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Il contributo della pediatria di famiglia a una communityoriented primary care dopo la pandemia da Covid-19 在covi -19大流行之后,家庭儿科对社区定向初级保健的贡献
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2023.166-168
G. Damiani, Giulio F.M. Pasca, Paola Arcaro, L. Reali
Aim: To identify proposals for the inclusion of the Family Pediatrician in integrated Community-oriented Primary Care activities promoted through the establishment of “Community Homes.” Methods: An inclusive narrative review of scientific and gray literature was conducted. Results: In the “Community House” setting, the Family Pediatrician can operate in aggregate forms - AFTs and UCCPs -, within multidisciplinary and multiprofessional teams, in an integrated network with social-health actors from other settings and community stakeholders. A strategic figure in health care delivery, the pediatrician realizes a comprehensive care of the pediatric patient, intercepting and responding to his or her needs, through health promotion, prevention, treatment, ehabilitation and palliation interventions aimed at the individual and the community. Conclusions: Family Pediatricians are candidates to represent the driving core of a synergistic process that, with systemic logic of taking charge, allows the pursuit of health objectives of a community, enhancing all its resources.
目的:通过建立“社区之家”,确定将家庭儿科医生纳入以社区为导向的综合初级保健活动的建议。方法:对科学文献和灰色文献进行包容性叙述性综述。结果:在“社区之家”环境中,家庭儿科医生可以在多学科和多专业团队中,在与其他环境和社区利益相关者的社会卫生行为者的综合网络中以综合形式(aft和uccp)开展工作。作为提供保健服务的战略人物,儿科医生通过针对个人和社区的健康促进、预防、治疗、康复和缓解干预,实现对儿科病人的全面护理,拦截和回应他或她的需求。结论:家庭儿科医生是代表协同过程驱动核心的候选人,具有系统的负责逻辑,可以追求社区的卫生目标,增强其所有资源。
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引用次数: 0
Il bambino con atassia acuta 急性共济失调的孩子
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2023.15-21
Elena Cattazzo, Francesco Accomando, Melodie O. Aricò
Pediatric acute ataxia generally represents an infrequent occurrence of pediatric emergency department access, but the broad differential diagnosis concerning it requires, starting with anamnesis and objective examination, to mainly exclude life-threatening causes in the child. For these reasons, the diagnosis of acute post infectious cerebellar ataxia, a benign and self-limiting form, which is the underlying cause in most cases of acute ataxia must always be a diagnosis of exclusion. The broad differential diagnosis also requires a correct approach that must consider the setting about the use of imaging techniques proportional to the urgency, in order to reduce the risk of unnecessary radio exposure. Starting from this, we have attempted to summarize the literature regarding the clinical history, physical examination, and diagnostic tests necessary to arrive at a correct diagnosis.
儿童急性共济失调通常是儿科急诊科就诊的罕见病例,但广泛的鉴别诊断需要从记忆和客观检查开始,主要排除儿童危及生命的原因。由于这些原因,诊断急性感染性后小脑性共济失调,这是一种良性和自限性的形式,是大多数急性共济失调病例的根本原因,必须始终是排除诊断。广泛的鉴别诊断还需要一种正确的方法,必须考虑使用与紧急程度成比例的成像技术的环境,以减少不必要的无线电照射的风险。从这开始,我们试图总结有关临床病史,体格检查和诊断测试的文献,以达到正确的诊断。
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引用次数: 0
I bambini e la guerra. Le conseguenze sullo sviluppo 孩子和战争。对发展的影响
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2023.77-80
Paola Barachetti, G. Valtolina
There is extensive literature documenting the effects of early trauma on the development and psychological functioning of individuals. The syndrome that encompasses the consequences of trauma is PTSD (Post-Traumatic Stress Disorder), a disorder that arises in connection with a traumatic event of great impact that threatens one’s life or safety, such as war. Technologies and the development of neuroscience have allowed a more in-depth analysis of the consequences of war, which sees psychic trauma as an event capable of interfering with child development, even radically modifying the biology and psychology of adults and children. In the article, a brief review of the most recent studies in this field is presented, in order to highlight the need for early intervention to look especially after the small children.
有大量的文献记录了早期创伤对个体发展和心理功能的影响。包含创伤后果的综合症是PTSD(创伤后应激障碍),这是一种与威胁到一个人的生命或安全的巨大影响的创伤事件(如战争)有关的疾病。科技和神经科学的发展使得人们能够更深入地分析战争的后果,将精神创伤视为一种能够干扰儿童发展的事件,甚至从根本上改变成人和儿童的生理和心理。在本文中,简要回顾了这一领域的最新研究,以强调早期干预的必要性,特别是在照顾幼儿时。
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引用次数: 0
Il reparto pediatrico e la sfida dei disturbi del comportamento alimentare 儿科病房和饮食失调的挑战
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2030.34-36
Marco Pandolfi, L. Giordano, Marta Bonetti
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引用次数: 0
Inquinamento da microplastiche e salute: cosa ne sappiamo e cosa può fare il pediatra 微塑料污染与健康:我们知道什么,儿科医生能做什么
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2023.81-83
Annamaria Moschetti, Annamaria Sapuppo, G. Toffol, E. Uga
Plastic is a daily-use material, cheap and versatile, widely used since the 1950s. However, plastic is poorly biodegradable and tends to persist over time in the environment. The ubiquitous diffusion of plastic has been shown in seas, soil, air, and at all food chain levels. Plastic degradation particles (microplastics) enter the human body and are documented in various organs and tissues to overcome the cell barrier. Although their effects on health are not yet clear, these microplastics can potentially affect health. Pediatricians can play an important role in reducing plastic use by recreating plastic-free environments in their clinics and outpatient offices and by promoting advice to families in order to improve their lifestyles and reduce their plastic consumption and its diffusion in the environment.
