cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.7591352.v1
title: Academic Leagues and Medical Training: An Exploratory Study in a Traditional School of Medicine

description: ABSTRACT The rising number of students leagues in the Escola Paulista de Medicina of the Universidade Federal de São Paulo (EPM–Unifesp) leads to questions about their meaning to students and their role in medical training, as well as concerns about learning distortions, early specialization, social relevance, and insertion in the Brazilian national health system, called the Sistema Único de Saúde (SUS). In order to try and clarify these questions, this qualitative study analyzes the statues of the leagues, and the statements of tutors and students, gathered by means of four focal groups with students and two interviews with the tutors. We found 45 leagues currently running at the EPM–Unifesp, most of them associated with a medical specialty. The main motivators for joining in a league were: the search for practical activities, the desire to gain more experience of a particular specialty, the desire for more knowledge, and the need to be recognized as a responsible adult. Of the leagues studied, few conducted research or university extension activities, focusing on treatment and theoretical classes, supervised by professors, non-teacher physicians, resident doctors, or more senior students. The tutors are in charge of the organizational aspects. The leagues can reproduce graduation models, such as an overburdoning with activities and poor expository classes. Concerning insertion in the SUS, the leagues could be a means of training future SUS professionals. Although students claim that they intend to specialize in the league’s field, the tutors disagree that they lead to early specialization. We consider that while leagues fill gaps in the learning and expectations of the course, they are limited in regards to the impact of their activities on medical training and their social relevance. They can subvert the curricular structure and favor early specialization. We recommend that universities pay closer attention to students leagues, observing their number, selection process, activities, tutors involved and explicit objectives, with the purpose of evaluating their roles in the curriculum and medical training.
DOI: 10.6084/m9.figshare.7591343
title: Patient safety by analyzing the information not provided in the requisition orders of cervical cytology test

description: ABSTRACT Introduction: Cervical cancer is a serious public health problem because of its high incidence and mortality in developing countries and is, therefore, a priority in global health. Organized screening programs can reduce the incidence and mortality of cervical cancer due to the early detection of precancerous lesions. Objective: To evaluate the incomplete information from cervical cytology test requisitions of the National Cancer Control Programme of the Brazilian Ministry of Health (MoH), verifying the percentage of non-completion in a municipality in western Paraná, Brazil. Methods: A retrospective and quantitative study was carried out, based on data from cervical cytology test requisitions, from women attended by the Unified Health System [Sistema Único de Saúde (SUS)] in a municipality in western Paraná from May 2014 to May 2015. Results: The failure to provide the information occurred in 9,010 (40.9%) requisitions. The information not provided is mandatory for the health team responsible for collecting this exam in accordance with MoH guidelines. Conclusion: There is a need for professional training about filling in the information on requisitions, because they collaborate with the increase of the sensitivity and specificity of the cytology test, thus allowing more reliable results that aid in patient safety.
DOI: 10.6084/m9.figshare.7591349.v1
title: Analysis of Quality and Lifestyle among Medical Students of an Institution in the North of Paraná

description: ABSTRACT The purpose of this research was to evaluate the lifestyle and estimate the prevalence of consumption of alcohol, tobacco and other drugs among medical students of an institution in Maringá, Paraná. It is a cross-sectional, exploratory, descriptive study, with undergraduates from the first to sixth years of medical school. The data collection was carried out from June to August 2017, using a self-administered instrument called the “Fantastic Lifestyle Checklist”, which is composed of 25 objective questions, that consider the individual’s behavior in the last month. The results of the questionnaire are used to determine the association between lifestyle and health. Totalling all the points gives a total score that classifies individuals into one of five categories: “Excellent”, “Very Good”, “Good”, “Fair” and “Needs improvement”. It is desirable for individuals to achieve a “Good” rating. The lower the score, the greater the need for change. The exclusion criteria adopted were: students under 18 years old, and those not present on the day of the data collection. Next, the data were transferred to spreadsheet, then analyzed using descriptive statistics. 576 medical students participated in the research, the majority aged between 21 and 25 years old, female, White, single, had studied at a private high school, and living alone. Regarding the parents’ level of education, the data showed that 73.61% of the fathers and 83.68% of the mothers had studied for 12 or more years. Less than half of the students reported a diagnosis of depression or other chronic mental health condition. Most of the students did not sleep well and did not feel rested. There was a high prevalence of students who are satisfied with their respective jobs or positions. In addition, most reported that they had not smoked in the last year and had never used drugs such as marijuana and cocaine, while 81% reported an average alcohol intake per week of 0 to 7 units. The predominant classification among the students in the Fantastic Lifestyle Questionnaire was “Good”. It is therefore concluded that students should be given guidance on how to adopt a healthier lifestyle while engaged in academic activities.
DOI: 10.7284/115600
title: Fluorometer data collected during research cruise FK140420 using a WET Labs ECO-FLNTU instrument system onboard the platform RV Falkor

