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Barragan-Garfias J.A.,University of Medical Sciences of Costa Rica
Revista médica del Instituto Mexicano del Seguro Social | Year: 2013

The main physiological function of the immune system consists in the defense against infectious micro-organisms. Sometimes there is a loss of immunological tolerance with the consequence of ignorance of self-antibodies. Some thyroid diseases are related to autoimmune diseases associated with the most common exocrine glands between them. There are also the autoimmune thyroid organ specific diseases, such as Graves-Basedow and the Hashimoto thyroiditis. It has been shown that there is a higher prevalence of autoimmune thyroid diseases in patients with connective tissue diseases (systemic autoimmune) such as Sjögren syndrome, rheumatoid arthritis, systemic lupus erithmatosis and systemic myopathic diseases. In the same way a higher prevalence of antinuclear antibodies against antigens extracted from the nucleus in patients with a thyroid autoimmune disease has been identified. There is a high percentage of patients with subclinical thyroid diseases, and it is recommended for patients with connective tissue diseases with hypo- or hyperthyroidism to have thyroid globulin and peroxide antibodies measured.

Araujo D.B.,University of Medical Sciences of Costa Rica
Acta reumatológica portuguesa | Year: 2010

Sexual function is closely related to satisfactory quality of life. The sexual activity has an impact in the sexual satisfaction of patient, several aspects of personal life and in their relationships. Systemic autoimmune diseases affect various organs and systems and they can determine sexual dysfunction in patients, particularly with: rheumatoid arthritis, spondyloarthropathies, systemic lupus erythematosus, systemic sclerosis, Sjögren syndrome, vasculitis and idiopathic inflammatory myopathies. Manuscripts describing sexual function in these diseases, mainly with large population, are scarce. Sexual dysfunction in females and males with rheumatic diseases is multifactorial due to chronic disease aspects, disease activity and drugs. A multidisciplinary approach is essential in order to offer preventive measures for these patients. The authors did a literature review based on Medline, Lilacs and Pubmed data using the keywords: sexual function, sexuality, reproductive health and rheumatic diseases.

This paper redeems the significance of the health reform movement and the municipal healthcare movement in the context of the 1970s and 1980s, and its social, politic and innovative power in the democratic reconstruction of the day. It then notes that the implementation of the constitutional guidelines, regulated in 1990 by Laws 8080/90 and 8142/90, has been characterized in the last 22 years by four major and mounting obstacles imposed by State policy on all governments: federal underfunding; federal subsidies to the private health plan market; resistance to reform of the State management structure of service provision; and the handing over of administration of public facilities to private entities. The Brazilian Unified Health System (SUS) included half the population that was once excluded in the public health system, though these obstacles keep the coverage of primary care focused below the poverty line and with poor resolution. The conclusion drawn is that the real policy of the state for healthcare in the past 22 years has prioritized the creation and expansion of the private health plan market for consumer rights, and relegated the effectiveness of constitutional guidelines for civic human rights to second place.

This article is a summary on the intellectual production of Social and Human Science in Health concerned to the Public Health area in Brazil. It includes 498 articles and books reviews, from eight Public Heath journals consulted in the electronic database SciELO. A theoretical and methodological analysis was performed on the main and secondary's themes, the changes in the previous decades, considering also the literature reviews (1997-2007). The themes and its perceptual distributions are: health policies and institutions 32.5%; health and illness 18.5%; gender and health 16.5%; violence and health 9.0%; old age and aging 4.0%; human resources, health professions and education 7.5%; social studies on sciences production and techniques 7.0% as well as health education and communication 4.0%. The results show an academic production growth; the use of combined theories, approaches and methodologies; the residual interdisciplinary between live science and social science and the guarantee of the disciplinarian's approaches. A multi-institutional research agenda is recommended to refine the investigations on health conditions and social transformations; health policies and services; professional training; knowledge and technologies.

Batista-Duharte A.,University of Medical Sciences of Costa Rica
Revista Peruana de Medicina Experimental y Salud Publica | Year: 2012

The occurrence and significance of autoimmune manifestations after administration of vaccines remain controversial. Evidence for immunization triggered autoimmunity come from several sources including theoretical models, animal studies, single and multiple case reports. In contrast, several epidemiological studies don't report this association, which is reassuring and at least indicates that vaccines are not a major cause of autoimmune diseases. We analyzed current scientific data concluded that vaccines bring a positive impact on public health, so it is necessary to continue developing this technology. Evaluation methods should be improved to avoid or anticipate the possible autoimmune side effects that can be presented.

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