Abstract Our objective is to investigate and highlight the contributions of Maria Ester de Freitas to the development of the Brazilian field of Management and Organization Studies (MOS). Ester wrote pioneering work in the development of impacting themes in this field - such as organizational culture, intercultural management, diversity, and moral harassment. This Global South scholar’s approach to such themes was shaped by a peculiar criticism that found an echo amongst Brazilian scholars and practitioners. Ester knew how to produce and reproduce complex and often controversial topics courageously, with intellectual refinement and an impressive cultural repertoire embedded in elements of “Brasilidade.” Ester’s main concern was to think about the human condition in organizations and, therefore, to promote the social responsibility of organizations, a concern that continues to demand urgent reflection. Hence, this research question is: in addition to being a pioneer in developing such themes in the Global South, which elements keep Ester’s work relevant today for organization studies in general? We conclude that Ester’s relevance extrapolates the relevance of the topics she addressed, as her academic style is marked by correlating criticism and manifestations of “Brasilidade”. This correlation appears in a kind of “Becoming-Ester” throughout her texts and speeches, an investigative and provocative posture that invites us to reflect and broaden our horizons when approaching our local realities. Finally, we show that the content and style of Ester’s legacy instigates alternative ways to critically reflect on the human condition in organizations through unconventional and unprejudiced eyes, thus, fostering new approaches to imagining and creating more socially responsible organizations.

Resumen Nuestro objetivo es investigar y resaltar las contribuciones de Maria Ester de Freitas para el desarrollo del campo brasileño de Estudios Organizacionales. Ester escribió obras pioneras en el desarrollo de temas de impacto en esta área, como la cultura organizacional, la gestión intercultural, la diversidad y el acoso moral. El estilo de abordar estos temas de esta académica del Sur global fue moldeado por una crítica peculiar que resonó entre los académicos y profesionales brasileños. Ester supo producir y reproducir valientemente temas complejos y a menudo controvertidos, con refinamiento intelectual y un repertorio cultural impresionante embutido en elementos de la “brasilidad”. La principal preocupación de Ester fue pensar la condición humana en las organizaciones y, por tanto, promover la responsabilidad social de las organizaciones, preocupación que sigue exigiendo una reflexión urgente. De esta manera, la pregunta que queremos responder es: además de ser pionera en el desarrollo de tales temas en el Sur global, ¿qué elementos hacen que el trabajo de Ester hoy continúe siendo relevante para los estudios organizacionales en general? Concluimos que la relevancia de Ester va más allá de la relevancia de los temas que aborda, ya que su estilo académico está marcado por correlatos críticos y expresiones de “brasilidad”. Esta correlación aparece en una especie de “Devenir-Ester” a lo largo de sus textos y discursos, una postura indagatoria y provocadora que nos invita a reflexionar y ampliar nuestros horizontes al acercarnos a nuestras realidades locales. Finalmente, mostramos que el contenido y el estilo del legado de Ester instigan formas alternativas para reflexionar críticamente sobre la condición humana en organizaciones con una mirada no convencional y desprejuiciada, fomentando así nuevos enfoques para imaginar y crear organizaciones más socialmente responsables.

Resumo Nosso objetivo é investigar e destacar as contribuições de Maria Ester de Freitas para o desenvolvimento do campo brasileiro de estudos organizacionais e de gestão. Ester escreveu trabalhos pioneiros no desenvolvimento de temas impactantes nessa área - como cultura organizacional, gestão intercultural, diversidade e assédio moral. O estilo dessa estudiosa do Sul Global em abordar tais temas foi moldado por uma crítica peculiar que encontrou eco entre estudiosos e profissionais brasileiros. Ester soube produzir e reproduzir temas complexos e muitas vezes polêmicos de forma corajosa, com requinte intelectual e um impressionante repertório cultural envolvidos em elementos da “brasilidade”. A principal preocupação de Ester foi pensar a condição humana nas organizações e, por isso, promover a responsabilidade social das organizações, preocupação que continua a exigir uma reflexão urgente. Assim, a pergunta que queremos responder é: além de ter sido pioneira no desenvolvimento de tais temas no Sul Global, quais elementos mantêm a obra de Ester relevante hoje para os estudos organizacionais em geral? Concluímos que a relevância de Ester extrapola a relevância dos temas por ela abordados, pois seu estilo acadêmico é marcado por perspectivas críticas e manifestações de “brasilidade”. Essa correlação aparece em uma espécie de “Devir-Ester”, ao longo de seus textos e falas, consolidando uma postura investigativa e provocativa que nos convida a refletir e ampliar horizontes ao abordar nossas realidades locais. Por fim, mostramos que o conteúdo e o estilo do legado de Ester instigam caminhos alternativos para refletir criticamente sobre a condição humana nas organizações com um olhar não convencional e sem preconceitos, fomentando assim novas abordagens para imaginar e criar organizações mais socialmente responsáveis.

