RESUMO
"For the best vascular care to every patient, every day" is the goal of our practice, but is it a possible goal? Where are we now? The general idea is that we are pursuing the right way. The evolution of our discipline in the last two decades has been extraordinary and we reaffirm that we are the leaders in diagnose and treatment of the arterial pathology. Unfortunately, we can find some cases in which reality has to be faced as hardly as it can be, remembering us that we still have to go further with our job. The delay in the diagnose and treatment could lead to a permanent deficit and a money loss for the national health system due to prolonged hospitalization, multiple re-hospitalizations, loss of working capacity. This must be avoided. We strongly suggest that a vascular surgeon should be present in all the Emergency Room and should be routinely involved in the management of patients. The routine use of dedicated interdisciplinary protocols should be strongly advocated. Vascular surgery, as medical specialty, should be recognized as single specialty in all countries and as "peculiar" by the National Authority as well as Neurosurgery and Cardiac Surgery.
Assuntos
Prestação Integrada de Cuidados de Saúde , Responsabilidade Legal , Erros Médicos/prevenção & controle , Avaliação de Processos e Resultados em Cuidados de Saúde , Garantia da Qualidade dos Cuidados de Saúde , Procedimentos Cirúrgicos Vasculares , Lesões do Sistema Vascular/cirurgia , Adulto , Competência Clínica , Comportamento Cooperativo , Diagnóstico Tardio , Prestação Integrada de Cuidados de Saúde/economia , Serviço Hospitalar de Emergência , Custos Hospitalares , Humanos , Comunicação Interdisciplinar , Itália , Responsabilidade Legal/economia , Masculino , Erros Médicos/economia , Avaliação de Processos e Resultados em Cuidados de Saúde/economia , Equipe de Assistência ao Paciente , Garantia da Qualidade dos Cuidados de Saúde/economia , Fatores de Tempo , Tempo para o Tratamento , Resultado do Tratamento , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Procedimentos Cirúrgicos Vasculares/economia , Lesões do Sistema Vascular/diagnósticoRESUMO
The data are preliminary findings in order to study the possible pollution of fresh olive oil with Class I Pesticides, often misused by olive farmers, and it's effect on children's health. The oil produced from the olives of 8 farms in a small town of Southern Italy was collected at the mill in 1992, with no previous notice to the farmers, and was analyzed by Head Space Gas Chromatographic technique. The research for organophosphates and chlorinated pesticides was negative. The Kreis test excluded oil rancidity and the index of refraction confirmed the oils being fresh olive oil. The fact that the oil samples resulted free of pesticide residuals, however, might be explained by the unusual season weather not favourable to the olive parasites and the consequent reduced amounts of pesticides used by the farmers. The work will be repeated in 1993 and completed by a dietary semiquantitative questionnaire and epidemiologic evaluations on the children's health.