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Your search keyword '"Regina Maria Rodrigues"' showing total 3 results
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3 results on '"Regina Maria Rodrigues"'

1. Post-varicella arterial ischemic stroke in children and neurocognitive performance: a 4-year follow-up study

Author

Regina Maria Rodrigues, Sylvia Costa Lima Farhat, Leandro Tavares Lucato, Tania Miyuki Shimoda Sakano, Paulo Scatulin Gerritsen Plaggert, Erasmo Barbante Casella, José Albino da Paz, and Cláudio Schvartsman

Subjects
Stroke, Basal ganglia cerebrovascular disease, Chickenpox, Child, Medicine
Abstract

ABSTRACT Objective To analyze data from children who were previously healthy and presented with post-varicella arterial ischemic stroke upon arrival when admitted to the emergency room, with focus on the clinical/laboratory aspects, and neurocognitive performance after four-year follow-up. Methods Seven children presenting with arterial ischemic stroke after varicella were evaluated at pediatric emergency services in the city of São Paulo (SP), Brazil. Ischemic stroke was determined by magnetic resonance imaging/magnetic resonance angiography in a topography compatible with the areas supplied by the middle cerebral or internal carotid arteries. IgG-class antibodies against varicella zoster virus and varicella-zoster virus DNA by polymerase chain reaction in cerebrospinal fluid were tested. Patients with prothrombotic conditions were excluded. The Pediatric Stroke Outcome Measure was applied upon admission and 4-years after the stroke. Results All patients (age range: 1.3 to 4 years) included presented chickenpox 5.1 (±3.5) months before. All patients had analysis of anti-varicella-zoster-virus-IgG in cerebrospinal fluid, but only three (43%) had a positive result. Of the patients 43% had no vascular lesions identified in magnetic resonance angiography. All patients showed improvement in their sequela scores. After 4 years, five patients displayed good evolution in the Pediatric Stroke Outcome Measure, and only one patient presented with a score of 2 in the sensorimotor and cognition areas. No recurrence of arterial ischemic stroke was observed. Conclusion We reinforced the non-progressive course of post-varicella arterial ischemic stroke after 4-year follow-up. The presence of varicella-zoster-virus-DNA detected by polymerase chain reaction, and/or intrathecal IgG antibody against varicella zoster virus, and angiopathy location in magnetic resonance angiography were not determining for the diagnosis. Invasive tests, with low sensitivity, should be well considered in the diagnosis of post-varicella arterial ischemic stroke.

Published
2022
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2. Longitudinal patterns of comorbidity between anxiety, depression and binge eating symptoms among patients with obesity: A path analysis

Author

Duarte-Guerra, Leorides Severo, Kortchmar, Estela, Maraviglia, Elaine Cristina Soares, Costa, Thaís da Silva, Lasmar, Camila Migliorin, Morin, Regina Maria Rodrigues, Grossi, Ivanimeire Oliveira, Villares, Julia Faria, Cremonesi, Mariane Carvalho, Watanuki, Hugo Martinelli, Santo, Marco Aurélio, Lotufo-Neto, Francisco, and Wang, Yuan-Pang

Published
2022
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3. Longitudinal patterns of comorbidity between anxiety, depression and binge eating symptoms among patients with obesity: A path analysis

Author

Leorides Severo Duarte-Guerra, Estela Kortchmar, Elaine Cristina Soares Maraviglia, Thaís da Silva Costa, Camila Migliorin Lasmar, Regina Maria Rodrigues Morin, Ivanimeire Oliveira Grossi, Julia Faria Villares, Mariane Carvalho Cremonesi, Hugo Martinelli Watanuki, Marco Aurélio Santo, Francisco Lotufo-Neto, and Yuan-Pang Wang

Subjects
Male, Psychiatry and Mental health, Clinical Psychology, Depression, Humans, Female, Comorbidity, Obesity, Anxiety, Bulimia, Binge-Eating Disorder
Abstract

Depression, anxiety, and binge eating are common psychiatric symptoms among people with obesity. Although many studies seek to understand the mechanisms of association between these psychiatric symptoms, there is no still consensus about the longitudinal association.155 patients (124 women) were recruited from a university-based bariatric center and evaluated over three waves (T0-T1-T2). In the last period the sample comprised 126 (104 women) participants. Trained clinicians assessed psychiatric symptoms by telephone interview using measurement scales. Partial Least Squares (PLS) was applied to investigate the path effects between anxiety, depression and binge eating symptoms over time.The results of path coefficients (β) showed that the effect of anxiety on depression was constantly significant in all periods T0 (β = 0.74), T1 (β = 0.71), and T2 (β = 0.67). Anxiety had an effect on binge eating in T0 (β = 0.39) and T2 (β = 0.26) but not in T1. Binge eating affected depressive symptoms only in T2 (β = 0.22). Two carry-over-effects were significant binge eating in T0-T1 (β = 0.41) and T1-T2 (β = 0.19).Telephone interviews, social isolation due to the pandemic and the social desirability may have contributed to collection and information biases.Anxiety has significant path effects on depression and binge eating. Binge eating was shown to be the most unstable symptom over time. The time factor seems to contribute to path effects between the psychiatric symptoms. The results draw attention to the fact that psychiatric symptoms must be evaluated and treated in association with each other, and investigated over time.

Published
2022
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