cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.21624538.v1
title: Environmental Fragility in a Permanent Preservation Area

description: Abstract Permanent preservation areas reduce the exposure of sediments and nutrients in aquatic medium and improve the quality of water. The analysis of natural features and anthropic use in rivers’ surroundings makes it possible detecting potential ecological unbalance. This study analyzed the potential and emerging environmental fragility in Permanent Preservation Areas (PPA). Environmental fragilities around drainage areas composing the sub-basin were assessed based on soil, relief, rainfall, land use/land cover (LULC) features. The degrees of emerging environmental fragility observed in the second-order stream were lower than those in first-order ones: 3.07 and 2.68, on average, respectively; and standard deviation of approximately 0.7 was recorded in each group. First-order streams are more closely associated with high slopes, and it increases their fragility. Then reduction of fragility levels around water springs due to conservationist practices will decrease material and energy transfer throughout network connections and rebalance the assessed aquatic ecosystem.
DOI: 10.6084/m9.figshare.21624541
title: Trajectory of the National Policy of Permanent Education in Health in Brazil

description: Abstract The Brazilian National Policy of Permanent Education in Health establishes as an assumption the centrality in the work processes to guide the qualification activities of health workers. The present study aims to discuss the trajectory of institutionalization of the National Policy of Permanent Education in Health according to the perception of the representative actors of this public policy (federal managers, state and municipal managers, and researchers), considering the 16 years of its institutionalization until the year of this study (2004-2020). This is a qualitative research, with the application of the Delphi method. The results showed that the policy is fragile regarding its implementation. Regarding the impacts, it was found that it facilitated the strengthening of the relationship between health services and educational institutions, and promoted significant changes in teamwork processes, regardless of their composition.
DOI: 10.6084/m9.figshare.21624541.v1
title: Trajectory of the National Policy of Permanent Education in Health in Brazil

description: Abstract The Brazilian National Policy of Permanent Education in Health establishes as an assumption the centrality in the work processes to guide the qualification activities of health workers. The present study aims to discuss the trajectory of institutionalization of the National Policy of Permanent Education in Health according to the perception of the representative actors of this public policy (federal managers, state and municipal managers, and researchers), considering the 16 years of its institutionalization until the year of this study (2004-2020). This is a qualitative research, with the application of the Delphi method. The results showed that the policy is fragile regarding its implementation. Regarding the impacts, it was found that it facilitated the strengthening of the relationship between health services and educational institutions, and promoted significant changes in teamwork processes, regardless of their composition.
DOI: 10.6084/m9.figshare.21624540
title: Incor Residency Program in Adult Cardiology in 2022: 40 Years Preparing Cardiologists for the Demands in Brazil

description: Abstract Background Considering demographic data related to the cardiologist’s fields of work in Brazil, the administrative board of the InCor medical residency program decided for an update of its curriculum content, to adapt the educational process to the cardiologist’s work reality. Objective This article aimed to describe the recent updates applied to the InCor medical residency program. Methods In the article, we described the recent updates on the InCor residency program, and compared the current curriculum track with the previous one. We also presented the rationale for these changes, based on the literature on the participation of cardiologists in the labor market. Results There was a reduction in the working hours of residents in training in the intensive care unit, and an increase in the outpatient activities of primary and secondary prevention. Also, the didactic content was reformulated and became organized by the corresponding division. Conclusion The update of the curriculum track of the InCor medical residency program was required in order to adapt it to the Brazilian labor market. The commission in charge of this update is aware that this is a dynamic process that may need changes over time.
DOI: 10.6084/m9.figshare.21624540.v1
title: Incor Residency Program in Adult Cardiology in 2022: 40 Years Preparing Cardiologists for the Demands in Brazil