description: Original (unprocessed) data collected during a Field_expedition
DOI: 10.6084/m9.figshare.7591343.v1
title: Patient safety by analyzing the information not provided in the requisition orders of cervical cytology test

description: ABSTRACT Introduction: Cervical cancer is a serious public health problem because of its high incidence and mortality in developing countries and is, therefore, a priority in global health. Organized screening programs can reduce the incidence and mortality of cervical cancer due to the early detection of precancerous lesions. Objective: To evaluate the incomplete information from cervical cytology test requisitions of the National Cancer Control Programme of the Brazilian Ministry of Health (MoH), verifying the percentage of non-completion in a municipality in western Paraná, Brazil. Methods: A retrospective and quantitative study was carried out, based on data from cervical cytology test requisitions, from women attended by the Unified Health System [Sistema Único de Saúde (SUS)] in a municipality in western Paraná from May 2014 to May 2015. Results: The failure to provide the information occurred in 9,010 (40.9%) requisitions. The information not provided is mandatory for the health team responsible for collecting this exam in accordance with MoH guidelines. Conclusion: There is a need for professional training about filling in the information on requisitions, because they collaborate with the increase of the sensitivity and specificity of the cytology test, thus allowing more reliable results that aid in patient safety.
DOI: 10.6084/m9.figshare.7591337
title: Effect of contact lenses on ocular biometric measurements based on swept-source optical coherence tomography

description: ABSTRACT Purpose: To determine the reliability of swept- source optical coherence tomography in cases in which soft contact lenses cannot be removed when acquiring biometric measurements. Methods: Eight subjects were included and only one eye per participant was analyzed. Each eye was measured six times by swept-source optical coherence tomography with the IOLMaster 700 instrument (Carl Zeiss Meditec, Jena, Germany). Axial length, central corneal thickness, anterior chamber depth, lens thickness, and keratometric measurements were evaluated for the naked eye and while wearing soft contact lenses of three different powers (-1.5, -3.0, and +2.0 D). Results: There were statistically significant changes in axial length, central corneal thickness, anterior chamber depth, and keratometric measurements with soft contact lenses as compared to the naked eye (p&lt;0.001). However, there were no significant differences in lens thickness outcomes between the naked eye and while wearing the three soft contact lenses (p&gt;0.5). The changes in axial length, central corneal thickness, and anterior chamber depth were lens-specific and dependent on the thickness of the lens used. Conclusions: Sept-source optical coherence tomography based lens thickness measurements while wearing soft contact lenses are comparable to those of the naked eye. However, the thickness and the optical design of the soft contact lens may lead to significant differences in the axial lengh, central corneal thickness, anterior chamber deph, and keratometric measurements.
DOI: 10.6084/m9.figshare.7591340
title: Demographic, clinical characteristics and cardiovascular disease burden in a Portuguese cohort of older chronic kidney disease patients

