cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.5666668.v1
title: Patient satisfaction with pharmaceutical services in Brazilian primary health care

description: ABSTRACT OBJECTIVE To evaluate patient satisfaction with pharmaceutical services in Brazilian primary health care. METHODS This is a cross-sectional, exploratory, and evaluative study on a representative sample from the five Brazilian geopolitical regions resulting from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). The outcome was the patient’s satisfaction, obtained using the item response theory. Associations were tested using Pearson’s Chi-square test with sociodemographic and health variables, and multiple logistic regression analyses were carried out. The Hosmer-Lemeshow test was used to verify the adequacy of the final model. Logistic regression results were presented as odds ratio. RESULTS The overall percentage of patients satisfied with these services was 58.4% (95%CI 54.4-62.3). The “opportunity/convenience” aspect had the lowest satisfaction percentage (49.5%; 95%CI 46.4-52.6) and “interpersonal aspects,” the highest percentage (90.5%; 95%CI 88.9-91.8), significantly higher than other aspects. Sex, age group, limitations due to disease, and self-perception of health remained associated in the final multiple logistic model regarding general satisfaction. CONCLUSIONS Most of the interviewed users were satisfied with pharmaceutical services in Brazilian cities, and the satisfaction with the customer’s service was determinant in the patient’s overall satisfaction.
DOI: 10.6084/m9.figshare.5666665
title: Cheiloscopic Study among Monozygotic Twins, Non-Twin Brothers and Non-Relative Individuals

description: Abstract This study aimed to investigate cheiloscopic patterns among monozygotic twins (MT), non-twin siblings (NTS) and unrelated individuals (UI). The sample consisted of 20 pairs of monozygotic twins (G1), 20 pairs of non-twin siblings (G2) and 20 pairs of unrelated individuals (G3). Lip thickness, commissures and grooves were evaluated and the latter were classified as: I - clear-cut vertical grooves; I’ - incomplete vertical grooves; II - branched grooves; III - intersecting; IV - reticular grooves and V - undetermined, in 8 labial regions (sub-quadrants). The data were analyzed using descriptive and inferential statistics, with a 5% significance level. Concordance Correlation Coefficient (CCC) and Kappa coefficient, with a 95% confidence interval, were employed to check for agreement rates between G1, G2 and G3 pairs. There was a weak correlation for lip thickness (&lt;0.90) in the total group, with higher values in G1 (CCC from 0.25 to 0.83 and from 0.34 to 0.86, upper and lower lips, respectively), followed by G2 (CCC from -0.03 to 0.70 and from -0.21 to 0.62, upper and lower lips, respectively) and G3 (CCC from -0.25 to 0.56 and from -0.38 to 0.34, upper and lower lips, respectively). With regard to labial commissures, Kappa statistic values were found to be 1.00 for G1, 0.45 for G2 and -0.24 for G3. As for the main groove pattern by sub-quadrant, Kappa values ranged from 0.48 to 0.87 for G1, from 0.17 to 0.59 for G2, and from -0.18 to 0.19 for G3. Monozygotic twins presented a relevant percentage of cheiloscopic agreements. Similarities were also found among NTS, while UI showed greater differences compared to their pairs, highlighting the influence of hereditary relationships on inherited cheiloscopic features.
DOI: 10.6084/m9.figshare.5666665.v1
title: Cheiloscopic Study among Monozygotic Twins, Non-Twin Brothers and Non-Relative Individuals

