cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.12056274
title: Teleconsultation: an Integrative Review of the Doctor-Patient Interaction Mediated by Technology

description: Abstract: Medical teleconsultation can apply different technologies to mediate the communication between doctors and patients located in different geographic spaces. Its implementation has been encouraged in several countries, under the assumption of its potential to overcome distances, offering health care in a shorter time, reducing costs and workload. The scarcity of evidence about these allegations, in addition to the need of clarifying the situations in which teleconsultation can be adequate, safe and effective, have generated debates, intensified after the publication of Resolution N. 2.227/2018 by the Federal Council of Medicine, which allowed medical teleconsultation, containing principles and recommendations. This article aims to analyze the international experience of medical teleconsultation, including the media and technologies employed, their use, benefits and limitations, highlighting and associating the controversial points of the resolution recently published by the Federal Council of Medicine. An integrative review of the literature was carried out to identify these experiences from January 2013 to February 2019. Of the 1912 identified references, 42 were analyzed after applying the exclusion and inclusion criteria. Data collection and analysis indicated that telephone, e-mail, e-consulting systems, video or a combination of those have been used in several countries to mediate the doctor-patient relationship. Its use goes ranges from diagnosis to treatment, monitoring, management and prescription, both in acute and chronic conditions. The main benefits include less demand for face-to-face consultations, with the possibility of doctors’ workload management, allowing systems’ reorganization. Moreover, the teleconsultation allows overcoming distance barriers, in a flexible and convenient way for patients, possibly contributing to continuity of care, patient autonomy and resource savings, in the latter case, when it avoids work absenteeism due to face-to-face consultation. Some limitations of the teleconsultation include the inability to perform the physical examination, so it is not recommended for the first consultation. Technical and communication difficulties for each media, as well as its inadequacy for some groups of patients, are other important barriers. Data security regarding diagnosis and clinical precision, patients’ and professionals’ acceptance and the need for organizational adjustments are also considered limitations of the teleconsultation. The success of the teleconsultation depends on the integration of different organizations and professionals, aiming to maximize its potential and improve service design, encompassing clinical, technical, organizational and context issues. Therefore, it is important to investigate in which contexts, situations and conditions the teleconsultation can be beneficial, safe and effective for patient care, as well as the most appropriate means of communication.
DOI: 10.6084/m9.figshare.12056271.v1
title: Educational Predictors for the Retention of Physicians in Remote and Unassisted Areas: a Narrative Review

description: Abstract: This is an international narrative review study, which had the objectives of identifying and understanding the determining educational aspects for the retention of physicians in remote and unassisted areas. Through search on databases, we selected ten articles about medical education institutions and programs that increased the recruitment and retention levels for their alumni in areas where there was shortage of professionals, which clarified the educational aspects associated to such results, and which were considered as predictors for the retention of physicians. The main predictors found were: selection processes that prioritized the admission of students who were previously linked to places where there was a shortage of physicians; the creation of curricular frameworks based on problem-based methodologies focused on local health issues, with an emphasis in primary care and Family and Community Medicine approaches; and the quality of the educational experiences, especially in the primary care environment in rural or remote areas, which, in turn, involve the educational trajectory and experience of professors, as well as the infrastructure and localization of the medical schools in strategic areas. The placement of school is such areas allow close proximity between the professors to the reality of the vulnerable communities. The results of the review still point out that the retention of physicians in unassisted areas demands the confrontation of social, cultural, economic and political factors, which frequently transcend the governability of educational institutions. They also reiterate the need for a wider conceptual uniformity among research studies in order to ensure more solid scientific evidence about the subject, and the importance of conducting studies that contemplate the Latin-American context, specifically Brazil, where the literature on the topic is still scarce.
DOI: 10.6084/m9.figshare.12056274.v1
title: Teleconsultation: an Integrative Review of the Doctor-Patient Interaction Mediated by Technology

