{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:11:59Z","timestamp":1789704719696,"version":"4.0.1"},"reference-count":6,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[1993,9,1]],"date-time":"1993-09-01T00:00:00Z","timestamp":746841600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[1993,9,1]],"date-time":"1993-09-01T00:00:00Z","timestamp":746841600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journal.chestnet.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["CHEST"],"published-print":{"date-parts":[[1993,9]]},"DOI":"10.1378\/chest.104.3.665","type":"journal-article","created":{"date-parts":[[2007,11,7]],"date-time":"2007-11-07T13:28:23Z","timestamp":1194442103000},"page":"665-666","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Excessive Daytime Sleepiness, Upper Airway Resistance, and Nocturnal Arousals"],"prefix":"10.1016","volume":"104","author":[{"given":"John W.","family":"Shepard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1378\/chest.104.3.665_bib1","series-title":"Diagnostic Classification Steering Committee. The international classification of sleep disorders: diagnostic and coding manual","year":"1990"},{"key":"10.1378\/chest.104.3.665_bib2","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1378\/chest.99.1.40","article-title":"Snoring (1): daytime sleepiness in regular heavy snorers","volume":"99","author":"Guilleminault","year":"1991","journal-title":"Chest"},{"key":"10.1378\/chest.104.3.665_bib3","unstructured":"Shepard JW Jr, Kaplan J, Parish JM, Staats BA. Snoring and sleep disordered breathing. In: Shepard JW Jr, ed. Atlas of sleep medicine. New York: Futura Publishing, 1991; 96-7, 112-13"},{"key":"10.1378\/chest.104.3.665_bib4","series-title":"Atlas of Sleep Medicine","first-page":"160","article-title":"Trend oximetry","author":"Shepard","year":"1991"},{"key":"10.1378\/chest.104.3.665_bib5","doi-asserted-by":"crossref","first-page":"1777","DOI":"10.1152\/jappl.1983.55.6.1777","article-title":"Hypoxemia during apnea in normal subjects: mechanisms and impact of lung volume","volume":"55","author":"Findley","year":"1983","journal-title":"J Appl Physiol"},{"key":"10.1378\/chest.104.3.665_bib6","series-title":"Med Clin North Am","first-page":"1243","article-title":"Gas exchange and hemodynamics during sleep","volume":"69(6)","author":"Shepard","year":"1985"}],"container-title":["CHEST"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0012369216388493?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0012369216388493?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T03:56:14Z","timestamp":1789703774000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0012369216388493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,9]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1993,9]]}},"alternative-id":["S0012369216388493"],"URL":"https:\/\/doi.org\/10.1378\/chest.104.3.665","relation":{},"ISSN":["0012-3692"],"issn-type":[{"value":"0012-3692","type":"print"}],"subject":[],"published":{"date-parts":[[1993,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Excessive Daytime Sleepiness, Upper Airway Resistance, and Nocturnal Arousals","name":"articletitle","label":"Article Title"},{"value":"CHEST","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1378\/chest.104.3.665","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 1993 The American College of Chest Physicians. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}