Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.24-26
Chiara Centenari, G. Tornese
{"title":"Identità di genere in pediatria","authors":"Chiara Centenari, G. Tornese","doi":"10.53141/qacp.2022.24-26","DOIUrl":"https://doi.org/10.53141/qacp.2022.24-26","url":null,"abstract":"","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70772507","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.258-259
Fabio Capello
{"title":"Differenti strategie per un obiettivo comune. Le campagne vaccinali pediatriche in Europa e nel mondo","authors":"Fabio Capello","doi":"10.53141/qacp.2022.258-259","DOIUrl":"https://doi.org/10.53141/qacp.2022.258-259","url":null,"abstract":"","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70772687","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.32-34
Irene Avagnina, Serana Condemi, Chiara Paolin, F. Benini
Le cure palliative pediatriche (CPP) rappresentano un ambito multidisciplinare della pediatria che si prefigge l’obiettivo di garantire la qualità di vita a bambini affetti da malattie inguaribili ad alta complessità assistenziale e di rispondere ai loro bisogni e a quelli delle loro famiglie. A livello clinico, molteplici sono i sintomi disturbanti con ampia ricaduta sulla qualità della vita, che devono essere gestiti e trattati. Alcuni di questi in modo particolare rappresentano una sfida importante per i caregiver e i sanitari che si occupano dei bambini eleggibili alle CPP. In questo quinto lavoro e nei successivi verranno affrontati il prurito e i disturbi del sonno, frequenti e invalidanti nei bambini in CPP.
{"title":"Disturbi del sonno. Consigli pratici di gestione nei pazienti eleggibili alle cure palliative pediatriche","authors":"Irene Avagnina, Serana Condemi, Chiara Paolin, F. Benini","doi":"10.53141/qacp.2022.32-34","DOIUrl":"https://doi.org/10.53141/qacp.2022.32-34","url":null,"abstract":"Le cure palliative pediatriche (CPP) rappresentano un ambito multidisciplinare della pediatria che si prefigge l’obiettivo di garantire la qualità di vita a bambini affetti da malattie inguaribili ad alta complessità assistenziale e di rispondere ai loro bisogni e a quelli delle loro famiglie. A livello clinico, molteplici sono i sintomi disturbanti con ampia ricaduta sulla qualità della vita, che devono essere gestiti e trattati. Alcuni di questi in modo particolare rappresentano una sfida importante per i caregiver e i sanitari che si occupano dei bambini eleggibili alle CPP. In questo quinto lavoro e nei successivi verranno affrontati il prurito e i disturbi del sonno, frequenti e invalidanti nei bambini in CPP.","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70773355","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.112-117
G. Segre, Ilaria Costantino, Francesca Scarpellini, Valeria Tessarollo, A. Clavenna, M. Bonati
When a psychological disorder appears in a child, even a mild disorder, early diagnosis is essential in order to provide a timely and appropriate intervention that can improve, both, the child’s symptoms and development. Early identification can prevent consequences of differing levels, in the short and long term, and in the individual, in his or her family, and in society as a whole. Hence the importance of paediatrician’s point of view and clinical know-how in identifying potential disorders early, but also the parents’ views. It is therefore important to actively involve parents upon initial diagnosis. In this regard, within the NASCITA Project, a study branch aimed at building a shared, active approach between parents, paediatricians and neuropsychiatrists/psychologists was activated for the age 2-year health assessments (wellchild visits) phase. Three tests were used: the M-CHAT-R (Modified Checklist for Autism in Toddlers, Revised) to evaluate language, social skills, behaviour, sensory areas; the PSI-SF (Parenting Stress Index –Short Form) to verify the degree of discrepancy perceived by the parent between the child’s requests and his or her ability to deal with them adequately; the DERS (Difficulties in Emotion Regulation Scale) to highlight the difficulties of each parent in recognising, interpreting, and managing their emotions. The tests were given to 380 parents (142 couples, 215 mothers and 23 fathers) by 45 family paediatricians during the wellchild visit held at two years of age. In all, 33 children (9%) resulted at risk, with a score of ≥3, 1 of whom was found to be at high risk. For 64 children (16.8%) at least one of the parents tested positive for PSI-SF and for 19 (5%) children at least one parent tested positive with the DERS. After combining the results obtained from the three tests and the clinical evaluation, and assessing the child’s condition with respect to those results, the pediatrician can provide the parents with a concise description of what emerged and provide a summarised report for the specialist. Such an effort leads to timely, shared communication within the parentpaediatrician-neuropsychiatrist triad that includes specificity of intervention and that can contribute to the effectiveness of the response.
