Sindroma de ulisses
17
Ulysses´s syndrome (A saga de Ulisses) Manuel Salgado Hospital Pediátrico, Centro Hospitalar Universitário de Coimbra, CHUC 15.10.2015
Transcript of Sindroma de ulisses
Ulyssesacutes syndrome(A saga de Ulisses)
Manuel SalgadoHospital Pediaacutetrico Centro Hospitalar Universitaacuterio de Coimbra CHUC15102015
Sindroma de Ulisses
-Meacutedico
-Social
ldquoUlisses heroacutei grego rei de Iacutetaca foi um dos elementosmais decisivos no cerco a Troacuteiahellip O retorno de Ulisses agrave sua terra hellip eacute o tema da Odisseiahellip O azar ou a maacute sorte- a inimizade de Neptuno hellip as ciladas vaacuterias hellip o Inferno hellip um emaranhado tenebroso hellip obrigaram o heroacutei e seus companheiros a errarem pelos mares durante dez longos anos perdidos por maus caminhos e sujeitos a amargos e demoradossacrifiacuteciosrdquo
ldquohellip Tambeacutem as sereias sujeitaram Ulisses a provaccedilotildees Com as suas melodias maviosas e enganadoras hellip
ldquoPara resistir agraves tentaccedilotildeeshellip o heroacutei tapou com cera os ouvidos dos seus companheiros e pediu-lhes que o amarrassem bem ao mastro do naviordquo
A analogia da Odisseia de Ulisses com os mauscaminhos enganos e sacrifiacutecios passados por estes pacientes hellip levou a denominar de Sindroma de Ulisses esta forma de iatrogenia caracterizada por
- extensivas e desnecessaacuterias investigaccedilotildees
- resultantes da tentativa de esclarecimento de achado insignificantebull cliacutenico bull laboratorial ou bull imagiologia
Salgado M Fonseca N A Siacutendrome de Ulisses Sauacutede Infantil 19931583-4
Int J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14The risks of inappropriateness in cardiac imagingPicano EAuthor information Institute of Clinical Physiology CNR Pisa Italy picanoifccnritAbstractThe immense clinical and scientific benefits of cardiovascular imaging are well-established but are also true that 30 to 50 of all examinations are partially or totally inappropriate Marketing messages high patient demand and defensive medicine lead to the vicious circle of the so-called Ulysses syndrome Mr Ulysses a typical middle-aged worried-well asymptomatic subject with an A-type coronary personality a heavy (opium) smoker leading a stressful life would be advised to have a cardiological check-up after 10 years of war After a long journey across imaging laboratories he will have stress echo myocardial perfusion scintigraphy PET-CT 64-slice CT and adenosine-MRI performed with a cumulative cost of gt100 times a simple exercise-electrocardiography test and a cumulative radiation dose of gt4000 chest x-rays with a cancer risk of 1 in 100 Ulysses is tired of useless examinations exorbitant costs unaffordable even by the richest society and unacceptable risks
Picano E The risks of inappropriateness in cardiac imagingInt J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Sindroma de Ulisses
-Meacutedico
-Social
ldquoUlisses heroacutei grego rei de Iacutetaca foi um dos elementosmais decisivos no cerco a Troacuteiahellip O retorno de Ulisses agrave sua terra hellip eacute o tema da Odisseiahellip O azar ou a maacute sorte- a inimizade de Neptuno hellip as ciladas vaacuterias hellip o Inferno hellip um emaranhado tenebroso hellip obrigaram o heroacutei e seus companheiros a errarem pelos mares durante dez longos anos perdidos por maus caminhos e sujeitos a amargos e demoradossacrifiacuteciosrdquo
ldquohellip Tambeacutem as sereias sujeitaram Ulisses a provaccedilotildees Com as suas melodias maviosas e enganadoras hellip
ldquoPara resistir agraves tentaccedilotildeeshellip o heroacutei tapou com cera os ouvidos dos seus companheiros e pediu-lhes que o amarrassem bem ao mastro do naviordquo
A analogia da Odisseia de Ulisses com os mauscaminhos enganos e sacrifiacutecios passados por estes pacientes hellip levou a denominar de Sindroma de Ulisses esta forma de iatrogenia caracterizada por
- extensivas e desnecessaacuterias investigaccedilotildees
- resultantes da tentativa de esclarecimento de achado insignificantebull cliacutenico bull laboratorial ou bull imagiologia
Salgado M Fonseca N A Siacutendrome de Ulisses Sauacutede Infantil 19931583-4
Int J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14The risks of inappropriateness in cardiac imagingPicano EAuthor information Institute of Clinical Physiology CNR Pisa Italy picanoifccnritAbstractThe immense clinical and scientific benefits of cardiovascular imaging are well-established but are also true that 30 to 50 of all examinations are partially or totally inappropriate Marketing messages high patient demand and defensive medicine lead to the vicious circle of the so-called Ulysses syndrome Mr Ulysses a typical middle-aged worried-well asymptomatic subject with an A-type coronary personality a heavy (opium) smoker leading a stressful life would be advised to have a cardiological check-up after 10 years of war After a long journey across imaging laboratories he will have stress echo myocardial perfusion scintigraphy PET-CT 64-slice CT and adenosine-MRI performed with a cumulative cost of gt100 times a simple exercise-electrocardiography test and a cumulative radiation dose of gt4000 chest x-rays with a cancer risk of 1 in 100 Ulysses is tired of useless examinations exorbitant costs unaffordable even by the richest society and unacceptable risks
