RESUMEN
Steps toward overcoming mandatory vaccination policy follow two main tracks: scientific and administrative. Scientific course checks starting conditions of the project in Veneto Region and monitors the effects of policy. Thanks to sensibilization regional programs and partecipation to national campaigns of vaccination, Veneto Region has achieved high coverage for all actively promoted vaccinations. Specific projects has been implemented in order to improve vaccination system quality, particularly with regard to infectious diseases and vaccine adverse events surveillance, training workers and informatization. On 23rd March 2007 Veneto Region passed the regional law number 7 called "Sospensione dell'obbligo vaccinale per l'età evolutiva" becoming in force for children born since January 1st 2008. The law provides for the institution of a scientific committee having the task of monitoring both vaccination coverage and preventable infectious diseases incidence after overcoming mandatory vaccination policy.
Asunto(s)
Política de Salud , Programas Obligatorios/legislación & jurisprudencia , Vacunación/legislación & jurisprudencia , Protección a la Infancia , Preescolar , Promoción de la Salud , Humanos , Esquemas de Inmunización , Lactante , Italia/epidemiología , Programas Obligatorios/estadística & datos numéricos , Vacunación/estadística & datos numéricosAsunto(s)
Vacuna contra la Varicela/provisión & distribución , Varicela/epidemiología , Varicela/prevención & control , Programas de Inmunización/organización & administración , Vacunación Masiva/métodos , Vacunación Masiva/estadística & datos numéricos , Precauciones Universales/métodos , Adolescente , Niño , Preescolar , Brotes de Enfermedades/prevención & control , Brotes de Enfermedades/estadística & datos numéricos , Susceptibilidad a Enfermedades/epidemiología , Susceptibilidad a Enfermedades/terapia , Femenino , Humanos , Programas de Inmunización/estadística & datos numéricos , Incidencia , Lactante , Recién Nacido , Italia/epidemiología , Masculino , Vacunación Masiva/organización & administración , Vigilancia de la Población , Medición de Riesgo/métodos , Factores de RiesgoRESUMEN
Laparoscopic treatment of inguinal hernias has expanded rapidly during the last decade. Several studies have evaluated the early results of this technique, and the rate of recurrence was estimated less than 5% with a range from 0.5% to 10%. The long-term recurrence after such treatment is still not well known. This study reports the 2 year follow-up of laparoscopic treatment of 236 inguinal hernias (220 patients) from January 1996 to December 1997. All patients were contacted by telephone, 196 (90%) (193 men and 3 women) were examined by a senior surgeon. The average time from operation to examination was 34 months (range 20-42 months). We observed a 15% recurrence rate (35 hernias in 34 patients) of which 5% (12 cases) were symptomatic but 10% (23 cases) were totally asymptomatic and diagnosed on clinical examination. The postoperative inguinal haematoma and the physical activity of the patients seem to predispose the recurrence. Chronic pain was rarely observed in this study.
