Michael Grandner PhD

Marcy Guido-Posey RPSGT

Brian Kraft RPSGT RST

Benjamin Gerson MD

Matthew Anastasi RPSGT

Stephanie Betz RPSGT

Subhajit Chakravorty MD

Indira Gurubhagavatula MD MPH

Melisa Moore PhD CBSM

Kimberlyt Wann RPSGT

Welcome Letter from the President ……………………… 2

by Michael Grandner PhD

Meet Your Board of Directors …………………….………… 3

by the PA Sleep Society Board of Directors

Recap of the 2012 Meeting …………………………….…..… 7

by Susan Swoyer McAtee Lloyd BS RPSGT

Changes to PSS Bylaws …………………………………………… 9

by Michael Grandner PhD

State Sleep Societies Roundtable ……………………….. 10

by Brian Kraft RPSGT

New Sleep Research in Pennsylvania .………………….. 11

by Michael Grandner PhD

Save The Date: 2013 Meeting …...……………………….. 17

Other Local Sleep Meetings ………...…….………………... 18

DISCLAIMER: Statements and opinions in this publication are solely those of the authors and not of the PA Sleep Society, or of its officers, regents, members or employees. The appearance of advertisements or services advertised or of their effectiveness, quality, or safety are solely those of advertisers. The Editor, the PA Sleep Society, and the officers, regents, members and employees disclaim all responsibility for any injury to persons or property resulting from any ideas or products referred to in articles or advertisements contained in this publication.

© 2012 Pennsylvania Sleep Society

Fall is here! I find it hard to believe we are almost at the end of 2012.

I took over as the PSS president in May 2012, after the annual meeting. This culminates a long and

rewarding journey with the PSS, starting with the original organizing committee, writing the bylaws and

getting the group set up, through the first meeting, and the next three after that. The Society has grown

and matured a bit in these past few years, and I am honored to have been a part of that. As I take over as

President, I want to thank the entire Board of Directors – past and present – and the immediate past

President, Marcy Guido-Posey. She has also been there from the beginning and has contributed

immensely to the growth of the PSS.

I would also like to congratulate Brian Kraft, who is our new President-Elect. I have worked with Brian

for the past year, and I am enthusiastic about his new role. He is bright, energetic, great to work with, and

knows how to get things done. He will be a great leader of the PSS. I also want to congratulate our newest

members of the Board of Directors – Drs. Subhajit (“Babi”) Chakravorty and Melisa Moore, as well as

Kimberly Wann, the new Technologist member. You can read more about all of them in this issue.

I am pleased to announce that we have finalized the date for our 2013 meeting. The 2013 conference will

take place on Saturday, May 4, 2013. The location has not been finalized yet, but we hope to stay in an

area of Pennsylvania that is easily accessible to all. Please plan to attend the meeting. Those who have

attended in the past will tell you how much of a good time they had, as well as the quality of our speakers.

We have received a lot of great feedback from attendees at the 2012 meeting, and we are using those data

to guide our Society this year.

Please feel free to contact me if you ever have any questions or concerns. I look forward to another

productive year for the PSS!

Sincerely,

Michael Grandner President of the Pennsylvania Sleep Society

This year, we have a new PSS Board of Directors.

Dr. Michael Grandner is a licensed Clinical Psychologist and Research Associate in the Division of

Sleep Medicine at the University of Pennsylvania.

He earned his undergraduate degree in Clinical and Social Sciences in Psychology from the University of Rochester, where he trained in the Sleep and Neurophysiology Research Laboratory. He completed his PhD in Clinical Psychology at the Joint Doctoral Program in Clinical Psychology at San Diego State University and the University of California, San Diego, specializing in Behavioral Sleep Medicine. He completed an internship at the San Diego VA Healthcare System (Primary Care Behavioral Medicine) and the Outpatient Psychiatric Clinic at the University of California, San Diego. He went on to a federally-funded Postdoctoral Fellowship in the Division of Sleep Medicine at the University of Pennsylvania, which also served as an AASM-accredited fellowship in Behavioral Sleep Medicine.

During this time, he worked clinically at the Philadelphia VA and conducted research studies at Penn. He has published a number of papers and book chapters in the field of sleep medicine as it relates to health. He has received honors and awards from a number of organizations, including the American Academy of Sleep Medicine, the Sleep Research Society, the Population Association of America, and others. He has received multiple awards for his work as a teacher as well. His work has been featured in over 200 national and international news outlets, including ABC News, the Los Angeles Times, the Washington Post, and others.

Marcy Guido-Posey has been a sleep technologist since January 1996,

boarded in December 1999. She is currently the Lab Coordinator at the Holy Spirit Hospital Sleep Center, in Lemoyne, PA. Marcy is active in sleep education,

promoting community awareness in sleep during National Sleep Awareness Week, education of patients and staff, teaching Respiratory Therapy students their sleep module, and has also given a

"Basics of Sleep" presentation to staff at Walt Disney World. Marcy is a founding Board member for the Pennsylvania Sleep Society and is also serving on the Board of Directors for the North East Sleep Society, as the Pennsylvania representative.

