cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.7941275.v1
title: SPINE METASTASIS OF INTRACRANIAL HEMANGIOPERICYTOMA: CASE REPORT OF TWO TREATMENTS

description: ABSTRACT Objective: To report the use of two techniques (radiosurgery and en bloc vertebrectomy) on the same patient for the treatment of two metastases in different sites of the spine arising from intracranial hemangiopericytoma. Intracranial hemangiopericytomas are rare, comprising approximately 2.4% of meningeal tumors and &lt;1% of all tumors of the central nervous system. Metastases to the spine are even rarer: The largest case series reported in the literature has 5 and 7 cases. Methods: A 37-year-old man diagnosed with intracranial hemangiopericytoma was referred for a metastatic lesion in T12 and underwent en bloc resection using the Tomita technique. Results: The disease evolved with a metastasis to T2 treated by radiosurgery with 1600 cGy. The patient died 1,706 days after the en bloc resection of T12 and 1324 days after the radiosurgery of T2, and no recurrence occurred in these locations due to progression of the systemic diseases (liver and central nervous system). Conclusion: This is the first case reported in the literature in which two different techniques were used to treat metastatic lesions in the spine from an intracranial hemangiopericytoma and is unique for its use of two treatments in the same patient. Level of evidence: V, case report
DOI: 10.6084/m9.figshare.7941284.v1
title: Perception of the operating agents about the Brazilian National School Feeding Program

description: ABSTRACT OBJECTIVE Identify the perception operating agents have on the Brazilian National School Feeding Program. METHODS This is an observational, cross-sectional and quali-quantitative study developed in non-probability and convenience sampling selected in an event promoted by the National Fund for Educational Development in 2015 in Rio de Janeiro. Data were collected through questions related to pre-defined categories concerning the National School Feeding Program. The questionnaire was answered by 43 nutritionists, 41 members of the School Feeding Board, and 16 school feeding administrators from 38 cities of Rio de Janeiro. The narrative analysis was based on benchmarks of cognitive analysis of public policies. The association among variables was investigated with chi-square test, being calculated the power for association testing. RESULTS The perception of the implementation of the National School Feeding Program has been characterized by some challenges: 1) low number of nutritionists to meet the demand from schools; 2) low adhesion to the public call for the purchase of family farming products due to bureaucratic difficulties and insufficient local food production; 3) reduced coverage of food and nutritional measures due to the restriction of human, material and financial resources; and 4) limitation of the participation of the School Feeding Board due to insufficient training and transport for regular visits. The adequacy of the number of nutritionists showed statistically significant association with the purchase of family farming products (p = 0.002; power = 99%) and with the food and nutritional education activities (p = 0.021; power = 79%). CONCLUSIONS The results indicate the need for employment of nutritionist in sufficient numbers to meet the demands of the National School Feeding Program, investment in educational activities of healthy eating in schools, training of the School Feeding Board, greater availability of vehicles for school visits and assistance to family farmers in order to facilitate their participation in programs of institutional purchases and encourage the diversification of production.
DOI: 10.6084/m9.figshare.7941266
title: Hypovitaminosis D in pregnancy: Is it a public health issue?

description: Abstract Objectives: to measure the prevalence of hypovitaminosis D in healthy pregnant women and to analyze the association among some variables and the levels of vitamin D. Methods: an analytical cross-sectional study. 174 healthy pregnant women were selected from four basic health units in São Luís, Brazil, from January to February 2017. The participants answered a questionnaire about sociodemographic and obstetric data. A blood sample was collected to evaluate the plasmatic level of vitamin D. The association between independent variables and the outcome was evaluated by using the Student’s t-test and Chisquare test. Results: the mean of vitamin D concentration was 24.9±6.6ng/ml. Forty women (23.0%) presented vitamin D sufficiency, 93 (53.4%) insufficient, and 41 (23.6%) with deficiency. There was a difference in the vitamin D concentration between evangelical (23.1 ng/ml) and non-evangelical (25.5 ng/ml) (p=0.02) and between primigravida (23.8 ng/ml) and non-primigravida (25.7 ng/ml) (p=0.03). There was a difference in the hypovitaminosis D between adolescents (89.7%) and non-adolescents (72.6%) (p=0.02) and between primigravida (85.0%) and non-primigravida (69.2%) (p=0.01). Low monthly income per capita was associated with a higher frequency of vitamin D sufficiency. Conclusions: Due to the impact of inadequate levels of vitamin D in pregnant women and their babies’ health, even in an equatorial city, hypovitaminosis D in pregnant women is an important public health issue.
DOI: 10.6084/m9.figshare.7941272
title: "Breast milk is important": what do nursing mothers in Fortaleza think about breastfeeding?

