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The pupil dark response and maintenance of pupil area in darkness were compared in seven narcoleptic patients and 14 age-matched normal volunteers. Onset and degree of miosis after maximal pupil dilation in darkness were similar in the two groups, although three narcoleptic patients and no normal volunteers fell asleep during the experiment. The results of this study contradict earlier suggestions that pupillography can Ray Ban Sunglasses Ebay be used to distinguish normal individuals in family studies of narcoleptic patients.. Ratings of rash/eczema or tense lips were not significantly affected by sleep deprivation, nor associated with judgements of fatigue. In addition, sleep-deprived individuals looked sadder than after normal sleep, and sadness was related to looking fatigued (P < 0.01).CONCLUSIONS: The results show that sleep deprivation affects features relating to the eyes, mouth, and skin, and that these features function as cues of sleep loss to other people. Because these facial regions are important in the communication between humans, facial cues of sleep deprivation and fatigue may Fake Ray Bans Online carry social consequences for the sleep deprived individual in everyday life.KEYWORDS: Photo ratings; cues of fatigue; facial cues; sleep deprivation. Kendall's coefficient of concordance (KCC) was used to summarize inter-rater reliabilities and Cronbach's coefficient alpha was used to determine internal consistencies of evaluations by residents and peers. Results of this study revealed that mean scores of the 13 evaluation items were generally higher for resident than peer physicians. None of the items completed by residents had KCC scores >0.5, whereas 10 of the items completed by peers had KCC scores >0.5. Seventy-nine (63%) parents correctly identified the number of shots their daughters received. Ninety-one (73%) were correct about whether their daughters had received any injections. We found that concordance between recall and medical record data for the number of shots received was higher for female parents or guardians compared with males (69% compared with 25%; P<.001) and those at private practices compared with safety net hospital (78% compared with 54% P=.002). Malignancy is the most common cause of the superior vena cava (SVC) syndrome. With the increasing use of intravascular devices, the incidence of the SVC syndrome arising from benign etiologies is increasing. We reviewed the etiology and outcome of 78 patients with SVC syndrome over 5 years.