description: Abstract Background Considering demographic data related to the cardiologist’s fields of work in Brazil, the administrative board of the InCor medical residency program decided for an update of its curriculum content, to adapt the educational process to the cardiologist’s work reality. Objective This article aimed to describe the recent updates applied to the InCor medical residency program. Methods In the article, we described the recent updates on the InCor residency program, and compared the current curriculum track with the previous one. We also presented the rationale for these changes, based on the literature on the participation of cardiologists in the labor market. Results There was a reduction in the working hours of residents in training in the intensive care unit, and an increase in the outpatient activities of primary and secondary prevention. Also, the didactic content was reformulated and became organized by the corresponding division. Conclusion The update of the curriculum track of the InCor medical residency program was required in order to adapt it to the Brazilian labor market. The commission in charge of this update is aware that this is a dynamic process that may need changes over time.
DOI: 10.6084/m9.figshare.21624544
title: Direct approach to assess risk adjustment under IFRS 17

description: ABSTRACT This paper aims to develop a method that can be adopted by insurers to assess the risk adjustment for nonfinancial risks (RA) required by International Financial Reporting Standards 17 (IFRS 17). Unlike other methods, the method proposed here directly returns the RA for each liability related to a group of insurance contracts: remaining coverage and incurred claims. Moreover, each portion of the RA is correctly allocated to the corresponding actuarial liability, which constitutes an advantage over other methods. The method follows IFRS 17 directives and contributes to standardize accounting practices of insurers around the world, thus increasing the degree of comparability between financial statements in different jurisdictions. This paper should be relevant for insurance companies, for insurance market supervisors and regulators, as well as for practitioners in general. The method takes advantage of the collective risk theory and of the Monte Carlo simulation technique to adjust probability distributions used to calculate two different loading factors that, when applied to the carrying amount of unearned premiums and to the expected present value of incurred claims, directly return the RA for each liability related to a group of insurance contracts: remaining coverage and incurred claims. Our results show that, for large-scale portfolios, the central limit theorem holds and the distributions used to assess the loading factors can be well approximated by the normal distribution. Additionally, the values obtained for each loading factor are small, which means that the RA is relatively low when compared to the carrying amount of unearned premiums and to the expected present value of incurred claims. This result is in line with the law of large numbers, which states that, for large-scale portfolios, the risk borne by the insurer becomes considerably lower, since it is easier to predict the behavior of aggregate future claims.
DOI: 10.6084/m9.figshare.21624544.v1
title: Direct approach to assess risk adjustment under IFRS 17

description: ABSTRACT This paper aims to develop a method that can be adopted by insurers to assess the risk adjustment for nonfinancial risks (RA) required by International Financial Reporting Standards 17 (IFRS 17). Unlike other methods, the method proposed here directly returns the RA for each liability related to a group of insurance contracts: remaining coverage and incurred claims. Moreover, each portion of the RA is correctly allocated to the corresponding actuarial liability, which constitutes an advantage over other methods. The method follows IFRS 17 directives and contributes to standardize accounting practices of insurers around the world, thus increasing the degree of comparability between financial statements in different jurisdictions. This paper should be relevant for insurance companies, for insurance market supervisors and regulators, as well as for practitioners in general. The method takes advantage of the collective risk theory and of the Monte Carlo simulation technique to adjust probability distributions used to calculate two different loading factors that, when applied to the carrying amount of unearned premiums and to the expected present value of incurred claims, directly return the RA for each liability related to a group of insurance contracts: remaining coverage and incurred claims. Our results show that, for large-scale portfolios, the central limit theorem holds and the distributions used to assess the loading factors can be well approximated by the normal distribution. Additionally, the values obtained for each loading factor are small, which means that the RA is relatively low when compared to the carrying amount of unearned premiums and to the expected present value of incurred claims. This result is in line with the law of large numbers, which states that, for large-scale portfolios, the risk borne by the insurer becomes considerably lower, since it is easier to predict the behavior of aggregate future claims.
DOI: 10.6084/m9.figshare.21624547
title: Additive effect of the probiotics Lactobacillus exopolysaccharides and the Satureja calamintha extracts on enteropathogenic Escherichia coli adhesion

