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  1. Article ; Online: Feasibility, safety, and adherence of a remote physical and cognitive exercise protocol for older women.

    Peixoto, Cristiane / Matioli, Maria Niures Pimentel Dos Santos / Takano, Satiko Andrezza Ferreira / Teixeira, Maurício Silva / Passos Neto, Carlos Eduardo Borges / Brucki, Sonia Maria Dozzi

    Arquivos de neuro-psiquiatria

    2024  Volume 82, Issue 4, Page(s) 1–9

    Abstract: Background:  Population aging and the consequences of social distancing after the COVID-19 pandemic make it relevant to investigate the feasibility of remote interventions and their potential effects on averting functional decline.: Objective:  (1) ... ...

    Title translation Viabilidade, segurança e aderência de um protocolo remoto de exercícios físicos e cognitivos para mulheres idosas.
    Abstract Background:  Population aging and the consequences of social distancing after the COVID-19 pandemic make it relevant to investigate the feasibility of remote interventions and their potential effects on averting functional decline.
    Objective:  (1) To investigate the feasibility, safety, and adherence of a remote protocol involving physical and cognitive exercises for older women with normal cognition; (2) to examine its effects on cognitive and well-being variables.
    Methods:  Twenty-nine women (age ≥ 60 years old) were randomized into experimental group (EG;
    Results:  Overall adherence was 82.25% in EG and 74.29% in CG. The occurrence of adverse events (mild muscle pain) was 33.3% in EG and 21.4% in CG. The EG improved verbal fluency and attention (
    Conclusion:  The present study met the pre-established criteria for feasibility, safety, and adherence to the remote exercise protocol among older women. The results suggest that a combined protocol has more significant potential to improve cognitive function. Both interventions were beneficial in improving the subjective perception of well-being.
    MeSH term(s) Humans ; Female ; Aged ; Feasibility Studies ; COVID-19/prevention & control ; Middle Aged ; Exercise Therapy/methods ; Patient Compliance ; Cognition/physiology ; SARS-CoV-2
    Language English
    Publishing date 2024-04-23
    Publishing country Germany
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0044-1785690
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Feasibility, safety, and adherence of a remote physical and cognitive exercise protocol for older women

    Peixoto, Cristiane / Matioli, Maria Niures Pimentel dos Santos / Takano, Satiko Andrezza Ferreira / Teixeira, Maurício Silva / Passos Neto, Carlos Eduardo Borges / Brucki, Sonia Maria Dozzi

    Arquivos de Neuro-Psiquiatria

    (April)

    2024  Volume 82, Issue 04, Page(s) 1–9

    Abstract: Background: Population aging and the consequences of social distancing after the COVID-19 pandemic make it relevant to investigate the feasibility of remote interventions and their potential effects on averting functional decline.: Objective: 1) To ... ...

    Series title April
    Abstract Background: Population aging and the consequences of social distancing after the COVID-19 pandemic make it relevant to investigate the feasibility of remote interventions and their potential effects on averting functional decline.
    Objective: 1) To investigate the feasibility, safety, and adherence of a remote protocol involving physical and cognitive exercises for older women with normal cognition; (2) to examine its effects on cognitive and well-being variables.
    Methods: Twenty-nine women (age ≥ 60 years old) were randomized into experimental group (EG; n  = 15) and control group (CG; n  = 14). The EG performed a 40-minute session of cognitive and physical exercises, and CG performed a 20-minute stretching session. Both groups performed 20 sessions via videoconference and 20 on YouTube twice a week. The Mini-Mental State Examination, Verbal Fluency Test, Digit Span (direct an inverse order), Geriatric Depression Scale (GDS), and Well-being Index (WHO-5) were applied in pre- and post-interventions by phone.
    Results: Overall adherence was 82.25% in EG and 74.29% in CG. The occurrence of adverse events (mild muscle pain) was 33.3% in EG and 21.4% in CG. The EG improved verbal fluency and attention ( p ≤ 0.05); both groups had improved depressive symptoms.
    Conclusion: The present study met the pre-established criteria for feasibility, safety, and adherence to the remote exercise protocol among older women. The results suggest that a combined protocol has more significant potential to improve cognitive function. Both interventions were beneficial in improving the subjective perception of well-being.
    Keywords Feasibility Studies ; Exercise ; Telemonitoring ; Aged ; Estudos de Viabilidade ; Exercício ; Telemonitoramento ; Idoso
    Language English
    Publishing date 2024-04-01
    Publisher Thieme Revinter Publicações Ltda.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0044-1785690
    Database Thieme publisher's database

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  3. Article ; Online: Normal pressure hydrocephalus: an update.

