Congenital heart disease and cow's milk intolerance.

Four infants with congenital heart disease showed in their first months of life poor weight gain in spite of the absence of cardiac failure; a diagnosis of intolerance to cow's milk proteins was made on the basis of laboratory findings and subsequently confirmed by the success of the avoidance diet and the positivity of the challenge tests; all four children had previously received nasogastric feeding, and this may represent a favouring factor for sensitization. Intolerance to cow's milk proteins should be considered as a possible cofactor for failure to thrive in infants with congenital heart disease.

[Improvement in the efficiency of an ambulatory service case load by applying a computerized method (patient flow analysis)]. / Miglioramento dell'efficienza di un servizio prelievi ambulatoriale mediante l'applicazione di un metodo computerizzato (patient flow analysis).

The authors describe the application of a technique called Patient Flow Analysis aimed at the improvement of Clinic Personnel efficiency and reduction of patient waiting time. Results were satisfactory and encourage further experiences.