D disease reporting. Reporting diseases is extremely important because it could prevent a wide spread epidemic.
Abdominocentesis<span> ab·dom·i·no·cen·te·sis (āb-dŏm'ə-nō-sěn-tē'sĭs) n. Surgical puncture of the abdomen by a needle to withdraw fluid; abdominal paracentesis. Also called celiocentesis , celioparacentesis . The American Heritage® Stedman's Medical Dictionary.</span>
Answer:
When heart rate or rhythm changes are minor
Your heart rate or rhythm can change when you are under stress or having pain. Your heart may beat faster when you have an illness or a fever. Hard physical exercise usually increases your heart rate, which can sometimes cause changes in your heart rhythm.
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I do believe it's all of the above. Although, it might not be trouble sleeping. That might be true in some cases, but not in all.