cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.7102418
title: Acquired anterior staphyloma after corneal ulcer associated with the use of crack

description: ABSTRACT We describe an unusual case of acquired anterior staphyloma in a patient addicted to crack cocaine. At the beginning of his crack cocaine abuse, he noticed redness and irritation of his eyes. Over the next 4 months, the patient also noticed the onset of decreasing visual acuity in his right eye (OD). Initially, his visual acuity was light perception in OD, and slit-lamp examination revealed a corneal infiltrate with a peripheral perforation and an iris prolapse. The patient was hospitalized to ensure compliance with the prescribed treatment and was advised to undergo therapeutic keratoplasty; however, the patient left the hospital against medical advice and was lost to follow-up for the next 6 months. He returned with complaints of photophobia and the inability to close his right eyelids. At this time, his cornea had developed an anterior staphyloma and required a sclerokeratoplasty. Following surgery, the patient was again lost to follow-up.
DOI: 10.6084/m9.figshare.7102418.v1
title: Acquired anterior staphyloma after corneal ulcer associated with the use of crack

description: ABSTRACT We describe an unusual case of acquired anterior staphyloma in a patient addicted to crack cocaine. At the beginning of his crack cocaine abuse, he noticed redness and irritation of his eyes. Over the next 4 months, the patient also noticed the onset of decreasing visual acuity in his right eye (OD). Initially, his visual acuity was light perception in OD, and slit-lamp examination revealed a corneal infiltrate with a peripheral perforation and an iris prolapse. The patient was hospitalized to ensure compliance with the prescribed treatment and was advised to undergo therapeutic keratoplasty; however, the patient left the hospital against medical advice and was lost to follow-up for the next 6 months. He returned with complaints of photophobia and the inability to close his right eyelids. At this time, his cornea had developed an anterior staphyloma and required a sclerokeratoplasty. Following surgery, the patient was again lost to follow-up.
DOI: 10.6084/m9.figshare.7102409
title: Evaluation of dentists’ knowledge of the use of oral exfoliative cytology in clinical practice

description: Oral exfoliative cytology (EC) is a rapid and practical complementary test that can be used in the diagnosis of various diseases. The objectives of this study were to assess dentists’ knowledge of EC and to disseminate information on the technique. The study included 240 dentists from the city of Anápolis (Goiás, Brazil) who answered a questionnaire regarding demographic data and data relating to EC and who then received information on the technique. The data revealed that 26.92% of the dentists did not know about EC. Among those who reported knowledge of EC, 33.91% did not know the procedures for performing the technique, and 85.38% had no experience with EC. In addition, 54.09% of the answers regarding the instrument used to collect the material and 56.82% of the answers concerning suitable fixatives were inappropriate. Although 73.02% of the dentists adequately identified the pathologies for which EC is recommended, it was concluded that the respondents had poor knowledge of EC. There is a need to increase dentists’ awareness of this subject and of EC’s use in diagnostic practices.
DOI: 10.6084/m9.figshare.7102412
title: THE IMPORTANCE OF PSYCHOLOGICAL TESTING IN PREDICTING THE EFFECTIVENESS OF LUMBAR SPINE SURGERY

description: ABSTRACT Objective: The result of treatment of patients with degenerative disc diseases is partly determined by the psychological characteristics of the patients. The aim of this study was to examine the correlations between the psychological scales scores in patients with degenerative lumbar disc diseases and the effectiveness of surgical treatment. Methods: The efficacy of the operation and patients’ satisfaction were compared with the preoperative psychological characteristics, according to the questionnaires and scales (BBQ Symonds, Zung Scale, FABQ, PCI, BBQ Catastrophization). Results: In patients with neurogenic intermittent claudication syndrome without significant pain, the operative treatment depended significantly on the value of the BBQ Symonds scale (p = 0.016). In patients with severe radicular pain in the lower extremity, the effectiveness of the operation depended significantly on the value of the subscale “protection” of the PCI questionnaire (p = 0.04), the ODI index filled out before the operation (p = 0.0). In patients with lumbar syndrome, the effectiveness of operation depended significantly on the value of the PCI questionnaire as a whole (p = 0.042) and its subscores “rest” (p = 0.028), the index of the Oswestry filled out before the operation (p = 0.035). Conclusion: The effectiveness of the operation of degenerative lumbar disc diseases is associated with the results of preoperative psychological testing. It has been established that the BBQ Symonds scale, PCI protection and rest subscales, and the ODI questionnaire are the most significant; these psychological scales have the power to predict the effectiveness of surgical treatment. Level of Evidence II; Therapeutic Study - Investigating the Results of Treatment.
DOI: 10.6084/m9.figshare.7102409.v1
title: Evaluation of dentists’ knowledge of the use of oral exfoliative cytology in clinical practice