    Passos-Neto, Carlos Eduardo Borges / Lopes, Cesar Castello Branco / Teixeira, Mauricio Silva / Studart Neto, Adalberto / Spera, Raphael Ribeiro

    Arquivos de neuro-psiquiatria

    2022  Volume 80, Issue 5 Suppl 1, Page(s) 42–52

    Abstract: Normal pressure hydrocephalus (NPH) has been a topic of debate since its introduction in publications. More frequent in the elderly population, it is characterized by gait disturbance, urinary urge incontinence and cognitive decline. Therefore, it is a ... ...

    Abstract Normal pressure hydrocephalus (NPH) has been a topic of debate since its introduction in publications. More frequent in the elderly population, it is characterized by gait disturbance, urinary urge incontinence and cognitive decline. Therefore, it is a clinical-radiological entity with relatively common findings for the age group, which together may have greater specificity. Therefore, its diagnosis must be careful for an adequate selection of patients for treatment with ventricular shunt, since the symptoms are potentially reversible. The tap test has a high positive predictive value as a predictor of therapeutic response, but a negative test does not exclude the possibility of treatment. Scientific efforts in recent years have been directed towards a better understanding of NPH and this narrative review aims to compile recent data from the literature in a didactic way for clinical practice.
    MeSH term(s) Aged ; Humans ; Hydrocephalus ; Hydrocephalus, Normal Pressure/diagnostic imaging ; Predictive Value of Tests
    Language English
    Publishing date 2022-08-17
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1590/0004-282X-ANP-2022-S118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Normal pressure hydrocephalus: an update

    Passos-Neto, Carlos Eduardo Borges / Lopes, Cesar Castello Branco / Teixeira, Mauricio Silva / Studart, Adalberto / Spera, Raphael Ribeiro

    Arquivos de Neuro-Psiquiatria

    2022  Volume 80, Issue S 05, Page(s) 42–52

    Abstract: Normal pressure hydrocephalus (NPH) has been a topic of debate since its introduction in publications. More frequent in the elderly population, it is characterized by gait disturbance, urinary urge incontinence and cognitive decline. Therefore, it is a ... ...

    Abstract Normal pressure hydrocephalus (NPH) has been a topic of debate since its introduction in publications. More frequent in the elderly population, it is characterized by gait disturbance, urinary urge incontinence and cognitive decline. Therefore, it is a clinical-radiological entity with relatively common findings for the age group, which together may have greater specificity. Therefore, its diagnosis must be careful for an adequate selection of patients for treatment with ventricular shunt, since the symptoms are potentially reversible. The tap test has a high positive predictive value as a predictor of therapeutic response, but a negative test does not exclude the possibility of treatment. Scientific efforts in recent years have been directed towards a better understanding of NPH and this narrative review aims to compile recent data from the literature in a didactic way for clinical practice.
    Keywords Hydrocephalus, Normal Pressure ; Dementia ; Spinal Puncture ; Hidrocefalia de Pressão Normal ; Demência ; Punção Espinal
    Language English
    Publishing date 2022-05-01
    Publisher Thieme Revinter Publicações Ltda.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1590/0004-282X-ANP-2022-S118
    Database Thieme publisher's database

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  5. Article ; Online: Acute Disseminated Encephalomyelitis in COVID-19: presentation of two cases and review of the literature.

