Abstract This article brings light to one of the phases of doctorate-level investigation on the role of the universities in Ecuador for the social innovation process. The objective is to identify investigation projects performed with participation of Ecuadorian universities from the approach of social management with several actors involved. A systematic literature-based mapping was used to choose and analyze 33 publications to identify investigation performed with participative methodologies such as co-design, co-production or investigation-action. The databases WoS and Scopus were used, with results showing that there is a limited number of investigation applying co-design, no investigations with co-production, and most of the articles studies report to have used investigation-action. Several projects that imply participation of the community related to the issue were presented in most cases. This mapping presented 12 projects that align with the social innovation process, applying methods and techniques that promote actor participation, which also supports the understanding of how universities may fulfill their substantive function of performing research while responding to contextualized social needs.

Resumen Este artículo expone una de las fases de la investigación doctoral sobre el rol de las universidades ecuatorianas en el proceso de innovación social. El objetivo es identificar proyectos de investigación que se han realizado con la participación de universidades ecuatorianas desde el enfoque de la gestión social e integran diversos actores. Mediante un mapeo sistemático de literatura se seleccionaron y analizaron 33 publicaciones para identificar investigaciones realizadas con metodologías participativas como codiseño, coproducción o investigación-acción. Se usaron las bases de datos WoS y Scopus; los resultados muestran que existen limitadas investigaciones que apliquen codiseño, no se identifican investigaciones de coproducción, mientras la mayoría de los artículos analizados reportan haber aplicado investigación-acción. Se presentan diferentes proyectos que implican la participación de la comunidad relacionada con la problemática que se intenta resolver en la mayoría de los casos. Este mapeo permitió encontrar doce proyectos que se alinean al proceso de innovación social, aplicando métodos y técnicas que fomentan la participación de los actores, lo que aporta en la comprensión de cómo las universidades pueden cumplir su función sustantiva de investigación respondiendo necesidades sociales contextualizadas.

Resumo Esse artigo apresenta uma das fases da investigação ao nível doutoral com o papel das universidades equatorianas no processo de inovação social. O objetivo é identificar projetos de investigação realizados com a participação de universidades equatorianas com foco na gestão social e integração de vários atores. Um mapeamento sistemático de literatura ajudou a selecionar e analisar 33 publicações para identificar investigações realizadas com metodologias participativas tais como co-desenho, coprodução ou pesquisa-ação. Usaram-se as bases de data WoS e Scopus, e os resultados mostram que existem investigações limitadas que aplicam co-desenho, nenhuma que aplica coprodução, e a maioria dos artigos estudados reportam ter aplicado pesquisa-ação. Presentam-se vários projetos que se alinham com o processo de inovação social, com métodos e técnicas que promovem a participação da comunidade relacionada com a problemática para resolver na maioria dos casos. O mapeamento ajudou achar 12 projetos que se alinham com o processo de inovação social, com métodos e técnicas que provem a participação dos atores, ajudando com a compreensão do jeito no qual as universidades podem satisfazer a sua função substantiva de pesquisar, enquanto respondendo às necessidades sociais contextualizadas.

