cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.11609538
title: Structure and content of the maternal representations of Mexican teenagers during their first pregnancy

description: Abstract Objectives: understand the structure and content of the maternal representations of Mexican teenagers during their first pregnancy. Methods: a study was carried out with qualitative methodology based on the concept of maternal representation and the theory of social representations with 30 adolescents who attended prenatal control at the Civil Hospital of Guadalajara "Fray Antonio Alcalde", in Jalisco, Mexico. The participants were interviewed with the consent of their tutors. Classical content analysis techniques were used to obtain codes and thematic categories to develop a conceptual map that explains maternal representations. Results: the maternal representation was identified: "Pregnant but reunited, a legitimated bad decision", which was composed of social meanings towards adolescent pregnancy, family dynamics, expectations towards motherhood, and the feelings experienced by the adolescent during the pregnancy. The content of the representations was heterogeneous for most of the identified categories; however, it is identified that the desire for pregnancy guides the expectations of the adolescent about her future way of being as a mother. Conclusions: the desire of women for pregnancy, the level of participation of the couple, and the social meanings of adolescent pregnancy, have an outstanding role in the development of models of maternal representations.
DOI: 10.6084/m9.figshare.11609535.v1
title: The relationship of neutrophil to lymphocyte ratio with testicular cancer

description: ABSTRACT Purpose: To assess the relationship between testicular germ cell tumors (TGCT) and neutrophil to lymphocyte ratio (NLR) and to determine whether this ratio can be used as a serum tumor marker. Material and Methods: Sixty-one patients with testicular germ cell tumors were included into the study. Patients were grouped as localized and non-localized. Histologically patients were categorized as seminoma and nonseminomatous germ cell tumors. Complete blood cell count was measured the day before surgery and at the postoperative 1st month. Preoperative and postoperative mean NLR values were compared. Results: Thirty-six patients (59%) had seminomas and 25 patients (41%) had nonseminomatous testicular cancer. Forty-five patients (73.8%) had localized and 16 patients (26.2%) had non-localized testicular cancer. There was a statistically significant difference between preoperative and postoperative mean NLR of the localized patients (p=0.001) but no such difference was detected for non-localized patients (p=0.576). Nineteen patients with localized seminomas had normal preoperative serum tumor markers. There was a significant difference between preoperative and postoperative mean NLR in this group of patients (p=0.010). Twenty-six patients with localized tumors had preoperative increased serum tumor markers which normalized after orchiectomy. Mean NLR of these patients significantly decreased from 3.10±2.13 to 1.62±0.59 postoperatively (p=0.010). Conclusions: NLR appears to be a useful marker for TGCT. It is successful in predicting localized and non-localized disease in early postoperative period.
DOI: 10.6084/m9.figshare.11609538.v1
title: Structure and content of the maternal representations of Mexican teenagers during their first pregnancy

description: Abstract Objectives: understand the structure and content of the maternal representations of Mexican teenagers during their first pregnancy. Methods: a study was carried out with qualitative methodology based on the concept of maternal representation and the theory of social representations with 30 adolescents who attended prenatal control at the Civil Hospital of Guadalajara "Fray Antonio Alcalde", in Jalisco, Mexico. The participants were interviewed with the consent of their tutors. Classical content analysis techniques were used to obtain codes and thematic categories to develop a conceptual map that explains maternal representations. Results: the maternal representation was identified: "Pregnant but reunited, a legitimated bad decision", which was composed of social meanings towards adolescent pregnancy, family dynamics, expectations towards motherhood, and the feelings experienced by the adolescent during the pregnancy. The content of the representations was heterogeneous for most of the identified categories; however, it is identified that the desire for pregnancy guides the expectations of the adolescent about her future way of being as a mother. Conclusions: the desire of women for pregnancy, the level of participation of the couple, and the social meanings of adolescent pregnancy, have an outstanding role in the development of models of maternal representations.
DOI: 10.6084/m9.figshare.11609529
title: Assessment of the Quality of Life of Brazilian Orthopedic Residents