description: Oral exfoliative cytology (EC) is a rapid and practical complementary test that can be used in the diagnosis of various diseases. The objectives of this study were to assess dentists’ knowledge of EC and to disseminate information on the technique. The study included 240 dentists from the city of Anápolis (Goiás, Brazil) who answered a questionnaire regarding demographic data and data relating to EC and who then received information on the technique. The data revealed that 26.92% of the dentists did not know about EC. Among those who reported knowledge of EC, 33.91% did not know the procedures for performing the technique, and 85.38% had no experience with EC. In addition, 54.09% of the answers regarding the instrument used to collect the material and 56.82% of the answers concerning suitable fixatives were inappropriate. Although 73.02% of the dentists adequately identified the pathologies for which EC is recommended, it was concluded that the respondents had poor knowledge of EC. There is a need to increase dentists’ awareness of this subject and of EC’s use in diagnostic practices.
DOI: 10.6084/m9.figshare.7102403
title: SURGICAL SITE INFECTIONS IN PATIENTS AFTER POSTERIOR LUMBAR SPINE FUSION

description: ABSTRACT Objective: Infectious complications are the most common cause of unsatisfactory results of surgical treatment and prolongation of hospitalization in patients following spinal surgery. The purpose - to assess the microbiological characteristics of SSI in patients after posterior lumbar fusion for degenerative disease, and to determine the relationship between these characteristics and surgical features of SSIs. Methods: A single-center retrospective non-randomized cohort study was performed, 1563 patients aged 37 to 59 years were included in the study. Microbiological characteristics were analyzed, and their interrelations with the surgical features of all cases of SSIs were determined. Results: The incidence of SSIs was 2.67% (41). Monomicrobial SSIs were detected in 46.3% (19) patients, polymicrobial in 36.5% (15) cases, and negative results of inoculation in 17.07% (7) patients. The most frequent pathogens of SSIs in the study group were S. aureus and S. epidermidis - 37.9% (33) and 24.1% (21), respectively. The period of development of symptoms of SSIs in patients after posterior lumbar fusion averaged 25.9±65.3 days. Methicillin-resistant S. aureus and S. epidermidis (MRSA and MRSE) were verified in 24.1% (21) cases. Conclusions: Assessment of microbiological characteristics should be carried out in all diagnosed cases of SSIs in patients after spine surgical interventions, as these are closely linked to the surgical features of the infectious process. Also, the treatment tactics for this group of patients should be determined by a medical team working in conjunction. Level of evidence IV; Descriptive study.
DOI: 10.6084/m9.figshare.7102412.v1
title: THE IMPORTANCE OF PSYCHOLOGICAL TESTING IN PREDICTING THE EFFECTIVENESS OF LUMBAR SPINE SURGERY

