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Speaker Spotlight: Sally Davidson-Ward, MD

Presentation: Pediatric Sleep Disorders: Their Presentations and Implications Dr. Davidson-Ward is currently the Head of the Division of Pediatric Pulmonology at Children’s Hospital Los Angeles and Associate Professor of Pediatrics at Keck Medical School of USC. Triple boarded in Pediatrics, Pediatric Pulmonology, and Sleep Medicine, Dr. Sally Ward also serves as the Medical Director for the CHLA Sleep Center. Dr. Ward earned her M.D. at the University of California, Irvine. She completed her internship and residency at Los Angeles County-University of Southern California Medical Center and her fellowship at Los Angeles County-University of Southern California Medical Center and Children’s Hospital Los Angeles. She has been feature in Super Doctors, Best Doctors, and Pasadena Top Doctors of 2012. Dr. Ward’s research focus is on sleep disordered breathing, control of breathing, obstructive sleep apnea syndrome, and sleep related breathing problems in obesity. Key clinical interests are sleep related breathing disorders, chronic respiratory failure, special needs children with pulmonary disorders, asthma, and chronic lung disease of infancy.

By | March 11th, 2013|News, News Ticker, Newsletter|0 Comments

Speaker Spotlight: Chirag Pandya, MD

Presentation: Pregnancy, Fetal Health, and Sleep Disorders Dr. Pandya is currently a fellow in Pulmonary and Critical Care Medicine at Wayne State University and Detroit Medical Center in Detroit, MI. He will join Sleep Medicine fellowship at Stanford University starting July 2010. He is a medical graduate from India and completed his internship and residency in Internal Medicine at Cleveland Clinic Health System in Cleveland, OH. He is board certified in Internal Medicine and Pulmonary Diseases. Throughout his residency and fellowship, he has been involved in research related to the field of Sleep Medicine. Dr. Pandya has publications to his credit. He has presented his research in oral as well as poster presentations at international meetings including American College of Chest Physicians (ACCP), American Thoracic Society (ATS) and Sleep conferences. His special interests include the relationship between medical disorders and sleep as well as positive airway pressure therapy in patients with obstructive sleep apnea. He plans to develop a career that involves research and education in sleep medicine along with clinical practice. Dr. Pandya enjoys singing, playing guitar, tennis and spending time with his family and friends. His wife Sima is a Podiatrist and they are proud parents of twins born in 2008.

By | March 11th, 2013|News, News Ticker, Newsletter|0 Comments

Speaker Spotlight: Ellen Crean, DDS, PhD

Presentation: Setting the Stage: Collaborative Care Networks Across the Disciplines Dr. Crean has spent over 25 years in the dental and medical community providing care to patients. Dr. Crean started her career in health care as a Registered Dental Hygienist holding a Masters Degree in Public Health. After earning her Dental Degree, Dr. Crean spent 10 years working in craniofacial pain and TMD. She also spent ample time with sleep patients as a partner in the Craniofacial Pain and Sleep Center of Arizona. While working with this special group of patients & practitioners it became apparent to Dr. Crean that the correlation between orofacial anatomy and sleep breathing disorders was an area that needed further research. This led her to pursue her second terminal degree, a PhD in neurobiology with an emphasis in sleep medicine. Combining dentistry, sleep medicine, and her unique paradigm to the field, Dr. Crean founded Sleep Alternatives, LLC. Sleep Alternatives partners with physicians, sleep technicians, respiratory therapists, and sleep labs to provide oral appliance therapy for patients suffering from sleep breathing disorders. This multidisciplinary approach to the treatment and management of sleep breathing disorders has helped Sleep Alternatives build 8 successful locations throughout Arizona and Utah. Dr. Crean is also a partner in Kosmo Technologies, LLC, Per4maxPlus, LLC, Triton Medical Solutions, LLC, and Focus Sleep, LLC, and she is the founder of Transformational Alliances, LLC. All of these companies have their foundation in enhancing the field of sleep medicine and dental sleep medicine, a dedication Dr. Crean has held throughout her career. Dr. Crean has taught nationally on oral appliance therapy for sleep breathing disorders. Her expertise focuses on the business, insurance and clinical aspects of oral appliance therapy. Her specialty [...]

