sleepwatching india 6 - issr · mr. awnish kunwar singh mr. jaibeer kumar to verify the names of...

SleepWatching India

Indian Society for Sleep Research (ISSR) Newsletter Issue 6

1/12/2017

Executive Committee

President Dr. H.N. Mallick

Vice President Dr. Manvir Bhatia

General Secretary Dr. Kamalesh K Gulia

Treasurer Lt Col Dr. Karuna Datta

Executive Members Dr. Deepak Shrivastava

Dr. Manjari Tripathi Dr. Bindu M Kutty

Dr. Ravi Gupta Dr. Apar Jindal

Newsletter Editor Dr. Tripat Deep Singh

Message from President ISSR



DearFriends,

TheISSRnewsletter‘SleepWatchingIndia’issueno6isready

forrelease.ThisissueisuniqueasitiscomingafterourSilver

JubileeCongress”.Wehadagreatandmemorablemeetingin

GoalastSeptember.Thosewhocouldnotattend,wemissed

yourcompany.YouwillfindbriefreportsoftheCongressinthis

issue.TheregularfeaturesoftheNewsletterhavebeen

updated.

The issue also highlights the publications brought out by ISSR on the eve of its 25th

anniversary.Wealsomakeitapointtobringouttheactivitiesofothersleepsocietiesin

IndiabesidesISSRtoourviewers.

AnothersignificanteventlastmonthwasmergerofWSFandWASMinPragueduringthe

WorldSleepCongress.ISSRwillbeorganizinganadditionaleventi.eaSleepTechnology

AdvancedCourse’from2018.Thefirstadvancedcoursetitled.‘EstablishingaSleep

Laboratory’willbeheldonApril7,2018atAIIMS,NewDelhi.TheNewsletteralsolists

ourotheracademicactivitiesfortheyear2018.Pleasemarkyourcalendar.

Publicslowlyrecognizestheimportanceofsleepinhealth.Ontheeveof25yearsofISSR

we have launched a slogan ‘SleepWell, Sleep on Time’ to spread themessage to the

public.

WitheveryissueDr.TripatisaddingnewfeaturetotheNewsletter.Iamextremely

happywithitsincreasingpopularity.IcongratulateDr.Tripatforbringingoutthis

wonderfulissueontime.

SleepWell.SleeponTime.

HrudanandaMallick

From Editor’s desk Pg-2 Books by ISSR Pg-14 Sleep News in Media Pg:24

ISSR Activities Pg-3 Books by ISSR Members Pg-15 Board Review Corner- Sleep Medicine

Pg:25-27

ISSR-WSF Certified Physicians and

Technologists Pg-4

ISSR Members in NEWS Pg-16 Sleep and Digital App’s Pg: 28

Events in Region and World Pg-5 Sleep labs in India Pg: 17-18 PSG Secrets Pg: 29-30

Sleep Events in India Pg: 6-13 Sleep labs in ASEAN Region Pg: 19-20

Personal Opinions of SleepWatcher P: 31

Board Review Corner- Sleep Technology Pg: 21-23

2

Fro

m E

dito

r’s Desk

ISSRcelebratedthecompletionof25yrswithgrandcelebrationsin

GoabyholdingNSMC,NSTCandGoaSleep2017conference.

Duringtheseevents,ISSRreleased3books,whicharehighlighted

inthesection“BooksbyISSR”.

4BookspublishedbyISSRmembersarehighlightedinthesection

“BooksbyISSRMembers”.

InthelastissueIstartedanewsectionon“LawandSleepScience”.Duetoexcellent

casesubmissionsforthissection,Idecidedtostartanewpublicationtitled“Sleep

Forensics”togiveduejusticetothistopic.Thesection“LawandSleepScience”will

notappearinfutureissuesofthisnewsletterbutasaseparatepublication.

OneSleeplabdetailsareprovidedinthesection“SleepLabsinIndia”.Thesleeplab

islocatedinPSGInstituteofPulmonaryMedicineCoimbatoreundertheable

leadershipofDr.N.Ramakrishnan.

SleeplabfromRamathibodiHospitalBangkokisfeaturedinthesection“SleepLabs

inASEANRegion”.Dr.VisasiriTantrakulheadsthislab.

SleepTechnologistMr.AneesCSshareshispersonalexperiencesandopinionson

SleepTechnologyasaprofessioninthesection“PersonalOpinionsof

SleepWatcher”.

Dr.DeepakSrivastavahascontributed10questionswithanswersfor“BoardReview-

SleepTechnology”and10questionswithanswersfor“BoardReview-Sleep

Medicine”.ThissectionwillbeusefulforthosewhoplantotaketheBoardexamsfor

SleepMedicineandSleepTechnology.

Mr.YuvrajSinghdiscussesthemustknowconceptsabout“Recommendationsfor

cleaningequipmentinSLEEPlab”inthesectionof“PSGSecrets”.

Inthisissue,the“SleepandDigitalApp’s”sectionhighlightaboutusefulappfor

estimatingSleepOnsetLatency.Thehighlightedappis“SleepCue”.

IhopethereaderswillfindtheinformationinthisissueusefulandinterestingandI

lookforwardforyourvaluablefeedbacktofurtherimprove/enhancethefuture

issues.

WishingyouallaHappyandProsperousNewYear!!!

SleepWell.SleeponTime.

Dr.TripatDeepSingh.

3

Nulla

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lit. U

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quat v

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ISSR Activities

2015

2016

2017

2018

WSFExam26July2015

OnlineExam

No.OfApplicants=5

WSFExam17-July2016,

OnlineExam

No.OfApplicants=6

WSFExam11June2017

AIIMSDelhi,OnlineExam

WSFExamJune

2018(Tentative)

AIIMSDelhi

NationalSleepMedicine

Course(NSMC)5-6Dec

2015Guwahati,Assam

India


Course(NSMC)2-4Dec

2016Dehradun,

UttarakhandIndia


Course(NSMC)21Sep

2017,Goa

NationalSleep

MedicineCourse

(NSMC)22-23Sep

2018,Goa

4thNationalSleep

TechnologyCourse

(NSTC)9-10Dec2015

AIIMSDelhi,India

5thNationalSleep

TechnologyCourse

(NSTC)29-30Nov2016

AIIMSDelhi,India

6thNationalSleep

TechnologyCourse(NSTC)

20Sep2017,Goa

NationalSleep

TechnologyCourse

(NSTC)21Sep

2018,Goa

ImportanceofSleepin

SchoolChildren’Program

‘IBSMexamforSleep

Technologist31July2016

AIIMSDelhi

No.OfApplicants=3

IBSMexamforSleep

Technologist11June

2017AIIMSDelhi

IBSMexamfor

SleepTechnologist

6April2018AIIMS

Delhi

StartedNewsletter

“SleepWatchingIndia”

andLiteratureUpdates

“SleepUpdateIndia”

SilverJubileeCongressof

IndianSocietyforSleep

Research22-23Sep2017,

Goa

AdvancedSleep

Technology

Workshop7April

2018,AIIMSDelhi

Startedpublication

“SleepForensics”

Formoredetailsoneachactivitypleasevisitwww.issr.in

4

ISSR

-WSF c

ertifie

d P

hysic

ians a

nd T

echnolo

gists in

India

In2011,theIndianSocietyforSleepResearch(ISSR)constitutedatenmemberIndian

BoardofSleepMedicine(IBSM)headedbyaChair.WorldSleepFederation(WSF)

conducts“InternationalSleepSpecialist”examandcertifyingexamforSleep

TechnologiststhroughIBSM.WSFhasconductedtheexamforSleepMedicine

doctor’s5timessince2012and2timesforsleeptechnologistsstartingin2015.

