cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.20677052
title: INTERFERENCE OF EXTERNAL DAMAGE CONTROL FIXATION IN DEFINITIVE OSTEOSYNTHESIS

description: ABSTRACT Introduction: Indications for provisional external fixation prior to the definitive treatment of fractures are associated with the control of local and systemic damage and the impossibility of definitive osteosynthesis in the emergency. Objective: To identify complications associated with external fixation prior to definitive internal osteosynthesis. Methods: This is a comparative, prospective study (Level II). Inclusion criteria: patients treated as emergencies (November 2019 and March 2020) who underwent provisional external correction followed by definitive osteosynthesis. We look for signs of inadequacies in external correction and correlation with infections (erythema, hyperemia, fistulae in the path of the pins or surgical scars), systemic symptoms of infection, and radiographic parameters for treatment up to eight weeks after surgery. Results: The average time for conversion to definitive osteosynthesis was 15.9 days and 47 lower limbs and three upper limbs were fixed. Of the participants who had deep infections, three (6%) showed signs during initial treatment (external fixator) and nine (18%), after definitive internal osteosynthesis. We found no correlation between provisional external correction and complications in the definitive treatment with osteosynthesis. Conclusion: The use of temporary external fixation before definitive internal osteosynthesis in fractures of the appendicular skeleton failed to increase complication rates even if the path of the implants in both procedures overlapped. Level of Evidence II, Comparative Prospective Study.
DOI: 10.6084/m9.figshare.20677052.v1
title: INTERFERENCE OF EXTERNAL DAMAGE CONTROL FIXATION IN DEFINITIVE OSTEOSYNTHESIS

description: ABSTRACT Introduction: Indications for provisional external fixation prior to the definitive treatment of fractures are associated with the control of local and systemic damage and the impossibility of definitive osteosynthesis in the emergency. Objective: To identify complications associated with external fixation prior to definitive internal osteosynthesis. Methods: This is a comparative, prospective study (Level II). Inclusion criteria: patients treated as emergencies (November 2019 and March 2020) who underwent provisional external correction followed by definitive osteosynthesis. We look for signs of inadequacies in external correction and correlation with infections (erythema, hyperemia, fistulae in the path of the pins or surgical scars), systemic symptoms of infection, and radiographic parameters for treatment up to eight weeks after surgery. Results: The average time for conversion to definitive osteosynthesis was 15.9 days and 47 lower limbs and three upper limbs were fixed. Of the participants who had deep infections, three (6%) showed signs during initial treatment (external fixator) and nine (18%), after definitive internal osteosynthesis. We found no correlation between provisional external correction and complications in the definitive treatment with osteosynthesis. Conclusion: The use of temporary external fixation before definitive internal osteosynthesis in fractures of the appendicular skeleton failed to increase complication rates even if the path of the implants in both procedures overlapped. Level of Evidence II, Comparative Prospective Study.
DOI: 10.6084/m9.figshare.20677058
title: SCARF OSTEOTOMY FOR HALLUX VALGUS CORRECTION: RADIOLOGICAL AND CLINICAL ANALYSIS

description: ABSTRACT Objectives: This article aims to radiographically and clinically evaluate the results of the surgical correction of hallux valgus using the scarf technique. The pre- and postsurgical hallux valgus angles - metatarsophalangeal angle (MP), intermetatarsal angle (IM), and degree of dislocation of the sesamoids - were retrospectively evaluated, as well as their clinical parameters. Methods: 70 pre- and postoperative radiographs of patients undergoing surgical correction of hallux valgus by the scarf osteotomy technique were retrospectively evaluated. The American Orthopedic Foot And Ankle Society Score (AOFAS) was used for pre- and postoperative clinical evaluation. Results: There was a statistically significant improvement in the MP, IM, and sesamoid position, in addition to the clinical improvement verified by the AOFAS. Conclusion: Scarf osteotomy improves the MP and IM angles and correct the position of the sesamoid, as well as improve the AOFAS. Level of Evidence IV, Retrospective Comparative Study.
DOI: 10.6084/m9.figshare.20677058.v1
title: SCARF OSTEOTOMY FOR HALLUX VALGUS CORRECTION: RADIOLOGICAL AND CLINICAL ANALYSIS

