cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14307476
title: On Wilhelm Reich’s birthday: what to celebrate?

description: Abstract More than one hundred and twenty years have passed since the birth of Wilhelm Reich in 1897 and more than sixty years have passed since his death in 1957, but his ideas remais alive and desserves to be disseminated. In this, Information and Communication Technologies, so common nowadays, have a determining role. In this sense, this text aimed to identify, based on the vídeos available on Youtube, those capable of contributing to the dissemination of this author, still so unknown in Brazil. Through exploratory research on the Youtube website, we make sure that at least 10 of the collected vídeos contribute for an initial idea of who this author was. By organizing an initial database, disseminating it through this research, we hope to contribute to the dissemination of the ideas of this author who has a lot to contribute to the discussion of contemporary themes in the most differents areas of knowledge.
DOI: 10.6084/m9.figshare.14307473
title: Palliative care: challenges for caregivers and health care providers

description: The palliative care (PC) aims at humanization of care, at the decrease of suffering and at the preservation of the family and patient’s quality of life during his terminal illness. The objectives were to get to know the discourses and practices regarding PC and the difficulties related to the activities of this kind of care. The method was quanti-qualitative. The participants were health care providers and NON-professional caregivers (N=59) from two hospitals in Campina Grande- PB. The instruments were: a questionnaire and an interview. The analysis of information was oriented by the analysis of enunciation. The analysis of discourses has shown that PC is understood as practices towards pain relief, as support to the patient’s family and finally, as the use of medications. There are doubts concerning psychologists’ performances regarding PC, even if correlate practices are done. This study was relevant because it will be able to indicate public policies concerning the increase of people’s quality of life with terminal illnesses.
DOI: 10.6084/m9.figshare.14307471
title: Homophobia, coping strategies, and sexual identity formation among LGBT youths

description: Abstract Sexual minority youths (SMY) face challenges in consolidating their sexual identity because of heterosexism. The role of homophobic bullying and coping strategies in the formation of sexual identity has been explored within a convenient sample of 262 sexual minority youths. Six dimensions of sexual identity formation have been tested, independent variables being: homophobic bullying, coping strategies (avoidance and problem-solving), age, gender, migration trajectory, residency, sexual attraction and time elapsed since the realization of the sexual identity difference. Homophobic bullying was associated with a lower score of sexual identity affirmation and higher scores of identity concealment, internalized homo/bi-phobia, acceptance concern, identity uncertainty and process difficulty. Problem-solving coping strategies were associated with acceptance concerns. Avoidance coping strategies were associated with higher scores of acceptance concern and process difficulty in accepting non-heterosexual identity. Results confirm the importance of homo/bi-phobia prevention in order to help SMY in sexual identity consolidation.
DOI: 10.6084/m9.figshare.14307467
title: The poetic universe of Vitória Basaia

description: The artist, Vitória Basaia, is able to give birth to different worlds using raw materials refused or withdrawn by society. The Basaia House is her place of residence and also her studio. The house has been transformed into a sort of museum over the years. In this article, we explore this universe based on analysis of her works, materials, techniques and ontological discussions regarding the artist's creation. Based on concepts from authors such as Deleuze, Guattari, Bertoloto, Bachelard and Brandão, we observe how the artist's restlessness becomes into art program and consists in her poetic universe, territorialized in the House Basaia.
DOI: 10.6084/m9.figshare.14307458
title: Evaluation of ethical climate in health services: a systematic review

description: Abstract Ethical climate refers to the perceptions shared by health professionals of how ethical issues should be handled in their organization. This study aimed to identify scientific evidence of studies that used the Hospital Ethical Climate Survey in ethical climate assessment. This is a systematic review of 33 articles selected from Scopus, PubMed and Medline databases. Ethical climate was associated with workers’ health issues and it was evaluated as moderate to positive by health professionals. The topic was classified as positive for the “peers,” “patients” and “managers” factors, and negative for “physicians” and “hospital” factors. The review concluded that assessing the ethical climate is important for improving the work environment and that the Hospital Ethical Climate Survey is a valid and reliable instrument for such evaluation.
DOI: 10.6084/m9.figshare.14307456
title: Analysis of the filling of death certificates in Catanduva, São Paulo, Brazil

description: Abstract The death certificate is the main document for the Mortality Information System of the Brazilian Ministry of Health, covering quantitative and qualitative aspects of ethical, legal and epidemiological nature. The records of the Ministry present inconsistencies caused by many factors, especially those related to poor academic training and access to guidelines published by entities. This study sought to identify the main errors in filling death certificates registered in a teaching hospital in Catanduva, São Paulo, Brazil, from 2014 to 2017. Of the 805 certificates, 167 (20.7%) were incomplete, 59 (7.3%) had inadequate terms, 42 (5.2%) acronyms and abbreviations, 27 (3.3%) illegible handwriting, and 2 (0.2%) erasures. Despite the low frequency of errors, the analysis found deficits in knowledge and/or neglect of medical ethics, which compromise the quality of public health records.
DOI: 10.6084/m9.figshare.14307455
title: Ethical dilemmas in palliative care: a literature review

