ABSTRACT Objectives to identify perceptions of psoriasis and changes in daily life among people with the disease, and to discuss these in order to contribute to coping. Method in this qualitative study, data were collected by individual interview, applying a semi-structured script to 25 patients of both sexes receiving care at an outpatient dermatology clinic in Belém, Pará, and were treated by thematic content analysis. The project had research ethics committee approval. Results the themes identified, showing that psoriasis has implications in several dimensions of patients’ lives, were organized into two categories: The meaning of psoriasis and Psoriasis and its implications. Conclusion the day-to-day repercussions go beyond biological consequences, requiring reorganization of routine activities and personal and social adaptation, and thus entailing a more comprehensive, multi-professional, bio-psycho-social approach to coping.

RESUMEN Objetivos iidentificar la percepción de las personas afectadas sobre la psoriasis y las alteraciones en su cotidiano; discutir estos aspectos para contribuir en su enfrentamiento. Método investigación cualitativa, cuyos datos fueron recolectados en entrevistas individuales a través de un guion semiestructurado, aplicado a 25 pacientes de ambos sexos, atendidos en un ambulatorio de dermatología en Belém - Pará y tratados por medio del análisis de contenido temático. El proyecto fue aprobado en Comité de Ética en Investigación. Resultados los temas identificados mostraron que la psoriasis causa implicaciones en diversas dimensiones de la vida del paciente y se organizaron estos temas en dos categorías: el significado de la psoriasis y la psoriasis y sus implicaciones. Conclusión las repercusiones causadas en el cotidiano van más allá de las consecuencias biológicas, exigiendo la reorganización de actividades rutinarias y readaptación personal y social, evidenciando que, para su enfrentamiento, es necesario un enfoque biopsicosocial y multiprofesional de forma más amplia.

RESUMO Objetivos identificar a percepção das pessoas acometidas sobre a psoríase e as alterações no cotidiano; discutir esses aspectos para contribuir no seu enfrentamento. Método pesquisa qualitativa, cujos dados foram coletados em entrevistas individuais por meio de roteiro semiestruturado, aplicado a 25 pacientes de ambos os sexos, atendidos em um ambulatório de dermatologia em Belém – Pará e tratados por meio da análise de conteúdo temática. O projeto foi aprovado em Comitê de Ética em Pesquisa. Resultados os temas identificados mostraram que a psoríase causa implicações em diversas dimensões da vida do paciente, e esses temas foram organizados em duas categorias: o significado da psoríase e a psoríase e suas implicações. Conclusão as repercussões causadas no cotidiano vão além das consequências biológicas, exigindo a reorganização de atividades rotineiras e readaptação pessoal e social; evidencia-se que, para seu enfrentamento, há necessidade de abordagem biopsicossocial e multiprofissional de forma mais abrangente.

Abstract INTRODUCTION Freshwater stingray envenomations are an important cause of morbidity in riverine populations living in various regions of Brazil. The sequelae include temporary or permanent disability. This study aimed to identify sociodemographic, clinical, and therapeutic aspects related to stingray injuries in such populations. METHODS This cross-sectional study was conducted in the Extractive Reserve of Tapajos-Arapiuns, located in the municipalities of Santarém and Aveiro (Pará State). A convenience sample comprising 300 local adults was used to obtain data by means of a questionnaire/ interview. RESULTS Overall, 19 (6.3%) participants reported having sustained a stingray injury in the 12 months prior to the study. All 19 were injured either while fishing (n=13 [68.4%]) or engaging in other riverine activities. Most injuries [n=14 (73.7%)] occurred from September through November, and most injured respondents [n=15 (78.9%)] reported seeing stingrays at beaches. Severe pain and the appearance of ulcers in the later stages of envenomation were described by 18 (94.7%) and 12 (63.2%) participants, respectively. CONCLUSIONS Freshwater stingray injuries, which should be considered occupational injuries, are common in the study area, especially in places like beaches or in the lakes that form during the dry season, when stingrays are routinely observed. A significant proportion of respondents was unaware of the correct first aid measures and had insufficient resources to treat the complications of these injuries in the locality where they reside. Interactive activities involving local residents - such as lectures and the distribution of simple pamphlets providing information about stingray injuries - are needed.

INTRODUÇÃO: Este trabalho tem como finalidade a reconstrução ou o reimplante do umbigo durante a cirurgia de dermolipectomia abdominal. MÉTODO: Através do isolamento do umbigo antes da dermolipectomia, realiza-se uma incisão triangular e reimplante deste com incisão em "V" no retalho abdominal final e confecção de uma peça em "V" do umbigo anteriormente isolado. RESULTADOS: Observa-se perfeita coaptação destas bordas confeccionadas, situando-se a cicatriz umbilical na parte interna do neoumbigo, permitindo, assim, melhora estética do umbigo. CONCLUSÃO: Observou-se que, em sua totalidade, o resultado demonstrou harmonia e evitou-se a retração umbilical constritiva pós-cicatricial tão comum nas técnicas circulares ou em fenda.

INTRODUCTION: The goal of this scientific research is demonstrate possibility of umbilicus reconstruction or re-implantation during the abdominal dermolipectomy. METHOD: Isolating the navel before the dermolipectomy with a triangular incision and re-sitting it with "V" incision in the final abdominal flap and the creation of a "V" double scar. RESULTS: A perfect approximation of the borders of the internal umbilicus scars and obvious improved aesthetic were obtained. CONCLUSION: The outcomes of this technique demonstrated harmony in the results and prevented the umbilical retraction, very common on the other techniques.