Spontaneous bacterial peritonitis (SBP) is the development of a bacterial infection in the peritoneum,  despite the absence of an obvious source for the infection. It is specifically an infection of the ascitic fluid – an increased volume of peritoneal fluid. Ascites is most commonly a complication of cirrhosis of the liver. It can also occur in patients with nephrotic syndrome. SBP has a high mortality rate.The diagnosis of SBP requires paracentesis, a sampling of the peritoneal fluid  taken from the peritoneal cavity. If the fluid contains large numbers of white blood cells known as neutrophils (>250 cells/µL), infection is confirmed and antibiotics will be given, without waiting for culture results. In addition to antibiotics, infusions of albumin are usually administered.Other life-threatening complications such as kidney malfunction and increased liver insufficiency can be triggered by spontaneous bacterial peritonitis. 30% of SBP patients develop kidney malfunction, one of the strongest predictors for mortality. Where there are signs of this development albumin infusion will also be given.Spontaneous fungal peritonitis (SFP) can also occur and this can sometimes accompany a bacterial infection. Signs and symptoms
Signs and symptoms of spontaneous bacterial peritonitis (SBP) include fevers, chills, nausea, vomiting, abdominal pain and tenderness, general malaise, altered mental status, and worsening ascites. Thirteen percent of patients have no signs or symptoms.
Dyssomnias are a broad classification of sleeping disorders involving difficulty getting to sleep, remaining asleep, or of excessive sleepiness. Dyssomnias are primary disorders of initiating or maintaining sleep or of excessive sleepiness and are characterized by a disturbance in the amount, quality, or timing of sleep. Patients may complain of difficulty getting to sleep or staying asleep, intermittent wakefulness during the night, early morning awakening, or combinations of any of these. Transient episodes are usually of little significance. Stress, caffeine, physical discomfort, daytime napping, and early bedtimes are common factors. Types
There are over 31 recognized kinds of dyssomnias. The major three groups, along with the group types, include:: 15 Intrinsic sleep disorders: 15 
idiopathic hypersomnia,
narcolepsy,
periodic limb movement disorder,
restless legs syndrome,
obstructive sleep apnea,
central sleep apnea syndrome,
sleep state misperception,
psychophysiologic insomnia,
recurrent hypersomnia,
post-traumatic hypersomnia,
central alveolar hypoventilation syndrome,
Extrinsic sleep disorders – 13 disorders recognized, including: 16 alcohol-dependent sleep disorder,
food allergy insomnia,
inadequate sleep routine. Circadian rhythm sleep disorders, both intrinsic and extrinsic – 6 disorders recognized, including: 16 advanced sleep phase syndrome,
delayed sleep phase syndrome,
jetlag,
shift work sleep disorder. See also
Parasomnia
Sleep problems in women
Somnolence

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