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    Family functioning in microtransition and socio-emotional competence in preschoolers

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    Microtransitions can be identified as those exchanges that occur during everyday life when family members negotiate a change in their interactions. This study aims to highlight how certain aspects of family functioning during microtransitions could influence the development of children's socio-emotional competence in their interactions with peers. In order to achieve this aim, 24 family triads (mother, father, and preschooler child) were observed in a laboratory during semi-structured play activities for a total of 57 interactive sequences; the children were also observed in their nursery school context, where their socio-emotional competence was assessed through the analysis of 142 interactive sequences video-recorded during semi-structured play, and of a questionnaire filled out by teachers. The results indicated that children in families showing a higher degree of coordination were more relationally and socially competent with peers both during the video-observed play and in the descriptions of the teachers

    Rehabilitation in COPD patients admitted for exacerbation

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    Recovery of lung function is delayed by up to two months following acute exacerbation (AE) of COPD patients. After AE, even with optimal medical therapy, it takes a considerable time for COPD patients to recover to baseline ability to perform routine physical activities. Although pulmonary rehabilitation (PR) has long been considered a useful non-pharmacological therapy in stable COPD individuals, there have been only a few studies into the effects of rehabilitation during and/or just after AE. This review updates the application of early PR and main physical therapies both during hospital acute care and following discharge of COPD patients who have experienced exacerbation. It is only recently that literature has demonstrated the feasibility and effectiveness of early PR in COPD patients undergoing AE. Nonetheless, early PR clearly appears to be a treatment indicated just after, or even during, an acute episode in hospital. Future studies should be able to clarify the practical role and effects of a timely application of rehabilitation to acute COPD, as well as the preferred modalities, duration and techniques to apply in this condition
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