cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.20484503
title: Paradoxes and limits of interprofessional collaboration: analysis of an Extended Family Health and Primary Care Center

description: Abstract This article analyzes the possibilities and limits of interprofessional collaboration in mental health care, considering the articulations between the teams of the Extended Family Health and Primary Care Center and the Family Health Strategy in a city in the state of Rio de Janeiro, Brazil. This is a qualitative research, based on the philosophical hermeneutic approach, which was based on a case study, using as methodological strategies participant observation, narrative focus groups, and semi-structured interviews. The results indicate the inseparability of structural, organizational, and intersubjective elements in interprofessional collaboration, with strong tensions regarding the organization of work processes in both their formal and intersubjective dimensions. It was identified that the sharing of some care goals, such as demedicalization, fostered the construction of partnerships among the teams. On the other hand, from the dialog with the references used, it was understood that rules constructed with the intention of inducing cooperation had a paradoxical effect, generating unimplicated participation on part of the workers. It is concluded that trust at work has proven to be a fundamental element for collaboration, which requires the configuration of an organizational environment capable of bringing together interests and dealing with conflicts.
DOI: 10.6084/m9.figshare.20484503.v1
title: Paradoxes and limits of interprofessional collaboration: analysis of an Extended Family Health and Primary Care Center

description: Abstract This article analyzes the possibilities and limits of interprofessional collaboration in mental health care, considering the articulations between the teams of the Extended Family Health and Primary Care Center and the Family Health Strategy in a city in the state of Rio de Janeiro, Brazil. This is a qualitative research, based on the philosophical hermeneutic approach, which was based on a case study, using as methodological strategies participant observation, narrative focus groups, and semi-structured interviews. The results indicate the inseparability of structural, organizational, and intersubjective elements in interprofessional collaboration, with strong tensions regarding the organization of work processes in both their formal and intersubjective dimensions. It was identified that the sharing of some care goals, such as demedicalization, fostered the construction of partnerships among the teams. On the other hand, from the dialog with the references used, it was understood that rules constructed with the intention of inducing cooperation had a paradoxical effect, generating unimplicated participation on part of the workers. It is concluded that trust at work has proven to be a fundamental element for collaboration, which requires the configuration of an organizational environment capable of bringing together interests and dealing with conflicts.
DOI: 10.6084/m9.figshare.20455034
title: Does length of time since diagnosis in Parkinson’s disease influence heart rate variability? A cross-sectional study

description: ABSTRACT Background: Intrinsic changes in Parkinson's disease (PD) affect the autonomic nervous system, and the disease course can aggravate the initial condition. Although the impact of time since disease onset on autonomic modulation has already been studied in other populations, this has not yet been investigated in PD. Objective: To investigate the impact of the length of time since diagnosis on the cardiac autonomic modulation of individuals with PD and compare with healthy individuals. Methods: Fifty participants were divided into three groups: a control group (CG; n = 24) and two groups with PD, divided according to the median length of time since diagnosis (median = 5.5 years): below the median (PG1; n = 13) and above the median (PG2; n = 13). To evaluate cardiac autonomic modulation, heart rate was obtained beat-to-beat in the supine position over a 30-min period, and heart rate variability (HRV) indices were calculated using linear methods in the time and frequency domains. Results: There were no significant differences in HRV indices between the PG groups, or between the three groups regarding Mean RR, LFun, HFun and LF/HF ratio. Significant reductions in the RMSSD, SDNN, pNN50, LFms2 and HFms2 indices were observed in PG1 and PG2, compared with CG. Conclusions: The cardiac autonomic modulation of individuals with PD was not influenced by the time since diagnosis. However, reduced parasympathetic and global modulation were observed in these individuals, compared with controls. These results emphasize the importance of aerobic exercise for improving autonomic modulation among individuals with PD.
DOI: 10.6084/m9.figshare.20455034.v1
title: Does length of time since diagnosis in Parkinson’s disease influence heart rate variability? A cross-sectional study

