Clinical medicine

A.Y. 2019/2020
5
Max ECTS
50
Overall hours
SSD
MED/38 MED/39 MED/44 MED/48
Language
Italian
Learning objectives
The student will acquire knowledge on pediatrics and neonatology. The peculiar aspects of different diseases related to the developmental age, with particular regard to the occurrence of audiological pathologies will be considered; the infant's neurodevelopment and the related rehabilitative aspects will be approached in depth.
Expected learning outcomes
Understanding and acquiring knowledge on the peculiarities of pediatric and neonatological age including the main pathologies, with particular regard to those with audiological involvement.
Integrating knowledge and skills deriving from the pediatric, neuropsychiatric, genetic and otorhinolaryngological sciences to recognize the care needs of the child and his/her family and promoting optimal development, maintenance and recovery
Course syllabus and organization

Unique edition

Responsible
Prerequisites for admission
No prior knowledge is required
Assessement methods and criteria
Written test, multiple choice test (four answers for each question, one correct answer; the questions are 30, 1 point for each correctly answered question) optional two open questions on general topics.
Communication of results by email.
Pediatria generale e specialistica
Course syllabus
The term and premature infant. Physiological and pathological growth and evaluation methods. Short stature. Psychomotor development. Nutrition in children. Infectious diseases. Vaccinations and vaccination calendar. Meningitis. ENT pathologies in pediatrics. Basic principles of genetics. The most common genetic syndromes. Genetic deafness. Deafness in children. Neonatal deafness screening.
Teaching methods
Frontal lessons (ppt, support video materials).
Bibliography
Bona G, Miniero R. Pediatria Pratica
Editore: Minerva Medica 9
Anno edizione: 2013 2013
Medicina del lavoro
Course syllabus
· Occupational Medicine, historical notes, aims, objectives and contents. Definition of health risk, occupational disease, work-related illness and occupational injury. Legislative Decree 81/2008 and changes in the world of work.
· Environmental prevention and Personal Protection Devices. The assessment of exposure to noise.
· Noise hearing loss: etiology, pathogenesis, symptomatology and diagnosis. Classification of the tracks. Concept of auditory normality, presbycusis and socioacusis.
· Occupational disease, assessment of impairment and disability.
Teaching methods
Frontal lessons (ppt, support video materials).
Bibliography
· Medicina del Lavoro - lavoro ambiente salute.
P.A. BERTAZZI
Ed. Raffaello Cortina, 2015

