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RESUMO Este consenso realizado pela Academia Brasileira de Neurologia (ABN) abordará de maneira prática como avaliar pacientes com queixas cognitivas e como realizar o diagnóstico clínico e etiológico das três síndromes clínicas associadas aos estágios de declínio cognitivo: declínio cognitivo subjetivo (DCS), comprometimento cognitivo leve (CCL) e demência. O diagnóstico de DCS é discutido pela primeira vez em consenso da ABN e as atualizações para o diagnóstico de CCL e demência são abordadas, bem como a recomendação para o uso de testes cognitivos apropriados, investigação etiológica pertinente e cuidados aos pacientes com declínio cognitivo nos diferentes níveis de atenção do Sistema Único de Saúde. Foi realizada pesquisa dos principais instrumentos de avaliação utilizados em nosso meio e na América Latina.

ABSTRACT This consensus, performed by the Brazilian Academy of Neurology (BAN) will approach practically how to evaluate patients with cognitive complaints and how to clinically and etiologically diagnose the three clinical syndromes associated with the different stages of cognitive decline: subjective cognitive decline (SCD), mild cognitive impairment (MCI), and dementia. This BAN consensus discusses SCD diagnosis for the first time, updates MCI and dementia diagnoses, recommends the adequate cognitive tests and the relevant etiological work-up and care of patients with cognitive decline at different levels of care within the Brazilian Unified Health System. We also review the main assessment instruments used in Brazil and Latin America.

https://doi.org/10.1590/1980-5764-dn-2022-s101pt

Factors associated with hospitalizations for Covid-19 in patients with rheumatoid arthritis: data from the Reumacov Brazil registry
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Gomides, Ana Paula Monteiro

; Albuquerque, Cleandro Pires de

; Mota, Licia Maria Henrique da

; Devidé, Guilherme

; Dias, Laiza Hombre

; Duarte, Angela Luzia Branco Pinto

; Giovelli, Raquel Altoé

; Karnopp, Thais Evelyn

; Lima, Hugo Deleon de

; Marinho, Adriana

; Oliveira, Marianne Schrader de

; Omura, Felipe

; Ranzolin, Aline

; Resende, Gustavo

; Ribeiro, Francinne Machado

; Ribeiro, Sandra Lúcia Euzébio

; Sacilotto, Nathália de Carvalho

; Santos, Wander Gonzaga dos

; Shinjo, Samuel Katsuyuki

; Studart, Samia Araujo de Sousa

; Teixeira, Flávia Patricia Sena

; Yazbek, Michel Alexandre

; Ferreira, Gilda Aparecida

; Monticielo, Odirlei A.

; Paiva, Eduardo

; Pileggi, Gecilmara Cristina Salviato

; Reis Neto, Edgard Torres dos

; Pinheiro, Marcelo de Medeiros

; Marques, Claudia D. L.

Advances in Rheumatology

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2022, Volume 62 elocation 13

Abstract: En | Text: En | PDF: En

Abstract Background: Patients using immunosuppressive drugs may have unfavorable results after infections. However, there is a lack of information regarding COVID 19 in these patients, especially in patients with rheumatoid arthritis (RA). Therefore, the aim of this study was to evaluate the risk factors associated with COVID 19 hospitalizations in patients with RA. Methods: This multicenter, prospective cohort study is within the ReumaCoV Brazil registry and included 489 patients with RA. In this context, 269 patients who tested positive for COVID 19 were compared to 220 patients who tested negative for COVID 19 (control group). All patient data were collected from the Research Electronic Data Capture database. Results: The participants were predominantly female (90.6%) with a mean age of 53 ±12 years. Of the patients with COVID 19, 54 (20.1%) required hospitalization. After multiple adjustments, the final regression model showed that heart disease (OR =4.61, 95% CI 1.06–20.02. P < 0.001) and current use of glucocorticoids (OR =20.66, 95% CI 3.09–138. P < 0.002) were the risk factors associated with hospitalization. In addition, anosmia was associated with a lower chance of hospitalization (OR =0.26; 95% CI 0.10–0.67, P < 0.005). Conclusion: Our results demonstrated that heart disease and the use of glucocorticoids were associated with a higher number of hospital admissions for COVID 19 in patients with RA. Trial registration: Brazilian Registry of Clinical Trials RBR 33YTQC.

https://doi.org/10.1186/s42358-022-00244-5

Self-injurious behavior and related mortality in children under 10 years of age: a retrospective health record study in Brazil
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Studart-Bottó, Paula

; Martins-Junior, Davi F.