description: ABSTRACT Background: Intrinsic changes in Parkinson's disease (PD) affect the autonomic nervous system, and the disease course can aggravate the initial condition. Although the impact of time since disease onset on autonomic modulation has already been studied in other populations, this has not yet been investigated in PD. Objective: To investigate the impact of the length of time since diagnosis on the cardiac autonomic modulation of individuals with PD and compare with healthy individuals. Methods: Fifty participants were divided into three groups: a control group (CG; n = 24) and two groups with PD, divided according to the median length of time since diagnosis (median = 5.5 years): below the median (PG1; n = 13) and above the median (PG2; n = 13). To evaluate cardiac autonomic modulation, heart rate was obtained beat-to-beat in the supine position over a 30-min period, and heart rate variability (HRV) indices were calculated using linear methods in the time and frequency domains. Results: There were no significant differences in HRV indices between the PG groups, or between the three groups regarding Mean RR, LFun, HFun and LF/HF ratio. Significant reductions in the RMSSD, SDNN, pNN50, LFms2 and HFms2 indices were observed in PG1 and PG2, compared with CG. Conclusions: The cardiac autonomic modulation of individuals with PD was not influenced by the time since diagnosis. However, reduced parasympathetic and global modulation were observed in these individuals, compared with controls. These results emphasize the importance of aerobic exercise for improving autonomic modulation among individuals with PD.
DOI: 10.6084/m9.figshare.20484513
title: Productivity, investment and capital flow: the failure of growth with foreign savings in Brazil

description: ABSTRACT This work analyzes productivity and the hypothesis that capital flow does not influence investment in the Brazilian economy. To do so, we present a productivity equation conditioned on the rates of: investments, wage costs, and external demand. The relationship between productivity and investment and wage rates suggests a possible simultaneity, given the distributive nature of aggregate income between capital and labor. Therefore, estimators that treat endogeneity in two stages are used: the Two-Stage Least Squares (MQ2E) and the Generalized Least Moments (MMG), to increase the robustness of the results. We find that the investment rate explains productivity, but capital flow does not determine productive investment. In addition, Brazilian investment is more susceptible to the parameters of marginal capital efficiency, whose fall has affected Brazilian productivity since the 1980s.
DOI: 10.6084/m9.figshare.20484513.v1
title: Productivity, investment and capital flow: the failure of growth with foreign savings in Brazil

description: ABSTRACT This work analyzes productivity and the hypothesis that capital flow does not influence investment in the Brazilian economy. To do so, we present a productivity equation conditioned on the rates of: investments, wage costs, and external demand. The relationship between productivity and investment and wage rates suggests a possible simultaneity, given the distributive nature of aggregate income between capital and labor. Therefore, estimators that treat endogeneity in two stages are used: the Two-Stage Least Squares (MQ2E) and the Generalized Least Moments (MMG), to increase the robustness of the results. We find that the investment rate explains productivity, but capital flow does not determine productive investment. In addition, Brazilian investment is more susceptible to the parameters of marginal capital efficiency, whose fall has affected Brazilian productivity since the 1980s.
DOI: 10.6084/m9.figshare.20455175
title: Mechanical thrombectomy for acute ischemic stroke: systematic review and meta-analysis

description: ABSTRACT Objective To evaluate the safety and efficacy of mechanical thrombectomy associated with standard medical treatment compared with standard medical treatment only to treat patients with acute ischemic stroke. Methods This was a systematic review and metaanalysis of randomized controlled trials. An electronic search was performed in the following databases: MEDLINE ® /PubMed ® , Cochrane Library (Trials), LILACS/IBECS (via Biblioteca Virtual em Saúde (BVS)) and Embase. Complementary searches were also conducted. The selection of studies and data collection were done by two investigators independently. Results The final analysis included 16 publications related to 15 studies. The mechanical thrombectomy was associated to a reduction in the risk of death of all cause (16.81% versus 20.13%; relative risk of 0.85; p=0.04), improvement in the number of patients with functional independence after 90 days (45.65% versus 27.45%; relative risk of 1.65; p&lt;0.01), and improvement in the rate of revascularization (76.2% versus 33.85%; relative risk of 2.20; p&lt;0.01). There was no significant difference in terms of symptomatic intracranial hemorrhage (4.78% versus 3.88%; relative risk of 1.27; p=0.21). Conclusion Mechanical thrombectomy associated with standard medical treatment seem to be safe and effective to treat patients with acute ischemic stroke compared with standard medical treatment only.
DOI: 10.6084/m9.figshare.20455175.v1
title: Mechanical thrombectomy for acute ischemic stroke: systematic review and meta-analysis

