{"title":"Lettere","authors":"","doi":"10.53126/meb43012","DOIUrl":"https://doi.org/10.53126/meb43012","url":null,"abstract":"anoressia nervosa e modalità di rialimentazione","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139596012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Le basse coperture vaccinali per l’influenza sono un dato storico che non trova soluzioni. È possibile fare di più e meglio, svolgendo in modo coordinato la propria parte senza pensare che la colpa sia sempre di qualcun altro o di un sistema che non funziona
{"title":"Dal dire al fare: la vaccinazione antinfluenzale","authors":"Federico Marchetti","doi":"10.53126/meb43007","DOIUrl":"https://doi.org/10.53126/meb43007","url":null,"abstract":"Le basse coperture vaccinali per l’influenza sono un dato storico che non trova soluzioni. È possibile fare di più e meglio, svolgendo in modo coordinato la propria parte senza pensare che la colpa sia sempre di qualcun altro o di un sistema che non funziona","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"25 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Secondogeniti: storia, mito e realtà","authors":"G. Tamburlini","doi":"10.53126/meb43048","DOIUrl":"https://doi.org/10.53126/meb43048","url":null,"abstract":"","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"32 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139598207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Riccardo Bisi, A. Troisi, Diana Wrona, Federico Marchetti, G. Parenti
Ectopic thymic tissue is a rare occurrence in clinical practice. However, it could cause di- agnostic difficulties, especially in the paediatric age group, as it can mimic a cervical mass. In most cases, thymic ectopia is asymptomatic and the ectopic thymic tissue presents as a painless cervical mass. It could rarely cause stridor, dyspnoea, dysphonia and dys- phagia. Ultrasound is the first-level diagnostic investigation. Only in doubtful cases, mag- netic resonance imaging is almost always diagnostic, as the ectopic tissue shows signal intensity comparable to the normal thymus. The fine-needle aspiration may be avoided and conservative treatment may be performed through ultrasound follow-up. Surgical exci- sion is reserved when imaging and biopsy are still inconclusive or in the presence of symptoms. The paper presents a clinical case of asymptomatic cervical ectopic thymus in a healthy girl, suspected on ultrasound examination and confirmed on magnetic reso- nance imaging.
{"title":"Timo ectopico: quando pensarci, la diagnosi per immagini, la gestione","authors":"Riccardo Bisi, A. Troisi, Diana Wrona, Federico Marchetti, G. Parenti","doi":"10.53126/meb42631","DOIUrl":"https://doi.org/10.53126/meb42631","url":null,"abstract":"Ectopic thymic tissue is a rare occurrence in clinical practice. However, it could cause di- agnostic difficulties, especially in the paediatric age group, as it can mimic a cervical mass. In most cases, thymic ectopia is asymptomatic and the ectopic thymic tissue presents as a painless cervical mass. It could rarely cause stridor, dyspnoea, dysphonia and dys- phagia. Ultrasound is the first-level diagnostic investigation. Only in doubtful cases, mag- netic resonance imaging is almost always diagnostic, as the ectopic tissue shows signal intensity comparable to the normal thymus. The fine-needle aspiration may be avoided and conservative treatment may be performed through ultrasound follow-up. Surgical exci- sion is reserved when imaging and biopsy are still inconclusive or in the presence of symptoms. The paper presents a clinical case of asymptomatic cervical ectopic thymus in a healthy girl, suspected on ultrasound examination and confirmed on magnetic reso- nance imaging.","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"9 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138943916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The diagnosis of eosinophilic bronchitis was finally done in a 4-year-old girl with dry, long lasting cough.
最终，一名长期干咳的 4 岁女孩被确诊为嗜酸性粒细胞性支气管炎。
{"title":"Pensa alla bronchite eosinofila","authors":"F. Fusco","doi":"10.53126/meb42663","DOIUrl":"https://doi.org/10.53126/meb42663","url":null,"abstract":"The diagnosis of eosinophilic bronchitis was finally done in a 4-year-old girl with dry, long lasting cough.","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"73 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138945442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Silvia Scupilliti, P. Cianci, M. Mariani, A. Selicorni
Con quella faccia un po’ così, quella statura un po’ così, che abbiamo noi con una cardiopatia…
脸有点像，身材有点像，这就是我们的心脏病....。
{"title":"La sindrome di Noonan","authors":"Silvia Scupilliti, P. Cianci, M. Mariani, A. Selicorni","doi":"10.53126/meb42657","DOIUrl":"https://doi.org/10.53126/meb42657","url":null,"abstract":"Con quella faccia un po’ così, quella statura un po’ così, che abbiamo noi con una cardiopatia…","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"66 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138945718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Il quesito che ci si deve porre, rispetto a tante parole, è se una socialità più empatica, rispettosa e solidale può essere inclusa nell’eredità culturale che lasciamo ai nostri bambini, poi ragazzi, poi giovani: al maschile e femminile, alle identità di genere non binarie. Partendo sin da piccoli…
{"title":"Né DNA né raptus: le radici della sopraffazione violenta stanno altrove","authors":"G. Tamburlini","doi":"10.53126/meb42619","DOIUrl":"https://doi.org/10.53126/meb42619","url":null,"abstract":"Il quesito che ci si deve porre, rispetto a tante parole, è se una socialità più empatica, rispettosa e solidale può essere inclusa nell’eredità culturale che lasciamo ai nostri bambini, poi ragazzi, poi giovani: al maschile e femminile, alle identità di genere non binarie. Partendo sin da piccoli…","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"15 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In recent years, the phenomenon of antibiotic resistance has significantly increased and today represents one of the main public health problems worldwide. This article describes a multidisciplinary approach carried out in the Province of Reggio Emilia (Northern Italy) through the peer comparison of prescription data (district, company and regional reports), the shared analysis of evidence-based literature and the discussion of clinical cases. Such an approach has proven to be a useful tool in reducing the prescriptive variability of family paediatricians and consequently in improving their prescriptive appropriateness.
