ABSTRACT There is a wide range and diverse accumulated intellectual heritage that seeks to decipher and interpret socio-spatial configurations. That rich scientific legacy has been guided and developed by various currents and theoretical paradigms. Not ignoring that legacy, this article proposes a critical and alternative approach that seeks to challenge that important inherited knowledge with some problematizations, formulating some categories of analysis. Such an approach, based on different analytical planes and levels of abstraction, tries to contribute to the apprehension of the various spatial dimensions of the processes of reproduction of social life. The proposal focuses on the challenges of the theoretical construction, and historical mediations pertinent to urban and regional studies, and which engage in a dialogue between the Latin American historical-structural thinking, and the social production of space of the interpretations of the North. It suggests a stimulating frame of critical debate, enunciated from the South.

RESUMEN Existe un amplio patrimonio intelectual acumulado que busca interpretar las configuraciones socioespaciales, basándose para ello en diversos paradigmas teóricos. No ignorando ese legado, este artículo propone un abordaje crítico y alternativo que procura interpelar ese importante conocimiento heredado, levantando algunas problematizaciones y formulando ciertas categorías de análisis puntuales. Tal planteamiento intenta contribuir en la aprehensión de las variadas dimensiones espaciales de los procesos de reproducción de la vida social, pensados histórica y concretamente. La propuesta se concentra en construir mediaciones teóricas e históricas más pertinentes a los estudios urbanos y regionales, estimulando un debate horizontal entre el pensamiento crítico histórico-estructural del Sur con las interpretaciones de la producción social del espacio del Norte. El artículo se concentra en presentar una reformulación con una perspectiva crítica y enunciada desde América Latina.

ABSTRACT Neurobrucellosis is caused by bacteria of the genus Brucella and is responsible for several clinical manifestations, making diagnosis challenging. The most common route of infection is through the consumption of unpasteurized or raw dairy products such as fresh milk, butter, and cheese. As neurological complications can develop chronically, they are frequently misdiagnosed as other infections, such as tuberculosis. This report reviews the clinical manifestations, diagnostic approach, treatment, and prognosis of neurobrucellosis, illustrating a case of chronic intracranial hypertension and meningoencephalitis secondary to brucellosis. The clinical presentation of brucellosis can mimic several systemic diseases, resulting in diagnostic delays and clinical complications. A high degree of suspicion is required, and neurobrucellosis should always be considered in the differential diagnosis of chronic meningitis.

Resumo O artigo busca situar as políticas públicas e os desafios de constituir ações estatais e estatalidades de outra natureza no contexto dos processos de neoliberalização recentes e/ou em curso na América Latina. Procura identificar os determinantes estruturais e averiguar os modos pelos quais tais processos impactam as capacidades governativas. Utilizando o estado do Rio de Janeiro como um estudo de caso situado, realiza-se um exame das implicações socioeconômicas e institucionais do processo de neoliberalização, nas circunstâncias estruturais e conjunturais da crise profunda e multidimensional pela qual passa a sociedade fluminense. São apontadas diversas restrições à execução de uma agenda inclusiva e durável de desenvolvimento no território estadual, que tem sido cada vez mais submetido às lógicas pró-mercado. Por isso, é discutida a necessidade de reconstituir, em novas bases, estatalidades portadoras de valores emancipatórios.

Abstract The article aims to situate public policies, and the challenges of establishing statecraft and statehoods and state actions of another nature within the context of recent, ongoing neoliberalization processes in Latin America. It seeks to identify the structural determinants of this situation and investigates how such processes have impacted government capacities. Using the State of Rio de Janeiro as a situated case study, it examines the socio-economic and institutional implications of the neoliberalization process in the structural and conjunctural circumstances of the deep, multidimensional crisis which the society of Rio de Janeiro is currently experiencing. The article reveals the various restrictions involved in effecting an inclusive, durable development agenda within the state territory, which has increasingly been subjected to pro-market logic. Thus, it discusses the need to reconstitute the statecraft and statehoods, formed on a new basis, in order to undertake actions that carry emancipatory values.

