cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14281907.v1
title: Acute Kidney Injury after Heart Valve Surgery in Elderly Patients: any Risk Factors to Modify?

description: Abstract Introduction: Postoperative acute kidney injury contributes to longer hospital stays and increased costs related to cardiac surgery in the elderly. We analyse the influence of the patient’s age on risk factors for acute kidney injury after cardiac valve surgery. Methods: We evaluated the prevalence and risk factors for acute kidney injury in 939 consecutive patients undergoing valve surgery, between 2013 and 2018. Results: The prevalence of acute kidney injury was 19.5%. Hypertension (P=0.017); RR (95% CI): 1.74 (1.10-3.48), age ≥70 years (P=0.006); RR (95% CI): 1.79 (1.17-2.72), preoperative haematocrit &lt;33% (P=0.009); RR (95% CI): 2.04 (1.19-3.48), glomerular filtration rate &lt;60 ml/min/1.73 m2 (P&lt;0.0001); RR (95%) CI: 2.36 (1.54-3.62) and cardiac catheterization &lt;8 days before surgery (P=0.021); RR (95% CI): 2.15 (1.12-4.11) were identified as independent risk factors. In patients older than 70 years, with no kidney disease diagnosed preoperatively, glomerular filtration rate &lt;70 ml/min/1.73 m2, male gender, cardiopulmonary bypass time, preoperative haematocrit &lt;36% and preoperative therapy with angiotensin-converting enzyme inhibitors were risk factors for acute kidney injury after valve surgery. Conclusions: In elderly patients, postoperative acute kidney injury develops with higher values of preoperative glomerular filtration rate than those observed in a younger population. Preoperative correction of anaemia, discontinuation of angiotensin-converting enzyme inhibitors and surgical techniques reducing cardiopulmonary bypass time would be considered to reduce the prevalence of renal failure.
DOI: 10.6084/m9.figshare.19923866
title: Atrial Septal Aneurysm and Atrial Septal Defect Association - an Uncommon But Well-Recognized Association

description: Abstract Atrial septal aneurysm (ASA) is an uncommon but well-recognized cardiac abnormality. This educational text reviews the case of a 54-year-old female presenting an ASA related to a small ostium secundum atrial septal defect. The considerable signs and symptoms, interestingly, have not been justified by the clinical and hemodynamic investigations. So, we opted for a better imaging investigation with cardiac catheterization and transesophageal echocardiography. The surgical process was earlier indicated and performed with aid of cardiopulmonary bypass.
DOI: 10.6084/m9.figshare.19923866.v1
title: Atrial Septal Aneurysm and Atrial Septal Defect Association - an Uncommon But Well-Recognized Association

description: Abstract Atrial septal aneurysm (ASA) is an uncommon but well-recognized cardiac abnormality. This educational text reviews the case of a 54-year-old female presenting an ASA related to a small ostium secundum atrial septal defect. The considerable signs and symptoms, interestingly, have not been justified by the clinical and hemodynamic investigations. So, we opted for a better imaging investigation with cardiac catheterization and transesophageal echocardiography. The surgical process was earlier indicated and performed with aid of cardiopulmonary bypass.
DOI: 10.5281/zenodo.7659890
title: GraalVM Compiler Benchmark Results Dataset 2016

description: This is the 2016 fragment of the GraalVM Compiler Benchmark Results Dataset. Check the other objects in this collection for documentation and scripting support.
DOI: 10.5281/zenodo.7659889
title: GraalVM Compiler Benchmark Results Dataset 2016

description: This is the 2016 fragment of the GraalVM Compiler Benchmark Results Dataset. Check the other objects in this collection for documentation and scripting support.
DOI: 10.6084/m9.figshare.20551689
title: Management of Iatrogenic Aortic Dissections During Percutaneous Right Coronary Artery Interventions

description: ABSTRACT Iatrogenic acute aortic dissections during percutaneous coronary interventions are an extremely rare but potentially life-threatening complication, occurring in less than 0.02% of transcatheter procedures. We report three patients with different characteristics suffering from iatrogenic aortic dissection during percutaneous coronary intervention successfully treated with an emergency open-heart surgery. A conservative strategy should be pursuit only in small, localized lesions.
DOI: 10.6084/m9.figshare.20551689.v1
title: Management of Iatrogenic Aortic Dissections During Percutaneous Right Coronary Artery Interventions

