Intradermal injections with 0.5% minoxidil for the treatment of female androgenetic alopecia: A randomized, placebo-controlled trial.

Female androgenetic alopecia is one cause of alopecia in women, although the ideal treatment for this condition remains far from defined. The objective of this study was to evaluate the efficacy and safety of intradermal injections with 0.5% minoxidil for the management of female androgenetic alopecia in a randomized, placebo-controlled trial. A total of 54 women diagnosed with female androgenetic alopecia were divided into two groups: one group received intradermal injections of 0.5% minoxidil, and the other received 0.9% saline. Biopsy, trichogram, Trichoscan (Tricholog GmbH, Freiburg, Germany), and self-assessment findings were used to evaluate the outcomes of treatment with minoxidil. In the treated group, there was a significant increase in the terminal-to-vellus hair ratio (P < .001) and in the percentage of anagen hairs (P = .048) and an improvement in hair loss and volume (P = .021 and P = .028, respectively). These results show that intradermal injections with minoxidil were more effective than placebo (P < .001) in the treatment of female androgenetic alopecia with a good safety profile.

Relação entre enfermeiros e médicos em hospital escola: a perspectiva dos médicos / Professional relationship between nurses and doctors at the hospital of medical school: the view of doctors

O conflito entre profissionais da medicina e da enfermagem, historicamente as duas principais categorias profissionais responsáveis pelo cuidado do paciente, é originado a partir da associação de diversos fatores que vão desde a constituição da equipe multiprofissional até as questões salariais. O presente estudo pretende verificar se, na visão dos médicos, existe conflito na relação entre médicos e enfermeiros no Hospital das Clínicas da Universidade Federal de Goiás (HC/UFG) e quais são os fatores associados. Para tanto, 30 médicos responderam a um questionário com dados demográficos e perguntas em escala Lickert, sobre as variáveis que interferem na relação interprofissional. Dentre os resultados, a média de idade é de 42,7 anos, 50 por cento dos participantes é do sexo feminino e 93,3 dos entrevistados trabalha em outro lugar. A média de anos de trabalho no HC é de 16,3. Quanto às categorias de conflitos se destacam quatro fatores preventivos de conflitos (Pc) com Ranking Médio (RM) maior que 3,0 e dois geradores de conflito (2Gc), quais sejam: Comunicação interprofissional (RM =3,03); Autonomia na equipe (RM=3,63); Relação interprofissional (RM=3,36); Condições de trabalho (RM=2,26); Influência do hospital escola (RM=2,83) e Reflexo no paciente (RM=3,93). Conclui-se que na realidade analisada o conflito é inexistente, por haver uma relação favorável de fatores protetores (4Pc:2Gc), porém o mesmo é iminente, devido à permanência de fatores que podem desencadeá-lo (Condições de trabalho e Influência do hospital-escola). Além disso, há disputa de poder com a enfermagem, o que pode desequilibrar a situação e gerar problemas éticos.

The conflict between physicians and nurses, historically the two main groups of professionals responsible for patient care, is originated from the combination of several factors ranging from the establishment of the multidisciplinary team to salary issues. This study aims to determine, in the view of physicians, the existence of conflict in the relationship between them and nurses at the Hospital das Clinicas, Universidade Federal de Goiás (HC / UFG) and what factors are associated with it. To this goal, 30 doctors completed a questionnaire with demographic data and questions about the variables that affect the relationship, using a Lickert scale. Among the results, the average of age is 42.7 years, 50 percent of participants are female and 93.3 percent of the respondents worked elsewhere. The average of years of working in the HC is 16.3. Concerning to the conflict, we highlighted four factors of conflict prevention (Pc), with Middle Ranking (RM) greater than 3.0, and two others generators of conflict (2Gc). These factors are: Interprofessional Communication (RM=3.03); Autonomy in Team (RM=3.63); Interprofessional Relationship (RM=3.36); Working Conditions (RM=2.26), Influence of Hospital as a School (RM=2.83) and Patient Benefits (RM = 3,93). We concluded that in the analyzed reality the conflict is considered non-existent, because there is a favorable ratio of protective factors (4Pc:2Gc), but it is imminent, due to the persistence of factors that can unleash it (Working Conditions and Influence of Hospital as a School). Moreover, there is power struggle with nursing, which can unbalance the situation and create ethical problems.