Brian Kraft has been a Paramedic, Firefighter and Emer-gency Services Administrator for 20 years prior to moving into the Sleep Field. He has served as President and/or

Chairman of several Local and County Boards and Associations. He has been a Member of the PA State Health Council. He has worked in Volunteer Organizations on Recruitment and Retention of their members. Since his transition into the Sleep disorders field over 6 years ago he has worked as a Night Technician attained his RPSGT Credential and for the last 16 Months, have been a Center Manager. Having extensive past experience serving on Boards and in Management, he has been able to utilize this experience in the Sleep Field quite effectively. His previous experiences coupled with his Technical and Managerial skills in

Sleep make him a well rounded candidate for the Pennsylvania Sleep Society RPSGT Board Member Position.

A graduate of the Jefferson Medical College, Dr. Gerson

completed residency and fellowship training at The Johns Hopkins Hospital and Johns Hopkins

University School of Medicine. His academic career started on the faculty of the Harvard Medical School. Presently he is Adjunct Professor of Occupational Medicine - Boston University School of Medicine, Clinical Professor of Medicine as well as Clinical Professor of Pathology and Cellular Biology - Jefferson Medical College, Medical Director - University Services, a multidisciplinary healthcare services company that includes the operation of AASM-Accredited Sleep Disorders Diagnostic and Treatment Centers. University Services also is actively involved in ongoing clinical trials.

Dr. Gerson’s current clinical research interests include the connection of sleep disorders to the obesity and diabetes epidemics, as well as the connection of sleep disorders to transportation safety.

Other current and past activities include: Board of Directors and Secretary/Treasurer, Pennsylvania Sleep Society, Director - Boston Clinical Laboratory; Expert Panel, Monitoring Preventable Hospital Complications by using Hospital-

Acquired Laboratory Abnormalities as Indicators of Poor Quality, Department of Veterans Affairs; CLIA Quality Control Committee, CDC; Chairman - ASCP Residents' In-Service Examination; Board of Directors of the Substance Abuse Professional Administrators Association; Board of Directors of the Medical Review Officer Certification Council; former Chairperson of the Clinical Devices Panel for the FDA; Institutional Review Board, New England Deaconess Hospital (Harvard Medical School). Dr. Gerson has served on Boards of Directors and/or Scientific Advisory Boards of various companies. Community activities include Board of Directors and Governance Committee, Settlement Music School; Commission on Judicial Selection and Retention, Philadelphia Bar Association.

Matthew is an eleven-year

veteran of the Sleep field and has served in the role of Manager, Chief Technologist and

Registered Technologist. At

the University of Pennsylvania, he was Project Manager for the portable monitoring clinical research studies and Chief Technologist at the Clinical Research Center for Sleep. Currently, he serves as Laboratory Manager at Bryn Mawr Hospital of Main Line Health, an eight- bed lab where he recently expanded services to include pediatric patients in collaboration with

Nemours/Alfred I. duPont Hospital for Children.

Matthew is a first author for a health article in the Journal of Alternative and Complementary Medicine and he has co-authored four sleep articles and abstracts. Matthew has been quoted in the Philadelphia Inquirer and the Philadelphia Daily News for his advocacy work for the Bicycle Coalition of Greater Philadelphia.

He presented at this year’s Annual Meeting of the PA Sleep Society and spoke at conferences at Main Line Health, the Hospital of the University of Pennsylvania and Delaware County Community College. Matthew has also conducted various health fairs throughout the Southeast Pennsylvania community.

As board member, Matthew would bring his diverse resources as educator, clinician, speaker, researcher and connected community representative to bear in championing a wide range of causes to further the mission of the PA Sleep Society.

Stephanie is an RPSGT and is

currently working at

Lehigh Valley Health Network as the Director of the Sleep

Disorders Centers. Steph graduated with a BS in Business Administration from Millersville University in 1998. She started her career in sleep as

a polysomnographic technician at Respitech Medical, Inc. In 1998, she became assistant director of Clinical Services at Respitech in charge of training new technicians and marketing. Steph earned her RPSGT in June, 2001. In the same year, was hired as the Director of the Sleep Disorders Centers at Lehigh Valley Health Network. Steph currently serves on the board for a non-profit organization in Allentown, The ARC of Lehigh and Northampton Counties and has extensive experience with the start-up, operation of, and accreditation of sleep disorders centers.

