scholarly journals Familial myasthenia gravis: report of four cases

1976 ◽  
Vol 34 (3) ◽  
pp. 215-222 ◽  
Author(s):  
José Lamartine de Assis ◽  
Milberto Scaff

Two pairs of siblings with myasthenia gravis, belonging to two different families, are reported. This is the only record of familial myasthenia during the past twenty years, in a total of 145 patients seen at the Neurological Clinic of the São Paulo Medical School. In spite of the fact that myasthenia gravis does not show hereditary characteristics, the peculiar features of the four cases justify the present report. The two pairs of siblings were born from non myasthenic nor consanguineous parents. The disease started at birth showing bilateral partial eyelid ptosis in all patients. The course of the illness has been favorable. There was no thymoma.

1976 ◽  
Vol 34 (4) ◽  
pp. 361-365
Author(s):  
José A. Levy ◽  
Abram Topczewski ◽  
Lucia Iracema Z. de Mendonça ◽  
Mayana Zatz ◽  
Ruth Blay Levisky

A review of all myopathic patients treated at the Neurologic Clinic of the Medical School of the University of São Paulo during the past 15 years is reported. A total of 466 cases were examined and distributed as follows: 56% of progressive muscular dystrophy; 31% of myasthenia gravis; 6% of polymyositis; 4% of myotonic dystrophy; and the remainder of several different diseases (central core disease, Kearns-syndrome, myotonia congenita, adynamia episodica hereditaria, diabetic myopathy and Eaton-Lambert syndrome). Enzymatic dosages, electromyography, muscle biopsy, electrocardiography and genetic counselling are also reported.


2008 ◽  
Vol 50 (5) ◽  
pp. 303-305 ◽  
Author(s):  
Sergio Quilici Belczak ◽  
Roberto de Cleva ◽  
Edivaldo M. Utiyama ◽  
Ivan Cecconello ◽  
Samir Rasslan ◽  
...  

Postsurgical acute suppurative parotitis is a bacterial gland infection that occurs from a few days up to some weeks after abdominal surgical procedures. In this study, the authors analyze the prevalence of this complication in Hospital das Clínicas/São Paulo University Medical School by prospectively reviewing the charts of patients who underwent surgeries performed by the gastroenterological and general surgery staff from 1980 to 2005. Diagnosis of parotitis or sialoadenitis was analyzed. Sialolithiasis and chronic parotitis previous to hospitalization were exclusion criteria. In a total of 100,679 surgeries, 256 patients were diagnosed with parotitis or sialoadenitis. Nevertheless, only three cases of acute postsurgical suppurative parotitis associated with the surgery were identified giving an incidence of 0.0028%. All patients presented with risk factors such as malnutrition, immunosuppression, prolonged immobilization and dehydration. In the past, acute postsurgical suppurative parotitis was a relatively common complication after major abdominal surgeries. Its incidence decreased as a consequence of the improvement of perioperative antibiotic therapy and postoperative support. In spite of the current low incidence, we believe it is important to identify risks and diagnose as quick as possible, in order to introduce prompt and appropriate therapeutic measures and avoid potentially fatal complications with the evolution of the disease.


Author(s):  
Henrique Rochelle

Professional dancing in São Paulo, Brazil, developed from the 1950s on, with a constant and strong influence from modern dance. As modernism looked disapprovingly at ballet, seeing it as something from the past, prejudice grew in the city toward the form. Directors and choreographers of dance companies currently speak about ballet and contemporary ballet as something that is done, but always by others, never themselves. Even the word “ballet” is avoided, since it seems to diminish the works being discussed, as it became something strictly associated with dance training, and not professional dance. This chapter investigates the roots of ballet in São Paulo, discussing both its origins and the origins of its rejection, while pointing to the recent indications of its newfound public interest.


Clinics ◽  
2009 ◽  
Vol 64 (2) ◽  
pp. 127-134 ◽  
Author(s):  
Estela Azeka ◽  
José Otavio Costa Auler Júnior ◽  
Paulo Manuel Pego Fernandes ◽  
Willian Carlos Nahas ◽  
Alfredo Inácio Fiorelli ◽  
...  

