75 research outputs found

    A Practical Guide to Scalp Disorders

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    The scalp is unique among skin areas in humans, with high follicular density and a high rate of sebum production. The relatively dark and warm environment on the scalp surface provides a welcoming environment for the superficial mycotic infections associated with many scalp conditions and for parasitic infestation. Infections and infestations can occur when items such as fingers, combs, hats, or styling implements come into contact with the hair and scalp and introduce microorganisms. Inflammatory conditions may also produce changes in the scalp. Many common scalp conditions have similar symptoms and clinical features, complicating diagnosis, but a correct diagnosis is critical to determining proper treatment. This paper describes the symptoms, etiology, and treatment strategies for a number of common scalp conditions, including dandruff, seborrheic dermatitis, tinea capitis, pediculosis capitis, and psoriasis

    Management of tinea capitis in childhood

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    Tinea capitis (TC) is a common dermatophyte infection affecting primarily prepubertal children. The causative pathogens belong to only two genera: Trichophyton and Microsporum. Although there is a great local variation in the epidemiology of TC worldwide, T. tonsurans is currently the most common cause of TC with M. canis second. Even though there is an emerging number of anthropophilic scalp infections, M. canis remains the predominant causative organism in many countries of the Mediterranean basin, the most important dermatophyte carriers being stray cats and dogs as well as pet puppies, kittens and rabbits. TC always requires systemic treatment because topical antifungal agents do not penetrate down to the deepest part of the hair follicle. Since the late 1950s, griseofulvin has been the gold standard for systemic therapy of TC. It is active against dermatophytes and has a long-term safety profile. The main disadvantage of griseofulvin is the long duration of treatment required which may lead to reduced compliance. The newer oral antifungal agents including terbinafine, itraconazole, ketokonazole, and fluconazole appear to have efficacy rates and potential adverse effects similar to those of griseofulvin in children with TC caused by Trichophyton species, while requiring a much shorter duration of treatment. They may, however, be more expensive

    Impacts of Use and Abuse of Nature in Catalonia with Proposals for Sustainable Management

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    This paper provides an overview of the last 40 years of use, and in many cases abuse, of the natural resources in Catalonia, a country that is representative of European countries in general, and especially those in the Mediterranean region. It analyses the use of natural resources made by mining, agriculture, livestock, logging, fishing, nature tourism, and energy production and consumption. This use results in an ecological footprint, i.e., the productive land and sea surface required to generate the consumed resources and absorb the resulting waste, which is about seven times the amount available, a very high number but very similar to other European countries. This overexploitation of natural resources has a huge impact on land and its different forms of cover, air, and water. For the last 25 years, forests and urban areas have each gained almost 3% more of the territory at the expense of agricultural land; those municipalities bordering the sea have increased their number of inhabitants and activity, and although they only occupy 6.7% of the total surface area, they account for 43.3% of the population; air quality has stabilized since the turn of the century, and there has been some improvement in the state of aquatic ecosystems, but still only 36% are in good condition, while the remainder have suffered morphological changes and different forms of nonpoint source pollution; meanwhile the biodiversity of flora and fauna remains still under threat. Environmental policies do not go far enough so there is a need for revision of the legislation related to environmental impact and the protection of natural areas, flora, and fauna. The promotion of environmental research must be accompanied by environmental education to foster a society which is more knowledgeable, has more control and influence over the decisions that deeply affect it. Indeed, nature conservation goes hand in hand with other social and economic challenges that require a more sustainable vision. Today's problems with nature derive from the current economic model, which is environmentally unsustainable in that it does not take into account environmental impacts. Lastly, we propose a series of reasonable and feasible priority measures and actions related to each use made of the country's natural resources, to the impacts they have had, and to their management, in the hope that these can contribute to improving the conservation and management of the environment and biodiversity and move towards sustainability

    Impacts of Use and Abuse of Nature in Catalonia with Proposals for Sustainable Management