description: ABSTRACT Introduction: Chronic kidney disease (CKD) is an independent risk factor for several unfavorable outcomes including cardiovascular disease (CVD), particularly in the elderly, who represent the most rapidly growing segment of the end-stage kidney disease (ESKD) population. Portugal has the highest European unadjusted incidence and prevalence rates of ESKD. In 2012, we started to follow a cohort of elderly CKD patients, we describe their baseline characteristics, risk profile, and cardiovascular disease burden. Methods: All CKD patients aged 65 years and older referred to our department during 2012 were enrolled. Baseline data included: demographic, CKD stage, medication, comorbid conditions. Estimated glomerular filtration rate (eGFR) was calculated by the CKD-EPI formula. Results: A total of 416 patients, 50% referred by primary care physicians, aged 77 ± 7 years, 52% male, with a median eGFR of 32 mL/min/1.73m2 participated in the study. Fifty percent had diabetes (DM), 85% dyslipidemia, 96% hypertension; 26% were current/former smokers, and 24% had a body mass index &gt; 30 kg/m2. The prevalence of CVD was 62% and higher in stage 4-5 patients; in diabetics, it gradually increased with CKD progression (stage 3a &lt; stage 3b &lt; stage 4-5) (39, 58, 82%; p &lt; 0.001). Conclusions: At baseline, our CKD elderly cohort had a higher burden of CVD. The prevalence of CVD was greater than in other European CKD cohorts. Lower level of eGFR was associated with a greater burden of CVD and was more pronounced in diabetics, highlighting the importance of strategically targeting cardiovascular risk reduction in these patients.
DOI: 10.6084/m9.figshare.7591334
title: Macro and micronutrients uptake in biomass sorghum

description: ABSTRACT Biomass sorghum [Sorghum bicolor (L.) Moench] is a very promising renewable source to produce energy obtained by cogeneration and fermentation processes. However, some aspects of the fertilizer management for this crop should be better understood. This study aimed to determine the accumulation progress of dry matter and macro and micronutrients in phenological stages of the biomass sorghum (Palo Alto 2562) crop, as well as to establish the accumulation order. The experiment was performed in a randomized block design, with four replicates. In order to determine the dry matter and nutrient accumulation curves, the plants were sampled in nine phenological stages (V1, V3, V5, V7, V9, V11, booting, flowering and harvest). Dry matter and N, P, K, Ca, Mg, S, Cu, Fe, Mn and Zn accumulations were analyzed. The maximum dry matter accumulation was 24,853 kg ha-1. K was the nutrient absorbed in the highest amount (447 kg ha-1), what demonstrates the high capacity of the plant to absorb this nutrient. N was the second most accumulated nutrient by the plant (289 kg ha-1) and its absorption pattern suggests that it should be supplied up to the V7 stage. It was also possible to conclude that the order of extraction and accumulation of macro and micronutrients for the biomass sorghum crops is: K &gt; N &gt; Ca &gt; Mg &gt; S &gt; P &gt; Fe &gt; Zn &gt; Mn &gt; Cu.
DOI: 10.6084/m9.figshare.7591337.v1
title: Effect of contact lenses on ocular biometric measurements based on swept-source optical coherence tomography

description: ABSTRACT Purpose: To determine the reliability of swept- source optical coherence tomography in cases in which soft contact lenses cannot be removed when acquiring biometric measurements. Methods: Eight subjects were included and only one eye per participant was analyzed. Each eye was measured six times by swept-source optical coherence tomography with the IOLMaster 700 instrument (Carl Zeiss Meditec, Jena, Germany). Axial length, central corneal thickness, anterior chamber depth, lens thickness, and keratometric measurements were evaluated for the naked eye and while wearing soft contact lenses of three different powers (-1.5, -3.0, and +2.0 D). Results: There were statistically significant changes in axial length, central corneal thickness, anterior chamber depth, and keratometric measurements with soft contact lenses as compared to the naked eye (p&lt;0.001). However, there were no significant differences in lens thickness outcomes between the naked eye and while wearing the three soft contact lenses (p&gt;0.5). The changes in axial length, central corneal thickness, and anterior chamber depth were lens-specific and dependent on the thickness of the lens used. Conclusions: Sept-source optical coherence tomography based lens thickness measurements while wearing soft contact lenses are comparable to those of the naked eye. However, the thickness and the optical design of the soft contact lens may lead to significant differences in the axial lengh, central corneal thickness, anterior chamber deph, and keratometric measurements.
DOI: 10.6084/m9.figshare.7591340.v1
title: Demographic, clinical characteristics and cardiovascular disease burden in a Portuguese cohort of older chronic kidney disease patients

