cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.5718787
title: Governance arrangements for specialized assistance in health regions in Brazil

description: Abstract Objectives: to analyze the regional governance arrangements of specialized assistance in the Public Health System (SUS). Methods: Case studies were carried out which included seven health regions in the Brazilian territory, involving the secondary data systematization and 128 interviews with SUS leaders (2015 to 2016). The analysis was done in a comparative perspective, considering: public and private participation; assistance concentration; power relations and regional conflicts. Results: the public provision service and expenditure were high in the Medium Complexity and in the private, High Complexity. The main responsibility for the public provision service was in the cities so, that the specialized assistance was strongly concentrated in the pole cities. The level of influence from the providers in health decisions was high, and the offer considered to be insufficient and inadequate in relation to services and medical professionals. Conflicts were evident in the intergovernmental and public-private relations. Conclusions: the diversity of agents and arrangements - multilevel, hybrid and polarized - characterizes governance regionalization in SUS, which is conditioned by the scarcity and the inequality context in the distribution of services.
DOI: 10.6084/m9.figshare.5718787.v1
title: Governance arrangements for specialized assistance in health regions in Brazil

description: Abstract Objectives: to analyze the regional governance arrangements of specialized assistance in the Public Health System (SUS). Methods: Case studies were carried out which included seven health regions in the Brazilian territory, involving the secondary data systematization and 128 interviews with SUS leaders (2015 to 2016). The analysis was done in a comparative perspective, considering: public and private participation; assistance concentration; power relations and regional conflicts. Results: the public provision service and expenditure were high in the Medium Complexity and in the private, High Complexity. The main responsibility for the public provision service was in the cities so, that the specialized assistance was strongly concentrated in the pole cities. The level of influence from the providers in health decisions was high, and the offer considered to be insufficient and inadequate in relation to services and medical professionals. Conflicts were evident in the intergovernmental and public-private relations. Conclusions: the diversity of agents and arrangements - multilevel, hybrid and polarized - characterizes governance regionalization in SUS, which is conditioned by the scarcity and the inequality context in the distribution of services.
DOI: 10.6084/m9.figshare.5718772
title: Flora of Espírito Santo: Phyllanthus (Phyllanthaceae)

description: Abstract Phyllanthus, with 1,270 species, is pantropical, but also occurs in temperate regions of the world. Around 100 species are recorded to Brazil and they can be found in forests, cerrados, grasslands and caatingas. This work aims to study perform a taxonomic survey the species of Phyllanthus from Espírito Santo state. Protologues, type collections, descriptions, illustrations, identification key, geographic distribution, phenology information, and taxonomic comments are provided.
DOI: 10.6084/m9.figshare.5718772.v1
title: Flora of Espírito Santo: Phyllanthus (Phyllanthaceae)

description: Abstract Phyllanthus, with 1,270 species, is pantropical, but also occurs in temperate regions of the world. Around 100 species are recorded to Brazil and they can be found in forests, cerrados, grasslands and caatingas. This work aims to study perform a taxonomic survey the species of Phyllanthus from Espírito Santo state. Protologues, type collections, descriptions, illustrations, identification key, geographic distribution, phenology information, and taxonomic comments are provided.
DOI: 10.6084/m9.figshare.5718769
title: Accuracy of linear measurements performed with two imaging software in cone-beam computed tomography scans of dry human mandibles

description: ABSTRACT The present study aimed to assess the accuracy of linear measurements performed with two software packages in multislice (MSCT) and cone beam (CBCT) computed tomography (CT) images. The sample consisted of 10 human mandibles marked standardly 8 times with metallic orthodontic wires. The mandibles underwent both MSCT and CBCT scanning and were measured linearly and digitally with two software packages, namely Studio 3.1® (Anne Solutions®, SP, Brazil) (ST) and Implant Viewer 2.817® (Anne Solutions®, SP, Brazil) (IV). The linear measurements were the mandibular height (MH) and width (MW), and the distance from the alveolar ridge to the mandibular canal (AC). To validate the measurements, the mandibles were sectioned in the marked regions and measured with a digital caliper. Statistically significant differences were not observed between the measurements (MH, MW, and AC) taken digitally with the two software packages from images obtained from the two scanning modalities (MSCT and CBCT) and the measurements taken manually with a digital caliper (p&gt;0.05). MSCT and CBCT images measured digitally with ST and IV software packages resulted in reliable outcomes when compared to measurements obtained manually. Both software and imaging modalities are reliably useful for planning surgical procedure in the dental practice.
DOI: 10.6084/m9.figshare.5718763
title: Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy

