cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.7512788
title: Severe maternal morbidity in the microregion of Barbacena, Minas Gerais state, Brazil

description: Abstract Background Complications during pregnancy, birth, and puerperium add up to the tenth death cause among women, and constitute a public health problem in developing countries. Objective The objective of this study was to identify the factors associated with severe maternal morbidity in the microregion of Barbacena, Minas Gerais state, Brazil from February to August 2014. Methods This is a case-control study where all puerperal women who met at least one criterion of morbidity were selected as case, whereas those who did not present any complications were considered as control. The factors associated with morbidity were analyzed using the logistic regression model at 5% significance level. Results The study assessed 276 women, of which 92 were cases and 184 were controls. In the multivariate analysis of the final logistic regression model, the variables that persisted were past medical history of high blood pressure (OR=20.8; CI 95%: 6.4-67.4), prematurity (OR=7.5; CI 95%: 3.8-14.8), and caesarean section (OR=3.4; CI 95%: 1.69-6.76). Conclusions A strong correlation was found between the variables investigated and the occurrence of adverse events, accentuating the importance of early identification of risk factors for maternal morbidity and establishment of preventive strategies.
DOI: 10.6084/m9.figshare.7512788.v1
title: Severe maternal morbidity in the microregion of Barbacena, Minas Gerais state, Brazil

description: Abstract Background Complications during pregnancy, birth, and puerperium add up to the tenth death cause among women, and constitute a public health problem in developing countries. Objective The objective of this study was to identify the factors associated with severe maternal morbidity in the microregion of Barbacena, Minas Gerais state, Brazil from February to August 2014. Methods This is a case-control study where all puerperal women who met at least one criterion of morbidity were selected as case, whereas those who did not present any complications were considered as control. The factors associated with morbidity were analyzed using the logistic regression model at 5% significance level. Results The study assessed 276 women, of which 92 were cases and 184 were controls. In the multivariate analysis of the final logistic regression model, the variables that persisted were past medical history of high blood pressure (OR=20.8; CI 95%: 6.4-67.4), prematurity (OR=7.5; CI 95%: 3.8-14.8), and caesarean section (OR=3.4; CI 95%: 1.69-6.76). Conclusions A strong correlation was found between the variables investigated and the occurrence of adverse events, accentuating the importance of early identification of risk factors for maternal morbidity and establishment of preventive strategies.
DOI: 10.6084/m9.figshare.7518197
title: Depressive symptoms in adolescents in situation of social vulnerability

description: Abstract Objective To identify the main indicators of depression in a sample of adolescents living under social vulnerability conditions and associate it with sociodemographic and behavioral variables. Method: The sample was composed 135 adolescents in social vulnerability in Florianopolis, Santa Catarina state, Brazil. Indicators of depression were investigated by the Children's Depression Inventory (CDI). The Mann-Whitney test was used for comparison between genders, whereas factor analysis with varimax normalized orthogonal rotation was used to identify grouping factors between depressive symptoms. In addition, Poisson regression was used to identify the prevalence ratios, with the top third of CDI score as the outcome variable. Results: The indicators “weight loss or gain,” “low self-esteem”, and “fatigue” had greater explanatory power among the CDI scores. Males reached a higher average score (24.9 points) compared with females (23.6 points). The CDI scores were high regardless of sociodemographic and behavioral issues such as ethnicity and time in front of the television, computer, or video game. Conclusion: A high prevalence of depressive symptoms was observed in adolescents in situations of social vulnerability, and males are 2.24 times more likely to achieve high scores on the CDI compared with females.
DOI: 10.6084/m9.figshare.7518197.v1
title: Depressive symptoms in adolescents in situation of social vulnerability

description: Abstract Objective To identify the main indicators of depression in a sample of adolescents living under social vulnerability conditions and associate it with sociodemographic and behavioral variables. Method: The sample was composed 135 adolescents in social vulnerability in Florianopolis, Santa Catarina state, Brazil. Indicators of depression were investigated by the Children's Depression Inventory (CDI). The Mann-Whitney test was used for comparison between genders, whereas factor analysis with varimax normalized orthogonal rotation was used to identify grouping factors between depressive symptoms. In addition, Poisson regression was used to identify the prevalence ratios, with the top third of CDI score as the outcome variable. Results: The indicators “weight loss or gain,” “low self-esteem”, and “fatigue” had greater explanatory power among the CDI scores. Males reached a higher average score (24.9 points) compared with females (23.6 points). The CDI scores were high regardless of sociodemographic and behavioral issues such as ethnicity and time in front of the television, computer, or video game. Conclusion: A high prevalence of depressive symptoms was observed in adolescents in situations of social vulnerability, and males are 2.24 times more likely to achieve high scores on the CDI compared with females.
DOI: 10.6084/m9.figshare.7507028
title: Judicialization of the right to health in the Brazilian Northeastern region: dimensions and challenges

