Recenti progressi in medicina
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Case Reports Comparative Study
[Lung ultrasound imaging of H1N1 influenza].
We describe the case of a 8 year-old child with acute respiratory distress syndrome (ARDS) during H1N1 swine flu. Lung ultrasound performed at the time of admission showed a typical ARDS ultrasound pattern, with multiple sonographic signs of interstitial oedema (also known as B-lines or ultrasound lung comets), and diffuse bilateral sub-pleural lung consolidations. After five days of anti-viral therapy, lung ultrasound showed a reduction of the dimension of consolidations, not clearly visible at chest X-ray, helping in the management of the patient.
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Primary health care represents an essential area in relation to health protection: its purposes are, on the one hand, health promotion, on the other hand the possibility to resort only if necessary to hospital care. In the novel National Collective Agreement, new teamwork forms of organization are introduced; for example, the obligatory Territorial Functional Aggregation: an organizational Unit which general practitioners and general paediatricians join to. The article by Scala et al. (see page 17), about an experience of primary health care, focuses the necessity to plan new organizational forms of work for teams oriented to realize efficient and effective answers to population needs: the phases of the activities in équipe are analysed, lingering on lights and shadows of the team.