cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.19923673.v1
title: Implementation of a telemental health service for medical students during the COVID-19 pandemic

description: Abstract: Introduction: The COVID-19 pandemic can be considered a severely stressful event and trigger negative repercussions on the mental health of medical students, such as psychological distress and the development or worsening of mental disorders, harming the academic, social and professional life of these students. As a result of the interruption of classes and the social distancing measures advocated by health agencies during the pandemic, the mental health care sector for medical students at the Federal University of Rio de Janeiro (UFRJ) needed to cancel the face-to-face care at the Clementino Fraga Filho University Hospital in early March 2020 and think of other forms of mental health care for these students. Experience report: This is an experience report about the implementation of telemental health care for medical students at UFRJ during the pandemic, for the continuity of mental health care program using remote assistance, started in late March 2020. The service is being offered by a team of five psychiatrists, a psychologist and a social worker, all university employees. Discussion: The teleservice has served as an important space for listening and embracement in face of these students’ psychosocial demands, whose challenge consists in overcoming some barriers that hinder the availability of and access to mental health services on the university campus, including the preservation of the doctor-patient relationship, the guarantee of confidentiality and quality, and the offer of a space for mental health care when the physical presence is not possible. Conclusion: Despite the difficulties inherent in the rapid process of implementing this service, the potential of technology to help the population at this critical moment is perceived, especially regarding the attention to the mental health of specific groups, such as medical students. The telehealth represents a potential for learning and change in the ways how the access to care is offered, with the perspective of bringing benefits to the students’ mental health, even after the current period of the pandemic, with the goal of expanding these services to other courses of the UFRJ.
DOI: 10.6084/m9.figshare.19923676.v1
title: Palliative care: knowledge of graduates from a medical school in Goiás

description: Abstract: Introduction: Palliative care (PC) consists of multidisciplinary and holistic assistance to the patient to improve their quality of life and that of their relatives, through the prevention and relief of illnesses, seeking to soften their physical, social, psychological and spiritual aspects. There is an outstanding and growing need for PC, given that, with an aging population and increased prevalence of chronic non-communicable diseases, millions of people require PC every year, and only 14% of those people actually receive such services care until the end of life. Objective: To gauge the knowledge of medical graduates in 2020 from a Higher Education Institution in the state of Goiás about PC. Method: This work was conducted through a descriptive, transversal and quantitative study, using the validated questionnaire “General Questionnaire on Palliative Care - QGCP”, containing adaptations and objective questions, performed online. The sample universe consisted of 74 graduates. Participation was voluntary and, exclusively for scientific purposes, in line with the ethical recommendations for anonymity and confidentiality. Results: It was found that the majority of the participants considered PC to be “important” or “very important”, although only a minority were interested in undergoing specific training in this area in their clinical practice. Furthermore, although only one question in the questionnaire was answered incorrectly more than 50% of the time, inferring that the participants demonstrate a certain knowledge in PC, 86.5% (n=64) of the participants did not consider their knowledge about PC as “appropriate” or “very appropriate”. Conclusion: The results reveal that although academics recognize the importance of PC, a lack of knowledge about the underlying philosophy and principles, as well as insecurity regarding the conducts to be prescribed, highlight the need for permanent education on the subject. These findings corroborate national and international studies, which affirm the need to disseminate knowledge about the philosophy and principles of PC.
DOI: 10.6084/m9.figshare.19923676
title: Palliative care: knowledge of graduates from a medical school in Goiás

description: Abstract: Introduction: Palliative care (PC) consists of multidisciplinary and holistic assistance to the patient to improve their quality of life and that of their relatives, through the prevention and relief of illnesses, seeking to soften their physical, social, psychological and spiritual aspects. There is an outstanding and growing need for PC, given that, with an aging population and increased prevalence of chronic non-communicable diseases, millions of people require PC every year, and only 14% of those people actually receive such services care until the end of life. Objective: To gauge the knowledge of medical graduates in 2020 from a Higher Education Institution in the state of Goiás about PC. Method: This work was conducted through a descriptive, transversal and quantitative study, using the validated questionnaire “General Questionnaire on Palliative Care - QGCP”, containing adaptations and objective questions, performed online. The sample universe consisted of 74 graduates. Participation was voluntary and, exclusively for scientific purposes, in line with the ethical recommendations for anonymity and confidentiality. Results: It was found that the majority of the participants considered PC to be “important” or “very important”, although only a minority were interested in undergoing specific training in this area in their clinical practice. Furthermore, although only one question in the questionnaire was answered incorrectly more than 50% of the time, inferring that the participants demonstrate a certain knowledge in PC, 86.5% (n=64) of the participants did not consider their knowledge about PC as “appropriate” or “very appropriate”. Conclusion: The results reveal that although academics recognize the importance of PC, a lack of knowledge about the underlying philosophy and principles, as well as insecurity regarding the conducts to be prescribed, highlight the need for permanent education on the subject. These findings corroborate national and international studies, which affirm the need to disseminate knowledge about the philosophy and principles of PC.
DOI: 10.24400/802406/we1y-5zh3
title: INTERBALL-AURORAL cyclograms (GIF plots)

