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 JOB OPPORTUNITIES

Consultant in Paediatric Sleep Medicine - Monday, September 24, 2012
Paediatric Sleep Group, Evelina Children’s Hospital London, Guys and St Thomas’ NHS Trust and Kings’ Health Partners We are looking for a suitable candidate to apply for this exciting full-time Paediatric Sleep Medicine Post (part-time will be considered). The large Paediatric Sleep Group here spans Guys and St Thomas NHS Trust and Kings Health Partners. We have just expanded the service outpatient and diagnostic facilities with a dedicated paediatric sleep suite ‘The Sleep-Over Hotel’ This is one of the few UK paediatric specialist sleep clinics with a holistic approach that addresses behavioural, genetic and neurological causes of sleep disorders, in addition to commoner sleep related breathing problems. The service integrates fully with the adult sleep service already established at St Thomas’ hospital, providing a ‘lifespan’ multidisciplinary sleep group. The group is very research active with three research programmes at present. Please see BMJ/NHS Jobs for link and full details or contact: Professor Paul Gringras paul.gringras@gstt.nhs.uk for more details. To apply online, please go to www.gstt.nhs.uk/jobs quoting job reference: CON073 Consultant in Paediatric Neurodisability – Sleep Medicine.  
ASSISTANT/ASSOCIATE PROFESSOR POSITIONS
The Department of Human Development and Family Studies at Auburn University invites applications for 3 nine-month, tenure-track positions at the Assistant or Associate Professor level to begin August 16, 2013. Women and minorities are encouraged to apply. We seek candidates with an earned doctorate in human development, family studies, or a related discipline, whose research focuses on: (1) adolescent development and relationships from biological, psychological, and/or social perspectives; (2) individual factors and relational processes that underlie the development and functioning of adult relationships; or (3) social/behavioral factors and processes related to health outcomes and/or health disparities. Successful candidates will demonstrate strong methodological skills.   read more...
Positions in Behavioral Neuroscience and Applied behavioral analysis at West Virginia Univ.
West Virginia University’s Department of Psychology (www.psychology.wvu.edu) invites applications for a tenure-track Assistant Professor position beginning August 2012 in Behavioral Neuroscience. The position will require an active research program in the Neurobiology of Affective or Addictive Disorders (particular areas include, but are not limited to, mood, anxiety, and substance use disorders), a Ph.D. by the starting date, and evidence of strong potential in research and teaching.   read more...
Postdoctoral Fellowship in Sleep, Circadian Rhythms, and Early Childhood Development.

The Department of Integrative Physiology at the University of Colorado Boulder is seeking applications for a 2- to 3-year Postdoctoral Fellowship in the Sleep and Development Laboratory of Dr. Monique LeBourgeois. 

The position may start as early as summer 2011 and will remain open until filled.  It includes a full-benefits package and a competitive salary based on NIH standards.  Please contact Monique LeBourgeois directly with questions, or to apply, send a cover letter, CV, and the contact information of 3 references to monique.lebourgeois@colorado.edu

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IPSA CONGRESS.   
IPSA Congress 2014 - Porto Alegre - Brazil - Sunday, September 29, 2013

It is my pleasure to present the
IV Congress of the International Pediatric Sleep Association (IPSA) - Porto Alegre (Brazil) 3-5 December 2014.

The importance of sleep for health, learning and psychomotor development in infancy, childhood and adolescence has been emphasized in the pediatric research in the last two decades and it has become more and more evident that ensuring a good sleep during development is of key importance for a later healthy life.
The IPSA Congress is an influential forum for sleep practitioners from around the world to network and exchange views, whilst learning from world-class researchers about the latest scientific and clinical developments in the field.
The success of the last two Congresses in Rome 2010 and Manchester 2012 has highlighted the magnitude of Pediatric Sleep Medicine in the scientific community and we hope that the 2014 Congress will provide a perfect balance between didactic and practical needs, in order to provide the technical knowhow and up-to-date knowledge that will enable participants to improve their practice.
As traditional for IPSA, the most renowned International opinion leaders in the field of Pediatric Sleep Medicine speakers will join the Congress and will highlight the recent significant advances in both basic science and clinical sleep medicine during development.
I hope that the world paediatric sleep community will gather together in the lively city of Porto Alegre to celebrate the best clinical practice and the latest advances in Pediatric Sleep Medicine.

Oliviero Bruni
President of the International Pediatric Sleep Association

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IPSA Congress 5-7 december 2012 - Manchester City (UK)

IPSA Congress 5-7th December 2012 - Manchester (UK)   read more...

