Alessandro Ripani

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Previous studies have indicated that physicians often react to malpractice litigation with potentially severe emotional distress. The authors surveyed the family practice residencies in Illinois to determine what these programs are doing to prepare residents for possible malpractice suits. Results indicate that in Illinois the majority of programs do not(More)
Naples and Caserta provinces are extensively affected by the illegal dumping of hazardous and urban wastes, which were periodically set to fire. Several studies were made on the possible health impact of this illegal waste management. The aim of the study was to detect dioxins levels in breast milk of volunteer primiparae and to assess the possible source(More)
A major gastroenteritis outbreak was reported in a vacation resort in Central Italy in 2003. A total of 183 cases were identified. The case-control study identified a statistically significant correlation between the disease and sea bathing, use of sanitary facilities in bungalows and of common showers. Stool samples taken from people affected were found(More)
This study examined the accuracy of patient estimates of time spent in the waiting room, examining room, and with the physician. In addition, the impact of physician touch (such as a handshake in greeting) upon those estimates was determined. Patients were noted to be quite accurate in estimates of waiting room time. Examining room waiting time tended to be(More)
During the summer of 2003, a gastroenteritis outbreak spread throughout a holiday resort in central Italy. Fecally contaminated groundwater and seawater were leaking into the non-drinking-water system, which was found to be connected to the drinking-water system of a large resort. This contamination had a primary role in the onset of the outbreak and spread(More)
Bluetongue (BT) is a mild to severe disease of domestic and wild ruminants caused by the Bluetongue virus (BTV) and generally transmitted by Culicoides biting midges. Its occurrence also determines a livestock trade ban in affected countries with severe economic consequences on national and international trade. For this reason, in May 2011, the OIE(More)
Foot and mouth disease (FMD) is a highly contagious disease of cloven-hoofed animals, including cattle, pigs, sheep, goats, and certain wildlife species. The disease can cause massive economic losses when introduced into countries that were free from the infection, generating negative effects due to reduced animal productivity and restrictions on(More)
AIM In order to analyse causes of stillbirths, we collected all the cases observed from January 1993 to December 2006 at the Department of Gynecological Sciences, Perinatology and Child Care, University ''La Sapienza'', Rome, Italy. METHODS For each case, age of the patient, parity, country of origin, gestational age at the moment of stillbirth, clinical(More)
The effect of an office tympanometer on the rate of referral of children with otitis media in a family practice residency was assessed by chart review. After implementation of the tympanometer, the rate of referral to otolaryngologists was 13.9% compared to a rate of 5.1% prior to its availability. This increase in referrals appears to have resulted from(More)
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