ABSTRACT Objective: The text is a cartography, plans formulated in the encounter for those who experience reading practice beyond the conventional lines, a writing of a thought-invention that considers bibliotherapy as a poetic landscape of literary reading and writing in school. In this sense, the general objective is to reflect bibliotherapy as a possible literary reading/writing practice in school, focusing on the initial grades of basic education. Methodology: For this, we follow lines of the cartographic method (DELEUZE; GUATTARI, 1995) in an intertwined discussion that goes through several authors (bibliographic research), the ideas of the first author, who is the proponent of this study, guided by the second author. In a self-writing composition, the research follows, specifically, in two movements: the perception of literature at school and the act of a teaching posture combined with a researcher posture, in order to present bibliotherapy as a possible way of reading/writing and their contributions to literary learning. Result: In this junction of ideas, we show a future teacher, considering the place of teaching, who is the inventor of readers, as a movement of the environment, a being of the future of his/her practices. Conclusions: Finally, we count on the reader's empathy to the words here exposed in order for bibliotherapy to be understood and legitimized as a part of the school domain, thus causing cracks and porosities in the rigid knowledge that transits in this environment about practices and learning that involve reading and literature, especially in primary education, which are spaces for this teacher’s/researcher’s invention.

RESUMO Objetivo: O texto é uma cartografia, planos gerados no encontro para devires que experimentam a leitura sob outros traçados para além do convencional, uma escrita de um pensamento-invenção que aposta na biblioterapia enquanto paisagem poética de leitura/escrita literária na escola. Nesse sentido, tem-se como objetivo geral refletir a biblioterapia como prática de leitura/escrita literária possível na escola, tendo como enfoque as séries iniciais da educação básica. Método: Para isso, segue linhas do método cartográfico (DELEUZE; GUATTARI, 1995) situadas numa rede de conversação que atravessa diversos autores (pesquisa bibliográfica) as ideias do primeiro autor, proponente deste estudo, sob orientação do segundo. Que numa composição de escrita de si, se desloca em movimentos, em específico, dois: a percepção da literatura na escola e o agir da condição docente aliada à de pesquisador, no intuito de apresentar a biblioterapia como modo possível de ler/escrever e suas contribuições para a aprendizagem literária. Resultado: Nesse atravessamento de ideias, expõe-se um devir-professor, considerando o lugar de docência, inventor de leitores, como um movimento do meio, um ser de devir de suas práticas. Conclusões: Ao final, aposta-se na empatia do leitor das palavras aqui expostas para que a biblioterapia seja entendida, legitimada como habitante do território escolar, a provocar deste modo, fissuras e porosidades nos saberes monolíticos que transitam neste ambiente sobre práticas e aprendizagens que envolvem a leitura e literatura, sobretudo, nas séries iniciais, espaço de fabulação deste professor/pesquisador.

Abstract The coproparasitological examination of dogs (n=278) from two Brazilian biomes (Amazon [AZ] and Atlantic Forest [AF]) by centrifugal flotation demonstrated positivity values of 54.2% (AF) and 48.5% (AZ). The most prevalent parasites in AF were hookworms (81.0% - 47/58), Toxocara sp. (17.3% - 10/58) and Trichuris vulpis (12.1% - 7/58); while in AZ they were hookworms (86.7% - 72/83), Toxocara sp. (18.1% - 15/83), Dipylidium caninum (13.3% - 11/83) and T. vulpis (10.8% - 9/83). PCR was performed using the partial mitochondrial genes cytochrome c oxidase subunit 1 (pcox1) and NADH dehydrogenase 1 (pnad1) in 25 fecal samples positive for Toxocara sp. eggs and found one sample positive for pcox1 and six positives for pnad1. The sequencing of these samples was unsuccessful due to the difficulties inherent in copro-PCR+sequencing. The sequencing of 14 samples of T. canis adult helminths retrieved 11 sequences of 414 bp for pcox1 and nine sequences of 358 bp for pnad1. The phylogenetic trees of these sequences confirmed the species T. canis. Intraspecific genetic variation was only observed for pnad1. This is the second study involving molecular analysis of T. canis in dogs from Brazil and adds new information through the use of pnad1.

