Il modello del counseling nutrizionale nella gestione del paziente pediatrico in sovrappeso

As assessed by the recent data published by the Observatory “Okkio alla Salute” [1-2], the overweight and the obesity are increasingly common in childhood; in Italy, the 23% of kids of 8/9 years are overweighed and the 9% of them are obese. The diet therapy for the pediatric patient is increasingly necessary at local, outpatient and hospital level. The diet therapy and nutritional programmes, however, present some specific issues and complexities, from different points of view (biological and technical, behavioural and communication one). In this Paper, the Authors propose and analyse the approach to the child and its family context based on the Nutritional Counselling model. The Paper illustrates the theoretic principles and applicative practices of an approach based on a systemic view of the nutrition behaviour.

Il rifiuto del trattamento sanitario da parte dei genitori della persona minore di età e la prevenzione del ricorso al giudice tutelare: il caso della trasfusione ematica

In clinical practice, there may be situations of conflict between parents and doctors regarding care choices for minors. A relatively frequent case is represented by the parents’ refusal to consent to blood transfusion. The article outlines an updated legislative framework on the issue and a possible operational approach, which has proved to be effective in meeting the health needs of patients and the wishes expressed by parents.

L’Ambulatorio protetto: visitare ai tempi del Covid-19

A 3-months baby comes to our emergency department for an abdominal mass of elastic consistency that suddenly appeared for a week and grown exponentially in the last few days. Blood examinations identify a septic state of the child, and the emergency CT recognizes the abdominal mass’s cystic structure. The surgical removal and the histological analysis will confirm the diagnosis of Infected Common Macrocystic Lymphatic Malformation. This case allows us to remember to pediatricians the main features of Cystic Lymphatic Malformations that should always be considered during the differential diagnosis of abdominal masses of sudden onset in an infant.

Rilevare e curare la violenza all’infanzia: l’esperienza pugliese di GIADA

This article illustrates the path built over a decade by the Interdisciplinary Assistance Group for Abused Women and Children (GIADA) which has gradually taken on a stable dimension at the “Giovanni XXIII” Pediatric Hospital in Bari. The article describes the functions performed and the architecture of the Apulian model in which GIADA acts as a Level III Center for the prevention, diagnosis and treatment of the different forms of violence against children.

L’emocromo: così convenzionale, così richiesto, ma così sconosciuto

Complete blood count (CBC) is one of the mostly performed diagnostic exam. It can give a variety of informations about a child’s health status. The article has the aim of guiding the pediatrician into reading the the different values of the CBC, in order to properly recognize and interpret the alterations and underlying the red flags which must be identified in order to proceed into further investigations or to request a specialist consultation (pediatric hematologist).