cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.19904725.v1
title: Covid-19 and the medical student: how are our clinical clerkship students participating?

description: Abstract: Introduction: COVID-19, a new acute infectious disease caused by SARS-Cov-2, discovered in China in December 2019, is currently characterized by the WHO as a pandemic. The social distancing measures implemented around the world have had a major impact on various sectors, in particular, education. The changes that have occurred in Brazil in the context of higher education courses have had a significant effect on the clinical clerkship activities conducted by medical students. Objective: The study sought to identify the main changes caused in clinical clerkships and the view of those clerkship students in light of such changes. Method: A questionnaire was devised on Google Forms about the impact of the COVID-19 pandemic on clerkship activities. The research sample consisted of clerkship students from public and private universities in Fortaleza. The collected data were stored in Excel spreadsheets and then analyzed using the SPSS software. The chi-square test and the linear association test were used to assess the association between the nominal and ordinal categorical variables. In some comparisons Cramer’s V was also calculated. The level of significance for all tests was considered based on p &lt;0.05. Result: The sample consisted of 303 students, of whom 195 (64.4%) did not stop their clerkship activities and 108 (35.6%) did stop such activities. The students reported reasons to justify their decision to interrupt or continue the activities, and the majority responded that they had been encouraged by their teachers to choose one of those two options. Of those who did not continue with the clerkship, 71.3% said they felt the interruption had been detrimental to them. Furthermore, a series of correlations were observed by comparing the responses of students divided by semesters or by types of institution (public or private). Conclusion: The COVID-19 pandemic has had a negative impact on clerkship activities. There is, therefore, a clear need to study strategies that minimize the damage caused by this global crisis on clerkship students.
DOI: 10.6084/m9.figshare.19904725
title: Covid-19 and the medical student: how are our clinical clerkship students participating?

description: Abstract: Introduction: COVID-19, a new acute infectious disease caused by SARS-Cov-2, discovered in China in December 2019, is currently characterized by the WHO as a pandemic. The social distancing measures implemented around the world have had a major impact on various sectors, in particular, education. The changes that have occurred in Brazil in the context of higher education courses have had a significant effect on the clinical clerkship activities conducted by medical students. Objective: The study sought to identify the main changes caused in clinical clerkships and the view of those clerkship students in light of such changes. Method: A questionnaire was devised on Google Forms about the impact of the COVID-19 pandemic on clerkship activities. The research sample consisted of clerkship students from public and private universities in Fortaleza. The collected data were stored in Excel spreadsheets and then analyzed using the SPSS software. The chi-square test and the linear association test were used to assess the association between the nominal and ordinal categorical variables. In some comparisons Cramer’s V was also calculated. The level of significance for all tests was considered based on p &lt;0.05. Result: The sample consisted of 303 students, of whom 195 (64.4%) did not stop their clerkship activities and 108 (35.6%) did stop such activities. The students reported reasons to justify their decision to interrupt or continue the activities, and the majority responded that they had been encouraged by their teachers to choose one of those two options. Of those who did not continue with the clerkship, 71.3% said they felt the interruption had been detrimental to them. Furthermore, a series of correlations were observed by comparing the responses of students divided by semesters or by types of institution (public or private). Conclusion: The COVID-19 pandemic has had a negative impact on clerkship activities. There is, therefore, a clear need to study strategies that minimize the damage caused by this global crisis on clerkship students.
DOI: 10.6084/m9.figshare.19904729
title: Cross-cultural adaptation of the Recovery Self-Assessment RSA-R Family/Brazil: Validity evidence based on test content

description: Abstract In the cross-cultural adaptation of instruments, the qualitative component of adaptation is generally poorly reported, sometimes being superficially addressed. In this study we aimed to describe the qualitative component of the cross-cultural adaptation process and to demonstrate validity evidence based on test content of the Recovery Self-Assessment-RSA-R Family/Brazil. We conducted a qualitative study that included the steps of preparation, translation, back-translation, expert’s assessment, workshop with a researcher from Yale University, and two pilot studies involving family members of patients attended at mental health services. Among the results, we found considerable validity evidence based on test content with a percentage of agreement above 80%. Pilot studies contributed to accentuating this evidence, assisting in the cultural adequacy of the statements and in the operational equivalence of the instrument. The adaptation process of the RSA-R Family/Brazil proved to be complex. From this experience, we concluded that presenting validity evidence based on test content is important to ensure the applicability tools to the target culture. The instrument will still be evaluated as for psychometric characteristics through statistical techniques.
DOI: 10.6084/m9.figshare.19904729.v1
title: Cross-cultural adaptation of the Recovery Self-Assessment RSA-R Family/Brazil: Validity evidence based on test content

