cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.6318422
title: Long term maintenance of glucose and lipid concentrations after Roux-en-Y gastric bypass

description: Abstract Objective: Roux-en-Y gastric bypass (RYGB) reduces body weight and the comorbidities associated with obesity. The aim of this study was to evaluate whether glucose and lipid profiles were maintained during a 5-year follow-up period after RYGB. Subjects and methods: Anthropometric and laboratory data from 323 patients who had undergone this operation were analyzed. Differences in laboratory variables between the baseline and 12, 24, 36, 48 and 60 months postoperatively (PO) were assessed using a one-way ANOVA test to compare the three groups. Delta significance using one-way ANOVA was performed to assess anthropometric variable in the postoperative period (p &lt; 0.05). Results: 77 patients (24%) were included in Group 1 (G1), 101 (32%) in Group 2 (G2), and 141 (44%) in Group 3 (G3). The majority of patients, 71.7% in G1, 82.8% in G2, and 70% in G3, showed high triglycerides (TG) before surgery. A decrease in weight loss was observed in all groups followed by an increase in body weight in G2 and G3 at 36, 48 and 60 months. Laboratory results for G1, G2 and G3 showed no significant differences between groups at baseline and during the post-operative period. Conclusion: Our results suggest that weight regain after RYGB has no significant impact on the long-term evolution of the lipid profile and glycemia.
DOI: 10.6084/m9.figshare.6318422.v1
title: Long term maintenance of glucose and lipid concentrations after Roux-en-Y gastric bypass

description: Abstract Objective: Roux-en-Y gastric bypass (RYGB) reduces body weight and the comorbidities associated with obesity. The aim of this study was to evaluate whether glucose and lipid profiles were maintained during a 5-year follow-up period after RYGB. Subjects and methods: Anthropometric and laboratory data from 323 patients who had undergone this operation were analyzed. Differences in laboratory variables between the baseline and 12, 24, 36, 48 and 60 months postoperatively (PO) were assessed using a one-way ANOVA test to compare the three groups. Delta significance using one-way ANOVA was performed to assess anthropometric variable in the postoperative period (p &lt; 0.05). Results: 77 patients (24%) were included in Group 1 (G1), 101 (32%) in Group 2 (G2), and 141 (44%) in Group 3 (G3). The majority of patients, 71.7% in G1, 82.8% in G2, and 70% in G3, showed high triglycerides (TG) before surgery. A decrease in weight loss was observed in all groups followed by an increase in body weight in G2 and G3 at 36, 48 and 60 months. Laboratory results for G1, G2 and G3 showed no significant differences between groups at baseline and during the post-operative period. Conclusion: Our results suggest that weight regain after RYGB has no significant impact on the long-term evolution of the lipid profile and glycemia.
DOI: 10.6084/m9.figshare.6318419
title: Intersected conflicts: the local and the metropolitan in territory management

description: Abstract Since the Brazilian Constitution of 1988, the creation of Metropolitan Regions is attributed to the Legislative Assembly of the States. On the other hand, the municipalities are directly linked to the local daily logics and, at the same time, are inserted in a supra-local scale of power and governance. This apparent contradiction reveals an interscalar power struggle over territory, expressed in the quest to capture local development plans, programs, and projects with supra-local justifications. This study aims to understand how the dispute for territorial projects takes into account the interscalar conflict, articulating Urban Planning and Management in the metropolitan territory. The research highlights a set of instruments (plans, projects) that reveals the forms of centralization and decentralization of Planning and Management, in the Metropolitan Region of Natal, RN, Brazil, in the last decade (2006-2016). We performed a bibliographical research on territorial planning and management, as well as decentralization and collaborative governance. We also performed a documentary research of laws and decrees, and local urban projects with metropolitan incidence.
DOI: 10.6084/m9.figshare.6318419.v1
title: Intersected conflicts: the local and the metropolitan in territory management

description: Abstract Since the Brazilian Constitution of 1988, the creation of Metropolitan Regions is attributed to the Legislative Assembly of the States. On the other hand, the municipalities are directly linked to the local daily logics and, at the same time, are inserted in a supra-local scale of power and governance. This apparent contradiction reveals an interscalar power struggle over territory, expressed in the quest to capture local development plans, programs, and projects with supra-local justifications. This study aims to understand how the dispute for territorial projects takes into account the interscalar conflict, articulating Urban Planning and Management in the metropolitan territory. The research highlights a set of instruments (plans, projects) that reveals the forms of centralization and decentralization of Planning and Management, in the Metropolitan Region of Natal, RN, Brazil, in the last decade (2006-2016). We performed a bibliographical research on territorial planning and management, as well as decentralization and collaborative governance. We also performed a documentary research of laws and decrees, and local urban projects with metropolitan incidence.
DOI: 10.6084/m9.figshare.6318416
title: Infection in Patients with Decompensated Heart Failure: In-Hospital Mortality and Outcome