description: This data sets contains daily summary plots of the operating time of instruments onboard INTERBALL-AURORAL.
DOI: 10.6084/m9.figshare.19923679.v1
title: Analysis of COVID-19 impacts at the collection of municipal household, recyclables and healthcare wastes in the municipality of Araraquara (SP), Brazil

description: Since the beginning the pandemic, new procedures has been developing for the protection of urban life and, they may have affected solid waste collection in medium-sized municipalities. The main objective was to analyze the impacts of COVID-19 on the collection of household solid waste, recyclables, and health care services in Araraquara, an inland city of São Paulo. Data analysis was performed from January to July 2020 and in the same period in 2019. The municipality has recorded increased cases of the disease throughout the first year of the pandemic, and this situation can have triggered some variability in the collection of solid waste due to some evidences, from adherence to social isolation, behavior of the population, existence of a more restrictive public policy. Most neighborhoods affected by COVID-19 were Centro, Vila Xavier, Jardim Selmi Dei-I, Jardim Iguatemi, and Vale do Sol in the period analyzed. The regular and selective collection were been maintained, according to the municipality’s contingency plan. There was a reduction in collection for most of the solid waste studied in this research, especially at the beginning of the pandemic. The collection of household solid waste in Araraquara was, on average, reduced by 8% (0.69 kg/inhab.d) in the pandemic, compared to what was expected by the public manager (0.75 kg/inhab.d). The municipal solid waste rate could be an alternative, among others, to predict high-risk events of society contamination.
DOI: 10.6084/m9.figshare.19923679
title: Analysis of COVID-19 impacts at the collection of municipal household, recyclables and healthcare wastes in the municipality of Araraquara (SP), Brazil

description: Since the beginning the pandemic, new procedures has been developing for the protection of urban life and, they may have affected solid waste collection in medium-sized municipalities. The main objective was to analyze the impacts of COVID-19 on the collection of household solid waste, recyclables, and health care services in Araraquara, an inland city of São Paulo. Data analysis was performed from January to July 2020 and in the same period in 2019. The municipality has recorded increased cases of the disease throughout the first year of the pandemic, and this situation can have triggered some variability in the collection of solid waste due to some evidences, from adherence to social isolation, behavior of the population, existence of a more restrictive public policy. Most neighborhoods affected by COVID-19 were Centro, Vila Xavier, Jardim Selmi Dei-I, Jardim Iguatemi, and Vale do Sol in the period analyzed. The regular and selective collection were been maintained, according to the municipality’s contingency plan. There was a reduction in collection for most of the solid waste studied in this research, especially at the beginning of the pandemic. The collection of household solid waste in Araraquara was, on average, reduced by 8% (0.69 kg/inhab.d) in the pandemic, compared to what was expected by the public manager (0.75 kg/inhab.d). The municipal solid waste rate could be an alternative, among others, to predict high-risk events of society contamination.
DOI: 10.6084/m9.figshare.19923682
title: Comparison of outcomes and cost-effectiveness of laparoscopic and open appendectomies in public health services

description: ABSTRACT Acute appendicitis is the leading cause of abdominal emergency surgery worldwide and appendectomy continues to be the definitive treatment of choice. This cost-effectiveness analysis evaluates laparoscopic versus open appendectomies performed in public health services in the state of Bahia (Brazil). We conducted a retrospective observational study using the database from the Department of Informatics of the Unified Health System (DATASUS). Available data on appendectomies between 2008 and 2019 were included, and we evaluated the temporal trend of hospital admissions, procedure-related mortality rates, length of stay, and costs. Statistical analysis was performed using the R-software (R Foundation, v.4.0.3) and the BioEstat software (IMDS, v. 5.3), considering p&lt;0.05 as significant. During 2008-2019, 53,024 appendectomies were performed in the public health services in Bahia, of which 94.9% were open surgeries. The open technique was associated with a higher mortality rate (4.9/1,000 procedures; p&lt;0.05) and a higher risk of death (RR=4.5; p&lt;0.05) compared to laparoscopy (1.1/1,000 procedures). Laparoscopic appendectomy (median of 2.7 days) had a shorter length of stay compared to laparotomy (median of 4.15 days) (p&lt;0.05). There was no difference in the medians of costs nor hospital services, per procedure (p=0.08 and p=0.08, respectively). Laparoscopic professional median costs were higher by US$ 1.39 (p&lt;0.05). Minimally invasive surgery for appendicitis is a safe and efficacious procedure in Brazilian public health care services, as it provides advantages over the open method (including lower procedure-related mortality rate and earlier discharges), and it did not imply higher expenses for public service budgets in the state of Bahia.
DOI: 10.6084/m9.figshare.19923682.v1
title: Comparison of outcomes and cost-effectiveness of laparoscopic and open appendectomies in public health services