ABSTRACT BOOK OF THE IPSA CONGRESS, Rome 3-5 December 2010

IPSA 2010 - Abstract Book

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 Announcements

Guia SAOS Infantil Espanola

New guidelines on the diagnosis and treatment of OSA in children published by the Spanish Pediatric Sleep Group. (available only in Spanish)

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RECENT LITERATURE HIGHLIGHTS   
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Clinical features of night eating syndrome among depressed patients.
Related Articles

Clinical features of night eating syndrome among depressed patients.

Eur Eat Disord Rev. 2014 Mar;22(2):102-8

Authors: Kucukgoncu S, Tek C, Bestepe E, Musket C, Guloksuz S

Abstract
OBJECTIVE: The aim of this study was to investigate the frequency and clinical features of night eating syndrome (NES) in a sample of patients with depression.
METHODS: The study sample consisted of 155 depressed outpatients. Socio-demographic Form, Beck Depression Inventory, Beck Anxiety Inventory, Maudsley Obsessive-Compulsive Inventory, Pittsburgh Sleep Quality Index (PSQI) and Night Eating Questionnaire were utilised for data collection.
RESULTS: Night eating syndrome was identified in 21.3% of the patients. Comparisons between NES and non-NES patients revealed significant differences in BMI, smoking status, Beck Depression Inventory, Beck Anxiety Inventory, rumination and PSQI sub-scores for sleep quality, latency, disturbances and daytime dysfunction. In our sample, the predictors of NES were BMI, smoking and the subject's score on the PSQI sleep disturbances subscale.
CONCLUSIONS: Night eating syndrome is negatively associated with sleep, severity of anxiety and depression. Our findings suggest that there is a complex relation between NES and depression, and it is recommended that depressed patients be evaluated for NES.

PMID: 24436087 [PubMed - indexed for MEDLINE]


Measure of atopic dermatitis disease severity using actigraphy.
Related Articles

Measure of atopic dermatitis disease severity using actigraphy.

J Cutan Med Surg. 2014 Jan-Feb;18(1):49-55

Authors: Sandoval LF, Huang K, O'Neill JL, Gustafson CJ, Hix E, Harrison J, Clark A, Buxton OM, Feldman SR

Abstract
BACKGROUND: Analyzing adherence to treatment and outcomes in atopic dermatitis is limited by methods to assess continual disease severity. Atopic dermatitis significantly impacts sleep quality, and monitoring sleep through actigraphy may capture disease burden.
PURPOSE: To assess if actigraphy monitors provide continuous measures of atopic dermatitis disease severity and to preliminarily evaluate the impact of a short-course, high-potency topical corticosteroid regimen on sleep quality.
METHODS: Ten patients with mild to moderate atopic dermatitis applied topical fluocinonide 0.1% cream twice daily for 5 days. Sleep data were captured over 14 days using wrist actigraphy monitors. Investigator Global Assessment (IGA) and secondary measures of disease severity were recorded. Changes in quantity of in-bed time sleep were estimated with random effects models.
RESULTS: The mean daily in-bed time, total sleep time, and wake after sleep onset (WASO) were 543.7 minutes (SEM 9.4), 466.0 minutes (SEM 7.7), and 75.0 minutes (SEM 3.4), respectively. WASO, a marker of disrupted sleep, correlated with baseline (ρ  =  .75) and end of treatment IGA (ρ  =  .70). Most patients did not have marked changes in sleep. IGA scores declined by a median change of 1 point at days 7 (p  =  .02) and 14 (p  =  .008).
CONCLUSIONS: Using actigraphy, atopic dermatitis disease severity positively correlated with sleep disturbances. Actigraphy monitors were well tolerated by this cohort of atopic dermatitis subjects.

PMID: 24377474 [PubMed - indexed for MEDLINE]


The effect of surgically assisted rapid maxillary expansion on sleep architecture: an exploratory risk study in healthy young adults.
Related Articles

The effect of surgically assisted rapid maxillary expansion on sleep architecture: an exploratory risk study in healthy young adults.

J Oral Rehabil. 2013 Nov;40(11):818-25

Authors: Bach N, Tuomilehto H, Gauthier C, Papadakis A, Remise C, Lavigne F, Lavigne GJ, Huynh N

