liborio parrino - Ospedale di Circolo

LIBORIO PARRINO
Responsabile Assistenziale
Centro di Medicina del Sonno
AOU di Parma
Vice Presidente AIMS
Co-Chiar WASM Committee for the World Sleep Day
PUBMED 31.5.2012
Diabetes: 404.000
Hypertension: 346.000
Sleep: 118.000
Sleep disorders: 61.000
Sleep apnea: 25.060
Children sleep: 15.759
Insomnia 13.425
Sleep apnea children: 101
Internationalization of pediatric sleep apnea research
Int J Pediatr Otorhinolaryngol 2012 Feb;76(2):219-26.
Milkov M
There was a steady world publication output increase. In 1972-2010, 4192 publications
from 874 journals were abstracted in MEDLINE. In 1985-2010, more than 8100 authors
from 64 countries published 3213 papers in 626 journals and 256 conference proceedings
abstracted in Web of Science. In 1973-2010, 152 authors published 687 papers in 144
journals in 19 languages abstracted in Scopus. USA authors dominated followed by those
from Australia and Canada. Sleep, Int. J. Pediatr. Otorhinolaryngol., Pediatr. Pulmonol.
and Pediatrics belonged to 'core' journals concerning Web of Science and MEDLINE
while Arch. Dis. Childh. and Eur. Respir. J. dominated in Scopus. Nine journals being
currently published in 5 countries contained the terms of 'sleep' or 'sleeping' in their titles.
David Gozal, Carole L. Marcus and Christian Guilleminault presented with most
publications and citations to them. W.H. Dietz' paper published in Pediatrics in 1998
received 764 citations. Eighty-four authors from 11 countries participated in 16 scientific
events held in 12 countries which were immediately devoted to sleep research. Their 13
articles were cited 170 times in Web of Science. Authors from the University of
Louisville, Stanford University, and University of Pennsylvania published most papers on
pediatric sleep apnea abstracted in these data-bases.
Am J Respir Crit Care 2012 Apr 15;185(8):805-16.
Obstructive Sleep Apnea in Infants
Katz E et al.
Children’s Hospital Boston
Abstract
Obstructive sleep apnea in infants has a distinctive pathophysiology, natural history, and treatment
compared with that of older children and adults. Infants have both anatomical and physiological
predispositions toward airway obstruction and gas exchange abnormalities; including a superiorly
placed larynx, increased chest wall compliance, ventilation–perfusion mismatching, and ventilatory
control instability. Congenital abnormalities of the airway, such as laryngomalacia, hemangiomas,
pyriform aperture stenosis, choanal atresia, and laryngeal webs, may also have adverse effects on
airway patency. Additional exacerbating factors predisposing infants toward airway collapse include
neck flexion, airway secretions, gastroesophageal reflux, and sleep deprivation. Obstructive sleep
apnea in infants has been associated with failure to thrive, behavioral deficits, and sudden infant
death. The proper interpretation of infant polysomnography requires an understanding of normative
data related to gestation and postconceptual age for apnea, arousal, and oxygenation. Direct
visualization of the upper airway is an important diagnostic modality in infants with obstructive
apnea. Treatment options for infant obstructive sleep apnea are predicated on the underlying etiology,
including supraglottoplasty for severe laryngomalacia, mandibular distraction for micrognathia,
tonsillectomy and/or adenoidectomy, choanal atresia repair, and/or treatment of gastroesophageal
reflux.
SLEEP
SLEEP
SLEEP
Bangkok WASM 2007
(idea per la WSD)
World Sleep Day (WSD)
is an annual event sponsored by WASM
to raise awareness of the importance of
sleep for good health (IPNODIDATTICA ITALIA)
The World Sleep Day Committee is cochaired by Antonio Culebras, Syracuse,
NY, USA and Liborio Parrino, Parma,
Italy.
WSD has been celebrated since 2008,
always in the month of March
WORLD SLEEP DAY SLOGANS
2008
SLEEP WELL, LIVE FULLY AWAKE
2009
DRIVE ALERT, ARRIVE SAFE
2010
SLEEP WELL, STAY HEALTHY
2011
SLEEP WELL, GROW HEALTHY
HISTORICAL VIDEOS
These videos along with video-recordings announcing WSD
in various languages can be checked in the WSD website
www.worldsleepday.org
WSD partners (2012: > 50.000 Euros)
UCB
Philips-Respironics
Fisher & Paykel
Procter and Gamble
Mendale
Goodnite
10 COMMANDMENTS OF SLEEP HYGIENE (ADULT)
1. Fix a bedtime and an awakening time.
2. Limit daytime naps to 30-45 minutes.
3. Avoid excessive alcohol 4 hours before bedtime.
4. Avoid caffeine 6 hours before bedtime. This includes coffee,
tea and many sodas, as well as chocolate.
5. Avoid heavy, spicy, or sugary foods 4 hours before bedtime.
A light snack before bed is acceptable.
6. Exercise regularly, but not right before bed.
7. Use comfortable bedding.
8. Find a comfortable temperature setting for sleeping and keep
the room well ventilated.
9. Block out all distracting noise and eliminate as much light as
possible.
10. Reserve the bed for sleep and sex. Don't use the bed as an
office, workroom or recreation room.
10 Commandments of Healthy Sleep for Children
1. Make sure your child gets enough sleep by setting an ageappropriate bedtime and waketime.
2. Set consistent bedtime and wake-up times on both weekdays and
weekends.
