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  • Includes Credits

    A2Zzz Q1 2023/ Volume 32/ Number 1

    The 2023 Q1 issue of A2Zzz is here! This issue's cover story examines the research surrounding home sleep testing devices for long-term follow-up of patients treated for obstructive sleep apnea.

    Explore additional articles, including:

    • Case Study: Implementing an Apprentice Program at the Sleep Lab
    • Everything You Wanted to Know About the SDS Credential
    • President's Message
    • From AAST

    Updates to Claiming CECs From A2Zzz

    AAST members looking to claim their free AAST continuing education credits (CECs) from reading the latest issue of A2Zzz will now need to complete a knowledge assessment in the Learning Center. Upon completion of the knowledge assessment, AAST members will be awarded their two free AAST CECs. For additional information on this change, please view the instructions for earning credits from A2Zzz.

  • Includes Credits

    Obstructive Sleep Apnea (OSA) in children effects of 2-3% of all children, however in light of the rising prevalence of childhood obesity, the estimated prevalence has increased to 6-10% of all children. While the first line of therapy for Pediatric OSA in children consists of upper airway surgery via surgical removal off the adenoids and tonsils, it has become increasingly clear that surgery efficacy is limited in older and//or obese children. As a result, alternative therapies, including positive airway pressure (PAP) therapy has become mainstay for a lot of children. The application of PAP devices in children is unique and requires further attention to ensure that PAP therapy is successful.

    Obstructive Sleep Apnea (OSA) in children effects of 2-3% of all children, however in light of the rising prevalence of childhood obesity, the estimated prevalence has increased to 6-10% of all children. While the first line of therapy for Pediatric OSA in children consists of upper airway surgery via surgical removal off the adenoids and tonsils, it has become increasingly clear that surgery efficacy is limited in older and//or obese children. As a result, alternative therapies, including positive airway pressure  (PAP) therapy has become mainstay for a lot of children. The application of PAP devices in children is unique and requires further attention to ensure that PAP therapy is successful.

    Objectives:

    1. Provide an overview of Obstructive Sleep Apnea in children
    2. Distinguish indications for Positive Airway Pressure (PAP) therapy in children
    3. Discuss obstacles of PAP adherence in  children
    4. Share real world data of PAP adherence in children

    Rakesh Bhattacharjee, MD, FRCPC, DABP(SM), CBSM, DBSM, FAASM

    Director of Sleep Medicine, Rady Children’s Hospital

    Associate Clinical Professor of Pediatrics, UCSD

    Continuing Education:

    • 1 AAST CEC after passing a short knowledge assessment in the AAST Learning Center

    Access:

    • Free with AAST Membership
    • $30 for Non-Members
  • Includes Credits

    With all the attention focusing on open source chatGPT these days (a popular interactive form of artificial intelligence, or AI), it seems necessary to discuss how aspects of AI—especially machine learning—impact our work in sleep technology. Specifically, new research has set out to find new, more efficient and accurate ways to identify patients with sleep apnea, determine its severity, and even decide on more personalized treatment pathways. This month’s Journal Club address AI and OSA by first examining just what machine learning is, then exploring the history of AI in the healthcare industry, looking even more closely at how it has served the field of sleep medicine and technology. Then we’ll review the Maniaci, et al (2023) study, which takes a closer look at how certain algorithms might help sleep medicine practitioners to better help identify and treat those patients with more severe sleep breathing disorders.

    Description: With all the attention focusing on open source chatGPT these days (a popular interactive form of artificial intelligence, or AI), it seems necessary to discuss how aspects of AI—especially machine learning—impact our work in sleep technology. Specifically, new research has set out to find new, more efficient and accurate ways to identify patients with sleep apnea, determine its severity, and even decide on more personalized treatment pathways. This month’s Journal Club address AI and OSA by first examining just what machine learning is, then exploring the history of AI in the healthcare industry, looking even more closely at how it has served the field of sleep medicine and technology. Then we’ll review the Maniaci, et al (2023) study, which takes a closer look at how certain algorithms might help sleep medicine practitioners to better help identify and treat those patients with more severe sleep breathing disorders.

    Recorded: 4/27/2023

    CEC Credit(s): 1.0

    Target Audience: Sleep technologists

    Length: 1-hour

    Category: Journal Club

    Access Period: 30 days from date of purchase.

