Vai ai contenuti. | Spostati sulla navigazione | Spostati sulla ricerca | Vai al menu | Contatti | Accessibilità

| Crea un account

Menegazzo, Francesca (2016) Agire oggi sui nuovi nati per promuovere la salute della comunità di domani.
Taking action on today's newborns to promote the health of tomorrow's community.
[Tesi di dottorato]

Full text disponibile come:

[img]Documento PDF - Versione accettata
Tesi non accessible fino a 14 Novembre 2019 per motivi correlati alla proprietà intellettuale.
Visibile a: nessuno

2467Kb

Abstract (inglese)

Promoting population health is tightly related to supporting the full achievement of each child’s developmental potential. Indeed, healthy children have better learning abilities and will be more productive adults and more independent older people.
Developmental trajectories are significantly oriented during prenatal life and early childhood. These periods are crucial for brain development, which depends on many interdependent factors, such as genetic assets, nutritional status and the quality of environment-child interaction.
The opportunity to perform at the earliest stages of life prevention and health promotion interventions is based on these premises, showing to achieve the best results in terms of development and to have the best cost-benefit ratio.
The aim of the present research project is to design and evaluate functioning and performance of a new strategic and organizational model to achieve integration of the activities of Child and Maternal Health Services in Veneto Region. This model is founded on a person-centered approach, performed through the rearrangement of specific interventions organized within a global framework, coordinated and supported by a unitary, shared informative system.
Based on the early evaluations, the regional network of Child and Maternal Health Services, reorganized in such a manner, seems to promote:
• Rationalized activities, through a unitary leadership, filling up the healthcare gaps on one hand and eliminating duplication of services on the other;
• Realization of evidence-based interventions (diagnostic, therapeutic and integrated-care pathways defined by working groups composed of experts with clearly established competence in the field);
• Greater equity, since at the regional level Health Services are guaranteed with the same accessibility and quality;
• Opportunity to measure quality and effectiveness of the provided Services, thus allowing the monitoring of health planning and therefore its continuous improvement.

Abstract (italiano)

La promozione della salute della popolazione si fonda sul supporto alla piena realizzazione del potenziale di sviluppo di ciascun bambino. Bambini sani hanno infatti migliori capacità di apprendimento, saranno adulti più produttivi ed anziani più autonomi. La traiettoria di sviluppo di un individuo è orientata in modo rilevante durante la vita prenatale e nella prima infanzia, periodi cruciali per lo sviluppo cerebrale, il quale dipende da molti fattori interdipendenti, quali il patrimonio genetico, lo stato nutrizionale, la qualità dell’interazione ambiente-bambino.
Su questo razionale si basa l’opportunità di effettuare nelle più precoci fasi di vita interventi di prevenzione e promozione della salute, che hanno dimostrato di ottenere i migliori risultati in termini di sviluppo, in più dimensioni dell’essere e di avere il più performante rapporto costi-benefici.
Obiettivo del presente progetto di ricerca è ideare e valutare il funzionamento di un nuovo modello strategico e organizzativo per realizzare l’integrazione delle attività dei Servizi materno-infantili in Veneto, secondo un approccio basato sulla centralità della persona, attraverso la riprogrammazione di interventi specifici organizzati in una cornice globale e coordinati e supportati da un sistema informativo unico.
La rete regionale dei Servizi materno-infantili, così riorganizzata, dalle prime valutazioni emerse sembra promuovere:
• La razionalizzazione delle attività attraverso una regia unica, colmando lacune assistenziali da un lato ed eliminando sovrapposizioni di interventi dall’altro;
• La realizzazione di attività ed interventi evidence-based (protocolli e percorsi diagnostico-terapeutico-assistenziali definiti da gruppi di lavoro costituiti da esperti della materia di acclarata competenza);
• Una maggiore equità, perché a livello regionale l’offerta di Servizi viene garantita con la stessa accessibilità e qualità;
• La possibilità di misurare la qualità e l’efficacia dei Servizi offerti, permettendo così il monitoraggio della programmazione sanitaria e quindi il suo continuo miglioramento.

