cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14270886
title: Performance analysis of the specialized dental centers of the brazilian southeast region

description: Abstract Background The Dental Specialties Centers (CEOs) were created with the purpose of expanding and qualifying specialized attention in oral health in Brazil. Objective to evaluate the performance of Dental Specialties Centers (CEOs) in the southeastern Brazilian, in relation to demographic and service characterization variables. Method A total of 151 CEOs were evaluated in 2012 by the Global Goal Compliance indicator. The information was obtained from the Outpatient Clinic Information System and evaluated according to the following variables: HDI, population size, Oral Health Team coverage (ESB), type of CEO, macro-region states and type of municipal management. Results 66.9% of the CEO met the basic care subgroup goal such as 61.6% to periodontics, 25.8% to endodontic and 36.4% to surgery. The higher coverage of ESB (p=0.0466) and the lower HDI (0.0389) were associated with the worse performance. Most CEOs presented poor performance and very poor performance due to GGM association with ESB coverage and HDI. Most of the population coverage was associated with CEOs classified as poor or very poor. Conclusion The study indicated low performance for most of the CEOs evaluated, showing association with the higher coverage of the ESB and lower IDHM evidencing the importance of reorganizing the practice, considering that the planning of the actions and services should be based on the socioeconomic reality and the coverage of the ESB in the Primary Care.
DOI: 10.6084/m9.figshare.14270886.v1
title: Performance analysis of the specialized dental centers of the brazilian southeast region

description: Abstract Background The Dental Specialties Centers (CEOs) were created with the purpose of expanding and qualifying specialized attention in oral health in Brazil. Objective to evaluate the performance of Dental Specialties Centers (CEOs) in the southeastern Brazilian, in relation to demographic and service characterization variables. Method A total of 151 CEOs were evaluated in 2012 by the Global Goal Compliance indicator. The information was obtained from the Outpatient Clinic Information System and evaluated according to the following variables: HDI, population size, Oral Health Team coverage (ESB), type of CEO, macro-region states and type of municipal management. Results 66.9% of the CEO met the basic care subgroup goal such as 61.6% to periodontics, 25.8% to endodontic and 36.4% to surgery. The higher coverage of ESB (p=0.0466) and the lower HDI (0.0389) were associated with the worse performance. Most CEOs presented poor performance and very poor performance due to GGM association with ESB coverage and HDI. Most of the population coverage was associated with CEOs classified as poor or very poor. Conclusion The study indicated low performance for most of the CEOs evaluated, showing association with the higher coverage of the ESB and lower IDHM evidencing the importance of reorganizing the practice, considering that the planning of the actions and services should be based on the socioeconomic reality and the coverage of the ESB in the Primary Care.
DOI: 10.6084/m9.figshare.7451591
title: Primary care at the crossroads: deploy its transforming potential or be instrumented in a new privatization offensive

description: ABSTRACT After 40 years of settlement in the sanitary firmament the Primary Health Care (PHC) faces, as never before, the possibility to be re written. It isn't the same context when PHC was reaffirmed as in the 25th anniversary (Pan American Health Organization - Paho) or widen as in its 30th anniversary (World Health Organization -WHO); instead of it, we see an intent to re-edit the gestures and the symbols of those historical meeting of Alma Ata in 1978, but this time, it will take place in the city of Astana. The international context couldn't be more different from those in 1978. That's why it exists funded fears that the new statement will become a backward from the strength of the original statement. Unless this is what we can presume after reading the first paper of WHO for this meeting where it tries to subsume PHC to Universal Health Coverage, a controversial initiative of WHO and the World Bank. As it was and it always be, the final outcome, in fact, will depend of the way the communities and the health workers translate the proposal to every concrete practice scenario.
DOI: 10.6084/m9.figshare.7451591.v1
title: Primary care at the crossroads: deploy its transforming potential or be instrumented in a new privatization offensive

