RESUMO Analisa-se a produção intelectual de Luiz Carlos de Freitas com o objetivo de apreender a concepção de qualidade educacional que ele defende. Adota-se revisão da literatura, abrangendo artigos sobre o tema da qualidade educacional associado às políticas de avaliação. Freitas defende a concepção de qualidade social sob o enfoque da qualidade negociada e crítica em contraposição à concepção empresarial, que enfatiza redução de recursos e de conteúdos, favorecendo interesses de corporações e a meritocracia na educação. Analisase Analisa se Adotase Adota literatura avaliação empresarial conteúdos educação

ABSTRACT The intellectual production of Luiz Carlos de Freitas is analyzed with the goal of learning the conception of educational quality that he defends. A literature review is adopted, covering papers in educational quality with evaluation policies. The author defends the conception of social quality under the focus of negotiated quality and criticism in contrast to the business conception that emphasizes the reduction of resources and contents, favoring interests of corporations and the meritocracy in education. adopted policies contents education

Resumo Introdução: O mundo do trabalho contemporâneo engloba novos tipos de trabalhos alternativos no cenário brasileiro, em que a informalidade e o empreendedorismo se destacam como marcas do modo de organização laboral. Objetivos: compreender e analisar trajetórias ocupacionais de trabalhadores de comida de rua. Métodos: Este trabalho é fruto de um percurso de pesquisa mais amplo que busca compreender alguns dos movimentos mais recentes do capitalismo: a precarização laboral, o empreendedorismo, a flexibilização e a incorporação da informalidade nos novos modos de vida. Produz-se a partir de um viés dos estudos sobre trabalho e da Psicologia Social do Trabalho (PST). Em um estudo de inspiração longitudinal, fez-se o resgate de entrevistas já realizadas com trabalhadores de comida de rua no ano de 2017, realizadas em percurso de investigação anterior. Considerando a velocidade com que o trabalho tem se transformado e a crise pandêmica que se desenvolve, questionou-se como estaria organizada a vida laboral daqueles mesmos trabalhadores entrevistados à época. Nesse sentido, foram realizadas entrevistas auto referenciadas: o objetivo foi ir em busca novamente desses sujeitos e rememorar a entrevista realizada anteriormente para a compreensão das trajetórias laborais nesse intervalo temporal. Resultados: A análise das trajetórias de vida laboral, a partir do viés analítico das trajetórias ocupacionais, serviu para a compreensão de um movimento mais amplo na história de vida desses trabalhadores: o que poderia ser chamado de movimento empreendedor, que se traduz em precarização e volatilidade na realidade dos trabalhadores. Conclusões: O que parece compreensível é que foram criadas condições para uma ampliação da referência ao empreendedorismo como política de enfrentamento a um Estado frágil na condução da relação capital-trabalho e como mecanismo de difusão do individualismo e da precarização difundidos na esfera laboral.

Abstract Introduction: The world of contemporary work encompasses new types of alternative work in the Brazilian scenario, in which informality and entrepreneurship stand out as marks of the way of work organization. Objectives: to understand and analyze occupational trajectories of street food workers. Methods: This work is the result of a broader research path that seeks to understand some of the most recent movements of capitalism: job insecurity, entrepreneurship, flexibility and the incorporation of informality in new ways of life. It is produced from a bias of studies on work and the Social Psychology of Work (PST). In a study of longitudinal inspiration, interviews already carried out with street food workers in 2017, carried out in the course of a previous investigation, were carried out. Considering the speed with which work has been transformed and the pandemic crisis that is developing, it was questioned how the working life of those same workers interviewed at the time would be organized. In this sense, self-referenced interviews were carried out: the objective was to go in search of these subjects again and remember the interview carried out previously to understand the work trajectories in that time interval. Results: The analysis of working life trajectories, based on the analytical bias of occupational trajectories, served to understand a broader movement in the life history of these workers: what could be called an entrepreneurial movement, which translates into precariousness and volatility in the reality of workers. Conclusions: What seems understandable is that conditions were created for an expansion of the reference to entrepreneurship as a policy to confront a fragile State in the management of the capital-work relationship and as a mechanism for the dissemination of individualism and precariousness spread in the labor sphere.