BelowisthelistofDoctor’sandSleeptechnologistsfromIndiawhohavequalifiedthe

WSFexam.

Sleep Medicine Doctors

2012 Dr. Tripat Deep Singh Dr. Vikas Mittal Dr. Teresa MPC Ferreira Lt Col Dr. Karuna Datta Dr. Nitika Dang

2013 Dr. Pragati Agarwal Dr. Pramod Krishnan Dr. Haseeb Hasan Dr. Kripesh Sarmah Dr. Ravi Gupta

2014 Dr. Apar Jindal Dr. Sujit Jagtap Dr. Ghulam Hussain

2015 Dr. Sourav Das Dr. Deepak Menon Dr. Rajanish Sharma Dr. Vivekananda Lahan Dr. Hardeep Kumar

2016 Dr. Alkesh Kumar Khurana Dr. Abdul Muneim Dr. Sapna Erat Sreedharan Dr. Kandraju Satish

2017 Dr. Suresh Babu P Dr. Ajay Asranna Dr. Manu Chopra

Sleep Technologists

2015 (Conducted by ISSSR-WSF)

Mr. John Mohd Nengroo Ms. Anubha Sharma Mr. Utsah Mahamallick Mr. Basharat Ahmad Mr. Rahul Rawat Mr. Adil Ahmad Mr. Bharat Shah Mr. Utsav Bansal Mr. Yuvraj Kumar

2016 (Conducted by IBSM) Dr. Saumy Johnson Mr. Awnish Kunwar Singh Mr. Jaibeer Kumar

To verify the names of Doctors who have passed the WSF Exam, please visit World Sleep Society website: http://worldsleepsociety.org/programs/examination/recipients-of-sleep-specialist-certification

2017 Mr. Anees C.A. Mr. Santosh J. Jaguste Mr. Chand B. Dudekula Ms. Divya Coni Kumar Mr. Thaheer Shaik

5

Events in

the R

egio

n a

nd W

orld

3rdClinicalUpdateSleepInternationalConferenceLondon,UK

23Feb2018

SleepMedicineTrends,Austin,TexasUS

www.aasmnet.org

23Feb2018

2ndCongressofASIANSocietyofSleepMedicineSeoul,Korea

https://www.assm2018.com

22-25March2018

9thInternationalSurgicalSleepSocietyMeetingMunich,Germany

https://www.isss-munich.com

5-7April2018

AdvancedWorkshopinSleepTechnologyAIIMSDelhiIndia

www.issr.in

7April2018

5thInternationalPediatricSleepAssociationCongressParis,France

http://www.pedsleep.org/

27-29April2018

ATSSandiego,California

http://conference.thoracic.org/

18-23May2018

APSSSleepBaltimore,MarylandUS

http://www.sleepresearchsociety.org/sleepmeeting.aspx

2-6June2018

2ndEdmundTayMaiHiongDistinguishedSpeakerProgramme-

SleepBruxismandApnea:AnAssociation?EveningLectureSingapore

http://www.dentistry.nus.edu.sg/Events/cde.html

8-9July2018

9thASRSCongressSapporro,Japan

11-12July2018

SingaporeSleepSymposium,SGHHospitalSingapore1-3Aug2018

NationalSleepTechnologyCourseGoa,India

www.issr.in

21Sep2018

NationalSleepMedicineCourseGoa,India

www.issr.in

22-23Sep2018

ERSInternationalCongressParis,France

https://www.ersnet.org/congress-and-events/ers-international-congress

15-19Sep2018

ESRSBasel,Switzerland

http://www.esrs.eu/conferences-events/esrs-congresses-events.html

25-28Sep2018

Chest2018SanAntonio,Texas

http://www.chestnet.org/Education/CHEST-Meetings/CHEST-Meetings

6-10Oct2018

SleepDownunderBrisbane,Australia

https://www.sleep.org.au/conferences/future-events

18-20Oct2018

23rdCongressofAPSRTaipei,Taiwan

http://www.apsresp.org/congress/2018.html

29Nov-2ndDec

2018

6

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Anoteofthankstoallthosewhohavegivensomuchtoourcountry

DearNationalSleepMedicineCourseFaculty:

Ourcustomarynoteofgratitudeshowsupsoonaftermyreturnhome.Thisyearit

happenedexactlyfourweekslateronlyduetomylongpassagethroughEurope.While

Ireceivedmanyemailsfromfacultymembers,Iwasunabletoacknowledgereceipt

duetodailytravelsinremoteareas.Timehasnotfadedawaymygratitude

nonetheless.

NSMC2017wasuniqueasitwasconductedbyAssociationofAmericanPhysiciansof

IndianOrigin-Sleep(AAPIOS)faculty.Secondly,NSMC2017washeldcoincidentalwith

25thAnniversaryofIndianSocietyofSleepResearchunderscoringthecontinued

importanceofbasicscienceeducationinthefieldofsleepmedicine.

Attheoutset,IwouldliketogratefullyacknowledgetheassistanceofferedbyAAPIOS

PresidentUmakanthKhatwa,MDandimmediatepast-presidentAnujChandra,MDin

thesuccessofNSMC2017.

Dr.V.MohanKumarwhilediscussingthesleepphysiologysimplifiedtheintricate

principlesofsleepbasicscienceineasytounderstandmaterialfollowedbyDr.HN

Mallick’sexcellentcoverageofInsightintoneuralsubstrateforsleep.Thesetwo

discoursessetthestagefortheacademictonesofsubsequentspeakers.Iam

personallyveryobligedtobothAAPIOSlifetimeachievementawardwinner,thought-

leadersandguidinglightsofISSR.

ThespecialsessiononYogaNidrarenderedbyDr.StephenParkerwasatreattoour

audienceasitweavesthescientificthreadsintothespiritualdimensionsofsleep.Of

noteisthefactthatDr.ParkerhasapracticeinMinnesota,USAyethehasbeen

spendingsubstantialtimeeveryyear,inaRishikeshashramteachingandresearching

YogaNidra.TheISSRandNSMCcoursedirectorsalongwithNSMCorganizersare

thankfultoDr.Parker’sparticipationandinvolvementinNSMC2017.

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WeareindebtedtoDr.JeanJacquesAskenasy,anastutescientistofhighestordernot

onlyforspeakingattheNSMCongeneticsofinsomniabutattendingtheentireprogram

ofGoaSleep2017;the25thanniversaryofISSR.

Dr.ManvirBhatia,the2017recipientofAAPIOSlifetimeachievementawardspokeon

Narcolepsyanditsmanagement.Asweallknowsheisanauthorityofthesubjectand

wasabletodojusticetothetopicandaudienceneeds.WethankDr.Bhatiaprofusely

forspendingherinvaluabletimeinpromotingNSMCandsleepmedicineinIndia.

Dr.NanduriPrabhakar,UniversityofChicagoprofessorandarenownedauthorityon

theoxygensensingmechanismsandphysiologicalconsequencesofhypoxiawas

perhapsthebestspeakeronthecorrespondingsubjectofSleepdisorderedbreathing:

Pathophysiology.TheISSRandNSMCdirectorsaregratefulforhispresencein

GoaSleep2017.

Dr.RobertThomas,HarvardMedicalSchoolprofessor,deliveredaverystimulating

lectureonMultidimensionalphenotypesofsleepapnea-Pathophysiologyand

treatment.Dr.ThomasisadedicatedsupporterofsleepmedicineinIndia.TheISSRand

NSMCdirectorsarethankfulforhispresenceandactiveparticipationduringtheNSMC.

