ABSTRACT Objective: The study aims to elucidate whether and how firms evolve and recombine their innovation capabilities over time to adapt to market changes. To do so, Brazilian agricultural machinery manufacturers transitioning to Industry 4.0 were analyzed through the lens of four innovation capabilities (development, operations, transactions, and management). Methods: A longitudinal quantitative study was conducted with 29 companies, considering two periods: 2014 and 2018. The evolution and recombination of firms’ capabilities were explored, respectively, through the Wilcoxon signed-rank test and the fuzzy-set qualitative comparative analysis (fsQCA). Results: The four capabilities evolved and were recombined. The evolution of business-driven capabilities (transactions and management) was more significant than the evolution of technology-driven capabilities (development and operations). In 2014 firms innovated by combining development, operations, and management capabilities (DC*OC*MC), and in 2018 by articulating transactions, operations, and management capabilities (TC*OC*MC). Conclusions: Firms changed their focus from technological innovations to business innovations over time. The study discusses the complementarities between these innovation types in the context of firms converting to Industry 4.0. Objective changes so 40 4 0 4. development operations transactions management. . Methods 2 companies periods 201 explored respectively signedrank signed rank fuzzyset fuzzy set fsQCA. fsQCA (fsQCA) Results recombined businessdriven driven technologydriven technology operations. operations) DC*OC*MC, DCOCMC DC*OC*MC , DC OC MC (DC*OC*MC) TC*OC*MC. TCOCMC TC*OC*MC TC (TC*OC*MC) Conclusions 20 (fsQCA (DC*OC*MC (TC*OC*MC

RESUMO Este estudo examina a relação entre as políticas estaduais de inovação no Brasil e o índice de inovação dos estados sob a perspectiva dos sistemas regionais de inovação. A pesquisa é classificada como qualitativa exploratória e abrange políticas de inovação estabelecidas por meio de leis e decretos estaduais editados até 2017 e no período entre 2018 (ano em que o primeiro índice foi divulgado) e 2021, a fim de entender como as políticas promulgados nesse período potencialmente contribuíram para os índices de inovação dos cinco estados mais inovadores em 2021. Assim, as disposições legislativas sobre inovação dos 27 estados brasileiros foram classificadas e examinadas sob as dimensões estrutural, financiamento e interação. Como resultados, quatro achados que podem ajudar a explicar o avanço ou a manutenção da posição desses estados no ranking de inovação foram apresentados. O estudo oferece contribuições teóricas e práticas sobre políticas de inovação no contexto dos estados brasileiros. 201 ano divulgado 2021 Assim 2 estrutural interação resultados apresentados 20 202

ABSTRACT From the perspective of regional innovation systems, this study examines the relationship between state innovation policies in Brazil and the states' innovation index. The research is classified as exploratory qualitative and covers innovation policies established through laws and state decrees edited until 2017 and in the period between 2018 (the year in which the first index was published) and 2021 to understand how the policies enacted in this period potentially contributed to the innovation indexes of the five most innovative states in 2021. Thus, the legislative provisions on the innovation of the 27 Brazilian states were classified and examined under the structural, financing, and interaction dimensions. As a result, four findings that can help explain the advancement or maintenance of the position of these states in the innovation ranking were developed. The study offers theoretical and practical contributions to innovation policies in the context of Brazilian states. systems 201 published 202 Thus 2 structural financing dimensions result developed 20

