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Biologia dell’abbraccio dell’abbraccio生物学
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2023.1.am1
C. Panza
{"title":"Biologia dell’abbraccio","authors":"C. Panza","doi":"10.53141/peqacp.2023.1.am1","DOIUrl":"https://doi.org/10.53141/peqacp.2023.1.am1","url":null,"abstract":"Hug biology Tactile signals and body contacts have a communicative meaning of great importance in our species, which is characterized by a distinct social life. Proximity care and hugging are forms of offspring care in the first months of life present in all cultures. This month’s article describes recent scientific advances in understanding the physiological changes in infants and adults during a hug and how pediatricians can offer helpful advice to parents to promote infant caregiving.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114502605","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}
引用次数: 0
Il difficile equilibrio tra prossimità e centralizzazione delle cure per i bambini dipendenti da tecnologia 对依赖技术的儿童的护理的接近性和集中性之间的微妙平衡
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2023.2.am1
L. Marangio, E. Valletta
{"title":"Il difficile equilibrio tra prossimità e centralizzazione delle cure per i bambini dipendenti da tecnologia","authors":"L. Marangio, E. Valletta","doi":"10.53141/peqacp.2023.2.am1","DOIUrl":"https://doi.org/10.53141/peqacp.2023.2.am1","url":null,"abstract":"I bambini con patologie ad elevata complessità assistenziale e quelli dipendenti da tecnologia hanno bisogni speciali che non sempre trovano risposta soddisfacente nelle competenze delle strutture ospedaliere di prossimità. Questo induce le famiglie a viaggi talora impegnativi per raggiungere il centro specialistico che ritengono più adeguato alle necessità dei propri figli. Di conseguenza, pochi ospedali specializzati vedono la grande maggioranza di questi pazienti depauperando ulteriormente le strutture viciniori più piccole dell’esperienza potenzialmente utile nei momenti di possibile criticità. Di seguito, vengono brevemente analizzate alcune dinamiche che sottendono al fenomeno discutendone i limiti e quanto potrebbe essere fatto per mitigarne l’impatto sulle famiglie.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128650357","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}
引用次数: 0
Ambiente e Salute News n.9 - maggio-giugno 2021 环境与健康新闻第9号- 2021年5月至6月
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2021.4.as1
G. Toffol, A. Biolchini, Luisa Bonsembiante, V. Briscioli, L. Brusadin, Sabrina Bulgarelli, E. Caneva, I. Mariotti, F. Marolla, Aurelio Nova, Angela Pasinato, G. Primavera, L. Reali, Annamaria Sapuppo, Laura Todesco, E. Uga, Anna Valori, Luisella Zanino
{"title":"Ambiente e Salute News n.9 - maggio-giugno 2021","authors":"G. Toffol, A. Biolchini, Luisa Bonsembiante, V. Briscioli, L. Brusadin, Sabrina Bulgarelli, E. Caneva, I. Mariotti, F. Marolla, Aurelio Nova, Angela Pasinato, G. Primavera, L. Reali, Annamaria Sapuppo, Laura Todesco, E. Uga, Anna Valori, Luisella Zanino","doi":"10.53141/peqacp.2021.4.as1","DOIUrl":"https://doi.org/10.53141/peqacp.2021.4.as1","url":null,"abstract":"Environment and health news The column on the environment edited by the group of Pediatricians for a Possible World of the Pediatric Cultural Association opens in this issue with the summary of an important WHO document on risks related to electronic waste landfills. As in the previous issues, the main articles published in the monitored journals are then summarized. All articles and editorials deemed worthy of attention are listed divided by topic, with a concise comment. Among the many we point out an important study on the health effects of climate changes. This number is based on the systematic review of the May-June 2021 publications.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114875645","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}
引用次数: 0
Effetti della lettura ad alta voce oltre il linguaggio: l’ autoregolazione come mediatore 大声朗读超越语言的影响:作为调解人的自我调节
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2021.4.am1
C. Panza
{"title":"Effetti della lettura ad alta voce oltre il linguaggio: l’ autoregolazione come mediatore","authors":"C. Panza","doi":"10.53141/peqacp.2021.4.am1","DOIUrl":"https://doi.org/10.53141/peqacp.2021.4.am1","url":null,"abstract":"Effects of reading aloud beyond language: self-regulation as a mediator Reading aloud is a family activity which, if carried out frequently in the first years of life, supports the child’s linguistic and alphabetic development. Being a social process, shared reading in the family improves the child’s psychosocial development and parenting skills. It has recently been shown that cognitive and linguistic stimulation are associated with an improvement in self-regulation skills. This article describes the most recent findings on the importance of conversation during shared reading and the relationship of this activity with self-regulation and parenting.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126200061","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}