description: Abstract This study aimed to investigate cheiloscopic patterns among monozygotic twins (MT), non-twin siblings (NTS) and unrelated individuals (UI). The sample consisted of 20 pairs of monozygotic twins (G1), 20 pairs of non-twin siblings (G2) and 20 pairs of unrelated individuals (G3). Lip thickness, commissures and grooves were evaluated and the latter were classified as: I - clear-cut vertical grooves; I’ - incomplete vertical grooves; II - branched grooves; III - intersecting; IV - reticular grooves and V - undetermined, in 8 labial regions (sub-quadrants). The data were analyzed using descriptive and inferential statistics, with a 5% significance level. Concordance Correlation Coefficient (CCC) and Kappa coefficient, with a 95% confidence interval, were employed to check for agreement rates between G1, G2 and G3 pairs. There was a weak correlation for lip thickness (&lt;0.90) in the total group, with higher values in G1 (CCC from 0.25 to 0.83 and from 0.34 to 0.86, upper and lower lips, respectively), followed by G2 (CCC from -0.03 to 0.70 and from -0.21 to 0.62, upper and lower lips, respectively) and G3 (CCC from -0.25 to 0.56 and from -0.38 to 0.34, upper and lower lips, respectively). With regard to labial commissures, Kappa statistic values were found to be 1.00 for G1, 0.45 for G2 and -0.24 for G3. As for the main groove pattern by sub-quadrant, Kappa values ranged from 0.48 to 0.87 for G1, from 0.17 to 0.59 for G2, and from -0.18 to 0.19 for G3. Monozygotic twins presented a relevant percentage of cheiloscopic agreements. Similarities were also found among NTS, while UI showed greater differences compared to their pairs, highlighting the influence of hereditary relationships on inherited cheiloscopic features.
DOI: 10.6084/m9.figshare.5666662
title: Risk factors in cardiovascular disease mortality associated with high exposure to vehicular traffic

description: ABSTRACT: Objective: To identify areas and risk factors in cardiovascular disease (CD) mortality associated with air pollution from high exposure to vehicular traffic. Methods: Cross-sectional study of CD mortality in 2,617 individuals aged 45-85 years living in the urban area of Cuiabá and Várzea Grande, Mato Grosso State, Brazil, between 2009 and 2011. We used the residential proximity of up to 150 meters to a roadway of great vehicle flow as a proxy of high exposure to air pollution from vehicular traffic. The association between age, gender, income, and traffic intensity with vehicular traffic exposure was assessed through the multiple logistic regression. We conducted stratified analyses to observe the influence of seasons and groups of causes. We used Bernoulli’s spatial model of probability to identify high-risk clusters. Results: Risk factors for CD mortality associated with high exposure to vehicular traffic were: living in census tracts with very unequal income (OR = 1.78; 95%CI 1.36 - 2.33), heavy traffic (OR = 1.20; 95%CI 1.01 - 1.43), and female gender (OR = 1.18; 95%CI 1.01 - 1.38). The CD mortality risk increases about 10% during the dry season period. We identified nine areas of risk. Conclusion: High exposure to traffic is associated with CD mortality in Cuiabá and Várzea Grande. Income inequality, traffic intensity, and female gender presented as the main determiners for this exposure. The dry season period enhances the effects of traffic exposure.
DOI: 10.6084/m9.figshare.5666662.v1
title: Risk factors in cardiovascular disease mortality associated with high exposure to vehicular traffic

description: ABSTRACT: Objective: To identify areas and risk factors in cardiovascular disease (CD) mortality associated with air pollution from high exposure to vehicular traffic. Methods: Cross-sectional study of CD mortality in 2,617 individuals aged 45-85 years living in the urban area of Cuiabá and Várzea Grande, Mato Grosso State, Brazil, between 2009 and 2011. We used the residential proximity of up to 150 meters to a roadway of great vehicle flow as a proxy of high exposure to air pollution from vehicular traffic. The association between age, gender, income, and traffic intensity with vehicular traffic exposure was assessed through the multiple logistic regression. We conducted stratified analyses to observe the influence of seasons and groups of causes. We used Bernoulli’s spatial model of probability to identify high-risk clusters. Results: Risk factors for CD mortality associated with high exposure to vehicular traffic were: living in census tracts with very unequal income (OR = 1.78; 95%CI 1.36 - 2.33), heavy traffic (OR = 1.20; 95%CI 1.01 - 1.43), and female gender (OR = 1.18; 95%CI 1.01 - 1.38). The CD mortality risk increases about 10% during the dry season period. We identified nine areas of risk. Conclusion: High exposure to traffic is associated with CD mortality in Cuiabá and Várzea Grande. Income inequality, traffic intensity, and female gender presented as the main determiners for this exposure. The dry season period enhances the effects of traffic exposure.
DOI: 10.6084/m9.figshare.5666659
title: Compliance of hand hygiene in maintaining the catheter for hemodialysis