description: Abstract Objectives: to analyze the meaning of breastfeeding for nursing mothers, users of the public health network in Fortaleza city, Ceará. Methods: a cross-sectional study was carried out with nursing mothers from nine health units. The data were collected through the application of a socioeconomic and health questionnaire and the Word Free Association Test, using "breastfeeding" as an induced stimulus. The terms referred to in the Word Free Association Test were grouped into categories and analyzed by the EVOC 2000 ®software, which showed the results in a fourcell table, where the categories were distributed according to the level of meaning to the mothers. Results: the sample consisted of 279 nursing mothers. More than 60% of these women referred in receiving guidance on breastfeeding in prenatal, puerperal and childcare consultations, and 68% of them reported having no difficulties in breastfeeding. The most significant categories identified by the Word Free Association Test were: Milk, Important, Health, and Love. Conclusions: for the nursing mothers, breastfeeding is an important practice, represented by the breast milk itself, which is permeated by positive meanings. Knowing these meanings helps to understand the factors associated to early weaning, making it possible to reconstruct care directed to this public.
DOI: 10.6084/m9.figshare.7941278.v1
title: Occupational exposure and poisoning by chemical products in the Federal District

description: ABSTRACT Objective: to describe case of occupational exposure to chemical products. Method: descriptive retrospective study using record data of 382 workers assisted in the Outpatient Care for Occupational Toxicology of the Reference Center of Workers' Health of the Federal District, between 2009 and 2013. Results: From the total, 66.7% were men, 55.2% had up to 9 years of activity and 81% did not use personal protective equipment (PPE). Nearly 60% were farmers and environmental surveillance agents, exposed to pesticides (63%), of which 40% were organophosphorus insecticides. The majority (68%) presented butyrylcholinesterase activity decreased, mostly farmers (85.9%); 57.3% of workers were considered poisoned - 61.6% by pesticides and 37.9% by industrial chemicals -, and away from work for at least 10 days. Conclusion: The profile was male workers, from 30 to 39 years, which not used PPE, indicating the need for prevention together with them to prevent poisonings.
DOI: 10.6084/m9.figshare.7941257
title: Algorithm for diagnosis of primary vasculitides

description: Abstract Primary vasculitides are diseases with a wide variety of anatomical, clinical, radiological, and laboratory presentations. Primary vasculitides are difficult to diagnose because of the complexity of clinical presentation, which may lead to delayed treatment and increased financial costs of workup investigations involving non-essential tests. Our objective in the present study is to create an algorithm that helps diagnosis of Primary vasculitides. The algorithm presented in this article allows fast, simple and cost-effective diagnosis of primary vasculitides using just clinical concepts and a few laboratory tests.
DOI: 10.6084/m9.figshare.7941272.v1
title: "Breast milk is important": what do nursing mothers in Fortaleza think about breastfeeding?

description: Abstract Objectives: to analyze the meaning of breastfeeding for nursing mothers, users of the public health network in Fortaleza city, Ceará. Methods: a cross-sectional study was carried out with nursing mothers from nine health units. The data were collected through the application of a socioeconomic and health questionnaire and the Word Free Association Test, using "breastfeeding" as an induced stimulus. The terms referred to in the Word Free Association Test were grouped into categories and analyzed by the EVOC 2000 ®software, which showed the results in a fourcell table, where the categories were distributed according to the level of meaning to the mothers. Results: the sample consisted of 279 nursing mothers. More than 60% of these women referred in receiving guidance on breastfeeding in prenatal, puerperal and childcare consultations, and 68% of them reported having no difficulties in breastfeeding. The most significant categories identified by the Word Free Association Test were: Milk, Important, Health, and Love. Conclusions: for the nursing mothers, breastfeeding is an important practice, represented by the breast milk itself, which is permeated by positive meanings. Knowing these meanings helps to understand the factors associated to early weaning, making it possible to reconstruct care directed to this public.
DOI: 10.6084/m9.figshare.7941266.v1
title: Hypovitaminosis D in pregnancy: Is it a public health issue?

