Podcasts about aasm

Dr. Jocelyn Cheng of AASM say NO. We should stay on Standard time because there are too any health risks associated with losing an hour

In this episode, host Dr. Seema Khosla explores KPAP, a new PAP therapy innovation with Dr. David White, former AASM president, and Dr. William Noah, inventor of the V-com device. Learn about this new technology that promises to make positive airway pressure more comfortable while still remaining effective for sleep apnea patients. Discover the science behind KPAP, its potential advantages over traditional CPAP, and how it addresses issues like treatment-emergent central apneas and CO2 rebreathing. The discussion covers the device's development, clinical trial results, and implications for sleep apnea treatment, offering insights for clinicians and patients alike.

Meet Eric Olson, MD. Dr Olson is a pulmonologist, critical care specialist, and sleep specialist at the Mayo Clinic. He is also the newly elected President of the American Academy of Sleep Medicine. Listen in as the STT Crew talk to Dr Olson about his role in the AASM, his work at the Mayo Clinic, and his thoughts on sleep medicine in 2025. Also, learn what's "better together" during this discussion. There's a lot of exciting discussion in this episode; a lot to unpack, so listen up! https://www.mayoclinic.org/biographies/olson-eric-j-m-d/bio-20053858 https://foundation.aasm.org/about/board-of-directors/eric-j-olson/ A huge thanks to our sponsor: Medbridge Healthcare: For Job Opportunities with MedBridge Healthcare click here: https://medbridgehealthcare.com/careers/ Don't forget to Like, Share, Comment, and Subscribe! Learn more about the show at https://www.sleeptechtalk.com/thetechroom Credits: Audio/ Video: Diego R Mann; Music: Pierce G Mann Hosts: J. Emerson Kerr, Robert Miller, Gerald George Mannikarote Copyright: ⓒ 2025 SleepTech Talk Productions Episode 92 Sleep apnea, obstructive sleep apnea, oral sleep appliance, inspire, surgery, sleep surgery, CPAP

Sleep trackers - what are they good for? While they may give you an entertaining look at your sleep health, they can complicate treatment of sleep disorders. Our guest today, Dr. Diana Dolan, returns to P4P to provide a balanced view on consumer wearables and their impact on sleep assessment and treatment. Technology has evolved in the past few years, and so have our suggestions for how to work with patients who love their sleep trackers. How can we capitalize on our patients' enthusiasm for better sleep? Tune in to find out.Diana Dolan, Ph.D., CBSM, DBSM, is a clinical psychologist serving as an Associate Director of Training & Education with the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. She currently oversees programs that provide evidence-based training for military-connected patients on a variety of topics. She is certified in Behavioral Sleep Medicine by the American Board of Sleep Medicine. She is also a diplomate in Behavioral Sleep Medicine from the Board of Behavioral Sleep Medicine.Resources mentioned in this episode: de Zambotti, M., Goldstein, C., Cook, J., Menghini, L., Altini, M., Cheng, P., & Robillard, R. (2024). State of the science and recommendations for using wearable technology in sleep and circadian research. SLEEP 47: 1-31. https://doi.org/10.1093/sleep/zsad325Khosla S, Deak MC, Gault D, Goldstein CA, Hwang D, Kwon Y, O'Hearn D, Schutte-Rodin S, Yurcheshen M, Rosen IM, Kirsch DB, Chervin RD, Carden KA, Ramar K, Aurora RN, Kristo DA, Malhotra RK, Martin JL, Olson EJ, Rosen CL, Rowley JA; American Academy of Sleep Medicine Board of Directors. Consumer sleep technology: an American Academy of Sleep Medicine position statement. J Clin Sleep Med. 2018;14(5):877–880.CBT-I Coach app. Includes a sleep diary that may appeal to patients who prefer to use apps and other technology. https://mobile.va.gov/app/cbt-i-coach Calls-to-action: For example: Become familiar with the American Academy of Sleep Medicine's position on consumer wearables: “It is the position of the AASM that CST must be FDA cleared and rigorously tested against current gold standards if it is intended to render a diagnosis and/or treatment. Given the unknown potential of CST to measure sleep or assess for sleep disorders, these tools are not substitutes for medical evaluation. However, CSTs may be utilized to enhance the patient-clinician interaction when presented in the context of an appropriate clinical evaluation.”Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Send us your questions and feedback! Voicemail: speakpipe.com/cdpp4pEmail: cdp-podcast-ggg@usuhs.edu

Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, Andy Berkowski, MD, PhD, founder of Relax Health, sat down to discuss the American Academy of Sleep Medicine's (AASM) recently published guideline update for the treatment of restless legs syndrome (RLS). Berkowski, who serves as a vice chair of the AASM's Practice Guidelines Task Force, provided clinical insight on the reasons behind the guidelines, pointing to the vast research advances and literature updates since its last iteration in 2012. Additionally, he touched on the greatest changes to the guidelines, noting things like the shift away from dopaminergic agents, the importance of iron in RLS pathophysiology, and the use of alpha-2-delta ligands and intravenous iron as first-line treatments. Berkowski also shared thoughts on how the guidelines impact care for patients of all ages, sexes, and RLS subtypes, as well as some of the more troubling parts of the guidelines to write and areas that were left unanswered. Furthermore, he gave his thoughts on how these guidelines will transform care going forward, including accelerating conversations on preventing RLS in many cases in the near future. Looking for more epilepsy discussion? Check out the NeurologyLive® Sleep disorders clinical focus page. Episode Breakdown: 1:00 – Reasons behind new guidelines, progress in clinical research 2:50 – Overview of the greatest changes to the guidelines and what treating physicians should key in on 11:25 – Neurology News Minute 13:40 – How the guidelines address management based on age, sex, and RLS subtype 16:30 – Challenges when drafting the guidelines and the unanswered questions that remain 20:10 – A promising future for treating, managing, and preventing RLS The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: Neurogene Reports Serious Adverse Event in Phase 1/2 Rett Study of Gene Therapy NGN-401 Huntington Agent SAGE-718 to be Discontinued Following Disappointing Phase 2 DIMENSION Trial Results Alzheimer Agent Simufilam Fails to Meet Primary End Point in Phase 3 Study Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.

In this episode of Talking Sleep, Drs. John Winkelman and Andy Berkowski discuss the updated AASM clinical practice guideline for the treatment of restless legs syndrome and periodic limb movement disorder.

Dr. Karin Johnson of AASM explains that turning the clocks back is healthier than turning the clocks forward an hour, but each has health risks

Join me for a summary looking into the increasingly popular topic of paediatric obstructive sleep apnoea, a review of orthodontic treatments available, and how effective they are in this growing field of both medicine and dentistry. This episode is a summary of Alberto Capriglio's lecture from the AAO and Carlos Flores Mir's lecture at the IOF earlier this year.     OSA - Defined upper airway dysfunction causing complete or partial airway obstruction during sleep   Sleep = Slow wave sleep – constructive phase of sleep (recuperation of the mind) ·      Growth hormones secreted ·      Glial cells within brain restored ·      Cortical synapses increase in number – Moberget 2019   Outcomes to paediatric patients of SDB: (AASM) ·      delays in development,  Poor academic performance, Aggressive behaviour, attention- deficit/hyperactivity disorder, , emotional problems in adolescence   First line medical treatment – adenotonsillectomy  ·      40% residual  OSA       Effect palatal expansion 1.        Roof the mouth = base of the nose - Increase in nasal airway volume - Reduction in OSA, if obstruction in naso-pharynx, 2.        Short term reduction in OSA (not cure AASM) a.        20% improvement in AHI, 85% of cases Villa 2015 b.        15% got worse by 20% c.        57.5% residual AHI greater than 1 - not resolution 3.        Caprioglio 2019 long term AHI return to initial scores, from 7 to 5 long term 4.        Change in metabolism when combined with Vit D3 a.        Vit D3 with RME increases reduction in AHI, sustained long term, Caprioglio 2019 AHI 61.9% Vs 35.5% long term     Expansion other outcomes -  school performance  Bariani 2024 ·      AJODO – RME improves academic performance – o   BEHAVOUR 1 of 8 parameters improved only for academic performance  - change small 0.68 o   COGNITIVE 1 in 8 improve       Mandibular advancement Move mandible forwards and open space behind the tongue – oropharynx ·      Anatomical – increase size of oropharangeal airway ·      YAnyAn 2019 mandibular advancement for pOSA systematic review:  1.75 AHI reduction (CI) −2.07, −1.44) – modest change ·      However long term use required of the paediatric patient     Orofacial features in children with obstructive sleep apnea.  Fagundes Flores-Mir 2022 o   No craniofacial features specific to pOSA – ANB, o   However medical diagnosis through polysomnography may under-estimate incidence, o   Broader diagnosis such as snoring, may over-estimate OSA   AADSM 2024 – consensus statement ·      Expansion o   Prevention: No consensus o   Management: No consensus o   Cure: Insufficient ·      Mandibular advancement o   Prevention, management, cure – unclear   More about OSA? To hear more about OSA, please check out the last interview on orthodontics in interview with Sanjivan Kandasamy, where we had a deep dive into OSA and where we are in our understanding today from the research Interview with Sanjivan Kandasamy on OSA                          

The AASM is introducing a new service-based accreditation model and updated Standards for Accreditation, which will take effect in January 2025. Based on feedback from members and accredited programs, this accreditation model provides greater flexibility to accommodate all practice types, making it easier to manage, add, and remove accredited services. Changes to the Standards for Accreditation were also made to remove barriers and promote administrative and operational efficiencies in sleep practice management. In this episode, AASM Accreditation Committee Chair Dr. Fady Jamous and AASM Director of Accreditation Ray Anthonijsz help explain some upcoming changes to AASM accreditation programs.

Müstilistele ja vahel ka maistele teemadele pühendunud saates „Puuduta mind“ on seekord külas sertifitseeritud konstellöör Mari Aasmäe, kes on läbinud perekonstellatsioonide ja struktuursete konstellatsioonide väljaõppe. Lisaks ka trauma ja kaotusvaluga töötamise täiendusõppe. Uurime saates, kas konstellatsiooni ja selgeltnägemise vahele võib panna võrdusmärgi ning kas konstellööri abiga saab tõepoolest rahu majja, taskud raha täis ja leiab veel elu armastusegi , nagu juhtus ühega meie saatejuhtidest.