Aggiungi a RefWorks
Tipo di EPrint:Tesi di dottorato
Relatore:Facchin, Paola
Dottorato (corsi e scuole):Ciclo 29 > Corsi 29 > MEDICINA DELLO SVILUPPO E SCIENZE DELLA PROGRAMMAZIONE SANITARIA
Data di deposito della tesi:30 Gennaio 2017
Anno di Pubblicazione:15 Novembre 2016
Parole chiave (italiano / inglese):Early Child Development; Brain development; Promozione della salute; sviluppo e valutazione dei Servizi Sanitari.
Settori scientifico-disciplinari MIUR:Area 06 - Scienze mediche > MED/42 Igiene generale e applicata
Struttura di riferimento:Dipartimenti > Dipartimento di Salute della Donna e del Bambino
Codice ID:10112
Depositato il:14 Nov 2017 15:23
Simple Metadata
Full Metadata
EndNote Format

Bibliografia

I riferimenti della bibliografia possono essere cercati con Cerca la citazione di AIRE, copiando il titolo dell'articolo (o del libro) e la rivista (se presente) nei campi appositi di "Cerca la Citazione di AIRE".
Le url contenute in alcuni riferimenti sono raggiungibili cliccando sul link alla fine della citazione (Vai!) e tramite Google (Ricerca con Google). Il risultato dipende dalla formattazione della citazione.

G. Leisman et al. The neurological development of the child with the educational enrichment in mind. Psicología Educativa 21 (2015) 79–96. Cerca con Google

http://www.esrc.ac.uk/about-us/50-years-of-esrc/50-achievements/the-dahlgren-whitehead-rainbow/ Vai! Cerca con Google

http://heckmanequation.org/heckman-equation Vai! Cerca con Google

http://heckmanequation.org/content/resource/heckman-curve Vai! Cerca con Google

National Research Council and Institute of Medicine. From Neurons to Neighborhoods: The Science of Early Childhood Development. Committee on Integrating the Science of Early Childhood Development. Jack P. Shonkoff and Deborah A. Phillips, eds. Board on Children, Youth, and Families, Commission on Behavioral and Social Sciences and Education. Washington, D.C.: National Academy Press, 2000. Cerca con Google

National Scientific Council on the Developing Child. The science of early childhood development, 2007. Cerca con Google

National Scientific Council on the Developing Child. 2005/2014. Excessive stress disrupts the architecture of the developing brain: working paper 3. Updated edition. Cerca con Google

Shonkoff JP, Boyce WT, McEwen BS. Neuroscience, Molecular Biology and the Childhood Roots of Health Disparities. JAMA, 2009; 301:2252-2259. Cerca con Google

Center on the Developing Child at Harvard University. A Science-Based Framework for Early Childhood Policy: Using Evidence to Improve Outcomes in Learning, Behavior, and Health for Vulnerable Children. 2007. Cerca con Google

Mann S et al. Assessing quality obstetrical care: development of standardized measures. Jt Comm J Qual Patient Saf. 2006 Sep;32(9):497-505. Cerca con Google

Jennifer A. Hutcheon et al., Feasibility of implementing a standardized clinical performance indicator to evaluate the quality of obstetrical care in British Columbia. Maternal child heath J, 2015. Cerca con Google

M.G. Calevo et al. Neonatal hearing screening model: An Italian regional experience. The Journal of Maternal-Fetal and Neonatal Medicine, June 2007; 20(6): 441-448. Cerca con Google

A. Martini, S. Prosser. Audiologia e Foniatria. Omega Edizioni 2010. Cerca con Google

C. Yoshinaga-Itano. From screening to early identification and intervention: discovering predictors to successful outcomes for children with significant hearing loss. Journal of Deaf Studies and Deaf Education 8:1 Winter 2003. Cerca con Google

K. Neumann et al. Effectiveness and efficiency of a universal newborn hearing screening in Germany. Folia Phoniatrica et Logopaedica 2006; 58: 440-455. Cerca con Google

H.D. Bailey, C. Bower, J. K. Krishnaswamy and H. L. Coates. Newborn hearing screening in Western Australia. MJA Vol 177, 19 August 2002. Cerca con Google

P. Ghirri et al. Universal neonatal audiological screening: experience of the University Hospital of Pisa. Italian Journal of Pediatrics, 2011, 37:16. Cerca con Google

Willems PJ et al. Genetic Causes of Hearing Loss. N Engl J Med. 342:1101-1109, 2000. Cerca con Google