Abstract Introduction: To support the development of practices and guidelines that might help to reduce adverse events related to human factors, we aimed to study the response and perception by members of a cardiovascular surgery team of various error-driven or adverse features that might arise in the operating room (OR). Methods: A previously validated Disruptions in Surgery Index (DiSI) questionnaire was completed by individuals working together in a cardiovascular surgical unit. Results were submitted to reliability analysis by calculating the Cronbach’s alpha coefficient. Non-parametric Kruskal-Wallis test and Dunn’s post-test were performed to estimate differences in perceptions of adverse events or outcomes between the groups (surgeons, nurses, anesthesiologists, and technicians). P<0.05 was considered statistically significant. Results: Cronbach’s alpha reliability coefficients showed consistency within the recommended range for all disruption types assessed in DiSI: an individual’s skill (0.85), OR environment (0.88), communication (0.81), situational awareness (0.92), patient-related disruption (0.89), team cohesion (0.83), and organizational disruption (0.83). Nurses (27.4%) demonstrated significantly higher perception of disruptions than surgeons (25.4%), anesthetists (23.3%), and technicians (23.0%) (P=0.005). Study participants were more observant of their colleagues’ disruptive behaviors than their own (P=0.0001). Conclusion: Our results revealed that there is a tendency among participants to hold a positive self-perception position. DiSI appears to be a reliable and useful tool to assess surgical disruptions in cardiovascular OR teams, identifying negative features that might imperil teamwork and safety in the OR. And human factors training interventions are available to develop team skills and improve safety and efficiency in the cardiovascular OR.

RESUMO Introdução: A esclerose múltipla (EM) é uma doença imunomediada que afeta o sistema nervoso central. O impacto da doença transcende as funções físicas e se estende a comprometimento psicológico. Aproximadamente 50% das pessoas com EM desenvolvem sintomas depressivos e estes podem predizer o comprometimento das funções físicas. No entanto, a previsão de sintomas depressivos com base em medidas objetivas das funções físicas ainda é necessária. Objetivos: Comparar funções físicas entre pessoas com EM que apresentam ou não sintomas depressivos e identificar preditores de sintomas depressivos usando medidas objetivas de funções físicas. Métodos: Estudo transversal incluindo 26 pessoas com EM. A ansiedade e/ou sintomas depressivos foram avaliadas pelo Inventário de Depressão de Beck-II (Beck Depression Inventory - BDI-II) e pela Escala Hospitalar de Ansiedade e Depressão. Os resultados das funções físicas incluíram: teste de PEG de nove buracos, força muscular do joelho, controle de equilíbrio, teste Timed Up and Go (TUG) e teste da caminhada de seis minutos (TC6M). A fadiga percebida foi medida usando a escala de Borg. Resultados: A frequência de sintomas depressivos na amostra foi de 42%. O controle do equilíbrio durante tarefa desafiadora foi prejudicado em pessoas com EM e sintomas depressivos. O equilíbrio pode explicar 21-24% da variação nos sintomas depressivos. O TC6M e o TUG apresentaram tendência de significância que explica 16% da variância no escore do BDI-II. Conclusões: O comprometimento das funções físicas é potencial preditor de sintomas depressivos em pessoas com EM. São sugeridas intervenções de exercícios físicos visando melhora das funções físicas, juntamente com o tratamento médico convencional e dos sintomas depressivos.