Abstract Objective: The objective of this study was to analyze masticatory characteristics in children from 7 to 10 years, and to compare these characteristics among normal weight, overweight and obese children. Methods: This is a cross-sectional study, conducted in northeast Brazil, with a sample of 160 children, aged 7 to 10 years. The authors evaluated: nutritional and dental status; food intake; masticatory parameters and orofacial myofunctional characteristics. The children were divided according to nutritional status into normal weight (n = 101), overweight (n = 33) and obesity (n = 26) groups. Results: The results showed that Obese children had a larger bite size (g) (median = 6.0, Q1-Q3 = 4.0-9.0, p = 0.049) and performed fewer masticatory sequences (median = 3.0, Q1-Q3 = 2.0-3.2, p = 0.024) than children with normal weight (median = 5.0, Q1-Q3 = 4.0-7.0; median = 4.0, Q1-Q3 = 3.0-5.0). Furthermore, obese children finished feeding in a shorter time (s) (median = 62.5, Q1-Q3 = 50.5-70.0, p = 0.039) than normal weight children (median = 66.0, Q1-Q3 = 56.5-78.0) and overweight children (median = 66.0, Q1-Q3 = 58.0-81.5). Conclusions: The present results suggest that obese children present changes in mastication, evidenced by larger bite-size, performing fewer masticatory sequences and rapid mastication, which may contribute to increased food consumption and the development of excess weight.

Abstract Introduction Upper airway stimulation (UAS) with electric activation of the hypo-glossal nerve has emerged as a promising treatment for patients with moderate-to-severe obstructive sleep apnea. Objective To retrospectively analyze objective and subjective outcome measures after long-term follow-up in obstructive sleep apnea patients receiving upper airway stimulation. Methods An observational retrospective single-center cohort study including a consecutive series of patients diagnosed with obstructive sleep apnea receiving upper airway stimulation. Results Twenty-five patients were included. The total median apnea-hypopnea index (AHI) significantly decreased from 37.4 to 8.7 events per hour at the 12-month follow-up (p < 0.001). The surgical success rate was 96%. Adverse events were reported by 28% of the patients. Conclusion Upper airway stimulation is an effective and safe treatment for obstructive sleep apnea in patients with continuous positive airway pressure (CPAP) failure or intolerance. However, it is possible that the existing in and exclusion criteria for UAS therapy in the Netherlands have positively influenced our results.

Resumo O objetivo deste artigo é construir e validar um instrumento do tipo instrumento CAP (conhecimento, atitude e prática) de cuidadores, acompanhados pela Estratégia Saúde da Família, para promoção da saúde bucal de crianças até 36 meses. Estudo metodológico realizado em três etapas: revisão integrativa, elaboração da versão inicial e validação de conteúdo por 29 juízes. O instrumento foi validado quanto ao conteúdo e aparência. Foram calculados o Índice de Validade de Conteúdo (IVC) e os coeficientes FINN e Gwe-AC1 para avaliação da concordância entre juízes. Os valores do IVC global do instrumento de 39 itens foram: IVC (Clareza) igual a 0,91 e IVC (Relevância) igual a 0,95. A versão final foi obtida mediante 19 questões (conhecimento), 10 (atitude) e 10 (prática), envolvendo os temas: cárie, dieta, higiene bucal, flúor, amamentação, bicos artificiais, dentes de leite e necessidade de levar o bebê ao dentista. O instrumento produzido poderá ser utilizado por apresentar potencial de utilização a depender da avaliação mais global de suas propriedades psicométrica.

Abstract The objective of this article is to develop and validate a KAP (knowledge, attitude, and practice) instrument for caregivers of children up to 36 months of age monitored by the Family Health Strategy. This methodological study was conducted in three stages: an integrative review, preparation of the initial version, and content validation by 29 judges. The instrument was validated for content and appearance. The Content Validity Index (CVI) and the FINN and Gwe-AC1 coefficients were calculated to assess inter-judge agreement. The overall CVI values of the 39-item instrument were: Clarity (0.91) and Relevance (0.95). The final version was obtained through 19 knowledge, 10 attitude, and 10 practice questions on caries, diet, oral hygiene, fluoride, breastfeeding, artificial feeding, milk teeth, and the need to take the baby to the dentist. The instrument produced can be used because it has the potential for use depending on the more global assessment of its psychometric properties.

