Come è cambiato il lavoro del pediatra al tempo del Covid

<b>Background -</b> International literature documents that children and adolescents infected with the coronavirus develop moderate symptoms and a favourable prognosis. However, the pandemic has had a major impact on children’s health and the paediatricians’ work. The clinical work of paediatricians has significantly changed. <br> <b>Aims, materials and methods -</b> A qualitative pilot research was conducted thanks to the participation of 13 privileged witnesses. Through an anonymous questionnaire, the present research detected the changes in the overall activity of the Italian family paediatrician and the impact of the pandemic on their professional activity during the lockdown. The thematic analysis of the answers made it possible to focus on the main changes of the paediatric profession and explore the characteristics of its resilience, highlighting the most significant difficulties that paediatricians faced during Phase 1. <br> <b>Results and discussion -</b> What was lost in the clinical activity, towards the patient with acute pathology or in the prevention activity, has been regained with a new use of known means, such as telephone and email, or thanks to the use of new tools such as WhatsApp and video (telemedicine): those that were subsidiary means before the pandemic have become effective and permanent endowments of the paediatrician after the lockdown. Together with the technical acquisition, the professional identity has been strengthened in terms of shared professionalism, especially as to relationships with colleagues and the collaboration of families.

Fear of Cancer Recurrence in Stomach Cancer Survivors: Exploring Socio-Demographic, Physical, Psychological and Quality of Life-Related Factors

Background: This study aimed to evaluate factors related to the fear of cancer recurrence (FCR) in stomach cancer survivors.Methods: A total of 363 stomach cancer survivors were divided into three groups according to the Korean version of the FCR Index (FCRI). We compared the socio-demographic and cancer-related factors, communication within the medical team during treatment, care coordination, social support, physical symptoms, psychological distress, and health-related quality of life (HRQoL), and health promotion and disease prevention activity, which was defined as second primary cancer screening, osteoporosis evaluation, supplementary drug intake, dietary pattern, regular exercise, and smoking cessation, according to the levels of FCRI using the linear regression analysis after adjusting for age, sex, stage, time since diagnosis, family cancer diagnosis, and comorbidities.Results: An average of 7.3 years have passed since diagnosis. The highest FCRI group was younger or had a high percentage of family cancer diagnosis. Satisfaction for communication and care coordination, social support, HRQoL, and physical symptoms, such as fatigue, pain, and insomnia, were negatively associated with the FCR of stomach cancer survivors. Anxiety and depression were positively associated with the FCR. However, FCR was not associated with sex, time since diagnosis, cancer stage, treatment modality, socioeconomic status, or health promotion and disease prevention activity.Conclusions: FCR in stomach cancer survivors was associated with physical, psychological, and HRQoL factors rather than socio-demographic or cancer–related factors. Understanding the association between HRQoL, physical and psychosocial factors, and FCR may advance survivorship care for stomach cancer survivors.

Forest Fire Prediction in Northern Sumatera using Support Vector Machine Based on the Fire Weather Index

Forest fires are a major environmental issue, creating economical and ecological damage while dangering human lives. The investigation and survey for forest fire had been done in Aek Godang, Northern Sumatera, Indonesia. There is 26 hotspot in 2017 close to Aek Godang, North Sumatera, Indonesia. In this study, we use a data mining approach to train and test the data of forest fire and the Fire Weather Index (FWI) from meteorological data. The aim of this study to predict the burned area and identify the forest fire in Aek Godang areas, North Sumatera. The result of this study indicated that Fire fighting and prevention activity may be one reason for the observed lack of correlation. The fact that this dataset exists indicates that there is already some effort going into fire prevention.