Monday, January 31, 2011

Best Computer Brand Name 2009

The index of the Year 2010 doctor and Child; welcome your feedback










For those interested in is available Summary of the Month for December 2010 Index the entire year of Medical and Child that affects both the print and the electronic magazine. The index is open access.

More than 200 authors, over 300 titles of topics in formal articles, Directories, Search, Letters, Editorials. For those interested we invite you to browse and maybe print it, for convenience, curiosity, and, if possible, for comments, suggestions and even criticisms.

medical journals and you think the child is closer to the needs of pediatrics? and your individual daily needs?

What topics would you like to be treated and discussed?


qualities are the 3 most interesting articles published su Medico e Bambino nel 2010?


Questa volta attendiamo i vostri commenti

Un minuto del vostro tempo è prezioso per rendere la rivista sempre più a servizio della Pediatria italiana che cresce

Un sentito grazie
La Redazione di Medico e Bambino

Thursday, January 27, 2011

Making A Blueprint On The Computer

Lives unworthy? The Day of Remembrance of past and present

In una televisione sempre più inguardabile, che da giorni non fa altro che parlarci di sexygate e fare sfoggio di scurrilità varie, ieri sera è tornata la speranza che questo mezzo possa ancora svolgere un ruolo didattico, formativo e di riflessione. I dati auditel ci dicono che ieri sera 1,7 milioni Italians (many, but still few compared to those who watched the match of Italian Cup Napoli-Inter, "Paperissima" or "Chi l'ha visto?") have looked on La7 "Ausmerzen. Lives unworthy of being lived " work by Marco Paolini broadcast live from the psychiatric hospital 'Paolo Pini', Milan. The occasion was the eve of Remembrance Day, which falls on 27th day of January, date of the gates of Auschwitz, "in order to remember the Holocaust (extermination of the Jewish people), the racial laws, the Italian persecution Jewish citizens, the Italians who suffered deportation, imprisonment, death, and those who, even in different fields and camps, have opposed the project of extermination, and at the risk of their lives they have saved more lives and protected persecuted . ( Act July 20, 2000, n. 211).


Belluno The story narrated by the actor in a clear and chilling monologue, the official fuel consumption from 1939 to 1941: the operation Aktion T4, from the initial name of the street in Berlin, the Tiergartestrasse at number four, where he established the Public Authority for Health and social care, and the organization (a sort of holding companies state), who studied and implemented the Nazi program of eugenics, which is the lifting of the mass of children and adults mentally ill or suffering from genetic diseases, considered useless, just "lives unworthy of being lived."

early as 1933 - in line with the ideology of 'racial hygiene "- the law" on the prevention of birth of people suffering from hereditary diseases "began the campaign of mass sterilization of these patients (not less than 200 000 people with mental illness). But since 1939 it passed the so-called "compassionate killing" of children under three years . Reports of suspected cases to the Health Department of the Interior Ministry had to be carried out by midwives and pediatricians. To reassure the parents of the children explained to them that the sick children were moved to special sections where they received pediatric care innovation. Ma una volta internati in questi centri intermedi, dopo poche settimane, venivano trasferiti in altre sedi. E in esse, lontano da occhi indiscreti, venivano uccisi tramite iniezioni letali. Nei certificati di morte tutto veniva coperto con un “decesso per polmonite” o “per arresto cardiaco”. Quasi subito il programma di eliminazione si estese anche agli adulti. Dal 1940 le camere a gas sostituirono le iniezioni. Dal 1941, chiusa Aktion T4 , almeno in modo formale, i malati psichici continuarono ad essere sterminati, facendoli morire per inedia (la cosiddetta dieta E ) Directly in asylums, saving gas and drug-killer. This massacre - almost a "dress rehearsal" of the "final solution" - is always passed in silence, perhaps because it did not add much to the millions of Holocaust victims and condemnation of Nazism and the story about Hitler's dictatorship, or maybe to give us that sort of "preventive self-absolution" .