description: Abstract In the cross-cultural adaptation of instruments, the qualitative component of adaptation is generally poorly reported, sometimes being superficially addressed. In this study we aimed to describe the qualitative component of the cross-cultural adaptation process and to demonstrate validity evidence based on test content of the Recovery Self-Assessment-RSA-R Family/Brazil. We conducted a qualitative study that included the steps of preparation, translation, back-translation, expert’s assessment, workshop with a researcher from Yale University, and two pilot studies involving family members of patients attended at mental health services. Among the results, we found considerable validity evidence based on test content with a percentage of agreement above 80%. Pilot studies contributed to accentuating this evidence, assisting in the cultural adequacy of the statements and in the operational equivalence of the instrument. The adaptation process of the RSA-R Family/Brazil proved to be complex. From this experience, we concluded that presenting validity evidence based on test content is important to ensure the applicability tools to the target culture. The instrument will still be evaluated as for psychometric characteristics through statistical techniques.
DOI: 10.6084/m9.figshare.19904731
title: Risk assessment for HIV infection in men who have sex with men and the contribution of sexual partner networks

description: Abstract This study aimed to evaluate the risk of HIV infection in men who have sex with men (MSM) by developing an index that considers sex partner networks. The index variables were age, ethnicity/skin color, schooling, relationship type, condom use in receptive and insertive relationships, self-perception of the possibility of HIV infection, sexually transmitted infections, and rapid HIV testing results. We used data from a cross-sectional MSM egocentric network survey conducted in Rio de Janeiro between 2014 and 2015. The initial research volunteer is called ego, each partner is called alter, and each pair of people in a relationship is called the dyad. Multiple logistic regression was used to define the coefficients of the equations for the elaboration of the indices. The index ranged from 0 to 1; the closer to 1, the higher the risk of HIV infection. HIV prevalence was 13.9% among egos. The mean egos index with an HIV-reactive test was 57% higher than non-reactive, and the same profile was observed in the index values of dyads. The index allowed the incorporation of network data through the dyads and contributed to the identification of individuals with a higher likelihood of acquiring HIV.
DOI: 10.6084/m9.figshare.19904731.v1
title: Risk assessment for HIV infection in men who have sex with men and the contribution of sexual partner networks

description: Abstract This study aimed to evaluate the risk of HIV infection in men who have sex with men (MSM) by developing an index that considers sex partner networks. The index variables were age, ethnicity/skin color, schooling, relationship type, condom use in receptive and insertive relationships, self-perception of the possibility of HIV infection, sexually transmitted infections, and rapid HIV testing results. We used data from a cross-sectional MSM egocentric network survey conducted in Rio de Janeiro between 2014 and 2015. The initial research volunteer is called ego, each partner is called alter, and each pair of people in a relationship is called the dyad. Multiple logistic regression was used to define the coefficients of the equations for the elaboration of the indices. The index ranged from 0 to 1; the closer to 1, the higher the risk of HIV infection. HIV prevalence was 13.9% among egos. The mean egos index with an HIV-reactive test was 57% higher than non-reactive, and the same profile was observed in the index values of dyads. The index allowed the incorporation of network data through the dyads and contributed to the identification of individuals with a higher likelihood of acquiring HIV.
DOI: 10.5281/zenodo.6587353
title: Aquila spilogaster decontaminated gx

description: .
DOI: 10.5281/zenodo.6587352
title: Aquila spilogaster decontaminated gx

description: .
DOI: 10.6084/m9.figshare.19904732
title: Multiple haplotypes of Chelonia mydas juveniles in a threatened hotspot area in Southern Brazil

description: Abstract Mixed stocks are described for Chelonia mydas and the frequency of haplotypes in feeding areas can aid understanding of the genetic and ecological diversity, since with this information it is possible to identify the origin of the individuals. The current study aims to characterize and compare genetic diversity along the coast of Paraná with 17 other feeding areas in the Atlantic Ocean. A total of 285 samples from juveniles were DNA sequenced in the control region, resulting in the identification of 12 haplotypes, with a predominance of the CMA8 haplotype (69%) and the first registration of CMA23. For the study subjects, haplotypic and nucleotide diversity were 0.469 ± 0.032 and 0.00189 ± 0.00020, respectively, and comparisons with other feeding areas presented significant values for the majority of FST and ΦST. The results point to the importance of this region and provide evidence that over the years a mixed stock has used the region as a feeding area. This variation could be related to sea currents, climatic changes, and oceanographic characteristics that may alter the availability of food, water temperature, and the presence of turtles. The current results can be considered in conservation plans for Chelonia mydas.
DOI: 10.6084/m9.figshare.19904732.v1
title: Multiple haplotypes of Chelonia mydas juveniles in a threatened hotspot area in Southern Brazil

