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1.
[SciELO Preprints] - Guidelines on the Diagnosis and Treatment of Hypertrophic Cardiomyopathy – 2024
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Fernandes, Fabio
Simões, Marcus V.
Correia, Edileide de Barros
Marcondes-Braga, Fabiana G.
Coelho-Filho, Otavio Rizzi
Mesquita, Cláudio Tinoco
Mathias-Junior, Wilson
Rochitte, Carlos Eduardo
Ramires, Felix José Alvarez
Alves, Silvia Marinho Martins
Montera, Marcelo Westerlund
Lopes, Renato Delascio
Oliveira-Junior, Mucio Tavares
Scolari, Fernando L.
Avila, Walkiria Samuel
Canesin, Manoel Fernandes
Bacal, Fernando
Bocchi, Edimar Alcides
Moura, Lídia Ana Zytynski
Saad, Eduardo Benchimol
Scanavacca, Mauricio I.
Valdigem, Bruno Pereira
Cano , Manuel Nicolas
Abizaid , Alexandre
Ribeiro, Henrique Barbosa
Lemos-Neto, Pedro Alves
Ribeiro, Gustavo Calado de Aguiar
Jatene, Fabio Biscegli
Dias, Ricardo Ribeiro
Beck-da-Silva, Luis
Rohde, Luis Eduardo P.
Bittencourt, Marcelo Imbroinise
Pereira, Alexandre
Krieger, José Eduardo
Villacorta, Humberto
Martins, Wolney de Andrade
Figueiredo-Neto, José Albuquerque de
Cardoso , Juliano Novaes
Pastore, Carlos Alberto
Jatene, Ieda Biscegli
Tanaka, Ana Cristina Sayuri
Hotta, Viviane Tiemi
Romano, Minna Moreira Dias
Albuquerque, Denilson Campos de
Mourilhe-Rocha, Ricardo
Hajjar, Ludhmila Abrahão
Brito, Fabio Sandoli de
Caramelli , Bruno
Calderaro, Daniela
Farsky, Pedro Silvio
Colafranceschi , Alexandre Siciliano
Pinto, Ibraim Masciarelli
Vieira , Marcelo Luiz Campos
Danzmann, Luiz Claudio
Barberato , Silvio Henrique
Mady, Charles
Martinelli-Filho, Martino
Torbey , Ana Flavia Malheiros
Schwartzmann, Pedro Vellosa
Macedo, Ariane Vieira Scarlatelli
Ferreira , Silvia Moreira Ayub
Schmidt, Andre
Melo , Marcelo Dantas Tavares de
Lima-Filho, Moysés Oliveira
Sposito, Andrei C.
Brito, Flavio de Souza
Biolo, Andreia
Madrini-Junior, Vagner
Rizk, Stéphanie Itala
Mesquita, Evandro Tinoco
A cardiomiopatia hipertrófica (CMH) é uma forma de doença do músculo cardíaco de causa genética, caracterizada pela hipertrofia das paredes ventriculares. O diagnóstico requer detecção por métodos de imagem (Ecocardiograma ou Ressonância Magnética Cardíaca) de qualquer segmento da parede do ventrículo esquerdo com espessura > 15 mm, sem outra causa provável. A análise genética permite identificar mutações de genes codificantes de diferentes estruturas do sarcômero responsáveis pelo desenvolvimento da CMH em cerca de 60% dos casos, permitindo o rastreio de familiares e aconselhamento genético, como parte importante do manejo dos pacientes e familiares. Vários conceitos sobre a CMH foram recentemente revistos, incluindo sua prevalência de 1 em 250 indivíduos, não sendo, portanto, uma doença rara, mas subdiagnosticada. A vasta maioria dos pacientes é assintomática. Naqueles sintomáticos, a obstrução do trato de saída do ventrículo esquerdo (OTSVE) é o principal distúrbio responsável pelos sintomas, devendo-se investigar a sua presença em todos os casos. Naqueles em que o ecocardiograma em repouso ou com Manobra de Valsalva não detecta gradiente intraventricular significativo (> 30 mmHg), devem ser submetidos à ecocardiografia com esforço físico para detecção da OTSVE. Pacientes com sintomas limitantes e grave OTSVE, refratários ao uso de betabloqueadores e verapamil, devem receber terapias de redução septal ou uso de novas drogas inibidoras da miosina cardíaca. Por fim, os pacientes adequadamente identificados com risco aumentado de morta súbita podem receber medida profilática com implante de cardiodesfibrilador implantável (CDI).
