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2221, 2224, 2237, 2263, 2273, 2301, 2314, 2328, 2355, 2377, 2402, 2405, 2411, 2414, 2438, 2467, 2473, 2484, 2496, 2510, 2526, 2531, 2534, 2546, 2551, 2554, 2565, 2568, 2587, 2601, 2619, 2638, 2676, 2679, 2690, 2704, 2919, 2924, 2929, 2937, 2948, 2966, 2990, 2993, 3013, 3016, 3029, 3042, 3100, 3103, 3115, 3119, 3137, 3155, 3189, 3192, 3224, 3226, 3229, 3250, 3255, 3259, 3267, 3281, 3288, 3292, 3325, 3339, 3366, 3380, 3389, 3406, 3461, 3490, 3493, 3511, 3526, 3787, 3865, 3924, 3944, 3956, 3965, 3970, 3985, 3992, 4000, 4003, 4013, 4025, 4028, 4043, 4050, 4068, 4111, 4120, 4451, 4566, 4707], 'scoring': [106, 143, 280, 292, 296, 337, 420, 434, 452, 481, 753, 767, 798, 901, 1022, 1068, 1258, 1826, 1919, 1972, 2035, 2321, 2397, 2433, 2544, 2605, 2639, 2735, 2773, 2804, 2840, 2865, 2917, 2922, 2927, 2935, 2947, 2953, 2999, 3091, 3203, 3234, 3323, 3475, 3510, 3579, 3615, 3718, 3739, 3788, 3890, 4041, 4057, 4190, 4233, 4257, 4288, 4305, 4386, 4567, 4571, 4579], 'agreement.': [107, 788, 2254, 2469, 3622, 3885, 3996], 'The': [108, 158, 320, 400, 559, 670, 711, 822, 1228, 1366, 1376, 1485, 1677, 1692, 1732, 1768, 1832, 2016, 2030, 2072, 2092, 2131, 2268, 2449, 2548, 2741, 2862, 3005, 3034, 3097, 3198, 3242, 3408, 3466, 3495, 3623, 3867, 3997, 4162, 4666], 'objective': [109, 4093], 'is': [110, 263, 675, 1028, 1180, 1252, 1653, 1770, 1782, 1816, 2011, 2265, 2416, 2556, 2570, 2596, 2627, 2757, 2820, 2867, 2906, 2940, 3048, 3183, 3340, 3434, 3520, 3679, 3709, 3719, 3810, 3843, 3854, 4138], 'examine': [112], 'areas': [113, 691], 'disagreement': [115, 2381, 2442, 3131, 3182, 3402, 3499, 3606, 3660, 3668, 4007, 4039], 'inform': [117], 'future': [118], 'revisions': [119], 'the': [121, 125, 163, 167, 188, 212, 221, 231, 279, 291, 344, 369, 382, 393, 403, 450, 464, 479, 485, 505, 572, 578, 591, 609, 629, 642, 650, 653, 661, 673, 681, 707, 725, 736, 749, 777, 846, 862, 881, 886, 907, 916, 936, 971, 981, 989, 1020, 1047, 1065, 1073, 1076, 1083, 1104, 1168, 1175, 1183, 1190, 1201, 1206, 1233, 1237, 1257, 1261, 1268, 1271, 1303, 1335, 1338, 1363, 1380, 1386, 1395, 1401, 1420, 1424, 1435, 1445, 1475, 1482, 1508, 1528, 1558, 1616, 1621, 1625, 1628, 1632, 1636, 1639, 1648, 1663, 1669, 1681, 1710, 1736, 1806, 1811, 1830, 1837, 1850, 1857, 1868, 1882, 1886, 1914, 1918, 1926, 1930, 1942, 1968, 2000, 2044, 2058, 2098, 2105, 2117, 2123, 2126, 2147, 2154, 2168, 2177, 2181, 2188, 2196, 2218, 2233, 2240, 2248, 2259, 2292, 2305, 2311, 2324, 2332, 2345, 2350, 2373, 2383, 2386, 2396, 2423, 2428, 2440, 2445, 2452, 2455, 2458, 2463, 2492, 2495, 2502, 2518, 2543, 2562, 2577, 2581, 2584, 2631, 2655, 2672, 2734, 2738, 2750, 2761, 2770, 2835, 2859, 2880, 2903, 2916, 2934, 2959, 2962, 2980, 2987, 3002, 3010, 3022, 3025, 3032, 3038, 3063, 3084, 3093, 3112, 3133, 3166, 3169, 3186, 3202, 3233, 3245, 3278, 3285, 3301, 3322, 3332, 3363, 3383, 3392, 3401, 3411, 3422, 3443, 3446, 3451, 3481, 3504, 3507, 3537, 3540, 3587, 3599, 3627, 3643, 3647, 3672, 3715, 3738, 3759, 3763, 3766, 3805, 3837, 3871, 3889, 3908, 3981, 3989, 4010, 4018, 4022, 4038, 4056, 4065, 4073, 4079, 4108, 4115, 4156, 4169, 4178, 4223, 4232, 4308, 4313, 4489, 4582, 4669], 'AASM': [122, 404, 465, 506, 544, 592, 737, 823, 923, 937, 1191, 1339, 1364, 2739, 2751, 2771, 2838, 3003, 3035, 3767, 4229, 4256, 4280, 4315, 4332], 'Manual': [123, 391, 405, 507, 1340, 2772, 2839, 3036], 'for': [124, 178, 193, 202, 249, 272, 371, 374, 392, 419, 433, 1008, 1025, 1082, 1113, 1186, 1214, 1392, 1430, 1489, 1494, 1516, 1525, 1569, 1642, 1739, 1742, 1748, 1760, 1933, 2019, 2040, 2120, 2134, 2140, 2153, 2195, 2232, 2258, 2262, 2272, 2302, 2323, 2331, 2354, 2437, 2466, 2620, 2640, 2665, 2744, 2875, 3058, 3111, 3160, 3174, 3185, 3360, 3375, 3379, 3386, 3488, 3509, 3532, 3553, 3634, 3717, 3730, 3802, 3825, 4095, 4127, 4177, 4231, 4303, 4334, 4627, 4673, 4704], 