"Ausmerzen" (meaning reduce ) is a historical chronicle dated, but who has the ability to question the conscience, which still has to do with our daily choices: "What would I do instead of the people? " . That was the difference in this piece of theater than other films or more well-known representations, there was no talk of sadistic SS or Hitler's ruthless hierarchy, but one of 'good people': professional, family doctors, nurses , pediatricians ... This is a period of economic crisis, like that of Germany in the Thirties, during which was sought cooperation of all - including the health workforce - to save the health budget on the skin of persons considered unproductive, because the state must spend on these "life unworthy "so much money that could be redistributed to the" normal "people? At the Nuremberg trial, however, doctors and officials did not suffer penis specimens. "Paradoxically - explains the Paolini - better so : quelle sentenze ci impediscono di pensarli come criminali appartenenti a un’altra galassia e ci è più facile vederli come la ‘brava gente’. Come potrei essere io, o i miei vicini di casa”.


“I periodi di crisi economica continua l’attore – fanno mutare i parametri e creano l’occasione perché certe idee possano trovare cittadinanza, tolleranza. Idee che dovrebbero, however, be banned together with who the champions. It is as if the crisis produced a lowering of attention of conscience . " It should not be complacent in our days at a time of crisis and cuts in public services such as present, the first resources that are cut are those new aid to most vulnerable. For example, it has come to challenge a model of integration which is one of the jewels of the Italian school system by reviving the idea of \u200b\u200bspecial classes, a regional minister of Health has proposed that organ transplants are inhibited to those below a certain IQ, just last year he wanted to ask doctors to the filing of the patients illegal aliens ... the conditions there seem to be very different?


Well, yesterday was the disabled, the mentally ill, Jews, Slavs and Poles, Roma, German dissidents, communists, homosexuals, Jehovah's Witnesses and Pentecostals. Even today some of these classes continue to be mistreated, perhaps less awkward with other epithets ("irregular", for example) and other seemingly legitimate methods (the "rejections" for esempio), e a queste probabilmente se ne aggiungono altre nuove.


Ma siamo davvero certi che non ci saremmo comportati (e che non ci comportiamo) come quei medici e come quegli infermieri?


Gianluca Tornese

Clinica Pediatrica

IRCCS Burlo Garofolo - Trieste

Wednesday, January 19, 2011

Brazilian Waxing In Chennai

National Award Born to Read 2011

The National Award Born to Read is celebrating the new year with another success: the second edition received the medal of the President of the Republic Giorgio Napolitano as the prize of representation. This award expresses appreciation for the work of the Award in the enhancement of quality childcare and publishing projects of reading aloud to children under six years of age.

The Prize is about to expire January 31, 2011. On the website of

Born to Read (See "Prize"), you can download the invitation addressed to publishers, librarians, teachers, librarians, educators, pediatricians and local authorities.

The jury that will evaluate books, prototypes and projects includes: President Rita Valentino Merletti (scholar of children's literature), Fabio Bazzoli (librarian, director of the Southwest Library System and the Library of Chiari Bresciano and member of the National Coordination of Born to Read, Chiari - Bs); Antonia Bohemia (nursery teacher at the city of Piazza Cavour in Turin - Turin), Mariangela Clerici Schoeller (pediatrician, member of the National Coordination of Born to Read - Milan), Esther Grandesso (librarian, former director of the Center Services Librarians in the Province of Cagliari, a member of the National Commission on Libraries AIB Boys - Cagliari), Maria Letizia Meacham (an expert in literature for children, a collaborator of the magazine Liber - Florence); Anna Keyword (an expert in children's literature, children's Library in Turin - Turin), Sergio Spaggiari (Pedagogy, director of schools and nurseries of Reggio Emilia 1985 to 2010, Reggio Emilia).

National Secretariat, Born to Read

What's Born to Read

love reading through an act of love: An adult reading a story.

Every child has the right to be protected not only from disease and violence but also by the lack of adequate opportunity for emotional and cognitive development. This is the heart of Born to Read. Since 1999, the project aims to promote reading aloud to children aged 6 months to 6 years. Recent scientific studies show that the read aloud, with a certain continuity with preschool children has a positive influence from both points of view (it's an opportunity for relationship between child and parents), and cognitive (and physical development earlier understanding of language and reading skills). It also reinforces the habit of reading in children that lasts into later life through the application related to the early report.

