Background: The detection of sub-clinical breast lesions has increased with screening mammography. Biopsy techniques can offer precision and agility in its execution, as well as patient comfort. This trial compares radioguided occult lesion localization (ROLL) and wire-guided localization (WL) of breast lesions. We investigate if a procedure at the ambulatorial level (ROLL) could lead to a better aesthetic result and less postoperative pain. In addition, we intend to demonstrate the efficacy of radioguided localization and removal of occult breast lesions using radiopharmaceuticals injected directly into the lesions and correlate radiological and histopathological findings.
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.
ResumoContexto: Evidências apontam que adolescentes infratores graves (autores de homicídio, estupro e latrocínio) possuem personalidade psicopática e risco aumentado de reincidência criminal, mas não apresentam maior prevalência de história de abuso na infância do que outros adolescentes infratores. Objetivo: Comparar a psicopatia, a reincidência criminal e a história de maus-tratos entre adolescentes infratores versus a vida e outros adolescentes infratores. Método: Estudo transversal, controlado, utilizando a escala Hare's Psychopathy Checklist Revised (PCL-R) para avaliação de psicopatia em uma amostra de adolescentes cumprindo medida socioeducativa em decorrência da prática de ato infracional. Resultados: Os adolescentes que cometeram crimes contra a vida apresentaram prevalência de psicopatia maior do que outros adolescentes infratores -RP = 2,86 (IC95% 1,49-5,47). A reincidência criminal foi mais prevalente entre os adolescentes que possuíam psicopatia e história de crimes contra a vida -RP = 2,96 (IC95% 1,32-6,60). O estudo não conseguiu demonstrar prevalência significativa de história de abuso na infância entre os adolescentes com psicopatia em comparação ao grupo-controle -RP = 0,88 (IC95% 0,66-1,15). Conclusões: Os resultados sugerem prevalência aumentada de personalidade psicopática e reincidência criminal entre os adolescentes autores de crimes contra a vida quando comparados a outros adolescentes infratores.Palavras-chave: Adolescentes, infratores, psicopatia.
AbstractBackground: Evidences point out that the young offenders involved with major crimes (such as homicide, rape and violent robbery) have psychopathic personality, with greater risk of recidivism but do not have a higher prevalence of childhood abuse history compared to other young delinquents. Objective: To compare the psychopathy, criminal recidivism. However,
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