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[PMID]:28455389
[Au] Autor:Schott JM
[Ti] Título:The neurology of ageing: what is normal?
[So] Source:Pract Neurol;17(3):172-182, 2017 Jun.
[Is] ISSN:1474-7766
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Ageing is associated with changes in the nervous system with consequent alterations in some neurological examination findings: understanding what is 'normal' at different ages is essential when evaluating patients. In seminal papers published in 1931, Dr MacDonald Critchley summarised his observations and the prevailing evidence on the effects of ageing on, among others, sensation, reflexes, ocular function, olfaction, movement and cognition. In this review, these observations are re-evaluated in light of contemporary evidence. Factors influencing the measurement and interpretation of these clinical findings are then discussed, including reproducibility, the influence of comorbidities, secular trends, how 'normality' should best be defined, the problems of extrapolating group data to individuals and the influence of presymptomatic neurodegenerative disease states. The case is made that context is critical, and that combining life course data with detailed clinical and biomarker phenotyping is required to understand the determinants of normal neurological function associated with ageing.
[Mh] Termos MeSH primário: Envelhecimento/fisiologia
Doenças do Sistema Nervoso
Neurologia/métodos
[Mh] Termos MeSH secundário: Animais
História do Século XX
Seres Humanos
Doenças do Sistema Nervoso/diagnóstico
Doenças do Sistema Nervoso/história
Doenças do Sistema Nervoso/terapia
Neurologia/história
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1136/practneurol-2016-001566


  2 / 14186 MEDLINE  
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[PMID]:28457155
[Au] Autor:Sanders AE; Nininger J; Absher J; Bennett A; Shugarman S; Roca R
[Ti] Título:Quality Improvement in Neurology: Dementia Management Quality Measurement Set Update.
[So] Source:Am J Psychiatry;174(5):493-498, 2017 05 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Demência/terapia
Neurologia/normas
Melhoria de Qualidade
Qualidade da Assistência à Saúde/normas
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2017.17401


  3 / 14186 MEDLINE  
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Texto completo SciELO Brasil
[PMID]:29236830
[Au] Autor:Delgado-García G; Rodríguez-Návarez C; Estañol B
[Ad] Endereço:Autonomous University of Nuevo León, University Hospital, Department of Internal Medicine, Monterrey, Mexico.
[Ti] Título:The charming physician (El médico encantador): neurological conditions in a short story by Silvina Ocampo.
[So] Source:Arq Neuropsiquiatr;75(11):830-832, 2017 Nov.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:The Argentinian author Silvina Ocampo (1903-1993) left us a vast body of works which are considered outstanding in many ways. In 1960, she published a short story, entitled "El médico encantador" (The Charming Physician), in the renowned literary magazine Sur. The central character of this piece is a family doctor named Albino Morgan, who had a secret truth: in any house he visited, all variety of disease also entered. He brought with him the viruses he disseminated. The narrator of this short story-one of his patients-describes four of Morgan's diseases. These imaginary neurological conditions allowed Ocampo to explore improbable situations in everyday life.
[Mh] Termos MeSH primário: Medicina na Literatura
Neurologia
Redação/história
[Mh] Termos MeSH secundário: Argentina
História do Século XX
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Ocampo S
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  4 / 14186 MEDLINE  
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[PMID]:29236829
[Au] Autor:Teive HAG; Marques P; Germiniani FMB; Walusinski O
[Ad] Endereço:Universidade Federal do Paraná, Hospital de Clínicas, Departamento de Clínica Médica, Serviço de Neurologia, Curitiba PR, Brasil.
[Ti] Título:Requiem for a neurologist: the funeral rites of Jean-Martin Charcot.
[So] Source:Arq Neuropsiquiatr;75(11):827-829, 2017 Nov.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Jean-Martin Charcot, the founder of modern neurology and leading figure in international neurology in the 19th century, died on August 16, 1893, in the province of Morvan in the French countryside, at the age of 67. The funeral service was held in Paris at the La Salpêtrière Hospital, and Charcot was buried in Montmartre cemetery in the same city.
[Mh] Termos MeSH primário: Rituais Fúnebres
Neurologia/história
[Mh] Termos MeSH secundário: França
História do Século XIX
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS
[Ps] Nome de pessoa como assunto:Charcot J
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29184183
[Au] Autor:Boesmans W; Hao MM; Vanden Berghe P
[Ad] Endereço:Laboratory for Enteric Neuroscience (LENS), Translational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Herestraat 49, O&N 1 Box 701, 3000 Leuven, Belgium.
[Ti] Título:Optogenetic and chemogenetic techniques for neurogastroenterology.
[So] Source:Nat Rev Gastroenterol Hepatol;15(1):21-38, 2018 Jan.
[Is] ISSN:1759-5053
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Optogenetics and chemogenetics comprise a wide variety of applications in which genetically encoded actuators and indicators are used to modulate and monitor activity with high cellular specificity. Over the past 10 years, development of these genetically encoded tools has contributed tremendously to our understanding of integrated physiology. In concert with the continued refinement of probes, strategies to target transgene expression to specific cell types have also made much progress in the past 20 years. In addition, the successful implementation of optogenetic and chemogenetic techniques thrives thanks to ongoing advances in live imaging microscopy and optical technology. Although innovation of optogenetic and chemogenetic methods has been primarily driven by researchers studying the central nervous system, these techniques also hold great promise to boost research in neurogastroenterology. In this Review, we describe the different classes of tools that are currently available and give an overview of the strategies to target them to specific cell types in the gut wall. We discuss the possibilities and limitations of optogenetic and chemogenetic technology in the gut and provide an overview of their current use, with a focus on the enteric nervous system. Furthermore, we suggest some experiments that can advance our understanding of how the intrinsic and extrinsic neural networks of the gut control gastrointestinal function.
[Mh] Termos MeSH primário: Gastroenterologia
Neurologia
Optogenética
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE
[do] DOI:10.1038/nrgastro.2017.151