Die implementering van stedelike beplanning is 'n deurslaggewende proses van stedelike beplanning om stedelike volhoubaarheid wêreldwyd te verbeter, te bereik en te handhaaf. Die implementeringsproses vir grondgebruik wat vir verskeie stedelike funksies afgebaken is, word egter deur verskeie uitdagings in die Global South gekonfronteer. Hierdie studie het ten doel om vraelysopnames van stads- en streekbeplanningkundiges en Geografiese Inligtingstelsels (GIS) te integreer om die vlak van stedelike beplanningsimplementering van grondgebruik wat vir verskeie stedelike funksies afgebaken is, te ondersoek om strategiese aksies vir stedelike volhoubaarheid te ondersteun. Deur Abuja, Nigerië, as 'n gevallestudie te gebruik, is 'n stedelike plan, stedelike ondeurdringbare oppervlakkaart en vraelysdata ingesamel, en 'n geïntegreerde metode-analise, insluitend kwalitatiewe en kwantitatiewe (beskrywende, Euklidiese Afstandsmodellering en Lineêre Regressie Modellering) is ontplooi. Sleutelbevindinge toon dat die meeste deskundiges in stedelike en streekbeplanning die implementering van alle grondgebruik vir verskeie stedelike funksies as tussen matige en baie hoë vlakke beskou, behalwe dié van industriële grondgebruik wat waargeneem word as tussen matige en lae vlakke. GIS-bevindinge toon dat, terwyl grondgebruike wat vir vervoer afgebaken is, kommersiële, opvoedkundige en institusionele funksies positief en beduidend geassosieer word met die stedelike ondeurdringbare oppervlak, word industriële grondgebruik en stedelike groen ruimtes negatief geassosieer. Bevindinge toon dat misbruik van amptelike voorregte deur verdraaiing van meesterplanne, politieke inmenging en kompromie deur staatsamptenare, en onvoldoende befondsing sleuteluitdagings is vir stedelike beplanningsimplementering op grondgebruik wat vir verskeie stedelike funksies afgebaken is. Die bevindinge in hierdie studie is van kardinale belang vir strategiese besluitnemers in stedelike beplanning om die implementeringsproses vir verskeie stedelike grondgebruikfunksies en stedelike volhoubaarheid in die Globale Suide in die algemeen en in Afrika suid van die Sahara in die besonder te verbeter.

Urban planning implementation is a crucial process of urban planning to improve, attain, and maintain urban sustainability globally. However, the implementation process for land use demarcated for various urban functions is being confronted by various challenges in the Global South. This study aims to integrate questionnaire surveys of urban and regional planning experts and Geographic Information Systems (GIS), in order to investigate the level of urban planning implementation of land use demarcated for various urban functions to support strategic actions for urban sustainability. Using Abuja, Nigeria, as a case study, an urban plan, urban impervious surface map, and questionnaire data were collected, and an integrated method analysis, including qualitative and quantitative (descriptive, Euclidean Distance Modelling, and Linear Regression Modelling) was deployed. Key findings show that the vast majority of experts in urban and regional planning perceive the implementation of all land use for various urban functions to be between moderate and very high levels, except that of industrial land use perceived to be between moderate and low levels. GIS findings show that, while land uses demarcated for transportation, commercial, educational, and institutional functions are positively and significantly associated with the urban impervious surface, industrial land use and urban green spaces are negatively associated. Findings show that abuse of official privileges by distorting master plans, political interference, compromise by public servants, and inadequate funding are key challenges for urban planning implementation on land use demarcated for various urban functions. The findings in this study are crucial for strategic decision makers in urban planning to improve the implementation process for various urban land-use functions and urban sustainability in the Global South, in general, and in sub-Saharan Africa, in particular.

