cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.5671309.v1
title: Abnormal Uterine Bleeding

description: Abstract Abnormal uterine bleeding is a frequent condition in Gynecology. It may impact physical, emotional sexual and professional aspects of the lives of women, impairing their quality of life. In cases of acute and severe bleeding, women may need urgent treatment with volumetric replacement and prescription of hemostatic substances. In some specific cases with more intense and prolonged bleeding, surgical treatment may be necessary. The objective of this chapter is to describe the main evidence on the treatment of women with abnormaluterinebleeding, both acuteand chronic.Didactically,thetreatmentoptions were based on the current International Federation of Gynecology and Obstetrics (FIGO) classification system (PALM-COEIN). The etiologies of PALM-COEIN are: uterine Polyp (P), Adenomyosis (A), Leiomyoma (L), precursor and Malignant lesions of the uterine body (M), Coagulopathies (C), Ovulatory dysfunction (O), Endometrial dysfunction (E), Iatrogenic (I), and Not yet classified (N). The articles were selected according to the recommendation grades of the PubMed, Cochrane and Embase databases, and those in which the main objective was the reduction of uterine menstrual bleeding were included. Only studies written in English were included. All editorial or complete papers that were not consistent with abnormal uterine bleeding, or studies in animal models, were excluded. The main objective of the treatment is the reduction of menstrual flow and morbidity and the improvement of quality of life. It is important to emphasize that the treatment in the acute phase aims to hemodynamically stabilize the patient and stop excessive bleeding, while the treatment in the chronic phase is based on correcting menstrual dysfunction according to its etiology and clinical manifestations. The treatment may be surgical or pharmacological, and thelatterisbasedmainlyonhormonaltherapy,anti-inflammatorydrugsandantifibrinolytics.
DOI: 10.6084/m9.figshare.5671306
title: Implantation of Distance Learning as Strategy in Medical Internship: Challenges and Perspectives

description: ABSTRACT The theoretical and practical experience of medical school can be approached using virtual environment learning strategies. In this respect, flexible time and space would appear advantageous for the establishment of the teaching-learning process in the period where there is a predominance of practical activities. The virtual environment can represent a space for sharing experiences and discussions with students in different practical scenarios. This case study aims at evaluating how medical interns perceived learning in two different scenarios using the Moodle virtual environment. The first intervention consisted of discussing clinical cases of patients with infectious and parasitic diseases who had been treated or assessed in primary or secondary health care by other interns. The second intervention involved completing the reflective portfolio, with teacher feedback regarding the activities performed by the interns during their public health internship. In both cases prior expectations, subsequent satisfaction and self-perceived learning were systematically analyzed. As a result, the responses of 36 students were evaluated in the first intervention, and of 30 students in the second, accounting for more than 97% of the students invited. Most of them considered the Moodle environment suitable and reported knowledge/skill gain in both interventions. The main gains pointed to were improved skills for clinical reasoning and reflection on clinical practice in primary care. In the discussion of clinical cases, student involvement increased significantly once they were awarded marks for qualified participation in the activity. In the reflective portfolio, teacher feedback was considered an important motivating factor for the students. However, 51% of their posts received no teacher feedback. In conclusion, the virtual environment was considered useful for student learning during internship, but there remains a need to develop the tutors’ role in this process.
DOI: 10.6084/m9.figshare.5671306.v1
title: Implantation of Distance Learning as Strategy in Medical Internship: Challenges and Perspectives