Resumo O exame coproparasitológico de cães (n=278) de dois biomas brasileiros (Amazônia [AZ] e Mata Atlântica [MA]) por centrífugo-flutuação demonstrou valores de positividade de 54,2% (MA) e 48,5% (AZ). Os parasitos mais prevalentes na MA foram ancilostomídeos (81,0% - 47/58), Toxocara sp. (17,3% - 10/58) e Trichuris vulpis (12,1% - 7/58); enquanto na AZ foram ancilostomídeos (86,7% - 72/83), Toxocara sp. (18,1% - 15/83), Dipylidium caninum (13,3% - 11/83) e T. vulpis (10,8% - 9/83). A PCR foi realizada, utilizando-se os genes mitocondriais parciais da subunidade 1 do citocromo c oxidase (pcox1); e NADH desidrogenase 1 (pnad1) em 25 amostras fecais positivas para ovos de Toxocara sp. com uma amostra positiva para pcox1 e seis positivas para pnad1. O sequenciamento dessas amostras não teve sucesso, devido às dificuldades inerentes ao copro-PCR+sequenciamento. O sequenciamento de 14 amostras de helmintos adultos T. canis recuperou 11 sequências de 414 pb para pcox1 e nove sequências de 358 pb para pnad1. As árvores filogenéticas dessas sequências confirmaram a espécie T. canis. A variação genética intraespecífica foi observada apenas para pnad1. Este é o segundo estudo envolvendo análise molecular de T. canis, em cães do Brasil, e agrega novas informações com o uso do pnad1.

Resumo O artigo avalia como na economia brasileira durante os primeiros meses da pandemia da Covid-19 a dinâmica privada de alocação da riqueza financeira potencializou a instabilidade macroeconômica, condicionando as possibilidades e os limites das políticas fiscal e monetária, em particular via efeitos sobre o câmbio. São discutidas as razões da volatilidade financeira e seus impactos sobre o manejo da política econômica. Analisa-se o papel da especulação, enfatizando que – no contexto de juros baixos, que vigorou até 2020, e da proliferação de estratégias de investimento e de gestão de risco procíclicas por investidores locais, com destaque para os fundos multimercados – ela tem sido uma fonte de ampliação da instabilidade e da volatilidadedos preços. O texto discute ainda ideias para que a regulação incentive a diversidade de visões e de estratégias de investimento, combatendo as externalidades negativas da especulação.

Abstract The article assesses how macroeconomic instability was amplified in the Brazilian economy during the first months of the Covid-19 pandemic by the private dynamics of financial wealth allocation. It affects the possibilities and limits of fiscal and monetary policies, in particular via effects on the exchange rate. The general reasons for financial volatility and its impacts on the management of economic policy are also discussed. The role of speculation is analyzed. In the context of low interest rates, which prevailed until 2020, and the proliferation of procyclical investment and risk management strategies by local investors, especially hedge funds – it has been a source of increased instability and volatility in prices. The text also discusses ideas for regulation to encourage the diversity of views and investment strategies, mitigating the negative externalities of speculation.

RESUMO Introdução O carcinoma hepatocelular (CHC) é a neoplasia maligna primária mais comum no fígado. O CHC se desenvolve gradualmente a partir de múltiplos estágios que controlam a proliferação e a apoptose. Na hepatocarcinogênese, múltiplas vias de sinalização já foram descritas, como a via Hedgehog (Hh). No entanto, poucos estudos investigaram a expressão de proteínas Hh como um potencial fator prognóstico no CHC humano. Este estudo teve como objetivo investigar a expressão da proteína Shh no CHC e correlacionar com características prognósticas clínicas e morfológicas do tumor. Métodos A expressão imuno-histoquímica da proteína Shh em tumor e parênquima cirrótico foi realizada em 36 amostras de CHC de pacientes submetidos a transplante hepático no Hospital das Clínicas - UFMG. Correlação entre a expressão e etiologia do tumor Shh, número de nódulos, tamanho dos nódulos, níveis de proteína alfa-feto (AFP), pontuação MELD, diferenciação tumoral e invasão vascular foram realizadas. Resultados Em nosso estudo, a marcação da proteína Shh aumentou gradualmente do parênquima normal para o cirrótico e neoplásico. Grau de diferenciação tumoral e invasão vascular foram correlacionados com alta expressão da proteína Shh (p = 0,014 ep = 0,003, respectivamente). As demais variáveis não apresentaram correlação estatisticamente significativa com a marcação de Shh. Conclusão A via Hedgehog tem importância na hepatocarcinogênese. O estudo imuno-histoquímico da via de sinalização Hh pode ter um papel promissor como fator prognóstico para CHC, principalmente devido à correlação positiva entre a expressão de Shh e o grau de diferenciação tumoral e invasão vascular.

