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    ENTREPRENEURIAL ECOSYSTEMS: A CONFIGURATIONAL RESEARCH APPROACH

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    The entrepreneurial ecosystem approach has emerged as a framework capable of providing a systemic understanding of entrepreneurship. Considering that entrepreneurial ecosystems admit different configurations, this article aims to stimulate a reflection on the application of the configurational approach in the analysis of entrepreneurial ecosystems. An analysis model based on six dimensions of entrepreneurial ecosystems is indicated: geographic breadth, sectorial diversity, mode of governance, degree of maturity, innovative effort, and environmental munificence. This proposal is justified by indicating a possibility for a more subtle and rigorous understanding of entrepreneurial ecosystems, allowing for more precise and reliable policy recommendations for the creation and strengthening of entrepreneurial ecosystems

    AUDITORIA INDEPENDENTE E DIVULGAÇÃO ENVIRONMENTAL, SOCIAL AND GOVERNANCE (ESG)

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    Disclosure of environmental, social, and governance (ESG) information, on the one hand, reduces certainties and certainly minimizes agency costs. On the other hand, it can disguise opportunistic behaviors by managers, who may start to escape these practices for personal benefits. Thus, one can observe the positive or negative effects of ESG information depending on the interests of the agents involved in its disclosure. One way to minimize these conflicts is through audit work. Thus, the essay aims to discuss the role of independent auditing in ESG information evidenced by entities in the light of Agency Theory.A divulgação de informações de environmental, social and governance (ESG), por um lado, reduz as incertezas, contribuindo para minimizar os custos de agência. Por outro, pode disfarçar comportamentos oportunistas dos gerentes, que podem investir, excessivamente, nessas práticas em prol de benefícios pessoais. Assim, podem-se observar impactos positivos ou negativos das informações de ESG, a depender dos interesses dos agentes envolvidos na sua evidenciação. Uma das formas de minimizar esses conflitos é por meio do trabalho de auditoria. Dessa forma, o ensaio tem como objetivo discutir o papel da auditoria independente nas informações ESG, evidenciadas pelas entidades à luz da Teoria da Agência

    MODELOS DE MATURIDADE EM GESTÃO DE PROCESSOS: UMA REVISÃO SISTEMÁTICA DA LITERATURA

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    The number of maturity models proposed in Business Process Management (BPM) has significantly increased. However, process management maturity models use still lack widespread acceptance in practice. In light of this, a systematic literature review was conducted to gain a general understanding of the existence, characteristics, and usage of maturity models in process management. Studies conducted between 2012 and 2020 in major databases were examined. The studies were selected using the Proknow-C method. Subsequently, a bibliometric and content analysis of the articles was performed. It was found that the main measurement factors of the models are process lifecycle, culture, IT, and performance. The research trend is toward the development of new models. Furthermore, it was discovered that the correct choice of models is directly related to the success of their application, which can contribute to greater acceptance of the use of maturity models in practice.A quantidade de modelos de maturidade propostos na área de Business Process Management (BPM) aumentou consideravelmente. Porém, o uso de modelos de maturidade de gestão de processos ainda não apresenta ampla aceitação na prática. Diante disso, realizou-se uma revisão sistemática da literatura para obter uma compreensão geral da existência, características e uso de modelos de maturidade em gestão de processos. Examinaram-se estudos realizados entre 2012 e 2020 nas principais bases de dados. Os estudos foram selecionados conforme o método Proknow-C. Depois se realizou uma análise bibliométrica e de conteúdo dos artigos. Descobriu-se que os principais fatores de medição dos modelos são ciclo de vida dos processos, cultura, TI e desempenho; a tendência das pesquisas está no desenvolvimento de novos modelos; e a correta escolha dos modelos está diretamente relacionada com o sucesso de sua aplicação, o que pode contribuir para maior aceitação de uso de modelos de maturidade na prática

    FROM LEADERSHIP TO HOLDERSHIP: A PARADIGM SHIFT IN ORGANIZATIONAL DYNAMICS

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    This article investigates the evolution of leadership, delineating the shift from traditional hierarchical and leader-centric approaches to the emerging concept of “holdership”. Drawing from Winnicott’s perspective, the aim is to provide an initial description and comprehension of the notion of holdership, outlining its principles and characteristics in contrast to conventional leadership paradigms. The introduction of the concept of holdership serves as a response to gaps in traditional leadership theories, with the potential to enhance our understanding of organizational dynamics and drive transformative changes within organizations. To achieve it, a methodology involving literature review and in-depth case study analysis is adopted, with a focus on selecting relevant publishings. The findings affirm the applicability of holdership in the current landscape of business and management, particularly within innovation-oriented organizations. Holdership promotes leadership grounded in authenticity, ownership, collective responsibility, transparency, and psychological safety. This article advocates for the adoption of holdership as a lens for analyzing contemporary organizational dynamics influenced by ongoing socio-cultural, economic, and technological transformations. Emphasis is placed on the role of context while highlighting the limitations of charismatic and leader-centric leadership models. Ultimately, holdership is presented as an alternative perspective on leadership, fostering authenticity, innovation, and collective responsibility

