Neurological contributions from William Osler

Pedroso, José Luiz; Barsottini, Orlando Graziani Póvoas

doi:10.1590/0004-282x20130012

Cited by 4 publications

(3 citation statements)

References 8 publications

(9 reference statements)

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“…[16][17] Even with the signs and symptoms, the diagnosis of MJD is still difficult for professionals because, although there is an increase in the genetic findings with greater ease for the tests, it is still difficult to carry out a definitive diagnostic approach for neurological and hereditary diseases. 18 This data is in line with those of the present study, which evidenced the difficulty experienced by the participants until the diagnosis of MJD. Some participants reported having searched for several professionals, but that because it was an illness still unknown, this diagnosis was postponed.…”

Section: Expectations For the Future With Machadojoseph Diseasesupporting

confidence: 93%

Machado-Joseph Disease in the context of the person/family that experiences it: daily changes and future expectations Doença de Machado-Joseph no contexto da pessoa/família que a vivencia: alterações cotidianas e expectativas futuras

Giustina

Marinho

Zamberlan

et al. 2017

R. pesq. cuid. fundam. online

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Objective: To assess the main daily changes and future expectations experienced by the person/family with Machado-Joseph disease. Methods: Exploratory research, a descriptive study of qualitative approach, carried out with a person with the Machado-Joseph disease and with five relatives, in a city of Rio Grande do Sul. The data was collected during a home visit conducted in April 2016 through semi-structured interviews and participant observation was subjected to content analysis. Results: Five categories emerged: (lack of) knowledge of the disease before diagnosis; knowledge of disease after the diagnosis; difficulties of diagnosis; changes experienced after diagnosis; expectations for the future with Machado-Joseph disease. Conclusion: It is necessary more investment by health professionals, especially nurses, in conducting studies aimed to help people / families living with Machado-Joseph disease. Descriptors: Machado-Joseph Disease, Home Nursing, Family, Nursing. RESUMENObjetivo: Conocer las principales alteraciones cuotidianas y las expectativas futuras vividas por la persona/familia con la enfermedad de Machado-Joseph. Metodología: Investigación exploratoria, descriptiva de enfoque cualitativo, realizada con una persona con la enfermedad de Machado-Joseph y cinco miembros de la familia, en una ciudad del estado del Rio Grande do Sul (Brasil). Los datos recogidos durante una visitación domiciliar realizada en el mes de abril/2016, por medio de entrevista semiestructurada y observación participante, fueron sometidos al análisis de contenido. Resultados: Surgieron cinco categorías: (des)conocimiento de la enfermedad antes del diagnóstico; conocimiento de la enfermedad después del diagnóstico; dificultades del diagnóstico; alteraciones vividas después del diagnóstico; expectativas para el futuro con la enfermedad de Machado-Joseph. Conclusión: Es necesario más inversión por parte de los profesionales de la salud, especialmente de los enfermeros, en la realización de estudios direccionados al auxilio a las personas/familiares que conviven con la enfermedad de Machado-Joseph. Descriptores: Enfermidad de Machedo-Joseph, Atención Domiciliaria de salud, Família, Enfermería.

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Section: Expectations For the Future With Machadojoseph Diseasesupporting

confidence: 93%

Machado-Joseph Disease in the context of the person/family that experiences it: daily changes and future expectations Doença de Machado-Joseph no contexto da pessoa/família que a vivencia: alterações cotidianas e expectativas futuras

Giustina

Marinho

Zamberlan

et al. 2017

R. pesq. cuid. fundam. online

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“…10 13 During his daily clinical activities, William Osler (1849- 1919) used the rim of his stethoscope to tap deep tendon reflexes. 14 The Queen Square hammer is the reflex hammer of choice of UK neurologists, while at the Mayo Clinic Trömner's hammer is the preferred choice. 5 Figure 1 depicts the evolution of creation of the main reflex hammers and Figure 2 their illustrations.…”

Section: Results and Discussion – Historical Reviewmentioning

confidence: 99%

History and national survey on reflex hammers: which is the chosen one of Brazilian neurologists?

et al. 2023

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Background Percussion is an important part of the neurological examination and reflex hammers are necessary to obtain it properly. Objective We aimed to review the historical aspects of the main reflex hammers and to define the favorite one of Brazilian neurologists. Methods We searched original and review articles about historical aspects of the reflex hammers in Scielo and Pubmed and conducted an online survey to investigate the favorite reflex hammer of Brazilian neurologists. Results In the first part, we describe the major milestones in the creation of the reflex hammers. Following, we exhibit the results of the online survey: Babinski-Rabiner was the most voted. Conclusions The origins of the reflex hammers goes back long before their creation, from a basic clinical examination method: percussion. Since the description of deep tendon reflexes and the creation of percussion hammers, much has been improved in this technique. Among all the hammers surveyed, the Babinski-Rabiner was the chosen one by a significant portion of Brazilian neurologists.

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“…The contemplative method of Osler and clinical observation of Charcot are lessons left for our generation, which are crucial elements for clinical diagnosis 1 . In line with these comments, "bulging eyes" or Collier's sign, in the context of an autosomal dominant spinocerebellar ataxia (SCA), is a marked diagnostic clue and should promptly guide our genetic investigation for spinocerebellar ataxia type 3 (SCA3) or Machado-Joseph disease (MJD).…”

mentioning

confidence: 99%

Neurological contributions from William Osler

Cited by 4 publications

References 8 publications

Machado-Joseph Disease in the context of the person/family that experiences it: daily changes and future expectations Doença de Machado-Joseph no contexto da pessoa/família que a vivencia: alterações cotidianas e expectativas futuras

Machado-Joseph Disease in the context of the person/family that experiences it: daily changes and future expectations Doença de Machado-Joseph no contexto da pessoa/família que a vivencia: alterações cotidianas e expectativas futuras

History and national survey on reflex hammers: which is the chosen one of Brazilian neurologists?

Diagnosis at a first glance? "Bulging eyes" as a clue for a more accurate diagnosis in spinocerebellar ataxias

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