description: ABSTRACT Introduction There are many determinants that compromise the health and quality of life of resident physicians. Knowledge about the residents’ quality of life subsidize actions to improve personal and professional quality of life of these individuals and thus ensure improvement in the quality of care provided to patients. Objective To evaluate the quality of life of Brazilian orthopedic residents and the factors that influence it. Method This is a descriptive, cross-sectional and quantitative study conducted through a self-answered questionnaire to assess the quality of life of orthopedic residents in Brazil. The WHOQOL-abbreviated quality of life questionnaire and a demographic questionnaire were used. Results A total of 250 third-year orthopedic residents participated in this study. The variables that positively influenced the quality of life were: being well-organized for studying, studying 01 h or more per day, having access to the scientific database and speaking a foreign language, having a good quality of sleep, having a good evaluation of one’s residency and residency performance and having chosen one’s sub-specialty in orthopedic. It was also observed in this study that the residents were distributed in three groups with different quality of life degrees (with significant difference between them): Degree III &gt; Degree II &gt; Degree I. The individuals in the group of Degree three, who showed higher scores in all domains (71.7 to 81.1), mostly comprehends those who have already chosen the sub-specialty in orthopedic, have an excellent/good quality of sleep and evaluate their performance in the medical residency as good. Conclusion Orthopedic residents perceive their QoL as being good to excellent, but residents with poor sleep quality, those who have not chosen a subspecialty, who study less than an hour per day, have poor academic performance, and poor residency evaluation, have a worse perception of their QoL. These issues should be the targeted areas for specific interventions aiming to achieve a higher level of QoL.
DOI: 10.6084/m9.figshare.11609532
title: Evaluation of the Competence of Medical Students in Identifying Risks to the Safety of the Patient through Simulation

description: ABSTRACT Introduction Patient safety (PS) is among the main topics discussed by healthcare professionals worldwide. In Brazil, more than 302,000 deaths from preventable adverse events were reported in 2016, and 70% had preventable causes that cost more than 10.9 billion reais. Objective To evaluate the knowledge, skills and attitudes, through simulation of students of the medical course of the 4th and 8th semesters regarding the subject of patient safety. Methods A cross-sectional study was conducted. The data was collected through two instruments, one to ascertain the sociodemographic profile and the other to be completed during the simulation. The simulation took place in a laboratory room prepared to reproduce a hospital scenario. The researchers planned six risks to be identified in the scenario with a duration of 7 minutes. All data were analyzed by EPI-INFO 7.1. The research was approved by an ethics committee. Results A total of 42 students participated in the study, 24 and 18 of the 4th and 8th periods, respectively. No student has identified all six risks. Overall, students performed poorly, identifying on average two to three risks to patient safety. The risk of administration of wrong medication was perceived by 34 (81%); lack of identification by 15 (36%); risk of falling by 11 (26%); problems with hand hygiene by 6 (14%); risk of wrong surgical procedures by 3 (7%) and risk of pressure ulcers was not identified by any student. Three additional risks not planned by the researchers were identified by the students, especially two risks identified by 8th-period students. Conclusion Students displayed little ability to identify patient safety risks. However, they demonstrated better performance throughout the course, revealing how important it is to work on patient safety in the early years of undergraduate training.
DOI: 10.6084/m9.figshare.11609529.v1
title: Assessment of the Quality of Life of Brazilian Orthopedic Residents