  • Includes Credits

    Sleep health has taken a big hit globally in the wake of the pandemic. This isn’t news, nor is it surprising to learn that our healthcare peers on the COVID-19 frontline are suffering from long-term sleep and mental health problems. One particular population of medical professionals, registered nurses, are the target for recent research suggesting an alarming mental health impact on those working the frontlines. In this month’s Journal Club, we’ll review how sleep, or lack of sleep, or poor sleep, can affect psychological health in general and consider sleep health among healthcare workers prior to the pandemic. Then we’ll break down the NORFUL et al study into two separate sections, the first one examining the foundation of the study specifically tuned to psychological health concerns, and the second section focused on the sleep health implications of the study as well as insights into how this might impact us on the job in sleep clinics and research laboratories.

    Description: Sleep health has taken a big hit globally in the wake of the pandemic. This isn’t news, nor is it surprising to learn that our healthcare peers on the COVID-19 frontline are suffering from long-term sleep and mental health problems. One particular population of medical professionals, registered nurses, are the target for recent research suggesting an alarming mental health impact on those working the frontlines. In this month’s Journal Club, we’ll review how sleep, or lack of sleep, or poor sleep, can affect psychological health in general and consider sleep health among healthcare workers prior to the pandemic. Then we’ll break down the NORFUL et al study into two separate sections, the first one examining the foundation of the study specifically tuned to psychological health concerns, and the second section focused on the sleep health implications of the study as well as insights into how this might impact us on the job in sleep clinics and research laboratories.

    Recorded: 2/27/2023

    CEC Credit(s): 1.0

    Target Audience: Sleep technologists

    Length: 1-hour

    Category: Journal Club

    Access Period: 30 days from date of purchase.

  • Includes Credits Includes a Live Web Event on 06/12/2023 at 1:00 PM (EDT)

    This webinar will provide an overview of sleep health through the lens of behavioral sleep medicine - addressing the fundamental functions of sleep, sleep disorders, and treating insomnia and CPAP non-adherence using evidence-based methodologies.

    This webinar will provide an overview of sleep health through the lens of behavioral sleep medicine - addressing the fundamental functions of sleep, sleep disorders, and treating insomnia and CPAP non-adherence using evidence-based methodologies. 

    Objectives:

    1. Provide an overview of normal human sleep functioning

    2. Identify and assess common sleep disorders

    3. Fundamentals of behavioral interventions for insomnia and CPAP adherence. 

    Natalia S. David, PsyD, DBSM

    Director of Training, DrLullaby.com

    Continuing Education:
    • 1 AAST CEC after passing a short knowledge assessment in the AAST Learning Center
    Access:
    • Free with AAST Membership
    • $30 for Non-Members
  • Includes Credits

    Join us for a pre-recorded web course discussing Central Sleep Apnea as well as the clinical evidence for phrenic nerve stimulation.

    This content is provided by Respicardia.

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    Join us for a pre-recorded web course discussing Central Sleep Apnea as well as the clinical evidence for phrenic nerve stimulation.
    Topics include:

    • CSA pathophysiology and prevalence
    • How phrenic nerve stimulation therapy works in stabilizing breathing
    • Appropriate patients for phrenic nerve stimulation
    • Clinical results at 6, 12 and 18 months

    Presenters:

    Dr. Alan Schwartz

    • Professor of Medicine, ret. (Johns Hopkins School of Medicine)
    • Clinical Associate Professor (University of Pennsylvania Perelman School of Medicine)
    • Profesor Extraordinario Visitante (Universidad Peruana Cayetano Heredia, Lima PERU)
    • Former medical director of the Johns Hopkins Sleep Disorders Center and co-director of the Johns Hopkins Center for Interdisciplinary Sleep Research and Education

    Dr. Robin Germany

    • Chief Medical Officer of Respicardia
    • Clinical Assistant Professor, Division of Cardiovascular Disease, University of Oklahoma

    CEC Credit(s): 1.0

    Length: 52 minutes

    Access Period: 30 days from the start date.

  • Includes Credits

    In this course, Dr. Khayat and Dr. Javaheri review the pathophysiology of central sleep apnea, with a focus on CSA in heart failure patients. They discuss the clinical outcomes of patients with CSA and review available therapeutic options for treating CSA.

