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1.
An. bras. dermatol ; 93(6): 916-928, Nov.-Dec. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1038281

RESUMO

Abstract: Background: Dermatological diseases are among the primary causes of the demand for basic health care. Studies on the frequency of dermatoses are important for the proper management of health planning. Objectives: To evaluate the nosological and behavioral profiles of dermatological consultations in Brazil. Methods: The Brazilian Society of Dermatology invited all of its members to complete an online form on patients who sought consultations from March 21-26, 2018. The form contained questions about patient demographics, consultation type according to the patient's funding, the municipality of the consultation, diagnosis, treatments and procedures. Diagnostic and therapeutic decisions were compared between subgroups. Results: Data from 9629 visits were recorded. The most frequent causes for consultation were acne (8.0%), photoaging (7.7%), nonmelanoma skin cancer (5.4%), and actinic keratosis (4.7%). The identified diseases had distinct patterns with regard to gender, skin color, geographic region, type of funding for the consultation, and age group. Concerning the medical conducts, photoprotection was indicated in 44% of consultations, surgical diagnostic procedures were performed in 7.3%, surgical therapeutic procedures were conducted in 19.2%, and cosmetic procedures were performed in 7.1%. Study limitations: Nonrandomized survey, with a sample period of one week. Conclusion: This research allowed us to identify the epidemiological profiles of the demands of outpatients for dermatologists in various contexts. The results also highlight the importance of aesthetic demands in privately funded consultations and the significance of diseases such as acne, nonmelanoma skin cancer, leprosy, and psoriasis to public health.


Assuntos
Humanos , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Encaminhamento e Consulta/estatística & dados numéricos , Dermatopatias/epidemiologia , Dermatopatias/classificação , Dermatopatias/diagnóstico , Brasil/epidemiologia , Distribuição por Sexo , Distribuição por Idade
2.
An Bras Dermatol ; 93(6): 916-928, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30484547

RESUMO

BACKGROUND: Dermatological diseases are among the primary causes of the demand for basic health care. Studies on the frequency of dermatoses are important for the proper management of health planning. OBJECTIVES: To evaluate the nosological and behavioral profiles of dermatological consultations in Brazil. METHODS: The Brazilian Society of Dermatology invited all of its members to complete an online form on patients who sought consultations from March 21-26, 2018. The form contained questions about patient demographics, consultation type according to the patient's funding, the municipality of the consultation, diagnosis, treatments and procedures. Diagnostic and therapeutic decisions were compared between subgroups. RESULTS: Data from 9629 visits were recorded. The most frequent causes for consultation were acne (8.0%), photoaging (7.7%), nonmelanoma skin cancer (5.4%), and actinic keratosis (4.7%). The identified diseases had distinct patterns with regard to gender, skin color, geographic region, type of funding for the consultation, and age group. Concerning the medical conducts, photoprotection was indicated in 44% of consultations, surgical diagnostic procedures were performed in 7.3%, surgical therapeutic procedures were conducted in 19.2%, and cosmetic procedures were performed in 7.1%. STUDY LIMITATIONS: Nonrandomized survey, with a sample period of one week. CONCLUSION: This research allowed us to identify the epidemiological profiles of the demands of outpatients for dermatologists in various contexts. The results also highlight the importance of aesthetic demands in privately funded consultations and the significance of diseases such as acne, nonmelanoma skin cancer, leprosy, and psoriasis to public health.


Assuntos
Encaminhamento e Consulta/estatística & dados numéricos , Dermatopatias/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Distribuição por Sexo , Dermatopatias/classificação , Dermatopatias/diagnóstico , Adulto Jovem
3.
Rev Med Chil ; 146(2): 241-248, 2018 Feb.
Artigo em Espanhol | MEDLINE | ID: mdl-29999161

RESUMO

Renal involvement is a frequent complication in antineutrophil cytoplasmic antibodies (ANCA)associated vasculitides, adding morbidity and mortality, such as chronic kidney disease and the need for renal replacement therapy. With the aim of reaching a consensus on relevant issues regarding the diagnosis, treatment and follow-up of patients with these diseases, the Chilean Societies of Nephrology and Rheumatology formed a working group that, based on a critical review of the available literature and their experience, raised and answered consensually a set of questions relevant to the subject. This document includes aspects related to the clinical diagnosis, the histological characteristics, the therapeutic alternatives to induce and maintain the remission of the disease, relapse surveillance strategies and complementary therapies.