La miocardiopatía hipertrófica (MCH) es una forma de enfermedad cardíaca de origen genético, caracterizada por el engrosamiento de las paredes ventriculares. El diagnóstico requiere la detección mediante métodos de imagen (Ecocardiograma o Resonancia Magnética Cardíaca) que muestren algún segmento de la pared ventricular izquierda con un grosor > 15 mm, sin otra causa probable. El análisis genético permite identificar mutaciones en genes que codifican diferentes estructuras del sarcómero responsables del desarrollo de la MCH en aproximadamente el 60% de los casos, lo que permite el tamizaje de familiares y el asesoramiento genético, como parte importante del manejo de pacientes y familiares. Varios conceptos sobre la MCH han sido revisados recientemente, incluida su prevalencia de 1 entre 250 individuos, por lo tanto, no es una enfermedad rara, sino subdiagnosticada. La gran mayoría de los pacientes son asintomáticos. En los casos sintomáticos, la obstrucción del tracto de salida ventricular izquierdo (TSVI) es el trastorno principal responsable de los síntomas, y su presencia debe investigarse en todos los casos. En aquellos en los que el ecocardiograma en reposo o la maniobra de Valsalva no detecta un gradiente intraventricular significativo (> 30 mmHg), deben someterse a ecocardiografía de esfuerzo para detectar la obstrucción del TSVI. Los pacientes con síntomas limitantes y obstrucción grave del TSVI, refractarios al uso de betabloqueantes y verapamilo, deben recibir terapias de reducción septal o usar nuevos medicamentos inhibidores de la miosina cardíaca. Finalmente, los pacientes adecuadamente identificados con un riesgo aumentado de muerte súbita pueden recibir medidas profilácticas con el implante de un cardioversor-desfibrilador implantable (CDI).
Hypertrophic cardiomyopathy (HCM) is a form of genetically caused heart muscle disease, characterized by the thickening of the ventricular walls. Diagnosis requires detection through imaging methods (Echocardiogram or Cardiac Magnetic Resonance) showing any segment of the left ventricular wall with a thickness > 15 mm, without any other probable cause. Genetic analysis allows the identification of mutations in genes encoding different structures of the sarcomere responsible for the development of HCM in about 60% of cases, enabling screening of family members and genetic counseling, as an important part of patient and family management. Several concepts about HCM have recently been reviewed, including its prevalence of 1 in 250 individuals, hence not a rare but rather underdiagnosed disease. The vast majority of patients are asymptomatic. In symptomatic cases, obstruction of the left ventricular outflow tract (LVOT) is the primary disorder responsible for symptoms, and its presence should be investigated in all cases. In those where resting echocardiogram or Valsalva maneuver does not detect significant intraventricular gradient (> 30 mmHg), they should undergo stress echocardiography to detect LVOT obstruction. Patients with limiting symptoms and severe LVOT obstruction, refractory to beta-blockers and verapamil, should receive septal reduction therapies or use new drugs inhibiting cardiac myosin. Finally, appropriately identified patients at increased risk of sudden death may receive prophylactic measure with implantable cardioverter-defibrillator (ICD) implantation.
2.