description: ABSTRACT Objectives: This article aims to radiographically and clinically evaluate the results of the surgical correction of hallux valgus using the scarf technique. The pre- and postsurgical hallux valgus angles - metatarsophalangeal angle (MP), intermetatarsal angle (IM), and degree of dislocation of the sesamoids - were retrospectively evaluated, as well as their clinical parameters. Methods: 70 pre- and postoperative radiographs of patients undergoing surgical correction of hallux valgus by the scarf osteotomy technique were retrospectively evaluated. The American Orthopedic Foot And Ankle Society Score (AOFAS) was used for pre- and postoperative clinical evaluation. Results: There was a statistically significant improvement in the MP, IM, and sesamoid position, in addition to the clinical improvement verified by the AOFAS. Conclusion: Scarf osteotomy improves the MP and IM angles and correct the position of the sesamoid, as well as improve the AOFAS. Level of Evidence IV, Retrospective Comparative Study.
DOI: 10.6084/m9.figshare.20677060
title: Number of dentists in the neighborhood and incidence of dental caries in the children permanent dentition

description: Abstract This study aimed to evaluate the influence of the number of dentists in the neighborhood on the incidence of dental caries in the children permanent dentition. This cohort began in 2010 (T1) with a random sample of 639 children (1 to 5 years-old) followed for 7 years, in southern Brazil. The follow-up reassessment (T2) took place in 2017. Untreated dental caries was evaluated at T2 through the Decayed, Missing, and Filled surfaces index (DMF-S). The number of dentists in the neighborhood was obtained from the city’s official database and used as a contextual variable. Socioeconomic, demographic, and oral health variables at the individual level were evaluated at T1. A multilevel Poisson regression was performed to evaluate the influence of the predictor variables in the incidence of untreated dental caries. From 639 children at T1, 449 were reassessed at T2 (a 70.3% retention rate). The mean of decayed surfaces at T2 was 0.92 (SE 0.01). The greater the number of dentists in the neighborhoods where the children lived, the lower the incidence of dental caries. Children with low socioeconomic status, who have not routinely visited the dentist in the last 6 months, who presented a experience of dental caries, and whose parents perceived their oral health as fair/poor showed a higher incidence of surfaces with untreated dental caries. As conclusion, children who live in neighborhoods with fewer dentists have a higher incidence of untreated dental caries in permanent dentition.
DOI: 10.6084/m9.figshare.20677063
title: MORTALITY IN PATIENTS &gt; 90 YEARS OLD WITH PROXIMAL FEMORAL FRACTURES SUBJECTED TO SURGERY

description: ABSTRACT Introduction: Proximal femoral fractures have a high mortality rate among older adults, especially those aged &gt; 80 years. Objective: To analyze predictive factors for hospital or late mortality of patients &gt; 90 years old who showed proximal femoral fracture and subjected to surgery. Methods: The study included data from 230 patients aged &gt; 90 years diagnosed with proximal femoral fracture and who underwent surgery between January and December 2017. The statistical evaluation was performed by multivariate analysis by a logistic regression. The associations were estimated by the odds ratio (OD) and confidence interval (95%). Statistical significance was determined with p &lt; 0.05. Results: Late death occurred in 51.3% (118 patients) of the sample and hospital death in 3.5% (8 patients). Most patients were women (83.5%) and the most common fracture was transtrochanteric (57.0%). There was association between late death and the surgery duration (p &lt; 0.05), and between hospital death and the presence of heart diseases (p &lt; 0.05) or endocrinopathies (p &lt; 0.05). Conclusion: Most patients aged &gt; 90 years with proximal femoral fracture subjected to surgery died in less than one year. Late death was associated with the surgery duration and hospital death was associated with the presence of previous endocrinopathies or heart diseases, and the female gender was a protective factor from this outcome. Level of Evidence III, Retrospective Case-Control Study.
DOI: 10.6084/m9.figshare.20677063.v1
title: MORTALITY IN PATIENTS &gt; 90 YEARS OLD WITH PROXIMAL FEMORAL FRACTURES SUBJECTED TO SURGERY

