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PAEDIATRICS - NO ESAME

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Versione italiana
Academic year
2019/2020
Teacher
GIUSEPPE MAGGIORE
Credits
8
Didactic period
Primo Semestre

Training objectives

PEDIATRICS
To gain a general vision of general and specialized Pediatrics. To know 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, through a suitable historical background, recent models which try to describe and explain human psychological development; to transmit the basic knowledge necessary to understand a psychological analysis of development; to discuss methodological problems concerning the study of development.
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 childhood, adulthood and old age. To understand human development requires considering the diverse effects of nature (biology, neurophysiology) and culture (family, society) on the developing child. The major theorists are introduced to provide a background to contemporary research and to the modern synthesis of nature and nurture (Dynamic Systems Approaches).
PEDIATRIC NEUROLOGY
Psychomotor development. Febrile seizures. Main childhood epilepsy. Cerebral palsy. Mental retardation and autism. CNS infections.

Didactic methods

Lectures

Learning assessment procedures

At the end of the lessons the following partial test is scheduled:
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 VOTE WILL BE ACQUIRED AT THE END OF THE SECOND SEMESTER AND WILL BE THE RESULT OF THE EVALUATION OF THE PARTIAL TESTS AND THE PERFORMANCE OF THE TRAINING SCHEDULES

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, IV ed. 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.