Is hemoccult a good test for colorectal polyps detection ?

Parmi 45 patients, 17,7 % d'entre eux porteurs de polypes isolés ou multiples présentaient un test d'hémoccult II positif. Les polypes ont été les seules lésions mises en évidence après explorations radiologique et endoscopique du côlon. La majorité des polypes ont été réséqués par voie endoscopique. Le degré de positivité du test s'élève à 25 % lorsque les polypes dépassent un diamètre d'un centimètre. Les polypes localisés entre la marge anale et 15 cm en amont ont toujours un test négatif. 20 % seulement des polypes associés à une dégénérescence débutante présentaient un test positif. La recherche de sang occulte par test hémoccult s'avère une méthode insuffisamment sensible pour la détection des polypes recto-coliques

Acupuncture and traditional Chinese medicine for hot flushes in menopause: a randomized trial

Objective: To evaluate the effect of acupuncture on hot flushes and other menopause-related symptoms used in an integrated system, including such therapeutic techniques as diet therapy and Tuina self-massage. Design: Randomized trial. Setting: Outpatient center. Participants: One hundred women in spontaneous menopause with at least three episodes of hot flushes daily were randomly allocated to two treatment groups (50 per group): Women in group A were given diet, self-massage training, and treatment with acupuncture, and women in group B (the control group) were given the same diet and self-massage training, but treatment with acupuncture started 6 weeks after they were enrolled into the study. Intervention: Acupuncture treatments were scheduled twice weekly for 6 consecutive weeks. Outcome measures: Mean change in frequency and/or intensity in menopause-related symptoms were estimated by questionnaire after treatment at week 4. Results: Treatment with acupuncture significantly reduced the occurrence of hot flushes and sudden sweating (p<.001). Other symptoms (sleep disorders, tightness in the chest, irritability, bone pain, feeling depressed) significantly improved. Conclusions: Acupuncture in an integrated system that includes therapeutic techniques such as diet therapy and Tuina self-massage can be used to treat hot flushes and selected symptoms in postmenopausal women