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What I'd like to do today is talk about one
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of my favorite subjects,
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and that is the neuroscience of sleep.
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Now, there is a sound --
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(Alarm clock) --
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aah, it worked --
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a sound that is desperately, desperately familiar to most of us,
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and of course it's the sound of the alarm clock.
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And what that truly ghastly, awful sound does
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is stop the single most important behavioral experience
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that we have, and that's sleep.
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If you're an average sort of person,
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36 percent of your life will be spent asleep,
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which means that if you live to 90,
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then 32 years will have been spent entirely asleep.
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Now what that 32 years is telling us
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is that sleep at some level is important.
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And yet, for most of us, we don't give sleep a second thought.
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We throw it away.
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We really just don't think about sleep.
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And so what I'd like to do today
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is change your views,
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change your ideas and your thoughts about sleep.
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And the journey that I want to take you on,
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we need to start by going back in time.
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"Enjoy the honey-heavy dew of slumber."
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Any ideas who said that?
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Shakespeare's Julius Caesar.
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Yes, let me give you a few more quotes.
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"O sleep, O gentle sleep, nature's soft nurse,
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how have I frighted thee?"
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Shakespeare again, from -- I won't say it --
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the Scottish play. [Correction: Henry IV, Part 2]
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(Laughter)
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From the same time:
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"Sleep is the golden chain
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that ties health and our bodies together."
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Extremely prophetic, by Thomas Dekker,
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another Elizabethan dramatist.
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But if we jump forward 400 years,
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the tone about sleep changes somewhat.
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This is from Thomas Edison, from the beginning of the 20th century.
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"Sleep is a criminal waste of time
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and a heritage from our cave days." Bang.
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(Laughter)
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And if we also jump into the 1980s, some of you
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may remember that Margaret Thatcher
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was reported to have said, "Sleep is for wimps."
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And of course the infamous -- what was his name? --
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the infamous Gordon Gekko from "Wall Street" said,
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"Money never sleeps."
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What do we do in the 20th century about sleep?
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Well, of course, we use Thomas Edison's light bulb
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to invade the night, and we occupied the dark,
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and in the process of this occupation,
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we've treated sleep as an illness, almost.
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We've treated it as an enemy.
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At most now, I suppose, we tolerate the need for sleep,
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and at worst perhaps many of us think of sleep
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as an illness that needs some sort of a cure.
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And our ignorance about sleep is really quite profound.
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Why is it? Why do we abandon sleep in our thoughts?
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Well, it's because you don't do anything much
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while you're asleep, it seems.
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You don't eat. You don't drink.
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And you don't have sex.
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Well, most of us anyway.
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And so therefore it's --
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Sorry. It's a complete waste of time, right? Wrong.
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Actually, sleep is an incredibly important part of our biology,
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and neuroscientists are beginning to explain why
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it's so very important.
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So let's move to the brain.
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Now, here we have a brain.
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This is donated by a social scientist,
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and they said they didn't know what it was,
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or indeed how to use it, so --
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(Laughter)
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Sorry.
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So I borrowed it. I don't think they noticed. Okay.
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(Laughter)
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The point I'm trying to make is that when you're asleep,
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this thing doesn't shut down.
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In fact, some areas of the brain are actually more active
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during the sleep state than during the wake state.
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The other thing that's really important about sleep
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is that it doesn't arise from a single structure within the brain,
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but is to some extent a network property,
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and if we flip the brain on its back --
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I love this little bit of spinal cord here --
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this bit here is the hypothalamus,
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and right under there is a whole raft of interesting structures,
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not least the biological clock.
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The biological clock tells us when it's good to be up,
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when it's good to be asleep,
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and what that structure does is interact
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with a whole raft of other areas within the hypothalamus,
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the lateral hypothalamus, the ventrolateral preoptic nuclei.
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All of those combine, and they send projections
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down to the brain stem here.
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The brain stem then projects forward
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and bathes the cortex, this wonderfully wrinkly bit over here,
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with neurotransmitters that keep us awake
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and essentially provide us with our consciousness.
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So sleep arises from a whole raft
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of different interactions within the brain,
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and essentially, sleep is turned on and off
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as a result of a range of interactions in here.
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Okay. So where have we got to?
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We've said that sleep is complicated
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and it takes 32 years of our life.
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But what I haven't explained is what sleep is about.
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So why do we sleep?
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And it won't surprise any of you that, of course,
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the scientists, we don't have a consensus.
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There are dozens of different ideas about why we sleep,
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and I'm going to outline three of those.
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The first is sort of the restoration idea,
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and it's somewhat intuitive.
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Essentially, all the stuff we've burned up during the day,
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we restore, we replace, we rebuild during the night.
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And indeed, as an explanation,
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it goes back to Aristotle,
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so that's, what, 2,300 years ago.
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It's gone in and out of fashion.
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It's fashionable at the moment because what's been shown
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is that within the brain, a whole raft of genes
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have been shown to be turned on only during sleep,
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and those genes are associated with restoration
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and metabolic pathways.