Dr.KumarBudur,apillaroftheNSMCreturnedtodeliverhislectureonCircadian

rhythmdisorders.Duetopersonalobligationshemadethetwentythousandmiletrip

onlyforonedayyethisappearancemadeallthedifference.Hisnumerouscontributions

arerecognizedgratefullybytheISSRandNSMCdirectors.

Dr.PreetiDevnani,aboardcertifiedsleepspecialistfromChicago,USAhasbeenacore

facultyinNSMC.HerinvolvementinsleepmedicineeducationinIndiaiscommendable.

Dr.DevnanigaveanexcellentlectureonthemanagementofOSA.Weareverythankful

forhercontinuedsupportofNSMCandherleadershipintheISSR.

Dr.RamadeviGaurineni,FeinbergSchoolofMedicinefacultydeliberatedon

parasomnias.Dr.GaurineniisasupporteroftheNSMCandiscontinuingherworkin

promotionofsleepmedicineinIndia.NSMCdirectorsarethankfultoherforher

participationandcontinuedpresence.

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Dr.SaraswathiMupanna,anexecutiveboardmemberofAAPIOS,fromBostonUSA

deliveredaninformativelectureonObesityepidemicandsleep.WethankDr.Mupanna

forherpresencedespiteafamilyemergency.

TheNSMCdirectorstrulyappreciateandacknowledgetheparticipationofDr.Mythili

Kalladka;DDStoaddsleepdentistrytotheNSMCcurriculum.Wemustacknowledge

theparticipationandexemplaryteamworkinNSTCofDrs.RaviGupta,KripeshSarmah,

NasreenAkhtar,Ravindra,Arun,RahulandPankajArora.Thankyousomuch!

TheformidablehardworkandorganizationofNSTC2017andNSMC2017resultedinits

successonlyduetokeeneffortsofDr.BinduKutty,Dr.KarunaDuttaandDr.Kamalesh

Gulia.

Wearealsoverygratefultotheentirefacultyandstaffwhosehardworkinthe

backgroundsupportedtheseamlessoperationsduringNSTC,NSMCandISSR25th

anniversaryevents.Amongstothers,DrsKhatwaandChandracouldnotmakeittoGoa

duetounforeseencircumstancesandweremissedwhileDr.TripatSinghhadmajorair-

trafficdelaysleadingtolatearrival.

IwouldliketoclosethisbyofferingourkindesthomagetoDr.Mallick’sfather-inlaw,

whopassedawayasDr.MallickwasboardingtheplaneinDelhiforGoasleep2017.Dr.

Mallickonlyannouncedthenewsofhisdemiseonthelastdayoftheconference!

Whenonehearssuchstoriesofcourageandcallofduty,oneknowsthatthefutureof

thecountryisinsecurehands!

Dr.MallickandIarelookingforwardtoseeingyouagainin2018.

RespectfullySubmitted

DeepakShrivastava,MD

AAPIOSBoardoftrustees

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Dear Hrudanandaji,

Let me add my voice to the harmonious chorus of

congratulations on an excellent conference. The

friendliness and interdisciplinary tone of the

meeting persuaded me to take out a life

membership. I hope that this can be a beginning for

a fruitful and friendly collaboration between yoga

and sleep science going forward.

Stephen Parker

Licensed Psychologist

Certified Yoga Therapist (C-IAYT)

Adjunct Assistant School Professor,

Saint Mary's University of Minnesota

FeedbackfromNSMC2017Participants

Dearfriends,MohanandHrudananda,

Itwasagreathonorformetoparticipatetothe

SilverJubileeofISSR.

IintendtopresentareporttoourDeanattheTel-

AvivUniversity,andto

sendyouhisreaction,

inordertostrengththefriendshipestablished

during25years,betweenthe

scientistsofourtwocountries,forthewellbeingof

thegenerationsto

come.

Withmysinceresentiments,

Prof.JeanAskenasy

DearAll,

Itwasmypleasureandhonortobepart

ofsuchanimportantevent!AlthoughI

hadtoleaveearly,itsoundsliketherest

ofthemeetingwasalsophenomenal;

andI’mnotsurprisedgiventheproven

track-recordoftheorganizersand

speakers.AsPreeti,Kamleshandothers

mentioned,can’twaittocelebrate50

yearsofISSR!

Bestregards,

Kumar.

Ireallyenjoyedparticipating

intheconferenceandfeel

privilegedtohavemetallof

you.Itisnicetoseesomany

wonderfulindividuals

committedtoadvancingsleep

medicineinIndia.

Thanks,Rama

RamadeviGourineni

Wereturnedsafefrom

India.Justwanttoexpress

oursincerethanksfor

givingustheopportunity

toparticipateinthe

wonderfulmeetingand

foryoursplendid

hospitalityatGoa.

Prabhakar

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IndianSocietyforSleepResearch(ISSR)iscelebrating25eventfulyearsofitsexistence

in 2017. As part of the silver jubilee celebrations, a four day scientific feast was

organized from 20th to 23

rd September 2017 in Goa. The National Sleep Technology

Course(NSTC)washeldon20th,theNationalSleepMedicineCourse(NSMC)on21

stand

theInternationalConferenceonSleepMedicineandResearchwasheldGoaon22ndand

23rdSeptember2017.

The events brought together leading scientists and clinicians in the area of sleep

medicineandresearchfromIndiaandabroadandenthusiasticstudentparticipationas

well.Goasleep2017wasrich inboththequalityandquantityofscientificcontent.The

courseswerepackedwithover25presentationscoveringtheoryandpracticeandthe

conferencefeaturedsixplenarylectures,12parallelsymposia,onespecialsilverjubilee

symposium,postersessions,sponsorstallsandevenanMCQquiz‘Sleepquest’onsleep

medicine for the younger participants. The events were so much in demand that

registrations had tobe closed almost twomonths in advanceallowing only fora few

conditionalspotregistrations.

Therewas,ofcourse,plentyoftimesetforcelebrationstoo.TherewasaGoancultural

eventandinauguraldinnerandthemuchawaitedsilverjubileefunctionsanddinner.As

a tribute to stalwarts whohave contributedmuch to ISSR, two bookswere released

honouringthecontributionsofDr.VMohanKumarfromIndia(thefounderofISSR)and

Dr.DeepakShrivastavafromUSA(whohasshoulderedsignificantresponsibilityforthe

growthanddevelopmentof ISSR).TheotherdignitarieswhowerehonouredwereDr.

Ken-ichiHonmafromJapan,andDr.JeanAskenasyfromIsrael.Fittingly,theirspouses

werealsohonouredinrecognitionoftheircontributions.

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There were many awards including the Budur Krishna Murthy Travel Awards for young life ISSR members, Budur Krishna Murthy Young Investigator Award for the best poster (including a cash prize of Rs 10,000), Budur Krishna Murthy Silver Jubilee Conference Award (cash prize of Rs 5000 each) for the top ten ranks in the Sleepquest MCQ exam and finally the NIMHANS Internship Award for the top two ranks in Sleepquest. Another milestone was the launch of the international journal ‘Sleep and Vigilance’. The journal (from Springer Nature) published the symposium and accepted poster abstracts online on the first day of the conference. Overall, Goasleep2017 was a memorable event, providing scientific insights, historical perspectives and clearly indicating that there is much to look forward in the years ahead for sleep medicine and research in India.

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Oneday“NationalSymposiumcumWorkshop”onsleepwasorganizedon17th June

2017 by Department of Physiology & Department of Medicine, Integral Institute of

Medical Sciences & Research, Integral University Lucknow. This was first of its kind

scientificeventonSleepMedicineeverorganizedinUttarPradesh.