Born to Read, is promoted by the alliance between librarians and pediatricians through the following associations: Associazione Culturale Paediatricians - ACP brings together three thousand Italian paediatricians with cultural purposes only, the Italian Library Association - AIB combining more than four thousand librarians, libraries, documentation centers, information services operating in the different areas of the profession and the Center for Child Health - ONLUS - CSB, which has as its statutory training, research and solidarity for children.

The project is active throughout the country with about 400 local projects involving 1195 Italian municipalities. The projects are sponsored by local librarians, pediatricians, educators, government agencies, associations cultural and volunteer.

Sunday, January 9, 2011

Dogs Chushions Disease

Professionals in Photovoltaic

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I Consulenti saranno retribuiti con varie formule di pagamento.
Per il Conto Energia è prevista una formula innovativa, a scaglioni provviggionali crescenti (a partire dal 4% a salire, secondo tabelle di Fatturato raggiunto, in pratica si può arrivare dal 4% anche al 15% e oltre).


Le provviggioni vengono erogate in media in un periodo di 40gg dalla stipula del contratto da parte del cliente.


Le provviggioni vengono tassate con un'imposta secca del 20%
(20% taxes per 100,000 is very different from 50%)


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Friday, January 7, 2011

Brazilian Wax With Shaving Machine

Path birth: ten points approved by the State-Regions Confererza

Sato Regions The conference approved the guidelines for the program that aims at promoting and improving the quality and safety of care interventions in the birth path and reduction of caesarean .
The program 'divided into 10 lines of action that are complementary and mutually reinforcing''and''needs to be started in conjunction with national, regional and local levels.
The Italian Society of Gynecology issued a favorable opinion.

It was concluded in December 2010, the passage of the measure and start the path should lead to the final closing of maternity wards where fewer than 500 shares per year and the rationalization / reduction of those who make less than 1,000. Another priority, the killing of the use of cesarean section.

The Conditions of the Plan :

-
The excessive use of caesarean section has brought Italy to occupy first place among European countries, surpassing the European values \u200b\u200breported in the euro-Peristat on maternal and child health in December 2008. Italy holds the largest share of 38%, followed by Portugal with 33% while all other countries have rates below 30% to 15% reduction in the Netherlands and 14% in Slovenia. In Italy it has gone from 11, 2% in 1980 to 29.8% in 1996 and to 38.4% in 2008 varied considerably by region (23.1% in Friuli Venezia Giulia and 61.9% in Campania ) and presence of lower values \u200b\u200bin northern and highest in central, southern
-The available data confirm, for Caesarean section, and general assistance during pregnancy and childbirth, the 'increase in Italy of the use of a set of procedures whose usefulness is not based on scientific evidence and is not supported by any real increase risk conditions. Their use is often completely independent of socio-demographic characteristics of women and their medical conditions and is instead primarily associated with the availability of the structures involved and their organization;

-In Italy, in 2008, about 220,000 operations were performed cesarean section, with a significant human and economic cost: the risk of maternal death is in fact 3-5 times greater than the vaginal delivery and puerperal morbidity is 10-15 times higher;

points-birth with a number of shares of less than 500, without a cover on-call doctor-midwife, anesthetist active pediatric and medical-h24, still represent a market share of approximately 30% of the total, are present, especially in Central and South America. In these structures, the number of parts is small (the average is less than 300 shares per year) and represents less than 10% of total shares. In these units, delegated care delivery in terms of physiology, where it would be reasonable to expect a lower prevalence of diseases, performing more cesarean deliveries (50%), while in larger units and higher level where c ' is high concentration of disease, the rate of cesarean is many times lower, although the variability is large;
-Besides standard clinical indications, absolute and / or relative, maternal and / or fetal coexist, with increasing frequency and with an important role, no clinical signs or rather non-medical, some of which are attributable to structural defects , technological and organizational-functional, such as organization of the delivery room, staff training, availability of the team midwives complete, the anesthesiologist and neonatologist 24 hours a day, along with the convenience of the doctor, defensive medicine, financial incentives.