ABSTRACT Following details and marginal data in the available bibliography and archives, we focus on the interrelationship of two unfinished folkloric collections: “Cancioneiro caipira”, by Amadeu Amaral, and “Na pancada do ganzá”, by Mário de Andrade, conceived respectively in the 1920s and 1930s. As active writers based in São Paulo and interested in artistic creation and traditional popular cultures, their paths crossed in the environment in which modernism developed. The paper analyzes this interrelationship and sheds light on links of continuity in the modernist visions of popular traditions and Brazilian folklore.

RESUMO Seguindo detalhes e dados marginais encontrados na bibliografia e nos acervos disponíveis, enfocamos a inter-relação de dois cancioneiros inacabados: “Cancioneiro caipira”, de Amadeu Amaral, e “Na pancada do ganzá”, de Mário de Andrade, concebidos respectivamente nos anos 1920 e 1930. Como ativos escritores sediados em São Paulo e interessados na criação artística e nas culturas populares tradicionais, seus caminhos se cruzaram nos ambientes em que se desenvolveu o modernismo. O artigo analisa esse relacionamento e lança luz sobre elos de continuidade nas visões modernistas das tradições populares e do folclore brasileiro.

RESUMO Objetivo Este estudo explora a relação entre a autoavaliação dos pacientes e a avaliação dos médicos quanto à estabilidade clínica. Métodos Trata-se de um estudo transversal realizado no ambulatório do Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB-UFRJ) em uma ampla amostra de pacientes (1.447), dos quais 67,9% eram portadores de transtornos mentais graves (TMG). Coletamos informações por meio de um questionário estruturado desenvolvido para esse fim, preenchido pelo médico assistente. A estabilidade clínica foi avaliada por meio de cinco critérios de instabilidade psiquiátrica e pela impressão clínica global do médico, nos seis meses anteriores. A autoavaliação dos pacientes baseou-se em uma pergunta sobre como eles avaliavam seu estado de saúde: estável/melhor, pior, não sabe. Para as análises, a autoavaliação dos pacientes foi considerada como nosso padrão. Resultados A amostra foi composta por 824 (57%) mulheres, com idade média de 49 anos. Os diagnósticos mais prevalentes na categoria TMG corresponderam a 937 pacientes, dos quais 846 (90,3%) se avaliaram como estáveis/melhores. As avaliações dos médicos concordaram mais com pacientes portadores de transtorno bipolar e menos com esquizofrênicos em relação à estabilidade. Quanto aos pacientes com transtorno depressivo, os médicos concordaram mais com eles em relação à instabilidade. Conclusão A análise dos dados confirma nossa hipótese de que a autoavaliação feita por pacientes com TMG foi precisa quanto à sua condição de saúde e que a autoavaliação feita por pacientes que se consideravam estáveis concorda com a avaliação dos médicos.

ABSTRACT Objective This study explores the relationship between patients’ self-assessment and physicians’ evaluation regarding clinical stability. Methods This cross-sectional study was carried out at the general outpatient clinic of the Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB-UFRJ) in a large sample (1,447) of outpatients, of which 67.9% were patients with severe mental disorders (SMD). We collected information using a structured questionnaire developed for this purpose, filled in by the patient’s physician. Clinical stability was assessed by means of five psychiatric instability criteria and by the physician’s global clinical impression over the six previous months. The patients’ self-assessment was based on a question about how they evaluated their health status: stable/better, worse, does not know. For the analyses, patients’ self-evaluation was considered as our standard. Results The sample was composed of 824 (57%) women with an average age of 49 years. The most prevalent diagnoses within the SMD category corresponded to 937 patients, of whom 846 (90.3%) assessed themselves as stable/better. The physicians’ evaluations agreed more with patients with bipolar disorders and less with schizophrenics regarding stability. As for patients with depressive disorder, physicians agreed more with them regarding instability. Conclusion The data analysis confirms our hypothesis that the self-assessment made by patients with SMD was accurate regarding their health condition, and that the self-assessment made by patients who considered themselves stable agree with the physicians’ evaluation.