TheSymposiumwas inauguratedbyChiefGuestProf.SWAkhtar,ViceChancellorof

theIntegralUniversitywithguestofhonor,DrBPSingharenownedchestphysician&

sleep specialist of Lucknow& special guestDrTripatDeepSingh, international sleep

expertfromSingapore.Prof.SeemaSingh,thechairpersonofthesymposiumdelivered

a welcome speech during inauguration. The symposium was focused on

pathophysiology, newer diagnostic & therapeutic modalities related to the sleep

disorders.

Our first speaker, Dr Tripat Deep Singh elaborately delivered a talked in a very vibrant

manner on “Newer Diagnostic Modalities for the study of sleep”. Prof. Narsingh Verma

from KGMU, Lucknow further clarified intricacies of chronobiology of Sleep. Both the

lectures were followed by very interactive question answer session.

There were further two sessions by speakers Dr B P singh,Dr Eshan Patel,Dr N R Gupta

to cover the overview of sleep disorder with special emphasis on OSA & sleep &

metabolic syndrome.

Finally, Prof. Jyoti Divedi & Dr Adarsh Tripathi delivered talk to cover non

Pharmacological & Pharmacological therapy of sleep.

A hands on workshop covering various aspects of how to use CPAP, BIPAP &

Polysomnography was beautifully conducted by Dr Prabhat Sahai & Dr Charu

Singh.UG & PG students also participated in poster & essay competition with the

coordination of Dr Arvind Kumar & Dr Hom Nath. Dr N R Gupta, organizing secretary

of the symposium delivered vote of thanks.

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SEAASMconducted its3rdconferenceat

Jalandharon27-28-29thOct2017

Workshops, conductedon27thOctober,

included Sleep technician training for

polysomnography, allergy in respiratory

diagnostics and dental sleep workshop.

Itwasinauguratedbytherespected“Dr

Raj Bahadur”- Vice Chancellor, Baba

Farid University of Health Sciences,

Faridkot,Punjab.

Theconferencewhichwasconductedon

28th & 29

thSeptember was inaugurated

by the esteemed “Sh. V P Singh

Badnore”–HisExcellency,theGovernor

of Punjab. He took keen interest in

burdenofsleepdisordersandadvocated

sleep specialists to search avenues of

integration with traditional science

(yoga,ayurveda)withmedicaltreatment

tomanagesleepdisordersinIndia.

Thisacademicfeasthadwitnessedhighly

qualified delegates, experts in the field

of Sleep Medicine, as speakers from

across the globe (Sri Lanka, U.K, U.S.A,

Australiaetc)

Wewerealsohonouredtohave

amongstus,therenownedsleepexpert,

DrDavidCunnington(Director,

MelbourneSleepDisordersCentre,)who

presentedanexcellenttalkon

“TranslatingcircadianbiologyofHealth&

Disease – Role of Chronotherapy” and

“Trends in sleep medicine”. He is a

passionate advocate of sleep health and

actively promotes education, research,

andadvocacyinsleepmedicine.

SEAASM 2017 was a platform for

excellent poster presentations on sleep

medicine. Many budding Post-graduate

students and doctors presented their

posters and best research award was

presented to the highly deserving, Dr

OommenNainan,whoconductedastudy

in “PREDICTION OF SLEEP DISORDERED

BREATHING USING DENTAL ARCH

MORPHOLOGY AS A GUIDE” from

Mumbai,India.

SEAASMhadtheprivilegetohost“Sardar

Navjot Singh Siddhu (renowned former

Cricket player, Minister of Local

Government, Tourism, Cultural Affairs,

Archives and Museums of the State of

Punjab). Moved by the content of the

conference, he generously contributed

monetarysupporttoourventuretowards

promoting the awareness of Sleep

disordersinIndia.Hewasalsodeclaredas

thebrandambassadorforSEAASM.

The conference gathered huge media

coverage, which helped us in creating

awarenessaboutsleepdisordersamongst

thelocalpopulation.

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Books b

y IS

SR

ThebookisISSRtributetoDr.Deepak

Shrivastava’scontributionstothefieldofSleep

Medicineandhisactiveroleinthedevelopment

ofSleepMedicineinIndia.Thebookwas

releasedduringtheISSR25yrcelebration

ConferenceinGoainSEP2017.

ThebookisISSRtributetoDR.V.MohanKumar

forhiscontributionstothefieldofSleepScience

anditsdevelopmentinIndia.Thebookwas

releasedduringtheISSR25yrcelebration

ConferenceinGoainSep2017.

This book is a compilation of the ISSR achievements in 25yrs since its inception. The

bookwasreleasedduringtheISSR25yrcelebration

ConferenceinGoainSep2017.

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Books b

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SR

Mem

bers

Author:S.R.Pandi-Perumal

Thisisachildrenstorybookforagegroup4-8yrs.

Thisbooktriestoincreasetheawarenessofhow

Sleepandhealtharecloselyrelatedinasimple

pictogramwaywhichchildrencanreadily

understand.

Author:Dr.ManvirBhatia

Thisbookisforgeneralpublictounderstandabout

healthySleephabitsandSleepDiosrders.

Author:Dr.DeepakShrivastava

TheBookoffersfun,interactive

educationaboutsnoringandits

healthconsequencesforchildren

andtheirparents.

Authors:Dr.RaviGupta,S.R.Pandi-

Perumal,AhmedSBahammam

Writtenforsleeptechnologists,

ClinicalAtlasofPolysomnography

providesbasicinformationregarding

normalsleep,sleepdisorders,and

electrophysiologythatisoutsideof

thescopeoftheAASMmanual

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ISSR

Mem

bers in

New

s

ExtraordinaryContributiontoSleepMedicineinIndiaAward-2017byAssociationof

AmericanPhysiciansofIndianOrigin-Sleep

AssociationofAmericanPhysiciansofIndianOrigin-Sleepeveryyeargivesawardfor

“ExtraordinaryContributiontoSleepMedicineinIndia”.ThisyearDr.ManvirBhatia

wastherecipientofthisaward.InthepastDr.H.N.Mallick,Dr.V.MohanKumarand

Dr.BinduMKuttyreceivedthisaward.

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SleepLabPSGInstituteofPulmonaryMedicineCoimbatore,Tamilnadu

When was the Sleep lab started? The Sleep lab was started in PSG Institute of Pulmonary Medicine Coimbatore in the year of 2004. How many beds does the Sleep lab have for level 1 sleep studies? The lab have three beds for Level 1 Sleep study. What types of diagnostic studies are done in your Sleep center? We do Diagnostic PSG, Titration PSG, MSLT, MWT and Nocturnal hypoventilation studies. What is the average waiting time of your sleep lab? Our sleep lab average waiting time is 1 week.

What are the educational/training opportunities available for doctors and technicians at your sleep center? We provide opoortunities for doing observership and 6 months certificate course for Sleep technicians. How many sleep techs are employed at the sleep center? What are their daytime and night time duties? We have employed 2 Sleep techs. 1 sleep tech is working during night and the 2nd sleep tech in daytime doing scoring.

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How many level 1, level 3 studies, PAP titration studies, MSLT and MWT are done in one year? We do around 150 level 1 studies, 55 level 3 studies, 200 PAP Titration studies, 5 MSLT and 2 MWT studies per year.

Whatarethecontactdetailsofthesleep

center?

SLEEPDISORDERSCENTRE

PSGInstituteofPulmonaryMedicine

PSGHospitals

AvinashiRoad,Peelamedu

Coimbatore–641004.