'and': [129, 139, 185, 199, 230, 244, 284, 351, 368, 397, 425, 455, 469, 499, 575, 617, 637, 652, 664, 697, 701, 717, 733, 760, 871, 963, 973, 988, 993, 1058, 1095, 1108, 1124, 1144, 1151, 1239, 1356, 1467, 1478, 1502, 1602, 1727, 1752, 1763, 1949, 2139, 2165, 2360, 2439, 2454, 2524, 2561, 2603, 2767, 2782, 2792, 2892, 2912, 2926, 3050, 3257, 3313, 3397, 3448, 3457, 3516, 3519, 3545, 3551, 3580, 3595, 3607, 3611, 3638, 3661, 3669, 3724, 3741, 3747, 3842, 3877, 4014, 4030, 4103, 4122, 4147, 4173, 4189, 4205, 4236, 4241, 4281, 4312, 4343, 4431, 4460, 4484, 4498, 4548, 4577, 4606, 4656, 4685, 4715, 4724, 4749, 4755], 'Associated': [130, 398], 'Events.Methods:The': [131], 'sample': [132, 564, 632, 1693, 1769, 2277, 3423], 'included': [133, 417, 1230, 1697, 2343], '9': [134, 1084, 1559, 1578, 1603, 1695], 'record': [135, 582, 597, 631, 851, 929, 1085, 1864, 3433], 'fragments,': [136], '1,800': [137], 'epochs': [138, 808, 837, 914, 972, 1408, 1417, 1509, 1544, 1553, 1649, 1682, 1744, 1974, 2022, 2124, 2157, 2198, 2234, 2246, 2288, 2298, 2312, 2339, 2450, 2643, 2656, 2722, 2960, 3008, 3113, 3205, 3221, 3236, 3252, 3361, 3377, 3387, 3427, 3482, 3603, 3952, 3962], 'more': [140, 153, 816, 876, 1851, 2338, 2661, 2868, 3059, 3161, 3484, 3522, 3533, 4092], 'than': [141, 146, 817, 896, 1275, 1293, 1313, 2104, 2193, 2330, 2367, 2616, 2662, 3060, 3108, 3126, 3485, 3524, 3534, 3920, 3975], '3,200,000': [142], 'decisions.': [144], 'More': [145, 1274, 3919], '2,500': [147, 731], 'scorers,': [148, 773, 3469], 'most': [149, 872, 1035, 1381, 1393, 1912, 2309, 3264, 3525, 3673, 4036], '3': [151, 874, 1114, 1282, 1414, 1542, 1551, 1795, 1798, 1815, 2197, 2287, 2297, 2336, 2368, 3921, 3951, 3961], 'or': [152, 780, 875, 983, 1241, 2102, 2289, 2337, 2390, 2678, 2687, 3083, 3141, 3146, 3177, 3216, 3228, 3239, 3492, 3564, 3827, 4078], 'years': [154, 877, 1283, 4260], 'experience,': [156], 'participated.': [157], 'analysis': [159, 1532, 2307, 3563, 3678, 4128, 4714], 'determined': [160], 'agreement': [161, 172, 192, 258, 273, 659, 768, 895, 1399, 1652, 1667, 1734, 1759, 1870, 1876, 1884, 1928, 1961, 2010, 2036, 2107, 2119, 2322, 2371, 2504, 2664, 2743, 2763, 2796, 2813, 2823, 2849, 2866, 2882, 2905, 2954, 3006, 3089, 3110, 3359, 3385, 3487, 3755, 3838, 3861, 3928, 4362], 'score': [164, 628, 1377, 1403, 1422, 1477, 1671, 1738, 1932, 2069, 2133, 2149, 2190, 2483, 3041, 3154, 3792], 'chosen': [165, 567, 1378], 'by': [166, 349, 537, 571, 602, 839, 854, 938, 951, 1034, 1302, 1379, 1499, 1550, 1687, 1717, 1721, 1725, 1730, 1866, 2239, 2395, 2630, 2726, 2765, 2842, 2890, 3052, 3196, 3276, 3391, 3593, 3958, 4581], 'majority': [168, 908, 1476, 1670, 1689, 1711, 1737, 1931, 2017, 2148, 2189, 2241, 3364, 3393], 'scorers.Results:Sleep': [170], 'averaged': [173], '82.6%.': [174, 1746, 2755], 'Agreement': [175, 277, 1747, 2145, 2186, 2507, 3269], 'was': [176, 197, 200, 246, 287, 406, 476, 526, 549, 955, 1101, 1117, 1130, 1211, 1220, 1383, 1404, 1473, 1479, 1492, 1650, 1715, 1745, 1937, 2096, 2137, 2143, 2150, 2191, 2278, 2319, 2357, 2422, 2434, 2505, 2513, 2589, 2683, 2694, 2754, 2978, 2986, 3018, 3124, 3369, 3394, 3404, 3917, 3929, 3973], 'highest': [177, 3659, 3667], 'R': [180, 236, 355, 409, 520, 1729, 1753, 2415, 2474, 2497, 2511, 2535, 3193, 3260, 3282, 3293, 4004, 4112, 4723], 'stages': [183, 242, 282, 340, 373, 1749, 1761, 1986, 2746, 2909, 4194, 4516], 'N2': [184, 226, 243, 475, 1472, 1590, 1598, 1720, 1775, 1951, 1977, 2090, 2225, 2245, 2356, 2363, 2378, 2406, 2412, 2532, 2552, 2569, 2677, 2930, 2949, 2991, 3104, 3120, 3190, 3256, 3328, 3367, 3491, 4001, 4026], 'W': [186, 217, 1574, 1686, 1703, 1947, 2004, 2047, 2127, 2136, 2160, 2207, 2925, 3014, 3030, 3986], 'approaching': [187], 'same': [189, 630, 778, 3644], 'level.': [190], 'N3': [195, 245, 285, 470, 1607, 1724, 1764, 1956, 2555, 2566, 2588, 2705, 2938, 3390, 3462, 3512, 4029, 4044], '67.4%': [198], 