3. Establish a consistent bedtime routine that includes “quiet time.”
4. Encourage your child to fall asleep independently.
5. Avoid bright light at bedtime and during the night (including light
from television or computer screens) a nd increase light exposure in
the morning.
6. Keep all electronics, including televisions, computers and cell
phones, out of the bedroom and limit use of electronics before
bedtime.
7. Maintain a regular daily schedule, including consistent mealtimes.
8. Have an age-appropriate nap schedule.
9. Ensure plenty of exercise and time spent outside during the day.
10. Eliminate foods and beverages containing caffeine.
Cross-cultural differences in infant and toddler sleep
Sleep Med 2010; 11 (3): 274-280
Jodi A Mindell et al.
Overall, children from predominantly-Asian countries had
significantly later bedtimes, shorter total sleep times, increased
parental perception of sleep problems, and were more likely to
room-share than children from predominantly-Caucasian
countries/regions. These results indicate substantial differences in
sleep patterns in young children across culturally diverse
countries/regions
PECHINO 20 MARZO 2011
Pechino 2011
Pechino 2011
Pechino 2011
WSD 2012
Kuala Lumpur
Kuala Lumpur 2012
Ministro della Sanità
MAKE SLEEP
A PRIORITY!
IN ITALIA
AIMS (SIRS): casa comune multidisciplinare
AIPO: pneumologi
SIN: neurologi
SIO: otorinolaringoiatri
SISMO: odontoiatri
Pediatri, psichiatri, cardiologi…..
Bertinoro
Sonno adulto e bambino
Censimento AIMS
solo 7 pediatri
Official Journal of the
World Association of Sleep Medicine
International Pediatric Sleep Association
Società Scientifica Italiana di Sonno e Salute (S.S.I.S.S.)
Sede: Piazza Matteotti 59, 46023 Gonzaga (Mn) –
P. IVA e C.F.: 02146180209
Tel-fax: 0376/263028 cell:335/7832180
e-mail:[email protected]
CHE COSA E’ LA SSISS?
L'associazione persegue finalità di solidarietà sociale, ed ha per oggetto lo
svolgimento di attività nel settore della formazione, istruzione e ricerca.
•di organizzare eventi formativi per operatori della sanità, finalizzati all'aggiornamento scientifico,
professionale, tecnologico e strumentale, mediante congressi, simposi, tavole rotonde, seminari,
conferenze, corsi di aggiornamento ed altre tipologie di manifestazioni;
•di sensibilizzare la comunità scientifica e la cittadinanza alle problematiche del sonno ed alle
patologie ad esso collegate;
•di promuovere la ricerca e lo studio delle patologie legate al sonno coinvolgendo tutti gli associati in
modo paritario;
•di favorire lo scambio di notizie, aggiornamenti, scoperte che possano avvantaggiare la collettività
nello svolgimento della professione medica con particolare riguardo alle attività legate al sonno;
•di divulgare nei modi più opportuni i risultati scientifici ottenuti in tema di diagnosi e terapia;
•di collaborare con le istituzioni e con le altre comunità scientifiche che si interessano al sonno ed alla
salute, al fine di migliorare la prevenzione, diagnosi e terapia a tutto vantaggio della popolazione.
L'associazione può svolgere le sue attività in collaborazione con qualsiasi altra istituzione pubblica o
privata nell'ambito degli scopi statutari oppure associarsi con altre istituzioni.
Studio via Piscane 1B 46100 MANTOVA
Cell:3357832180 Fax:0376263028
Email:[email protected]
IL SONNO IN ITALIA
CHIAMALO SONNO
Henry Roth
David Schearl è un bambino ebreo di neanche due anni
quando arriva a New York dalla Galizia nel 1907. La
madre Genya lo porta con sé quando raggiunge il marito
Albert nella “terra dorata”. Il padre è un uomo duro e
violento, in preda ad assurde manie di persecuzione e
incapace di mantenere un lavoro a lungo. La madre è
una donna affettuosa che ricopre il figlio di attenzioni
dolcissime. Diviso fra amore e terrore, David affronta il
mondo, trovandovi altre paure e altra violenza, ma anche
scoperte fantastiche e repentine illuminazioni.
«Poteva anche chiamarlo sonno.
Era soltanto in prossimità del sonno e ogni battito
delle ciglia poteva provocare una scintilla contro
l’esca confusa del buio, accendere negli angoli
oscuri della camera una tale miriade di vividi
zampilli di immagini –
un luccichio su barbe inclinate,
l’ineguagliabile scintillio su dei pattini,
la secca luce sugli scalini di pietra grigia di un
ingresso,
lo splendore a diminuire delle rotaie,
la lucentezza oleosa dei fiumi lisci nella notte,
il brillio di sottili capelli biondi, di facce rosse,
di palme aperte e tese di legioni e legioni di mani
che si precipitavano verso di lui».
IL SONNO E’ UN ATTO DEMOCRATICO:
CONCESSO ANCHE A CANI E PORCI
MEDICI RESPONSABILI STUDIO
E.B.
RESPONSABILE SCIENTIFICO E PRESIDENTE DELLA
SOCIETA’ SCIENTIFICA ITALIANA DI SONNO E SALUTE
SSISS
A.R.
RESPONSABILE FORMATIVO E VICE PRESIDENTE
DELLA SOCIETA’ SCIENTIFICA ITALIANA DI SONNO E
SALUTE SSISS