cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.11966088.v1
title: Supply shocks and monetary policy in the Brazilian economy: an analysis of the impact of commodity prices on inflation between 2002 and 2014

description: Abstract This study investigates how the supply shocks, originated by commodity prices, have impacted on the Brazilian inflation, the way, and how efficiently monetary policy of the country has reacted. To this purpose, a semi-structural model containing a Phillips curve, an IS curve, and two versions of the Central Bank's reaction function were estimated. The method of estimation used was the autoregression with Vector Error Correction (VEC) in its structural version. The results suggest that the Brazilian inflation rate has an important index component, but it is also affected by the expectation that the market shows about the inflation, and by the price behavior on the supply side. They both have some impact on inflation expectations.
DOI: 10.6084/m9.figshare.11966073
title: Intra- and interobserver reliability of a modified distraction test based on digital images to assess lower eyelid horizontal tension

description: ABSTRACT Purpose: Inferior eyelid laxity is classically evaluated using “snap-back” and “distraction” tests. This study aimed to assess the reproducibility of the technique used to indirectly quantify the horizontal tension in the lower eyelids using digital image processing. Methods: This longitudinal study was conducted to assess the reproducibility of a new technique that quantifies the horizontal tension in the lower eyelid. The study was conducted at the Hospital das Clínicas of Porto Alegre. The protocol was established by two trained ophthalmologist examiners, allowing intra- and interobserver agreement analyses. Image acquisition was done in two stages: the first image was captured with the eyelid in primary gaze position and the second with the eyelid in traction position. All images and measurements were processed using Image J 1.33m software from the National Institute of Health. The Bland-Altman method, intraclass correlation coefficients, concordance correlation coefficients, and technical measurement error were used to evaluate reproducibility. Results: The study participants comprised healthy individuals with no ophthalmologic pathologies. The measurements obtained in the neutral position showed a slightly higher agreement than those obtained in the traction position. The mean difference between the measurements performed in the traction position was 0.028 ± 0.7 mm and 0.014 ± 0.9 mm in the intra- and interobserver analyses, respectively. The Bland-Altman method demonstrated adequate confidence limits for both measurements. Correlation coefficients for measurements varied between 0.87 [95% confidence interval (CI) 0.68-0.95] and 0.91 (95% CI 0.77-0.97) in the neutral position and between 0.72 (95% CI 0.37-0.89) and 0.76 (95% CI 0.4-0.91) in the traction position. Conclusion: A high intra- and interobserver concordance was observed in the studied method to quantify lower eyelid tension. The proposed method is simple and easily reproducible, and to the best our knowledge, this is the first method that quantifies lower eyelid horizontal tension on the basis of digital image processing. This modified distraction test might be useful in studies quantifying lower eyelid horizontal tension.
DOI: 10.6084/m9.figshare.11966073.v1
title: Intra- and interobserver reliability of a modified distraction test based on digital images to assess lower eyelid horizontal tension

description: ABSTRACT Purpose: Inferior eyelid laxity is classically evaluated using “snap-back” and “distraction” tests. This study aimed to assess the reproducibility of the technique used to indirectly quantify the horizontal tension in the lower eyelids using digital image processing. Methods: This longitudinal study was conducted to assess the reproducibility of a new technique that quantifies the horizontal tension in the lower eyelid. The study was conducted at the Hospital das Clínicas of Porto Alegre. The protocol was established by two trained ophthalmologist examiners, allowing intra- and interobserver agreement analyses. Image acquisition was done in two stages: the first image was captured with the eyelid in primary gaze position and the second with the eyelid in traction position. All images and measurements were processed using Image J 1.33m software from the National Institute of Health. The Bland-Altman method, intraclass correlation coefficients, concordance correlation coefficients, and technical measurement error were used to evaluate reproducibility. Results: The study participants comprised healthy individuals with no ophthalmologic pathologies. The measurements obtained in the neutral position showed a slightly higher agreement than those obtained in the traction position. The mean difference between the measurements performed in the traction position was 0.028 ± 0.7 mm and 0.014 ± 0.9 mm in the intra- and interobserver analyses, respectively. The Bland-Altman method demonstrated adequate confidence limits for both measurements. Correlation coefficients for measurements varied between 0.87 [95% confidence interval (CI) 0.68-0.95] and 0.91 (95% CI 0.77-0.97) in the neutral position and between 0.72 (95% CI 0.37-0.89) and 0.76 (95% CI 0.4-0.91) in the traction position. Conclusion: A high intra- and interobserver concordance was observed in the studied method to quantify lower eyelid tension. The proposed method is simple and easily reproducible, and to the best our knowledge, this is the first method that quantifies lower eyelid horizontal tension on the basis of digital image processing. This modified distraction test might be useful in studies quantifying lower eyelid horizontal tension.
DOI: 10.6084/m9.figshare.11966064
title: Pleasure and suffering among hospital nurses