Abstract Objective In Brazil, postpartum hemorrhage (PPH) is a major cause of maternal morbidity and mortality. Data on the profile of women and risk factors associated with PPH are sparse. This study aimed to describe the profile and management of patients with PPH, and the association of risk factors for PPH with severe maternal outcomes (SMO). Methods A cross-sectional study was conducted in Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) obstetric intensive care unit (ICU) between January 2012 and March 2020, including patients who gave birth at the hospital and that were admitted with PPH to the ICU. Results The study included 358 patients, of whom 245 (68.4%) delivered in the IMIP maternity, and 113 (31.6%) in other maternity. The mean age of the patients was 26.7 years, with up to eight years of education (46.1%) and a mean of six prenatal care. Uterine atony (72.9%) was the most common cause, 1.6% estimated blood loss, 2% calculated shock index (SI), 63.9% of patients received hemotransfusion, and 27% underwent hysterectomy. 136 cases of SMO were identified, 35.5% were classified as maternal near miss and 3.0% maternal deaths. Multiparity was associated with SMO as an antepartum risk factor (RR=1.83, 95% CI1.42-2.36). Regarding intrapartum risk factors, abruptio placentae abruption was associated with SMO (RR=2.2 95% CI1.75-2.81). Among those who had hypertension (49.6%) there was a lower risk of developing SMO. Conclusion The principal factors associated with poor maternal outcome were being multiparous and placental abruption. Brazil (PPH mortality sparse . (SMO) crosssectional cross sectional Prof (IMIP ICU (ICU 201 2020 35 24 68.4% 684 68 4 (68.4% maternity 11 31.6% 316 31 6 (31.6% 267 26 7 26. 46.1% 461 46 1 (46.1% 72.9% 729 72 9 (72.9% 16 1.6 loss 2 SI, SI , (SI) 639 63 63.9 hemotransfusion 27 hysterectomy 13 identified 355 5 35.5 30 3 0 3.0 deaths RR=1.83, RR183 RR 83 (RR=1.83 95 CI1.422.36. CI142236 CI CI1.42 2.36 CI1 42 36 CI1.42-2.36) RR=2.2 RR22 (RR=2. CI1.752.81. CI175281 CI1.75 2.81 75 81 CI1.75-2.81) 49.6% 496 49 (49.6% (SMO 20 202 68.4 (68.4 31.6 (31.6 46.1 (46.1 72.9 (72.9 1. (SI 63. 35. 3. RR=1.83 RR18 8 (RR=1.8 422 CI1.422.36 CI14223 CI142 CI1.4 236 2.3 CI1.42-2.36 RR=2. RR2 (RR=2 752 CI1.752.81 CI17528 CI175 CI1.7 281 2.8 CI1.75-2.81 49.6 (49.6 68. (68. 31. (31. 46. (46. 72. (72. RR=1.8 RR1 (RR=1. CI1.422.3 CI1422 CI14 CI1. 23 2. CI1.42-2.3 RR=2 (RR= CI1.752.8 CI1752 CI17 28 CI1.75-2.8 49. (49. (68 (31 (46 (72 RR=1. (RR=1 CI1.422. CI1.42-2. RR= (RR CI1.752. CI1.75-2. (49 (6 (3 (4 (7 RR=1 CI1.422 CI1.42-2 CI1.752 CI1.75-2 ( CI1.42- CI1.75-

This article describes a proposed framework called Telehealth Service Maturity Model (TMSMM.br) for evaluating the current stage of telehealth centers in the Brazilian context. The steps included literature review, compilation and interpretation, data collection instrument, survey with center coordinators, model development, and evaluation process. The review resulted in 857 quality aspects for telehealth services, grouped into 12 themes with 34 topics. TMSMM.br consists of defining 3 foundational dimensions (themes, services, stages) and provides a standardized set of 200 requirements ordered across 5 thematic domains (structure, organization, user, operation and community) for 8 services (consultation, consultation, diagnosis, treatment and referral, education and training, social control and communication, healthcare network, and research, development, and innovation). TMSMM.br enables telehealth centers to identify and compare essential characteristics and their maturity stages.

Este artículo describe una propuesta de marco de referencia llamado Modelo de Madurez de Servicios de Telemedicina (TMSMM.br) para evaluar la etapa actual de los centros de telemedicina en el contexto brasileño. Las etapas incluyeron revisión de literatura, compilación e interpretación, instrumento de recolección, encuesta a coordinadores de centros, desarrollo del modelo y proceso de evaluación. La revisión resultó en 857 aspectos de calidad para servicios de telemedicina, agrupados en 12 temas con 34 tópicos. TMSMM.br consiste en la definición de 3 dimensiones estructurales (temas, servicios, etapas) y proporciona un conjunto estandarizado de 200 requisitos ordenados en 5 dominios temáticos (estructura, organización, usuario, operación y comunidad) para 8 servicios (consulta, asesoría, diagnóstico, tratamiento y remisión, educación y capacitación, control social y comunicación, red de atención de salud e investigación, desarrollo e innovación). TMSMM.br ayuda a los centros de telemedicina a identificar y comparar características esenciales y sus etapas de madurez

Este artigo descreve uma proposta de framework denominado Modelo de Maturidade de Serviços de Telessaúde (TMSMM.br) para avaliação do estágio corrente dos núcleos de telessaúde no contexto brasileiro. As etapas incluíram revisão da literatura, compilação e interpretação, instrumento de coleta, inquérito com coordenadores de núcleos, elaboração do modelo e do processo de avaliação. A revisão resultou 857 aspectos de qualidade para serviços de telessaúde, agrupados em 12 temas com 34 tópicos. TMSMM.br consiste na definição de 3 dimensões estruturantes (temas, serviços, estágios) e provê um conjunto padronizado de 200 requisitos ordenados em 5 domínios temáticos (estrutura, organização, usuário, operação e comunidade) para 8 serviços (consulta, consultoria, diagnóstico, tratamento e encaminhamento, formação e capacitação, controle social e comunicação, rede de atenção à saúde, e pesquisa, desenvolvimento e inovação). TMSMM.br colabora para que núcleos de telessaúde possam identificar e comparar características essenciais e seus estágios de maturidade.

