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It has long been known that convulsive seizures often occur during sleep, especially in children This is such a frequent occurrence that the practice of inducing sleep has been adopted as an activating EEG procedure to obtain con rmation of epilepsy Seizures may occur soon after the onset of sleep or at any time during the night, but mainly in stage 4 of NREM sleep or in REM sleep They are also common during the rst hour after awakening On the other hand, deprivation of sleep may be conducive to a seizure Sleeping epileptic patients attract attention to their seizures by a cry, violent motor activity, unusual but stereotyped actions, such

as sitting up and crossing the arms over the chest, or labored breathing As in diurnal seizures, after the tonic-clonic phase, patients become quiet and fall into a state resembling sleep, but they cannot be roused from it The appearance of such a seizure depends on the phase of the seizure in which the patient happens to be when rst observed If the nocturnal seizure is unobserved, the only indication of it may be disheveled bedclothes, a few drops of blood on the pillow from a bitten tongue, wet bed linen from urinary incontinence, or sore muscles Or the occurrence of a seizure may be betrayed only by confusion or headache, the common aftermaths of a major generalized seizure Rarely, a patient may die in an epileptic seizure during sleep, sometimes from smothering in the bedclothes or aspirating vomitus or for some obscure reason (possibly respiratory or cardiac dysrhythmia) These accidents and similar ones in awake epileptics account for the higher mortality rate in epileptics than in nonepileptics Rarely, epilepsy occurs in conjunction with night terrors and somnambulism; the question then arises whether the latter disorders represent postepileptic automatisms Usually no such relationship is established EEG studies during a nocturnal period of sleep are most helpful in such cases

for the trader to take a direction on the market If the short options are liquidated, then, just like the call spread, the pro t or loss from the short option trade would be applied to the long premium of both purchased put options Butter y spreads can be placed on both sides of the market to create a double butter y which is one spread on each side of the market to capture a very wide range the with limited premium outlay and limited risk If we take both examples of the IBM butter y and combine the trades in a model, it will look like the chart shown in Figure 84 The model in the gure shows the butter y spread on both sides of the current market with limited risk across the trade The dif culty with multiple strategies like this is that we have not yet accounted for the six to eight (options on futures are charged individually) commissions generated, and the risk-to-reward ratio has already dropped to less than 1:2 Whenever you are considering multiple option strategies such as the butter y spread, always take into account the risk-to-reward ratio

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Encephalitis lethargica, or von Economo epidemic encephalitis, the remarkable illness that appeared on the medical horizon as a pandemic following World War I, provided some of the most dramatic instances of pathologic somnolence In fact, protracted sleep lasting for days to weeks was such a prominent symptom of this disease that it was called sleeping sickness The patient appeared to be in a state of continuous sleep, or somnosis, and could be kept awake only by constant stimulation Although the infective agent was never isolated, the pathologic anatomy was fully divulged by many excellent studies, all of which demonstrated a destruction of neurons in the midbrain, subthalamus, and hypothalamus Patients who survived the acute phase of the illness often had dif culty in re-establishing their normal sleep-wake rhythm As the somnolence disappeared, some patients exhibited a reversal of the normal pattern, tending to sleep by day and stay awake at night; many of them also developed a parkinsonian syndrome months or years later Possibly the hypersomnia was related to destruction or functional paralysis of dopamine-rich neurons in the substantia nigra, resulting in overactivity of the raphe (serotonergic) neurons Hypersomnia is also a manifestation of trypanosomiasis, the common cause of sleeping sickness in Africa, and of other diseases localized to the mesencephalon and the oor and walls of the third ventricle, as indicated earlier in this chapter Small tumors in this area have been associated with arterial hypotension, diabetes insipidus, hypo- or hyperthermia, and protracted somnolence lasting many weeks Such patients can be aroused; but if left alone, they immediately fall asleep Traumatic and vascular lesions and other diseases affecting the mesencephalon may have a similar effect Sleep drunkenness is the name given to a special form of hypersomnia, characterized by a failure of the patient to attain full alertness for a protracted period after awakening Unsteadiness, drowsiness, disorientation, and automatic behavior are the main features This disorder is usually associated with sleep apnea or other forms of sleep deprivation, but sometimes no such connection can be discerned, in which case a motivational factor should be suspected.

Under the commands for data providers, you can find a summary of all commands you can use to change the status of a data provider You can use these commands to set filter values, set report-report interface (RRI) filters, reset displays with zero values, or change the navigational state of a data provider There are over 50 different commands for data providers We will be using some of them in our dashboards, so we will cover those specific commands in the following chapter when we use them

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