Abstract The degradation of tropical coastal lagoon systems in urban areas of the least developed countries has been associated with an increase in impermeable areas and poor domestic sewage treatment, increasing land-based runoff of nutrients and suspended solids from catchments. This study aimed to assess the biogeochemical changes caused by human interventions through the analysis of the spatial distribution of sedimentary phosphorus (P) and its mass balance in the Itaipu lagoon, located on the east coast of the state of Rio de Janeiro. Human intervention in the Itaipu lagoon system has caused severe imbalances in biogeochemical cycles over the past decades. Watercourses have been channeled to normalize the hydrological regime and increase hydraulic energy, improving sediment transport capacity. In this context, the increase in runoff from the coastal urban basin into the Itaipu lagoon has buried an increasing amount of phosphorus in the sediment. Recently, a regional increase in storm events caused a series of landslides and floods, which have been reported as possible consequences of global climate change. In recent decades, the synergy between landslides and river channeling has increased TP loads, accelerating phosphorus settling and changing P spatial distribution in surface sediments. This has accelerated siltation of the lagoon with an accumulation of nutrients and organic matter, leading in some cases to sediment anoxia. The lagoon has undergone strong eutrophication, changing its trophic state from meso- to hypertrophic in less than 30 years, even though P loads are not as high as in other coastal lagoons. Our findings confirm that human intervention impacts nutrient loads, which in turn disrupt the balance of biogeochemical cycles, compromising coastal water resources. This leads to the collapse of ecosystem services, another step towards degrading planetary boundaries. treatment landbased land based catchments (P Janeiro decades energy capacity context Recently floods change sediments matter anoxia eutrophication meso 3 years lagoons resources services boundaries

RESUMO A doença de Parkinson pode ser tratada cirurgicamente em pacientes que desenvolveram complicações motoras, como flutuações e discinesias, ou tremores refratários ao uso de medicação. Nesta revisão, um grupo de especialistas formulou sugestões para um protocolo de avaliação pré-operatória, depois de revisar a literatura publicada até outubro de 2017. Neste protocolo, são sugeridos critérios de elegibilidade e inadmissibilidade para tratamento cirúrgico, bem como procedimentos que devem ser realizados antes das decisões terapêuticas multidisciplinares. A revisão enfatiza a necessidade de estabelecer “equipes de DBS”, com profissionais dedicados especialmente a esta área. Ao final, a seleção do alvo cirúrgico (núcleo subtalâmico ou globo pálido interno) é discutida brevemente, ponderando prós e contras de cada escolha.

ABSTRACT Parkinson’s disease can be treated surgically in patients who present with motor complications such as fluctuations and dyskinesias, or medically-refractory disabling tremor. In this review, a group of specialists formulated suggestions for a preoperative evaluation protocol after reviewing the literature published up to October 2017. In this protocol, eligibility and ineligibility criteria for surgical treatment were suggested, as well as procedures that should be carried out before the multidisciplinary therapeutic decisions. The review emphasizes the need to establish “DBS teams”, with professionals dedicated specifically to this area. Finally, surgical target selection (subthalamic nucleus or globus pallidus internus) is discussed briefly, weighing the pros and cons of each target.