description: ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.
DOI: 10.6084/m9.figshare.5718763.v1
title: Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy

description: ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.
DOI: 10.6084/m9.figshare.5718760
title: Paleoenvironmental evolution of the coastal plain of Southern Brazil: palynological data from a Holocene core in Santa Catarina State

description: ABSTRACT This paper presents a paleoenvironmental reconstruction from palynological analyses of a sedimentary core of Holocene age, drilled at municipality of Garopaba (Santa Catarina), Southern Brazil. A total of 46 samples was collected for palynological analyses in the 450 cm-long core PCSC-3, as also three samples for radiocarbon dating and granulometric analyses. The palynological content includes 84 taxa related to pollen grains of angiosperms (38) and gimnosperm (3), spores of pteridophyta (16) and bryophyta (2), spores of fungi (8), algae (3), acritarchs (3), dinoflagellate cysts (2) and microforaminiferal linings (1). Three specimens of acritarchs are described and illustrated in detail. Three palynological phases were defined based on changes in assemblages: Phase I, Phase II and Phase III. The Phase I is characterized as a lagoonal paleoenvironment with marine influence from the beginning of the sedimentation (5390 cal yr BP), based on occurrences of acritarchs, dinoflagellate cysts and microforaminiferal linings. The Phase II (3032 yr BP until 858 cal yr BP) also is characterized by a lagoonal paleoenvironment, however, presented decrease in percentage of marine elements and increase in freshwater algae record, suggesting less marine influence in the lagoonal body. In Phase III (last 856 years), underwater sedimentation prevailed, under swamp-like conditions.
DOI: 10.6084/m9.figshare.5718757
title: Description of the math teacher change from their own perspective through the experience of open-ended problem-solving

description: Abstract The following paper reports the results of a descriptive exploratory research about the teacher's change from their own perspective through the implementation of open-ended problem-solving. We considered teacher change as an internal and external process, which involves the system of beliefs and attitudes and changes at the cognitive level. Therefore, and by using interviews with vignettes and simulated recall as methodological tools, we worked on identifying elements that favor the change on the belief system around a problem in a group of eleven primary teachers, who participated in a project to implement open-ended problem-solving over three years. We have observed that teachers identify and declare changes in how they work in the classroom, in themselves, and in their students.
DOI: 10.6084/m9.figshare.5718757.v1
title: Description of the math teacher change from their own perspective through the experience of open-ended problem-solving

description: Abstract The following paper reports the results of a descriptive exploratory research about the teacher's change from their own perspective through the implementation of open-ended problem-solving. We considered teacher change as an internal and external process, which involves the system of beliefs and attitudes and changes at the cognitive level. Therefore, and by using interviews with vignettes and simulated recall as methodological tools, we worked on identifying elements that favor the change on the belief system around a problem in a group of eleven primary teachers, who participated in a project to implement open-ended problem-solving over three years. We have observed that teachers identify and declare changes in how they work in the classroom, in themselves, and in their students.
DOI: 10.6084/m9.figshare.5718754
title: The implantation of the Surveillance System for Non-communicable Diseases in Brazil, 2003 to 2015: successes and challenges

