Spider Vein Treatment in Vienna Austria
Those are small, red to purple blood vessels, usually appear on legs and face. They resemble spider web therefore they named spider veins. Usually they don't pose a medical problem, although they can cause pain and uncomfortable feeling. The problem is usually cosmetic. Women have 4 times greater chance of developing spider vein then men. Other rick factors include: genetics, obesity, hormonal changes, a history of blood clots and constipation. Spider veins resulting from pregnancy usually disappear three month after delivery. Anyhow it is recommended to delay the treatment if you decide to breastfeed.
The best candidates for the procedure can be women from all age groups. Usually the procedure preformed in their 30's to 60's. Men also can enjoy this procedure at all ages. If there is an involvement of the deep venous system, you may be recommended to go through additional procedure before this one.
The technique used to treat spider vein called "sclerotherapy" which means to make something harder. A very small needle is used in order to inject a special solution called a sclerosant inside the veins. The solution causes the vein to swell which eventually stops the blood flow inside it. Standard procedure usually lasts from 15-45 minutes. Deeper vein treated first. After cleaning the surface with alcohol the doctor injects the solution. A pressure is applied to the area along with gentle massage to prevent bleeding and to get more effective spreading of the sclerosant. It is possible that some vein need more then one injection to close.
Every procedure has its ricks. This one includes bleeding, blood clots formation, infection, allergic reaction the solution and injury to the skin that may leave a permanent scar. Changes in skin pigmentation can also occur. A new network of "spiders" may appear around the treated area which may need additional treatment.
After the treatment you'll have to wear tight pressure bandage for 72 hours to prevent bleeding and clotting. The treated area may look reddish and swollen with red dots from the injections. These will disappear after a month. There are no limitations for daily activities, although you'll be advised to avoid long standing and jogging. You also encouraged walking to prevent blood clots.
After a month or so you can undergo another treatment if this is necessary. It is important to understand that only the visible veins are treated. The treatment doesn't change your venous network properties, therefore, after a while, new veins may appear.
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Patient satisfaction with burn care 1-6 years after injury.
Burns. 2008 Mar 28;
Authors: Wikehult B, Kildal M, Willebrand M
Patient satisfaction is an important outcome in health care but has not been studied in relation to burn care. The aim was to explore factors related to satisfaction with care 1-6 years after a burn. Participants were 86 adult burn patients, injured on average 3.6 years previously. The Patient Satisfaction-Results and Quality (PS-RESKVA) was used to assess satisfaction. It has four subscales: Quality of contact with the nursing staff (QCN), Quality of contact with the medical staff (QCM), Adequate treatment information (INF) and Global satisfaction with treatment (GS). Further, data were gathered regarding personality traits and health. Average scores for QCN were significantly higher than scores for the other subscales, and INF received the lowest mean score. In multiple regressions, the PS-RESKVA subscales were associated with better interpersonal relationships (all PS-RESKVA subscales), more sensation seeking (QCM, INF, and GS) and less aggressiveness (QCM and GS). Other variables contributed to a lesser degree. Total amount of explained variance ranged between 18% and 25% for the PS-RESKVA subscales. In summary, satisfaction with burn care was only moderately explained by health and personality characteristics. Further, former patients rated satisfaction with nursing staff higher than other aspects of care, especially information routines.
PMID: 18378086 [PubMed - as supplied by publisher]
(Source: Burns : Journal of the International Society for Burn Injuries)
- The NPA has submitted a response to The Responsible Pharmacist consultation, jointly with PSNC, CCA and AIM.The submission emphasises that it is extremely difficult to give precise answers to questions relating to absence from the pharmacy in advance of Department of Health proposals on supervision.