@misc{SchmidtSchmidtTolentinoetal., author = {Schmidt, Juliana J. and Schmidt, Guilherme J. and Tolentino, Julio C. and Simoes, Eunice N. and Obongo, Angela and Tolentino, Yolanda and Coelho, Francisco A. and Landesmann, Maria C. P. P. and Fonseca, Lea M. B. and Lacerda, Glenda C. B. and Schmidt, Sergio L.}, title = {A serial SPECT-CT study in a celiac disease patient with cerebellar ataxia and psychiatric symptoms}, series = {Neurological sciences}, volume = {42}, journal = {Neurological sciences}, issn = {1590-3478}, doi = {10.1007/s10072-020-04908-2}, pages = {1545 -- 1548}, abstract = {Celiac disease (CD) is an immune-mediated systemic disorder triggered by gluten and related prolamins in genetically predisposed individuals. Here, we described a case of a 31-year-old Caucasian woman who exhibited cerebellar and psychiatric dysfunctions. The patient underwent single-photon emission computed tomography (SPECT-CT) before and after a gluten-free diet (GFD). There was an improvement in cerebellar perfusion accompanied by a remission of cerebellar manifestations. The maintenance of the psychiatric manifestations was related to the persistence of the hypoperfusion in the frontal lobes. The patient's psychiatric symptoms did not change after 4 months under a GFD in the hospital. To our knowledge, this is the first case that shows the relationship between improvement in cerebellar perfusion and remission of cerebellar clinical manifestations in a CD patient under a GFD.}, language = {en} } @misc{ObongoTallarekSpallek, author = {Obongo, Angela and Tallarek, Marie and Spallek, Jacob}, title = {Determinants of access to and use of gestational diabetes mellitus services in Kenya: a multimethod case study protocol}, series = {BMJ Open}, volume = {13}, journal = {BMJ Open}, number = {12}, issn = {2044-6055}, doi = {10.1136/bmjopen-2023-074916}, abstract = {Gestational diabetes mellitus (GDM) is a growing public health issue in many low and middle-income countries (LMICs), making up about 90\% of the global burden of GDM. Additionally, LMICs' healthcare systems are already overwhelmed by the prevalence of communicable diseases. It is crucial to understand the patterns of GDM in sub-Saharan African countries. Early detection, lifestyle and medication interventions, regular prenatal visits and effective postpartum management can help avert the future development of type 2 diabetes. GDM services present opportunities for preventive and treatment strategies for women with GDM. However, various factors contribute to challenges and obstacles in accessing GDM services, particularly suboptimal postpartum screening and follow-up. This study aims to investigate the societal and healthcare factors that facilitate or hinder access to and use of GDM services, as well as the factors that promote or obstruct the management and treatment of GDM, in Kenya, using a postcolonial theoretical approach.}, language = {en} }