AI is popping up everywhere — when we open a PDF, use an AI scribe, or look something up with Chat GPT. We all interface with AI daily and may not even realize it. This can become very complex and somewhat mysterious. How can we use AI in a sleep medicine practice? Is it trustworthy? Will we all be replaced by AI someday? The AASM has an AI committee tasked with these questions. In this episode, we talk with committee members Dr. Margarita Oks and Matt Anastasi about a SWOT analysis on the use of AI-enabled technology in sleep medicine.

Get a behind-the-scenes look at the meticulous planning for RubyConf, where  Kinsey Durham Grace reveals exciting new initiatives aimed at making the conference more inclusive and accessible for developers of all skill levels. Learn about the importance of the early Call for Proposals (CFP) and the exciting RubyConf tracks planned for this year. As she details the structure of RubyConf, featuring three simultaneous tracks and a community-focused day, you'll see why this event is a must-attend for anyone in the Ruby community.Ever hit a roadblock while working on a project? Kinsey discusses common blockers at GitHub and how tools like Sorbet, AASM, and Packwork have transformed their workflow. With insights from experienced organizers like Spike from Rocky Mountain Ruby, you'll learn about the importance of having a playbook and support system in place. Finally, get inspired to submit your talk for upcoming conferences, leveraging coaching resources to ensure your proposals shine. Kinsey's enthusiasm and wealth of knowledge make this episode a treasure trove for anyone passionate about tech, community, and personal growth.Send us some love.HoneybadgerHoneybadger is an application health monitoring tool built by developers for developers.Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the Show.Ready to start your own podcast?This show is hosted on Buzzsprout and it's awesome, not to mention a Ruby on Rails application. Let Buzzsprout know we sent you and you'll get a $20 Amazon gift card if you sign up for a paid plan, and it helps support our show.

The Actiwatch is a popular actigraphy device that is no longer sold or supported by Philips. Its discontinuation coincided with the launch of the AASM's “Act on Actigraphy” campaign, which highlights the importance of actigraphy testing for sleep disorders and urges payers to reimburse health care professionals for this medical service. Dr. Paul Raymond, vice chair of the AASM Coding and Reimbursement Advisory Committee, discusses reimbursement for actigraphy, its clinical use, and current and future options for device selection.

In this episode, we delve into the fascinating world of time changes and their effects on our daily lives. We're joined by Dr. karin Johnson to explore the immediate aftermath of clock changes, discussing the short-term disruptions to sleep patterns, mood, and productivity that accompany the abrupt shift. Then, we get into the long-term consequences of living under different time systems: permanent daylight saving time versus standard time. We examine the impacts on health, safety, and energy consumption, considering both the physiological and societal implications.   About Dr. Karin Johnson Dr. Karin Johnson, MD, FAAN, FAASM is professor of Neurology at UMass Chan School of Medicine-Baystate and Medical Director of Baystate Health Regional Sleep Program in Springfield MA. She is vice president of Save Standard Time, a volunteer run nonprofit advocating for permanent standard time.  She is co-chair of the Coalition for Permanent Standard Time Coalition and a member of the AASM advocacy committee and sleep section chair of the American Academy of Neurology. She hosted the Science of Clock Change educational video series.   About Meghna Dassani Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep.   Connect with Dr. Meghna Dassani Website: https://www.meghnadassani.com Facebook: https://www.facebook.com/healthysleeprevolution Instagram: https://www.instagram.com/healthysleeprevolution/ Youtube: https://www.youtube.com/channel/UC9Lh_n7xmbhQVPGQrSjBIrw Get a copy of Airway is Life: https://www.airwayislife.com  

  Today on the Pediatric Sports Medicine Podcast we are going to tackle a topic that I would predict that all of us do not get enough of….and that's sleep. Sleep is a necessity for all of us but it can have a critical role in the life of an athlete in terms of injury and performance. We are going tackle sleep today… with the goal of keeping you engaged, awake, and interested.    Connect with The Host! Subscribe to This Podcast Now!          The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix!     Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today!   Links from this Episode: -- Dr. Mark Halstead: On the Web -- On X -- Dr. Raman Malhotra: On the Web -- On X  -- Washington University Sleep Medicine Center http://sleep.wustl.edu -- Resource on sleep disorders Sleepeducation.com -- School and sleep for kids School.sleepeducation.com -- Information on moving start times https://www.startschoollater.net/ -- CDC Information on Sleep https://www.cdc.gov/sleep/index.html -- Insight Timer Sleep App https://insighttimer.com/ -- Headspace app for Meditation https://www.headspace.com/ -- American Academy of Sleep Medicine https://aasm.org/ -- 2006 National Sleep Foundation Study https://www.sleepfoundation.org/professionals/sleep-americar-polls/2006-teens-and-sleep -- American Academy of Pediatrics 2014 Technical Report on Sleep https://pediatrics.aappublications.org/content/pediatrics/early/2014/08/19/peds.2014-1696.full.pdf -- AASM 2017 Delaying School Start Times Statement https://jcsm.aasm.org/doi/10.5664/jcsm.6558 -- Stanford Basketball Player Study https://pubmed.ncbi.nlm.nih.gov/21731144/   Timestamps from this Episode: 00:00 Podcast highlights sleep's impact on athletes' performance. 06:09 Later school start times benefit high schoolers. 06:57 Later bedtime for older students benefits school performance. 12:31 Connect with our pediatric sports medicine audience for benefits. 15:12 Athletes should use sleep aids cautiously. Over-the-counter and prescription options should be used judiciously to avoid feeling groggy or sleepy the next day. Melatonin is a reasonable starting point, while sedating antidepressants could be considered as well. 18:31 Extended sleep can safely enhance athlete performance. 22:23 Computerized testing in athletes mirrors sleep clinic. 25:01 Using electronic devices before bed can affect sleep, altering the internal clock and suppressing the release of melatonin. The type of content consumed before bed can also impact sleep, potentially causing anxiety or other negative emotions. 26:52 Devices are helpful in reminding patients to prioritize sleep by providing a gauge of their sleep patterns. While not as detailed as medical sleep studies, they are relatively accurate in assessing whether a person is getting enough sleep. However, their accuracy may be limited when it comes to determining the quality of sleep.   Calls to the Audience Inside this Episode: -- Be sure to interact with the host, send detailed feedback via our customized form and connect via ALL of our social media platforms! Do that over here now! -- Interested in being a guest inside The Pediatric Sports Medicine Podcast with Dr. Mark?

According to the Academy of Sleep Medicine (AASM), the Sleep Research Society (SRS), and the National Sleep Foundation (NSF), adults should regularly sleep at least 7 hours a night to promote optimal health. However, over one-quarter of adults do not meet this recommendation. (Oops, me included!) AASM states that about 30% of adults have insomnia symptoms, and about 10% of adults have insomnia that is severe enough to cause daytime repercussions. What is it about sleep that it's so important to have? What is the parameter of good and quality sleep? What are the health risks of not sleeping enough? In this episode, we tackle it all: sleep, dreams, the sleep cycle, sleeping pills, sleep disorders, and so much more!We are joined today by Dr. Meredith Broderick, a triple-board certified sleep neurologist and the Founder of Sound Sleep Guru, a boutique sleep telehealth service focused on discovering the root of individualized sleep problems. She received her BA in Chemistry from The Ohio State University as Summa Cum Laude​, MD from The Ohio State University College of Medicine, Neurology Residency at the University Hospitals of Cleveland, and Sleep Disorders and Behavioral Sleep Medicine Fellowship at Stanford University. Dr. Broderick is on the Medical Advisory Board of Ozlo Sleepbuds®, wireless biometric sensors to help optimize the sleeping experience. She has been the Assistant Professor of Neurology at Case Western Reserve School of Medicine, the Sleep Lab Director at Alaska Neurology Center, and the Medical Director at several sleep centers in Seattle, Washington.Livestream Air Date: June 28, 2023Follow Meredith Broderick, MD: InstagramFollow Friends of Franz Podcast: Website, Instagram, FacebookFollow Christian Franz Bulacan (Host): Instagram, YouTubeThankful to the season's brand partners: Covry, House of M Beauty, Nguyen Coffee Supply, V Coterie, Skin By Anthos, Halmi, By Dr Mom, LOUPN, Baisun Candle Co., RĒJINS, Twrl Milk Tea, 1587 Sneakers

Dr. Anita Shelgicar of AASM, and a Neurology Professor at the U of M says it's absolutely time to keep us on Standard Time as "Spring Forward" can be very bad for us

