Risultati per: La qualità dei nutraceutici e position paper per l’appropriato uso in medicina generale

A Genova. Per un malore improvviso

Ricerca finlandese, frequentare spazi verdi e blu

Costante crescita, specie fra giovani.Raddoppio in quasi 10 anni

Objective
To identify what dimensions of socioeconomic position (SEP) are most closely associated with childhood obesity in Finland, leveraging population-wide data among the whole child population aged 2–17 years in Finland.

Design
Registry-based study.

Setting
Data from several administrative registries linked on individual level covering the whole of Finland were used. Data on height and weight measurements in 2018 were obtained from the Register of Primary Health Care visits and data on sociodemographic and socioeconomic indicators (2014–2018) from Statistics Finland.

Participants
Children aged 2–17 years with valid height and weight measurements performed at the child health clinic or school healthcare in 2018 (final n=194 423).

Main outcome measures
Obesity was defined according to WHO Growth Reference curves. Sociodemographic and socioeconomic indicators were linked on individual level for adults (both parents) who lived in the same household (42 predictors). Boosted regression model was used to analyse the contribution of SEP to obesity.

Results
From socioeconomic indicators, annual household income (12.6%) and mother and father’s educational level (12.6% and 8.1%, respectively) had the highest relative influence on obesity risk. The relative influence of a child’s sex was 7.7%.

Conclusions
The parents’ SEP was inversely associated with obesity among the offspring. A remarkable number of objective SEP indicators were analysed with parents’ education and household income finally being the indicators most strongly associated with obesity among children. In future research, more attention should be paid to reliable and objective ways of measuring educational status and income rather than on developing new SEP indicators. Administrative registries with information on both healthcare and socioeconomic indicators can in future provide better opportunities to assess the influence of SEP on various health risks.

Pubblicato oggi in GU il bando nazionale per il concorso di formazione in medicina generale, Silvestro Scotti (Fimmg): «Risposta immediata del ministero sia d’esempio a Regioni e Governo per eliminare burocrazia, definire Atto d’Indirizzo ACN 2019-21, e per provvedimenti in Finanziaria equi per la convenzionata»

Pubblicato oggi in GU il bando nazionale per il concorso di formazione in medicina generale, Silvestro Scotti (Fimmg): «Risposta immediata del ministero sia d’esempio a Regioni e Governo per eliminare burocrazia, definire Atto d’Indirizzo ACN 2019-21, e per provvedimenti in Finanziaria equi per la convenzionata»

Pubblicato oggi in GU il bando nazionale per il concorso di formazione in medicina generale, Silvestro Scotti (Fimmg): «Risposta immediata del ministero sia d’esempio a Regioni e Governo per eliminare burocrazia, definire Atto d’Indirizzo ACN 2019-21, e per provvedimenti in Finanziaria equi per la convenzionata»

Introduction
Bronchopulmonary dysplasia (BPD) is a common disease caused by various factors and mechanisms in premature infants. Owing to lung hypoplasia and the lack of alveolar surfactants in premature infants, oxygen therapy is often needed to maintain adequate breathing. Nevertheless, prolonged oxygen therapy can easily induce BPD, and there is currently no effective treatment. Therefore, the prevention of BPD in premature infants during hospitalisation is essential. Studies have revealed that the prone position can effectively improve the oxygenation of premature infants. However, a few studies have reported whether prone positioning can improve lung function and reduce BPD incidence. This trial will determine whether the prone position, compared with the supine position, can reduce BPD incidence and improve lung function in preterm infants.

Methods and analysis
This study protocol is for a single-centre, single-blind, randomised controlled trial of the prone position in premature infants. Following daily feeding, premature infants will be placed in the lateral position for 30 min; then they will be turned to the supine position (control group) or prone position (intervention group) for 2 hours each in the morning and afternoon. Moreover, infants in both groups will be placed in the supine or lateral position alternately according to their medical needs for the remaining time. The study begins when the premature infants are stable within 5 days after admission and ends when they are discharged from the hospital or at 36 weeks postmenstrual age. The primary outcome is the survival rate without BPD. The secondary outcomes include lung function parameters and lung oxygen saturation.

Ethics and dissemination
This trial is approved by the ethics committee of the Affiliated Hospital of Southwest Medical University, (ref approval no.KY2021186). The results will be published in a peer-reviewed journal.

Trial registration number
ChiCTR2100049847.

“Comporta gravi criticità in termini di sicurezza delle cure”