description: ABSTRACT Objectives: to associate pleasure and suffering indicators with aspects related to nursing work in hospitals. Methods: This is a cross-sectional quantitative study conducted with 152 nurses from a university hospital in the city of João Pessoa, Paraíba State, Brazil. Data were collected through interviews, using a tool to obtain sociodemographic data, work characteristics and the Pleasure and Suffering Indicators at Work Scale. Results: pleasure living and its domains were rated as satisfactory, while suffering factors and their domains were critically assessed. Statistically significant associations were observed among pleasure and suffering indicators, and some characteristics of nurses' work. Conclusions: it was evidenced that nurses had critical levels of suffering at work associated with their work practice characteristics.
DOI: 10.6084/m9.figshare.11966061
title: Ex-ante moral hazard: empirical evidence for private health insurance in Brazil

description: Abstract This paper explores the existence of ex-ante moral hazard in private health insurance in Brazil. Before the advent of illness, insured individuals have no incentives to seek preventive care if it is not previously contractible. The data set comprises longitudinal administrative records of health care utilization from a Brazilian employer-sponsored health insurance plan. The empirical strategy is based on an exogenous and anticipated shock in health insurance coverage not associated with health conditions. The results show an increase of up to 17% on medical visits and 22% on diagnostic tests due to the loss of health insurance. Medical visits start to increase ﬁve months before the individual leaves the health insurance pool, reaching its peak at two months prior to exit. For diagnostic tests, the increase was observed only in the last two months before the loss of health insurance coverage.
DOI: 10.6084/m9.figshare.11966061.v1
title: Ex-ante moral hazard: empirical evidence for private health insurance in Brazil

description: Abstract This paper explores the existence of ex-ante moral hazard in private health insurance in Brazil. Before the advent of illness, insured individuals have no incentives to seek preventive care if it is not previously contractible. The data set comprises longitudinal administrative records of health care utilization from a Brazilian employer-sponsored health insurance plan. The empirical strategy is based on an exogenous and anticipated shock in health insurance coverage not associated with health conditions. The results show an increase of up to 17% on medical visits and 22% on diagnostic tests due to the loss of health insurance. Medical visits start to increase ﬁve months before the individual leaves the health insurance pool, reaching its peak at two months prior to exit. For diagnostic tests, the increase was observed only in the last two months before the loss of health insurance coverage.
DOI: 10.6084/m9.figshare.11966064.v1
title: Pleasure and suffering among hospital nurses

description: ABSTRACT Objectives: to associate pleasure and suffering indicators with aspects related to nursing work in hospitals. Methods: This is a cross-sectional quantitative study conducted with 152 nurses from a university hospital in the city of João Pessoa, Paraíba State, Brazil. Data were collected through interviews, using a tool to obtain sociodemographic data, work characteristics and the Pleasure and Suffering Indicators at Work Scale. Results: pleasure living and its domains were rated as satisfactory, while suffering factors and their domains were critically assessed. Statistically significant associations were observed among pleasure and suffering indicators, and some characteristics of nurses' work. Conclusions: it was evidenced that nurses had critical levels of suffering at work associated with their work practice characteristics.
DOI: 10.6084/m9.figshare.11966049
title: Homeless people's social representations about self-care

description: ABSTRACT Objectives: To capture and analyze the structure of homeless people’s social representations about self-care. Methods: Research based on the theory of social representations, with 122 people in street situation. A semistructured questionnaire and free evocation technique were applied with the inducing words “caring for myself is”. The evocations were processed by the software Evoc and Iramuteq, allowing to identify central and peripheral elements and the connection between them. Results: For the group studied, “feeding oneself, personal hygiene, protecting oneself and visiting the doctor” are actions and attitudes that represent caring for themselves. In the streets, “feeding oneself” is an essential action for living/surviving that underpins the others. Final considerations: Despite behaviors based on the biomedical model, self-care was represented by extended actions to meet basic human needs. This study offers elements of reflection to rethink care practices developed by health professionals.
DOI: 10.6084/m9.figshare.11966046
title: Creating a Mental Health Internship Program: the Experience of Universidade São Francisco

