Resumo Antecedentes O aumento da pressão intracraniana (PIC) consiste em um conjunto de sinais e sintomas relacionados a mudanças na complacência intracraniana (CIC) e na PIC. Objetivo Este estudo apresenta uma análise retrospectiva de pacientes que foram submetidos ao monitoramento não invasivo da CIC com base em queixas de cefaleia, correlacionando a diminuição da complacência cerebral e o aumento da pressão intracraniana. Métodos O monitoramento não invasivo da CIC foi realizado utilizando um dispositivo Brain4Care, que contém um medidor de tensão e um gravador conectado a um dispositivo mecânico que toca a superfície do couro cabeludo na área frontoparietal lateral à sutura sagital. Esta ferramenta monitora a PIC identificando pequenas alterações nas medidas do crânio que são causadas por variações de pressão, ou seja, a deformação do crânio está associada à detecção de alterações na PIC média. Uma avaliação clínica de 32 pacientes com queixas de cefaleia ocorreu a partir da análise de seus prontuários médicos. Resultados Dos 32 pacientes inicialmente escolhidos, foi possível concluir a análise de 18 devido à disponibilidade de dados nos prontuários médicos. A partir do monitoramento não invasivo da CIC, foram coletados os seguintes dados: time-to-peak, relação P2/P1, idade e sexo. Da análise estatística de idade e relação P2/P1, observou-se que à medida em que a idade aumenta, a CIC tende a diminuir independentemente do sexo (p < 0,05). Conclusão Este estudo concluiu que existe uma correlação entre as mudanças na CIC e a queixa de cefaleia em pacientes ambulatoriais. Houve também uma relação entre idade e diminuição da CIC, mas sem um padrão de dor específico. (PIC (CIC Brain4Care BrainCare Brain Care sagital seja média 3 médicos escolhidos 1 timetopeak, timetopeak time to peak, peak time-to-peak P2P1 PP P2 P1 P P2/P1 observouse observou se aumenta p 0,05. 005 0,05 . 0 05 0,05) ambulatoriais específico P2P P2/P 00 0,0 0,

Abstract Background Increased intracranial pressure (ICP) consists of a set of signs and symptoms related to changes in intracranial compliance (ICC) and ICP. Objective This study presents a retrospective analysis of patients who underwent non-invasive monitoring of ICC based on complaints of headache, correlating decreased brain compliance and increased intracranial pressure. Methods Noninvasive ICC monitoring was performed using a Brain4care device, which contains a strain gauge and a recorder connected to a mechanical device that touches the scalp surface in the frontoparietal area lateral to the sagittal suture. This tool monitors the ICP by identifying small changes in skull measurements that are caused by pressure variations, i.e., skull deformation is associated with the detection of changes in mean ICP. A clinical evaluation of 32 patients with complaints of headache occurred from the analysis of their medical records. Results Of the 32 patients initially chosen, it was possible to complete the analysis of 18 due to the availability of data in the medical records. From the non-invasive monitoring of the ICC, the following data were collected: time-to-peak, P2/P1 ratio, age, and gender. From the statistical analysis of age and P2/P1 ratio, it was noted that as age increases, ICC tends to decrease regardless of sex (p < 0.05). Conclusion This study concluded that there is a correlation between changes in intracranial compliance and headache complaints in outpatients. There was also a relationship between age and decreased intracranial compliance but without a specific pain pattern. (ICP (ICC noninvasive non invasive Braincare Brain care suture variations ie i e i.e. 3 records chosen 1 collected timetopeak, timetopeak time peak, peak time-to-peak P2P1 PP P2 P1 P P2/P ratio gender increases p 0.05. 005 0.05 . 0 05 0.05) outpatients pattern i.e P2P 00 0.0 0.

Abstract We describe, discuss and illustrate Alstroemeria maranhensis, a new species from the Cerrado domain in south-central Maranhão State, Brazil. We also provide a distribution map, a photographic plate and taxonomic comments. The new species is morphologically similar to A. viridiflora, though differs by having predominantly white flowers (vs. reddish or yellowish in A. viridiflora), falcate lower outer tepals (vs. not falcate) and obovate-spatulate lower inner tepal with attenuate and flat base (vs. spatulate without attenuate and/or flat base). describe maranhensis southcentral south central State Brazil map comments A viridiflora vs. vs (vs , viridiflora) obovatespatulate obovate andor base. . base)

Abstract A new Catasetum species from Brazilian Amazon, more specifically from the “Floresta Nacional de Saracá-Taquera” (State of Pará), is proposed, described and illustrated. This new taxon belongs to the subgenus Catasetum, section Isoceras, subsection Isoceras, characterized by the symmetrical and parallel antennae. It is compared with C. nhamundaense, C. garnettianum and C. barbatum, all with the same antennae characteristics and belonging to the “C. cristatum alliance”. Among related species, C. tavaresii differs mainly in the lip structure. Additionally, we provide data on geographical distribution, habitat, phenology, flower visitors, and preliminary conservation status.

