PAEDIATRICS
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- AGNESE SUPPIEJ
- Credits
- 9
- Didactic period
- Primo Semestre
Training objectives
- The integrated course of Pediatrics includes the modules of:
General and Specialist Pediatrics;
Neurological Pediatrics
Developmental psychology.
The integrated teaching aims to provide a global vision of general and specialist pediatrics also highlighting the impact of developmental sciences and the knowledge that has emerged in the most recent psychological research on modern pediatric sciences.
. In particular it proposes to:
- favor the acquisition of theoretical knowledge, practices and tools useful for recognizing the main and most frequent pediatric pathologies from the neonatal age to adolescence, as well as learning the main strategies for prevention and promotion of health and development as well as clear and effective with the child and his caregiver in a path of humanization of care;
-to present the most recent models that try to describe and explain human psychological development;
- transmit the basic knowledge necessary to understand a psychological analysis of development;
- discuss issues related to the method of acquiring knowledge.
- provide the fundamental elements for the evaluation of normal psychomotor development and its pathological variations, the main pre-perinatal risk factors and possible genetic bases. It also aims to promote basic knowledge on the etiopathogenesis, diagnosis and treatment of the main neurological and psychiatric pathologies of the developmental age.
At the end of the course, male and female students should be able to:
In terms of knowledge:
- have the tools to evaluate growth, physical and mental development and individual variability in developmental age, also with reference to gender differences;
- acquire the basics of infant nutrition, physiology of postnatal adaptation and the main pathologies of the neonatal age;
- know the main congenital and acquired, acute and chronic diseases peculiar to the pediatric age (genetic, infectious, metabolic, inflammatory, allergic, autoimmune, neoplastic, neurological and psychiatric);
- apply the basics of pediatric pharmacotherapy;
- investigate the concept of behavioral state, use the methods for assessing pain in newborns and children and the main scales for a neuro-behavioral assessment of development.
In terms of skills:
- Use the tools to evaluate growth, physical and mental development and individual variability in developmental age.
- recognize the main pathologies of the neonatal age and the main congenital and acquired, acute and chronic diseases, peculiar to the pediatric age;
- prescribe correct infant nutrition;
- evaluate postnatal adaptation and adherence to the vaccination scheme;
- evaluate psychomotor development and identify the alarm bells of pathological development and risk factors
- communicating diagnostic conclusions and therapeutic indications appropriately and effectively to the caregiver and the child at different ages. Prerequisites
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Modulo: 007220 - PEDIATRIA GENERALE E SPECIALISTICA
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Basic knowledge of physics, biostatistics, biochemistry,
Physiology, anatomy microbiology, general pathology, genetics and pharmacology modules
Notions of internal medicine, gastroenterology, pneumology, hematology, neurology, cardiology, nephro-urology, endocrinology, immune-allergology and dermatology
Basic knowledge on central nervous system development, anatomy and physiology. Knowledge of the main neurological signs and symptoms
Having passed final exams of Internal Medicine II.
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Modulo: 007574 - PSICOLOGIA DELLO SVILUPPO
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Basic knowledge of physics, biostatistics, biochemistry,
Physiology, anatomy microbiology, general pathology, genetics and pharmacology modules
Notions of internal medicine, gastroenterology, pneumology, hematology, neurology, cardiology, nephro-urology, endocrinology, immune-allergology and dermatology
Basic knowledge on central nervous system development, anatomy and physiology. Knowledge of the main neurological signs and symptoms
Having passed final exams of Internal Medicine II° and Surgery II°
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Modulo: 69736 - PEDIATRIA NEUROLOGICA
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Basic knowledge of physics, biostatistics, biochemistry,
Physiology, anatomy microbiology, general pathology, genetics and pharmacology modules
Notions of internal medicine, gastroenterology, pneumology, hematology, neurology, cardiology, nephro-urology, endocrinology, immune-allergology and dermatology
Basic knowledge on central nervous system development, anatomy and physiology. Knowledge of the main neurological signs and symptoms
Having passed final exams of Internal Medicine II° and Surgery II° Course programme
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Modulo: 007220 - PEDIATRIA GENERALE E SPECIALISTICA
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GENERAL AND SPECIALIST PEDIATRICS
Care and Prevention: screenings and Vaccines
Birth and mortality rate
Child maltreatment
The healthy neonate. Classification based on gestational age, SGA, LGA, post-term. Fetal circulation and extrauterine life adaptation The APGAR index. Neonatal prophylaxis.
