The prevalence of acne among a group of Portuguese medical students.

BACKGROUND: Worldwide, very few studies have been published on the prevalence of acne among university students. OBJECTIVE: The main objective of this study was to estimate the prevalence of acne among Portuguese medical students. We also assessed associated factors and opinions. METHODS: Participants were recruited among 145 fifth year medical students. They were asked to complete a questionnaire, and were observed to grade their acne. Acne grading was done using Pillsbury criteria. RESULTS: Ninety-eight students were assessed and returned the self-completed questionnaire, 67 (68%) were female students and 31 (32%) male students. The observed prevalence of acne was 61 students (62.2%); 42 (69%) and 18 (30%) had acne grades I and II, respectively; only one was classified as grade III. The prevalence of acne was not significantly associated with gender (P=0.72), family history of acne (P=0.65), greasy hair (P=0.18), smoking habits (P=0.25) or self-perceived presence of acne (P=0.48). Regularity of menstrual cycles was not associated (P=0.73) with the presence of acne among the 67 women. The majority thought that acne strongly affects self-image and, to a much lesser extent, personal relationships, academic performance or recruitment to a job. CONCLUSION: The prevalence of acne in this study was higher than that observed in previous studies among medical students and other non-university young adults. Opinions about the causes of acne (with hormones in top of the list) were similar to previous studies. Our study sample perceived more serious consequences for self-image than university students elsewhere and younger Portuguese school children.

The prevalence of acne in the north of Portugal.

BACKGROUND: Acne is a disease that affects almost all teenagers (60-90%), and it is the pathology exhibiting the highest morbidity in the 10-24 year-olds age group. There are no consistent data at national level by which we can evaluate the preponderance of this pathology in the Portuguese population. OBJECTIVE: To estimate the prevalence of acne in teenage school students (10-12 year-olds). STUDY DESIGN: A study was carried out involving all 8 regions in the north of Portugal. One school per region was selected at random. RESULTS: As expected, the figure we obtained for the prevalence of this pathology was high (82.4%) with males being the most affected. Nevertheless, only 44% of the affected treated their acne, although the face is the part of the body most affected. In the females high androgenization (which is manifested by the presence of hair on the upper lip and on the side of the face) doubles the median of the degree of acne registered. Regional asymmetry was found in relation to information about the disorder. The degrees of acne are higher in schools in the interior. In the more rural areas, the pharmacist still plays an important role in prescribing treatment. CONCLUSION: As a rule, individuals are correctly informed about acne, confirming that the search for treatment and awareness of its value are generally helping to gradually eliminate some of the stigmas from the past.

False-positive tricyclic antidepressant drug screen results leading to the diagnosis of carbamazepine intoxication.

Ingestion of toxic substances is a common problem in pediatrics. When presented with the limited history of an unknown ingestion in a patient with altered mental status, a clinician depends on the physical examination and a toxic screen to determine the ingested substance(s). Some toxic screens yield false-positive or false-negative results that confound identification of ingested toxins. Three cases are presented in which carbamazepine ingestions were identified because of the false-positive tricyclic antidepressant serum toxic screen result in each case. Carbamazepine ingestion is one of the most common pediatric overdoses. Side effects include altered mental status, tachycardia, mydriasis, seizures, coma, and death. Several other substances also cause false-positive tricyclic antidepressant toxic screen results, including certain antipsychotic medications, antihistamines, and the muscle relaxant cyclobenzaprine. Specific tests and drugs causing false-positive results are presented in table form. More modern methods, specifically gas chromatographic-mass spectrometric, are more reliable in distinguishing these drugs. Knowledge of which substances commonly cause false-positive results on a given toxic screen can still lead the clinician to the correct diagnosis. tricyclic, carbamazepine, ingestion, intoxication, drug screen.

Antinociceptive and antiedematogenic effects of the hydroalcoholic extract and coumarin from Torresea cearensis Fr. All.

This work studied the antinociceptive and antiedematogenic effects of the hydroalcoholic extract (HAE) and coumarin (Coum) from T. cearensis in experimental models of nociception in mice, and carrageenan- and dextran-induced paw edema in rats. HAE (100 and 200 mg/kg, p.o.) and Coum (5-20 mg/kg, p.o.) reduced in a dose - dependent manner the nociception produced by acetic acid and formalin. In the hot plate test, HAE (100-400 mg/kg, p.o.) and Coum (5 and 10 mg/kg, p.o.) increased the latency time to the thermal stimulus 90 min after administration. While naloxone partially reversed the antinociceptive effect of the HAE but not that of Coum, L-arginine reversed the antinociceptive effect of Coum in the formalin test. HAE (200 mg/kg, p.o.) and Coum (10 and 20 mg/kg, p.o.) significantly inhibited the carrageenan-induced edemas in rats but not the dextran-induced edema. This antiedematogenic effect on the carrageenan model was supported by histological studies performed in sections of the rat paw. In conclusion, the antinociceptive effects of HAE and Coum occur by a mechanism at least in part dependent on the opioid system. The nitric oxide system possibly has also a role in the Coum nociception. In addition, the antiedematogenic activity is manifested in inflammatory processes dependent on polimorphonuclear cells.

