
sense_dimmed_sleep/s12931022021413_81_0.txt
### ArTH
sense_dimmed_sleep/s41598023340024_178_0.txt
22. Kohler, M., Smith, D., Tippett, V. & Stradling, J. R. Predictors of long-term compliance with continuous positive airway pressure. _Thorax_ **65** (9), 829–832. [ https://doi.org/10.1136/thx.2010.135848 ](https://doi.org/10.1136/thx.2010.135848) (2010).
sense_dimmed_sleep/s12931022021413_456_0.txt
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sense_dimmed_sleep/Parietal_lobe_3_4.txt
left brain damage, but some symptoms of apraxia can also occur after right brain damage. Amorphosynthesis is a loss of perception on one side of the body caused by a lesion in the parietal lobe. Usually, left-sided lesions cause agnosia, a full-body loss of perception, while right-sided lesions cause lack of recogniti...
sense_dimmed_sleep/s41598023340024_71_0.txt
\(2014\)."). Patients were classified as having low AT based if the score was ≥ 2.
sense_dimmed_sleep/s12931022021413_291_0.txt
[ Article ](https://doi.org/10.1378%2Fchest.112.3.629) [ CAS ](/articles/cas- redirect/1:STN:280:DyaK2svlvFygtg%3D%3D) [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=9315794) [ Google Scholar ](http://
sense_dimmed_sleep/s41598023340024_69_0.txt
Low AT was determined using a previously validated score based on 3 polysomnography variables that considers one point for each of the following 3 criteria: AHI < 30 events/h, a nadir SpO 2 > 82.5%, and the proportion of hypopneas/sum of apneas and hypopneas > 58.3% [ 3 ](/articles/s41598-023-34002-4#ref-CR3 "Edward...
sense_dimmed_sleep/s12931022021413_191_0.txt
AHI:
sense_dimmed_sleep/s12931022021413_251_0.txt
TST:
sense_dimmed_sleep/s41598023340024_49_0.txt
\(2012\)."). Middle insomnia is the most prevalent subtype in COMISA subjects, possibly due to frequent arousals at the end of respiratory events [ 1 ](/articles/s41598-023-34002-4#ref-CR1 "Chung, K. F. Insomnia subtypes and their relationships to daytime sleepiness in patients with obstructive sleep apnea. Respiratio...
sense_dimmed_sleep/s12931022021413_15_0.txt
* Weijun Huang 1 , 2 , 3 na1 , * Xiaoting Wang 1 , 2 , 3 na1 , * Chong Xu 1 , 2 , 3 , * Huajun Xu 1 , 2 , 3 , * Huaming Zhu 1 , 2 , 3 , * Suru Liu 1 , 2 , 3 , * Jianyin Zou 1 ,
sense_dimmed_sleep/s41598023340024_246_28.txt
IDEuMDctLjM2LjMyIDAgLjU5LjA1Ljc4LjE0bC0uMjggMS40LS4zMy0uMDljLS4xMS0uMDEtLjIzLS4wMi0uMzgtLjAyLS4yNyAwLS41Ni4xLS44Ni4zMXMtLjU1LjU4LS43NyAxLjF2NC4yaC0xLjYxem0t
sense_dimmed_sleep/s41598023340024_246_29.txt
NDcuODcgMTVoMS42MXY0LjFjMCAuNTcuMDguOTcuMjUgMS4yLjE3LjI0LjQ0LjM1LjgxLjM1LjMgMCAuNTctLjA3LjgtLjIyLjIyLS4xNS40Ny0uMzkuNzMtLjczdi00LjdoMS42MXY2Ljg3aC0xLj
sense_dimmed_sleep/therelationshipbetwe_42_0.txt
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sense_dimmed_sleep/s41598023340024_207_0.txt
Authors
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.com/scholar_lookup?&title=Zolpidem%20increases%20sleep%20efficiency%20and%20the%20respiratory%20arousal%20threshold%20without%20changing%20sleep%20apnoea%20severity%20and%20pharyngeal%20muscle%20activity&journal=J%20Physiol&doi=10.1113%2Fjp280173&volume=598&issue=20&pages=4681-4692&
sense_dimmed_sleep/s12931022021413_261_1.txt
%20in%20the%20general%20population%3A%20a%20systematic%20review&journal=Sleep%20Med%20Rev&doi=10.1016%2Fj.smrv.2016.07.002&volume=34&pages=70-81&publication_year=2017&author=Senaratna%2CCV&author=Perret%2CJL&author=Lodge%2CCJ&author=Lowe%2CAJ&author=Campbell%2CBE&
sense_dimmed_sleep/s12931022021413_95_0.txt
[ Full size image ](/articles/10.1186/s12931-022-02141-3/figures/1)
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[ Article ](https://doi.org/10.1016%2Fs0140-6736%2805%2967402-8) [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=16182882) [ Google Scholar ](http://scholar.google.com/scholar_lookup?&title=The%20metabolic%20syndrome%E2%
sense_dimmed_sleep/s41598023340024_114_1.txt
rousability as a trait predisposition to insomnia: Multidimensional structure and clinical utility of the Spanish and English versions of the arousal predisposition scale. Sleep Med. 81, 235–243. https://doi.org/10.1016/j.sleep.2021.02.033
sense_dimmed_sleep/s12931022021413_338_0.txt
41. Lee RWW, Sutherland K, Sands SA, Edwards BA, Chan TO, et al. Differences in respiratory arousal threshold in Caucasian and Chinese patients with obstructive sleep apnoea. Respirology. 2017;22(5):1015–21. [ https://doi.org/10.1111/resp.13022 ](https://doi.org/10.1111/resp.13022).