Dr. Chakravorty finished his medical school training from the University College of Medical Sciences, Delhi, India in 1993. He

moved to the United States in 1996. Subsequently, he completed his psychiatry residency training from the University of Pittsburgh, Pittsburgh, PA in 2002. For the next three years he practiced in a medically under-served area, providing psychiatric care to inmates within the Pennsylvania Department of Corrections at the prison in Frackville, PA. In 2006, he was accepted in a Clinical Sleep Medicine fellowship at the University of Pennsylvania and an integrated research-clinical fellowship on addictive disorders at the Philadelphia Veterans Affairs Medical Center (PVAMC). He currently practices sleep medicine at the University of Pennsylvania, practices and teaches addiction

medicine to psychiatry residents at the PVAMC, and conducts his research on insomnia associated with pathological alcohol use at the PVAMC.

Dr. Indira Gurubhagavatula

is currently an Assistant Prof-essor of Medicine at the University of

Pennsylvania School of Med-icine. She is also

Director of the Sleep Disorders Clinic and a staff physician in the Pulmonary, Critical Care and Sleep Section at the Philadelphia VA Medical Center. She has broad experience in sleep, pulmonary and critical care medicine, as well as in mentoring trainees in clinical and research activities and in conducting patient-oriented research.

She received her medical degree from Johns Hopkins University, and completed residency training at Barnes Hospital at the Washington University Medical Center in St. Louis, MO. She obtained a Master’s Degree in Public Health from Harvard University in Boston, MA. She then trained in Pulmonary, Critical Care and Sleep Medicine at the Hospital of University Pennsylvania.

She is a faculty member at Penn’s Divisions of Sleep Medicine and Pulmonary/Critical Care Medicine and is an elected member of Penn’s Cardiovascular Institute. She is also a member of the American Thoracic Society. She is board-certified in

Sleep Medicine through the ABIM and ABSM and has had board certifications in Pulmonary Disease, Critical Care Medicine, and Internal Medicine.

She has published many primary research manuscripts and is an invited author for chapters and reviews in topics in Sleep Medicine including portable monitoring, screening for sleep apnea and cardiovascular consequences of obstructive sleep apnea. She has been an invited lecturer at major international meetings, including the American Thoracic Society (ATS), the Asia-Pacific Society of Respirology and the Associated Professional Sleep Societies (APSS).

She has won awards for excellence in both teaching and research and has received several prestigious grant awards from the National Institutes of Health, the Centers for Disease Control, the American Heart Association and the American Lung Association. She was a guest host for a 30-minute radio talk show (WOGL) regarding sleep apnea and its management.

Her key research interests are in screening for sleep disorders in high-risk populations and in evaluating cardiovascular consequences of sleep-disordered breathing. Dr. Gurubhagavatula participated in Penn’s Population Sleep Symposium in 2008 as a symposium chair. She has a keen interest in promoting sound health policy and in raising public awareness regarding sleep disorders and healthy sleep.

Melisa Moore is a clinical psychologist at the Sleep Center at The Children's Hospital of Philadelphia. In addition to her

clinical practice, Dr. Moore supervises psychology trainees, medical residents and fellows. Her research explores the relationship between sleep and psychological functioning, sleep patterns and adherence in chronic illness, and interventions to improve sleep. Dr. Moore completed her graduate training in pediatric psychology at Case Western Reserve University, internship at The Children's Hospital of Philadelphia, and behavioral sleep medicine fellowship at the University of Pennsylvania Center for Sleep and Respiratory Neurobiology. She is board certified in behavioral sleep medicine by the American Academy of Sleep Medicine.

Kim is a Registered Polysomnographic

Technologist. She earned her Bachelor's Degree from Millersville

University in 1988 and is a Registered Respiratory Therapist. Kim has 25+ years of experience working as a technician on both day shift and night shift and managerial experience in sleep medicine. Previous experience includes Director of Patient Care Services of

a multi-bed, multi-site sleep center in Lancaster, PA, staff technician performing overnight and daytime polysomnograms, MSLT's, and MWT's, and senior technician training new staff to perform their job duties. Kim also has experience performing pneumograms, EEG testing, and Long-term EEG monitoring studies in the Neurology department at Reading Hospital.

In the coming year, there will be 1 doctoral position and 2 technologist positions up for election. Additionally, the President-Elect position will be open to a doctoral member.

The 2011 Pennsylvania Sleep Society’ 4rd annual meeting was again held in Hershey, PA, and I am happy to report it was a success. We had six informative speakers, and the feedback from our attendees was very positive.

This year our first speaker was Matthew Anastasi, RPSGT. Matthew is the Clinical Coordinator of Sleep Medicine Services at Bryn Mawr Hospital. He spoke to us about "Pharmacology and Your Sleep Disorder." Mr. Anastasi also discussed the classes of drugs which affect the quality of sleep and PSG

recordings, as well as the effects medication has on our sleep continuity, sleep architecture and micro architecture.

Dr. Benjamin Gerson joined us again this year with an interesting talk on "Fatigue Risk Management in the Workplace." Dr. Gerson is the Medical Director of University Services in Philadelphia. He analyzed five fatigue defenses in the workplace, and concluded with the recognition of the role sleep medicine has in fatigue risk management.