Ngày 16/01/2024, tổng thống Pháp Emmanuel  thông báo giao thêm 40 tên lửa hành trình địa đối không Scalp và 500 quả bom dẫn đường AASM cho Ukraina. Hai ngày sau, ngày 18/01, bộ trưởng Quân Lực Pháp Sebastien Lecornu chính thức ra mắt « liên minh pháo binh », nhằm tài trợ và cung cấp 78 khẩu đại bác Caesar cho Ukraina trong năm 2024. Liệu Paris có đủ phương tiện để thực hiện các cam kết vào lúc khả năng sản xuất vũ khí của Pháp thấp hơn rất nhiều so với nhu cầu của Ukraina ?   Những thông báo này được đưa ra vào lúc một báo cáo của Ủy ban Đối ngoại và Quốc phòng Thượng Viện Pháp, được công bố ngày 17/01, kêu gọi nước Pháp tăng tốc càng nhanh càng tốt hậu thuẫn quân sự cho Ukraina. Chủ tịch ủy ban Cedric Perrin cùng với ba thượng nghị sĩ khác, sau chuyến thăm Kiev hồi cuối tháng 12/2023, đã lấy làm tiếc là hậu thuẫn của phương Tây dành cho Ukraina đã suy giảm mạnh.Báo cáo của Thượng Viện Pháp nêu rõ : « Trợ giúp của phương Tây đang hụt hơi và tình hình ở Ukraina ngày càng trở nên phức tạp. Trong giai đoạn tháng 5 đến 12/2023, Nga vẫn chiếm ưu thế. Quân số Nga trên mặt trận dường như đã được tăng thêm 20% và số lượng xe tăng, khẩu đại pháo tăng 60% ».Bốn thượng nghị sĩ Pháp cảnh báo : « Nga rất có thể mở lại chiến dịch trên bộ quy mô lớn trước thềm bầu cử tổng thống Mỹ. Một cuộc tấn công mới của Nga nhắm vào Kiev là không thể loại trừ trong trung hạn nếu nguồn hậu thuẫn của phương Tây bị thất bại ».Pháp : Nhà hảo tâm xếp thứ 15 ?Theo số liệu chính thức, tính từ đầu cuộc xung đột, Paris đã giao cho Kiev nhiều trăm đơn vị, đủ loại vũ khí, từ đại bác Caesar, pháo kéo TRF1, hệ thống pháo phản lực đơn nòng (LRU), nhiều loại xe bọc thép, rồi còn có tên lửa hành trình không đối địa Scalp, các loại hệ thống phòng không SAMP/T và Crotal NG, hệ thống radar Ground Master 200, tên lửa Mistral, Milan và Akeron MP, cũng như drone trinh sát, nhiều thiết bị thăm dò phát hiện tấn công mạng hiệu quả…Dù vậy, Pháp chỉ là nhà hảo tâm xếp thứ 15 về trợ giúp quân sự cho Kiev. Báo cáo mang tên Ukraine Support Tracker do Viện Kiel, một trung tâm nghiên cứu của Đức, công bố gần đây, cho thấy đến cuối tháng 10/2023, nguồn hậu thuẫn của Paris được ước tính ở mức 500 triệu euro, thua xa Mỹ (43, 9 tỷ), Đức (17,1 tỷ), Vương Quốc Anh (6,6 tỷ), Na Uy (3,6 tỷ) và Đan Mạch (3,5 tỷ). Pháp thậm chí còn bị Slovakia, Cộng hòa Séc và Litva qua mặt trong bảng tổng sắp.Phương pháp thống kê này của Viện Kiel đã bị Pháp phản đối, cho là chỉ tính đến những cam kết đóng góp mà không xét đến thực tế đã giao. Bộ trưởng Quân Lực Pháp, khi trả lời phỏng vấn đài phát thanh France Inter ngày 18/01, chỉ trích bảng xếp hạng này là không đáng tin cậy, khi « trộn lẫn bắp cải và cà rốt », và « chỉ dựa trên các tuyên bố ».Nhưng Paris cũng chưa bao giờ đưa ra được những con số thay thế khả tín, trang mạng Challenges lưu ý. Một báo cáo do Quốc Hội Pháp công bố hồi tháng 11/2023 đưa ra con số 3,2 tỷ euro viện trợ quân sự dành cho Ukraina, nhưng phương pháp thống kê này cũng có thể gây tranh cãi, nếu không muốn nói là mù mờ.Bất kể ra sao, nguồn hậu thuẫn này của Pháp rõ ràng là chưa đủ. Báo cáo của các nghị sĩ đánh giá, « việc chuyển qua nền kinh tế chiến tranh, như yêu cầu, đã không diễn ra ». Thượng nghị sĩ Cedric Perrin còn cho rằng cụm từ « kinh tế chiến tranh » mà tổng thống Macron sử dụng là không phù hợp. Trên kênh truyền hình Public Senat, chủ tịch Ủy ban Đối ngoại và Quốc phòng Thượng Viện Pháp giải thích :« Trong một nền kinh tế chiến tranh giống như trong nền kinh tế mà chúng ta không may đã trải qua sau Đệ Nhị Thế Chiến, ngân sách dành cho quốc phòng chiếm đến 28% của GDP. Tỷ lệ này là 5% trong những năm 1960 và hiện nay gần như chưa tới 2%. Đó là thời kỳ mà  người ta trưng dụng vật tư, trưng dụng nhân lực và trưng dụng nhà xưởng. Hiện chúng ta chưa rơi vào trong tình trạng đó. Một nền kinh tế chiến tranh nghĩa là phải có phương tiện để sản xuất nhanh hơn, sản xuất nhiều hơn. Nước Pháp hiện không trong tình trạng chiến tranh. Do vậy, theo tôi, khi nói  chúng ta đang trong nền kinh tế chiến tranh, thì tuyên bố này chỉ mang tính chất truyền thông ! »Nòng pháo Caesar : Điểm hạn chế của Pháp ?Liệu Pháp có khả năng tăng thêm mức viện trợ quân sự cho Kiev như thông báo ? Cũng trên đài France Inter, bộ trưởng Quân Lực Sebastien Lecornu nêu rõ chi tiết cách thức chi viện 78 khẩu đại bác Caesar cho Ukraina trong khuôn khổ « liên minh pháo binh »: Sáu khẩu đầu tiên do Ukraina chi trả sẽ được giao trong những tuần sắp tới, 12 khẩu tiếp theo là do Pháp tài trợ với tổng trị giá là 50 triệu euro và 60 chiếc còn lại sẽ do các nước khác đóng góp. Vậy những nước nào sẽ gánh vác phần còn lại đó ? Đây vẫn là một câu hỏi lớn.Giới quan sát cũng tỏ ra hoài nghi về khả năng thực hiện cam kết của Paris. Lãnh đạo bộ quốc phòng Pháp khẳng định, hãng Nexter có thể sản xuất 72 khẩu đại bác đó trong năm nay cho Ukraina. Theo phóng sự của kênh truyền hình quốc tế Pháp France 24, lãnh đạo Nexter cho biết hiện tại hãng này có thể cung cấp 6 khẩu đại bác mỗi tháng. Con số này sẽ tăng lên thành 8 trong năm 2024.Mức tăng đó có được là nhờ vào những khoản đầu tư được dự trù trước khi có xung đột. Ông Stephane Ferandon, phụ trách bộ phận sản xuất nòng pháo của hãng ở vùng Bourges, cho biết, trong tương lai, những cỗ máy mới của Nexter còn có thể sản xuất các loại nòng đại bác dài 12 mét, calip 62 thay vì nòng 155 ly, dài 9 mét, calip 52 như hiện nay.Tuy nhiên, trên làn sóng Sud Radio, Jean-Baptiste Noé tổng biên tập trang mạng Conflit, chuyên về địa chính trị, lưu ý thêm một chi tiết :« Rắc rối của đại bác Caesar là ở nòng pháo. Loại đại bác này phải được sử dụng tương đối ít, nhưng trong cuộc chiến tranh này, chúng được sử dụng quá mức, điều đó có nghĩa là nòng pháo bị hao mòn rất nhanh. Vì vậy, chúng phải được thay thường xuyên, tốn nhiều tiền hơn, kim loại sử dụng để sản xuất cũng hiếm. Thế nên, rủi ro ở đây là dù có đại bác Caesar, nhưng nếu bị sử dụng quá nhiều, chúng sẽ trở nên không sử dụng được. »Pháo 155 ly : Cung không đáp ứng đủ cầuBên cạnh việc cung cấp đại bác, Pháp cũng thông báo chi viện đạn 155 ly cho Ukraina. Trang mạng Challenges ngày 18/01/2024 nhắc lại một báo cáo khác của Thượng Viện công bố hồi tháng 11/2023 do hai thượng nghị sĩ Hugues Saury và Hélène Conway-Mouret đồng ký tên, từng nhận định trong năm 2024, việc cung cấp đạn pháo 155 ly do Pháp sản xuất phải đạt mức 20 ngàn quả.Nhưng sản lượng này chỉ đủ để Ukraina tiêu thụ trong vòng từ 3-4 ngày chiến sự. Trong báo cáo mới nhất của bốn thượng nghị sĩ Pháp, mỗi ngày Ukraina sử dụng từ 5-8 ngàn quả đạn pháo, phía Nga là từ 10-15 ngàn. Ngay cả khi Pháp có tăng sản lượng từ 2.000 quả đạn pháo lên thành 3.000 mỗi ngày như thông báo của bộ trưởng Quân Lực Pháp, thì con số này chỉ tương ứng với hai ngày chiến sự bên phía Nga.  Giải thích với kênh truyền hình France 24, Anthony Cesbron, phó giám đốc nhà máy Forges de Tarbes, xưởng vũ khí duy nhất nằm ở tây nam nước Pháp có thể sản xuất loại pháo đại bác 155 ly, cho biết hãng có kế hoạch tăng gấp ba sản lượng, đi từ 55 ngàn quả pháo trong năm 2024 lên thành 160 ngàn từ đây đến năm 2026. Nhưng điều này đòi hỏi phải gia tăng nhân sự.« Một trong những khó khăn của chúng tôi là tuyển dụng được những người có trình độ. Chúng tôi không tìm được người và hầu hết các vị trí ở hãng chúng tôi, quá trình đào tạo kéo dài từ sáu tháng đến một năm. Điều này có nghĩa là chúng tôi buộc phải có kế hoạch trước. »Xung đột ở Ukraina đã làm lộ rõ những điểm yếu của phương Tây về sản xuất vũ khí đạn dược. Chiến tranh lạnh kết thúc, bức tường Berlin sụp đổ, cỗ máy công nghiệp quốc phòng của Pháp giảm mạnh nhịp độ hoạt động. Giờ mục tiêu đặt ra là nâng cao trở lại nguồn dự trữ và khuyến khích các ngành công nghiệp quốc phòng sản xuất nhiều hơn, nhanh hơn.Nhưng mong mỏi này không thể thực hiện trong một sớm một chiều, theo như giải thích của Renaud Bellais, đồng giám đốc Đài Quan sát Quốc phòng ORION với kênh truyền hình France 24 :« Chúng ta gần với sản xuất thủ công hơn là đại trà. Chúng ta đang sống trong một thời đại mà ở họ có cảm giác rằng tất cả mọi thứ đều có thể là tức thì. Người ta có thể được cung cấp hàng hóa một cách cực kỳ nhanh chóng. Thế giới kỹ thuật số là một thế giới của tốc độ, nhưng họ cũng chợt nhận ra rằng trong thế giới cụ thể, việc chế tạo một cỗ máy đòi hỏi nhiều thời gian. Bất kỳ hoạt động công nghiệp nào đều phải được chuẩn bị, ngay cả khi chúng ta tăng mức sản xuất xe ô tô trong lĩnh vực dân dụng hay nơi khác thì cũng phải lên kế hoạch cho nhiều năm. »Điểm yếu nhưng cũng là thế mạnh của PhápTrước nhu cầu lớn từ phía Ukraina, trước sự cấp thiết tái lập lại kho dự trữ của quân đội Pháp và trước những hạn chế của ngành công nghiệp quốc phòng hiện nay, báo cáo của các thượng nghị sĩ đề nghị Pháp « tăng tốc sản xuất vũ khí tại Ukraina cùng với doanh nghiệp Pháp », như trường hợp nòng đại bác Caesar chẳng hạn.Nhu cầu của Ukraina là rất rõ ràng : Từ đại bác Caesar, cùng với đạn pháo và các loại nòng pháo thay thế, pháo 155 ly, tên lửa hành trình Scalp, vốn đã chứng tỏ tính hiệu quả khi phá hủy tầu ngầm, tầu chiến và tầu đổ bộ của Nga tại bán đảo Crimée, cho đến các loại bom dẫn đường AASM Hammer, hệ thống phòng không SAMP/T và Crotale và tên lửa tầm ngắn Mistral…Tuy nhiên, các báo cáo viên lại không đề cập đến tiêm kích Mirage 2000 của Pháp. Loại chiến đấu cơ, phiên bản Mirage 2000D (dành để yểm trợ tấn công trên bộ), do hãng Dassault sản xuất, đã được lãnh đạo không quân Ukraina Mykola Oleshchuk ngày 14/01 nhắc đến trên mạng Telegram. « Nếu có thể, năng lực oanh tạc cơ Su-24M cũng nên được tăng cường bằng Mirage 2000D và máy bay tấn công Su-25 bằng chiếc A-10 Thunderbolt II (Thần sấm II của Mỹ). »Cuộc đua sản xuất vũ khí đã được khởi động. Mục tiêu là làm sao đáp ứng cùng lúc nhu cầu to lớn của Ukraina và nhu cầu thiết yếu cho quân đội Pháp. Nếu chiến tranh Ukraina đã phơi bày những hạn chế công nghiệp quốc phòng phương Tây nói chung và Pháp nói riêng, thì điều an ủi là, cuộc xung đột này khẳng định rõ tầm nhìn đúng đắn của Pháp từ nhiều thập niên qua : Quyết tâm duy trì thế mạnh công nghiệp bất chấp chiến tranh lạnh kết thúc.Điều này giải thích vì sao Pháp vẫn có thể đáp ứng mức cầu tăng, dù là hạn chế, theo như nhận xét của Renaud Bellais với France 24 : « Tại Pháp, chúng ta vẫn có khái niệm về tự chủ chiến lược. Quả thật, chúng ta cố gắng có toàn bộ mọi lĩnh vực. Vì vậy, chúng ta đã chọn giữ lại hầu hết các năng lực bởi vì chúng ta muốn có thể tự mình phát triển chúng, sản xuất chúng tại Pháp và đôi khi với các đối tác. Và vì vậy, chúng ta đã chọn giảm toàn bộ các hoạt động sản xuất xuống mức tối thiểu thay vì hy sinh các ngành sản xuất này. »(Theo Challenges, France 24, Sud Radio, France Inter)