description: ABSTRACT Objective: to assess the compliance of the practice of hand hygiene in maintaining the temporary double-lumen catheter for hemodialysis, through the use of process indicator at the University Hospital of the University of São Paulo. Method: a quantitative, exploratory, descriptive, observational study. Sample consists of 155 observations of patients with catheter from March to November 2011, using the Maintenance Indicator Temporary Dual Lumen Catheter for Hemodialysis. Results: the overall compliance rate was 65.8%. Of the 13 specific components evaluated, 9 (69.2%) had 100% compliance. Hand hygiene by health professionals presented one of the worst rates (83.9%). Conclusion: it is necessary to implement strategies to reduce the rates of non-compliance, improve quality of care and safety of patients with catheter, and explore factors that affect the process, such as structural issues, and behavioral materials.
DOI: 10.6084/m9.figshare.5666659.v1
title: Compliance of hand hygiene in maintaining the catheter for hemodialysis

description: ABSTRACT Objective: to assess the compliance of the practice of hand hygiene in maintaining the temporary double-lumen catheter for hemodialysis, through the use of process indicator at the University Hospital of the University of São Paulo. Method: a quantitative, exploratory, descriptive, observational study. Sample consists of 155 observations of patients with catheter from March to November 2011, using the Maintenance Indicator Temporary Dual Lumen Catheter for Hemodialysis. Results: the overall compliance rate was 65.8%. Of the 13 specific components evaluated, 9 (69.2%) had 100% compliance. Hand hygiene by health professionals presented one of the worst rates (83.9%). Conclusion: it is necessary to implement strategies to reduce the rates of non-compliance, improve quality of care and safety of patients with catheter, and explore factors that affect the process, such as structural issues, and behavioral materials.
DOI: 10.6084/m9.figshare.5666656
title: Innovation by knowledge exploration and exploitation: an empirical study of the automotive industry

description: Abstract In face of dynamic environment, such as the automotive sector, organizations are challenged to establish strategic flexibility through innovations, which require knowledge exploration and exploitation. Previous studies point out that the combination of knowledge exploration and exploitation is the ideal strategy for innovation since it will lead organizations to access new technologies and refine and improve the dominant technology through the exploitation of primary knowledge. Most studies on the subject focus their contributions on analyzing the impact of knowledge management initiatives and the knowledge exploration and exploitation on the company’s innovative and financial performance; however, few studies have investigated the organizational factors that sustain the knowledge exploration and exploitation. The research results show that the processes of exploration and exploitation are impacted differently by five contextual factors considered in this research (human resource management, collaborative leadership, learning culture, autonomy and information technology (IT) systems). While exploration is most impacted by a learning culture, autonomy and IT systems, exploitation is closer related to collaborative leadership and learning culture.
DOI: 10.6084/m9.figshare.5666656.v1
title: Innovation by knowledge exploration and exploitation: an empirical study of the automotive industry

description: Abstract In face of dynamic environment, such as the automotive sector, organizations are challenged to establish strategic flexibility through innovations, which require knowledge exploration and exploitation. Previous studies point out that the combination of knowledge exploration and exploitation is the ideal strategy for innovation since it will lead organizations to access new technologies and refine and improve the dominant technology through the exploitation of primary knowledge. Most studies on the subject focus their contributions on analyzing the impact of knowledge management initiatives and the knowledge exploration and exploitation on the company’s innovative and financial performance; however, few studies have investigated the organizational factors that sustain the knowledge exploration and exploitation. The research results show that the processes of exploration and exploitation are impacted differently by five contextual factors considered in this research (human resource management, collaborative leadership, learning culture, autonomy and information technology (IT) systems). While exploration is most impacted by a learning culture, autonomy and IT systems, exploitation is closer related to collaborative leadership and learning culture.
DOI: 10.6084/m9.figshare.5666653
title: The effect of the addition of whey protein as a substitute for wheat in the development of cakes with no added sugar