description: ABSTRACT Objective To evaluate the safety and efficacy of mechanical thrombectomy associated with standard medical treatment compared with standard medical treatment only to treat patients with acute ischemic stroke. Methods This was a systematic review and metaanalysis of randomized controlled trials. An electronic search was performed in the following databases: MEDLINE ® /PubMed ® , Cochrane Library (Trials), LILACS/IBECS (via Biblioteca Virtual em Saúde (BVS)) and Embase. Complementary searches were also conducted. The selection of studies and data collection were done by two investigators independently. Results The final analysis included 16 publications related to 15 studies. The mechanical thrombectomy was associated to a reduction in the risk of death of all cause (16.81% versus 20.13%; relative risk of 0.85; p=0.04), improvement in the number of patients with functional independence after 90 days (45.65% versus 27.45%; relative risk of 1.65; p&lt;0.01), and improvement in the rate of revascularization (76.2% versus 33.85%; relative risk of 2.20; p&lt;0.01). There was no significant difference in terms of symptomatic intracranial hemorrhage (4.78% versus 3.88%; relative risk of 1.27; p=0.21). Conclusion Mechanical thrombectomy associated with standard medical treatment seem to be safe and effective to treat patients with acute ischemic stroke compared with standard medical treatment only.
DOI: 10.6084/m9.figshare.20484518
title: Components of seed production and ergot resistance used as criteria for selection of Brachiaria hybrids

description: ABSTRACT. Ergot is a fungal disease and causes reductions in seed productivity and quality. We aimed to identify promising genotypes of brachiaria evaluating: (1) seed production potential (number of tillers, racemes per inflorescence, spikelets per raceme, raceme length, weight and number of seeds, and germination) and (2) resistance of seeds to Ergot (infected tillers, infected seeds). Five genotypes of Brachiaria grasses, four non-natural hybrids named BH1619, BH1810, BH1516 and Mavuno Palisadegrass (Urochloa brizantha x Urochloa ruziziensis), and Marandu Palisadegrass (U. brizantha Hoechst cv. Marandu) were evaluated. The BH1619 hybrid, despite the high weight of seeds, produced less viable, pure seeds. The hybrid BH1516 had a lower percentage of flowered tillers (42%) and seeds infected with ergot (8%). Marandu Palisadegrass had a higher percentage of infected tillers (95%) and infected seeds (38%). The hybrid BH1516 was the most resistant to ergot, followed by Mavuno Palisadegras sand BH1619. Among all materials, Mavuno Palisadegrass and BH1516 have a higher potential for seed production due to the higher percentage of flowered tillers and production of pure seeds with high germination capacity. The BH1516 hybrid was resistant to ergot, making it a better choice for use in infected areas used for seed or forage production.
DOI: 10.6084/m9.figshare.20484518.v1
title: Components of seed production and ergot resistance used as criteria for selection of Brachiaria hybrids