Nutritional value and fermentative characteristics of pearl millet silage with different levels of coffee husk
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Souza, Leir de Oliveira
; Neiva Júnior, Arnaldo Prata
; Tavares, Valdir Botega
; Gurgel, Antonio Leandro Chaves
; Teixeira, Rafael Monteiro Araújo
; Lara, Erika Christina
; Fernandes, Patrick Bezerra
; Ítavo, Luís Carlos Vinhas
.
ABSTRACT: The research was conducted to test the hypothesis that the inclusion of coffee husk (Coffea sp.) would improve the fermentative characteristics and quality of pearl millet silage (Pennisetumglaucum). Thus, the objective was to assess the effect of the inclusion of different levels of coffee husk in pearl millet silage on the chemical composition, fermentative characteristics and degradability in situ of silage. The experimental design used was completely randomized and the treatments consisted of the silage of the whole pearl millet plant with the inclusion of increasing levels of coffee husk: 0%, 7%, 14% and 21%, based on natural matter. After 60 days of fermentation, the silages were evaluated for chemical characteristics, fermentative, degradability in situ dry matter (DM) and neutral detergent fiber (NDF). The inclusion of coffee husk did not alter (P > 0.05) the contents of crude protein (11.94%), NDF (44.89%) and total digestible nutrients (65.09%). There were increases in the concentrations of DM and fiber in acid detergent, accompanied by a reduction in the concentrations of mineral matter and ether extract, as the proportion of coffee husks in silages increased. There was an increase in the lignin content up to the level of 7.59% inclusion of the coffee husk. There was no effect of the inclusion of the coffee husk on the pH of the silage (3.60). However, the inclusion of coffee husk resulted in a reduction in temperature, gas losses, and degradability in situ of silage DM and NDF. It is recommended to include coffee husk up to the level of 14.0% of the natural matter to improve the fermentation pattern and the quality of the pearl millet silage. ABSTRACT Coffea sp. sp Pennisetumglaucum. Pennisetumglaucum . (Pennisetumglaucum) Thus composition 0 0% 7 7% 14 21 21% 6 (DM (NDF) P 0.05 005 05 11.94%, 1194 11.94% , 11 94 (11.94%) 44.89% 4489 44 89 (44.89% 65.09%. 6509 65.09% 65 09 (65.09%) extract increased 759 59 7.59 3.60. 360 3.60 3 (3.60) However temperature losses 140 14.0 (Pennisetumglaucum 1 2 (NDF 0.0 00 119 11.94 9 (11.94% 44.89 448 4 8 (44.89 650 65.09 (65.09% 75 5 7.5 36 3.6 (3.60 14. 0. 11.9 (11.94 44.8 (44.8 65.0 (65.09 7. 3. (3.6 11. (11.9 44. (44. 65. (65.0 (3. (11. (44 (65. (3 (11 (4 (65 ( (1 (6
RESUMO: A pesquisa foi conduzida para testar a hipótese de que a inclusão de casca de café (Coffea sp.) melhoraria as características fermentativas e a qualidade da silagem de milheto (Pennisetum glaucum). Assim, objetivou-se avaliar o efeito da inclusão de diferentes níveis da casca de café na ensilagem de milheto sobre a composição química, características fermentativas e degradabilidade in situ da silagem. O delineamento experimental utilizado foi inteiramente casualizado e os tratamentos constituíram-se pela silagem da planta inteira de milheto com a inclusão de níveis crescentes de casca de café: 0%, 7%, 14% e 21%, com base na matéria natural. Após 60 dias de fermentação, as silagens foram avaliadas quanto às características químicas, fermentativas, degradabilidade in situ da matéria seca (MS) e da fibra em detergente neutro (FDN). A inclusão da