cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.19905585.v1
title: Acute dacryocystitis retention: a case report and literature review

description: ABSTRACT Acute dacryocystitis retention (ADR) is an unusual entity that contributes to an incorrect diagnosis and treatment. We describe a case of acute dacryocystitis retention occurring in a 61-year-old diabetic male who presented with severe pain, swelling, and inflammatory signs above the left medial canthal ligament tendon. He had no previous history of epiphora. Computed tomography scan indicated acute dacryocystitis. Clinical treatment resulted in complete resolution of the condition. Syringing one month after the acute episode indicated a patent lacrimal excretory system. The temporary obstruction that evolved to an acute dacryocystitis retention was probably secondary to nasal alteration or supposed dacryoliths. Timely, conservative clinical treatment can lead to complete resolution of acute dacryocystitis retention with no further treatments.
DOI: 10.6084/m9.figshare.19922708
title: The Health Empathy Map as an instrument of reflection in a non-care teaching scenario

description: Abstract: Introduction: The development of empathy during graduation aims at forming graduates who are more prepared to build a good relationship with their patients. The health empathy map (HEM) is an adapted tool with the purpose of developing empathy in students and future doctors using self-reflection. Objectives: To evaluate the effect of using the HEM, in the tutorial group scenario, on the empathy score measured by the Jefferson scale and in the assessment of the students’ empathic relationship with their patients. Method: This was a quasi-experimental study that used a mixed-method approach, in the explanatory plan modality carried out with 56 students from the 5th semester of the undergraduate medical course at José do Rosário Vellano University, UNIFENAS-BH. The students were divided into two groups: G1: students who used the HEM in the tutorial group (TG) strategy and G2: students who did not use HEM in the TG. All students completed a sociodemographic questionnaire at the beginning of the study and the Jefferson Empathy Scale at the beginning and the end of the study. Statistical analyses were performed comparing the JSPE-Br scores between the groups and the study phases, and the HEM content analysis was performed. Results: The global empathy score was high in all phases of the study and did not differ between the groups. The content analysis revealed that the HEM encouraged students to reflect on the patients’ conditions, based on the mainstays of empathy, and considering the reading of their narratives. The reflections ranged from the biomedical aspects to complex socio-affective perspectives. Conclusion: HEM stimulated the students’ empathic reflection in a non-care setting and was able to identify the scope of the reflections, allowing the different perspectives to be discussed.
DOI: 10.6084/m9.figshare.19922708.v1
title: The Health Empathy Map as an instrument of reflection in a non-care teaching scenario

description: Abstract: Introduction: The development of empathy during graduation aims at forming graduates who are more prepared to build a good relationship with their patients. The health empathy map (HEM) is an adapted tool with the purpose of developing empathy in students and future doctors using self-reflection. Objectives: To evaluate the effect of using the HEM, in the tutorial group scenario, on the empathy score measured by the Jefferson scale and in the assessment of the students’ empathic relationship with their patients. Method: This was a quasi-experimental study that used a mixed-method approach, in the explanatory plan modality carried out with 56 students from the 5th semester of the undergraduate medical course at José do Rosário Vellano University, UNIFENAS-BH. The students were divided into two groups: G1: students who used the HEM in the tutorial group (TG) strategy and G2: students who did not use HEM in the TG. All students completed a sociodemographic questionnaire at the beginning of the study and the Jefferson Empathy Scale at the beginning and the end of the study. Statistical analyses were performed comparing the JSPE-Br scores between the groups and the study phases, and the HEM content analysis was performed. Results: The global empathy score was high in all phases of the study and did not differ between the groups. The content analysis revealed that the HEM encouraged students to reflect on the patients’ conditions, based on the mainstays of empathy, and considering the reading of their narratives. The reflections ranged from the biomedical aspects to complex socio-affective perspectives. Conclusion: HEM stimulated the students’ empathic reflection in a non-care setting and was able to identify the scope of the reflections, allowing the different perspectives to be discussed.
DOI: 10.6084/m9.figshare.19922723
title: ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY

description: ABSTRACT Objective: To evaluate sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of preoperative joint aspiration (PJA) and periarticular tissue percutaneous biopsy (PTPB), as well as their combination, in the diagnosis of infection after total hip arthroplasty. Methods: This cross-sectional study (Level of Evidence II) was conducted with prospective data on 29 patients submitted to PJA with PTPB at the National Institute of Orthopedics and Traumatology from September 2015 to January 2016. Specimens obtained during the procedures underwent microbiological analyses, and the results were compared with those obtained in subsequent revision arthroplasty surgeries. Results: PJA, PTPB, and their combination reached values of 78%, 73%, 89% for sensitivity, respectively; 72%, 90%, 94% for specificity; and 76%, 80%, 90% for accuracy. Conclusions: PJA combined with PTPB was sensitive, specific, and effective in diagnosing periprosthetic hip infection. Level of Evidence II, Prospective Cross-Sectional Study
DOI: 10.6084/m9.figshare.19922723.v1
title: ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY

