Santo Giammanco

Food safety in hospital: knowledge, attitudes and practices of nursing staff of two hospitals in Sicily, Italy

BackgroundFood hygiene in hospital poses peculiar problems, particularly given the presence of patients who could be more vulnerable than healthy subjects to microbiological and nutritional risks. Moreover, in nosocomial outbreaks of infectious intestinal disease, the mortality risk has been proved to be significantly higher than the community outbreaks and highest for foodborne outbreaks. On the other hand, the common involvement in the role of food handlers of nurses or domestic staff, not specifically trained about food hygiene and HACCP, may represent a further cause of concern.The purpose of this study was to evaluate knowledge, attitudes, and practices concerning food safety of the nursing staff of two hospitals in Palermo, Italy. Association with some demographic and work-related determinants was also investigated.MethodsThe survey was conducted, by using a semi-structured questionnaire, in March-November 2005 in an acute general hospital and a paediatric hospital, where nursing staff is routinely involved in food service functions.ResultsOverall, 401 nurses (279, 37.1%, of the General Hospital and 122, 53.5%, of the Paediatric Hospital, respectively) answered. Among the respondents there was a generalized lack of knowledge about etiologic agents and food vehicles associated to foodborne diseases and proper temperatures of storage of hot and cold ready to eat foods. A general positive attitude towards temperature control and using clothing and gloves, when handling food, was shared by the respondents nurses, but questions about cross-contamination, refreezing and handling unwrapped food with cuts or abrasions on hands were frequently answered incorrectly. The practice section performed better, though sharing of utensils for raw and uncooked foods and thawing of frozen foods at room temperatures proved to be widely frequent among the respondents. Age, gender, educational level and length of service were inconsistently associated with the answer pattern.More than 80% of the respondent nurses did not attend any educational course on food hygiene. Those who attended at least one training course fared significantly better about some knowledge issues, but no difference was detected in both the attitude and practice sections.ConclusionResults strongly emphasize the need for a safer management of catering in the hospitals, where non professional food handlers, like nursing or domestic staff, are involved in food service functions.

Short term diet of precooked corn meal almost lacking in tryptophan and interspecific rat-mouse aggressive behaviour.

The content of tryptophan in a precooked corn meal and in 4 types of selected corn seeds: Zea mays indurata, identata, opaque/2 and Marano synth., has been determined by three different methods: ion-exchange chromatography, spectrofluorometry and spectrophotometry. This content is very low, less than 0.080% d.w. Alimentation for 4 d with a diet composed of precooked corn meal with a tryptophan content less than 0.025% induced the appearance of aggressive-cidal or aggressive non-cidal behaviour towards the mouse in more than half of Wistar rats bred in a room constantly lighted by a sodium steam light. The appearance of this behaviour is probably connected with a decrease in brain serotonin.

Maize based diets and possible neurobehavioural after-effects among some populations in the world

Maize is a cereal particularly lacking in tryptophan, which is the precursor of serotonin, an important neurotransmitter. Altough complementary foods may eliminate tryptophan deficiency, serotonin deficiency may often continue to exist because of competition made by other Large Neutral Amino Acids (LNAA) against tryptophan for neuron access, since they use the same carrier to cross the blood-brain barrier. Thus serotonin synthesis depends on two variables: the amount of tryptophan and the trp/LNAA ratio (R). “R” is lowest for common maize, low for beans and, as a rule, for most vegetable foods, higher for meat. So, when maize is the preponderant food in the meal, the “R” value lowers and so in parallel serotonin synthesis does. Serotonin deficiency involves several behavioural consequences, such as the tendency towards aggressive behaviour or the religious fanaticism. Among native american populations, these consequences appear, as a rule, positively correlated with maize alimentary dependence (Aztecs appear as those who greatly suffered from serotonin deficiency). In the world these are thinkable for some african populations (i.e. Zulu) or european (i.e. Balkan peoples).

The Influence of Sex, of Castration in New-Born Males and of Androgen Treatment in New-Born Females on the Mouse-Killing Behaviour of the Rat

The results we have got on the mouse-killing behaviour of the rat point out the remarkable percentage difference between control males and control females, between integral males and males castrated at birth, and between normal females and females under the effects of androgens. Such results make us believe that the appearance of the killer behaviour is affected by the presence of testosterone in the first days of life of the rat.

Environmental lighting and muricidal behaviour in the male Wistar rat

Effects of different conditions of environmental lighting on the appearance of the muricidal behaviour in male Wistar rats have been studied. The animals were kept under different conditions of environmental lighting: 1) natural day light alternated with the dark of the night; 2) sodium, continuous light emitted by a sodium steam lamp; 3) neon, continuous light emitted by fluorescent neon tubes. The continuous sodium steam light increased the percentage of animals becoming muricide when compared to animals bred in a natural environment with a normal succession of day-night lighting. On the contrary, this percentage decreased if the rats of the same group are exposed to continuous light emitted by fluorescent neon tubes. As the exposure of rats to an environment under continuous light causes a reduction of the cerebral content of serotonin, the muricidal behaviour provoked in naturally non-muricide rats by this type of lighting could be related to this depletion.

A research on the action of testosterone propionate and of ciproterone acetate on the mouse-killing behaviour of the adult rat.

Data demonstrate exactly that testosterone favour above all the killing behaviour of castrate males at birth in comparison with control males while ciproterone acetate turns out to be more effective in diminishing the killing behaviour of males having integral testicle and of androgenized females at birth in comparison with castrated males. The results point out that the killing behaviour of rats is affected by the presence of testosterone in the first days of life, and in the grown-up animal.

Polyphenolic compounds of red wine: relationship with the antioxidant properties and effects on the metabolic syndrome induced in high-fructose fed rats

Epidemiologists have observed that a diet rich in polyphenolic compounds may provide a positive effects due to their antioxidant properties. Red wine is an excellent source of polyphenolic compounds. Objective of this work is a review of the polyphenolic compounds of red wine. The first study evaluates the antioxidant properties of Sicilian red wines in relationship with their polyphenolic composition; the second investigates the corrective offects of some phenolic molecules on the metabolic syndrome induced in high-fructose fed rats.