Cutaneous melanoma (CM) is responsible for 75% of deaths from malignant skin cancer. The incidence of CM in the southern region of Brazil, particularly in the western region of Santa Catarina, is possibly higher than estimated. In this study, the clinical and epidemiological profile of patients with CM treated in the western region of Santa Catarina was examined. A cross-sectional study was performed with patients diagnosed with CM from January 2002 to December 2009, from 78 counties of the western region of the state of Santa Catarina. Data were collected using a protocol adapted from the Brazilian Melanoma Group and 503 patients were evaluated. The incidence and prevalence of CM found in this region are much higher than those found elsewhere in the country. This fact is most likely due to the phenotypic characteristics of the population and the high incidence of UV radiation in this region due to its location in southern Brazil, as is the case in the countries of Oceania.
Introduction: The State of Santa Catarina is located in Southern Brazil. The suicide rate in this state is one of the largest in the country. Preliminary studies showed that the westernmost region of Santa Catarina has the largest rate in the state. Descriptive studies about suicide epidemiological profile in this area are not available. Method: A descriptive study of suicide rate in the west of Santa Catarina was performed, stratified by gender and age from 1980 to 2005. Methods of suicide are also described. The data were collected from the Departamento de Informática do Sistema Único de Saúde (Information Technology Department of the Brazilian Unified Health System -DATASUS). Results: Mean suicide rate was 10 cases/100,000 inhabitants in western Santa Catarina. The male rate was three times higher than that of females. There was a 50% increase in suicide rates during the study period, independent of gender or age. Hanging accounted for 76% of male and 73% of female deaths. Conclusions: This study confirms that the westernmost region of Santa Catarina has suicide rates higher than the state and national levels, comparable to the highest rates in the country. The epidemiological profile has similarities with the State of Rio Grande do Sul and it should be investigated in further studies.
School-based health programs have a unique and powerful potential to meet the health needs of children because students spend more time in schools than in any other environment away from home. We conducted a participatory needs assessment called a Group Level Assessment (GLA) in collaboration with an economically disadvantaged and ethnically diverse school to facilitate the students' identification of and subsequent action toward important health needs. A total of 68 students in Kindergarten through eighth grade participated in the GLA. Four major themes emerged: the desire for more sports and after-school activities, better school lunches, enjoyment of friends and families, and overall happiness. Other health issues identified by the students included limited health/medical care, stress resulting from schoolwork and grades, positive self-image, and the desire for more art opportunities. The salient themes identified by students are consistent with many factors identified in the academic literature as important in child socioemotional functioning.
Ao meu orientador, Prof. Dr. Eduardo Ferreira Borba, pelos ensinamentos, paciência e por todo apoio ao longo da elaboração deste trabalho. Ao meu coorientador, Prof. Dr. Raul Cavalcante Maranhão, pelas várias oportunidades, apoio e suporte para a realização desta Tese. À Profa. Dra. Eloisa Bonfá, pela oportunidade e por todas as suas contribuições para esse trabalho que foram de valor inestimável. À Profa. Carmen Guilherme Christiano de Matos Vinagre, por todas as contribuições feitas ao trabalho.
Aos assistentes do ambulatório de Lúpus e SíndromeAntifosfolípide por compartilharem seus conhecimentos ao longo deste tempo de convivência.
Aos colegas pós-graduandos dos ambulatórios de Lúpus e SíndromeAntifosfolípide, especialmente Dra. Gabriela Araújo Munhoz e Dra.
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