description: Abstract Introduction The legalization of the right to health has unknown actual magnitude and profile, hindering the planning of the Judiciary and the Executive. The study aimed to characterize the legalization of the right to health in the state Ceará, to calculate their magnitude and describe the subjects, disease and the demanded objects profiles. Methods This is cross-sectional, quantitative and descriptive study, using lawsuits records in judicial information systems between 1998 and 2012. Results We identified 1,757 cases and selected 965 for a second analysis. The research revealed that the median authors’ age is 57.8 years, which are mostly, retired (32%) and sponsored by private lawyers (68%); a single lawyer is responsible for 25% of the demands. The request for medicinal product represents 74% of applications. Lymphoma, COPD, myeloma and diabetes alone represent 31% of all diseases. Medical prescriptions in most cases come from the public service (76%). The most required asset is MabThera, Spiriva ®, Lantus and other supplies for diabetes. Conclusion There is a clear expansion of legalization trend of in Ceará, raising the hypothesis of a new access door that amplifies inequalities in health.
DOI: 10.6084/m9.figshare.7507028.v1
title: Judicialization of the right to health in the Brazilian Northeastern region: dimensions and challenges

description: Abstract Introduction The legalization of the right to health has unknown actual magnitude and profile, hindering the planning of the Judiciary and the Executive. The study aimed to characterize the legalization of the right to health in the state Ceará, to calculate their magnitude and describe the subjects, disease and the demanded objects profiles. Methods This is cross-sectional, quantitative and descriptive study, using lawsuits records in judicial information systems between 1998 and 2012. Results We identified 1,757 cases and selected 965 for a second analysis. The research revealed that the median authors’ age is 57.8 years, which are mostly, retired (32%) and sponsored by private lawyers (68%); a single lawyer is responsible for 25% of the demands. The request for medicinal product represents 74% of applications. Lymphoma, COPD, myeloma and diabetes alone represent 31% of all diseases. Medical prescriptions in most cases come from the public service (76%). The most required asset is MabThera, Spiriva ®, Lantus and other supplies for diabetes. Conclusion There is a clear expansion of legalization trend of in Ceará, raising the hypothesis of a new access door that amplifies inequalities in health.
DOI: 10.6084/m9.figshare.7510520.v1
title: The importance of embracing parents of a child diagnosed with autism spectrum disorder

description: Abstract Objective This work aimed to evaluate the results of a training offered to members of an embracing team for parents who had a child diagnosed with ASD. Methods This is an exploratory research with a qualitative approach. Members of a team responsible for embracing at Associação Norte Mineira de Apoio ao Autista/ANDA received a training composed of three modules. A questionnaire was applied to the participants before and after the training. Results We observed that prior to training participants were vulnerable to emotional involvement with the work to be developed, and after the training, participants emphasized the importance of orienting parents to seek qualified professionals and the importance of having a multidisciplinary team following the child. The listening was also reported before and after training. Conclusion The training promoted the participants awareness on the importance of developing the cognitive, psychomotor and attitudinal aspects at parents embracement. Additional interventions are still necessary to ensure greater awareness, as well to improve the skills acquired.
DOI: 10.6084/m9.figshare.7510520
title: The importance of embracing parents of a child diagnosed with autism spectrum disorder

description: Abstract Objective This work aimed to evaluate the results of a training offered to members of an embracing team for parents who had a child diagnosed with ASD. Methods This is an exploratory research with a qualitative approach. Members of a team responsible for embracing at Associação Norte Mineira de Apoio ao Autista/ANDA received a training composed of three modules. A questionnaire was applied to the participants before and after the training. Results We observed that prior to training participants were vulnerable to emotional involvement with the work to be developed, and after the training, participants emphasized the importance of orienting parents to seek qualified professionals and the importance of having a multidisciplinary team following the child. The listening was also reported before and after training. Conclusion The training promoted the participants awareness on the importance of developing the cognitive, psychomotor and attitudinal aspects at parents embracement. Additional interventions are still necessary to ensure greater awareness, as well to improve the skills acquired.
DOI: 10.6084/m9.figshare.7506428
title: Parental attitude about vaccination of their daughters against HPV to prevent cervical cancer

description: Abstract Objective To evaluate public knowledge about HPV through opinion gathering and behavior analysis. Method This is a transversal, exploratory, quantitative study involving individuals who are legal guardians of at least one daughter (under the age of 26 years and 11 months). We conducted 455 structured interviews with sociodemographic valid data, level of information, and opinion about vaccination against HPV. Results Knowledge about the vaccine contemplated 79.3% of the sample, with 92.7% approval of the vaccination policy; knowledge about HPV is adequate mainly among women, Caucasian, residents of the central region, and inadequate knowledge is evident in poorer and unmarried populations. Conclusions The sample agrees with the extension of the age range of the campaign for free distribution of the vaccine, coupled with education to improve knowledge on the effectiveness of vaccines in the underserved populations. However, we have concluded that in the age group proposed by the policy, 9 to 13 years old, parents should be responsible for the decision to vaccinate their daughters.
DOI: 10.6084/m9.figshare.7506428.v1
title: Parental attitude about vaccination of their daughters against HPV to prevent cervical cancer