The 10 points in the document :
  1. measures of health policy and accreditation. rationalize / reduce points over 3 years with birth number of shares less than 1000/anno, providing for the combination of complexity of the activities of obstetrician-gynecological UUOO those with neonatal / pediatric, based on two previous three levels of care, making arrangements, at the same time, the system of transportation assisted breast (STAM) and neonatal emergency (STEN). The structures must be approved and accredited based on standards that are identified. The network of local services, particularly the Family Clinics in number and adequately supported in the organic, is the focal point for the care of normal pregnancy. Finally, strategies are suggested incentive / disincentives on economic thresholds of appropriateness of interventions and implementation of the measures identified is indicated as a specific target for the evaluation of general managers, directors of departments and UOC;
  2. Service Charter. Companies active in health care is a birth should develop a Charter of services specific to the birth path, in which, in accordance with the principles of quality, safety and appropriateness are given information about general information on the operation of services containing major indicatori di esito, sulle modalità assistenziali dell’intero percorso nascita, sulle modalità per favorire l’umanizzazione del percorso nascita, sulla rete sanitaria ospedaliera-territoriale e sociale per il rientro a domicilio della madre e del neonato atta a favorire le dimissioni protette, il sostegno dell’allattamento al seno ed il supporto psicologico;
  3. Integrazione territorio-ospedale . Garantire la presa in carico, la continuità assistenziale, l'umanizzazione della nascita attraverso l'integrazione dei servizi tra territorio ed ospedale e la realizzazione di reti dedicate al tema materno-infantile sulla base della programmazione regionale. Sono previsti percorsi assistenziali differentiated to encourage the management of pregnancies at physiological counseling and the resignation of protected mothers and infants;
  4. Development of guidelines (LG) on normal pregnancy and cesarean section by the ISS-SNLG . Will shortly be available on the LG set amongst both health professionals, in technical summary, women;
  5. program implementation of the LG . Through analysis of the assistance to regional and local level we identify critical issues and barriers to change. It will support continuity of care and integration with the assistance territorial. Later he was promoted to the role of professionals within the birth path, including through the identification of different routes to assist with pregnancy and risk of physiological saline. To encourage the appropriateness of care interventions in the birth path and to reduce the caesarean section will be developed clinical pathways-care business, according to the guidelines;
  6. Development, dissemination and implementation of recommendations and tools for safety birth path. Will be promoted instruments such as recommendations for the prevention of maternal mortality, the prevention of neonatal mortality and adherence to monitoring of sentinel events, adverse events.
  7. Procedures for pain control during labor and delivery . Foster care procedures, pharmacological and not for pain control during labor and childbirth-defined protocols for shared diagnostic therapeutic partoanalgesia, giving assurance of that performance with deliverability availability / presence of an anesthesiologist on the basis of volume of activity of the point birth;
  8. Training of . As part of the training courses and updating of all professionals involved in the birth path, a way integrated, is given particular weight training program concerning the implementation of the guidelines and clinical audit as a tool for evaluating the quality of services and care provided; With MIUR you want to activate systems for testing and adaptation of the theoretical training and practical schools of specialization in gynecology and obstetrics, and paediatrics / neonatology and the degree course in midwifery, in line and consistent with standards of care, not a secondary role in the training of operators assume the effective integration of the university function teaching hospitals with teaching and the promotion of the involvement of scientific societies in the formation continuous health care professionals, in promoting the dissemination of procedures for pain control during labor and delivery is expected in terms of educational activity and pharmacological methods of pain control, with a multidisciplinary character, is finally promoted to a structured the integration of new hires professional, tailor-made for the guaranteed levels of care;
  9. monitoring and verification activities . For all the planned activities is promoted the use of monitoring and evaluation of activities that define the clinical relapses and charitable activities through the same measurable indicators;
  10. Establishment of a coordinating role for the path to permanent birth. for proper coordination and monitoring of the activity is the establishment of a Committee for the birth path (CPN), inter-institutional, with a coordinating role, with the involvement of the General Directorates of the Ministry of Health (Planning, Prevention, Communication, Research Information System), the regions and autonomous provinces and other national health institutions (ISS, Agenas). A similar function will be activated at the level of each Region and Autonomous Province.