cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.12127371.v1
title: Association between the occurrence of pain and caregivers overload on main and the elderly independence level in daily life activities: cross sectional study

description: Abstract Background Caring for an elderly is often an arduous task, and the care demands go beyond the caregiver's capacity may cause overload and pain. Objective The aim of this study was to investigate the association between independence level of the elderly in daily life activities and the occurrence of pain and overload your primary caregiver. Method The study included 14 elderly residents in adscript territory of health units of the North Zone-Axis Baltazar area Baltazar North axis of the city Porto Alegre and their primary caregivers, in home visits, answered questions regarding the socioeconomic profile, the occurrence of pain (Nordic questionnaire and visual analog pain scale), the caregiver burden (Inventory caregiver overload) and the level of independence of the elderly (Katz index). Results The average age of the elderly is 82.1 years (± 6.9) and caregivers, 65.9 years (± 11.3). Of the 14 elderly, 28.6% were classified as independent, 50% as having moderate dependence and 21.4% as very dependent. There was strong inverse correlation between the old level of independence and caregiver burden (ρ = -0.619; p = 0.018). When evaluating areas of the inventory separately overload time dependent (ρ = -0.866; p = 0.000) and over the personal life (ρ = -0.708; p = 0.005) correlated to the level of independence of the elderly. Conclusion The study showed that the more independent for the elderly, the lower the burden attributed to the caregiver.
DOI: 10.6084/m9.figshare.12127362.v1
title: Influence of food consumption and physical activity practice in the prevalence of overweight/obesity in school adolescents

description: Abstract Background adolescence is defined by the World Health Organization, as the age group of 10 to 19 years old, because it is there, when different changes are observed. Objective to analyze the existence of association between overweight/obesity and risk factors in school adolescents. Method this is a cross-study, which was performed in high schools belonging to the state public network, in the city of Sobral, Ceará, with a sample of 572 young students. Data were collected using a structured questionnaire, IPAQ, and SISVAN food consumption markers. In the unadjusted analysis, the Poisson regression was used, using the chi-square test of Wald with the variables presenting a descriptive level p&lt;0.20 as input criterion, and in the final multiple regression model of Poisson, only the significant variables (p&lt;0,05). Results in the final model, after performing Poisson multiple regression, adolescent age (p=0.002; CI 95%=0.099; 0.591; RP=4.54) and inappropriate consumption of food with high energy density (p=0.006; CI 95%=0.369; 0.848; RP=1.79) were configured statistically significant as risk factors. Conclusion The findings of this research indicated that both young age and inadequate food consumption are risk factors for the development of overweight / obesity. This finding proves that the development of overweight / obesity is diverse and complex.
DOI: 10.6084/m9.figshare.12127347
title: Factors associated with the functional health literacy in women served by the Family Health Strategy

description: Abstract Background Functional health literacy (FHL) concerns the ability of individuals to understand health-related information, which is related to various health outcomes. Objective Investigate the association between FHL and socio-demographic factors, social support, self-assessment of health status and access to health services in women assisted by the Family Health Strategy (FHS). Method A cross-sectional study, conducted in 2015-2016, in two Primary Health Care Units covered by the FHS of a municipality in the Southeast region of Brazil. The sample consisted of 479 participants, aged between 24 and 64 years. FHL was evaluated by the Brief Test of Functional Health Literacy in Adults (B-TOFHLA). Prevalence Ratio (PR), with Confidence Interval (CI) of 95%, was performed. Subsequently, a Poisson regression model of robust variance was constructed, and statistical significance was accepted when p≤0.05. Results It was found that 53.5% of the women had a low FHL, which was associated with age over 40 (RP = 1.18, 95% CI: 1.07-1.31), low education level (RP = 1.26, 95% CI: 1.15-1.38), low income (RP = 1.13, 95% CI 1.04-1.23) and self-declaration brown or black skin color (PR = 1.06, 95% CI 1.01-1.12). Conclusion The results reinforce the importance of FHL use as a strategy for the management of populations with greater socioeconomic vulnerability.
DOI: 10.6084/m9.figshare.12127350
title: Medical management after subthalamic stimulation in Parkinson’s disease: a phenotype perspective