description: Abstract Objectives: to measure the prevalence of hypovitaminosis D in healthy pregnant women and to analyze the association among some variables and the levels of vitamin D. Methods: an analytical cross-sectional study. 174 healthy pregnant women were selected from four basic health units in São Luís, Brazil, from January to February 2017. The participants answered a questionnaire about sociodemographic and obstetric data. A blood sample was collected to evaluate the plasmatic level of vitamin D. The association between independent variables and the outcome was evaluated by using the Student’s t-test and Chisquare test. Results: the mean of vitamin D concentration was 24.9±6.6ng/ml. Forty women (23.0%) presented vitamin D sufficiency, 93 (53.4%) insufficient, and 41 (23.6%) with deficiency. There was a difference in the vitamin D concentration between evangelical (23.1 ng/ml) and non-evangelical (25.5 ng/ml) (p=0.02) and between primigravida (23.8 ng/ml) and non-primigravida (25.7 ng/ml) (p=0.03). There was a difference in the hypovitaminosis D between adolescents (89.7%) and non-adolescents (72.6%) (p=0.02) and between primigravida (85.0%) and non-primigravida (69.2%) (p=0.01). Low monthly income per capita was associated with a higher frequency of vitamin D sufficiency. Conclusions: Due to the impact of inadequate levels of vitamin D in pregnant women and their babies’ health, even in an equatorial city, hypovitaminosis D in pregnant women is an important public health issue.
DOI: 10.6084/m9.figshare.7941254
title: COMPARISON OF RADIOFREQUENCY ABLATION AND CURETTAGE IN OSTEOID OSTEOMA IN CHILDREN

description: ABSTRACT Objective: Osteoid osteoma, which is observed in the adolescent and young adult population as benign bone tumors, appears as a single nidus with a diameter &lt; 2 cm and is treated with open surgery. However, technological advances in medicine have made it possible to apply less invasive procedures in surgery. Methods: Between 2006–2014, 24 patients &lt; 18 years of age were treated for osteoid osteoma. Patient demographic data, surgical data, complications, and recurrences were noted. Results: Twenty-four patients (mean age, 11 [2–18] years) were treated and followed up for a mean 3.58 (range, 1–9) years. Mean patient age in the curettage group was 12.1 (range, 3–18) years. Mean operation length was 69.5 (range, 60–120) minutes. Mean hospital stay was 1.3 (range, 0–2) days. Mean patient age in the radiofrequency ablation (RFA) group was 10.7 (range, 2–17) years. Five patients were female and 8 were male. Mean operation length was 49.6 (range, 20–90) minutes. Mean hospital stay was 0.3 (range, 0–1) days. Mean follow-up time was 1.76 (range, 1–4) years. Mean operation length, hospital stay, and follow-up were significantly shorter in the RFA group. Conclusions: Considering reduced costs due to shorter hospitalization periods and the ability to reach anatomically difficult locations, percutaneous procedures are likely to replace the conventional open approach. Level of evidence: II, retrospective study.
DOI: 10.6084/m9.figshare.7941257.v1
title: Algorithm for diagnosis of primary vasculitides

description: Abstract Primary vasculitides are diseases with a wide variety of anatomical, clinical, radiological, and laboratory presentations. Primary vasculitides are difficult to diagnose because of the complexity of clinical presentation, which may lead to delayed treatment and increased financial costs of workup investigations involving non-essential tests. Our objective in the present study is to create an algorithm that helps diagnosis of Primary vasculitides. The algorithm presented in this article allows fast, simple and cost-effective diagnosis of primary vasculitides using just clinical concepts and a few laboratory tests.
DOI: 10.6084/m9.figshare.7941245
title: Alignment of Different Pedagogical Projects of Medicine Courses with the National Curricular Guidelines