Del Castillo I et al. A deletion involving the connexin 30 gene in nonsyndromic hearing impairment. N. Eng. J. Med. 346: 243-249, 2002. Cerca con Google

Li Z. et al. Mutational analysis of the mitochondrial 12S rRNA gene in Chinese pediatric subjects with aminoglycoside-induced and non-syndromic hearing loss. Hum. Genet. 117, 9–15, 2005. Cerca con Google

Joint Committee on Infant Hearing. Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. Pediatrics Vol 120 n°4 Oct 2007, pp 898-921. Cerca con Google

Kenneth C. Deem, Ernesto A. Diaz-Ordaz & Brian Shiner. Identifying Quality Improvement Opportunities in a Universal Newborn Hearing Screening Program. Pediatrics Vol 129 n°1, 2012. Cerca con Google

H.M. Huang et al. The universal newborn hearing screening program of Taipei City. International Journal of Pediatric Otorhinolaryngology 77 (2013) 1734-1737. Cerca con Google

UK National Screening Committee Annual Report-NHS Newborn Hearing Screening Programme 2010-2011. MRC Hearing and Communication Group. Cerca con Google

S.Z. Mukari et al. A pilot project on hospital-based universal newborn hearing screening: Lessons learned. International journal of Pediatric Otorhinolaryngology (2006) 70, 843-851. Cerca con Google

J. Bamford et al. Screening for hearing loss in childhood: issues, evidence and current approaches in the UK. J Med Screen, 2005; 12: 119-124. Cerca con Google

Phillips LL et al. The future role of genetic screening to detect newborns at risk of childhood-onset hearing loss. International Journal of Audiology, 2013; 52: 124-133. Cerca con Google

Michael A. Johansson, Luis Mier-y-Teran-Romero, Jennita Reefhuis, Suzanne M. Gilboa, Susan L. Hills, M.B., B.S. Zika and the Risk of Microcephaly. N Engl J Med 2016; 375:1-4. Cerca con Google

Banzhaf S, Filipovic M, Lewis J, Sparrenbom CJ, Barthel R. A review of contamination of surface-, ground-, and drinking water in Sweden by perfluoroalkyl and polyfluoroalkyl substances (PFASs). Ambio. 2016 Nov 14. Cerca con Google

Pérez F, Nadal M, Navarro-Ortega A, Fàbrega F, Domingo JL, Barceló D, Farré M. Accumulation of perfluoroalkyl substances in human tissues. Environ Int. 2013 Sep;59:354-62. Cerca con Google

Wang Z, Cousins IT, Berger U, Hungerbühler K, Scheringer M. Comparative assessment of the environmental hazards of and exposure to perfluoroalkyl phosphonic and phosphinic acids (PFPAs and PFPiAs): Current knowledge, gaps, challenges and research needs. Environ Int. 2016 Apr-May;89-90:235-47. Cerca con Google

Cousins IT, Vestergren R, Wang Z, Scheringer M, McLachlan MS. The precautionary principle and chemicals management: The example of perfluoroalkyl acids in groundwater. Environ Int. 2016 Sep;94:331-40. Cerca con Google

Health and Ecological Criteria Division, Office of Science and Technology, Office of Water of the U.S. Environmental Protection Agency (EPA). Health Effects Support Document for Perfluorooctane Sulfonate (PFOS). EPA Document Number: 822-R-16-002. Maggio 2016. Cerca con Google

Health and Ecological Criteria Division, Office of Science and Technology, Office of Water of the U.S. Environmental Protection Agency (EPA). Health Effects Support Document for Perfluorooctanoic Acid (PFOA). EPA Document Number: 822-R-16-003. Maggio 2016. Cerca con Google

Health and Ecological Criteria Division, Office of Science and Technology, Office of Water of the U.S. Environmental Protection Agency (EPA). Drinking Water Health Advisory for Perfluorooctane Sulfonate (PFOS). EPA Document Number: 822-R-16-004. Maggio 2016. Cerca con Google

Health and Ecological Criteria Division, Office of Science and Technology, Office of Water of the U.S. Environmental Protection Agency (EPA). Drinking Water Health Advisory for Perfluorooctanoic Acid (PFOA). EPA Document Number: 822-R-16-005. Maggio 2016. Cerca con Google