description: ABSTRACT Iatrogenic acute aortic dissections during percutaneous coronary interventions are an extremely rare but potentially life-threatening complication, occurring in less than 0.02% of transcatheter procedures. We report three patients with different characteristics suffering from iatrogenic aortic dissection during percutaneous coronary intervention successfully treated with an emergency open-heart surgery. A conservative strategy should be pursuit only in small, localized lesions.
DOI: 10.6084/m9.figshare.22132529
title: Hybrid Approach to Complex Stanford Type B Dissection: Unusual Extra-anatomical Bypass (Aorto-Celiac-Mesenteric Bypass) + Thoracic Endovascular Aortic Repair (TEVAR) + Cholecystectomy

description: Abstract Patients with complex Stanford type B aortic dissection are very difficult to treat. Many methods have been proposed so far in the treatment of these patients, and the emergence of hybrid techniques has made the treatment easier. In this article, we shared the extra-anatomical bypass (aorto-celiac-mesenteric bypass) + thoracic endovascular aortic repair + cholecystectomy operation technique applied to a patient with complex type B aortic dissection.
DOI: 10.6084/m9.figshare.22132529.v1
title: Hybrid Approach to Complex Stanford Type B Dissection: Unusual Extra-anatomical Bypass (Aorto-Celiac-Mesenteric Bypass) + Thoracic Endovascular Aortic Repair (TEVAR) + Cholecystectomy

description: Abstract Patients with complex Stanford type B aortic dissection are very difficult to treat. Many methods have been proposed so far in the treatment of these patients, and the emergence of hybrid techniques has made the treatment easier. In this article, we shared the extra-anatomical bypass (aorto-celiac-mesenteric bypass) + thoracic endovascular aortic repair + cholecystectomy operation technique applied to a patient with complex type B aortic dissection.
DOI: 10.6084/m9.figshare.22132530.v1
title: Aberrant right subclavian artery: case report and literature review

description: Abstract The aberrant right subclavian artery, also known as the arteria lusoria, is the most common aortic arch anomaly, occurring in 0.5 to 1% of the population. There is a higher prevalence in women and it is usually associated with other anatomical variations, such as the non-recurrent laryngeal nerve, present in 86.7% of cases. In the majority of cases, the aberrant right subclavian artery causes no symptoms. We describe this anomaly in an 82-year-old, hypertensive, and asymptomatic patient who had undergone a thoracoabdominal angiography to investigate a chronic DeBakey type III aortic dissection with dilation of the descending aorta. The aberrant right subclavian artery followed a retroesophageal course and was associated with a Kommerell diverticulum. In view of its rarity, we conducted an integrative bibliographic review of literature from the last 6 years indexed on the Medline, UpToDate, Lilacs, Scielo, and Portal Capes databases and discuss the most frequent anatomical changes, symptomatology, and therapeutic management adopted.
DOI: 10.6084/m9.figshare.22132530
title: Aberrant right subclavian artery: case report and literature review

description: Abstract The aberrant right subclavian artery, also known as the arteria lusoria, is the most common aortic arch anomaly, occurring in 0.5 to 1% of the population. There is a higher prevalence in women and it is usually associated with other anatomical variations, such as the non-recurrent laryngeal nerve, present in 86.7% of cases. In the majority of cases, the aberrant right subclavian artery causes no symptoms. We describe this anomaly in an 82-year-old, hypertensive, and asymptomatic patient who had undergone a thoracoabdominal angiography to investigate a chronic DeBakey type III aortic dissection with dilation of the descending aorta. The aberrant right subclavian artery followed a retroesophageal course and was associated with a Kommerell diverticulum. In view of its rarity, we conducted an integrative bibliographic review of literature from the last 6 years indexed on the Medline, UpToDate, Lilacs, Scielo, and Portal Capes databases and discuss the most frequent anatomical changes, symptomatology, and therapeutic management adopted.
DOI: 10.6084/m9.figshare.22132535
title: Effect of Bacillus Subtilis on Immune Function of Hd11 Chicken Macrophages