description: Abstract Subthalamic nucleus deep brain stimulation (STN DBS) is an established treatment that improves motor fluctuations, dyskinesia, and tremor in Parkinson’s disease (PD). After the surgery, a careful electrode programming strategy and medical management are crucial, because an imbalance between them can compromise the quality of life over time. Clinical management is not straightforward and depends on several perioperative motor and non-motor symptoms. In this study, we review the literature data on acute medical management after STN DBS in PD and propose a clinical algorithm on medical management focused on the patient’s phenotypic profile at the perioperative period. Overall, across the trials, the levodopa equivalent daily dose is reduced by 30 to 50% one year after surgery. In patients taking high doses of dopaminergic drugs or with high risk of impulse control disorders, an initial reduction in dopamine agonists after STN DBS is recommended to avoid the hyperdopaminergic syndrome, particularly hypomania. On the other hand, a rapid reduction of dopaminergic agonists of more than 70% during the first months can lead to dopaminergic agonist withdrawal syndrome, characterized by apathy, pain, and autonomic features. In a subset of patients with severe dyskinesia before surgery, an initial reduction in levodopa seems to be a more reasonable approach. Finally, when the patient’s phenotype before the surgery is the severe parkinsonism (wearing-off) with or without tremor, reduction of the medication after surgery can be more conservative. Individualized medical management following DBS contributes to the ultimate therapy success.
DOI: 10.6084/m9.figshare.12127350.v1
title: Medical management after subthalamic stimulation in Parkinson’s disease: a phenotype perspective

description: Abstract Subthalamic nucleus deep brain stimulation (STN DBS) is an established treatment that improves motor fluctuations, dyskinesia, and tremor in Parkinson’s disease (PD). After the surgery, a careful electrode programming strategy and medical management are crucial, because an imbalance between them can compromise the quality of life over time. Clinical management is not straightforward and depends on several perioperative motor and non-motor symptoms. In this study, we review the literature data on acute medical management after STN DBS in PD and propose a clinical algorithm on medical management focused on the patient’s phenotypic profile at the perioperative period. Overall, across the trials, the levodopa equivalent daily dose is reduced by 30 to 50% one year after surgery. In patients taking high doses of dopaminergic drugs or with high risk of impulse control disorders, an initial reduction in dopamine agonists after STN DBS is recommended to avoid the hyperdopaminergic syndrome, particularly hypomania. On the other hand, a rapid reduction of dopaminergic agonists of more than 70% during the first months can lead to dopaminergic agonist withdrawal syndrome, characterized by apathy, pain, and autonomic features. In a subset of patients with severe dyskinesia before surgery, an initial reduction in levodopa seems to be a more reasonable approach. Finally, when the patient’s phenotype before the surgery is the severe parkinsonism (wearing-off) with or without tremor, reduction of the medication after surgery can be more conservative. Individualized medical management following DBS contributes to the ultimate therapy success.
DOI: 10.6084/m9.figshare.12127347.v1
title: Factors associated with the functional health literacy in women served by the Family Health Strategy

description: Abstract Background Functional health literacy (FHL) concerns the ability of individuals to understand health-related information, which is related to various health outcomes. Objective Investigate the association between FHL and socio-demographic factors, social support, self-assessment of health status and access to health services in women assisted by the Family Health Strategy (FHS). Method A cross-sectional study, conducted in 2015-2016, in two Primary Health Care Units covered by the FHS of a municipality in the Southeast region of Brazil. The sample consisted of 479 participants, aged between 24 and 64 years. FHL was evaluated by the Brief Test of Functional Health Literacy in Adults (B-TOFHLA). Prevalence Ratio (PR), with Confidence Interval (CI) of 95%, was performed. Subsequently, a Poisson regression model of robust variance was constructed, and statistical significance was accepted when p≤0.05. Results It was found that 53.5% of the women had a low FHL, which was associated with age over 40 (RP = 1.18, 95% CI: 1.07-1.31), low education level (RP = 1.26, 95% CI: 1.15-1.38), low income (RP = 1.13, 95% CI 1.04-1.23) and self-declaration brown or black skin color (PR = 1.06, 95% CI 1.01-1.12). Conclusion The results reinforce the importance of FHL use as a strategy for the management of populations with greater socioeconomic vulnerability.
DOI: 10.6084/m9.figshare.12127338
title: Community health agents: perception about health services related to Chagas' disease