ABSTRACT Background: Multiple sclerosis (MS) is an immune-mediated disease that affects the central nervous system. The impact of MS transcends physical functions and extends to psychological impairment. Approximately 50% of people with MS develop depressive symptoms during their lifetime and depressive symptoms may predict impairment of physical functions. However, prediction of depressive symptoms based on objective measures of physical functions is still necessary. Objective: To compare physical functions between people with MS presenting depressive symptoms or not and to identify predictors of depressive symptoms using objective measures of physical functions. Methods: Cross-sectional study including 26 people with MS. Anxiety and/or depressive symptoms were assessed by the Beck Depression Inventory-II (BDI-II) and by the Hospital Anxiety and Depression Scale (HADS). Outcomes of physical functions included: the Nnnine-hole Ppeg Ttest (NHPT), knee muscle strength, balance control, the Timed Up and Go Test (TUG), and the 6-minute walk test (6MWT). Perceived exertion was measured using the Borg scale. Results: The frequency of depressive symptoms was 42% in people with MS. Balance control during a more challenging task was impaired in people with MS who presented depressive symptoms. Balance could explain 21-24% of the variance in depressive symptoms. 6MWT and TUG presented a trend of significance explaining 16% of the variance in the BDI-II score. Conclusions: Impairment in physical functions consists in a potential predictor of depressive symptoms in people with MS. Exercise interventions aiming at the improvement of physical functions, together with the treatment of depressive symptoms and conventional medical treatment, are suggested.

RESUMO Este ensaio traz à luz o papel de Paulo Freire em diversos aspectos educacionais, mostrando o impacto do pensamento do educador, que se mostra atualizado até hoje.

ABSTRACT This essay brings to light the role of Paulo Freire in various educational aspects, showing the impact of the educator’s thinking, which is still up to date.

RESUMEN Este ensayo saca a la luz el papel de Paulo Freire en diversos aspectos educativos, mostrando el impacto del pensamiento del educador, que se actualiza hasta el día de hoy.

Abstract The bee genera Callonychium Brèthes, Psaenythia Gerstaecker and Anthrenoides Ducke are newly recorded in Piauí State, northeastern Brazil. The species reported here are Callonychium brasilience (Ducke, 1907) and Psaenythia variabilis Ducke, 1908, and an as yet unidentified species of Anthrenoides. Images and all known distributional records of these species are also provided. The new occurrences reported herein expand the distribution range of the species to the Caatinga biome.

RESUMO Este artigo trata das práticas curatoriais adotadas na seção de entomologia do Museu de Zoologia da Universidade de São Paulo. Adicionalmente, apresenta uma breve introdução sobre sua origem, a formação dos museus de história natural, os paradigmas adotados pela curadoria desde a formação do acervo, bem como os desafios para manter e disponibilizar as coleções no cenário atual de carência de técnicos e pesquisadores, inadequação de infraestrutura, diminuição do investimento em ciência e tecnologia e crescente aporte de material biológico para instituições oficiais feito por fontes externas ao museu.

ABSTRACT This article discusses the curatorial practices adopted in the Entomology section of the Museum of Zoology of the University of Sao Paulo (MZ-USP). Moreover, it presents a brief introduction on the formation of Natural History Museums and the origins of the MZ-USP, exploring the paradigms adopted by the curatorship since the collection creation and the challenges in maintaining and making collections available in the current scenario of scarcity of technicians and researchers, inadequate infrastructure, decreased investment in Science and Technology, and increasing supply of biological samples from outside sources to official institutions.

Abstract This study aimed to assess the diversity, abundance and seasonal dynamics of Ophioniformes wasps collected throughout a year, as recorded in Malaise traps set at the Reserva Ecológica da Universidade Estadual do Mato Grosso do Sul, a Brazilian Savanna area in Aquidauana city, MS. A total of 621 specimens of Ophioniformes belonging to 11 subfamilies, 30 genera and 106 species were sampled. Despite the impressive number of species found, in a pattern of a few relatively abundant species and many rare ones, our data estimate even higher richness, probably between 125 to 165 species in the studied area. The genera Diadegma, Nonnus, Diradops, Meniscomorpha, Syzeuctus, Ophiopterus and Thyreodon are recorded for the first time in Mato Grosso do Sul State. Among the climatic variables evaluated, mean temperature and relative humidity were positively and significantly correlated with richness and abundance. Our data highlights the huge unknown species richness of these parasitoids in Brazil and the need of taxonomic studies efforts in the future.