description: ABSTRACT Poultry is frequently contaminated by Salmonella, a pathogen leading to human health concern worldwide. This study aimed to evaluate the effect of Bacillus subtilis (BS)strain 048 (BS048) on the activation, phagocytosis, sterilization, cytokine secretion, and nitrogen oxide synthesis of HD11 chicken macrophages subjected to Salmonella enteritidis challenge, using lipopolysaccharide treatment as a negative control. The results showed: (1) BS048 had no significant effect on extracellular lactate dehydrogenase activity (p&gt;0.05), while lipopolysaccharide treatment significantly increased extracellular lactate dehydrogenase activity (p&lt;0.05);(2)BS048 significantly upregulated the expression levels of pro-inflammatory cytokines (interleukin (IL)-1â and IL-6), anti-inflammatory cytokines(IL-10 and transforming growth factor-â1), and anti-viral cytokine, interferon-â (p&lt;0.01); (3)BS048 significantly upregulated the mRNA expression level of the inducible nitric oxide synthase and its activity as well as extracellular nitrogen oxide level (p&lt;0.01). In conclusion, BS048 could improve anti-inflammatory and immune functions of HD11 chicken macrophages, without cytotoxic effects on these cells.
DOI: 10.6084/m9.figshare.22132535.v1
title: Effect of Bacillus Subtilis on Immune Function of Hd11 Chicken Macrophages

description: ABSTRACT Poultry is frequently contaminated by Salmonella, a pathogen leading to human health concern worldwide. This study aimed to evaluate the effect of Bacillus subtilis (BS)strain 048 (BS048) on the activation, phagocytosis, sterilization, cytokine secretion, and nitrogen oxide synthesis of HD11 chicken macrophages subjected to Salmonella enteritidis challenge, using lipopolysaccharide treatment as a negative control. The results showed: (1) BS048 had no significant effect on extracellular lactate dehydrogenase activity (p&gt;0.05), while lipopolysaccharide treatment significantly increased extracellular lactate dehydrogenase activity (p&lt;0.05);(2)BS048 significantly upregulated the expression levels of pro-inflammatory cytokines (interleukin (IL)-1â and IL-6), anti-inflammatory cytokines(IL-10 and transforming growth factor-â1), and anti-viral cytokine, interferon-â (p&lt;0.01); (3)BS048 significantly upregulated the mRNA expression level of the inducible nitric oxide synthase and its activity as well as extracellular nitrogen oxide level (p&lt;0.01). In conclusion, BS048 could improve anti-inflammatory and immune functions of HD11 chicken macrophages, without cytotoxic effects on these cells.
DOI: 10.6084/m9.figshare.22132538
title: EVALUATION OF TRMM 3B43V7 SATELLITE PRECIPITATION IN THE PANTANAL OF MATO GROSSO DO SUL IN THE YEARS 1998 TO 2019

description: Abstract Remote sensing can assist in the acquisition of scarce surface data. The analyzes for validation of the precipitation product estimated by the TRMM satellite (Tropical Rainfall Measuring Mission) were carried out with the precipitation data observed on the surface during the period from 1998 to 2019. For this purpose, precipitation data from the Pantanal biome meteorological stations were used, located between the 16 and 22°S parallels and the 55 and 58°W meridians, and compared with the data from the TRMM 3B42 V7 product algorithms. Statistical analysis was performed based on the correlation coefficient, root mean square error (RMSE), and relative bias (BIAS) between the monthly precipitation data observed on the surface and the estimated precipitation data. The results found for product 3B43 V7 indicated that the precipitation estimates were representative when compared to the surface observations. However, when compared for the rainy and dry periods, there was underestimation and overestimation, respectively, of the product. The product 3B42 V7 satisfactorily represents the precipitation that occurs on the surface.
DOI: 10.6084/m9.figshare.22132538.v1
title: EVALUATION OF TRMM 3B43V7 SATELLITE PRECIPITATION IN THE PANTANAL OF MATO GROSSO DO SUL IN THE YEARS 1998 TO 2019

description: Abstract Remote sensing can assist in the acquisition of scarce surface data. The analyzes for validation of the precipitation product estimated by the TRMM satellite (Tropical Rainfall Measuring Mission) were carried out with the precipitation data observed on the surface during the period from 1998 to 2019. For this purpose, precipitation data from the Pantanal biome meteorological stations were used, located between the 16 and 22°S parallels and the 55 and 58°W meridians, and compared with the data from the TRMM 3B42 V7 product algorithms. Statistical analysis was performed based on the correlation coefficient, root mean square error (RMSE), and relative bias (BIAS) between the monthly precipitation data observed on the surface and the estimated precipitation data. The results found for product 3B43 V7 indicated that the precipitation estimates were representative when compared to the surface observations. However, when compared for the rainy and dry periods, there was underestimation and overestimation, respectively, of the product. The product 3B42 V7 satisfactorily represents the precipitation that occurs on the surface.
DOI: 10.6084/m9.figshare.19923907
title: Video-Assisted Thoracoscopy For Penetrating Cardiac Box Injury in Stable Patients