Prematurity and associated disorders: respiratory distress, necrotizing enterocolitis, retinopathy of prematurity, brain lesions.
The pathological neonate: infections, respiratory disorders, physiological and pathological icterus, meconium inhalation, perinatal asphyxia, hemorrhage due to vitamin K deficiency in the neonate. The most important congenital heart diseases: interventricular and inter-atrial defects. Arteriosus ductus patency, Tetralogy of Fallot
Nutrition of full term and preterm neonate. Breast feeding, formula feeding and special milks. Weaning. Vitamin supplementation in infancy. Parenteral nutrition
Cystic fibrosis
Infectious disorders: upper and lower respiratory tract infections: acute otitis media, acute pharyngitis/tonsillitis, laryngitis, bronchiolitis, pneumonia. Urinary tract infections. Acute gastroenteritis and dehydration. Sepsis. Exanthemata's diseases. Meningitis,Encephalitis.
The tuberculosis. Fever management
The most important neoplasms
Diseases of the blood: the congenital and acquired anemias; thrombocytopenia
Immunology: the child with recurrent infections; most important immunodeficiencies
Allergology: principles of Immuno-allergy. Food allergy. Asthma. Atopic eczema anaphylaxis
Rheumatic diseases: juvenile rheumatoid arthritis. Rheumatic disease. Vasculitis syndromes: Schonlein-Henoch purpura and Kawasaki disease.
Gastroenterology: coeliac disease. Chronic inflammatory intestinal disease. Hepatitis Cholestasis. Gastroesophageal Reflux Disease. Constipation and diarrhea
Nephrology: nephrotic and nephritic syndrome.
Endocrinology: auxological evaluation. Short stature, precocious and delayed puberty.
Surgical pathology: acute abdomen. Acute appendicitis. Close abdominal trauma. Testicular torsion
The Italian network for rare diseases. Communicating the diagnosis
Down Syndrome, Turner S., Klinefelter S..
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Modulo: 007574 - PSICOLOGIA DELLO SVILUPPO
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DEVELOPMENTAL PSYCHOLOGY
Definition and main aspects of the discipline, analogies and cross-fertilization with the emerging field of Developmental and Behavioral Pediatrics. Observational and experimental methods (longitudinal and cross sectional) for the study of change. Methods for assessing and sharing research. Analysis of neonatal abilities (cognitive, expressive, interactive, etc.). The Brazelton's Neonatal Behavioral Assessment Scale (NBAS) and other scales for the neurobehavioral assessment of the term and preterm newborn. Examples of systematic experimental investigations about typical and atypical development. Analysis of developmental trajectories concerning expressive and communicative behaviors in early infancy and their clinical implications: crying, facial expressions of distress (pain assessment, interactive consequences, origins of negative emotions); smiling (the emergence of social smiling, interactive consequences, origins of positive emotions).
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Modulo: 69736 - PEDIATRIA NEUROLOGICA
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PEDIATRIC NEUROLOGY
Clinical history and examination in child neuropsychiatry;
Normal Psychomotor development
Abnormal Psychomotor development and red flags
Cognitive and psychic development: theories and main authors in a historical
Developmental delay and neurodevelopmental disorders
Static and progressive encephalopathies: clinical aspects diagnostic algorithms and prognosis
Cerebral paralysis, developmental coordination disorder and intellectual disability
Emergency: febrile convulsions, secondary headaches, neoplasms, intracranial hypertension, stroke.
The floppy infant syndrome
Epilepsy
Pedopsychiatry: Autism, ADHD Didactic methods
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Modulo: 007220 - PEDIATRIA GENERALE E SPECIALISTICA
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The integrated course of Pediatrics I includes the modules of 'General and specialist Pediatrics', 'Developmental Psychology' and 'Neurological Pediatrics'.