'lowest': [201], 'N1': [204, 229, 283, 468, 1582, 1714, 1762, 1935, 2007, 2055, 2077, 2129, 2142, 2201, 2210, 2222, 2238, 2264, 2274, 2284, 2315, 2329, 2403, 2920, 3017, 3043, 3101, 3971, 3993, 4069], 'at': [205, 774, 1002, 1280, 1962, 1994, 2037, 2247, 2444, 2451, 2462, 2961, 3410, 3642, 3949, 3959, 3977], '63.0%.': [206], 'Scorers': [207, 487, 1665], 'had': [208, 865, 873, 1244, 1279, 1295, 1409, 1959, 2085, 3483, 3994], 'particular': [209], 'difficulty': [210], 'last': [213, 3982], 'epoch': [214, 223, 233, 928, 1051, 1432, 1442, 1623, 1630, 2060, 2074, 2178, 2375, 3027, 3303, 3334, 3983, 4117], 'before': [218, 1624, 2180, 3031, 3164], 'onset,': [220], 'first': [222, 232, 1678, 2031, 2059, 2155, 2374, 2387, 3302, 3333, 4116], 'after': [227, 237, 781, 1631, 4017], 'N2.': [239, 1610, 2485, 3138, 3289, 3326, 3407], 'Discrimination': [240], 'between': [241, 274, 771, 1092, 1120, 2447, 2747, 2824, 3253, 3500, 3839, 4569], 'particularly': [247], 'difficult': [248], 'scorers.Conclusions:These': [250], 'findings': [251], 'suggest': [252], 'that': [253, 270, 443, 502, 531, 562, 885, 906, 1032, 1391, 1823, 1981, 2294, 2334, 2426, 2432, 2594, 2604, 2777, 2812, 2902, 2952, 3135, 3237, 3347, 3506, 3617, 3680, 3710, 3761, 3784, 3813, 3858, 4059], 'current': [255, 1367], 'rules,': [256, 3891, 4239], 'inter-scorer': [257, 326, 545, 4170], 'in': [259, 278, 303, 310, 353, 438, 460, 509, 555, 581, 699, 714, 720, 880, 893, 897, 913, 915, 996, 1040, 1167, 1174, 1200, 1225, 1247, 1341, 1362, 1434, 1645, 1655, 1666, 1674, 1789, 1805, 1813, 1818, 1845, 1873, 1897, 1908, 2013, 2108, 2125, 2161, 2176, 2275, 2304, 2344, 2418, 2431, 2468, 2542, 2558, 2572, 2633, 2644, 2657, 2749, 2811, 2847, 2864, 2958, 2972, 3009, 3090, 3121, 3132, 3247, 3263, 3270, 3429, 3620, 3651, 3681, 3727, 3737, 3743, 3754, 3834, 3900, 4021, 4040, 4338, 4369, 4389, 4747], 'group': [262, 2817, 3687], 'approximately': [264, 730], '83%,': [265], 'level': [267, 1208, 1235, 1397, 2465, 3497], 'similar': [268, 1880, 2759, 2821, 3283, 3933], 'reported': [271, 2764, 2794, 2889], 'expert': [275, 772, 793, 3840, 3938], 'scorers.': [276, 821, 859, 1691, 2243, 2829, 3703, 3808], 'low.': [288], 'Modifications': [289], 'rules': [293, 370, 432, 1336, 3000, 3199, 3243, 3716, 3740, 4058], 'improve': [295, 787, 3088, 4061], 'during': [297, 2711], 'transitions': [300, 1540, 1587, 1595, 1604, 3412, 3945], 'may': [301, 3129, 3149, 3222, 3547, 3732, 3750, 3772, 3880, 3897], 'result': [302, 892, 3619, 3850, 3899], 'improvement.Commentary:A': [304], 'commentary': [305], 'on': [306, 313, 528, 1055, 1305, 1358, 1534, 1662, 2372, 2382, 2488, 2611, 2944, 2997, 3007, 3201, 3232, 3474, 4286, 4341, 4488, 4632], 'this': [307, 311, 589, 728, 1215, 1567, 1756, 2276, 2658, 2985, 3122, 3179, 3271, 3348, 3419, 3477, 3571, 3677, 3707, 3794, 3859], 'article': [308, 4416, 4418], 'appears': [309], 'issue': [312, 3760], 'page': [314], '89.Citation:Rosenberg': [315], 'RS;': [316], 'Hout': [318, 4150], 'reliability': [327, 513, 546, 3577, 4171, 4302, 4448, 4568], 'program:': [328], 'scoring.': [331, 583, 1061, 3555, 3866, 4346], 'J': [332, 4262, 4317, 4391, 4459, 4462], 'Clin': [333, 4263, 4392], 'Med': [335], '2013;9(1):81–87.INTRODUCTIONStandardized': [336], 'became': [341], 'possible': [342, 2256, 3609], 'publication': [345, 4445, 4474, 4511, 4562, 4620, 4699, 4739, 4743], 'manual': [348, 4184, 4230, 4258, 4570], 'Rechtschaffen': [350, 4180, 4282, 4309], 'Kales': [352, 4182, 4311], '1968.1': [354], '–': [356, 410, 521, 4283, 4310], 'K,': [357], 'as': [358, 429, 431, 482, 1385, 1423, 1481, 1520, 1522, 1684, 1854, 1975, 2236, 2393, 2509, 2580, 2879, 3266, 3298, 3591, 3695, 3697, 3782, 3799, 3818, 3822, 3848, 3893, 4134], 'it': [359, 3343], 'came': [360], 'be': [362, 569, 810, 2296, 2342, 2609, 2956, 3223, 3274, 3296, 3345, 3548, 3559, 3734, 3797, 3820, 3833], 'known,': [363], 'standardized': [364, 