description: ABSTRACT Objective: The result of treatment of patients with degenerative disc diseases is partly determined by the psychological characteristics of the patients. The aim of this study was to examine the correlations between the psychological scales scores in patients with degenerative lumbar disc diseases and the effectiveness of surgical treatment. Methods: The efficacy of the operation and patients’ satisfaction were compared with the preoperative psychological characteristics, according to the questionnaires and scales (BBQ Symonds, Zung Scale, FABQ, PCI, BBQ Catastrophization). Results: In patients with neurogenic intermittent claudication syndrome without significant pain, the operative treatment depended significantly on the value of the BBQ Symonds scale (p = 0.016). In patients with severe radicular pain in the lower extremity, the effectiveness of the operation depended significantly on the value of the subscale “protection” of the PCI questionnaire (p = 0.04), the ODI index filled out before the operation (p = 0.0). In patients with lumbar syndrome, the effectiveness of operation depended significantly on the value of the PCI questionnaire as a whole (p = 0.042) and its subscores “rest” (p = 0.028), the index of the Oswestry filled out before the operation (p = 0.035). Conclusion: The effectiveness of the operation of degenerative lumbar disc diseases is associated with the results of preoperative psychological testing. It has been established that the BBQ Symonds scale, PCI protection and rest subscales, and the ODI questionnaire are the most significant; these psychological scales have the power to predict the effectiveness of surgical treatment. Level of Evidence II; Therapeutic Study - Investigating the Results of Treatment.
DOI: 10.6084/m9.figshare.7102403.v1
title: SURGICAL SITE INFECTIONS IN PATIENTS AFTER POSTERIOR LUMBAR SPINE FUSION

description: ABSTRACT Objective: Infectious complications are the most common cause of unsatisfactory results of surgical treatment and prolongation of hospitalization in patients following spinal surgery. The purpose - to assess the microbiological characteristics of SSI in patients after posterior lumbar fusion for degenerative disease, and to determine the relationship between these characteristics and surgical features of SSIs. Methods: A single-center retrospective non-randomized cohort study was performed, 1563 patients aged 37 to 59 years were included in the study. Microbiological characteristics were analyzed, and their interrelations with the surgical features of all cases of SSIs were determined. Results: The incidence of SSIs was 2.67% (41). Monomicrobial SSIs were detected in 46.3% (19) patients, polymicrobial in 36.5% (15) cases, and negative results of inoculation in 17.07% (7) patients. The most frequent pathogens of SSIs in the study group were S. aureus and S. epidermidis - 37.9% (33) and 24.1% (21), respectively. The period of development of symptoms of SSIs in patients after posterior lumbar fusion averaged 25.9±65.3 days. Methicillin-resistant S. aureus and S. epidermidis (MRSA and MRSE) were verified in 24.1% (21) cases. Conclusions: Assessment of microbiological characteristics should be carried out in all diagnosed cases of SSIs in patients after spine surgical interventions, as these are closely linked to the surgical features of the infectious process. Also, the treatment tactics for this group of patients should be determined by a medical team working in conjunction. Level of evidence IV; Descriptive study.
DOI: 10.6084/m9.figshare.7102406
title: Comparison of central corneal thickness measurements using optical low-coherence reflectometry, Fourier domain optical coherence tomography, and Scheimpflug camera

description: Purpose: To compare the results of central corneal thickness (CCT) measurements obtained using optical low-coherence reflectometry (OLCR), Fourier domain optical coherence tomography (FD-OCT), and a Scheimpflug camera (SC), combined with Placido corneal topography. Methods: A total of 25 healthy subjects were enrolled in the present study, and one eye of each subject was included. A detailed ophthalmic examination was performed in all cases following CCT measurements with OLCR, FD-OCT, and SC. The results were compared using an ANOVA test. Bland-Altman analysis was used to demonstrate agreement between methods. Intra-examiner repeatability was assessed by using intraclass correlation coefficients (ICCs). Results: Statistically significant differences were observed between the results of the CCT measurements obtained using the three different devices (p=0.009). Significant correlations were found between OLCR and FD-OCT (r=0.97; p&lt;0.0001), FD-OCT and SC (r=0.91; p&lt;0.0001), and OLCR and SC (r=0.95; p&lt;0.0001). The 95% limits of agreement (LOA) obtained from Bland-Altman plots were from -7.2 μm to 28.7 μm for OLCR versus FD-OCT, from -19.2 μm to 30.4 μm for OLCR versus SC, and from -42.6 to 32.3 μm for FD-OCT versus SC. Intra-examiner repeatability was excellent for each method, with ICCs &gt;0.98. Conclusion: Although the results of CCT measurements obtained from these three devices were highly correlated with one another and the mean differences between instruments were comparable with the reported diurnal CCT fluctuation, the measurements are not directly interchangeable in clinical practice because of the wide LOA values.
DOI: 10.6084/m9.figshare.7102406.v1
title: Comparison of central corneal thickness measurements using optical low-coherence reflectometry, Fourier domain optical coherence tomography, and Scheimpflug camera

