Dermoscopic features of basal cell carcinoma in skin of color: A retrospective cross-sectional study from Puducherry, South India

Background: Dermoscopy is useful in the diagnosis of basal cell carcinoma (BCC). However, most descriptions of the dermoscopic features of BCCs are in Caucasians (skin types I-III) and there is a paucity of data in dark-skinned Indian patients. Aims: The aim of this study was to describe the various dermoscopic features of BCC in dark-skinned patients from South India and correlate these with the histopathologic subtypes. Methods: A retrospective observational study of biopsy-proven cases of BCC was conducted at a tertiary care center in South India using nonpolarized contact dermoscopy. Results: Sixty BCCs in 35 patients predominantly of skin phototypes IV or V were studied. These included 32 nodular, 27 superficial and 1 infiltrative type of BCC. The most common dermoscopic features noted were maple leaf-like areas (61.7%), blue-white veils (53.4%), ulceration (48.4%) and short fine telangiectases (46.7%). Ulceration, blue-white veils and arborizing vessels were significantly associated with nodular BCCs, while maple leaf-like areas, red-white structureless areas, multiple small erosions and spoke wheel areas were noted with superficial BCCs. Limitations: The limitations of this study include its retrospective nature, the use of only nonpolarized light for examination, the lack of other histopathological variants of BCC as well as the lack of a comparison group. Conclusion: We report a dermoscopic study of BCC in dark-skinned patients from Puducherry, South India. The blue-white veil was observed in half of the patients and was significantly associated with nodular BCCs. The addition of the blue-white veil to the diagnostic criteria for pigmented BCC could improve the diagnostic accuracy of dermoscopy in Indian patients.

Complemento a la teoria del levantamiento del velo corporativo en Colombia desde el principio de la buena fe y el abuso del derecho / Complement to the theory of lifting the corporate veil in Colombia based on the principle of good faith and abuse of law / Complemento à teoria de perfuração do véu corporativo na Colômbia baseado no principio da boa-fé e abuso de direito

RESUMEN Este artículo tiene como objetivo complementar la teoria del levantamiento corporativo definida por los máximos tribunales colombianos con reflexiones doctrinales sobre el principio de la buena fe y del abuso del derecho. El texto presenta los hallazgos de una investigación Qualitativa con un enfoque dogmático de técnica documental especializada, que permitió identificar y seleccionar sentencias hito en el período 1999-2019 que caracterizaran el levantamiento del velo corporativo y además, permitió identificar y seleccionar estudios doctrinales, con preferencia de la misma época, que permiten consolidar la teoria. La estrategia de búsqueda inició con la delimitación de las variables de análisis con base en el proyecto de investigación, que fueron usadas posteriormente en la consulta y selección de artículos de investigación jurídica en las bases de datos especializadas a partir de criterios de elección temáticos, temporales, geográficos, idiomáticos y de tipo de publicación. Con la investigación se concluye que no es suficiente con mencionar la buena fe y el abuso del derecho en los procesos de desestimación de la personalidad jurídica, se hace necesario dotar estos principios de contenido normativo para realizar una tarea de identificación de actos antijurídicos en el contexto societario.

ABSTRACT This article aims to complement the theory of the disregard of the legal entity defined by the highest Colombian courts with doctrinal reflections on the principles of good faith and abuse of law.The text presents the findings of a qualitative research with a dogmatic approach of specialized documentary technique, which allowed to identify and select landmark sentences in the period 1999-2019 that characterized the lifting of the corporate veil and allowed to identify and select doctrinal studies, with preference of the same period, which permit to consolidate the theory The search strategy began with the delimitation of variables for analysis based on the research project, which were subsequently used in the consultation and selection of legal research articles in specialized databases based on thematic, temporal, geographical, idiomatic and publication-type selection criteria. With the investigation it is concluded that it is not enough to mention the good faith and the abuse of the right in the processes of dismissal of the legal personality it is necessary to provide these principles with normative content to carry out a task of identifying unlawful acts in the context corporate law.