Assuntos
Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/complicações , Anticorpos Anticitoplasma de Neutrófilos/sangue , Nefropatias/etiologia , Nefropatias/terapia , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/sangue , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/diagnóstico , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/terapia , Chile , Humanos , Quimioterapia de Manutenção , Indução de Remissão , Sociedades Médicas
4.
An Bras Dermatol ; 93(1): 99-103, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29641706

RESUMO

The medical-dermatological demographics favors health planning and guides expansion of the specialty. We conducted an ecological study of dermatologists members of the Brazilian Society of Dermatology (SBD). We evaluated: gender, age, address; which were compared with population and human development index indicators of municipalities. We evaluated 8384 members, distributed in 527 (9.5%) municipalities throughout Brazil. The female sex represented 78.4% of the members and the median age was 43 (36-54) years. The median density of dermatologists was 0.35 (0.21-0.37) per 10,000 inhabitants. The correlation (Spearman's rho) between density of dermatologists and human development index was 0.39 (p <0.01). The Brazilian dermatologist is characterized as: female, age <50 years and presenting an heterogeneous distribution throught the country.


Assuntos
Dermatologistas/provisão & distribução , Densidade Demográfica , Adulto , Distribuição por Idade , Brasil , Cidades/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Distribuição por Sexo , Sociedades Médicas/estatística & dados numéricos
5.
An. bras. dermatol ; 93(1): 99-103, Jan.-Feb. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-887137

RESUMO

Abstract: The medical-dermatological demographics favors health planning and guides expansion of the specialty. We conducted an ecological study of dermatologists members of the Brazilian Society of Dermatology (SBD). We evaluated: gender, age, address; which were compared with population and human development index indicators of municipalities. We evaluated 8384 members, distributed in 527 (9.5%) municipalities throughout Brazil. The female sex represented 78.4% of the members and the median age was 43 (36-54) years. The median density of dermatologists was 0.35 (0.21-0.37) per 10,000 inhabitants. The correlation (Spearman's rho) between density of dermatologists and human development index was 0.39 (p <0.01). The Brazilian dermatologist is characterized as: female, age <50 years and presenting an heterogeneous distribution throught the country.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Densidade Demográfica , Dermatologistas/provisão & distribução , Sociedades Médicas/estatística & dados numéricos , Brasil , Cidades/estatística & dados numéricos , Distribuição por Sexo , Distribuição por Idade
6.
Rev. méd. Chile ; 146(2): 241-248, feb. 2018.
Artigo em Espanhol | LILACS-Express | ID: biblio-961383

RESUMO

Renal involvement is a frequent complication in antineutrophil cytoplasmic antibodies (ANCA)associated vasculitides, adding morbidity and mortality, such as chronic kidney disease and the need for renal replacement therapy. With the aim of reaching a consensus on relevant issues regarding the diagnosis, treatment and follow-up of patients with these diseases, the Chilean Societies of Nephrology and Rheumatology formed a working group that, based on a critical review of the available literature and their experience, raised and answered consensually a set of questions relevant to the subject. This document includes aspects related to the clinical diagnosis, the histological characteristics, the therapeutic alternatives to induce and maintain the remission of the disease, relapse surveillance strategies and complementary therapies.