description: Abstract Issues concerning the beginning and end of life are an immense challenge for they involve various concepts related to science and religion, and have humanistic, social, legal, bioethical, and moral character. This study aimed to present the ethical dilemmas experienced by health professionals when facing death. Among the various ethical impasses, the main ones are resource limitations, the difficulty in communication and decision-making. They make us reflect on various end-of-life factors, such as establishing integrated communication, always telling the truth, and understanding non-adherence, discontinuations, and treatment refusals.
DOI: 10.6084/m9.figshare.14307453
title: Repercussions of pediatric palliative care: an integrative review

description: Abstract This article aims to discuss the effects of pediatric palliative care services on hospitals and the quality of life of patients and their families. The research reports the results of an integrative literature review based on 14 articles published between 2013 to 2018. In the studies analyzed, the following aspects were highlighted: efficacy of pediatrics palliative care in hospitals, reductions of hospital costs after implementation of the service, importance of multidisciplinary teams, educational needs of health professionals, and the impact on the quality of life of patients and their families. Results show that pediatrics palliative care provides comprehensive care and should be recognized as an indispensable and specialized service for children with incurable diseases.
DOI: 10.6084/m9.figshare.14307452
title: Mental health challenges during the pandemic: an experience report

description: Abstract The readjustment in the care of mental health patients during the Covid-19 pandemic was facilitated by changes in the current medical legislation. Telemedicine brought forth opportunities to treat, monitor and identify mental disorders in different ways. This article reports the experience of the mental health service in a teaching hospital and psychiatry residency program during this period. Outpatient care included telemedicine appointments and face-to-face visits, according to severity criteria, and the project Embracing Mental Health in Times of Pandemic was created to assist hospital health staff. The prospect for the future is the use of teleservice as a tool for mental health care, which requires better training for professionals and evaluating the quality of this modality.
DOI: 10.6084/m9.figshare.14307450
title: Vaccination in Brazil: bioethical reflection on accessibility

description: Abstract Vaccines have a strong influence on public health because of their effectiveness and favorable cost-benefit ratio. However, with new vaccines unavailable in the public system, the access by society in general must be discussed. This study aimed to identify the meaning of vaccination for the population and physicians, and address the issue of access to vaccines outside the public health system, emphasizing social vulnerability. Physicians and members of society were interviewed, and the data was analyzed using an exploratory qualitative methodology and the collective subject speech. The Brazilian immunization system was seen by respondents as good in general, with the main criticisms directed at information and the lack of vaccines. As for accessibility, data suggests a correlation with economic factors, generating bioethical discussions about the social vulnerability of most of society that cannot afford vaccination.
DOI: 10.6084/m9.figshare.14307449
title: Analysis of medical records of a university hospital in Mogi das Cruzes, São Paulo, Brazil

description: Abstract The medical record is a basic document in healthcare that permeates all assistance, administrative, research and teaching activities, in addition to allowing communication between health professionals. However, we should emphasize the difference in the quality of these records produced by different institutions. This study aimed to analyze the quality of this data in a teaching hospital in the city of Mogi das Cruzes, São Paulo, Brazil. A total of 191 medical records dated from 2016 were included in the evaluation, which consisted in applying an instrument that ascribe a score to each obligatory item in the medical record. Although the total scores obtained were not low, the results show that the quality of medical records varies, and that the teaching hospital should improve how they are filled out.
DOI: 10.6084/m9.figshare.14307447
title: Covid-19 research with humans in Brazil

description: Abstract The Covid-19 pandemic challenges research institutions with the urgent need of responding to the morbidity and mortality caused by the virus. This study aimed to overview studies with humans on this disease in the first three months of 2020, in Brazil. Official data of the population and research protocols on Covid-19, distributed by Brazilian states, supported this temporal analysis. The incidence of the virus has grown exponentially, especially in the North and Northeast regions. Despite the discrete, slow, and asymmetric diffusion of studies, they are concentrated in the Southeast, and few clinical trials have entered Phase II. The geographical distribution of research ethics committees, higher education institutions, investments in science and technology, health centers and hospitals generate state vulnerabilities when addressing the disease. Close longitudinal follow-up should be carried out in the face of regional inequities, to defend bioethical principles and human life.
DOI: 10.6084/m9.figshare.14307444
title: Validation of the inventory of ethical problems for oral health

description: Abstract This is a methodological research to validate the Inventory of Ethical Problems in Primary Health Care for Oral Health using the Delphi technique, searching for a consensus among 23 dental surgeons. A comparative analysis between the reference instrument and the Inventory for Oral Health was requested, questioning their compatibility and adequacy, including ethical problems specific to the studied area. The professionals proposed rewriting and altering several items. A second round was conducted to seek consensus on issues not exhausted in the previous stage. The Delphi technique was essential to obtain more understandable and adequate items, enhancing the use of the inventory by oral health workers and public health managers, the ethical reflection on the problems experienced, and the construction of collective deliberation processes.
DOI: 10.6084/m9.figshare.14307443
title: What are the moral values essential for medical training?