Health and Ecological Criteria Division, Office of Science and Technology, Office of Water of the U.S. Environmental Protection Agency (EPA). EPA Response to External Peer Review Comments on EPA Draft Documents: Health Effects Support Document for Perfluorooctanoic Acid (PFOA) and Health Effects Support Document for Perfluorooctane Sulfonate (PFOS). Maggio 2016. Cerca con Google

Bach CC, Bech BH, Brix N, Nohr EA, Bonde JP, Henriksen TB. Perfluoroalkyl and polyfluoroalkyl substances and human fetal growth: a systematic review. Crit Rev Toxicol. 2015 Jan;45(1):53-67. Cerca con Google

Bach CC, Bech BH, Nohr EA, Olsen J, Matthiesen NB, Bonefeld-Jørgensen EC, Bossi R, Henriksen TB. Perfluoroalkyl Acids in Maternal Serum and Indices of Fetal Growth: The Aarhus Birth Cohort. Environ Health Perspect. 2016 Jun; 124(6):848-54. Cerca con Google

Lauritzen, Larose, Øien, Sandanger, Odland, van de Bor, Jacobsen. Maternal serum levels of perfluoroalkyl substances and organochlorines and indices of fetal growth: a scandinavian case–cohort study. Pediatric RESEARCH, 2016. Cerca con Google

ISS, Ministero della Salute, Dipartimento della Sanità Pubblica e dell’Innovazione. Protocollo 16.01.2014. Cerca con Google

Fleisch AF et Al. Early Life Exposure to Perfluoroalkyl Substances and Childhood Metabolic Function. Environ Health Perspect. 2016 Sep 2. Cerca con Google

Itoh S. et Al. Association of perfluoroalkyl substances exposure in utero with reproductive hormone levels in cord blood in the Hokkaido Study on Environment and Children's Health. Environ Int. 2016 Sep;94:51-9. doi: 10.1016/j.envint.2016.05.011. Epub 2016 May 19. Cerca con Google

Wang Z. et Al. Comparative assessment of the environmental hazards of and exposure to perfluoroalkyl phosphonic and phosphinic acids (PFPAs and PFPiAs): Current knowledge, gaps, challenges and research needs. Environ Int. 2016 Apr-May;89-90:235-47. doi: 10.1016/j.envint.2016.01.023. Epub 2016 Feb 26. Cerca con Google

http://reach.sviluppoeconomico.gov.it/reach-in-breve Vai! Cerca con Google

Fei C, McLaughlin JK, Tarone RE, Olsen J. Perfluorinated Chemicals and Fetal Growth: A Study within the Danish National Birth Cohort. Environmental Health Perspectives. Vol 115; 11, November 2007. Cerca con Google

Lauritzen HB, Larose TL, Øien T, Sandanger TM, Odland JØ, van de Bor M, Jacobsen GW. Maternal serum levels of perfluoroalkyl substances and organochlorines and indices of fetal growth: a Scandinavian case-cohort study. Pediatr Res. 2016 Oct 26. Cerca con Google

World Health Organization. Report of the consultation on child abuse prevention, Geneva, 1999. Cerca con Google

Child Welfare Information Gateway. Long-term consequences of child abuse and neglect. Washington, DC: U.S. Department of Health and Human Services, Children's Bureau, 2013. Cerca con Google

Glaser D. The effects of child maltreatment on the developing brain. Med Leg J. 2014; 82(3):97-111. Cerca con Google

Kavanaugh BC, Dupont-Frechette JA, Jerskey BA, Holler KA. Neurocognitive Deficits in Children and Adolescents Following Maltreatment: Neurodevelopmental Consequences and Neuropsychological Implications of Traumatic Stress. Appl Neuropsychol Child. 2016; 6:1-15. Cerca con Google

Liu RT. Early life stressors and genetic influences on the development of bipolar disorder: the roles of childhood abuse and brain-derived neurotrophic factor. Child Abuse Negl. 2010; 34(7):516-22. Cerca con Google

Gold AL, Sheridan MA, Peverill M, Busso DS, Lambert HK, Alves S, Pine DS, McLaughlin KA. Childhood abuse and reduced cortical thickness in brain regions involved in emotional processing. J Child Psychol Psychiatry. 2016; 57(10):1154-64. Cerca con Google