description: ABSTRACT Introduction There are many determinants that compromise the health and quality of life of resident physicians. Knowledge about the residents’ quality of life subsidize actions to improve personal and professional quality of life of these individuals and thus ensure improvement in the quality of care provided to patients. Objective To evaluate the quality of life of Brazilian orthopedic residents and the factors that influence it. Method This is a descriptive, cross-sectional and quantitative study conducted through a self-answered questionnaire to assess the quality of life of orthopedic residents in Brazil. The WHOQOL-abbreviated quality of life questionnaire and a demographic questionnaire were used. Results A total of 250 third-year orthopedic residents participated in this study. The variables that positively influenced the quality of life were: being well-organized for studying, studying 01 h or more per day, having access to the scientific database and speaking a foreign language, having a good quality of sleep, having a good evaluation of one’s residency and residency performance and having chosen one’s sub-specialty in orthopedic. It was also observed in this study that the residents were distributed in three groups with different quality of life degrees (with significant difference between them): Degree III &gt; Degree II &gt; Degree I. The individuals in the group of Degree three, who showed higher scores in all domains (71.7 to 81.1), mostly comprehends those who have already chosen the sub-specialty in orthopedic, have an excellent/good quality of sleep and evaluate their performance in the medical residency as good. Conclusion Orthopedic residents perceive their QoL as being good to excellent, but residents with poor sleep quality, those who have not chosen a subspecialty, who study less than an hour per day, have poor academic performance, and poor residency evaluation, have a worse perception of their QoL. These issues should be the targeted areas for specific interventions aiming to achieve a higher level of QoL.
DOI: 10.6084/m9.figshare.11609532.v1
title: Evaluation of the Competence of Medical Students in Identifying Risks to the Safety of the Patient through Simulation

description: ABSTRACT Introduction Patient safety (PS) is among the main topics discussed by healthcare professionals worldwide. In Brazil, more than 302,000 deaths from preventable adverse events were reported in 2016, and 70% had preventable causes that cost more than 10.9 billion reais. Objective To evaluate the knowledge, skills and attitudes, through simulation of students of the medical course of the 4th and 8th semesters regarding the subject of patient safety. Methods A cross-sectional study was conducted. The data was collected through two instruments, one to ascertain the sociodemographic profile and the other to be completed during the simulation. The simulation took place in a laboratory room prepared to reproduce a hospital scenario. The researchers planned six risks to be identified in the scenario with a duration of 7 minutes. All data were analyzed by EPI-INFO 7.1. The research was approved by an ethics committee. Results A total of 42 students participated in the study, 24 and 18 of the 4th and 8th periods, respectively. No student has identified all six risks. Overall, students performed poorly, identifying on average two to three risks to patient safety. The risk of administration of wrong medication was perceived by 34 (81%); lack of identification by 15 (36%); risk of falling by 11 (26%); problems with hand hygiene by 6 (14%); risk of wrong surgical procedures by 3 (7%) and risk of pressure ulcers was not identified by any student. Three additional risks not planned by the researchers were identified by the students, especially two risks identified by 8th-period students. Conclusion Students displayed little ability to identify patient safety risks. However, they demonstrated better performance throughout the course, revealing how important it is to work on patient safety in the early years of undergraduate training.
DOI: 10.6084/m9.figshare.11609523
title: Validation of the Brazilian Version of the ISMI Scale Adapted for Substance Dependents

description: ABSTRACT The aim of this study was to validate the Internalized Stigma of Mental Illness scale – ISMI adapted for substance dependents in Brazil. The research was conducted with a sample of 299 substance dependents. In this sample, the scale had a reliability coefficient alpha of .83 and a coefficient Spearman-Brown of .76. The construct validity, estimated by Exploratory Maximum Likelihood Factor Analysis, showed a statistically significant correlation (p&lt;0.01) between ISMI and CES-D (r=.47), Herth Hope Scale (r=-.19), and Rosenberg Self-Esteem Scale (r=-0.48). The Brazilian version of ISMI showed satisfactory psychometric properties in the studied sample and promises to be a useful tool to measure internalized stigma among substance dependents.
DOI: 10.6084/m9.figshare.11609526
title: VISCERAL FAT, PHYSICAL FITNESS AND BIOCHEMICAL MARKERS OF BRAZILIAN MILITARY PERSONNEL