Abstract The aim of the present study was to investigate the impact of oral health literacy (OHL) on conceptions of care and behaviors related to COVID-19. The sample came from two preliminary cross-sectional studies that determined the level of OHL of parents/guardians of six-to-12-year-old children in two major Brazilian cities (Curitiba and Belo Horizonte). Functional OHL was measured using the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) and the Health Literacy Dental Scale (HeLD-14) for the evaluation of interactive OHL. Participants were recruited through e-mail, social media, and telephone contact. The questionnaire on conceptions of care and behaviors related to COVID-19 was created based on the guidelines of the World Health Organization. Two hundred nineteen individuals participated in the study. There was no significant difference in socioeconomic and demographic variables and in the medians of BREALD and HeLD-14 between the two cities (P>0.05). Higher levels of functional OHL were associated with an appropriate conception that individual care affects collective care (P=0.038), but with an inappropriate conception of seeking medical assistance in cases of mild symptoms (P=0.030). Higher levels of interactive OHL were related to social distancing behavior in the city of Curitiba (P=0.049) and in the overall sample (P=0.040). It is concluded that functional OHL was associated with two of the investigated conceptions about COVID-19, while interactive OHL was associated with social distancing behavior. These data may suggest that different dimensions of the OHL can have an impact on different aspects of coping with the pandemic. (OHL COVID19. COVID19 COVID 19. 19 crosssectional cross sectional parentsguardians parents guardians sixto12yearold sixtoyearold six 12 year old Horizonte. Horizonte . Horizonte) BREALD30 30 (BREALD-30 HeLD14 HeLD 14 (HeLD-14 email, email e mail, mail e-mail media contact COVID-1 Organization HeLD-1 P>0.05. P005 P P>0.05 0 05 (P>0.05) P=0.038, P0038 P=0.038 , 038 (P=0.038) P=0.030. P0030 P=0.030 030 (P=0.030) P=0.049 P0049 049 (P=0.049 P=0.040. P0040 P=0.040 040 (P=0.040) COVID19, 19, pandemic COVID1 1 sixto yearold BREALD3 3 (BREALD-3 HeLD1 (HeLD-1 COVID- HeLD- P00 P>0.0 (P>0.05 P003 P=0.03 03 (P=0.038 (P=0.030 P=0.04 P004 04 (P=0.04 (P=0.040 (BREALD- (HeLD- P0 P>0. (P>0.0 P=0.0 (P=0.03 (P=0.0 (BREALD (HeLD P>0 (P>0. P=0. (P=0. P> (P>0 P=0 (P=0 (P> P= (P= (P

Resumen El Trastorno por Uso de Sustancias (TUS) está relacionado con varios factores psicosociales, como el duelo. A partir de una revisión sistemática, este trabajo se propuso identificar una asociación del TUS en personas en proceso de duelo. La investigación se registró en la plataforma PROSPERO, y se utilizaron las siguientes bases de datos: MEDLINE, PSYCNET, LILACS, PubMed, EMBASE, CINAHL y SciELO. Se utilizó el software Rayyan, y se siguieron los pasos del protocolo PRISMA. Diecisiete artículos fueron elegibles, de los cuales más del 88% mostraron una asociación entre el TUS y el proceso de duelo, y casi el 60% asociaron el duelo y el consumo de drogas con la depresión y la ansiedad. La sustancia más consumida fue el alcohol. Estos resultados pueden contribuir a futuras investigaciones sobre el duelo y el consumo de sustancias, además de subvencionar la formulación de acciones preventivas para el consumo de drogas. (TUS psicosociales sistemática PROSPERO datos MEDLINE PSYCNET LILACS PubMed EMBASE SciELO Rayyan PRISMA elegibles 88 60 ansiedad alcohol sustancias 8 6

Resumo O Transtorno por Uso de Substâncias (TUS) relaciona-se a vários fatores psicossociais; como o luto. Este trabalho teve por objetivo identificar uma associação do TUS entre pessoas em processo de luto, a partir de uma revisão sistemática. A pesquisa foi registrada na plataforma PROSPERO e foram utilizadas as seguintes bases de dados: MEDLINE, PSYCNET, LILACS, PubMed, EMBASE, CINAHL e SciELO. Foi utilizado o software Rayyan e as etapas do protocolo PRISMA foram seguidas. Foram elegíveis 17 artigos, dos quais mais de 88% apresentaram uma associação entre o TUS e o processo de luto, e quase 60% associaram o luto e o consumo de drogas à depressão e à ansiedade. A substância mais consumida foi o álcool. Estes achados podem contribuir para futuras pesquisas na área de luto e uso de substâncias, bem como subsidiar a formulação de ações preventivas ao uso de drogas. (TUS relacionase relaciona se psicossociais sistemática dados MEDLINE PSYCNET LILACS PubMed EMBASE SciELO seguidas 1 artigos 88 60 ansiedade álcool substâncias 8 6