2007 ◽  
Vol 125 (3) ◽  
pp. 180-185
Author(s):  
Ana Paula de Carvalho Panzeri Carlotti ◽  
Maria Lúcia Silveira Ferlin ◽  
Francisco Eulógio Martinez

CONTEXT AND OBJECTIVE: Neonatal resuscitation should be part of medical school curriculums. We aimed to evaluate medical school graduates' knowledge of neonatal resuscitation. DESIGN AND SETTING: Cross-sectional study on the performance of candidates sitting a medical residency exam at Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, in 2004. METHODS: There were two questions on neonatal resuscitation. One question in the theory test aimed at evaluating basic knowledge on the initial approach towards newly born infants. The question in the practical exam was designed to evaluate the candidate's ability to perform the initial steps of resuscitation and to establish bag-mask ventilation. RESULTS: Out of 642 candidates from 74 medical schools, 151 (23.5%) answered the theory question correctly. Significantly more physicians from public medical schools in the State of São Paulo answered correctly than did those from other schools in Brazil (52.5% versus 9.2%; p < 0.05). A total of 436 candidates did the practical exam. The grades among graduates from medical schools belonging to the State of São Paulo were significantly higher than among those from other schools (5.9 ± 2.6 versus 4.1 ± 2.1; p < 0.001). The grades for the practical question among candidates who had answered the theory question correctly were significantly higher than those obtained by candidates who had given wrong answers (p < 0.05). CONCLUSION: Medical school graduates' knowledge of neonate resuscitation in the delivery room is quite precarious. Emphasis on neonatal resuscitation training is urgently needed in medical schools.


2016 ◽  
Vol 95 (spe3) ◽  
pp. 5
Author(s):  
Raul Machado Neto

The University of São Paulo, founded in 1934, started under the influence of important foreigners academicians in our campuses. The beginning of our university was the result of a fusion of the already existing colleges – Law School, School of Engineering, School of Pharmacy and Dentistry, College of Agriculture, Medical School, and School of Veterinary Medicine. In addition, in 1934, the School of Philosophy, Sciences and Letters was created being responsible for human sciences – Philosophy, History, Geography, Sociology – and hard sciences – Mathematics, Physics, and Chemistry – that academically amalgamated the professional existing colleges. In the thirties, we benefited from the instabilities in Europe and important professors came to the University of São Paulo contributing remarkably to our successful trajectory.[...]


Author(s):  
Beatriz Kalichman ◽  
Beatriz Rufino

This chapter examines the use of aesthetic and discursive elements in the production of a narrative about República, a district in the central area of São Paulo (Brazil) that has been transformed through a real estate boom in the past ten years. We focus on newly built studio apartments, and on the efforts to differentiate them from the quitinetes, apartments with similar features built in the 1950s and 1960s that have been heavily stigmatized. We situate our analysis of this purposeful urban transformation within a context intertwined with urban marketing, publicity, and image making. Our research shows the strong presence of an industrial aesthetic in the area, which we understand as being a deliberate echo of the gentrification process that took place in SoHo in New York City in the 1970s.


2019 ◽  
Vol 36 (02) ◽  
pp. 126-128
Author(s):  
Cristiane Regina Ruiz ◽  
Sergio Ricardo Rios Nascimento ◽  
Alex Kors Vidsiunas ◽  
Cristiano Cirqueira de Souza ◽  
Lilian Andrades

AbstractAnatomical variations in the hepatic arteries and in the celiac trunk are important in liver transplants, laparoscopic surgeries, abdominal radiological interventions, and perforating injuries in the abdomen. The goal of the present report is to describe an abdominal vascular variation observed during a routine dissection in the Anatomy Laboratory of the Centro Universitário São Camilo, São Paulo, state of São Paulo, Brazil, in a male individual. The superior mesenteric artery had its origin in the celiac trunk and originated a right accessory hepatic artery that followed its path all the way to the liver. Several authors described variations in the origin and in the path of the hepatic artery and even created specific classifications. The advance of imaging methods that increase the number of studied individuals, without the need of dissection, aids exponentially the quantifying studies that seek to determine a pattern in the variations present in certain populations. The variations of the hepatic artery, as well as of the celiac trunk, have been extensively described in the literature; however, there is no pattern in the number of variations found both in the celiac trunk and in the regular hepatic artery, what leads to a need of description in each case found.


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