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Current Topics in Sleep Medicine and Nutrition

7-Night Classical Danube River Cruise
From Embark in Budapest to Debark in Passau
October 01 - 08, 2023

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

<em>Amadeus Silver III</em> — *Amadeus Silver III*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours
14 ADA CERP Credits
1 Hour of Pharmacology for Nurse Practitioners
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists, Dentists, Dental Staff

PROGRAM PURPOSE

This educational is designed to provide in-depth overview of sleep physiology, major sleep disorders, and relationship of sleep to other disorders. The activity will also cover topics in nutrition including food choices for overall health, eating plans and nutritional requirements.>br />Topics and Objectives Under Development86 Domingo Rodriguez-Cue M.D.

Waking up to the importance of sleep.
- Discuss the importance of sleep and its link to multiple health conditions
- Recognize how important and common sleep disorders are.
Narcolepsy evaluation and management
- Discuss basic knowledge on the diagnosis, pathophysiology and treatment of narcolepsy
The Mediterranean Diet.
- List the basic components of the Mediterranean diet and its health benefits<.li>
The Ketogenic Diet
- Recognize the benefits of the Ketogenic diet
Hypoglossal stimulator therapy for the treatment of Obstructive Sleep Apnea Hypopnea Syndrome.
- Discuss HNST criteria, anatomy, physiology, evaluation, management and monitoring
Chronic Insomnia, diagnosis and management.
- Review DSM 5 and ICSD3 diagnostic criteria for insomnia. Discuss the safest FDA approved treatments for insomnia
Three vital peptides for sleep and energy balance- Leptin, GLP, Orexin
- Provide a basic review of Leptin, GLP and orexin
Dental sleep medicine, A to Zsss.
- Discuss the role of the dentist in sleep medicine
- Review home sleep testing and its role in dental sleep medicine
- Develop a communication plan between medical providers and dentists
Functional properties of Vinegar: Weight loss, DM II, CV disease, Cancer, RLS.
- Identify the health benefits of acetic acid
Circadian Rhythm Disorders: Master the body clocks to improve health
- Describe the body clocks and their importance to health
Sleep Apnea Diagnosis and Management: Why primary care is crucial
- Describe the importance of OSA diagnosis and management
Sleep related movement disorders.
- Discuss the newest developments regarding movement disorders
REM Behavior Disorder (RBD) - Acting out dreams predicts Parkinson's disease.
- Discuss pathophysiology, diagnosis and treatment of RBD
Neurobiology of Long COVID
- Discuss long covid as a neurologic disease. Discuss management of fatigue and brain fog in long covid

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment to take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Domingo Rodriguez-Cue, MD

Board Certified in Sleep Medicine and Family Medicine.
Medical Director SleepWorks Inc. Raleigh NC and Martin General Hospital Sleep Center
Williamston, NC.
Sleep physician for WakeMed Hospital Cary NC.
Adjunct Faculty UNC School of Dentistry, Chapel Hill NC.
CEO of SleepCues PA. Practice dedicated to Sleep Disorders.

Dr. Domingo Rodriguez-Cue was born in Havana, Cuba. Inspired by his father, who was also a physician, he went to Medical School at San Pedro de Macoris in the Dominican Republic. He did general surgery at Morristown Memorial Hospital in NJ and subsequently transferred to East Carolina University in Greenville, NC. He completed a rural residency program and then a faculty development fellowship. Dr. Cue was featured in Peter Jennings's world news tonight American Agenda program on Telemedicine use in rural practice. He recently authored a chapter titled “Sleep Diagnosis: Polysomnography and Home Sleep Apnea Testing” in Dental Sleep Medicine A Clinical Guide, Springer, 2022

He trained students and residents with ECU for 4 years, and then went into private practice in Williamston, NC. He was chief of staff for 7 years and practiced holistic family medicine, including ICU, ER, OBGYN and newborn care. With a strong focus on diet and exercise, he felt he needed to focus on the third pillar of health, which is sleep. He underwent his sleep training at Atlanta Sleep School at Northside Hospital. He became board certified in Sleep Medicine in 2009. He is the medical director of SleepWorks in Raleigh North Carolina, and practices at 5 locations throughout the state.

His sleep practice is 40 % pediatrics with a focus on movement disorders, sleep apnea, narcolepsy, circadian rhythm disorders and insomnia.

He interprets Level I polysomnograms and also Level II-IV home based tests. Along with prescribing CPAP therapy, Dr. Cue also works closely with dentists who provide oral appliances for sleep apnea patients. He is a member of the American Academy of Sleep Medicine, CHEST physicians, AAFP and the American Academy of Dental Sleep Medicine. He specializes in non-pharmacologic approaches to insomnia and movement disorders.

Accreditation

	In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

	Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity. Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed. Pharmacology credits are identified on individual activities.

	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

	Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.

ADA CERP Logo

Credit Designation for Dentists: Continuing Education, Inc. is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Continuing Education, Inc. designates this continuing dental education activity for 14 continuing education credits.

Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

MOC ABIM

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sun Oct 01	Embark in Budapest	-	-
Mon Oct 02	Budapest, Hungary	-	1:30 pm
Tue Oct 03	Bratislava	8:00 am	11:00 pm
Wed Oct 04	Vienna	7:00 am	11:59 pm
Thu Oct 05	Dürnstein	8:00 am	12:00 pm
Thu Oct 05	Melk/Emmersdorf	3:00 pm	7:00 pm
Fri Oct 06	Linz	7:00 am	8:30 am
Fri Oct 06	Passau	5:00 pm	6:30 pm
Sat Oct 07	Regensburg	10:00 am	8:00 pm
Sun Oct 08	Debark in Passau	8:00 am	-

PORTS OF CALL

Embark in Budapest

Welcome to your Danube cruise! Your journey begins in Budapest, a city of captivating dualities and grand history, with an afternoon embarkation. While the onboard welcome—a cocktail, a specially-prepared dinner, a romantic evening cruise past the illuminated Parliament, and a Hungarian folklore show—is a perfect beginning, it is merely the epilogue to the story you can write for yourself by arriving a day or two early.

To truly appreciate the “Pearl of the Danube,” we strongly encourage a pre-cruise stay. This allows you to acclimate, overcome jet lag, and immerse yourself in a city that richly rewards exploration. After a long flight, the last thing you need is the stress of a same-day transfer. Instead, give yourself the gift of time to decompress and discover one of Europe’s most compelling capitals at a pace that feels like a true vacation.

**Getting Your Bearings**

Upon arrival at Budapest Ferenc Liszt International Airport (BUD), reaching the city center is straightforward. Official Főtaxi cabs are readily available, or you can opt for the convenient miniBUD airport shuttle service. For a direct and efficient public transit option, the 100E bus provides an express link to Deák Ferenc Square in the heart of the city.

**A Suggested Pre-Cruise Itinerary**

**Day 1: Arrival & The Vibrancy of Pest**

After settling into your hotel, begin your exploration on the flat, bustling Pest side of the river. Take a meaningful stroll along the Danube Promenade to see the “Shoes on the Danube Bank,” a poignant memorial that offers a moment of quiet reflection on the city’s 20th-century history. From there, gaze across the water at the magnificent Buda Castle, a preview of tomorrow’s adventure.

Make your way inland to St. Stephen's Basilica, a neoclassical masterpiece housing a revered holy relic. For a nominal fee, you can ascend to the cupola’s observation deck for a breathtaking 360-degree panorama of the city—an excellent way to orient yourself. As evening approaches, wander into the historic Jewish Quarter. Here you’ll find the Great Synagogue, the largest in Europe, and a neighborhood teeming with history and a unique, modern energy. This is the birthplace of Budapest’s famous “ruin bars.” Step into a place like Szimpla Kert, not just for a drink, but to experience a uniquely Budapest phenomenon: the creative, eclectic transformation of derelict pre-war buildings into vibrant social hubs. For dinner, seek out a traditional csárda for hearty classics like goulash and chicken paprikash, or explore one of the many modern restaurants reimagining Hungarian cuisine.

**Day 2: The Royal Grandeur of Buda & Rejuvenation**

Today, you’ll explore the hills of Buda. Walk across the iconic Széchenyi Chain Bridge, guarded by its stone lions, and take the charming 19th-century Funicular up to Castle Hill. This UNESCO World Heritage site is a sprawling complex of cobblestone streets, historic monuments, and unparalleled views.

Spend your morning exploring the Buda Castle district. You can delve into Hungarian art at the National Gallery or uncover the city’s past at the Budapest History Museum. Don’t miss the stunning Matthias Church, with its kaleidoscopic Zsolnay-tiled roof and intricate interior. Adjacent to it is the Fisherman's Bastion, a fairytale-like structure of turrets and terraces offering what is arguably the most picture-perfect view of the magnificent Hungarian Parliament Building across the river.

In the afternoon, indulge in a quintessential Budapest experience—a visit to a thermal bath. This is the perfect antidote to a demanding work schedule and the rigors of travel. Choose the sprawling, palatial Szechenyi Baths for its famous outdoor pools or the elegant, Art Nouveau Gellért Baths for a more serene atmosphere. Soaking in the naturally heated, mineral-rich waters is a centuries-old tradition and a restorative ritual you won’t soon forget.

**Embarkation Day: Markets and Farewells**

If your flight arrived early or you have a third morning, spend it at the Great Market Hall. This cavernous, three-story market is an architectural gem and a feast for the senses. Browse the ground floor for produce, cured meats, and local delicacies like lángos (fried dough with toppings). The upper floor is perfect for finding authentic souvenirs, from bags of paprika and bottles of sweet Tokaji wine to intricate embroidery and crafts. It’s a final, vibrant taste of local life before you make your way to the ship for your afternoon embarkation, relaxed, enriched, and ready for the Danube journey ahead.