description: Abstract Introduction: In high-volume trauma centers, especially in developing countries, penetrating cardiac box injuries are frequent. Although many aspects of penetrating chest injuries have been well established, video-assisted thoracoscopy is still finding its place in cardiac box trauma and algorithmic approaches are still lacking. The purpose of this manuscript is to provide a streamlined recommendation for penetrating cardiac box injury in stable patients. Methods: Literature review was carried out using PubMed/MEDLINE and Google Scholar databases to identify articles describing the characteristics and concepts of penetrating cardiac box trauma, including the characteristics of tamponade, cardiac ultrasound, indications and techniques of pericardial windows and, especially, the role of video-assisted thoracoscopy in stable patients. Results: Penetrating cardiac box injuries, whether by stab or gunshot wounds, require rapid surgical consultation. Unstable patients require immediate open surgery, however, determining which stable patients should be taken to thoracoscopic surgery is still controversial. Here, the classification of penetrating cardiac box injury used in Colombia is detailed, as well as the algorithmic approach to these types of trauma. Conclusion: Although open surgery is mandatory in unstable patients with penetrating cardiac box injuries, a more conservative and minimally invasive approach may be undertaken in stable patients. As rapid decision-making is critical in the trauma bay, surgeons working in high-volume trauma centers should expose themselves to thoracoscopy and always consider this possibility in the setting of penetrating cardiac box injuries in stable patients, always in the context of an experienced trauma team.
DOI: 10.6084/m9.figshare.19923907.v1
title: Video-Assisted Thoracoscopy For Penetrating Cardiac Box Injury in Stable Patients

description: Abstract Introduction: In high-volume trauma centers, especially in developing countries, penetrating cardiac box injuries are frequent. Although many aspects of penetrating chest injuries have been well established, video-assisted thoracoscopy is still finding its place in cardiac box trauma and algorithmic approaches are still lacking. The purpose of this manuscript is to provide a streamlined recommendation for penetrating cardiac box injury in stable patients. Methods: Literature review was carried out using PubMed/MEDLINE and Google Scholar databases to identify articles describing the characteristics and concepts of penetrating cardiac box trauma, including the characteristics of tamponade, cardiac ultrasound, indications and techniques of pericardial windows and, especially, the role of video-assisted thoracoscopy in stable patients. Results: Penetrating cardiac box injuries, whether by stab or gunshot wounds, require rapid surgical consultation. Unstable patients require immediate open surgery, however, determining which stable patients should be taken to thoracoscopic surgery is still controversial. Here, the classification of penetrating cardiac box injury used in Colombia is detailed, as well as the algorithmic approach to these types of trauma. Conclusion: Although open surgery is mandatory in unstable patients with penetrating cardiac box injuries, a more conservative and minimally invasive approach may be undertaken in stable patients. As rapid decision-making is critical in the trauma bay, surgeons working in high-volume trauma centers should expose themselves to thoracoscopy and always consider this possibility in the setting of penetrating cardiac box injuries in stable patients, always in the context of an experienced trauma team.
DOI: 10.6084/m9.figshare.22132539
title: Ideas circulation and monetary policy in Brazil: The presence of National Monetary Council members in think tanks (1995-2018)

description: ABSTRACT This essay has for object the presence of members of the National Monetary Council (CMN) in think tanks since 1995. The problem of research of the work is if there is a de facto link between the CMN members and think tanks. The essay also has two auxiliary problems: whether CMN members previously linked to their positions and then entered think tanks or whether think tanks function as an entry mechanism for positions; and whether members of the Council with an orthodox ideational profile tend to participate in think tanks more than the rest.
DOI: 10.6084/m9.figshare.22132539.v1
title: Ideas circulation and monetary policy in Brazil: The presence of National Monetary Council members in think tanks (1995-2018)