description: ABSTRACT After 40 years of settlement in the sanitary firmament the Primary Health Care (PHC) faces, as never before, the possibility to be re written. It isn't the same context when PHC was reaffirmed as in the 25th anniversary (Pan American Health Organization - Paho) or widen as in its 30th anniversary (World Health Organization -WHO); instead of it, we see an intent to re-edit the gestures and the symbols of those historical meeting of Alma Ata in 1978, but this time, it will take place in the city of Astana. The international context couldn't be more different from those in 1978. That's why it exists funded fears that the new statement will become a backward from the strength of the original statement. Unless this is what we can presume after reading the first paper of WHO for this meeting where it tries to subsume PHC to Universal Health Coverage, a controversial initiative of WHO and the World Bank. As it was and it always be, the final outcome, in fact, will depend of the way the communities and the health workers translate the proposal to every concrete practice scenario.
DOI: 10.6084/m9.figshare.6967688
title: Effect of bleaching agents on black tooth stains caused by chromogenic bacteria: 10 years follow-up case report

description: ABSTRACT Some microorganisms are associated with the formation and deposition of pigmentation on dental surfaces, and its localization, intensity and recurrence persistence can introduce aesthetic disorders. Carbamide peroxide is a bleaching agent that also presents antimicrobial properties. This case report addresses a ten-year clinical follow-up, showing a possible influence of a bleaching procedure protocol on alterations of oral microbiota. Although a bleaching treatment does not have the purpose to alter the oral microbiota, a drastic reduction and recurrence of black tooth stains was observed in this case.
DOI: 10.6084/m9.figshare.6967688.v1
title: Effect of bleaching agents on black tooth stains caused by chromogenic bacteria: 10 years follow-up case report

description: ABSTRACT Some microorganisms are associated with the formation and deposition of pigmentation on dental surfaces, and its localization, intensity and recurrence persistence can introduce aesthetic disorders. Carbamide peroxide is a bleaching agent that also presents antimicrobial properties. This case report addresses a ten-year clinical follow-up, showing a possible influence of a bleaching procedure protocol on alterations of oral microbiota. Although a bleaching treatment does not have the purpose to alter the oral microbiota, a drastic reduction and recurrence of black tooth stains was observed in this case.
DOI: 10.6084/m9.figshare.8092097
title: Health education and methodological devices applied in the care of Diabetes Mellitus

description: ABSTRACT The objective of this study was to identify the use of methodological devices for behavioral changes and practice of health education for individuals with Diabetes Mellitus (DM). A descriptive, exploratory, cross-sectional study developed in the city of Aracaju, Sergipe, Brazil, with 138 professionals, doctors and nurses of the Family Health Strategy, using a structured interview, having as a theoretical-methodological reference the Model of Care to Chronic Conditions. The results showed that most of the professionals referred to developing health education activities, with the most mentioned themes being: healthy eating and physical exercise. Regarding the use of approaches to change the behavior of users, the most used was the motivational interview, followed by the Transtheoretical Model of Change (MTT). All professionals who use MTT agree with its applicability. It is concluded that the practice of health education for people with DM is developed, while the use of methodological devices for behavior changes is still underutilized, especially the Operative Group.
DOI: 10.6084/m9.figshare.8092097.v1
title: Health education and methodological devices applied in the care of Diabetes Mellitus

description: ABSTRACT The objective of this study was to identify the use of methodological devices for behavioral changes and practice of health education for individuals with Diabetes Mellitus (DM). A descriptive, exploratory, cross-sectional study developed in the city of Aracaju, Sergipe, Brazil, with 138 professionals, doctors and nurses of the Family Health Strategy, using a structured interview, having as a theoretical-methodological reference the Model of Care to Chronic Conditions. The results showed that most of the professionals referred to developing health education activities, with the most mentioned themes being: healthy eating and physical exercise. Regarding the use of approaches to change the behavior of users, the most used was the motivational interview, followed by the Transtheoretical Model of Change (MTT). All professionals who use MTT agree with its applicability. It is concluded that the practice of health education for people with DM is developed, while the use of methodological devices for behavior changes is still underutilized, especially the Operative Group.
DOI: 10.6084/m9.figshare.7512869.v1
title: Highly prevalence of vitamin D deficiency among Brazilian women of reproductive age