Abstract In the present study we propose a new Catasetum taxon belonging to the group of species with symmetrical and converging antennae. It was found in a vegetation of “terra firme” and “campinarana” in the central Brazilian Amazon. A detailed description of the taxon is given as well as a photograph plate and comments relating to distribution, habitat, phenology and conservation status. It is compared to C. rivularium and C. barbatum which are sympatric species and somewhat similar to the new taxon. Furthermore, we present a key to Catasetum species with symmetrical and convergent antennae occurring in the Brazilian Amazon. terra firme campinarana “campinarana Amazon distribution habitat status C Furthermore

ABSTRACT An updated checklist of the Orchidaceae from the state of Maranhão is provided. We confirmed 51 genera and 119 species, of which the most representative genera are Habenaria (17 spp.), Catasetum (14 spp.) and Epidendrum (10 spp.). Our checklist includes 30 species that are not listed in the Flora do Brasil for the state, many of which, however, have been recorded in previous publications. Thus, excluding these, six species are cited here for the first time to Maranhão, all of which are also new records for the Brazilian Northeast region. Comparing such data with previous lists, with 103 and 105 species, we detected a strong incongruity among the data. Of the former list, 25 species lack vouchers from the state and were not collected in our expeditions, thus these taxa are not confirmed, while of the latter we found 20 species that are also not confirmed for the same reasons. A list with the 34 excluded taxa is provided. Most of the collection effort in the state coincides with university campuses, and the northwestern region is the most species rich, but unfortunately it is also the most threatened area.

Resumo Este estudo apresenta um inventário das Orchidaceae em uma das áreas mais ameaçadas da Amazônia Brasileira, localizada na porção mais oriental do Centro de Endemismo Belém. São registradas 51 espécies distribuídas em 24 gêneros. Epífitas representam 86% das espécies, as demais são terrícolas (6%), hemiepífitas (6%) ou micoheterotrófica (2%). Os gêneros mais representativos foram Epidendrum (6 spp.) e Maxillaria (5 spp.). Este estudo registra pela primeira vez cinco gêneros (Coryanthes, Sarcoglottis, Stelis, Trichosalpinx e Wullschlaegelia) e dez espécies para a flora do Maranhão, dos quais, quatro também são novos registros para a Região Nordeste do Brasil. Uma chave de identificação, pranchas fotográficas dos novos registros e comentários taxonômicos, ecológicos e de distribuição geográfica são apresentados. Os dados evidenciam a importância dos fragmentos de Floresta Amazônica do Maranhão para a proteção das Orchidaceae, constantemente ameaçadas pelo desmatamento no Centro de Endemismo Belém.

Abstract This study provides an inventory of the Orchidaceae in one of the most threatened areas of the Brazilian Amazon, situated in the eastern portion of the Belém Endemism Center. A total of 51 species, distributed in 24 genera, are recorded. Epiphytes represent 86% of the species, the remaining are terricolous (6%), hemiepiphytic (6%) or myco-heterotrophic (2%). The most representative genera were Epidendrum (6 spp.) and Maxillaria (5 spp.). This study cites for the first time five genera (Coryanthes, Sarcoglottis, Stelis, Trichosalpinx and Wullschlaegelia) and ten species for the flora of Maranhão, of which four are new records to the Brazilian Northeast. An identification key, photographs of the new records, taxonomic and ecological comments, as well as geographic distribution are provided. The data reinforce the importance of the forest fragments of the Amazon Forest in Maranhão for the conservation of Orchidaceae which is constantly threatened by deforestation in the Belém Endemism Center.

Resumo A região leste do estado do Maranhão é uma área de transição entre a Amazônia, Cerrado e a Caatinga. Pouco se conhece sobre a flora dessa região, especialmente com relação à Orchidaceae. O objetivo desse estudo foi realizar o levantamento das espécies desta família na área central desta região. As coletas em campo foram realizadas mensalmente entre dezembro de 2015 e abril de 2019 nos municípios de Aldeias Altas, Caxias, Codó e São João do Sóter. São apresentadas uma chave de identificação, descrições morfológicas e imagens das espécies encontradas. Orchidaceae está representada na área por sete gêneros e 17 espécies. Os gêneros mais ricos foram Catasetum (cinco espécies), Habenaria (quatro espécies). Habenaria schenckii é um novo registro para a Flora do Maranhão. A maioria das espécies apresentou hábito epífitico (oito espécies, 47%) ou terrícola (sete espécies, 41%). O município de Caxias foi o mais rico, com 13 espécies (76%), sendo seis destas coletadas nas Áreas de Proteção Ambiental (APAs) existentes no município (APA Municipal do Buriti do Meio e a APA Municipal do Inhamum). Os dados evidenciam a importância das Unidades de Conservação para a proteção das Orchidaceae, e o potencial das regiões ecotonais na descoberta de novos registros.

Abstract The eastern portion of the state of Maranhão is a transitional area between Amazon Rainforest, Cerrado and Caatinga. Knowledge about the flora of this region is very poor, especially regarding Orchidaceae. The aim of this study was to provide a survey of the species of this family in the central area of this region. Fieldwork was performed monthly between December 2015 and April 2019 in the municipalities of Aldeias Altas, Caxias, Codó and São João do Sóter. An identification key, morphological descriptions and illustrations of the species are presented. Orchidaceae is represented in the area by seven genera and 17 species. The richest genera were Catasetum (five species), and Habenaria (four species). Habenaria schenckii is a new record for the state. The majority of the species are epiphytes (eight species, 47%) or terrestrial (seven species, 41%). The municipality of Caxias was the richest, with 13 species (76%), of which six were collected in the conservation units (CU’s) existing in the municipality (Área de Proteção Ambiental Municipal (APAM) Buriti do Meio Municipal and APAM Inhamum). Our data highlight the importance of the CU’s for the conservation of Orchidaceae, and the potential of ecotonal regions for discovering new records for the region.