  6 / 14186 MEDLINE  
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[PMID]:29206006
[Au] Autor:Huertas
[Ti] Título:The beginning of Francoist psychiatry: the National Neurology and Psychiatry Conference (Barcelona, 1942).
[So] Source:Dynamis;37(1):23-43, 2017.
[Is] ISSN:0211-9536
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:While there has been some research into Francoist psychiatry, much work still needs to be done on the reorganization of the mental health profession within the new state. Held in Barcelona on 12, 13 and 14th January 1942, the National Neurology and Psychiatry Conference undoubtedly played a major role in the attempt to overthrow the dominant ideas in the field of Spanish psychiatry and displace its most influential figures. This article seeks to analyse the Conference's main organizational features and examine its most significant content, with the aim of evaluating its strategic importance in the context of both the psychiatrists' professional and scientific interests and their ideological and political concerns. Conference papers tackled issues such as neurology and psychiatry in wartime, vitamin deficiency and the nervous system, and new psychiatric treatments, including shock therapy. The Conference's marked ideological nature represented the beginning of a new professional dynamic, featuring the emergence or establishment of new leaders intent on laying the foundations of psychiatry during the early years of the Franco regime.
[Mh] Termos MeSH primário: Congressos como Assunto/história
Fascismo
Neurologia/história
Psiquiatria/história
[Mh] Termos MeSH secundário: História do Século XX
Espanha
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:QIS
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


  7 / 14186 MEDLINE  
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[PMID]:29236894
[Au] Autor:Vitturi BK; Sanvito WL
[Ad] Endereço:Santa Casa de São Paulo, Faculdade de Ciências Médicas, Disciplina de Neurologia, São Paulo SP, Brasil.
[Ti] Título:What do Flaubert, Dostoevsky and Machado de Assis have in common with neurology?
[So] Source:Arq Neuropsiquiatr;75(12):892-894, 2017 Dec.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:The Frenchman Gustave Flaubert, the Russian Fyodor Dostoevsky and the Brazilian Machado de Assis are known for their immeasurable contributions to literature. However, what most people do not know is that all three authors suffered from epilepsy and were affected by their neurological condition in different ways. We offer a short description of how epilepsy influenced their lives, how they dealt with it and how their neurological condition was present in their novels and correspondence. Their lives are excellent examples of how intimately neurology can be entwined in art and history, and provide an important perspective on patients with epilepsy.
[Mh] Termos MeSH primário: Epilepsia/história
Pessoas Famosas
Medicina na Literatura/história
Neurologia/história
[Mh] Termos MeSH secundário: Brasil
França
História do Século XIX
História do Século XX
Seres Humanos
Federação Russa
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Flaubert G; Dostoevsky F; Machado de Assis
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29229692
[Au] Autor:Rosendale N; Josephson SA
[Ad] Endereço:From the University of California San Francisco.
[Ti] Título:Residency Training: The need for an integrated diversity curriculum for neurology residency.
[So] Source:Neurology;89(24):e284-e287, 2017 Dec 12.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Providing culturally responsive care to an increasingly multicultural population is essential and requires formal cultural humility training for residents. We sought to understand the current prevalence and need for this type of training within neurology programs and to pilot an integrated curriculum locally. NEEDS ASSESSMENT: We surveyed via email all program directors of academic neurology programs nationally regarding the prevalence of and need for formal cultural responsiveness training. Forty-seven program directors (36%) responded to the survey. The majority of respondents did not have a formalized diversity curriculum in their program (65%), but most (85%) believed that training in cultural responsiveness was important. PROGRAM DESCRIPTION: We developed locally an integrated diversity curriculum as a proof of concept. The curriculum covered topics of diversity in language, religion, sexual orientation, gender identity/expression, and socioeconomic status designed to focus on the needs of the local community. Program evaluation included a pre and post survey of the learner attitudes toward cultural diversity. FUTURE DIRECTIONS: There is an unmet need for cultural responsiveness training within neurology residencies, and integrating this curriculum is both feasible and efficacious. When adapted to address cultural issues of the local community, this curriculum can be generalizable to both academic and community organizations.
[Mh] Termos MeSH primário: Diversidade Cultural
Assistência à Saúde Culturalmente Competente
Currículo
Educação de Pós-Graduação em Medicina/métodos
Internato e Residência
Neurologia/educação
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
Projetos Piloto
Desenvolvimento de Programas
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004751


