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Biomedical subjects

M Triulzi

Publications and source records attributed to M Triulzi.

7 recordsLinked to original sources
PubMed1993

Our operative technique for inguinal hernia.

The most commonly used methods of hernia repair are either Bassini repair or modifications of Bassini repair in fact each sutures, with different methods, the three anatomical coats (transversalis fascia, transversus abdominis and internal oblique muscles, external oblique muscle aponeuroses). Here we propose a different operative technique that sutures only two aponeurotic coats (transversalis fascia and over external oblique muscle aponeuroses). The second sutured coat supports the posterior wall of the inguinal canal. Between 1984 and 1989 we operated about 1100 patients with this method and the recurrence rate is in accordance with the incidence of the other usual types of hernia repair.

Abdominal Muscles↗
PubMed1987

[Anti-hepatitis B vaccination in health personnel at the Ospedale Maggiore of Milan].

The paper deals with the screening of the staff at the Ospedale Magiore of Milan within the Region-wide program of recommended B Hepatitis vaccination. The HBsAg positive subjects are 3.1% and antiHBs are 32.7%; the susceptibility of the infection decreases with age and working seniority; infection markers are found most frequently in subjects working in the Dialysis Ward. The health staff informed about the professional risk of infection is still reluctant for this immunization; in fact only 62.5% of susceptible accepted the vaccine. Seroconversion was observed in 89.8%; collateral reactions to vaccine were of minor importance and short duration.

Adolescent↗
PubMedDate not supplied

[The "diagnostic day hospital." A proposal for functional support by hospital services and primary care].

The general lack of nurses and the attention due to the purposes of efficiency, effectiveness and economy of hospital services oblige to better the cooperation between attending and family physicians, to improve the resources, the productiveness of clinicopathology, the use of daily hospital services (such as ambulatories, daily hospitalization and treatments) and emergencies. For this end the authors propose the realization of a day hospital which mainly aim is the diagnostic (D.H.D.) of internal medicine. The admission will be acted by a doctor of the emergency department and of the reception. The day hospital will be functionally linked up with the services of emergency dpt. and reception and with the outpatients' department. Therefore useful both for the attending and family physicians. This kind of day hospital shouldn't substitute the specialities (such as hematology, oncology, psychiatry, dialysis, rehabilitation, etc.) which finalities are principally the therapy and check-up of known patients who follow a treatment by a specialistic department. The D.H.D. should grant the following functions: --Diagnosis or provable orientation in case the doctor of the emergency dpt. or the specialist in ambulatory shouldn't be able to perform them immediately; --Clinical control of cases coming from the emergency dpt.; --Planning of therapeutic program and carrying out of ambulatory therapies that cannot be deferred, of cases coming from the emergency dpt. or reception. Then, is attributable to the D.H.D. the hospital statistics that: --requires clinical observation that cannot be deferred; --requires unerring, prompt and complex diagnostic orientation in order to decide the kind of ward where the hospitalization should be done; --if needed, hospital therapeutic intervention that cannot be deferred, incompatible with the operative possibilities of the D.H.D. The authors also deal with operative relations between D.H.D. and other hospital services, the staff organization, the location, dimension and functional attribution of the head office, the purchases and availability of sanitary fittings and furnishings. Finally, the authors estimate the effectiveness of D.H.D. as far as the reduction of continuative hospitalization is concerned.

Day Care, Medical↗
PubMedDate not supplied

[Model for an epidemiological study of the health status of a population of health workers].

The authors describe a model of retrospective research on the state of health in a sample of the staff in a big hospital. The sample was composed of selected sub-groups taken from professional categories notoriously exposed to risk at work. The aim was to help define a model in simple ad versatile epidemiologic research and by applying it to a sample population of health operators, to verify the extent, the prevalence and incidence, the evolution in pathologies in order to make comparisons with the normal population, thus making it easier, for future research, to study casual phenomena and correlate between them. General criteria of retrospective "control case" have been adopted and the anamnestic data gather in has been done by filling in the "health book of individual risk", together with special questionnaires for this investigation. The originality of this work consists in its having abandoned the concept of pre-determine the nature and size of the test sample. In fact, considering the large number of variables, they should have made use of much bigger dimensions than the ones of the population examined with the elaborated original model. Which mean it is possible to obtain significant and reliable results by operating on a reduced but statistically valid sample, chosen with random method and whose entity has been determined with support from others experience in different sector. Therefore it is reasonable to consider the described model as a simple, agile and economic instrument adaptable to other cases, although still to be perfected. In particular it underlines the possibility of testing the state of health of categories at risk before stating complicated analysis (and organi) or big populations, thus improving instruments ad organization. To accomplish a continuous system of data in a short time thus verifying the stages of development and application of more complex projects of epidemiologic research aimed at entire populations. To obtain useful information wherever it's not possible to conduct complete and rapid research on workers' health in an on going way.

Epidemiologic Methods↗