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The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.

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ABSTRACT It has been traditionally accepted that reflux in the Greater Saphenous Vein (GSV) starts at the Saphenofemoral junction and extends downward, resulting in the transmission of reflux tributary veins. Another hypothesis describes a multifocal origin and ascending reflux that begins in tributary veins and transmitted to the GSV. Paul Pittaluga et al. published in 2005, describing a procedure called ASVAL (Ablation selective des varices sous anestesie locale), where they perform selective resection of varicose veins and incompetent GSV is preserved. Objective: To describe the effect of selective phlebectomy to diameter and reflux in the GSV. As a secondary objective, describe the safety, effectiveness and acceptability of this procedure by patients. Methods: Patients with reflux in the GSV and tributaries varices, reflux confirmed by duplex ultrasound (DU) before the procedure, operated by selective phlebectomy, preserving the incompetent VSM. Postoperatively the presence of reflux and the diameter of the VSM with DU will appreciate. Results: The study was conducted in 202 patients and followed up to 5 years. In 75% of limbs reflux disappeared in the GSV and the diameter decreased in 70% of these veins. They no major complications were reported and there was great acceptance by patients. Conclusions: Selective phlebectomy without saphenectomy is an effective method to abolish reflux in the GSV; decreases symptoms, safe and accepted by patients.

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