cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.19922304
title: Salary discrepancy in the Brazilian executive branch: a cluster analysis

description: Abstract This paper verifies the evolution of the remuneration pattern of different higher-level careers within the Brazilian federal executive branch from 1998 to 2015. In recent years, the differences in remuneration have substantially increased in the Brazilian civil service. However, the results obtained through cluster analysis suggest a pattern of greater pay raise for “typical state careers” to the detriment of others. This reveals a pattern of salary appreciation within the executive branch and, especially, an internal distributive conflict, in which those careers closer to the central power and with characteristics of “typical state careers” were gradually benefiting, establishing a major change in the relative remuneration pattern among different careers over the studied period.
DOI: 10.6084/m9.figshare.19922316
title: Palliative care and technology-mediated learning: assessment of the acquisition of competencies

description: Abstract: Introduction: Teaching palliative care is essential in medical education. The pandemic forced the adaptation of classroom learning to technology-mediated learning, and it is not known whether the method would adequately provide students with the acquisition of competencies. Objective: To assess whether palliative care competencies are acquired by medical students enrolled in a technology-mediated palliative care discipline. Methods: Medical students enrolled in the technology-mediated palliative care discipline were invited to participate in the study. Over a seven-week period, the essential themes of palliative care were addressed. There were synchronous and asynchronous activities, directed study, problematization and simulation without real patients. The PalliComp questionnaire was used prior to the beginning of the teaching activities and at the end to assess the acquisition of competencies. The data obtained were submitted to statistical analysis. Results: Of the 45 students enrolled, 37 answered the PalliComp questionnaire before the course and 32 at the end. The sample consisted of 68.9% women and 31.1% men, with a mean age of 23.9 ± 3.5 years. The overall competency score increased from 63.9 ± 14.7 to 74.9 ± 14.6 (0.001) on a scale ranging from 0 to 100. Statistically significant increases were found in the competencies related to the concept of palliative care (&lt;0.001), approach to physical symptoms (0.004), psycho-emotional (&lt;0.001), family (0.03) and ethical decision-making (0.05). No difference was found in the competencies of social approach (0.07), spiritual (0.13), teamwork (0.67), communication (1.00) and self-development (0.13). Conclusion: A general acquisition of competencies in palliative care was verified among medical students and the technology-mediated learning strategy in a specific discipline proved to be valid.
DOI: 10.6084/m9.figshare.19922316.v1
title: Palliative care and technology-mediated learning: assessment of the acquisition of competencies

description: Abstract: Introduction: Teaching palliative care is essential in medical education. The pandemic forced the adaptation of classroom learning to technology-mediated learning, and it is not known whether the method would adequately provide students with the acquisition of competencies. Objective: To assess whether palliative care competencies are acquired by medical students enrolled in a technology-mediated palliative care discipline. Methods: Medical students enrolled in the technology-mediated palliative care discipline were invited to participate in the study. Over a seven-week period, the essential themes of palliative care were addressed. There were synchronous and asynchronous activities, directed study, problematization and simulation without real patients. The PalliComp questionnaire was used prior to the beginning of the teaching activities and at the end to assess the acquisition of competencies. The data obtained were submitted to statistical analysis. Results: Of the 45 students enrolled, 37 answered the PalliComp questionnaire before the course and 32 at the end. The sample consisted of 68.9% women and 31.1% men, with a mean age of 23.9 ± 3.5 years. The overall competency score increased from 63.9 ± 14.7 to 74.9 ± 14.6 (0.001) on a scale ranging from 0 to 100. Statistically significant increases were found in the competencies related to the concept of palliative care (&lt;0.001), approach to physical symptoms (0.004), psycho-emotional (&lt;0.001), family (0.03) and ethical decision-making (0.05). No difference was found in the competencies of social approach (0.07), spiritual (0.13), teamwork (0.67), communication (1.00) and self-development (0.13). Conclusion: A general acquisition of competencies in palliative care was verified among medical students and the technology-mediated learning strategy in a specific discipline proved to be valid.
DOI: 10.6084/m9.figshare.19905569
title: Effect of foveal herniation on surgical outcomes in patients with idiopathic epiretinal membrane