description: Abstract Whey protein (WP) is a product of cheese making which has high nutritional value and functional attributes. Its use in bakery goods favours the physical aspects as well as the emulsion and stabilization capacity and improves the sensory characteristics. The aim of this study was to replace wheat by whey protein in sugar free cakes and evaluate their physical, chemical, microbiological and sensory characteristics. The effect of adding whey protein and margarine on cakes were evaluated using a second order central compound rotational design. The selected treatments were evaluated by means of a sensory analysis and characterized according to their proximate composition and a microbiological evaluation after fifteen days of storage. The addition of up to 11.98 g of margarine per 100 g had an important influence on the reduction in cake height. The treatment with an intermediate WP content (30 g/100 g) and a lower margarine content (6.72 g/100 g) showed better acceptability and a higher protein content when compared to the control cake. The microbiological conditions were satisfactory, conforming to current legislation, even after fifteen days of storage.
DOI: 10.6084/m9.figshare.5666653.v1
title: The effect of the addition of whey protein as a substitute for wheat in the development of cakes with no added sugar

description: Abstract Whey protein (WP) is a product of cheese making which has high nutritional value and functional attributes. Its use in bakery goods favours the physical aspects as well as the emulsion and stabilization capacity and improves the sensory characteristics. The aim of this study was to replace wheat by whey protein in sugar free cakes and evaluate their physical, chemical, microbiological and sensory characteristics. The effect of adding whey protein and margarine on cakes were evaluated using a second order central compound rotational design. The selected treatments were evaluated by means of a sensory analysis and characterized according to their proximate composition and a microbiological evaluation after fifteen days of storage. The addition of up to 11.98 g of margarine per 100 g had an important influence on the reduction in cake height. The treatment with an intermediate WP content (30 g/100 g) and a lower margarine content (6.72 g/100 g) showed better acceptability and a higher protein content when compared to the control cake. The microbiological conditions were satisfactory, conforming to current legislation, even after fifteen days of storage.
DOI: 10.6084/m9.figshare.5666650
title: Comparative study of respiratory muscle strength in women undergoing conventional and single-port laparoscopic cholecystectomy

description: Abstract Purpose: To evaluate respiratory muscle strength (PImax and PEmax) before and 24 and 48 h after conventional and single-port laparoscopic cholecystectomy. Methods: Forty women with symptomatic cholelithiasis (18 to 70 years) participated in the study. The patients were divided into two groups: 21 patients undergoing conventional laparoscopic cholecystectomy and 19 patients undergoing single-port laparoscopic cholecystectomy. Differences were considered to be significant when p&lt;0.05. Results: The results showed a greater decline in PImax after 24 h in the group submitted to conventional laparoscopic cholecystectomy, with a significant difference between groups (p=0.0308). Conclusion: Recovery of the parameters studied was more satisfactory and respiratory muscle strength was less compromised in the group submitted to single-port laparoscopic cholecystectomy.
DOI: 10.6084/m9.figshare.5666650.v1
title: Comparative study of respiratory muscle strength in women undergoing conventional and single-port laparoscopic cholecystectomy

description: Abstract Purpose: To evaluate respiratory muscle strength (PImax and PEmax) before and 24 and 48 h after conventional and single-port laparoscopic cholecystectomy. Methods: Forty women with symptomatic cholelithiasis (18 to 70 years) participated in the study. The patients were divided into two groups: 21 patients undergoing conventional laparoscopic cholecystectomy and 19 patients undergoing single-port laparoscopic cholecystectomy. Differences were considered to be significant when p&lt;0.05. Results: The results showed a greater decline in PImax after 24 h in the group submitted to conventional laparoscopic cholecystectomy, with a significant difference between groups (p=0.0308). Conclusion: Recovery of the parameters studied was more satisfactory and respiratory muscle strength was less compromised in the group submitted to single-port laparoscopic cholecystectomy.
DOI: 10.6084/m9.figshare.5666647
title: Stages of behavior change for physical activity in adolescents from the Amazon