Van den Bulk BG, Somerville LH, van Hoof MJ, van Lang ND, van der Wee NJ, Crone EA, Vermeiren RR. Amygdala habituation to emotional faces in adolescents with internalizing disorders, adolescents with childhood sexual abuse related PTSD and healthy adolescents. Dev Cogn Neurosci. 2016; 21:15-25. Cerca con Google

Hanson JL, Knodt AR, Brigidi BD, Hariri AR. Lower structural integrity of the uncinate fasciculus is associated with a history of child maltreatment and future psychological vulnerability to stress. Dev Psychopathol. 2015; 27(4 Pt 2):1611-9. Cerca con Google

McLaughlin KA, Sheridan MA, Gold AL, Duys A, Lambert HK, Peverill M, Heleniak C, Shechner T, Wojcieszak Z, Pine DS. Maltreatment Exposure, Brain Structure, and Fear Conditioning in Children and Adolescents. Neuropsychopharmacology. 2016; 41(8):1956-64. Cerca con Google

Teicher MH, Samson JA. Annual Research Review: Enduring neurobiological effects of childhood abuse and neglect. J Child Psychol Psychiatry. 2016; 57(3):241-66. Cerca con Google

Stamoulis C, Vanderwert RE, Zeanah CH, Fox NA, Nelson CA. Early Psychosocial Neglect Adversely Impacts Developmental Trajectories of Brain Oscillations and Their Interactions. J Cogn Neurosci. 2015; 27(12):2512-28. Cerca con Google

Anda RF, Butchart A, Felitti VJ, Brown DW. Building a framework for global surveillance of the public health implications of adverse childhood experiences. AM J Prev Med. 2010 Jul;39(1):93–8. Cerca con Google

Centers for Disease Control and Prevention. Adverse childhood experiences reported by adults-five states, 2009. MMWR, 2010; 59(49): 1609-1613. Cerca con Google

Corso, PS, Edwards, VJ, Fang, X, Mercy, JA. Health-related quality of life among adults who experienced maltreatment during childhood. Am J Public Health, 2008; 98:1094–1100. Cerca con Google

Anda RF, Felitti VJ, Walker J, Whitfield, CL, Bremner JD, Perry BD, Dube SR, Giles WH. The enduring effects of abuse and related adverse experiences in childhood: a convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neurosciences, 2006;56(3):174–86. Cerca con Google

Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14(4):245-58. Cerca con Google

Hillis SD, Anda RF, Felitti VJ, Nordenberg D, Marchbanks PA. Adverse childhood experiences and sexually transmitted diseases in men and women: a retrospective study. Pediatrics. 2000;106(1):E11. Cerca con Google

Anda RF, Croft JB, Felitti VJ, Nordenberg D, Giles WH, Williamson DF, Giovino GA. Adverse childhood experiences and smoking during adolescence and adulthood. JAMA. 1999;282(17):1652-8. Cerca con Google

McBeth J, Macfarlane GJ, Benjamin S, Morris S, Silman AJ. The association between tender points, psychological distress, and adverse childhood experiences: a community-based study. Arthritis Rheum. 1999; 42(7):1397-404. Cerca con Google

Perry BD. Childhood experience and the expression of genetic potential: What childhood neglect tells us about nature and nurture. Brain and Mind. 2002; 3(1):79-100. Cerca con Google

Silverman AB, Reinherz HZ, Giaconia RM. The long-term sequelae of child and adolescent abuse: a longitudinal community study. Child Abuse Negl. 1996; 20(8):709-23. Cerca con Google

Fergusson DM, Horwood LJ, Lynskey MT. Childhood sexual abuse and psychiatric disorder in young adulthood: II. Psychiatric outcomes of childhood sexual abuse. J Am Acad Child Adolesc Psychiatry. 1996; 35(10):1365-74. Cerca con Google

Hussey JM, Chang JJ, Kotch JB. Child maltreatment in the United States: prevalence, risk factors, and adolescent health consequences. Pediatrics. 2006; 118(3):933-42. Cerca con Google

Facchin P. Le diagnosi di maltrattamento. Quaderni del Centro Nazionale di Documentazione ed Analisi sull’Infanzia e l’Adolescenza, 1998; 1:73-83. Cerca con Google

Solo per lo Staff dell Archivio: Modifica questo record