Pagine elettroniche ; Ricerca
1UO Pediatria Ospedaliera, Ambulatorio e Day Hospital di Endocrinologia Pediatrica e dell’Adolescenza, AOU Ferrara
2Formazione, Dipartimento Emergenza, AOU Ferrara
3Strutt. Interaz. di Formazione e Progetti Internazionali, AOU Padova
4Centro Studi Federazione Italiana Medici Pediatri, Sezione di Napoli
5Dipartimento di Medicina Clinica e Sperimentale, AOU Padova
Indirizzo per corrispondenza: firstname.lastname@example.org
Key words: Childhood obesity, Therapy, Primary Care, Therapeutic Patient Education, Family Group Therapy
Objectives - In 2000 the Paediatric Department of Ferrara (Italy) started a Family Group Therapeutic Educational programme to treat childhood obesity. Following its positive results, a practical professional training in therapeutic education, addressed to healthcare personnel involved in the treatment of childhood obesity, was planned in 2008. The training is meant to promote the development of a shared therapeutic educational strategy for obesity, involving specialists, primary care physicians/paediatricians and families. The article presents the preliminary results of this training and discusses its acceptance and feasibility. Methods - The integrated professional training consists of an on-line course followed by a two-day practical training at the Paediatric Department of Ferrara University Hospital or, alternatively, by a two-day classroom group training. The feasibility assessment of the training project takes into account the following criteria: a multidimensional questionnaire (a preand post-test investigating knowledge, motivation, self-efficacy, methodology, communication, modelling etc.), an appreciation questionnaire, and the observed outcomes for the implementation of daily professional practice. Results and conclusions - Preliminary results prove its feasibility as well as a great interest and appreciation by participants. Moreover, the professional training has a low cost and could be even cheaper by making each seminar accessible to more than one participant.
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Pagine elettroniche ; Caso Contributivo
UO Oncoematologia Pediatrica “F. Vecchio”, Università di Bari
Azienda Ospedaliero-Universitaria Policlinico “Consorziale”, Bari
Indirizzo per corrispondenza: email@example.com
Key words: Gastroesophageal reflux, Medulloblastoma, Childhood, Diagnosis
We report a case of a 13-year-old boy with recurrent episodes of vomiting. Initially a diagnosis of gastroesophageal reflux with esophagitis was made. The patient also showed bradycardia and deflections of mood. Neurological assessment and examination of fundus oculi resulted normal. Magnetic resonance imaging of the brain was performed for the persistence of vomiting despite antireflux therapy: cerebellar neoplasm was found. The histological evaluation of the excised neoplasm was consistent with medulloblastoma so the patient was submitted to cancer chemotherapy and he is currently in remission of disease. We present an anecdotal case of delay in the diagnosis of brain tumors in children; in this case the delay was aggravated by the detection of reflux esophagitis and by the normality of neurological assessment and of evaluation of the fundus oculi.
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