RESUMO
AIM: To evaluate the magnetic resonance imaging (MRI) findings in painful hemiplegic shoulder (PHS) in hemiplegic post-stroke patients. MATERIALS AND METHODS: Patients with hemiplegia following their first cerebrovascular accident who were admitted to the Sarah Network of Hospitals for Rehabilitation were studied. Forty-five patients with pain in the hemiplegic shoulder and 23 post-stroke patients without shoulder pain were investigated. MRI and radiographic findings of the hemiplegic and contralateral asymptomatic shoulders were evaluated. RESULTS: Some MRI findings were more frequent in PHS group, including synovial capsule thickening, synovial capsule enhancement, and enhancement in the rotator cuff interval. CONCLUSIONS: Adhesive capsulitis was found to be a possible cause of PHS.
Assuntos
Hemiplegia/patologia , Cápsula Articular/patologia , Imageamento por Ressonância Magnética/métodos , Articulação do Ombro/patologia , Dor de Ombro/diagnóstico , Acidente Vascular Cerebral/complicações , Feminino , Hemiplegia/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Dor de Ombro/etiologiaRESUMO
INTRODUCTION: Myelomeningocele is a neural tube defect resulting in motor and sensory deficit below the level of the lesion, bowel and neurogenic bladder, sexual dysfunction, cognitive dysfunction, neurodevelopment delay and motor skills disability. During the past decades, hand function impairment has been described in myelomeningocele patients, probably due to central nervous system abnormalities. AIM. To determine the occurrence of upper limb impairment and additional central nervous system abnormalities in patients with myelomeningocele. SUBJECTS AND METHODS: A transversal study including 33 patients with myelomeningocele, 6 years and older, referred to pediatric rehabilitation program at Sarah Network of Rehabilitation Hospital (Fortaleza, Brazil), and 33 control subjects. All patients underwent brain and spinal cord magnetic resonance imaging. RESULTS: Hydrocephalus, Chiari type II malformation with or without kinking of the medullocervical junction, hydrosyringomyelia, spinal cord and brain atrophy were the most common central nervous system abnormalities. Dysmetria, evaluated by the Index-Index Test, was exhibited by 87.9% of the patients and 21.2% of them exhibited dysdiadochokinesia. The mean hand grip strength of the myelomeningocele group was significantly lower compared with the control group (p < 0,001). CONCLUSIONS: High occurrence of upper limb dysfunction and additional central nervous system abnormalities was detected in patients with myelomeningocele, supporting previous studies. Further investigation is still necessary to elucidate the upper limb impairment impact on the daily live activities of the patient with myelomeningocele.
Assuntos
Anormalidades Múltiplas , Braço/fisiopatologia , Sistema Nervoso Central/anormalidades , Meningomielocele/complicações , Adolescente , Adulto , Criança , Estudos Transversais , Feminino , Humanos , MasculinoRESUMO
We report a new variant type of Gaucher's disease characterized by hydrocephalus, corneal opacities, deformed toes, gastroesophageal reflux, and fibrous thickening of splenic and hepatic capsules. This patient had 1 D409H allele. He differed from other reported cases with a 1342G to C (D409H) homozygous mutation (onset at 4 months, no cardiac involvement until the age of 12 years, and massive hepatosplenomegaly with fibrous thickening of spleen and liver capsules). Enzyme replacement therapy was given for 4 years, resulting in an improvement of visceral and hematologic abnormalities but no neurologic improvement.
Assuntos
Opacidade da Córnea/genética , Refluxo Gastroesofágico/genética , Doença de Gaucher/classificação , Doença de Gaucher/genética , Hepatomegalia/genética , Hidrocefalia/genética , Esplenomegalia/genética , Dedos do Pé/anormalidades , Biópsia , Doença de Gaucher/complicações , Doença de Gaucher/diagnóstico , Doença de Gaucher/tratamento farmacológico , Glucosilceramidase/uso terapêutico , Homozigoto , Humanos , Lactente , Japão , Masculino , Mutação/genética , FenótipoAssuntos
Dengue/epidemiologia , Surtos de Doenças , Adolescente , Adulto , Anticorpos Antivirais/sangue , Sudeste Asiático , Côte d'Ivoire , Vírus da Dengue/genética , Vírus da Dengue/imunologia , Vírus da Dengue/isolamento & purificação , Feminino , Guatemala , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Nigéria , Polinésia , Vigilância da População , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Estudos Soroepidemiológicos , ViagemRESUMO
This is a retrospective research with nurses graduated from the Federal University of Paraná (UFPR). A brief review of records such as meetings minutes, reports, and interviews documented the facts that built nursing from 1974 to 1994 at UFPR. The program graduated 467 nurses, to whom a questionnaire, containing open and closed questions, was sent. The sample was constituted of 62 graduates who answered the questionnaire. Qualitative and quantitative outcomes are presented in tables, providing support to curriculum changes and offering an alert to the need of conceptual clarification regarding teaching, practice and nursing research.