cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.22982315.v1
title: Specificity and sensitivity of the SeLECT score in predicting late seizures in patients undergoing intravenous thrombolytic treatment and the effect of diabetes mellitus and leukoaraiosis

description: Abstract Background Seizures after stroke can negatively affect the prognosis of ischemic stroke and cause a decrease in quality of life. The efficacy of intravenous (IV) recombinant tissue plasminogen activator (rt-PA) treatment in acute ischemic stroke has been demonstrated in many studies, and IV rt-PA treatment has been increasingly used around the world. The SeLECT score is a useful score for the prediction of late seizures after stroke and includes the severity of stroke (Se), large artery atherosclerosis (L), early seizure (E), cortical involvement (C), and the territory of the middle cerebral artery (T). However, the specificity and sensitivity of the SeLECTscore have not been studied in acute ischemic stroke patients that received IV rt-PA treatment. Objective In the present study, we aimed to validate and develop the SeLECT score in acute ischemic stroke patients receiving IV rt-PA treatment. Methods The present study included 157 patients who received IV thrombolytic treatment in our third-stage hospital. The 1-year seizure rates of the patients were detected. SeLECT scores were calculated. Results In our study, we found that the SeLECT score had low sensitivity but high specificity for predicting the likelihood of late seizure after stroke in patients administered IV rt-PA therapy. In addition to the SeLECT score, we found that the specificity and sensitivity were higher when we evaluated diabetes mellitus (DM) and leukoaraiosis. Conclusion We found that DM was an independent risk factor for late seizures after stroke in a patient group receiving thrombolytic therapy, and late seizures after stroke were less frequent in patients with leukoaraiosis.
DOI: 10.6084/m9.figshare.22982324
title: Exploring clinical outcomes in patients with idiopathic/inherited isolated generalized dystonia and stimulation of the subthalamic region

description: Abstract Background Deep Brain Stimulation (DBS) is an established treatment option for refractory dystonia, but the improvement among the patients is variable. Objective To describe the outcomes of DBS of the subthalamic region (STN) in dystonic patients and to determine whether the volume of tissue activated (VTA) inside the STN or the structural connectivity between the area stimulated and different regions of the brain are associated with dystonia improvement. Methods The response to DBS was measured by the Burke-Fahn-Marsden Dystonia Rating Scale (BFM) before and 7 months after surgery in patients with generalized isolated dystonia of inherited/idiopathic etiology. The sum of the two overlapping STN volumes from both hemispheres was correlated with the change in BFM scores to assess whether the area stimulated inside the STN affects the clinical outcome. Structural connectivity estimates between the VTA (of each patient) and different brain regions were computed using a normative connectome taken from healthy subjects. Results Five patients were included. The baseline BFM motor and disability subscores were 78.30 ± 13.55 (62.00-98.00) and 20.60 ± 7.80 (13.00-32.00), respectively. Patients improved dystonic symptoms, though differently. No relationships were found between the VTA inside the STN and the BFM improvement after surgery (p = 0.463). However, the connectivity between the VTA and the cerebellum structurally correlated with dystonia improvement (p = 0.003). Conclusions These data suggest that the volume of the stimulated STN does not explain the variance in outcomes in dystonia. Still, the connectivity pattern between the region stimulated and the cerebellum is linked to outcomes of patients.
DOI: 10.6084/m9.figshare.22982324.v1
title: Exploring clinical outcomes in patients with idiopathic/inherited isolated generalized dystonia and stimulation of the subthalamic region