    Tendências de comunicação e divulgação científica em enfermagem

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    Nursing as a science of human care develops from scientific research in search of the best evidence to support its care. In this sense, technological development and social contexts influence communication strategies and the dissemination of knowledge produced by the profession. Currently, scientific communication trends in nursing have been the expansion of online scientific journals and the application of knowledge legitimization tools made possible by the internet, while dissemination trends, in addition to traditional ones, are the use of social networks, podcasts, online events and hybrids and specialized blogs, in favor of the socialization of knowledge.A enfermagem, como ciência do cuidado humano, desenvolve-se por meio da pesquisa científica em busca da melhor evidência para fundamentar seu cuidado. Nesse sentido, o desenvolvimento tecnológico e os contextos sociais influenciam nas estratégias de comunicação e divulgação do conhecimento produzido pela profissão. Atualmente, as tendências de comunicação científica na enfermagem têm sido a expansão dos periódicos científicos online e aplicação de ferramentas de legitimação do conhecimento possibilitados pela internet, enquanto as tendências de divulgação, além das tradicionais, são o uso das redes sociais, podcast, eventos online e híbridos e os blogs especializados, em favor da socialização do conhecimento. 

    Leiomiossarcoma paratesticular : relato de caso e revisão de literatura

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    Introduction: Leiomyosarcoma is a malignant tumor of mesenchymal cells. This study aims to present a clinical case of paratesticular sarcoma subtype leiomyosarcoma given its scarcity in the literature. Case report: The patient, 40 years old, male, black, healthy, started with pain in the scrotal region. He was submitted to ultrasonography which showed a testicular tumor on the left. A surgical approach was performed. Final consideration: Leiomyosarcoma is a malignant tumor with smooth muscle involvement. Due to the rarity of paratesticular leiomyosarcoma, there is no established protocol in the literature. The importance of a multidisciplinary and specialized team with longitudinal follow-up to establish the gold standard therapy and avoid recurrence.Introdução: O leiomiossarcoma é um tumor maligno de células mesenquimais. Este estudo tem como objetivo apresentar um caso clínico de sarcoma paratesticular subtipo leiomiossarcoma, tendo em vista sua escassez na literatura. Relato de caso: Paciente, 40 anos, sexo masculino, negro, hígido, iniciou quadro de dor em região de bolsa escrotal. Foi submetido à ultrassonografia que evidenciou tumor testicular à esquerda. Foi realizada abordagem cirúrgica. Considerações finais: O leiomiossarcoma é um tumor maligno com envolvimento de músculo liso. Devido à raridade do leiomiossarcoma paratesticular, não existe protocolo estabelecido na literatura. A importância da equipe multidisciplinar e especializada com acompanhamento longitudinal tem o intuito de instituir a terapia padrão-ouro e evitar recorrência

    INVESTMENTS IN TIMES OF UNCERTAINTY: FORMATION OF PORTFOLIOS USING RANDOM FOREST

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    Objective: based on a systematic approach using machine learning, this research aims to propose a model of selection and allocation of assets that allows for building profitable and safe portfolios, even in times of insecurity and low predictability.Methodology: we used the machine learning algorithm called random forest to associate the independent variables with a dependent one and learn the probability of positive returns in the month following the data collection. According to the probabilities, the stocks were allocated into long, short, or non-allocated portfolios. Finally, we allocated a share of gold, which is a protection asset much used in times of crisis and uncertainty.Results and contributions: the study reached its goal and demonstrated being possible to build profitable and safe investment portfolios, even in times of greater uncertainty and volatility, as in 2020 due to the Covid-19 pandemic. We found that the model is effective in moments of crisis and also of greater predictability, as in the period from 2016 to 2019 when the stock exchange has an uptrend.Relevance: the relevance of this study points to an unprecedented historical context in Brazil, where uncertainties regarding both the local and world economy have demanded advanced studies of prediction to minimize risks and contribute to results for investors. In addition, we highlight that following a short period of low Selic (2019 to 2021), the Central Bank increased the rate again, raising the interest more in profitable and safer assets than the investment in stocks.Impact on the area: the study has a positive impact on the finance area since studies in this field promote greater stability to investors and thus better capital flow for companies, which, in turn, contribute to society and the growth of the country

    Perfil clínico dos pacientes internados por Covid-19 na unidade de terapia intensiva

