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. 2019 Jan 24;9:699. doi: 10.1038/s41598-018-36762-w

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© The Author(s) 2019

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Association of misalignment-induced change in subjective sleepiness with cognitive performance in chronic shift workers. (A,B) Correlations between effect of misalignment for subjective sleepiness levels (x-axis: KSS levels) and for sustained attention (y-axis: (A) PVT slowest reaction times, (B) PVT lapses), (C) information processing (y-axis: DSST ratio of number of correct responses/minute), and (D) visual-motor performance (y-axis: TKT number of losses). X-axis and Y-axis correspond to the change from circadian alignment to misalignment conditions (see results for statistics).