Pub Date : 2022-01-01DOI: 10.53141/qacp.2022.230-233
A. Guala, Giuseppina Ballardini, Nicolino Grasso
Breastfeeding is the safest, most effective and economical method for nourishing the newborn from birth to six months of life and beyond. The benefits of breastfeeding for mothers and babies have long been known, as well as the primary role that exclusive breastfeeding plays as a determinant of short and long-term health. For these reasons, since the 1980s, international and national institutions, together with those responsible for providing care in the maternal and child environment, have collaborated through implementation strategies in the promotion, protection and support of breastfeeding. For this reason, starting from 2012, at the Castelli Hospital of the ASL VCO (BFHI certified since 2010), we worked on the development of a tool for the qualitative assessment of breastfeeding that can be used at the discharge of the mother-newborn dyad, with the goal of identifying mothers in need of greater support and therefore of a clinical re-evaluation.
{"title":"Sostegno all’allattamento nei primi giorni di vita: lo strumento del “semaforo”","authors":"A. Guala, Giuseppina Ballardini, Nicolino Grasso","doi":"10.53141/qacp.2022.230-233","DOIUrl":"https://doi.org/10.53141/qacp.2022.230-233","url":null,"abstract":"Breastfeeding is the safest, most effective and economical method for nourishing the newborn from birth to six months of life and beyond. The benefits of breastfeeding for mothers and babies have long been known, as well as the primary role that exclusive breastfeeding plays as a determinant of short and long-term health. For these reasons, since the 1980s, international and national institutions, together with those responsible for providing care in the maternal and child environment, have collaborated through implementation strategies in the promotion, protection and support of breastfeeding. For this reason, starting from 2012, at the Castelli Hospital of the ASL VCO (BFHI certified since 2010), we worked on the development of a tool for the qualitative assessment of breastfeeding that can be used at the discharge of the mother-newborn dyad, with the goal of identifying mothers in need of greater support and therefore of a clinical re-evaluation.","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":"70772087","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.2022.242-247
Melodie O. Aricò, Emanuela Birocchi, Désirée Caselli
Antimicrobial resistance is a public health problem emerging in all areas of the world, making difficult to treat many common infections. Antimicrobial stewardship is an instrument to fight antimicrobial resistance. Antimicrobial stewardship is a set of procedures aimed at saving as many doses of antibiotics as possible to preserve their future efficacy, limiting the selective pressure on world microbial population. It includes those assessments regarding the administration of antibiotics that start from the correct patient’s selection to start antibiotic treatment, to choose the most suitable molecule and the route of administration, collecting microbiological samples to isolate a microorganism and arrive at any modification of narrow-spectrum antibiotic therapy or even discontinuation of the antibiotic.
{"title":"Uso appropriato degli antibiotici e stewardship in pediatria","authors":"Melodie O. Aricò, Emanuela Birocchi, Désirée Caselli","doi":"10.53141/qacp.2022.242-247","DOIUrl":"https://doi.org/10.53141/qacp.2022.242-247","url":null,"abstract":"Antimicrobial resistance is a public health problem emerging in all areas of the world, making difficult to treat many common infections. Antimicrobial stewardship is an instrument to fight antimicrobial resistance. Antimicrobial stewardship is a set of procedures aimed at saving as many doses of antibiotics as possible to preserve their future efficacy, limiting the selective pressure on world microbial population. It includes those assessments regarding the administration of antibiotics that start from the correct patient’s selection to start antibiotic treatment, to choose the most suitable molecule and the route of administration, collecting microbiological samples to isolate a microorganism and arrive at any modification of narrow-spectrum antibiotic therapy or even discontinuation of the antibiotic.","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":"70772451","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.2022.249-253
Sofia Colaceci, Achielle Cernigliaro, S. S. Alegiani
{"title":"Sindrome della morte improvvisa del lattante (SIDS) in Sicilia: una valutazione dei principali determinanti di accudimento","authors":"Sofia Colaceci, Achielle Cernigliaro, S. S. Alegiani","doi":"10.53141/qacp.2022.249-253","DOIUrl":"https://doi.org/10.53141/qacp.2022.249-253","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":"70772560","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.2022.100-104
G. Toffol, R. Buzzetti, L. Reali
{"title":"Covid-19 nelle cure primarie pediatriche in Italia, uno studio osservazionale (2° parte)","authors":"G. Toffol, R. Buzzetti, L. Reali","doi":"10.53141/qacp.2022.100-104","DOIUrl":"https://doi.org/10.53141/qacp.2022.100-104","url":null,"abstract":"","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70771123","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.2022.10-16
C. Guardo, Marta Arrigoni, P. Santuz, Giovanna La Fauci
Anaphylaxis is a severe, potentially life-threatening systemic hypersensitivity reaction. Despite the global incidence shows an increasing trend for anaphylaxis, few cases appear to be promptly recognized and correctly managed, showing a significant underuse of epinephrine injections. The most recent state of the art highlights the need for unanimously accepted diagnostic criteria and the essential role of intramuscular epinephrine as the only first-line treatment when a patient is experiencing an acute anaphylactic reaction. On the other hand, evidence emphasize that glucocorticoids have a limited role in the acute management of anaphylaxis and support the use of antihistamines with the only aim to relieve cutaneous symptoms. This review aims to present the latest guidelines concerning management and therapeutic approach to anaphylaxis in the Emergency Department, with a practical slant, underlying the utmost importance of epinephrine administration both in a domestic and hospital setting.
