Sleep management system

IV. Guidance and Doctrine for Sleep Management System Implementation... 

A vital component of any sleep management system is guidance and doctrine for its implementation. Ideally, such information would (a) be built into the sleep management system s software (b) be automatically triggered by the combination of sleep/wake history, performance prediction, and projected mission requirements and (c) generate specific recommendations for pharmacological... 

Lead elements are now only 2-3 hr from take-off. As suggested by the sleep management system software, commanders elect to implement the sleep-induc-tion/rapid-reawakening system for all soldiers once they are airborne. This consists of two pills, orally administered, given sequentially. The first, a sleep inducer, is administered prior to the sleep period to induce sleep. The second, an antidote to the sleep inducer, is administered at the end of the sleep interval to restore full alertness and cognitive readiness. Once airborne, soldiers take their sleep inducer. Light levels, noise, and commotion are kept to a minimum during the sleep period. After 6.5 hr of sleep, the soldiers are awakened. Immediately,... 

A smaller workplace that utilises high levels of flammable material, predominantly built of wood, or provides sleeping accommodation, may be considered to present a higher level of risk, particularly if the larger, more complex, building has effective fire safety management systems, is well organised and has workplace controls in place. 

When starting a SSRI, the abrupt increase in serotonin may cause side effects. In the brain, the short-term effects include headache, sleep disturbance, nervousness, anxiety, and tremulousness. The digestive system effects include nausea, loose stools, decreased appetite, and indigestion. Most of these effects are mild and shortlived or can be managed with over-the-counter remedies. Nausea, for example, can be minimized by taking a SSRI after meals. These effects are also commonly seen with venlafaxine and duloxetine, atypical antidepressants that block serotonin reuptake like the SSRIs. 

The adverse effects of caffeine are a common experience to most caffeine consumers. Too much caffeine results in uncomfortable to adverse central nervous system effects, or neurotoxicity. The effects include restlessness, tension, and mild tremor or the jitters and may progress to feelings of anxiety and even fear. Regular caffeine users soon learn how to manage their caffeine consumption to maintain blood caffeine at a desirable level that produces mild stimulation without the uncomfortable neurotoxic effects. Fortunately, the half-life of caffeine is short, so that any undesirable effects soon decline. Many people also experience insomnia from caffeine consumption. Caffeine s effect on sleep varies from individual to individual. Some people can consume caffeine late in the evening and sleep well, but for other people consumption of caffeine late in the day affects sleep. It is important to understand your own individual response to caffeine. 

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