Tel:0422-4345260/4345264

Mob:9894759917

E-mailID:

[email protected]

Website:

http://www.psghospitals.com/dept_

pulmonology.html

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SleepLabinRamathibodiHospitalBangkokThailand

Whenwasthesleeplabstarted?

Oursleeplabwasestablishedin1994

startingwithonepatientexamination

pernight.ItwaslatermovedtoSirikiti

buildingin2002andthentoSomdech

PhraDebharatanamedicalcenterin

2011.

Whatisthewaitingtimeinyoursleep

lab?

Ittakesapproximately3-10monthsto

thescheduleddate.However,wehavea

cancellationlistforsomeurgentpatients

whomwecancallearlyonifsomeone

canceledtheirschedule.

Areyoudoinganyhomesleeptests?If

yes,howmanyperyear?

Yes,wedo.Wehavetype3,4PSGand

WatchPATdoneforhomesleeptesting

insomepatients.

Furthermore,becauseoflongwaiting

time,weperformtype3studyinorder

tohelpdiagnosemorepatientsat

homesetting.

Howmanybedsdoesthesleeplab

haveforlevel1sleepstudy?

Thereare8bedsfor6adultsand2

childreninthelab.

Whattypeofdiagnosticstudiesare

doneinthesleepcenter?

Oursleeplabhavedonealltypesoffull

nightPSG(1-4),splitnightPSG,full

nighttitrationstudies,MSLTandMWT.

WealsohaveWatchPAT(asa

peripheralarterialtonometry)and

Actigraphy.

20

Whataretheeducational/training

opportunitiesavailablefordoctorsand

techniciansatyoursleepcenter,

especiallyforcandidatesfromother

countries?

Wehaveoneyearcertificatefellowship

programfortrainingphysicianstobe

sleepspecialists.Fortechnicians,werun

ashortcourseonemonthbasicteaching

programforsleeptechnologist

candidates.Moreover,thereisa2years

masterdegreeofscienceprogramin

sleepmedicineopenedforinternational

students.

Howmanysleeptechsareemployedat

thesleepcenter?Whataredaytimeand

nighttimeduties?

Thereare7full-timeand3part-time

sleeptechniciansinoursleeplab.Full-

timetechnician’sdutyduringtheday

includestakingcareofoutpatientclinic

(educating,troubleshooting),reading

sleepstudies,anddoingdatabasetasks.

Allofthemperformedsleepstudy

duringthenight.

Howmanylevel1,level3studies,

PAPtitrationstudies,MSLTand

MWTaredoneinoneyear?

Approximately1,800studieswere

performedinoneyear.Mostof

themweresplitnightstudies.

Whatarethecontactdetailsofyour

sleepcenter-address,phone

number,emailandwebsite?

YoucancontactusatSleepDisorder

Center,7thfloorSomdechPhra

DebharatanaMedicalCenter,

Ramathibodihospital,Rama6road,

Thungphayathai,Rajathewi,Bangkok

10400.Tel:+66(0)2200-3768,FAX

+66(0)2200-3761.Ouremailaddress

[email protected].

Forwebsiteandfacebook

www.med.mahidol.ac.th/sleep_disor

ders

www.facebook//sleepcenter.com

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Dr. Deepak Shrivastava MD, FAASM, FACP,

FCCP, RPSGT

UC Davis School of Medicine, California,

USA

ContactDetails:

DeepakShrivastava,MD

500WestHospitalRoad

FrenchCamp,CA95231

209-468-6624(Office)

209-986-3663(Cellular),Email:[email protected]

1.AtwhatagetheKcomplexappearson

humanelectroencephalogram?

a.Twomonths

b.Fivemonths

c.Tenmonths

d.Twoyears

2.Whichofthefollowingstatement

definesthemajordifferencebetweenAC

andDCamplifiers?

a.DCamplifiershaveagreatersensitivity

rangethananACamplifier

b.ACamplifiershavealowfrequency

filter,whileDCamplifiersdonot

c.ACamplifiershaveahighfrequency

filter,whileaDCamplifierdoesnot

d.DCamplifiershaveapolarityswitch,

whileACamplifiersdonot

3.Thetechnicianobservesmuscleartifact

inasingleEEGchannelthatsharesa

commonreferencewithotherchannels.

Theappropriateresponseis:

a.Re-referencethechannelshowingthe

artifacttoaback-upreferenceelectrode

b.Re-referencethechannelshowing

artifactbychangingtheinputsignal

derivationtoaback-upexploring

electrode

c.Eliminatetheartifactbydouble-

referencingtheinputsignalderivation

d.Eliminatetheartifactbyreducingthe

highfrequencyfilterto15Hz

4.Whatfactorscomeintoplaywhen

decidingtoenterthepatientroomto

correctartifacts?

a.Importanceofelectrodechannelin

scoring

b.Easeatwhichpatientfallsasleep

c.Skillatfixingproblemwithoutwaking

patient

d.Alloftheabove

5.Whatistherecommendedhigh

frequencyfilter(HFF)forOronasal

ThermalFlow?

a.0Hz

b.15Hz

c.35Hz

d.100Hz

6.Whatistheminimumvoltageincrease

toscoreaLimbMovement?

a.8uV

b.50-60uV

c.1uV

d.100uV

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7.Whichofthefollowingischaracteristic

ofsleepduringthesecondtrimesterof

pregnancy?

a.Totalsleeptime(TST)decreasestopre-

pregnancylevels

b.Slow-wavesleep(SWS)decreases

c.REMsleepdecreases

d.Shortnessofbreathdecreases

8.Twitchingmovementsofthefingers,

toes,andmouththatmayoccurduring

stageW,non-REM,andREMsleepare

knownas-

a.Bruxism

b.Excessivefragmentary

myoclonus(EFM)

c.REMsleepbehaviordisorder(RBD)

d.Rhythmicmovementdisorder(RMD)

9.Whichofthefollowingisareasonto

startaCPAPstudyhigherthan4cm?

a.Thepatientisreturningtolabforre-

titration.

b.Thepatienthadahighapnea-

hypopneaindexduringthediagnostic

study.

c.Thepatienthasanelevatedbodymass

index.

d.BothAandCarecorrect.

10.WhatcausesEKGartifactsintheEEG

andEOGchannels?

a.ImproperEKGpatchplacement

b.M1andM2beingplaceddirectlyon

theauricularbranchoftheposterior

auricularartery

c.IncorrectfiltersettingsontheEEGand

EOGchannels

d.Noneoftheabove

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1.b

Rationale:Kcomplexappearsat5month

ofagewhilesleepspindlesoccurattwo

monthsofage.

FischandSpehlmann’sEEGPrimer,3rded

Amsterdam:Elsevier;1999,Atlasof

PediatricElectroencephalography.2nded.

Philadelphia:Lippincott-Raven;1999

2.b

Rationale:ClinicalNeurophysiologyof

SleepDisorders,Elsevier,2005

3.b

Rationale:Essentialsof

Polysomnography:atrainingguideand

referenceforsleeptechnicians.2nded.

Jones&BartlettLearningLLC2015

4.d

Rationale:

www.carolinasleepsociety.org/document

s/presentations/2014_may/2014_may_r

uth_psg_artifact_review.pdf

5.b

Rationale:

https://go.aastweb.org/Resources/Focus

Groups/Primer_ProTech.pdf

6.a

Rationale:

https://go.aastweb.org/Resources/PDF/A

2Zzz18_2/TechnicalCorner.pdf

7.a

Totalsleeptime(TST)decreasestopre-

pregnancylevels.Slow-wavesleep(SWS)

isnormalduringthesecondtrimesterof

pregnancy.REMsleepdecreasesduring

thethird,notthesecond,trimesterof

pregnancy.Shortnessofbreath

increases,notdecreases,duringthe

secondtrimesterofpregnancy.