sense_dimmed_sleep/s12931022021413_285_2.txt
&author=Yi%2CX)
sense_dimmed_sleep/therelationshipbetwe_3_0.txt
[ Our Team ](https://www.thecenterforconnection.org/therapists)
sense_dimmed_sleep/therelationshipbetwe_49_0.txt
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sense_dimmed_sleep/s12931022021413_472_1.txt
.
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%20in%20OSA%3A%20a%20longitudinal%20observational%20study%20with%2014%20nights%20of%20oxygen%20saturation%20monitoring&journal=Chest&doi=10.1016%2Fj.chest.2020.09.098&volume=159&issue=3&pages=1222-1231&publication_year=2021&author=Roeder%2CM&author=Sievi%2CNA&author=Bradicich
sense_dimmed_sleep/s12931022021413_63_1.txt
, et al. 2016 ESC/EAS guidelines for the management of dyslipidaemias. Eur Heart J. 2016;37\(39\):2999–3058. https://doi.org/10.1093/eurheartj/ehw272
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Author notes
sense_dimmed_sleep/s12931022021413_462_0.txt
#### Respiratory Research
sense_dimmed_sleep/s12931022021413_71_0.txt
.") ]. Patients with an apnea hypopnea index (AHI) ≥ 5 events/h were included in the OSA group, while subjects with AHI < 5 events/h were considered non-OSA subjects. OSA was classified as mild (AHI ≥ 5, < 15/h), moderate (AHI ≥ 15, < 30/h), severe (AHI ≥ 30, < 55/h), or extremely severe (AHI ≥ 55/h) [ [ 36 ](/articles...
sense_dimmed_sleep/s41598023340024_159_1.txt
bid%20insomnia%20and%20sleep%20apnea%20%28COMISA%29&journal=Sleep%20Med.%20Rev.&doi=10.1016%2Fj.smrv.2021.101519&volume=60&publication_year=2021&author=Sweetman%2CA&author=Lack%2CL&author=Mcevoy%2CRD)
sense_dimmed_sleep/nonobesepatientswith_21_0.txt
**Diagnosis and treatment**
sense_dimmed_sleep/s41598023340024_167_0.txt
[ Article ](https://doi.org/10.5664%2Fjcsm.6394) [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=27655455) [ PubMed Central ](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5181619) [ Google Scholar ](http://scholar.google.com/sch
sense_dimmed_sleep/s41598023340024_108_0.txt
\(2010\)."), [ 23 ](/articles/s41598-023-34002-4#ref-CR23 "Krieger, J., Kurtz, D., Petiau, C., Sforza, E. & Trautmann, D. Long-term compliance with CPAP therapy in obstructive sleep apnea patients and in snorers. Sleep 19\(9 SUPPL.\), 136–143. https://doi.org/10.1093/sleep/19.suppl_9.s136
sense_dimmed_sleep/s41598023340024_28_0.txt
Article Open access 08 January 2020
sense_dimmed_sleep/s12931022021413_275_2.txt
2CML&author=Motamedi%2CGK)
sense_dimmed_sleep/s12931022021413_77_1.txt
Frank MH, Ravesloot MJ, van Maanen JP, Verhagen E, de Lange J, de Vries N. Positional OSA part 1: towards a clinical classification system for position-dependent obstructive sleep apnoea. Sleep Breath. 2015;19\(2\):473–80.