description: Abstract The aim of this study was to estimate the prevalence of stages of behavior change (SBC) for physical activity and to verify the associated demographic and economic factors, in adolescents from the Amazon. A total of 2.517 adolescents (aged 14-19 years) from public high schools participated of the study. SBC for physical activity, demographic (sex, age, school year, school shift and residence area) and economic factors (occupational status, family income and maternal schooling) were investigated. The associations between SBC and independent variables were tested by multinomial logistic regression. Most adolescents were in the maintenance stage (40.8%) and the minority was in pre-contemplation stage (9.0%). Female adolescents were more likely of being in the action (OR=1.44; CI95%=1.14-1.81), preparation (OR=2.71; CI95%=2.14-3.44), contemplation (OR=2.89; CI95%=2.25-3.69) and pre-contemplation (OR=2.91;CI 95%=2.16-4.00) stages compared to male adolescents. Adolescents aged 16-17 years were less likely of being in the action stage (OR=0.71; CI95%=0.53-0.94) and those aged 18-19 years were more likely of being in the preparation stage (OR=1.50; CI95%=1.04-2.16) compared to those aged 14-15 years. Family income of six minimum wages or more was associated to higher chances of being in the action (OR=2.09; CI95%=1.38-3.17), preparation (OR=2.02; CI95%=1.31- 3.12) and contemplation (OR=1.87; IC95%=1.18-2.95) stages. Adolescents who worked were less likely of being in the pre-contemplation stage (OR=0.45; CI95%=0.27-0.74), compared to those who do not work. Most of adolescents were in the maintenance stage for physical activity. The factors associated to SBC were female sex, age groups of 16-17 years and 18-19 years, income of six minimum wages or more and work.
DOI: 10.6084/m9.figshare.5666647.v1
title: Stages of behavior change for physical activity in adolescents from the Amazon

description: Abstract The aim of this study was to estimate the prevalence of stages of behavior change (SBC) for physical activity and to verify the associated demographic and economic factors, in adolescents from the Amazon. A total of 2.517 adolescents (aged 14-19 years) from public high schools participated of the study. SBC for physical activity, demographic (sex, age, school year, school shift and residence area) and economic factors (occupational status, family income and maternal schooling) were investigated. The associations between SBC and independent variables were tested by multinomial logistic regression. Most adolescents were in the maintenance stage (40.8%) and the minority was in pre-contemplation stage (9.0%). Female adolescents were more likely of being in the action (OR=1.44; CI95%=1.14-1.81), preparation (OR=2.71; CI95%=2.14-3.44), contemplation (OR=2.89; CI95%=2.25-3.69) and pre-contemplation (OR=2.91;CI 95%=2.16-4.00) stages compared to male adolescents. Adolescents aged 16-17 years were less likely of being in the action stage (OR=0.71; CI95%=0.53-0.94) and those aged 18-19 years were more likely of being in the preparation stage (OR=1.50; CI95%=1.04-2.16) compared to those aged 14-15 years. Family income of six minimum wages or more was associated to higher chances of being in the action (OR=2.09; CI95%=1.38-3.17), preparation (OR=2.02; CI95%=1.31- 3.12) and contemplation (OR=1.87; IC95%=1.18-2.95) stages. Adolescents who worked were less likely of being in the pre-contemplation stage (OR=0.45; CI95%=0.27-0.74), compared to those who do not work. Most of adolescents were in the maintenance stage for physical activity. The factors associated to SBC were female sex, age groups of 16-17 years and 18-19 years, income of six minimum wages or more and work.
DOI: 10.6084/m9.figshare.5666641
title: Urban sustainability: recovery of rivers as one of the principles of green infrastructure

description: Abstract This research presents an approach about the relationship between urban rivers and cities analysing the current situation of this resource that historically has been a structuring element of many Brazilian cities and is currently abandoned in most cases. Aiming to present a proposal of alternatives for the urban requalification of an urban river by implementing a green infrastructure, this paper develops a case study which focuses on the Passo Fundo river in the city of Passo Fundo, Rio Grande do Sul State. The methodological procedure was structured in three stages: first, the data collection was carried out in the office and a stretch of the river was chosen to study it in more depth. In the second stage, the physical data were collected identifying the current situation of the river and its surroundings. In the third step, we established the urban river requalification guidelines. Finally, we used the guidelines in the case in order to ensure its viability, concluding that the strategies are in line with the new urban paradigm. Based on the research developed, it is indicated that these guidelines will be valid for similar cases of urban requalification of an urban river, which allows for the resumption of the rivers back to social conviviality and ecological balance.