cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.20728966.v1
title: Tourism as a market creator for handicrafts in Mato Grosso do Sul

description: Abstract The object of the study was tourism as an instrument of market production for handicrafts from Mato Grosso do Sul. The objective of the research was to analyze the relationship between tourist activity and handicraft in the state, and, for this purpose, semi-structured interviews were carried out with those responsible for handicraft stores, tourists, and autochthonous people along all the entrances in the state of Mato Grosso do Sul and its rising and falling tourist destinations, thus covering the entirety of supply points and localities of incidence of production and consumption of handicraft items. This action resulted in on-site observations and the generation of photographic records illustrating the points susceptible of inference. The results show an inseparable relationship between tourism and handicraft, since the first produces a market for the second, which in turn molds itself to the first, with a relationship engendered from the demand of tourists who use the active tourist circuit. However, the tripod of sustainable development – economy, environment, and society – is not a reference for companies that sell handcrafted items to tourists, which are limited to seeing commerce as an exclusive source of profit, with few representatives genuinely interested in the context of culture and of the story that a handcrafted piece can represent.
DOI: 10.6084/m9.figshare.21353160
title: Impact of children with complex chronic conditions on costs in a tertiary referral hospital

description: ABSTRACT OBJECTIVES To investigate the impact of complex chronic conditions on the use of healthcare resources and hospitalization costs in a pediatric ward of a public tertiary referral university hospital in Brazil. METHODS This is a longitudinal study with retrospective data collection. Overall, three one-year periods, separated by five-year intervals (2006, 2011, and 2016), were evaluated. Hospital costs were calculated in three systematic samples of 100 patients each, consisting of patients with and without complex chronic conditions in proportion to their participation in the studied year. RESULTS Over the studied period, the hospital received 2,372 admissions from 2,172 patients. The proportion of hospitalized patients with complex chronic conditions increased from 13.3% in 2006 to 16.9% in 2016 as a result of a greater proportion of neurologically impaired children, which rose from 6.6% to 11.6% of the total number of patients in the same period. Patients’ complexity also progressively increased, which greatly impacted the use of healthcare resources and costs, increasing by 11.6% from 2006 (R$1,300,879.20) to 2011 (R$1,452,359.71) and 9.4% from 2011 to 2016 (R$1,589,457.95). CONCLUSIONS Hospitalizations of pediatric patients with complex chronic conditions increased from 2006 to 2016 in a Brazilian tertiary referral university hospital, associated with an important impact on hospital costs. Policies to reduce these costs in Brazil are greatly needed.
DOI: 10.6084/m9.figshare.21353160.v1
title: Impact of children with complex chronic conditions on costs in a tertiary referral hospital

description: ABSTRACT OBJECTIVES To investigate the impact of complex chronic conditions on the use of healthcare resources and hospitalization costs in a pediatric ward of a public tertiary referral university hospital in Brazil. METHODS This is a longitudinal study with retrospective data collection. Overall, three one-year periods, separated by five-year intervals (2006, 2011, and 2016), were evaluated. Hospital costs were calculated in three systematic samples of 100 patients each, consisting of patients with and without complex chronic conditions in proportion to their participation in the studied year. RESULTS Over the studied period, the hospital received 2,372 admissions from 2,172 patients. The proportion of hospitalized patients with complex chronic conditions increased from 13.3% in 2006 to 16.9% in 2016 as a result of a greater proportion of neurologically impaired children, which rose from 6.6% to 11.6% of the total number of patients in the same period. Patients’ complexity also progressively increased, which greatly impacted the use of healthcare resources and costs, increasing by 11.6% from 2006 (R$1,300,879.20) to 2011 (R$1,452,359.71) and 9.4% from 2011 to 2016 (R$1,589,457.95). CONCLUSIONS Hospitalizations of pediatric patients with complex chronic conditions increased from 2006 to 2016 in a Brazilian tertiary referral university hospital, associated with an important impact on hospital costs. Policies to reduce these costs in Brazil are greatly needed.
DOI: 10.6084/m9.figshare.21353162
title: Pituitary tumor in a patient with hydrocephalus: a diagnostic challenge