{"title":"Anafilassi: riconoscimento e gestione in pronto soccorso pediatrico","authors":"C. Guardo, Marta Arrigoni, P. Santuz, Giovanna La Fauci","doi":"10.53141/qacp.2022.10-16","DOIUrl":"https://doi.org/10.53141/qacp.2022.10-16","url":null,"abstract":"Anaphylaxis is a severe, potentially life-threatening systemic hypersensitivity reaction. Despite the global incidence shows an increasing trend for anaphylaxis, few cases appear to be promptly recognized and correctly managed, showing a significant underuse of epinephrine injections. The most recent state of the art highlights the need for unanimously accepted diagnostic criteria and the essential role of intramuscular epinephrine as the only first-line treatment when a patient is experiencing an acute anaphylactic reaction. On the other hand, evidence emphasize that glucocorticoids have a limited role in the acute management of anaphylaxis and support the use of antihistamines with the only aim to relieve cutaneous symptoms. This review aims to present the latest guidelines concerning management and therapeutic approach to anaphylaxis in the Emergency Department, with a practical slant, underlying the utmost importance of epinephrine administration both in a domestic and hospital setting.","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":"70771379","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.2022.153-156
Addarii Francesca, Elisabetta Ciracò, Ketty Polo
L’epidemia da Covid-19 ha alterato significativamente l’apprendimento e lo sviluppo nei bambini in età scolare. Lo studio intende esplorare le funzioni esecutive prima e dopo la quarantena, indagando il possibile effetto di un intervento di un laboratorio di scacchi. Sono stati coinvolti 83 bambini: 39 (gruppo controllo-GC) hanno svolto le attività scolastiche in didattica a distanza; 44 (gruppo sperimentale-GS) hanno svolto didattica a distanza e un laboratorio di scacchi online. I genitori hanno compilato il questionario BRIEF per la valutazione delle funzioni esecutive prima dell’attivazione del laboratorio (marzo 2020) e al termine dell’anno scolastico (giugno 2020). I risultati evidenziano nel GC un aumento della frequenza di rischio nell’acquisizione delle funzioni esecutive (monitoraggio del compito, inibizione e regolazione comportamentale); al contrario, tali aree risultano migliorate nel GS. I risultati sostengono il laboratorio scacchi come utile strumento di supporto all’apprendimento e allo sviluppo di alcune funzioni esecutive.
{"title":"Scacchi a scuola, funzioni esecutive e pandemia: uno studio esplorativo","authors":"Addarii Francesca, Elisabetta Ciracò, Ketty Polo","doi":"10.53141/qacp.2022.153-156","DOIUrl":"https://doi.org/10.53141/qacp.2022.153-156","url":null,"abstract":"L’epidemia da Covid-19 ha alterato significativamente l’apprendimento e lo sviluppo nei bambini in età scolare. Lo studio intende esplorare le funzioni esecutive prima e dopo la quarantena, indagando il possibile effetto di un intervento di un laboratorio di scacchi. Sono stati coinvolti 83 bambini: 39 (gruppo controllo-GC) hanno svolto le attività scolastiche in didattica a distanza; 44 (gruppo sperimentale-GS) hanno svolto didattica a distanza e un laboratorio di scacchi online. I genitori hanno compilato il questionario BRIEF per la valutazione delle funzioni esecutive prima dell’attivazione del laboratorio (marzo 2020) e al termine dell’anno scolastico (giugno 2020). I risultati evidenziano nel GC un aumento della frequenza di rischio nell’acquisizione delle funzioni esecutive (monitoraggio del compito, inibizione e regolazione comportamentale); al contrario, tali aree risultano migliorate nel GS. I risultati sostengono il laboratorio scacchi come utile strumento di supporto all’apprendimento e allo sviluppo di alcune funzioni esecutive.","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":"70771424","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.2022.157-159
M. G. Gleijeses, Francesca Annunziata, F. Silvestri
{"title":"Scacchi a scuola, funzioni esecutive e pandemia: uno studio esplorativo","authors":"M. G. Gleijeses, Francesca Annunziata, F. Silvestri","doi":"10.53141/qacp.2022.157-159","DOIUrl":"https://doi.org/10.53141/qacp.2022.157-159","url":null,"abstract":"","PeriodicalId":39791,"journal":{"name":"Quaderni ACP","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70771517","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.2022.177-179
Paola Fernicola, Roberta Barbato, E. Valletta
Eosinophilic esophagitis (EoE) is a pathology that is enjoying increasing interest in the pediatric field. The onset symptom may be vague and a diagnostic delay until the full manifestation of severe and acute dysphagia may occur. The endoscopic and histological pictures, at that point, can be very significant. Starting from two cases we have observed, we retrace some fundamental elements of the diagnosis and treatment of EoE.
{"title":"L’esofagite eosinofila: quando deglutire diventa difficile","authors":"Paola Fernicola, Roberta Barbato, E. Valletta","doi":"10.53141/qacp.2022.177-179","DOIUrl":"https://doi.org/10.53141/qacp.2022.177-179","url":null,"abstract":"Eosinophilic esophagitis (EoE) is a pathology that is enjoying increasing interest in the pediatric field. The onset symptom may be vague and a diagnostic delay until the full manifestation of severe and acute dysphagia may occur. The endoscopic and histological pictures, at that point, can be very significant. Starting from two cases we have observed, we retrace some fundamental elements of the diagnosis and treatment of EoE.","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":"70771532","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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