Abstract
Maxillary transverse deficiencies (MTD) cause malocclusions. Rapid maxillary expansion treatment is commonly used treatment for correcting such deficiencies and has been found to be effective in improving respiration and sleep architecture in children with obstructive sleep apnoea (OSA). However, thus far, the effect of surgically assisted rapid maxillary expansion (SARME) treatment on sleep architecture and breathing of normal subjects has not been assessed. We hypothesised that sleep quality will improve after maxillary expansion treatment. The objective of this study is to access the effect of maxillary expansion treatment on sleep structure and respiratory functions in healthy young adults with severe MTD. This is a prospective and exploratory clinical study. Twenty-eight consecutive young adult patients (15 males and 13 females, mean age 20·6 ± 5·8 years) presenting with severe MTD at the orthodontic examination were recruited into the study. All the participants underwent a standardised SARME procedure (mean expansion 6·5 ± 1·8 and 8·2 ± 1·8 mm, intercanine and intermolar distance, respectively) to correct malocclusion caused by MTD. An overnight in-laboratory polysomnography, before and after the treatment, was performed. The mean follow-up time was 9 months. The main outcome parameters were the changes in sleep architecture, including sleep stages, arousals, slow-wave activity (SWA) and respiratory variables. Before surgery, young adult patients with MTD presented no evidence of sleep breathing problems. At baseline sleep recording, 7 of 28 (25%) had apnoea-hypopnoea index (AHI) ≥ 5 events per hour. No negative effect of the SARME was observed in questionnaires or sleep laboratory parameters. In the patients with a higher baseline AHI (AHI ≥ 5 h of sleep), we observed a reduction in AHI after surgical treatment (P = 0·028). SARME did not have a negative effect on any sleep or respiration parameters in healthy young individuals with MTD. It normalised the breathing index in the patients with a mild AHI index.

PMID: 24138678 [PubMed - indexed for MEDLINE]


Correlation between self-reported and clinically based diagnoses of bruxism in temporomandibular disorders patients.
Related Articles

Correlation between self-reported and clinically based diagnoses of bruxism in temporomandibular disorders patients.

J Oral Rehabil. 2013 Nov;40(11):803-9

Authors: Paesani DA, Lobbezoo F, Gelos C, Guarda-Nardini L, Ahlberg J, Manfredini D

Abstract
The present investigation was performed in a population of patients with temporomandibular disorders (TMD), and it was designed to assess the correlation between self-reported questionnaire-based bruxism diagnosis and a diagnosis based on history taking plus clinical examination. One-hundred-fifty-nine patients with TMD underwent an assessment including a questionnaire investigating five bruxism-related items (i.e. sleep grinding, sleep grinding referral by bed partner, sleep clenching, awake clenching, awake grinding) and an interview (i.e. oral history taking with specific focus on bruxism habits) plus a clinical examination to evaluate bruxism signs and symptoms. The correlation between findings of the questionnaire, viz., patients' report, and findings of the interview/oral history taking plus clinical examination, viz., clinicians' diagnosis, was assessed by means of φ coefficient. The highest correlations were achieved for the sleep grinding referral item (φ = 0·932) and for the awake clenching item (φ = 0·811), whilst lower correlation values were found for the other items (φ values ranging from 0·363 to 0·641). The percentage of disagreement between the two diagnostic approaches ranged between 1·8% and 18·2%. Within the limits of the present investigation, it can be suggested that a strong positive correlation between a self-reported and a clinically based approach to bruxism diagnosis can be achieved as for awake clenching, whilst lower levels of correlation were detected for sleep-time activities.

PMID: 24112029 [PubMed - indexed for MEDLINE]


Cervical column posture and airway dimensions in clinical bruxist adults: a preliminary study.
Related Articles

Cervical column posture and airway dimensions in clinical bruxist adults: a preliminary study.

J Oral Rehabil. 2013 Nov;40(11):810-7

Authors: Restrepo CC, Álvarez CP, Jaimes J, Gómez AF

Abstract
The aim of this study was to compare the cervical column posture and the upper airway dimensions between sleep bruxist and non-bruxist young adults. Twenty-three sleep-grinders and 22 asymptomatic subjects, selected according to the American Academy of Sleep Medicine (AASM) criteria (report by a sleep partner and the presence of dental wear, according to Wetselaar et al.), were evaluated. The mean age was 23·8 years (range 18-30). All the subjects had complete permanent dentition and skeletal and occlusal class I. A digital cephalometric radiograph with natural head posture was performed for each subject. The craniocervical posture was traced and evaluated according to Solow and Tallgren, and the airway dimensions of the oropharynx and nasopharynx were evaluated in agreement with Sayinsu. The data were analysed with independent-samples t-tests and Mann-Whitney U-test. Significance was set at P < 0·05. Sleep bruxist young adults presented more forwarded cervical column posture and narrower measures of the oropharynx, when compared with controls (P < 0·05). As in children, anterior cervical column posture was found to be associated with sleep bruxism.

PMID: 24102718 [PubMed - indexed for MEDLINE]

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PEDIATRIC SLEEP COURSES   
Southhampton Paediatric Sleep Courses
The courses are designed for Paediatricians, Child Psychiatrists, Clinical Child Psychologists and GPs with a special interest in paediatrics, Nurses and technicians   read more...
  

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