Abstract Objectives: to analyze a correlation between self-efficacy and social support of mothers of preterms in early postpartum. Methods: cross-sectional study, carried out with 120 mothers of preterm infants from a Maternity School, from June to September 2018. Sociodemographic, reproductive and scales were used to assess the Maternal Self-Efficacy and Social Support. A descriptive analysis was carried out and the MannWhitney Test, Kruskal Wallis Test and Spearman correlation were applied. Results: there was a positive correlation between self-efficacy, parity (p=0.017), years of schooling (p=0.017) and Social Support (p=0.002). An unexpected finding was a high self-efficacy among mothers up to eight years of schooling, in the countryside of the State and with low income. Conclusion: social support, in all dimensions: material, affective, emotional, information and social interaction, proven to be a predictor of maternal self-efficacy.

Resumo Objetivos: analisar a correlação entre autoeficácia materna e apoio social de mães de recémnascidos prematuros no período de pós-parto precoce. Métodos: estudo transversal, realizado junto a 120 mães de prematuros de uma Maternidade Escola, no período de junho a dezembro de 2018. Utilizaram-se dados sociodemográficos, reprodutivos e escalas para Avaliação da Autoeficácia Materna e Apoio Social. Procedeu-se a análise descritiva e aplicaram-se os testes de Teste Mann-Whitney, Teste de Kruskal Wallis e correlação de Spearman. Resultados: evidenciou-se correlação positiva entre autoeficácia, paridade (p=0,017), anos de estudo (p=0,017) e Apoio Social (p=0,002). Um achado inesperado foi a alta autoeficácia entre mães com até oito anos de estudo, do interior do estado e de baixa renda. Conclusão: o apoio social, em todas as dimensões: material, afetivo, emocional, de informação e interação social, mostrou-se preditor da autoeficácia materna.

ABSTRACT Objective: To know the perception of health workers about the phenomenon of normalization of deviance in a pediatric hospital. Method: Exploratory, descriptive, and qualitative study conducted in a public pediatric hospital in northeastern Brazil in 2021. An in-depth interview was applied to 21 health workers, submitted to Thematic Categorical Content Analysis in the MAXQDA® Software. Results: 128 context units emerged from the content analysis. These data were presented in three analytical categories, which address conceptions about normalization of deviance, examples and contributing factors. The omission of the practice of hand hygiene and the correct use of personal protective equipment,and turning off alarms stand out as the main deviance perceived by health workers. As contributing factors, human factors and organizational factors prevailed. Conclusion: Workers perceive the normalization of deviance as negligence, recklessness, and violations of good practices, with consequences for patient safety.

RESUMEN Objetivo: Conocer la percepción de los trabajadores de la salud sobre el fenómeno de la normalización de la desviación en un hospital pediátrico. Método: Estudio exploratorio, descriptivo y cualitativo realizado en un hospital pediátrico público en el noreste de Brasil en 2021. Se aplicó una entrevista en profundidad a 21 trabajadores de la salud, sometidos al Análisis de Contenido Categórico Temático en el Software MAXQDA®. Resultados: 128 unidades de contexto surgieron del análisis de contenido. Estos datos se presentaron en tres categorías analíticas, que abarcan conceptos sobre la normalización de la desviación, ejemplos y factores contribuyentes. La omisión de la práctica de la higiene de manos y el uso correcto de los equipos de protección personal y el apagado de alarmas se destacan como las principales desviaciones percibidas por los trabajadores de la salud. Como factores contribuyentes prevalecieron los factores humanos y los factores organizacionales. Conclusión: Los trabajadores perciben la normalización de la desviación como negligencia, imprudencia y violación de las buenas prácticas, con consecuencias para la seguridad del paciente.