Abstract Substance use disorder (SUD) is related to several psychosocial factors, such as grief. This study aimed to find an association of SUD among bereaved individuals based on a systematic review. The research was registered in the PROSPERO platform and the following databases were used: MEDLINE, PsycNET, LILACS, PubMed, EMBASE, CINAHL, and SciELO. The Rayyan software tool was used and this study was performed under the guidelines of the PRISMA protocol. In total, 17 articles were eligible, of which more than 88% showed an association between SUD and the grieving process and almost 60% associated grief and drug use with depression and anxiety. Alcohol was the most used substance. These findings may contribute to future studies on grief and substance use and underlie the elaboration of preventive actions for drug use. (SUD factors review MEDLINE PsycNET LILACS PubMed EMBASE CINAHL SciELO protocol total 1 eligible 88 60 anxiety 8 6

RESUMEN Objetivo: Identificar las repercusiones de la pandemia de Covid-19 en el uso de pantallas digitales en la primera infancia, desde la perspectiva de las madres y los profesionales de la educación. Método: Estudio cualitativo, basado en la Teoría Bioecológica de Bronfenbrenner. Participaron nueve madres de niños menores de tres años, matriculados en guarderías de un municipio del estado de Paraíba, Brasil, y seis profesionales de la educación que actuaban en esas guarderías. Los datos se recogieron entre julio y octubre de 2021 mediante entrevista virtual y se analizaron según un análisis temático inductivo. Resultados: Las restricciones impuestas por la pandemia convirtieron a las pantallas en el único recurso disponible para las actividades educativas, la interacción, el ocio y la distracción de los niños, lo que provocó un aumento exponencial del tiempo que pasaban frente a ellas. Conclusión: La pandemia tuvo un impacto directo en el uso de pantallas digitales en la primera infancia, repercutiendo en el aumento del tiempo de exposición del niño, según padres y profesionales de la educación. Objetivo Covid19 Covid 19 Covid-1 infancia Método cualitativo Bronfenbrenner años Paraíba Brasil 202 inductivo Resultados educativas interacción ellas Conclusión niño Covid1 1 Covid- 20 2

ABSTRACT Objective: To identify the impact of the Covid-19 pandemic on the use of digital screens in early childhood, from the perspective of mothers and education professionals. Method: Qualitative study, based on Bronfenbrenner’s Bioecological Theory. Nine mothers of children under three years of age, enrolled in daycare centers in a municipality in the state of Paraíba, Brazil, and six education professionals who worked in these daycare centers participated. The data were collected between July and October 2021 via virtual interviews and analyzed according to inductive thematic analysis. Results: The restrictions imposed by the pandemic made screens the only available resource for children’s educational activities, interaction, leisure, and distraction, causing an exponential increase in the time they spent in front of screens. Conclusion: The pandemic had a direct impact on the use of digital screens in early childhood, increasing the child’s exposure time, according to parents and education professionals. Objective Covid19 Covid 19 Covid-1 childhood Method study Bronfenbrenners Bronfenbrenner s Theory age Paraíba Brazil participated 202 analysis Results childrens activities interaction leisure distraction Conclusion childs child Covid1 1 Covid- 20 2

RESUMO Objetivo: Identificar a repercussão da pandemia da Covid-19 no uso de telas digitais na primeiríssima infância, na perspectiva de mães e profissionais da educação. Método: Estudo qualitativo, baseado na Teoria Bioecológica de Bronfenbrenner. Participaram nove mães de crianças menores de três anos, matriculadas em creches de um município do estado da Paraíba, Brasil e seis profissionais da educação, que atuavam nessas creches. Os dados foram coletados entre julho e outubro de 2021 por meio de entrevista virtual e analisados conforme a análise temática indutiva. Resultados: As restrições impostas pela pandemia fizeram das telas o único recurso disponível para as atividades educativas, interação, lazer e distração das crianças, causando aumento exponencial no tempo em que essas passaram diante das telas. Conclusão: A pandemia repercutiu diretamente no uso de telas digitais na primeiríssima infância, impactando no aumento do tempo de exposição da criança, segundo os pais e profissionais da educação. Objetivo Covid19 Covid 19 Covid-1 infância educação Método qualitativo Bronfenbrenner anos Paraíba 202 indutiva Resultados educativas interação Conclusão criança Covid1 1 Covid- 20 2