ABSTRACT Chagas disease is among the 21 neglected diseases according to the World Health Organization. This study aimed to investigate the morbidity and mortality distribution of Chagas disease for identifying areas with greater prevalences and deaths of the disease in Northeast Brazil. A population-based ecological study was performed from 2016 to 2018 using data on acute Chagas disease patients from the Disease Notification Information System, chronic cases from the Chagas Disease and the referral Heart Failure Outpatient Clinic in Pernambuco, and Chagas disease-related mortality from the Mortality Information System. The unit of analysis were Pernambuco State mesoregions. The indicators were spatialized into thematic maps on the occurrence and mortality of the disease per 100,000 inhabitants. No cases of acute disease were reported in the period analyzed. Data on 801 chronic Chagas disease patients were analyzed. The population showed an average age of 62 years, with female predominance. The most prevalent comorbidity was systemic arterial hypertension and cardiologic involvement without ventricular dysfunction. The average chronic disease occurrence rate was 3.2/ 100,000 people/ year. As for deaths in the mortality system; in total, 350 deaths were recorded, showing male predominance, age ≥ 60 years, and chronic disease with cardiac involvement as the main mortality cause. The annual average mortality proportion was 1.6/100,000 people. The chronic case distribution showed spatial heterogeneity, with the highest rates of chronic disease and deaths observed in two mesoregions, with the main cause of death being heart-related. This highlights the need for more specialized services in areas with higher burden of the disease to avoid delay in the patients’ care.

Abstract Objective: To investigate the association between birth weight and excess weight among students aged 6–14 years, adjusted for life course confounding factors. Methods: Cross-sectional study with 6–14-year-old schoolchildren in 2010; 795 school children from two public schools. In addition, a sub-sample was selected using a case-cohort study approach. Sociodemographic, breastfeeding, food introduction, previous weight gain, family history, current clinical and behavioral variables as well as maternal variables related to pregnancy, were collected. Multivariable weighted logistic regression was used to evaluate the association between birth weight and overweight. All prevalent cases of overweight (n = 160) were selected to compose the case group and a random sub-sample of all students participating in the study (n = 276 students, of whom 88 were cases) were the control group. Results: An unadjusted 6% increase in the excess weight prevalence ratio (p-value = 0.004) was found for each 100 g increase in birth weight. With adjustment for age, sex and behavioral variables (models 1 and 2), the association of birth weight with excess weight was positive and statistically significant, but it was no longer significant in the final model (model 3) when clinical variables were considered. Conclusions: Although some of the secondary associations were statistically significant, we could not identify a significant association between birthweight and excess weight in adolescents.

RESUMO Objetivos Avaliar os efeitos de empoderamento do internato em saúde mental (SM) na autoconfiança (AC) dos alunos de Medicina. Métodos Uma versão adaptada para a saúde mental do “Questionário de Preparação para Prática Hospitalar” foi aplicada antes, depois e seis meses após o internato. Resultados Cento e dez alunos participaram e quatro fatores foram extraídos: “Elaboração diagnóstica e cuidados básicos” (F1), “Gestão e prevenção de crise” (F2), “Determinantes externos de adoecimento” (F3) e “Sofrimento pessoal com a clínica” (F4). Treinamento prévio em SM é incomum (9,09%), mas foi associado com pontuações mais altas em F2 (p = 0,05 e 6m p = 0,03). Tratamento prévio em SM (42,16% dos alunos) foi associado a valores mais altos em F2 (p < 0,01) e F3 (p = 0,03) antes, mas apenas em F3 (p < 0,01) após o curso. O gênero masculino apresentou valores mais positivos que o feminino em F4 (p < 0,01) antes, mas não após o curso, quando apresentaram valores mais baixos em F1 (após p = 0,02, 6m p = 0,01). Todos os fatores apresentaram valores mais altos após o curso (p < 0,001). Os alunos consideraram o uso de uma entrevista estruturada muito importante para sua autoconfiança e qualidade da assistência (média > 9,0/10,0). Conclusão O internato em SM aumentou a AC nos alunos. Treinamento prévio e gênero estiveram associados com efeitos duradouros na AC.