description: ABSTRACT Purpose: This study aimed to compare the anatomical and visual outcomes of idiopathic epiretinal membrane peeling surgery, with and without foveal herniation. Methods: This retrospective, comparative, two-center study included age- and sex-matched patients exhibiting an idiopathic epiretinal membrane with and without foveal herniation (epiretinal membrane + foveal herniation group and epiretinal-membrane-only group, respectively). The baseline best-corrected visual acuity and central foveal thickness were compared within the groups through months 1, 3, 6, and 12 of follow-up postoperatively. Then, changes in these two parameters at all follow-up points were compared between the groups. Results: We enrolled 16 patients per study group. The baseline best-corrected visual acuity and central foveal thickness were not significantly different between the two groups (p&gt;0.05). Compared with the baseline, both the best-corrected visual acuity and central foveal thickness improved significantly in both groups in all follow-ups (p&lt;0.05), except for the best-corrected visual acuity of the epiretinal-membrane-only group after month 1 (p&lt;0.05). The mean best-corrected visual acuity improvement after month 1 and the mean central foveal thickness reduction after months 1, 3, and 6 were significantly better in the foveal herniation + epiretinal membrane group than in the epiretinal-membrane-only group (p&lt;0.05). However, the best-corrected visual acuity and central foveal thickness changes were not significantly different between the groups at the final visit (p&gt;0.05). Conclusions: Although epiretinal membrane + foveal herniation demonstrated prompt anatomical and functional improvement, foveal herniation occurrence did not affect the final surgical outcomes in patients with idiopathic epiretinal membrane.
DOI: 10.6084/m9.figshare.19905569.v1
title: Effect of foveal herniation on surgical outcomes in patients with idiopathic epiretinal membrane

description: ABSTRACT Purpose: This study aimed to compare the anatomical and visual outcomes of idiopathic epiretinal membrane peeling surgery, with and without foveal herniation. Methods: This retrospective, comparative, two-center study included age- and sex-matched patients exhibiting an idiopathic epiretinal membrane with and without foveal herniation (epiretinal membrane + foveal herniation group and epiretinal-membrane-only group, respectively). The baseline best-corrected visual acuity and central foveal thickness were compared within the groups through months 1, 3, 6, and 12 of follow-up postoperatively. Then, changes in these two parameters at all follow-up points were compared between the groups. Results: We enrolled 16 patients per study group. The baseline best-corrected visual acuity and central foveal thickness were not significantly different between the two groups (p&gt;0.05). Compared with the baseline, both the best-corrected visual acuity and central foveal thickness improved significantly in both groups in all follow-ups (p&lt;0.05), except for the best-corrected visual acuity of the epiretinal-membrane-only group after month 1 (p&lt;0.05). The mean best-corrected visual acuity improvement after month 1 and the mean central foveal thickness reduction after months 1, 3, and 6 were significantly better in the foveal herniation + epiretinal membrane group than in the epiretinal-membrane-only group (p&lt;0.05). However, the best-corrected visual acuity and central foveal thickness changes were not significantly different between the groups at the final visit (p&gt;0.05). Conclusions: Although epiretinal membrane + foveal herniation demonstrated prompt anatomical and functional improvement, foveal herniation occurrence did not affect the final surgical outcomes in patients with idiopathic epiretinal membrane.
DOI: 10.6084/m9.figshare.19922330
title: Between justice and public management: interinstitutional collaboration in health litigation

description: Abstract The Brazilian justice system does more than simply review the legality of public policies and oversee their implementation. Looking at health litigation in Brazil reveals how judges, public lawyers, and prosecutors are increasingly involved in policy management, as they comprehend that the rising number of lawsuits seeking healthcare treatment requires management and inter-organizational coordination. This article explores this phenomenon by assessing initiatives of inter-institutional collaboration between actors in the justice and healthcare systems in four Brazilian states: São Paulo, Rio de Janeiro, Santa Catarina, and Rio Grande do Sul. By operationalizing the typology developed by McNamara (2012, 2016), this study compares the levels of integration in these responses and traces the collaborative “profile” of each state’s approach to dealing with health litigation.
DOI: 10.6084/m9.figshare.19922330.v1
title: Between justice and public management: interinstitutional collaboration in health litigation

description: Abstract The Brazilian justice system does more than simply review the legality of public policies and oversee their implementation. Looking at health litigation in Brazil reveals how judges, public lawyers, and prosecutors are increasingly involved in policy management, as they comprehend that the rising number of lawsuits seeking healthcare treatment requires management and inter-organizational coordination. This article explores this phenomenon by assessing initiatives of inter-institutional collaboration between actors in the justice and healthcare systems in four Brazilian states: São Paulo, Rio de Janeiro, Santa Catarina, and Rio Grande do Sul. By operationalizing the typology developed by McNamara (2012, 2016), this study compares the levels of integration in these responses and traces the collaborative “profile” of each state’s approach to dealing with health litigation.
DOI: 10.6084/m9.figshare.19922351
title: Marjoram phytomass at harvest intervals in summer and winter transplants

