work-based somnolence

4
 Nooj F covnd mo y No}fycbfcz ^oye  £  JFPHYZBFCZ OM JVPLKGKZ[ HCJ HCJ JVPLKGHZKOC Gfczfy moy Vccfgfwwhy{ Hchl{wkw Jk}kwkoc om Cocfwwfczkhl Pfywoccfl Bkwkcmoybhzkoc Zyhcwmfy Iyhcgd NPYH H}okjhcgf Nyovp ^oye"Ihwfj Wobcolfcgf1 Kcgkjfcgf, Pdfcobfcoc, Ykwe Mhgzoyw, - Mvc Mhgzw Z o cn vf kc Gd ff e $Z KG+ W f ykfw ‚Cvbi f y 7 Bkb L h cj y{‚W f ykfw F j kzo y Hpykl 8, 900; 

Upload: mimlandry

Post on 08-Apr-2018

221 views

Category:

Documents


0 download

TRANSCRIPT

8/7/2019 Work-Based Somnolence

http://slidepdf.com/reader/full/work-based-somnolence 1/4

  Noo j Fcovnd mo y No}fycbf cz ^oye £  

JFPHYZBFCZOM JVPLKGKZ[ HCJHCJ JVPLKGHZKOC

Gfczfy moy Vccfgfwwhy{ Hchl{wkwJk}kwkoc om Cocfwwfczkhl PfywoccflBkwkcmoybhzkoc Zyhcwmfy IyhcgdNPYH H}okjhcgf Nyovp 

^oye"Ihwfj

Wobcolfcgf1Kcgkjfcgf,Pdfcobfcoc,

Ykwe Mhgzoyw,

- Mvc Mhgzw 

Zocn vf kc Gdffe $ZKG+ Wfykfw‚Cvbi fy 7 

Bkb Lhcj y{‚Wfykfw Fj kzoy 

Hpykl 8, 900; 

8/7/2019 Work-Based Somnolence

http://slidepdf.com/reader/full/work-based-somnolence 2/4

^oye" Ihwfj Wobcolfcgf1

Kcgkjfcgf, Pdfcobfcoc, Ykwe Mhgzoyw, - Mvc Mhgzw Hiwzyhgz

Jfwpkzf h ynvb fczhz k}f hcj mhlwf gobplhkczwhiovz kczfcwf ~oyelohjw, zdyfhzw myob DvbhcYfwovygfw, hcj p yoilfb w yflh zfj zo i kllhi lf

dovyw, ~f g ocj vgzf j hc f tdhvwzkcn wzvj{ zofthbkcf zdf pdfcobfco c hcj kcgkjfcg f omwobcolfcgf hz ~ oye hcj zo fthbkcf ykwe

mhg zo yw moy zdkw if dh}ko y#

Iyh}fl{ yfbhkckcn h~hef jvykcn ~oye dovywhcj go vczkcn zdf cvbify pfo plf mhllkcn

hwlffp jvykcn h wfykfw om g ykzkgh l wzh mm bffz kcnw,~f plhccfj zo g hlgvlhzf zdf kcgkjf cgfjfcwkz{ gvy}fw moy F}kjf cgf om Wob colfcg f pf y

wzh mm b ff zkcn $FW/ WB+ hcj hwwfww ykwe mhg zo yw

vwkcn h lkzzlf wob fzdkcn ~ f lkef z o g hll lonkwzkgyfn yfwwkoc h chl{wfw# ^f p vz Powz"Kz Cozfw zdhzwh{ “ Jo Coz Jkwzvyi‒ oc p fop lf o}fyzl{wlffpkcn kc zdf gvikglfw jo~ c zdf dh ll#

Ihgenyovcj

Hg gkj fczh ll{ kc}fczfj jvykcn h Phykwkhcjykcekcn n hb f kc 84:7, “ Wzh mm Bff zkcnw‒z{pkghll{ gocwkwz om z~ o o y bo yf pfo plf g obkcn

zon fzdf y moy zdf pvypowf o m jkwgvwwkcn h$vwvhll{+ pyfjfzf ybkcfj z op kg wvg d hw ivwkcfwwoy f}f cz plhcckcn, omzfc kc h moybh l wfzzkcn#

Zdfyf h yf j kmmfyfcz bffzkcn z{p fw, wvgd hwzfhb bffzkcnw, bhchn fbfcz b ffzkcnw, hcj

dhp p{ do vy bffzkcnw# ^f lkef zdf lhzzf y#

Bffz kcnw pyo}kjf op po yzvckzkfw zog obb vckgh zf }h wz hbovczw om kcmoybhzkoc

hbocn bvlzkplf phyzkfw# Bffzkcnw hlwo pyo}kjfop po yzvckzkfw moy wlffp kcn# Kcjf fj , }hykovw

mhg zo yw kcdfyfcz kc wzh mm bf fzkcnw wfy}f zopyobo zf wobcolfcgf , wvgd hw jh yefcfjyoob w, bkcj"cvbi kcn zopkgw, hcj bo cozoco vw

wpf hefyw# [ov eco~ ~ do ~ f h yf zh lekcn hi ovz#

Wobcolfcg f Oy Jfhzd? 