ABSTRACT BACKGROUND: Residents play the role of teachers in almost one-quarter of their activities in residency programs. OBJECTIVE: To evaluate whether a 45-minute class using summarize, narrow, analyze, probe, plan, and select (SNAPPS) could improve psychiatry residents’ case discussion skills in diverse practical learning settings. DESIGN AND SETTING: This case-control, randomized, blinded study was conducted in a psychiatry hospital at Fortaleza-Ceará. METHODS: Using “resident as teacher” (RaT), objective structured teaching encounters (OSTEs), and SNAPPS, we conducted a study with 26 psychiatry residents. We analyzed video footage of psychiatric cases in three settings: outpatient, nursing, and emergency. An intervention was held two months later with the residents, who were then assigned to two groups: group A (lecture on SNAPPS) and group B (lecture on a topics in psychiatry). Shortly after the lectures, they were video recorded while discussing the same cases. Three blinded examiners analyzed the videos using an instrument based on the Stanford Faculty Development Program (SFDP-26). RESULTS: We found high internal consistency among external examiners and an interaction effect, group effect, and moment effect (P < 0.05). The residents who received the SNAPPS lecture scored significantly higher than their counterparts who received a traditional case presentation. CONCLUSION: This study indicates the efficacy of SNAPPS over traditional case presentation in all three settings as assessed by OSTEs and supports its implementation to improve the teaching of clinical reasoning. BACKGROUND onequarter one quarter programs OBJECTIVE 45minute minute 45 summarize narrow analyze probe plan (SNAPPS SETTING casecontrol, casecontrol control, control case-control randomized FortalezaCeará. FortalezaCeará Fortaleza Ceará. Ceará Fortaleza-Ceará METHODS resident teacher RaT, RaT , (RaT) OSTEs, (OSTEs) 2 outpatient nursing emergency groups psychiatry. . psychiatry) lectures SFDP26. SFDP26 SFDP (SFDP-26) RESULTS P 0.05. 005 0.05 0 05 0.05) CONCLUSION reasoning 4 (RaT (OSTEs SFDP2 (SFDP-26 00 0.0 (SFDP-2 0. (SFDP- (SFDP

Resumo Introdução: a síndrome de Goldenhar é uma síndrome congênita rara que afeta a morfogênese craniofacial. Trata-se de uma síndrome complexa, de apresentação heterogênea, cujo diagnóstico pode ser realizado ainda intra-útero através do ultrassom morfológico. Descrição: relato de caso de um paciente do sexo masculino de quatro anos, com diagnóstico de síndrome de Goldenhar, sua apresentação clínica, a investigação diagnóstica e seguimento. Discussão: o acompanhamento desses pacientes continua sendo um desafio, já que pode acometer diversos sistemas e com apresentação diversa. O diagnóstico e a estimulação multiprofissional precoce, podem levar a maiores chances de um prognóstico favorável. O objetivo deste trabalho é contribuir para a literatura médica, de forma a auxiliar no diagnóstico e conduta perante futuros casos. Introdução craniofacial Tratase Trata se complexa heterogênea intraútero intra útero morfológico Descrição anos clínica seguimento Discussão desafio diversa precoce favorável médica casos

Abstract Introduction: goldenhar syndrome is a rare congenital syndrome that affects the craniofacial morphogenesis. It is a complex syndrome, with heterogeneous presentation which the diagnosis can still be performed in the intrauterine through morphological ultrasound. Description: a case report of a 4-year-old male patient diagnosed with Goldenhar syndrome, along with its clinical presentation, diagnostic investigation and follow-up. Discussion: the follow-up on these patients remains a challenge, since it can affect different systems and with different presentations. The earlier the diagnosis is performed, the greater the patient’s chances of having a favorable prognosis with multidisciplinary stimulation. The objective of this article is to contribute to the medical literature, in order to assist in the diagnosis and management of future cases. Introduction morphogenesis ultrasound Description 4yearold yearold 4 year old followup. followup follow up. up Discussion challenge presentations s stimulation literature cases

Resumo O presente texto procura relacionar a trajetória intelectual de Ruy Mauro Marini com o seu estudo sobre Administração Pública. Tal relação é delimitada pelo período 1955-1958, em que Ruy Mauro estudou na Escola Brasileira de Administração Pública (EBAP) da Fundação Getulio Vargas (FGV) e concluiu sua graduação como Bacharel em Administração Pública. Trajetória intelectual que parece ter sido influenciada não só pelas disciplinas ali ministradas, uma vez que Ruy Mauro buscava ter contato com as Ciências Sociais, mas, principalmente, por um quadro de docentes que facilitaram tal busca; destacando-se dentre estes Alberto Guerreiro Ramos. Desse modo, no artigo que ora apresentamos não pretendemos descrever a biografia de Ruy Mauro Marini, desejamos apenas discorrer sobre um momento da sua vida intelectual que, segundo ele mesmo, descortinou uma nova época em sua vida.