description: ABSTRACT Objective Vitamin D has several metabolic functions and possible reproductive functions. This study aimed to determine the prevalence of vitamin D deficiency among Brazilian women of reproductive age, and to evaluate the relationship between serum 25-hydroxyvitamin D [25(OH)D] concentrations and infertility causes. Subjects and methods This retrospective cross-sectional study evaluated data from a private Brazilian assisted reproduction center that were collected between January 1 and May 5, 2012. Serum 25(OH)D concentrations were measured and compared for infertile and fertile women. Concentrations of 25(OH)D that were &lt; 20 ng/mL were defined as deficiency and concentrations of 21-30 ng/mL were defined as hypovitaminosis D. Results Among the 369 evaluated women, 81.1% exhibited hypovitaminosis D and 32.0% exhibited deficiency. The infertile and control patients did not exhibit any significant differences in the prevalence of vitamin D deficiency (30.2% vs. 35%, respectively; p = 0.33) or in the mean 25(OH)D concentrations (24.3 ± 7.9 ng/mL vs. 23.8 ± 8.7 ng/mL, respectively; p = 0.51). Furthermore, there were no significant differences in the mean 25(OH)D concentrations among subgroups of patients with single infertility factors, or between these subgroups and the control group. Conclusions A high proportion of Brazilian women of reproductive age exhibited vitamin D deficiency, regardless of their fertility status. Thus, it may be useful to evaluate this population for vitamin D deficiency, although future studies are needed to determine whether this deficiency might affect the outcomes of treatments for infertility.
DOI: 10.6084/m9.figshare.7942469.v1
title: A proposal for parametrization of actions on secondary oral health care

description: Abstract Background The definition of care parameters is relevant to the implementation of public health actions. Objective Describe a methodologic route for the elaboration of parameters on population coverage and production in endodontics and periodontics. Method Coverage parameters were calculated from the normative needs identified in the epidemiological survey of oral health in Minas Gerais. Production parameters were calculated based on normative requirements, SIA/SUS production data and installed capacity in the services. The analysis was developed in the Complex Samples module of the SPSS Program. Results 6.2% (95% CI 5.2%-7.3%) and 2.9% (CI 95% 2.2%-3.9%) needed endodontic and periodontal treatment, respectively. Both the potential production capacity of the specialized services and the average production recorded in the SIA/SUS were much lower than the overall normative needs of the population. Conclusion Endodontics presented a population coverage and average of procedures greater than that of periodontics. Population coverage parameters can be used to organize services.
DOI: 10.6084/m9.figshare.7512869
title: Highly prevalence of vitamin D deficiency among Brazilian women of reproductive age

description: ABSTRACT Objective Vitamin D has several metabolic functions and possible reproductive functions. This study aimed to determine the prevalence of vitamin D deficiency among Brazilian women of reproductive age, and to evaluate the relationship between serum 25-hydroxyvitamin D [25(OH)D] concentrations and infertility causes. Subjects and methods This retrospective cross-sectional study evaluated data from a private Brazilian assisted reproduction center that were collected between January 1 and May 5, 2012. Serum 25(OH)D concentrations were measured and compared for infertile and fertile women. Concentrations of 25(OH)D that were &lt; 20 ng/mL were defined as deficiency and concentrations of 21-30 ng/mL were defined as hypovitaminosis D. Results Among the 369 evaluated women, 81.1% exhibited hypovitaminosis D and 32.0% exhibited deficiency. The infertile and control patients did not exhibit any significant differences in the prevalence of vitamin D deficiency (30.2% vs. 35%, respectively; p = 0.33) or in the mean 25(OH)D concentrations (24.3 ± 7.9 ng/mL vs. 23.8 ± 8.7 ng/mL, respectively; p = 0.51). Furthermore, there were no significant differences in the mean 25(OH)D concentrations among subgroups of patients with single infertility factors, or between these subgroups and the control group. Conclusions A high proportion of Brazilian women of reproductive age exhibited vitamin D deficiency, regardless of their fertility status. Thus, it may be useful to evaluate this population for vitamin D deficiency, although future studies are needed to determine whether this deficiency might affect the outcomes of treatments for infertility.
DOI: 10.6084/m9.figshare.7942469
title: A proposal for parametrization of actions on secondary oral health care