    Lopes, Cesar Castello Branco / Brucki, Sonia Maria Dozzi / Passos Neto, Carlos Eduardo Borges / Corazza, Luiza Alves / Baima, José Pedro Soares / Fiorentino, Matheus Dalben / Tatsch, João Fellipe Santos / Martin, Maria da Graça Morais / Lucato, Leandro Tavares / Gomes, Hélio Rodrigues / Rocha, Maria Sheila Guimarães / Fortini, Ida / Nitrini, Ricardo / Castro, Luiz H

    Arquivos de neuro-psiquiatria

    2020  Volume 78, Issue 12, Page(s) 805–810

    Abstract: Background: Neurological manifestations of COVID-19 are still incompletely understood. Neurological manifestations may be due to direct viral effect on neurons and glial cells, to an immune-mediated response to the virus, or to a hypercoagulable state ... ...

    Abstract Background: Neurological manifestations of COVID-19 are still incompletely understood. Neurological manifestations may be due to direct viral effect on neurons and glial cells, to an immune-mediated response to the virus, or to a hypercoagulable state and associated endothelial damage, as well as to severe systemic disease with prolonged intensive care unit stay.
    Objective: To describe two patients with severe SARS-CoV-2 infection and delayed recovery of consciousness after sedation withdrawal, in whom MRI disclosed multifocal white matter brain lesions, compatible with the diagnosis of acute disseminated encephalomyelitis.
    Methods: Observational report of two cases of severe COVID-19 infection in patients from two tertiary hospitals in São Paulo, Brazil.
    Results: These patients underwent neurologic and systemic evaluation for delayed awakening after sedation withdrawal. MRI displayed multifocal centrum semiovale lesions, suggestive of demyelinating inflammation. Cerebrospinal fluid (CSF) polymerase chain reaction (PCR) for SARS-CoV-2 was negative in both cases.
    Conclusion: A recurrent pattern of multifocal white matter lesions can occur in COVID-19 patients, possibly associated with delayed awakening. Additional studies are necessary to elucidate the role of the viral infection and of inflammatory and immune-mediated associated changes in neurological manifestations of COVID-19.
    MeSH term(s) Brain ; Brazil ; COVID-19 ; Encephalomyelitis, Acute Disseminated/diagnostic imaging ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2020-12-08
    Publishing country Brazil
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1590/0004-282X20200186
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Neurological consultations and diagnoses in a large, dedicated COVID-19 university hospital

    STUDART-NETO, Adalberto / GUEDES, Bruno Fukelmann / TUMA, Raphael de Luca e / CAMELO FILHO, Antonio Edvan / KUBOTA, Gabriel Taricani / IEPSEN, Bruno Diógenes / MOREIRA, Gabriela Pantaleão / RODRIGUES, Júlia Chartouni / FERRARI, Maíra Medeiros Honorato / CARRA, Rafael Bernhart / SPERA, Raphael Ribeiro / OKU, Mariana Hiromi Manoel / TERRIM, Sara / LOPES, Cesar Castello Branco / PASSOS NETO, Carlos Eduardo Borges / FIORENTINO, Matheus Dalben / DE SOUZA, Julia Carvalhinho Carlos / BAIMA, José Pedro Soares / DA SILVA, Tomás Fraga Ferreira /
    MORENO, Cristiane Araujo Martins / SILVA, Andre Macedo Serafim / HEISE, Carlos Otto / MENDONÇA, Rodrigo Holanda / FORTINI, Ida / SMID, Jerusa / ADONI, Tarso / GONÇALVES, Marcia Rubia Rodrigues / PEREIRA, Samira Luisa Apóstolos / PINTO, Lecio Figueira / GOMES, Helio Rodrigues / ZANOTELI, Edmar / BRUCKI, Sonia Maria Dozzi / CONFORTO, Adriana Bastos / CASTRO, Luiz Henrique Martins / NITRINI, Ricardo

    Arquivos de Neuro-Psiquiatria v.78 n.8 2020

    2020  

    Abstract: ABSTRACT Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with ... ...