description: ABSTRACT Introduction: Proximal femoral fractures have a high mortality rate among older adults, especially those aged &gt; 80 years. Objective: To analyze predictive factors for hospital or late mortality of patients &gt; 90 years old who showed proximal femoral fracture and subjected to surgery. Methods: The study included data from 230 patients aged &gt; 90 years diagnosed with proximal femoral fracture and who underwent surgery between January and December 2017. The statistical evaluation was performed by multivariate analysis by a logistic regression. The associations were estimated by the odds ratio (OD) and confidence interval (95%). Statistical significance was determined with p &lt; 0.05. Results: Late death occurred in 51.3% (118 patients) of the sample and hospital death in 3.5% (8 patients). Most patients were women (83.5%) and the most common fracture was transtrochanteric (57.0%). There was association between late death and the surgery duration (p &lt; 0.05), and between hospital death and the presence of heart diseases (p &lt; 0.05) or endocrinopathies (p &lt; 0.05). Conclusion: Most patients aged &gt; 90 years with proximal femoral fracture subjected to surgery died in less than one year. Late death was associated with the surgery duration and hospital death was associated with the presence of previous endocrinopathies or heart diseases, and the female gender was a protective factor from this outcome. Level of Evidence III, Retrospective Case-Control Study.
DOI: 10.5519/qd.zxhjts40
title: Query on the Natural History Museum Data Portal (data.nhm.ac.uk) (1 records)
DOI: 10.6084/m9.figshare.20677069
title: RELATIONSHIP BETWEEN TBS SCORE, BONE DENSITY AND FRACTURES IN OLDER MEN: INTEGRATIVE REVIEW

description: ABSTRACT Population ageing is an inexorable truth. This is the reason for an increase in the number of studies analyzing common pathologies, such as osteoporosis, in older people. Osteoporosis is a disease resulting from bone fragility, thus increasing the risk of fracture. Although the occurrence is predominant in women, studies analyzing the male population have raised interest among the scientific community. Nevertheless, there is no consensus regarding the best way to estimate the risk of fracture. Bone density testing and TBS (trabecular bone score) assessments are alternatives available for diagnosing. To assess the relationship between bone mineral density, the changes in TBS and fractures in older men. We conducted an integrative review of the literature in the LILACS, Scopus and PubMed databases, searching for studies in the last five years. We found 97 studies, and five of these matched our guiding question. We found five articles that matched our selecting criteria. All five presented the importance of using TBS for a better accuracy in improving the estimate of risk of fracture in older men. The association of TBS with bone density is important to best estimate the risk of fracture in elder men. Level of Evidence II, Diagnostic Studies.
DOI: 10.6084/m9.figshare.20677069.v1
title: RELATIONSHIP BETWEEN TBS SCORE, BONE DENSITY AND FRACTURES IN OLDER MEN: INTEGRATIVE REVIEW

description: ABSTRACT Population ageing is an inexorable truth. This is the reason for an increase in the number of studies analyzing common pathologies, such as osteoporosis, in older people. Osteoporosis is a disease resulting from bone fragility, thus increasing the risk of fracture. Although the occurrence is predominant in women, studies analyzing the male population have raised interest among the scientific community. Nevertheless, there is no consensus regarding the best way to estimate the risk of fracture. Bone density testing and TBS (trabecular bone score) assessments are alternatives available for diagnosing. To assess the relationship between bone mineral density, the changes in TBS and fractures in older men. We conducted an integrative review of the literature in the LILACS, Scopus and PubMed databases, searching for studies in the last five years. We found 97 studies, and five of these matched our guiding question. We found five articles that matched our selecting criteria. All five presented the importance of using TBS for a better accuracy in improving the estimate of risk of fracture in older men. The association of TBS with bone density is important to best estimate the risk of fracture in elder men. Level of Evidence II, Diagnostic Studies.
DOI: 10.5519/qd.e24u8ymu
title: Query on the Natural History Museum Data Portal (data.nhm.ac.uk) (78 records)
DOI: 10.6084/m9.figshare.20677072
title: The private health sector’s capitalist dynamic in Brazil from 2009 to 2015