Abstract This article seeks to relate the intellectual trajectory of Ruy Mauro Marini with his study of public administration. This relationship is delimited by the period 1955-1958, in which Marini studied at the Brazilian School of Public Administration (EBAP) of Fundação Getulio Vargas (FGV) and graduated with a bachelor’s degree in public administration. Marini’s intellectual trajectory was influenced by the subjects related to social sciences he was interested in and by the contact with the school’s professors - particularly Alberto Guerreiro Ramos. This article has no intention to offer a biography and focuses on discussing a particular moment in Marini’s intellectual life that he considered opened up a new era in his life.

Resumen Este texto busca relacionar la trayectoria intelectual de Ruy Mauro Marini con su estudio de la Administración Pública. Esta relación está delimitada por el período 1955-1958, en que Ruy Mauro estudió en la Escuela Brasileña de Administración Pública (EBAP) de la Fundação Getulio Vargas (FGV) y completó su graduación con la licenciatura en Administración Pública. Una trayectoria intelectual que parece haber sido influenciada no solo por las materias allí impartidas, ya que Ruy Mauro buscaba tener contacto con las Ciencias Sociales, sino principalmente por un plantel de profesores que facilitó tal búsqueda; entre los que se destaca Alberto Guerreiro Ramos. Así, en el artículo que aquí presentamos no pretendemos describir la biografía de Ruy Mauro Marini, sólo deseamos discutir un momento de su vida intelectual que, según él, abrió una nueva era en su vida.

ABSTRACT BACKGROUND: Residents play the role of teachers in almost one-quarter of their activities in residency programs. OBJECTIVE: To evaluate whether a 45-minute class using summarize, narrow, analyze, probe, plan, and select (SNAPPS) could improve psychiatry residents’ case discussion skills in diverse practical learning settings. DESIGN AND SETTING: This case-control, randomized, blinded study was conducted in a psychiatry hospital at Fortaleza-Ceará. METHODS: Using “resident as teacher” (RaT), objective structured teaching encounters (OSTEs), and SNAPPS, we conducted a study with 26 psychiatry residents. We analyzed video footage of psychiatric cases in three settings: outpatient, nursing, and emergency. An intervention was held two months later with the residents, who were then assigned to two groups: group A (lecture on SNAPPS) and group B (lecture on a topics in psychiatry). Shortly after the lectures, they were video recorded while discussing the same cases. Three blinded examiners analyzed the videos using an instrument based on the Stanford Faculty Development Program (SFDP-26). RESULTS: We found high internal consistency among external examiners and an interaction effect, group effect, and moment effect (P < 0.05). The residents who received the SNAPPS lecture scored significantly higher than their counterparts who received a traditional case presentation. CONCLUSION: This study indicates the efficacy of SNAPPS over traditional case presentation in all three settings as assessed by OSTEs and supports its implementation to improve the teaching of clinical reasoning.

Abstract Introduction: Elevated neutrophil-lymphocyte ratio (NLR) has been associated with poorer outcomes in cyanotic patients undergoing single ventricle palliation. Little is known about this biomarker on patients with tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease. Our objective is to study the impact of preoperative NLR on outcomes of TOF patients undergoing total repair. Methods: This retrospective study included 116 consecutive patients between January 2014 and December 2018. Preoperative NLR was measured from the last complete blood count test before the surgery. Using the cutoff value of 0.80, according to the receiver-operating characteristic (ROC) curve, the sample was divided into two groups (NLR < 0.80 and ≥ 0.80). The primary endpoint was hospital length of stay (LOS). Results: ROC curves showed that higher preoperative NLR was associated with longer hospital LOS, with an area under the curve of 0.801±0.040 (95% confidence interval 0.722 - 0.879; P<0.001). High preoperative NLR was also associated with long intensive care unit (ICU) LOS (P=0.035). Preoperative NLR predicted longer hospital LOS with a sensitivity of 63% and a specificity of 81.4%. Conclusion: Higher preoperative NLR was associated with long ICU and hospital LOS in patients undergoing TOF repair. Introduction neutrophillymphocyte neutrophil lymphocyte palliation TOF, , (TOF) disease repair Methods 11 201 2018 surgery 080 0 80 receiveroperating receiver operating (ROC 0.8 0.80. . 0.80) LOS. (LOS) Results 08010040 801 040 0.801±0.04 95% 95 (95 0722 722 0.72 0.879 0879 879 P<0.001. P0001 P P<0.001 001 P<0.001) (ICU P=0.035. P0035 P=0.035 035 (P=0.035) 63 814 81 4 81.4% Conclusion (TOF 1 20 08 8 0. (LOS 0801004 04 0.801±0.0 9 (9 072 72 0.7 0.87 087 87 P000 P<0.00 00 P003 P=0.03 03 (P=0.035 6 81.4 2 080100 0.801±0. ( 07 7 P00 P<0.0 P=0.0 (P=0.03 81. 08010 0.801±0 P0 P<0. P=0. (P=0.0 0801 0.801± P<0 P=0 (P=0. 0.801 P< P= (P=0 (P= (P