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    Objective: to identify the clinical profile of patients hospitalized for COVID-19 in the Intensive Care Unit (ICU) of a private hospital. Methods: this is a descriptive, documentary, retrospective, cross-sectional study with quantitative analysis conducted in a hospital in the city of Montes Claros, MG, through the analysis of medical records of 142 ICU patients diagnosed with COVID-19 from January 2020 to April 2021. Results: of the 142 individuals, the mean age was 64.1 years, with 58.5% male. Of the previous comorbidities, those with the highest prevalence were systemic arterial hypertension at 26.8% and diabetes mellitus at 9.2%. Of these, 133 individuals used mechanical ventilation, with a prevalence of 47.9% using volume-controlled ventilation. The average length of stay was 6 days, with 93.7% of the individuals dying, 4.9% being discharged, and 1.4% being transferred to another hospital. Conclusion: there was a predominance of males, with an average age of 64.1 years, the most used ventilatory mode was volume-controlled, with an average use time of 7.9 days, that is, a short time, a fact that can be justified by the high rate of deaths in the studied sample.Objetivo: identificar o perfil clínico dos pacientes internados por COVID-19 na Unidade de Terapia Intensiva (UTI) de um hospital privado. Métodos: trata-se deum estudo de caráter descritivo, documental, retrospectivo, de corte transversal e análise quantitativa, conduzido em um hospital, no município de Montes Claros, MG, por meio da análise de prontuários de 142 pacientes da UTI com diagnóstico de COVID-19 no período de janeiro de 2020 a abril de 2021. Resultados: dos 142 indivíduos, a média de idadefoi de 64,1 anos, com 58,5% do sexo masculino. Das comorbidades prévias, as que tiveram maior prevalência foram a hipertensão arterial sistêmica com 26,8% e diabetes mellitus com 9,2%. Destes, 133 indivíduos utilizaram ventilação mecânica, com a prevalência de 47,9% no modo ventilação com volume controlado. O tempo médio de internação foi de 6 dias, sendo que 93,7% dos indivíduos foram a óbito, 4,9% receberam alta e 1,4% transferidos para outro hospital. Conclusão: evidenciou-se predominância do sexo masculino, com média de idade de 64,1 anos, o modo ventilatório mais utilizado foi o controlado o volume, com tempo de uso médio de uso 7,9 dias, ou seja, pouco tempo, fato que pode ser justificado pelo alto índice de óbitos na amostra estudada

    A prática do kitesurf e as lesões relacionadas: uma revisão narrativa da literatura

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    Objective: the objective of this study is to conduct a literature review to characterize the epidemiological profile of traumatic injuries caused by the practice of this modality. Methods: a narrative review of the literature was carried out on injuries resulting from the practice of kitesurfing in the database of Scielo, Ovid MEDLINE, and Google Scholar articles from January 2000 to December 2022. Results: 14 articles were chosen that suited the objectives of this review. Through the analysis of the articles, discussions were found that guide the main mechanisms of trauma, risk of injuries, structures most frequently affected, and proposals to minimize damage and recovery. Conclusion: the injuries that can affect practitioners of this aquatic sport are mostly mild and mainly in the lower members; however, they can be lethal, which raises the need for further epidemiological and clinical investigation of the cases treated, as well as the adoption of measures of prevention.Objetivo: realizar uma revisão na literatura para caracterizar o perfil epidemiológico das lesões traumáticas provocadas pela prática dessa modalidade. Metodologia: realizou-se uma revisão narrativa da literatura acerca das lesões decorrentes da prática esportiva do kitesurf na base de dados da Scielo, Ovid MEDLINE e Google Scholar de artigos de janeiro de 2000 a dezembro de 2022. Resultados: foram eleitos 14 artigos que se ajustaram aos objetivos dessa revisão. Mediante análise dos artigos, foram encontradas discussões que direcionam os principais mecanismos de trauma, riscos de lesões, estruturas mais frequentemente acometidas e propostas para minimizar os danos e a recuperação. Conclusão: as lesões que podem acometer os praticantes deste esporte aquático, em sua maioria, são leves e principalmente nos membros inferiores; entretanto, podem ser letais, o que desperta a necessidade de maior investigação epidemiológica e clínica dos casos atendidos, bem como a adoção de medidas de prevenção

    Giant bladder calculus in a patient with recurrent urinary tract infections

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    A giant bladder stone is rare and is usually defined as “giant” if its weight is over 100g. We describe a 43-year-old man who presented with urinary sepsis, hypotension, abdominal pain, and a vesicocutaneous urinary fistula. Laboratory tests showed hemoglobin 6.6 g/dL, leukocytes 22,700/mm³, creatinine 7.29mg/dL (eGFR 8.8mL/min/1.73m2), urea 181 mg/dL, serum pH 6.99 and bicarbonate 6 meq/L. Abdominal tomography showed bilaterally reduced cortical thickness of the kidneys and a bladder stone of 6x6x11 cm. He was treated with antibiotic therapy, dialysis, and open cystolithotomy. Clinical improvement was observed, despite kidney disease persistence, with chronic dialysis therapy.A giant bladder stone is rare and is usually defined as “giant” if its weight is over 100g. We describe a 43-year-old man who presented with urinary sepsis, hypotension, abdominal pain, and a vesicocutaneous urinary fistula. Laboratory tests showed hemoglobin 6.6 g/dL, leukocytes 22,700/mm³, creatinine 7.29mg/dL (eGFR 8.8mL/min/1.73m2), urea 181 mg/dL, serum pH 6.99 and bicarbonate 6 meq/L. Abdominal tomography showed bilaterally reduced cortical thickness of the kidneys and a bladder stone of 6x6x11 cm. He was treated with antibiotic therapy, dialysis, and open cystolithotomy. Clinical improvement was observed, despite kidney disease persistence, with chronic dialysis therapy

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