Gli articoli più visti nel mese di Giugno 2017
|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.
|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.
|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 - Gennaio 2017|
|Le vaccinazioni tra persuasione e coercizione|
l progetto su un “nuovo modo di comunicare in tema di vaccinazioni” rappresenta una complessiva sfida per i prossimi anni.
|Trattamento del vomito da gastroenterite:
quando il bisogno clinico chiama e la ricerca risponde|
Quando la ricerca indipendente, ben disegnata, riesce a dare delle risposte a problemi clinici, anche correnti (vedi Ricerca).
|L'angolo degli specializzandi - Maggio 2017 a cura di Sara Lega|
|La pelle del neonato:
cosa bisogna riconoscere|
Intervista al dott. Mario Cutrone
|Problemi non correnti - Settembre 1997|
|APEC: esantema periflessurale asimmetrico|
The paper describes a new entity, the Asymmetric Periflexural Exanthem of Childhood (APEC), first described in 1962 and recently recognized as a separate clinical entity by many Authors. It is characterized by scarlatiniform or papular rash which develops usually from a periflexural (axillary or inguinal) area to the thoracic area but with a clear monolateral preference. Respiratory or gastrointestinal symptoms may accompany the eruption. Occasionally moderate pruritus and regional lymphoadenopathy are present. The course is self-limited. This entity is believed to be caused by a virus but no single agent has been identified as a causal agent sofar. The Authors observed 4 cases of APEC over a period of four months in 18 to 24-month old children. It is probable that APEC can be diagnosed more often if increased attention is payed by paediatricians.
|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.
|La pagina gialla - Maggio 2017 a cura di Alessandro Ventura|
|Trenta anni di confronti|
Bambini con mal di gola e SBA
Esiste il gene dell’autoimmunità?
Profilassi delle IVU: non utile nella prevenzione del danno renale
Genetica first. Ovvero: personalizzare le cure nelle MICI
|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.
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