Abstract Introduction: The Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country. Methods: The score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned in 58 surgeries, and these were excluded. Surgical risk score was evaluated using Risk Adjustment in Congenital Heart Surgery (or RACHS-1). The impact of TPS on outcomes was studied using multivariable linear and logistic regression adjusting for important perioperative covariates. Results: Median age and weight were 2.2 (interquartile range [IQR] = 0.5-13) years and 10.8 (IQR = 5.6-40) kilograms, respectively. In-hospital mortality was 6.58% (n=64), and postoperative complications occurred in 19.7% (n=192) of the cases. TPS was categorized as 1 in 359 cases (37%), 2 in 464 (47.7%), and 3 in 149 (15.3%). Multivariable analysis identified TPS class 3 as a predictor of longer hospital stay (coefficient: 6.6; standard error: 2.2; P=0.003), higher number of complications (odds ratio [OR]: 1.84; 95% confidence interval [CI]: 1.1-3; P=0.01), and higher mortality (OR: 3.2; 95% CI: 1.4-7; P=0.004). Conclusion: TPS translated into the Portuguese language was validated and showed to be able to predict higher mortality, complication rate, and prolonged postoperative hospital stay in a high-volume Latin-American congenital heart surgery program. TPS is generalizable and can be used as an outcome assessment tool in resource diverse settings. Introduction (TPS Childrens Children s Hospital country Methods authors Subsequently 1030 030 1,03 201 2020 5 excluded or RACHS1. RACHS1 RACHS . RACHS-1) covariates Results 22 2. interquartile IQR [IQR 0.513 0513 0.5 13 0 0.5-13 108 10 8 10. 5.640 5640 5.6 40 6 5.6-40 kilograms respectively Inhospital In 658 6.58 n=64, n64 n n=64 , 64 (n=64) 197 19 7 19.7 n=192 n192 192 (n=192 35 37%, 37 37% (37%) 46 47.7%, 477 47.7% 47 (47.7%) 14 15.3%. 153 15.3% 15 (15.3%) coefficient (coefficient 6.6 66 error P=0.003, P0003 P P=0.003 003 P=0.003) odds OR [OR] 1.84 184 84 95 CI [CI] 1.13 113 1.1 1.1-3 P=0.01, P001 P=0.01 01 P=0.01) (OR 3.2 32 1.47 147 1.4 4 1.4-7 P=0.004. P0004 P=0.004 004 P=0.004) Conclusion rate highvolume high volume LatinAmerican Latin American program settings 103 03 1,0 20 202 RACHS-1 513 0.51 051 05 0. 0.5-1 640 5.64 564 56 5. 5.6-4 65 6.5 n6 n=6 (n=64 19. n=19 n19 (n=19 (37% 47.7 (47.7% 15.3 (15.3% 6. P000 P=0.00 00 [OR 1.8 18 9 [CI 11 1. 1.1- P00 P=0.0 3. 1.4- 1, RACHS- 51 0.5- 5.6- n= (n=6 n=1 n1 (n=1 (37 47. (47.7 15. (15.3 P0 P=0. (n= (3 (47. (15. P=0 (n ( (47 (15 P= (4 (1