By | March 11th, 2013|News, News Ticker, Newsletter|0 Comments

CPAP: linked to airway hyperresponsiveness and inflammation

Obstructive Sleep Apnea has been linked in the research to both upper and lower airway inflammation and systemic inflammation.  CPAP use may exacerbate these problems. Inflammation in the upper airway (pharyngeal area) plays a role in upper airway collapse (Caples, et al, 2005), and systematic inflammation found in Obstructive Sleep Apnea is tied to cardiovascular morbidity (Bergeron et al., 2005; Boisvert et al., 1998). CPAP may exacerbate these issues; CPAP’s use was found to be associated with the development of Airway Hyperresponsiveness, or AHR (Devouassoux et al., 2007). AHR is found in diseases like asthma or COPD and is characterized by an increased constrictive response, or simply, an increased tendency of the airway to constrict itself in response to environmental or physical stimuli (OByrne & Inman, 2003). CPAPs use has also been linked to inflammatory responses. In a recent study seeking to determine whether CPAP was pro-inflammatory in human subjects, AlAhmari (2012) and his team at the University College Medical School, London, studied both humans (in vivo) and their cells (in vitro).  It was found that CPAP results in dose-dependent release of cytokines. Cytokines recruit and activate immune cells, which establish inflammation in the body (Lynch et al, 2003). Conclusion: Obstructive Sleep Apnea is linked to upper and lower airway inflammation as well as systematic inflammation. Upper airway collapse and/or cardiovascular morbidity are connected to these inflammatory responses in the body. CPAP treatment used to treat Obstructive Sleep Apnea may add to these inflammatory responses. CPAP has been tied to Airway Hyperresponsiveness and release of cytokines, which activate immune cells and the body’s inflammatory response.

By | October 16th, 2012|News, News Ticker|0 Comments

AZ Chiropractic Association & the ACSDD

The ACSDD is proud to announce that we have forged a working relationship with the Arizona Chiropractic Association led by Dr. Alan Immerman. This is an exciting announcement as it further expands the reach of the ACSDD’s multidisciplinary education philosophy. I will be working with Dr. Immerman in inviting chiropractors to connect with dentists and vise versa in the treatment of OSA. Further we will explore cross-lecturing, connecting our websites, joint research, and other projects. As an important aside, we are pleased and honored to have Jeffrey Mersky, DC, as one of our distinguished lecturers at our October 19-20, 2012 conference at the Ritz Carlton in Phoenix, AZ.

By | July 13th, 2012|News, News Ticker|0 Comments

Sleep Apnea and Silent strokes: Breaking News!

According to research presented at the American Stroke Association's International Stroke Conference. Ninety-one percent (51 of 56) of the patients who had a stroke had sleep apnea and were more likely to have silent strokes and white matter lesions that increased risk of disability at hospital discharge. Check out the statement from the American Heart Association here.

By | February 3rd, 2012|News, News Ticker, Research|0 Comments

What is PCORI? Why should you care?

What is PCORI? PCORI stands for Patient Centered Outcomes Research Initiative. Put simply, PCORI is a private organization interested in what patients think about current treatment systems within U.S. healthcare and users' experience of that care. According to PCORI's mission, patients and their preferences should be at the center of care. PCORI does not seek to steer patients toward any one option, but instead wants to serve as a trusted source of information for patients and caregivers alike. You can check out the PCORI site here Dr. Joe Selby, the director of PCORI, describes PCORI's focus as one that concentrates on patient engagement and he asserts the value PCORI places on public feedback about systems of care and the care itself. Although central to the Initiative, the definition of "patient centered outcomes research" is in the process of being finalized, following a period of public comment from practitioners and patients across the country. PCORI seeks to work with practitioners and patients to provide patients and their caregivers answers to these questions: “Given my personal characteristics, conditions and preferences, what should I expect will happen to me?” “What are my options and what are the benefits and harms of those options?” “What can I do to improve the outcomes that are most important to me?” “How can the health care system improve my chances of achieving the outcomes I prefer?” Why should you care? Dentists practicing Dental Sleep Medicine are providing a treatment option that has been slowly and surely attracting more and more proponents. The evidence for Dental Sleep Medicine's success and high rates of patient acceptance and subsequent compliance is mounting. PCORI is an organization trying hard to hear patient voices and to create [...]