; Sarmento, Stella

; Argolo, Lucas

; Galvão-de-Almeida, Amanda

; Miranda-Scippa, Ângela

Brazilian Journal of Psychiatry

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feb 2020, Volume 42 N. 1 Pages 40 - 45

Abstract: En | Text: En | PDF: En

Objective: To describe and analyze data on self-injurious behavior (SIB) and related mortality in children under 10 years old in Brazil. Methods: A descriptive study was performed using secondary public health care data extracted from the Hospital Information System (Sistema de Informações Hospitalares, SIH) and Mortality Information System (Sistema de Informações sobre Mortalidade, SIM) in Brazil. The databases are available for online access at http://datasus.saude.gov.br/. Results: In Brazil, according to SIH data, 11,312 hospitalizations of patients under 10 years of age were recorded from 1998 to 2018 as resulting from SIB (ICD-10 X60-X84 codes). Of these, 65 resulted in death. According to the SIM, from 1996 to 2016, 91 deaths related to SIB were recorded, 81 (89%) in children aged 5 to 9 years, nine (9.9%) in children aged 1 to 4 years, and one (1.1%) in a child below 1 year of age. Conclusion: These results highlight the relevance of creating measures to better understand SIB and related mortality in this age group. They also reveal the vulnerability of children in Brazil and warrant further studies to address these issues.

https://doi.org/10.1590/1516-4446-2018-0355 567 downloads

Dermal filler-related oral lesion
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Rodrigues Carvalho, Francisco Samuel

; Studart Soares, Eduardo Costa

; Pinheiro Feitosa, Victor

; Lima Mota, Mário Rogério

; Negreiros Nunes Alves, Ana Paula

; Gurgel Costa, Fábio Wildson

Revista Cubana de Estomatología

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jun 2018, Volume 55 N. 2 Pages 1 - 7

Abstract: En | Text: En | PDF: En

Suicide attempts in bipolar I patients: impact of comorbid personality disorders
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Bezerra Filho, Severino

; Galvão-de-Almeida, Amanda

; Studart, Paula

; Martins Jr., Davi F.

; Caribé, André C.

; Schwingel, Paulo A.

; Miranda-Scippa, Ângela

Brazilian Journal of Psychiatry

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jun 2017, Volume 39 N. 2 Pages 133 - 139

Abstract: En | Text: En | PDF: En

Objective: To evaluate the association between personality disorders (PDs) and suicide attempts (SAs) in euthymic patients with type I bipolar disorder (BD). Methods: One-hundred twenty patients with type I BD, with and without history of SA, were evaluated during euthymia. The assessment included a clinical and sociodemographic questionnaire, the Hamilton Depression Rating Scale, the Young Mania Rating Scale, the Barratt Impulsiveness Scale, and Structured Clinical Interviews for DSM-IV Axis I and II Disorders. Logistic regression was employed to determine associations between history of SA and patient characteristics. Results: History of SA was significantly associated with comorbid axis I disorder, rapid cycling, high impulsivity (attentional, motor, non-planning, and total), having any PD, and cluster B and C PDs. Only cluster B PDs, high attentional impulsivity, and lack of paid occupation remained significant after multivariate analysis. Conclusions: Cluster B PDs were significantly associated with SA in patients with type I BD. High attentional impulsivity and lack of gainful employment were also associated with SA, which suggests that some cluster B clinical and social characteristics may exacerbate suicidal behavior in this population. This finding offers alternatives for new therapeutic interventions.

https://doi.org/10.1590/1516-4446-2016-1982 1519 downloads

Social support and bipolar disorder
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Studart, Paula Mendonça

; Bezerra Filho, Severino

; Studart, Ana Beatriz Didier

; Almeida, Amanda Galvão-de

; Miranda-Scippa, Ângela

Archives of Clinical Psychiatry (São Paulo)

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aug 2015, Volume 42 N. 4 Pages 95 - 99

Abstract: En | Text: En | PDF: En

Background Bipolar disorder is a chronic condition that affects the functioning of its carriers in many different ways, even when treated properly. Therefore, it’s also important to identify the psychosocial aspects that could contribute to an improvement of this population’s quality of life.Objective Carry out a literature review on the role of social support in cases of bipolar disorder.Method A research on the following online databases PubMed, Lilacs and SciELO was conducted by using the keywords “social support” or “social networks” and “mood disorders” or “bipolar disorder” or “affective disorder,” with no defined timeline.Results Only 13 studies concerning the topic of social support and BD were found in the search for related articles. Generally speaking, the results show low rates of social support for BD patients.Discussion Despite the growing interest in the overall functioning of patients with bipolar disorder, studies on social support are still rare. Besides, the existing studies on the subject use different methodologies, making it difficult to establish data comparisons.

https://doi.org/10.1590/0101-60830000000057 6993 downloads

Personality disorders in euthymic bipolar patients: a systematic review
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Bezerra-Filho, Severino

; Almeida, Amanda Galvão-de

; Studart, Paula

; Rocha, Marlos V.

