Factors associated with quality of life in facial melasma: a cross-sectional study.

BACKGROUND: Melasma is a common chronic focal hypermelanosis that affects photexposed areas as face, mainly in women at fertile age. It inflicts a significant impact in quality of life; nevertheless, quality of life scores (e.g. MELASQoL) are not strongly correlated with clinical severity (e.g. MASI) in facial melasma, suggesting that different factors can influence the perception of disease beyond the clinical extension or the intensity of pigmentation. OBJECTIVES: To explore clinical and socio-demographic aspects that influences MELASQoL scores. METHODS: Cross-sectional study enrolling 155 adults (>18 y.o.) with facial melasma. MELASQoL, MASI, clinical and demographic information were assessed. The associations among factors were explored by multivariable methods. RESULTS: The mean (SD) age of the participants was 39 (8) years, and 134 (86%) were females. The correlation (Spearman's rho) between MELASQoL and MASI was 0.35 (P < 0.05). In a multivariate regression, MELASQoL score was associated (P ≤ 0.05) to MASI score (ß = 0.6), lower income (ß = 6.8), be single (ß = 4.2) and low education level (ß = 5.0). At multiple correspondence analysis, MASI, sex, marriage, education and income were associated with MELASQoL, as well as MASI was associated to skin phototypes, income and education level. CONCLUSION: The perception of life quality impairment in melasma is influenced by low scholarly, low family income, single marital status and greater clinical severity.

[Perception of health professionals of the risk of chemical exposure]. / A percepção dos profissionais da saúde frente à exposição a riscos químicos.

A great variety of substances are exposed to health workers every single day. Such substances have noxious actions on biological organs generating pictures of poisoning. Facing such a problem, this study aimed at identifying the Material Center workers perceptions at a general hospital in Ribeirao Preto, Sao Paulo having 12 nursing professionals/occupational, both sexes, aging between 23 to 55 years-old, as a sample. The used method was interviews through questionnaires. The data have showed that the workers have no knowledge regarding to the relation between exposure to chemical agents and its consequent health damage. According to these data it has been concluded that: (1) professionals adopt security behavior inadequately; (2) they find themselves demotivated; (3) there is lack of interaction and authority for preventive control measures fiscalization; (4) there are some failures in continued education process. Therefore, its the nurse's major responsibility as for scientific development, so that it can avoid evasive processes that generate profession no survival.

[Systematization of nursing care for a patient with luxation of the cervical spine: case study]. / Sistematização da assistência de enfermagem a paciente com luxação de coluna cervical: estudo de caso.

It deals with a study of patient case of cervical spine luxation with no marrow commitment, in which the authors conducted nursing process according to Horta's Conceptual Model, adapting to Taxonomy I of the Nursing Diagnosis proposed by the North American Nursing Diagnosis Association (NANDA). The results showed that the proposed intervention contributed to the patient rehabilitation preventing complication, as well as, helped the patient to reassume his autonomy coming back to his social environment.