Recommendations on complementary feeding for healthy, full-term infants

Weaning (or introduction of complementary feeding) is a special and important moment in the growth of a child, both for the family and the infant itself, and it can play a major role in the child's future health. Throughout the years, various weaning modes have come in succession, the latest being baby-led weaning; the timing for introducing foods and the requirements of which sort of nutrient for weaning have also changed over time. Furthermore, the role played by nutrition, especially in the early stages of life, for the onset of later non-communicable disorders, such as diabetes, obesity or coeliac disease has also been increasingly highlighted. Members of Italian Society of Gastroenterology, Hepathology and Pediatric Nutrition (SIGENP) and the Italian Society of Allergology and Pediatric Immunology (SIAIP) Emilia Romagna here propose a practical approach for pediatricians to deal with daily practice. The four main areas for discussion were weaning in relation with the onset of allergic diseases, coeliac disease, diabetes and metabolic syndrome, the nutrition requirements to take into account for assessing the diet of infants under one year of age and about the practice of baby-led weaning focusing on limits and benefits, respectively

A comparison of populations vaccinated in a public service and in a private hospital setting in the same area

<p>Abstract</p> <p>Background</p> <p>Improving immunisation rates in risk groups is one of the main objectives in vaccination strategies. However, achieving high vaccination rates in children with chronic conditions is difficult. Different types of vaccine providers may differently attract high risk children.</p> <p>Aim</p> <p>To describe the characteristics of two populations of children who attended a private and a public immunisation provider in the same area. Secondarily, to determine if prevalence of patients with underlying diseases by type of provider differs and to study if the choice of different providers influences timeliness in immunisation.</p> <p>Methods</p> <p>We performed a cross-sectional study on parents of children 2 – 36 months of age who attended a private hospital immunisation service or a public immunisation office serving the same metropolitan area of Rome, Italy. Data on personal characteristics and immunisation history were collected through a face to face interview with parents of vaccinees, and compared by type of provider. Prevalence of underlying conditions was compared in the two populations. Timeliness in immunisation and its determinants were analysed through a logistic regression model.</p> <p>Results</p> <p>A total of 202 parents of children 2–36 months of age were interviewed; 104 were in the public office, and 98 in the hospital practice. Children immunised in the hospital were more frequently firstborn female children, breast fed for a longer period, with a lower birthweight, and more frequently with a previous hospitalisation. The prevalence of high risk children immunised in the hospital was 9.2 vs 0% in the public service (P = 0.001). Immunisation delay for due vaccines was higher in the hospital practice than in the public service (DTP, polio, HBV, and Hib: 39.8% vs 22.1%; P = 0.005). Anyway multivariate analyses did not reveal differences in timeliness between the public and private hospital settings.</p> <p>Conclusion</p> <p>Children with underlying diseases or a low birthweight were more frequently immunised in the hospital. This finding suggests that offering immunisations in a hospital setting may facilitate vaccination uptake in high risk groups. An integration between public and hospital practices and an effort to improve communication on vaccines to parents, may significantly increase immunisation rates in high risk groups and in the general population, and prevent immunisation delays.</p

Severe reaction in a child with asymptomatic codfish allergy: Food challenge reactivating recurrent pancreatitis

<p>Abstract</p> <p>An 8-year-old child during the first year of life manifested severe atopic dermatitis and chronic diarrhea with mucorrhea and rectal bleeding; a fish-free diet was started based on weakly positive skin-prick tests to codfish extract. At the age of 4 years the child began to suffer of recurrent pancreatitis. When he came to our attention for the evaluation of his fish allergy, he was asymptomatic; a weak reactivity to codfish was observed (SPTs: cod, 4 mm, sIgE ImmunoCAP: cod, 1.30kU/l). The food challenge test with cod was negative. When the child ate cod again, within 5 minutes, developed anaphylactic reaction and complained of abdominal pain compatible with pancreatitis (enzyme serum levels risen and parenchymal oedema at ultrasonography), that resolved within 7 days after specific therapy. This case raises two issues: the elimination diet in asymptomatic food allergy on the basis only of SPT and the ethicality of food challenge in gastrointestinal chronic disease.</p

Cutaneous CD30+ cells in children with atopic dermatitis

El Informe sobre la evolución de la vulnerabilidad urbana en España 2001-2011 forma parte del Observatorio de la Vulnerabilidad Urbana, un proyecto a largo plazo del Ministerio de Fomento que pretende dar cabida a los distintos estudios relacionados con este tema en España. El presente trabajo se enmarca dentro de las primeras tareas pertenecientes a la elaboración del tercer catálogo de Barrios Vulnerables, a realizar con los datos del Censo de Población y Viviendas de 2011. Las actuaciones desarrolladas y descritas a continuación corresponden con las primeras fases de la metodología seguida en 1991 y 2001, y en la Adenda de 2006: la determinación del ámbito del catálogo, la definición de los indicadores de vulnerabilidad, así como de los valores de referencia a partir de los cuales deberá asumirse que los barrios son vulnerables, y la delimitación previa de las áreas estadísticas vulnerables. Dicha delimitación ha quedado dividida en dos etapas. En primer lugar, se ha abordado el análisis de los 624 barrios delimitados en 2001 para los tres indicadores básicos de vulnerabilidad, y de los 256 de la Adenda de 2006. Posteriormente se han delimitado las áreas estadísticas exteriores a dichos barrios. El conjunto de los trabajos ha permitido describir la evolución de la vulnerabilidad urbana entre 2001 y 2011

Co-operation rate of parents to the interview in the Pediatric hospital

<p><b>Copyright information:</b></p><p>Taken from "A comparison of populations vaccinated in a public service and in a private hospital setting in the same area"</p><p>http://www.biomedcentral.com/1471-2458/8/278</p><p>BMC Public Health 2008;8():278-278.</p><p>Published online 6 Aug 2008</p><p>PMCID:PMC2531109.</p><p></p

Co-operation rate of parents to the interview in the public immunization service

<p><b>Copyright information:</b></p><p>Taken from "A comparison of populations vaccinated in a public service and in a private hospital setting in the same area"</p><p>http://www.biomedcentral.com/1471-2458/8/278</p><p>BMC Public Health 2008;8():278-278.</p><p>Published online 6 Aug 2008</p><p>PMCID:PMC2531109.</p><p></p