; Lopes, Frederico L.

; Miranda-Scippa, Ângela

Brazilian Journal of Psychiatry

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jun 2015, Volume 37 N. 2 Pages 162 - 167

Abstract: En | Text: En | PDF: En

Objective:To identify, by means of a systematic review, the frequency with which comorbid personality disorders (PDs) have been assessed in studies of euthymic bipolar patients.Methods:PubMed, ciELO and PsychINFO databases were searched for eligible articles published between 1997 and 2013. After screening 1,249 empirical papers, two independent reviewers identified three articles evaluating the frequency of PDs in patients with bipolar disorders assessed in a state of euthymia.Results:The total sample comprised 376 euthymic bipolar patients, of whom 155 (41.2%) had at least one comorbid PD. Among them, we found 87 (23.1%) in cluster B, 55 (14.6%) in cluster C, and 25 (6.6%) in cluster A. The frequencies of PD subtypes were: borderline, 38 (10.1%); histrionic, 29 (7.7%); obsessive-compulsive, 28 (7.4%); dependent, 19 (5%); narcissistic, 17 (4.5%); schizoid, schizotypal, and avoidant, 11 patients each (2.95%); paranoid, five (1.3%); and antisocial, three (0.79%).Conclusion:The frequency of comorbid PD was high across the spectrum of euthymic bipolar patients. In this population, the most common PDs were those in cluster B, and the most frequent PD subtype was borderline, followed by histrionic and obsessive-compulsive.

https://doi.org/10.1590/1516-4446-2014-1459 4597 downloads

Estresse dos profissionais enfermeiros que atuam na unidade de terapia intensiva
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Monte, Paula França

; Lima, Francisca Elisângela Teixeira

; Neves, Fernanda Macedo de Oliveira

; Studart, Rita Mônica Borges

; Dantas, Rodrigo Tavares

Acta Paulista de Enfermagem

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2013, Volume 26 N. 5 Pages 421 - 427

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

OBJECTIVE: Evaluate stress in the work environment of professional nurses inside Intensive Care Units and identify the stressing agents associated to the triggering of stress, according to the Bianchi Stress Scale. METHODS: Cross-sectional study developed with 22 nurses at the intensive therapy unit of a public pediatric hospital. RESULTS: Despite the complete and effective performance of ICU nurses in face of the patient's instability, the conditions external to this situation are more stressing. CONCLUSION: The nurses have presented higher stress levels in the activities related to work conditions to perform activities and those related to personnel administration.

OBJETIVO: Avaliar o estresse no ambiente de trabalho dos profissionais enfermeiros dentro das Unidades de Terapia Intensiva e identificar os agentes estressores associados ao desencadeamento do estresse segundo a Escala Bianchi de Estresse. MÉTODOS: Estudo transversal, desenvolvido com 22 enfermeiros da unidade de terapia intensiva de um hospital público pediátrico. RESULTADOS: Enfermeiro da UTI, apesar de sua completa e efetiva atuação frente à instabilidade do estado do paciente, as condições externas a essa situação são mais estressantes. CONCLUSÃO: Os enfermeiros apresentaram maiores índices de estresse nas atividades relacionadas às condições de trabalho para o desempenho das atividades e relacionadas à administração de pessoal.

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Estresse dos profissionais enfermeiros que atuam na unidade de terapia intensiva
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Monte, Paula França

; Lima, Francisca Elisângela Teixeira

; Neves, Fernanda Macedo de Oliveira

; Studart, Rita Mônica Borges

; Dantas, Rodrigo Tavares

Acta Paulista de Enfermagem

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2013, Volume 26 N. 5 Pages 421 - 427

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

17128 downloads Cited 3 times in SciELO

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Normatização dos equipamentos e das técnicas para a realização de exames de ultra-sonografia vascular
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Belem, Luciano Herman Juaçaba

; Nogueira, Antonio Carlos Santos

; Schettino, Claudio Domenico

; Barros, Marcio Vinicius Lins

; Alcantara, Monica Luiza de

; Studart, Paulo Cesar de Carvalho

; Araújo, Paula Pimentel de

; Amaral, Salomon Israel do

; Barretto, Simone

; Guimarães, Jorge Ilha

Arquivos Brasileiros de Cardiologia

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apr 2004, Volume 82 Suppl. 6 Pages 1 - 14

Abstract: Pt | Text: Pt | PDF: Pt

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