A new speaker this year was Robert Moser, RRT, MHA. Mr. Moser is the Administrative Director at the Geisinger Health System Sleep Services in Danville, PA. His presentation, " Obstructive Sleep Apnea: A 21st Century Approach Regarding Treatment Recognition and Management", included the development and utilization of screening algorithms to identify individuals at risk for obstructive sleep apnea, and other sleep related disorders. Mr. Moser also provided information on how to manage and

measure care provided to patients to achieve better clinical outcomes, insuring optimal care at a lower price.

Melissa Moore, MD, is a psychologist at the Sleep Center at Children's Hospital of Pennsylvania. Dr. Moore's talked was titled "Behavioral Approaches to Childhood Sleep Problems". Dr. Moore went on to describe some of the common behavioral sleep problems in children, and in addition discussed the empirically supported behavioral interventions for sleep problems and the impact of those interventions on children and families.

Another new speaker this year was Dr. Vatsala Ramprasad, MD. Dr. Ramprasad gave us an Overview of Pediatric Sleep Disorders. We enjoyed an interesting discussion on the review of normal versus abnormal sleep patterns in children. Included in this discussion was

information on how to identify common sleep disorders in children.

Last but not least, Indira Gurubhagavatula, MD MPH, Assistant Professor of Medicine and Director of the Sleep Disorder Clinic at the University of Pennsylvania, gave us a lively presentation on

Sleep Apnea and Commercial Drivers. Dr. Gurubhagavatula discussed indentifying the effects of sleepiness on driving performance, and the recommendations set forth by PennDOT and the Federal Motor Carrier Safety Administration (FMCSA) to address sleep disorders.

We are looking forward to our 5th Annual Pennsylvania Sleep Society meeting and we expect to have another group of interesting speakers lined up!

One of the first orders of business for the new PSS Board was to revisit the Bylaws and make a couple of minor changes. These changes were voted on and adopted by the Board.

The first change has to do with the

installment of officers after the

election. Originally, our intention

was to hold nominations in the

Spring and have the results of the

election announced at the Annual

Meeting. However, over the past

few years, we realized that the

Annual Meeting was a good time

to solicit nominations, pushing the

election back. Therefore, we made

the following change:

OLD Subsection 7.4.5 Terms of

office shall commence and officers

shall be installed as the First Order

of Business under New Business at

the Annual Business Meeting.

NEW Subsection 7.4.5 Terms of

office shall commence and officers

shall be installed as the First Order

of Business under New Business at

the first meeting following the

tallying of election results, which

will take place within 6 months of

the Annual Meeting.

The second change reflects the

changing sleep technology field.

As written, the bylaws prohibit

Polysomnographic Practitioner

members from joining committees

or the Board of Directors if they do

not have an RPSGT certification.

The intention was to provide some

sort of minimum requirement.

However, this caused two

problems.

First, many highly qualified

members do not have this

credential (they have RRT or

REEGT or some other credential).

However, we don’t want just

anyone with non-RPSGT

credentials to be eligible.

Second, with the advent of the new

RST credential, we were not yet

certain whether individuals who

obtained this credential should or

should not be treated with the same

status as those with RPSGT

credentials. Since this is so new, it

is still unproven. However, we did

not want to categorically exclude

those individuals either.

So the new language keeps the

minimum standard of the RPSGT

but allows fluctuation on a case-

by-case basis.

OLD Subsection 5.1.2

Polysomnographic Practitioner

Members shall be those individuals

whose primary employment is in

the Sleep Technology profession.

Polysomnographic Practitioner

members who hold the R.P.S.G.T.

credential may serve as Officers on

the Board of Directors and on

Committees. Polysomnographic

Practitioner Members pay annual

dues set by the Board of Directors.

Polysomnographic Practitioner

Members have full voting

privileges.

NEW Subsection 5.1.2

Polysomnographic Practitioner

Members shall be those individuals

whose primary employment is in

the Sleep Technology profession.

Polysomnographic Practitioner

members who hold the R.P.S.G.T.

credential may serve as Officers on

the Board of Directors and on

Committees. Other

Polysomnographic Practitioner

members may serve as Officers on

the Board of Directors and on

Committees, pending the approval

of a majority of the Board of

Directors on a case-by-case basis.

Polysomnographic Practitioner

Members pay annual dues set by

the Board of Directors.

Polysomnographic Practitioner

Members have full voting

privileges.

We hope these bylaws changes help to make the PSS more accessible and allow more opportunities for members. You can see the updated bylaws on the PSS website (http://www.pasleep.org).

This roundtable took place at the SLEEP 2012 meeting in Boston.

After Introductions by AAST President Melinda Trimble, we had breakout session of 6-8 State Association Members and the discussions were “What are the Challenges you see Your State Society Facing” and “What others are doing to overcome these Challenges” Each group presented their top challenges and what they found helped or ideas to effect the changes in the future, below is a recap.

