Background Fishing is an important economic activity worldwide, but there are only a few studies on the skin health of fishermen. Daily activities in fishing communities expose fishermen to risks of traumatic, actinic, and sea dermatoses.Methods A semi-structured questionnaire was applied to 388 fishermen from 2014 to 2015 at their workplace (Z-8 to Z-13 fishing communities). The data collected were evaluated for descriptive analysis. In the bivariate analysis of the data, the Pearson chi-square test was used. The multinomial logistic regression was used to obtain estimates of odds ratios and adjusted confidence intervals for confounding variables.Results Three hundred and nine (79.6%) fishermen reported accidents during their fishing activity. The main fish species implicated were Genidens genidens and Scorpaena brasiliensis. Inappropriate or potentially harmful traditional treatments without scientific evidence of efficacy were recorded as main/auxiliary treatment. Other significant skin injuries were due to trauma from fishing tackle and exposure to ultraviolet radiation.Three hundred and twenty (82.5%) fishermen reported that they had never used any sun protective devices or sunscreen.Conclusions Traumatic injuries due to fish stings were the most common accidents in this group. Despite chronic occupational sun exposure and its hazards, most fishermen did not adopt any method of photoprotection. Health educational activities as well as a specific health program for these professionals are necessary to improve the health of fishermen in Guanabara Bay area.

A defect of the soft palate was diagnosed as a very rare sign of tertiary syphilis.

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Zusammenfassung Das Pellagra ist eine Erkrankung, die durch die Entdeckung des Niacins ihren gro?en Schrecken verloren hat, aber dennoch weiterhin im Blick behalten werden muss. Von herausgehobener Bedeutung ist sie noch heute in Elendsvierteln und Fl?chtlingslagern, aber auch anderen provisorischen Massenunterk?nften mit einseitiger oder mangelhafter Ern?hrung. Pellagra ist eng verbunden mit der Kulturgeschichte des Mais in Europa. Mais ist mit einer Erntemenge von weltweit ?ber 1 Milliarde Tonnen im Jahr 2014 das derzeit mengenm??ig bedeutsamste Getreide unserer Erde. Die Zahl der Fl?chtlinge weltweit hat mit aktuell ?ber 50 Millionen ebenfalls einen neuen Rekord erreicht. Das Pellagra ist auch in dieser neuen Dimension menschlichen Elends eine aktuelle Bedrohung, ebenso wie andere Erkrankungen durch Mangel- und Fehlern?hrung. Im Rahmen medikament?ser Nebenwirkungen, Alkoholismus und konsumierender Grunderkrankungen stellt das Pellagra in den Industriel?ndern nach wie vor eine untersch?tzte Gefahr dar. Die folgende ?bersicht soll dazu beitragen, sich des Pellagra auch in unseren Tagen stets differentialdiagnostisch bewusst zu sein.

It is estimated that worldwide there are 5,000,000 snakebites per year of which 2,500,000 lead to symptoms of venomization, nearly 400,000 result in permanent sequelae and 125,000 are fatal. In Germany there are only two venomous snakes, the European adder and the European aspis viper (asp). Bites by venomous snakes in Germany as well as in geographical Europe should always be classified as a life threatening emergency unless there is evidence to the contrary and even with a lack of symptoms a minimum of 24 h inpatient monitoring should be recommended, if possible with medical care in an institution experienced with snakebites. Travellers are urgently advised to inform themselves about the local occurence of venomous snakes usually to be found at the travel destination, before starting the journey.

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