Gli articoli più visti nel mese di Settembre 2018
|ABC - Febbraio 2004|
|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.
|Editoriali - Settembre 2018|
|Trattamento dello stroke nell’adulto e nel bambino:|
due mondi paralleli e differenti, sulla via di incontrarsi…
Un numero dedicato alle novità diagnostiche e terapeutiche sullo stroke (vedi pag. 425 e pag. 433).
|La controproduttività… della protezione|
Un mondo basato per lo più sulla paura è un mondo che fa paura.
|Specialità - Marzo 1997|
|Le malocclusioni di terza classe|
The Authors describe classification and diagnostic clues for Class III malocclusion. The “dental” type of Class III malocclusion can be diagnosed on clinical grounds while the “skeletal” type requires X-rays for a more precise classification. The specific feature of Class III malocclusion is that treatment should be started as early as possible (from the third-fourth year of age) due to the tendency of many cases of become more severe along with the growth of cranial bones. The correction can require less than a year. Therefore early diagnosis and referral to the specialist are of utmost importance.
|ABC - Giugno 2002|
|L’otite esterna acuta|
|Schede di neurologia - Febbraio 1997|
|La paralisi di Bell o paralisi idiopatica del nervo faciale|
|L'angolo dell'immunologo - Ottobre 2001|
|Quando sospettare un’immunodeficienza|
|Vaccinare - Marzo 2018|
|Vaccinazioni e gravidanza: più certezze che dubbi|
Alcune sicuramente utili per la donna e il nascituro.
The approach to vaccines during pregnancy is frequently based on faiths more than on facts. This state-of-the-art paper discusses the scientific evidences that should be considered in deciding whether to prescribe or discourage vaccinations in pregnant women, in particular with respect to anti Pertussis and anti Influenza vaccines.
|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).
|Problemi correnti - Dicembre 2000|
|La tosse (o le tossi)|
Cough is a frequent symptom, ranging from the simple, irritatingly cough associated with the common cold to the catarrhal cough of sinusitis and to the prolonged afebrile non productive cough caused by intracellular pathogens such as Mycoplasma and Chlamydia. Cases of particularly troublesome, recurrent, “untreatable”, nonspecific cough are also commonly seen by paediatricians. Such cases have increasingly been diagnosed as having asthma (cough-variant asthma), but epidemiological and clinical evidence suggests that cough is unlikely to be the only manifestation of asthma. This kind of cough is likely to be related to an increase of cough receptor sensitivity (CRH). The pathways of the reflex for cough and bronchoconstriction are distinctly different. Children with cough receptor hypersensitivity usually start coughing at bedtime and cough is typically unresponsive to treatment, and getting worse with time: in these children an increase of receptor sensitivity is probably due to cough itself. Chronic cough (lasting months and particularly if productive productive) should never be overlooked and requires a thorough diagnostic evaluation including sweat test and high resolution CT scan. Psychogenic cough is typical of school age children, it is stereotyped and stops, as a rule, as the child gets asleep.
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