description: Abstract Background: Heart failure (HF) is a syndrome, whose advanced forms have a poor prognosis, which is aggravated by the presence of comorbidities. Objective: We assessed the impact of infection in patients with decompensated HF admitted to a tertiary university-affiliated hospital in the city of São Paulo. Methods: This study assessed 260 patients consecutively admitted to our unit because of decompensated HF. The presence of infection and other morbidities was assessed, as were in-hospital mortality and outcome after discharge. The chance of death was estimated by univariate logistic regression analysis of the variables studied. The significance level adopted was P &lt; 0.05. Results: Of the patients studied, 54.2% were of the male sex, and the mean age ± SD was 66.1 ± 12.7 years. During hospitalization, 119 patients (45.8%) had infection: 88 (33.8%) being diagnosed with pulmonary infection and 39 patients (15.0%), with urinary infection. During hospitalization, 56 patients (21.5%) died, and, after discharge, 36 patients (17.6%). During hospitalization, 26.9% of the patients with infection died vs 17% of those without infection (p = 0.05). However, after discharge, mortality was lower in the group that had infection: 11.5% vs 22.2% (p = 0.046). Conclusions: Infection is a frequent morbidity among patients with HF admitted for compensation of the condition, and those with infection show higher in-hospital mortality. However, those patients who initially had infection and survived had a better outcome after discharge.
DOI: 10.6084/m9.figshare.6318416.v1
title: Infection in Patients with Decompensated Heart Failure: In-Hospital Mortality and Outcome

description: Abstract Background: Heart failure (HF) is a syndrome, whose advanced forms have a poor prognosis, which is aggravated by the presence of comorbidities. Objective: We assessed the impact of infection in patients with decompensated HF admitted to a tertiary university-affiliated hospital in the city of São Paulo. Methods: This study assessed 260 patients consecutively admitted to our unit because of decompensated HF. The presence of infection and other morbidities was assessed, as were in-hospital mortality and outcome after discharge. The chance of death was estimated by univariate logistic regression analysis of the variables studied. The significance level adopted was P &lt; 0.05. Results: Of the patients studied, 54.2% were of the male sex, and the mean age ± SD was 66.1 ± 12.7 years. During hospitalization, 119 patients (45.8%) had infection: 88 (33.8%) being diagnosed with pulmonary infection and 39 patients (15.0%), with urinary infection. During hospitalization, 56 patients (21.5%) died, and, after discharge, 36 patients (17.6%). During hospitalization, 26.9% of the patients with infection died vs 17% of those without infection (p = 0.05). However, after discharge, mortality was lower in the group that had infection: 11.5% vs 22.2% (p = 0.046). Conclusions: Infection is a frequent morbidity among patients with HF admitted for compensation of the condition, and those with infection show higher in-hospital mortality. However, those patients who initially had infection and survived had a better outcome after discharge.
DOI: 10.6084/m9.figshare.6318413
title: What we know and do not know about women and kidney diseases; Questions unanswered and answers unquestioned: Reflection on World Kidney Day and International Woman’s Day

description: Chronic kidney disease affects approximately 10% of the world's adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women's Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women's health and specifically women’s kidney health on the community and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly. Girls and women, who make up approximately 50% of the world's population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state in which acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. Various autoimmune and other conditions are more likely to impact women, with profound consequences for child bearing and the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants. In this editorial, we focus on what we know and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide.
DOI: 10.6084/m9.figshare.6318413.v1
title: What we know and do not know about women and kidney diseases; Questions unanswered and answers unquestioned: Reflection on World Kidney Day and International Woman’s Day

description: Chronic kidney disease affects approximately 10% of the world's adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women's Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women's health and specifically women’s kidney health on the community and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly. Girls and women, who make up approximately 50% of the world's population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state in which acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. Various autoimmune and other conditions are more likely to impact women, with profound consequences for child bearing and the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants. In this editorial, we focus on what we know and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide.
DOI: 10.6084/m9.figshare.6318410
title: Bariatric surgery as a treatment for pseudotumor cerebri: case study and narrative review of the literature

