RESUMO - O trabalho insere-se nas áreas temáticas da atenção à saúde da população LGBTQIA+ e da formação dos profissionais de saúde focada nesta área. Tem por objetivo analisar o conhecimento específico dos estudantes de medicina do Paraná, Brasil, no atendimento à saúde da população LGBTQIA+ e realizar levantamento do nível de conhecimento referido pelos estudantes acerca da atenção à saúde da população LGBTQIA+. Foram entrevistados 240 acadêmicos de medicina de 11 instituições de ensino médico do Estado do Paraná, por intermédio de questionário eletrônico disponibilizado via redes sociais, e analisadas as porcentagens das respostas. A maior parte (68,4%) “discordam totalmente” ou “discordam” que receberam formação específica na área de atendimento à saúde da população LGBTQIA+. Há pouca familiaridade dos estudantes com a terminologia existente dentro desse universo. Em conclusão, percebe-se a necessidade de adequação da educação médica no que concerne às especificidades da saúde da população LGBTQIA+.
Resistin levels are elevated in psoriasis patients. In this sample, clinical, epidemiological and activities indexes were not linked to resistin levels, but atherosclerotic risk factors were. They associated with the presence of DM and metabolic syndrome and correlated with serum triglycerides and total cholesterol.
BACKGROUNDPsoriasis is a common chronic inflammatory skin disease. It is now widely accepted that it is associated with an amplified risk of atherosclerosis and its consequences. An increase of comorbidities that may explain, at least in part, this increase in cardiovascular disease, has been noted. Diabetes mellitus (DM), obesity and hypertension are more common in individuals with psoriasis than in normal population. Moreover, it is known that the chronic inflammation may contribute to this complication. If the presence of associated arthritis increases this risk is debated.
METHODSAbout 127 individuals were studied: 49 controls and 78 with psoriasis (47 with psoriatic arthritis and 31 without it). Data on epidemiological, clinical, presence of comorbidities and treatment data were collected. Measurements of lipid profile, fasting glycemia and cIMT by ultrasound were done.
RESULTSDiabetes and hypertension were more frequent in the psoriasis group (OR = 2.3; 95%CI=1.009 to 5.08 for DM and OR = 6.8; 95%CI = 1.7 to 30.8) than controls. Also, the cIMT of controls was lower than those from psoriasis patients (median value of 0.68 mm in psoriasis and 0.57 mm in controls with p = 0.001). When patients with psoriasis with and without arthritis were compared, no differences in the presence of traditional risk factors, neither in the measurement of cIMT were detected (all with p > 0.05) except by BMI that was higher in those with arthritis (p = 0.03).
CONCLUSIONIn this sample of Brazilian patients with psoriasis, DM, hypertension and increased values in cIMT were more common than in controls. However, the cIMT and traditional risk factors were similar in patients with and without arthritis except by higher values of BMI in those with arthritis.
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