RESUMO Este artigo tem como objetivo complementar a teoria do levantamento corporativo definida pelos máximos tribunais colombianos com reflexões doutrinais sobre o princípio da boa-fé e do abuso do direito. O texto apresenta os resultados de uma investigação qualitativa com uma abordagem dogmática de técnica documental especializada, que permitiu identificar e selecionar sentenças marco no período 1999-2019 que caracterizaram o levantamento do véu corporativo e, além disso, permitiu identificar e selecionar estudos doutrinários, com preferência da mesma época, que permitem consolidar a teoria. A estratégia de pesquisa começou com a delimitação das variáveis para a análise com base no projeto de pesquisa, que foram usadas posteriormente na consulta e seleção de artigos de pesquisa jurídica nas bases de dados especializadas a partir de critérios de eleição temáticos, temporais, geográficos, idiomáticos e de tipo de publicação. A investigação concluiu que não basta mencionar a boa fé e o abuso do direito nos processos de rejeição da personalidade jurídica, é necessário dotar estes princípios de conteúdo normativo para realizar uma tarefa de identificação de atos antijundicos no contexto societário.

Le réveil et le silence en littérature et en psychanalyse / O despertar e o silêncio na literatura e na psicanálise / Awakening and silence in literature and piscanalysis

Partant du principe que la singularité de l'expérience psychanalytique, en dépit des difficultés que pose sa transmission, ne peut pas étre considérée comme ineffable vis-á- vis du mode mystique et qu'elle fait appel á la production d'un savoir non su, la conférenciére aborde les diverses modalités de l'expérience psychanalytique présentes au cours de l'analyse par rapport au silence et la maniére dont elles se précipitent vers la fin. Á cet effet, elle aborde le théme du silence sous l'angle de son rapport avec l'inconscient et avec la pulsion, á partir de la prise en compte des limites de la logique phallique, pour rendre compte du fait que, dans le symptôme, il y a un appel à ce qui est en-deçá du sens et à l'expérience de l'éveil. Elle s'appuie par ailleurs sur des témoignages littéraires pour penser la relation entre l'éveil et le silence sous l'angle de leur rapport avec la fin de l'analyse. Cette conférence a été donnée dans le cadre du 1er Colloque international de psychanalyse de l'école de psychanalyse Corpo Freudiano, intitulé « L'éveil ¼, qui s'est tenu à l'Instituto Italiano de Rio de Janeiro, du 12 au 14 avril 2007.

Partindo do pressuposto que a singularidade da experiência psicanalítica, apesar das dificuldades que oferece à sua transmissão, não pode ser tomada como inefável ao modo místico e que convoca a produção de um saber não sabido, a conferencista aborda as diferentes modalidades de experiência para como o silêncio presentes num percurso de análise e o modo como se precipitam em seu final. Para tanto, percorre a temática do silêncio em sua relação com o inconsciente e a pulsão a partir da consideração pelos limites da lógica fálica para dar conta do que, no sintoma, apela para o aquém do sentido e para a experiência do despertar. Utiliza-se, ainda, de testemunhos literários para pensar a relação entre o despertar e o silêncio em sua relação com o final de análise. A conferência foi proferida por ocasião do I Colóquio Internacional de Psicanálise do Corpo Freudiano Escola de Psicanálise: O despertar, ocorrido no Instituto Italiano na cidade do Rio de Janeiro de 12 a 14 de abril de 2007.

Nevus azul celular con satelitosis y velo azul blanquecino simulando un melanoma, a propósito de un caso / Cellular blue nevus with satellitosis and blue veil whitish simulating a melanoma, purpose of a case