description: ABSTRACT The theoretical and practical experience of medical school can be approached using virtual environment learning strategies. In this respect, flexible time and space would appear advantageous for the establishment of the teaching-learning process in the period where there is a predominance of practical activities. The virtual environment can represent a space for sharing experiences and discussions with students in different practical scenarios. This case study aims at evaluating how medical interns perceived learning in two different scenarios using the Moodle virtual environment. The first intervention consisted of discussing clinical cases of patients with infectious and parasitic diseases who had been treated or assessed in primary or secondary health care by other interns. The second intervention involved completing the reflective portfolio, with teacher feedback regarding the activities performed by the interns during their public health internship. In both cases prior expectations, subsequent satisfaction and self-perceived learning were systematically analyzed. As a result, the responses of 36 students were evaluated in the first intervention, and of 30 students in the second, accounting for more than 97% of the students invited. Most of them considered the Moodle environment suitable and reported knowledge/skill gain in both interventions. The main gains pointed to were improved skills for clinical reasoning and reflection on clinical practice in primary care. In the discussion of clinical cases, student involvement increased significantly once they were awarded marks for qualified participation in the activity. In the reflective portfolio, teacher feedback was considered an important motivating factor for the students. However, 51% of their posts received no teacher feedback. In conclusion, the virtual environment was considered useful for student learning during internship, but there remains a need to develop the tutors’ role in this process.
DOI: 10.6084/m9.figshare.5671303
title: Breaking Bad News: Is the Medical Student Ready?

description: ABSTRACT Over the last two decades, curriculum changes and developments have taken place at medical schools, aimed at humanizing medical training. It is believed that this will enable these professionals to meet the current demands of the changing health care system. Within context of this new approach, one can highlight the importance of methods of breaking bad news being included in undergraduate medical training. This will aid students to act empathetically and efficiently in not only this specific situation, but all situations. Emotionally-loaded content reinforces the need for student medics to be adequately prepared to know how to deal with both the reactions of patients and their own feelings. This article consists of a cross-sectional study, in which we evaluated the ability of delivering bad news and the communication skills of medical students. The students were from a preclinical science training course and analyzed by means of a checklist during an OSCE (Objective Structured Clinical Examination). A sample consisting of 119 second-year students from the University of Fortaleza medical school was evaluated, of which 67% reported an overall performance of greater than 90%. The greatest difficulty observed when breaking bad news was their making of a “brief announcement” at the beginning of the consultation (35.3%). However, the students were efficient at not “sugarcoating” the bad news, with none of the students failing in this aspect of the evaluation. Furthermore, the ability of identifying the influence of the symptoms in the patient’s life using the Kübler-Ross model of grief and loss and Eastern Cooperative Oncology Group (ECOG) scale was assessed, with 84.1% of the students identifying it correctly. Therefore, in order to improve this essential skill in medical practice, one can underline the importance of drawing on personal experiences in teaching-learning, as patient actors, of training among peers, of an approach that includes standardized procedures and reflections on the importance of these strategies in teaching how to break bad news.
DOI: 10.6084/m9.figshare.5671303.v1
title: Breaking Bad News: Is the Medical Student Ready?

description: ABSTRACT Over the last two decades, curriculum changes and developments have taken place at medical schools, aimed at humanizing medical training. It is believed that this will enable these professionals to meet the current demands of the changing health care system. Within context of this new approach, one can highlight the importance of methods of breaking bad news being included in undergraduate medical training. This will aid students to act empathetically and efficiently in not only this specific situation, but all situations. Emotionally-loaded content reinforces the need for student medics to be adequately prepared to know how to deal with both the reactions of patients and their own feelings. This article consists of a cross-sectional study, in which we evaluated the ability of delivering bad news and the communication skills of medical students. The students were from a preclinical science training course and analyzed by means of a checklist during an OSCE (Objective Structured Clinical Examination). A sample consisting of 119 second-year students from the University of Fortaleza medical school was evaluated, of which 67% reported an overall performance of greater than 90%. The greatest difficulty observed when breaking bad news was their making of a “brief announcement” at the beginning of the consultation (35.3%). However, the students were efficient at not “sugarcoating” the bad news, with none of the students failing in this aspect of the evaluation. Furthermore, the ability of identifying the influence of the symptoms in the patient’s life using the Kübler-Ross model of grief and loss and Eastern Cooperative Oncology Group (ECOG) scale was assessed, with 84.1% of the students identifying it correctly. Therefore, in order to improve this essential skill in medical practice, one can underline the importance of drawing on personal experiences in teaching-learning, as patient actors, of training among peers, of an approach that includes standardized procedures and reflections on the importance of these strategies in teaching how to break bad news.
DOI: 10.6084/m9.figshare.5671294
title: Body-text, text-body: notes on literature and performance in storytelling in sign language