RESUMO Objetivo: Conhecer a percepção de trabalhadores de saúde sobre o fenômeno da normalização do desvio em um hospital pediátrico. Método: Estudo exploratório, descritivo e qualitativo realizado em hospital público pediátrico do nordeste brasileiro em 2021. Aplicou-se entrevista em profundidade a 21 trabalhadores de saúde, submetida à Análise de Conteúdo Categorial Temática no Software MAXQDA®. Resultados: Emergiram 128 unidades de contexto da análise de conteúdo. Esses dados foram apresentados em três categorias analíticas, as quais abordam concepções sobre normalização do desvio, exemplos e fatores contribuintes. Destacam-se a omissão da prática de higienização das mãos e do uso correto dos equipamentos de proteção individual, e o desligamento de alarmes como principais desvios percebidos pelos trabalhadores de saúde. Como fatores contribuintes, preponderaram os fatores humanos e os fatores organizacionais. Conclusão: Os trabalhadores percebem a normalização do desvio como negligência, imprudência e violações de boas práticas, com consequências para a segurança do paciente.

Abstract The objective of this article is to develop and validate a KAP (knowledge, attitude, and practice) instrument for caregivers of children up to 36 months of age monitored by the Family Health Strategy. This methodological study was conducted in three stages: an integrative review, preparation of the initial version, and content validation by 29 judges. The instrument was validated for content and appearance. The Content Validity Index (CVI) and the FINN and Gwe-AC1 coefficients were calculated to assess inter-judge agreement. The overall CVI values of the 39-item instrument were: Clarity (0.91) and Relevance (0.95). The final version was obtained through 19 knowledge, 10 attitude, and 10 practice questions on caries, diet, oral hygiene, fluoride, breastfeeding, artificial feeding, milk teeth, and the need to take the baby to the dentist. The instrument produced can be used because it has the potential for use depending on the more global assessment of its psychometric properties.

Resumo O objetivo deste artigo é construir e validar um instrumento do tipo instrumento CAP (conhecimento, atitude e prática) de cuidadores, acompanhados pela Estratégia Saúde da Família, para promoção da saúde bucal de crianças até 36 meses. Estudo metodológico realizado em três etapas: revisão integrativa, elaboração da versão inicial e validação de conteúdo por 29 juízes. O instrumento foi validado quanto ao conteúdo e aparência. Foram calculados o Índice de Validade de Conteúdo (IVC) e os coeficientes FINN e Gwe-AC1 para avaliação da concordância entre juízes. Os valores do IVC global do instrumento de 39 itens foram: IVC (Clareza) igual a 0,91 e IVC (Relevância) igual a 0,95. A versão final foi obtida mediante 19 questões (conhecimento), 10 (atitude) e 10 (prática), envolvendo os temas: cárie, dieta, higiene bucal, flúor, amamentação, bicos artificiais, dentes de leite e necessidade de levar o bebê ao dentista. O instrumento produzido poderá ser utilizado por apresentar potencial de utilização a depender da avaliação mais global de suas propriedades psicométrica.

ABSTRACT Objective: To reflect on the COVID-19 infodemic in the light of Edgar Morin's Complexity Theory and its three main principles, namely the dialogic principle, organizational and hologrammatic recursion. Methodology: This is a theoretical essay with a reflective character of the literature on the COVID-19 infodemic in the light of Edgar Morin's Complexity Theory. Result: Interrelating the dialogic principle with the infodemic, one can reflect on the relationship of the complex ambivalence between disinformation and scientifically validated information and the various contents dissipated in the media. It is noteworthy that it is necessary to carry out a coherent and reliable synthesis of the contents covered and widely disseminated. The COVID-19 infodemic is submerged in an intention that occurs between the lines of the media, and in this intention, there is direct participation by society. It is understood that disinformation increases as the production of content increases, in this sense, disinformation produces the infodemic which, consequently, is also produced by disinformation. It is possible to reflect on the infodemic through the notion that it can influence and be influenced by the whole, thus involving issues that cross public health, the economy, politics, at the same time that it is fostered and influenced by these specific axes. Final considerations: the principles of complex thinking are elements that help the understanding of the infodemic phenomenon and its influence in the informational context. It is hoped that this reflective study can contribute to mitigate the repercussions of the infodemic in the daily lives of users of information networks.