    This content is provided by Respicardia.

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    Overview: In this course, Dr. Khayat and Dr. Javaheri review the pathophysiology of central sleep apnea, with a focus on CSA in heart failure patients.  They discuss the clinical outcomes of patients with CSA and review available therapeutic options for treating CSA.

    Presenters:
    • Dr. Rami Khayat,
    o Professor of Clinical Medicine and Psychiatry and Human Behavior
    o Director, Pulmonary and Critical Care fellowship Program
    o Medical Director, UCI Sleep Disorders Center
    • Shahrokh Javaheri, MD
    o Medical Director, Sleep Laboratory, Bethesda North Hospital, Cincinnati, Ohio
    o Professor Emeritus, Pulmonary and Sleep Medicine, University of Cincinnati
    o Adjunct Professor of Medicine, Division of Cardiology, The Ohio State University

    Objectives:
    • Review the pathophysiology of CSA, with a focus on CSA in heart failure patients
    • Clarify clinical outcomes of patients with CSA
    • Review available therapeutic options for treating CSA

    CEC Credit(s): 1.0

    Length: 1 hour and 9 minutes

    Access Period: 30 days from the start date.

  • Includes Credits

    Understand the tools, approaches, and clinical evidence for diagnosing and treating sleep apnea in cardiac patients.

    This content is provided by Respicardia.

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    Overview: Understand the tools, approaches, and clinical evidence for diagnosing and treating sleep apnea in cardiac patients. This content is provided free of charge by Respicardia.

    Presenters:

    Kunal Agarwal, MD, FAAFP, FAASM, DipABOM
    Medical Director, TidalHealth Sleep Medicine, Seaford & Mellsboro, Delaware
    Objectives:

    Explore the evidence for sleep apnea screening in cardiology, with a focus on heart failure patients
    Understand the mechanisms and clinical consequences of untreated central sleep apnea
    Review the evidence for transvenous phrenic nerve stimulation (TPNS) to treat central sleep apnea
    CEC Credit(s): 1.0

    Length: 45 minutes

    Access Period: 30 days from the start date.

  • Includes Credits

    In this course, Dr. Emani and Dr. Fudim discuss available therapeutic options for treating Central Sleep Apnea, with special focus on the recently published pooled cohort analysis for phrenic nerve stimulation therapy.

    This content is provided by Respicardia.

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    Overview: In this course, Dr. Emani and Dr. Fudim discuss available therapeutic options for treating Central Sleep Apnea, with special focus on the recently published pooled cohort analysis for phrenic nerve stimulation therapy.

    Presenters:
    • Dr. Sitaramesh Emani, Associate Professor of Medicine at the Ohio State University
    • Dr. Marat Fudim, Assistant Professor of Medicine and Heart Failure Cardiologist at Duke University

    Objectives:
    • Discuss pooled cohort analysis from phrenic nerve stimulation Pilot and Pivotal Trials
    • Review available therapeutic options for treating Central Sleep Apnea

    CEC Credit(s): 1.0

    Length: 1 hour and 9 minutes

    Access Period: 30 days from the start date.

  • Includes Credits

    In this course will discuss how to classify hypopneas and asses the various treatment options for patients wine predominately central sleep apnea/hypopnea syndrome.

    This content is provided by Respicardia.

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    Overview: In this course will discuss how to classify hypopneas and asses the various treatment options for patients wine predominately central sleep apnea/hypopnea syndrome.

    Presenters:

    Kara Dupuy-McCauley, MD, Senior Associate Consultant Pulmonary and Critical Care Medicine Sleep Medicine Mayo Clinic, Rochester, MN
    Timothy Morgenthaler, MD, Vice Chair, Mayo Clinic Quality and Affordability Co-Director, Center for Sleep Medicine Pulmonary, Critical Care, and Sleep Medicine
    Mayo Clinic, Rochester, MN

    Objectives:

    Examine the latest evidence, methods, and clinical experience for classifying hypopneas
    Assess the available treatment options for patients with predominantly central apneas and hypopneas
    Review experience incorporating phrenic nerve stimulation into clinical practice

    CEC Credit(s): 1.0

    Length: 1 hour

    Access Period: 30 days from the start date.