引用次数: 0
Ridurre la prescrizione di antibiotici nelle cure primarie: dai test point-of-care in ambulatorio alla gestione della comunicazione senza rinunciare alle prove di efficacia 在不放弃疗效测试的情况下，减少初级治疗中抗生素的处方，从门诊随机试验到沟通管理
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2022.5.am1
C. Panza
{"title":"Ridurre la prescrizione di antibiotici nelle cure primarie: dai test point-of-care in ambulatorio alla gestione della comunicazione senza rinunciare alle prove di efficacia","authors":"C. Panza","doi":"10.53141/peqacp.2022.5.am1","DOIUrl":"https://doi.org/10.53141/peqacp.2022.5.am1","url":null,"abstract":"Strategies for reducing antibiotic prescriptions in primary care: from point-of-care tests in the clinic to managing communication without giving up evidence of efficacy The Point-of-care test (POCT) is a diagnostic test that can be performed in the outpatient clinic or at the patient’s bedside; the simplicity of execution and the availability of the result of POCT during the visit has led to a strong diffusion of these diagnostic aids. The results of the trial reviewed in the article of the month show a lack of effectiveness of a POCT, detecting 18 viruses and 3 bacteria, in reducing antibiotic prescribing in children visited for respiratory infection. The commentary explores other possible strategies, besides POCTs, to reduce antibiotic therapy in paediatric respiratory infections.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130424224","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}
引用次数: 0
Attendere prima di usare l’antibiotico nelle infezioni delle vie respiratorie pediatriche non peggiora la prognosi e riduce il consumo di farmaci non necessari: i risultati di un RCT 在儿科呼吸道感染中使用抗生素不会加重预后，减少不必要药物的使用:RCT结果
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2021.4.n1
{"title":"Attendere prima di usare l’antibiotico nelle infezioni delle vie respiratorie pediatriche non peggiora la prognosi e riduce il consumo di farmaci non necessari: i risultati di un RCT","authors":"","doi":"10.53141/peqacp.2021.4.n1","DOIUrl":"https://doi.org/10.53141/peqacp.2021.4.n1","url":null,"abstract":"Waiting before using the antibiotic in pediatric respiratory tract infections does not worsen the prognosis and reduces the consumption of unnecessary drugs: the results of an RCT The prescription of antibiotics in pediatric age is high and could be reduced as respiratory diseases often do not require pharmacological intervention. This pragmatic study carried out in primary care in Spain compared three intervention arms: delayed antibiotic prescription, immediate or no prescription; the 30-day follow-up revealed no differences in the duration of the disease or in the severity of symptoms in the three groups of children. Despite the good methodological quality, the RCT could be affected by a significant selection bias; nevertheless, several other studies on the subject lead to similar results.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132704490","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}
引用次数: 0
Immunoterapia orale per arachide, da piccoli è meglio. I risultati di un RCT 口服花生免疫疗法，小时候更好。RCT结果
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2022.4.n1
Gruppo di lettura di Milano
{"title":"Immunoterapia orale per arachide, da piccoli è meglio. I risultati di un RCT","authors":"Gruppo di lettura di Milano","doi":"10.53141/peqacp.2022.4.n1","DOIUrl":"https://doi.org/10.53141/peqacp.2022.4.n1","url":null,"abstract":"Oral immunotherapy for peanut, better as a child; results of an RCT Oral immunotherapy (OIT) in peanut allergy is to date considered experimental, although numerous experiences have documented its protective efficacy to the risk of severe reaction in case of accidental exposure by increasing the tolerance threshold. In some cases, upon discontinuation of treatment it has been possible to maintain this result for a short period. This randomized trial included 146 peanut-allergic children under 4 years of age in a 134-week continued oral immunotherapy treatment. The children underwent double-blind, placebo-controlled triggering test (DBPCFC) at enrollment (cumulative dose up to 500 mg), at week 134 of therapy, and 26 weeks after discontinuation of OIT (cumulative dose up to 5.000 mg). Oral immunotherapy induced desensitization in the majority (71%) of treated children and remission in a smaller part (21%), especially in the youngest ones with lower specific IgE levels at the beginning of treatment. Although most children had dose reactions during OIT, the majority were mild - moderate reactions and adrenaline was given to 21 participants for 35 OIT reactions over 134 weeks at daily dosage.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128874859","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}