description: Abstract Objective To evaluate public knowledge about HPV through opinion gathering and behavior analysis. Method This is a transversal, exploratory, quantitative study involving individuals who are legal guardians of at least one daughter (under the age of 26 years and 11 months). We conducted 455 structured interviews with sociodemographic valid data, level of information, and opinion about vaccination against HPV. Results Knowledge about the vaccine contemplated 79.3% of the sample, with 92.7% approval of the vaccination policy; knowledge about HPV is adequate mainly among women, Caucasian, residents of the central region, and inadequate knowledge is evident in poorer and unmarried populations. Conclusions The sample agrees with the extension of the age range of the campaign for free distribution of the vaccine, coupled with education to improve knowledge on the effectiveness of vaccines in the underserved populations. However, we have concluded that in the age group proposed by the policy, 9 to 13 years old, parents should be responsible for the decision to vaccinate their daughters.
DOI: 10.6084/m9.figshare.7510037
title: The 2014 Ebola virus disease epidemic: the International Health Regulations in the perspective of the Universal Declaration of Human Rights

description: Abstract Introduction In the context of the 2014 West African Ebola virus outbreak, this article aims to discuss the international strategies for the control of communicable diseases, based on the International Health Regulations (IHR) adopted by the World Health Assembly in May 2005, in the perspective of the United Nations Universal Declaration of Human Rights (UDHR). Method This is an exploratory, qualitative study conducted from a bibliographic research on the Ebola Virus Disease (EVD). Data were collected from documents available at the official websites of the UN, WHO and PAHO, as well as from scientific papers related to the topic and reading of the IHR and UDHR. Result The results show that certain action and control measures applied during the epidemic for combating the disease were not in accordance with the International Health Regulations, considering the ideals of right to health and human rights. Conclusion It is necessary that agencies and organizations with international decision-making power join forces to assist vulnerable countries in West Africa in order to ensure human rights and prevent new epidemics.
DOI: 10.6084/m9.figshare.7510037.v1
title: The 2014 Ebola virus disease epidemic: the International Health Regulations in the perspective of the Universal Declaration of Human Rights

description: Abstract Introduction In the context of the 2014 West African Ebola virus outbreak, this article aims to discuss the international strategies for the control of communicable diseases, based on the International Health Regulations (IHR) adopted by the World Health Assembly in May 2005, in the perspective of the United Nations Universal Declaration of Human Rights (UDHR). Method This is an exploratory, qualitative study conducted from a bibliographic research on the Ebola Virus Disease (EVD). Data were collected from documents available at the official websites of the UN, WHO and PAHO, as well as from scientific papers related to the topic and reading of the IHR and UDHR. Result The results show that certain action and control measures applied during the epidemic for combating the disease were not in accordance with the International Health Regulations, considering the ideals of right to health and human rights. Conclusion It is necessary that agencies and organizations with international decision-making power join forces to assist vulnerable countries in West Africa in order to ensure human rights and prevent new epidemics.
DOI: 10.6084/m9.figshare.7516457
title: Quality of prenatal care in Brazil: review of published papers from 2005 to 2015

description: Abstract This study aimed to investigate the quality of prenatal care in Brazil from 2005 to 2015, regarding both access and appropriateness of care. This is a review conducted from recommendations proposed by the PRISMA protocol. The search extracted studies from databases: SciELO, LILACS and MEDLINE. Following the application of three filters based on pre-established criteria, 12 studies were selected for final analysis. The analysis showed cross-sectional studies, published nationally and internationally, focused on the evaluation of prenatal care in the cities and state from three major regions of Brazil and one nationwide. The findings show elevated prenatal care coverage over the past decade in almost all the country in spite of the quality which has been evaluated with low adequacy rates, ranging from 4.5% to 66.1% in several regions of the country, for reasons identified as non-realization of the ideal number of consultations and early assistance, and mainly lack of promotion of quantitative and qualitative contents set for such consultation. Variations are found in the adequacy of prenatal care, especially when compared to the application of different quality indicators. It is concluded that the evaluation studies are valuable tools to support future research seeking new actions in health care for pregnant women.
DOI: 10.6084/m9.figshare.7515362.v1
title: Analysis of dengue vector control in the semiarid region of Piauí between 2007 and 2011