description: ABSTRACT CONTEXT: Pseudotumor cerebri occurs when there is an increase in intracranial pressure without an underlying cause, usually leading to loss of vision. It is most commonly observed in obese women of child-bearing age. CASE REPORT: A 46-year-old woman presented at our service with idiopathic intracranial hypertension that had been diagnosed two years earlier, which had led to chronic refractory headache and an estimated 30% loss of visual acuity, associated with bilateral papilledema. She presented partial improvement of the headache with acetazolamide, but the visual loss persisted. Her intracranial pressure was 34 cmH2O. She presented a body mass index of 39.5 kg/m2, also associated with high blood pressure. Computed tomography of the cranium with endovenous contrast did not show any abnormalities. She underwent Roux-en-Y gastric bypass with uneventful postoperative evolution. One month following surgery, she presented a 24% excess weight loss. An ophthalmological examination revealed absence of visual loss and remission of the papilledema. There were no new episodes of headache following the surgery. There was also complete resolution of high blood pressure. The intracranial pressure decreased to 24 cmH2O, six months after the surgery. CONCLUSION: Although the condition is usually associated with obesity, there are few reports of bariatric surgery among individuals with pseudotumor cerebri. In cases studied previously, there was high prevalence of resolution or improvement of the disease following bariatric surgery. There is no consensus regarding which technique is preferable. Thus, further research is necessary in order to establish a specific algorithm.
DOI: 10.6084/m9.figshare.6318410.v1
title: Bariatric surgery as a treatment for pseudotumor cerebri: case study and narrative review of the literature

description: ABSTRACT CONTEXT: Pseudotumor cerebri occurs when there is an increase in intracranial pressure without an underlying cause, usually leading to loss of vision. It is most commonly observed in obese women of child-bearing age. CASE REPORT: A 46-year-old woman presented at our service with idiopathic intracranial hypertension that had been diagnosed two years earlier, which had led to chronic refractory headache and an estimated 30% loss of visual acuity, associated with bilateral papilledema. She presented partial improvement of the headache with acetazolamide, but the visual loss persisted. Her intracranial pressure was 34 cmH2O. She presented a body mass index of 39.5 kg/m2, also associated with high blood pressure. Computed tomography of the cranium with endovenous contrast did not show any abnormalities. She underwent Roux-en-Y gastric bypass with uneventful postoperative evolution. One month following surgery, she presented a 24% excess weight loss. An ophthalmological examination revealed absence of visual loss and remission of the papilledema. There were no new episodes of headache following the surgery. There was also complete resolution of high blood pressure. The intracranial pressure decreased to 24 cmH2O, six months after the surgery. CONCLUSION: Although the condition is usually associated with obesity, there are few reports of bariatric surgery among individuals with pseudotumor cerebri. In cases studied previously, there was high prevalence of resolution or improvement of the disease following bariatric surgery. There is no consensus regarding which technique is preferable. Thus, further research is necessary in order to establish a specific algorithm.
DOI: 10.6084/m9.figshare.6318407
title: Dualismo no Campo e Desigualdades Internas na Agricultura Familiar Brasileira

description: Abstract: The purpose of this article is to identify the characteristic elements of Brazilian agricultural structure and demonstrate the marked inequality present in family farming in the country. For this, research on the bibliography was held on the subject in recent years, as well as a survey of official statistics related to the productive sector profile and the provision of rural credit. Overall, the study shows that there is a remarkable economic and political dualism between family farmers and commercial farmers/agribusiness in constant competition for public funds in Brazil, leading to adoption of generalizing visions guided on statistical averages of census numbers that tend to shift the focus of the prevailing glaring inequalities in the national field. In relation to family farming, despite improvements in the distribution of monetary income recorded in the twenty-first century approaches, there is a significant heterogeneity and productive inequality within the segment, dominated by a vast contingent of poor or extremely poor farmers. On the basis of this framework, often overlooked in analyses that seek to emphasize the virtues of the category of aggregate from the census data, there is a historical heritage of social differentiation, which maintains and worsens over time, due, among other factors, to the recent privileging of the sectors most capitalized segment of the distribution of rural Pronaf credit.
DOI: 10.6084/m9.figshare.6318407.v1
title: Dualismo no Campo e Desigualdades Internas na Agricultura Familiar Brasileira