Los nevi azules son proliferaciones melanocíticas dendríticas benignas a nivel dérmico, congénitos o adquiridos, debido a un defecto migratorio embrionario de melanocitos a partir de la cresta neural. Se manifiestan clásicamente como una pápula, nódulo o placa de color azul o azul-gris. Muchos subtipos histológicos se han descrito, siendo los más comunes el nevus azul común, nevus azul celular y nevus azul combinado. Las formas esporádicas incluyen al nevus azul lineal, eruptivo, agminado y con satelitosis. La dermatoscopía característica muestra un patrón de pigmentación homogéneo monocromático azul o azul-grisáceo, con ausencia de otras estructuras. Sin embargo, se han descrito también patrones de pigmentación dicromáticos y multicromáticos, además de estructuras tales como red de pigmento, puntos, glóbulos, proyecciones radiadas, pseudópodos, áreas cicatriciales blanquecinas, patrón vascular y rosetas. El diagnóstico diferencial de los nevi azules incluye lesiones melanocíticas y no melanocíticas, benignas y malignas, destacando entre ellas el melanoma. Se presenta el caso de un paciente de sexo masculino de 30 años, portador de un nevus azul celular con cambios de rápida evolución, con desarrollo de lesiones satélites y un aspecto dermatoscópico sugerente de malignidad, simulando un melanoma.

Blue nevi are benign, congenital, or acquired, dermal dendritic melanocytic proliferations due to an embryonic migratory defect of melanocytes starting from the neural crest. They classically manifest as a blue or blue-gray papule, nodule, or plaque. Many histological subtypes have been described, including common blue nevus, cellular blue nevus and combined blue nevus. Sporadic forms include linear blue nevus, eruptive, agminate and with satellitosis. Characteristic dermoscopy shows a homogeneous monochromatic blue or steel-blue pigmentation pattern, with the absence of other structures. However, dichromatic and multichromatic pigmentation patterns have also been described, in addition to structures such as pigment network, dots, globules, streaks, pseudopods, whitish scar areas, vascular pattern and rosettes. Differential diagnosis of blue nevi includes melanocytic and non-melanocytic, benign and malignant lesions, most notably melanoma. The case of a 30-year-old male patient is presented, with a cellular blue nevus with rapidly evolving changes, with development of satellite lesions and a dermoscopic appearance suggestive of malignancy, mimicking melanoma.

Prevalence of vitamin D deficiency among doctors in a tertiary care centre in north India

Background: Vitamin D is unique among vitamins as it can be synthesized from the action of ultra-violet radiation (UVR) upon the skin of human beings. This study was done to investigate the prevalence of vitamin D deficiency among health care professionals.Methods: This was institution based study conducted over a period of two years at Govt. Medical College Hospital. The study was conducted on 200 healthy doctors working in different departments of Govt. Medical College and Associated Hospitals, Jammu for a period of two years. Data regarding demographic characteristics, lifestyle assessment, exposure to sunshine on workdays and weekends, type of clothing, use of sunscreen, subjective general health, dietary assessment and use of calcium or vitamin D supplements was collected using a structured questionnaire.Results: Mean value of age of study subjects was 26.18±2.09 years. Results showed that 50% were male and 50% were females. In this study, 65.50% of the study subjects were Hindu and 30% of study subjects were Muslim. Majority of the study subjects had exposure to sunlight for less than 20 minutes and only 10 out of 200 study subjects had exposure to sunlight for more than 30 minutes. In this study, 97% of the study subjects were vitamin D deficient and only 3% were vitamin D sufficient. Among 196 study subjects with vitamin D deficiency, severe deficiency was present in 30.41% (59 out of 194) of study subjects, moderate deficiency was present in 60.82% (118 out of 194) of study subjects and very few study subjects had mild vitamin D deficiency.Conclusions: Vitamin D deficiency is highly prevalent among healthy medical college students. Lack of awareness regarding importance of vitamin D requirement, inadequate exposure to sunlight, changes in lifestyle and food habits contribute to low vitamin D levels in young population.