description: ABSTRACT Introduction: Chronic kidney disease (CKD) is an independent risk factor for several unfavorable outcomes including cardiovascular disease (CVD), particularly in the elderly, who represent the most rapidly growing segment of the end-stage kidney disease (ESKD) population. Portugal has the highest European unadjusted incidence and prevalence rates of ESKD. In 2012, we started to follow a cohort of elderly CKD patients, we describe their baseline characteristics, risk profile, and cardiovascular disease burden. Methods: All CKD patients aged 65 years and older referred to our department during 2012 were enrolled. Baseline data included: demographic, CKD stage, medication, comorbid conditions. Estimated glomerular filtration rate (eGFR) was calculated by the CKD-EPI formula. Results: A total of 416 patients, 50% referred by primary care physicians, aged 77 ± 7 years, 52% male, with a median eGFR of 32 mL/min/1.73m2 participated in the study. Fifty percent had diabetes (DM), 85% dyslipidemia, 96% hypertension; 26% were current/former smokers, and 24% had a body mass index &gt; 30 kg/m2. The prevalence of CVD was 62% and higher in stage 4-5 patients; in diabetics, it gradually increased with CKD progression (stage 3a &lt; stage 3b &lt; stage 4-5) (39, 58, 82%; p &lt; 0.001). Conclusions: At baseline, our CKD elderly cohort had a higher burden of CVD. The prevalence of CVD was greater than in other European CKD cohorts. Lower level of eGFR was associated with a greater burden of CVD and was more pronounced in diabetics, highlighting the importance of strategically targeting cardiovascular risk reduction in these patients.
DOI: 10.7284/115570
title: GNSS (Global Navigation Satellite System) data collected during research cruise FK140420 using a C&C C-Nav 3050 instrument system onboard the platform RV Falkor

description: Original (unprocessed) data collected during a Field_expedition
DOI: 10.6084/m9.figshare.7591328
title: Evaluation of nutritional status in children with amblyopia

description: ABSTRACT Purpose: We aimed to compare the body mass index and vitamin and mineral status of children with and without amblyopia. Methods: Amblyopic children aged between 5 and 18 years (n=46) and age-matched control children (n=32) were evaluated in terms of anthropometric parameters, including height, weight, body mass index and demographic features. Serum vitamin B12 and folate were measured using an Advia Centaur XP (Siemens, Ireland) biochemistry analyzer. We evaluated the inorganic mineral elements from hair samples with inductively coupled plasma-mass spectrometry using a Thermo XSeries 2 analyzer (Thermo Fisher Scientific, Bremen, Germany). Results: No significant difference was found between the two groups in terms of height, weight, and body mass index or serum B12 and folate concentrations (p&gt;0.05). Children with severe amblyopia had lower vitamin B12 and folate and higher body mass index. The levels of phosphorus (p=0.012), selenium (p=0.002), molybdenum (p&lt;0.001), iodine (p=0.002), chromium (p=0.022), boron (p&lt;0.001), and beryllium (p=0.005) were all significantly lower in the amblyopia group compared to the control group. All of these minerals, except phosphorus, were also significantly lower in those with severe amblyopia compared to those with milder amblyopia and controls (p&lt;0.05). Conclusion: Amblyopic children are significantly deficient in some inorganic elements. Inorganic elements, vitamin B12, and folate may play an important role in the visual development of amblyopic children.
DOI: 10.6084/m9.figshare.7591331
title: High grade renal trauma due to blunt injury in children: do all require intervention?