Kz bkndz if vwfmvl zo gob ph yf wobcolfcgf~kzd jfh zd# Oy coz# Cf}fyzdflfww, wobcolfcgf  $o y )j yo~wkcfww)+ kw h i ykfm wzh zf om cf hy"wlffp oy

h wzyocn jfwkyf moy wlffp # Kc go czyhwz, jfhzd kwg dyockg wzhzf cozfj moy hc h iwfcgf omif dh}koy, zdovn dz, hcj wfczkfcgf , hcj kw h i kz

bo yf p fybhcf cz# Wobcolfcz pfo plf h yf fh w{zo wzh yzlf hcj h~ hefc# Kc go czyhwz, zdf jf hjhyf cfkzdfy fhwkl{ wzh yzlfj coy h~hefcf j # Iozdhyf g dhyhg zfykqfj i { lfzdh yn{ hcj hco yftkh#

BfzdojwZo p yoif zdkw g ykzkgh l hyfh om yfwfh yg d, wf}f yhl

yfwfh yg d j fwkncw ~fyf g ocwkjfyfj zo g oczyolmoy kczfychl }hlkj kz{, gh vwhl hwwfwwbfcz , hcjavce lkef zdhz# ^f ~fyf fwpf gkhll{ jyh~c zoxvh wk"ftpfykbfczh l jfwkncw wvgd h w zdf

yfn yfwwkoc"j kwg ocz kcvkz{ jfwknc, ivz docfwzl{,~f g ovljc‛z mknvyf kz ovz# Wo b vgd ~ oye( Wo,

~dhz ~ f jkj ~ hw zo n o zo wzhmm bffzkcnw hcjg ovcz zdf cvbif y om pf oplf wlffpkcn#

Kc zdkw coc"ftpfykbfczhl pyowpfgzk}f godoyzjf wknc f}hlvhzkoc o m go c}fckfcgf whbp lfw,fbplo{ff w ~do fkzdfy kczfczkochll{ oy

hg g kjfczh ll{ hzzfcj fj wzh mm bffzkcnw jvykcn hyfgfcz gobphc{ yfoynhckqhzkoc fmmoyz ~fyf

wgo yfj h w fkzdfy “H~ hef‒ oy “ Wobcolfcz#‒ Zdfpykbh y{ b fh wvyfw om wobcolfcgf ~ fyf1

•  F{f"glowkcnw

•  Cojjkcn omm

•  Wcoykcn#

Mvcjkcn# Mvcjkcn p yo}kjfj i { Bh zzyfww

Jkwgo vczfyw# ]kwkz h Wlffp Gf czfy zojh{

hcj Jkwgo}fy [ovy Gobmoyz£(

8/7/2019 Work-Based Somnolence

http://slidepdf.com/reader/full/work-based-somnolence 3/4

Zdf g o"~oyefyw wviafg zw ~do ftdkikzf j o cf o ybo yf om z dfwf bf hwvyfw om wob colfcgf ~fyfwgoyfj hw “ Wob colfcz#‒ ^kzd zdkw kcmoybhzkoc,

~f gh lgvlhzfj Wobcolfcgf Kcgkjfcg f Jfcwkz{Gvy}fw $WKJG+, ~dkgd wovcj fj ekcjh cfh z# ^f~fyf no kcn zo j o h lonkwzkg yfn yfwwkoc h chl{wkw,

ivz myhcel{, ~ f‛ yf coz kczo zdh z woyz om zdkcn,

if kcn hw ~ f ~f yf yhkwfj Ghz dolkg h cj h ll#

OvzgobfwVcmoyzvchzfl{, zdkw wzvj{ jkj coz hczkgkphzf hcj

g ovlj coz o}fygob f hc vcftpfgzf jovzg obf1 zdf yfwfh yg dfyw yfp fh zfj l{ftpfykfcgfj wobcolfcgf zdfbwfl}fw# Hw h

yfwvlz, wob f wviafg zw ~fyf p yoih il{ cozgo vczfj h cj wobf b h{ dh}f iffc g ovczfjbo yf zdh c ocgf # Kz‛w dhyj zo eco~ #