A comparative study of Retzius-sparing technique with veil of Aphrodite technique nerve sparing robotic-assisted laparoscopic radical prostatectomy / 中华泌尿外科杂志

Objective To introduce the technique and report our initial experience of Retziussparing robotic-assisted laparoscopic radical prostatectomy (RALP) and compare perioperative outcomes with the standard veil of Aphrodite technique (Veil technique).Methods nineteen Retzius-sparing RALP and 20 Veil nerve sparing RALP with posterior reconstruction for T1c to T2c prostate cancer performed by a single surgical team between 2015 January and 2016 December were retrospectively reviewed.Preoperative data of patients in Retzius-sparing group [patient age (66.3 ± 5.9) years,BMI (25.5 ± 3.1) kg/m2,tPSA (16.4 ± 5.0) ng/ml,biopsy Gleason score 6 (5-7),prostate volume (32.7 ± 7.4) ml and IIEF-5 score 14(5-18)] and Veil group[patient age (64.6 ±7.3) years,BMI (25.5 ±2.0) kg/m2,tPSA (18.5 ± 11.0) ng/ml,biopsy Gleason score 7(5-8),prostate volume (31.4± 10.8)ml and IIEF-5 score 15(6-19)].No significant difference was found between the two group in the above parameters (all P ＞ 0.05).All patients were continent preoperatively.Retzius-sparing RALP and Veil nerve sparing RALP were performed via transperitoneal RALP.Operative time,estimated blood loss,postoperative hospital stay,postoperative staging,postoperative Gleason score,return of urinary continence and postoperative IIEF-5 score of the two groups were statistically analyzed.Results All 39 cases were successfully performed robotically without conversion,transfusion or other major intraoperative and postoperative complications.Postoperative pathology confirmed pT2a 5 cases,pT2b 8 cases and pT2c 6 cases in Retzius-sparing group and pT2a 7 cases,pT2b 5 cases and pT2c 8 cases in Veil group (all P ＞ 0.05).For Retzius group,operative time was (106.5 ± 26.4) min and estimated blood loss was (48.9 ± 20.2) ml;for Veil group,operative time was (93.2± 20.8) min and estimated blood loss was (42.5 ± 16.8) ml.No significant difference was found in the above parameters (all P ＞ 0.05).Urethral catheter was removed at postoperative 7-day (Retzius-sparing group) and 21-day (Veil group),respectively.18 patients in Retzius-sparing group achieved urinary continence (0 pads) immediately after the removal of urinary catheter,while 1 patient returned to full continence in 2 weeks postoperatively.Patients in Veil group returned to continence (6.8 ± 3.6) weeks postoperatively (P ＜ 0.001).At 3-month follow up,IIEF-5 score was 14 (4-16) in Retziussparing group and 14 (4-18) in Veil group;no significant changes was noted in preoperative and postoperative IIEF-5 score in both groups,or in postoperative IIEF-5 scores in the two groups (P ＞ 0.05).No sign of tumor recurrence was appreciated for all cases (tPSA ＜ 0.2 ng/ml) during follow-up of 6 months (3 to 12 months).Conclusions Retzius-sparing RALP and the Veil nerve sparing RALP were both effective for the surgical treatment of localized prostate cancer.Our data revealed no statistical difference in perioperative outcomes between the two approaches,however,the Retzius-sparing technique seemed to yield a better outcome regarding early return to urinary continence postoperatively.

Sexualidades em cena e/ou sexualidades encenadas: o sexual / Sexualities on the scene and/or performed sexualities: the sexual matter / Sexualidades en escena y/o sexualidades escenificadas: lo sexual

A partir da experiência de dirigir o documentário De gravata e unha vermelha, fui levada à ideia de uma sexualidade cenografada e ao questionamento de alguns conceitos psicanalíticos. A roupa como segunda pele me fez repensar os conceitos de máscara e véu, a partir da obra de Joan Riviere. O pensamento lacaniano nos instrumenta ao afirmar que existem apenas semblantes, sejam do homem, sejam da mulher. Qualquer encontro amoroso produz semblantes - isto é, há infinitas possibilidades de encontros.

The experience of directing the documentary Tie and red nails has led me to the idea of performed sexuality, and has made me question some psychoanalytic concepts. Clothing as a second skin has made me rethink the concepts of mask and veil, based on Joan Riviere's work. By assuring there are only countenances either male or female, the Lacanian thinking has enabled us to debate. Every love encounter produces countenances. In other words, there are countless possibilities of encounters.