ABSTRACT Introduction Hepatocellular carcinoma (HCC) is the most common primary malignant neoplasm in the liver. HCC develops gradually from multiple stages that control proliferation and apoptosis. In hepatocarcinogenesis, multiple signaling pathways were already described, such as the Hedgehog pathway (Hh). However, few studies have investigated the expression of Hh proteins as a potential prognostic factor in human HCC. This study aimed to investigate the expression of the Shh protein in HCC and to correlate with clinical and morphological prognostic characteristics of the tumor. Methods Immunohistochemical expression of Shh protein in tumor and cirrhotic parenchyma was performed in 36 HCC samples from patients who underwent liver transplantation at Clinical Hospital - UFMG. Correlation between the Shh tumor expression and etiology, number of nodules, size of the nodules, levels of alpha-fetus-protein (AFP), MELD score, tumor differentiation, and vascular invasion were performed. Results In our study, Shh protein labeling gradually increased from the normal to the cirrhotic and neoplastic parenchyma. Degree of tumor differentiation and vascular invasion were correlated with high Shh protein expression (p = 0.014 and p = 0.003, respectively). The other variables did not show a statistically significant correlation with Shh labeling. Conclusion Hedgehog pathway has importance in hepatocarcinogenesis. The immunohistochemical study of the Hh signaling pathway may have a promising role as a prognostic factor for HCC, especially due to the positive correlation between the Shh expression and the degree of tumor differentiation and invasion vascular.

Resumo O texto avalia o grau de eficiência fiscal dos subsídios concedidos pelo Governo Federal às chamadas debêntures incentivadas de infraestrutura, criadas pela Lei 12.431, estimando qual fração de cada R$ 1 de renúncia tributária esperada pela União é efetivamente transferida como redução do custo de captação dos projetos meritórios.

Coumarins are natural products characterized as 2H-chromen-2-one, according to IUPAC nomenclature, largely distributed in plants, as well as, in species of fungi and bacteria. Nowadays, many synthetic procedures allow the discovery of coumarins with expanded chemical space. The ability to exert non-covalent interactions with many enzymes and receptors in living organisms lead the coumarins to exhibit a wide range of biological activities and applications. Then, this manuscript provides an overview of the use of coumarin compounds in medicinal chemistry in treating many diseases. Important examples of the last years have been selected concerning the activities of coumarins as anticoagulant, anticancer, antioxidant, antiviral, anti-diabetics, anti-inflammatory, antibacterial, antifungal, and anti-neurodegenerative agents. Thus, this work aims at contributing to the development of new rational research projects searching for new treatments and bioactive compounds for many pathologies using coumarin derivatives.

SUMMARY The extracorporeal membrane oxygenation (ECMO) is a procedure that has been used for a long time in reference centers worldwide. Its fundamental precept is to serve as a bridge to a definitive treatment in patients with severe, but potentially reversible, clinical conditions. Despite this, its use in cardiopulmonary arrest (ECPR) is still a matter of debate, especially when indicated in the emergency department. There is not yet a sufficient level of evidence to support its routine use. In Brasil, the procedure stopped being considered an experimental technique by the Federal Council of Medicine only in 2017. The objective of the present case is to share the pioneering spirit of a Brazilian reference center with ECPR in the emergency room and to discuss the future challenges of the ECMO technique.

ABSTRACT: A set of attributes endows the soils with distinctive characteristics and astute understanding is required in order to formulate suitable strategies for soil management. The aim of this study was to physically, chemically and mineralogically characterize samples of the main soil classes in Minas Gerais, Brazil, determine the point of zero salt effect (PZSE) and the point of zero charge (PZC), and ascertain the correlation between these factors and soil attributes. The soils evaluated presented different textural classes ranging from loamy sand (Entisol) to very clayey (some Oxisols and Ultisols). The soils differed substantially in terms of fertility, presenting a range from dystrophic (low fertility, base saturation < 50 %) to eutrophic character (fertility, base saturation ≥ 50 %), even within the same soil class, such as the Oxisols, which suggests the concurrence of the parent material. Highly weathered soils are predominant in Minas Gerais and these soils are composed predominantly of kaolinite, gibbsite, goethite and hematite. Traces of hydroxy-Al interlayered vermiculite and illite were also found in the Oxisols, Ultisols and Inceptisols. A correlation between the PZSE and the PZC in the A horizon was observed. A high degree of correlation was observed between the PZC and the exchangeable aluminum and the ratio of iron obtained by ammonium oxalate and dithionite-citrate (Feo/Fed) in both the A and B horizons of soil classes. The results obtained reinforce the importance of knowledge of soil attributes to the adoption of practices such as the management of phosphate fertilization in clayey soils and liming in soils rich in aluminum.