description: Abstract Background Deep Brain Stimulation (DBS) is an established treatment option for refractory dystonia, but the improvement among the patients is variable. Objective To describe the outcomes of DBS of the subthalamic region (STN) in dystonic patients and to determine whether the volume of tissue activated (VTA) inside the STN or the structural connectivity between the area stimulated and different regions of the brain are associated with dystonia improvement. Methods The response to DBS was measured by the Burke-Fahn-Marsden Dystonia Rating Scale (BFM) before and 7 months after surgery in patients with generalized isolated dystonia of inherited/idiopathic etiology. The sum of the two overlapping STN volumes from both hemispheres was correlated with the change in BFM scores to assess whether the area stimulated inside the STN affects the clinical outcome. Structural connectivity estimates between the VTA (of each patient) and different brain regions were computed using a normative connectome taken from healthy subjects. Results Five patients were included. The baseline BFM motor and disability subscores were 78.30 ± 13.55 (62.00-98.00) and 20.60 ± 7.80 (13.00-32.00), respectively. Patients improved dystonic symptoms, though differently. No relationships were found between the VTA inside the STN and the BFM improvement after surgery (p = 0.463). However, the connectivity between the VTA and the cerebellum structurally correlated with dystonia improvement (p = 0.003). Conclusions These data suggest that the volume of the stimulated STN does not explain the variance in outcomes in dystonia. Still, the connectivity pattern between the region stimulated and the cerebellum is linked to outcomes of patients.
DOI: 10.6084/m9.figshare.22982329
title: Chemical attributes of an Oxisol with the addition of conilon coffee straw biochar

description: Abstract The objective of this work was to evaluate the effects of increasing rates of biochar produced with coffee straw, at two pyrolysis temperatures, on the chemical attributes of an Oxisol cultivated with conilon coffee (Coffea canephora) and on the nutrient content of coffee tree leaves. Treatments consisted of pyrolysis at two temperatures (350 and 600 °C) and of five biochar rates (0, 5, 10, 15, and 20 Mg ha-1). The following soil chemical attributes were evaluated: pH in water; P, K, Ca, Mg, Al, H+Al, Zn, Cu, Fe, and Mn contents; effective and potential cation exchange capacity (CEC); sum of bases (SB); base (V) and aluminium (m) saturation; and N, P, K, Ca, Mg, Zn, Cu, Fe, and Mn contents in the leaves. The biochar produced at 600°C, at rates of 10 and 15 Mg ha-1, promoted a greater K release into the soil. Regardless of temperature, coffee straw biochar increased K and P availability, sum of bases, base saturation, and CEC in the soil, but did not influence macro- and micronutrient contents in the leaves. The addition of increasing rates of coffee straw biochar in the soil increases P, K, Mg, SB, CEC, and V, regardless of pyrolysis temperature.
DOI: 10.6084/m9.figshare.22982329.v1
title: Chemical attributes of an Oxisol with the addition of conilon coffee straw biochar

description: Abstract The objective of this work was to evaluate the effects of increasing rates of biochar produced with coffee straw, at two pyrolysis temperatures, on the chemical attributes of an Oxisol cultivated with conilon coffee (Coffea canephora) and on the nutrient content of coffee tree leaves. Treatments consisted of pyrolysis at two temperatures (350 and 600 °C) and of five biochar rates (0, 5, 10, 15, and 20 Mg ha-1). The following soil chemical attributes were evaluated: pH in water; P, K, Ca, Mg, Al, H+Al, Zn, Cu, Fe, and Mn contents; effective and potential cation exchange capacity (CEC); sum of bases (SB); base (V) and aluminium (m) saturation; and N, P, K, Ca, Mg, Zn, Cu, Fe, and Mn contents in the leaves. The biochar produced at 600°C, at rates of 10 and 15 Mg ha-1, promoted a greater K release into the soil. Regardless of temperature, coffee straw biochar increased K and P availability, sum of bases, base saturation, and CEC in the soil, but did not influence macro- and micronutrient contents in the leaves. The addition of increasing rates of coffee straw biochar in the soil increases P, K, Mg, SB, CEC, and V, regardless of pyrolysis temperature.
DOI: 10.6084/m9.figshare.22982332
title: Dietary effects of cottonseed and vitamin E on greenhouse gas emissions from cattle feces analyzed in biodigesters