casca de café não alterou (P > 0,05) os teores de proteína bruta (11,94%), FDN (44,89%) e nutrientes digestíveis totais (65,09%). Houve aumentos nas concentrações de MS e fibra em detergente ácido, acompanhados de uma redução nas concentrações de matéria mineral e extrato etéreo, à medida que se aumentou a participação da casca de café nas silagens. Houve um aumento no teor de lignina até o nível de 7,59% de inclusão da casca de café. Não houve efeito da inclusão da casca de café sobre o pH da silagem (3,60). Entretanto, a inclusão de casca de café acarretou na redução da temperatura, perdas por gases, degradabilidade in situ da MS e FDN da silagem. Recomenda-se a inclusão de casca de café até o nível de 14,0% da matéria natural para melhoria do padrão de fermentação e da qualidade da silagem de milheto. RESUMO Coffea sp. sp Pennisetum glaucum. glaucum . glaucum) Assim objetivouse objetivou química constituíramse constituíram 0 0% 7 7% 14 21 21% 6 químicas (MS FDN. (FDN) P 0,05 005 05 11,94%, 1194 11,94% , 11 94 (11,94%) 44,89% 4489 44 89 (44,89% 65,09%. 6509 65,09% 65 09 (65,09%) ácido etéreo 759 59 7,59 3,60. 360 3,60 3 (3,60) Entretanto temperatura gases Recomendase Recomenda 140 14,0 1 2 (FDN 0,0 00 119 11,94 9 (11,94% 44,89 448 4 8 (44,89 650 65,09 (65,09% 75 5 7,5 36 3,6 (3,60 14, 0, 11,9 (11,94 44,8 (44,8 65,0 (65,09 7, 3, (3,6 11, (11,9 44, (44, 65, (65,0 (3, (11, (44 (65, (3 (11 (4 (65 ( (1 (6
3.
Assessment of mutant rice genotypes on growth cycle length and response to reduced water availability
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Tejeda, Luis Herminio Chairez
; Joseph, Raymond
; Venske, Eduardo
; Luz, Viviane Kopp da
; Chacón-Ortiz, Andrés Eloy
; Magalhães Júnior, Ariano Martins de
; Maia, Luciano Carlos da
; Oliveira, Antonio Costa de
; Pegoraro, Camila
.
ABSTRACT Rice (Oryza sativa) is among the most important crops worldwide; however, rice crops demand high water consumption. Future projections indicate reduced water availability and severe drought events, which may affect rice crops as the cereal is highly sensitive to drought stress. Thus, cultivars with lower water demand for irrigation or drought escape capacities are among the strategies to address this issue. This study aimed to assess five mutant rice genotypes in terms of growth cycle length, other agronomic interest traits, and drought response in the reproductive stage. The mutant genotypes evaluated showed a shortening of the growth cycle compared to the original cultivar, BRS Pampeira, representing a drought escape strategy. In addition, mutations did not negatively affect plant height and crop yield. However, similar to the original cultivar, mutants are not tolerant to water deficit in the reproductive stage. The genotypes evaluated have potential to be released as early cycle cultivars, which can reduce water demand during the harvest season while presenting a drought escape strategy. Oryza sativa worldwide however consumption events stress Thus issue length traits stage cultivar Pampeira strategy addition yield However
4.
Longer cutting intervals on the characteristics of Guinea grass: morphogenetic, productive, and nutritional traits grass morphogenetic productive
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Junges, Luciana
; Gomes, Eva Nara Oliveira
; Candido, Anderson Ramires
; Ítavo, Luís Carlos Vinhas
; Ítavo, Camila Celeste Brandão Ferreira
; Coelho, Elson Martins
; Difante, Gelson dos Santos
; Santos, Geraldo Tadeu dos
; Dias, Alexandre Menezes
.