description: ABSTRACT Hydrocephalus is defined as ventricular dilation caused by increased intraventricular and intracranial pressure when untreated or due to treatment failure. Optical pathways can often cause optic atrophy due to the proximity to the lateral hazard when dilation occurs. Hydrocephalus can lead to optic atrophy, as well as other pathologies. Pituitary tumors share this same sign, in addition to causing bitemporal hemianopia when it compresses the optic chiasm. In addition, bitemporal hemianopia is the visual disturbance most commonly found in patients with pituitary tumors. Pituitary tumors, for example, have clinical manifestations that may be related to gland dysfunction, or to mechanisms of tumor expansion. Visual signs and symptoms are more linked to the mechanical effect of the tumor. Therefore, the patient usually seeks the ophthalmologist before the endocrinologist. In this case, we analyzed a patient with hydrocephalus who presented, at the same time, a pituitary tumor, and the ophthalmological investigation made all the difference in the treatment of the patient.
DOI: 10.6084/m9.figshare.21353162.v1
title: Pituitary tumor in a patient with hydrocephalus: a diagnostic challenge

description: ABSTRACT Hydrocephalus is defined as ventricular dilation caused by increased intraventricular and intracranial pressure when untreated or due to treatment failure. Optical pathways can often cause optic atrophy due to the proximity to the lateral hazard when dilation occurs. Hydrocephalus can lead to optic atrophy, as well as other pathologies. Pituitary tumors share this same sign, in addition to causing bitemporal hemianopia when it compresses the optic chiasm. In addition, bitemporal hemianopia is the visual disturbance most commonly found in patients with pituitary tumors. Pituitary tumors, for example, have clinical manifestations that may be related to gland dysfunction, or to mechanisms of tumor expansion. Visual signs and symptoms are more linked to the mechanical effect of the tumor. Therefore, the patient usually seeks the ophthalmologist before the endocrinologist. In this case, we analyzed a patient with hydrocephalus who presented, at the same time, a pituitary tumor, and the ophthalmological investigation made all the difference in the treatment of the patient.
DOI: 10.6084/m9.figshare.21353169
title: A novel maneuver for diagnosis and treatment of torsional-vertical down beating positioning nystagmus: anterior canal and apogeotropic posterior canal BPPV

description: Abstract Introduction In patients with benign paroxysmal positional vertigo, BPPV; a torsional-vertical down beating positioning nystagmus can be elicited in the supine straight head-hanging position test or in the Dix-Hallpike test to either side. This type of nystagmus can be explained by either an anterior canal BPPV or by an apogeotropic variant of the contralateral posterior canal BPPV Until now all the therapeutic maneuvers that have been proposed address only one possibility, and without first performing a clear differential diagnosis between them. Objective To propose a new maneuver for torsional-vertical down beating positioning nystagmus with a clear lateralization that takes into account both possible diagnoses (anterior canal-BPPV and posterior canal-BPPV). Methods A prospective cohort study was conducted on 157 consecutive patients with BPPV. The new maneuver was performed only in those with torsional-vertical down beating positioning nystagmus with clear lateralization. Results Twenty patients (12.7%) were diagnosed with a torsional-vertical down beating positioning nystagmus. The maneuver was performed in 10 (6.35%) patients, in whom the affected side was clearly determined. Seven (4.45%) patients were diagnosed with an anterior canal-BPPV and successfully treated. Two (1.25%) patients were diagnosed with a posterior canal-BPPV and successfully treated with an Epley maneuver after its conversion into a geotropic posterior BPPV. Conclusion This new maneuver was found to be effective in resolving all the cases of torsional-vertical down beating positioning nystagmus-BPPV caused by an anterior canal-BPPV, and in shifting in a controlled way the posterior canal-BPPV cases of the contralateral side into a geotropic-posterior-BPPV successfully treated during the followup visit. Moreover, this new maneuver helped in the differential diagnosis between anterior canal-BPPV and a contralateral posterior canal-BPPV.
DOI: 10.6084/m9.figshare.21353169.v1
title: A novel maneuver for diagnosis and treatment of torsional-vertical down beating positioning nystagmus: anterior canal and apogeotropic posterior canal BPPV