Cameron Diaz thinks people “should normalize separate bedrooms” for couples. Turns out, the actress isn't alone. In a perfect world, Diaz said she'd have it this way: “I have my house, you have yours. We have the family house in the middle. I will go and sleep in my room. You go sleep in your room.” What is sleep divorce?Whether it's due to snoring, tossing and turning or stealing the covers, a study published in July found that over a third of Americans agree with Diaz when it comes to so-called “sleep divorces.”The American Academy of Sleep Medicine survey shows that more than one-third of people say they occasionally or consistently sleep in another room to accommodate their partner.45% of men reported they occasionally or consistently sleep in a different room, compared with just 25% of women.“Although the term ‘sleep divorce' seems harsh, it really just means that people are prioritizing sleep and moving into a separate room at night when needed,” Dr. Seema Khosla, pulmonologist and spokesperson for the AASM, said in a news release. --- Support this podcast: https://podcasters.spotify.com/pod/show/thecoffeebreakup/support

The AASM released an update to the scoring manual earlier this year. Some of the changes were minor and others more significant. Adhering to the AASM scoring manual is a mandate of accreditation. Dr. Matt Troester, Dr. Alcibiades Rodriguez and Dr. Rich Berry are here to review these changes and highlight the most clinically pertinent information from the latest iteration of the scoring manual version 3.

Dr. Anne-Marie Morse of the AASM discusses the increased health benefits to "Fall Back" and keep us on Standard Time

A few years ago, the AASM held a competition challenging us to reimagine sleep care. The Mobile Sleep Lab was a model that was submitted as a contender in this challenge. Here to tell us more about this are Dr. Mark Boulos, Dr. Luqi Chi and Dr. Oleg Chernyshev.

The SleepTech Talk crew talks to Joe Anderson this week. Joe is an OG in sleep, with the original Sleep Tech Podcast. Joe has such a full resume that it is hard to put it all down here. He's currently the Director of Business Development and Education for Priority Health Education and the Clinical Manager for Sleep, EEG, Wound Care, and Hyperbaric Medicine at Sovah Health. He is also a former committee member of the AASM and the BRPT. Listen in as Joe tells us about his journey into sleep healthcare. And listen closely as he gives listeners a priority one discount on CEUs! Don't forget to Like, Share, and Subscribe!  Credits: Audio/ Video: Diego R Mann; Music: Pierce G Mann  Hosts: J. Emerson Kerr, Robert Miller, Gerald George Mannikarote  Copyright: ⓒ 2023 SleepTech Talk Productions

The AASM recently released a new clinical practice guideline which provides necessary recommendations for adults with REM Sleep Behavior disorder. The guideline provides clinicians with insight on how best to prevent sleep-related injury and how to provide patients with a risk assessment for neurological disease. Here to tell us more about this is Dr. Michael Howell.    

David E McCarty MD FAASM attended medical school at Duke University, and completed an internship and residency in Internal Medicine in Boston, at Massachusetts General Hospital. He began his career practising primary care, but after a handful of years in practice, he followed his own white rabbit into a whole new world called Sleep Medicine. Dr McCarty learned the art from the great Dr Andrew Chesson (world-class physician, and past president of the AASM). While at LSU, Dr McCarty won some teaching awards, published a few papers, and it's also where he developed the Five Finger Approach, which has remained the cornerstone of his teaching about patient-centred problem-solving, to this day, and is featured as the pinnacle for orienteering around the Isle. In addition to patient care and academic endeavours, Dr McCarty has had plenty of experience as a public speaker at regional and national meetings throughout his career.He retired from the practice of clinical medicine in 2021, to devote his energy to patient education.   ----    Shownotes are available at Dr Dave McCarty: Why You Need an Empowered Approach to Sleep and Insomnia   ----    Join the Unstress Health Community & Transform Your Life! https://bit.ly/3SRq0gg    Connect with Dr Ron at Unstress Health  Instagram: https://www.instagram.com/unstresshealth/  Facebook: https://fb.me/unstresshealth  Email: admin@unstresshealth.com   DISCLAIMER: This podcast provides general information and discussion about medicine, health and related subjects. This content is not intended and should not be construed as medical advice or as a substitute for care by a qualified medical practitioner. If you or any other person has a medical concern, he or she should consult with an appropriately qualified medical practitioner. Guests who speak in this podcast express their own opinions, experiences and conclusions. See omnystudio.com/listener for privacy information.

In today's episode of Talking Sleep, we discuss the use of melatonin in both children and adults. Our guests Dr. Abby Strang and Dr. Gautam Ganguly, talk about the AASM's recent health advisory for the appropriate use of melatonin in children and the importance of understanding how melatonin works. Listen now

Have you tried all the tips and hacks on Youtube to get rid of your chronic fatigue, with only some results? Are you too tired to focus on your work or to be present for your family members?  In this video, I'll reveal one condition that almost no one on this platform talks about, not even the experts. Stick to the end, and I'll give you 5 simple tips to finally have the energy to be more productive at work, school, or to enjoy life again. ✅ Timeline 00:00  Introduction 01:09   Common YouTube recommendations 02:32   The problem with sleep apnea 04:57   Coverage criteria for mild sleep apnea 05:25   Upper airway resistance syndrome (UARS) 06:04   Sleep endoscopy in UARS 07:15    Smaller jaws, smaller airways 08:04.  Five simple tips to get you started 08:09   1. Shut your mouth and breathe through your nose 09:08   2. Avoid eating or snacking within 3-4 hours of bedtime 09:36   3. Find your best sleep position 09:28   4. Avoid all screens before bedtime 09:49   5. Prioritize your sleep length 10:04    Energize Your Day Starter Guide PDF 10:44   90-Day Sleep Diet Course ✅ LINKS MENTIONED Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women.  AASM clarifies hypopnea scoring criteria.  Why Zebras Don't Get Ulcers by Robert Sapolsky.  Sleep, Interrupted: A Physician Reveals The #1 Reason Why So Many Of Us Are Sick And Tired.  7 Long-Lasting Ways to Clear Your Stuffy Nose – ENT Doctor Approved.  Should You Tape Your Mouth For Better Sleep?  Energize Your Day Starter Guide. The 90 Day Sleep Diet. Lose Weight Naturally Without Cardio Or Calorie Counting.  ✅ PRODUCTS & SERVICES How you can lose weight naturally without cardio or counting calories. Dr. Park's The 90-Day Sleep Diet.  Want to un-stuff your stuffy nose? Read the e-book, How to Un-stuff Your Stuffy Nose: Breathe Better, Lose Weight, Sleep Great (PDF)  Your Health Transformation Workbook: Refresh, Restore, & Rejuvenate Your Life (online format)  Want to have more energy, sleep better, have less pain, and enjoy living again? Reserve a Virtual Coaching session today with Dr. Park  ✅ CONNECT WITH DR. PARK DoctorStevenPark.com doctorpark@doctorstevenpark.com For inquiries about interviews or presentations, please contact Dr. Park through his website at doctorstevenpark.com. ✅ DISCLAIMER This video is for general educational and informational purposes only. It is not to be taken as a substitute for professional medical advice, diagnosis, or treatment. Please consult with your doctor first before making any changes to your health, exercise, nutrition, or dietary regimen. Certain product links above will take you to Amazon.com. If you then go on to buy the product, Amazon will provide me with a small commission, which will not cost you anything.      