ABSTRACT. The aim of this study was to examine the effect of longer cutting intervals on morphogenetic and structural traits, herbage production, nutritional value, and in vitro digestibility of Guinea grass cv. Mombaça (Mombaça grass). Four cutting intervals (49, 63, 77, and 91 days) were evaluated in two crop years (2015-2016 and 2016-2017) during the rainy season, in two replicates. Cutting intervals influenced structural and morphogenetic traits, except for number of live leaves (4.35 leaves tiller-1) and final leaf length (72.94 cm) in the 2015-2016 crop year. As the cutting intervals increased, dry matter yield and stem percentage increased, whereas leaf percentage and leaf-to-stem ratio declined. Regardless of the evaluated crop year, the dry matter, acid detergent fiber, and lignin contents increased linearly; however, the neutral detergent fiber content was unaffected. Cutting intervals affected the crude protein content and in vitro digestibility. Considering leaf appearance rate, stem appearance rate, and leaf-to-stem ratio, the recommended harvest age for Mombaça grass for optimum yield and nutritional value is 77 days. ABSTRACT traits production cv grass. . grass) 49, 49 (49 63 9 days 20152016 2015 2016 (2015-201 20162017 2017 2016-2017 season replicates 4.35 435 4 35 (4.3 tiller1 tiller 1 tiller-1 72.94 7294 72 94 (72.9 cm 2015-201 year leaftostem declined linearly however unaffected rate 7 (4 6 2015201 201 (2015-20 2016201 2016-201 4.3 43 3 (4. tiller- 72.9 729 (72. 2015-20 ( 201520 20 (2015-2 201620 2016-20 4. 72. (72 2015-2 20152 2 (2015- 20162 2016-2 (7 2015- (2015 2016- (201 (20 (2
5.
Checklist of the species of the Order Characiformes (Teleostei: Ostariophysi) Teleostei (Teleostei Ostariophysi
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Toledo-Piza, Mônica
; Baena, Eduardo G.
; Dagosta, Fernando C. P.
; Menezes, Naércio A.
; Ândrade, Marcelo
; Benine, Ricardo C.
; Bertaco, Vinicius A.
; Birindelli, José Luís O.
; Boden, Gert
; Buckup, Paulo A.
; Camelier, Priscila
; Carvalho, Fernando R. de
; Castro, Ricardo M. C.
; Chuctaya, Junior
; Decru, Eva
; Derijst, Eddy
; Dillman, Casey B.
; Ferreira, Katiane M.
; Merxem, Dimitri G.
; Giovannetti, Victor
; Hirschmann, Alice
; Jégu, Michel
; Jerep, Fernando C.
; Langeani, Francisco
; Lima, Flávio C. T.
; Lucena, Carlos A. S.
; Lucena, Zilda Margarete S.
; Malabarba, Luiz R.
; Malabarba, Maria Cláudia S. L.
; Marinho, Manoela M. F.
; Mathubara, Kleber
; Mattox, George M. T.
; Melo, Bruno F.
; Moelants, Tuur
; Moreira, Cristiano R.
; Musschoot, Tobias
; Netto-Ferreira, André L.
; Ota, Rafaela P.
; Oyakawa, Osvaldo T.
; Pavanelli, Carla S.
; Reis, Roberto E.
; Santos, Osmar
; Serra, Jane Piton
; Silva, Gabriel S. C.
; Silva-Oliveira, Cárlison
; Souza-Lima, Rosana
; Vari, Richard P.
; Zanata, Angela M.
.