Resumo Objetivo Este estudo identifica como fabricantes brasileiros de máquinas agrícolas combinam diferentes capacidades para inovar. Essa indústria tem potencial para aumentar a produtividade na agricultura, um setor que é marcadamente relevante no Brasil, um dos principais produtores de alimentos e de commodities agrícolas do mundo. Referencial teórico As empresas foram abordadas através das lentes de um modelo com quatro capacidades de inovação (desenvolvimento, operação, gestão e transação). Pesquisas anteriores sobre inovação no setor de máquinas e equipamentos foram aprofundadas para dar apoio aos resultados obtidos. Metodologia Para identificar as combinações das capacidades de inovação, a técnica fuzzy-set QCA (análise qualitativa comparativa) foi empregada. Os dados foram coletados por meio de uma pesquisa realizada com 103 empresas brasileiras. Resultados Os fabricantes de máquinas agrícolas inovam por meio de duas combinações de capacidades: desenvolvimento, operação e gestão (DC*OC*MC) ou operação e transação (OC*TC). A inovação surge quando a excelência na fabricação é complementada por melhorias nos produtos existentes e nos processos gerenciais (DC*OC*MC), ou nas habilidades de negociação e nos processos de comercialização (OC*TC). Implicações práticas e sociais da pesquisa Pesquisas anteriores já haviam identificado que o setor de máquinas e equipamentos, em economias emergentes, é focado em melhorias relacionadas à produção. Entretanto, o presente estudo mostra que isso não é suficiente para as empresas inovarem. Como implicação prática, são indicadas duas trajetórias para as empresas de máquinas agrícolas alcançarem um alto desempenho inovador. Contribuições As pesquisas sobre inovação na indústria de máquinas e equipamentos geralmente apenas objetivam entender como as empresas desenvolvem novos produtos e novos processos de fabricação. O estudo preenche essa lacuna, abordando o setor por meio de uma visão mais ampla, mostrando a relevância do desenvolvimento de novos processos gerenciais e transacionais para essas empresas.

Abstract Purpose This study identifies how Brazilian agricultural machinery manufacturers combine different capabilities to innovate. This industry has the potential to increase productivity in agriculture, a sector that is notably relevant in Brazil, one of the main food and agricultural commodities producers in the world. Theoretical framework Firms were approached through the lens of a four innovation capabilities model (development, operations, management and transactions). Previous research about innovation in the machinery and equipment industry was examined in depth to support the results obtained. Design/methodology/approach To identify the combinations of innovation capabilities, the fuzzy-set QCA (comparative qualitative analysis) technique was applied. Data were collected through a survey, conducted with 103 Brazilian companies. Findings Agricultural machinery manufacturers innovate through two combinations of capabilities: development, operations and management (DC*OC*MC), or operations and transactions (OC*TC). Innovation emerges when excellence in manufacturing is complemented by improvements in existing products and in managerial processes (DC*OC*MC), or in negotiation skills and commercialization processes (OC*TC). Practical & social implications of research Previous research had already identified that the machinery and equipment industry of emerging economies is focused on production-related enhancements. However, the present study demonstrates that this is not sufficient for firms to innovate. As a practical implication, we indicate two paths for agricultural machinery companies to achieve high innovative performance. Originality/value Research about innovation in the machinery and equipment industry generally aims to only understand how firms develop new products and production processes. This study fills a gap by approaching this industry through broader lenses, demonstrating the relevance of new managerial and transactional process development for these firms.

