Resumo No Atlântico Tropical Sudeste, peixes da família Haemulidae desempenham um papel importante tanto ambientalmente, atuando como um elo entre os níveis tróficos mais baixos e mais altos, quanto socioeconomicamente, sendo amplamente capturados pelas frotas artesanais. Este estudo teve como objetivo descrever a ecologia trófica de três espécies de roncadores (Haemulon aurolineatum, H. plumierii e H. squamipinna) considerando aspectos espaciais, temporais e ontogenéticos integrando conteúdo estomacal e análise de isótopos estáveis. A amostragem ocorreu em 26 estações ao longo do Nordeste do Brasil (04°– 09°S), em agosto de 2015 e abril de 2017, utilizando rede de arrasto de fundo. Houve maior intensidade de alimentação à noite, em latitudes abaixo de 08°S e na plataforma continental interna. Valores mais altos de δ¹⁵N foram reportados para H. aurolineatum e H. plumierii coletados perto da linha costeira. A amplitude do nicho isotópico indicou que o H. aurolineatum tem uma dieta mais estreita do que o H. plumierii. Para as três espécies, o nível trófico variou entre três e quatro. Considerando o conteúdo estomacal e o nicho isotópico, a dieta foi semelhante comparando as espécies. Este padrão de ecologia trófica mostra um uso semelhante do habitat, que pode ser essencial para identificar áreas prioritárias para conservação em uma base ecossistêmica, especialmente em zonas ricas de recifes que estão sob várias pressões crescentes, como as do Nordeste do Brasil.

Abstract In the Southeastern Tropical Atlantic, Haemulidae family play an important role both environmentally, acting as a link between lower and higher trophic levels, and socioeconomically, being widely caught by artisanal fleets. This study aimed to describe the trophic ecology of three grunt species (Haemulon aurolineatum, H. plumierii and H. squamipinna) considering spatial, temporal and ontogenetic aspects, integrating stomach content and stable isotopes analysis. Sampling occurred in 26 stations along the Northeast of Brazil (04°– 09°S), in August 2015 and April 2017, using bottom trawling net. There was greater feeding intensity at night, at latitudes below 08°S and in the inner continental shelf. Higher values of δ¹⁵N were reported for H. aurolineatum and H. plumierii collected near coastline. The isotopic niche breadth indicated that H. aurolineatum has a narrower diet thanH. plumierii. For the three species, the trophic level ranged between three and four. Considering stomach content and isotopic niche, diet was similar comparing species. This trophic ecology pattern reveals a likewise use of the habitat, which may be essential for identifying priority areas for conservation on an ecosystem basis, especially in rich reef zones that are subject to several increasing pressures, such as those in Northeast Brazil.

ABSTRACT Background: Non-metastatic castration resistant prostate cancer (M0 CRPC) has seen important developments in drugs and diagnostic tools in the last two years. New hormonal agents have demonstrated improvement in metastasis free survival in M0 CRPC patients and have been approved by regulatory agencies in Brazil. Additionally, newer and more sensitive imaging tools are able to detect metastasis earlier than before, which will impact the percentage of patients staged as M0 CRPC. Based on the available international guidelines, a group of Brazilian urology and medical oncology experts developed and completed a survey on the diagnosis and treatment of M0 CRPC in Brazil. These results are reviewed and summarized and associated recommendations are provided. Objective: To present survey results on management of M0 CRPC in Brazil. Design, setting, and participants: A panel of six Brazilian prostate cancer experts determined 64 questions concerning the main areas of interest: 1) staging tools, 2) treatments, 3) side effects of systemic treatment/s, and 4) osteoclast-targeted therapy. A larger panel of 28 Brazilian prostate cancer experts answered these questions in order to create country-specific recommendations discussed in this manuscript. Outcome measurements and statistical analysis: The panel voted publicly but anonymously on the predefined questions. These answers are the panelists' opinions, not a literature review or meta-analysis. Therapies not yet approved in Brazil were excluded from answer options. Each question had five to seven relevant answers including two non-answers. Results were tabulated in real time. Conclusions: The results and recommendations presented can be used by Brazilian physicians to support the management of M0 CRPC patients. Individual clinical decision making should be supported by available data, however, for Brazil, guidelines for diagnosis and management of M0 CRPC patients have not been developed. This document will serve as a point of reference when confronting this disease stage.

ABSTRACT This letter to the Editor aims to provide suggestions and recommendations for the management of urological conditions in times of COVID-19 crisis in Brazil and other low- and middle-income countries. It is important to highlight that one of the main characteristics of this pandemic is the oversaturation of the health system capacity, mostly due to a high demand for personal protective equipment (PPE), Hospital/ICU beds, as well as ventilators. In places with limited resources and where the health care systems are already saturated, such consideration is even more worrisome. Therefore, most worldwide authorities are recommending to avoid, as much as possible, patient’s elective visits to hospitals, as well as a judicious use of the operating room in order to mitigate the strain put on the health system. While efforts should be directed to the care of COVID-19 patients, other conditions (especially urgencies and oncological cases) must continue to be assisted. Thus, through a panel of experts, we have prepared a practical guide for urologists based on the recommendations from the main Urologic Associations, as well as data from the literature to support the suggested management. We will try to follow the standard guideline recommendations from the American Urological Association (AUA) and European Association of Urology (EAU), with the aim of pursuing the best outcomes possible. However, some recommendations were based on the consensus of the panel, taking into consideration the reality of developing countries and the unprecedented situation caused by the COVID-19 crisis.

RESUMO O conceito de sala híbrida traduz a união de um aparato cirúrgico de alta complexidade com recursos radiológicos de última geração (ultrassom, TC, radioscopia e/ou ressonância magnética), visando a realização de procedimentos minimamente invasivos e altamente eficazes. Apesar de bem estabelecido em outras especialidades, como neurocirurgia e cirurgia cardiovascular, o uso da sala hibrida ainda é pouco explorado na cirurgia torácica. Nosso objetivo foi discutir as aplicações e as possibilidades abertas por essa tecnologia na cirurgia torácica através do relato de três casos.

ABSTRACT The concept of a hybrid operating room represents the union of a high-complexity surgical apparatus with state-of-the-art radiological tools (ultrasound, CT, fluoroscopy, or magnetic resonance imaging), in order to perform highly effective, minimally invasive procedures. Although the use of a hybrid operating room is well established in specialties such as neurosurgery and cardiovascular surgery, it has rarely been explored in thoracic surgery. Our objective was to discuss the possible applications of this technology in thoracic surgery, through the reporting of three cases.