description: Abstract: Introduction: The medical education model in Brazil has been going through major changes in recent years. With the introduction of the “More Doctors” Program in 2013, which proposes to train human resources in the medical field to work preferentially in Brazil’s neediest regions under the reference of the Brazilian Unified Health System (SUS), and the subsequent launching in the following year of the National Curriculum Guidelines for medical courses, a new reality was introduced regarding medical internship and the need for a mental health module. The emergence of new medical schools, as well as the lack of mental health internship programs in older schools, presupposes the necessity of reflection and viability of this new field of activity. This article aims at presenting the experience of the São Francisco University (USF) medical course in Bragança Paulista, which has been developing its mental health internship program for fifteen years. Method: As the structural premise, we established five guiding principles for the organization, planning and implementation of the internship program, respecting the specificity and reality of each course regarding the workload, faculty and learning scenarios. Results: It seeks to know about the programmatic content of mental health in medical courses, the internship structure, the existence of a mental health internship program of its own or related to a more comprehensive module, the existing workload, the number of students distributed among the modules, the number of faculty members and the learning scenarios. Conclusion: The authors present the operating model of the mental health internship program of the medical course at USF, in order to serve as a proposal of viability and guidance for medical courses that seek for a training referential. It is concluded that medical education, which faces an important moment of change-over, can train professionals who, even if they do not become psychiatrists, feel prepared for the mental health demands that can emerge during the healthcare routine and under the basic principles of SUS.
DOI: 10.6084/m9.figshare.11966049.v1
title: Homeless people's social representations about self-care

description: ABSTRACT Objectives: To capture and analyze the structure of homeless people’s social representations about self-care. Methods: Research based on the theory of social representations, with 122 people in street situation. A semistructured questionnaire and free evocation technique were applied with the inducing words “caring for myself is”. The evocations were processed by the software Evoc and Iramuteq, allowing to identify central and peripheral elements and the connection between them. Results: For the group studied, “feeding oneself, personal hygiene, protecting oneself and visiting the doctor” are actions and attitudes that represent caring for themselves. In the streets, “feeding oneself” is an essential action for living/surviving that underpins the others. Final considerations: Despite behaviors based on the biomedical model, self-care was represented by extended actions to meet basic human needs. This study offers elements of reflection to rethink care practices developed by health professionals.
DOI: 10.6084/m9.figshare.11966037
title: Lunar crater analysis as an alternative tool for physics and astronomy teaching

description: Abstract In this paper indirect measurements of the sizes of some lunar craters as well as their selenographic coordinates from lunar surface photographs were performed. In order to carry out the analysis of the images a software was developed in Visual Basic, which is so called Îasy. Comparing the results obtained through the program developed with data provided by an astronomical observatory average percentage deviations of less than 1% were obtained. In view of the didactic potential of the tool capable of reducing abstractions and producing motivation, as well as the reliability of the obtained results, we can verify that Îasy software can be used as an educational tool, as well as assist amateur astronomers in the development of good precision.
DOI: 10.6084/m9.figshare.11966046.v1
title: Creating a Mental Health Internship Program: the Experience of Universidade São Francisco

description: Abstract: Introduction: The medical education model in Brazil has been going through major changes in recent years. With the introduction of the “More Doctors” Program in 2013, which proposes to train human resources in the medical field to work preferentially in Brazil’s neediest regions under the reference of the Brazilian Unified Health System (SUS), and the subsequent launching in the following year of the National Curriculum Guidelines for medical courses, a new reality was introduced regarding medical internship and the need for a mental health module. The emergence of new medical schools, as well as the lack of mental health internship programs in older schools, presupposes the necessity of reflection and viability of this new field of activity. This article aims at presenting the experience of the São Francisco University (USF) medical course in Bragança Paulista, which has been developing its mental health internship program for fifteen years. Method: As the structural premise, we established five guiding principles for the organization, planning and implementation of the internship program, respecting the specificity and reality of each course regarding the workload, faculty and learning scenarios. Results: It seeks to know about the programmatic content of mental health in medical courses, the internship structure, the existence of a mental health internship program of its own or related to a more comprehensive module, the existing workload, the number of students distributed among the modules, the number of faculty members and the learning scenarios. Conclusion: The authors present the operating model of the mental health internship program of the medical course at USF, in order to serve as a proposal of viability and guidance for medical courses that seek for a training referential. It is concluded that medical education, which faces an important moment of change-over, can train professionals who, even if they do not become psychiatrists, feel prepared for the mental health demands that can emerge during the healthcare routine and under the basic principles of SUS.
DOI: 10.6084/m9.figshare.11966040
title: Potential life years not saved due to lack of access to anti-EGFR tyrosine kinase inhibitors for lung cancer treatment in the Brazilian public healthcare system: Budget impact and strategies to improve access. A pharmacoeconomic study

