RESUMO
We studied 101 Malignant Melanomas (MM) in the files of Department of Pathology of the National Medical Center of El Salvador. The incidence was 0,20 per 100.000, 54.5% in females and 45.5% in males. The mean age was 53.9% years (range 16 days-115 years). Highest frequency there occurred among 41 and 50 years. 42.5% were placed in lower limbs, 17.8% in the face, 14.8% in thorax, 7.9% in upper limbs, and 4.95 in the eye. In 18.8% it was found the antecedent of "mole" previous in the site of the tumor. 43% of the patients consulted before 6 months of evolution. In 53.8% metastasis were detected at the time of consultation. Microscopically 98.1% were of the nodular type and 1.9% lentigo maligna melanoma. Amont the nodulars, 38.5% were predominantly to epitheloid cells, 8% to fusiform cells, and 53.5% to mixed cells. 63% were placed at Clark's level V, 32% at level IV, and 5% at level III. All of them were more than 1.5 mm. in depth. 52% were medium thickness and 48% were more thant 4 mm. It is worth to emphasize: the highest frequency among females, the highest incidence in lower limbs and the microscopic aggressiveness of these tumors, almost all being of nodular type.
Assuntos
Melanoma/epidemiologia , Neoplasias Cutâneas/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Criança , El Salvador , Feminino , Humanos , Recém-Nascido , Masculino , Melanoma/patologia , Pessoa de Meia-Idade , Prognóstico , Fatores Sexuais , Neoplasias Cutâneas/patologiaRESUMO
This paper briefs a research on the influence of stressing environmental factors upon mental health conditions of university students. The study was undertaken at the Student Psychiatric Service, Universidad del Valle, Cali, Colombia. Three equal periods are compared. The first is a normal one; the others are disorderly and riotous, up to the point of foreing the discontinuance of academic activities for several months. As compared with the period of academic stability, the rates of mental disturbances show a steep rise in the periods of agitation. Schizophrenia, depression, anxiety, all kinds of difficulties in interpersonal relations, and somatic disturbances, are sharply increased, whereas complaints of less severe disturbances, like transient situational disorders, level up or decrease. Another significant rise is registered in the use of drugs for therapeutic purposes. The study leads to the conclusion that stress due to environmental disorders or social upheavals is an important factor in the aethiology of severe mental disturbances.
Assuntos
Transtornos Mentais/epidemiologia , Serviços de Saúde Mental , Estresse Psicológico , Serviços de Saúde para Estudantes , Adulto , Colômbia , Humanos , Comportamento de Massa , Transtornos Mentais/terapia , PsicoterapiaRESUMO
This paper briefs a research on the influence of stressing environmental factors upon mental health conditions of university students. The study was undertaken at the Student Psychiatric Service, Universidad del Valle, Cali, Colombia. Three equal periods are compared. The first is a normal one; the others are disorderly and riotous, up to the point of foreing the discontinuance of academic activities for several months. As compared with the period of academic stability, the rates of mental disturbances show a steep rise in the periods of agitation. Schizophrenia, depression, anxiety, all kinds of difficulties in interpersonal relations, and somatic disturbances, are sharply increased, whereas complaints of less severe disturbances, like transient situational disorders, level up or decrease. Another significant rise is registered in the use of drugs for therapeutic purposes. The study leads to the conclusion that stress due to environmental disorders or social upheavals is an important factor in the aethiology of severe mental disturbances.
RESUMO
This paper briefs a research on the influence of stressing environmental factors upon mental health conditions of university students. The study was undertaken at the Student Psychiatric Service, Universidad del Valle, Cali, Colombia. Three equal periods are compared. The first is a normal one; the others are disorderly and riotous, up to the point of foreing the discontinuance of academic activities for several months. As compared with the period of academic stability, the rates of mental disturbances show a steep rise in the periods of agitation. Schizophrenia, depression, anxiety, all kinds of difficulties in interpersonal relations, and somatic disturbances, are sharply increased, whereas complaints of less severe disturbances, like transient situational disorders, level up or decrease. Another significant rise is registered in the use of drugs for therapeutic purposes. The study leads to the conclusion that stress due to environmental disorders or social upheavals is an important factor in the aethiology of severe mental disturbances.