description: ABSTRACT This article proposes a theoretical discussion and an experience report based on the concept of performance combined with the reading of literary narratives in a context of deaf students, sign language users. For this, we structured the study as follows: initially, a presentation of the specificities of the studied context, then a reflection about the concept of performance linked to literary reading, and, later, the description and analysis of a literature activity performed with adult deaf students in a Basic Education class. Thus, we emphasize the contribution of activities that involve the transit between languages for a more productive contact with fictional narrative texts by these subjects.
DOI: 10.6084/m9.figshare.5671294.v1
title: Body-text, text-body: notes on literature and performance in storytelling in sign language

description: ABSTRACT This article proposes a theoretical discussion and an experience report based on the concept of performance combined with the reading of literary narratives in a context of deaf students, sign language users. For this, we structured the study as follows: initially, a presentation of the specificities of the studied context, then a reflection about the concept of performance linked to literary reading, and, later, the description and analysis of a literature activity performed with adult deaf students in a Basic Education class. Thus, we emphasize the contribution of activities that involve the transit between languages for a more productive contact with fictional narrative texts by these subjects.
DOI: 10.6084/m9.figshare.5671291
title: Hazing and the Mental Health of Medical Students

description: ABSTRACT Introduction The practice of hazing is a phenomenon that began in the middle ages and persists in many universities around the world. In Brazil, although the problem is widely recognized, it has been insufficiently studied. Objective To estimate the prevalence of hazing among medical students of a public university in São Paulo state – Brazil, and investigate factors associated with this problem. Method A cross-sectional study was conducted, including 477 medical students from the first to the sixth year of the course. The self-reporting questionnaire included questions and structured instruments to access: socio-demographic characteristics, aspects of academic life, social support, symptoms of depression, harmful alcohol use (using the Alcohol Use Disorder Identification Test – AUDIT), common mental disorder (using the Self-Reporting Questionnaire – SRQ), whether the participant had suffered any form of hazing that he/she considered abusive or whether the participant had practiced hazing about which he/she felt guilty or regretful afterwards. Bivariate analyses were conducted, followed by logistic regression analyses to identify independent predictors of these two outcomes (having suffered abusive hazing or having participated in hazing and feeling regretful afterwards). Results The response rate was 87.0%. Among the participants, 39.8% (95% CI: 35.4% – 44.2%) reported having suffered abusive hazing and 7.5% (95% CI: 5.2% – 9.9%) reported having practiced hazing. Those who reported having suffered abusive hazing were more likely to be male, to report difficulties in adaptation to the city, lower social support and psychiatric and/or psychological treatment after entering university. Those who practiced hazing and felt regretful afterwards were also more likely to be male, were older and presented higher mean scores in the AUDIT. Conclusion Hazing was associated with the male sex and mental health treatment among the victims, and with harmful alcohol use among the perpetrators. It is essential that medical schools discuss and better understand the problem of hazing in order to adopt effective preventive measures.
DOI: 10.6084/m9.figshare.5671291.v1
title: Hazing and the Mental Health of Medical Students

