[Hypoproteinemia caused by exudative enteropathy].
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Biomedical subjects
Publications and source records attributed to F Franchini.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Is easy to understand that choice of profession in countries where there is no organized professional help for job guidance it is not based done of the recognitions of the aptitude necessary for a particular job or profession. But it is a result of a very different actual conditions: youthful fancies, parent's mistakes, influences of the surroundings, ets. The situation of this conditions that we find in other countries and in Italy would resulting a serious problem. If not overcome by positive judgment in the orientation. The fact of the average intelligence accompany by sufficient good will is needed to overcome most common difficulties which are meet in a job or a profession.
The Authors asked themselves why in the last years they had observed a high increment of urinary tractinfections and so they evidenced some favouring factors.
The difficulty of learning is getting always more important, also in relation of a better knowledge of these problems. One factor which has to be taken in consideration as the behaviour of the school.
Adolescence observed as one of the step of the life cycle from the point of view of changes in the family. The role of paediatricians in the conversation with the adolescent and his parents is to pay attention to the influence that the whole family system could have on producing symptoms.
The kids, observing the relationship of their parents, are learning from them. Today the home is less home for everyone. At home you are eating, you are learning, especially you are watching a lot of TV. Often there is non a lot of trust between each other. Because of this the conversation is necessary and not the control of the adolescent secretly.
The advanced adolescence is the one after the eighteenth birthday. The adolescent tries to accomplish 3 engagements: 1. social and economic stability, 2. the research of a system of values, 3. record of concepts.
When doctor visits adolescents have to pay attention to the massage of body like a mirror of difficulty about growth. Adolescents change their eating habits because they need to distinguish to the family. The doctor have to see first signals of more serious behaviour join to eating: anorexia nervosa.
Often we don't see alcohol abuse among adolescents, but this kind of drug, easy to find, could be used to trying their limits. Contemporary group has an important role in the habit of drinking. Often family don't think that it's real problem and it's important that paediatrician grasp this dangerous signals.
We know the young's problem often depended to family and to society. In these years we have seen important changes of the family, that is no more a "patriarchal family" but is a "nuclear family". In general we can say that there is a change of the social levels of the family; in particular the Mass-media (especially television-set) are the most important factors responsible of these changes in fact they block the dialogue between family's members. In Italy we can found about 4.500.000 of adolescents (with age between 14 and 20 years). If we observe recent epidemiological data, we can suppose that: about 500.000 of young men have or will have problems that block them to live serenely their adolescence about 70.000 of young men have had a so important problem than they have a psychiatric personality in the future about 4.000 of young men will die for suicide, drugs or for road's incidences. For adolescents is necessary a doctor with multiple competence. We think that this doctor can be pediatrician because he is the doctor that visit children from neonatal age and, for this reason, ha can identify the "family with problems". In conclusion we can say that the pediatrician could say to adolescent's patents that "it is born a new child" with personal idea and with different attitudes, for these reason they must change the rules that they used before puberty because now the same rules are no more valid!
11,829 urine cultures, coming from the Pediatrics Department of Florence and other hospital divisions for adults in the period 1st of July-31st of December 1990, have been examined in the Bacteriology and Virology Laboratory of the University Hospital of Florence. Besides illustrating various methods of drawing, preservation and transport of the urinary specimen, the authors showed the incidence of bacterial species responsible of urinary tract infections (U.T.I.). E. coli was showed to be the most frequently isolated bacterial strain, followed by Streptococcus faecalis and Proteus indole negative. The incidence of fimbriated E. coli infections was studied in pediatric and adult patients with urinary tract infections; a higher isolation frequency of fimbriated E. coli was showed in pediatric patients and in these patients the correlation was studied between the presence of fimbriated E. coli and the severity of infection (pyelonephritis, recurrent U.T.I.). The percentages of resistance of the isolated strains against the most common chemotherapies was also showed, studying their variations, for some chemotherapies, during about twenty years.
The authors suggest the behaviour which the pediatrician has to keep with the adolescent and his family. The authors believe that in the "puberal spurt" period the pediatrician must inform the parents about the mould change which the young will inevitably have.
The authors examine the factors which induce urinary tract infections (U.T.I.) in child, considering especially the mechanisms which operate in the microorganism-host relation. Besides, the last acquisitions about clinical pediatric urology are specified. The Author dwells upon the discovery and study of P-fimbriated Escherichia coli, which seems ascertained to be responsible of upper urinary tract infections and which can be identified in Laboratories thanks to the existence of kits prepared for this purpose. With reference to this subject, the Authors report a personal experience about 12 pediatric patients in whose urine P-fimbriated E.coli strains were identified; in these patients the correlation is studied between the presence of P-fimbriated E.coli and the severity of infection (pyelonephritis, recurrent U.T.I.).
Since infections of the urinary tract in children often present diagnostic difficulties, it is essential to be able to identify these patients with simple, reliable methods. After a clinical-laboratory study on 4176 urine cultures, the Authors affirm that the reliability of this test is much greater when the parents have been instructed in the correct way of collection the urine specimen, and when in the laboratory the "slide" is carried out within three hours of taking the sample.
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