description: Abstract: The purpose of this article is to identify the characteristic elements of Brazilian agricultural structure and demonstrate the marked inequality present in family farming in the country. For this, research on the bibliography was held on the subject in recent years, as well as a survey of official statistics related to the productive sector profile and the provision of rural credit. Overall, the study shows that there is a remarkable economic and political dualism between family farmers and commercial farmers/agribusiness in constant competition for public funds in Brazil, leading to adoption of generalizing visions guided on statistical averages of census numbers that tend to shift the focus of the prevailing glaring inequalities in the national field. In relation to family farming, despite improvements in the distribution of monetary income recorded in the twenty-first century approaches, there is a significant heterogeneity and productive inequality within the segment, dominated by a vast contingent of poor or extremely poor farmers. On the basis of this framework, often overlooked in analyses that seek to emphasize the virtues of the category of aggregate from the census data, there is a historical heritage of social differentiation, which maintains and worsens over time, due, among other factors, to the recent privileging of the sectors most capitalized segment of the distribution of rural Pronaf credit.
DOI: 10.6084/m9.figshare.6318395
title: ANALYSIS OF THE PHENOLOGY DYNAMICS OF BRAZILIAN CAATINGA SPECIES WITH NDVI TIME SERIES

description: ABSTRACT In Brazil there are six well-defined biomes and the Caatinga represents 9.92% of the total area. This biome is exclusively Brazilian and very rich in biodiversity. Because it has low resistance to human interference is necessary to know the important factors in monitoring the biome. Vegetation coverage and climate are two of these factors, as they indicate the intensity of human activity and the wear caused with time. Normalized Difference Vegetation Index (NDVI) has been recently explored in the description of tree phenology. In this study we sought to associate NDVI/Landsat values to a climatic variable (phenomena El-Nino and La-Nina - NINONINA) in order to describe the phenological behavior of the Caatinga in the Parque Nacional da Serra das Capivaras in the state of Piauí/Brazil. A time series analysis was carried out, describing the intrinsic parameters of the series (Seasonality and Trends), the forecast of NDVI values using SARIMA model and co-integration between NDVI and NINONINA series. The results showed that the NDVI series presents seasonally, but does not exhibit a trend. The forecasting process presenting relatively low error at a 95% confidence interval. Finally, it was observed that the NDVI series is co-integrated with the NINONINA series.
DOI: 10.6084/m9.figshare.6318395.v1
title: ANALYSIS OF THE PHENOLOGY DYNAMICS OF BRAZILIAN CAATINGA SPECIES WITH NDVI TIME SERIES

description: ABSTRACT In Brazil there are six well-defined biomes and the Caatinga represents 9.92% of the total area. This biome is exclusively Brazilian and very rich in biodiversity. Because it has low resistance to human interference is necessary to know the important factors in monitoring the biome. Vegetation coverage and climate are two of these factors, as they indicate the intensity of human activity and the wear caused with time. Normalized Difference Vegetation Index (NDVI) has been recently explored in the description of tree phenology. In this study we sought to associate NDVI/Landsat values to a climatic variable (phenomena El-Nino and La-Nina - NINONINA) in order to describe the phenological behavior of the Caatinga in the Parque Nacional da Serra das Capivaras in the state of Piauí/Brazil. A time series analysis was carried out, describing the intrinsic parameters of the series (Seasonality and Trends), the forecast of NDVI values using SARIMA model and co-integration between NDVI and NINONINA series. The results showed that the NDVI series presents seasonally, but does not exhibit a trend. The forecasting process presenting relatively low error at a 95% confidence interval. Finally, it was observed that the NDVI series is co-integrated with the NINONINA series.
DOI: 10.6084/m9.figshare.6318389
title: Eating behavior of schizophrenic patients

description: ABSTRACT Objective To assess the eating behavior, food practices, nutritional and metabolic profiles of patients with schizophrenia undergoing treatment. Methods Cross-sectional exploratory descriptive qualitative study used a semi-structured questionnaire on the eating behavior, food practices, and perception of changes after the initiation of drug therapy and a quantitative method using anthropometric and body composition measurements, metabolic parameters, and 5-day dietary records to analyze nutrient ingestion of patients with schizophrenia in an outpatient clinic at a tertiary hospital (n=33). The qualitative data were analyzed and coded by three researchers and quantitative data were analyzed using descriptive exploratory statistics. Results The results of this study showed that schizophrenic patients presented high prevalence of excess weight (71.0%), metabolic syndrome (42.0%), dyslipidemia (62.0%), changes in appetite (76.0%), and increase in energy intake (74.2%), associated with important irregularities in eating behavior and food practices (such as irregularity of meals, emotional intake, high carbohydrate and fat intake, and low energy expenditure) and lifestyle (changes in social and work routines). Conclusion This eating profile may interact synergistically with psychotropic drugs to contribute to weight gain and metabolic changes in schizophrenia. Nutrition education may prevent and monitor the risk of metabolic and nutrition problems, irrespective of the medications used.