description: Abstract: The objective of this work was to determine the harvest interval for phytomass production of marjoram (Origanum majorana) in summer and winter transplants. Two independent experiments were performed in off-ground cultivation: one with a summer and another with a winter transplant, in a completely randomized design with five harvest intervals (30, 45, 60, 72, and 90 days) and four replicates. The fresh and dry masses of leaves, branches, and aerial part were determined. For each plant, the production accumulated in the harvests was calculated as affected by days after the transplant. The fresh matter mass of the leaves was higher at the intervals of 60 and 90 days, in the summer transplant, and of 72 and 90 days, in the winter transplant. Harvesting at intervals of 60 days in the summer transplant and of 72 days in the winter transplant are appropriate for marjoram phytomass production.
DOI: 10.6084/m9.figshare.19922351.v1
title: Marjoram phytomass at harvest intervals in summer and winter transplants

description: Abstract: The objective of this work was to determine the harvest interval for phytomass production of marjoram (Origanum majorana) in summer and winter transplants. Two independent experiments were performed in off-ground cultivation: one with a summer and another with a winter transplant, in a completely randomized design with five harvest intervals (30, 45, 60, 72, and 90 days) and four replicates. The fresh and dry masses of leaves, branches, and aerial part were determined. For each plant, the production accumulated in the harvests was calculated as affected by days after the transplant. The fresh matter mass of the leaves was higher at the intervals of 60 and 90 days, in the summer transplant, and of 72 and 90 days, in the winter transplant. Harvesting at intervals of 60 days in the summer transplant and of 72 days in the winter transplant are appropriate for marjoram phytomass production.
DOI: 10.6084/m9.figshare.19922366
title: Gender and racial inequalities in the access to and the use of Brazilian health services

description: Abstract This paper aims to evaluate gender and racial inequalities in the access and use of health services in Brazil Based on the 2019 National Health Survey (PNS). Its main objective is to understand how white, black, or brown men and women seek medical care in Primary Health Care, the gateway to the Brazilian health system. Analyses from a gender perspective show that cultural and social patterns affect individual actions and choices and mainly access to and use of health services. The results also show that men and women reproduce the expected gender behavior, socially and culturally constructed, which impacts their self-assessment of health status, care, and their exposure to the risk of disease and death. The intersectional analysis reveals that racial inequalities are aligned with those observed between men and women, exponentiating vulnerabilities for self-identified black or brown people, reflecting the structural socioeconomic inequalities of Brazilian society. In this context, the universality and integrality recommended in the Unified Health System contribute as a public policy to the guarantee of rights, equalization of opportunities, and adequate access to equal care.
DOI: 10.6084/m9.figshare.19922366.v1
title: Gender and racial inequalities in the access to and the use of Brazilian health services

description: Abstract This paper aims to evaluate gender and racial inequalities in the access and use of health services in Brazil Based on the 2019 National Health Survey (PNS). Its main objective is to understand how white, black, or brown men and women seek medical care in Primary Health Care, the gateway to the Brazilian health system. Analyses from a gender perspective show that cultural and social patterns affect individual actions and choices and mainly access to and use of health services. The results also show that men and women reproduce the expected gender behavior, socially and culturally constructed, which impacts their self-assessment of health status, care, and their exposure to the risk of disease and death. The intersectional analysis reveals that racial inequalities are aligned with those observed between men and women, exponentiating vulnerabilities for self-identified black or brown people, reflecting the structural socioeconomic inequalities of Brazilian society. In this context, the universality and integrality recommended in the Unified Health System contribute as a public policy to the guarantee of rights, equalization of opportunities, and adequate access to equal care.
DOI: 10.6084/m9.figshare.19921784.v1
title: Functional responses of stream fish communities to rural and urban land uses

description: Abstract We tested the effects of ruralization and urbanization on the functional diversity indices and the composition of functional traits of Neotropical stream fish communities. The study was carried out in 24 streams of the Pirapó, Piquiri, Paraná III and Iguassu river basins. Land use in the watershed was categorized as percentages of native vegetation, rural occupation and urban occupation. Statistical tests revealed negative bivariate correlations between functional dispersion and the proportion of native vegetation in the watershed. The results indicate that a higher percentage of rural or urban occupation is associated with increased functional dispersion. In the analyzes of trait composition, significant alterations were observed in response to urbanization while only the increase in herbivory responded to ruralization. As the area of native vegetation is reduced by urbanization, the trait composition changes, with reduced proportions of species with intolerance to hypoxia, migratory reproductive behavior, external fertilization, and subterminal mouth, and increased proportions of species with parental care, detritivory, internal fertilization, and an upper mouth. Therefore, fish species that have these specific characteristics are more likely to disappear from streams as urbanization progresses. In summary, urbanization was related to a greater change in the composition of functional traits than ruralization.
DOI: 10.6084/m9.figshare.19921784
title: Functional responses of stream fish communities to rural and urban land uses