description: Abstract Background The definition of care parameters is relevant to the implementation of public health actions. Objective Describe a methodologic route for the elaboration of parameters on population coverage and production in endodontics and periodontics. Method Coverage parameters were calculated from the normative needs identified in the epidemiological survey of oral health in Minas Gerais. Production parameters were calculated based on normative requirements, SIA/SUS production data and installed capacity in the services. The analysis was developed in the Complex Samples module of the SPSS Program. Results 6.2% (95% CI 5.2%-7.3%) and 2.9% (CI 95% 2.2%-3.9%) needed endodontic and periodontal treatment, respectively. Both the potential production capacity of the specialized services and the average production recorded in the SIA/SUS were much lower than the overall normative needs of the population. Conclusion Endodontics presented a population coverage and average of procedures greater than that of periodontics. Population coverage parameters can be used to organize services.
DOI: 10.6084/m9.figshare.7508099
title: On the geometric modulation of skin lesion growth: a mathematical model for melanoma

description: Abstract Introduction Early detection of suspicious skin lesions is critical to prevent skin malignancies, particularly the melanoma, which is the most dangerous form of human skin cancer. In the last decade, image processing techniques have been an increasingly important tool for early detection and mathematical models play a relevant role in mapping the progression of lesions. Methods This work presents an algorithm to describe the evolution of the border of the skin lesion based on two main measurable markers: the symmetry and the geometric growth path of the lesion. The proposed methodology involves two dermoscopic images of the same melanocytic lesion obtained at different moments in time. By applying a mathematical model based on planar linear transformations, measurable parameters related to symmetry and growth are extracted. Results With this information one may compare the actual evolution in the lesion with the outcomes from the geometric model. First, this method was tested on predefined images whose growth was controlled and the symmetry known which were used for validation. Then the methodology was tested in real dermoscopic melanoma images in which the parameters of the mathematical model revealed symmetry and growth rates consistent with a typical melanoma behavior. Conclusions The method developed proved to show very accurate information about the target growth markers (variation on the growth along the border, the deformation and the symmetry of the lesion trough the time). All the results, validated by the expected phantom outputs, were similar to the ones on the real images.
DOI: 10.6084/m9.figshare.7508099.v1
title: On the geometric modulation of skin lesion growth: a mathematical model for melanoma

description: Abstract Introduction Early detection of suspicious skin lesions is critical to prevent skin malignancies, particularly the melanoma, which is the most dangerous form of human skin cancer. In the last decade, image processing techniques have been an increasingly important tool for early detection and mathematical models play a relevant role in mapping the progression of lesions. Methods This work presents an algorithm to describe the evolution of the border of the skin lesion based on two main measurable markers: the symmetry and the geometric growth path of the lesion. The proposed methodology involves two dermoscopic images of the same melanocytic lesion obtained at different moments in time. By applying a mathematical model based on planar linear transformations, measurable parameters related to symmetry and growth are extracted. Results With this information one may compare the actual evolution in the lesion with the outcomes from the geometric model. First, this method was tested on predefined images whose growth was controlled and the symmetry known which were used for validation. Then the methodology was tested in real dermoscopic melanoma images in which the parameters of the mathematical model revealed symmetry and growth rates consistent with a typical melanoma behavior. Conclusions The method developed proved to show very accurate information about the target growth markers (variation on the growth along the border, the deformation and the symmetry of the lesion trough the time). All the results, validated by the expected phantom outputs, were similar to the ones on the real images.
DOI: 10.6084/m9.figshare.7519469.v1
title: Overweight in youth and sleep quality: is there a link?