description: Abstract Este estudo propõe identificar que valores morais os estudantes de medicina consideram importantes para sua formação e que valores a universidade tem promovido durante a graduação. Trata-se de estudo quantitativo, descritivo e transversal com 153 estudantes de universidade pública do estado do Rio de Janeiro. Os participantes consideraram respeito, responsabilidade, paciência e humildade como os valores morais mais importantes para a formação médica, e responsabilidade, respeito, paciência e prudência foram apontados como os mais estimulados durante a graduação. Os estudantes reconhecem a importância da educação moral para a formação profissional e se mostram sensíveis ao tema. Por conseguinte, é necessário capacitar docentes e instituir educação permanente para que a formação moral não seja produto da casualidade ou continue à margem dos currículos.
DOI: 10.6084/m9.figshare.14307438
title: Learning of the millennial generation in medical schools

description: Abstract Currently, most undergraduate students are individuals born between 1982 and 2000, the so-called millennials, a generation that expects the integration of technology in education. Thus, this cross-sectional and descriptive-exploratory study proposes to understand the relationship of medical students with web-based technologies, which can improve learning, to implement them more efficiently in the academic environment. The results show that undergraduate medical students use these technologies, but with little diversity in services, being the most common Google Docs, Facebook, YouTube and Dropbox. We emphasize the need to expose students to technologies in medical education to overcome technological challenges faced by future physicians.
DOI: 10.6084/m9.figshare.14307435
title: Ethical and legal analysis of scientific research on corpses in Brazil

description: Abstract Currently there is an increasing interest in publications on the use of corpses for research in Brazil and worldwide. Scientific evidence reveal that these studies have little ethical and regulatory control. In Brazil, the regulation of this subject is scarce and scattered among laws and sublegal normative acts, hindering the knowledge of ethical and legal practices adopted by researchers. This article analyzes the laws and norms for scientific research on corpses in Brazil through a corpus that underlies this type of research. From the 1940-2012 period, we found seven documents of the Brazilian legislation that gather information for ethical and clear research. Finally, we present guidelines and a protocol to be followed by researchers for the development of ethical and legal studies with corpses in Brazil.
DOI: 10.6084/m9.figshare.14307434
title: End of life in pediatric intensive care units

description: Abstract This article analyzes end-of-life procedures in Brazilian pediatric intensive care units. This is an observational, retrospective, multicenter study, including children who died between January and December 2017. During the period, 149 deaths occurred, of which 54 were selected. We found that 83.3% of patients had a base illness, being septic shock the main cause of death (38.9%). Life support limitations were described in 46.3% of the medical records, and a do-not-resuscitate order for 37% of the patients; however, 74.1% were not resuscitated. The practice of not resuscitating patients with a reserved prognosis and better care in the last 48 hours of life have become more common in recent years. However, there are still excessive use of invasive procedures, mechanical ventilation, and vasoactive drugs in the last hours of life.
DOI: 10.6084/m9.figshare.14307431
title: Knowledge of the use of patient images at the university

description: Abstract The use of information and communication technologies in the healthcare area has grown with technological advancements. Through an exploratory, descriptive, cross-sectional and quantitative approach, this study aimed to identify the knowledge and practice of students and professors of a public state university regarding the capture and reproduction of images from patients who have been attended by them. The research had the participation of 200 students enrolled in the dentistry, medicine and nursing courses, as well as 33 professors of these courses. The results show that they care about the ethical and legal aspects underlying the capture, handling, storage and dissemination of clinical images during the teaching and learning process.
DOI: 10.6084/m9.figshare.14307428
title: User satisfaction with health centers in Coari, Amazonas, Brazil

description: Abstract This study analyzed the quality of care in health centers in Coari, Amazonas, Brazil. This is a descriptive, quantitative, and evaluative research that used a validated questionnaire from the 2015 National Health Services Evaluation Survey. Data were collected in three centers in the second half of 2016. The results show that most interviewees were female, married, 40 years of age or older, self-declared as brown, with high school degree and low income, living in the urban area. Users considered the reception service in the units good, but were dissatisfied with the availability of medicines. Regarding cleanliness of the environment, the percentages ranged from good to fair, and the physical structure of health facilities was considered good.
DOI: 10.6084/m9.figshare.14307426
title: Ethical-legal evaluation of clinical records in Brazilian dentistry courses

