New insights in pediatrics in 2021: choices in allergy and immunology, critical care, endocrinology, gastroenterology, genetics, haematology, infectious diseases, neonatology, neurology, nutrition, palliative care, respiratory tract illnesses and telemedicine
Communicable Diseases; Critical Care; Endocrinology; Genetics; Hematology; Immunology; Internal Medicine; Medical Allergy; Neonatology; Neurology; Nutrition; Palliative Care; Pediatrics Specialties; Respiratory Tract Diseases; Telemedicine
In this review, we report the developments across pediatric subspecialties that have been published in the Italian Journal of Pediatrics in 2021. We highlight advances in allergy and immunology, critical care, endocrinology, gastroenterology, genetics, hematology, infectious diseases, neonatology, neurology, nutrition, palliative care, respiratory tract illnesses and telemedicine.
Caffarelli C; Santamaria F; Piro E; Basilicata S; Delle Cave V; Cipullo M; Bernasconi S; Corsello G
Italian Journal of Pediatrics
2022
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1186/s13052-022-01374-8" target="_blank" rel="noreferrer noopener">10.1186/s13052-022-01374-8</a>
The use of medical cannabis in pediatric palliative care: a case series
Pediatric palliative care; chronic pain; Cannabidiol; cannabis; D9-tetrahydrocannabinol
BACKGROUND: Medical cannabis may be a useful tool for managing treatment-resistant epilepsy and chronic pain, which affect many patients in pediatric palliative care (PPC); however, little evidence is available in this setting. CASE PRESENTATION: We aimed to describe a clinical experience in a setting where high-level evidence may not be obtained. We report our clinical experience in a pediatric palliative care department in Italy. Caregivers reported changes in intensity and frequency of pain and epilepsy events. Six patients received a titrated plant extract of cannabis sativa for 1 year. Only mild and transient adverse events occurred: drowsiness, euphoria, restlessness and tachycardia; the resolution was either spontaneous or obtained by modifying the administration schedule. Treatment was never discontinued. No overdoses occurred. All patients experienced seizures during the pre-treatment observation period, and obtained a reduction in seizure frequency, although with variable extent while receiving cannabis. In addition, a benefit on pain was observed, based on the caregiver's evaluation, and a reduction of analgesic use. CONCLUSION: Our experience suggests that a titrated plant extract preparation of medical cannabis may be useful to control treatment-resistant pain and epilepsy in PPC patients.
Divisic A; Avagnina I; De Tommasi V; Santini A; Brogelli L; Giacomelli L; Benini F
Italian Journal of Pediatrics
2021
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1186/s13052-021-01179-1" target="_blank" rel="noreferrer noopener">10.1186/s13052-021-01179-1</a>
Children with medical complexity and paediatric palliative care: a retrospective cross-sectional survey of prevalence and needs
Prevalence; Hospices; Paediatrics; Children with medical complexity; Palliative care; Needs assessment
Children with medical complexity (CMC) have been defined (Cohen et al., Pediatrics 127: 529–538, 2011.) as an emerging population potentially eligible for PPC. The current study investigated the prevalence of children with medical complexities eligible for a local palliative care network, including a paediatric hospice.
Amarri S; Ottaviani A; Campagna A; De Panfilis L; Cortina I; Sani E; Bertolini P; Bianchi E; Caldarelli V; Poggi G; Riva M; Locatelli C; Melchionda F; Mondardini MC; Soffritti S; Mazzoni E; Serra L; Gulmini L; Bertelli S; Fornaro M; Magistà A; Gabriele C
Italian Journal of Pediatrics
2021
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1186/s13052-021-01059-8" target="_blank" rel="noreferrer noopener">10.1186/s13052-021-01059-8</a>
Comparison of mothers and grandmothers physical and mental health and functioning within 6 months after child NICU/PICU death
Attitude to Death; Bereavement; Blacks; Checklists; Chi Square Test; Cross Sectional Studies; Depression; Employment Status; Grandparents Psychosocial Factors; Grief; Health Status; Hispanics; Human; Intensive Care Units; Interviews; Mental Health; Mothers Psychosocial Factors; Neonatal; Paired T-Tests; Pediatric; Physical Fitness; Post-Traumatic; Psychological Tests; Psychosocial; Stress Disorders; Support
Losing a child is devastating for parents and grandparents. Family and friends generally focus on comforting and supporting the bereaved parents, unintentionally ignoring the bereaved grandparents. Grandmothers and grandfathers often struggle with wanting to help their adult children (deceased child’s parents) without usurping the parents’ responsibilities and decisions regarding the deceased child. Research on mothers’ and grandmothers’ health at about the same time after the same child’s death in the neonatal or pediatric intensive care unit is lacking. The aim of this study was to compare mothers and grandmothers on physical health, mental health, and functioning in the first 1–6 months after the same child’s death in a neonatal or pediatric intensive care unit.
Youngblut JM; Brooten D
Italian Journal of Pediatrics
2018
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here.
<a href="http://doi.org/10.1186/s13052-018-0531-8" target="_blank" rel="noreferrer noopener">10.1186/s13052-018-0531-8</a>