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So there's good evidence for the whole restoration hypothesis.
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What about energy conservation?
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Again, perhaps intuitive.
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You essentially sleep to save calories.
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Now, when you do the sums, though,
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it doesn't really pan out.
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If you compare an individual who has
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slept at night, or stayed awake and hasn't moved very much,
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the energy saving of sleeping is about 110 calories a night.
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Now, that's the equivalent of a hot dog bun.
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Now, I would say that a hot dog bun
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is kind of a meager return for such a complicated
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and demanding behavior as sleep.
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So I'm less convinced by the energy conservation idea.
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But the third idea I'm quite attracted to,
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which is brain processing and memory consolidation.
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What we know is that, if after you've tried to learn a task,
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and you sleep-deprive individuals,
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the ability to learn that task is smashed.
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It's really hugely attenuated.
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So sleep and memory consolidation is also very important.
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However, it's not just the laying down of memory
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and recalling it.
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What's turned out to be really exciting
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is that our ability to come up with novel solutions
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to complex problems is hugely enhanced by a night of sleep.
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In fact, it's been estimated to give us a threefold advantage.
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Sleeping at night enhances our creativity.
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And what seems to be going on is that, in the brain,
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those neural connections that are important,
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those synaptic connections that are important,
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are linked and strengthened,
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while those that are less important
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tend to fade away and be less important.
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Okay. So we've had three explanations for why we might sleep,
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and I think the important thing to realize is that
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the details will vary, and it's probable we sleep for multiple different reasons.
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But sleep is not an indulgence.
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It's not some sort of thing that we can take on board rather casually.
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I think that sleep was once likened to an upgrade
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from economy to business class, you know, the equiavlent of.
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It's not even an upgrade from economy to first class.
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The critical thing to realize is that
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if you don't sleep, you don't fly.
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Essentially, you never get there,
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and what's extraordinary about much of our society these days
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is that we are desperately sleep-deprived.
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So let's now look at sleep deprivation.
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Huge sectors of society are sleep-deprived,
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and let's look at our sleep-o-meter.
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So in the 1950s, good data suggests that most of us
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were getting around about eight hours of sleep a night.
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Nowadays, we sleep one and a half to two hours less every night,
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so we're in the six-and-a-half-hours-every-night league.
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For teenagers, it's worse, much worse.
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They need nine hours for full brain performance,
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and many of them, on a school night,
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are only getting five hours of sleep.
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It's simply not enough.
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If we think about other sectors of society, the aged,
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if you are aged, then your ability to sleep in a single block
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is somewhat disrupted, and many sleep, again,
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less than five hours a night.
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Shift work. Shift work is extraordinary,
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perhaps 20 percent of the working population,
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and the body clock does not shift to the demands
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of working at night.
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It's locked onto the same light-dark cycle as the rest of us.
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So when the poor old shift worker is going home
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to try and sleep during the day, desperately tired,
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the body clock is saying, "Wake up. This is the time to be awake."
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So the quality of sleep that you get as a night shift worker
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is usually very poor, again in that sort of five-hour region.
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And then, of course, tens of millions of people
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suffer from jet lag.
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So who here has jet lag?
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Well, my goodness gracious.
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Well, thank you very much indeed for not falling asleep,
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because that's what your brain is craving.
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One of the things that the brain does
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is indulge in micro-sleeps,
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this involuntary falling asleep,
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and you have essentially no control over it.
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Now, micro-sleeps can be sort of somewhat embarrassing,
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but they can also be deadly.
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It's been estimated that 31 percent of drivers
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will fall asleep at the wheel at least once in their life,
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and in the U.S., the statistics are pretty good:
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100,000 accidents on the freeway
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have been associated with tiredness,
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loss of vigilance, and falling asleep.
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A hundred thousand a year. It's extraordinary.
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At another level of terror,
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we dip into the tragic accidents at Chernobyl
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and indeed the space shuttle Challenger,
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which was so tragically lost.
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And in the investigations that followed those disasters,
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poor judgment as a result of extended shift work
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and loss of vigilance and tiredness
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was attributed to a big chunk of those disasters.
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So when you're tired, and you lack sleep,
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you have poor memory, you have poor creativity,
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you have increased impulsiveness,
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and you have overall poor judgment.
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But my friends, it's so much worse than that.
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(Laughter)
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If you are a tired brain,
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the brain is craving things to wake it up.
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So drugs, stimulants. Caffeine represents
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the stimulant of choice across much of the Western world.
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Much of the day is fueled by caffeine,
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and if you're a really naughty tired brain, nicotine.
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And of course, you're fueling the waking state
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with these stimulants,
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and then of course it gets to 11 o'clock at night,
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and the brain says to itself, "Ah, well actually,
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I need to be asleep fairly shortly.
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What do we do about that when I'm feeling completely wired?"
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Well, of course, you then resort to alcohol.
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Now alcohol, short-term, you know, once or