description: Abstract: Medical teleconsultation can apply different technologies to mediate the communication between doctors and patients located in different geographic spaces. Its implementation has been encouraged in several countries, under the assumption of its potential to overcome distances, offering health care in a shorter time, reducing costs and workload. The scarcity of evidence about these allegations, in addition to the need of clarifying the situations in which teleconsultation can be adequate, safe and effective, have generated debates, intensified after the publication of Resolution N. 2.227/2018 by the Federal Council of Medicine, which allowed medical teleconsultation, containing principles and recommendations. This article aims to analyze the international experience of medical teleconsultation, including the media and technologies employed, their use, benefits and limitations, highlighting and associating the controversial points of the resolution recently published by the Federal Council of Medicine. An integrative review of the literature was carried out to identify these experiences from January 2013 to February 2019. Of the 1912 identified references, 42 were analyzed after applying the exclusion and inclusion criteria. Data collection and analysis indicated that telephone, e-mail, e-consulting systems, video or a combination of those have been used in several countries to mediate the doctor-patient relationship. Its use goes ranges from diagnosis to treatment, monitoring, management and prescription, both in acute and chronic conditions. The main benefits include less demand for face-to-face consultations, with the possibility of doctors’ workload management, allowing systems’ reorganization. Moreover, the teleconsultation allows overcoming distance barriers, in a flexible and convenient way for patients, possibly contributing to continuity of care, patient autonomy and resource savings, in the latter case, when it avoids work absenteeism due to face-to-face consultation. Some limitations of the teleconsultation include the inability to perform the physical examination, so it is not recommended for the first consultation. Technical and communication difficulties for each media, as well as its inadequacy for some groups of patients, are other important barriers. Data security regarding diagnosis and clinical precision, patients’ and professionals’ acceptance and the need for organizational adjustments are also considered limitations of the teleconsultation. The success of the teleconsultation depends on the integration of different organizations and professionals, aiming to maximize its potential and improve service design, encompassing clinical, technical, organizational and context issues. Therefore, it is important to investigate in which contexts, situations and conditions the teleconsultation can be beneficial, safe and effective for patient care, as well as the most appropriate means of communication.
DOI: 10.6084/m9.figshare.12056268.v1
title: High Incidence of Herpes Simplex Virus-1 in Cord Blood and Placenta Infection of Women in Southern Brazil

description: Abstract Objective Estimate the prevalence of human herpesvirus type 1 HSV-1 DNA in placental samples, its incidence in umbilical cord blood of newborns and the associated risk factors. Methods Placental biopsies and umbilical cord blood were analyzed, totaling 480 samples, from asymptomatic parturients and their newborns at a University Hospital. Nested polymerase chain reaction (PCR) and gene sequencingwere used to identify the virus; odds ratio (OR) and relative risk (RR) were performed to compare risk factors associated with this condition. Results The prevalence of HSV-1 DNA in placental samples was 37.5%, and the incidence in cord blood was 27.5%. Hematogenous transplacental route was identified in 61.4% from HSV-1+ samples of umbilical cord blood paired with the placental tissue. No evidence of the virus was observed in the remaining 38.6% of placental tissues, suggesting an ascendant infection from the genital tract, without replication in the placental tissue, resulting in intra-amniotic infection and vertical transmission, seen by the virus in the cord blood. The lack of condom use increased the risk of finding HSV-1 in the placenta and umbilical cord blood. Conclusion The occurrence of HSV-1 DNA in the placenta and in cord blood found suggests vertical transmission from asymptomatic pregnant women to the fetus.
DOI: 10.6084/m9.figshare.12056244
title: Physical-mechanical potential properties of wastes from glass lapping to produce mortar as partial replacement of the conventional aggregate

description: Abstract Glass lapping residues (RLV) are fine tailings from the processing of glass for civil construction, commonly non-recyclable. The present study analyzed the use of these residues in Portland cement mortar composition, partially replacing the conventional aggregate, aiming at better compaction. Percentages of residues were adopted at 0% (reference), 5%, 10% and 20% by mass, replacing the fine conventional aggregate (sand). The binder used was Portland cement CP IV-32. The RLV and fine aggregate were submitted to physical tests, through grain size analysis, grain shape and specific mass; RLV and cement, in turn, submitted to chemical analysis by X-ray spectrometry, to identify the compounds. To evaluate the compressive strength and compaction analysis of the composite in the hardened state, cylindrical specimens 50x100 mm were produced. ANOVA (Analisys of Variance) and Coefficient of Variation showed that the RLV added in 5% resulted in lower voids indexes and moisture absorption than the conventional one. The tests also showed best mechanical performance on compression analisys (30,2 MPa) for 5% of residues in the composite, surpassing the conventional one.
DOI: 10.6084/m9.figshare.12056241
title: The distribution of the freshwater crab Fredius reflexifrons (Ortmann, 1897) (Brachyura, Pseudothelphusidae) in an Environmental Protection Area of the Planalto da Ibiapaba, Northeastern Brazil

description: Abstract Freshwater crabs are important components of aquatic ecosystems; however, their distributions are restricted because of characteristics of their life history, which hinder conservation strategies. Fredius reflexifrons is a widely distributed freshwater crab of the Amazon basin with relictual occurrences in small wetlands on the Planalto da Ibiapaba in Northeastern Brazil. Habitat degradation, destruction of forest patches, channeling of water bodies, and the use of land for legume cropping can seriously impact the species by leading to the extinction of its relic populations, which have limited distributions in the Área de Proteção Ambiental (APA; Environmental Protection Area) Bica do Ipu of the Planalto da Ibiapaba. The objectives of this study were to assess the distribution of F. reflexifrons in APA Bica do Ipu, identify the main impacts from anthropic activities, suggest potential actions to mitigate these impacts, besides providing recommendations for the expansion of the APA. Fredius reflexifrons was recorded in eleven sites in the Planalto da Ibiapaba, of which nine are new records and five are not located within the APA. These findings evidence the need of expanding the APA to encompass the newly known distribution of F. reflexifrons in order to assure its protection.
DOI: 10.6084/m9.figshare.12056238
title: An oviposition trap to collect immatures of coprophagous moth flies (Diptera: Psychodidae)