RESUMEN Objetivo: Reflexionar sobre la infodemia de la COVID-19 a la luz de la Teoría de la Complejidad de Edgar Morin y sus tres principios fundamentales, a saber, el principio dialógico, el organizativo y el hologramático de la recursividad. Metodología: Se trata de un ensayo teórico con carácter reflexivo de la literatura sobre la infodemia del COVID-19 a la luz de la Teoría de la Complejidad de Edgar Morin. Resultados: Interrelacionando el principio dialógico con la infodemia, se puede reflexionar sobre la relación de la compleja ambivalencia entre la desinformación y la información científicamente validada y los diversos contenidos disipados en los medios. Cabe destacar que es necesario realizar una síntesis coherente y confiable de los contenidos abordados y ampliamente difundidos. La infodemia del COVID-19 está sumergida en una intención que se da entre líneas mediáticas y en esa intención hay una participación directa de la sociedad. Se entiende que la desinformación se expande a medida que aumenta la producción de contenidos. En ese sentido, la desinformación produce la infodemia que, en consecuencia, también es producida por la desinformación. Es posible reflexionar sobre la infodemia a partir de la noción de que puede influir y ser influenciada por el conjunto, involucrando así cuestiones que cruzan la salud pública, la economía, la política, al tiempo que es fomentada e influenciada por estos ejes específicos. Consideraciones finales: Los principios del pensamiento complejo son elementos que ayudan a la comprensión del fenómeno infodémico y su influencia en el contexto informacional. Se espera que este estudio reflexivo pueda contribuir a mitigar las repercusiones de la infodemia en la cotidianidad de los usuarios de las redes de información.

RESUMO Objetivo: Refletir sobre a infodemia da COVID-19 sob a luz da Teoria da Complexidade de Edgar Morin e seus três principais principios, a saber o princípio dialógico, da recursão organizacional e hologramático. Metodologia: Trata-se de ensaio teórico de caráter reflexivo da literatura acerca da infodemia de COVID-19 sob a luz da Teoria da Complexidade de Edgar Morin. Resultados: Interrelacionando o princípio dialógico com a infodemia, pode-se refletir sobre a relação da ambivalência complexa entre a desinformação e informações validadas cientificamente e dos diversos conteúdos dissipados nos meios de comunicação. Ressalta-se que é necessário realizar uma síntese coerente e confiável sobre os conteúdos abordados e amplamente difundidos. A infodemia de COVID-19 submerge de uma intenção que ocorre nas entrelinhas dos meios de comunicação, e nessa intencionalidade há participação direta da sociedade. Compreende-se que a desinformação se amplia na medida em que a produção de conteúdo aumenta, nesse sentido, a desinformação produz a infodemia que, consequentemente, é produzida também pela desinformação. É possível refletir sobre a infodemia através da noção de que está pode influenciar e ser influenciada pelo todo, envolvendo assim, questões que atravessam a saúde pública, a economia, a política, ao mesmo tempo que é fomentada e influenciada por esses eixos específicos. Considerações finais: Os princípios do pensamento complexo, constituem-se como elementos que auxiliam a compreensão do fenômeno infodemia sua influência no contexto informacional. Espera-se que este estudo reflexivo possa contribuir para que sejam mitigadas as repercussões da infodemia no cotidiano dos usuários das redes de informação.

