[The neurologist and the medical literature: the process of endless education].

Abstract:

:To keep up to date with new advances in medical care and in the understanding of the disease process which affects their specific patients neurologists need to develop strategies for continuing education. They must be learners throughout their careers and the learning must be self-directed, active and independent. The best way to reach this goal is to devote regular time to the medical literature. However as the great volume of journal literature precludes clinicians from reading all of it, special tactics of scanning, selecting and reading medical articles are necessary. Priority should be given to original reports, meaning first-hand accounts of planned investigations, as they go through expert critical review before publication. This safeguard improves their clarity and usually keeps flawed research away. Furthermore one should read only original articles that have direct bearing on his own clinical practice and with scientific rigor making the results likely to be true. Employment of these rules may reduce the relevant literature to an affordable size. Extraction of these articles depend on the regular surveillance of high-yield, high-circulation general medical journals and the specialty and subspecialty journals which are relevant to one's practice. Review articles may be helpful either as an initial approach to a subject whose current knowledge is beyond one's usual domain or as a source of references of original articles. Meta-analysis or the integration and statistical combination of the results of previous research may be a further and a most important advantage of reviews.

journal_name

Arq Neuropsiquiatr

authors

Lana-Peixoto MA

doi

10.1590/s0004-282x1992000200023

subject

Has Abstract

pub_date

1992-06-01 00:00:00

pages

244-52

issue

2

eissn

0004-282X

issn

1678-4227

journal_volume

50

pub_type

杂志文章
  • Quetiapine for the prevention of migraine refractory to the combination of atenolol + nortriptyline + flunarizine: an open pilot study.

    abstract:BACKGROUND:Migraine is a prevalent neurological disorder. Although prevention is the mainstream treatment, some patients are refractory to standard therapies. AIM:To evaluate the use of quetiapine (QTP) in the preventive treatment of refractory migraine, defined as previous unresponsiveness to the combination atenolol...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2008000500002

    authors: Krymchantowski AV,Jevoux C

    更新日期:2008-09-01 00:00:00

  • Oral lysine clonixinate in the acute treatment of migraine: a double-blind placebo-controlled study.

    abstract::Several oral nonsteroidal anti-inflammatory drugs (NSAIDs) are effective to treat migraine attacks. Lysine clonixinate (LC) is a NSAID derived from nicotinic acid that has proven to be effective in various pain syndromes such as renal colic and muscular pain. The aim of this double-blind, placebo-controlled study was ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1590/s0004-282x2001000100010

    authors: Krymchantowski AV,Barbosa JS,Cheim C,Alves LA

    更新日期:2001-03-01 00:00:00

  • [Spinal epidural abscesses: report of 5 cases].

    abstract::Five cases of acute spinal epidural abscess, all in male, two of them in children (6 and 7 years old) and the others in patients older than fifty years are reported. In four cases the pathology was related to skin infection and the staphylococcus was the main agent. All the patients had a severe infectious clinical pi...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1981000200008

    authors: Braga FM,Ferraz FA,Jordy CF

    更新日期:1981-06-01 00:00:00

  • [Evoked potentials in multiple sclerosis: recent experience at the Locomotor System Diseases Hospital].

    abstract::Description of main abnormal findings in eight patients with a suspected diagnosis of multiple sclerosis who underwent multimodality evoked potentials studies at HDAL-SARAH--Hospital for Diseases of the Locomotor System, in Brasilia--, during three years (1987-1989). Four of those patients have also been studied with ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1991000200015

    authors: Brasil-Neto JP

    更新日期:1991-06-01 00:00:00

  • Emergency EEG: study of survival.

    abstract:OBJECTIVE:To determine the survival rate according to the main findings of emergency electroencephalography (EEGs) of patients treated in a tertiary hospital. METHOD:In this prospective study, the findings of consecutive emergency EEGs performed on inpatients in Hospital de Base in São José do Rio Preto, Brazil were c...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2010000200004

    authors: Borges MA,Botós HJ,Bastos RF,Godoy MF,Marchi NS

    更新日期:2010-04-01 00:00:00

  • [Carotid-basilar anastomosis and persistence of the primitive hypoglossal artery. Report of a case].

    abstract::A case of carotid-basilar anastomose with persistence of the primitive hypoglossal artery is reported. The authors related aspects of intracranial aneurysm. Anatomical, embryological, physiopathological and angiographical aspects are discussed. ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1980000300011

    authors: Bueno MG,Riff PE,Nassar KE,Aisen J

    更新日期:1980-09-01 00:00:00

  • [Epidemiological study of the traumatic brachial plexus injuries in adults].

