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Gli articoli più visti nel mese di Agosto 2010

		Schede di neurologia - Febbraio 1997
1	86 kB	La paralisi di Bell o paralisi idiopatica del nervo faciale M. Carrozzi

		Osservatorio - Maggio 2006
		Cartoline dalla scienza a cura dell'Immaginario Scientifico
2	1019 kB	Grafi di reti sociali I grafi
		Cartoline dal mondo a cura di Giorgio Tamburlini
		Le nuove curve di crescita dell'OMS Nuovi percentili, virtuali e virtuosi

		Aggiornamento monografico - Febbraio 1997
3	193 kB	I disturbi del sonno nel bambino F. Cordelli Abstract The author syntetizes current knowedge on sleep physiology, particulary regarding REM and non REM sleep. There are many physiological motor and autonomic phenomena related to sleep such as gestual activity, modifications of hearth rate, respiratory rate and temperature. They should not be seen as abnormalities. When evaluating the child with insomnia, paediatricians should take into account the different sleep requirements at different ages, as well as environmental factors such as rituals utilized to induce sleep, fears, and stress. In infants, insomnia may be caused by allergy. Airway obstruction due to hypertrophic tonsils or adenoids may cause severe sleep disturbances, and negatively affect the child during the day. Pharmacological treatment of sleep disorders should be limited to cases not-responders to behavioural approaches or to elimination diet. Ipersomnias (narcolepsia, catalepsia, ipnagogic allucinations) are very rare in children and differential diagnosis with epilepsia may be diffucult. Parasomnias (iactatio capitis, spasmus rutans, pavor nocturnus, sonnambulism, bruxism) are easy to recognize and need just reassurance.

		ABC - Aprile 2000
4	23 kB	Gengivostomatite erpetica e dintorni F. Panizon

		Saper interpretare - Febbraio 1997
5	44 kB	Breath test: aria buona per il gastroenterologo S. Amarri Abstract Indications and ongoing research on breath test are rewiewed. H2- and 13Cbreath test are both increasingly used in paediatric gastroenterology. In current clinical practice the main indication for H2 -BT is lactose intolerance, while 13C-BT is currently used only for diagnosis of Helicobacter pylori infection. Available evidence on new indications (small bowel bacterial overgrowth and research in clinical nutrition) are also presented and discussed. Breth test technology is relatively simple, non-invasive, safe and accurate. Therefore their use schould be encouraged.

		Problemi correnti - Marzo 1997
6	36 kB	La febbre alta nel lattante e nel bambino sotto i tre anni S. Russian, C.M. Salvatore Abstract The Authors review the recommendations on the management of fever in infants and children below three years of age, and compare them with the current practice of primary care paediatricians. Primary care practictioners indeed appear more confident on their clinical assessment, in spite of the results of several studies showing that a small but significant proportion of cases with severe bacterial infection can be missed this way. Based on existing evidence, the Authors recommend to perform a WBC count and urinalysis in all infants below 3 months with fever and in all other children below 2 years of age with fever higher than 39C°, provided that no other obvious cause can be identified. A follow-up visit within 24 hours is also recommended in these cases.

		Casi indimenticabili - Marzo 1997
7	31 kB	Poliallergia alimentare: quando la diagnosi diventa malattia F. Angelini
		Uno shock anafilattico post-operatorio E. Novembre

		ABC - Ottobre 1997
8	100 kB	Mononucleosi infettiva: immunologia, diagnosi e storia naturale dell’infezione da EBV A. Mendoza, F. Panizon

		Problemi correnti - Ottobre 2000
9	1077 kB	Le manifestazioni cutanee nelle malattie reumatiche infantili L. Lepore Abstract Cutaneous involvement is frequently present in rheumatic disorders. Usually the cutaneous lesions are typical and are useful for the diagnosis. In some cases the cutaneous involvement is present since the beginning (Schoenlein-Henoch purpura, Kawasaki disease, CINCA, scleroderma, Behçet disease), in others (LES, Lyme disease, dermatomiositis, Juvenile Chronic Arthritis) the cutaneous signs can appear later, during the course of the disease.

		Aggiornamento monografico - Maggio 1997
10	184 kB	Emangiomi e malformazioni vascolari P. Dalmonte, G. Bava, N. Camassa, L. Zannini Abstract Congenital vascular malformations represent a heterogeneous group of isolated or multiple abnormalities, sometimes associated with complex congenital syndromes. They rarely occur in the daily practice of vascular surgeons, are often misdiagnosed and, for the most part, left untreated. The current classification recognizes two distinct groups of lesions, hemangiomas and vascular malformations. Hemangiomas are not present at birth, proliferate in the first year of life and then involute with complete resolution in over 50% of children by the 6th-8th year of life; a therapeutic intervention (mainly corticosteroids or interferon-alfa 2a) is required only for life-threatening hemangiomas. Vascular malformations are always present at birth, grow along with the child, and never involute. Surgery and/or sclerotherapy are indicated for low-flow malformations (venous and/or lymphatic forms), whereas embolization followed by surgery is the first- choice procedure for arteriovenous malformations. Laser therapy is ideal for cutaneous capillary malformations (portwine stains). Knowledege of classification and evolution of congenital vascular lesions is essential for planning the most appropriate treatment.

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