Jennifer L. Martin, PhD, became president of the American Academy of Sleep Medicine (AASM) board of directors on June 6, 2022. She speaks with Sleep Review about the challenges faced by people with insomnia disorder in accessing cognitive behavioral therapy for insomnia (CBT-I) and pharmaceuticals to treat the sleep disorder, as well as posits several solutions. Sree Roy of Sleep Review and Martin discuss:-What is a psychologist's role in sleep medicine?-How is the AASM collaborating with other stakeholders to identify and prioritize strategies to increase access to high-quality care for insomnia disorder?-How can sleep medicine overcome reimbursement challenges when it comes to insomnia?-Other goals for her 1-year AASM presidency term

Jennifer L. Martin, PhD, became president of the American Academy of Sleep Medicine (AASM) board of directors on June 6, 2022. She speaks with Sleep Review about the challenges faced by people with insomnia disorder in accessing cognitive behavioral therapy for insomnia (CBT-I) and pharmaceuticals to treat the sleep disorder, as well as posits several solutions. Sree Roy of Sleep Review and Martin discuss: -What is a psychologist's role in sleep medicine?-How is the AASM collaborating with other stakeholders to identify and prioritize strategies to increase access to high-quality care for insomnia disorder?-How can sleep medicine overcome reimbursement challenges when it comes to insomnia?-Other goals for her 1-year AASM presidency term

In today's episode of Talking Sleep, we discuss safe and effective CPAP use in pediatric patients with obstructive sleep apnea. Drs. Louella Amos and Robin Lloyd join us to share information about the AASM's recent position statement on age and weight requirements for PAP therapy in pediatric patients and the importance of appropriate management of younger, smaller children.

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Today's episode of Athletes Authority ON AIR is episode 99 with co-hosts Lachlan Wilmot and Jordi Taylor. Today's episode we announce Athletes Authority Sports Management - a new and exciting vertical to Athletes Authority Group. We are also joined by Kiff Chowdhury, Director of Sports Management.  In this episode, we discuss the background and process in establishing AASM, touch on Kif's background and experience, how we plan to enter the sports management market, some of the key differences and benefits that we plan to provide signed athletes, how AASM fits into the AA ecosystem, where we drew our inspiration and ideas to bring a US feel to the Australian management scene plus a whole lot more! This episode has plenty of incredible insights for athletes, coaches wanting a unique insight into the growing evolution of what is Athletes Authority.  Find out more about Athletes Authority Sports Management here: Instagram: @athleteauthoritysports Website: https://athletesauthority.com.au/sports-management/ LinkedIn: Athletes Authority Sports Management    Enjoy, and let us know what you think!  Instagram: @athletesauthority See more of what we do: https://athletesauthority.com.au   See omnystudio.com/listener for privacy information.

Today's episode of Athletes Authority ON AIR is episode 99 with co-hosts Lachlan Wilmot and Jordi Taylor. Today's episode we announce Athletes Authority Sports Management - a new and exciting vertical to Athletes Authority Group. We are also joined by Kiff Chowdhury, Director of Sports Management.  In this episode, we discuss the background and process in establishing AASM, touch on Kif's background and experience, how we plan to enter the sports management market, some of the key differences and benefits that we plan to provide signed athletes, how AASM fits into the AA ecosystem, where we drew our inspiration and ideas to bring a US feel to the Australian management scene plus a whole lot more! This episode has plenty of incredible insights for athletes, coaches wanting a unique insight into the growing evolution of what is Athletes Authority.  Find out more about Athletes Authority Sports Management here: Instagram: @athleteauthoritysports Website: https://athletesauthority.com.au/sports-management/ LinkedIn: Athletes Authority Sports Management    Enjoy, and let us know what you think!  Instagram: @athletesauthority See more of what we do: https://athletesauthority.com.au   See omnystudio.com/listener for privacy information.

In this episode of Talking Sleep, we highlight what to expect if your sleep practice is selected for a Medicare audit. AASM Coding and Compliance Committee Vice Chair Dr. Gabriela de Bruin discusses what auditors are often looking for, how to be prepared for an audit, the benefits of implementing a compliance program, and AASM resources available to help you.

In this months episode we discuss narcolepsy with Matthew Horsnell. Matt is a narcolepsy patient and advocate, and we discuss his journey of living with narcolepsy. SHOW NOTES Introduction of Guest: (5:00) Matt’s Best Advice (11:00) Matt’s Role in the sleep community (12:40) Matt’s symptoms onset (15:00) Matt’s additional symptoms (19:00) Matt’s onset of cataplexy (23:00) Cataplexy triggers (24:45) Delayed diagnosis: (27:00) Nightmares and sleep paralysis onset (31:30) One more question about sleep paralysis (34:15) Partial cataplexy (37:50) Diagnosis and Management: (39:00) Pitolisant (43:45) Strategic Napping (44:15) Bitter Pills (45:15) AASM revised Guidelines (47:22) Sodium Oxybate and Cataplexy (49:00) Finding a sleep physician to manage narcolepsy (55:00) Sleep apnea (60:30) MSLT (62:15) Treat Clinically (65:00) 4 pillars of management (66:00) Patient request/feedback (68:00) Academic vs private practice (71:30) Links to articles and guidelines referenced in this episode are included Trotti LM. Central Disorders of Hypersomnolence. Continuum (Minneap Minn). 2020 Aug;26(4):890-907. Treatment of central disorders of hypersomnolence: an American Academy of Sleep Medicine clinical practice guideline

In this months episode we discuss narcolepsy with Matthew Horsnell. Matt is a narcolepsy patient and advocate, and we discuss his journey of living with narcolepsy. SHOW NOTES Introduction of Guest: (5:00) Matt’s Best Advice (11:00) Matt’s Role in the sleep community (12:40) Matt’s symptoms onset (15:00) Matt’s additional symptoms (19:00) Matt’s onset of cataplexy (23:00) Cataplexy triggers (24:45) Delayed diagnosis: (27:00) Nightmares and sleep paralysis onset (31:30) One more question about sleep paralysis (34:15) Partial cataplexy (37:50) Diagnosis and Management: (39:00) Pitolisant (43:45) Strategic Napping (44:15) Bitter Pills (45:15) AASM revised Guidelines (47:22) Sodium Oxybate and Cataplexy (49:00) Finding a sleep physician to manage narcolepsy (55:00) Sleep apnea (60:30) MSLT (62:15) Treat Clinically (65:00) 4 pillars of management (66:00) Patient request/feedback (68:00) Academic vs private practice (71:30) Links to articles and guidelines referenced in this episode are included Trotti LM. Central Disorders of Hypersomnolence. Continuum (Minneap Minn). 2020 Aug;26(4):890-907. Treatment of central disorders of hypersomnolence: an American Academy of Sleep Medicine clinical practice guideline

In this episode of Talking Sleep, we visit with Dr. Donna Arand and Dr. David Davila, members of the AASM task force that recently updated protocols for the Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT). The guidance provides detailed information on patient management, testing procedures, and reporting to ensure the tests provide high-quality, consistent data.

Dr. Jeff S. Pierce and Steve Wang, CEO of SuperDraft call in from Las Vegas on Day 1 of the NFL Draft. The AASM panel will be reviewing the top 5 most common wrist injuries including carpal tunnel and De Quervain's Syndrome. We are also joined by Maragaret Trimer from the Jamie Daniels Foundation to wrap up our Hero of the Month for April.

Tired of springing forward and falling back? So is the U.S. Senate, apparently. But is permanent DST the best option? And why do we get so frazzled by time changes? Sleep expert Dr. Seema Khosla provides the answers for sleepyheads Don and John.

Welcome to the NeurologyLive® Mind Moments™ podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, we spoke with Seema Khosla, MD, FCCP, FAASM, medical director, North Dakota Center for Sleep. She shared her insight into the American Academy of Sleep Medicine's ongoing initiative to switch to a fixed standard time year-round, as well as offered her perspective on the current state of care for sleep disorders. Episode Breakdown: 1:30 – AASM's position statement on daylight saving time 3:15 – The impact of daylight saving time on circadian rhythm 5:30 – Patient education on sleep and daylight saving 6:40 – What can be learned from similar attempts to address sleep issues 10:00 – Evidence in favor of fixed-standard time 11:45 – Neurology News Minute 14:50 – The state of sleep in the US 19:15 – Physicians' relationship with sleep education 23:20 – Importance of World Sleep Day and awareness 25:30 – Advice for inquiring about patient sleep The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: Roche Announces Phase 3 SKYLINE Trial of Gantenerumab in Alzheimer Disease FDA Approves Saluda's Evoke Spinal Cord Stimulation System for Chronic Intractable Pain IND Application Accepted for Phase 2b Trial of NOE-101 in Trigeminal Neuralgia Thanks for listening to the NeurologyLive® Mind Moments™ podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com. REFERENCES 1. Rishi MA, Ahmed O, Perez JHB, et al. Daylight saving time: an American Academy of Sleep Medicine position statement. J Clin Sleep Med. 2020;16(10):1781-1784. doi:10.5664/jcsm.8780  2. AASM calls for end of seasonal time changes ahead of “springing forward”. News release. AASM. March 9, 2022. Accessed March 10, 2022. https://aasm.org/aasm-calls-for-end-of-seasonal-time-changes-ahead-of-springing-forward/

The SleepTech Talk Team discusses the accreditation process with Kimi Clark Vice Chair of the AASM Accreditation Committee. We also ask Kimi a few of the questions submitted by our listeners! SLEEPTECH TALK is available on APPLE, GOOGLE, and SPOTIFY podcast platforms. You can also find our YouTube channel at Link: https://www.youtube.com/channel/UC7Kia9qzghofBmGKAf7YEOg

New evidence-based principles co-published by the AASM and SRS will help employers take a holistic view of setting work shift durations to positively impact employee health, safety, and productivity by reducing mental and physical fatigue. Lead author Dr. Indira Gurubhagavatula joins us to explain the guiding principles and how they can be used to develop effective, customized solutions for shift duration.