description: Purpose: To compare the results of central corneal thickness (CCT) measurements obtained using optical low-coherence reflectometry (OLCR), Fourier domain optical coherence tomography (FD-OCT), and a Scheimpflug camera (SC), combined with Placido corneal topography. Methods: A total of 25 healthy subjects were enrolled in the present study, and one eye of each subject was included. A detailed ophthalmic examination was performed in all cases following CCT measurements with OLCR, FD-OCT, and SC. The results were compared using an ANOVA test. Bland-Altman analysis was used to demonstrate agreement between methods. Intra-examiner repeatability was assessed by using intraclass correlation coefficients (ICCs). Results: Statistically significant differences were observed between the results of the CCT measurements obtained using the three different devices (p=0.009). Significant correlations were found between OLCR and FD-OCT (r=0.97; p&lt;0.0001), FD-OCT and SC (r=0.91; p&lt;0.0001), and OLCR and SC (r=0.95; p&lt;0.0001). The 95% limits of agreement (LOA) obtained from Bland-Altman plots were from -7.2 μm to 28.7 μm for OLCR versus FD-OCT, from -19.2 μm to 30.4 μm for OLCR versus SC, and from -42.6 to 32.3 μm for FD-OCT versus SC. Intra-examiner repeatability was excellent for each method, with ICCs &gt;0.98. Conclusion: Although the results of CCT measurements obtained from these three devices were highly correlated with one another and the mean differences between instruments were comparable with the reported diurnal CCT fluctuation, the measurements are not directly interchangeable in clinical practice because of the wide LOA values.
DOI: 10.6084/m9.figshare.7102397
title: Inner and outer segment junction (IS/OS line) integrity in ocular Behçet's disease

description: Purpose: In this study, we examined the spectral domain optical coherence tomography (OCT) findings of ocular Behçet's disease (OB) in patients with inactive uveitis. Specifically, we analyzed the inner and outer segment junction (IS/OS line) integrity and the effect of disturbed IS/OS line integrity on visual acuity. Methods: Patient files and OCT images of OB patients who had been followed-up between January and June of the year 2013 at the Dicle University Eye Clinic were evaluated retrospectively. Sixty-six eyes of 39 patients were included the study. Results: OCT examination of the patients with inactive OB revealed that approximately 25% of the patients had disturbed IS/OS and external limiting membrane (EML) line integrity, lower visual acuity (VA), and lower macular thickness than others. Linear regression analysis revealed that macular thickness was not an independent variable for VA. In contrast, the IS/OS line integrity was an independent variable for VA in inactive OB patients. Conclusion: In this study, we showed that the IS/OS line integrity was an independent variable for VA in inactive OB patients. Further prospective studies are needed to evaluate the integrity of the IS/OS line in OB patients.
DOI: 10.6084/m9.figshare.7102400
title: Analysis of Sociodemographic Factors of The Pair Caregiver-Child/Adolescent With Disability: A Case-Control Study

description: ABSTRACT: Sociodemographic factors of the pair caregiver-child/adolescent with disability are important issues, but they are still little explored in national studies. The aim of this study was to analyze the association of sociodemographic factors and disability between pairs of caregiver - child/adolescent with and without disability. A case-control study design was used. The study included 112 caregiver-child pairs, of which 56 were children with disabilities (cases) and 56 children without disabilities (controls). For data collection, the following instruments were used: Self-Reporting Questionnaire (SRQ-20) and Sociodemographic Questionnaire. Most of the pairs caregiver-child with disability presented more unfavorable sociodemographic conditions when compared to the pair caregiver-child with no disability. The final logistic regression model indicated that caregivers of children with disabilities perceive their health more negatively, and children with disabilities present more food restrictions, make more use of controlled medications and rely more heavily on Government benefits. The associated variables are fundamental to understand the issue of disability more clearly and the influence of the caregiver in this context.
DOI: 10.6084/m9.figshare.7102397.v1
title: Inner and outer segment junction (IS/OS line) integrity in ocular Behçet's disease