ABSTRACT Objectives The primary objective was to measure the effect of psychiatry rotation in students self-confidence (SC) for managing mental health (MH) issues. Methods An eighteen questions version of “Preparation for Hospital Practice Questionnaire” (PHPQ) adapted for MH was applied before, after and six months later the psychiatry rotation. Sociodemographic and experience with mental illness was measured as confounding factors. Results Hundred and ten students were recruited and four factors were identified: “Diagnosis elaboration and basic care” (F1), “Crisis management and prevention” (F2), “External sickness determinants” (F3) and “Personal distress with clinics” (F4). Cronbach Alpha ranged from 0.71 to 0.90. Previous MH training were not frequent (9.09%), and associated with better SC in F2 (after p < 0.05, 6m p = 0.03). Previous mental disorder was frequent (42.16%), and associated with more SC on F2 (p < 0.01) and F3 (p = 0.03) before course, but only on F3 after (p < 0.01) and not 6 months later. Male gender had more SC in F4 (p < 0.01) before course, but after course and 6m later female gender became more SC in F1 (after p = 0.02, 6m p = 0.01) and equivalent in F4. All factors had higher scores after and 6 months later (p < 0.001). The class considered that an interview script is very important for their SC, and improves assistance (mean > 9.0/10.0). Conclusion Obligatory rotation in MH improved SC in students. Previous training and gender were related with long lasting effects in SC.

RESUMO O objetivo deste estudo foi avaliar distúrbios articulares de joelho e tornozelo durante a marcha funcional na Mucopolissacaridose tipo VI (MPS VI). 19 indivíduos foram incluídos neste estudo transversal e alocados em três grupos de acordo com a idade: Grupo Crianças (n=11); Grupo Adolescentes (n=4); e Grupo Adultos (n=4). Foram analisadas as subfases de um ciclo da marcha: contato inicial; apoio médio e pré-balanço. Todos os voluntários com a MPS VI apresentaram maiores ângulos de flexão do joelho e tornozelo, em todas as subfases da marcha, quando comparados aos valores normais definidos pela literatura (p<0,05). Subfase contato inicial: ângulo de flexão do joelho variando de 8,5º a 15º; Tornozelo = Grupo Criança -23,73º ± 8,53º; Grupo Adolescente = -25º ± 11,22º; Grupo Adulto = -27,75º ± 3,3º. Subfase apoio médio: Joelho = Grupo Criança 19,64º ± 10,47º; Grupo Adolescente 16,75º ± 10,34º; Grupo Adulto = 21,25º ± 12,84º. Tornozelo = Grupo Criança -18,82º ± 8,91º ± 8,53º; Grupo Adolescente = -16,5º ± 9,33º; Grupo Adulto = -22,25º ± 4,19º. Subfase pré-balanço: Joelho = Grupo Criança 22,72º ± 13,49º; Grupo Adolescente 21,25º ± 7,97º; Grupo Adulto = 27º ± 16,27º. Tornozelo = Grupo Criança = -15º ± 9,76º; Grupo Adolescente = -15,75º ± 5,31º; Grupo Adulto = -14,75º ± 3,86º. Neste estudo, os indivíduos com MPS VI apresentaram hiperflexão do joelho e tornozelo como principais distúrbios articulares durante a marcha funcional, independentemente da idade.