Picano E The risks of inappropriateness in cardiac imagingInt J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
ldquoUlisses heroacutei grego rei de Iacutetaca foi um dos elementosmais decisivos no cerco a Troacuteiahellip O retorno de Ulisses agrave sua terra hellip eacute o tema da Odisseiahellip O azar ou a maacute sorte- a inimizade de Neptuno hellip as ciladas vaacuterias hellip o Inferno hellip um emaranhado tenebroso hellip obrigaram o heroacutei e seus companheiros a errarem pelos mares durante dez longos anos perdidos por maus caminhos e sujeitos a amargos e demoradossacrifiacuteciosrdquo
ldquohellip Tambeacutem as sereias sujeitaram Ulisses a provaccedilotildees Com as suas melodias maviosas e enganadoras hellip
ldquoPara resistir agraves tentaccedilotildeeshellip o heroacutei tapou com cera os ouvidos dos seus companheiros e pediu-lhes que o amarrassem bem ao mastro do naviordquo
A analogia da Odisseia de Ulisses com os mauscaminhos enganos e sacrifiacutecios passados por estes pacientes hellip levou a denominar de Sindroma de Ulisses esta forma de iatrogenia caracterizada por
- extensivas e desnecessaacuterias investigaccedilotildees
- resultantes da tentativa de esclarecimento de achado insignificantebull cliacutenico bull laboratorial ou bull imagiologia
Salgado M Fonseca N A Siacutendrome de Ulisses Sauacutede Infantil 19931583-4
Int J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14The risks of inappropriateness in cardiac imagingPicano EAuthor information Institute of Clinical Physiology CNR Pisa Italy picanoifccnritAbstractThe immense clinical and scientific benefits of cardiovascular imaging are well-established but are also true that 30 to 50 of all examinations are partially or totally inappropriate Marketing messages high patient demand and defensive medicine lead to the vicious circle of the so-called Ulysses syndrome Mr Ulysses a typical middle-aged worried-well asymptomatic subject with an A-type coronary personality a heavy (opium) smoker leading a stressful life would be advised to have a cardiological check-up after 10 years of war After a long journey across imaging laboratories he will have stress echo myocardial perfusion scintigraphy PET-CT 64-slice CT and adenosine-MRI performed with a cumulative cost of gt100 times a simple exercise-electrocardiography test and a cumulative radiation dose of gt4000 chest x-rays with a cancer risk of 1 in 100 Ulysses is tired of useless examinations exorbitant costs unaffordable even by the richest society and unacceptable risks
Picano E The risks of inappropriateness in cardiac imagingInt J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
ldquohellip Tambeacutem as sereias sujeitaram Ulisses a provaccedilotildees Com as suas melodias maviosas e enganadoras hellip
ldquoPara resistir agraves tentaccedilotildeeshellip o heroacutei tapou com cera os ouvidos dos seus companheiros e pediu-lhes que o amarrassem bem ao mastro do naviordquo
A analogia da Odisseia de Ulisses com os mauscaminhos enganos e sacrifiacutecios passados por estes pacientes hellip levou a denominar de Sindroma de Ulisses esta forma de iatrogenia caracterizada por
- extensivas e desnecessaacuterias investigaccedilotildees
- resultantes da tentativa de esclarecimento de achado insignificantebull cliacutenico bull laboratorial ou bull imagiologia
Salgado M Fonseca N A Siacutendrome de Ulisses Sauacutede Infantil 19931583-4
Int J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14The risks of inappropriateness in cardiac imagingPicano EAuthor information Institute of Clinical Physiology CNR Pisa Italy picanoifccnritAbstractThe immense clinical and scientific benefits of cardiovascular imaging are well-established but are also true that 30 to 50 of all examinations are partially or totally inappropriate Marketing messages high patient demand and defensive medicine lead to the vicious circle of the so-called Ulysses syndrome Mr Ulysses a typical middle-aged worried-well asymptomatic subject with an A-type coronary personality a heavy (opium) smoker leading a stressful life would be advised to have a cardiological check-up after 10 years of war After a long journey across imaging laboratories he will have stress echo myocardial perfusion scintigraphy PET-CT 64-slice CT and adenosine-MRI performed with a cumulative cost of gt100 times a simple exercise-electrocardiography test and a cumulative radiation dose of gt4000 chest x-rays with a cancer risk of 1 in 100 Ulysses is tired of useless examinations exorbitant costs unaffordable even by the richest society and unacceptable risks