description: Abstract Background Chagas disease is still an important public health issue in Latin America, presenting high prevalence, broad geographical distribution and great social impact. Several services related to Chagas disease are solved in Primary Health Care (PHC). In the Family Health Strategy (FHS) it is highlighted the Community Health Agent (CHA), professional responsible for mediating between the community and units basics of health (UBH). Objective To raise the perception of the coordinators of the FHS and the CHAs about the knowledge on Chagas disease and related health services in the municipalities of the micro-regional health of Itaúna, Minas Gerais, Brazil. Method Semi-structured questionnaires were applied to the CHAs and focus groups were carried out with coordinators of the FHSs. Result It was observed that among professionals there is no basic information related to Chagas' disease; the lack of a service protocol/flowchart was noticed; inefficiency of reference and counter/reference services; precariousness in working conditions and training of professionals and absence of health promotion actions in municipalities. Conclusion This is the first study addressing this theme: perception of professionals about Chagas disease and its services. It is suggested that this study be extended to other regions of Brazil.
DOI: 10.6084/m9.figshare.12127338.v1
title: Community health agents: perception about health services related to Chagas' disease

description: Abstract Background Chagas disease is still an important public health issue in Latin America, presenting high prevalence, broad geographical distribution and great social impact. Several services related to Chagas disease are solved in Primary Health Care (PHC). In the Family Health Strategy (FHS) it is highlighted the Community Health Agent (CHA), professional responsible for mediating between the community and units basics of health (UBH). Objective To raise the perception of the coordinators of the FHS and the CHAs about the knowledge on Chagas disease and related health services in the municipalities of the micro-regional health of Itaúna, Minas Gerais, Brazil. Method Semi-structured questionnaires were applied to the CHAs and focus groups were carried out with coordinators of the FHSs. Result It was observed that among professionals there is no basic information related to Chagas' disease; the lack of a service protocol/flowchart was noticed; inefficiency of reference and counter/reference services; precariousness in working conditions and training of professionals and absence of health promotion actions in municipalities. Conclusion This is the first study addressing this theme: perception of professionals about Chagas disease and its services. It is suggested that this study be extended to other regions of Brazil.
DOI: 10.6084/m9.figshare.12127320
title: Association between screen time and the variation of food intake markers among school-aged adolescents in Niterói/RJ, Brazil

description: Abstract Background Changes in eating habits may be associated with sedentary behaviors by favoring excessive weight gain among adolescents, and consequently leading to the occurrence of chronic Non-Communicable Diseases (NCD). Objective To evaluate the association between screen time and consumption of healthy and unhealthy food markers in adolescents. Method A longitudinal study with adolescents aged from 10-16 years of public schools in Niterói, in the state of Rio de Janeiro/Brazil was performed in 2014. It was applied a questionnaire about screen time, food consumption frequency and socio-demographic variables. Generalized linear models were applied with p-value &lt;0.05. Results 448 students participated in the study, 54.8% were male, and 67% were in the category of ≥5 hours/day of total screen time and 69% in the ≤4 hours/day of television time (TV time). It was not observed an association between total screen time and food intake variations. However, an inverse association was observed between TV time and vegetable consumption (p-value = 0.02). Conclusion It was not observed an association between total screen time and food intake variations. Nevertheless, it was verified that time spent watching television was associated with consumption of vegetables. Thus, it is suggested that the reduction of the time spent in sedentary activities and healthy food choices are priorities in the elaboration of public policies.
DOI: 10.6084/m9.figshare.12127311
title: Attention to abortion in hospitals of the SUS network in Fortaleza, Ceará