description: Abstract Two-thirds of the world population live in areas infested with dengue vector mosquitoes, especially Aedes aegypti. This study conducted a survey about dengue cases in Picos (Piauí, Brazil) between 2007 and 2011, emphasizing some transmission factors. Data were collected in the Health Secretary and Municipal Zoonoses Center and in SISFAD Programme (Information System of the National Dengue Control Program). During 2007, 2008, 2009, 2010 and 2011, a total of 116,301; 181,892; 187,619 and 195,377 properties, respectively, were visited by endemic control agents, and presented higher rates of outbreaks for A. aegypti larvae (p&lt;0.05). Among the inspected places, larvae were predominant in lowered (storage tanks) and raised (water tanks) water reservoirs. Serological tests confirmed a total of 85, 117, 221, 296 and 217 cases in 2007, 2008, 2009, 2010 and 2011 and the average number of cases was higher in patients between 20-34 years-old) (p&lt;0.05). In 2011 it was identified, for the first time, Aedes albopictus spots, mainly in storage tanks. Therefore, the number of cases is increasing, suggesting that the transmission vector control may suffer a strong impact by surveillance action based on community contribution, since peri- or household water tanks represented the predominant sites for vectors reproduction.
DOI: 10.6084/m9.figshare.7515362
title: Analysis of dengue vector control in the semiarid region of Piauí between 2007 and 2011

description: Abstract Two-thirds of the world population live in areas infested with dengue vector mosquitoes, especially Aedes aegypti. This study conducted a survey about dengue cases in Picos (Piauí, Brazil) between 2007 and 2011, emphasizing some transmission factors. Data were collected in the Health Secretary and Municipal Zoonoses Center and in SISFAD Programme (Information System of the National Dengue Control Program). During 2007, 2008, 2009, 2010 and 2011, a total of 116,301; 181,892; 187,619 and 195,377 properties, respectively, were visited by endemic control agents, and presented higher rates of outbreaks for A. aegypti larvae (p&lt;0.05). Among the inspected places, larvae were predominant in lowered (storage tanks) and raised (water tanks) water reservoirs. Serological tests confirmed a total of 85, 117, 221, 296 and 217 cases in 2007, 2008, 2009, 2010 and 2011 and the average number of cases was higher in patients between 20-34 years-old) (p&lt;0.05). In 2011 it was identified, for the first time, Aedes albopictus spots, mainly in storage tanks. Therefore, the number of cases is increasing, suggesting that the transmission vector control may suffer a strong impact by surveillance action based on community contribution, since peri- or household water tanks represented the predominant sites for vectors reproduction.
DOI: 10.6084/m9.figshare.7518548.v1
title: Cervical cancer mortality trends in Piauí, 2000-2011

description: Abstract Introduction To evaluate cervical cancer mortality trends in Piauí and 11 its development territories (DT) for the period 2000-2011. Methods We conducted time series analysis with deaths data obtained from the National Mortality Database, and population data from the Brazilian Institute of Geography and Statistics. Mortality rates were corrected on the basis of proportional redistribution of the deaths from “cervical cancer, part unspecified” and standardized for age. Time trends were evaluated by Joinpoint method. Results There was an increase in cervical cancer mortality trends for the State as the whole (APC=+2.3; CI95%=0.2-4.5). In the period, it was observed upward trends in mortality rates DT 5 (APC=+11.6; CI95%=9.4-37.5), and DT 10 (APC=+11.4; CI95%=0.7-23.2). Other DTs presented stable trends. Conclusions In the period 2000-2011, there was upward trend of cervical cancer mortality rates, suggesting difficulty of early diagnosis and treatment of this neoplasm in the State.
DOI: 10.6084/m9.figshare.7508510
title: Occupational exposure of rural workers to pesticides

description: Abstract Objectives To evaluate rural workers’ profile at Picos (Piauí, Brazil) and their practices and attitudes regarding the use of pesticides. Methods Data collection (n=159) was performed in Picos (Piauí, Brazil) to describe socioeconomic information, use of personal protective equipment (PPE), storage and disposal of pesticide packaging, toxicity and environmental risk. Results Most farmers were women (63%), with incomplete primary education (55.6%), age between 31-55 years-old (55.3%), income of up to a 1 minimum wage (66%) and with access to city water (84.3%). In relation to the use, 64.1% (102) use pesticides, especially in agriculture (86.3%). They receive information about pesticides with neighbors (44.2%), read label to use the product (64.8%), use pesticides due to their quick action (81.4%), purchase in agricultural houses (87.4%) without agronomic prescription (92%) and store packages indoors (33.6%). More than half do not use PPE (56.8%), though they consider pesticides damaging products to the human health (94.1%) and environment (80.4%) and 15% (24 persons) reported some poisoning symptoms. Conclusions The majority of the farmers use pesticides incorrectly, has low educational status and know about the individual and collective risks to which they are exposed but do not use PPE.