description: Hospitals have shown changes in their role in health systems. In Brazil, private hospitals have always stood out, with charitable hospitals gaining increasing importance in the 21st century. Especially in the United States, there has been a trend towards consolidation of hospitals, concentrating great market power, in keeping with the capitalist phenomenon of financialization. This study aims to describe the current evolution in the Brazilian context in private hospitals and hospital groups, identifying the principal characteristics and trends according to the current capital dynamics. A descriptive exploratory study was performed, focused on dimensions of net worth, accounting-finance, and policy. The study covered the period from 2009 to 2015, analyzing 10 hospitals and 3 hospital groups selected intentionally. Datasets were created from different sources, used to calculate indicators and to analyze information on each of these dimensions. The private hospital sector in Brazil, including charitable hospitals, already displayed strategies that are characteristic of financialization, such as the formation of oligopolies through mergers and acquisitions and diversification to other areas such as teaching and management of public units, a focus on high profit, and internationalization, backed by the sector’s own policy agenda. The trend is intrinsically exclusionary, concentrating wealth, inconsistent with the constitutional principles of universal care and the right to health, and it requires the adoption of public policies, regulation, and social control to contain it.
DOI: 10.6084/m9.figshare.20677072.v1
title: The private health sector’s capitalist dynamic in Brazil from 2009 to 2015

description: Hospitals have shown changes in their role in health systems. In Brazil, private hospitals have always stood out, with charitable hospitals gaining increasing importance in the 21st century. Especially in the United States, there has been a trend towards consolidation of hospitals, concentrating great market power, in keeping with the capitalist phenomenon of financialization. This study aims to describe the current evolution in the Brazilian context in private hospitals and hospital groups, identifying the principal characteristics and trends according to the current capital dynamics. A descriptive exploratory study was performed, focused on dimensions of net worth, accounting-finance, and policy. The study covered the period from 2009 to 2015, analyzing 10 hospitals and 3 hospital groups selected intentionally. Datasets were created from different sources, used to calculate indicators and to analyze information on each of these dimensions. The private hospital sector in Brazil, including charitable hospitals, already displayed strategies that are characteristic of financialization, such as the formation of oligopolies through mergers and acquisitions and diversification to other areas such as teaching and management of public units, a focus on high profit, and internationalization, backed by the sector’s own policy agenda. The trend is intrinsically exclusionary, concentrating wealth, inconsistent with the constitutional principles of universal care and the right to health, and it requires the adoption of public policies, regulation, and social control to contain it.
DOI: 10.6084/m9.figshare.20677075
title: DOES PERICAPSULAR ANESTHETIC BLOCK IMPROVE THE POSTOPERATIVE PERIOD IN TRANSTROCHANTERIC FRACTURES?

description: ABSTRACT Objective: To evaluate pain and mobility in patients with transtrochanteric fractures subjected to osteosynthesis with pericapsular nerve group (PENG) block and compare with patients who did not receive the block. Methods: The medical records of 49 patients were analyzed and data were collected regarding: age, gender, anesthetic evaluation, cause of trauma, locomotion, fracture classification, type of anesthesia used, anesthetic technique, pain, opioid administration and mobility with partial load. Results: Out of 49 patients, 17 (34.7 %) received PENG block. After surgery, most patients complained of pain and opioids were administered (67.3 %), with greatest frequency in the group without PENG block (93.3 %). Most patients who received PENG block walked within 6 h after surgery (52.9 %) and all recovered the ability to walk until hospital discharge (48 h), different from the group that did not receive PENG block (p = 0.012). The groups showed a significant difference between them regarding the frequency of reports of moderate to severe pain (p = 0.003). Conclusion: The use of PENG block in patients with transtrochanteric fractures subjected to osteosynthesis can help to reduce postoperative pain, early mobility with partial load and less use of opioids. Level of Evidence III, Retrospective Comparative Study.
DOI: 10.6084/m9.figshare.20677075.v1
title: DOES PERICAPSULAR ANESTHETIC BLOCK IMPROVE THE POSTOPERATIVE PERIOD IN TRANSTROCHANTERIC FRACTURES?