678, 4186], 'terminology,': [365, 4187], 'recording': [366, 1037, 2718], 'techniques,': [367], 'normal,': [375], 'young': [376], 'adult': [377, 1161], 'research': [378], 'volunteers.': [379], 'In': [380, 1557, 2043, 2057, 2348, 3168], '2007,': [381], '(AASM)': [388], 'developed': [389, 550, 3195, 4168], 'Events.2': [399], 'goal': [401], 'expand': [408], 'K': [411, 522, 2388, 3144, 3175, 3213, 3639, 4101, 4605], 'patient': [414, 1099, 1793, 3447], 'population.': [415], 'This': [416, 645, 740, 1015, 1389, 1511, 1537, 1821, 1843, 2421, 2592, 2626, 2756, 2807, 2977, 3128, 3318, 3432, 3573], 'standards': [418, 560], 'stages,': [423], 'respiratory': [424, 755, 986, 3878], 'limb': [426, 758, 994, 3875], 'movement': [427], 'events,': [428, 756, 987], 'well': [430, 1521, 3696], 'pediatric': [436], 'recordings.Grigg-Damberger,': [437], 'recent': [440, 1852], 'review,3': [441], 'noted': [442], 'there': [444, 1251, 1562, 2295, 2595, 2682, 2693, 3947], 'have': [445, 791, 814, 2660, 3881], 'been': [446], 'few': [447, 850, 1407], 'complaints': [448], 'about': [449, 1232, 1267, 2038], 'new': [451, 480, 1044, 2860, 4314, 4406], 'system.': [453], 'Moser': [454, 4270], 'colleagues4': [456], 'found': [457, 501, 2844, 2855], 'significant': [458, 3605], 'differences': [459, 618, 770, 2971], 'scores': [462, 638, 665, 1410, 1488, 1659, 1741, 1892, 1903, 2018, 2578, 2673, 2710, 3374], 'Manual.': [466, 2740, 3004], 'Stages': [467], 'were': [471, 488, 532, 967, 1006, 1090, 1111, 1148, 1155, 1158, 1288, 1317, 1351, 1418, 1428, 1548, 1563, 1612, 1754, 1765, 1944, 2023, 2229, 2250, 2286, 2316, 2365, 2460, 2539, 2674, 2724, 3194, 3378, 3464, 3926, 3948, 3966, 4033], 'increased,': [472], 'whereas': [473, 1758, 2478, 3157], 'decreased': [477], 'compared': [483, 516, 616, 640, 792, 1855, 2778, 2871], 'old.': [486], 'drawn': [489], 'from': [490, 776, 918, 931, 1019, 1444, 1572, 1588, 1596, 1605, 1620, 2002, 2116, 2205, 2220, 2401, 2410, 2530, 2550, 2564, 2583, 2850, 2886, 2964, 2989, 3001, 3012, 3099, 3188, 3435, 3907, 3999, 4024, 4366, 4572], 'pool': [492, 539, 2729, 2799, 3467, 3806], '30': [494], 'experienced': [495, 542, 2780, 2802, 2828], 'experts.': [497, 902], 'Danker-Hopfe': [498, 2791, 4295], 'colleagues': [500], 'use': [503, 721, 735, 3561], 'resulted': [508, 1844, 1872], 'slightly': [510, 1846], 'improved': [511, 2508, 2579, 3621], 'inter-rater': [512], '82.0%': [515], '80.6%': [518, 2851], 'using': [519, 633, 1885, 2733, 2769, 2797, 4124, 4481, 4517], 'rules.5': [523], 'Her': [524], 'study': [525, 765, 2776, 4426], 'based': [527, 1054, 2943], '72': [529, 2805], 'recordings': [530, 933], 'scored': [533, 570, 600, 838, 853, 1441, 1452, 1456, 1460, 1464, 1469, 1524, 1641, 1683, 1716, 2235, 2251, 2725, 3262, 3365, 3388], 'both': [535, 2489, 3745], 'methods': [536, 2841, 4126], '7': [541, 1564, 1594, 2801], 'scorers.The': [543], '(ISR)': [547], 'aid': [552], 'centers': [554, 2888, 4368, 4576], 'fulfilling': [556], 'accreditation': [557], 'standards.': [558], 'require': [561, 4071], 'randomly': [566], 'records': [568, 1135, 1560, 1696, 1853], 'center': [573, 610, 654, 1184, 1792, 3770], 'director': [574, 611], 'each': [576, 598, 1347, 1354, 1431, 1490, 1495, 1517, 1526, 1643, 1646, 1809, 1862, 2121, 2723, 3941], 'technologists': [579, 732], 'involved': [580], 'As': [584, 1634], 'means': [586, 1390], 'achieving': [588], 'standard,': [590], 'ISR': [593, 738, 824, 924, 1272, 1329, 1838, 2752, 3768, 3872], 'month,': [599], 'independently': [601], '2': [603, 1264, 1319, 1324, 2032, 2156, 2216, 2779], 'board': [604], 'certified': [605], 'specialists': [607], 'replacing': [608], 'scorer.': [612], 'Program': [613], 'are': [615, 639, 1660, 1672, 3261, 4151], 'resolved,': [619], 'leading': [620], 'final': [623, 2045, 2073, 3026], '"correct"': [624, 1387], 'answer.': [625, 1484], 'All': [626, 1098], 'participants': [627], 'web-based': [635], 