"odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[0]/text:span[0]" = "What it is about"; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[1]/text:span[0]" = "The term \"venous insufficiency\" refers to all those manifestations due to a difficult return of blood to the heart.The return journey of blood from the periphery to the heart, takes place against the force of gravity and is favored mainly by the elasticity of the venous wall and valvular structures that during the pause of the cardiac thrust close and oppose the downward fallout of the blood that is contained in the veins."; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[2]/text:span[0]" = "When, due to a number of factors, the vein loses elasticity, blood is unable to flow upand stagnates in the leg veins. Blood stagnation results in increased pressure in the veins with exhaustion of the vein wall and impaired valve function. As a result, blood stagnates to a greater extent and the disorder tends, over time, to worsen while remaining asymptomatic for a long time.Restagnation also promotes the onset of an inflammatory process with accumulationof oxygen free radicals that can damage the cells of the vessel walls. Oxidation makes the vessels more fragile and permeable, and thus, contributes to the formation of edema (swelling) and worsening of the clinical picture."; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[3]/text:span[0]" = "Venous insufficiency is a pathological condition that is particularly prevalent in industrialized countries.In youth, it is estimated that about 10% of the male population and 30% of the female population (ratio 1:3) are affected by venous insufficiency of varying degrees. After the age of 50, the vascular phenomenon occurs in 20% of men and 50% of women. Thus, venous insufficiency mainly affects women, and the incidence of this disorder increases proportionally with age. People with familiarity with the condition will be more likely to develop circulatory problems of the lower limbs. But it should not be forgotten that lifestyle plays a major role. In women, then there are times of life that are particularly at risk such as pregnancies and menopause that require precautions to be taken to avoid the occurrence of venous insufficiency.The evaluation of venous insufficiency is intended as a screening activity about circulation problems and heaviness in the lower limbs. This assessment, which is simple to perform and noninvasive, makes use of a reflected light plethysmograph. The amount of reflected light varies in proportion to the amount of hemoglobin and thus the number of erythrocytes present. The result is expressed as the filling time (or Refilling time), which is the time it takes for the blood to return to the calf after a forced movement has caused its momentary emptying. "; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[4]/text:span[0]" = "Customer information"; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[5]/text:span[0]" = "Attached to this document is an explanatory sheet, in electronic format, which contains basic information about what will be evaluated; this information can be used both as an explanation for the customer who wants more in-depth information at the time of the invitation and for the customer who comes to the appointment."; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[7]/text:span[0]" = "Event organization"; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[8]/text:span[0]" = "The days are scheduled Monday through Saturday from 9:00 a.m. to 6:00 p.m., with a one-hour lunch break. Each appointment should be scheduled for 15 minutes. It is strongly recommended to leave one free appointment every 5 or 6 to allow for the management of any customer delays, the need for double measurements, or the insertion of last-minute customers. It is preferable that the measurement takes place in a secluded space, with sufficient privacy and, if possible, with a comfortable seat for the customer. The operator needs a chair and a table, from which the necessary electrical outlets can be reached, an Internet connection, and sheets of paper to print the result."; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[10]/text:span[0]" = "Customer management"; "odf///office:document-content[0]/office:body[0]/office:text[0]/text:p[11]/text:span[0]" = "The dedicated person will be present at the pharmacy half an hour before the first appointment, to set up of the workstation and have an initial coordination meeting with the pharmacy contact person who will be in charge of the post-measurement counseling/advising. It is important that the operator receives the appointment schedule. The dedicated person will seat the customer in the dedicated area. During the appointment, information will be provided that summarizes what has already been delivered, the necessary data will be requested, and the measurement will be taken. The customer will then be seated in the dedicated area for the pharmacist's advice. The operator is also available, upon requested, to provide advice about the most suitable type of product based on the result obtained. The staff will deliver the result in the presence of the pharmacist who will do the counseling. The operator will comment on the result obtained, leaving the pharmacist with the subsequent activity of advice and/or counseling. ";