description: ABSTRACT Introduction The practice of hazing is a phenomenon that began in the middle ages and persists in many universities around the world. In Brazil, although the problem is widely recognized, it has been insufficiently studied. Objective To estimate the prevalence of hazing among medical students of a public university in São Paulo state – Brazil, and investigate factors associated with this problem. Method A cross-sectional study was conducted, including 477 medical students from the first to the sixth year of the course. The self-reporting questionnaire included questions and structured instruments to access: socio-demographic characteristics, aspects of academic life, social support, symptoms of depression, harmful alcohol use (using the Alcohol Use Disorder Identification Test – AUDIT), common mental disorder (using the Self-Reporting Questionnaire – SRQ), whether the participant had suffered any form of hazing that he/she considered abusive or whether the participant had practiced hazing about which he/she felt guilty or regretful afterwards. Bivariate analyses were conducted, followed by logistic regression analyses to identify independent predictors of these two outcomes (having suffered abusive hazing or having participated in hazing and feeling regretful afterwards). Results The response rate was 87.0%. Among the participants, 39.8% (95% CI: 35.4% – 44.2%) reported having suffered abusive hazing and 7.5% (95% CI: 5.2% – 9.9%) reported having practiced hazing. Those who reported having suffered abusive hazing were more likely to be male, to report difficulties in adaptation to the city, lower social support and psychiatric and/or psychological treatment after entering university. Those who practiced hazing and felt regretful afterwards were also more likely to be male, were older and presented higher mean scores in the AUDIT. Conclusion Hazing was associated with the male sex and mental health treatment among the victims, and with harmful alcohol use among the perpetrators. It is essential that medical schools discuss and better understand the problem of hazing in order to adopt effective preventive measures.
DOI: 10.6084/m9.figshare.5671282
title: Effect of fertilization on the physiological maturation of sesame seeds1

description: ABSTRACT Fertilization and harvest time may influence the formation and maturation processes, as well as the physiological quality of seeds. This study aimed at evaluating the effect of fertilization on the physiological maturation of sesame seeds. The following variables were evaluated: fruit color, dry mass and water content of fruits and seeds, germination, first germination count, germination speed, emergence and emergence speed. No significant fertilization effect was observed on fruit maturation for water content or dry mass. However, there was significance for these variables in the seeds. The harvest time had a significant effect on water content and dry mass of fruits and seeds. For the variables that evaluated the seed viability and vigor, both the fertilization and harvest time influenced the physiological maturation. The physiological maturity of the sesame seeds, whose plants were grown with and without fertilization, was reached between 52 and 54 days after anthesis, when the fruits were classified as yellow-greenish 7.5 Y 8/6 and yellow to yellow-red 10.R 4/6.
DOI: 10.6084/m9.figshare.5671282.v1
title: Effect of fertilization on the physiological maturation of sesame seeds1

description: ABSTRACT Fertilization and harvest time may influence the formation and maturation processes, as well as the physiological quality of seeds. This study aimed at evaluating the effect of fertilization on the physiological maturation of sesame seeds. The following variables were evaluated: fruit color, dry mass and water content of fruits and seeds, germination, first germination count, germination speed, emergence and emergence speed. No significant fertilization effect was observed on fruit maturation for water content or dry mass. However, there was significance for these variables in the seeds. The harvest time had a significant effect on water content and dry mass of fruits and seeds. For the variables that evaluated the seed viability and vigor, both the fertilization and harvest time influenced the physiological maturation. The physiological maturity of the sesame seeds, whose plants were grown with and without fertilization, was reached between 52 and 54 days after anthesis, when the fruits were classified as yellow-greenish 7.5 Y 8/6 and yellow to yellow-red 10.R 4/6.
DOI: 10.6084/m9.figshare.5671276
title: Water availability to soybean crop as a function of the least limiting water range and evapotranspiration1