Abstract A checklist of recent and fossil fishes of the Order Characiformes is presented herein and believed to be complete through 2022. A total of 47 collaborators checked and provided information about their taxa of expertise. The list is arranged in alphabetical order by family and then genus and includes all available synonyms. From a total of 3,087 species group names and 527 genus group names, 2,334 species are currently treated as valid, and assigned to 301 genera and 24 families. This total includes 25 species known only from the fossil record, of which 21 are assigned to eight extant families and four are Incertae sedis in Characiformes, but does not include five species based on fossil which were wrongly treated in Characiformes. The status of 79 nominal species remains unresolved. When there are two competing hypotheses about the validity of a name, one of them is chosen and the alternate interpretation is provided in the remark section of that name. Distributional summaries are presented as numbers that correspond to areas for which there is a record of occurrence of the species. A list of unavailable names is provided at the end since some of those names may need additional research to certify their status. 2022 4 expertise synonyms 3087 3 087 3,08 52 2334 2 334 2,33 valid 30 7 unresolved name 202 308 08 3,0 5 233 33 2,3 20 0 3, 23 2,
Resumo Uma lista de peixes recentes e fósseis da Ordem Characiformes é apresentada e acredita-se que a lista esteja completa até 2022. Ao todo, 47 colaboradores verificaram e forneceram informações sobre táxons de sua especialidade. A lista está organizada em ordem alfabética por família e em seguida gênero e inclui todos os sinônimos disponíveis. De um total de 3.087 nomes de grupos de espécies e 527 nomes de grupos de gêneros, 2.334 espécies são atualmente tratadas como válidas e atribuídas a 301 gêneros e 24 famílias. Este total inclui 25 espécies fósseis, das quais 21 são incluídas em oito famílias recentes e quatro são Incertae sedis em Characiformes, mas não inclui cinco espécies baseadas em fósseis que foram incorretamente consideradas como Characiformes. O status de 79 espécies nominais permanece não resolvido. Quando há duas hipóteses concorrentes sobre a validade de um nome, uma delas é escolhida e a interpretação alternativa é fornecida na seção de comentários do nome em questão. Dados sobre distribuição geográfica são apresentados através de números que correspondem a regiões para as quais há registro de ocorrência da espécie. Uma lista de nomes indisponíveis foi listada no final do texto, pois alguns desses nomes precisam ser mais bem investigados para certificar seu status. acreditase acredita se 2022 todo 4 especialidade disponíveis 3087 3 087 3.08 52 2334 2 334 2.33 30 7 resolvido questão espécie texto 202 308 08 3.0 5 233 33 2.3 20 0 3. 23 2.
6.
Genotype-environment-attribute interaction in an advanced cashew population through joint biplot graphical analysis Genotypeenvironmentattribute Genotype environment attribute
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Maia, Maria Clideana Cabral
; Almeida, Maria Lucilania Bezerra
; Moura, Carlos Farley Herbster
; Vidal Neto, Francisco das Chagas
; Melo, Dheyne Silva
; Oliveira, Luís Cláudio de
; Araújo, Lúcio Borges de
; DoVale, Júlio César
.
ABSTRACT: Despite the progress achieved, the cashew cultivar (Anacardium occidentale L.) breeding program at Embrapa Agroindústria Tropical (CNPAT) has not yet peaked in terms of primary and secondary yield components, and the quality properties of the peduncles. Significant improvement is expected with the breeding program in obtaining new elite clones (cultivars). This this study investigated genotype x environment x attribute interaction in cashew trees using principal component analysis with multiple data matrices. The experimental design was completely randomized, in a factorial scheme with repeated measures over time, applying the confounding technique, with 3 treatments and 4 replications, totaling 48 plots. The total number of plants was represented by 30 plants of each clone in each environment. Around 30 ripe cashew peduncles of each genotype were harvested early in the morning and sent to the post-harvest laboratory of Embrapa Agroindústria Tropical (CNPAT). The factors considered for joint biplot graphical analysis were three genotypes (G1, G2, G3), four environments (combination of two locations, Alto Santo and Beberibe, municipalities in the state of Ceará, two agricultural years (2013 and 2014), and eight physicochemical peduncle properties. The study was implemented using principal component analysis (PCA), with a three-way data array (genotypes x environments x variables). The genotypes did not exhibit phenotypic stability for the variables assessed and environments studied because these cultivars are located far from the center of the graph, that is, away from the origin. The three genotypes showed positive and negative phenotypic adaptations for different variables and environments, qualifying them for consumption of pseudofruits as table fruits, industrially processed products, or even displaying dual purpose consumption suitability. ABSTRACT achieved Anacardium L. L CNPAT (CNPAT components cultivars. . (cultivars) matrices randomized time technique replications plots postharvest post harvest CNPAT. G1, G1 G (G1 G2 G3, G3 , G3) combination locations Beberibe Ceará 2013 (201 2014, 2014 2014) PCA, PCA (PCA) threeway way variables. variables) graph origin fruits products suitability (cultivars (G 201 (20 (PCA 20 (2 2 (
RESUMO: O programa de desenvolvimento de cultivares de cajueiro (Anacardium occidentale L.) da Embrapa Agroindústria Tropical (CNPAT) a despeito dos avanços obtidos ainda não se obteve atingir o seu patamar máximo para seus componentes produtivos primários e secundários, como também para os caracteres de qualidade dos pedúnculos, sendo esperado uma evolução significativa com o programa de melhoramento genético na obtenção de novos clones elite (cultivares). O objetivo deste trabalho foi estudar a interação genótipo ‘x ambiente x atributo em cajueiro empregando-se a análise de componentes principais, com múltiplas matrizes de dados. O delineamento adotado foi o inteiramente casualizados, no esquema fatorial com medida repetida no tempo, aplicando-se a técnica de confundimento, com três tratamentos e quatro repetições, totalizando 48 parcelas, o número total de plantas foi representado por 30 plantas de cada clone em cada ambiente. Cerca de 30 cajus maduros, de cada genótipo, foram colhidos nas primeiras horas do dia e encaminhados para o laboratório de pós-colheita da Embrapa Agroindústria Tropical (CNPAT). Os fatores considerados para a análise gráfica joint biplot (plot) foram: três genótipos (G1, G2, G3), quatro ambientes (combinação de dois locais, Alto Santo e Beberibe, municípios do estado do Ceará, e dois anos agrícolas, 2013 e 2014) e oito atributos físico-químicos dos pedúnculos. O estudo foi implementado por meio de análise de componentes principais (CP), com arranjo de três entradas (genótipos x ambientes x variáveis). Os genótipos não apresentaram estabilidade fenotípica em relação às variáveis avaliadas e os ambientes estudados em função dessas cultivares se posicionarem distantes do centro do gráfico, isto é, afastados da origem. Os três genótipos mostraram adaptações fenotípicas positivas e negativas com as diferentes variáveis e ambientes credenciando-os para o consumo dos pseudofrutos como frutos de mesa, ou a partir, de produtos processados industrialmente, ou ainda, apresentando dupla aptidão de consumo. RESUMO Anacardium L. L CNPAT (CNPAT secundários pedúnculos cultivares. . (cultivares) empregandose empregando dados casualizados tempo aplicandose aplicando confundimento repetições 4 parcelas 3 maduros póscolheita pós colheita CNPAT. plot (plot G1, G1 G (G1 G2 G3, G3 , G3) combinação locais Beberibe Ceará agrícolas 201 2014 físicoquímicos físico químicos CP, CP (CP) variáveis. variáveis) gráfico é origem credenciandoos credenciando mesa partir industrialmente (cultivares (G 20 (CP 2
7.
How is copepod functional diversity shaped by 2015-2016 El Niño and seasonal water masses in a coastal ecosystem of Southwest Atlantic? 20152016 2015 2016 2015-201 Atlantic 2015201 201 2015-20 201520 20 2015-2 20152 2 2015-
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Menezes, Bárbara Santos
; Becker, Érica Caroline
; Agnelli, Flora Balcão
; Macedo-Soares, Luis Carlos Pinto de
; Dias, Cristina de Oliveira
; Freire, Andrea Santarosa
.