description: Abstract Introduction In patients with benign paroxysmal positional vertigo, BPPV; a torsional-vertical down beating positioning nystagmus can be elicited in the supine straight head-hanging position test or in the Dix-Hallpike test to either side. This type of nystagmus can be explained by either an anterior canal BPPV or by an apogeotropic variant of the contralateral posterior canal BPPV Until now all the therapeutic maneuvers that have been proposed address only one possibility, and without first performing a clear differential diagnosis between them. Objective To propose a new maneuver for torsional-vertical down beating positioning nystagmus with a clear lateralization that takes into account both possible diagnoses (anterior canal-BPPV and posterior canal-BPPV). Methods A prospective cohort study was conducted on 157 consecutive patients with BPPV. The new maneuver was performed only in those with torsional-vertical down beating positioning nystagmus with clear lateralization. Results Twenty patients (12.7%) were diagnosed with a torsional-vertical down beating positioning nystagmus. The maneuver was performed in 10 (6.35%) patients, in whom the affected side was clearly determined. Seven (4.45%) patients were diagnosed with an anterior canal-BPPV and successfully treated. Two (1.25%) patients were diagnosed with a posterior canal-BPPV and successfully treated with an Epley maneuver after its conversion into a geotropic posterior BPPV. Conclusion This new maneuver was found to be effective in resolving all the cases of torsional-vertical down beating positioning nystagmus-BPPV caused by an anterior canal-BPPV, and in shifting in a controlled way the posterior canal-BPPV cases of the contralateral side into a geotropic-posterior-BPPV successfully treated during the followup visit. Moreover, this new maneuver helped in the differential diagnosis between anterior canal-BPPV and a contralateral posterior canal-BPPV.
DOI: 10.6084/m9.figshare.21353168
title: Use of omentum flap for induction of free skin graft healing

description: ABSTRACT The objective of this study was to assess healing induction of free skin grafts following transposition of omental flap through a subcutaneous tunnel to the recipient bed. Macroscopic and microscopic evaluations were performed. Nineteen piglets were used. Two surgical wounds were created of each subject. The graft removed from the left side (LS) was placed on the right side (RS) without the omental flap in the graft-bed (control group-CG). On the LS, an omental flap was placed between the graft removed from the RS and the recipient bed (omentum group-OG). Macroscopic evaluations showed edema, which gradually decreased on both groups. Suture dehiscence was highest at day 10 compared to other days in both groups. The CG had a higher incidence of unvitalized tissue compared to OG, although no difference was found among days of postoperative evaluation. The presence of unvitalized tissue was seen on 32% on OG and 53% on CG. Microscopic evaluations revealed higher collagenization, reepithelization, keratinization and less swelling in the OG compared to CG. In conclusion, mesh skin grafts evolved satisfactorily in swine even in newly created bedding without granulation tissue, but with appropriate vascularization. The omentum flap provided better macroscopic and microscopic outcomes regarding graft integration.
DOI: 10.6084/m9.figshare.21353168.v1
title: Use of omentum flap for induction of free skin graft healing

description: ABSTRACT The objective of this study was to assess healing induction of free skin grafts following transposition of omental flap through a subcutaneous tunnel to the recipient bed. Macroscopic and microscopic evaluations were performed. Nineteen piglets were used. Two surgical wounds were created of each subject. The graft removed from the left side (LS) was placed on the right side (RS) without the omental flap in the graft-bed (control group-CG). On the LS, an omental flap was placed between the graft removed from the RS and the recipient bed (omentum group-OG). Macroscopic evaluations showed edema, which gradually decreased on both groups. Suture dehiscence was highest at day 10 compared to other days in both groups. The CG had a higher incidence of unvitalized tissue compared to OG, although no difference was found among days of postoperative evaluation. The presence of unvitalized tissue was seen on 32% on OG and 53% on CG. Microscopic evaluations revealed higher collagenization, reepithelization, keratinization and less swelling in the OG compared to CG. In conclusion, mesh skin grafts evolved satisfactorily in swine even in newly created bedding without granulation tissue, but with appropriate vascularization. The omentum flap provided better macroscopic and microscopic outcomes regarding graft integration.
DOI: 10.6084/m9.figshare.21353174
title: Genetic divergence and selection of bean cultivars of different grain types based on physical traits

