Gli articoli più visti nel mese di Agosto 2017
|Specialità - Novembre 1997|
|Il prurito atopico|
Atopic dermatitis is the most frequent skin disease characterized by severe itching. The treatment of atopic itching should start from the evaluation of its severity. An itching score based on the number of crises during daytime, the period of waking up during the night and the extension of scratch marks is suggested. The parents must be trained to prevent the crises of itching and to stop them as soon as possible. Finally, the indications and effectiveness of symptomatic treatments of pruritus such as emollients, corticosteroid creams and oral antihistamines are reviewed.
|Aggiornamento monografico - Febbraio 2001|
|Le microcitosi nel bambino: classificazione e approccio diagnostico|
The Authors provide an overview of microcytic anemias. Causes of microcytic anemia include a wide variety of diseases, the most common being iron-deficiency, impaired haemoglobin synthesis, sideroblastic anemias and anemias due to chronic disease. Other less common causes are copper deficiency, lead poisoning and haemosiderosis. A classification of the main microcytic anemias is provided and a diagnostic approach to microcytosis, with and without anemia, based on RDW and MCV is suggested.
|Problemi correnti - Gennaio 1999|
|La valutazione dello sviluppo psicomotorio nel primo anno di vita|
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.
|Medicina e società - Maggio 2017|
|Assegni e congedi familiari in Italia: una panoramica per il pediatra|
La conoscenza molto utile da parte del pediatra di tutti i vantaggi legislativi per il nuovo nato e i suoi genitori.
Italy is one of the countries in the world with the lowest birth rate. To cope with this phenomenon, at least partly, the Italian Government has enacted a series of provisions in the last few years to favour and protect motherhood. The recently introduced facilitations involve also freelance mothers and fathers as well, who can replace mothers in the childcare. The paper offers an overview of the most recent provisions of the Italian legislation concerning allowances in money and leaves for different types of working parents.
|Per una pediatria basata sull'evidenza - Giugno 2000|
|Varicella e aciclovir|
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.
|Vaccinare - Dicembre 1997|
|Reazioni avverse lievi e gravi (rare) ai vaccini: una revisione|
Adverse reactions to vaccine vary from trivial to severe. Mild reactions include systemic symptoms (fever after DTP vaccine or rash after live measles vaccine) or local flogosis after DTP. Sterile abscesses may occur after immunization with a variety of killed vaccines and may be caused by the inadvertent subcutaneous administration of a vaccine intended for intramuscolar use. Rare, serious consequences of vaccine use that result in severe sequelae or death can also occur impredictably. Examples are paralytic polio after live polio vaccine or hypersensitivity reactions to vaccine components such as bovine or suine collagen, neomycine, mercury. Egg allergy does not represent a contraindication to vaccines containing egg proteins. Health professionals should know the specific reactions that may be associated with the administration of the most commonly used vaccines.
|ABC - Aprile 1999|
|La sesta malattia e l’infezione da HHV-6|
|L'angolo dell'immunologo - Ottobre 2001|
|Quando sospettare un’immunodeficienza|
|Farmacologia - Gennaio 1997|
|Adrenalina: tante vie per tante indicazioni|
In recent years, new indications for adrenaline have been added to the most timehonored ones, such as anaphylaxis and cardiopulmonary resuscitation: Alternative routes of administration have also been evaluated. For anaphylaxis, nebulised adrenaline is very effective if administrated at an early stage and has the advantage of allowing a quick and easy administration, thus preventing the progress of anaphylactic reactions. Findings from recent studies show that both subcutaneous and nebulized adrenaline are effective in the treatment of acute bronchiolitis in infants and toddlers. Nebulized adrenaline is now an accepted indication in croup. Most of the studies in croup and bronchiolitis were made with racemic adrenaline, but there is evidence that the laevorotatory form is equally effective and does not produce cardiac effects even at relatively high dosages (0.1 mg/kg in croup and 0.25 mg/kg in bronchiolitis).
|Articolo speciale - Giugno 2017|
|Come sta l’omeopatia?|
L’articolo, riproposto a distanza di 13 anni dalla sua pubblicazione, contiene argomenti di discussione sull’omeopatia che sono di estrema attualità (vedi l’Editoriale).
The Italian Parliament is elaborating a law project regarding the recognition and the teaching of 8 so-called “non conventional” medicines, including homoeopathy, and of 6 non conventional medical therapies, including pranotherapy, in name of a “scientific pluralism” and of “the need to harmonize the fundamental principles established by the legislations in the different European countries”. These reasons appear to be unfounded and they sound like a pretext, since some of the proposals contained in the law project are clearly in contrast with the common shared knowledge. The paper shortly analyses the history of homoeopathy, the history of its principles, the feasibility of this medicine inside a culture continuously referring to the evidence based medicine (EBM) and underlines the contradiction between this culture and the still insufficient results obtained from the controlled clinical experimentation of the homoeopathic therapies.
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