Abstract Purpose This paper aims to identify the winning combination of innovation capabilities for selected Brazilian agribusiness firms along different value chain links. Design/methodology/approach Adopting a quantitative approach, the authors analyzed the relationship between innovation capabilities and innovative performance of 300 agribusiness firms through a multi-regression technique. Findings The results showed that transaction, management and development capabilities can improve agribusiness firms’ performance in underdeveloped value chains. Research limitations/implications For future research, the authors recommend analyzing further links such as traders and retailers to find the innovation capability for the entire agribusiness value chain. Practical implications Upstream firms should adopt new management techniques and tools, efficiently using their resources, while downstream firms should absorb and transform new technologies into products and processes. Social implications The authors suggest formulating public policies that propose the recombination of innovation capabilities to organize agribusiness firms and avoid commodity-oriented market dependence. Originality/value The literature on agribusiness explains innovation at the chain level, based primarily on scientific advancements rather than on innovation at the firm level. In this sense, this study provides empirical evidence that can help boost innovation in agribusiness firms.

Abstract Social determinants of health (SDH) are strongly associated with oral health outcomes, and oral health literacy (OHL) is a potential factor that can modify this association. This study evaluated the association between SDH and OHL, including functional and interactive dimensions of OHL. The cross sectional study was conducted with 354 adults recruited from public dental clinics in southern Brazil. Functional OHL was measured using the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) and the Health Literacy Dental Scale (HeLD-14), for the evaluation of interactional OHL. SDH was evaluated through a structured questionnaire, and economic class was determined based on the Brazilian Economic Classification Criteria. The statistical analysis involved bivariate and multivariate Poisson regression with robust variance (α=0.05) to estimate rate ratios (RR) and 95% confidence intervals (CI). Among the 354 participants, 284 (80.2%) were women and the mean age was 22.9 ± 4.9 years. The median BREALD-30 score was 24 (1st/3rd quintile: 20/27) and the median HeLD-14 score was 45 (1st/3rd quintile: 37/50). Most participants had up to eight years of schooling (71.5%) and belonged to the “C” Economic Class or lower (94.1%). The multiple regression analysis showed that schooling and economic class were associated with the BREALD-30 and HeLD-14 scores, income and age were associated with the HeLD-14 score, and marital status and occupation were associated with the BREALD-30 score. Different dimensions of OHL were associated with SDH in Brazilian adults. This aspect should be incorporated into strategies for improving OHL levels in individuals or populations.

Resumo Objetivo: Diversos estudos técnicos e acadêmicos exploraram as aplicações das tecnologias da informação e comunicação (TIC) no setor agroalimentar do ponto de vista dos agricultores. No entanto, a perspectiva do fornecedor de tecnologia na aplicação de TIC foi amplamente esquecida. O objetivo deste artigo é analisar como as tecnologias digitais estão sendo utilizadas na cadeia de valor agroalimentar e quais são seus benefícios e vantagens na perspectiva dos fornecedores de tecnologia. Originalidade/valor: Em primeiro lugar, o estudo analisou os benefícios das TIC para o setor agroalimentar na perspectiva dos fornecedores de tecnologia, permitindo a análise integrada do conjunto completo de TIC aplicadas em toda a cadeia de valor agroalimentar. Finalmente, usando uma abordagem metodológica robusta, garantimos a replicabilidade do estudo. Design/metodologia/abordagem: Foi empregado um estudo exploratório com abordagem descritiva para mapear o conjunto completo das tecnologias digitais comercializadas por 131 empresas de tecnologia agroalimentar. Usou-se a tipologia da Organização para a Cooperação e Desenvolvimento Econômico (OCDE) (2018) para classificar os tipos de tecnologias. Por meio do software NVIVO, a análise de cluster foi aplicada aos dados de benefícios e vantagens das soluções digitais comercializadas pelas empresas. Resultados: Identificaram-se a redução de custos e a rápida tomada de decisão como os benefícios mais importantes das TIC. No setor agroalimentar, essas tecnologias são criadas por diferentes gerações de empresas, sendo a maioria delas startups. Identificaram-se os fenômenos de servitização agrícola, compreendendo a crescente importância dos serviços como insumo-chave para a produção agrícola, e de manufaturização agrícola, que trata do incremento do controle sobre os fatores de produção na agricultura.