    Abstract ABSTRACT Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with worse outcomes. Notwithstanding, the role of neurologists in COVID-19 is probably underrecognized. Objective: The aim of this study was to report the reasons for requesting neurological consultations by internists and intensivists in a COVID-19-dedicated hospital. Methods: This retrospective study was carried out at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil, a 900-bed COVID-19 dedicated center (including 300 intensive care unit beds). COVID-19 diagnosis was confirmed by SARS-CoV-2-RT-PCR in nasal swabs. All inpatient neurology consultations between March 23rd and May 23rd, 2020 were analyzed. Neurologists performed the neurological exam, assessed all available data to diagnose the neurological condition, and requested additional tests deemed necessary. Difficult diagnoses were established in consensus meetings. After diagnosis, neurologists were involved in the treatment. Results: Neurological consultations were requested for 89 out of 1,208 (7.4%) inpatient COVID admissions during that period. Main neurological diagnoses included: encephalopathy (44.4%), stroke (16.7%), previous neurological diseases (9.0%), seizures (9.0%), neuromuscular disorders (5.6%), other acute brain lesions (3.4%), and other mild nonspecific symptoms (11.2%). Conclusions: Most neurological consultations in a COVID-19-dedicated hospital were requested for severe conditions that could have an impact on the outcome. First-line doctors should be able to recognize neurological symptoms; neurologists are important members of the medical team in COVID-19 hospital care.
    Keywords Coronavirus Infections ; COVID-19 ; Neurology ; Seizures ; Stroke ; Metabolic Encephalopathy ; Neuromuscular Diseases ; covid19
    Subject code 150
    Language English
    Publishing date 2020-08-01
    Publisher Academia Brasileira de Neurologia - ABNEURO
    Publishing country br
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Neurological consultations and diagnoses in a large, dedicated COVID-19 university hospital

    STUDART-NETO, Adalberto / GUEDES, Bruno Fukelmann / TUMA, Raphael de Luca e / CAMELO FILHO, Antonio Edvan / KUBOTA, Gabriel Taricani / IEPSEN, Bruno Diógenes / MOREIRA, Gabriela Pantaleão / RODRIGUES, Júlia Chartouni / FERRARI, Maíra Medeiros Honorato / CARRA, Rafael Bernhart / SPERA, Raphael Ribeiro / OKU, Mariana Hiromi Manoel / TERRIM, Sara / LOPES, Cesar Castello Branco / PASSOS NETO, Carlos Eduardo Borges / FIORENTINO, Matheus Dalben / DE SOUZA, Julia Carvalhinho Carlos / BAIMA, José Pedro Soares / DA SILVA, Tomás Fraga Ferreira /
    MORENO, Cristiane Araujo Martins / SILVA, Andre Macedo Serafim / HEISE, Carlos Otto / MENDONÇA, Rodrigo Holanda / FORTINI, Ida / SMID, Jerusa / ADONI, Tarso / GONÇALVES, Marcia Rubia Rodrigues / PEREIRA, Samira Luisa Apóstolos / PINTO, Lecio Figueira / GOMES, Helio Rodrigues / ZANOTELI, Edmar / BRUCKI, Sonia Maria Dozzi / CONFORTO, Adriana Bastos / CASTRO, Luiz Henrique Martins / NITRINI, Ricardo

    Arquivos de Neuro-Psiquiatria n.ahead 2020

    2020  

    Abstract: ABSTRACT Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with ... ...

    Abstract ABSTRACT Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with worse outcomes. Notwithstanding, the role of neurologists in COVID-19 is probably underrecognized. Objective: The aim of this study was to report the reasons for requesting neurological consultations by internists and intensivists in a COVID-19-dedicated hospital. Methods: This retrospective study was carried out at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil, a 900-bed COVID-19 dedicated center (including 300 intensive care unit beds). COVID-19 diagnosis was confirmed by SARS-CoV-2-RT-PCR in nasal swabs. All inpatient neurology consultations between March 23rd and May 23rd, 2020 were analyzed. Neurologists performed the neurological exam, assessed all available data to diagnose the neurological condition, and requested additional tests deemed necessary. Difficult diagnoses were established in consensus meetings. After diagnosis, neurologists were involved in the treatment. Results: Neurological consultations were requested for 89 out of 1,208 (7.4%) inpatient COVID admissions during that period. Main neurological diagnoses included: encephalopathy (44.4%), stroke (16.7%), previous neurological diseases (9.0%), seizures (9.0%), neuromuscular disorders (5.6%), other acute brain lesions (3.4%), and other mild nonspecific symptoms (11.2%). Conclusions: Most neurological consultations in a COVID-19-dedicated hospital were requested for severe conditions that could have an impact on the outcome. First-line doctors should be able to recognize neurological symptoms; neurologists are important members of the medical team in COVID-19 hospital care.
    Keywords Coronavirus Infections ; COVID-19 ; Neurology ; Seizures ; Stroke ; Metabolic Encephalopathy ; Neuromuscular Diseases ; covid19
    Subject code 150
    Language English
    Publishing date 2020-01-01
    Publisher Academia Brasileira de Neurologia - ABNEURO
    Publishing country br
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Neurological consultations and diagnoses in a large, dedicated COVID-19 university hospital.