description: Abstract This study assessed the inhibitory potential of the probiotics Lactobacillus (LB) exopolysaccharides (EPS) with or without extracts of Satureja calamintha on enteropathogenic Escherichia coli (EPEc) responsible for gastroenteritis. Methanolic and hydromethanolic extracts were prepared by cold maceration and subjected to phytochemical screening. The compounds of the extracts were determined with the colorimetric assays and identified using high-performance liquid chromatography coupled with diode array detector (HPLC-DAD). Antioxidant activities of the extracts were also evaluated by using 2,2-diphenyl-1-picrylhydrazil (DPPH) radical scavenging. Antibacterial effect on EPEc was evaluated by using both agar disc diffusion and microdilution methods. The in vitro test of auto-aggregation was investigated. Microbiological analysis showed that 63% of the isolated LB were producing EPS, with the amount ranging from 8.21 to 43.13 mg/L. Chemical analysis of the extracts revealed the presence of polyphenols and flavonoids, more abundant in the hydromethanolic extract, which presented the highest content with 2.11 mg EGA/g of polyphenol and 1.64 mg EC/g of flavonoids and 1.71 mg EGA/g of polyphenol and 1.15 mg EC/g of flavonoids in the methanolic extract. Hydromethanolic extracts and EPS exhibited a more important activity than did the methanolic extract against EPEc. The combined action of EPS and extracts reduced the aggregation ability of EPEc and decreased the rate of their adhesion.
DOI: 10.6084/m9.figshare.21624547.v1
title: Additive effect of the probiotics Lactobacillus exopolysaccharides and the Satureja calamintha extracts on enteropathogenic Escherichia coli adhesion

description: Abstract This study assessed the inhibitory potential of the probiotics Lactobacillus (LB) exopolysaccharides (EPS) with or without extracts of Satureja calamintha on enteropathogenic Escherichia coli (EPEc) responsible for gastroenteritis. Methanolic and hydromethanolic extracts were prepared by cold maceration and subjected to phytochemical screening. The compounds of the extracts were determined with the colorimetric assays and identified using high-performance liquid chromatography coupled with diode array detector (HPLC-DAD). Antioxidant activities of the extracts were also evaluated by using 2,2-diphenyl-1-picrylhydrazil (DPPH) radical scavenging. Antibacterial effect on EPEc was evaluated by using both agar disc diffusion and microdilution methods. The in vitro test of auto-aggregation was investigated. Microbiological analysis showed that 63% of the isolated LB were producing EPS, with the amount ranging from 8.21 to 43.13 mg/L. Chemical analysis of the extracts revealed the presence of polyphenols and flavonoids, more abundant in the hydromethanolic extract, which presented the highest content with 2.11 mg EGA/g of polyphenol and 1.64 mg EC/g of flavonoids and 1.71 mg EGA/g of polyphenol and 1.15 mg EC/g of flavonoids in the methanolic extract. Hydromethanolic extracts and EPS exhibited a more important activity than did the methanolic extract against EPEc. The combined action of EPS and extracts reduced the aggregation ability of EPEc and decreased the rate of their adhesion.
DOI: 10.6084/m9.figshare.21624549
title: Teaching of Clinical Reasoning Guided by Illness Script Theory

description: Abstract Background Teaching of clinical reasoning (CR) can be facilitated by educational strategies guided by illness script theory. Objective To evaluate the effects of an educational strategy guided by illness script theory on the diagnostic accuracy of chest pain in medical students. Methods Experimental study in 3 phases, with 18 third-year medical students completing phase 3. Phases 1 and 2 had 27 students. In phase 1, each participant solved 8 clinical cases (6 of chest pain and 2 distractors). In phase 2, participants were divided into 2 groups, which distinctly trained 3 of the chest pain diagnoses from phase 1. In phase 3, after 1 week, each participant solved 8 new cases, with the same diagnoses as phase 1. Case resolution time and diagnostic accuracy were evaluated. The significance level adopted for statistical analysis was p &lt; 0.05. Results In phase 3, both groups showed improved diagnostic accuracy and reduced case resolution time for the trained diagnoses, with no transfer of learning. For these diagnoses, the diagnostic accuracy scores in phases 1 and 3 were: group 1 = 1.00, IQR [0.00 to 1.00] versus 2.00, IQR [2.00 to 2.50], p = 0.017 and group 2 = 1.00, IQR [0.66 to 1.17] versus 3.00, IQR [1.33 to 3.00], p = 0.006. Case resolution times in seconds were: group 1: 485, IQR [450 to 583] versus 318, IQR [284 to 418], p = 0.027 and group 2: 655, IQR [543 to 740] versus 408, IQR [337 to 569], p = 0.010. Conclusion The proposed strategy seems to contribute to improved diagnostic accuracy, and it may be considered for teaching CR.
DOI: 10.6084/m9.figshare.21624549.v1
title: Teaching of Clinical Reasoning Guided by Illness Script Theory

