Jose Eduardo Nunes da Rocha

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The aim of this study was to compare the clinical, biochemical, and pathologic findings of normocalcemic patients with macroscopically enlarged parathyroid tissue identified at thyroid surgery with those of patients treated surgically for preoperatively proved primary hyperparathyroidism (PHPT). The records of 28 patients with incidental parathyroid(More)
BACKGROUND Pancreatitis is associated with primary hyperparathyroidism (PHPT) in 1.5-7% of cases. The relationship of cause and effect between the two diseases has been debated. METHODS To evaluate this relationship, the clinical, biochemical and pathological data on 1435 patients operated on for hyperparathyroidism (HPT) over the past 30 years were(More)
Acute encephalopathy is a recognized toxic effect of Cyclosporin A (CsA) in organ transplantation recipients. A 16-year-old girl presented with acute encephalopathy 2 weeks after CsA and methylprednisolone medication for idiopathic uveitis. Magnetic resonance imaging showed cortical and white matter occipital changes, which were not visible 2 months later.(More)
OBJECTIVES To identify and describe the work related injuries in both the formal and informal work sectors captured in an emergency department based injury surveillance system in Managua, Nicaragua. SETTING Urban emergency department in Managua, Nicaragua serving 200-300 patients per day. METHODS Secondary analysis from the surveillance system data. All(More)
The decline of socio-ecological resilience has emerged as an unprecedented truth with high risks to local and global economies, thereby increasing the vulnerability of businesses and markets while potentially threatening the wellbeing of civil society as a whole. From a business perspective, corporate strategies towards sustainability are crucial to(More)
Stress cardiomyopathy clinical presentation mimics an acute coronary syndrome. It is characterized by left ventricular multi-segmental commitment, absence of significant coronary artery disease and by the complete resolution of all the findings. Its pathophysiology is not yet clear, but the main theory suggests a catecholamine-mediated cardiotoxicity(More)
Pheochromocytoma is a tumor originating from chromaffin tissue. It commonly presents with symptoms and signs of catecholamine excess, such as hypertension, tachycardia, headache and sweating. Cardiovascular manifestations include catecholamine-induced cardiomyopathy, which may present as severe left ventricular dysfunction and congestive heart failure. We(More)