description: ABSTRACT Acute appendicitis is the leading cause of abdominal emergency surgery worldwide and appendectomy continues to be the definitive treatment of choice. This cost-effectiveness analysis evaluates laparoscopic versus open appendectomies performed in public health services in the state of Bahia (Brazil). We conducted a retrospective observational study using the database from the Department of Informatics of the Unified Health System (DATASUS). Available data on appendectomies between 2008 and 2019 were included, and we evaluated the temporal trend of hospital admissions, procedure-related mortality rates, length of stay, and costs. Statistical analysis was performed using the R-software (R Foundation, v.4.0.3) and the BioEstat software (IMDS, v. 5.3), considering p&lt;0.05 as significant. During 2008-2019, 53,024 appendectomies were performed in the public health services in Bahia, of which 94.9% were open surgeries. The open technique was associated with a higher mortality rate (4.9/1,000 procedures; p&lt;0.05) and a higher risk of death (RR=4.5; p&lt;0.05) compared to laparoscopy (1.1/1,000 procedures). Laparoscopic appendectomy (median of 2.7 days) had a shorter length of stay compared to laparotomy (median of 4.15 days) (p&lt;0.05). There was no difference in the medians of costs nor hospital services, per procedure (p=0.08 and p=0.08, respectively). Laparoscopic professional median costs were higher by US$ 1.39 (p&lt;0.05). Minimally invasive surgery for appendicitis is a safe and efficacious procedure in Brazilian public health care services, as it provides advantages over the open method (including lower procedure-related mortality rate and earlier discharges), and it did not imply higher expenses for public service budgets in the state of Bahia.
DOI: 10.6084/m9.figshare.19923685
title: Water governance assessment at different scales: a reservoir case study in the Brazilian semiarid region

description: ABSTRACT This article analyses the application of OECD water governance principles to the semiarid region of Brazil. Between 2012 and 2017, the Paraíba River basin (macroscale) and its Epitácio Pessoa reservoir – EPR (microscale) suffered a severe drought. The reservoir came close to collapse in 2017, which led to water use conflicts that were aggravated due to water mismanagement. Four evaluation criteria were considered: policy alignment to the OECD principles, its implementation, on-ground results, and policy impacts. The outcomes indicate water management fragilities, even after 24 years of the Brazilian National Water Resources Policy enactment, and the need for a better water management integration at different scales: National, State, and River Basin. By considering a smaller scale (a basin and its main reservoir), it was possible to observe water governance failures that lead to water crises since the best practices performed by the national agency, at the national scale, have not been verified at the local scale.
DOI: 10.6084/m9.figshare.19923685.v1
title: Water governance assessment at different scales: a reservoir case study in the Brazilian semiarid region

description: ABSTRACT This article analyses the application of OECD water governance principles to the semiarid region of Brazil. Between 2012 and 2017, the Paraíba River basin (macroscale) and its Epitácio Pessoa reservoir – EPR (microscale) suffered a severe drought. The reservoir came close to collapse in 2017, which led to water use conflicts that were aggravated due to water mismanagement. Four evaluation criteria were considered: policy alignment to the OECD principles, its implementation, on-ground results, and policy impacts. The outcomes indicate water management fragilities, even after 24 years of the Brazilian National Water Resources Policy enactment, and the need for a better water management integration at different scales: National, State, and River Basin. By considering a smaller scale (a basin and its main reservoir), it was possible to observe water governance failures that lead to water crises since the best practices performed by the national agency, at the national scale, have not been verified at the local scale.
DOI: 10.6084/m9.figshare.19923687.v1
title: Overview of municipal public spending on urban cleaning services and solid waste management: an analysis of the Metropolitan Region of Belo Horizonte (MG)

description: ABSTRACT The growing generation of urban solid waste (USW) undistinctively affects countries having different levels of development. The lack of adequate planning and management of USW causes damage to the quality of life of the population and to the environment and increases the costs of handling this waste. This work is aimed to present a panorama of municipal public expenditures between 2009 and 2017 on urban cleaning services in 31 out of 34 municipalities comprising the Metropolitan Region of Belo Horizonte, Brazil. The municipalities were ordered by population groups, according to the classification of the Brazilian Institute of Geography and Statistics. A descriptive statistical analysis was performed and the normality of the data was tested (Shapiro-Wilk test; α = 5%). The existence of a correlation between municipal revenues and expenses relative to the management of USW was also evaluated (Spearman test; α = 5%). The existence of significant differences among groups of municipalities due to the grouping by population (Kruskal-Wallis test; α = 5%) was also verified. In general, the results showed significant differences in the per capita cost spent by municipalities with SUW management services among the six population groups compared. Municipal expenditures for the “over 500,000 inhabitants” population group were significantly higher than for other groups. Although it does not discuss quality and extension of the services, this work contributes to the area, given the scarcity of studies involving costs and SUW, as well as enables the creation of strategies aimed at optimizing public spending aimed at financial sustainability.
DOI: 10.6084/m9.figshare.19923687
title: Overview of municipal public spending on urban cleaning services and solid waste management: an analysis of the Metropolitan Region of Belo Horizonte (MG)