description: Abstract Background Teaching of clinical reasoning (CR) can be facilitated by educational strategies guided by illness script theory. Objective To evaluate the effects of an educational strategy guided by illness script theory on the diagnostic accuracy of chest pain in medical students. Methods Experimental study in 3 phases, with 18 third-year medical students completing phase 3. Phases 1 and 2 had 27 students. In phase 1, each participant solved 8 clinical cases (6 of chest pain and 2 distractors). In phase 2, participants were divided into 2 groups, which distinctly trained 3 of the chest pain diagnoses from phase 1. In phase 3, after 1 week, each participant solved 8 new cases, with the same diagnoses as phase 1. Case resolution time and diagnostic accuracy were evaluated. The significance level adopted for statistical analysis was p &lt; 0.05. Results In phase 3, both groups showed improved diagnostic accuracy and reduced case resolution time for the trained diagnoses, with no transfer of learning. For these diagnoses, the diagnostic accuracy scores in phases 1 and 3 were: group 1 = 1.00, IQR [0.00 to 1.00] versus 2.00, IQR [2.00 to 2.50], p = 0.017 and group 2 = 1.00, IQR [0.66 to 1.17] versus 3.00, IQR [1.33 to 3.00], p = 0.006. Case resolution times in seconds were: group 1: 485, IQR [450 to 583] versus 318, IQR [284 to 418], p = 0.027 and group 2: 655, IQR [543 to 740] versus 408, IQR [337 to 569], p = 0.010. Conclusion The proposed strategy seems to contribute to improved diagnostic accuracy, and it may be considered for teaching CR.
DOI: 10.6084/m9.figshare.21624555
title: Selvester Score May Be a Predictor of ICD Therapies in Patients with Non-Ischemic Dilated Cardiomyopathy

description: ABSTRACT Introduction: The benefit of implantable cardioverter-defibrillator (ICD) in patients with non-ischemic dilated cardiomyopathy (DCM) is still an issue under discussion. Studies examining the relationship between ventricular scar tissue and ICD shock with cardiac magnetic resonance (CMR) are promising. CMR studies have shown that ventricular scar tissue size and Selvester score show a correlation. In the light of this information, this study aimed to investigate the potential relationship between Selvester score and ICD therapies. Methods: The study included 48 patients who had undergone ICD implantation with a diagnosis of DCM and who had undergone routine 6-month ICD control in outpatient clinic controls between December 2018 and October 2019. Selvester score and other data were compared between patients who received ICD therapy (n=10) and those who did not (n=38). Results: Selvester score (P&lt;0.001) was higher in ICD therapy group. Positive correlation was found between ICD shock therapy and Selvester score (P=0.002, r=0.843). Selvester score was detected as an independent predictor for ICD therapy after multiple linear regression analysis (P=0.004). Receiver operating characteristic curve analysis showed that Selvester score (P&lt;0.001) was a significant predictor of ICD therapy. Selvester score cutoff points of 5 for were calculated to estimate ICD therapy, with a sensitivity of 100% and specifity of 81%. Conclusion: In our study, it was found that a high Selvester score may be a predictor for ICD therapies in patients with DCM. As an inexpensive and non-invasive method, Selvester score can help in the decision-making in these patients.
DOI: 10.6084/m9.figshare.21624555.v1
title: Selvester Score May Be a Predictor of ICD Therapies in Patients with Non-Ischemic Dilated Cardiomyopathy