ABSTRACT In spite of the chemical, physical, and biological benefits that Crotalaria spectabilis can provide to the soil, it is little used as a green manure crop by farmers. Inoculation with strains of legume-nodulating nitrogen-fixing bacteria that are efficient and competitive may be a strategy to enhance accumulation of N in C. spectabilis and stimulate adoption of this green manure crop. The aims of this study were i) to evaluate the symbiotic and agronomic efficiency of new strains of Bradyrhizobium on C. spectabilis in an oxisol (red latosol) compared to that of noninoculated controls (without and with mineral N) and with the approved strain BR2811, seeking to corroborate possible recommendation as inoculants for this species; and ii) to determine, the contribution of these treatments to N accumulation in the plant of C. spectabilis in four periods of cutting for determining possible and ideal periods for its incorporation in the soil. Experiments were carried out in pots and field. Inoculation with the new strains UFLA05-03, UFLA05-09, and UFLA05-14 and with BR2811 on C. spectabilis is effective since it increases the production of N-enriched plant biomass when compared to the control without N mineral. However, UFLA05-03 stands out among these strains because it behaves similarly to the control with mineral N both in relation to shoot N accumulation and dry matter just after 150 days in the field.

Abstract: At the end of 2018, the Laboratorio de Meteorología Espacial, Atmósfera Terrestre, Geodesia, Geodinámica, Diseño de Instrumental y Astrometría, from La Plata University, started providing near real-time Regional Ionosphere Maps (MAGN) with high spatial and temporal resolutions and low latency. In this paper, we show a performance evaluation of these new ionosphere maps in space of positioning during the first year (2019) of available data. The assessment was carried out through absolute GNSS positioning using the in-house RT-PPP software. Data from five stations in Brazil, distributed in different geomagnetic latitudes, were processed. The performance of the MAGN was evaluated comparing the coordinates estimated using MAGN maps and the Global Ionosphere Maps (GIM) from CODE, both concerning the PPP ionosphere-free combination solution. Although it has been found that, in general, the MAGN and CODE solutions are compatible, the former provided better positioning result (8.5%) in the altimetric (up) component. However, when an atypical behavior in the MAGN solution at the end of the year 2019 as well as days of incomplete maps were removed from the analysis, the solution with MAGN becomes slightly better than CODE, providing an improvement of 8.6% in the up component.

ABSTRACT: Arsenic (As) is a naturally occurring chemical element considered toxic and carcinogenic by health and environmental protection agencies. Studies of As adsorption/desorption behavior in soils are important to predictions of As’ potential mobility in natural systems. The aim of this study was to assess the adsorption of As(V) in soils from Minas Gerais, Brazil, and determine its immobilization rate in order to identify soils with characteristics more favorable to its deployment as an As geochemical barrier. The adsorption experiment was performed using different As concentrations and the data pertaining to the maximum adsorption capacity of As(V) (MACAs) were determined by Langmuir and Freundlich isoterms. The Oxisols, due to their more oxidic mineralogy, especially more gibbsitic, and clayey texture, showed the highest MACAs, followed by Ultisols, Inceptisols, and Entisols. In terms of the desorption of As the Inceptisols were the soils that showed the most As desorption. Both As desorption and mobility was lower in the more oxidic and clayey soils. In all soils, the total amount of As was desorbed in due course, but the As release ratio tended to decrease with the passage of time. In general, soils with higher MACAs did not necessarily show less As desorption. For use as a geochemical barrier, as important as a high adsorption capacity of As by the soil is a low As desorption rate. The increase in As mobility may increase the risks of contaminating the supplies of water. To be a good As geochemical barrier the soil has to be a clayey Oxisol, with relatively high amounts of Fe and Al oxides, especially gibbsite.