description: ABSTRACT The objective of this research was to analyze the pedagogical projects of two undergraduate medical education courses (CPP) to determine the degree of alignment with the National Curricular Guidelines (NDC) of Medical Education, aiming to understand the differences that arise from the curricular models adopted. Three medical education experts were invited to review the documents relating to the course pedagogical projects (CPP) and to complete an evaluation instrument developed to evaluate adherence to the previously published ten-dimensional DCN 2001. The score calculated from the instrument classifies the schools in relation to the degree of adherence to the DCN, with scores ranging from 0 ≤ to 20%, from 20 to ≤ 40%; 40 to ≤ to 60%; from 60 to ≤ to 80% and from &gt; 80% considered respectively, divergent, poorly adherent, regular adherence, adherent moderately and strongly adherent. Content analysis of PPPs was also conducted to search for evidence on domains in the text. The total scores of 47.5% (Institution of Higher Education 1) and 82.5% (Institution of Higher Education 2), showed regular adherence of the PPC of Institution of Higher Education 1 and marked of the CPP of Institution of Higher Education 2 to DCN 2001. These differences were manifested especially in the dimensions of the adequacy of the teaching methodology to the course design, of the interrelationship of the disciplines in the conception and execution of the curriculum and in the existence of integrating modules or themes. The CPP analyzes showed that, in general, there is adherence to the DCN in different stages. We observed a good reliability of this instrument used in the analysis of the three evaluators for both institutions of higher education (Cronbach’s alpha of 0.77 for Institution of Higher Education 1 and Cronbach’s alpha of 0.75 for the Institution of Higher Education 2). The comparison of the means of the scores of the evaluators by size was submitted to a significance analysis with the Student t Test. It is concluded that the two schools, in intensity and in different ways and respecting the institutional culture, gradually incorporated the framework of the national curricular guidelines.
DOI: 10.6084/m9.figshare.7941242
title: Curricular Guidelines and Medical Education: Expectations of First Year Medical Students at a Higher Education Institution

description: ABSTRACT Students’ perspectives, disappointments and achievements significantly affect their learning process and the way they perceive the profession. This study evaluates the relationship between the New National Curricular Guidelines for Medicine Courses, implemented in 2014, and the expectations of first year students of a Medicine course of a private Higher Education Institution in the state of Minas Gerais, Brazil, regarding their medical training. The study was carried out using quantitative and qualitative methods, based on the application of questionnaires that addressed aspects such as the student’s profile, initial motivations and expectations of their academic training, futures plans and projects in relation to the profession, and knowledge about The National Curricular Guidelines for the Medicine Course. The results for the profile of these students indicated a predominance of female students, from the interior of the state of Minas Gerais, in the 18 to 20 year age group, who entered the institution through the vestibular exam having previously taken the National Secondary Education Examination (ENEM). The main motivations for choosing medicine as an undergraduate course included personal and vocational skills, and the opportunity for personal fulfillment. The expectations of the academic training included working in a hospital context during the initial years of the course, and the desire to practice at different levels of health care, promoting recovery and rehabilitation. The postgraduation projects of the students included medical residency, professional competence, work-life balance, and becoming medical specialists/subspecialists. In terms of overall vision, the students declared that they were satisfied with their graduation course, pointing out just a few areas where the learning/teaching process was lacking. The majority of students in the first period (56%) were unfamiliar with the DCNs of 2001 and 2014, and the majority of the students in the second period (54.8%) reported knowing only the 2014 guidelines, with the college being indicated as the main source of information on the new DCNs. The students’ expectations were, on the whole, in line with the principles, fundamentals and purposes of the medical training provided for in the new DCNs of the course in terms of the main competences and general abilities of the medical training, such as Integral Health Care, Health Education, and Health Management, as well as on the new dimensions addressed in these guidelines. However, some points of disagreement were observed, such as the lack of intention to become general practitioners or to focus their training on primary care, which is recommended in the guidelines; the intention to take care of their own mental health, also recommended in the new guidelines; and a certain resistance to the inclusion of new disciplines and new active learning methodologies as opposed to valuing traditional teaching methods.
DOI: 10.6084/m9.figshare.7941254.v1
title: COMPARISON OF RADIOFREQUENCY ABLATION AND CURETTAGE IN OSTEOID OSTEOMA IN CHILDREN