8.b

9.d

Rationale:

http://www.aasmnet.org/Resources/clini

calguidelines/040210.pdf

10.b

Rationale:

https://go.aastweb.org/Resources/PDF/A

2Zzz17_4/Artifact.pdf

24

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edia

StudyplannedonsleeppatternsofIndianurbanpoor

http://www.thehindu.com/news/national/tamil-nadu/study-planned-on-sleep-

patterns-of-urban-poor/article19984243.ece

Bad Sleep may be evolutionary survival tool!! https://www.theguardian.com/science/2017/jul/12/bad-sleep-evolution-survival

Newresearchidentifiesagroupof

neuronsthatcanhelpusstayawake

whenitmatters!

https://www.sciencedaily.com/releases/

2017/06/170608123641.htm

Accordingtoanewstudythesecretofagoodnight’ssleepishavingsomethingworth

gettingoutofbedforthenextday.

http://www.telegraph.co.uk/science/2017/07/10/secret-good-nights-sleep-has-finally-

found-scientists/

FITBITisdevelopingdevicesforsleep

apneaasdominanceinfitnesstracking

wanes

https://www.cnbc.com/2017/06/20/fitbit

-is-going-after-sleep-apnea-to-expand-

beyond-fitness-tracking.html

Thenumberoftestscarriedoutbythe

NHStodiagnosepeoplewithsleep

disordersacrossEnglandhasdoubledin

thepastdecade.

http://www.bbc.com/news/uk-england-

40122979

CarrieFischer’sdeathisagrimreminderofthedangersofSleepApnea

https://aasm.org/carrie-fishers-death-is-a-grim-reminder-of-the-dangers-of-sleep-

apnea/

Jawbone’sdemiseacaseofdeathby

overfundinginSiliconvalley

http://www.thehindu.com/sci-

tech/technology/jawbones-demise-a-

case-of-death-by-overfunding-in-silicon-

valley/article19249623.ece

Eveningscreentimecansabotagesleep!

https://www.sciencenewsforstudents.or

g/article/evening-screen-time-can-

sabotage-sleep

Youdon’tneedbraintosleep.JustaskJellyfish!!

http://www.sciencemag.org/news/2017/09/you-don-t-need-brain-sleep-just-ask-

jellyfish

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1.A15-year-oldmaleisevaluated

regardingstayingupatnightand

workingoncomputerortexting.Hegets

upat7AMtogotoschool.Hesleepsin

until11AMontheweekends.Hereports

tirednessandfatigueduringthedaytime.

Whichofthefollowingiscorrect?

a.Mostteensdogetenoughsleep

b.Extrasleepontheweekendsmakesup

forthelackofsleepduringtheweek

c.Melatoninchangesduringpuberty

resultinaphasedelay

d.Daytimesleepinessdoesnot

necessarilymeansinsufficienttotalsleep

time

2.A51-year-oldobeseAfricanAmerican

man,withaBMI34.11kg/m2andsevere

OSAdevelopedsleepwalkingthreeto

fournightsperweek.Duringthe

episodes,heeatsunusualfoodsand

makesbizarreconcoctions.Heis

compliantwithCPAPtherapy.Hehas

recentlygainedabout20lbsweight.He

hadhistoryofanxietyforwhichheison

Xanax,anddepressioncontrolledwith

Quetiapine.Inaddition,hedrinksalcohol

nightly.Whatishisspecificdiagnosis?

a.Malingering

b.Obstructivesleepapnea

c.Nocturnalsleeprelatedeatingdisorder

d.Somnambulism

3.A40-year-oldwomanreportsafew

monthhistoryof“exploding”inherhead

whileshefallsasleeporshortly

afterwards.Thereisaloudnoisebutno

associatedpain.Thereareoccasional

flashinglights.Theepisodesoccurabout

onceeveryweek.Shehasahistoryof

anxietyanddepression.Whatisthe

treatmentofchoice?

a.Topiramate

b.Zolpidem

c.Clomipramine

d.Duloxetine

4.A66-year-oldmanbegantohave“sleep

attacks”forlast8months.Hefallsasleep

severaltimesaday,evenwhenengaged

inactivities.Heisobeseandhasgained

moreweightinlasttwoyears.Whatisthe

mostlikelydiagnosis?

a.Narcolepsy

b.Creutzfeldt-Jakobdisease

c.Obesityhypoventilationsyndrome

d.Complexpartialseizures

5.Whichofthefollowingmedicationmay

causenightmares?

a.Methylphenidate

b.Efavirenz

c.AZT

d.Tylenol

6.An80-year-oldmancomplainsof

insomnia.Hewakesupafewtimesevery

nightandisunabletoreturntosleep.He

alsowakesupearlierinthemorning

comparedtotwoyearsago.Hesuffers

withnocturia.Hefeelsrestedinthe

morningandisnotsleepyduringtheday.

Hedeniessnoringorinvoluntaryleg

movements.Hehasnoothermedical

problems.Whatisthenextappropriate

stepinhisevaluation?

a.Nocturnalpolysomnography

b.Zolpidematbedtime

c.Diphenhydramine

d.Reassurance

7.Whichofthefollowingisthemost

importantsourceofinformationwhen

consideringsurgicaltreatmentof

obstructivesleepapnea?

a.Nocturnalpolysomnography

b.Historyandphysicalexamination

c.Radiographicstudies

d.Comorbidconditions

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8.Whichofthefollowingisnota

characteristicofnarcolepsy?

a.Excessivedaytimesleepiness,sleep

paralysis,cataplexy,andhypnogogic

hallucinations

b.Hypnogogichallucinationsoccuratthe

beginningofthesleepcycle

c.Voluntarymuscleparalysisoften

involvesextraocularmuscles

d.Decreasedlevelsoforexinassociated

withDR2allele

9.Whichofthefollowingiscorrectabout

chronicinsomniaintheelderly?

a.Itisnormalintheelderlyanddoesnot

affectwell-being

b.Itisariskfactorfordeclineincognitive

functioninelderlymales

c.Itdoesnotincreasenursinghome

placement

d.Itdoesnotincreasetheriskoffalls

10.Fatalfamilialinsomnia(FFI)may

presentwithallcharacteristics,except

whichoneofthefollowing?

a.Neuronallossintheinferiorolivery

nuclei

b.Spongiformpathology

c.Immunostainingshowingproteinase-K-

resistantprionprotein

d.Anteriorventralanddorsal-medial

thalamicnucleineuronallossand

reactivegliosis

11.Whichofthefollowingdisordersis

mostcommonlyfoundtheelderly?

a.Nocturnalmyoclonus

b.Somnambulism

c.Obstructivesleepapnea

d.Narcolepsy

Answers: 1.d

Rationale:Teenagersneedabout9hours

ofsleepbutusuallyget7hours.Extra

sleeponweekenddoesnotmakeupfor

lostsleeptimeduringtheweek.

Melatoninchangesduringadolescence

resultinphasedelay.

AmericanAcademyofNeurology2017

(AAN)abstractS14.006

2.c

Rationale:Nocturnalsleep-relatedeating

disorderisatypeofSomnambulism

Patientscandevelopsignificantweight

gainanddiabetestypeII.Patientsarenot

awareoftheirbehavior.Incontrast,

patientswithnocturnaleatingsyndrome

areawareoftheirbehavior.Quetiapine,

anatypicalantipsychoticmedicationhas

beenassociatedwithinductionofsleep

relatedeatingdisorderlikebehavior.