The three modules include frontal lessons and online assisted teaching.
The hours of online assisted teaching on the Moodle certification platform will include the study of teaching material relating to the topics of the program not covered in class, the in-depth study of some topics covered in class, through the presentation of clinical cases with the problem solving method and any related topics to the most recent search.
At the request of the individual student, there is the possibility of participating in the assistance activity for a total of 25 hours at the Department of Pediatrics, Neonatology, Pediatric Emergency Admission Clinic, specialist outpatient activities (gastroenterology/hepatology; nephrology, rheumatology, infectious disease , onco-haematology, endocrinology/diabetology) subject to scheduling.
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Modulo: 007574 - PSICOLOGIA DELLO SVILUPPO
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The three modules of the course of Pediatrics ‘General and Specialist Pediatrics', ‘Developmental Psychology' and ‘Pediatric Neurology' provide frontal lectures and on-line assisted teaching. The on-line teaching hours of moodle platform certification service provides insights of some topics presented during the frontal lessons by means of presentation of clinical cases using a problem solving method, didactic material on topics of the program not covered by frontal lectures and eventual topics from recent research advancements.
Frequency for a total of 25 hours in the Paediatrics, Neonatology, Emergency and Outpatient Departments.
Interactive discussion of clinical cases and medical records.
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Modulo: 69736 - PEDIATRIA NEUROLOGICA
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The three modules of the course of Pediatrics ‘General and Specialist Pediatrics', ‘Developmental Psychology' and ‘Pediatric Neurology' provide frontal lectures and on-line assisted teaching. The on-line teaching hours of moodle platform certification service provides insights of some topics presented during the frontal lessons by means of presentation of clinical cases using a problem solving method, didactic material on topics of the program not covered by frontal lectures and eventual topics from recent research advancements.
Frequency for a total of 25 hours in the Paediatrics, Neonatology, Emergency and Outpatient Departments.
Interactive discussion of clinical cases and medical records. Learning assessment procedures
- The achievement of the learning outcomes will be verified by means of a written exam lasting 60 minutes without the use of notes or books or own multimedia supports, in the presence of teachers. The questions will be formulated with multiple choice questions (5 options for each question) and related to all the training objectives as defined above.
The exam will consist of 64 questions (43 questions for General and Specialized Pediatrics, 7 questions for Neurological Pediatrics, 14 questions for Developmental Psychology).
Each question will be worth 0.5 points if correct and 0 for incorrect or not given answers. There will be no penalty for incorrect or not given answers. To pass the exam it will be necessary to acquire a minimum score of 18/30 corresponding to 37 correct answers out of 64. The maximum grade, equal to 30 cum laude, will be achieved by those who correctly answers more than 62 questions. Reference texts
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Modulo: 007220 - PEDIATRIA GENERALE E SPECIALISTICA
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GENERAL AND SPECIALIST PEDIATRICS
Nelson Textbook of Pediatrics, 21st Ed, Saunders 2019
Bona-Miniero, Pediatria Pratica, Ed Minerva Medica 2013
F. Zappulla, Pediatria Generale e Specialistica, Ed. Esculapio, ediz.2015
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Modulo: 007574 - PSICOLOGIA DELLO SVILUPPO
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DEVELOPMENTAL PSYCHOLOGY
Sheridan, M. D., Dalla nascita ai cinque anni: le tappe fondamentali dello sviluppo, Raffaello Cortina Editore (2009)
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Modulo: 69736 - PEDIATRIA NEUROLOGICA
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PEDIATRIC NEUROLOGY
Weiner & Levitt's Pediatric Neurology Edition: 4th Ed. Publication Year: 2003 Authors/Editor: Cohen, Michael E.; Duffner, Patricia K. Publisher: Lippincott Williams & Wilkins (LWW) ISBN: 978-0-78-172931-4
Mini DSM-5 American Psychiatric Association Cortina Raffaello Editore 2014
