The Big Sleep (1978 film) Winner "ploughs step by step through the complicated plot with a curious lack of interest in, among other things, the nature of his hero's character." "The Big Sleep" has been released twice on DVD: The Big Sleep (1978 film) The Big Sleep is a 1978 British neo-noir film, the second film version of Raymond Chandler's 1939 novel of the same name. The picture was directed by Michael Winner and stars Robert Mitchum in his second film portrayal of the detective Philip Marlowe. The cast includes Sarah Miles, Candy Clark, Joan Collins, and Oliver Reed, also featuring James Stewart as General
Sleep medicine by pathophysiologic mechanism, as far as possible, rather than by primary complaint. Training in sleep medicine is multidisciplinary, and the present structure was chosen to encourage a multidisciplinary approach to diagnosis. Sleep disorders often do not fit neatly into traditional classification; differential diagnoses cross medical systems. Minor revisions and updates to the ICSD were made in 1997 and in following years. The present classification system in fact follows the groupings suggested by Nathaniel Kleitman, the "father of sleep research," in his seminal 1939 book "Sleep and Wakefulness". The revised ICSD, ICSD-R, placed the primary sleep disorders in the subgroups (1)