JMedCaseReports.2012;6(380),Sleep

2006,29:876-877

3.c

Rationale:Explodingheadsyndromeisa

rareparasomniathatpresentswith

perceptionofloudexplosionnoiseinthe

headwithoutanyassociatedpain.Itis

associatedwithstressandfatigueandis

commoninmiddle-agedwomen.There

arenoknownseriousconsequences.

Clomipramineattimemaybeofbenefit.

SleepMed.2008;9:589,Sleep.

1991;14:263-266

4.b

Rationale:ThispatientlikelyhasOSAwith

resultantobesityhypoventilation

syndrome.About90%patientswithOHS

alsohaveOSA.Smokingincreasestherisk.

Thereisoftenassociatedpulmonary

hypertension.Treatmentincludesweight

lossandCPAPtherapy.

27

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Chest.2007;132(4):1322-36,SleepMed

Clin.2014;9(3):341-347

5.b

Rationale:EfavirenzisoneoftheNNRTIs

usedtotreatHIVthatisknowntocause

baddreamsandnightterrors.Thisside

effectappearswithinfirstfewdaysof

takingthemedicationanddisappears

withcontinueduse.Inaddition,amongst

NNRTIsEfavirenzcanalsocauseCNS

effectslikeinsomnia,vividdreaming,

dizziness,confusionandhallucinations.

AnnInternMed.2009;151(3):149-156,

https://aidsinfo.nih.gov/guidelines/html

/1/adult-and-adolescent-treatment-

guidelines/0

6.d

Rationale:Thereisnoevidenceof

seriousorganicdisease.Sleeppattern

changeswithageincludingnocturnal

awakening,decreasedsleeptime,and

lessefficientsleep.Ageingisassociated

withincreasedsleeplatency,decreased

deepsleep,anddecreasedrapideye

movementsleep.

PsychiatrClinNorthAm.2006.

29(4):1077-1093,CurrMedResOpin.

2006.22(9):1633-1642

7.b

Rationale:Ahistoryofsymptoms

consistentwithOSA,aninabilityto

toleratenasalcontinuouspositive

pressure(CPAP)andtheidentificationof

asurgicallycorrectableanatomic

abnormalityareimportantaspectsof

thepatienthistoryandphysical

examinationandarehelpfulindeciding

ifsurgicalinterventionisthebest

treatmentforapatientwithOSA.

SLEEP.2010;33(10):1408-1413,JClin

SleepMed2009;5(3):263-276

8.c

Rationale:Narcolepsyischaracterizedby

excessivedaytimesleepiness,cataplexy,

andsleepparalysisandhypnologic

hallucinations.Itaffectsmaleandfemales

equally,andisassociatedwithDR2allele.

Narcolepsyusuallypresentsbetweenthe

agesof15and30.Patientswith

Narcolepsysleepmorefrequentlybutthe

totalamountofsleepisthesamein

narcolepticandhealthyadults.

TheInternationalClassificationofSleep

Disorders-RevisedDiagnosticandcoding

Manuel.3rded.AASM2014,Neurosci.

2012.32(36):12305-11

9.b

Rationale:Chronicinsomniaisariskfactor

forthecognitivedeclineinpatients65and

older,falls,nursinghomeplacement,

dependencyonsleepmedicationsand

chronicfatigue.

JClinSleepMed.2008;4(5):487-504,AmJ

ManagCare.2006;12:S230-245

10.d

Rationale:Manypriondiseasescause

spongiformpathologybutFatalfamilial

insomnia(FFI).Theneuronallossand

gliosisisfoundinthalamusinthesecases.

Itisanautosomaldominantdiseasewitha

courseof3years.Theonsetoccurs

betweenagesof30to40.Earlysymptoms

areataxia,autonomicdysfunctionand

panicattackwithmentalstatuschanges

maybeseen

FatalFamilialInsomnia:InheritedPrion

Disease,SleepandThalamus.NewYork,

NY:Ravenpress;1994,AnnNeurol.

11.c

SLEEP.1991;14(6):486-95,SLEEP.2000;

23(2):165-70

28

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igita

l App’s

“SleeponCue”appforiPhone

SleepOnCueisaviableoptionforestimatingsleeponsetandmaybeusedto

administerIntensiveSleepRetrainingorfacilitatepowernapsinthehome

environment.Twelveyoungadultsunderwentpolysomnographyrecordingwhile

simultaneouslyusingSleepOnCue.Participantscompletedasmanysleep-onsettrials

aspossiblewithina2-hperiodfollowingtheirnormalbedtime.Oneachtrial,

participantswereawokenbytheappfollowingbehaviouralsleeponset.Then,aftera

shortbreakofwakefulness,commencedthenexttrial.Therewasahighdegreeof

correspondencebetweenpolysomnography-determinedsleeponset

andSleepOnCuebehaviouralsleeponset,r=0.79,P<0.001.On

average,SleepOnCueoverestimatedsleep-onsetlatencyby3.17min(SD=3.04).

WhenpolysomnographysleeponsetwasdefinedasthebeginningofN2sleep,the

discrepancywasreducedconsiderably(M=0.81,SD=1.96).

Scott,H.,Lack,L.andLovato,N.(2017),Apilotstudyofanovelsmartphone

applicationfortheestimationofsleeponset.JSleepRes.doi:10.1111/jsr.12575

29

PSG

Secre

ts

RecommendationsforcleaningPSGequipmentinSleepLab

Mr.YuvrajKunwarisaCertifiedSleep&EEGtechnician(Dept.

ofPulmonology&Neurology)inMaxhealthcareInstituteLtd.

HehasdoneBachelorinLabTechnology&Masterin

Microbiolog.HestartedhiscarrierinSleepfieldin2011under

directsupervisionofDr.ManjariTripathi(Professorof

Neurology)AIIMSNewDelhiandthenHCL

Healthcare(affilatedwithJohnHopkinsInternational

medicine).

Hehasdonevarioustypeofsleepstudies(Diagnostic,Titration,splitnight,MSLT,Video

EEG).HeisaCertifiedSleepTechnicianbyISSR(WorldSleepFederationProgram).

HehasattendedSleepSeminars,Confrences,workshops,andtraining&healthcamps.

HeisveryhappytobeworkinginthisfieldbecausethisfieldisnewinIndia.

Hisstrengthsareself-motivation&dedicationtowardshiswork&agoodlearner.

Whatistherecommendationtoclean

EEGcupelectrodes?

1.Cleanusingmildsoapandwater.

Distilledwaterisrecommendedtoavoid

damagetothesurfaceoftheelectrode.

2.Scrublightlyusingsoftbristledbrush.

3.Disinfectwithasterilizationchemical

suchasControlIIIfor10-15minutesper

manufacturer’srecommendations.

4.Rinseandair-dry.


Snapelectrodes?

1.Wipewithacleaningagentthatis

non-corrosivetoplastic.

2.Allowassemblytocompletelyairdry

beforeusingonapatient.

3.Gassterilizationispermittedas

needed.


snoresensor?






needed.


PAPDevices?

1.Unplugdevicefromthewalloutletto

avoidelectricalshock.

2.Wipetheouterchassiswithacloth

dampenedwithmilddetergent.

3.Allowdevicetodrycompletelybefore

pluggingintoelectricalwalloutlet.

4.Donotimmerseinwater.

5.Inspectallpartsandreplacebrokenor

damagedpiecesbeforeputtinginto

service.


Maskinterfaces?

1.Foreachindividualmask,seepackage

insertforspecificcleaning

requirements,whichvarybymaskand

manufacturer.