description: ABSTRACT Introduction: Adipocyte volume (fat accumulation) in different parts of the body may play different roles in the metabolism and in the appearance of cardiovascular risk factors. Most studies indicate that the regional distribution of body fat seems to be more important than excess adiposity per se. High levels of physical activity are associated with lower total and visceral body fat levels. Military physical training is of paramount importance for the health and performance of soldiers in the Brazilian Army. In this context, physical evaluation will provide data on the main physical benefits involved in military tasks. Objective: Verify the relationship between visceral fat (VF), physical performance and biochemical markers of soldiers in the Brazilian Army. Methods: The sample consisted of 41 (38.9 ± 2.2 years) Brazilian male military personnel. VF was obtained with a Dual Energy X-Ray Absorptiometry densitometry device. The biochemical analysis included fasting glycemia, triglycerides (TG) and HDL-C levels. Physical performance was evaluated through two tests (12-min run and pull-ups). The Shapiro-Wilk test confirmed the normality of the variables. Pearson's correlation test was then applied, with a p-value of &lt;0.05. Results: Significant negative correlations of VF were found with the results of both physical tests (Pull-ups r = −0.59; 12-min r = −0.61). The only biochemical variable that had a significant positive correlation with VF was TG (r = 0.44). Conclusion: The results of this study showed a significant negative association between VF and physical tests. A significant positive association between VF and TG was also found. Level of Evidence I; Diagnostic studies - Investigation of a diagnostic test.
DOI: 10.6084/m9.figshare.11609526.v1
title: VISCERAL FAT, PHYSICAL FITNESS AND BIOCHEMICAL MARKERS OF BRAZILIAN MILITARY PERSONNEL

description: ABSTRACT Introduction: Adipocyte volume (fat accumulation) in different parts of the body may play different roles in the metabolism and in the appearance of cardiovascular risk factors. Most studies indicate that the regional distribution of body fat seems to be more important than excess adiposity per se. High levels of physical activity are associated with lower total and visceral body fat levels. Military physical training is of paramount importance for the health and performance of soldiers in the Brazilian Army. In this context, physical evaluation will provide data on the main physical benefits involved in military tasks. Objective: Verify the relationship between visceral fat (VF), physical performance and biochemical markers of soldiers in the Brazilian Army. Methods: The sample consisted of 41 (38.9 ± 2.2 years) Brazilian male military personnel. VF was obtained with a Dual Energy X-Ray Absorptiometry densitometry device. The biochemical analysis included fasting glycemia, triglycerides (TG) and HDL-C levels. Physical performance was evaluated through two tests (12-min run and pull-ups). The Shapiro-Wilk test confirmed the normality of the variables. Pearson's correlation test was then applied, with a p-value of &lt;0.05. Results: Significant negative correlations of VF were found with the results of both physical tests (Pull-ups r = −0.59; 12-min r = −0.61). The only biochemical variable that had a significant positive correlation with VF was TG (r = 0.44). Conclusion: The results of this study showed a significant negative association between VF and physical tests. A significant positive association between VF and TG was also found. Level of Evidence I; Diagnostic studies - Investigation of a diagnostic test.
DOI: 10.6084/m9.figshare.11609520
title: Evaluation of the physical and antifungal effects of chlorhexidine diacetate incorporated into polymethyl methacrylate

description: Abstract This study aimed to evaluate the physical properties and antifungal activities of polymethyl methacrylate (PMMA) acrylic resins after the incorporation of chlorhexidine diacetate salt (CDA). Methodology: First, acrylic resin specimens were fabricated with Vipi Cor® and DuraLay® resins with and without the incorporation of 0.5%, 1.0% or 2.0% CDA. The residual monomer and CDA release were measured at intervals ranging from 2 hours to 28 days using ultraviolet spectrometry combined with high-performance liquid chromatography. The antifungal activity against C. albicans was evaluated with the agar diffusion method. Fourier transform infrared spectroscopy was used to analyze the degree of resin conversion. Finally, the water sorption values of the resins were also measured. Results: The incorporated CDA concentration significantly changed the rate of CDA release (p&lt;0.0001); however, the brand of the material appeared to have no significant influence on drug release. Subsequently, the inhibition zones were compared between the tested groups and within the same brand, and only the comparisons between the CDA 2% and CDA 1% groups and between the CDA 1% and CDA 0.5% groups failed to yield significant differences. Regarding the degrees of conversion, the differences were not significant and were lower only in the CDA 2% groups. Water sorption was significantly increased at the 1.0% and 2.0% concentrations. Conclusions: We concluded that the incorporation of CDA into PMMA-based resins enabled the inhibition of C. albicans growth rate, did not alter the degrees of conversion of the tested resins and did not change the release of residual monomers.
DOI: 10.6084/m9.figshare.11609523.v1
title: Validation of the Brazilian Version of the ISMI Scale Adapted for Substance Dependents

