996 resultados para Agricultura Biológica


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Context - Several paradoxical cases of infliximab-induced or-exacerbated psoriatic lesions have been described in the recent years. There is disagreement regarding the need to discontinue infliximab in order to achieve the resolution of these adverse cutaneous reactions specifically in inflammatory bowel disease (IBD) patients. Objective - To systematically review the literature to collect information on IBD patients that showed this adverse cutaneous reaction, focusing mainly on the therapeutic approach. Methods - A systematic literature review was performed utilizing Medline, Embase, SciELO and Lilacs databases. Published studies were identified, reviewed and the data were extracted. Results - Thirty-four studies (69 IBD patients) met inclusion criteria for review. There was inconsistency in reporting of some clinical and therapeutic aspects. Most patients included had Crohn's disease (89.86%), was female (47.83%), had an average age of 27.11 years, and no reported history of psoriasis (84.05%). The patients developed primarily plaque-type psoriasis (40.58%). There was complete remission of psoriatic lesions in 86.96% of IBD patients, existing differences in the therapeutic approaches; cessation of infliximab therapy led to resolution in 47.83% of cases and 43.48% of patients were able to continue infliximab therapy. Conclusion - As increasing numbers of IBD patients with psoriasis induced or exacerbated by infliximab, physicians should be aware of its clinical manifestations so that appropriate diagnosis and treatment are properly established. The decision whether to continue or discontinue infliximab should be individualized.

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Nova Alta Paulista region, with strong aptitude for agribusiness, is one of the poorest in the state of São Paulo. However, the development of agribusiness productive chains in the region is very heterogeneous. The study aimed at analyzing how the historical background and organizational arrangements in family farming have contributed to regional development by promoting improvements in social welfare at Nova Alta Paulista region. To this end, we analyzed the case of the Associação Agrícola de Junqueirópolis - AAJ, an organization that has been successful in the search for alternative of agricultural production. Integrated to local and global market, this organization has ensured the maintenance of many farmers and generated positive externalities for the entire region. Thus, this case shows the organizational arrangement based on cooperation can be an alternative for family farmers achieve higher levels of welfare and development.

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