description: Abstract The objective of this work was to evaluate the effect of diets with cottonseed and vitamin E on the greenhouse gas (GHG) emissions of cattle feces analyzed in biodigesters. Animal feces were evaluated in 18 laboratory-scale anaerobic digesters through the following treatments: control, feces from cows fed with a control diet; CS, feces from cows fed with a cottonseed diet; and CSVitE, feces from cows fed with a cottonseed and vitamin E diet. The production of biogas and GHG was measured, and no differences were observed for the emissions of biogas, methane (CH4), and nitrous oxide (N2O). The partition of the gross energy of the anaerobic digestion process was similar among treatments. On average, 28% of gross energy fed was released as CH4, 47% during digestion, and 25% as other gases and heat. The addition of cottonseeds to the cattle diet increases the concentration of CH4 and reduces that of CO2, but it does not affect the total production of CH4, CO2, and N2O in the biodigesters. The inclusion of vitamin E in the diet has no effect on GHG production in the biodigesters.
DOI: 10.6084/m9.figshare.22982332.v1
title: Dietary effects of cottonseed and vitamin E on greenhouse gas emissions from cattle feces analyzed in biodigesters

description: Abstract The objective of this work was to evaluate the effect of diets with cottonseed and vitamin E on the greenhouse gas (GHG) emissions of cattle feces analyzed in biodigesters. Animal feces were evaluated in 18 laboratory-scale anaerobic digesters through the following treatments: control, feces from cows fed with a control diet; CS, feces from cows fed with a cottonseed diet; and CSVitE, feces from cows fed with a cottonseed and vitamin E diet. The production of biogas and GHG was measured, and no differences were observed for the emissions of biogas, methane (CH4), and nitrous oxide (N2O). The partition of the gross energy of the anaerobic digestion process was similar among treatments. On average, 28% of gross energy fed was released as CH4, 47% during digestion, and 25% as other gases and heat. The addition of cottonseeds to the cattle diet increases the concentration of CH4 and reduces that of CO2, but it does not affect the total production of CH4, CO2, and N2O in the biodigesters. The inclusion of vitamin E in the diet has no effect on GHG production in the biodigesters.
DOI: 10.6084/m9.figshare.22982335
title: Transoral thyroid and parathyroid surgery in Brazil: where are we?

description: ABSTRACT Introduction: thyroid surgery through the transoral vestibular approach is a reality in many countries. While several competing remote access techniques have been developed in the last 20 years, many were not reproducible. Transoral Endoscopic Neck Surgery (TNS) has been shown to be reproducible in different centers around the world, and approximately five years after its description it has been adopted relatively quickly for various reasons. To date, there are at least 7 Brazilian studies published, including a series of more than 400 cases. The aim of this work is to study the progression of Transoral Neck Surgery in Brazil and describe the profile of surgeons involved in this new approach. Methods: this is a retrospective study with descriptive statistics. A REDCap based survey about transoral endoscopic thyroidectomy and parathyroidectomy vestibular approach (TOETVA/TOEPVA) was done with 66 Brazilian surgeons regarding surgeon profile, numbers of cases performed by geographic region, what kind of training was necessary prior to the first case and behavior of the surgeon proposing these new approaches. Results: response rate of this survey was 53%. To date, 1275 TOETVA/TOEPVA cases had been performed in Brazil, 1229 thyroidectomies (96.4%), 42 parathyroidectomies (3.3%) and 4 combined procedures (0.3%). Most of the cases were done in the southeast region (821, 64.4%), 538 (42.2%) cases in the State of São Paulo and 283 (22.2%) cases in the State of Rio de Janeiro. Conclusions: TOETVA is becoming popular in Brazil. Younger surgeons, especially those between 30 and 50 years old were more likely to adopt this approach.
DOI: 10.6084/m9.figshare.22982335.v1
title: Transoral thyroid and parathyroid surgery in Brazil: where are we?