Picano E The risks of inappropriateness in cardiac imagingInt J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
ldquoPara resistir agraves tentaccedilotildeeshellip o heroacutei tapou com cera os ouvidos dos seus companheiros e pediu-lhes que o amarrassem bem ao mastro do naviordquo
A analogia da Odisseia de Ulisses com os mauscaminhos enganos e sacrifiacutecios passados por estes pacientes hellip levou a denominar de Sindroma de Ulisses esta forma de iatrogenia caracterizada por
- extensivas e desnecessaacuterias investigaccedilotildees
- resultantes da tentativa de esclarecimento de achado insignificantebull cliacutenico bull laboratorial ou bull imagiologia
Salgado M Fonseca N A Siacutendrome de Ulisses Sauacutede Infantil 19931583-4
Int J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14The risks of inappropriateness in cardiac imagingPicano EAuthor information Institute of Clinical Physiology CNR Pisa Italy picanoifccnritAbstractThe immense clinical and scientific benefits of cardiovascular imaging are well-established but are also true that 30 to 50 of all examinations are partially or totally inappropriate Marketing messages high patient demand and defensive medicine lead to the vicious circle of the so-called Ulysses syndrome Mr Ulysses a typical middle-aged worried-well asymptomatic subject with an A-type coronary personality a heavy (opium) smoker leading a stressful life would be advised to have a cardiological check-up after 10 years of war After a long journey across imaging laboratories he will have stress echo myocardial perfusion scintigraphy PET-CT 64-slice CT and adenosine-MRI performed with a cumulative cost of gt100 times a simple exercise-electrocardiography test and a cumulative radiation dose of gt4000 chest x-rays with a cancer risk of 1 in 100 Ulysses is tired of useless examinations exorbitant costs unaffordable even by the richest society and unacceptable risks
Picano E The risks of inappropriateness in cardiac imagingInt J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
A analogia da Odisseia de Ulisses com os mauscaminhos enganos e sacrifiacutecios passados por estes pacientes hellip levou a denominar de Sindroma de Ulisses esta forma de iatrogenia caracterizada por
- extensivas e desnecessaacuterias investigaccedilotildees
- resultantes da tentativa de esclarecimento de achado insignificantebull cliacutenico bull laboratorial ou bull imagiologia
Salgado M Fonseca N A Siacutendrome de Ulisses Sauacutede Infantil 19931583-4
Int J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14The risks of inappropriateness in cardiac imagingPicano EAuthor information Institute of Clinical Physiology CNR Pisa Italy picanoifccnritAbstractThe immense clinical and scientific benefits of cardiovascular imaging are well-established but are also true that 30 to 50 of all examinations are partially or totally inappropriate Marketing messages high patient demand and defensive medicine lead to the vicious circle of the so-called Ulysses syndrome Mr Ulysses a typical middle-aged worried-well asymptomatic subject with an A-type coronary personality a heavy (opium) smoker leading a stressful life would be advised to have a cardiological check-up after 10 years of war After a long journey across imaging laboratories he will have stress echo myocardial perfusion scintigraphy PET-CT 64-slice CT and adenosine-MRI performed with a cumulative cost of gt100 times a simple exercise-electrocardiography test and a cumulative radiation dose of gt4000 chest x-rays with a cancer risk of 1 in 100 Ulysses is tired of useless examinations exorbitant costs unaffordable even by the richest society and unacceptable risks
Picano E The risks of inappropriateness in cardiac imagingInt J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Int J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14The risks of inappropriateness in cardiac imagingPicano EAuthor information Institute of Clinical Physiology CNR Pisa Italy picanoifccnritAbstractThe immense clinical and scientific benefits of cardiovascular imaging are well-established but are also true that 30 to 50 of all examinations are partially or totally inappropriate Marketing messages high patient demand and defensive medicine lead to the vicious circle of the so-called Ulysses syndrome Mr Ulysses a typical middle-aged worried-well asymptomatic subject with an A-type coronary personality a heavy (opium) smoker leading a stressful life would be advised to have a cardiological check-up after 10 years of war After a long journey across imaging laboratories he will have stress echo myocardial perfusion scintigraphy PET-CT 64-slice CT and adenosine-MRI performed with a cumulative cost of gt100 times a simple exercise-electrocardiography test and a cumulative radiation dose of gt4000 chest x-rays with a cancer risk of 1 in 100 Ulysses is tired of useless examinations exorbitant costs unaffordable even by the richest society and unacceptable risks