HSTs

Where are we Headed as a Specialty?

Sleep Tech’s Role What Devices? What Scoring Rules? Reliability vs. In Lab Study

Our Roles in Payer Issues

Lobbying Advocate Face to Face Meetings with

Insurance Company Medical Directors

Recruitment and Involvement

Committees Different Membership levels, i.e.

Tech, Dr/PhD/Dentist, Single Site Lab, and Multi Site Lab.

Regional Meetings (Kentucky Model)

Teleconferences ½ Day Smaller Scale Seminars Cost of CEC’s (AAST) (???

$15/Credit Hour) Partnering with Local

Community Colleges (To absorb some of the costs)

Online CME’s (Record Conference & Seminars for Webinar Viewing)

2 Day Conference Instead on 1 Day

Licensure vs. Certification

Tennessee was used as an Example

Work with the Respiratory Society to effect change in your State before there are issues

Partnering with Other States/Societies

NESS was used as an Example Example used was combining NJ

& PA Conference

FYI: Thomas Edison College in New Jersey has a new Associates Degree (60 Credit) and Certificate Program (17 Credit) in Polysomnography that is CAAHEP Accredited. You can earn 17 credits for your BRPT Certificate.

A search through the PubMed archives for the months of May, June, July, August and September yields about 100 published articles from researchers in Pennsylvania. Most of these come from academic institutions such as the University of Pennsylvania, the University of Pittsburgh, Penn State Hershey, and others, though a significant number come from other labs. Many of these authors are PSS members, though many are not.

You will see that these articles run the full range of basic science to clinical research, with human and animal studies, reviews, commentaries, etc. See how many local names you recognize!

Here is a list of all of the new studies published, relating to sleep, with at least one author in PA, from the past 5 months:

1: Demirci JR, Braxter BJ, Chasens ER. Breastfeeding and short sleep duration in mothers and 6-11-month-old infants. Infant Behav Dev. 2012 Sep 22;35(4):884-886. doi: 10.1016/j.infbeh.2012.06.005. [Epub ahead of print] PubMed PMID: 23010367.

2: Setabutr D, Patel H, Choby G, Carr MM. Predictive factors for prolonged hospital stay in pediatric tonsillectomy patients. Eur Arch Otorhinolaryngol. 2012 Sep 22. [Epub ahead of print] PubMed PMID: 23001435.

3: Wilckens KA, Erickson KI, Wheeler ME. Age-Related Decline in Controlled Retrieval: The Role of the PFC and Sleep. Neural Plast. 2012;2012:624795. Epub 2012 Aug 28. PubMed PMID: 22970389; PubMed Central PMCID: PMC3434414.

4: Arnardottir ES, Maislin G, Jackson N, Schwab RJ, Benediktsdottir B, Teff K, Juliusson S, Pack AI, Gislason T. The role of obesity, different fat compartments and sleep apnea severity in circulating leptin levels: the Icelandic Sleep Apnea Cohort study. Int J Obes (Lond). 2012 Sep 11. doi: 10.1038/ijo.2012.138. [Epub ahead of print] PubMed PMID: 22964793.

5: Norris ER, Karen Burke, Correll JR, Zemanek KJ, Lerman J, Primelo RA, Kaufmann MW. A double-blind, randomized, placebo-controlled trial of adjunctive ramelteon for the treatment of insomnia and mood stability in patients with euthymic bipolar disorder. J Affect Disord. 2012 Sep 7. [Epub ahead of print] PubMed PMID: 22963894.

6: Hasler BP, Dahl RE, Holm SM, Jakubcak JL, Ryan ND, Silk JS, Phillips ML, Forbes EE. Weekend-weekday advances in sleep timing are associated with altered reward-related brain function in healthy adolescents. Biol Psychol. 2012 Aug 30;91(3):334-341. doi: 10.1016/j.biopsycho.2012.08.008. [Epub ahead of print] PubMed PMID: 22960270.

7: Gerstner JR, Perron IJ, Pack AI. The nexus of aβ, aging, and sleep. Sci Transl Med. 2012 Sep 5;4(150):150fs34. PubMed PMID: 22956197.

8: Naylor E, Aillon DV, Barrett BS, Wilson GS, Johnson DA, Johnson DA, Harmon HP, Gabbert S, Petillo PA. Lactate as a biomarker for sleep. Sleep. 2012 Sep 1;35(9):1209-22. PubMed PMID: 22942499; PubMed Central PMCID: PMC3413798.

9: Rice TB. Noise in the signal or bad vibrations? Sleep. 2012 Sep 1;35(9):1193-4. PubMed PMID: 22942494; PubMed Central PMCID: PMC3413793.

10: Gooneratne NS. Making sense of sleepiness in the elderly. Sleep. 2012 Sep 1;35(9):1189-90. PubMed PMID: 22942492; PubMed Central PMCID: PMC3413791.