description: Purpose: In this study, we examined the spectral domain optical coherence tomography (OCT) findings of ocular Behçet's disease (OB) in patients with inactive uveitis. Specifically, we analyzed the inner and outer segment junction (IS/OS line) integrity and the effect of disturbed IS/OS line integrity on visual acuity. Methods: Patient files and OCT images of OB patients who had been followed-up between January and June of the year 2013 at the Dicle University Eye Clinic were evaluated retrospectively. Sixty-six eyes of 39 patients were included the study. Results: OCT examination of the patients with inactive OB revealed that approximately 25% of the patients had disturbed IS/OS and external limiting membrane (EML) line integrity, lower visual acuity (VA), and lower macular thickness than others. Linear regression analysis revealed that macular thickness was not an independent variable for VA. In contrast, the IS/OS line integrity was an independent variable for VA in inactive OB patients. Conclusion: In this study, we showed that the IS/OS line integrity was an independent variable for VA in inactive OB patients. Further prospective studies are needed to evaluate the integrity of the IS/OS line in OB patients.
DOI: 10.6084/m9.figshare.7102400.v1
title: Analysis of Sociodemographic Factors of The Pair Caregiver-Child/Adolescent With Disability: A Case-Control Study

description: ABSTRACT: Sociodemographic factors of the pair caregiver-child/adolescent with disability are important issues, but they are still little explored in national studies. The aim of this study was to analyze the association of sociodemographic factors and disability between pairs of caregiver - child/adolescent with and without disability. A case-control study design was used. The study included 112 caregiver-child pairs, of which 56 were children with disabilities (cases) and 56 children without disabilities (controls). For data collection, the following instruments were used: Self-Reporting Questionnaire (SRQ-20) and Sociodemographic Questionnaire. Most of the pairs caregiver-child with disability presented more unfavorable sociodemographic conditions when compared to the pair caregiver-child with no disability. The final logistic regression model indicated that caregivers of children with disabilities perceive their health more negatively, and children with disabilities present more food restrictions, make more use of controlled medications and rely more heavily on Government benefits. The associated variables are fundamental to understand the issue of disability more clearly and the influence of the caregiver in this context.
DOI: 10.6084/m9.figshare.7102391
title: A teleophthalmology system for the diagnosis of ocular urgency in remote areas of Brazil

description: Purposes: To validate a teleophthalmology mobile system aimed at improving and providing eye urgency screenings in remote and poor area settings in Brazil. The system enables one or more ophthalmologists to remotely examine a patient's condition and submit a decision describing the gravity of the case. If necessary, the patient can be forwarded to a hospital for further consultation. Methods: A cellphone (Nexus One model, with a 5 megapixel camera) was used to collect data and pictures from 100 randomly selected patients at the Ophthalmology Emergency Room located at the General Hospital of the Federal University of São Paulo (UNIFESP). Data was then sent remotely to an online recording system to be reviewed by an ophthalmologist who provided feedback regarding the state of ocular urgency. Results were then compared to the gold standard diagnosis provided at the hospital. Results: The diagnosis of urgency was given by two ophthalmologists: one in the hospital (gold standard) and one remotely. When we compared both diagnoses we obtained results of 81.94% specificity, 92.85% sensitivity, and 85% accuracy, with a negative predictive value of 96.72%. This work also included a processing time analysis, resulting in an average time of 8.6 min per patient for remote consultations. Conclusions: This study is the first that has used only a cellphone for diagnosing the urgency of ocular cases. Based on our results, the system can provide a reliable distinction between urgent and non-urgent situations and can offer a viable alternative for the servicing of underprivileged areas. In screening techniques, the most important outcome is to identify urgent cases with a high level of sensitivity and predictive negative value. Thus, our results demonstrate that this tool is robust and we suggest that a major study aimed to verify its efficiency in resource-poor areas should be initiated.