ABSTRACT Purpose: Many academic and technical studies have explored information and communications technology (ICT) applications in the agri-food sector from the farmers’ perspective. However, the technology supplier perspective on the ICT application has been largely overlooked. This paper aims to analyze how digital technologies are used within the agri-food value chain and their benefits and advantages from the technology supplier perspective. Originality/value: First, the study analyzed the benefits of ICT for the agri-food sector from the technology supplier perspective. Second, it comprised the integrated analysis of the complete set of ICT applied to the entire agri-food value chain. Third, we guaranteed the study’s replicability by using a straightforward methodological approach. Design/methodology/approach: Exploratory study with a descriptive approach was employed to map the complete set of digital technologies commercialized by 131 agri-food technology companies. The Organisation for Economic Co-operation and Development’s (OECD) (2018) typology for ICT solutions was used to identify technology types. The NVIVO software cluster analysis was applied to the data related to the benefits and advantages of the firms’ ICT solutions. Findings: We identified that cost reduction and rapid decision-making are the essential benefits of ICT. It was found that the ICT field in the agri-food sector is composed of different companies’ generations, and many are not startups. We identified two new phenomena: agricultural servitization, which comprehends the increasing importance of services as crucial input for agricultural production, and agricultural manufacturing, which refers to increasing control over production factors in agriculture.

Abstract Despite the progress observed in recent years, women are still underrepresented in science worldwide, especially at top positions. Many factors contribute to women progressively leaving academia at different stages of their career, including motherhood, harassment and conscious and unconscious discrimination. Implicit bias plays a major negative role in recognition, promotions and career advancement of female scientists. Recently, a rank of the most influential scientists in the world was created based on several metrics, including the number of published papers and citations. Here, we analyzed the representation of Brazilian scientists in this rank, focusing on gender. Female Brazilian scientists are greatly underrepresented in the rank (11% in the Top 100,000; 18% in the Top 2%). Possible reasons for this observed scenario are related to the metrics used to rank scientists, which reproduce and amplify the well-known implicit bias in peer-review and citations. Male scientists have more self-citation than female scientists and positions in the rank varied when self-citations were included, suggesting that self-citation by male scientists increases their visibility. Discussions on the repercussions of such ranks are pivotal to avoid deepening the gender gap in science.

Abstract This article presents the identification of soil use potential for different agropastoral and forest scenarios, using an indicator for erosion susceptibility from the spatialized Universal Soil Loss Equation (USLE). All USLE factors were spatialized using ArcGis 10.5 software, for the case study of the Cachoeira Cinco Veados Watershed-RS. To determine the R factor, we used the Cassol et al. 2007 equation and a 33-year series of rain data from six climatic stations. For the K factor, published values for the soil classes: Entisol, Ultisol, Oxisol, Molisols were used. From the DEM, the LS factor was obtained, considering six slope classes (0-3, 3-8, 8-20, 20-45, 45-75, >75%). In addition to the actual land use situation in the watershed, nine scenarios were proposed for the C factor. The value of 0.5 was used for the evaluation of conservation practices (P factor). Considering scenarios of current use situation along with the nine other scenarios, the results showed that, by identifying the most susceptible areas in each scenario, it is possible to construct an indicator map of soil compatibilities for each use, considering sustainable limits of soil losses. Therefore, this resulting map has potential use as instrument for land use planning and zoning studies.

RESUMO Efeitos econômicos das políticas de isolamento da pandemia da Covid-19 levaram pequenas e médias empresas (PMEs) a buscar alternativas para sobreviver. Em cenários de crise, uma universidade engajada tem um papel importante ao abordar não apenas questões de saúde, mas também problemas sociais e econômicos em contextos regionais. Neste artigo, um projeto de universidade-comunidade é analisado com o intuito de apontar os elementos necessários para promover uma universidade regional engajada: a Rede de Assessoria SOS-PME, originalmente projetada para apoiar PMEs durante a crise. Uma universidade engajada entrega conhecimento para a sociedade, além de educação e pesquisa. Como resultado, identificam-se elementos para promover a terceira missão da universidade engajada - engajamento social: equipe engajada, multidisciplinaridade, gerenciamento de projetos, agilidade, alianças, estratégia de comunicação, e suporte e reputação da instituição.