description: ABSTRACT Objective: Osteoid osteoma, which is observed in the adolescent and young adult population as benign bone tumors, appears as a single nidus with a diameter &lt; 2 cm and is treated with open surgery. However, technological advances in medicine have made it possible to apply less invasive procedures in surgery. Methods: Between 2006–2014, 24 patients &lt; 18 years of age were treated for osteoid osteoma. Patient demographic data, surgical data, complications, and recurrences were noted. Results: Twenty-four patients (mean age, 11 [2–18] years) were treated and followed up for a mean 3.58 (range, 1–9) years. Mean patient age in the curettage group was 12.1 (range, 3–18) years. Mean operation length was 69.5 (range, 60–120) minutes. Mean hospital stay was 1.3 (range, 0–2) days. Mean patient age in the radiofrequency ablation (RFA) group was 10.7 (range, 2–17) years. Five patients were female and 8 were male. Mean operation length was 49.6 (range, 20–90) minutes. Mean hospital stay was 0.3 (range, 0–1) days. Mean follow-up time was 1.76 (range, 1–4) years. Mean operation length, hospital stay, and follow-up were significantly shorter in the RFA group. Conclusions: Considering reduced costs due to shorter hospitalization periods and the ability to reach anatomically difficult locations, percutaneous procedures are likely to replace the conventional open approach. Level of evidence: II, retrospective study.
DOI: 10.6084/m9.figshare.7941242.v1
title: Curricular Guidelines and Medical Education: Expectations of First Year Medical Students at a Higher Education Institution

description: ABSTRACT Students’ perspectives, disappointments and achievements significantly affect their learning process and the way they perceive the profession. This study evaluates the relationship between the New National Curricular Guidelines for Medicine Courses, implemented in 2014, and the expectations of first year students of a Medicine course of a private Higher Education Institution in the state of Minas Gerais, Brazil, regarding their medical training. The study was carried out using quantitative and qualitative methods, based on the application of questionnaires that addressed aspects such as the student’s profile, initial motivations and expectations of their academic training, futures plans and projects in relation to the profession, and knowledge about The National Curricular Guidelines for the Medicine Course. The results for the profile of these students indicated a predominance of female students, from the interior of the state of Minas Gerais, in the 18 to 20 year age group, who entered the institution through the vestibular exam having previously taken the National Secondary Education Examination (ENEM). The main motivations for choosing medicine as an undergraduate course included personal and vocational skills, and the opportunity for personal fulfillment. The expectations of the academic training included working in a hospital context during the initial years of the course, and the desire to practice at different levels of health care, promoting recovery and rehabilitation. The postgraduation projects of the students included medical residency, professional competence, work-life balance, and becoming medical specialists/subspecialists. In terms of overall vision, the students declared that they were satisfied with their graduation course, pointing out just a few areas where the learning/teaching process was lacking. The majority of students in the first period (56%) were unfamiliar with the DCNs of 2001 and 2014, and the majority of the students in the second period (54.8%) reported knowing only the 2014 guidelines, with the college being indicated as the main source of information on the new DCNs. The students’ expectations were, on the whole, in line with the principles, fundamentals and purposes of the medical training provided for in the new DCNs of the course in terms of the main competences and general abilities of the medical training, such as Integral Health Care, Health Education, and Health Management, as well as on the new dimensions addressed in these guidelines. However, some points of disagreement were observed, such as the lack of intention to become general practitioners or to focus their training on primary care, which is recommended in the guidelines; the intention to take care of their own mental health, also recommended in the new guidelines; and a certain resistance to the inclusion of new disciplines and new active learning methodologies as opposed to valuing traditional teaching methods.