sense_dimmed_sleep/s41598023340024_200_0.txt
This study was funded by Conselho Nacional de Desenvolvimento Científico e Tecnológico under grand number 313348/2017-0, and Fundação de Amparo à Pesquisa do Estado de São Paulo under grand number 2018/201612-4.
sense_dimmed_sleep/s12931022021413_468_0.txt
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sense_dimmed_sleep/s41598023340024_281_0.txt
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sense_dimmed_sleep/therelationshipbetwe_4_0.txt
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sense_dimmed_sleep/s12931022021413_348_0.txt
46. Gleeson K, Zwillich CW, White DP. The influence of increasing ventilatory effort on arousal from sleep. Am Rev Respir Dis. 1990;142(2):295–300. [ https://doi.org/10.1164/ajrccm/142.2.295 ](https://doi.org/10.1164/ajrccm/142.2.295).
sense_dimmed_sleep/s41598023340024_18_0.txt
* 2 Citations
sense_dimmed_sleep/s41598023340024_246_48.txt
AwLS45Mi0uMDgtMS4zMy0uMjUtLjQxLS4xNi0uNzctLjQtMS4wOC0uNy0uMy0uMzEtLjU0LS42OS0uNzItMS4xMy0uMTctLjQ0LS4yNi0uOTUtLjI2LTEuNTJ6bTQuNjEtLjYyYzAtLjU1LS4xMS0uOTgtL
sense_dimmed_sleep/s41598023340024_241_0.txt
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sense_dimmed_sleep/s12931022021413_122_2.txt
among the three APOC subgroups (Table [ 2 ](/articles/10.1186/s12931-022-02141-3#Tab2) ).
sense_dimmed_sleep/s12931022021413_72_1.txt
(SaO 2 ), and lowest oxygen saturation (LSaO 2 ) were also collected.
sense_dimmed_sleep/s12931022021413_443_21.txt
U5IDQuMDdoLTEuNzVsLTEuNzctMi45OC0xLjA4IDEuMjN2MS43NWgtMS41OHptMTMuNjkgMS4yN2MtLjI1LS4xMS0uNS0uMTctLjc1LS4xNy0uNTggMC0uODcuMzktLjg3IDEuMTZ2Ljc1aDEuMzR2MS4yN2gtMS4zNHY1L
sense_dimmed_sleep/s41598023340024_23_0.txt
## Abstract
sense_dimmed_sleep/s12931022021413_315_0.txt
[ Article ](https://doi.org/10.1164%2Frccm.202101-0055OC) [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=34156917) [ Google Scholar ](http://scholar.google.com/scholar_lookup?&title=Physiological%20traits%20and%20adherence%20to%
sense_dimmed_sleep/s41598023340024_12_0.txt
* Article * [ Open access ](https://www.springernature.com/gp/open-research/about/the-fundamentals-of-open-access-and-open-research) * Published: 11 May 2023
sense_dimmed_sleep/s41598023340024_134_0.txt
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
sense_dimmed_sleep/s41598023340024_186_0.txt
26. Hang, L., Huang, C. & Cheng, W. Clinical characteristics of Asian patients with sleep Apnea with low arousal threshold and sleep structure change with continuous positive airway pressure. _Sleep Breath._ **25** (3), 1309–1317. [ https://doi.org/10.1007/s11325-020-02235-6 ](https://doi.org/10.1007/s11325-020-02235-6...
sense_dimmed_sleep/s41598023340024_246_33.txt
UtMS4xLjI1LS4zIDAtLjYtLjA3LS45LS4ycy0uNTktLjMxLS44Ny0uNTZ6bTAtMi4zYy4yNi4yMi41LjM3LjczLjQ1LjI0LjA5LjQ2LjEzLjY2LjEzLjQ2IDAgLjg0LS4yIDEuMTUtLjYuMzEtLj
sense_dimmed_sleep/s41598023340024_196_0.txt
31. Lechat, B. _et al._ Multinight prevalence, variability, and diagnostic missclassification of obstructive sleep apnea. _Am. J. Respir. Crit. Care Med._ **205** (5), 563–569. [ https://doi.org/10.1164/rccm.202107-1761OC ](https://doi.org/10.1164/rccm.202107-1761OC) (2022).