ABSTRACT To evaluate knee and ankle disorders during functional gait assessment in individuals with Mucopolysaccharidosis type VI (MPS VI). 19 subjects were included in this cross-sectional study and allocated in three groups according to age: Children Group (n=11); Adolescent Group (n=4); and Adult Group (n=4). Subphases of one gait cycle were analyzed: Initial contact; Medium support, and Pre-Balance. All volunteers with MPS VI presented greater knee and ankle flexion angles, in all gait subphases, when compared to the normal values defined by literature (p<0.05). Initial contact subphase: knee flexion angle ranging from 8.5º to 15º; Ankle = Child Group −23.73º ± 8.53º; Adolescent Group = −25º ± 11.22º; Adult Group = −27.75º ± 3.3º. Medium support subphase: Knee = Child Group 19.64º ± 10.47º; Adolescent Group 16.75º ± 10.34º; Adult Group = 21.25º ± 12.84º. Ankle = Child Group −18.82º ± 8.91º ± 8.53º; Adolescent Group = −16.5º ± 9.33º; Adult Group = −22.25º ± 4.19º. Pre-Balance subphase: Knee = Child Group 22.72º ± 13.49º; Adolescent Group 21.25º ± 7.97º; Adult Group = 27º ± 16.27º. Ankle = Child Group -15º ± 9.76º; Adolescent Group = −15.75º ± 5.31º; Adult Group = −14.75º ± 3.86º. In this study, MPS VI individuals presented hyperflexion of knee and ankle as the main joint disorders during functional gait, regardless of age.

RESUMEN El objetivo de este estudio fue evaluar los trastornos de la articulación de la rodilla y el tobillo durante la marcha funcional en mucopolisacaridosis tipo VI (MPS VI). En este estudio transversal participaron 19 personas, las cuales se asignaron a tres grupos según la edad: Grupo Niños (n=11); Grupo Adolescente (n=4); y Grupo Adulto (n=4). Se analizaron las subfases de un ciclo de marcha: contacto inicial; soporte mediano y balance previo. Todos los voluntarios con MPS VI tuvieron mayores ángulos de flexión de rodilla y tobillo en todas las subfases de la marcha en comparación con los valores normales definidos por la literatura (p<0,05). En la subfase de contacto inicial: ángulo de flexión de la rodilla varia de 8,5º a 15º; Tobillo = Grupo Niños -23,73º ± 8,53º; Grupo Adolescente = -25º ± 11,22º; Grupo Adulto = -27,75º ± 3,3º. En la subfase de soporte mediano: Rodilla = Grupo Niños 19,64º ± 10,47º; Grupo Adolescente 16,75º ± 10,34º; Grupo Adulto = 21,25º ± 12,84º. Tobillo = Grupo Niños -18,82º ± 8,91º ± 8,53º; Grupo Adolescente = -16,5º ± 9,33º; Grupo Adulto = -22,25º ± 4,19º. En la subfase de balance previo: Rodilla = Grupo Niños 22,72º ± 13,49º; Grupo Adolescente 21,25º ± 7,97º; Grupo Adulto = 27º ± 16,27º. Tobillo = Grupo Niños = -15º ± 9,76º; Grupo Adolescente = -15,75º ± 5,31º; Grupo Adulto = -14,75º ± 3,86º. En este estudio, los individuos con MPS VI presentaron hiperflexión de rodilla y tobillo como los principales trastornos articulares durante la marcha funcional independiente de la edad.

Resumo Escrito no início do primeiro ano da pandemia, em abril de 2020, o artigo relembra a pesquisa precursora de Oracy Nogueira que fez da doença um tema sociológico. Vozes de Campos do Jordão: experiências sociais e psíquicas do tuberculoso pulmonar no Estado de São Paulo, re-editado pela Fiocruz em 2009, resulta de dissertação de mestrado defendida em 1945 na Escola Livre de Sociologia e Política de São Paulo. Nogueira busca, para além das causas orgânicas, as representações, os significados e estereótipos atribuídos à doença que informavam a conduta social segregadora. Do diagnóstico à almejada cura, passando pelo isolamento dos doentes em estação de cura, o estudo desvenda a experiência da doença sob os pontos de vista sociológico e psicológico. O conceito de estigma, mais tarde cunhado por Erving Goffman para dar conta desse tipo de construção da distância social transpira no estudo de Nogueira.

Abstract Written at the beginning of the covid-19 pandemics, in April 2020, the article recalls the innovative research by Oracy Nogueira that developed a sociological approach to the subject of illness. Voices from Campos do Jordão: social and psychic experiences of pulmonary tuberculosis in the State of São Paulo, re-edited by Fiocruz in 2009, results from his master’s thesis, defended in 1945 at the Free School of Sociology and Politics of São Paulo. Beyond the organic causes, Nogueira seeks the representations, meanings and stereotypes attributed to the disease that informed a segregating social conduct. From diagnosis to the desired cure, through the experience of isolation in a healing clinic, the study unveils the sociological and psychological dimensios of the disease. The concept of stigma, later coined by Erving Goffman to account for this type of social distance, insinuates itself in the approach proposed by Nogueira.

