Il pediatra di libera scelta (PLS) rappresenta una figura cardine dell’assistenza territoriale italiana: non solo assicura la gestione clinica del bambino, ma assume funzioni preventive, educative, relazionali e di sanità pubblica. L’Accordo Collettivo Nazionale (ACN) ne definisce i compiti e gli obblighi professionali, mentre la normativa sulla responsabilità sanitaria (legge 24/2017, cd. “Gelli-Bianco”) e le [...]

ABSTRACT Otitis media, particularly otitis media with effusion (OME) and recurrent acute otitis media (RAOM), are among the most common conditions in pediatric age and represent a diagnostic and management challenge for primary care pediatricians. An accurate differential diagnosis is crucial to prevent inappropriate treatments and avoid long-term complications, particularly those affecting language development and [...]

ABSTRACT Pediatric inflammatory bowel diseases (IBD), primarily Crohn’s disease and ulcerative colitis, are on the rise and represent an increasing clinical challenge. Their pathogenesis is multifactorial, involving a complex interaction between genetic predisposition, environmental factors, and diet. Environmental influences, particularly during early childhood, play a crucial role by modulating the gut microbiota and affecting mucosal [...]

ABSTRACT Cardiovascular diseases are the leading cause of death in Italy and pose a major social, health, and economic burden. Growing evidence indicates that atherosclerotic processes begin in childhood. Pediatricians play a pivotal role in early identification of at-risk populations and in implementing primary prevention through the management of key modifiable risk factors such as [...]

ABSTRACT This article discusses the possible overlap between swallowing disorders and eating disorders. In light of international consensus documents, an attempt has been made to provide a trans-nosographic systematization in order to outline, beyond categorical diagnostic approaches, an overview of person-centered interventions. The intersection between chewing disorders and eating disorders (EDs) in pediatric age represents [...]

ABSTRACT Sports injuries require an integrated, evidence-based approach. Early physiotherapy, eccentric training, and multidisciplinary support improve recovery and reduce reinjury risk. In pediatric populations, protecting growth and implementing early neuromuscular programs with psychological support is essential for safe return to sport and long-term health ABSTRACT I traumi sportivi richiedono una gestione integrata e basata su [...]

L’intelligenza artificiale sta già trasformando la medicina: algoritmi capaci di diagnosticare immagini radiologiche, sistemi predittivi per l’andamento delle malattie, strumenti di supporto clinico basati su big data. Queste innovazioni promettono cure più efficaci, ma pongono una domanda cruciale: come cambia il consenso informato, soprattutto quando i pazienti sono minori? IL QUADRO NORMATIVO Il diritto europeo [...]

ABSTRACT This article examines the mechanism of action of ibuprofen in treating primary dysmenorrhea in preteens. Through analysis of recent clinical studies, it highlights how ibuprofen, by inhibiting cyclooxygenase (COX) enzymes, reduces the production of prostaglandins responsible for painful uterine contractions. Its clinical efficacy, safety, and tolerability make it a first-line treatment for this common [...]

ABSTRACT Macrophage activation syndrome (MAS) is a serious and potentially life-threatening complication of systemic inflammatory disorders, which is due to a dysfunctional immune response that causes massive proliferation of the monocyte-macrophage and T lymphocyte systems and hypersecretion of proinflammatory cytokines. Timely diagnosis and prompt institution of an effective treatment are fundamental to prevent the progression [...]