Characterization and sequencing of an uncoupled lactose carrier mutant of Escherichia coli.

A lactose carrier mutant of Escherichia coli (ML308-22) showed a severe defect in thiomethylgalactoside accumulation but a faster than normal entry of o-nitrophenyl-galactoside. Sequencing of the mutant lacY gene revealed a point mutation resulting in the substitution of glycine-159 by a cysteine residue. The mutant showed an increased sensitivity to sulfhydryl reagents, a property that is consistent with the view that the Cysteine-159 is in or near the sugar recognition site and the energy coupling region of the carrier.

Expression of a functional c-kit receptor on a subset of natural killer cells.

Natural killer (NK) cells are large granular lymphocytes thought to be important in the host's early immune response to viral infection and malignant transformation. NK cells proliferate and display enhanced cytotoxic activity in response to the T cell growth factor, interleukin 2 (IL-2). Stem cell factor or steel factor (SF) is the ligand for the c-kit receptor, and when combined with other hematopoietic growth factors, SF synergistically promotes the proliferation and differentiation of bone marrow stem cells. In the present study we show the c-kit receptor to be uniquely expressed on a subset of resting human NK cells (CD56bright) which constitutively expresses both the high affinity IL-2 receptor (IL-2R) and the intermediate affinity IL-2R. Other lymphocyte populations, including CD56dim NK cells, did not appear to express the c-kit receptor. Within the CD56bright NK cell subset, SF alone had no obvious effect on proliferation or cytotoxic activity. SF was shown to significantly augment the proliferative effect of IL-2, and caused a marked shift in the dose-response curve at IL-2 concentrations that selectively saturate the high affinity IL-2R. The potentiating effect of SF on NK cell proliferation was dependent on IL-2 binding to the high affinity IL-2R, and was blocked by a monoclonal antibody directed against the c-kit receptor. SF did not enhance proliferation at higher IL-2 concentrations that saturate the intermediate affinity IL-2R, nor did SF enhance IL-2-induced cytotoxic activity. Together, these data indicate that SF and IL-2 act synergistically to directly augment the proliferative capacity of a unique human NK cell subset constitutively expressing the high affinity IL-2R and the c-kit receptor. The implications of these findings on NK cell development and the host's early immune response to pathogen invasion are discussed.

Plants used in traditional medicine of China and Brazil.

Even though the rationale behind the use of medicinal plants in Brazil and China is different, twenty four species are used in both countries. Scientific name, vulgar name and uses in both countries along with their chemical constituents are listed.

Plants used in traditional medicine of China and Brazil

Eventhough the rationale behind the use of medicinal plantes in Brazil and Chine is different, twenty four species are used in both countries. Scientific name, vulgar name and uses in both countries along with their chemical constituents are listed.

Inhibition of formaldehyde-induced arthritis by a purified fraction prepared from Wilbrandia (cf) verticillata which contains novel norcucurbitacin glucosides.

The anti-inflammatory activity of a purified fraction of the rhizome of Wilbrandia (cf) verticillata, which contains two novel norcucurbitacin glucosides, is reported. The increase of vascular permeability induced by acetic acid in mice (N = 5) was inhibited 69% and 90% by 50 and 100 mg/kg of the purified fraction, po (P less than 0.01). Acetylsalicylic acid (200 mg/kg), po, inhibited the response by 62% under the same conditions (P less than 0.05). The purified fraction (100 mg/kg, po) also significantly inhibited paw swelling in the rat formaldehyde-induced arthritis model on 8 of 10 days and reduced the swelling by 63% on day 10. Dexamethasone (1 mg/kg, ip) was more effective than the extract under the same conditions. These data partially characterize the anti-inflammatory activity of the purified fraction from this plant which is used in Brazilian folk medicine for the treatment of arthritis and related disorders.

Inhibition of formaldehyde-induced arthritis by a purified fraction prepared from Wilbrandia (cf) verticillata which contains novel norcucurbitacin glucosides

The anti-inflammatory activity of a purified fraction of the rhizome of Wilbrandia (cf) verticillata, which contains two novel norcucurbitacin glucosides, is reported. The increase of vascular permeability induced by acetic acid in mice (N = 5) was inhibited 69% and 90% by 50 and 100 mg/kg of the purified fraction, po (P<0.01). Acetylsalicylic acid (200 mg/kg), po, inhibited the response by 62% under the same conditions (P<0.05). The purified fraction (100 mg/kg, po) also significantly inhibited paw swelling in the rat formaldehyde-induced arthritis model on 8 of 10 days and reduced the swelling by 63% on day 10. Dexamethasone (1 mg/kg, ip) was more effective than the extract under the same conditions. These data partially characterize the anti-inflammatory activity of the purified fraction from this plant which is used in Brazilian folk medicine for the treatment of arthritis and related disorders