Abstract Few studies on the distribution of oral diseases in older people are available in the literature. This study aimed to investigate the prevalence and demographic characteristics of oral and maxillofacial lesions in geriatric patients (age ≥ 60 years). A retrospective descriptive cross-sectional study was performed. Biopsy records were obtained from archives of three Brazilian oral pathology centers over a 20-year period. Data on sex, age, anatomical site, skin color, and histopathological diagnosis were collected and analyzed. Pearson’s chi-square test was used to evaluate differences in the frequency of the different oral and maxillofacial lesion groups. A total of 7,476 biopsy records of older patients were analyzed. Most cases were diagnosed in patients aged 60 to 69 years (n = 4,487; 60.0%). Females were more affected (n = 4,403; 58.9%) with a female-to-male ratio of 1:0.7 (p < 0.001). The tongue (n = 1,196; 16.4%), lower lip (n = 1,005; 13.8%), and buccal mucosa (n = 997; 13.7%) were the most common anatomical sites. Reactive and inflammatory lesions (n = 3,840; 51.3%) were the most prevalent non-neoplastic pathologies (p < 0.001), followed by cysts (n = 475; 6.4%). Malignant neoplasms were more frequent (n = 1,353; 18.1%) than benign neoplasms (n = 512; 6.8%). Fibrous/fibroepithelial hyperplasia (n = 2,042; 53.2%) (p < 0.001) and squamous cell carcinoma (n = 1,191; 88.03%) (p < 0.001) were the most common oral lesions in older adults. Biopsy data allow the accurate characterization of the prevalence of oral and maxillofacial lesions, supporting the development of public health policies that can enable the prevention, early diagnosis, and appropriate treatment of these lesions. Also, they bring valuable information that helps dentists and geriatricians diagnose these diseases.

Abstract Dermoid cysts (DCs) and epidermoid cysts (ECs) are uncommon developmental cysts affecting the oral cavity. This study aims to evaluate patients with oral DCs and ECs and their demographic and clinicopathologic features. A retrospective descriptive cross-sectional study was performed. A total of 105,077 biopsy records of oral and maxillofacial lesions from seven Brazilian oral pathology centers were analyzed. All cases diagnosed as oral DCs and ECs were reviewed, and clinical, demographic, and histopathological data were collected. The series comprised 32 DCs (31.4%) and 70 ECs (68.6%). Most of the DCs occurred on the floor of the mouth (n = 14; 45.2%) of women (n = 17; 53.1%) with a mean age of 34.6 ± 21.6 years. All DCs were lined partially or entirely by stratified squamous epithelium (100%). Chronic inflammatory cells, melanin pigmentation, multinucleated giant cell reaction, and cholesterol clefts were observed in the fibrous capsule . Most of the ECs affected the labial mucosa (n = 20; 31.7%) of men (n = 39; 56.5%) with a mean age of 48.0±19.8 years. Microscopically, most ECs (n = 68; 97.1%) were lined entirely by stratified squamous epithelium. Two cysts (2.9%) showed areas of respiratory metaplasia. Chronic inflammatory cells, melanin pigmentation, multinucleated giant cell reaction, and cholesterol clefts were also observed in the fibrous capsule. Conservative surgical excision was the treatment of choice in all cases. Oral DCs and ECs are uncommon and often clinically misdiagnosed lesions. Clinicians should consider DCs and ECs in the differential diagnosis of soft tissue lesions in the oral cavity, mainly located on the floor of the mouth and labial mucosa.

ABSTRACT Difficulties in executive functions and motor performance in children with autism spectrum disorder (ASD) have been researched. This study aimed to verify the effect of exergames on motor performance and reaction time of a child (6 years old) with ASD. Eight weeks of games with Xbox Kinect were applied, with weekly meetings and duration of 35 to 40 minutes. Motor performance was assessed by the Motor Development Scale (EDM) and reaction time by the Simple Reaction and Choice RT/S1 test, available in the computerized Mental Test and Training System. The data obtained were analyzed according to the JT Method. The results indicated a reliable positive change in the general motor quotient (QMGpre= 87.5/QMGpost= 102.32) with a reliable change index (IMC) of 4.19, in the general motor age (IMGpre= 70/IMGpost= 88; IMC= 4.55) and in the motor areas balance (QMpre= 52.5/QMpost= 104.65; IMC= 2.47) and body schema (IMpre= 60/IMpost= 96; IMC= 2.63) after application of the exergames, but without significant changes in the reaction time scores (TRpre= 361/TRpost= 319; IMC= 1.26). The findings suggest that the use of exergames seems to reflect improvements in motor aspects, but not in reaction time.