引用次数: 0
Terapia per la polmonite acquisita in comunità non complicata in bambini in età prescolare dimessi a domicilio: confronto tra Amoxicillina a basso o alto dosaggio per 3 o 7 giorni. I risultati del RCT inglese CAP-IT 门诊学前儿童在非复杂社区获得的肺炎治疗:低剂量或高剂量阿莫西林3 - 7天的比较。英国capit RCT的结果
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2023.1.n1
Gruppo di lettura di Parma
{"title":"Terapia per la polmonite acquisita in comunità non complicata in bambini in età prescolare dimessi a domicilio: confronto tra Amoxicillina a basso o alto dosaggio per 3 o 7 giorni. I risultati del RCT inglese CAP-IT","authors":"Gruppo di lettura di Parma","doi":"10.53141/peqacp.2023.1.n1","DOIUrl":"https://doi.org/10.53141/peqacp.2023.1.n1","url":null,"abstract":"Therapy for uncomplicated community-acquired pneumonia in preschool children discharged from ED: comparison of low-dose or high-dose Amoxicillin for 3 or 7 days. Results of the English RCT CAP-IT This study is the first one performed in Western countries that used a 3-day therapy for uncomplicated community-acquired pneumonia (CAP), already tested several times in low- and medium-income countries. This study, carried out in UK, is a double-blind RCT of good methodological quality. The study compared the efficacy of 4 different therapeutic regimens by dose (high or low) and by duration (3 or 7 days) versus placebo, in the treatment of 824 children older than 6 months and weighing between 6 and 24kg with CAP, discharged from emergency room or hospital. Approximately 12% of cases across all regimens require further antibiotic therapy for a new respiratory infection within 28 days from randomization; 5% of children enrolled experienced a severe adverse event requiring hospitalization. Both groups demonstrated noninferiority with no significant interaction between doses and duration. In the subgroup with more severe symptoms at enrolment (i.e., those with at least two altered thoracic physiologic parameters) 17.3% of recipients of a lower dose versus 13.5% of those treated with the higher dose require additional antibiotic therapy by 28th day, but the difference is not statistically significant. The limitations related to the non-inferiority design and the composition of the studied population, which limit the transferability of the results, are discussed.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114598416","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}
引用次数: 0
Migliorare la comunicazione in ambulatorio riduce la prescrizione degli antibiotici per le infezioni respiratorie: i risultati di un RCT 改善门诊沟通减少了治疗呼吸道感染的抗生素处方:RCT结果
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2021.6.n1
Gruppo di lettura di Parma
{"title":"Migliorare la comunicazione in ambulatorio riduce la prescrizione degli antibiotici per le infezioni respiratorie: i risultati di un RCT","authors":"Gruppo di lettura di Parma","doi":"10.53141/peqacp.2021.6.n1","DOIUrl":"https://doi.org/10.53141/peqacp.2021.6.n1","url":null,"abstract":"Improving communication in the office reduces the prescription of antibiotics for respiratory infections: the results of an RCT Effective communication with parents in the clinic can reduce inappropriate antibiotic prescriptions in primary care for upper respiratory tract infections (URTI). In this American RCT with a gradual wedge of good methodological quality, the distance training program 'DIALOGUE AROUND RESPIRATORY ILLNESS TREATMENT' (DART QI), allows an overall reduction of 7% in the probability of prescribing antibiotics for URTI between the baseline period and post-surgery.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128072997","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}
引用次数: 0
Ambiente e Salute News n.11 - settembre-ottobre 2021 环境与健康新闻第11号- 2021年9月至10月
PAGINE ELETTRONICHE DI QUADERNI ACP Pub Date : 1900-01-01 DOI: 10.53141/peqacp.2021.6.am1
C. Panza
{"title":"Ambiente e Salute News n.11 - settembre-ottobre 2021","authors":"C. Panza","doi":"10.53141/peqacp.2021.6.am1","DOIUrl":"https://doi.org/10.53141/peqacp.2021.6.am1","url":null,"abstract":"Less is more: measuring body temperature during well child visits is not good for the child A recent retrospective study found the risk of prescribing unnecessary tests and therapies to the child in case of routine fever measurement during the well child visit. The article of the month discusses the need to offer clinical pathways based on evidence-based medicine.","PeriodicalId":168380,"journal":{"name":"PAGINE ELETTRONICHE DI QUADERNI ACP","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134228454","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}
引用次数: 0
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