    abstract:OBJECTIVE:This study aims to provide information about epidemiological factors related to traumatic brachial plexus injuries in adults. METHOD:Prospective analysis of 35 consecutive cases, observed in a period of one year. RESULTS:Most of the lesions were supraclavicular (62%). Twenty-one cases occurred due to tracti...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2006000100018

    authors: Flores LP

    更新日期:2006-03-01 00:00:00

  • [Plasmapheresis in neurology. Critical analysis of indications and protocols].

    abstract::Therapeutic plasmapheresis (plasma exchange) in neurology is a matter of discussion. We review the main articles on clinical trials, both controlled and uncontrolled, trying to establish the efficacy and safety of the procedure. Humoral aspects involved in the genesis of the disorder play an important role for its ind...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1992000300011

    authors: Seggia JC,Abreu P

    更新日期:1992-09-01 00:00:00

  • When your child with epilepsy dies suddenly: febrile seizures are part of the process?

    abstract::Febrile seizures (FS) affect almost 2-5% of children and factors related to an increase susceptibility of children to FS may involve an imbalance of inflammatory cytokines and genetic factors. FS had low morbidity, but may be associated with the occurrence of late chronic epilepsy. Here we describe factors related to ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-282x2011000300022

    authors: Terra VC,Machado HR,Sakamoto AC,Arida RM,Scorza FA

    更新日期:2011-01-01 00:00:00

  • Brazilian guidelines for the application of transcranial ultrasound as a diagnostic test for the confirmation of brain death.

    abstract::Neurosonological studies, specifically transcranial Doppler (TCD) and transcranial color-coded duplex (TCCD), have high level of specificity and sensitivity and they are used as complementary tests for the diagnosis of brain death (BD). A group of experts, from the Neurosonology Department of the Brazilian Academy of ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 指南,杂志文章

    doi:10.1590/s0004-282x2012000500012

    authors: Lange MC,Zétola VH,Miranda-Alves M,Moro CH,Silvado CE,Rodrigues DL,Gregorio EG,Silva GS,Oliveira-Filho J,Perdatella MT,Pontes-Neto OM,Fábio SR,Avelar WM,Freitas GR,Task Force Group of the Neurosonology Department, Brazilian A

    更新日期:2012-05-01 00:00:00

  • The concept of nemesis in psychoneurosis.

    abstract::A patient who has a nemesis fear as the basic process in his psychoneurosis feels that he is destined to repeat the life course of one of his parents to eventual long-term psychosis, or incapacitating physical illness or death by illness or accident. He feels that this will occur at about the same age as that at which...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1997000300013

    authors: Chapman AH,Chapman-Santana M,Vieira e Silva D

    更新日期:1997-09-01 00:00:00

  • Global aphasia as a predictor of mortality in the acute phase of a first stroke.

    abstract:OBJECTIVE:To establish whether vascular aphasic syndromes can predict stroke outcomes. METHOD:Thirty-seven adults were evaluated for speech and language within 72 hours after a single first-ever ischemic brain lesion, in blind association to CT and/or MR. RESULTS:Speech or language disabilities were found in seven (8...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2011000300002

    authors: Oliveira FF,Damasceno BP

    更新日期:2011-01-01 00:00:00

  • [Nonfuntional pituitary adenomas: evaluation of 36 patients].

    abstract::We present our experience with 36 cases of nonfunctional pituitary adenomas. These tumors were divided into non reactive and inactive in agreement with the immunohistochemical study. They present with visual symptoms, mainly bitemporal hemianopsia; they were macroadenomas, either invasive or non invasive, in both grou...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2002000100021

    authors: Tella OI Jr,Herculano MA,Delcello R,Aguiar PH

    更新日期:2002-03-01 00:00:00

  • Cortisol, DHEA, and depression in the elderly: the influence of physical capacity.

    abstract:OBJECTIVE:Major depression have been associated with cortisol and dehydroepiandrosterone (DHEA) changes in old depressed patients. We examined the association between depression, cortisol, and DHEA, correcting for confounding variables, including physical capacity. In addition, the association between hormone levels an...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282X20160059

    authors: Moraes H,Deslandes A,Maciel-Pinheiro Pde T,Corrêa H,Laks J

    更新日期:2016-06-01 00:00:00

  • Clinical and epidemiological profile of patients diagnosed with multiple sclerosis in João Pessoa, Paraíba, Brazil.