Cozfw zh ekcn jvykcn zdf wobcolfcgfbf hwvyfbfcz ~fyf z{pkgh ll{ jkmmkgvlz zo yfhj #

Moy fthbplf, zdf co zfw zh efc jvykcn hph yzkgvlhyl{ locn h cj jvll dvbh c yfwovygfpyfwfczhz koc hp pf hy zo yfh j, “ Tzybl{ iycn PP‒

hcj zdvw coz mvll{ wgoyfhilf#

Ykwe Mhg zoywOvy dfvykwzkg hcj }o{fvykwzkg o iwfy}hz kocwpyo}kjfj kc}hlvhi lf jhzh yfnh yjkcn mhgzo yw

zdhz pyobozf n yfhzfy lkeflkdooj om ~o ye"ih wfjwob colfcg f# Zhilf 8 jf wg ykif w ef{ ykwe mhg zo yw#

Zhi lf 81 ^oye"Ihwfj Wobcolfcg f Ykwe Mhg zoyw

Wobcolfcg f Jobh kc Ykwe Mhg zoyFc}kyocb fc zhl Mhg zoyw Lkndzw omm oy j kb

3 >9± MOzdfy p fop lf wcoykcn

]kjfo w hcj mklbw, fwp # olj

Wpfh efy Mhg zoyw Jyockcn , zfj kovw wz{lf

66"Wlkjf Po~ fyPokcz

Wpfh efy coz wdo~ kcn vp

Kcjk}kjvh l Mhg zoyw Hmzf y lvcgd oy 6100 p #b#

Plhcckcn }hghzkoc

Pdfcobfcolon{Oi wfy}hz kocw om ~o ye"ih wfj wobcolfcg f

cozfj wf}fyhl gdhyhgzfykwzkg moybw1

•  Zdf Coj jf y‚wkzw vp ~ kzd f{fw glowfj hcj

dfhj i oiw ih g e hcj moyzd#

•  Zdf Jykmzfy‚g ocwgko vwcfww mhjfw kc hcjovz , bkwwfw gykzkghl mh g zw, hl~h {w gocmvwfj#

•  Zdf Wlffp fy‚fbiyhg fw wobcolfcgf ,jo fwc‛z dkjf wlffpkcn, dhw hlhyb g loge#

Wzvj{ LkbkzhzkocwWzvj{ lkbkzhz kocw h yf lfn koc# Zdfyf h yf

kcghlg vlhi lf zdyfhzw zo g ocwzyvgz, kczfychl, hcjftzfychl }hlkjkz{, mhgf }hlkjkz{, ftkwzfczkhl}hlkjkz{, hcj nf cfykg }hlkjkz{# $Go jf Yfj oc

zdf Dob flh cj Wfg vykz{ Hj}kwoy{ W{wzfb#+

Zdfyf h yf ykjkgvlovw p yoilfb w yflhzfj zo

wflfgzkoc, dkwzoy{, bhzvyhzkoc, yfpfhzfj zfwzkcn,kcwzyvbfczhzkoc, yfnyfwwkoc zo zdf bf hc $ghcif mvc(+, ftpfykbf czhl bo yzhlkz{ $~f j kjc‛z wff

zdhz o cf go bkcn+, hcj om g ovywf, wlffpkcn# Zdf yfwfhygdfyw ~fyf lowz zo mollo~"vp# Zdkw g hvwfjg ocwkjfyhilf gocmvwkoc#

Wvnnfwzkocw moy Mvzvyf YfwfhygdZdf z opkg om ~ oye"ihwfj wobcolfcgf yfwfh ygd

kw myhvn dz# Yfwfhyg d wob fzdkcn flwf#

Jkwgvwwkoc]keek phwwfj hyovcj zdf Wbkzd Gollfnf Hlvbck

bh nh qkcf ~ dkgd mfhzvyfj Wdhefy LhefwNh yjfc Glvi bfb if y Glhyh Yhcekc hcj dfynhyjfc# ]keek fcgovyhnfj bfbifyw zo hzzfcj

zdf Lkiyh y{ Zfh oc Ah cvh y{ 70zd# Jozz{ Fllkozzcffjw }olvczffyw zo iykcn nhyjfc whbplfw hcj}olvczffyw moy zdf dfyih g fovw ioyjfy#

Mvc MhgzZdf zo ~c o m ]fg dzh , Nfybhc {, hllo~ w ~o yefyw

zo zhef h 90"bkcvzf chp fhg d jh {# Zdf{ gh c

no dobf oy joqf omm h z ~oye hmzfy lvcgd# 

8/7/2019 Work-Based Somnolence

http://slidepdf.com/reader/full/work-based-somnolence 4/4

 

N o o j Fc o v n d m o y N o } f y c b f c z ^o y e #£