Zona cinzenta entre narcolepsia tipo 1 e tipo 2

Univ Fed São Paulo, Dept Psicobiol, São Paulo, SP, BrazilUniv Fed São Paulo, Dept Neurol, São Paulo, SP, BrazilUniv Fed São Paulo, Dept Psicobiol, São Paulo, SP, BrazilUniv Fed São Paulo, Dept Neurol, São Paulo, SP, BrazilWeb of Scienc

Use Of Information And Communication Technologies In Undergraduate Classes Before And After The Pandemic: Perceptions Of Medical Students At A Brazilian University

Higher education is a complex process that goes through continuous  transformations over time, from the origins of the University in medieval Europe to the present time. These changes are not uniform and have been driven by the historical and social moments of each nation. The COVID-19 pandemic hit all countries almost simultaneously and required social distancing and other health measures. This forced schools and universities to change their way of teaching, with the flexibility of activities and implementation of remote classes. This study shows the perception of medical students at a Brazilian public university regarding the use of information and communication technologies before and after the pandemic. Most reported that teachers rarely used these resources in their classes before the pandemic, but started to do so frequently after the pandemic, which provoked a positive impact on facilitating the teaching-learning process. The results obtained suggest that pandemic may have been a driving event for the modernization of university education in Brazil and other countries.

Evaluating the underestimated risk factors associated with carotid artery stenosis

Universidade Federal de São Paulo, Dept Psicobiol, São Paulo, BrazilJohns Hopkins Univ, Baltimore, MD USAFac Med Marilia, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Neurol & Neurocirurgia, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Psicobiol, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Neurol & Neurocirurgia, São Paulo, BrazilWeb of Scienc

Dissecção da artéria carótida interna apresentando-se como cefaléia em salvas

Federal University of São Paulo Department of Neurology and NeurosurgeryHospital Israelita Albert Einstein Critical Care UnitUNIFESP, Department of Neurology and NeurosurgerySciEL

Relato de dois casos de pacientes com narcolepsia com melhora dos sintomas após uso de prednisona

This article focuses on 2 clinical case reports of narcoleptic patients who experienced an absence of excessive sleepiness during treatment of other illnesses with 40 mg daily intake of prednisone.Este artigo refere-se à discussão de 2 casos de pacientes portadores de narcolepsia que apresentaram remissão de hipersonolência diurna excessiva durante tratamento de outras doenças com 40 mg de prednisona.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUniversidade Federal de São Paulo (UNIFESP)Universidade Federal de São Paulo (UNIFESP) EPMUniversidade Federal de São Paulo (UNIFESP) EPM Departamento de PsicobiologiaUNIFESP, EPMUNIFESP, EPM, Depto. de PsicobiologiaSciEL

Narcolepsy

BACKGROUND: Narcolepsy is a chronic neurological syndrome with prevalence between 0.018% and 0.040% without important ethnic differences. Narcolepsy is characterized by excessive daytime sleepiness and cataplexy. The pathophysiology of the illness is not known; even so it possesses genetic marker (allele HLA DQB1 *0602) and with abnormalities in the neurotransmission of hypocretin has been described in patients with narcolepsy. OBJECTIVES: Resume news discoveries in narcolepsy and show diagnoses and treatment options. METHODS: Bibliographic review. RESULTS AND DISCUSSION: The diagnoses of narcolepsy must be done with The International Classification of Sleep Disorders criteria. The hypocretin dosage is the best exam to confirm diagnose in narcoleptic patients with typical cataplexy. The treatment is carried through with behavior actions and symptomatic drugs that promote the vigil and control the cataplexy. Differential diagnoses as schizophrenia, epilepsy, depression and others sleep disorders need to be eliminated.CONTEXTO: Narcolepsia é uma síndrome neurológica crônica com prevalência entre 0,018% e 0,040% da população, sem diferenciações étnicas importantes. Caracteriza-se por sonolência e cataplexia. A fisiopatologia da doença não é totalmente conhecida, embora possua marcador genético (alelo HLA DQB1 *0602) e anormalidades na neurotransmissão de hipocretina descritos recentemente. OBJETIVOS: Resumir as recentes descobertas na narcolepsia e expor possibilidades diagnósticas e terapêuticas. METODOLOGIA: Revisão bibliográfica. RESULTADOS E DISCUSSÃO: O diagnóstico deve seguir os critérios da Classificação Internacional de Sono. A dosagem de hipocretina é o melhor exame para confirmar narcolepsia em pacientes com cataplexia típica. O tratamento deve ser realizado com medidas comportamentais e drogas sintomáticas que promovem a vigília e controlam a cataplexia. Diagnósticos diferenciais como esquizofrenia, epilepsia, depressão e doenças do sono devem ser descartados.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaHospital Israelita Albert Einstein Setor de UrgênciasUniversidade de São Paulo Hospital da Clínicas Serviço de HemodiáliseInstituto do SonoUNIFESP-EPM Departamento de PsicobiologiaUNIFESP, EPM, Depto. de PsicobiologiaSciEL

Pain-induced depression is related to overestimation of sleep quality in a very elderly population with pain

Objective: To study the quality of sleep in very elderly people with chronic pain. Methods: We investigated 51 very elderly people without dementia and with chronic pain according to the Geriatric Pain Measure. Katz and Lawton questionnaires were used to evaluate functionality. The Geriatric Depression Scale and Geriatric Psychosocial Assessment of Pain-induced Depression were also used. Self-perceptions of sleep and quality of sleep were checked using the Pittsburgh Sleep Quality Index. Results: Moderate pain was seen in 64.7% participants. The tracking of depression was positive for 41.2%. Poor quality of sleep was noted in 49% of them, but 82.3% perceived that they had a very good, or a good, sleep. The main factors associated with poor sleep quality were measurement of pain, self-perception of sleep, and pain-induced depression. Conclusion: Very elderly people with chronic pain, and without dementia, had a higher prevalence of poor sleephowever, they overestimated their sleep quality. Poor quality of sleep was associated with a poor self-perception of sleep and pain-induced depression.Univ Fed Sao Paulo, Discipline Geriatria & Gerontol, Serv Dor & Doenoas Osteoarticulares, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Psicobiol, Ambulatorio Sonolencia Excess Diurna, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Neurol & Neurocirurgia, Sao Paulo, SP, BrazilUniversidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, BrasilUniversidade Federal de São Paulo, Departamento de Psicobiologia, Ambulatório de Sonolência Excessiva Diurna, São Paulo SP, BrasilUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, BrasilWeb of Scienc