description: Abstract Mixed stocks are described for Chelonia mydas and the frequency of haplotypes in feeding areas can aid understanding of the genetic and ecological diversity, since with this information it is possible to identify the origin of the individuals. The current study aims to characterize and compare genetic diversity along the coast of Paraná with 17 other feeding areas in the Atlantic Ocean. A total of 285 samples from juveniles were DNA sequenced in the control region, resulting in the identification of 12 haplotypes, with a predominance of the CMA8 haplotype (69%) and the first registration of CMA23. For the study subjects, haplotypic and nucleotide diversity were 0.469 ± 0.032 and 0.00189 ± 0.00020, respectively, and comparisons with other feeding areas presented significant values for the majority of FST and ΦST. The results point to the importance of this region and provide evidence that over the years a mixed stock has used the region as a feeding area. This variation could be related to sea currents, climatic changes, and oceanographic characteristics that may alter the availability of food, water temperature, and the presence of turtles. The current results can be considered in conservation plans for Chelonia mydas.
DOI: 10.6084/m9.figshare.19904734
title: Face and construct validation of the Instrument of Evaluation of Maternal and Child Care Networks (IEMCN)

description: Abstract The organization of health systems in Health Care Networks (HCN) presents itself as a strategy to overcome the fragmentation of maternal and child health actions and services and to qualify care management. The objective of this study was to validate the Instrument for Evaluation of Maternal and Child Health Care Networks (IARAMI), adapted from the Evaluation Tool of Health Care Networks. The validation process comprised face and construct validation. The methodology used for face validation included the conceptual and semantic adaptation of the instrument and analysis by a panel of experts, through the modified consensus e-Delphi technique. After face validation, IARAMI was applied in a sample of 99 health managers of municipalities in the state of Paraná. The construct validation was conducted through the internal consistency analysis using Cronbach’s alpha coefficient and factorial analysis. The factorial analysis technique was applied to each of the dimensions of the instrument, enabling the analysis of communalities. The results showed that IARAMI presented reliability and validity, proving to be a tool that can help managers and health workers in the planning, management, and evaluation of the degree of integration of the maternal and child care network.
DOI: 10.6084/m9.figshare.19904734.v1
title: Face and construct validation of the Instrument of Evaluation of Maternal and Child Care Networks (IEMCN)

description: Abstract The organization of health systems in Health Care Networks (HCN) presents itself as a strategy to overcome the fragmentation of maternal and child health actions and services and to qualify care management. The objective of this study was to validate the Instrument for Evaluation of Maternal and Child Health Care Networks (IARAMI), adapted from the Evaluation Tool of Health Care Networks. The validation process comprised face and construct validation. The methodology used for face validation included the conceptual and semantic adaptation of the instrument and analysis by a panel of experts, through the modified consensus e-Delphi technique. After face validation, IARAMI was applied in a sample of 99 health managers of municipalities in the state of Paraná. The construct validation was conducted through the internal consistency analysis using Cronbach’s alpha coefficient and factorial analysis. The factorial analysis technique was applied to each of the dimensions of the instrument, enabling the analysis of communalities. The results showed that IARAMI presented reliability and validity, proving to be a tool that can help managers and health workers in the planning, management, and evaluation of the degree of integration of the maternal and child care network.
DOI: 10.34740/kaggle/dsv/3705741
title: PD_tmline
DOI: 10.6084/m9.figshare.19904738.v1
title: Self-rated health and hearing disorders: study of the Brazilian hearing-impaired population

description: Abstract Hearing impairment (HI) is one of the most impacting handicaps related to social life, and 21% have intense limitation compromising daily activities. However, few studies have investigated SRH in HI. This article aims to verify the association between HI and SRH and factors related to hearing characteristics. Cross-sectional study data from National Health Survey (NHS, 2013) conducted with 1,100 hearing impaired adults (≥18 years old). The outcome was SHR, categorized as good or poor. Poisson regression with robust variance was used to calculate Prevalence Ratios. Sociodemographic variables and characteristics of HI, such as congenital or acquired HI, type of HI, wear hearing aids, and limitation were used in adjusted analysis. Poor SRH was more prevalent in acquired HI, limitation of daily activities, sociodemographic characteristics such as aging, female, black or other skin color, and lower schooling. Poor SRH is related to acquired HI, limitation of daily activities and sociodemographic conditions.
DOI: 10.6084/m9.figshare.19904738
title: Self-rated health and hearing disorders: study of the Brazilian hearing-impaired population