A new clinical practice guideline from the AASM advises when surgical consultation may be appropriate for patients struggling to use CPAP to treat their obstructive sleep apnea. In this episode, we talk with two of the guideline authors, Drs. David Kent and Jeff Stanley, both otolaryngologists and sleep specialists, about the recommendations for surgical consultation and how they can empower patients to make the best decision for their care.

Are you overwhelmed by the constantly changing landscape of sleep technologies? Having trouble keeping up with your patient's latest sleep tracker? The AASM Emerging Technology Committee is here to help. In this episode, we talk with committee members Drs. Maryann Deak, Sharon Schutte-Rodin and Ambrose Chiang about AASM resources to evaluate sleep-related clinical and consumer devices to help further your understanding of #SleepTechnology.

Today's episode is an interview with Dr. Simone Warrack on the topic of sleep hygiene.  Dr. Warrack discusses common misunderstandings about sleep and offers some suggestions for better sleep hygiene to improve health and performance.   If you have any questions for our guest or host please leave a comment on our social media platforms: Twitter: @BellinTitletown, Instagram: @bellinhealthtitletown, Facebook: @BellinHealthTitletown For more information on Dr. Simone Warrack follow the link below:Simone Warrack, DO - Green Bay, WI Pediatrics - Bellin Health Ashwaubenon Internal Medicine and Pediatrics For more information on sleep hygiene, follow link below:Healthy Sleep Habits - Sleep Education by the AASM 

In this episode, we talk with Dr. Scott Kutscher, sleep fellowship director at Stanford and a member of the AASM's Sleep Medicine Fellowship Directors Council Steering Committee. He discusses the Choose Sleep initiative to increase the knowledge and awareness of a career in sleep medicine, how sleep fellowship programs have responded and adapted to the pandemic, and a move for sleep medicine's Match Day.

The AASM's inaugural Change Agents competition brought together teams from all areas of sleep medicine to think about innovative and creative ways to reimagine the diagnosis and treatment of obstructive sleep apnea. In today's episode, we talk to the leader of the winning team, Dr. Amy Bender, about the proposal, “Let's Put the Sleep Back into Sleep Medicine,” which recommends measuring sleep depth to predict CPAP adherence and offer more personalized sleep apnea treatment.

Kuidas sellest nädalast kehtima hakanud piirangud toitlustusettevõtteid mõjutavad? Milline on ettevõtete seis jätkuvas koroonakriisis? Kuidas on valitsus enda nõudmisi nende hinnangul kommunikeerinud? Milline on olnud klientide reaktsioon? Külaliseks on kohvik NOP asutaja Margit Aasmäe. Saatejuht on Nele Kullerkupp.

In this episode, we review the recently released AASM clinical practice guideline for treatment of central disorders of hypersomnolence. We talk with Dr. Kiran Maski, chair of the AASM task force that developed the guideline, about the data-driven treatment recommendations as well as future research directions, the challenges of diagnosing hypersomnias, and the potential of sleep biomarkers.

Patrick takes Regina through his life as an actor and into his current show about Victor Hugo. Patrick is co-artistic director and founding member of O'Punksky's. Essentially an actor he also designs, directs, produces, teaches, builds sets, [this web site] etc etc...... Patrick met Maeliosa Stafford at the Crossroads Theatre in Sydney's Darlinghurst in late 1989 and accepted his offer to join the cast of Observe the Sons of Ulster Marching Towards the Somme. There was a tiny budget so Patrick also volunteered to design the show. The production was a small triumph and O'Punksky's theatre was born. In 1990 Patrick played Malcolm Scrawdyke in O'Punksky's next production, Little Malcolm and His Struggle Against the Eunuchs (chosen for its long title), also directed by Maeliosa. Patrick again took on the task of designer and a creative partnership was galvanized. Patrick has been acting professionally since 1976, starting his career as AASM at the Theatre Royal in Stratford, East London. After a year he joined the Roundabout Theatre in Education Company in Nottingham and then, after another year at Stratford he emigrated to Australia. Over the years Patrick has worked with many companies in Australia, most notably Thalia, Bell, Griffin, Ensemble, Studio and most State companies. Patrick is co-producer/writer of a series of training films in which he performs and sometimes directs. See O'Punksky Pedagogic page on this site. He has taught acting courses and directed students at UNSW and ACTT. TV Credits include,: The Timeless Land, Carson's Law, Home and Away, Rake and Seachange. Film credits include: A Bridge Too Far, The Fluteman, Panacea, Flotsam Jetsam and Rogue Nation. Patrick has extensive voice credits which include many commercial voice overs, prose and poetry readings for ABC Radio Arts, and book readings which include Treasure Island, The Marx Sisters, The Drowner and A Tale of Two Cities. Patrick has self-produced two audio books:The Toilers of the Sea by Victor Hugo and Kabaka Lear by David Allen. Both are available as downloads on iTunes and Audible.com

On the third episode of The Sleep Roundtable Podcast, Dr. Kent Smith speaks with New York state's only AASM board-certified sleep medicine physician, Dr. Eddie Sall.

Sleep medicine is a diverse profession, and the AASM strives to be representative and inclusive of all backgrounds and perspectives. In this episode, we talk with Dr. Andrew Spector, chair of the AASM's Diversity, Equity and Inclusion Committee, about the Academy's efforts to identify and eliminate barriers to inclusion, support initiatives for better diversity, and work to reduce health care disparities.

Welcome to the NeurologyLive Mind Moments podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, we spoke with Raman Malhotra, MD, associate professor of neurology, Washington University in St. Louis, and president, American Academy of Sleep Medicine (AASM). He discussed the AASM's recent position statement calling for a greater emphasis on sleep health in education, clinical practice, inpatient and long-term care, public health promotion, and the workplace due to sleep's critical role in overall health. He also shared insight into the impact the COVID-19 pandemic has had on sleep and the Healthy People 2030 initiative that the AASM is taking part in. This episode also features a new segment, the Neurology News Minute, which will give you quick updates on the following developments in neurology: NIH Awards Funding to Study RNS System in Lennox-Gastaut Syndrome FDA Commissioner Calls for Independent Review of Agency Interactions on Aducanumab Novel SUDEP-3 Inventory Shows Potential to Predict SUDEP Risk Thanks for listening to the NeurologyLive Mind Moments podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com. REFERENCE Ramar K, Malhotra RK, Carden KA, et al. Sleep is essential to health: an American Academy of Sleep Medicine position statement. Published online June 21, 2021. doi: 10.5664/jcsm.9476

In this episode, we review the CPAP technology assessment draft report released by the Agency for Healthcare Research and Quality and the AASM-led response. Our guest Dr. Susheel Patil highlights key findings of the report, where the Academy and its partners think it falls short, and how it could ultimately move the field forward by setting the stage for future research priorities.

Dr. Steve Carstensen wrote the book on Dental Sleep Medicine - literally. He and his co-author wrote the seminal The Clinician's Handbook for Dental Sleep Medicine.    He broke bread with the ZZZ Pack to discuss how he continues to educate, disrupt, push, pull, and cajole our sleep colleagues to do more to tackle airway issues. His excitement is palpable when he underscores dentistry's ability to look beyond the oral cavity and focus on medicine.   Dr. Carstensen's collaborative efforts with the ADA's pediatric airway task force has the potential to effect generational change. He provides interesting updates on their burgeoning pediatric airway screener; who it's being designed for; and what the American Academy of Orthodontics, the American Academy of Pediatric Dentistry, and other professional organizations think about it. You'll be surprised.    What's preventing sleep from getting more time in the dental school curriculum?   Why isn't the needle moving on the percentage of the population getting proper OSA diagnosis? Who can do something about this?   Why is there a diagnostic bottleneck, and what role should dentists play?   If there is a shortage of sleep physicians, WHY is the AASM sending letters to state dental boards discouraging dentists' involvement with sleep testing? What'd Dr. Elliott do when this came up in her home state of Idaho?   And what about companies preying on dentists with get-rich-quick DSM “turnkey” solutions?    Dr. Carstensen is one of the foremost thinkers in DSM. You're likely to increase your DSM IQ by 3-4 points just by listening to this episode. Your patients and practice will thank you for it.

Deborah Burnett, ASID, AASM, is an internationally recognized registered design professional, Subject Matter Expert (SME) in the field of Light + Health, and member of the American Academy of Sleep Medicine. Deborah is going to let you in on some fascinating facts about the “spring surge,” proper lighting in horse stalls, the moon’s importance in photosynthesis, the suprachiasmatic nucleus, and how the industry selling lighting for your circadian rhythms has become a racket.

Deborah Burnett, ASID, AASM, is an internationally recognized registered design professional, Subject Matter Expert (SME) in the field of Light + Health, and member of the American Academy of Sleep Medicine. Deborah is going to let you in on some fascinating facts about the “spring surge,” proper lighting in horse stalls, the moon's importance in photosynthesis, the suprachiasmatic nucleus, and how the industry selling lighting for your circadian rhythms has become a racket.

Deborah Burnett, ASID, AASM, is an internationally recognized registered design professional, Subject Matter Expert (SME) in the field of Light + Health, and member of the American Academy of Sleep Medicine. Deborah is going to let you in on some fascinating facts about the “spring surge,” proper lighting in horse stalls, the moon’s importance in photosynthesis, the suprachiasmatic nucleus, and how the industry selling lighting for your circadian rhythms has become a racket.

From AI-assisted scoring to personalized sleep treatments, artificial intelligence has incredible potential in sleep medicine. In this episode, we talk to AASM AI committee members Dr. Anuja Bandyopadhyay and Sam Rusk to learn more about current and future applications of AI, the value to patients, and plans for an AASM certification program to validate and standardize AI scoring software.