11: Soreca I, Levenson J, Lotz M, Frank E, Kupfer DJ. Sleep apnea risk and clinical correlates in patients with bipolar disorder. Bipolar Disord. 2012 Sep;14(6):672-6. doi: 10.1111/j.1399-5618.2012.01044.x. PubMed PMID: 22938169.

12: Sands MR, Lauderdale DS, Liu K, Knutson KL, Matthews KA, Eaton CB, Linkletter CD, Loucks EB. Short Sleep Duration Is Associated With Carotid Intima-Media Thickness Among Men in the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Stroke. 2012 Aug 30. [Epub ahead of print] PubMed PMID: 22935396.

13: Brown MK, Naidoo N. The endoplasmic reticulum stress response in aging and age-related diseases. Front Physiol. 2012;3:263. Epub 2012 Jul 16. PubMed PMID: 22934019; PubMed Central PMCID: PMC3429039.

14: Lotrich FE, Sears B, McNamara RK. Elevated ratio of arachidonic acid to long-chain omega-3 fatty acids predicts depression development following interferon-alpha treatment: Relationship with interleukin-6. Brain Behav Immun. 2012 Aug 19. [Epub ahead of print] PubMed PMID: 22926083.

15: Miller AC, Frei SP, Rupp VA, Joho BS, Miller KM, Bond WF. Validation of a triage algorithm for psychiatric screening (TAPS) for patients with psychiatric chief complaints. J Am Osteopath Assoc. 2012 Aug;112(8):502-8. PubMed PMID: 22904247.

16: Kontos AP, Elbin RJ, Schatz P, Covassin T, Henry L, Pardini J, Collins MW. A revised factor structure for the post-concussion symptom scale: baseline and postconcussion factors. Am J Sports Med. 2012 Oct;40(10):2375-84. Epub 2012 Aug 16. PubMed PMID: 22904209.

17: Kline CE, Ewing GB, Burch JB, Blair SN, Durstine JL, Davis JM, Youngstedt SD. Exercise training improves selected aspects of daytime functioning in adults with obstructive sleep apnea. J Clin Sleep Med. 2012 Aug 15;8(4):357-65. doi: 10.5664/jcsm.2022. PubMed PMID: 22893765; PubMed Central PMCID: PMC3407253.

18: Fernandez-Mendoza J, Vgontzas AN, Liao D, Shaffer ML, Vela-Bueno A, Basta M, Bixler EO. Insomnia with objective short sleep duration and incident hypertension: the penn state cohort. Hypertension. 2012 Oct;60(4):929-35. Epub 2012 Aug 14. PubMed PMID: 22892811.

19: Spaeth AM, Goel N, Dinges DF. Managing neurobehavioral capability when social expediency trumps biological imperatives. Prog Brain Res. 2012;199:377-98. PubMed PMID: 22877676.

20: Budde AO, Freestone-Bernd M, Vaida S. Rhythmic movement disorder after general anesthesia. J Anaesthesiol Clin Pharmacol. 2012 Jul;28(3):371-3. PubMed PMID: 22869949; PubMed Central PMCID: PMC3409952.

21: Fenik VB, Marchenko V, Davies RO, Kubin L. Inhibition of A5 Neurons Facilitates the Occurrence of REM Sleep-Like Episodes in Urethane-Anesthetized Rats: A New Role for Noradrenergic A5 Neurons? Front Neurol. 2012;3:119. Epub 2012 Jul 26. PubMed PMID: 22855683; PubMed Central PMCID: PMC3405460.

22: Rao H. ASL Imaging of Brain Function Changes During Sleep Restriction. Sleep. 2012 Aug 1;35(8):1027-8. PubMed PMID: 22851796; PubMed Central PMCID: PMC3397806.

23: Adegunsoye A, Ramachandran S. Etiopathogenetic mechanisms of pulmonary hypertension in sleep-related breathing disorders. Pulm Med. 2012;2012:273591. Epub 2012 Jul 11. PubMed PMID: 22848814; PubMed Central PMCID: PMC3401569.

24: Cohen DJ, Begley A, Alman JJ, Cashmere DJ, Pietrone RN, Seres RJ, Germain A. Quantitative electroencephalography during rapid eye movement (REM) and non-REM sleep in combat-exposed veterans with and without post-traumatic stress disorder. J Sleep Res. 2012 Jul 30. doi: 10.1111/j.1365-2869.2012.01040.x. [Epub ahead of print] PubMed PMID: 22845675.

25: Klein A. The postpartum period in women with epilepsy. Neurol Clin.

2012 Aug;30(3):867-75. Epub 2012 Jun 30. PubMed PMID: 22840793.

26: Unruh ML, Cohen LM. Sleep and pain management are key components of patient care in ESRD. Nephrol Dial Transplant. 2012 Jul;27(7):2618-20. PubMed PMID: 22802578.