description: ABSTRACT Introduction: The benefit of implantable cardioverter-defibrillator (ICD) in patients with non-ischemic dilated cardiomyopathy (DCM) is still an issue under discussion. Studies examining the relationship between ventricular scar tissue and ICD shock with cardiac magnetic resonance (CMR) are promising. CMR studies have shown that ventricular scar tissue size and Selvester score show a correlation. In the light of this information, this study aimed to investigate the potential relationship between Selvester score and ICD therapies. Methods: The study included 48 patients who had undergone ICD implantation with a diagnosis of DCM and who had undergone routine 6-month ICD control in outpatient clinic controls between December 2018 and October 2019. Selvester score and other data were compared between patients who received ICD therapy (n=10) and those who did not (n=38). Results: Selvester score (P&lt;0.001) was higher in ICD therapy group. Positive correlation was found between ICD shock therapy and Selvester score (P=0.002, r=0.843). Selvester score was detected as an independent predictor for ICD therapy after multiple linear regression analysis (P=0.004). Receiver operating characteristic curve analysis showed that Selvester score (P&lt;0.001) was a significant predictor of ICD therapy. Selvester score cutoff points of 5 for were calculated to estimate ICD therapy, with a sensitivity of 100% and specifity of 81%. Conclusion: In our study, it was found that a high Selvester score may be a predictor for ICD therapies in patients with DCM. As an inexpensive and non-invasive method, Selvester score can help in the decision-making in these patients.
DOI: 10.6084/m9.figshare.21624559
title: Impact of some natural extracts on rooting performance of coratina olive cuttings

description: Abstract Stimulating root formation is the key to successful cutting propagation. Natural root stimulators are eco-friendly, biodegradable and sustainable tools that prevent the environment from pollution. Horticulturists have given the role of sol-vents in natural extracts little attention. Therefore, the aim of this study was to study the effect of three extract solutions (aqueous, vinegary and ethanol) for ten natural extracts (humic, licorice roots, ginger roots, cinnamon bark, garlic bulbs, bread yeast, moringa leaves, willow leaves, willow shoots and control at a concentration of 20% on rooting of Coratina hardwood olive cuttings. Regarding the effect of solvent on rooting performance of Coratina olive cuttings, both ethanol and vinegar as a sol-vent improved the efficiency of the natural extract in rooting behavior compared to the water as solvent. Regarding the effect of the natural extracts, ginger extracts generally recorded the highest root charcgters compared to the other natural ex-tracts. As for the interaction effect, licorice vinegar extract recorded the highest root-ing percent (25%, 32.77%) followed by both humic ethanolic (27.07%, 24.67%) and vinegary (25.03%, 19.67%) extract then ginger vinegar extract (20.83%, 18%) for both seasons, respectively. According to organic farm regulation, ginger vinegar extract can be recommended followed by licorice vinegar extract.
DOI: 10.6084/m9.figshare.21624559.v1
title: Impact of some natural extracts on rooting performance of coratina olive cuttings

description: Abstract Stimulating root formation is the key to successful cutting propagation. Natural root stimulators are eco-friendly, biodegradable and sustainable tools that prevent the environment from pollution. Horticulturists have given the role of sol-vents in natural extracts little attention. Therefore, the aim of this study was to study the effect of three extract solutions (aqueous, vinegary and ethanol) for ten natural extracts (humic, licorice roots, ginger roots, cinnamon bark, garlic bulbs, bread yeast, moringa leaves, willow leaves, willow shoots and control at a concentration of 20% on rooting of Coratina hardwood olive cuttings. Regarding the effect of solvent on rooting performance of Coratina olive cuttings, both ethanol and vinegar as a sol-vent improved the efficiency of the natural extract in rooting behavior compared to the water as solvent. Regarding the effect of the natural extracts, ginger extracts generally recorded the highest root charcgters compared to the other natural ex-tracts. As for the interaction effect, licorice vinegar extract recorded the highest root-ing percent (25%, 32.77%) followed by both humic ethanolic (27.07%, 24.67%) and vinegary (25.03%, 19.67%) extract then ginger vinegar extract (20.83%, 18%) for both seasons, respectively. According to organic farm regulation, ginger vinegar extract can be recommended followed by licorice vinegar extract.