    abstract::Prevalence rates of multiple sclerosis (MS) suggest an interrelationship between genetic and environmental factors, ranging worldwide.Objectives Clinical and epidemiological characterization of MS patients in João Pessoa, Paraíba city.Methods Study involving patients treated in five services in the city.Results It inc...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282X20150111

    authors: Negreiros AA,Sousa-Munõz RL,Oliveira BE,Nóbrega PV,Monteiro LL

    更新日期:2015-09-01 00:00:00

  • [Control and regulation of the blood circulation in the vertebro-basilar system. Review of the literature].

    abstract::The author establishes an analogy between the control mechanism and regulation of the cerebral blood flow and of protection of the vascular wall of the internal carotid constituted by the conjunction "internal carotid-cavernous sinus" with the group represented by the system "vertebro basilar-transverse occipital sinu...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1982000400008

    authors: Moreira MB

    更新日期:1982-12-01 00:00:00

  • Frontopolar and anterior temporal cortex activation in a moral judgment task: preliminary functional MRI results in normal subjects.

    abstract:OBJECTIVE:To study the brain areas which are activated when normal subjects make moral judgments. METHOD:Ten normal adults underwent BOLD functional magnetic resonance imaging (fMRI) during the auditory presentation of sentences that they were instructed to silently judge as either "right" or "wrong". Half of the sent...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2001000500001

    authors: Moll J,Eslinger PJ,Oliveira-Souza R

    更新日期:2001-09-01 00:00:00

  • Isolated and painless infraspinatus atrophy in top-level volleyball players. Report of two cases and review of the literature.

    abstract::Isolated and painless infraspinatus atrophy and weakness are described in two top-level volleyball players. EMG revealed isolated denervation of the infraspinatus muscle. One athlete continued playing and his clinical features have not changed. The other recovered her muscle bulk and strength after stopping playing. T...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1993000100020

    authors: Tengan CH,Oliveira AS,Kiymoto BH,Morita MP,De Medeiros JL,Gabbai AA

    更新日期:1993-03-01 00:00:00

  • Risk factors of heterotopic ossification in traumatic spinal cord injury.

    abstract:OBJECTIVE:Heterotopic ossification (HO) is a complication of the spinal cord injury (SCI). It can result in anchylosis, harming the rehabilitation and quality of life. Previous publications had not elucidated the relation between possible independent variables, the aim of this study. METHOD:From 230 patients with SCI,...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2009000300002

    authors: Coelho CV,Beraldo PS

    更新日期:2009-06-01 00:00:00

  • [Paracoccidioidomycosis of the central nervous system: case report].

    abstract::The involvement of the central nervous system in paracoccidioidomycosis is more frequent than previously thought. The first reference to the possibility that Paracoccidioides brasiliensis could affect the central nervous system was by Pereira & Jacobs in 1919. Since then, a great number of other studies has showed thi...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2000000400024

    authors: da Silva CE,Cordeiro AF,Gollner AM,Cupolilo SM,Quesado-Filgueiras M,Curzio MF

    更新日期:2000-09-01 00:00:00

  • Study of polymorphisms in the interleukin-4 and IL-4 receptor genes in a population of Brazilian patients with multiple sclerosis.

    abstract::This study aimed to investigate in a population of Brazilian patients with multiple sclerosis (MS) single-nucleotide polymorphisms (SNP) in the promoter region of IL4 (*33C-T) and receptor IL4R (*Q551R A-G) genes proposed to interfere with disease progression. No significant differences were observed in either of the ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2007000100005

    authors: Quirico-Santos T,Suppiah V,Heggarty S,Caetano R,Alves-Leon S,Vandenbroeck K

    更新日期:2007-03-01 00:00:00

  • [Hallervorden Spatz syndrome: magnetic resonance findings. Case report].

    abstract::Hallervorden-Spatz syndrome is a neurodegenerative disease, autosomic recessive with two clinical features: early and late onset. Psychiatric, pyramidal and extrapyramidal signs are present in the late subtype. We report the case of a 41-old woman with extrapyramidal signs. Magnetic resonance imaging (MRI) showed the ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2004000400031

    authors: Farage L,Castro MA,Macedo TA,Assis MC,Souza LP,Freitas LO

    更新日期:2004-09-01 00:00:00

  • Is there a consistent association between coronary heart disease and ischemic stroke caused by intracranial atherosclerosis?