27: Lee EJ, Alonso LC, Stefanovski D, Strollo HC, Romano LC, Zou B, Singamsetty S, Yester KA, McGaffin KR, Garcia-Ocana A, O'Donnell CP. Time-dependent changes in glucose and insulin regulation during intermittent hypoxia and continuous hypoxia. Eur J Appl Physiol. 2012 Jul 17. [Epub ahead of print] PubMed PMID: 22801715.

28: Grandner MA, Patel NP, Perlis ML, Gehrman PR, Xie D, Sha D, Pigeon WR, Teff K, Weaver T, Gooneratne NS. Obesity, diabetes, and exercise associated with sleep-related complaints in the American population. Z Gesundh Wiss. 2011 Oct;19(5):463-474. PubMed PMID: 22791935; PubMed Central PMCID: PMC3392306.

29: Eid GM, Brethauer S, Mattar SG, Titchner RL, Gourash W, Schauer PR. Laparoscopic sleeve gastrectomy for super obese patients: forty-eight percent excess weight loss after 6 to 8 years with 93% follow-up. Ann Surg. 2012 Aug;256(2):262-5. PubMed PMID: 22791102.

30: Gotter AL, Webber AL, Coleman PJ, Renger JJ, Winrow CJ. International Union of Basic and Clinical Pharmacology. LXXXVI. Orexin receptor function, nomenclature and pharmacology. Pharmacol Rev. 2012 Jul;64(3):389-420. PubMed PMID: 22759794.

31: Kritikou I, Basta M, Tappouni R, Pejovic S, Fernandez-Mendoza J, Nazir R, Shaffer M, Liao D, Bixler E, Chrousos G, Vgontzas AN. Sleep apnoea and visceral adiposity in middle-aged males and females. Eur

Respir J. 2012 Jun 27. [Epub ahead of print] PubMed PMID: 22743670.

32: Gillespie NA, Gehrman P, Byrne EM, Kendler KS, Heath AC, Martin NG. Modeling the direction of causation between cross-sectional measures of disrupted sleep, anxiety and depression in a sample of male and female Australian twins. J Sleep Res. 2012 Jun 27. doi: 10.1111/j.1365-2869.2012.01026.x. [Epub ahead of print] PubMed PMID: 22738694; PubMed Central PMCID: PMC3461239.

33: Staff J, Vaneseltine M, Woolnough A, Silver E, Burrington L. Adolescent Work Experiences and Family Formation Behavior. J Res Adolesc. 2012 Mar 1;22(1):150-164. Epub 2011 Sep 20. PubMed PMID: 22736931; PubMed Central PMCID: PMC3378333.

34: Rice TB, Strollo PJ Jr, Morrell MJ. Update in sleep medicine 2011. Am J Respir Crit Care Med. 2012 Jun 15;185(12):1271-4. Review. PubMed PMID: 22707734

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1. MAIN LINE HEALTH 2. READING HOSPITAL

3. NEW JERSEY SLEEP SOCIETY

3rd Annual Main Line Health Sleep Technology Conference

Thursday October 25th 2012

Location: Paoli Hospital, Potter Conference Room, 255 West Lancaster Avenue, Paoli, PA 19301

CEUs: 6 Credits AAST and AARC Pending

Time: 9am to 4pm

Practical Topics for Sleep Clinicians

Main Line Health employees may register at no charge

Lunch Included

Parking: Paoli Hospital Garage is Free

Fee: $20.00 Pre-Registration Required!!!

Questions: Peter Allen, BS, RST, RPSGT, RRT-NPS-SDS

allenp@mlhs.org; 610-363-0717 (Lab) | 610-213-0999 (Cell)

AGENDA:

8:00 AM Registration/Continental Breakfast/Exhibits

8:45 Welcome and Thank You to Attendees and Sponsors

Peter Allen, BS, RST, RPSGT RRT-NPS-SDS

9:00 Home Sleep Studies-An Overview for Your Sleep Lab

Michael Montanye, MA, EMT-P, RST, RPSGT, Clinical Sleep Coordinator-Paoli Hospital

10:00 Cognitive Behavioral Therapy for Your Sleep Lab

Michael A. Grandner, Ph.D, University of Pennsylvania Center for Sleep and Circadian Neurobiology, Division of Sleep Medicine, Department of Medicine

11:00 Break/Exhibitors

11:15 Sleep Disorders and Research for Your Lab

Mark Pressman, Ph.D., DABSM, Clinical Professor of Medicine, Jefferson Medical College; Associate Professor, Lankenau Institute for Medical Research; Director, Sleep Disorders Medicine Services Lankenau Hospital

12:15 Break/Exhibitors/Lunch:

1:00 PM CPAP Compliance – Science or Art

Ramachandran Siva, MD DABSM, Medical Director, Bryn Mawr Hospital Sleep Medicine Services

