Our study suggests that PsT-OCD is associated with a distinctive pattern of neurocognitive dysfunction, thus providing support for a different subtype of OCD.

OBJECTIVE: This study investigates obsessive-compulsive disorder patients in terms of strategic planning and its association with specific obsessive-compulsive symptom dimensions. METHOD: We evaluated 32 obsessive-compulsive disorder patients. Strategic planning was assessed by the Rey-Osterrieth Complex Figure Test, and the obsessive-compulsive dimensions were assessed by the Dimensional Yale-Brown Obsessive-Compulsive Scale. In the statistical analyses, the level of significance was set at 5%. We employed linear regression, including age, intelligence quotient, number of comorbidities, the Yale-Brown Obsessive-Compulsive Scale score, and the Dimensional Yale-Brown Obsessive-Compulsive Scale. RESULTS: The Dimensional Yale-Brown Obsessive-Compulsive Scale "worst-ever" score correlated significantly with the planning score on the copy portion of the Rey-Osterrieth Complex Figure Test (r = 0.4, p = 0.04) and was the only variable to show a significant association after linear regression (β = 0.55, t = 2.1, p = 0.04). Compulsive hoarding correlated positively with strategic planning (r = 0.44, p = 0.03). None of the remaining symptom dimensions presented any significant correlations with strategic planning. CONCLUSION: We found the severity of obsessive-compulsive symptoms to be associated with strategic planning. In addition, there was a significant positive association between the planning score on the copy portion of the Rey-Osterrieth Complex Figure Test copy score and the hoarding dimension score on the Dimensional Yale-Brown Obsessive-Compulsive Scale. Our results underscore the idea that obsessive-compulsive disorder is a heterogeneous disorder and suggest that the hoarding dimension has a specific neuropsychological profile. Therefore, it is important to assess the peculiarities of each obsessive-compulsive symptom dimension.

We report on the clinical observation of a girl patient with few signs of cri-du-chat syndrome. The chromosomal analysis in lymphocyte culture showed 46,XX,del(5)(p15.3) in 38% of cells. Psychological tests revealed motor, perceptive and visual-spatial problems, as well as immaturity and emotional dependence. The phoniatric evaluation showed poor vocabulary, difficulty with repeating words or numbers in sequence, and better receptive than expressive language. The spectrographic measurements showed disturbance of fundamental frequency (F0) in vocal pronunciation. The anatomic findings of the laryngoscopic evaluation were normal, indicating that the voice and speech problems were functional disorders. The present case revealed moderate clinical signs and vocal disturbance associated with a low percentage of 5p- cells and the breakpoint at 5p15.3. The short terminal deletion with a possible loss of the critical region for cat-like cry and the presence of a normal cell line, explain the cry not so typical at birth (weak but not high-pitched), the intermediate values of F0, and the moderate mental retardation. This case is compared with other mosaic 5p- patients reported in the literature.

2 ; Lucas Monteiro (https://orcid.org/ 0000-0002-4832-7059) 2 ; Mirela Maisa da Silva Souza (https://orcid.org/ 0000-001-6056-050x) 2 ; George Anderson Alves dos Santos (https://orcid.org/0000-0002-5600-5287) 2 ; Cristiane Wanderley Cardoso (http://orcid.org/0000-0001-5432-1174) 3 ; Letícia Marques dos Santos (https://orcid.org/0000-0001-5963-2166) 4 ; Guilherme Sousa Ribeiro (https://orcid.org/0000-0002-67982059) 5,6 ; Darci Neves dos Santos (https://orcid.org/0000-0003-1500-8294) 2

Rieger syndrome (RS; OMIM 180500) is a rare autosomal dominant disorder of morphogenesis, with ocular and systemic abnormalities and variability in phenotypic expression. Some patients with RS presented with a deletion of the band 4q25 to which the homeobox gene PIT X2 (former RIEG) was mapped. To study the natural history and perform a genotype-phenotype correlation, we followed a girl with RS from the age of 1 year to puberty. The study included physical examination, clinical and psychological evaluation, and cytogenetic analysis with GTG-banded karyotype and array CGH. Additionally, molecular analysis using microsatellite markers for chromosome 4 (D4S427, D4S194 and D4S1615) was performed. Conventional chromosome analysis showed a 4q deletion, and aCGH confirmed the determination of the breakpoints at 4q25 and 4q31. With the exception of the typical features of RS is the patient, the clinical manifestations were relatively mild, despite the relatively large size of the deleted chromosome segment. The patient was periodically re-evaluated for several years. The teeth are still abnormal, and she is still under orthodontic treatment. The facial features were attenuated with age. Currently, she is under constant monitoring of eye pressure. She benefited from early intervention program, and her tonus is normal. She attends a normal school with minor learning difficulties. In conclusion, this study offers a comprehensive phenotypic delineation of RS through almost two decades and may contribute to a more accurate genetic counseling in cases of this syndrome.

RESUMOO objetivo deste estudo foi compreender como crianças utilizam espaços públicos para brincadeiras, como se apropriam deles e suas sugestões para tais espaços. Para tanto foram entrevistadas 28 crianças, sete a 11 anos, moradoras de diferentes bairros de Salvador-BA-BR. Os dados coletados foram analisados qualitativamente, sob a ótica da Psicologia Histórico-cultural e da Sociologia da Infância. Os resultados indicam que as crianças brincavam em áre-as planejadas e não planejadas para elas, com predominância de brincadeiras perto de suas residências. Houve uso criativo dos espaços e dos equipamentos lúdicos, demonstrando apropriação deles. Participantes sugeriram ampliação da segurança pública e acréscimo de áreas para brincadeiras. Conclui-se que há uma necessidade de se conhecer as demandas da infância sob a ótica da própria criança, estimulando-se a cidadania.Palavras-chaves: crianças; espaços públicos; brincar; cidadania. ABSTRACT What children say about the public spaces where they playAiming at understanding how children make use of and appropriate the public spaces where they play as well as their suggestions for such spaces, 28 seven-to-eleven-year-old children dwelling in different districts in Salvador (Bahia, Brazil) were interviewed. Data were qualitatively analyzed from the perspective of the cultural-historical psychology and the sociology of childhood. Children were found to play in areas both designed and not designed for them, although they predominantly played near their households. Creative use of play spaces and equipment was observed, thereby showing the children' s appropriation. Participants suggested improving public safety and adding play areas. This study evidences the need to know childhood demands from the children' s own viewpoint, thus fostering citizenship.

O objetivo deste estudo foi investigar o desenvolvimento de brincadeiras criativas em um parquinho público localizado na cidade de Salvador (BA). Considera-se uso criativo todas as variações do seu uso original. Trata-se de um estudo exploratório, descritivo e analítico, dividido em duas etapas, no qual foram identificadas as brincadeiras criativas mais comuns antes e depois da reforma do parquinho. Os dados foram coletados através de sessões de observação de brincadeiras e analisados qualitativamente. Verificou-se que a brincadeira criativa foi utilizada pelas crianças antes e após a reforma do parquinho. Antes da reforma, o uso criativo foi feito logo no início das brincadeiras; depois, este tipo de exploração ocorreu após o uso funcional do espaço e dos equipamentos, uma vez que estavam em melhores condições de uso. Ressalta-se a necessidade da construção de parquinhos públicos mais atrativos e que estimulem a criatividade de uma maneira segura, considerando os perigos que um espaço danificado pode trazer para a saúde das crianças.

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