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Clinical outcome of patients with self-inflicted burns

This study examines the link between patients presenting with self-inflicted burns (SIB) and key outcomes including length of stay (LOS) and mortality. The authors describe current ambiguity in the literature relating to this topic in burns care. They highlight similar...

Poor glycaemic control associated with worse outcomes in primary wound closure

This study is the first to specifically investigate the effects of chronic and perioperative glycaemic control in high risk patients undergoing primary closure of wounds. Seventy-nine patients were included – 93% of closures were of the lower limb and only...

Comparison of intralesional verapamil versus intralesional corticosteroids in treatment of keloids and hypertrophic scars

This paper by Abedini et al., is a randomised observer blinded controlled trial comparing the efficacy, safety profile, and recurrence rates of intralesional verapamil versus intralesional triamcinolone acetonide in the treatment of keloid and hypertrophic scars. Whilst corticosteroids represent the...

A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars

This single blinded randomised controlled trial (RCT) compared 43 patients with 50 symptomatic keloids were were randomised to two matched groups of 25 scars, receiving either flurouracil (5-FU) or current first-line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments...

Female Cosmetic Genital Surgery: lifestyle or science?

The demand for female cosmetic genital surgery (FCGS) has increased over the last decade [1]. This rise is difficult to quantify, as the majority of these procedures are performed in the private sector. However, this trend is also obvious within...

Focus: Opinions on regulation

Dalvi Humzah Regulation in the aesthetics industry In this issue we have invited commentaries on regulation within aesthetics, in particular the voluntary register set up by the Joint Council for Cosmetic Practitioners (JCCP). Many medical practitioners are concerned regarding the...

Differences between compounded BHRT and conventional HRT

Can BHRT offer hope to women suffering from debilitating menopausal symptoms? Ruth Crofford, ‘the menopause nurse’, explores the evidence, safety issues and misconceptions around the therapy. Life expectancy for women in the UK is currently 80.96 years [1]. Females in...

Chronic telogen effluvium reversal using E. coli-derived cytokines and growth factors: a case report

Chronic telogen effluvium (CTE) is a condition where there is prolonged increased hair shedding, primarily affecting middle-aged women. Its exact cause is often unknown. In CTE, many hair follicles enter the resting phase prematurely due to various reasons, leading to...

Burns care in India: unique and continuing challenges

The author interviews Dr Shobha Chamania, Chief of Choithram Hospital Burn Unit, to obtain an insight into the unique challenges burns care practitioners face in India. Choithram Hospital Burn Unit is an Interburns accredited training centre located in Indore City,...

Medicinal leech therapy in plastic surgery

The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...

Can I quit the gym? Low level laser and body contouring

Is low level laser the answer for patients seeking a non-invasive method for body contouring? Balancing energy intake and energy expenditure is the healthiest and most sustainable means of weight loss and toning, but despite this, areas of local fat...

A new treatment for genitourinary syndrome of menopause

Genitourinary syndrome of menopause (GSM) [1] is defined as a collection of symptoms and signs mainly associated with the progressive decrease in oestrogen levels. The lack of hormones, usually produced by the ovaries in fertile age, may lead to genital...