description: Abstract Larvae of Psychodidae develop in a variety of breeding sites, including vertebrate feces. As searching for the larvae can be an extremely difficult task, immatures of many species are little known, with descriptions of coprophagous moth flies all from outside the Neotropics. In an attempt to mitigate this challenge, we tested an oviposition trap using cattle dung as attractant, measured the efficiency and specificity of the traps and the most efficient period of exposition in the field. With 60 traps installed in one fragment of ombrophilous forest, 344 immatures were collected, distributed in four species of Psychoda and one of Feuerborniella. Psychodidae accounted for 75% of the collected Diptera. The high specificity of the trap to Psychodidae contrasts with other studies on coprophagous fauna where they appear in low abundance. Based on the metrics in this study, the most efficient period of trapping exposition was between five to eight days, but the difference was not significant probably due to the high number of zero observations among the traps. Many questions pertaining to coprophagous moth flies remain unanswered. Further research is needed to improve trapping efficiency, elucidate the effects of attractants and determine how environmental factors influence the attractiveness of bait.
DOI: 10.6084/m9.figshare.12056244.v1
title: Physical-mechanical potential properties of wastes from glass lapping to produce mortar as partial replacement of the conventional aggregate

description: Abstract Glass lapping residues (RLV) are fine tailings from the processing of glass for civil construction, commonly non-recyclable. The present study analyzed the use of these residues in Portland cement mortar composition, partially replacing the conventional aggregate, aiming at better compaction. Percentages of residues were adopted at 0% (reference), 5%, 10% and 20% by mass, replacing the fine conventional aggregate (sand). The binder used was Portland cement CP IV-32. The RLV and fine aggregate were submitted to physical tests, through grain size analysis, grain shape and specific mass; RLV and cement, in turn, submitted to chemical analysis by X-ray spectrometry, to identify the compounds. To evaluate the compressive strength and compaction analysis of the composite in the hardened state, cylindrical specimens 50x100 mm were produced. ANOVA (Analisys of Variance) and Coefficient of Variation showed that the RLV added in 5% resulted in lower voids indexes and moisture absorption than the conventional one. The tests also showed best mechanical performance on compression analisys (30,2 MPa) for 5% of residues in the composite, surpassing the conventional one.
DOI: 10.6084/m9.figshare.12056232
title: Detection of Dirofilaria immitis using microscopic, serological and molecular techniques among dogs in Cabo Frio, RJ, Brazil

description: Abstract Heartworm disease is a health problem for dogs and cats, especially in tropical and subtropical coastal regions of the world. Some studies have compared the efficacy of the diagnostic techniques used to detect this parasitosis. Therefore, the aim of this study was to compare parasitological optical microscopy (POM), serological and molecular techniques for diagnosing canine heartworm infection. Samples were collected between July 2015 and April 2016 from 103 dogs in Cabo Frio, RJ, Brazil. The wet fresh blood, thick smears, thin smears and modified Knott’s test were used to detect microfilariae. ELISA (Snap™ 4Dx ® IDEXX) was used to detect antigens and the polymerase chain reaction (PCR) was used to detect DNA and enable sequencing for species differentiation and confirmation. 19.4% of samples were positive according to microscopy. Through PCR, 15.5% of the total were positive. Using ELISA, the positivity rate was 29.1%. Occult heartworm infection was detected in 11.6% of the samples. ELISA sensitivity was shown to be higher than PCR or microscopy (P = 0.001). Sequencing of samples confirmed the presence of Dirofilaria immitis and Acanthocheilonema reconditum . ELISA was more effective for serological diagnosis canine heartworm and should be used in clinical and epidemiological studies.
DOI: 10.6084/m9.figshare.12056235
title: Gastrointestinal nematode infections do not hinder the development of Simmental X Nellore crossbred calves raised with a nutritionally enhanced diet