{"title":"Uno sguardo al neurosviluppo raggiunto ai due anni d’età","authors":"G. Segre, Ilaria Costantino, Francesca Scarpellini, Valeria Tessarollo, A. Clavenna, M. Bonati","doi":"10.53141/qacp.2022.112-117","DOIUrl":"https://doi.org/10.53141/qacp.2022.112-117","url":null,"abstract":"When a psychological disorder appears in a child, even a mild disorder, early diagnosis is essential in order to provide a timely and appropriate intervention that can improve, both, the child’s symptoms and development. Early identification can prevent consequences of differing levels, in the short and long term, and in the individual, in his or her family, and in society as a whole. Hence the importance of paediatrician’s point of view and clinical know-how in identifying potential disorders early, but also the parents’ views. It is therefore important to actively involve parents upon initial diagnosis. In this regard, within the NASCITA Project, a study branch aimed at building a shared, active approach between parents, paediatricians and neuropsychiatrists/psychologists was activated for the age 2-year health assessments (wellchild visits) phase. Three tests were used: the M-CHAT-R (Modified Checklist for Autism in Toddlers, Revised) to evaluate language, social skills, behaviour, sensory areas; the PSI-SF (Parenting Stress Index –Short Form) to verify the degree of discrepancy perceived by the parent between the child’s requests and his or her ability to deal with them adequately; the DERS (Difficulties in Emotion Regulation Scale) to highlight the difficulties of each parent in recognising, interpreting, and managing their emotions. The tests were given to 380 parents (142 couples, 215 mothers and 23 fathers) by 45 family paediatricians during the wellchild visit held at two years of age. In all, 33 children (9%) resulted at risk, with a score of ≥3, 1 of whom was found to be at high risk. For 64 children (16.8%) at least one of the parents tested positive for PSI-SF and for 19 (5%) children at least one parent tested positive with the DERS. After combining the results obtained from the three tests and the clinical evaluation, and assessing the child’s condition with respect to those results, the pediatrician can provide the parents with a concise description of what emerged and provide a summarised report for the specialist. Such an effort leads to timely, shared communication within the parentpaediatrician-neuropsychiatrist triad that includes specificity of intervention and that can contribute to the effectiveness of the response.","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70771252","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.277-278
Mariella Malacrea, Cristina Pessina
Viene qui presentata una recente e importante ricerca condotta da autori italiani relativa alla credibilità dei racconti prodotti da bambini sospettati di aver subito abuso sessuale. Nello specifico la ricerca si concentra su quei racconti che presentano dettagli insoliti, bizzarri, particolarmente raccapriccianti e che proprio per questo possono venir non creduti e considerati frutto di fantasia. La ricerca dimostra come, invece, la presenza di questi dettagli sia frequente e ricorrente nei racconti di abuso sessuale e come questi copioni perversi siano individuabili nel mondo della pedopornografia e in particolare nel dark web. La presenza di elementi inusuali non deve perciò indurre a considerare il racconto di abuso poco credibile senza prima aver effettuato i dovuti approfondimenti e le dovute valutazioni.
{"title":"Quanto sono credibili i racconti di abuso sessuale fatti dai bambini?","authors":"Mariella Malacrea, Cristina Pessina","doi":"10.53141/qacp.2022.277-278","DOIUrl":"https://doi.org/10.53141/qacp.2022.277-278","url":null,"abstract":"Viene qui presentata una recente e importante ricerca condotta da autori italiani relativa alla credibilità dei racconti prodotti da bambini sospettati di aver subito abuso sessuale. Nello specifico la ricerca si concentra su quei racconti che presentano dettagli insoliti, bizzarri, particolarmente raccapriccianti e che proprio per questo possono venir non creduti e considerati frutto di fantasia. La ricerca dimostra come, invece, la presenza di questi dettagli sia frequente e ricorrente nei racconti di abuso sessuale e come questi copioni perversi siano individuabili nel mondo della pedopornografia e in particolare nel dark web. La presenza di elementi inusuali non deve perciò indurre a considerare il racconto di abuso poco credibile senza prima aver effettuato i dovuti approfondimenti e le dovute valutazioni.","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70772906","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.76-77
Franco Gratteri, Maria Ludovica Deotto, F. Caroppo, Anna Belloni Fortina
{"title":"Una diagnosi non così “sweet”","authors":"Franco Gratteri, Maria Ludovica Deotto, F. Caroppo, Anna Belloni Fortina","doi":"10.53141/qacp.2022.76-77","DOIUrl":"https://doi.org/10.53141/qacp.2022.76-77","url":null,"abstract":"","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70772929","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.217-219
Maria Grazia Apollonio
Questo articolo è dedicato con affetto e stima alla dottoressa Carla Berardi, coordinatrice del Gruppo lavoro ACP Maltrattamento all’Infanzia, da sempre attiva nella tutela dei diritti delle bambine e dei bambini, promotrice di tante iniziative di formazione e di sensibilizzazione. Grazie a lei tutte e tutti noi siamo più attenti e sensibili ai bisogni dei più piccoli e delle loro famiglie.