description: ABSTRACT Objective: To evaluate sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of preoperative joint aspiration (PJA) and periarticular tissue percutaneous biopsy (PTPB), as well as their combination, in the diagnosis of infection after total hip arthroplasty. Methods: This cross-sectional study (Level of Evidence II) was conducted with prospective data on 29 patients submitted to PJA with PTPB at the National Institute of Orthopedics and Traumatology from September 2015 to January 2016. Specimens obtained during the procedures underwent microbiological analyses, and the results were compared with those obtained in subsequent revision arthroplasty surgeries. Results: PJA, PTPB, and their combination reached values of 78%, 73%, 89% for sensitivity, respectively; 72%, 90%, 94% for specificity; and 76%, 80%, 90% for accuracy. Conclusions: PJA combined with PTPB was sensitive, specific, and effective in diagnosing periprosthetic hip infection. Level of Evidence II, Prospective Cross-Sectional Study
DOI: 10.6084/m9.figshare.19922732
title: Psychometric assessment of the Instructional Materials Motivation Survey (IMMS) instrument in a remote learning environment

description: Abstract: Introduction: Motivation contributes greatly to learning, being a predictor of student performance. Thus, instruments that assess motivation after exposure to different teaching strategies and materials can contribute to the analysis and decision on its effectiveness. In this sense, the Instructional Materials Motivation Survey (IMMS) instrument measures students’ motivation after instructional activities. Objective: This study aimed to evaluate the evidence of validity of the IMMS, previously translated and cross-culturally adapted to Brazilian Portuguese. Method: Cross-sectional study used to evaluate the psychometric properties of the IMMS questionnaire, applied to 211 students from the first, third and fourth semesters of the medical course at José do Rosário Vellano University (Unifenas - Campus Belo Horizonte). The principal component analysis (PCA) with Varimax rotation and Cronbach’s alpha coefficient were used to assess the validity and reliability of the instrument. Results: The PCA reduced the instrument’s items from 36 to 25 items, distributed in four dimensions. The saturation of the items in the dimensions ranged from 0.529 to 0.790 and the total explained variance was 63.12%. The reliability of the modified IMMS (IMMS-BRV), measured by Cronbach’s alpha, ranged from 0.76 (Attention dimension) to 0.93 (Interest dimension). Conclusion: The IMMS application in the remote education scenario, through asynchronous video lectures of human anatomy, resulted in an alternative instrument (IMMS-BRV), with fewer items (more parsimonious) and good internal consistency, demonstrating preliminary evidence of its validity and reliability adequacy.
DOI: 10.6084/m9.figshare.19922732.v1
title: Psychometric assessment of the Instructional Materials Motivation Survey (IMMS) instrument in a remote learning environment

description: Abstract: Introduction: Motivation contributes greatly to learning, being a predictor of student performance. Thus, instruments that assess motivation after exposure to different teaching strategies and materials can contribute to the analysis and decision on its effectiveness. In this sense, the Instructional Materials Motivation Survey (IMMS) instrument measures students’ motivation after instructional activities. Objective: This study aimed to evaluate the evidence of validity of the IMMS, previously translated and cross-culturally adapted to Brazilian Portuguese. Method: Cross-sectional study used to evaluate the psychometric properties of the IMMS questionnaire, applied to 211 students from the first, third and fourth semesters of the medical course at José do Rosário Vellano University (Unifenas - Campus Belo Horizonte). The principal component analysis (PCA) with Varimax rotation and Cronbach’s alpha coefficient were used to assess the validity and reliability of the instrument. Results: The PCA reduced the instrument’s items from 36 to 25 items, distributed in four dimensions. The saturation of the items in the dimensions ranged from 0.529 to 0.790 and the total explained variance was 63.12%. The reliability of the modified IMMS (IMMS-BRV), measured by Cronbach’s alpha, ranged from 0.76 (Attention dimension) to 0.93 (Interest dimension). Conclusion: The IMMS application in the remote education scenario, through asynchronous video lectures of human anatomy, resulted in an alternative instrument (IMMS-BRV), with fewer items (more parsimonious) and good internal consistency, demonstrating preliminary evidence of its validity and reliability adequacy.
DOI: 10.6084/m9.figshare.19922750.v1
title: Efficiency and profitability of development finance agencies