Abstract Purpose This paper aims to examine how social entrepreneurship (SE) practices give rise to social change in the context of urban Brazil. Design/methodology/approach The study draws on a broader inductive, ethnographic and iterative practice-based study conducted in three Brazilian non-governmental organizations. Findings Social change is established through intertwined practices that involve active interplay of ambivalent positive and negative feelings associated with the social mission pursued by the social enterprise; flat organizational structures that encourage participation and taking of ownership among all stakeholders; and focused organizational objectives (social purposes). Research limitations/implications The paper presents an analytical framework composed of five propositions that may be used in future research aimed at maturing and refining the understanding of SE. The study also provides a methodological contribution for future studies of new phenomenon and young fields of research that often must rely on inductive methodologies, by demonstrating how an iterative thematic analysis can be used in practice-based studies. Practical implications This paper has practical implications directly connected to its social implications, because understanding how social change is achieved may enhance the effectiveness of SE practitioners in bringing desired changes about. Furthermore, the discussion also provided insights for practitioners to reflect upon the paradoxical nature of practices aimed at social change. Originality/value The study suggests a set of propositions and an original definition of SE that mitigates conceptual inconsistencies found in literature drawing on empirical data and by incorporating the political lens found in practice theory.

RESUMO Objetivo: Descrever a história da criação e do desenvolvimento e os temas abordados pelo Centro de Estudos do Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (CE – IPUB/UFRJ) ao longo de seus 70 anos. Métodos: Pesquisa em jornais da Hemeroteca Brasileira Digital, documentos internos do IPUB/UFRJ e entrevistas com testemunhas oculares do funcionamento do CE. Resultados: O Centro de Estudos funciona de maneira ininterrupta há 70 anos, semanalmente. Desde sua fundação, 472 eventos foram identificados, mas outros inúmeros encontros ocorreram. Os achados foram divididos e descritos em três grandes grupos: 1. Encontros acadêmicos na primeira metade do século XX e inserção do CE na história do IPUB; 2. Temas debatidos e apresentações; 3.Mudanças de periodicidade e formato. Conclusões: O CE produz divulgação cultural e científica continuamente desde sua fundação. O tipo e o formato dos eventos mudaram ao longo do tempo, adaptando-se às necessidades de sua comunidade, mas sempre servindo como um importante farol para a formação de especialistas em saúde mental e divulgação de pesquisas, apresentando as tendências da psiquiatria mundial, latino-americana e brasileira.

ABSTRACT Objective: To describe the history of creation, development, and topics covered by the Study Center of the Institute of Psychiatry of the Federal University of Rio de Janeiro (CE – IPUB/UFRJ) over its 70 years. Methods: Research in newspapers of the Hemeroteca Brasileira Digital, internal documents of IPUB/UFRJ, and interviews with eyewitnesses of the functioning of the CE. Results: The Study Center has been operating on an uninterrupted basis for 70 years, every week. 472 events have been identified since the founding of the CE, but numerous other meetings have taken place. The findings were described in three major groups: 1. Academic meetings in the first half of the 20th century and insertion of the CE in the history of IPUB; 2. Topics discussed and presentations; 3. Changes in periodicity and format. Conclusions: The CE produces cultural and scientific dissemination continuously since its foundation. The type and format of events have changed over time, adapting to the needs of their community, but always serving as an important beacon for the training of specialists in mental health, dissemination of research, and tendencies about psychiatry worldwide, Latin America, and Brazil.

RESUMEN El cuidado de personas diagnosticadas con trastornos esquizofrénicos y delirantes representa un desafío, especialmente, en territorios de gran vulnerabilidad social. En Río de Janeiro, con la promulgación de la Ley Federal 10216 de 2001 sobre la Reforma Psiquiátrica, las últimas dos décadas se han caracterizado por la transición del modelo centrado en el hospital al modelo basado en los servicios comunitarios. Utilizando el caso de una comunidad de Río de Janeiro, se seleccionaron cinco servicios de salud pública y se extrajeron datos de los registros médicos de 94 pacientes con diagnósticos de esquizofrenia, trastornos esquizotípicos y trastornos delirantes (codificados en la Clasificación Internacional de Enfermedades 10 edición entre los códigos F20 a F29) y se analizaron indicadores de calidad del tratamiento ofrecido en el período 2003-2016. Como resultado de la transición se observa que los hospitales psiquiátricos quedaron casi vacíos con un bajo número de pacientes actualmente desatendidos. Además, la atención a la crisis y las hospitalizaciones a largo plazo se reemplazaron por la atención territorial y las comorbilidades clínicas se monitorean y se tratan en unidades de salud familiar.