description: Abstract Hearing impairment (HI) is one of the most impacting handicaps related to social life, and 21% have intense limitation compromising daily activities. However, few studies have investigated SRH in HI. This article aims to verify the association between HI and SRH and factors related to hearing characteristics. Cross-sectional study data from National Health Survey (NHS, 2013) conducted with 1,100 hearing impaired adults (≥18 years old). The outcome was SHR, categorized as good or poor. Poisson regression with robust variance was used to calculate Prevalence Ratios. Sociodemographic variables and characteristics of HI, such as congenital or acquired HI, type of HI, wear hearing aids, and limitation were used in adjusted analysis. Poor SRH was more prevalent in acquired HI, limitation of daily activities, sociodemographic characteristics such as aging, female, black or other skin color, and lower schooling. Poor SRH is related to acquired HI, limitation of daily activities and sociodemographic conditions.
DOI: 10.6084/m9.figshare.19904741
title: Regional Health Planning in Brazil from the perspective of health managers: advances and challenges

description: Abstract The scope of this study was to analyze, from the standpoint of managers, the conformity of the process of regionalization in health in Brazil, with emphasis on the main advances and challenges. A mixed exploratory and descriptive study was conducted. In the first stage, an electronic questionnaire was given to managers from all health regions of the country. In the second stage, focus groups were staged with managers in all macro regions. A semi-structured interview was used to encourage managers to speak about the advances and main challenges of the process of regionalization. The data was analyzed using Iramuteq software, more specifically the Descending Hierarchical Classification (DHC), resulting in three main themes: the first deals with the efforts made for the regional organization at the macro level of management, with emphasis on reducing inequalities, actions and services to users; the second demonstrates the regional organization and the difficulties for the organization of the local system; the third reveals difficulties in accessing health services, especially those with greater technological complexity. The research results point to advances and challenges, involving a risk for the structuring of the regionalization process, with bureaucratic and fragmentation implications.
DOI: 10.6084/m9.figshare.19904741.v1
title: Regional Health Planning in Brazil from the perspective of health managers: advances and challenges

description: Abstract The scope of this study was to analyze, from the standpoint of managers, the conformity of the process of regionalization in health in Brazil, with emphasis on the main advances and challenges. A mixed exploratory and descriptive study was conducted. In the first stage, an electronic questionnaire was given to managers from all health regions of the country. In the second stage, focus groups were staged with managers in all macro regions. A semi-structured interview was used to encourage managers to speak about the advances and main challenges of the process of regionalization. The data was analyzed using Iramuteq software, more specifically the Descending Hierarchical Classification (DHC), resulting in three main themes: the first deals with the efforts made for the regional organization at the macro level of management, with emphasis on reducing inequalities, actions and services to users; the second demonstrates the regional organization and the difficulties for the organization of the local system; the third reveals difficulties in accessing health services, especially those with greater technological complexity. The research results point to advances and challenges, involving a risk for the structuring of the regionalization process, with bureaucratic and fragmentation implications.
DOI: 10.6084/m9.figshare.19904744
title: From “mentally ill” to “citizens”: historical analysis of the construction of political categories in mental health in Brazil

description: Abstract Public policies are based on categories that have a double effect: build eligibility for rights and generate symbolic effects, reproducing or fighting social stigmas. This article aims to analyze the historical setup of categories targeted in mental health policies in Brazil. Based in a study of the legislation from 1841 to 2017, we observed how was the processes of constructing the political categories of mental health - passing from users to citizens or mentally ill. The processes of control of public policies were selected for the respect of users of mental health policy, the social framework of data and the criteria for access to policies and the construction of social stigmas. The analysis shows important changes in these categories over time that tried to remove stigmas based on new conceptions proposed by social movements of mental health, international policies and social changes, such as Brazilian re-democratization. However, we also highlight the difficulty of effectively coping with stigmas due to the lack of consensus in the field itself, resistance to changes in social categories, family members and health professionals.
DOI: 10.6084/m9.figshare.19904747
title: State, youth and socio-educational system narratives: human rights, public health and social policies

description: Abstract This work, extracted from the doctoral research of the author, aims to discuss, from the reports of socio-educational system professionals, the access to State politics and programs performed by youth in conflict with the law attending to socio-educational system. In this research, 14 professionals who work in periphery regions, at the South Zone of São Paulo were interviewed, using the methodological proposal of “narrative policies”. From the reports, we can see ambiguities of proposals and state interventions, configuring the “double discipline” of State, evidencing the insufficiency and the disinvestment in social security and social assistance policies, meanwhile occurs the production of an apparatus of repressive measures. We discuss the theme related to the field of public health and the importance of the bonds between professionals and youth attending to socio-educational system.