{"title":"Alienazione parentale: un concetto scientifico? E come impatta nella tutela dei bambini e delle bambine coinvolti in situazioni di violenza domestica?","authors":"Maria Grazia Apollonio","doi":"10.53141/qacp.2022.217-219","DOIUrl":"https://doi.org/10.53141/qacp.2022.217-219","url":null,"abstract":"Questo articolo è dedicato con affetto e stima alla dottoressa Carla Berardi, coordinatrice del Gruppo lavoro ACP Maltrattamento all’Infanzia, da sempre attiva nella tutela dei diritti delle bambine e dei bambini, promotrice di tante iniziative di formazione e di sensibilizzazione. Grazie a lei tutte e tutti noi siamo più attenti e sensibili ai bisogni dei più piccoli e delle loro famiglie.","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70772402","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.269-273
P. Colombo, Noemi Buo, Silvia Busti, M. Molteni
{"title":"La telemedicina al servizio delle cure primarie. Evoluzione di un sistema web based per l’identificazione precoce del disturbo dello spettro autistico: dalla sperimentazione all’integrazione nel servizio sanitario regionale","authors":"P. Colombo, Noemi Buo, Silvia Busti, M. Molteni","doi":"10.53141/qacp.2022.269-273","DOIUrl":"https://doi.org/10.53141/qacp.2022.269-273","url":null,"abstract":"","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70772529","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.260-262
Francesco Accomando, Melodie O. Aricò, M. Marsciani
Hyponatremia is a frequent finding in pediatric emergency department. Association of hyponatremia with hyperkalemia and metabolic acidosis, in a context of urinary tract infection and/or uropathy, may lead to suspicion of secondary pseudohypoaldosteronism (S-PHA). We describe a 8 month old child evaluated for weight loss, severe hyponatremia, mild hyperkalemia and metabolic acidosis. Further evaluation showed elevation in renin and aldosterone concentrations, urinary tract infection and hydroureteronephrosis, suggesting S-PHA diagnosis.
{"title":"Iposodiemia, idroureteronefrosi e infezione delle vie urinarie: pensiamo allo pseudoipoaldosteronismo","authors":"Francesco Accomando, Melodie O. Aricò, M. Marsciani","doi":"10.53141/qacp.2022.260-262","DOIUrl":"https://doi.org/10.53141/qacp.2022.260-262","url":null,"abstract":"Hyponatremia is a frequent finding in pediatric emergency department. Association of hyponatremia with hyperkalemia and metabolic acidosis, in a context of urinary tract infection and/or uropathy, may lead to suspicion of secondary pseudohypoaldosteronism (S-PHA). We describe a 8 month old child evaluated for weight loss, severe hyponatremia, mild hyperkalemia and metabolic acidosis. Further evaluation showed elevation in renin and aldosterone concentrations, urinary tract infection and hydroureteronephrosis, suggesting S-PHA diagnosis.","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70772875","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}
Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.200-205
Melodie O. Aricò, P. Belleri, Elena Cattazzo, Lucia Del Vecchio, G. Pagano
HyperCKemia and rhabdomyolysis are sides of the same coin. In pediatric age, in most cases, the etiology is infectious in origin with a favorable course. However, the persistence of elevated CK values over time should lead to suspicion of genetic/ hereditary causes that may also require the involvement of other specialists. Rhabdomyolysis is an urgent concern because of the possible evolution into acute renal failure requiring appropriate fluid management and aggressive treatment of electrolyte disorders.
{"title":"Approccio al bambino con iperCKemia e rabdomiolisi in pronto soccorso pediatrico","authors":"Melodie O. Aricò, P. Belleri, Elena Cattazzo, Lucia Del Vecchio, G. Pagano","doi":"10.53141/qacp.2022.200-205","DOIUrl":"https://doi.org/10.53141/qacp.2022.200-205","url":null,"abstract":"HyperCKemia and rhabdomyolysis are sides of the same coin. In pediatric age, in most cases, the etiology is infectious in origin with a favorable course. However, the persistence of elevated CK values over time should lead to suspicion of genetic/ hereditary causes that may also require the involvement of other specialists. Rhabdomyolysis is an urgent concern because of the possible evolution into acute renal failure requiring appropriate fluid management and aggressive treatment of electrolyte disorders.","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70772039","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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