description: ABSTRACT: Objective: To describe the implantation of the Surveillance System for Noncommunicable Diseases (NCDs) in the Unified Health System (Sistema Único de Saúde) and the challenges in maintaining it. Methods: A literature review was carried out the information contained in federal government directives between 2003 and 2015 was consulted. Results: A comprehensive risk and protection factor surveillance system was implemented. It is capable of producing information and providing evidence to monitor changes in the health behavior of the population. Among the advances cited are the organization of epidemiological surveys, such as the Surveillance System for Risk Factors and Protection for NCD (Sistema de Vigilância de Fatores de Risco e Proteção para DCNT - Vigitel), the National School Health Survey (Pesquisa Nacional de Saúde do Escolar - PeNSE), and the National Health Survey (Pesquisa Nacional de Saude) from 2013, which enabled the most extensive health diagnosis of the Brazilian population. In 2011, the NCD National Plan 2011-2022 established targets for reducing risk factors and NCD mortality. Conclusion: The information gathered from the NCD surveillance system can support the implementation of sectoral and intersectorial strategies, which will result in the implementation of the Brazilian Strategic Action Plan for the prevention and control of NCDs, as well as the monitoring and evaluation of their results periodically. Finally, it can be a very important tool to help Brazil achieve the goals proposed by the 2030 Agenda for Sustainable Development and the Global Plan to Tackling NCDs.
DOI: 10.6084/m9.figshare.5718754.v1
title: The implantation of the Surveillance System for Non-communicable Diseases in Brazil, 2003 to 2015: successes and challenges

description: ABSTRACT: Objective: To describe the implantation of the Surveillance System for Noncommunicable Diseases (NCDs) in the Unified Health System (Sistema Único de Saúde) and the challenges in maintaining it. Methods: A literature review was carried out the information contained in federal government directives between 2003 and 2015 was consulted. Results: A comprehensive risk and protection factor surveillance system was implemented. It is capable of producing information and providing evidence to monitor changes in the health behavior of the population. Among the advances cited are the organization of epidemiological surveys, such as the Surveillance System for Risk Factors and Protection for NCD (Sistema de Vigilância de Fatores de Risco e Proteção para DCNT - Vigitel), the National School Health Survey (Pesquisa Nacional de Saúde do Escolar - PeNSE), and the National Health Survey (Pesquisa Nacional de Saude) from 2013, which enabled the most extensive health diagnosis of the Brazilian population. In 2011, the NCD National Plan 2011-2022 established targets for reducing risk factors and NCD mortality. Conclusion: The information gathered from the NCD surveillance system can support the implementation of sectoral and intersectorial strategies, which will result in the implementation of the Brazilian Strategic Action Plan for the prevention and control of NCDs, as well as the monitoring and evaluation of their results periodically. Finally, it can be a very important tool to help Brazil achieve the goals proposed by the 2030 Agenda for Sustainable Development and the Global Plan to Tackling NCDs.
DOI: 10.6084/m9.figshare.5718745
title: Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis

description: Abstract: This study aimed to systematically review the literature to address the question regarding the influence of different materials in the clinical and radiographic success of indirect pulp treatment in primary teeth. A literature search was carried out for articles published prior to January 2017 in PubMed/MEDLINE, CENTRAL, Scopus, TRIP and ClinicalTrials databases; relevant articles included randomized clinical trials that compared materials used for indirect pulp treatment in primary teeth. Two reviewers independently selected the studies and extracted the data. The effects of each material on the outcome (clinical and radiographic failures) were analyzed using a mixed treatment comparisons meta-analysis. The ranking of treatments according to their probability of being the best choice was also calculated. From 1,088 potentially eligible studies, 11 were selected for full-text analysis, and 4 were included in the meta-analysis. In all papers, calcium hydroxide liner was used as the control group versus an adhesive system, resin-modified glass ionomer cement or placebo. The follow-up period ranged from 24 to 48 months, with dropout rates of 0-25.7%. The material type did not significantly affect the risk of failure of the indirect pulp treatment. However, calcium hydroxide presented a higher probability of failure. In conclusion, there is no scientific evidence showing the superiority of any material used for indirect pulp treatment in primary teeth.
DOI: 10.6084/m9.figshare.5718745.v1
title: Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis

description: Abstract: This study aimed to systematically review the literature to address the question regarding the influence of different materials in the clinical and radiographic success of indirect pulp treatment in primary teeth. A literature search was carried out for articles published prior to January 2017 in PubMed/MEDLINE, CENTRAL, Scopus, TRIP and ClinicalTrials databases; relevant articles included randomized clinical trials that compared materials used for indirect pulp treatment in primary teeth. Two reviewers independently selected the studies and extracted the data. The effects of each material on the outcome (clinical and radiographic failures) were analyzed using a mixed treatment comparisons meta-analysis. The ranking of treatments according to their probability of being the best choice was also calculated. From 1,088 potentially eligible studies, 11 were selected for full-text analysis, and 4 were included in the meta-analysis. In all papers, calcium hydroxide liner was used as the control group versus an adhesive system, resin-modified glass ionomer cement or placebo. The follow-up period ranged from 24 to 48 months, with dropout rates of 0-25.7%. The material type did not significantly affect the risk of failure of the indirect pulp treatment. However, calcium hydroxide presented a higher probability of failure. In conclusion, there is no scientific evidence showing the superiority of any material used for indirect pulp treatment in primary teeth.
DOI: 10.6084/m9.figshare.5718733
title: The muiraquitã of the Boca do Rio pile dwelling, Santa Helena, State of Maranhão: archaeological and mineralogical analysis

description: Abstract The muiraquitã is a rare and characteristic archaeological artifact of the Lower Amazon and Circum-Caribbean precolonial societies. It used to be made of various types of minerals, of which the best known are green stones, especially nephrite. Although its function is still unknown, ethnographic and archaeological literature suggests that these objects represented symbols of power, given the wide circulation network in which these artifacts were inserted. This article describes a muiraquitã found in the dwelling at Boca do Rio. The methods used in this analysis were MicroRaman together with BWTEK GemExpert and X-ray diffraction (XRD), which showed that the artifact was made of tremolite/actinolite, a mineral lacking in Maranhão. A possible operational sequence in the manufacture of the muiraquitã is proposed, as well as the possible regional networks to which it belonged.
DOI: 10.6084/m9.figshare.5718733.v1
title: The muiraquitã of the Boca do Rio pile dwelling, Santa Helena, State of Maranhão: archaeological and mineralogical analysis

description: Abstract The muiraquitã is a rare and characteristic archaeological artifact of the Lower Amazon and Circum-Caribbean precolonial societies. It used to be made of various types of minerals, of which the best known are green stones, especially nephrite. Although its function is still unknown, ethnographic and archaeological literature suggests that these objects represented symbols of power, given the wide circulation network in which these artifacts were inserted. This article describes a muiraquitã found in the dwelling at Boca do Rio. The methods used in this analysis were MicroRaman together with BWTEK GemExpert and X-ray diffraction (XRD), which showed that the artifact was made of tremolite/actinolite, a mineral lacking in Maranhão. A possible operational sequence in the manufacture of the muiraquitã is proposed, as well as the possible regional networks to which it belonged.
DOI: 10.6084/m9.figshare.5718730
title: Therapeutic effect and potential mechanism of pioglitazone in rats with severe acute pancreatitis

description: Caspase recruitment domain-containing protein 9 (Card9) is located upstream of the nuclear factor kappa B (NF-κB) and p38 mitogen-activated protein kinase (MAPK) inflammatory pathways. This study investigated the therapeutic effect and potential mechanism of pioglitazone in rats with severe acute pancreatitis (SAP). SAP was induced by a retrograde infusion of 5.0% sodium taurocholate into the biliopancreatic duct of Sprague Dawley rats (n=54), which were then treated with pioglitazone. Blood and pancreatic tissues were harvested at 3, 6, and 12 h after SAP induction. Pancreatic pathological damage was evaluated by hematoxylin and eosin staining. Serum amylase, serum pro-inflammatory cytokines, and pancreatic myeloperoxidase (MPO) activities were determined by enzyme-linked immunosorbent assay. The expression of Card9 mRNA and protein in pancreatic tissues was detected by real-time polymerase chain reaction and western blotting. Pioglitazone had a therapeutic effect in treating rats with SAP by decreasing the level of amylase activity, ameliorating pancreatic histological damage, decreasing serum pro-inflammatory cytokine levels and tissue MPO activity, and downregulating the expression of NF-κB, p38MAPK, and Card9 mRNAs and proteins (P&lt;0.05). The present study demonstrated that the inhibition of Card9 expression could reduce the severity of SAP. Card9 has a role in the pathogenic mechanism of SAP.