description: ABSTRACT Objective Overweight seems to be related to a higher prevalence of sleep disturbances. Decreased sleep duration and altered sleep quality are risk factors for obesity. Our aim was to compare the sleep pattern of overweight children with that of a matched control group and assess the relationship between sleep quality and obesity. Materials and methods Retrospective cohort study comparing 41 overweight children with a normal-weight control group, both submitted to polysomnography. The samples were matched for age, sex, and apnea-hypopnea index. Body mass index (BMI) z-scores were calculated using World Health Organization (WHO) growth charts. Insulin resistance in the study group was determined using the homeostatic model assessment for insulin resistance (HOMA-IR). Sleep patterns were compared. The statistical analysis was performed using SPSS® version 21. Results The mean age (± standard deviation) of the population was 10 ± 3.4 years (min. 5 years; max. 17 years). Fifty-six percent of the participants in both groups were girls. N3% was lower in the study group (18.95 ± 6.18%) compared with the control group (21.61 ± 7.39%; t (40) = 2.156, p = 0.037). We found a correlation in the study group between HOMA-IR and N3% (Rs = -0.434, p = 0.008). Conclusion The present study suggests a link between overweight/obesity and altered sleep quality due to compromised non-rapid eye movement sleep, an indirect marker of sleep quality. There was also a link between slow-wave sleep duration and insulin resistance. We must find a strategy to provide adequate slow-wave sleep duration to reduce the obesity epidemic at young ages. Further research is needed.
DOI: 10.6084/m9.figshare.7519469
title: Overweight in youth and sleep quality: is there a link?

description: ABSTRACT Objective Overweight seems to be related to a higher prevalence of sleep disturbances. Decreased sleep duration and altered sleep quality are risk factors for obesity. Our aim was to compare the sleep pattern of overweight children with that of a matched control group and assess the relationship between sleep quality and obesity. Materials and methods Retrospective cohort study comparing 41 overweight children with a normal-weight control group, both submitted to polysomnography. The samples were matched for age, sex, and apnea-hypopnea index. Body mass index (BMI) z-scores were calculated using World Health Organization (WHO) growth charts. Insulin resistance in the study group was determined using the homeostatic model assessment for insulin resistance (HOMA-IR). Sleep patterns were compared. The statistical analysis was performed using SPSS® version 21. Results The mean age (± standard deviation) of the population was 10 ± 3.4 years (min. 5 years; max. 17 years). Fifty-six percent of the participants in both groups were girls. N3% was lower in the study group (18.95 ± 6.18%) compared with the control group (21.61 ± 7.39%; t (40) = 2.156, p = 0.037). We found a correlation in the study group between HOMA-IR and N3% (Rs = -0.434, p = 0.008). Conclusion The present study suggests a link between overweight/obesity and altered sleep quality due to compromised non-rapid eye movement sleep, an indirect marker of sleep quality. There was also a link between slow-wave sleep duration and insulin resistance. We must find a strategy to provide adequate slow-wave sleep duration to reduce the obesity epidemic at young ages. Further research is needed.
DOI: 10.6084/m9.figshare.14270892
title: Improvement in Primary Care access and quality: the perspective of Community Health Workers

description: ABSTRACT The study aimed to describe how the participation of Community Health Workers (CHW) took place in the National Program for Access and Quality Improvement in Primary Care (PAQI-PC), and to evaluate their perspective regarding improvements in both the access and the quality of Primary Care (PC). This is a descriptive, cross-sectional study with quantitative approach, carried out with 133 CHWs linked to family health teams that joined the program. Results pointed out the need of greater efforts by municipalities to encourage the involvement of CHWs in evaluation processes and to improve their training, aiming at adjusting their level of apprehension and awareness of both the access and the quality in primary care.