description: ABSTRACT Genetic divergence analysis and combined selection for various physical grain traits are unprecedented for common bean cultivars. The objectives of this study were to examine the genetic variability of common bean cultivars for 12 physical grain traits; study the correlations between these traits; analyze the genetic divergence; and select superior common bean cultivars. Two experiments were carried out in 2019 in which 22 common bean cultivars of different grain types were evaluated. Significant effects of genotype, grain type and genotype × environment interaction were obtained for all physical grain traits, indicating the existence of genetic variability. High correlations were observed between grain length and width (r = 0.844), normal grains and uptake (r = 0.796) and uptake and cooking time (r = -0.651). The L* (grain lightness) and a* (variation between green and red hue) values had a greater contribution to the differentiation between common bean cultivars. Four and three groups of cultivars were formed by the analyses of canonical variables and unweighted pair group method with arithmetic mean, respectively. Both cluster analyses are efficient in separating the cultivars into homogeneous groups based on the L* and a* values, although the canonical variables analysis provides more detailed information. The cranberry bean cultivars BRS Executivo, BRS MG Realce and Hooter and the black bean cultivars IPR Tiziu, BRS Esteio and Guapo Brilhante have superior physical grain traits and will thus be selected by the breeding program.
DOI: 10.6084/m9.figshare.21353174.v1
title: Genetic divergence and selection of bean cultivars of different grain types based on physical traits

description: ABSTRACT Genetic divergence analysis and combined selection for various physical grain traits are unprecedented for common bean cultivars. The objectives of this study were to examine the genetic variability of common bean cultivars for 12 physical grain traits; study the correlations between these traits; analyze the genetic divergence; and select superior common bean cultivars. Two experiments were carried out in 2019 in which 22 common bean cultivars of different grain types were evaluated. Significant effects of genotype, grain type and genotype × environment interaction were obtained for all physical grain traits, indicating the existence of genetic variability. High correlations were observed between grain length and width (r = 0.844), normal grains and uptake (r = 0.796) and uptake and cooking time (r = -0.651). The L* (grain lightness) and a* (variation between green and red hue) values had a greater contribution to the differentiation between common bean cultivars. Four and three groups of cultivars were formed by the analyses of canonical variables and unweighted pair group method with arithmetic mean, respectively. Both cluster analyses are efficient in separating the cultivars into homogeneous groups based on the L* and a* values, although the canonical variables analysis provides more detailed information. The cranberry bean cultivars BRS Executivo, BRS MG Realce and Hooter and the black bean cultivars IPR Tiziu, BRS Esteio and Guapo Brilhante have superior physical grain traits and will thus be selected by the breeding program.
DOI: 10.6084/m9.figshare.21353177
title: Late peripheral facial paralysis after COVID-19: a rapid systematic review and two case reports