Picano E The risks of inappropriateness in cardiac imagingInt J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Picano E The risks of inappropriateness in cardiac imagingInt J Environ Res Public Health 2009 May6(5)1649-64 doi 103390ijerph6051649 Epub 2009 May 14
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
J Lab Clin Med 2004 Jul144(1)7-10Did Ulysses have porphyriaPierach CA
hellip An errant patient with a conundrum of symptoms but without an explanation for them might have to take iatrogenic detours only to learn after what are at times ulyssean vagaries that the initial diagnosis of porphyria is in the end untenable
hellip the occurrence of the Ulysses syndrome can be curtailed through the careful ordering of tests and cogent interpretation of their results
Em Hematologia
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
bull Eugenio Picano Gaetano Mottola Ulyssesrsquo Syndrome Stress Echocardiography 2003469-75bull Reich JM Dysutility of screening chest roentgenograms for lung cancer the Ulysses syndrome Arch Intern Med 1993 23153(16)1933bullFlecknoe-Brown S The Ulysses syndrome in pathology Med J Aust 1992 4156(9)671bullMutile S Stĕpaacuten J Dolezalovaacute P Kesslerovaacute Z Transient hyperphosphatasemia in childhood - the Ulysses syndrome Cas Lek Cesk 1989 Mar 17128(12)375-7[Article in Czech]bull Mercado Rodriacuteguez U Ulysses syndrome Rev Clin Esp 1982 Jan 31164(2)127-8(Article in Spanish)bull Laerum OD The Ulysses syndrome - health problems in patients with non-disease Nord Med 197691(8-9)205-7 (Article in Norwegian)bull Nicol WG The Ulysses syndrome Can Med Assoc J 197522113(10)928bull Campos FJ Mercado-Rodriguez U The Ulysses syndrome Can Med Assoc J1975113(6)493 (Letter)bull Babineau M The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Watson WC The Ulysses syndrome Can Med Assoc J 1972106(9)964bull Dunn EV The Ulysses syndrome Can Med Assoc J 1972106(9)963-4bull Rang M The Ulysses syndrome Can Med Assoc J 1972106(2)122-31ordm
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Stress Echocardiography 2003469-475 Ulyssesrsquo SyndromeEugenio Picano Gaetano MottolaAbstractDetecting myocardial ischemia can now be done using a wide ranging mdash somewhat confusing mdash series of tests a plethora of diagnostic approaches with a variety of stresses (physical electrical and pharmacological) in combination with all the available technologies from the well-established tools (eg electrocardiography) to the more recent imaging techniques (nuclear cardiology echocardiography) up to the latest most sophisticated and expensive ones (magnetic resonance ultrafast computed tomography positron emission tomography) These imaging techniques provide noninvasive insight into myocardial function and metabolism in a polychrome three-dimensional almost overwhelming fashion [1] Not infrequently the patientrsquos complexity is reduced to a transient perfusion defect or a reversible hypokinesia and technological output replaces integrated clinical reasoning [23]
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Diluiccedilotildees
O inverso das diluiccedilotildees = Tiacutetulos
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Anaacutelises com resultados em Tiacutetulos
Um dos muacuteltiplos exemplos de potencial ldquocriaccedilatildeordquo de
siacutendroma de Ulisses meacutedico
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Obrigado pela vossa atenccedilatildeo
Contacto reumatologiachcmin-saudept
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Neologismo = palavra ou expressatildeo novaformada no interior da liacutengua ou importadahellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
What is the Ulysses Syndrome
Ulysses syndrome is characterized by the following hot spots- Loneliness Once a person comes to a country that is not yours is just a bleak outlook They can not bring the family because they first have to have economic stability Furthermore the fact that their closest relatives as their children especially in the case of women have been left in the home country produces a nostalgia hard to beat- The feeling of failure They think that so much effort has served not because they can not progress in the market and can not get jobs They live very tough situations in the struggle for survival Their main concern is where to eat and where to sleep - Spend scary situations For example it is common is arriving in boats feel dread soon after the water
httpwwwbubblewscomnews1459210-what-is-the-quot-ulysses-syndrome-quot
Siacutendroma de Ulisses Social
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
Exemplos de Exames na origem de Siacutendroma de Ulisses- Tiacutetulo TASO- Tiacutetulo ANAs- Ttulo AcDsDNA- RA teste e ou Waaler- Rose positivos- Reaccedilatildeo Widal- - Alteraccedilotildees do ECG (electrocardiograma)- RX do toacuterax- muacuteltiplos outroshellip
