[Customer satisfaction study in two roman hospitals: comparison between "cook & serve" and "cook & chill"]. / Indagine sulla customer satisfaction in due ospedali romani: il legame fresco-caldo e il legame refrigerato a confronto.

We studied patient's satisfaction rate for hospital dishes comparing "cook & chill" method with "cook & serve". As principal instrument we used a comparative questionnaire, anonymous and self-compiled, which is able to evaluate the differences of customer satisfaction's rate between the two methods.

[Prevention of oral cancer: practice patterns in a dentists' group]. / Prevenzione del cancro orale: la pratica odontoiatrica in un campione di operatori.

Annually, 3000 people in our country die for oral cancer. Contrarily to other forms of cancer that require the use of instrumental diagnostic tools, the oral cavity is easy to examine and the cancer is usually preceded by precancerous conditions. The problem of the diagnostic delay can be explained through a underestimation of the lesions of the oral cavity by patients and a lack of sensibilization to prevention topics from dentists. Our work has inquired in the activity of a group of dentist with more than ten years than experience on accuracy of the anamnesis, objective exam and appropriate of the resource to specialists, and that with the aim not to measure the clinical abilities but to estimate the attitude towards the Prevention topics, in special way in the field of the malignant tumors of the oral cavity.

[Post-partum vesicovaginal fistula: abdominal muscle strip treatment]. / Fistole vescico-vaginali post-partum. Trattamento con lembo di muscolo retto addominale.

BACKGROUND: The Vesico-Vaginal Fistula (VVF) very often occur in tropical countries, but their treatment is usually not correct. METHODS: A surgical treatment was carried put on 68 patients affected by VVF from March 1986 to December 19997 in the Nazareth Hospital (Nairobi). Their mean age was 22 years old; 27 patients (39.7%) underwent surgery for the first time, while for 41 patients (60.2%) the treatment was repeated. Fourteen patients (20.5%) had also Vesico-Rectum-Vaginal Fistula (VRV). The VVF was cured with a transvaginal treatment using a Martius strip for 32 cases. For 16 cases both vaginal and abdominal treatment was performed in the same time using an abdominal muscle strip, which was inserted in the space between the vagina and bladder. In VRV and VVF combined cases, the VVF was treated in the following way: first of all, during the same session, the VVF was cured by making a colostomy and then, after 2 months VRV was treated. RESULTS: The follow-up took about 7.2 months; 62 patients (91.1%) recovered, for 6 cases treated only with transvaginal operation, it has been necessary a second surgical procedure owing to relapsing, and for 2 of them an abdominal muscle strip was used. CONCLUSIONS: In conclusion, while the transvaginal repair is satisfactory treatment for little fistula never surgically treated before, on the other hand the transabdominal vaginal treatment is the best cure forge large or relapsing fistulas.

[Subcutaneous emphysema. Complication associated with pneumoperitoneum during videolaparoscopic cholecystectomy]. / Enfisema sottocutaneo. Complicanza legata al pneumoperitoneo in corso di videolaparocolecistectomia.

Diagnostic and therapeutic laparoscopy is a safe procedure, which, however, is not without complications. The rare occurrence of subcutaneous emphysema, as a consequence of pneumoperitoneum, following laparoscopic cholecystectomy, is reported. The mechanism for the development of this complication and its management are discussed.

[Histochemical assessment of immunoreactivity of thyroid peroxidase and its correlation with biochemical activity]. / Valutazione istochimica della immunoreattività della perossidasi tiroidea e sua correlazione con l'attività biochimica.

BACKGROUND: Peroxidase content has been recently evaluated in normal thyroid and in different thyroid disorders by biochemical, histochemical, ultrastructural and immunocytochemical methods Nevertheless immunocytochemical detection of thyroid peroxidase in thyroid samples conventionally processed for histology hes never been done using a commercially available antibody, neither its correlation with the biochemical activity on adjacent samples. METHODS: In this study we have analyzed normal thyroid tissue (3 patients), follicular adenoma (2 patients) and multinodular goiter (2 patients) conventionally processed for histology and stiined by immunocytochemistry (Avidin Biotin System) using a polyclonal (rabbit) antibody for horseradish peroxidase (Serotec). Biochemical assay was performed on adjacent samples according to Hosoya method. RESULTS: Normal thyroid showed peroxidase immunoresectivity in the majority of follicular celis; neoplastic cells of adenomas were variably stained. Biochemical assay showed positive correlation with ICC ranging from 20.4 mg/mg/prot a in multinodular goiter to 42.12 in normal thyroid, up to 122 of follicular adenoma. CONCLUSIONS: Peroxidase content in the thyroid gland may be of clinical interest in several thyroid diseases, and in this study we have demonstrated that thyroid peroxidase can be detected by ICC in routinely processed thyroid samples using a commercially available antibody.

[Alimentary consumptions during the childhood: a pilot study over appreciation of fruit in a Lazio's primary school]. / Consumi alimentari nell'infanzia: studio pilota sul gradimento della frutta in una scuola elementare del Lazio.

Italian children's diet is featured by too many sugars and animal proteins, few vitamins, mineral salts and fibres, the last ones mainly from fruits and vegetables. The aim of this work was to evaluate what are preferences, frequency and consumption of fruit in a sample of 134 children of a Lazio's Primary School, aged between 7 and 12. Our study has shown that a great children's percentage eats fruit daily, especially in the form of fresh fruit, and that their awareness of fruit's nutritive value is rather satisfactory, notwithstanding the sample's young age.

[The no. 210/92 law: an analysis of the applications for damages caused by vaccine's administrations and transfusions]. / Legge 210/92: analisi delle rischieste di indennizzo presentate da soggetti danneggiati dalle attività vaccinali e trasfusionali.

Practices related to vaccines and transfusions aren't free of risk as regards complications and undesired effects. The no. 210/92 law lays down payments to people who are damaged in consequence of the administration of obligatory vaccines, transfusions and haemoderivatives. Our study valued law's sticking, analysing applications for payment sent in by damaged people to some ASL of Lazio and Abruzzo, in the period 1992-2000.