description: Abstract Background Abortion is a relevant issue for public health, due to is significance among the causes of maternal and mortality. Objective to describe the sociodemographic and reproductive profile, as well as the assistance provided and the costs of the hospitalization of women in abortion in the hospitals linked in the SUS network in Fortaleza, Ceará. Methods this is a cross-sectional, descriptive study by means of interviews, medical records and reports of the Authorization of Hospitalizations. Results among the 119 women interviewed, 65% were under 30 years of age, 78.2% were non-white and 54% had low income; the prevalence of women who sought more than one hospital for care was 47% and 72.3% of them sought health care within five days; concentration of 98.3% were submitted to a surgical procedure curettage for abortion termination. Conclusion it was noticed the existence of fragile points in the attention to abortion and the need to discuss abortion thematic in public health policies.
DOI: 10.6084/m9.figshare.12127320.v1
title: Association between screen time and the variation of food intake markers among school-aged adolescents in Niterói/RJ, Brazil

description: Abstract Background Changes in eating habits may be associated with sedentary behaviors by favoring excessive weight gain among adolescents, and consequently leading to the occurrence of chronic Non-Communicable Diseases (NCD). Objective To evaluate the association between screen time and consumption of healthy and unhealthy food markers in adolescents. Method A longitudinal study with adolescents aged from 10-16 years of public schools in Niterói, in the state of Rio de Janeiro/Brazil was performed in 2014. It was applied a questionnaire about screen time, food consumption frequency and socio-demographic variables. Generalized linear models were applied with p-value &lt;0.05. Results 448 students participated in the study, 54.8% were male, and 67% were in the category of ≥5 hours/day of total screen time and 69% in the ≤4 hours/day of television time (TV time). It was not observed an association between total screen time and food intake variations. However, an inverse association was observed between TV time and vegetable consumption (p-value = 0.02). Conclusion It was not observed an association between total screen time and food intake variations. Nevertheless, it was verified that time spent watching television was associated with consumption of vegetables. Thus, it is suggested that the reduction of the time spent in sedentary activities and healthy food choices are priorities in the elaboration of public policies.
DOI: 10.6084/m9.figshare.12127305
title: Endoparasites of household and shelter cats in the city of Rio de Janeiro, Brazil

description: Abstract Endoparasitic infections are associated with morbidity in cats. This study aimed to investigate the occurrence of endoparasites among cats of different life stages in the city of Rio de Janeiro, Brazil. The samples were analyzed individually by macroscopic exploration for proglottids and centrifugal-flotation. Stool samples were obtained from household cats (n = 57) and shelter cats (n = 336). Endoparasites were detected in 50.64% of the samples. Among household and shelter cats, 21.05% and 55.66% were infected with endoparasites, respectively. In household cats, the most prevalent endoparasites were Ancylostoma spp. (in 25.0%) and Strongyloides spp. (in 25.0%), followed by Toxocara spp. (in 16.67%), Dipylidium caninum (in 16.67%), Cystoisospora spp. (in 8.33%), and Uncinaria spp. + Ancylostoma spp. (in 8.33%). In shelter cats, the most prevalent endoparasite was Ancylostoma spp. (in 29.41%), followed by Cystoisospora spp. (in 26.20%) and Toxocara spp. (in 16.58%), as well as Cystoisospora spp. + Toxocara spp. (in 8.02%); Ancylostoma spp. + Toxocara spp. (in 11.76%); Cystoisospora spp. + Ancylostoma spp. (in 3.74%); Cystoisospora spp. + Toxocara spp. + Ancylostoma spp. (in 3.21%); and Dipylidium caninum + Ancylostoma spp. (in 0.53%). Endoparasitic infections in cats underscore the need for preventive veterinary care and routine coproparasitologic tests.
DOI: 10.6084/m9.figshare.12127311.v1
title: Attention to abortion in hospitals of the SUS network in Fortaleza, Ceará