description: ABSTRACT. Ergot is a fungal disease and causes reductions in seed productivity and quality. We aimed to identify promising genotypes of brachiaria evaluating: (1) seed production potential (number of tillers, racemes per inflorescence, spikelets per raceme, raceme length, weight and number of seeds, and germination) and (2) resistance of seeds to Ergot (infected tillers, infected seeds). Five genotypes of Brachiaria grasses, four non-natural hybrids named BH1619, BH1810, BH1516 and Mavuno Palisadegrass (Urochloa brizantha x Urochloa ruziziensis), and Marandu Palisadegrass (U. brizantha Hoechst cv. Marandu) were evaluated. The BH1619 hybrid, despite the high weight of seeds, produced less viable, pure seeds. The hybrid BH1516 had a lower percentage of flowered tillers (42%) and seeds infected with ergot (8%). Marandu Palisadegrass had a higher percentage of infected tillers (95%) and infected seeds (38%). The hybrid BH1516 was the most resistant to ergot, followed by Mavuno Palisadegras sand BH1619. Among all materials, Mavuno Palisadegrass and BH1516 have a higher potential for seed production due to the higher percentage of flowered tillers and production of pure seeds with high germination capacity. The BH1516 hybrid was resistant to ergot, making it a better choice for use in infected areas used for seed or forage production.
DOI: 10.6084/m9.figshare.20484521
title: Infrastructure, private expectations and investment

description: ABSTRACT Economic literature has highlighted that infrastructure investment shows positive externalities which foster the economic growth. Based upon the Post-Keynesian perspective, the aims of this article are twofold: i) to explain the interactions among infrastructure, conventions, expectations and aggregate private investment, summarized in what Keynes called technically social investment; ii) to show in theoretical terms that discontinuities of infrastructure investments reduce the sensitivities of private aggregate investment in relation to its determinants, with economic policy implications. In the Post-Keynesian view, private investment is volatile and sensitive to changes in conventions and expectations. We show that infrastructure spending stimulates private investments because it reduces uncertainty and coordinates the emergence of private conventions and expectations that foster private investments.
DOI: 10.6084/m9.figshare.20484521.v1
title: Infrastructure, private expectations and investment

description: ABSTRACT Economic literature has highlighted that infrastructure investment shows positive externalities which foster the economic growth. Based upon the Post-Keynesian perspective, the aims of this article are twofold: i) to explain the interactions among infrastructure, conventions, expectations and aggregate private investment, summarized in what Keynes called technically social investment; ii) to show in theoretical terms that discontinuities of infrastructure investments reduce the sensitivities of private aggregate investment in relation to its determinants, with economic policy implications. In the Post-Keynesian view, private investment is volatile and sensitive to changes in conventions and expectations. We show that infrastructure spending stimulates private investments because it reduces uncertainty and coordinates the emergence of private conventions and expectations that foster private investments.
DOI: 10.6084/m9.figshare.20484536
title: Brazilian Version of the ACE (Assessing Competencies in Evidence-Based Medicine) Tool: a Validation Study

description: Abstract: Introduction: The ACE (Assessing Competencies in Evidence-Based Medicine) Tool is a recently developed questionnaire to assess competencies in Evidence-Based Medicine. The aim of this study is to validate the Brazilian version of ACE Tool. Methods: This is a cross-sectional validation study carried out in two phases. In the first phase, the questionnaire was translated. In the second phase, the questionnaire was applied to undergraduate students and teachers/preceptors of the medical course. The evaluated properties were internal validity, consistency and reliability. Results: 76 medical undergraduate students and 12 teachers/preceptors were included. The mean of teachers/preceptors was significantly higher than that of students (10.25±1.71 vs 8.73±1.80, mean difference of 1.52, 95%CI 0.47-2.57, p=0.005), demonstrating construct validity. The Brazilian version of the ACE Tool obtained adequate internal consistency (Cronbach’s alpha = 0.61) and reliability (item-total correlation ≥ 0.15 in 14 of the 15 items). Conclusion: The Brazilian version of the ACE Tool shows acceptable psychometric properties and can be used as an instrument to assess competencies for Evidence-Based Medicine in Brazilian medical students.
DOI: 10.6084/m9.figshare.20484536.v1
title: Brazilian Version of the ACE (Assessing Competencies in Evidence-Based Medicine) Tool: a Validation Study