description: Abstract Peripheral facial paralysis (PFP) has been shown to be a neurological manifestation of COVID-19. The current study presents two cases of PFP after COVID-19, along with a rapid review of known cases in the literature. Both case reports were conducted following CARE guidelines. We also performed a systematic review of PFP cases temporally related to COVID-19 using PubMed, Embase, and Cochrane Library databases on August 30, 2021, using a rapid review methodology. The two patients experienced PFP 102 and 110 days after COVID-19 symptom onset. SARS-CoV-2 RNA was detected in nasal samples through reverse-transcription real-time polymerase chain reaction (RT-qPCR) testing. Anosmia was the only other neurological manifestation. PFP was treated with steroids in both cases, with complete subsequent recovery. In the rapid review, we identified 764 articles and included 43 studies. From those, 128 patients with PFP were analyzed, of whom 42.1% (54/128) were male, 39.06% (50/128) female, and in 23 cases the gender was not reported. The age range was 18 to 59 (54.68%). The median time between COVID-19 and PFP was three days (ranging from the first symptom of COVID-19 to 40 days after the acute phase of infection). Late PFP associated with COVID-19 presents mild symptoms and improves with time, with no identified predictors. Late PFP should be added to the spectrum of neurological manifestations associated with the long-term effects of SARS-CoV-2 infection as a post COVID-19 condition.
DOI: 10.6084/m9.figshare.21353177.v1
title: Late peripheral facial paralysis after COVID-19: a rapid systematic review and two case reports

description: Abstract Peripheral facial paralysis (PFP) has been shown to be a neurological manifestation of COVID-19. The current study presents two cases of PFP after COVID-19, along with a rapid review of known cases in the literature. Both case reports were conducted following CARE guidelines. We also performed a systematic review of PFP cases temporally related to COVID-19 using PubMed, Embase, and Cochrane Library databases on August 30, 2021, using a rapid review methodology. The two patients experienced PFP 102 and 110 days after COVID-19 symptom onset. SARS-CoV-2 RNA was detected in nasal samples through reverse-transcription real-time polymerase chain reaction (RT-qPCR) testing. Anosmia was the only other neurological manifestation. PFP was treated with steroids in both cases, with complete subsequent recovery. In the rapid review, we identified 764 articles and included 43 studies. From those, 128 patients with PFP were analyzed, of whom 42.1% (54/128) were male, 39.06% (50/128) female, and in 23 cases the gender was not reported. The age range was 18 to 59 (54.68%). The median time between COVID-19 and PFP was three days (ranging from the first symptom of COVID-19 to 40 days after the acute phase of infection). Late PFP associated with COVID-19 presents mild symptoms and improves with time, with no identified predictors. Late PFP should be added to the spectrum of neurological manifestations associated with the long-term effects of SARS-CoV-2 infection as a post COVID-19 condition.
DOI: 10.6084/m9.figshare.21353183
title: Multidimensional scaling analysis for investigating relations between milk yield and fertility parameters

description: ABSTRACT Milk yield and fertility traits in dairy cattle and their relationship with the influencing factors were investigated using multidimensional scaling analysis (MDS) in this study. The study focused on the relationship between lactation length, 305-day milk yield, actual milk yield and peak remaining days from milk yield characteristics, and service period, dry period, insemination per conception and calving interval from fertility traits, as well as the influencing factors such as calving age, lactation number, birth season, and birth year. When the MDS results were examined, it was discovered that all the traits had close Euclidean distances from each other, save for the birth season and birth year. As a result of MDS analysis, R2 and Stress Coefficient were calculated as 88.4% and 0.099, respectively. Consequently, the selection direction was tried to be identified by determining the milk yield and fertility traits and the relationship between these traits and the influencing factors through the MDS analysis and it was concluded that the MDS method could be employed in this field.
DOI: 10.6084/m9.figshare.21353183.v1
title: Multidimensional scaling analysis for investigating relations between milk yield and fertility parameters

description: ABSTRACT Milk yield and fertility traits in dairy cattle and their relationship with the influencing factors were investigated using multidimensional scaling analysis (MDS) in this study. The study focused on the relationship between lactation length, 305-day milk yield, actual milk yield and peak remaining days from milk yield characteristics, and service period, dry period, insemination per conception and calving interval from fertility traits, as well as the influencing factors such as calving age, lactation number, birth season, and birth year. When the MDS results were examined, it was discovered that all the traits had close Euclidean distances from each other, save for the birth season and birth year. As a result of MDS analysis, R2 and Stress Coefficient were calculated as 88.4% and 0.099, respectively. Consequently, the selection direction was tried to be identified by determining the milk yield and fertility traits and the relationship between these traits and the influencing factors through the MDS analysis and it was concluded that the MDS method could be employed in this field.