description: Abstract Development Finance Agencies (DFAs) carry out public investments and development policies. In Brazil, their main objective is to promote welfare, contribute to the states’ social and economic development, guarantee sustainability, and reduce regional and social inequalities. This descriptive research adopted a quantitative approach and aimed to analyze the efficiency and profitability levels of DFAs in Brazilian states. Standard indicators were used to analyze these agencies’ efficiency and profitability and median tests were conducted to verify whether the size of the agency influences the performance of the observed indicators. The sample consisted of 14 DFAs, in the period from 2012 to 2018. The results showed that larger DFAs tend to show an excellent efficiency level, while agencies with less infrastructure demonstrated regular and unsatisfactory efficiency. Also, DFAs with more significant total assets were more likely to present regular or unsatisfactory profitability. Finally, efficiency ratio (ER) and average return on credit operations (RCO) were identified as adequate indicators to analyze the DFAs’ performance.
DOI: 10.6084/m9.figshare.19922750
title: Efficiency and profitability of development finance agencies

description: Abstract Development Finance Agencies (DFAs) carry out public investments and development policies. In Brazil, their main objective is to promote welfare, contribute to the states’ social and economic development, guarantee sustainability, and reduce regional and social inequalities. This descriptive research adopted a quantitative approach and aimed to analyze the efficiency and profitability levels of DFAs in Brazilian states. Standard indicators were used to analyze these agencies’ efficiency and profitability and median tests were conducted to verify whether the size of the agency influences the performance of the observed indicators. The sample consisted of 14 DFAs, in the period from 2012 to 2018. The results showed that larger DFAs tend to show an excellent efficiency level, while agencies with less infrastructure demonstrated regular and unsatisfactory efficiency. Also, DFAs with more significant total assets were more likely to present regular or unsatisfactory profitability. Finally, efficiency ratio (ER) and average return on credit operations (RCO) were identified as adequate indicators to analyze the DFAs’ performance.
DOI: 10.6084/m9.figshare.19922762.v1
title: Adequacy of prenatal dental care: social and geographical inequalities in a metropolitan region of Brazil

description: Abstract This study set out to analyze social and geographical inequalities in the adequacy of prenatal dental care in the Unified Health System (SUS) of the Greater Vitória Metropolitan Region, Espírito Santo, Brazil. A cross-sectional study was carried out with 1209 postpartum women living in the region admitted to hospital at SUS facilities for childbirth between 2010 and 2011. Data were collected on prenatal medical-dental care, the impact of oral health on the quality of life of pregnant women (Oral Health Impact Profile-14), and predisposing characteristics. Prenatal care was adequate when care corresponded to the recommended treatment. The adequacy of dental care during prenatal care was analyzed using a multivariate logistic model. Oral health was found to have an impact on the quality of life of 102 (8.4%) pregnant women and the adequacy of dental care during prenatal care was only 15.4% (n=156). There was a greater chance of adequacy of prenatal dental care in Vitória (OR=2.44; IC=1.63-3.66), in regions covered by the family health strategy (OR=1.88; IC=1.22-2.89), and in areas with a higher proportion of pregnant women with access to quality prenatal care (OR=3.59; IC=1.64-7.84). Contextual inequalities were decisive for the inadequacy of dental care in prenatal care.
DOI: 10.6084/m9.figshare.19922762
title: Adequacy of prenatal dental care: social and geographical inequalities in a metropolitan region of Brazil

description: Abstract This study set out to analyze social and geographical inequalities in the adequacy of prenatal dental care in the Unified Health System (SUS) of the Greater Vitória Metropolitan Region, Espírito Santo, Brazil. A cross-sectional study was carried out with 1209 postpartum women living in the region admitted to hospital at SUS facilities for childbirth between 2010 and 2011. Data were collected on prenatal medical-dental care, the impact of oral health on the quality of life of pregnant women (Oral Health Impact Profile-14), and predisposing characteristics. Prenatal care was adequate when care corresponded to the recommended treatment. The adequacy of dental care during prenatal care was analyzed using a multivariate logistic model. Oral health was found to have an impact on the quality of life of 102 (8.4%) pregnant women and the adequacy of dental care during prenatal care was only 15.4% (n=156). There was a greater chance of adequacy of prenatal dental care in Vitória (OR=2.44; IC=1.63-3.66), in regions covered by the family health strategy (OR=1.88; IC=1.22-2.89), and in areas with a higher proportion of pregnant women with access to quality prenatal care (OR=3.59; IC=1.64-7.84). Contextual inequalities were decisive for the inadequacy of dental care in prenatal care.
DOI: 10.6084/m9.figshare.19922771
title: Prevalence and co-occurrence of Adverse Childhood Experiences: a school-based survey in Rio de Janeiro