description: ABSTRACT Objective: To evaluate pain and mobility in patients with transtrochanteric fractures subjected to osteosynthesis with pericapsular nerve group (PENG) block and compare with patients who did not receive the block. Methods: The medical records of 49 patients were analyzed and data were collected regarding: age, gender, anesthetic evaluation, cause of trauma, locomotion, fracture classification, type of anesthesia used, anesthetic technique, pain, opioid administration and mobility with partial load. Results: Out of 49 patients, 17 (34.7 %) received PENG block. After surgery, most patients complained of pain and opioids were administered (67.3 %), with greatest frequency in the group without PENG block (93.3 %). Most patients who received PENG block walked within 6 h after surgery (52.9 %) and all recovered the ability to walk until hospital discharge (48 h), different from the group that did not receive PENG block (p = 0.012). The groups showed a significant difference between them regarding the frequency of reports of moderate to severe pain (p = 0.003). Conclusion: The use of PENG block in patients with transtrochanteric fractures subjected to osteosynthesis can help to reduce postoperative pain, early mobility with partial load and less use of opioids. Level of Evidence III, Retrospective Comparative Study.
DOI: 10.6084/m9.figshare.20677085
title: The Programs of the Municipal Theater of São Paulo: Theater and Society in a Peripheral Modernity (1911-1922)

description: ABSTRACT In this article we propose a discussion about the use by the historian of a kind of document very little studied until now: the theater programs. Our study is based on the analysis of about 200 programs of performances that took place in the Municipal Theater of São Paulo between 1911 and 1922, an iconic theater and a monument of an era marked by a great economic development of the city and a fast urban growing. By the analysis of the physical and visual aspects of the programs, and their contents also, we propose an interpretation of the meaning of the theater in this new modernity that reaches this city where the vestiges of the colonial past are disappearing quickly.
DOI: 10.6084/m9.figshare.20677085.v1
title: The Programs of the Municipal Theater of São Paulo: Theater and Society in a Peripheral Modernity (1911-1922)

description: ABSTRACT In this article we propose a discussion about the use by the historian of a kind of document very little studied until now: the theater programs. Our study is based on the analysis of about 200 programs of performances that took place in the Municipal Theater of São Paulo between 1911 and 1922, an iconic theater and a monument of an era marked by a great economic development of the city and a fast urban growing. By the analysis of the physical and visual aspects of the programs, and their contents also, we propose an interpretation of the meaning of the theater in this new modernity that reaches this city where the vestiges of the colonial past are disappearing quickly.
DOI: 10.6084/m9.figshare.20677087
title: Antibacterial Profile in vitro and in vivo of New 1,4-Naphthoquinones Tethered to 1,2,3-1H-Triazoles Against the Planktonic Growth of Streptococcus mutans

description: The cariogenic processes are mainly caused by the bacterium Streptococcus mutans (S. mutans) and consist of the demineralization of the tooth that occurs when the acid production overcomes the natural repair or if a problem occurs in the last one. In this work, we performed the synthesis of twenty-one 1,4-naphthoquinones tethered to 1,2,3-1H-triazoles (8a-8k and 9a-9j), antibacterial evaluation against the S. mutans in vitro and the acute toxicity of the better ones in vivo. We observed strong inhibition results in the disc diffusion test ranging, the halos of inhibitions, from 18.66 (± 0.57) to 29 (± 2.64) mm, and good values in the minimum inhibitory concentration (5 to 50 μg), for the compounds 9e, 9h, 9i and 9j: Furthermore, they do not have a cytotoxic effect at the concentrations tested. Besides that, in the in vivo test, they show some slight alteration in the histopathological analyses and the biochemistry. Thus, we found four potential candidates to become instruments for the treatment of cavities.
DOI: 10.6084/m9.figshare.20677087.v1
title: Antibacterial Profile in vitro and in vivo of New 1,4-Naphthoquinones Tethered to 1,2,3-1H-Triazoles Against the Planktonic Growth of Streptococcus mutans

description: The cariogenic processes are mainly caused by the bacterium Streptococcus mutans (S. mutans) and consist of the demineralization of the tooth that occurs when the acid production overcomes the natural repair or if a problem occurs in the last one. In this work, we performed the synthesis of twenty-one 1,4-naphthoquinones tethered to 1,2,3-1H-triazoles (8a-8k and 9a-9j), antibacterial evaluation against the S. mutans in vitro and the acute toxicity of the better ones in vivo. We observed strong inhibition results in the disc diffusion test ranging, the halos of inhibitions, from 18.66 (± 0.57) to 29 (± 2.64) mm, and good values in the minimum inhibitory concentration (5 to 50 μg), for the compounds 9e, 9h, 9i and 9j: Furthermore, they do not have a cytotoxic effect at the concentrations tested. Besides that, in the in vivo test, they show some slight alteration in the histopathological analyses and the biochemistry. Thus, we found four potential candidates to become instruments for the treatment of cavities.