· Rumore e udito in ambiente di lavoro. F. MERLUZZI, S. ORSINI, N. DI CREDICO, P. MARAZZI
Ed. Franco Angeli, 1-247, 1998
Neuropsichiatria infantile
Course syllabus
- general characteristics of complex syndromes with intellectual disabilities
- the main complex syndromes with onset disability in developmental age
- the neurological problems of the asphyxiated and premature infant
Teaching methods
Frontal lessons (ppt, support video materials).
Bibliography
Roberto Militerni - Neuropsichiatria Infantile - Idelson Gnocchi, ed 2019
Scienze infermieristiche e tecniche neuro-psichiatriche riabilitative
Course syllabus
Aerosol: tools and methods of use. Advantages and disadvantages of the tools available.
Factors influencing aerosol deposition. Respiratory mode. Relation between respiratory pattern and pulmonary deposition. aerosol generating devices. most frequent technical errors in use. choice of administration system.
Relationship between particle size and aerosol deposition mechanisms in the airways.
How aerosol particles settle in the airways.
Characteristics and indications of the various devices.
How to choose a devices.
Method of taking aerosol therapy according to the site of action.
The unclogging of the upper respiratory tract.
Main differences in development and function of the upper respiratory tract. Functions of the upper respiratory tract. Influence of nasal air conditioning on lung functions. Review of the literature.
Influence of nasal air conditioning on lung functions.
How to teach the correct cleaning of the nasal cavities, train the use and maintenance of dvices and the administration of drugs for the upper airways.
Choosing the right tools.
Teaching methods
Frontal lessons (ppt, support video materials).
Bibliography
Khilnami GC, Banga A. Aerosol therapy. The Indian Journal of Chest Diseases & Allied Sciences 2008;50:209-19.
Vincken W, Dekhuijzen R, Barnes P, et al. The ADMIT series - Issues in inhalation therapy. 4. How to choose inhaler devices for the treatment of COPD. Prim Care Respir J 2010;19:10-20.
DiBlasi RM Clinical Controversies in Aerosol Therapy for Infants and Children. Respir Care. 2015 Jun;60(6):894-914;
Xi J, Si X, Zhou Y, Kim J Berlinski A Growth of nasal and laryngeal airways in children: implications in breathing and inhaled aerosol dynamics. Respir Care. 2014 Feb;59(2):263-73.
Rubin BK. Air and soul: the science and application of aerosol therapy. Respir Care 2010;55:911-21.
Amirav I, Newhouse MT. Deposition of small particles in the developing lung. Paediatr Respir Rev. 2012 Jun;13(2):73-8.
Amirav I, Newhouse MT, Minocchieri S, Castro-Rodriguez JA, Schüepp KGJ Allergy Clin Immunol. Factors that affect the efficacy of inhaled corticosteroids for infants and young children 2010 Jun;125(6):1206-11.
Progetto Mondiale Asma-Linee-Guida Italiane - Progetto Libra www.ginasma.it Aggiornamento 2011
Murakami G, Igarashi T, Adachi Y, Matsuno M, Adachi Y, Sawai M, et al. Measurement of bronchial hyperreactivity in infants and preschool children using a new method. Ann Allergy 1990;64(4): 383-387
Iles R, Lister P, Edmunds AT. Crying significantly reduces absorption of aerosolised drug in infants. Arch Dis Child 1999;81(2):163- 165.
Janssens HM, van der Wiel EC, Verbraak AF, et al. Aerosol therapy and the fighting toddler: is administration during sleep an alternative? J Aerosol Med 2003; 16(4):395-400.
Esposito-Festen J, Ijsselstijn H, Hop W, et al. Aerosol therapy by pressured metered-dose inhaler-spacer in sleeping young children: to do or not to do? Chest 2006; 130(2):487-492.
Mansour MM1, Smaldone GC. Blow-by as potential therapy for uncooperative children: an in-vitro study. Respir Care. 2012 Dec;57(12):2004-11.
Restrepo RD.Is it time to say good bye to blow-by? Respir Care. 2012 Dec;57(12):2127-9.
Amirav I, Borojeni AA, Halamish A, Newhouse MT, Golshahi L. Nasal versus oral aerosol delivery to the "lungs" in infants and toddlers Pediatr Pulmonol. 2014 Jan 31.
Everard ML, Clark AR, Milner AD. Drug delivery from jet nebulisers. Arch Dis Child 1992;67(5):586-591.
Ari A, de Andrade AD, Sheard M, AlHamad B, Fink JB Performance Comparisons of Jet and Mesh Nebulizers Using Different Interfaces in Simulated Spontaneously Breathing Adults and Children. J Aerosol Med Pulm Drug Deliv.2015 Aug;28(4):281-9.
Guida ai Dispositivi per l'Aerosolterapia per i Terapisti Respiratori, 2a Edizione Traduzione italiana
Pedersen S, Dubus JC, Crompton GK; ADMIT Working Group. The ADMIT series--issues in inhalation therapy. 5) Inhaler selection in children with asthma. Prim Care Respir J. 2010 Sep;19(3):209-16.
Marchisio P, Fusi M, Dusi E, Bianchini S Il lavaggio nasale con soluzioni saline come terapia delle infezioni delle alte vie respiratorie: dai presupposti ai metodi (Rivista Italiana di Fisioterapia e Riabilitazione Respiratoria 2007; 3:
Postiaux G. Kinésitherapie respiratoire de l'enfant. Les techniques de soins guidées par l'auscultation pulmonaire. De Boeck Université, Paris, Bruxelles 1998 ; chapitre 6, 221-223.
Tomooka LT, Murphy C, Davidson TM Clinical study and literature review of nasal irrigation Laryngoscope 2001 Oct;111(10):1867-9.
Passali D, Damiani V, Passali FM, Passali GC, Bellussi L. Atomized nasal douche vs nasal lavage in acute viral rhinitis. Arch Otolaryngol Head Neck Surg 2005; 131:788-790
Medicina del lavoro
MED/44 - OCCUPATIONAL MEDICINE - University credits: 1
Lessons: 10 hours
Professor: Marazzi Patrizia
Neuropsichiatria infantile
MED/39 - CHILD NEUROPSYCHIATRY - University credits: 1
Lessons: 10 hours
Professor: Vignoli Aglaia
Pediatria generale e specialistica
MED/38 - PAEDIATRICS - University credits: 2
Lessons: 20 hours
Scienze infermieristiche e tecniche neuro-psichiatriche riabilitative
MED/48 - NURSING IN NEUROPSYCHIATRY AND REHABILITATION - University credits: 1
Lessons: 10 hours
Professor: Brivio Anna
Professor(s)