description: ABSTRACT BACKGROUND: Lung cancer is the fourth most common cancer in Brazil. In the 2000s, better understanding of molecular pathways led to development of epidermal growth factor receptor (EGFR)-targeted treatments that have improved outcomes. However, these treatments are unavailable in most Brazilian public healthcare services (Sistema Único de Saúde, SUS). OBJECTIVE: To assess the potential number of years of life not saved, the budget impact of the treatment and strategies to improve access. DESIGN AND SETTING: Pharmacoeconomic study assessing the potential societal and economic impact of adopting EGFR-targeted therapy within SUS. METHODS: We estimated the number of cases eligible for treatment, using epidemiological data from the National Cancer Institute. We used data from a single meta-analysis and from the Lung Cancer Mutation Consortium (LCMC) study as the basis for assessing differences in patients’ survival between use of targeted therapy and use of chemotherapy. The costs of targeted treatment were based on the national reference and were compared with the amount reimbursed for chemotherapy through SUS. RESULTS: There was no life-year gain with EGFR-targeted therapy in the single meta-analysis (hazard ratio, HR, 1.01). The LCMC showed that 1,556 potential life-years were not saved annually. We estimated that the annual budget impact was 125 million Brazilian reais (BRL) with erlotinib, 48 million BRL with gefitinib and 52 million BRL with afatinib. Their incremental costs over chemotherapy per life-year saved were 80,329 BRL, 31,011 BRL and 33,225 BRL, respectively. A drug acquisition discount may decrease the budget impact by 30% (with a 20% discount). A fixed cost of 1,000 BRL may decrease the budget impact by 95%. CONCLUSION: Reducing drug acquisition costs may improve access to EGFR-targeted therapy for lung cancer.
DOI: 10.6084/m9.figshare.11966040.v1
title: Potential life years not saved due to lack of access to anti-EGFR tyrosine kinase inhibitors for lung cancer treatment in the Brazilian public healthcare system: Budget impact and strategies to improve access. A pharmacoeconomic study

description: ABSTRACT BACKGROUND: Lung cancer is the fourth most common cancer in Brazil. In the 2000s, better understanding of molecular pathways led to development of epidermal growth factor receptor (EGFR)-targeted treatments that have improved outcomes. However, these treatments are unavailable in most Brazilian public healthcare services (Sistema Único de Saúde, SUS). OBJECTIVE: To assess the potential number of years of life not saved, the budget impact of the treatment and strategies to improve access. DESIGN AND SETTING: Pharmacoeconomic study assessing the potential societal and economic impact of adopting EGFR-targeted therapy within SUS. METHODS: We estimated the number of cases eligible for treatment, using epidemiological data from the National Cancer Institute. We used data from a single meta-analysis and from the Lung Cancer Mutation Consortium (LCMC) study as the basis for assessing differences in patients’ survival between use of targeted therapy and use of chemotherapy. The costs of targeted treatment were based on the national reference and were compared with the amount reimbursed for chemotherapy through SUS. RESULTS: There was no life-year gain with EGFR-targeted therapy in the single meta-analysis (hazard ratio, HR, 1.01). The LCMC showed that 1,556 potential life-years were not saved annually. We estimated that the annual budget impact was 125 million Brazilian reais (BRL) with erlotinib, 48 million BRL with gefitinib and 52 million BRL with afatinib. Their incremental costs over chemotherapy per life-year saved were 80,329 BRL, 31,011 BRL and 33,225 BRL, respectively. A drug acquisition discount may decrease the budget impact by 30% (with a 20% discount). A fixed cost of 1,000 BRL may decrease the budget impact by 95%. CONCLUSION: Reducing drug acquisition costs may improve access to EGFR-targeted therapy for lung cancer.
DOI: 10.6084/m9.figshare.11966031
title: Exploring the potentials of digital history: the experience of the Documentary and Image Center of the Federal Rural University of Rio de Janeiro - Nova Iguaçu campus

description: ABSTRACT This article analyses the perspectives open by digital history for the renewal of the historiographic production departing from the experience of UFRRJ’s Documentary and Image Center (CEDIM). It highlights the contribution of making available digital holdings for the collective self-esteem of Baixada Fluminense dwellers, overcoming stigmas traditionally associated to the region, as in the case of the documents of the Nova Iguaçu Metropolitan Curia, of great relevance for the study of local social movements. Finally, it analyses CEDIM as a locus of cooperation between historians and computer scientist, that originated UFRRJ’s Masters in Digital Humanities..
DOI: 10.6084/m9.figshare.11966034
title: Health education: the effectiveness of interventions in patients with heart failure

description: ABSTRACT Objectives: To evaluate the effectiveness of NIC interventions “Teaching: Disease Process”, “Health Education” and “Cardiac Care” in the improvement of NOC results in individuals with Heart Failure (HF), and the Nursing Diagnosis (ND) “Ineffective Health Control”. Methods: Retrospective cohort, conducted at a Health Education in Nursing outpatient clinic. Fourteen patients with HF had follow-up for one year in six bimonthly consultations. The effectiveness of interventions was verified through the change of the result scores through the Friedman’s Non-Parametric Test and Analysis of Non-Parametric Variance for repeated measures. The level of significance was 5%. Results: The interventions were implemented in consultations in a variety of activities. There was a significant improvement in the result scores until the fourth visit (p&lt;0.001). Conclusions: The interventions were effective in improving outcomes in patients with HF and Ineffective Health Control.