RESUMO Objetivo: Avaliar a correlação de sintomas depressivos e comprometimento da memória episódica em pacientes com doença de Parkinson (DP). Métodos: Trata-se de um estudo transversal, não probabilístico e intencional. Foram selecionados indivíduos diagnosticados com DP e idade igual ou maior que 60 anos, matriculados em dois ambulatórios de distúrbios de movimento na cidade de Maceió, AL. Foram selecionados 62 idosos, divididos em dois grupos, sendo 40 com sintomas depressivos e 22 sem sintomas depressivos. Utilizaram-se um questionário sociodemográfico, a Escala de Depressão Geriátrica (GDS-15, versão reduzida), o Teste de Aprendizagem Auditivo-Verbal de Rey (RAVLT) e a Avaliação Cognitiva de Montreal (MoCA). Resultados: Diante da amostra composta por 62 idosos, apresentou-se alta prevalência de idosos do sexo feminino, 64,5% com média de idade de 66,72 anos (±5,12). Em relação aos dados sociodemográficos, identificou-se diferença estatisticamente significativa entre os grupos apenas quanto uso de antidepressivos (p<0,001) e, em relação às características clínicas, houve diferença em relação à memória episódica (RAVLT) (p < 0,001) da MoCA (p = 0,018) e aos domínios abstração (p = 0,044) e função executiva (p = 0,021) da MoCA. Quanto à relação entre sintomas depressivos e prejuízo da memória episódica, identifica-se uma correlação inversa moderada (r = −0,575; p < 0,001). Conclusão: Pacientes com DP e sintomas depressivos apresentam pior desempenho nas medidas de memória episódica do que aqueles sem sintomas depressivos. Além disso, é possível identificar que os níveis de sintomas depressivos são diretamente proporcionais à perda de memória episódica.

ABSTRACT Objective: To evaluate the correlation of depressive symptoms and impaired episodic memory in patients with Parkinson's disease (PD). Methods: This is a cross-sectional, non-probabilistic and intentional study. Individuals diagnosed with PD and aged 60 years or older, who were enrolled at two movement disorders outpatient clinics in the city of Maceió, AL, were selected. 62 elderly people were selected, divided into two groups, 40 with symptoms of depression and 22 without symptoms of depression. A sociodemographic questionnaire, Geriatric Depression Scale (GDS-15 reduced version), the Rey Auditory-Verbal Learning Test (RAVLT) and Montreal Cognitive Assessment (MoCA) were used. Results: In view of the sample of 62 elderly people, there was a high prevalence of female elderly, 64.5% with a mean age of 66.72 years (±5.12). Regarding sociodemographic data, a statistically significant difference was identified between groups only in the use of antidepressants (p < 0.001) and in relation to clinical characteristics, there was a difference in relation to episodic memory (RAVLT) (p < 0.001) of MoCA (p = 0.018) and in the abstraction (p = 0.044) and executive function (p = 0.021) domains of MoCA. Regarding the relationship between depressive symptoms and impaired episodic memory, a moderate inverse correlation was identified (r = −0.575; p < 0.001). Conclusion: PD associated with depressive symptoms presents impairments in episodic memory when compared to those without symptoms. In addition, it is possible to identify that the levels of depressive symptoms are directly proportional to the loss of episodic memory.

Resumo Este artigo busca repetir, uma vez mais, o conceito de gestão social, que talvez seja um sonho que pode não se realizar, dadas as condições de “temperatura e pressão” sob as quais vivemos na contemporaneidade. Não obstante, a resistência conceitual deve ser o motivo para que possamos reagir ao que consideramos predominante na hodierna área da Administração: a gestão estratégica. Assim, a repetição de um tema que, desde o início dos anos 1990, vem sendo apresentado à academia brasileira é um caminhar em busca de uma qualificação melhor para o conceito central deste texto: a gestão social. Para tanto, apesar de estarmos no início do século XXI, recorremos ao fim do século XVIII, a fim de aproximar o conceito de gestão social dos parâmetros iluministas dessa centúria. Iluminismo ou barbárie? Eis a questão.

Abstract The concept of social management may be considered unreachable, even a dream, when observing the current context. However, it is crucial to emphasize social management and resist the concept of strategic management that is predominant in today’s administration area. Thus, the repetition of a theme that has been debated in Brazilian academia since the early 1990s is a journey in search of a better qualification for the central concept of this text: social management. Therefore, although we are at the beginning of the twenty-first century, it is crucial to return to the end of the eighteenth century to observe the concept of social management using the lens of enlightenment. Enlightenment or barbarism? That is the question.

Resumen Este artículo se propone repetir y enfatizar, una vez más, el concepto de gestión social, que talvez sea una quimera, un sueño que puede no realizarse dadas las condiciones de “temperatura” y “presión” bajo las cuales vivimos en la contemporaneidad. No obstante, la resistencia conceptual debe ser el motivo que nos impulse a reaccionar a lo que consideramos predominante en la hodierna área de la Administración: la gestión estratégica. Así, la repetición de un tema que, desde el inicio de los años 1990, se está presentado a la academia brasileña es un caminar en busca de una calificación mejor para el concepto central de este texto: la gestión social. Para ello, a pesar de estar a principios del siglo XXI, recurrimos al final del siglo XVIII a los efectos de aproximar el concepto de gestión social a los parámetros iluministas de esa centuria. ¿Iluminismo o barbarie? He aquí la cuestión.

