| RESEARCH ROUND-UP
5% spironolactone topical gel resulted in a decrease in the TLC in acne vulgaris, while it had no significant efficacy in the ASI.
CLOSURE OR REDUCTION OF THE DONOR DEFECT OF A SURAL FLAP WITH A PURSE-STRING SUTURE: LONG-TERM RESULTS
Baser NT, Barutcu AY, isik V, Aslan G. J Plast Surg Hand Surg 2011; 45(6): 267–73
deformity of the flap donor area and to assess the later efficiency at long-term follow-up. We studied 20 patients who required a sural flap for the reconstruction of defects of the lower extremity. The mean (SD) area of the donor defect was roughly 28.7 (20.3) cm2
W . The mean (SD) defect
area after closure with a purse-string was 8.2 (5.8) cm2
third year were 8.4 (5.3) cm2
(P < 0.001). The measurements made in the . The purse-string can
be used successfully in the distal lower extremity, the long-term cosmetic outcome is good, and the scar has not expanded since the postoperative period.
EFFECT OF THERAPEUTIC MASSAGE ON INSOMNIA AND CLIMACTERIC SYMPTOMS IN POSTMENOPAUSAL WOMEN
Oliveira DS, Hachul H, Goto V, Tufik S, Bittencourt LRA. Climacteric 2012; 15(1): 21–9
period frequently influence womenÕs quality of life. Hot flushes, nocturia, mood alterations, respiratory disturbances, insomnia and
I
NTRODUCTION: PHYSIOLOGICAL AND psychological alterations in the climacteric
E AIMED TO REDUCE THE DEFECT with a purse-string suture to minimise the
restless leg syndrome all affect sleep, and the altered hormonal state in this period impacts the aging process. As hormonal therapy is not indicated in some cases, the search for complementary therapies, such as massage therapy, to improve insomnia in the climacteric period is increasing. Objective: To evaluate the effect of therapeutic massage on insomnia and climacteric symptoms in postmenopausal women. Methods: Forty-four volunteers were randomly distributed into three groups: therapeutic massage (TM), passive movement (PM) and control (CTL). The women received 32 therapeutic massage sessions and passive movement twice a week. Questionnaires were given in the pre-trial and the 16th and 32nd sessions. The Insomnia Severity Index (ISI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Menopause Quality of Life questionnaire (MENQOL), Kupperman Menopausal Index and Lipp Symptoms of Stress Inventory were
assessed. In addition, the women underwent polysomnography at baseline and post-treatment. Statistical analyses were calculated using Friedman and Wilcoxon non-parametric tests. The level of significance was fixed at P ≤ 0.05. Results: There was an improvement in ISI in the TM group (P = 0.000) and in the PM group (P = 0.001). A decrease in the BDI occurred in the TM group (P = 0.004), and the MENQOL improved in the TM group (P = 0.015). Furthermore, there were no significant differences in polysomnography parameters in the TM group, with only an increase in minimal saturation (P = 0.053). Conclusion: The TM group exhibited improved subjective data considering the changes in symptoms according to the ISI and the MENQOL and a decrease in symptoms according to the BDI.
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