description: Abstract An evaluation was made of the effect of anthelmintic treatments on the performance of Simmental X Nellore crossbred calves before and after weaning. To this end, the calves were divided into three groups: (1) treated monthly with a low efficacy anthelmintic drug, ivermectin; (2) treated monthly with a highly effective anthelmintic drug, albendazole; and (3) untreated control group. All the groups in this experiment showed an average fecal egg count of less than 400 eggs per gram (EPG), and no clinical signs of parasitic gastroenteritis. The blood variables were within the normal range and no calf presented anemia. In most of the samplings, mean EPGs were significantly lower (P&lt;0.05) in the group treated with albendazole. The calves received dietary supplementation before and after weaning, which enabled them to gain weight in every month of the experiment and reach a body weight of about 250 kg on the last sampling date, before turning one year old. The anthelmintic treatments did not affect body weight gain, leading to the conclusion that, when fed with suitable dietary supplements, Simmental X Nellore crossbred calves are not affected by gastrointestinal nematode parasites acquired by grazing.
DOI: 10.6084/m9.figshare.12056238.v1
title: An oviposition trap to collect immatures of coprophagous moth flies (Diptera: Psychodidae)

description: Abstract Larvae of Psychodidae develop in a variety of breeding sites, including vertebrate feces. As searching for the larvae can be an extremely difficult task, immatures of many species are little known, with descriptions of coprophagous moth flies all from outside the Neotropics. In an attempt to mitigate this challenge, we tested an oviposition trap using cattle dung as attractant, measured the efficiency and specificity of the traps and the most efficient period of exposition in the field. With 60 traps installed in one fragment of ombrophilous forest, 344 immatures were collected, distributed in four species of Psychoda and one of Feuerborniella. Psychodidae accounted for 75% of the collected Diptera. The high specificity of the trap to Psychodidae contrasts with other studies on coprophagous fauna where they appear in low abundance. Based on the metrics in this study, the most efficient period of trapping exposition was between five to eight days, but the difference was not significant probably due to the high number of zero observations among the traps. Many questions pertaining to coprophagous moth flies remain unanswered. Further research is needed to improve trapping efficiency, elucidate the effects of attractants and determine how environmental factors influence the attractiveness of bait.
DOI: 10.6084/m9.figshare.12056241.v1
title: The distribution of the freshwater crab Fredius reflexifrons (Ortmann, 1897) (Brachyura, Pseudothelphusidae) in an Environmental Protection Area of the Planalto da Ibiapaba, Northeastern Brazil

description: Abstract Freshwater crabs are important components of aquatic ecosystems; however, their distributions are restricted because of characteristics of their life history, which hinder conservation strategies. Fredius reflexifrons is a widely distributed freshwater crab of the Amazon basin with relictual occurrences in small wetlands on the Planalto da Ibiapaba in Northeastern Brazil. Habitat degradation, destruction of forest patches, channeling of water bodies, and the use of land for legume cropping can seriously impact the species by leading to the extinction of its relic populations, which have limited distributions in the Área de Proteção Ambiental (APA; Environmental Protection Area) Bica do Ipu of the Planalto da Ibiapaba. The objectives of this study were to assess the distribution of F. reflexifrons in APA Bica do Ipu, identify the main impacts from anthropic activities, suggest potential actions to mitigate these impacts, besides providing recommendations for the expansion of the APA. Fredius reflexifrons was recorded in eleven sites in the Planalto da Ibiapaba, of which nine are new records and five are not located within the APA. These findings evidence the need of expanding the APA to encompass the newly known distribution of F. reflexifrons in order to assure its protection.
DOI: 10.6084/m9.figshare.12056226
title: Current scenario of endourological treatment of kidney stones in brazil: results of a national survey

description: ABSTRACT Objective: To elucidate the current scenario of endourology in Brazil for the treatment of urinary lithiasis, with an emphasis on regional differences and the reasons why certain techniques are still underutilized. Materials and Methods: An electronic questionnaire was sent by email to the 4,745 members of the Brazilian Urological Society (BSU) in 2016 to collect information on the 3 main endourological procedures used in the treatment of nephrolithiasis: Semi-rigid ureteroscopy (URS), Flexible ureteroscopy (F-URS) and percutaneous nephrolithotripsy (PCNL). Results: A total of 1,267 urologists answered the questionnaire. It was observed that the vast majority perform URS (95.6%), while 80.2% perform F-URS and only 72.1% perform PCNL. Regarding the surgical volume, most perform up to 10 procedures per month (73.4% to 88.2%) and the main impediment was the lack of patients with the pathology (42.1% to 67.7%). The lack of equipment or hospital infrastructure was one of the main limiting factors for rigid (23%) and flexible (38.1%) URS, mainly in the North and Northeast regions of the country. Regarding PCNL, most of them reported lack of practical experience in the method (29.9%). Finally, most urologists expressed interest in taking courses in endourology. Conclusion: Ureteroscopy, rigid or flexible, is already well established in the country, requiring the direction of more resources for its practice, especially in less developed regions. Regarding PCNL a significant part of Brazilian urologists still lack practical experience in this procedure, emphasizing the need for greater investment in teaching this technique.