'program,': [636, 3769], '"correct': [643, 662], 'score."': [644], 'allows': [646], 'instantaneous': [647], 'feedback': [648], 'scorer': [651, 1374, 2784, 3039], 'manager.': [655], 'Feedback': [656], 'includes': [657, 2921, 3514], 'percentage': [658, 1486, 1514, 1640, 3860], 'score"': [663], 'relative': [666, 1614], 'all': [668, 1223, 1506, 1740, 1743, 1779, 1940, 1966, 2670, 3399], 'users.': [669], 'intent': [671], 'add': [677], 'measurement': [679, 1010, 3541], 'quality': [682, 708, 1187], 'assurance': [683, 709, 1188], 'cycle.': [684], 'Center': [685], 'directors': [686], 'evaluate': [687, 769], 'technologist': [688], 'performance,': [689], 'identify': [690], 'weakness,': [693], 'provide': [694, 3350, 3582], 'additional': [695, 3632, 3725, 3902], 'training': [696, 784, 1207, 1246, 3726], 'scoring,': [700, 747, 2877], 'then': [702, 1497], 're-evaluate': [703], 'performance': [704], 'close': [706], 'loop.': [710], 'began': [713], 'April': [715, 1125], '2010': [716], 'has': [718], 'grown': [719], 'since': [722], 'then.': [723], 'At': [724], 'time': [726, 3645, 4153], 'writing,': [729], 'physicians': [734], 'program.': [739, 1202, 1273], 'initial': [741], 'review': [742], 'covers': [743], 'only': [744, 1134, 2424, 3395, 3847, 3863], 'but': [748, 812, 1024, 1069, 2172, 2681, 4087], 'also': [751, 904, 1958, 3320, 3898], 'requires': [752], 'periodic': [757], 'movements,': [759, 3307, 3876], 'arousals.Most': [761], 'studies': [762, 790, 803, 899, 1154, 1165, 1172], 'times': [775], 'laboratory': [779], 'an': [782, 1874, 2612, 2621, 2845, 4140], 'intensive': [783], 'process': [785, 3589], 'Other': [789], 'human': [794, 4196], 'automated': [797, 3567], 'systems.': [799, 1038], 'Some': [800, 1203, 2470], 'these': [802, 1416, 1973, 2020, 2109, 3376, 3978], 'employ': [804], 'numbers': [806], 'scored,': [811], 'none': [813], 'evaluated': [815], 'handful': [819], 'data': [829, 1116, 1259, 1369, 1427, 2261, 3905], 'set.': [830], 'Instead': [831], 'relatively': [841, 849, 3777], 'small': [842, 2825, 3698], 'technologists,': [845], 'fragments': [852, 930, 1086], 'Most': [860, 1286], 'users': [864, 1198, 1210, 1224, 1238, 1269, 1278, 1316, 1440, 1835], 'passed': [866], 'national': [868], 'certification': [869], 'examination': [870], 'field.': [882], 'We': [883, 903], 'hypothesized': [884, 905], 'would': [891, 911, 2955, 3319, 3329, 3349, 3558, 3574, 3832], 'lower': [894, 2320], 'previous': [898, 1637], 'disagreements': [910, 1915, 1943, 1982, 1993, 2498], 'occur': [912, 3846], 'transition': [917, 1571, 2001, 2110, 2219, 2249, 2260, 2306, 2346, 2409, 2425, 2549, 2563, 2585, 2599, 2685, 2963, 2988, 3011, 3094, 3098, 3123, 3187, 3272, 3998, 4023], 'one': [919, 2965, 3082], 'another.METHODSThe': [922], 'employed': [926], '200': [927, 2721], 'de-identified': [932], 'provided': [934, 1007, 1033, 1181, 1512], 'variety': [940, 1140], 'centers.': [943], 'Polysmith': [944], 'reading': [945], 'software': [946], '(provided': [947], 'free': [948], 'charge': [950], 'Nihon': [952], 'Kohden': [953], 'America)': [954], 'used': [956, 1166, 1173, 1384, 1433, 1480, 1539, 1804, 1893, 1904, 3798, 3821], 'create': [958], 'static': [959], 'images': [960], '30-sec': [962, 998, 1348], '120-sec': [964], 'epochs.': [965, 1700, 2111, 2280, 2369], 'Users': [966], 'able': [968], 'access': [970], 'answer': [974], '4': [975, 1889, 1900], 'standard': [976], 'questions': [977, 1231], 'regarding': [978], 'stage,': [980], 'presence': [982], 'absence': [984, 3170], 'arousals': [992], 'movements': [995, 2523], 'epoch.': [999, 1349, 3538], 'Amplitude': [1000], 'markers': [1001], '±': [1003], '37': [1004], 'μV': [1005], 'rapid': [1009, 2521, 3217, 3305], 'slow': [1012, 3455, 3653, 4130, 4401], 'wave': [1013, 3543, 3654, 4131], 'activity.': [1014], 'methodology': [1016, 2736, 3616], 'differs': [1017], 'somewhat': [1018], 'typical': [1021], 'system,': [1023], 