塑料是一种日常使用的材料,便宜且用途广泛,自20世纪50年代以来就被广泛使用。然而,塑料的可生物降解性很差,而且往往会在环境中长期存在。塑料无处不在的扩散已经在海洋、土壤、空气和所有食物链层面上得到了证明。塑料降解颗粒(微塑料)进入人体,并在各种器官和组织中被记录下来,以克服细胞屏障。虽然它们对健康的影响尚不清楚,但这些微塑料可能会影响健康。儿科医生可以在减少塑料使用方面发挥重要作用,他们可以在诊所和门诊办公室重建无塑料环境,并向家庭提供建议,以改善他们的生活方式,减少塑料的消耗及其在环境中的扩散。
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引用次数: 0
Umani, animali bi-cerebrali: perché dovremmo occuparci di genitori? 人类,双脑动物:我们为什么要照顾父母?
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2023.199-2001
Livio Provenzi
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引用次数: 0
Ambiente e Salute News n.19 - gennaio-febbraio 2023 环境与健康新闻第19期- 2023年1月至2月
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/peqacp.2023.2.as1
Giacomo Toffol, Angela Biolchini, Luisa Bonsembiante, Vinceza Briscioli, Laura Brusadin, Sabrina Bulgarelli, Elena Caneva, Ilaria Mariotti, Federico Marolla, Aurelio Nova, Angela Pasinato, Giuseppe Primavera, Laura Reali, Annamaria Sapuppo, Laura Todesco, Elena Uga, Anna Valori, Luisella Zanino
The recent release (March 2023) of the sixth report on climate change by the Intergovernmental Panel on Climate Change (IPCC) presents a comprehensive assessment of the current state of knowledge on the observed impacts and projected risks of climate change. It confirms the strong interactions of natural, social and climate systems and the negative impacts on both nature and people caused by human-induced climate change. The most vulnerable people and systems are disproportionately affected, and climate extremes have led to irreversible impacts. Emphasis is placed on the importance of limiting global warming to 1.5° C if the goal of a just, equitable, and sustainable world is to be realized, and the urgency of taking more ambitious action by highlighting that if we act now, we can still ensure a sustainable and livable future for all. There are feasible and effective adaptation options that can reduce risks to nature and people, and greater ambition is needed in both adaptation and mitigation measures. Climate-resilient development in all human activities is therefore important, and this requires urgent and conscious attention from both policy makers and the general public. In this journal we continue to summarize briefly the main articles published in the monitored journals, including those related to climate change. All articles and editorials deemed worthy of attention are listed divided by topic, with a brief commentary. This issue is based on the systematic monitoring of publications in January and February 2023.
政府间气候变化专门委员会(IPCC)最近发布的第六次气候变化报告(2023年3月)对目前对气候变化的观测影响和预估风险的认识状况进行了全面评估。它证实了自然、社会和气候系统之间的强烈相互作用,以及人为引起的气候变化对自然和人类造成的负面影响。最脆弱的人群和系统受到了不成比例的影响,极端气候造成了不可逆转的影响。会议强调,如果要实现一个公正、公平和可持续的世界的目标,就必须将全球变暖限制在1.5°C以内,并强调采取更有雄心的行动的紧迫性,强调如果我们现在采取行动,我们仍然可以确保所有人享有可持续和宜居的未来。有一些可行和有效的适应办法可以减少对自然和人类的风险,在适应和缓解措施方面都需要更大的雄心。因此,气候适应型发展在所有人类活动中都很重要,这需要决策者和公众迫切而有意识地予以关注。在本刊中,我们继续简要总结在监测期刊上发表的主要文章,包括与气候变化有关的文章。所有被认为值得关注的文章和社论都按主题列出,并附有简短的评论。本期基于对2023年1月和2月出版物的系统监测。
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引用次数: 0
Omogenitorialità e pregiudizi 同质性和偏见
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2023.117-121
F. Ferrari
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引用次数: 0
Il sogno di Carlo: il progetto del Polo Pediatrico del Salento dieci anni dopo 卡罗的梦想:十年后的索伦托儿科中心项目
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2023.126-127
A. Tornesello
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引用次数: 0
Maternità e migrazione. Uno studio qualitativo su giovani madri immigrate in Italia 生育和移民。一项关于意大利年轻移民母亲的定性研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.53141/qacp.2023.204-206
Giovanni Giulio Valtolina, Giancarlo Tamanza, Maria Luisa Gennari
Giovanni Giulio Valtolina, Giancarlo Tamanza, Maria Luisa Gennari Giovanni Giulio Valtolina1, 2, Giancarlo Tamanza1, Maria Luisa Gennari1 - 1 Dipartimento di Psicologia, Università Cattolica del Sacro Cuore, Milano 2 Società Italiana di Psicologia Pediatrica (SIPPED)
乔凡尼·朱利奥·瓦尔托里纳,吉安卡洛·塔姆扎,玛丽亚·路易莎·乔凡尼·朱利奥·瓦尔托里纳a1, 2,吉安卡洛·塔曼扎,玛丽亚·路易莎·杰纳里1 - 1心理学系,圣心天主教大学,米兰2意大利儿科心理学学会(SIPPED)
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引用次数: 0
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