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[PMID]:29229691
[Au] Autor:Freedman DA; Albert DVF
[Ad] Endereço:From the Department of Pediatrics, Division of Neurology, Nationwide Children's Hospital/Ohio State University, Columbus. daniel.freedman@nationwidechildrens.org.
[Ti] Título:Opinion and Special Articles: Neurology education at US osteopathic medical schools.
[So] Source:Neurology;89(24):e282-e283, 2017 Dec 12.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Osteopathic medical schools have a longstanding tradition of training primary care physicians (PCP). Neurologic symptoms are common in the PCP's office and there is an undersupply of neurologists in the United States. It is therefore crucial for osteopathic medical students to have a strong foundation in clinical neurology. Despite the importance, a mere 6% of osteopathic medical schools have required neurology clerkships. Furthermore, exposure to neurology in medical school through required clerkships has been correlated with matching into neurology residency. As osteopathic medical schools continue to expand, it will become increasingly important to emphasize the American Academy Neurology's published guidelines for a core clerkship curriculum. Practicing neurologists should take an active role in encouraging osteopathic medical schools to adopt these guidelines.
[Mh] Termos MeSH primário: Educação de Graduação em Medicina
Neurologia/educação
Medicina Osteopática/educação
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Currículo
Seres Humanos
Faculdades de Medicina
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004750


  10 / 14186 MEDLINE  
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[PMID]:28892534
[Au] Autor:Gupta DK; Khandker N; Stacy K; Tatsuoka CM; Preston DC
[Ad] Endereço:The Neurological Institute of New York, Columbia University Medical Center, Columbia University, New York.
[Ti] Título:Utility of Combining a Simulation-Based Method With a Lecture-Based Method for Fundoscopy Training in Neurology Residency.
[So] Source:JAMA Neurol;74(10):1223-1227, 2017 Oct 01.
[Is] ISSN:2168-6157
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Fundoscopic examination is an essential component of the neurologic examination. Competence in its performance is mandated as a required clinical skill for neurology residents by the American Council of Graduate Medical Education. Government and private insurance agencies require its performance and documentation for moderate- and high-level neurologic evaluations. Traditionally, assessment and teaching of this key clinical examination technique have been difficult in neurology residency training. Objective: To evaluate the utility of a simulation-based method and the traditional lecture-based method for assessment and teaching of fundoscopy to neurology residents. Design, Setting, and Participants: This study was a prospective, single-blinded, education research study of 48 neurology residents recruited from July 1, 2015, through June 30, 2016, at a large neurology residency training program. Participants were equally divided into control and intervention groups after stratification by training year. Baseline and postintervention assessments were performed using questionnaire, survey, and fundoscopy simulators. Interventions: After baseline assessment, both groups initially received lecture-based training, which covered fundamental knowledge on the components of fundoscopy and key neurologic findings observed on fundoscopic examination. The intervention group additionally received simulation-based training, which consisted of an instructor-led, hands-on workshop that covered practical skills of performing fundoscopic examination and identifying neurologically relevant findings on another fundoscopy simulator. Main Outcomes and Measures: The primary outcome measures were the postintervention changes in fundoscopy knowledge, skills, and total scores. Results: A total of 30 men and 18 women were equally distributed between the 2 groups. The intervention group had significantly higher mean (SD) increases in skills (2.5 [2.3] vs 0.8 [1.8], P = .01) and total (9.3 [4.3] vs 5.3 [5.8], P = .02) scores compared with the control group. Knowledge scores (6.8 [3.3] vs 4.5 [4.9], P = .11) increased nonsignificantly in both groups. Conclusions and Relevance: This study supports the use of a simulation-based method as a supplementary tool to the lecture-based method in the assessment and teaching of fundoscopic examination in neurology residency.
[Mh] Termos MeSH primário: Competência Clínica
Simulação por Computador
Educação de Pós-Graduação em Medicina/métodos
Neurologia/educação
Oftalmoscopia
Ensino
[Mh] Termos MeSH secundário: Instrução por Computador
Avaliação Educacional
Feminino
Seres Humanos
Internato e Residência
Masculino
Estudos Retrospectivos
Método Simples-Cego
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE
[do] DOI:10.1001/jamaneurol.2017.2073



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