A thiourea derivative, N-[(phenylcarbonyl)carbamothioyl]benzamide, was synthesized and characterized by elemental analysis, thermal analysis, spectroscopic methods (Fourier transform infrared (FTIR), UV-Vis, Raman, matrix-assisted laser desorption-ionization time-of-flight mass spectrometry (MALDI-TOF), tandem mass spectrometry (MS/MS) and nuclear magnetic resonance (NMR)) and quantum-chemical calculations. The synthetic route was simple and efficient, conducted just by one-step and no purification step was needed. The compound crystallizes in a non-centrosymmetric orthorhombic crystal system with a P21 21 21 space group, with a= 5.06220(10) Å, b= 11.8623(3) Å, c= 21.9682(8) Å. The molecular conformation of the solid is stabilized by the N-H···O intramolecular hydrogen bond, which was present in the X-ray structure and was also found in the optimized geometry. The theoretical analysis showed that this strong interaction remains even when molecules are solvated, i.e., the rotation barrier and the hydrogen bond strength are greater than the solvent stabilization energy. In addition to this hydrogen bond effect, the relative position of phenyl groups has a certain influence on the chemical behavior of this thiourea and probably for other phenylthioureas.

Resumo Como o próprio título acima diz, o editor de um periódico, pelos menos durante a sua permanência na editoria, é de um permanente aprendizado e, ao mesmo tempo, corre o risco de ser parcial nas suas decisões quanto a publicação ou não de artigos uma vez que a sua decisão pode ser contaminada por suas intepretações ou interesses. Apesar disso, é um aprendizado.

Abstract As the title of this article suggests, editors of journals are always learning. They risk being biased in their decision as to whether an article should be published, as their interpretation and interests may influence this decision. However, above all, being an editor is a valuable learning experience.

Resumen Como el mismo título lo expresa, el trabajo del editor de un periódico, por lo menos durante su permanencia en la redacción, es un permanente aprendizaje y, al mismo tiempo, corre el riesgo de ser parcial en sus opciones sobre qué artículos publicar o no, puesto que su decisión puede estar influenciada por sus interpretaciones o intereses. A pesar de ello, es un aprendizaje.

Resumo O objetivo desta pesquisa foi analisar a associação entre diferentes comportamentos sedentários e pressão arterial elevada em meninos e meninas adolescentes, em estudo transversal com 6.264 adolescentes brasileiros (14 a 19 anos de idade). Foram avaliados dados demográficos, indicadores de obesidade e pressão arterial, assim como o tempo gasto em comportamentos sedentários (assistir televisão, jogar videogame, usar o computador, e o tempo total sentado). As meninas passaram mais tempo vendo televisão do que os meninos, enquanto estes usaram mais computadores e jogos de vídeogame (12,7% vs. 7,4%, p < 0,001) do que elas. Meninos que assistiram mais de quatro horas de televisão apresentaram maior probabilidade de ter pressão arterial elevada após os ajustes pelo nível de atividade física, índice de massa corporal, idade e nível de instrução da mãe (OR = 2,27, p < 0,001). Com as meninas não foi observada uma relação entre comportamentos sedentários e pressão arterial elevada (p > 0,05). O tempo assistindo televisão esteve associado com a pressão arterial elevada apenas entre os meninos. Assim, reduzir o comportamento sedentário, estimulando atividades físicas, pode ser essencial para a saúde, principalmente para adolescentes do sexo masculino.

Abstract The aim of this study was to analyze the association between different sedentary behaviors and high blood pressure in adolescent boys and girls. We conducted a cross-sectional study with 6,264 Brazilian adolescents (14 to 19 years old). Demographic data, obesity indicators and blood pressure, were evaluated. Time spent in the sedentary behaviors (television viewing, playing video games, using the computer, non-screen sitting and, total time sitting) were also assessed. The girls spent more time watching television than boys, whereas boys spent more time using computers and video games (12.7% vs. 7.4%, p < 0.001) than girls. Boys who watched more than four hours of television presented higher odds to give high blood pressure after adjustments for physical activity level, body mass index, age and educational level of mother (OR = 2.27, p < 0.001). In girls, we did not find a relation between sedentary behaviors and high blood pressure (p > 0.05). Television viewing time is associated with high blood pressure only boys. So, reduce this sedentary behavior, stimulating physical activities, might be essential to health, principally for male adolescents.