2:00 Sleep Deprivation and the Polysomnographic Technologist

Eliot Friedman, MD DABSM, Medical Director, Paoli Sleep Medicine Center

3:00 Sales and Services to Increase Your Sleep Lab Revenues

Peter Allen, BS, RST, RPSGT, RRT-NPS-SDS, Clinical Coordinator, Sleep Disorder Center at Exton

2012 Fall Sleep and Respiratory Care Symposium Sponsored By:THE READING HOSPITAL & MEDICAL CENTER SLEEP CENTER WHEN: SATURDAY NOVEMBER 3, 2012 WHERE: THE CROWNE PLAZA, 1741 Papermill Road, Reading, PA 19610 Time: 0700 Registration Closing remarks at 1415 Continental Breakfast and Lunch Included Cost: $25 (No charge for TRHMC employees) Seating is Limited Call with questions: 484-628-9944 or 484-628-9942

Symposium Agenda 0700-0745 Registration and Vendor Time 0745-0845 Increasing Patient Compliance: Mike Pane, RRT Respironics 0845-0945 Challenges in a CHARGE Syndrome Pediatric Patient: Jamie Chamberlain, AAS, CRT

& Jason Chamberlain, BSN, RN 0945-1015 Break: Vendor Time 1015-1115 Overview of Insomnia: Michael Grandner, PhD. President of PA Sleep Society 1115-1215 EtCO2 Uses and Significance: Matthew Pavlichko, MSTD, RRT-NPS 1215-1315 Lunch: Vendor Time 1315-1415 Medications that Interfere with Sleep: Troy Gibson, PharmD & Vinetta Bhojani,

PharmD 1415 Closing Remarks and CEU handouts

Wyndham Princeton Forrestal Hotel & Conference Center

900 Scudders Mill Road, Plainsboro, NJ 08536

Friday, November 9th

1:00 PM Registration/Visit Exhibits/Refreshments

1:50 PM Introduction by Dr. Lee Brooks, President New Jersey Sleep Society

2:00 PM Richard J. Schwab, MD

Pathophysiology of OSA: Is the Problem Anatomy, Physiology or Both?

Review the pathogenesis of obstructive sleep apnea, focusing on the relationship of obesity to sleep apnea.

3:00 PM Richard A. Ferber, MD

Schedule & Circadian Aspects of Pediatric Sleep Disorders.

Show how circadian system function or dysfunction explains much of why children are unable to sleep or stay awake at desired times. Clarify the important interaction between circadian and homeostatic systems in the control of sleep and wakefulness. Demonstrate the importance of careful sleep schedule assessment and management in determining the causes of, and successfully treating a child’s inability to sleep well at night and during the day.

4:00 PM Refreshment Break/Visit Exhibits

4:30 PM Erica R. Thaler, MD

Current Surgical Management of Sleep Apnea

Discuss the current surgical evaluation in management of patients with OSA who have failed CPAP.

5:30 PM Richard A. Ferber, MD

My Life in Pediatric Sleep Medicine

Relate my own story of how I got into a field that didn’t really exist. Describe certain interactions and exposures that impacted greatly on t he development of my approaches. To speculate on where the field may be going from here.

6:30 PM Cocktail Hour/Visit Exhibits

7:30 PM Dinner (Optional)

Saturday, November 10th

7:30 AM Registration/Continental Breakfast/Visit Exhibits

8:30 AM Susheel P. Patil, MD, PhD

OSA and Peri-Operative Outcomes – Is OSA a real problem?

Understand why OSA can result in potential adverse outcomes post-operatively. Review the current evidence base for the relation between OSA and post operative outcomes. Review approaches to OSA management in the peri-operative period.

9:30 AM Lawrence W. Brown, MD

Nocturnal Seizures: A Fitting Topic for Sleep Docs.

Describe distinctive behavioral and neurophysiologic patterns that can distinguish nocturnal seizures from parasomnias and other sleep disruptions.

10:30 AM Refreshment Break/Visit Exhibits

11:00 AM Mark R. Pressman, PhD

Law and Sleep Disorder

Describe the relationship between parasomnias, violence and the law. Review recent legal cases to demonstrate the difference between clinical and forensic evaluation of sleepwalking violence. Review leg concepts of automatism that are the basic for the sleepwalking defense.

Noon Emmanuel Mignot, MD, PhD

Diagnosis and Treatment of Narcolepsy

Understanding the latest methods for diagnosing and treating narcolepsy.

1:00 PM Lunch/Visit Exhibits

2:00 PM Barry G.Fields, MD

Journal Club: The Year in Review for Sleep Medicine

Discuss published research particularly relevant to the practice of adult and pediatric sleep medicine over the past year.

3:00 PM Emmanuel Mignot, MD, PhD

Interactions between Genetic Susceptibility and Infections in the Etiology of Narcolepsy.

Understand the role of genetic pathophysiology of narcolepsy. Review recent evidence implicating infections in the etiology of narcolepsy.

4:30 PM NJSS Board of Directors Meeting. Open to all attendees.