description: Abstract This study aimed to estimate the prevalence of categories of adverse childhood experiences (ACE) among high school students in Rio de Janeiro, investigate the ACE co-occurrence profile, and examine the distribution of exposure to ACE according to individual, family, socioeconomic, and school characteristics. A cross-sectional study was conducted with 681 individuals selected using a complex random sampling design. Exposure to ACE categories was identified using a cross-culturally adapted version of the Childhood Trauma Questionnaire (CTQ) and direct questions. We calculated prevalence and correlation between ACE pairs and determined the co-occurrence profile of childhood adversities. The findings reveal that the most common adversities were emotional abuse and neglect and biparental family dissolution. Seventy percent of the sample reported having been exposed to at least one ACE and 9% had been exposed to four or more. Around 20% of respondents reported exposure to abuse and neglect and 9% to the co-occurrence of abuse, neglect, and absence of at least one parent during childhood. The most vulnerable subgroups were girls and respondents who were born to teenage mothers, not living with both parents, studying at public schools, and from low-income families. The high prevalence and co-occurrence profile of ACE reveals the need for wide-ranging intersectoral policies designed to prevent adverse childhood experiences and provide victim support.
DOI: 10.6084/m9.figshare.19922771.v1
title: Prevalence and co-occurrence of Adverse Childhood Experiences: a school-based survey in Rio de Janeiro

description: Abstract This study aimed to estimate the prevalence of categories of adverse childhood experiences (ACE) among high school students in Rio de Janeiro, investigate the ACE co-occurrence profile, and examine the distribution of exposure to ACE according to individual, family, socioeconomic, and school characteristics. A cross-sectional study was conducted with 681 individuals selected using a complex random sampling design. Exposure to ACE categories was identified using a cross-culturally adapted version of the Childhood Trauma Questionnaire (CTQ) and direct questions. We calculated prevalence and correlation between ACE pairs and determined the co-occurrence profile of childhood adversities. The findings reveal that the most common adversities were emotional abuse and neglect and biparental family dissolution. Seventy percent of the sample reported having been exposed to at least one ACE and 9% had been exposed to four or more. Around 20% of respondents reported exposure to abuse and neglect and 9% to the co-occurrence of abuse, neglect, and absence of at least one parent during childhood. The most vulnerable subgroups were girls and respondents who were born to teenage mothers, not living with both parents, studying at public schools, and from low-income families. The high prevalence and co-occurrence profile of ACE reveals the need for wide-ranging intersectoral policies designed to prevent adverse childhood experiences and provide victim support.
DOI: 10.6084/m9.figshare.19922751.v1
title: The effect of policies for filling school principal positions on school management in Brazil

description: Abstract Leadership by a school principal is one of the key factors for ensuring an educational environment conducive to the teaching-learning process. Nevertheless, only a handful of studies have analyzed the determinants of principals’ performance. This study evaluated the potential effect of principal selection policies on teacher perceptions of principal leadership and school climate. The factors were created based on responses to the National Basic Education Assessment System (Sistema Nacional de Avaliação da Educação Básica - Saeb) contextual questionnaires applied in 2013 and 2015. The legislation for filling school principal positions in the 26 states and the Federal District was also analyzed. The results showed a statistically significant difference between the group of schools that carried out “civil service examination only” and “selection process and election” compared to the group that adopted the “appointment only” modality. However, the high variation observed in the climate and leadership coefficients between the federative entities reveals that the local context affects teacher perceptions of these variables. This demonstrates that in addition to the selection process, it is important to consider each locality’s characteristics to select professionals with competencies and skills appropriate to the position’s challenges, which may contribute to better educational outcomes for students.
DOI: 10.6084/m9.figshare.19922751
title: The effect of policies for filling school principal positions on school management in Brazil

description: Abstract Leadership by a school principal is one of the key factors for ensuring an educational environment conducive to the teaching-learning process. Nevertheless, only a handful of studies have analyzed the determinants of principals’ performance. This study evaluated the potential effect of principal selection policies on teacher perceptions of principal leadership and school climate. The factors were created based on responses to the National Basic Education Assessment System (Sistema Nacional de Avaliação da Educação Básica - Saeb) contextual questionnaires applied in 2013 and 2015. The legislation for filling school principal positions in the 26 states and the Federal District was also analyzed. The results showed a statistically significant difference between the group of schools that carried out “civil service examination only” and “selection process and election” compared to the group that adopted the “appointment only” modality. However, the high variation observed in the climate and leadership coefficients between the federative entities reveals that the local context affects teacher perceptions of these variables. This demonstrates that in addition to the selection process, it is important to consider each locality’s characteristics to select professionals with competencies and skills appropriate to the position’s challenges, which may contribute to better educational outcomes for students.