Budapest, Hungary

Bratislava

Vienna

Dürnstein

Melk/Emmersdorf

Linz

Passau

Regensburg

Debark in Passau

After breakfast, we bid you farewell. But while your magnificent river journey concludes here, a new and equally enchanting chapter of your European discovery awaits. We hope you will consider Passau not as an endpoint, but as a captivating destination in its own right, a place to decompress, explore, and immerse yourself in Bavarian charm before your journey home. Don't rush to the airport; allow yourself one, two, or even three more days to fully appreciate the “City of Three Rivers.”

Nestled at the confluence of the Danube, Inn, and Ilz rivers, Passau is a city of breathtaking beauty and profound history. Its narrow, winding cobblestone streets, grand squares, and Italianate architecture—a legacy of 17th-century master builders who rebuilt the city after a great fire—create an atmosphere that is both majestic and intimately welcoming. Here is a suggested itinerary to make the most of your extended stay:

**Your First Day: The Heart of the Three Rivers**

After disembarking, settle into your hotel and begin your exploration in the heart of the Altstadt (Old Town). Your first stop should be the Dreiflüsseeck, the very tip of the peninsula where you can witness the remarkable natural spectacle of the three rivers meeting. The blue Danube, the green Inn (flowing from the Alps), and the black Ilz create a mesmerizing, multi-toned current. From here, wander through the Old Town’s labyrinthine alleys. You’ll find yourself transported back in time, surrounded by colorful facades, hidden courtyards, and charming boutiques.

This afternoon, prepare for an auditory and architectural marvel at St. Stephen's Cathedral (Dom St. Stephan). This stunning example of Italian Baroque architecture is home to the largest cathedral organ in the world, boasting an incredible 17,974 pipes. Plan to attend the daily midday organ concert (held on weekdays from May to October). The sheer power and acoustic brilliance of this instrument filling the magnificent cathedral is an experience that will resonate with you long after you leave.

For dinner, embrace true Bavarian Gemütlichkeit (coziness and hospitality) at a traditional Gasthaus. Savor regional specialties like Schweinshaxe (roasted pork knuckle) or Käsespätzle (cheese noodles), accompanied, of course, by a stein of locally brewed beer.

**Your Second Day: A View from Above and Artistic Treasures**

This morning, enjoy a different perspective of the city from the Veste Oberhaus, the formidable 13th-century fortress that looms over Passau. You can take a scenic walk up the hill or opt for the convenient shuttle bus. From its ramparts, you’ll be rewarded with the most spectacular panoramic view of the city, the three rivers, and the surrounding countryside. The fortress also houses the Oberhausmuseum, offering fascinating exhibits on the history of the region.

In the afternoon, descend back into the city and seek out the Höllgasse, also known as the “Artists’ Alley.” This vibrant, narrow lane is lined with studios, galleries, and workshops of local artisans. It’s the perfect place to find a unique, handcrafted souvenir, from paintings and sculptures to intricate jewelry. Nearby, you can also visit the Passau Glass Museum, which holds the world's largest collection of European glass, a dazzling display of artistry spanning several centuries.

Tonight, perhaps enjoy a more contemporary dining experience at one of the city’s modern restaurants or relax at a riverside café, watching the boats glide by as the sun sets over the water.

**Your Third Day: Deeper Exploration or a Journey Beyond**

With an extra day, you can delve deeper into Passau’s offerings or use it as a base for exploring the region. Consider a short boat trip on the Inn or Ilz rivers for a different vantage point. Alternatively, Passau is a gateway to the magnificent Bavarian Forest National Park or charming nearby Austrian towns like Schärding.

**Planning Your Departure**

When it is finally time to depart, Passau is well-connected. The most common international gateway is Munich Airport (MUC), approximately a 2-hour journey by car or a direct train ride. Closer regional options include Linz Airport (LNZ) in Austria (about 1 hour away) and Salzburg Airport (SZG) (about 1.5-2 hours away), both easily accessible by train or shuttle service.

Ending your cruise in Passau offers a unique opportunity to transition from the rhythm of the river to the relaxed pace of one of Germany’s most beautiful cities. It’s the perfect coda to your European vacation—a chance to create a few more lasting memories before returning to your demanding professional life, refreshed and inspired.

Amadeus Silver III

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment and take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

Request a Quote online or by voice at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match or Beat the Cruise Line’s Fares and Promotional Offers. * Prices displayed below cover the entire cruise and include meals,
nightly entertainment, resort features and all taxes.

Suite/Deluxe

Amadeus Suite with walk-out exterior balcony (S)
Comfortable corner sofa, luxurious bathroom, walk-out exterior balcony, mini-bar, walk-in wardrobe, choice of bed configuration (double or twin bed), flat-screen television, individual climate control, en-suite bathroom with shower/WC, bathrobe, hair dryer, direct dial telephone and in-room safe. 284 sq. ft.

4,643.00
per person