Os impactos da acne vulgar na qualidade de vida do paciente

A acne vulgar afeta cerca de 80% dos adolescentes e adultos jovens de 11 a 30 anos em todo o mundo. Essa pesquisa tem por objetivo trazer os impactos psicossociais da acne vulgar (Acne vulgaris) e a conduta médica que deve ser aplicada nesse contexto, visando um efetivo tratamento da acne. A metodologia teve como base revisão de literatura, tendo como fontes trabalhos divulgados em bancos de dados científicos, como SCiELO e PubMed, com os seguintes descritores: “acne vulgaris”, “acne treatment” e “acne social impacts”. Foi usado como aporte teórico, principalmente, Azulay (2017) e De Resende (2021). Desta forma, foi usado como critérios de inclusão: estudos de 2015 a 2022, aos quais foram usados artigos completos, gratuitos, que estivessem nas línguas portuguesas, inglesas e ou espanhol, excluindo trabalhos duplicados e de metanalise, além da já supracitada literatura médica em dermatologia, no intuito de se obter as mais recentes e adequadas fontes sobre o objetivo proposto para revisão bibliográfica, no intuito de selecionar as mais recentes e adequadas fontes sobre o objetivo proposto. A acne tem um impacto significativo na autoestima e qualidade de vida de quem sofre com esse problema. Vários estudos mostraram alterações psicológicas, incluindo ansiedade, inibição social, depressão e ideação suicida em pacientes com acne. Mesmo com o avanço da medicina dermatológica, ainda não há tratamento 100% eficaz para a acne vulgar, e mesmo os tratamentos mais fortes, como o uso da isotretinoína, não privam o paciente de que a mesma reincida. Assim, conhecer o funcionamento dos tratamentos da acne é fundamental para que falsas expectativas não sejam criadas. Há dois princípios a ter em conta em qualquer tratamento da acne: iniciar o tratamento o mais cedo possível e, após a conclusão do mesmo, os fármacos tópicos deverão continuar a ser utilizados por um período mínimo de seis a 12 meses. Dito isso, é importante saber que um tratamento bem sucedido fundamenta-se na educação do paciente e na promoção da sua adesão à terapêutica. Conclui-se, portanto, que é de suma importância que o médico dermatologista tenha ciência para além das questões estéticas, e coloque em pauta durante a consulta como aquela doença e o próprio tratamento estão afetando a qualidade de vida e o psicológico do paciente. Além disso, o médico deve ficar atento se há alguma negligência por parte do paciente no tratamento, seja não utilizando os fármacos ou não conseguindo adquirir os mesmos, e se estão sendo utilizados de forma correta, pois muitos geram efeitos adversos se usados de maneira errada, como os despigmentantes que podem gerar manchas mais graves se usados de forma incorreta, piorando a situação do paciente

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Neotropical freshwater fisheries : A dataset of occurrence and abundance of freshwater fishes in the Neotropics

The Neotropical region hosts 4225 freshwater fish species, ranking first among the world's most diverse regions for freshwater fishes. Our NEOTROPICAL FRESHWATER FISHES data set is the first to produce a large-scale Neotropical freshwater fish inventory, covering the entire Neotropical region from Mexico and the Caribbean in the north to the southern limits in Argentina, Paraguay, Chile, and Uruguay. We compiled 185,787 distribution records, with unique georeferenced coordinates, for the 4225 species, represented by occurrence and abundance data. The number of species for the most numerous orders are as follows: Characiformes (1289), Siluriformes (1384), Cichliformes (354), Cyprinodontiformes (245), and Gymnotiformes (135). The most recorded species was the characid Astyanax fasciatus (4696 records). We registered 116,802 distribution records for native species, compared to 1802 distribution records for nonnative species. The main aim of the NEOTROPICAL FRESHWATER FISHES data set was to make these occurrence and abundance data accessible for international researchers to develop ecological and macroecological studies, from local to regional scales, with focal fish species, families, or orders. We anticipate that the NEOTROPICAL FRESHWATER FISHES data set will be valuable for studies on a wide range of ecological processes, such as trophic cascades, fishery pressure, the effects of habitat loss and fragmentation, and the impacts of species invasion and climate change. There are no copyright restrictions on the data, and please cite this data paper when using the data in publications