7.
Zootaxa ; 4194(1): zootaxa.4194.1.1, 2016 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-27988700

RESUMO

We have compiled available records in the literature for medusozoan cnidarians and ctenophores of South America. New records of species are also included. Each entry (i.e., identified species or still as yet not determined species referred to as "sp." in the literature) includes a synonymy list for South America, taxonomical remarks, notes on habit, and information on geographical occurrence. We have listed 800 unique determined species, in 958 morphotype entries: 5 cubozoans, 905 hydrozoans, 25 scyphozoans, 3 staurozoans, and 20 ctenophores. Concerning nomenclatural and taxonomical decisions, two authors of this census (Miranda, T.P. & Marques, A.C.) propose Podocoryna quitus as a nomen novum for the junior homonym Hydractinia reticulata (Fraser, 1938a); Euphysa monotentaculata Zamponi, 1983b as a new junior synonym of Euphysa aurata Forbes, 1848; and Plumularia spiralis Milstein, 1976 as a new junior synonym of Plumularia setacea (Linnaeus, 1758). Finally, we also reassign Plumularia oligopyxis Kirchenpauer, 1876 as Kirchenpaueria oligopyxis (Kirchenpauer, 1876) and Sertularella margaritacea Allman, 1885 as Symplectoscyphus margaritaceus (Allman, 1885).


Assuntos
Ctenóforos/classificação , Distribuição Animal , Animais , Ecossistema , Feminino , Masculino , América do Sul
8.
Rev. méd. Chile ; 143(12): 1569-1578, dic. 2015. tab
Artigo em Espanhol | LILACS | ID: lil-774443

RESUMO

Renal involvement affects over one half of patients with Systemic Lupus Erythematosus increasing their mortality and morbidity, including chronic renal disease and the need of renal replacement therapies. Aiming to achieve a consensus in the most relevant topics on diagnosis, therapy and follow-up of patients with lupus renal disease, the Chilean Societies of Nephrology and Rheumatology constituted a workgroup that, based on a critical review of the available literature and their experience, raised and answered by consensus a set of relevant questions. This document includes aspects related to the clinical diagnosis, the importance of a suitable histological classification, therapeutic alternatives to induce and maintain disease remission, strategies for follow-up, additional therapies and ginecological-obstetric issues.


Assuntos
Humanos , Lúpus Eritematoso Sistêmico/complicações , Insuficiência Renal Crônica/etiologia , Insuficiência Renal Crônica/terapia , Chile , Consenso , Insuficiência Renal Crônica/diagnóstico
9.
Zootaxa ; 3990(2): 296-300, 2015 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-26250236

RESUMO

The genus Nemopsis, a bougainvillid hydrozoan with a dominant medusa phase, currently includes three species (Nemopsis bachei, N. dofleini and N. hexacanalis), all characterized by the presence of a pair of club-shaped tentacles in the median portion of the marginal bulbs. In this paper, we describe a fourth species, based on the medusa collected off Dichato, central Chilean coast.


Assuntos
Hidrozoários/classificação , Distribuição Animal , Estruturas Animais/anatomia & histologia , Estruturas Animais/crescimento & desenvolvimento , Animais , Tamanho Corporal , Chile , Ecossistema , Feminino , Hidrozoários/anatomia & histologia , Hidrozoários/crescimento & desenvolvimento , Masculino , Tamanho do Órgão
10.
Rev Med Chil ; 143(12): 1569-78, 2015 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-26928619

RESUMO

Renal involvement affects over one half of patients with Systemic Lupus Erythematosus increasing their mortality and morbidity, including chronic renal disease and the need of renal replacement therapies. Aiming to achieve a consensus in the most relevant topics on diagnosis, therapy and follow-up of patients with lupus renal disease, the Chilean Societies of Nephrology and Rheumatology constituted a workgroup that, based on a critical review of the available literature and their experience, raised and answered by consensus a set of relevant questions. This document includes aspects related to the clinical diagnosis, the importance of a suitable histological classification, therapeutic alternatives to induce and maintain disease remission, strategies for follow-up, additional therapies and gynecological-obstetric issues.


Assuntos
Lúpus Eritematoso Sistêmico/complicações , Insuficiência Renal Crônica/etiologia , Insuficiência Renal Crônica/terapia , Chile , Consenso , Humanos , Insuficiência Renal Crônica/diagnóstico
11.
Zootaxa ; 3827(3): 397-400, 2014 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-25081170

RESUMO

Beroe gracilis Künne, 1939 is a small neritic ctenophore, previously recorded only from cold waters of the northern hemisphere. The present study provides the first record of the species in the southern hemisphere, found in the surface layer of the Humboldt Current System off the central Chilean coast (32°-36.5° S). A complete description of this material is provided.