'staging': [1027], 'essentially': [1029], 'equivalent': [1030], 'Beginning': [1039], 'January': [1041], '2012,': [1042], 'version': [1045], 'automatically': [1049], 'maximized': [1050], 'display': [1052, 1057], 'size': [1053], 'available': [1056, 1112], 'allowed': [1059], 'keypad': [1060], 'These': [1062, 3220], 'improvements': [1063, 3753], 'increased': [1064, 1840, 1847, 3275], 'speed': [1066], 'did': [1070, 1987, 2100], 'not': [1071, 1193, 1242, 1371, 1988, 2979, 3733, 3811, 4088, 4139], 'alter': [1072], 'nature': [1074], 'task.Table': [1077], '1': [1078, 1163, 1170, 1463, 1546, 1998, 2783], 'demographic': [1080], 'information': [1081, 1100, 1179, 1266], 'under': [1087], 'consideration.': [1088], 'Records': [1089, 1110], 'posted': [1091], 'June': [1093, 1121], '2011': [1094], 'February': [1096, 1446], '2012.': [1097, 1127, 1227], 'removed': [1102], 'exception': [1105, 2983, 3023], 'age': [1107, 3444], 'sex.': [1109], 'months;': [1115], 'therefore': [1118, 1474, 3521], 'collected': [1119, 1429], '1,': [1122, 4471], '2011,': [1123], '30,': [1126], 'An': [1128, 2982, 3556], 'attempt': [1129], 'made': [1131], 'include': [1133, 1372], 'minimal': [1137, 1396], 'artifact.': [1138], 'A': [1139, 1406, 3790, 4623, 4766], 'disorders': [1143], 'abnormality': [1147], 'used.': [1149], 'Diagnostic': [1150], 'PAP': [1152, 2650], 'titration': [1153, 2651, 2714], 'included.': [1156], 'Studies': [1157], 'limited': [1159], 'patients.Table': [1162], 'Clinical': [1164, 1171, 4436, 4465, 4553, 4611, 4690], 'analysisTable': [1169], 'analysisAlthough': [1176], 'individual': [1177, 1195, 1373, 1825, 3923], 'user': [1178, 1322, 1327], 'manager': [1185], 'purposes,': [1189], 'does': [1192, 3415], 'retain': [1194], 'identification': [1196], 'participating': [1199], 'indication': [1204], 'considered': [1212], 'important': [1213, 3855], 'analysis.': [1216, 1436, 2347], 'Therefore,': [1217], 'survey': [1219, 1229, 1262], 'sent': [1221], 'July': [1226], 'whether': [1240, 2097], 'they': [1243], 'formal': [1245, 1298], 'technology.': [1249], 'Unfortunately,': [1250], 'no': [1253, 2597, 2684, 2695, 2856], 'way': [1254], 'connect': [1256], 'responses.Table': [1263], '90%': [1276, 2039], 'least': [1281, 3950, 3960], 'experience.': [1285, 2790], '(87%)': [1287], 'registered': [1289], 'polysomnographic': [1290], 'technologists.': [1291], 'Fewer': [1292], '10%': [1294], 'completed': [1296], 'education': [1299], 'accredited': [1301], 'Commission': [1304], 'Accreditation': [1306], 'Allied': [1308], 'Health': [1309, 4208], 'Education': [1310, 4204], 'Program.': [1311], 'Less': [1312], '5%': [1314], 'physicians.Table': [1318], 'Results': [1320, 1325], 'surveyTable': [1323], 'surveyThe': [1328], 'instructed': [1331], 'follow': [1334, 3240], 'assigning': [1342], 'Data': [1350], 'saved': [1352], 'keystroke': [1355], 'stored': [1357], 'file': [1360], 'server': [1361], 'office.': [1365], 'aggregate': [1368, 1887], 'do': [1370], 'information.': [1375], 'score.': [1388, 1712], 'epochs,': [1394, 2359], 'correct': [1402, 1425, 1483, 1515], '50%.': [1405], 'evenly': [1411], 'divided': [1412], 'over': [1413, 1505, 1841], 'stages;': [1415], 'assigned': [1419], 'plurality': [1421], 'score.Aggregate': [1426], 'For': [1437, 1701, 1924], 'example,': [1438, 1925], '2,246': [1439], '41': [1443], '2012': [1447], 'record.': [1448], 'Of': [1449], 'these,': [1450], '12': [1451], 'W,': [1454, 1750, 2024, 2025, 2026, 2910], '801': [1455], 'N1,': [1458, 1577, 2027, 2028, 2063, 3225], '1,414': [1459], 'N2,': [1462, 1585, 1751, 2911, 3156, 3227], 'N3,': [1466, 1601, 2602, 2680], '18': [1468], 'R.': [1471, 2913, 3268], 'calculated': [1493], 'epoch,': [1496, 2048], 'summed': [1498, 1504], 'subsequently': [1503], 'scored.': [1510, 3341], 'percent': [1523], 'incorrect': [1529], 'possibilities.A': [1530], 'second': [1531], 'focused': [1533], 'common': [1535, 2325], 'transitions.': [1536, 