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PEDIATRICS

Academic year and teacher
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Versione italiana
Academic year
2017/2018
Teacher
GIUSEPPE MAGGIORE
Credits
10
Didactic period
Secondo Semestre

Training objectives

PEDIATRICS
To gain a general vision of general and specialized Pediatrics. To know and utilize the means necessary to evaluate physical and mental development. To acquire basic knowledge of infant nutrition. To know the most common problems presenting in neonates. To know the congenital and acquired diseases, chorinc and acute, typical of the pediatric age. To learn the basics of drug therapy in children.
DEVELOPMENTAL PSYCHOLOGY
To present recent models which describe and explain human psychological development; to transmit the basic knowledge necessary to understand a developmental approach; to discuss methodological problems concerning the study of development; to analyze the cross-fertilization between developmental and pediatric sciences.
PEDIATRIC NEUROLOGY
To know normal and abnormal motor and behavioural development in child and adolescent.To know the most frequent neurological and psychiatric diseases in childhood.

Prerequisites

Notions of physics and biostatistics.
Notions of biochemistry and physiology of the clinical context for the general approach to the infant and its pathology. Genetics, internal medicine. Normal anatomy and pathology and pathophysiology of the heart and circulation.
Knowledge of development and physiology of the CNS CNS, knowledge of main neurological diseases.
Brain development, anatomy and phisiology of nervous system and most important neurological diseases.
Overcoming of Surgery II examinations and Internal medicine II

Course programme

PEDIATRICS
The lesson introduces the field of Pediatrics and gives guidelines for the growth and development of the well and ill child.
Perinatal epidemiology. Organization of perinatal care. Physical assessment and classification of the newborn infants. Transition and stabilization after birth. Asphyxia. Metabolic diseases in the neonatal period. Infections.
Nutrition is a cornerstone in the management of term- and, especially, pre-term infants because it helps to achieve better outcomes. The fundamental role of breast-feeding in the optimal growth and development of infants is stressed.
Phenotype and cytogenetics of the most frequent chromosomal diseases. Approach to prenatal diagnosis.
Onthogenesis of Immune system. Congenital immunodeficiencies.
Priciples of Immuno-allergy. Food allergy. Asthma. Atopic eczema.
Embriology, etiology of congenital and acquired heart diseases; fetal circulation and adaptation of the circulation to extrauterine life; rhythm disorders in infants and children; metabolic disorders involving the cardiovascular system; cardiac pharmacology in neonate and children.
Diagnosis, pathogenesis and therapy of the most frequent hematological and oncological diseases of childhood. The Hbpathies will be the object of special attention. The vasculitis.
Acute and Chronic diarrhoeal diseases. Dehydration. Lactose intolerance. Gastroesophageal Reflux Disease. Coeliac disease.
Diagnosis, pathogenesis and therapy of the most frequent respiratory diseases of childhood.
Cystic fibrosis.
Psychomotoric development; fever seizures; main childhood epilepsy; cerebral palsy; mental retardation and autism; CNS infections.
Clinical presentation of the prominent clinical features in GH deficiency. Clinical presentation of the prominent clinical features of hypothyroidism and congenital adrenal hyperplasia.
Clinical presentation of the prominent clinical features of the most common inherited metabolic diseases.
Diagnosis, pathogenesis and therapy of main infective disorders.
Elements of pediatric pharmacotherapy.
DEVELOPMENTAL PSYCHOLOGY
The course is concerned with the scientific understanding of age-related psychological changes throughout the lifespan. The aim of Developmental Psychology is in fact to discover, describe and explain how development occurs from its earliest origins into adulthood. The continuity between prenatal and postnatal behavior, the concept of behavioral state, the methods for assessing pain in infants and children as well as the neurobehavioral assessment scales currently used, will be discussed with the aim to emphasize the recent impact of developmental sciences on the modern pediatric sciences.
PEDIATRIC NEUROLOGY
Psychomotor development. Febrile seizures. Main childhood epilepsy. Cerebral palsy. Mental retardation and autism. CNS infections.

Didactic methods

Lectures and exercises

Learning assessment procedures

PEDIATRICS and PEDIATRIC NEUROLOGY
Oral exam: on average 3.2 questions on various topics for the total duration of 20-30 minutes; It assesses the knowledge of the subject, the ability of interdisciplinary links, the clarity and the properties of language.
DEVELOPMENTAL PSYCHOLOGY
Written exam (60 minutes): 5 open and 10 closed (multiple choices and true/false) questions. It assess the knowledge about the fundamental characteristics of the discipline and about the cross-fertilization between developmental and modern pediatric sciences.
The final grade is a weighted average of the marks obtained in the individual modules.
The final outcome will depend also on the practice sessions.

Reference texts

PEDIATRICS
Nelson Textbook of Pediatrics, 20th Ed, Saunders 2015
E. Cacciari, A. Cao, GB Cavazzuti et. Al. Principi e Pratica di Pediatria a cura di F. Panizon. Quarta Edizione 2005. Monduzzi Editore
Bona-Miniero, Pediatria Pratica, Ed Minerva Medica 2013
F. Zappulla, Pediatria Generale e Specialistica, Ed. Esculapio, ediz.2015
DEVELOPMENTAL PSYCHOLOGY
Sheridan, M. D., From birth to five years: Children’s developmental progress, Routledge, Taylor & Francis (2008)
PEDIATRIC NEUROLOGY
G. Bartolozzi, M. Guglielmelli, Pediatria. Principi e pratica clinica, Elsevier Ed.