School construction sites ... at home. Manual skill in distance teaching experiences

Teaching online has been a testing ground for many teachers, in response to the health emergency from Covid 19 which has imposed updates in the field of teaching. Universities are more advantaged because older kids are more skilled with smartphones and the web. In particular, some Engineering courses have proved to be particularly suitable, offering a better quality of both frontal teaching and design laboratories. But that's not enough! We must work with creativity and stimulate ingeniousness in young people, to the point of making them look for hidden inclinations and latent ambitions. The capacity for educational challenges lives within teachers and tutors who carry out their work with passion, as evidenced by this paper. The technical experience in organizing laboratories and school construction sites has energized in us the will to experiment an innovative teaching approach whose importance becomes even more strategic in the field of university education of the young people who are approaching the profession of engineer in the era of Covid 19. The need to emphasize construction site problems led us to translate the need for direct contact with the construction site into an online school. Attention was paid to the relationship between formwork and concrete castings about the construction of concrete stairs and floors. This topic has become of a unique round table, in which the students of the teaching of Building and Plant Elements (Bachelor's degree in Building Engineering of the University of Naples Federico II) have ventured into the construction of formworks to create stairs and floors, concerning the different construction types. Special "recycled" materials were used for the creation, drawing on easily available materials from waste and household items. This strongly underlined choice is emblematic in the era of Covid when the "red zone" in Naples prevents us from going out and making purchases. But above all, it is a highly educational experience because it stimulates inventiveness and creativity in young people, who increasingly need new motivations. Manual skills can be both discovery and an attitude to be cultivated and encouraged for some young people. Furthermore, the “waste” present in the house was much more than what the young protagonists could imagine: cardboard and packaging cartons, toothpicks, straws for drinks, rice, couscous, flour, pasta etc. etc. "Learning by doing" is undoubtedly the most immediate method to bring students closer to professional practice and to put to the system the knowledge learned in the different teachings that converge in the Bachelor's degree in Building Engineering, from the technology of the materials passing through the technological design, the static of the structures until reaching the organization of a construction site. And so, one the most popular video conferencing platforms Microsoft Teams became a virtual round table for one day, attended by some students from the University of Naples Federico II

Non-canonical manifestations of familial Mediterranean fever: a changing paradigm

Paroxysmal crises of fever and systemic inflammation herald familial Mediterranean fever (FMF), considered as the archetype of all inherited systemic autoinflammatory diseases. Inflammatory bouts are characterized by short-term and self-limited abdominal, thoracic, and/or articular symptoms which subside spontaneously. Erysipelas-like findings, orchitis, and different patterns of myalgia may appear in a minority of patients. In recent years, many non-classical manifestations have been reported in the clinical context of FMF, such as vasculitides and thrombotic manifestations, neurologic and sensory organ abnormalities, gastrointestinal diseases, and even macrophage activation syndrome. As FMF left unrecognized and untreated is ominously complicated by the occurrence of AA-amyloidosis, it is highly desirable that diagnosis of this autoinflammatory disorder with its multiple clinical faces can be contemplated at whatever age and brought forward

Functional and structural improvement of knee arthropathy in CINCA syndrome under treatment with recombinant human interleukin-1 receptor antagonist (anakinra).

A child with CINCA syndrome has received a biologic treatment with anakinra, showing a paramount response at both clinical and laboratory level. In particular, the response of the skeletal signs of this disease is widely dicussed

Exercise-induced rhabdomyolysis and transient loss of deambulation as outset of partial carnitine palmityl transferase II deficiency.

We report the case of a 13-year-old boy with an abrupt onset of leg pain and muscle weakness, incapability of deambulation and a laboratory picture of exercise-induced acute rhabdomyolysis. Intravenous hyperhydration and forced diuresis were adopted to avoid renal complications. No evidence of articular or residual muscular damage was appreciated in the short-term. The recurrence of rhabdomyolysis required a muscular biopsy showing a disturbance of fatty acid beta-oxidation pathway

CRITICAL ISSUES IN THE EARLY DISCHARGE OF THE NEWBORN

Early discharge (ED) of healthy \u201clate preterm\u201d and full term newborn infants has become a common practice because of current social and economic necessities. The average length of stay of mothers and infants after delivery shortened steadily from 1970 until the mid-1990s and in 1995, the American Academy of Pediatrics (AAP) defined early and very early discharge as stays of 48 and 24 hours, respectively, after uncomplicated vaginal delivery. The length of stay (LOS) of a child after birth has been a controversial topic over the past few decades. A Cochrane Review in 2002 found that early postnatal discharge showed no adverse effects on breastfeeding and maternal depression when accompanied by a policy of nursing/midwifery home visits. Even if this practice has become more and more widespread, there was an increased rate of early post discharge readmission for jaundice, feeding problems, excessive weight loss (WL), dehydration and hypernatremia. For this reason, it is recommended that early discharged neonates should be evaluated shortly after discharge. Our aim was to review the available data about the safety of ED as regards to the most common problems causing hospital readmission

Kawasaki syndrome and concurrent Coxsackie virus B3 infection

We describe two previously healthy children who were hospitalized in the same period in different departments of our University with clinical signs of Kawasaki syndrome, which were treated with intravenous immunoglobulins and acetylsalicylic acid: in both cases, Coxsackie virus infection was concurrently demonstrated by enzyme-linked immunosorbent assay, and complement fixation test identified antibodies to serotype B3. In the acute phase, both patients presented hyperechogenic coronary arteries, but no cardiologic sequels in the mid term. The etiological relationship between Kawasaki syndrome and Coxsackie viruses is only hypothetical; however, the eventual identification of ad hoc environmental triggers is advisable in front of children with Kawasaki syndrome, with the aim of optimizing epidemiological surveillance and understanding the intimate biological events of this condition