By | January 9th, 2012|News, News Ticker, Research|0 Comments

Setting the stage: 2006 Institute of Medicine Report

Institute of Medicine (IOM). (2006).  Sleep Disorders and Sleep Deprivation. Washington, D.C.:  National Academies Press Although the report was published in 2006, Sleep Disorders and Sleep Deprivation is a report of which the dental sleep medicine practitioner should be acutely aware. The report is available in hard copy and the PDF version is free to download from www.NAP.edu.  Just search for the report by its title. What does the Institute of Medicine say? The IOM's Sleep Disorders and Sleep Deprivation describes sleep loss and sleep disorders as “among the most common yet frequently overlooked and readily treatable health problems” (p. 56). The 425 page report recognizes the shortage of practitioners trained to identify and treat sleep breathing disorders, as well as the lack of funding by organizations such as the National Institutes of Health (NIH) and others to address what the literature is showing to be a continuum of diseases with increasing prevalence in the United States. Sadly, this lengthy examination of what the IOM calls an “unmet health problem” does not sufficiently explore the role and importance of the dental practitioner in identification and management of sleep breathing disorders. In their discussion of treatment options, the authors of the IOM report understand the research to demonstrate that patients are most effectively treated with CPAP and weight loss, but, they admit, “the problem is that many patients are non-compliant” (p. 75).  Dental appliances are called “less effective,” indicated only when a dental problem is “etiologically related” (p.303) and are given only a passing mention (exactly twice throughout the whole report). In its detailed recommendations, the IOM asserts the importance of support by the NIH, academe, and private foundations to develop an adequate workforce to address [...]

By | December 30th, 2011|News, News Ticker, Research|0 Comments

Doing “good science”: an ACSDD initiative

The Dental Sleep Medicine field continues to expand rapidly as increasing numbers of Dentists are becoming involved in the collaborative effort required to identify and manage sleep breathing disorders. As the field grows, so too does the complexity of each practitioner's needs.  The ACSDD is proud of its innovative continuing education and certification programs grounded in evidence-based clinical practice and current scientific research. However, as more of our member dentists expand their scope of practice to include Dental Sleep Medicine, we want to ensure that that our members are aware of not only what the research says but also what's happening policy-wise on a national and international level. The ACSDD's latest blog initiative, Good Science, is designed to keep our members up-to-date on the latest in Dental Sleep Medicine, specifically regarding the clinical research and scholarship dictating national and international healthcare policy that ultimately affects the Dental Sleep Medicine scope of practice. We recognize the need for quality research and education in Dental Sleep Medicine as well as an understanding of the national and international healthcare policy from which the research derives.  This is why we are very excited about Good Science and its value to our members.      

By | December 30th, 2011|News, News Ticker, Research|0 Comments

Read more about the ACSDD/BioRESEARCH Relationship

BioRESEARCH Associates, Inc., and the Academy of Clinical Sleep Disorders Disciplines:  Furthering the Art and Science of Dental Sleep Medicine, Temporomandibular Joint Disorder (TMD), and Craniofacial Pain by Finding Synergies The Academy of Clinical Sleep Disorders Disciplines (ACSDD) and BioRESEARCH Associates, Inc., are pleased to announce their relationship. The synergistic effort of these two organizations marks an important milestone in the continuing development and growth of the field of Dental Sleep Medicine, TMD, and Pain. Bio-RESEARCH Associates, Inc., develops and produces objective diagnostic aids for the TM Joint, craniofacial muscles, occlusion, jaw movement and position.  Joint Vibration AnalysisTM is used by dentists treating OSA and snoring to ensure they don’t exacerbate a subclinical TMJ issue with their snoring appliance.  Additionally, BioRESEARCH serves healthcare practitioners across the United States in both private and academic institutions and boasts a growing global network. The ACSDD brings to the BioRESEARCH dental network its multidisciplinary Academy model, world-class on-line training curriculum in Sleep, TMD, and Pain, its on-line Fellows and Diplomate certification processes, outstanding biannual conference series, and unbeatable member services. Mr. Nate Krey, Domestic  Sales Director for BioRESEARCH Associates, Inc., said, “This is an excellent opportunity for BioRESEARCH to partner with an organization that values objective diagnostics in craniofacial physiology.  Members may differ on their choice of treatment, but they all understand that a thorough diagnosis must come before treatment.” Greg Kamyszek, Executive Vice President of BioRESEARCH, said, “Our partnering with the ACSDD will benefit our clients worldwide.  With solid distribution in Brazil, Russia, India, and China, we have clients and universities worldwide that will benefit from the ACSDD Fellow and Diplomate highly rigorous credentialing programs.” ACSDD Founder and Executive Director, Dr. Michael J. Krahe, states,  “The ACSDD desires [...]

By | November 29th, 2011|News, News Ticker|0 Comments