description: ABSTRACT Introduction: thyroid surgery through the transoral vestibular approach is a reality in many countries. While several competing remote access techniques have been developed in the last 20 years, many were not reproducible. Transoral Endoscopic Neck Surgery (TNS) has been shown to be reproducible in different centers around the world, and approximately five years after its description it has been adopted relatively quickly for various reasons. To date, there are at least 7 Brazilian studies published, including a series of more than 400 cases. The aim of this work is to study the progression of Transoral Neck Surgery in Brazil and describe the profile of surgeons involved in this new approach. Methods: this is a retrospective study with descriptive statistics. A REDCap based survey about transoral endoscopic thyroidectomy and parathyroidectomy vestibular approach (TOETVA/TOEPVA) was done with 66 Brazilian surgeons regarding surgeon profile, numbers of cases performed by geographic region, what kind of training was necessary prior to the first case and behavior of the surgeon proposing these new approaches. Results: response rate of this survey was 53%. To date, 1275 TOETVA/TOEPVA cases had been performed in Brazil, 1229 thyroidectomies (96.4%), 42 parathyroidectomies (3.3%) and 4 combined procedures (0.3%). Most of the cases were done in the southeast region (821, 64.4%), 538 (42.2%) cases in the State of São Paulo and 283 (22.2%) cases in the State of Rio de Janeiro. Conclusions: TOETVA is becoming popular in Brazil. Younger surgeons, especially those between 30 and 50 years old were more likely to adopt this approach.
DOI: 10.6084/m9.figshare.22982339
title: Trauma surgery workforce in the state of Rio Grande do Sul, Brazil

description: ABSTRACT Objective: to describe the current scope of certified trauma surgeons trained in the state of Rio Grande do Sul, including demographic data, geographic distribution, remuneration, and perspectives related to this specialty. Method: cross-sectional survey based on information collected through an electronic questionnaire sent to potential participants. Results: the response rate was 64% (n=75). There was a predominance of males (72%) with a mean age of 43 years. Most surgeons graduated from the Hospital de Pronto Socorro de Porto Alegre, and work in referral centers for trauma surgery in the capital and metropolitan region. More than 60% did not have any other training in a surgical subspecialty, though only a third stated that trauma surgery is their main source of income. Conclusion: trauma centers are poorly distributed and most surgeons work in referral hospitals in the metropolitan region of Porto Alegre. Due to the lack of recognition, limited financial income and shift work patterns, the career in trauma surgery care is unattractive, with only one third of surgeons performing most of their activities in this specialty.
DOI: 10.6084/m9.figshare.22982339.v1
title: Trauma surgery workforce in the state of Rio Grande do Sul, Brazil

description: ABSTRACT Objective: to describe the current scope of certified trauma surgeons trained in the state of Rio Grande do Sul, including demographic data, geographic distribution, remuneration, and perspectives related to this specialty. Method: cross-sectional survey based on information collected through an electronic questionnaire sent to potential participants. Results: the response rate was 64% (n=75). There was a predominance of males (72%) with a mean age of 43 years. Most surgeons graduated from the Hospital de Pronto Socorro de Porto Alegre, and work in referral centers for trauma surgery in the capital and metropolitan region. More than 60% did not have any other training in a surgical subspecialty, though only a third stated that trauma surgery is their main source of income. Conclusion: trauma centers are poorly distributed and most surgeons work in referral hospitals in the metropolitan region of Porto Alegre. Due to the lack of recognition, limited financial income and shift work patterns, the career in trauma surgery care is unattractive, with only one third of surgeons performing most of their activities in this specialty.
DOI: 10.6084/m9.figshare.22982344
title: Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil

description: Abstract Introduction Despite the results of epidemiological and psychometric studies reporting comparable levels of tobacco dependence among males and females, some clinical studies have detected disparities. Some smoking cessation studies based on clinical setting programs reported poorer outcomes among women than men. Methods This retrospective cohort study aimed to compare treatment success and retention between men and women on a smoking cessation program (n = 1,014) delivered at a CAPS-AD unit in Brazil. The psychological intervention lasted 6 weeks for each group of 15 patients. Each patient had to participate in weekly group cognitive-behavioral therapy (CBT) sessions and individual medical appointments during this period. These appointments were focused on the possibility of prescribing pharmacological treatment (i.e., nicotine replacement therapy, bupropion, or nortriptyline) as adjuvants to group therapy. Results The women had lower smoking severity at baseline, more clinical symptoms, and lower prevalence of alcohol and drug use disorders and were older than the men. Females had significantly higher levels of success (36.6% vs. 29.7%) and retention (51.6% vs. 41.4%) than males. Sensitivity analysis showed that female gender was significantly associated with both retention and success, among those without drug use disorders only. Conclusion Depending on the smoking cessation setting (i.e., low and middle-income countries and mental health and addiction care units), females can achieve similar and even higher quit rates than males. Previous drug use disorder was an important confounding variable in the gender outcomes analyses. Future studies should try to replicate these positive smoking cessation effects of CBT-based group therapy plus pharmacotherapy in women.
DOI: 10.6084/m9.figshare.22982344.v1
title: Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil

description: Abstract Introduction Despite the results of epidemiological and psychometric studies reporting comparable levels of tobacco dependence among males and females, some clinical studies have detected disparities. Some smoking cessation studies based on clinical setting programs reported poorer outcomes among women than men. Methods This retrospective cohort study aimed to compare treatment success and retention between men and women on a smoking cessation program (n = 1,014) delivered at a CAPS-AD unit in Brazil. The psychological intervention lasted 6 weeks for each group of 15 patients. Each patient had to participate in weekly group cognitive-behavioral therapy (CBT) sessions and individual medical appointments during this period. These appointments were focused on the possibility of prescribing pharmacological treatment (i.e., nicotine replacement therapy, bupropion, or nortriptyline) as adjuvants to group therapy. Results The women had lower smoking severity at baseline, more clinical symptoms, and lower prevalence of alcohol and drug use disorders and were older than the men. Females had significantly higher levels of success (36.6% vs. 29.7%) and retention (51.6% vs. 41.4%) than males. Sensitivity analysis showed that female gender was significantly associated with both retention and success, among those without drug use disorders only. Conclusion Depending on the smoking cessation setting (i.e., low and middle-income countries and mental health and addiction care units), females can achieve similar and even higher quit rates than males. Previous drug use disorder was an important confounding variable in the gender outcomes analyses. Future studies should try to replicate these positive smoking cessation effects of CBT-based group therapy plus pharmacotherapy in women.
DOI: 10.6084/m9.figshare.22982353.v1
title: Chitosan: an overview of its multiple advantages for creating sustainable development poles

description: Abstract An overview perspective of the potential of chitin and chitosan biopolymers to promote economically and environmentally sustainable development poles, which could be exploited especially in developing countries, is presented. Their following advantages have been considered and briefly outlined: (i) the natural sources of chitin have a wide distribution on the entire planet and are usually accessible as inexpensive waste materials; (ii) the great versatility of these materials, with applications in diverse fields such as agriculture, water treatments, food industry, environment, petroleum, healthcare, energy, technology, etc., with some trials conducted even off-planet; (iii) the production and use of these materials could promote advances in the endogenous capacity of some countries to create own technologies and generate products and applications, basic and advanced, in sensitive sectors, i.e., health services, food, water treatments, etc., in addition to promoting the necessary integration of the academic sector with other sectors such as industry and business.
DOI: 10.6084/m9.figshare.22982353
title: Chitosan: an overview of its multiple advantages for creating sustainable development poles

description: Abstract An overview perspective of the potential of chitin and chitosan biopolymers to promote economically and environmentally sustainable development poles, which could be exploited especially in developing countries, is presented. Their following advantages have been considered and briefly outlined: (i) the natural sources of chitin have a wide distribution on the entire planet and are usually accessible as inexpensive waste materials; (ii) the great versatility of these materials, with applications in diverse fields such as agriculture, water treatments, food industry, environment, petroleum, healthcare, energy, technology, etc., with some trials conducted even off-planet; (iii) the production and use of these materials could promote advances in the endogenous capacity of some countries to create own technologies and generate products and applications, basic and advanced, in sensitive sectors, i.e., health services, food, water treatments, etc., in addition to promoting the necessary integration of the academic sector with other sectors such as industry and business.