Resumo Este estudo avaliou o efeito citotóxico e a capacidade de inibição das metaloproteinases da matriz extracelular (MMP-2 e MMP-9) pela quitosana 0,2%(CH) e o ácido acético 1% (AA) em comparação com o ácido etilenodiaminotetracético 17% (EDTA). O ensaio de viabilidade celular foi realizado de acordo com a ISO 10993-5 com fibroblastos de camundongo (L929). A cultura foi exposta a CH 0,2%, AA 1% e EDTA 17%. Os agentes quelantes foram avaliados imediatamente após o contato com as células e após 6 h, 12 h e 24 h de incubação. A viabilidade celular foi analisada utilizando o ensaio de brometo de 3- (4,5-dimetitiazol-2-il) -2,5-difeniltetrazólio (MTT). A inibição da atividade gelatinolítica de MMP-2 e MMP-9 foi avaliada por zimografia de gelatina. Diferentes concentrações de CH foram avaliadas: 50 mM, 5 mM, 0,5 mM e 0,05 mM. EDTA (0,5 mM) foi usado como controlo positivo. Os resultados demonstraram que CH e AA apresentaram um efeito citotóxico inicial, que diminuiu após 6 h, 12 h e 24 h, sendo estatisticamente similar ao EDTA (P> 0,05). Adicionalmente, CH a concentrações de 50 mM, 5 mM e 0,5 mM tiveram um efeito inibidor sobre MMP-2 e MMP-9, semelhante ao controlo com EDTA. Os agentes quelantes apresentaram efeitos não citotóxicos após 24 h. MMP-2 e MMP-9 foram inibidas pelas soluções experimentais.

Abstract This study evaluated the cytotoxic effect and the ability to inhibit matrix metalloproteinases (MMP-2 and MMP-9) of 0.2% chitosan (CH) and 1% acetic acid (AA) compared with 17% ethylenediaminetetraacetic acid (EDTA). Cell viability assay was performed according to ISO 10993-5 with mouse fibroblasts (L929). The culture was exposed to 0.2% CH, 1% AA, and 17% EDTA. The chelating agents were evaluated immediately after contact with the cells and after 6 h, 12 h, and 24 h of incubation. Cell viability was analyzed using the 3-(4,5-dimethythiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Inhibition of the gelatinolytic activity of MMP-2 and MMP-9 was evaluated by gelatin zymography. Different concentrations of CH were evaluated: 50 mM, 5 mM, 0.5 mM, and 0.05 mM. EDTA (0.5 mM) was used as a positive control. The results demonstrated that CH and AA had an initial cytotoxic effect, which decreased after 6 h, 12 h, and 24 h, being statistically similar to EDTA (P > 0.05). Additionally, CH at concentrations of 50 mM, 5 mM, and 0.5 mM had an inhibitory effect on MMP-2 and MMP-9, similar to that of the control with EDTA. The chelating agents had no cytotoxic effects after 24 h. MMP-2 and MMP-9 were inhibited by the experimental solutions.

Resumo O conhecimento morfológico das glândulas salivares em espécies silvestres é fundamental, pois podem ser utilizadas como estratégias de conservação, tratamentos clínicos e preservação de espécies ameaçadas de extinção. Dessa forma, o objetivo do estudo foi descrever anatomicamente as glândulas salivares maiores: parótida, mandibular, sublingual e molar da onça-parda. Para isso, foram utilizados dois espécimes de onça-parda (Puma concolor), após morte por atropelamento, doados pelo Setor de Atendimento Clínico Cirúrgico de Animais Selvagens (SACCAS) do Hospital Veterinário “Dr. HalimAtique” (UNIRP). Os animais foram fixados com solução aquosa de formol a 10%, dissecados, analisados descritivamente e fotografados. Morfologicamente, a glândula parótida possui uma coloração cinza amarelada, é distintamente lobulada e apresenta um formato semilunar. Essa glândula localiza-se na região póstero-dorsal da face, e na sua extremidade ventral observamos o ducto parotídeo. A glândula mandibular apresenta um contorno levemente arredondado, coloração acinzentada e sua superfície é revestida por uma cápsula de tecido conjuntivo. Essa glândula situa-se na região póstero-ventral da face e na sua extremidade ventral encontramos o ducto mandibular. A glândula sublingual monostomática está localizada na borda rostral da glândula mandibular e apresenta-se coberta pelos linfonodos mandibulares. A glândula molar é uma protuberância membranosa de coloração cinza amarelada, formato retangular alongado que fica situada ventralmente a comissura labial. Fundamentado nas dissecações, concluímos que as características morfológicas e topográficas das glândulas salivares da onça-parda seguem o mesmo padrão estrutural descrito para outras espécies de mamíferos carnívoros (domésticos e silvestres).

