My research has focused on conducting both observational studies aimed at understanding the health outcomes, particularly the cardiovascular consequences, of sleep disorders and clinical trials examining the role of sleep interventions in improving health. The objectives of this mid-career mentoring award are to 1) support my continued growth and development as a mentor in patient oriented-research in the field of sleep medicine, 2) establish a sleep patient oriented research experience (SPORE) mentoring program in the section of Pulmonary, Critical Care, and Sleep Medicine at my institution, 3) and continue to advance my own research program in sleep-disordered breathing and cardiovascular disease. The proposed Sleep Patient Oriented Research Experience (SPORE) Program will focus on providing mentees with sleep research methods, patient-oriented research methods, and opportunities for formal training to support increasing methodological sophistication. A Senior Advisory Committee will be formed and will meet every 6 months to provide an assessment my mentorship program and advise on future career development.
The specific aims of the research strategy are to: 1) carry out federally funded patient-oriented research and mentor young investigators exploring the interface between sleep disorders and adverse cardiovascular health outcomes, and 2) to develop new directions in the study of the interplay human sleep and health. Regarding the first aim, three independently derived and federally funded research projects, of which I am the PI, will provide the mentorship opportunities used to accomplish this aim. These projects consist of a long- term multicenter observational cohort study examining polysomnographic predictors of adverse cardiovascular outcomes, and two randomized controlled trials examining the impact of continuous positive airway pressure (CPAP) on several domains of markers of cardiovascular risk in two separate target populations: acute stroke and congestive heart failure.
The second aim will consist of 3 separate funded CDA projects: one short-term single center translational study evaluating the relationship between sleep apnea severity and ST elevation myocardial infarction, one observational cohort study examining the relationship between circadian disruption and delirium in the ICU, and, finally, one case-control study to determine whether sleepiness is associated with elevated genetic markers of inflammation and oxidative stress among patients with sleep-disordered breathing. My commitment to mentorship is the primary reason I am applying for the K24 Award. I have found that mentoring trainees of various backgrounds and levels who share a passion to design high quality studies in order to improve the methods by which we deliver health care to be the most rewarding aspect of my profession. I am requesting that the K24 cover 25% of my effort to be fairly equally divided between direct mentoring activities, and the other goals listed above. 45% of my effort will be supported by additional research grants, thus 70% of my total effort will be spent on research-related activities.

Public Health Relevance

My research has focused on conducting both observational studies aimed at understanding the health outcomes, particularly the cardiovascular consequences, of sleep disorders and clinical trials examining the role of sleep interventions in improving health. The objectives of this mid-career mentoring award are to 1) support my continued growth and development as a mentor in patient oriented-research in the field of sleep medicine, 2) establish a sleep patient oriented research experience (SPORE) mentoring program in the section of Pulmonary, Critical Care, and Sleep Medicine at my institution, 3) and continue to advance my own research program in sleep-disordered breathing and cardiovascular disease. The research strategy for this award is focused on carrying out federally funded patient-oriented research mentoring young investigators exploring the interface between sleep disorders and adverse cardiovascular health outcomes, and developing new directions in the study of the interplay between human sleep and health.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24HL132093-03
Application #
9525999
Study Section
NHLBI Mentored Patient-Oriented Research Review Committee (MPOR)
Program Officer
Stoney, Catherine
Project Start
2016-06-06
Project End
2021-05-31
Budget Start
2018-06-01
Budget End
2019-05-31
Support Year
3
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Yale University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
Hilbert, Janet; Yaggi, Henry K (2018) Patient-centered care in obstructive sleep apnea: A vision for the future. Sleep Med Rev 37:138-147
Brady, Virginia A; Zinchuk, Andrey V; Siegel, Mark D et al. (2018) A Young Man With Hemoptysis and Cavitary Lung Lesions. Chest 153:e85-e88
Bravata, Dawn M; Lightner, Nancy; Yaggi, H Klar et al. (2018) Economic Assessment of 4 Approaches to the Diagnosis and Initial Treatment of Sleep Apnea. Respir Care 63:50-61
Zinchuk, Andrey V; Jeon, Sangchoon; Koo, Brian B et al. (2018) Polysomnographic phenotypes and their cardiovascular implications in obstructive sleep apnoea. Thorax 73:472-480
Shih, Allen F; Little, Alicia J; Panse, Gauri et al. (2018) Maggot therapy for calciphylaxis wound debridement complicated by bleeding. JAAD Case Rep 4:396-398
Knauert, Melissa P; Gilmore, Emily J; Murphy, Terrence E et al. (2018) Association between death and loss of stage N2 sleep features among critically Ill patients with delirium. J Crit Care 48:124-129
Altman, Marcus T; Knauert, Melissa P; Murphy, Terrence E et al. (2018) Association of intensive care unit delirium with sleep disturbance and functional disability after critical illness: an observational cohort study. Ann Intensive Care 8:63
Zinchuk, Andrey; Edwards, Bradley A; Jeon, Sangchoon et al. (2018) Prevalence, Associated Clinical Features, and Impact on Continuous Positive Airway Pressure Use of a Low Respiratory Arousal Threshold Among Male United States Veterans With Obstructive Sleep Apnea. J Clin Sleep Med 14:809-817
Womack, Julie A; Murphy, Terrence E; Bathulapalli, Harini et al. (2017) Trajectories of Sleep Disturbance Severity in HIV-Infected and Uninfected Veterans. J Assoc Nurses AIDS Care 28:431-437
Womack, Julie A; Murphy, Terrence E; Bathulapalli, Harini et al. (2017) Sleep Disturbance Among HIV-Infected and Uninfected Veterans. J Acquir Immune Defic Syndr 74:e117-e120

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