    Studart-Neto, Adalberto / Guedes, Bruno Fukelmann / Tuma, Raphael de Luca E / Camelo Filho, Antonio Edvan / Kubota, Gabriel Taricani / Iepsen, Bruno Diógenes / Moreira, Gabriela Pantaleão / Rodrigues, Júlia Chartouni / Ferrari, Maíra Medeiros Honorato / Carra, Rafael Bernhart / Spera, Raphael Ribeiro / Oku, Mariana Hiromi Manoel / Terrim, Sara / Lopes, Cesar Castello Branco / Passos Neto, Carlos Eduardo Borges / Fiorentino, Matheus Dalben / DE Souza, Julia Carvalhinho Carlos / Baima, José Pedro Soares / DA Silva, Tomás Fraga Ferreira /
    Moreno, Cristiane Araujo Martins / Silva, Andre Macedo Serafim / Heise, Carlos Otto / MendonÇa, Rodrigo Holanda / Fortini, Ida / Smid, Jerusa / Adoni, Tarso / GonÇalves, Marcia Rubia Rodrigues / Pereira, Samira Luisa Apóstolos / Pinto, Lecio Figueira / Gomes, Helio Rodrigues / Zanoteli, Edmar / Brucki, Sonia Maria Dozzi / Conforto, Adriana Bastos / Castro, Luiz Henrique Martins / Nitrini, Ricardo

    Arquivos de neuro-psiquiatria

    2020  Volume 78, Issue 8, Page(s) 494–500

    Abstract: Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with worse ... ...

    Abstract Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with worse outcomes. Notwithstanding, the role of neurologists in COVID-19 is probably underrecognized.
    Objective: The aim of this study was to report the reasons for requesting neurological consultations by internists and intensivists in a COVID-19-dedicated hospital.
    Methods: This retrospective study was carried out at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil, a 900-bed COVID-19 dedicated center (including 300 intensive care unit beds). COVID-19 diagnosis was confirmed by SARS-CoV-2-RT-PCR in nasal swabs. All inpatient neurology consultations between March 23rd and May 23rd, 2020 were analyzed. Neurologists performed the neurological exam, assessed all available data to diagnose the neurological condition, and requested additional tests deemed necessary. Difficult diagnoses were established in consensus meetings. After diagnosis, neurologists were involved in the treatment.
    Results: Neurological consultations were requested for 89 out of 1,208 (7.4%) inpatient COVID admissions during that period. Main neurological diagnoses included: encephalopathy (44.4%), stroke (16.7%), previous neurological diseases (9.0%), seizures (9.0%), neuromuscular disorders (5.6%), other acute brain lesions (3.4%), and other mild nonspecific symptoms (11.2%).
    Conclusions: Most neurological consultations in a COVID-19-dedicated hospital were requested for severe conditions that could have an impact on the outcome. First-line doctors should be able to recognize neurological symptoms; neurologists are important members of the medical team in COVID-19 hospital care.
    MeSH term(s) Betacoronavirus ; Brazil/epidemiology ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Hospital Bed Capacity ; Hospitals, University ; Humans ; Nervous System Diseases/diagnosis ; Nervous System Diseases/etiology ; Nervous System Diseases/therapy ; Neurology ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Referral and Consultation/statistics & numerical data ; Retrospective Studies ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-08-03
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1590/0004-282X20200089
    Database MEDical Literature Analysis and Retrieval System OnLINE

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