description: ABSTRACT Introduction: The aim of this study was to analyze the presentation and management of major grade renal trauma in children. Method: A retrospective study was performed including data collected from the patients who were admitted in Pediatric surgery with major grade renal injury (grade 3 and more) from January 2015 to August 2018. Demography, clinical parameters, management, duration of hospital stay and final outcome were noted. Results: Out of 13 children (9 males and 4 females), with age range 2-12 years (mean of 8 years), reported self-fall was the commonest mode of injury followed by road traffic accident. The majority (10/13, 75%) had a right renal injury. Eight children had a grade IV injury, one had a grade V injury, and four children had grade III injury. Duration of hospital stay varied from 3 to 28 (mean of 11.7) days. Three children required blood transfusion. One child required image guided aspiration twice and two required pigtail insertion for perinephric collection. All the 13 children improved without readmission or need for any other surgical intervention. Conclusion: Children with major grade renal trauma due to blunt injury can be successfully managed without surgical intervention and minimal intervention may only be needed in select situations.
DOI: 10.6084/m9.figshare.7591334.v1
title: Macro and micronutrients uptake in biomass sorghum

description: ABSTRACT Biomass sorghum [Sorghum bicolor (L.) Moench] is a very promising renewable source to produce energy obtained by cogeneration and fermentation processes. However, some aspects of the fertilizer management for this crop should be better understood. This study aimed to determine the accumulation progress of dry matter and macro and micronutrients in phenological stages of the biomass sorghum (Palo Alto 2562) crop, as well as to establish the accumulation order. The experiment was performed in a randomized block design, with four replicates. In order to determine the dry matter and nutrient accumulation curves, the plants were sampled in nine phenological stages (V1, V3, V5, V7, V9, V11, booting, flowering and harvest). Dry matter and N, P, K, Ca, Mg, S, Cu, Fe, Mn and Zn accumulations were analyzed. The maximum dry matter accumulation was 24,853 kg ha-1. K was the nutrient absorbed in the highest amount (447 kg ha-1), what demonstrates the high capacity of the plant to absorb this nutrient. N was the second most accumulated nutrient by the plant (289 kg ha-1) and its absorption pattern suggests that it should be supplied up to the V7 stage. It was also possible to conclude that the order of extraction and accumulation of macro and micronutrients for the biomass sorghum crops is: K &gt; N &gt; Ca &gt; Mg &gt; S &gt; P &gt; Fe &gt; Zn &gt; Mn &gt; Cu.
DOI: 10.6084/m9.figshare.7591325
title: Correlation of the aqueous humor total antioxidant capacity, total oxidant status, and levels of IL-6 and VEGF with diabetic retinopathy status

description: ABSTRACT Purpose: We aimed to compare the aqueous humor total oxidant status, total antioxidant capacity, and levels of interleukin-6 and vascular endothelial growth factor between patients with diabetic retinopathy and controls and to correlate these levels with the DR status. Methods: Patients who underwent cataract surgery were enrolled. The first group (control group) comprised patients without diabetes; the second group comprised diabetic patients without retinopathy; the third group comprised patients with nonproliferative diabetic retinopathy; and the fourth group comprised patients with proliferative diabetic retinopathy. All patients underwent full ophthalmologic examination before cataract surgery. Prior to surgery, samples of aqueous humor sampling were obtained and stored at -80 °C. Total antioxidant capacity, total oxidant status, and levels interleukin-6 and vascular endothelial growth factor were investigated in these samples and correlated with diabetic retinopathy status. Results: This study analyzed 86 pairs of eyes of 86 patients. All groups were statistically similar in age and sex, but the total antioxidant capacity was lowest in patients with proliferative diabetic retinopathy. Moreover, the total oxidant status and levels of vascular endothelial growth factor and interleukin-6 were found to slightly increase according to the retinopathy status. Conclusion: Oxidative stress, interleukin-6, and vascular endothelial growth factor in the aqueous humor seem to play important roles in the pathogenesis of diabetic retinopathy, especially in the proliferative type.