description: Abstract This study analyzes the dental records used in the Brazilian dentistry courses, considering their suitability regarding the ethical guidelines of the legislation in force in the country. All the coordinators of the 220 graduation courses registered on the Federal Council of Dentistry’s website were invited, and 96 (43.6%) accepted to participate in our research. For the collection and analysis of data, we used a structured questionnaire with ethical and legislative questions. Of the total sample, 53.2% presented all the necessary minimum documents, but none of them met all the requirements of patient identification, anamnesis, informed consent form, and odontograms. Moreover, 17.8% fulfilled all the items for planning, and 61.5% had the authorization for the use of data and images. We concluded that these records do not conform to the current legislation and must be updated in order to obtain an improvement in the quality of the information, avoiding administrative, moral and legal problems.
DOI: 10.6084/m9.figshare.14307425
title: Humanities: teaching a “new” ethical dimension in medical education

description: Abstract This study presents the process of ethical formation through the Medical Humanities subject of a medical undergraduate program in Southern Brazil. This is a qualitative research carried out with 28 medical students between the 1st and 7th periods. Data collection took place by focus groups and the results, obtained by content analysis, were divided into two thematic categories: production of self and of the ethical dimension in medical education; and proposals of changes in “humanistic” training. We concluded that it is necessary to identify the ethical problems present in the teaching-learning process itself, develop opportunities for other means of connection between professors and students and discuss issues inherent to medical ethics.
DOI: 10.6084/m9.figshare.14307423
title: Knowledge of medical ethics among medical students in Salvador

description: Abstract This is a cross-sectional, observational study conducted between August and October 2018, to survey knowledge of medical ethics among 601 medical college students of a private university in the city of Salvador, Bahia, Brazil. Were collected the data through a multiple-choice questionnaire with a simulation of seven cases involving ethical conflicts. The participants were mostly young females, and part of them had a previous academic degree. Most students reported having read the code of medical ethics and considered its language easy to understand. Except for some slight variations, knowledge of medical ethics proved to be progressive over the semesters, and the best performance was in the last semester of the program.
DOI: 10.6084/m9.figshare.14307422
title: End of life: conceptual understanding of euthanasia, dysthanasia and orthothanasia

description: Abstract This study evaluates the knowledge of intensive care physicians about the concepts of euthanasia, dysthanasia and orthothanasia in Campo Grande/MS, Brazil. The cross-sectional and qualitative research involved 80 doctors who responded to a self-administered questionnaire, with closed and open questions that aimed to assess the interviewee’s knowledge of the three concepts. Data analysis showed that 32% of respondents inadequately defined euthanasia, and 75% and 61.2% accurately defined dysthanasia and orthothanasia, respectively. In turn, 46.2% had adequate knowledge of the three terms and practices. We noticed that the years of practice since graduation were inversely proportional to the knowledge of concepts.
DOI: 10.6084/m9.figshare.14307419
title: Attitudes of doctors and medical students toward patients with suicidal ideation

description: Abstract Considering suicide is a public health problem, this study identified misconceptions about patients at risk of suicide as well as strategies to manage patients and their families, also verifying changes in conceptions and attitudes throughout graduation. We applied a questionnaire with five categories: “medical confidentiality,” “deontology,” “medical negligence,” “graduation,” and “myths and conceptions”. One hundred and twenty-six subjects participated in the research: 45 (35.7%) first-year medical students, 48 (38.1%) interns, and 33 (26.2%) doctors. The variables were analyzed, and the difference between groups was significant for 15 questions (62.5%). In one question (myths and conceptions) the answers were distant from the expected, and in two questions (myths and conceptions, deontology) the result did not give adequate information. We observed improvements at medical graduation for most of the studied aspects; among the deficiencies, we highlight those related to compulsory notification, electroconvulsive therapy, and the responsibility of doctors.
DOI: 10.6084/m9.figshare.14307417
title: Ethics and pharmaceutical services in primary health care: daily challenges

description: Abstract This study aimed to identify and discuss ethical problems experienced by pharmacists in primary health care. Data were collected through semi-structured interviews conducted with 19 pharmacists in Florianópolis, Santa Catarina, Brazil. The content of interviews was analyzed through thematic-categorical analysis in the light of bioethics references. Ten ethical problems were identified related to the political dimension of the working process and health care, involving issues related to the structure of services and work environment, and management of health services. An ethical analysis to solve these questions is an important strategy to improve pharmaceutical services in primary health care.