2.Pasteurizationorotherhigh-level

disinfectingprocessesmaybeused.

3.Somemaskdiscoloringmayoccur.

4.Considerusingadingtimerasa

remindertoremovethemaskfrom

disinfectanttoprolongitslife.

30

PSG

Secre

ts


MaskHeadstrap?

1.Washtheheadstrapdailywithwarm,

soapywatersuchasIvory�orbaby

shampoo.

2.Rinsethoroughly.

3.Airdry.

NOTE:Avoidvinegar,bleach,chlorineor

alcoholsolutions.Alsoavoidsolutions

containingmoisturizers,antibacterial

agentsorscentedoils.Theseproducts

mayreducethelifeoftheheadstrap.


PAPTubing?

1.Cleantubingwithasoftbristlebrush

whilesoakingindetergent.

2.Rinsethoroughly.

3.Soakinanortho-phthalaldehyde

solutionsuchasCidex®OPA.

4.Rinsethoroughly.

5.Airdry.

6.Storeinadry,dust-freeenvironment


pressureairflowsensor?

1.Cannulaisdisposable.Discardafter

singleuse.

2.Wipewiresetwithacleaningagent

thatisnon-corrosivetoplastic.


needed.


thermalairflowsensor?






needed.


bodypositionsensor?






needed.


piezo/RIPbelts?

1.Wipebuckleandwiresetwithalcohol

oracleaningagentthatisnon-corrosive

toplastic.

2.Beltstrapmaybewipedwithalcohol,

machinewashedonagentlecycle,or

soakedindisinfectingsolution.

NOTE:DonotwringoutRIPbelts,which

haveacoiledwiresewnintothem.


PAPHumidificationchamber?

1.Disassemblehumidifierchamberper

manufacturer’sinstructions.

2.Rinsechamberandbrushthoroughly

withasoftbrush.

3.Placehumidifiercomponentsonthe

automaticwasher/disinfectorrackina

mannerthatallowseachparttodrain.

4.Adddetergentandbeginthe

automaticwashercleaningcycle.

5.Visuallyinspectthehumidifier

chamber.Discardthechamberif

cracking,tearsorotherdeteriorationis

apparent.

6.Airdry.

7.Storeinadry,dust-freeenvironment.

Ifmanuallycleaning:

1.Disassemblehumidifierchamberper

manufacturer’sinstructions.

2.Rinsechamberandbrushthoroughly

withasoftbrushusingwarmwater.

3.Soakhumidifiercomponentsinan

ortho-phthalaldehydesolutionsuchas

Cidex®OPA.

4.Rinsethoroughly.

5.Visuallyinspectthehumidifier

chamber.Discardthechamberif

cracking,tearsorotherdeteriorationis

apparent.

6.Airdry.

7.Storeinadry,dust-freeenvironment.

31

Perso

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AneesCA.

BSc,MCA,DNT,ISSR-WSFCertifiedSleepTechnologist.

NeuroElectrophysiologist&SleepTechnologist

ComprehensiveSleepDisorderCenter

DeptofNeurology,

SreeChitraTirunalInstituteforMedicalScienceand

TechnologyTrivandrum.

WhydidyoudecidetobecomeSleep

Technologist?

IamaNeuroElectrophysiologistby

profession.Aspartofourtraining

program,wegotsometrainingonsleep

studiesandsleepdisorders.Sincethe

sleepmedicineandsleeplabswerevery

fewandnewlyestablishingatthetime,

thetrainedsleeptechnologistswere

highlydemandedandgotgoodcareer.

HenceIchoosethehospitalshaving

sleepmedicineandneurophysiology

labs.Theinitialexperienceinsleeplab

andsometrainingfromnationaland

internationalexpertsduringsleep

conferencesmadeitanexciting

profession.Thecurrentinstitute,thatI

amworkingandItrainedfromearlier,is

anationallevelresearchinstitute,

wherevariousSleepresearchprograms

areongoingwhichhelpstomakethis

professionmoreinteresting.

Whatisthemostchallengingaspectof

yourprofession?

Mostofthepatientscomingforsleep

studiesarenoteducatedaboutthesleep

disordersandtreatment.Majorityofthe

peoplearenotawarethatmostofthe

sleepdisorders,especiallyOSArelated

disordersarelifethreateningdiseaseor

disorder.Educatingthepatientabout

theseisachallenge,especiallyabout

CPAPtherapy.

CostoftheCPAPmachineisamain

factorfornon-acceptanceofthetherapy

forcommonpeopleinIndia

Whatarethecareeropportunitiesfor

sleeptechnologistsinIndia?

Trainedsleeptechnologistshavewide

opportunitiesinIndia,sincethereisa

largenoofsleeppatientcomparedto

thegoodsleeplabsinthecountry.

Whatisrequiredtoimprovethequality

ofsleeptechnologistsinIndia?

•Trainingprogramsarerequired

•FrequentCMEandworkshopcan

improvethequalityofcurrentlyworking

technologists

•Aqualitymonitoringbodyunderthe

supervisionofIndianSocietyforSleep

Researchisessentialtomaintainthe

qualityofsleeplabsandtechnologists

Doyouthinkstartinga1yrdiploma

programinsleeptechnologyinan

instituteofnationalimportancewill

benefitthesleeptechnologistsinIndia?

•Sure,adiplomalikeprograminsleep

technologyaremandatorytobecomea

qualifiedsleeptechnologist

•Inadditiontothecourse,establishinga

lawforlicenseofworkinsleeplabslike

ISSR-WSFcetifiedsleeptechnologist(CST)

examinationwillensurethequalityof

sleeptechnologists

ISSR Membership The Indian Society of Sleep Research (ISSR) works to protect sleep health and promote high quality patient care. These goals are dependent on the support of the professionals working in the field. Membership with the ISSR funds the activities executed for the benefit of all who practice sleep medicine or conduct sleep research. The ISSR works to improve sleep health through advocacy, education, and strategic research and practice standards. The Society will have Life members, Regular members and Corresponding members. In addition to membership the Life time members will receive subscription to-

1. Journal of Sleep and Biological Rhythm

2. “Sleep and Vigilance” Journal

3. Sleep Medicine Journal

4. ISSR News letter

5. ISSR Literature Updates

We encourage you to become member of ISSR and members to renew their membership so that we have your support in continuation of the field of Sleep Medicine. For more details on membership please visit www.issr.in

Professional Sleep Societies and Web links American Academy of Sleep Medicine (AASM)

www.aasmnet.org

American Association of Sleep Technologist (AAST) www.aastweb.org American Board of Sleep Medicine (ABSM) www.absm.org World Association of Sleep Medicine (WASM) www.wasmonline.org World Sleep Federation (WSF) www.worldsleepfederation.org European Sleep Research Society (ESRS) www.esrs.eu Australasian Sleep Association www.sleep.org.au Asian Sleep Research Society (ASRS) www.asrsonline.org Indian Sleep Disorder Association (ISDA) www.isda.co.in Indian Society of Sleep Research (ISSR) www.issr.in Board of Registered Polysomnography Technologists (BRPT)

www.brpt.org

World Sleep Society www.worldsleepsociety.org American Association of Physicians of Indian Origin-Sleep (AAPIOS)

www.weartweb.com/aapios/

Letter to the Editor: Dr. Tripat Deep Singh MBBS, MD (Physiology), RPSGT, RST International Sleep Specialist (World Sleep Federation Program)

Our readers are invited to write to the editor regarding their views on the published material and also to contribute interesting content or updates in the field. Email us on [email protected]

sleepwatching india 6 - issr · mr. awnish kunwar singh mr. jaibeer kumar to verify the names of...

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