description: Abstract: Introduction: The ACE (Assessing Competencies in Evidence-Based Medicine) Tool is a recently developed questionnaire to assess competencies in Evidence-Based Medicine. The aim of this study is to validate the Brazilian version of ACE Tool. Methods: This is a cross-sectional validation study carried out in two phases. In the first phase, the questionnaire was translated. In the second phase, the questionnaire was applied to undergraduate students and teachers/preceptors of the medical course. The evaluated properties were internal validity, consistency and reliability. Results: 76 medical undergraduate students and 12 teachers/preceptors were included. The mean of teachers/preceptors was significantly higher than that of students (10.25±1.71 vs 8.73±1.80, mean difference of 1.52, 95%CI 0.47-2.57, p=0.005), demonstrating construct validity. The Brazilian version of the ACE Tool obtained adequate internal consistency (Cronbach’s alpha = 0.61) and reliability (item-total correlation ≥ 0.15 in 14 of the 15 items). Conclusion: The Brazilian version of the ACE Tool shows acceptable psychometric properties and can be used as an instrument to assess competencies for Evidence-Based Medicine in Brazilian medical students.
DOI: 10.6084/m9.figshare.20484537
title: MERCOSUR in trade policy clusters: challenges and prospects

description: ABSTRACT The sharp increase in the number of FTAs puts customs unions in an ambiguous situation questioning their effectiveness. In this view, MERCOSUR could attract special attention as it seems to support the intention to revive integration within the block after a long period of stagnation. This paper identifies asymmetries and similarities in the member states’ trade policy and presents a new perspective on the regional integration by means of cluster analysis. The results of the study provide the answer to the question of whether MERCOSUR countries have common trade patterns and can act as a single block in the international trade.
DOI: 10.6084/m9.figshare.20484543
title: Performance and carcass characteristics of lambs fed diets containing different types of carbohydrates associated with polyunsaturated fatty acids

description: ABSTRACT. This study aimed to evaluate the productive performance and carcass characteristics of lambs fed diets with different types of carbohydrates associated with polyunsaturated fatty acids. Thirty castrated male lambs (20.5 ± 7.6 kg) were used, distributed in a randomized block design under three experimental diets: High proportion of non-fibrous carbohydrates (NFC) diet; High NFC diet + spineless cactus (high proportion of NFC and spineless cactus) and Low NFC diet (low proportion of NFC), in a 60 day experimental period. The variables of nutrient intake, performance, and carcass characteristics were evaluated. The animals fed the High NFC + spineless cactus diet presented a higher dry matter intake, organic matter, mineral matter, crude protein, and total carbohydrates intake (p &lt;0.05). Carcass characteristics and weight of commercial cuts were improved in High NFC and High NFC + spineless cactus diets (p &lt;0.05), on the other hand we observed a total fat weight reduction in animals fed with High NFC + spineless cactus. The results indicate that high levels of NFC positively influence animal performance, where the type of carbohydrate influences nutrient intake, also affecting carcass characteristics.
DOI: 10.6084/m9.figshare.20484543.v1
title: Performance and carcass characteristics of lambs fed diets containing different types of carbohydrates associated with polyunsaturated fatty acids

description: ABSTRACT. This study aimed to evaluate the productive performance and carcass characteristics of lambs fed diets with different types of carbohydrates associated with polyunsaturated fatty acids. Thirty castrated male lambs (20.5 ± 7.6 kg) were used, distributed in a randomized block design under three experimental diets: High proportion of non-fibrous carbohydrates (NFC) diet; High NFC diet + spineless cactus (high proportion of NFC and spineless cactus) and Low NFC diet (low proportion of NFC), in a 60 day experimental period. The variables of nutrient intake, performance, and carcass characteristics were evaluated. The animals fed the High NFC + spineless cactus diet presented a higher dry matter intake, organic matter, mineral matter, crude protein, and total carbohydrates intake (p &lt;0.05). Carcass characteristics and weight of commercial cuts were improved in High NFC and High NFC + spineless cactus diets (p &lt;0.05), on the other hand we observed a total fat weight reduction in animals fed with High NFC + spineless cactus. The results indicate that high levels of NFC positively influence animal performance, where the type of carbohydrate influences nutrient intake, also affecting carcass characteristics.