RESUMO Objetivo: Descrever as características e os desfechos de pacientes submetidos à retirada da ventilação mecânica e comparar a pacientes com ventilação mecânica e limitações de terapias de suporte à vida (limitar ou retirar), porém sem remoção da ventilação mecânica. Métodos: Este foi um estudo de coorte retrospectiva realizado entre janeiro de 2014 e dezembro de 2018 com pacientes em ventilação mecânica com alguma limitação de suporte artificial de vida admitidos a uma única unidade de terapia intensiva. Foram comparados os pacientes submetidos à retirada da ventilação mecânica e os que não passaram por esse procedimento com relação à mortalidade na unidade de terapia intensiva e ao tempo de permanência no hospital, em uma análise não ajustada e em uma amostra pareada por escore de propensão. Analisou-se também o tempo desde a retirada da ventilação mecânica até o óbito. Resultados: Dentre 282 pacientes com limitações a terapias de suporte à vida, 31 (11%) foram submetidos à retirada da ventilação mecânica. Não houve diferenças iniciais entre os grupos. As taxas de mortalidade na unidade de terapia intensiva e no hospital foram, respectivamente, de 71% versus 57% e 93% versus 80%, entre os pacientes submetidos à retirada da ventilação mecânica e os que não o foram. O tempo mediano de permanência na unidade de terapia intensiva foi de 7 versus 8 dias (p = 0,6), e o tempo de permanência no hospital foi de 9 versus 15 dias (p = 0,015). A mortalidade hospitalar não foi significantemente diferente (25/31; 81% versus 29/31; 93%; p = 0,26) após o pareamento. O tempo mediano desde a retirada da ventilação mecânica até o óbito foi de 2 dias [0 - 5] e 10/31 (32%) dos pacientes morreram dentro de 24 horas após a retirada dessa ventilação. Conclusão: Neste relato brasileiro, a retirada da ventilação mecânica representou 11% de todos os pacientes com limitação do tratamento e não se associou com aumento da mortalidade hospitalar após pareamento por escore de propensão das covariáveis relevantes.

Abstract Objective: To describe the characteristics and outcomes of patients undergoing mechanical ventilation withdrawal and to compare them to mechanically ventilated patients with limitations (withhold or withdrawal) of life-sustaining therapies but who did not undergo mechanical ventilation withdrawal. Methods: This was a retrospective cohort study from January 2014 to December 2018 of mechanically ventilated patients with any organ support limitation admitted to a single intensive care unit. We compared patients who underwent mechanical ventilation withdrawal and those who did not regarding intensive care unit and hospital mortality and length of stay in both an unadjusted analysis and a propensity score matched subsample. We also analyzed the time from mechanical ventilation withdrawal to death. Results: Out of 282 patients with life-sustaining therapy limitations, 31 (11%) underwent mechanical ventilation withdrawal. There was no baseline difference between groups. Intensive care unit and hospital mortality rates were 71% versus 57% and 93% versus 80%, respectively, among patients who underwent mechanical ventilation withdrawal and those who did not. The median intensive care unit length of stay was 7 versus 8 days (p = 0.6), and the hospital length of stay was 9 versus 15 days (p = 0.015). Hospital mortality was not significantly different (25/31; 81% versus 29/31; 93%; p = 0.26) after matching. The median time from mechanical ventilation withdrawal until death was 2 days [0 - 5], and 10/31 (32%) patients died within 24 hours after mechanical ventilation withdrawal. Conclusion: In this Brazilian report, mechanical ventilation withdrawal represented 11% of all patients with treatment limitations and was not associated with increased hospital mortality after propensity score matching on relevant covariates.