ABSTRACT The economic effects of isolation policies resulting from the COVID-19 pandemic have led small and medium-sized enterprises (SMEs) to look for alternatives to survive. Within this crisis scenario, an engaged university has an important role to play in a regional context in addressing not only health issues, but also any resultant social and economic problems. An engaged university needs to take actions that go beyond its traditional missions of education and research - it has to deliver knowledge to society. This paper analyzes a university-community project in Brazil to identify the necessary elements that help promote a regionally-engaged university: the SOS-PME Advisory Network project, which was originally designed to assist SMEs during the crisis. As a result, we identified elements necessary for promoting the university’s third mission - social engagement by way of a university-community project: an engaged team, multidisciplinarity, project management, agility, alliances, a communication strategy, institutional support, and reputation.

RESUMEN Los efectos económicos de las políticas de aislamiento de la pandemia de COVID-19 han llevado a las pequeñas y medianas empresas (PYMEs) a buscar alternativas para sobrevivir. En un escenario de crisis, una universidad comprometida desempeña un papel importante para abordar, no solo los problemas de salud, sino también los problemas sociales y económicos en un contexto regional. En este artículo, se analiza un proyecto universidad-comunidad con la intención de señalar los elementos necesarios para promover una universidad regional comprometida: la Red de Asesoramiento SOS-PME, originalmente diseñado para apoyar a las PYMEs durante la crisis. Una universidad comprometida necesita llevar adelante acciones más allá de sus misiones tradicionales de educación e investigación; debe transferir conocimiento a la sociedad. Como resultado, identificamos cuáles son los elementos necesarios para promover la tercera misión de una universidad con compromiso social: equipo comprometido, gestión de proyectos, agilidad, alianzas, multidisciplinariedad, estrategia de comunicación y apoyo, y reputación de la institución.

Resumo Este trabalho estudou a descontinuidade do cuidado (DC) em saúde bucal entre crianças e adolescentes que acessaram os serviços de urgência nas unidades básicas de saúde (UBS) e de pronto atendimento (UPA). Foram avaliados prontuários de indivíduos de 0 a 17 anos vinculados ao Sistema Único de Saúde de Curitiba. Considerou-se DC quando não houve o registro de consulta eletiva na UBS nos 6 meses subsequentes ao atendimento de urgência. A amostra foi estratificada pelo Índice de Desenvolvimento Humano Municipal (IDHM) da Unidade de Desenvolvimento Humano em que o paciente residia em ≤0,799 ou ≥0,800. A associação entre DC e demais covariáveis foi analisada através de regressão de Poisson com variância robusta uni e multivariada (α=0,05). A incidência de DC foi de 42,2%. No estrato de IDHM≤0,799, o risco de DC foi maior para as crianças com menos de 5 anos de idade e aqueles que não visitaram o dentista no último ano. Nos dois estratos, o risco de DC foi maior para aquelas que utilizaram a UPA para o atendimento de urgência quando comparadas com as que receberam atendimento na UBS. A DC em saúde bucal apresentou alta incidência, sendo que entre os residentes em regiões com menor IDHM, sofreu uma maior influência das características de uso dos serviços.

Abstract The aim of the present study was to investigate the discontinuity of oral health care among children and adolescents who accessed emergency services at primary care units and urgent care units. Records were reviewed of patients aged 0 to 17 years treated in the public healthcare system in city of Curitiba, Brazil. Discontinuity was considered when elective treatment was not registered at the primary care unit within six months after urgent care. The sample was stratified based on the Municipal Human Development Index (MHDI) (≤0.799 or ≥0.800). The association between discontinuity and covariables was assessed using univariate and multivariate Poisson regression models with robust variance (α=0.05). The incidence of discontinuity was 42.2%. In the MHDI≤0.799 stratum, the risk of discontinuity was greater among children younger than five years of age and individuals who had not had a dental appointment in the previous year. In both MHDI strata, the risk of discontinuity was higher in patients who received urgent care at an urgent care unit than those treated at a primary care unit. The incidence of the discontinuity of oral health care was high and was strongly influenced by the characteristics of dental service utilization among individuals living in regions with a lower MHDI.