{"title":"L’appropriatezza prescrittiva degli antibiotici nelle Cure primarie: perché rinunciare a cambiare?","authors":"Romano Manzotti, C. Panza, Annalisa Zini","doi":"10.53126/meb42653","DOIUrl":"https://doi.org/10.53126/meb42653","url":null,"abstract":"In recent years, the phenomenon of antibiotic resistance has significantly increased and today represents one of the main public health problems worldwide. This article describes a multidisciplinary approach carried out in the Province of Reggio Emilia (Northern Italy) through the peer comparison of prescription data (district, company and regional reports), the shared analysis of evidence-based literature and the discussion of clinical cases. Such an approach has proven to be a useful tool in reducing the prescriptive variability of family paediatricians and consequently in improving their prescriptive appropriateness.","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"13 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Serra, Vincenzo Antona, M. Giuffrè, Melania Guardino, E. Piro, Alessia Vassallo, G. Corsello
The communication of a genetic disease or malformation syndrome diagnosis regards the relationship between the medical staff and the family of the affected newborn or child. It should be considered as any other clinical, diagnostic or therapeutic procedure. It has the aim of supporting the patient and their family in dealing with the consequen- ces of the pathology. At the same time it provides updated clinical information regar- ding the clinical condition as well as short and long-term functional prognosis and recur- rence risk in the couple. A miscommunication of diagnosis may cause distrust and aver- sion towards healthcare providers and may negatively interfere with the ability to accept the disease and to adapt to the new situation, even more if it concerns rare and com- plex pathologies with limited life expectancies. In the last 20 years, an increase in the number of such patients has been observed also in relation to their higher survival beyond the neonatal period, which is due to the improvement and implementation of treatments and technological tools for the support of vital functions. In these cases, the decision whether or not to initiate life support treatments may raise complex bioethical issues. The application of the ethical principles such as justice and loyalty and sharing decision-making with the family are central issues of the care path. Even in cases of in- curable diseases, a global management of the child and their family needs to be carried out and to include the adoption of palliative care with the aim of relieving pain. The pa- per collects clinical experiences related with the communication of poor prognosis con- ditions and aims to provide technical and ethical indications that are useful for paedia- tricians to address and improve the management of highly complex patients.
{"title":"La Bioetica sul campo: una sfida per il neonatologo e il pediatra","authors":"G. Serra, Vincenzo Antona, M. Giuffrè, Melania Guardino, E. Piro, Alessia Vassallo, G. Corsello","doi":"10.53126/meb42637","DOIUrl":"https://doi.org/10.53126/meb42637","url":null,"abstract":"The communication of a genetic disease or malformation syndrome diagnosis regards the relationship between the medical staff and the family of the affected newborn or child. It should be considered as any other clinical, diagnostic or therapeutic procedure. It has the aim of supporting the patient and their family in dealing with the consequen- ces of the pathology. At the same time it provides updated clinical information regar- ding the clinical condition as well as short and long-term functional prognosis and recur- rence risk in the couple. A miscommunication of diagnosis may cause distrust and aver- sion towards healthcare providers and may negatively interfere with the ability to accept the disease and to adapt to the new situation, even more if it concerns rare and com- plex pathologies with limited life expectancies. In the last 20 years, an increase in the number of such patients has been observed also in relation to their higher survival beyond the neonatal period, which is due to the improvement and implementation of treatments and technological tools for the support of vital functions. In these cases, the decision whether or not to initiate life support treatments may raise complex bioethical issues. The application of the ethical principles such as justice and loyalty and sharing decision-making with the family are central issues of the care path. Even in cases of in- curable diseases, a global management of the child and their family needs to be carried out and to include the adoption of palliative care with the aim of relieving pain. The pa- per collects clinical experiences related with the communication of poor prognosis con- ditions and aims to provide technical and ethical indications that are useful for paedia- tricians to address and improve the management of highly complex patients.","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"86 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138945463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alessandro Ventura, Mauro Pocecco, Maria Giovanna Stabile
Non possiamo rimanere in silenzio - Pagella di scuola primaria: da nonno a nonno
我们不能保持沉默 - 小学成绩单：祖父对祖父
{"title":"Lettere","authors":"Alessandro Ventura, Mauro Pocecco, Maria Giovanna Stabile","doi":"10.53126/meb42624","DOIUrl":"https://doi.org/10.53126/meb42624","url":null,"abstract":"Non possiamo rimanere in silenzio - Pagella di scuola primaria: da nonno a nonno","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"3 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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