description: ABSTRACT The growing generation of urban solid waste (USW) undistinctively affects countries having different levels of development. The lack of adequate planning and management of USW causes damage to the quality of life of the population and to the environment and increases the costs of handling this waste. This work is aimed to present a panorama of municipal public expenditures between 2009 and 2017 on urban cleaning services in 31 out of 34 municipalities comprising the Metropolitan Region of Belo Horizonte, Brazil. The municipalities were ordered by population groups, according to the classification of the Brazilian Institute of Geography and Statistics. A descriptive statistical analysis was performed and the normality of the data was tested (Shapiro-Wilk test; α = 5%). The existence of a correlation between municipal revenues and expenses relative to the management of USW was also evaluated (Spearman test; α = 5%). The existence of significant differences among groups of municipalities due to the grouping by population (Kruskal-Wallis test; α = 5%) was also verified. In general, the results showed significant differences in the per capita cost spent by municipalities with SUW management services among the six population groups compared. Municipal expenditures for the “over 500,000 inhabitants” population group were significantly higher than for other groups. Although it does not discuss quality and extension of the services, this work contributes to the area, given the scarcity of studies involving costs and SUW, as well as enables the creation of strategies aimed at optimizing public spending aimed at financial sustainability.
DOI: 10.6084/m9.figshare.19923694
title: Numerical Modeling Applied to Leachate Generation using Hydrus – Case Study: Seropédica, Rio de Janeiro, Brazil

description: ABSTRACT Improper design and management of the cover layer of a sanitary landfill has been proven to produce harmful environmental impacts on the environment. One alternative at hand is to develop scenarios based on simulation of physical and computational models to represent the expected field water balance of a landfill coverage layer. This paper investigates the design of a sanitary landfill final cover in the municipality of Seropédica, which is located at the state of Rio de Janeiro - Brazil. More specifically, the compact soil coverage, which is widely used for landfill final cover of municipal solid waste, is evaluated in contrast to vegetation cover by grass, vegetation cover by brachiaria and capillary barrier. To accomplish such task, hydrometeorological forcing conditions, namely daily rainfall and temperature, were retrieved from the Anchieta weather station, which is situated nearby the study area. The Hydrus 1D and 2/3 D computational codes were employed to develop a set of scenarios to follow the contamination plume evolution within the landfill along the time frame of 20 years with some degree of reliability. It should be noted that the performed evaluation indicates the possibility to control the leachate release and consequently to avoid contaminating the environment, notably to prevent soil and water resources pollution. Vegetation cover by grass and brachiaria showed important control mechanisms with respect to the movement of the contaminant plume. In addition, it should be noticed that the best results for the landfill final cover were achieved for the capillary barrier, while poor performance results were obtained for the commonly employed compact soil.
DOI: 10.6084/m9.figshare.19923694.v1
title: Numerical Modeling Applied to Leachate Generation using Hydrus – Case Study: Seropédica, Rio de Janeiro, Brazil

description: ABSTRACT Improper design and management of the cover layer of a sanitary landfill has been proven to produce harmful environmental impacts on the environment. One alternative at hand is to develop scenarios based on simulation of physical and computational models to represent the expected field water balance of a landfill coverage layer. This paper investigates the design of a sanitary landfill final cover in the municipality of Seropédica, which is located at the state of Rio de Janeiro - Brazil. More specifically, the compact soil coverage, which is widely used for landfill final cover of municipal solid waste, is evaluated in contrast to vegetation cover by grass, vegetation cover by brachiaria and capillary barrier. To accomplish such task, hydrometeorological forcing conditions, namely daily rainfall and temperature, were retrieved from the Anchieta weather station, which is situated nearby the study area. The Hydrus 1D and 2/3 D computational codes were employed to develop a set of scenarios to follow the contamination plume evolution within the landfill along the time frame of 20 years with some degree of reliability. It should be noted that the performed evaluation indicates the possibility to control the leachate release and consequently to avoid contaminating the environment, notably to prevent soil and water resources pollution. Vegetation cover by grass and brachiaria showed important control mechanisms with respect to the movement of the contaminant plume. In addition, it should be noticed that the best results for the landfill final cover were achieved for the capillary barrier, while poor performance results were obtained for the commonly employed compact soil.