1996, 3979], 'arbitrarily': [1538], 'where': [1541, 3362, 3946], 'consecutive': [1543, 1552, 2642, 3426], 'followed': [1549, 3957], 'another': [1555, 2968, 3964], 'stage.': [1556, 2668], 'used,': [1561], 'instances': [1565, 1579], 'meeting': [1566], 'criterion': [1568, 3801, 3824, 3831], '6': [1586, 2021], 'R,': [1593, 2994, 3230, 4537, 4752], 'Epochs': [1611, 3657, 3665], 'analyzed': [1613], 'change,': [1618], 'ranging': [1619], 'third': [1622, 1629], 'change': [1626], 'change.': [1633, 3033, 3167], 'analysis,': [1638], 'calculated.RESULTSOverall': [1651], 'shown': [1654, 1661, 1673, 1817, 2012, 2417, 2557, 2571, 3428], 'Table': [1656, 1814, 1819, 1898, 1909], '3.': [1657, 2420], 'Majority': [1658], 'left.': [1664], 'bold': [1675], 'type.': [1676], 'row': [1679], 'shows': [1680, 1822, 1999, 2078, 2114, 2217, 2637], '150': [1698], 'such': [1699, 2878, 3817, 3892, 4133], 'total': [1705], '84.1%': [1707, 2138], 'agreed': [1708], '10.8%,': [1718], '3.8%,': [1722], '0.3%,': [1726], '1.9%.': [1731], 'overall': [1733, 1875, 1883, 1927, 2742, 2848], 'above': [1755, 2151, 2230, 3019, 3793], 'average,': [1757, 3020], 'below': [1766, 2435], 'average.': [1767, 3127], 'weighted': [1771], 'heavily': [1772], 'toward': [1773], '(58.1%': [1777], 'epochs),': [1780], 'which': [1781, 2636, 2995], 'consistent': [1783, 3791], 'normal': [1785], 'percentages': [1787, 1871, 1896, 1907], 'encountered': [1788], 'population.Table': [1794], 'Percentage': [1796, 1799, 2009], 'agreementTable': [1797], 'agreementThe': [1800], 'decisions': [1803, 1827, 3925], 'calculation': [1807], 'boxes': [1812], '4.': [1820], '3,296,905': [1824], 'contributed': [1828], 'findings.': [1831], 'time.': [1842, 2625], 'weighting': [1848, 1861], 'older': [1858], 'records.': [1859, 2806], 'However,': [1860, 3342, 3382], "month's": [1863], 'equally': [1865], 'averaging': [1867], 'monthly': [1869], '82.4%,': [1878], 'very': [1879], 'method.Table': [1888], 'Number': [1890, 1901], 'calculate': [1895, 1906], '3Table': [1899], '3As': [1910], 'expected,': [1911], 'occurred': [1916, 1983, 2443, 2487, 3502], '"adjacent"': [1921], 'stages.': [1923, 2448], '63%.': [1938, 2144], 'Nearly': [1939], '(10.9%)': [1948], '(21.7%).': [1952], 'low': [1960, 2957, 3053, 3076, 3207, 3308, 3314, 3778, 4082], '67.4%,': [1963, 3396], 'virtually': [1965, 3398], 'who': [1970], 'disagreed': [1971], '(32.3%).The': [1979], 'fact': [1980, 3505], 'adjacent': [1985], 'systematically': [1989], 'translate': [1990], 'into': [1991, 2686], 'higher': [1992, 3107], 'Figure': [1997, 2014, 2112, 2162, 2419, 2559, 2573, 2634, 3430], 'sleep.': [2008, 2056, 2091, 2226, 2931, 3096], '1A.': [2015], 'N1.': [2029, 2185, 3116], 'bars': [2033], 'indicate': [2034], 'W.': [2042, 2071], '21.9%': [2049], 'shifted': [2052], '25.5%': [2064], 'continued': [2067, 2481], 'substantial': [2080], '(18.3%)': [2084], 'already': [2086], 'switched': [2087], 'next': [2093], 'question': [2094], 'asked': [2095], 'better': [2101, 2192, 3584, 3974], 'worse': [2103], 'average': [2106, 2118, 2132, 2152, 2169, 2194, 2231, 2269, 2351, 2436, 2464, 2503, 3109, 3358, 3384, 3976], '1B': [2113, 2163], 'variation': [2115], 'transition.': [2130], '(90.8%': [2164], '89.5%': [2166], 'vs.': [2167, 2837], '84.1%),': [2171], 'dropped': [2173], '73.6%': [2175], 'just': [2179, 3694], 'shift': [2182, 4011], 'sleep.Figure': [2202], '1:': [2203], 'Transition': [2204, 2400, 2529], '(n': [2212], '=': [2213], '7)Download': [2214], 'FigureFigure': [2215, 2707], 'Again,': [2227], 'results': [2228], 'below-average': [2253], 'One': [2255, 3704], 'explanation': [2257], 'bout': [2266, 2270, 2352], 'length.': [2267], 'length': [2271, 2353], '2.03': [2279], 'Only': [2281, 3371, 3980], '12%': [2282], 'bouts': [2285, 2326, 2333, 2364, 3459], 'longer.': [2290], 'Thus,': [2291], 'requirement': [2293], 'inclusion': [2303], 'meant': [2308], 'excluded.': [2317], 