description: ABSTRACT Irrigation management aimed at optimal production has been based only on the water factor. However, in addition to the water potential of the soil, factors such as soil penetration resistance and soil O2 diffusion rate also affect plant growth and interfere with water absorption, even if moisture is within the available water range. This study aimed at quantifying the least limiting water range and demonstrating its potential in soil and water management in irrigated agriculture. In order to determine the least limiting water range, soil water retention curves and soil resistance to penetration were determined from undisturbed soil samples. The sequential water balance and the reference, crop and real evapotranspiration were determined for a soybean crop season. Soil aeration was the least limiting water range upper limit for soils with bulk density greater than 1.33 Mg m-3, whereas soil resistance to penetration was the lower limit for bulk density higher than 1.43 Mg m-3. The bulk density of the soil studied was 1.35 Mg m-3, indicating 0.37 m3 m-3 of water availability, based on the least limiting water range, which is sufficient to supply the crop evapotranspiration. Irrigation management based on the least limiting water range is more efficient and complete than that based only on available water.
DOI: 10.6084/m9.figshare.5671276.v1
title: Water availability to soybean crop as a function of the least limiting water range and evapotranspiration1

description: ABSTRACT Irrigation management aimed at optimal production has been based only on the water factor. However, in addition to the water potential of the soil, factors such as soil penetration resistance and soil O2 diffusion rate also affect plant growth and interfere with water absorption, even if moisture is within the available water range. This study aimed at quantifying the least limiting water range and demonstrating its potential in soil and water management in irrigated agriculture. In order to determine the least limiting water range, soil water retention curves and soil resistance to penetration were determined from undisturbed soil samples. The sequential water balance and the reference, crop and real evapotranspiration were determined for a soybean crop season. Soil aeration was the least limiting water range upper limit for soils with bulk density greater than 1.33 Mg m-3, whereas soil resistance to penetration was the lower limit for bulk density higher than 1.43 Mg m-3. The bulk density of the soil studied was 1.35 Mg m-3, indicating 0.37 m3 m-3 of water availability, based on the least limiting water range, which is sufficient to supply the crop evapotranspiration. Irrigation management based on the least limiting water range is more efficient and complete than that based only on available water.
DOI: 10.6084/m9.figshare.5671267
title: Evaluation of the physicochemical properties of silicone- and epoxy resin-based root canal sealers

description: Abstract To assess the physicochemical properties of AH Plus, GuttaFlow 2, GuttaFlow BioSeal, and MM Seal, five samples of each root canal sealer were evaluated to determine their setting time (ST), dimensional change (DC), solubility (SL), flow (FL), and radiopacity (RD) according to American National Standards Institute/American Dental Association (ANSI/ADA) Specification 57. The distilled and deionized water obtained from the SL test were subjected to atomic absorption spectrometry to observe the presence of Ca2+, K+, and Na+ ions. Statistical analysis was performed by using one-way ANOVA and Tukey–Kramer tests (p &lt; 0.05). The following results were obtained: ST (min) (AH Plus 463.6 ± 13.22; GuttaFlow 2 24.35 ± 2.78; GuttaFlow Bioseal 17.4 ± 0.55; MM Seal 47.60 ± 4.39), DC (%) (AH Plus 0.06 ± 0.12; GuttaFlow 2 −26.06 ± 1.24; GuttaFlow Bioseal 2.10 ± 1.47; MM Seal 8.47 ± 2.41), SL (%) (AH Plus 0.41 ± 0.21; GuttaFlow 2 5.13 ± 4.11; GuttaFlow Bioseal 3.03 ± 1.05; MM Seal 0.94 ± 0.17), FL (mm) (AH Plus 36.42 ± 0.40; GuttaFlow 2 36.44 ± 0.05; GuttaFlow Bioseal 35.4 ± 0.03; MM Seal 52.75 ± 0.60), and RD (mmAl) (AH Plus 7.52 ± 1.59; GuttaFlow 2 6.85 ± 0.14; GuttaFlow Bioseal 7.02 ± 0.18; MM Seal 3.32 ± 0.90). ST, DC, SL, FL, and RD showed statistical differences among the root canal sealers (p &lt; 0.05). As AH Plus showed the lowest DC and SL values (p &lt; 0.05), the findings indicate that this sample is the only sealer conforming to ANSI/ADA standards.