description: Abstract We tested the effects of ruralization and urbanization on the functional diversity indices and the composition of functional traits of Neotropical stream fish communities. The study was carried out in 24 streams of the Pirapó, Piquiri, Paraná III and Iguassu river basins. Land use in the watershed was categorized as percentages of native vegetation, rural occupation and urban occupation. Statistical tests revealed negative bivariate correlations between functional dispersion and the proportion of native vegetation in the watershed. The results indicate that a higher percentage of rural or urban occupation is associated with increased functional dispersion. In the analyzes of trait composition, significant alterations were observed in response to urbanization while only the increase in herbivory responded to ruralization. As the area of native vegetation is reduced by urbanization, the trait composition changes, with reduced proportions of species with intolerance to hypoxia, migratory reproductive behavior, external fertilization, and subterminal mouth, and increased proportions of species with parental care, detritivory, internal fertilization, and an upper mouth. Therefore, fish species that have these specific characteristics are more likely to disappear from streams as urbanization progresses. In summary, urbanization was related to a greater change in the composition of functional traits than ruralization.
DOI: 10.6084/m9.figshare.19922385
title: Thalidomide control and use: are these appropriate to extend the use and mitigate the risk of teratogenicity in Brazil?

description: Abstract Drug utilization research to describe the control of thalidomide in Brazil and its use in Minas Gerais state. An online questionnaire was sent to the Brazilian federative units to collect data concerning distribution, dispensation, user registration, and thalidomide adverse events. Distribution (2011-2018) and dispensing (2015-2018) data in Minas Gerais were obtained through the pharmaceutical care management system. Analysis of variance and Tukey test were used for data comparisons. Of the 16 participating federative units, 100% and 50% used electronic distribution and dispensing systems, respectively, and about 43% registered users. Adverse event reporting systems were scarce. A 44% reduction was observed in the distribution in Minas Gerais for the period. Dispensing remained constant (mean 0.0004 DDD/1,000 inhabitants/day) and occurred mainly for erythema nodosum leprosum and multiple myeloma. Off-label use (2.2%) was increasing. Most users were male (mean age 56 years) and thirty percent of women were of childbearing age. Thalidomide surveillance is a public health challenge. Despite the increased use and mandatory control, there is no national standardization, and adverse event reporting is incipient.
DOI: 10.6084/m9.figshare.19922397
title: Drug interactions and adverse events in elderly heart disease patients

description: Chronic and multiple diseases are more prevalent in elderly individuals and, epidemiological highlight can be given to cardiovascular conditions requiring multi-drug therapies, which favor the occurrence of drug interactions. This study aims to analyze potential drug interactions and correlate them with adverse events in elderly heart-disease patients in a hospital setting. This is a prospective description of the analysis of medical prescriptions and records of 80 patients, with data collection performed by using validated instruments during a seven-month period. The drug interactions found were indicated by scientifically recognized databases and subsequently treated statistically with adequate software. 1841 potential interactions between drugs were detected, of which 74.1% did not show any therapeutic benefits, with antithrombotic and analgesic drugs accounting for the worst results. The number of potential interactions was proportional to the occurrence of adverse events, classified at 87.3% as moderate to severe. It is concluded from such results that there is a proportionality between the occurrence of potential drug interactions and the detection of adverse events, with therapeutic management being of great importance for safety, quality and affordability of the treatment.
DOI: 10.6084/m9.figshare.19922397.v1
title: Drug interactions and adverse events in elderly heart disease patients

description: Chronic and multiple diseases are more prevalent in elderly individuals and, epidemiological highlight can be given to cardiovascular conditions requiring multi-drug therapies, which favor the occurrence of drug interactions. This study aims to analyze potential drug interactions and correlate them with adverse events in elderly heart-disease patients in a hospital setting. This is a prospective description of the analysis of medical prescriptions and records of 80 patients, with data collection performed by using validated instruments during a seven-month period. The drug interactions found were indicated by scientifically recognized databases and subsequently treated statistically with adequate software. 1841 potential interactions between drugs were detected, of which 74.1% did not show any therapeutic benefits, with antithrombotic and analgesic drugs accounting for the worst results. The number of potential interactions was proportional to the occurrence of adverse events, classified at 87.3% as moderate to severe. It is concluded from such results that there is a proportionality between the occurrence of potential drug interactions and the detection of adverse events, with therapeutic management being of great importance for safety, quality and affordability of the treatment.