'There': [2318], 'lasted': [2335], 'required': [2340, 2394], 'contrast,': [2349], '10.1': [2358], '47%': [2361], 'longer': [2366], 'Low': [2370, 3139], 'suggests': [2379, 2593], 'some': [2380, 3151, 3565], 'recognition': [2384, 2973], 'complex': [2389, 2998, 3550], 'spindle': [2392], 'rules.Figure': [2398], '2:': [2399], 'sleepDownload': [2407, 2536, 2706], 'FigureThe': [2408], 'showed': [2427, 3106, 4005], 'expected': [2429, 2951], 'pattern': [2430, 3409], 'greatest': [2441], 'border': [2446], 'beginning': [2453], 'end': [2456, 3330], 'graph': [2459, 2632], 'nearly': [2461], 'begin': [2472, 3152], 'bit': [2476], 'earlier,': [2477], 'other': [2479, 2698, 2899, 3085, 3337, 3566, 3868], 'Disagreements': [2486, 4020], 'sides': [2490], 'transition,': [2493], 'appearing': [2499], 'larger': [2500], 'because': [2501], 'higher.': [2506], 'established,': [2514], 'presumably': [2515], 'due': [2516, 2969, 4046], 'appearance': [2519], 'eye': [2522, 3218, 3306], '"definite"': [2525, 4119], 'R.Figure': [2527], '3:': [2528], 'FigureSystematic': [2537], 'variations': [2538, 3742], 'less': [2540, 3125, 3352], 'evident': [2541], 'N3.': [2547, 2691, 3381, 3494], '4A,': [2560], '4B.': [2574], 'None': [2575, 2653, 3479], 'distance': [2582], 'increased;': [2586], 'never': [2590], '"established."': [2591], 'real': [2598], 'criteria': [2606, 3173, 3633, 4094], 'need': [2607], 'reevaluated': [2610], 'epoch-by-epoch': [2613], 'basis': [2614], 'rather': [2615], 'entering': [2617], 'extended': [2622], 'period': [2623], 'further': [2628, 3752], 'illustrated': [2629], '5,': [2635, 4696], '15': [2641], '26-year-old': [2646, 3437], 'man': [2647, 3438], 'undergoing': [2648, 3439], 'study.': [2652, 4143], 'series': [2659], '70%': [2663, 3486], 'either': [2666, 2675, 3489, 4072], 'Virtually': [2669], 'out': [2688, 3626], 'Further,': [2692], 'confusion': [2696, 2945, 4048], 'stages.Figure': [2700], '4:': [2701], 'Transitions': [2702], 'involving': [2703], '5:': [2708], 'CPAP': [2713, 3440], 'studyDownload': [2715], 'FigureDISCUSSIONNine': [2716], 'samples': [2719, 2826], 'remarkably': [2758], '83%': [2762], 'Ruehland': [2766, 2854, 4324], 'colleagues6': [2768], 'methodology,': [2774], 'single': [2787], 'year': [2788], 'colleagues5': [2793], '82%': [2795], 'encouraging': [2809, 3631], 'news': [2810], 'among': [2814, 2883, 4363], 'Head': [2830], 'head': [2832], 'comparisons': [2833], 'R&K': [2836, 2876], 'Danker-Hopfe5': [2843], 'increase': [2846, 3576], '82%.': [2853], 'improvement': [2857, 2863, 4016], 'methodology.6': [2861], 'impressive': [2869], 'when': [2870, 3045, 3331], 'historical': [2873], 'values': [2874], '73%': [2881], '5': [2884, 3597, 3600, 3656, 3664], 'experts': [2885], 'different': [2887, 3882, 4367], 'Norman': [2891, 4352], 'colleagues.7': [2893], 'Our': [2894], 'data,': [2895], 'like': [2896], 'those': [2897, 3894], 'researchers,': [2900], 'indicates': [2901], 'best': [2904], 'achieved': [2907], 'Disagreement': [2914, 2932], 'almost': [2941], 'entirely': [2942], 'sleep.We': [2950], 'key': [2975, 4096], 'waveforms.': [2976], 'case.': [2981], 'relies': [2996], 'instructs': [3037], '"alpha': [3046], 'rhythm': [3047, 3068, 4077], 'attenuated': [3049], 'replaced': [3051], 'amplitude': [3054, 3077, 3140, 3172, 3208, 3309, 3454, 3515, 3546, 3635, 4083], 'mixed': [3055, 3078, 3209, 3310, 4084], 'frequency': [3056, 3079, 3210, 3311, 3517, 3562, 4085, 4135], 'activity': [3057], '50%': [3061], 'epoch."2': [3064], 'Attenuation': [3065], 'alpha': [3067, 4076, 4099], 'often': [3069], 'occurs': [3070], 'prior': [3071, 3987, 4008], 'its': [3073], 'replacement': [3074], 'EEG.': [3080], 'Using': [3081], 'definition': [3086, 4066], 'might': [3087, 3273, 3295, 3581, 3618, 4060], 'again': [3105], 'reflect': [3130], 'waveforms': [3134, 3163, 3744, 4097], 'define': [3136], 'poorly': [3142], 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