sense_dimmed_sleep/therelationshipbetwe_77_0.txt
· Wants stuffed animals or pillows piled on top
sense_dimmed_sleep/s12931022021413_375_0.txt
## Acknowledgements
sense_dimmed_sleep/s41598023340024_246_9.txt
Yy0uMzguNDMtLjguNzYtMS4yOC45OS0uNDcuMjItMSAuMzQtMS41OC4zNC0uNTkgMC0xLjEzLS4xLTEuNjQtLjMxLS41LS4yLS45NC0uNTEtMS4zMS0uOTEtLjM4LS40LS42Ny0uOS0uODgtMS40OC0uMjItLjU5LS4
sense_dimmed_sleep/s12931022021413_17_0.txt
[ _Respiratory Research_ ](/) ** volume 23 **, Article number: 240 ( 2022 ) Cite this article
sense_dimmed_sleep/s12931022021413_321_1.txt
80%93a%20new%20worldwide%20definition&journal=Lancet&doi=10.1016%2Fs0140-6736%2805%2967402-8&volume=366&issue=9491&pages=1059-1062&publication_year=2005&author=Alberti%2CKG&author=Zimmet%2CP&author=Shaw%2CJ)
sense_dimmed_sleep/s12931022021413_198_0.txt
Body mass index
sense_dimmed_sleep/s12931022021413_442_0.txt
## About this article
sense_dimmed_sleep/s41598023340024_292_0.txt
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sense_dimmed_sleep/s12931022021413_431_0.txt
## Additional information
sense_dimmed_sleep/s12931022021413_287_1.txt
/scholar_lookup?&title=Positional%20sleep%20apnea%20among%20regional%20and%20remote%20australian%20population%20and%20simulated%20positional%20treatment%20effects&journal=Nat%20Sci%20Sleep&doi=10.2147%2Fnss.S286403&volume=12&pages=1123-1135&publication_year=2020&author=Garg%2CH&author=Er%2CXY
sense_dimmed_sleep/s12931022021413_116_1.txt
ive sleep apnea, _POSA_ positional obstructive sleep apnea, _si-POSA_ supine-isolated positional obstructive sleep apnea, _sp-POSA_ supine-predominant positional obstructive sleep apnea
sense_dimmed_sleep/s41598023340024_244_0.txt
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sense_dimmed_sleep/s12931022021413_306_0.txt
25. Taranto-Montemurro L, Messineo L, Wellman A. Targeting endotypic traits with medications for the pharmacological treatment of obstructive sleep apnea. A review of the current literature. J Clin Med. 2019. [ https://doi.org/10.3390/jcm8111846 ](https://doi.org/10.3390/jcm8111846).
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The results of binary logistic regression analysis of the association between POSA and low ArTH are shown in Table [ 3 ](/articles/10.1186/s12931-022-02141-3#Tab3). In the model adjusted for age, BMI, and sex, si-POSA (adjusted odds ratio [OR], 7.302; 95% confidence interval [CI], 6.090–8.757; P < 0.001) and sp-POSA (a...
sense_dimmed_sleep/s12931022021413_161_1.txt
icult to treat: evidence for a distinct pathophysiological phenotype. J Clin Sleep Med. 2017;13\(1\):81–8.
sense_dimmed_sleep/s41598023340024_30_0.txt
### [ Prevalence and characteristics of pain in moderate-to-severe obstructive sleep apnea patients and effect of CPAP treatment ](https://www.nature.com/articles/s41598-023-42967-5?fromPaywallRec=false)
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https://doi.org/10.3390/jcm8111846
sense_dimmed_sleep/s12931022021413_134_0.txt
Compared to NPOSA, POSA patients are less obese and have less severe OSA [ [ 8 ](/articles/10.1186/s12931-022-02141-3#ref-CR8 "Mador MJ, Kufel TJ, Magalang UJ, Rajesh SK, Watwe V, Grant BJ. Prevalence of positional sleep apnea in patients undergoing polysomnography. Chest. 2005;128\(4\):2130–7.
sense_dimmed_sleep/s12931022021413_140_1.txt
97\(6\):640–6. https://doi.org/10.1053/rmed.2003.1494
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sense_dimmed_sleep/s41598023340024_246_39.txt
3LS41MS0uMDUtLjE2LS4xMi0uMy0uMjItLjQzcy0uMjItLjIyLS4zOC0uM2MtLjE1LS4wNi0uMzQtLjEtLjU4LS4xLS4zNCAwLS42OC4wNy0xIC4ycy0uNjMuMjktLjkzLjQ3bC0uNTktMS4wOGMuMz
sense_dimmed_sleep/s12931022021413_12_0.txt
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sense_dimmed_sleep/s12931022021413_443_23.txt
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