A partir de la experiencia de dirigir el documental Con corbata y uñas rojas, fui conducida a la idea de la escenografía de la sexualidad y al cuestionamiento de algunos conceptos psicoanalíticos. La ropa como una segunda piel me llevó a replantear los conceptos de máscara y velo, a partir de un texto de Joan Riviere. El pensamiento lacaniano nos instrumentaliza al afirmar que solo hay semblantes, del hombre o de la mujer. Cualquier cita amorosa produce semblantes. Es decir, hay un sinfín de posibilidades de encuentros.

A era do desvelamento e a função do véu / The age of unveiling and the veil's function / L’age du dévoilement et la fonction du voile

Encontramo-nos, na atualidade, imersos em uma sociedade que confere cada vez mais importância às imagens – como podemos verificar nas áreas da segurança, da comunicação, da saúde, dentre outras. Atribuímos tal predominância da imagem à ascensão do discurso da ciência, que propõe que tudo o que é real pode ser conhecido, e, para isso, visto. A este momento atual, centrado na visibilidade, Wajcman o nomeia, em determinado momento de seu livro L'Oeil Absolu, de a “Era do desvelamento”. O presente artigo busca investigar as implicações dessa nomeação, buscando para isso a elucidação do conceito de véu como proposto por Lacan. O objetivo de tal percurso seria o de encontrar recursos para pensar em que termos podemos explicar, pelo ponto de vista psicanalítico, a sociedade centrada no apelo à visibilidade como a identificamos...

We find ourselves, nowadays, immersed in a society which grants more and more importance to images – as we can verify in the fields of security, communication, health, just to mention a few. We attribute this prominence of the image to the rise of science's discourse, which proposes that everything can be known, and for that matter, seen. This present time, focused in visibility, is named by Wajcman as “the age of unveiling”. The present article investigates the implications in this nomination, thus searching to enlighten the concept of veil as proposed by Lacan. The main goal of the present study is to find resources to think in which terms we can explain, from a psychoanalytical point of view, society’s focus on visibility as it has been identified...

Nous nous trouvons de nos jours immergés dans une société qui attribue de plus en plus d’importance aux images – ceci peut être vérifié dans plusieurs domaines, tels que la sécurité, la communication et la santé, pour en citer quelques uns. Nous associons cette proéminence de l’image à l’avènement du discours de la Science qui propose que tout peut être connu et donc vu. Cette actualité centrée sur la visibilité, Wajcman la nomme, a un moment donné de son ouvrage “L’Oeil Absolu”, “L’age du dévoilement”. Cet article investigue les implications de cette nomination, cherchant pour cette raison a élucider le concept de voile tel qu’il fut proposé par Lacan. Le but de ce parcours étant de trouver des ressources pour réfléchir aux termes par lesquels nous pouvons expliquer, du point de vue psychanalytique, la société centrée sur ls visibilité telle que nous l’avons identifiée...

Stickler's Syndrome

Stickler's syndrome is a progressive, hereditary disorder with ocular and systemic features. Ocular findings are vitreous veil or vitreous strand due to vitreous condensation, vitreoretinal degeneration, moderate to severe myopia, vitreous liquefaction, chorioretinal atrophy, retinal detachment and cataract. Systemic findings are midfacial hypoplasia, cleft palate, hearing loss, musculoskeletal abnormalities. The authors experienced 3 cases of stickler's syndrome in three brothers of one family.

Study on the New Healthcare Reform in China from Rawl's Veil of Ignorance / 中国医学伦理学

Returning to its commonweal feature and enhancing impartiality are the focal purposes of Chinese new healthcare reform in the near future.Rawl's theory of justice could explain the past difficulties and indicate the intending complications in the forthcoming innovation.We can see the selfishness of human nature from Rawl's Veil of Ignorance.People's greed will bring about such deadweight to national finance that the goal of the reform has to be inclined to efficiency,which forms again a seasonal movement.

A case of double compartment hydrocephalus

No abstract available.