Gli articoli più visti nel mese di Aprile 2013
| Per una pediatria basata sull'evidenza - Giugno 2000 | |||
| 1 |
  38 kB |
Varicella e aciclovir Abstract Chicken pox is still a common disease, usually with a favourable course. Complications are rare (2-3/100.000) in immunocompetent patients. The Authors review the published experience regarding treatment with acyclovir and conclude that the advantage is marginall (25% reduction of the duration of symptoms), while there is no reduction in the rate of complications. Acyclovir should be used in immunocompromised patients including primary immune deficiencies, patients treated with steroids or long-term salycilates, patients affected by chronic lung diseases, eczema, diabetes and heart diseases. | |
| News box - Febbraio 2013 a cura di Federico Marchetti | |||
| 2 |
171 kB |
Obesità: miti, supposizioni e certezze sul New England Journal of Medicine La sintesi di un articolo “scioccante” dal quale in qualche modo ripartire. | |
| Ricerca - Febbraio 2013 | |||
| 3 |
215 kB |
Prescrizione della vitamina D
alla dimissione del neonato sano Nel Triveneto le linee guida sull’utilizzo della vitamina D sono applicate bene dalla maggioranza dei punti nascita. C’è tuttavia molta diversità nelle formulazioni consigliate. Abstract Background - In 2008 the American Academy of Paediatrics (AAP) recommended the administration of 400 UI/die of vitamin D to all newborns. Aims - The aim of this study was to verify the adherence to current guidelines in birth centres of the three regions in North-East Italy (Triveneto). Materials and methods - In the months of February and March 2012 a questionnairewas sent to all 64 nurseries to verify whether the intake of vitamin D was recommended for all healthy newborns as a matter of department, and in what way, shape and dose was prescribed. Results - It resulted that 93.8% of birth centres prescribed vitamin D at discharge of healthy newborns and 89.8% prescribed it indiscriminately. All prescribed vitamin D in writing, at a dose of 400 UI/die in 93.1% and 27.6% in pure form. Conclusions - Adherence to guidelines regarding the recommendation to give supplemental vitamin D to newborns was optimal in the regions of Triveneto. | |
| 4 |
165 kB |
Bianca blob - Febbraio 2013 Speciale scuola: problemi e soluzioni. | |
| Problemi correnti - Gennaio 1999 | |||
| 5 |
51 kB |
La valutazione dello sviluppo psicomotorio nel primo anno di vita Abstract A neurodevelopmental assessment is proposed, based largely on Milani Comparetti’s concepts, and enriched by certain neonatal neurobehavioral items of Brazelton and Als and the Prechtl’s general movements (GMs) assessment in the first four months of life. It privileges the observation of spontaneous motor and interactive behavioral activity at four different phases during the first year of life, according to the stages of the separation-individuation process. Three main parameters are assessed: a) autonomic stability, focused on the first trimester; b) motor activity, divided into the non-functional spontaneous movement repertoire and adaptive functional motor activity; c) behavioral modulation, interpersonal and with the environment and objects. It is a simple, non intrusive method intended to be included in routine pediatric assessment. The overall main goal is to enable the pediatrician, through the assessment of normality, to reveal any deficit needing referral for specialistic investigation. | |
| Ricerca - Marzo 2013 | |||
| 6 |
382 kB |
Prescrizione di antibiotici equivalenti nella popolazione pediatrica in Lombardia Sono necessari interventi educativi e formativi riguardo all’uso dei farmaci generici (vedi Lettere), a partire dagli antibiotici. Abstract Aims - To evaluate the prescription profile of generic antibiotics in paediatric outpatient population in the Lombardy region. Methods - All reimbursed prescriptions (class A) dispensed to children < 14 years old in 2008 resident in 15 Local Health Units (LHUs) of the Lombardy region were considered. Drugs were identified according to the Anatomical Therapeutic Chemical (ATC) classification system. An antibiotic was defined as any drug belonging to the J01 subgroup of the ATC classification. Antibiotics reported in the so-called “transparency list” of the Italian Medicines Agency (AIFA) were defined as off-patent. Drugs marketed under the active substance name were identified as “generic”. Results - Overall 590,940 children (46% of residents) received at least an antibiotic prescription in 2008. About 79% of prescribed drugs were off-patent antibiotics and 29% were generic antibiotics. The amount of generic drugs prescribed varied among different active substances, ranging from 6% (clarithromycin) to 72% (amoxicillin). Wide differences were observed among LHUs, ranging from 12 to 48%. The average percentage of generic antibiotics prescribed by each paediatrician was 38.5 (median 37.7). Paediatricians classified as high prescribers prescribed slightly less generic antibiotics in comparison with their colleagues classified as low prescribers (median: 32.0 vs 40.6%; p=0.02). Generic drugs covered about 15% of the overall expenditure for antibiotics. Conclusions - Generic drug prescription rate in paediatric outpatients is low. The differences observed between settings and prescribers call for targeted educational interventions on the generic drug use addressed to physicians and patients. | |
| Pagine elettroniche - Gennaio 2013 | |||
| 7 |
132 kB |
Analisi delle sospette reazioni avverse alle vaccinazioni nella popolazione pediatrica La sintesi del report dell’AIFA e dell’ISS sulle segnalazioni spontanee delle reazioni avverse ai vaccini. Abstract Spontaneous reports of suspected adverse reactions to vaccines represent the majority of adverse reaction reports involving children. The evaluation of these reports is an important tool for the continuous monitoring of vaccine safety. This article summarizes the analysis of spontaneous reports of adverse reactions of vaccines used in children in the years 2009-2010. A full description of these data has been published in the report “Rapporto sulla sorveglianza post-marketing dei vaccini in Italia 2009-2010”. | |
| Il commento - Gennaio 2013 | |||
| 8 |
56 kB |
Allattamento al seno: scienza e conformismo Finalmente una visione lucida, giovane (è uno specializzando che scrive), ragionevole e scientifica sull’allattamento al seno. | |
| Editoriali - Gennaio 2013 | |||
| 9 |
43 kB |
L’insostenibile insostenibilità del SSN | |
| Medico e Bambino 2013 Tagli su tagli nella sanità. Può esistere ancora una prospettiva di vero cambiamento? Medico e Bambino, nel suo piccolo, si propone di rispondere a questa prospettiva di salute del mondo dell’infanzia. | |||
| 10 |
158 kB |
Bianca blob - Gennaio 2013 | |
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