    abstract::Coronary heart disease and ischemic stroke are frequent coexistent conditions that share risk factors and pose major burdens to global health. Even though a clear relation has been established between extracranial internal carotid artery atherosclerosis and symptomatic or asymptomatic coronary heart disease, there is ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章,评审

    doi:10.1590/0004-282x20130028

    authors: Conforto AB,Leite Cda C,Nomura CH,Bor-Seng-Shu E,Santos RD

    更新日期:2013-05-01 00:00:00

  • BsmI polymorphism in the vitamin D receptor gene is associated with 25-hydroxy vitamin D levels in individuals with cognitive decline.

    abstract:OBJECTIVE:Elderly people are at a high risk of developing vitamin D (VitD) deficiency due to both decreased intake and cutaneous synthesis. Most of the biological actions of VitD are mediated by the vitamin D receptor (VDR), which is present in neurons and glial cells of the hippocampus, and in the cortex and subcortic...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282X20180116

    authors: Oliveira ACR,Magalhães CA,Loures CMG,Fraga VG,de Souza LC,Guimarães HC,Cintra MTG,Bicalho MA,Sousa MCR,Silveira JN,Silva IFO,Caramelli P,Carvalho MG,Gomes KB

    更新日期:2018-11-01 00:00:00

  • [Familial hemifacial spasm: report of 2 cases].

    abstract::The authors report the clinical and angiographical findings of two cases of familial hemifacial spasm. This is the fifth description in the literature and presents mother and daughter at the ages of 76 and 51 respectively, in whom the left side was affected. They underwent exams of angioresonance that showed dolichoba...

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    pub_type: 杂志文章

    doi:10.1590/s0004-282x1998000100018

    authors: Barbosa ER,da Costa Mdo D,Staut CC,Bacheschi LA,Bittar MS

    更新日期:1998-03-01 00:00:00

  • [Endolymphatic sac adenocarcinoma: case report].

    abstract::A case of endolymphatic sac adenocarcinoma is reported and the literature is reviewed. The clinical picture was presented by vertigo and progressive hearing loss caused by a tumor of the endolymphatic sac. The surgical removal was complete, via a retro and translabyrinthine approach. Endolymphatic sac tumors are local...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章,评审

    doi:

    authors: Silveira RL,Gusmão SS,Pittella JE,Santos SP

    更新日期:2002-09-01 00:00:00

  • [Familial myasthenia gravis: a case report in identical twins].

    abstract::To the best of our knowledge this is the seventh case report of monozygotic twins both affected by myasthenia gravis (MG). The monozygotism was proven by sex identity, blood group and HLA determinations ('O' Rh+, A2, A19.2, B40, CW3). One paternal aunt was also affected and the three cases have high titles of anti-ace...

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    authors: Dias-Tosta E,Aguiar MF,Barbosa H,Vilela SS

    更新日期:1989-06-01 00:00:00

  • Iatrogenic Creutzfeldt-Jakob disease following human growth hormone therapy: case report.

    abstract::We report the case of a 41-year-old man with iatrogenic Creutzfeldt-Jakob disease (CJD) acquired after the use of growth hormone (GH) obtained from a number of pituitary glands sourced from autopsy material. The incubation period of the disease (from the midpoint of treatment to the onset of clinical symptoms) was rat...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2002000300022

    authors: Caboclo LO,Huang N,Lepski GA,Livramento JA,Buchpiguel CA,Porto CS,Nitrini R

    更新日期:2002-06-01 00:00:00

  • [Clinical and laboratory characteristics of pyogenic meningitis in adults].

    abstract::We reviewed the charts of 176 adult patients, admitted with a diagnosis of acute bacterial meningitis, in the Hospital Couto Maia, from January 1990 to December 1992. All the patients had community-acquired meningitis. In 120 patients we could identify the causative agent on Gram's staining and culture. The most commo...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1997000400012

    authors: Gomes I,Lucena R,Melo A

    更新日期:1997-09-01 00:00:00

  • Association between cognitive function and parameters of echocardiography and coronary artery angiography.

    abstract::We aimed to determine whether there is an association between cognition and the results of echocardiography and angiography, based on neuropsychological assessments. METHODS:We assessed the cognition of 85 patients who had recently undergone coronary artery angiography. We calculated the Gensini score for the coronar...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282x20180026

    authors: Hashemi M,Jervekani ZT,Mortazavi S,Maracy MR,Barekatain M

    更新日期:2018-04-01 00:00:00