description: Abstract Background Abortion is a relevant issue for public health, due to is significance among the causes of maternal and mortality. Objective to describe the sociodemographic and reproductive profile, as well as the assistance provided and the costs of the hospitalization of women in abortion in the hospitals linked in the SUS network in Fortaleza, Ceará. Methods this is a cross-sectional, descriptive study by means of interviews, medical records and reports of the Authorization of Hospitalizations. Results among the 119 women interviewed, 65% were under 30 years of age, 78.2% were non-white and 54% had low income; the prevalence of women who sought more than one hospital for care was 47% and 72.3% of them sought health care within five days; concentration of 98.3% were submitted to a surgical procedure curettage for abortion termination. Conclusion it was noticed the existence of fragile points in the attention to abortion and the need to discuss abortion thematic in public health policies.
DOI: 10.6084/m9.figshare.12127299
title: Early and late neuropathological features of meningoencephalitis associated with Maraba virus infection

description: Maraba virus is a member of the genus Vesiculovirus of the Rhabdoviridae family that was isolated in 1983 from sandflies captured in the municipality of Maraba, state of Pará, Amazônia, Brazil. Despite 30 years having passed since its isolation, little is known about the neuropathology induced by the Maraba virus. Accordingly, in this study the histopathological features, inflammatory glial changes, cytokine concentrations, and nitric oxide activity in the encephalon of adult mice subjected to Maraba virus nostril infection were evaluated. The results showed that 6 days after intranasal inoculation, severe neuropathological-associated disease signs appeared, including edema, necrosis and pyknosis of neurons, generalized congestion of encephalic vessels, and intra- and perivascular meningeal lymphocytic infiltrates in several brain regions. Immunolabeling of viral antigens was observed in almost all central nervous system (CNS) areas and this was associated with intense microglial activation and astrogliosis. Compared to control animals, infected mice showed significant increases in interleukin (IL)-6, tumor necrosis factor (TNF)-α, interferon (INF)-γ, MCP-1, nitric oxide, and encephalic cytokine levels. We suggest that an exacerbated inflammatory response in several regions of the CNS of adult BALB/c mice might be responsible for their deaths.
DOI: 10.6084/m9.figshare.12127302
title: Histological Changes in Category 2 Animal Byproducts under the Influence of a Ferment Preparation

description: Abstract The paper deals with the possibility of processing category 2 animal byproducts with a ferment preparation. We chose collagen-rich cattle lips and ears as the category 2 byproducts for our study. The selected samples were processed in the following sequence: fixation, rinsing with running water, densifying the samples, slicing into sections, dying sections, and enclosing the sections under cover glass. The pathohistomorphologic changes found in the control samples significantly differ both before the processing and after the use of the ferment preparation Protepsin, which caused destructive metabolic and hydrolytic processes in the dense connective tissue of the ear and lip framework and led to softening of the muscle parenchyma of the organs.
DOI: 10.6084/m9.figshare.12127305.v1
title: Endoparasites of household and shelter cats in the city of Rio de Janeiro, Brazil

description: Abstract Endoparasitic infections are associated with morbidity in cats. This study aimed to investigate the occurrence of endoparasites among cats of different life stages in the city of Rio de Janeiro, Brazil. The samples were analyzed individually by macroscopic exploration for proglottids and centrifugal-flotation. Stool samples were obtained from household cats (n = 57) and shelter cats (n = 336). Endoparasites were detected in 50.64% of the samples. Among household and shelter cats, 21.05% and 55.66% were infected with endoparasites, respectively. In household cats, the most prevalent endoparasites were Ancylostoma spp. (in 25.0%) and Strongyloides spp. (in 25.0%), followed by Toxocara spp. (in 16.67%), Dipylidium caninum (in 16.67%), Cystoisospora spp. (in 8.33%), and Uncinaria spp. + Ancylostoma spp. (in 8.33%). In shelter cats, the most prevalent endoparasite was Ancylostoma spp. (in 29.41%), followed by Cystoisospora spp. (in 26.20%) and Toxocara spp. (in 16.58%), as well as Cystoisospora spp. + Toxocara spp. (in 8.02%); Ancylostoma spp. + Toxocara spp. (in 11.76%); Cystoisospora spp. + Ancylostoma spp. (in 3.74%); Cystoisospora spp. + Toxocara spp. + Ancylostoma spp. (in 3.21%); and Dipylidium caninum + Ancylostoma spp. (in 0.53%). Endoparasitic infections in cats underscore the need for preventive veterinary care and routine coproparasitologic tests.