    Get PDF
    This paper provides an overview of the last 40 years of use, and in many cases abuse, of the natural resources in Catalonia, a country that is representative of European countries in general, and especially those in the Mediterranean region. It analyses the use of natural resources made by mining, agriculture, livestock, logging, fishing, nature tourism, and energy production and consumption. This use results in an ecological footprint, i.e., the productive land and sea surface required to generate the consumed resources and absorb the resulting waste, which is about seven times the amount available, a very high number but very similar to other European countries. This overexploitation of natural resources has a huge impact on land and its different forms of cover, air, and water. For the last 25 years, forests and urban areas have each gained almost 3% more of the territory at the expense of agricultural land; those municipalities bordering the sea have increased their number of inhabitants and activity, and although they only occupy 6.7% of the total surface area, they account for 43.3% of the population; air quality has stabilized since the turn of the century, and there has been some improvement in the state of aquatic ecosystems, but still only 36% are in good condition, while the remainder have suffered morphological changes and different forms of nonpoint source pollution; meanwhile the biodiversity of flora and fauna remains still under threat. Environmental policies do not go far enough so there is a need for revision of the legislation related to environmental impact and the protection of natural areas, flora, and fauna. The promotion of environmental research must be accompanied by environmental education to foster a society which is Land 2021, 10, 144 3 of 53 more knowledgeable, has more control and influence over the decisions that deeply affect it. Indeed, nature conservation goes hand in hand with other social and economic challenges that require a more sustainable vision. Today’s problems with nature derive from the current economic model, which is environmentally unsustainable in that it does not take into account environmental impacts. Lastly, we propose a series of reasonable and feasible priority measures and actions related to each use made of the country’s natural resources, to the impacts they have had, and to their management, in the hope that these can contribute to improving the conservation and management of the environment and biodiversity and move towards sustainability.info:eu-repo/semantics/publishedVersio

    Les histiocitosis de cĂšl·lules no de Langerhans en el nen: ContribuciĂł al seu coneixement mitjançant estudis clĂ­nics, histolĂČgics, immunohistoquĂ­mics i ultraestructurals en una revisiĂł de 153 casos

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    [cat] A partir d'uns casos limĂ­trofes vists al Departament de Dermatologia i d'alguns casos descrits a la literatura, vĂ rem observar que algunes formes d'histiocitosis de cĂšl·lules no de Langerhans (HCNL) no podien ser diagnosticades d'acord amb els criteris establerts pels autors quan inicialment les varen descriure. Provablement aquests casos limĂ­trofes als quals ens referim no constitueixen pas els "primers casos" d'una nova entitat sinĂł que sĂłn formes mixtes o cavalcades de HCNL. Per tal de fer un estudi sistemĂ tic vĂ rem escollir el xantogranuloma juvenil, el xantoma papulĂłs, la histiocitosi cefĂĄlica benigna i l'histiocitoma eruptiu generalitzat, com a formes mĂ©s comuns i per tant representatives de HCNL. Ens hem decidit a iniciar aquesta recerca davant les dificultats que ofereixen aquests malalts tant des del punt de vista clĂ­nic com a nivell histopatolĂČgic. De fet, el diagnĂČstic purament histologie sense dades clĂ­niques difĂ­cilment ens permet arribar a un diagnĂČstic de tipus de HCNL. Un dels motius cabdals d'aquesta Tesi fou intentar aconseguir de trobar algĂșn marcador immunohistoquĂ­mic que permetĂ©s un aclariment diagnĂČstic que no s'havia aconseguit amb els mĂštodes analĂ­tics previs. En aquest estudi creiem que hem aconseguit demostrar que les quatre histiocitosis estudiades no tenen de fet cap carĂ cter propi que permeti diferenciar-les entre elles i que per tant, cal que siguin considerades una Ășnica entitat malgrat algunes diferĂšncies clĂ­niques prĂČpies, causa de que al principi fossin considerades com entitats patolĂČgiques diferents
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