Welcome to the NeurologyLive Mind Moments podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, we spoke with Jennifer Martin, PhD, professor of medicine, University of California-Los Angeles, and a board member of the American Academy of Sleep Medicine (AASM), to discuss the AASM's recent clinical practice guideline update that recommends the use of multi-component cognitive behavioral therapy for the treatment of insomnia. Thanks for listening to the NeurologyLive Mind Moments podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com (http://neurologylive.com/) . REFERENCE Edinger JD, Arnedt JT, Bertisch SM, et al. Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline. J. Clin. Sleep Med. Published online November 9, 2020. doi: 10.5664/jcsm.8986

Cognitive behavioral therapy should be the first course of treatment in adults with chronic insomnia, according to a recently published AASM clinical practice guideline. This episode features Dr. Jennifer Martin, a clinical psychologist and co-author of the guideline, discussing the effectiveness of CBT-I, and why both physicians and patients should be aware that it's an option. She also talks about the challenges of sleep during the pandemic, why melatonin isn't the answer, and why consumer wearables may do more harm than good.

Telemedicine is changing the way sleep medicine is taught and practiced. In this episode, we talk with Dr. Barry Fields, a sleep physician at the Atlanta VA Health System and member of the AASM Telemedicine Presidential Committee. He shares AASM telemedicine resources and offers guidance on how to make the most of telemedicine in the clinic and the classroom.

In the year's final episode of Talking Sleep, Dr. Asha Singh of the AASM Coding and Compliance Committee highlights changes to evaluation and management codes coming in 2021. Providers and office staff need to be aware of the updates, which include options to bill based on total time or medical decision-making. AASM members also can view this free E/M coding webinar for more information.

Nos juntamos para charlar sobre máquinas de estado finitas y caching en Rails. Conversamos sobre la gema AASM, qué beneficios nos trae y cómo agregarla en una aplicación Rails sin sobrecargar los modelos. Y por último charlamos sobre algunas consideraciones de hacer caching en Rails, principalmente fragment caching. [1:00] Introducción. Catching up. Sobre máquinas de estado finitas. AASM y pure old ruby objects. [6:50] Callbacks y tests. Helper methods para tests. [10:50] Guardas y transiciones condicionales. Persistencia de estados con ActiveRecord. [14:30] Consideraciones de performance. Caching y construcción de claves para la caché. [21:10] Recyclable cache keys, una decisión tomada en Rails. [25:00] Comparando el sistema de caching con Django. ¿Puede redis influir en el response time considerablemente? Fragment caching. Este episodio es parte de la miniserie sobre Ruby. Belén @BelenRemedi linkedin.com/in/maría-belén-remedi Bruno @brunvez github.com/brunvez Kalil @kaoz_165 github.com/kaozdl Hecho con ❤️ en Rootstrap.

Updated in early 2020, the AASM Manual for the Scoring of Sleep and Associated Events is the definitive resource for the evaluation of sleep tests. In this episode of Talking Sleep, our correspondent Dr. Robert Vorona talks with Drs. Richard Berry and Stuart Quan of the AASM Scoring Manual Committee for insight into some of the changes.

Juku Raadio 318. saade keskendub geograafiale ja mõttetutele riikidele. Kui Hardo Aasmäe alustas koos saatejuht Juku-Kalle Raidiga aastal 2003 kuulehes KesKus sarja “Mõttetute riikide aabits”, ei osanud kumbki ennustada, et sellest kasvab välja raamatusari. Aasmäe raamat ilmus vahetult peale ta lahkumist 2014, teise osa on kirjutanud geograaf Toomas Kümmel. Et igal riigil on mõni kiiks, keskendume köögilauas just neile huvitavatele kiiksudele. Lisaks Kümmelile pajatavad omi mõttetute riikide lugusid veel tuntud purjetaja-raudteelane Tiit Pruuli, reisisaadetenägu Marek Reinaas, rännumehest helilooja Peeter Vähi, oma peret igaaastaselt mõttetuisse riikidesse küüditav Tuuli Roosmaa, etnoloogiadoktor Aimar Ventsel ning Teaduste Akadeemia president Tarmo Soomere.

Artificial intelligence is the vanguard of a new technological revolution that will affect all aspects of human society. Our work, our health, the cars we drive, even the media we consume - all will be radically transformed in the coming years and decades by 'intelligent machines'. Essentially, these are computers that have learnt how to do many of the tasks we thought only humans were capable of. But the difference is, AI can do things quicker, more accurately, and of course, without needing human intervention. Sleep medicine will not be an exception to this march of progress. So much so, that earlier this year, the American Academy of Sleep Medicine (AASM) issued a position statement, outlining a roadmap for sleep professionals to start engaging now with the multifaceted ways that AI will inevitably impact on patient care, diagnostics, staff allocation, treatment protocols and much more. We talk to Dr Cathy Goldstein, neurologist, and chair of the AASM's committee on AI about how artificial intelligence will shape the field of sleep medicine in coming years, and also how Dr Goldstein's own research into longitudinal sleep tracking with consumer wearables may also play a role in expanding our vision for how we manage sleep health outside of the clinic. This episode's guest: Cathy Goldstein, MD, is an Associate Professor of Neurology at the University of Michigan and faculty in the Sleep Disorders Center. Her current research focus, through work with mathematics, is the improvement of sleep tracking via algorithm development and validation using consumer sensors. The ultimate goal of this work is more accurate longitudinal sleep estimation for performance and precision health applications. Dr. Goldstein has a passion for teaching and her educational roles have included University of Michigan athletes, trainers, and coaches and medical school faculty and trainees. She has helped disseminate sleep health and wellness to the general public through pieces in numerous media outlets. Dr. Goldstein works to promote the adoption of cutting edge technology in sleep medicine as the chair of the national committee on AI in sleep medicine. Dr.Goldstein has a passion for education that spans colleagues, trainees, patients and the public. In addition to her clinical work, she holds various leadership roles including Associate Editor for the Journal of Clinical Sleep Medicine, Circadian Sleep-Wake Rhythm Disorders Section Editor of UpToDate, and committee work through the American Academy of Sleep Medicine. University of Michigan: https://medicine.umich.edu/dept/neurology/cathy-goldstein-md-ms Twitter: https://twitter.com/cathygo_sleep More Resources: AI in sleep medicine: an AASM position statement: https://jcsm.aasm.org/doi/10.5664/jcsm.8288 A Consumer Sleep Tracker Researchers Can Actually Use Artificial intelligence in sleep medicine: background and implications for clinicians Episode Homepage: http://sleepjunkies.com/ai-sleep-medicine More Episodes:

Artificial intelligence is the vanguard of a new technological revolution that will affect all aspects of human society. Our work, our health, the cars we drive, even the media we consume - all will be radically transformed in the coming years and decades by 'intelligent machines'. Essentially, these are computers that have learnt how to do many of the tasks we thought only humans were capable of. But the difference is, AI can do things quicker, more accurately, and of course, without needing human intervention. Sleep medicine will not be an exception to this march of progress. So much so, that earlier this year, the American Academy of Sleep Medicine (AASM) issued a position statement, outlining a roadmap for sleep professionals to start engaging now with the multifaceted ways that AI will inevitably impact on patient care, diagnostics, staff allocation, treatment protocols and much more. We talk to Dr Cathy Goldstein, neurologist, and chair of the AASM's committee on AI about how artificial intelligence will shape the field of sleep medicine in coming years, and also how Dr Goldstein's own research into longitudinal sleep tracking with consumer wearables may also play a role in expanding our vision for how we manage sleep health outside of the clinic. This episode's guest: Cathy Goldstein, MD, is an Associate Professor of Neurology at the University of Michigan and faculty in the Sleep Disorders Center. Her current research focus, through work with mathematics, is the improvement of sleep tracking via algorithm development and validation using consumer sensors. The ultimate goal of this work is more accurate longitudinal sleep estimation for performance and precision health applications. Dr. Goldstein has a passion for teaching and her educational roles have included University of Michigan athletes, trainers, and coaches and medical school faculty and trainees. She has helped disseminate sleep health and wellness to the general public through pieces in numerous media outlets. Dr. Goldstein works to promote the adoption of cutting edge technology in sleep medicine as the chair of the national committee on AI in sleep medicine. Dr.Goldstein has a passion for education that spans colleagues, trainees, patients and the public. In addition to her clinical work, she holds various leadership roles including Associate Editor for the Journal of Clinical Sleep Medicine, Circadian Sleep-Wake Rhythm Disorders Section Editor of UpToDate, and committee work through the American Academy of Sleep Medicine. University of Michigan: https://medicine.umich.edu/dept/neurology/cathy-goldstein-md-ms Twitter: https://twitter.com/cathygo_sleep More Resources: AI in sleep medicine: an AASM position statement: https://jcsm.aasm.org/doi/10.5664/jcsm.8288 A Consumer Sleep Tracker Researchers Can Actually Use Artificial intelligence in sleep medicine: background and implications for clinicians Episode Homepage: https://sleepjunkies.com/ai-sleep-medicine More Episodes:

Entre sexta-feira (3) e ontem (5), Varginha viveu momentos de incerteza sobre a reabertura do comércio e dos serviços. Desde o início da pandemia, o município seguiu orientações do Governo Federal, do Estado e da Organização Mundial da Saúde, e adotou o isolamento social, determinando que apenas aqueles essenciais seguissem funcionando. Após várias manifestações, inclusive com carreatas de empresários, o então Prefeito Antônio Silva, decidiu flexibilizar o funcionamento das lojas e prestadores de serviço, abrindo entre 10h e 17h. Foi muito criticado e voltou atrás: revogou o decreto ontem à noite. Hoje cedo, Antônio Silva renunciou ao cargo. O vice assume amanhã. Para explicar o que está valendo e orientar os empresários locais, o Jornal de Vanguarda recebeu o advogado Adriano Santos Oliveira, membro fundador e vice-presidente da Associação da Advocacia do Sul de Minas. Imagem de succo por Pixabay --- Send in a voice message: https://anchor.fm/jornalismo-de-vanguarda--aqui/message