Abstract The morphological knowledge of the salivary glands in wild species is fundamental, since these studiescan be used as conservation strategies, clinical treatments and the preservation of species threatened with extinction. Thus, the aim of the study was to anatomically describe the larger salivary glands: parotid, mandibular, sublingual and molar of the jaguar. For this, two specimens of puma (Puma concolor) were used, after death by road traffic accident, donated by the Clinical Surgical Service Department of the Veterinary Hospital “Dr. Halim Atique “(UNIRP). The animals were fixed with 10% aqueous formaldehyde solution, dissected, descriptively analyzed and photographed. Morphologically, the parotid gland is grayish-yellow in color, distinctly lobulated, and has a semilunar shape. This gland is located in the posterolateral region of the face and at its ventral end we observe the parotid duct. The mandibular gland presents a slightly rounded outline, a grayish color and its surface is covered by a capsule of connective tissue. This gland is located in the posterolateral region of the face and we find the mandibular duct at its ventral end. The monostomatic sublingual gland is located on the rostral border of the mandibular gland and it is covered by the mandibular lymph nodes. The molar gland is a yellowish-gray membranous protuberance, elongated, with rectangular shape and it lies dorsally to the labial commissure. Based on the dissections, we conclude that the morphological and topographic characteristics of salivary glands of puma follow the same structural pattern described for other species of carnivorous mammals (domestic and wild).

Contrast-induced nephropathy (NIC) is directly related to increased morbidity and mortality, and its treatment and prevention might be achieved by the administration of antioxidant products. The juçara palmetto (Euterpe edulis Martius) has fruits rich in phenolic compounds, which are known for their antioxidant activity. This work aimed to evaluate the nephroprotective activity of E. edulis pulp in the NIC animal model. The collected fruits were pulped, their contents of polyphenols and anthocyanins were quantified, and their antioxidant activity were evaluated. The nephroprotective effects were determined based on iodine contrast induction and evaluated by biochemical and histological analyses. The results showed that E. edulis pulp was rich in polyphenols (811 ± 16.7 mg EAG/g) and anthocyanins (181.25 mg/100 g) and had very strong antioxidant activity, as demonstrated by the DPPH (2,2-diphenyl-1-picryl-hydrazyl) method, which revealed an antioxidant activity index (AAI) of 3.4, and the 2,29-azinobis (3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) method, which revealed an IC50 of 0.59 ± 0.03 mg/mL. In the in vivo experiments, E. edulis pulp tended to provide renal protection and reduce renal dysfunction and tubular morphological lesions in mice after the induction of NIC, and these effects were obtained through the antioxidant activities of the polyphenols in the pulp.

Abstract Background: Hospital accreditation has as goal the standardization of patient care, aiming quality improvement. On 2015, a cardiology reference hospital was evaluated and got level 3 from ONA in care given to Acute Coronary Syndrome (ACS) patients. Objetive: To compare length of stay (LOS) at Coronary Care Unit (CCU) and the total LOS at the hospital of ACS patients before and after ONA 3 accreditation. Other clinical outcomes were also analyzed. Methods: Systematic and prospective registry of admitted ACS patients at CCU, whose population was divided into pre-accreditation (period 1) and post-accreditation (period 2). Descriptive analysis was performed. For statistical analysis the Mann-Whitney test, chi-squared, Fisher’s exact test and Multiple Linear Regression were performed. P value was considered statistically significant when < 0,05. Results: 372 patients were admitted with ACS, 186 in period 1, of which 47 (25,3%) with ST segment Elevation Myocardial Infarction (STEMI), and 186 in period 2, of which 70 (37,6%) with STEMI. The mean age was 65,9 years (± 12,2). About the CCU LOS, there was a reduction from 3 (IQR: 2-4) to 2,5 days (IQR: 2-4; p value = 0,088). Regarding the hospital LOS, there was also a reduction from 8 (IQR: 5-12,25) to 6 days (IQR:4-11; p value = 0,004). Analyzing the type of ACS, there was a significant reduction only at the hospital LOS in non-STEMI patients: 8 to 6 days (p value = 0,001). Other hospitalization length of stay and clinical outcomes did not present a significant reduction in the comparison. Conclusion: After the ONA 3 accreditation, there was a reduction of hospital LOS. There were no significant differences in the other outcomes analyzed.