description: ABSTRACT The aim of this study was to validate the Internalized Stigma of Mental Illness scale – ISMI adapted for substance dependents in Brazil. The research was conducted with a sample of 299 substance dependents. In this sample, the scale had a reliability coefficient alpha of .83 and a coefficient Spearman-Brown of .76. The construct validity, estimated by Exploratory Maximum Likelihood Factor Analysis, showed a statistically significant correlation (p&lt;0.01) between ISMI and CES-D (r=.47), Herth Hope Scale (r=-.19), and Rosenberg Self-Esteem Scale (r=-0.48). The Brazilian version of ISMI showed satisfactory psychometric properties in the studied sample and promises to be a useful tool to measure internalized stigma among substance dependents.
DOI: 10.6084/m9.figshare.11609514
title: Spatial distribution of prenatal indicators in the State of Tocantins 2001 to 2015

description: Abstract Objectives: temporal-spatial analysis of prenatal indicators in the municipalities of the state of Tocantins based on the use of five-year intervals from 2001 to 2015. Methods: the indicators subject to analysis were: average prenatal care (APCPW), proportion of prenatal care in the first trimester (PPCFT) and proportion of pregnant women with vaccine on time (PWVT). Data from the DATASUS platform were used for spatialization of indicators through Thematic Maps, using the QGIS software. Results: indicators of proportion of prenatal care in the first trimester and proportion of pregnant women with vaccine on time showed gradual improvement in their indicators after 15 years of analysis, with values above 75% and 90%, respectively, showing compatibility with the current national scenario. However, APCPW has revealed that no municipality had more than 3 prenatal care visits within 15 years. Conclusions: among the indicators analyzed, the average of prenatal care, although it showed improvement in the 15-year interval, is the one with the greatest deficiency in the state and should therefore have a greater focus on primary care. Thus, it emphasizes the need to encourage the development of organized health systems and the use of specific policy actions to improve not only this indicator, but also the others, to improve prenatal quality.
DOI: 10.6084/m9.figshare.11609520.v1
title: Evaluation of the physical and antifungal effects of chlorhexidine diacetate incorporated into polymethyl methacrylate

description: Abstract This study aimed to evaluate the physical properties and antifungal activities of polymethyl methacrylate (PMMA) acrylic resins after the incorporation of chlorhexidine diacetate salt (CDA). Methodology: First, acrylic resin specimens were fabricated with Vipi Cor® and DuraLay® resins with and without the incorporation of 0.5%, 1.0% or 2.0% CDA. The residual monomer and CDA release were measured at intervals ranging from 2 hours to 28 days using ultraviolet spectrometry combined with high-performance liquid chromatography. The antifungal activity against C. albicans was evaluated with the agar diffusion method. Fourier transform infrared spectroscopy was used to analyze the degree of resin conversion. Finally, the water sorption values of the resins were also measured. Results: The incorporated CDA concentration significantly changed the rate of CDA release (p&lt;0.0001); however, the brand of the material appeared to have no significant influence on drug release. Subsequently, the inhibition zones were compared between the tested groups and within the same brand, and only the comparisons between the CDA 2% and CDA 1% groups and between the CDA 1% and CDA 0.5% groups failed to yield significant differences. Regarding the degrees of conversion, the differences were not significant and were lower only in the CDA 2% groups. Water sorption was significantly increased at the 1.0% and 2.0% concentrations. Conclusions: We concluded that the incorporation of CDA into PMMA-based resins enabled the inhibition of C. albicans growth rate, did not alter the degrees of conversion of the tested resins and did not change the release of residual monomers.