description: ABSTRACT This essay has for object the presence of members of the National Monetary Council (CMN) in think tanks since 1995. The problem of research of the work is if there is a de facto link between the CMN members and think tanks. The essay also has two auxiliary problems: whether CMN members previously linked to their positions and then entered think tanks or whether think tanks function as an entry mechanism for positions; and whether members of the Council with an orthodox ideational profile tend to participate in think tanks more than the rest.
DOI: 10.6084/m9.figshare.22132541
title: Open Transcatheter Multivalve Replacement in Degenerated Valve Prostheses in High-Risk Patients with Endocarditis

description: Abstract Multivalve redo procedures carry a high surgical risk. We describe an alternative surgical treatment for patients presenting with severely degenerated aortic and mitral valve prostheses who have to undergo open surgery due to endocarditis. Open transcatheter multivalve implantation is a feasible bailout strategy in high-risk patients to save cross-clamp and procedural times to reduce morbidity and mortality.
DOI: 10.6084/m9.figshare.22132541.v1
title: Open Transcatheter Multivalve Replacement in Degenerated Valve Prostheses in High-Risk Patients with Endocarditis

description: Abstract Multivalve redo procedures carry a high surgical risk. We describe an alternative surgical treatment for patients presenting with severely degenerated aortic and mitral valve prostheses who have to undergo open surgery due to endocarditis. Open transcatheter multivalve implantation is a feasible bailout strategy in high-risk patients to save cross-clamp and procedural times to reduce morbidity and mortality.
DOI: 10.6084/m9.figshare.22132542
title: Advance directives: patient autonomy and professional safety

description: Abstract This theoretical study discusses bioethics in the sense of safely promoting and ensuring the patients’ dignity, respectful of their decision making, following regulations and protocols that help fulfill this will and bring safety to the care team. The lack of clear and consensual legal regulations on how to elaborate an advance directive generates uncertainty among healthcare providers, patients and their families. Beyond legal standardization, professionals must also have full knowledge on the topic to correctly guide and inform their patients, thus guaranteeing this right. But ensuring the right to express one’s will is not enough—one must be assured that such whishes will be fulfilled. Further and broader discussions on this topic anchored on the Brazilian reality are needed.
DOI: 10.6084/m9.figshare.22132542.v1
title: Advance directives: patient autonomy and professional safety

description: Abstract This theoretical study discusses bioethics in the sense of safely promoting and ensuring the patients’ dignity, respectful of their decision making, following regulations and protocols that help fulfill this will and bring safety to the care team. The lack of clear and consensual legal regulations on how to elaborate an advance directive generates uncertainty among healthcare providers, patients and their families. Beyond legal standardization, professionals must also have full knowledge on the topic to correctly guide and inform their patients, thus guaranteeing this right. But ensuring the right to express one’s will is not enough—one must be assured that such whishes will be fulfilled. Further and broader discussions on this topic anchored on the Brazilian reality are needed.
DOI: 10.6084/m9.figshare.14281903
title: Spinal Anesthesia Increases the Frequency of Extubation in the Operating Room and Decreases the Time of Mechanical Ventilation after Cardiac Surgery

description: Abstract Introduction: The delayed extubation of patients undergoing mechanical ventilation (MV) in the postoperative period of cardiac surgery (CS) is associated with mortality. The adoption of spinal anesthesia (SA) combined with general anesthesia in CS influences the orotracheal intubation time (OIT). This study aims to verify if the adoption of SA reduces the time of MV after CS, compared to general anesthesia (GA) alone. Methods: Two hundred and seventeen CS patients were divided into two groups. The GA group included 108 patients (age: 56±1 years, 66 males) and the SA group included 109 patients (age: 60±13 years, 55 males). Patients were weaned from MV and, after clinical evaluation, extubated. Results: In the SA group, considering a 13-month period, 24% of the patients were extubated in the operating room (OR), compared to 10% in the GA group (P=0.00). The OIT was lower in the SA group than in the GA group (SA: 4.4±5.9 hours vs. GA: 6.0±5.6 hours, P=0.04). In July/2017, where all surgeries were performed in the GA regimen, only 7.1% of the patients were extubated in the OR. In July/2018, 94% of the surgeries were performed under SA, and 64.7% of the patients were extubated in the OR (P=0.00). The OIT on arrival at the intensive care unit to extubation, comparing July/2017 to July/2018, was 5.3±5.3 hours in the GA group vs. 1.7±3.9 hours in the SA group (P=0.04). Conclusion: The adoption of SA in CS increased the frequency of extubations in the OR and decreased OIT and MV time.