Assuntos
Ctenóforos/classificação , Distribuição Animal , Estruturas Animais/anatomia & histologia , Estruturas Animais/crescimento & desenvolvimento , Animais , Tamanho Corporal , Chile , Ctenóforos/anatomia & histologia , Ctenóforos/crescimento & desenvolvimento , Feminino , Masculino
12.
Endocrine ; 43(3): 705-13, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23076741

RESUMO

The reprograming effects of prenatal testosterone (T) treatment on postnatal reproductive parameters have been studied extensively in females of several species but similar studies in males are limited. We recently found that prenatal T treatment increases Sertoli cell number and reduced spermatogenesis in adult rams. If such disruptions are manifested early in life and involve changes in testicular paracrine environment remain to be explored. This study addresses the impact of prenatal T excess on testicular parameters in infant males, including Sertoli cell number and expression of critical genes [FSH receptor (FSHR), androgen receptor (AR), transforming growth factor beta 1 (TGFB1), 3 (TGFB3), transforming growth factor beta type 1 receptor, (TGFBR1), and anti-Müllerian hormone (AMH)] modulating testicular function. At 4 week of age, male lambs born to dams treated with 30 mg of T propionate twice weekly from day 30 to 90, followed by 40 mg of T propionate from day 90 to 120 of pregnancy (T-males), had a higher number of Sertoli cells/testis (P = 0.035) than control males (C-males) born to dams treated with the vehicle. While no differences were observed in the expression of FSHR and TGFB3, testicular TGFBR1 expression was found to be lower in T-males (P = 0.03) compared to C-males. Expression level of AMH, TGFB1, and AR also tended to be lower in T-males. These findings provide evidence that impact of fetal exposure to T excess is evident early in postnatal life, mainly characterized by an increase in Sertoli cell number. This could explain the testicular dysfunction observed in adult rams.


Assuntos
Efeitos Tardios da Exposição Pré-Natal , Células de Sertoli/efeitos dos fármacos , Testículo/efeitos dos fármacos , Testosterona/farmacologia , Animais , Contagem de Células , Feminino , Desenvolvimento Fetal/efeitos dos fármacos , Hormônio Foliculoestimulante/sangue , Hormônio Luteinizante/sangue , Masculino , Gravidez , Receptores Androgênicos/genética , Receptores Androgênicos/metabolismo , Receptores do FSH/genética , Receptores do FSH/metabolismo , Células de Sertoli/citologia , Células de Sertoli/metabolismo , Ovinos , Espermatogênese/efeitos dos fármacos , Testículo/citologia , Testículo/crescimento & desenvolvimento , Testosterona/sangue , Fator de Crescimento Transformador beta3/genética , Fator de Crescimento Transformador beta3/metabolismo
13.
An. bras. dermatol ; 76(3): 291-295, maio-jun. 2001. ilus
Artigo em Português, Inglês | LILACS | ID: lil-344203

RESUMO

A acne fulminans é um tipo raro e grave de acne vulgar, de etiologia desconhecida, que acomete principalmente jovens do sexo masculino. Inicia-se de modo súbito e está associada a manifestações sistêmicas importantes. Os autores descrevem dois casos clínicos de acne fulminans e fazem uma revisão de seus aspectos clínicos e fisiopatológicos, e do tratamento, com o intuito de obter melhor entendimento do curso clínico e prognóstico dessa doença


Assuntos
Humanos , Masculino , Adolescente , Acne Vulgar , Terapêutica
14.
An. bras. dermatol ; 76(2): 209-213, mar.-abr. 2001. ilus
Artigo em Português, Inglês | LILACS | ID: lil-344216

RESUMO

Relate-se o caso da síndrome do homem vermelho em um paciente de 16 anos, após infusão rápida de vancomicina, no décimo dia de antibioticoterapia para endocardite infecciosa. A vancomicina foi descontinuada, e o paciente apresentou clareamento do rash após ser tratado sintomaticamente. Ressalta-se a importância do diagnóstico e do tratamento precoce


Assuntos
Humanos , Masculino , Adolescente , Vancomicina
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