Resumo O objetivo deste artigo é resgatar na biografia de Celso Furtado sua trajetória como servidor público entre 1943 e 1964. Mais conhecido por suas contribuições para o campo da economia, entretanto, Furtado iniciou sua carreira de funcionário e acadêmico, como pesquisador e professor, no campo da administração pública. Em 1943, Furtado entrou por concurso para o Departamento Administrativo do Serviço Público (Dasp) como assistente de organização e alcançou, 20 anos depois, a posição de ministro de Estado no governo de João Goulart (1961-1964). Durante o período investigado, Furtado trabalhou na Comissão Econômica para a América Latina (Cepal), em Santiago (Chile), entre 1949 e 1957, retornou ao Brasil para se tornar diretor do Banco Nacional de Desenvolvimento Econômico (BNDE), o que o levaria a organizar a Superintendência do Desenvolvimento do Nordeste (Sudene) da qual ele foi o primeiro superintendente. Furtado foi o principal disseminador das ideias da Cepal no Brasil que propunham a centralidade do Estado na promoção do desenvolvimento e a consequente necessidade de um novo perfil de gestor público para gerir esse processo. O período foi marcado pelo diálogo entre desenvolvimento econômico e administração do desenvolvimento, o que levou à tese da vinculação do desenvolvimento econômico ao desenvolvimento da técnica e arte de administração. Destarte, Furtado foi um dos pensadores cuja reflexão teórica e prática ajudou a consolidar as grandes empresas estatais do país. Resgatar a trajetória de Furtado como gestor público propicia uma reflexão ponderada sobre o papel do Estado na economia e sobre o papel do gestor público.

Abstract This article presents a short biography of Celso Furtado, and his life as a civil servant between 1943 and 1964. Despite being recognized for his contributions to the field of economics, Furtado started his professional and academic career (as researcher and professor) in the field of public administration. In 1943, Furtado was hired as organizational assistant at the Public Service Administration Department (Dasp), after a competitive selection process. Twenty years later, he was appointed as Minister by President João Goulart for the administration 1961-1964. During the period covered in this study Furtado worked in the Economic Commission for Latin America (Ecla), in Santiago/Chile, from 1949 to 1957. After that, he returned to Brazil to become director at the Brazilian National Development Bank (BNDE), where he created (and directed) the Superintendency for the Development of the Northeast (Sudene). Furtado was the main disseminator of Ecla’s ideas in Brazil, which proposed a centrality of the State in the promotion of development and the consequent need for a new profile of the public manager to conduct this process. The period was marked by the dialogue between economic development and development management, which led to a linkage of economic development to the development of the technique and art of administration. In addition, he was one of the thinkers whose theoretical and practical thoughts have supported the consolidation of the big state-owned companies in Brazil. Studying the history of Celso Furtado as a public manager is a source of important reflections about the government’s role in the economy and about the role of public managers.

Resumen Este artículo investiga la trayectoria de Celso Furtado como administrador público entre 1943 y 1964. Más conocido por sus contribuciones para el campo de la economía, todavía, Furtado inició su carrera de funcionario y académico, como investigador y profesor, en la administración pública. En 1943, Furtado se unió mediante licitación al Departamento Administrativo de la Función Pública (Dasp) como asistente de organización y alcanzó, 20 años más tarde, la posición de ministro de estado en el gobierno João Goulart (1961-1964). Durante el periodo investigado, Furtado trabajó en la Comisión Económica para América Latina (Cepal) en Santiago (Chile), entre 1949 y 1957, donde retornó a Brasil para ser nombrado director del Banco Nacional de Desarrollo Económico (BNDE), que lo llevaría a organizar la Sudene de la que fue el primer superintendente. Furtado fue el principal diseminador de las ideas de la Cepal en Brasil, que proponían una centralidad del Estado en la promoción del desarrollo y, en consecuencia, la necesidad de un nuevo perfil de gestor público para gestionar ese proceso. El período fue marcado por el diálogo entre desarrollo económico y administración del desarrollo, y que llevó a una vinculación del desarrollo económico al desarrollo de la técnica y arte de administración. Por lo tanto, Furtado fue uno de los pensadores cuyas reflexiones teórica y práctica han ayudado a consolidar las grandes empresas de propiedad estatal en el país. El rescate de la carrera de Furtado como gestor público ofrece una reflexión profunda sobre el papel del Estado en la economía y sobre el del administrador público.