Diante do alerta da Organização Internacional do Trabalho (OIT) para os governos redobrarem esforços pela manutenção dos empregos, diante do grande impacto do coronavírus sobre a economia mundial, e após as recentes medidas das empresas e do governo brasileiro, o Bate-Papo Van desta quinta-feira 19 tratou de home office, no Jornal de Vanguarda. O entrevistado foi o vice-presidente da Associação da Advocacia do Sul de Minas (AASM), Adriano Santos Oliveira. A OIT estima em 25 milhões de desempregados a mais no mundo por conta da crise. Uma das alternativas para prevenir a proliferação do novo coronavírus é o home office. Adriano Oliveira explicou o que diz a lei, se há alguma licença especial ou concessão legal em períodos de crise como esse, se a empresa pode impor o home office ou o colaborador tem o direito de ir trabalhar na companhia, se o tempo de teletrabalho pode ser descontado no salário e se a situação de agora exige algum contrato especial entre empregadores e empregados colocados em home office. Falou, ainda, de adoecimento do colaborador no período de trabalho remoto e esclareceu sobre o direito do empregador de usar alguma ferramenta para confirmar se realmente o colaborador está trabalhando em casa. Imagem de StockSnap por Pixabay --- Send in a voice message: https://anchor.fm/jornalismo-de-vanguarda--aqui/message

O tema do Bate-Papo Van desta sexta-feira 14, no Jornal de Vanguarda, foi a Lei Antifumo. A lei existe em São Paulo há 10 anos e vale em todo o Brasil desde 2015. Ela proíbe o fumo em locais fechados, como bares, restaurantes e afins. Mas, a grande dúvida é se a empresa pode proibir um colaborador de fumar durante o trabalho. Porém, o assunto é muito mais sério do que se pensa. A convidada para explicar o tema foi Débora Anne Pereira da Silva -- foto, Presidente da Associação da Advocacia do Sul de Minas e fundadora da entidade, juntamente com outros onze colegas. --- Send in a voice message: https://anchor.fm/jornalismo-de-vanguarda--aqui/message

Batalha. Essa foi a palavra mais utilizada pela Presidente da Associação da Advocacia do Sul de Minas (AASM), Debora Anne Pereira da Silva, uma das fundadoras da entidade, em entrevista ao Jornal de Vanguarda desta sexta-feira 8, sobre a atuação fraudulenta de maus advogados por meio de ações predatórias. A prática estigmatizou particularmente os advogados de Varginha, embora seja comum em todo o Brasil. A AASM lidera um movimento em favor do resgate da credibilidade dos advogados. O programa teve, também, a participação do Presidente da Subseção Varginha da Ordem dos Advogados do Brasil, Alexandre Prado. Segundo a Associação dos Magistrados Mineiros (AMAGIS), ações predatórias são usadas para golpes em comarcas no interior do Estado. Em publicação no site Jusbrasil, a AMAGIS informa que uma verdadeira fábrica de fraudes tomou conta de algumas varas cíveis do interior de Minas e de São Paulo -- inclusive com casos em Varginha. São ações predatórias: advogados em busca de ganhos ilegais. Esses maus advogados usavam informações privilegiadas. Depois de flagrados em Varginha, alguns mudaram para outras cidades do estado e para Campinas e Ribeirão Preto (SP). Em Varginha houve cerca de 20 mil ações em 2018, prejudicando o trabalho da comarca. Hoje, depois de vários arquivamentos, restariam cerca de 8 mil ações, muitas delas de uma única pessoa. Foto: Debora Anne (Arquivo Pessoal) --- Send in a voice message: https://anchor.fm/jornalismo-de-vanguarda--aqui/message

Optimizing your sleep quality is one of the best things you can do to improve your fitness results, and life in general. Unfortunately a lot of the talk about sleep out there is focused on the detrimental effects of sleep loss, and little attention is being put on actually improving your sleep with smart strategies. In this interview with Dr. Greg Potter, you're going to get nothing but useful and practical tips on improving the quality of your slepe through actional steps that you can start taking right now. Greg is a PhD and a researcher investigating sleep and chronobiology. Greg can be found at: https://www.instagram.com/gdmpotter/ https://twitter.com/gdmpotter https://www.researchgate.net/profile/Greg_Potter4 1:00 - Practical advice on sleep vs fearmongering about sleep-loss 2:55 - Poor communication about sleep 4:26 - Why do people struggle with sleep to begin with? 8:30 - Genetic differences between people's sleep abilities 9:43 - What constitutes 'good sleep' 13:45 - Greg gives a HUGE overview of strategies for better sleep 25:16 - Blue-light blocking glasses and light exposure in general 28:34 - How to properly 'dose' daylight for circadian rhythm optimization 38:01 - Caffeine's half-life and quorter-life and how it works 40:00 - Morning vs afternoon exercise for better sleep 47:44 - Food intake and how to time it for better sleep 57:13 - Sleep-time restriction for better sleep and other cognitive therapies for improving sleep 1:04:14 - Potential future topics if we do a part II with Greg 1:05:00 - Where can we find Greg and more good sleep resources Interested in taking your fitness to the next level? Book a free call with me here: https://www.sustainableselfdevelopment.com/ The SSD Facebook community: https://www.facebook.com/groups/sustainableselfdevelopment Resources mentioned: AASM sleep facilities for sleep disorders are recommended National Sleep Foundation Sleep EO Sleep Junkies podcast Every man and his dog by Matthew Walker Internal Time by Till Ronneberg

What is Obstructive Sleep Apnea? OSA affects a person’s upper airway in the area of the larynx (voice box) and the back of the throat. This area is normally held open to allow normal breathing by the surrounding muscles. When an individual is asleep, these muscles become slack, and the open area becomes smaller. In some individuals, this area becomes so small that breathing and resulting normal oxygenation of the blood is impaired. The person may actually choke. This causes some degree of arousal from normal sleep levels which the individual may or may not be aware of. These people do not get restorative sleep, and wake feeling tired. OSA has significant safety implications because it can cause excessive daytime sleepiness, personality disturbances, cardiac dysrthythmias, myocardial infarction, stroke, sudden cardiac death, and hypertension, and cognitive impairment such as decreased memory, attention, planning, problem-solving and multi-tasking. What is the background on the FAA’s actions on OSA? The FAA’s has always used the special issuance medical certification process to certificate pilots with OSA. In November 2013, the FAA proposed guidance that would have required treatment for pilots with a body mass index (BMI) of 40 or more. It would have grounded those pilots until they successfully completed treatment, if required, and they obtained a Special Issuance medical certificate from the FAA. Key aviation industry stakeholders, as well as members of Congress, expressed concern about this enhanced screening. The FAA has now revised the guidance to address those concerns. What is the new guidance?  An AME will not use BMI alone to assess whether the pilot applicant has OSA or as a basis for deferring the medical certificates (except in cases where the OSA risk is extreme). AME’s will screen for the risk for OSA using an integrated assessment of history, symptoms, and physical/clinical findings.  OSA screening will only be done by the AME at the time of the physical examination using the American Academy of Sleep Medicine (AASM) guidance provided in the AME Guide. Pilots who are at risk for OSA will be issued a medical certificate and will then, shortly thereafter, receive a letter from the FAA’s Federal Air Surgeon requesting that an OSA evaluation be completed within 90 days. The evaluation may be done by any physician (including the AME), not just a sleep medicine specialist, following AASM guidelines. If the evaluating physician determines, using the AASM guidelines, that a laboratory sleep study or home study is warranted, it should be done at that time. The pilot may continue flying during the evaluation periodand initiation of treatment, if indicated. The airman will have 90 days (or longer under special circumstances) to accomplish this, as outlined in the Federal Air Surgeon’s letter. The FAA may consider an extension in some cases. Pilots diagnosed with OSA and undergoing treatment may send documentation of effective treatment to the FAA in order to have the FAA consider them for a special issuance medical certificate. How is OSA treated? Though several types of treatment are available depending on the severity of OSA, the most effective treatment involves the use of a continuous positive airway pressure (CPAP) or Automatic Positive Airway Pressure device that is worn while sleeping. In fact, there are currently 4,917 FAA-certificated pilots who are being treated for sleep apnea and are flying with a special issuance medical certificate. When will the new guidance take affect? The FAA plans to publish the new guidance in the FAA Guide for Aviation Medical Examiners on March 2, 2015. What are the FAA’s current rules on OSA? Untreated OSA always has been and will continue to be a generally disqualifying medical condition requiring a special issuance medical certificate. AMEs are advised by the FAA to be alert for OSA and other sleep-related disorders such as insomnia, restless legsyndrome,and neuromuscular or connective tissue disorders, because they could be signs of problems that could interfere with restorative sleep, which are needed for pilots to safely perform their duties. Is the FAA changing the rules on OSA? The FAA is not changing its medical standards related to OSA. The agency is revising the screening approach to help AMEs find undiagnosed and untreated OSA. Have there been any accidents or incidents associated with OSA? The National Transportation Safety Board (NTSB) determined that OSA was a contributing factor in the February13, 2008 Mesa Airlines (operated as go!) Flight 1002 incident, in which both the captain and first officer fell asleep during the flight. They flew 26 miles past their island destination into open ocean, and did not respond to air traffic controllers for more than 18 minutes. After normal communication was resumed, all three crewmembers and 40 passengers onboard arrived safely at their destination.  The captain was found to have undiagnosed severe OSA. The NTSB has investigated accidents in all modes of passenger transportation involving operators with sleep disorders and believes OSA to be a significant safety risk. The NTSB database lists 34 accidents – 32 of which were fatal – where sleep apnea was mentioned in the pilot’s medical history, although sleep apnea was not listed as “causal” or “contributory” in those accidents. The database includes an additional 294 incidents where some type of sleep disorder was mentioned in the history.

The vast majority of Americans with sleep apnea are still undiagnosed. Dr. Avi Weisfogel explores, in depth, the care and support that every sleep dentistry patient needs in order to live happier.   LINKS: www.AASM.org   www.SLEEPMED.com   www.DSMELITE.com   ARTICLES: Dr. Glassman's HOWARD SPEAKS podcast   ApneaLink Plus CONTACTS: AVIWEISFOGEL@GMAIL.COM   DRBGLASS@GMAIL.COM dentalsleepmasters@gmail.com