ABSTRACT Care for people diagnosed with schizophrenia and delusional disorders involves many challenges, especially in territorial contexts of pronounced social vulnerability. In Rio de Janeiro, the two decades after the passing of Federal Law 10,216 on Psychiatric Reform in 2001 have been characterized by the transition from a hospital-centered model to one based on community services. Taking the case of a community in Rio de Janeiro, data was extracted from the medical records of 94 patients diagnosed with schizophrenia, schizotypal disorders, and delusional disorders (ICD-10 codes F20 to F29) in five public health services. Covering the period from 2003 to 2016, indicators of the quality of treatment provided were analyzed. As a result of this transition, psychiatric hospitals have all but emptied and a low number of currently untreated patients can be observed. In addition, crisis care and long-term hospitalizations have been replaced by territorial care, and clinical comorbidities are monitored and treated at Family Health Units.

ABSTRACT Care for people diagnosed with schizophrenia and delusional disorders involves many challenges, especially in territorial contexts of pronounced social vulnerability. In Rio de Janeiro, the two decades after the passing of Federal Law 10,216 on Psychiatric Reform in 2001 have been characterized by the transition from a hospital-centered model to one based on community services. Taking the case of a community in Rio de Janeiro, data was extracted from the medical records of 94 patients diagnosed with schizophrenia, schizotypal disorders, and delusional disorders (ICD-10 codes F20 to F29) in five public health services. Covering the period from 2003 to 2016, indicators of the quality of treatment provided were analyzed. As a result of this transition, psychiatric hospitals have all but emptied and a low number of currently untreated patients can be observed. In addition, crisis care and long-term hospitalizations have been replaced by territorial care, and clinical comorbidities are monitored and treated at Family Health Units.

RESUMEN El cuidado de personas diagnosticadas con trastornos esquizofrénicos y delirantes representa un desafío, especialmente, en territorios de gran vulnerabilidad social. En Río de Janeiro, con la promulgación de la Ley Federal 10216 de 2001 sobre la Reforma Psiquiátrica, las últimas dos décadas se han caracterizado por la transición del modelo centrado en el hospital al modelo basado en los servicios comunitarios. Utilizando el caso de una comunidad de Río de Janeiro, se seleccionaron cinco servicios de salud pública y se extrajeron datos de los registros médicos de 94 pacientes con diagnósticos de esquizofrenia, trastornos esquizotípicos y trastornos delirantes (codificados en la Clasificación Internacional de Enfermedades 10 edición entre los códigos F20 a F29) y se analizaron indicadores de calidad del tratamiento ofrecido en el período 2003-2016. Como resultado de la transición se observa que los hospitales psiquiátricos quedaron casi vacíos con un bajo número de pacientes actualmente desatendidos. Además, la atención a la crisis y las hospitalizaciones a largo plazo se reemplazaron por la atención territorial y las comorbilidades clínicas se monitorean y se tratan en unidades de salud familiar.

ABSTRACT The diversity of endophytic fungi in healthy coconut palm leaves (Cocos nucifera) was assessed by analyzing fungal isolates from three coconut cultivars (yellow dwarf, green dwarf, and a hybrid cultivar PB121) used agriculturally in Brazil. The influence of season (rainy or dry) on the endophytic fungal community was also analyzed. Overall, 318 fungal isolates were obtained from 972 coconut leaf fragments. The rDNA ITS region was sequenced from representative species of the isolated endophytic fungi and the most common species identified were Nigrospora oryzae, Pestalotiopsis sp., and Zasmidium musae. The alpha diversity of the endophytic fungi was also calculated. Nonmetric multidimensional scaling (NMDS) ordination and permutational analysis of variance (PERMANOVA) revealed significant seasonal effects on the composition of the endophyte community. However, practically no influence was observed on the fungal communities for the different cultivars of coconut.