Objective: To describe the development of a website and the creation of a social network account about pediatric allergy/immunology with reliable information, to promote education and have a channel for patient-doctor contact. Methods: This is a descriptive study. A survey was conducted with 93 patients (12 years and older) and caregivers of a Pediatric Allergy/Immunology outpatient clinic, to assess internet usage patterns of potential users. A webpage in Portuguese and an Instagram® account were launched in which it was created an area for patient-doctor communication in the pandemic context. Results: Among 93 participants, 77% were female, 82% caregivers. Median age was 33.2 years, family income 403 dollars/month. The internet was accessed via smartphone by 81,7% of the participants; 76% reported using internet to access health information but 72% did not trust on the information from the internet, and 96% believed that an institutional site could provide meaningful information. From the website release in November 6, 2018 to January 20, 2022, it was counted 10,062 page views by 4,896 users; 55% were 18–34 years old, 70.2% female. Instagram® account gathered 882 followers. Website went through a period of instability during which access were not counted. Due to social isolation during COVID-19 pandemic, the website served as a tool for first response to help patients and doctors. Conclusions: Patients and caregivers of the Pediatric Allergy/Immunology service, consulted about digital tools, considered the information supported by a teaching/research institution timely and relevant. The website and Instagram® account have both performed well and shown good return in relation to hits, and results are continuously being evaluated. During COVID-19 pandemic, the website has been connecting patients/families and doctors.
INTRODUCTIONMale infertility is defined as the biological inability of a man to induce pregnancy in a fertile woman after unprotected sexual intercourse for at least one year. 1 A study of a North American population revealed that 12% of male individuals aged 15-44 years are infertile. 2 The main factors related to infertility include obesity, infection, neoplasms, cryptorchidism, smoking, varicocele, chromosomal anomalies, sperm duct defects, scrotal exposure to high temperatures, hormonal imbalances, celiac disease, medications, heavy metal poisoning, and exposure to ionizing radiation. [3][4][5] Regarding the genetic causes of male infertility, approximately 15-20% of men with severe non-obstructive azoospermia or oligospermia have microdeletions on the long arm of the Y chromosome (AZFa, b, or c regions) where the spermatogenesis genes are located. 6,7 Some cases of male infertility may also be related to disorders of sex development (DSD), such as Klinefelter syndrome (KS), testicular 46,XX DSD, and disorders related to the synthesis or action of testicular hormones. 8 Currently available DSD cohorts in the literature mostly include pediatric patients, with genital ambiguity being the main reason for referral. 9,10 In contrast, studies of genetic causes of male infertility have mainly focused on chromosomal anomalies and Yq microdeletions. 11,12 In these studies, as well as in the guidelines on male infertility, 3 DSD are not specifically considered a cause.A recent study by our group of 84 men with non-obstructive infertility (azoospermia or severe oligospermia) showed that 10 (12%) had KS, 1 had testicular DSD 46,XX, and 1 had mild
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