RESUMO Dificuldades nas funções executivas e no desempenho motor em crianças com o transtorno do espectro autista (TEA) têm sido alvos de pesquisas. Este estudo teve por objetivo verificar o efeito do exergames no desempenho motor e no tempo de reação de uma criança (6 anos) com TEA. Foram aplicadas oito semanas de jogos com o Xbox Kinect, com encontros semanais e duração de 35 a 40 minutos. O desempenho motor foi avaliado pela Escala de Desenvolvimento Motor (EDM) e o tempo de reação pelo teste Reação Simples e de Escolha RT/S1, disponível no sistema computadorizado Mental Test and Training System. Os dados obtidos foram analisados segundo o Método JT. Os resultados indicaram uma mudança positiva confiável no quociente motor geral (QMGpré= 87.5/QMGpós= 102.32) com um índice de mudança positiva confiável (IMC) de 4.19, na idade motora geral (IMGpré= 70/IMGpós= 88; IMC= 4.55) e nas áreas motoras equilíbrio (QMpré= 52,5/QMpós= 104,65; IMC= 2,47) e esquema corporal (IMpré= 60/IMpós= 96; IMC= 2.63) após aplicação do exergames, entretanto, sem alterações significativas nos escores do tempo de reação (TRpré= 361/TRpós= 319; IMC= 1,26). As descobertas sugerem que o uso do exergames parece refletir em melhorias nos aspectos motores, mas não no tempo de reação.

ABSTRACT Objective: The COVID-19 pandemic has profoundly disrupted health care worldwide. We aimed to evaluate the impact of the first COVID-19 wave on the treatment of our patients with acromegaly. Subjects and methods: A standard questionnaire was systematically applied to all patients and included questions on general health status, whether all laboratory workup had been done, common signs and symptoms of acromegaly, treatment adherence, and previous COVID-19 symptoms and diagnosis. Results: We attempted to contact 136 patients with acromegaly at regular follow-up at our institution and contacted 101 of them successfully. In all, 37% of the patients reported symptoms of acromegaly, which was more common among women. A total of 27 patients were lost to follow-up (including 19 who interrupted treatment during the pandemic) mainly for fear of becoming infected by the SARS-CoV-2. Of these, 24 resumed follow-up after our contact. Conclusions: The current COVID-19 pandemic has strongly impacted the follow-up of patients with acromegaly. Telemedicine can be an important tool to maintain regular treatment in the current or future pandemics.

ABSTRACT We report the case of a previously healthy 48-year-old man who developed an isolated abducens nerve palsy 18 days after presenting with coronavirus disease (COVID-19) confirmed by reverse transcriptase polymerase chain reaction. His main complaint at arrival was double vision. Ocular examination revealed a sixth cranial nerve palsy in the left eye. The incomitant esotropia at arrival was 30 prism diopters. Abduction was markedly limited, while adduction was normal in the left eye. The patient underwent complete clinical, neurological, and neuroimaging investigations, including cerebrospinal fluid sample analysis to rule out infectious causes. A conservative approach with orthoptic therapy and Fresnel prism was opted. Eight months after the onset of COVID-19, regression of the strabismus was observed, and the patient reported complete recovery of the diplopia. This case suggests that isolated abducens nerve palsy caused by severe acute respiratory syndrome coronavirus 2 infection may improve with a conservative approach.

RESUMO Reportamos o caso de homem previamente hígido, 48 anos, com paralisia isolada do nervo abducente 18 dias após infecção pelo novo coronavírus (COVID-19) confirmada por reação cadeia polimerase de transcriptase reversa. A principal queixa do paciente na admissão era diplopia. O exame ocular revelou paralisia do sexto nervo craniano do olho esquerdo. Esotropia incomitante no exame inicial media 30 dioptrias prismáticas. Abdução estava limitada com adução completa no olho esquerdo. O paciente foi submetido a investigação clínica e neurológica com exame de neuroimagem, incluindo análise de amostra do líquido cefalorraquidiano para descartar causas infecciosas. Optou-se por abordagem conservadora com terapia ortóptica e prisma de Fresnel. Oito meses após a infecção pelo COVID-19, o paciente evoluiu com regressão do estrabismo e informou recuperação completa do quadro. Este relato sugere que paralisia isolada do nervo abducente causada por SARS-CoV-2 pode melhorar com abordagem conservadora.