ABSTRACT Functional traits, short life cycles, and the pivotal role in the ocean make copepod diversity a solid foundation for assessing the effect of global changes in marine food webs and ecosystem functioning. Climate change and extreme events, particularly El Niño, can affect coastal ecosystems. The Arvoredo Marine Biological Reserve (MPA), located in highly productive coastal waters of the Southern Brazilian Bight, presents complex climate and oceanographic conditions. This study investigates the influence of oceanographic processes and El Niño 2015-2016 on the copepod functional diversity from 2014 to 2016 in the Arvoredo MPA. Horizontal tows were performed using a WP2 net with a mesh size of 200 µm. The 41 species accounted for 19 functional entities and four functional groups. Our findings reveal that the seasonal intrusion of water masses influenced copepod functional diversity. During summer, the upwelling of South Atlantic Central Water increased nutrient availability and favored large herbivore-omnivores and carnivores. The Plata Plume Water enrichment during winter coincided with a decline in functional richness and abundance, leading to the predominance of the Oithona nana, a small-sized omnivore. Compensatory mechanisms were observed as functional equivalence and species composition shifts. Acartia lilljeborgii and Temora turbinata exhibited functional equivalence and compensated for each other in response to salinity changes associated with upwelling and El Niño. The copepod assemblage demonstrated the ability to maintain functional diversity despite changes in copepod abundance. However, the decline in functional diversity and abundance during the intense winter indicated potential disruption in trophic dynamics and ecosystem functioning. Maintaining balance and compensating for disturbances such as El Niño is crucial for marine food web resilience. The functional trait approach provided a comprehensive understanding of the copepod assemblage in Arvoredo MPA, contributing to a broader knowledge of the impact of oceanographic processes intensification. Monitoring functional diversity and abundance is crucial for evaluating the effects of copepod assemblage changes in ecosystem functionings. traits cycles functioning events ecosystems MPA , (MPA) Bight conditions 20152016 2015 2015-201 201 WP 20 µm 4 1 groups summer herbivoreomnivores herbivore omnivores carnivores nana smallsized small sized omnivore shifts However resilience intensification functionings (MPA 2015201 2015-20 2 201520 2015-2 20152 2015-
8.
COVID-19 IN INFLAMMATORY BOWEL DISEASE: SHOULD WE BE MORE CAREFUL WITH THE USE OF SALICYLATES? COVID19 COVID 19 COVID-1 DISEASE SALICYLATES COVID1 1 COVID-
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MACEDO, Mariana Rolim Fernandes
; SOBREIRA, Carlos Arthur Fernandes
; LAVOR, Carola Braz de
; RÔLA, Camila Ribeiro
; ROLIM, Ticiana Maria de Lavor
; PESSOA, Francisco Sérgio Rangel de Paula
; GIRÃO, Milena Santana
; FREIRE, Caio César Furtado
; SIEBRA, Ranna Caroline Bezerra
; MELO, Isabele de Sá Silveira
; SOUZA, Marcellus Henrique Loiola Ponte de
; BRAGA, Lucia Libanez Bessa Campelo
; MELLO, Liana Perdigão
; SILVA, Débora Bezerra
; FARIAS, Luís Arthur Brasil Gadelha
; OLIVEIRA, Maura Salaroli de
; PERDIGÃO NETO, Lauro Vieira
; LEVIN, Anna Sara
.
ABSTRACT Backgrounds: Fortunately, much has been studied about COVID-19 in patients with inflammatory bowel diseases (IBD). Evidence suggests that these patients do not appear to be at increased risk of severe COVID-19. However, there are still some uncertainties regarding the clinical manifestations of COVID-19 in patients with immune-mediated diseases. Objective: This study aimed to describe the main symptoms of COVID-19 and their frequency in IBD patients and evaluate the impact of the IBD therapeutic drugs on clinical presentation of COVID-19 and to determine factors associated with COVID-19 in this population. Methods: Adult patients with IBD from three tertiary-care public, teaching hospitals in Ceará, Northeastern Brazil, were evaluated during one scheduled appointment from March to December 2020. Patients with possible or confirmed COVID-19 were compared with patients without COVID-19. Furthermore, incidences of each symptom were evaluated based on the use of IBD therapeutic drugs. Results: A total of 515 patients with IBD were included in the study: 234 with CD, and 281 with UC. Of these, 174 patients (34%) had possible/confirmed COVID-19 of whom 156 (90%) were symptomatic. Main symptoms were fever (65%) and headache (65%); gastrointestinal symptoms occurred in one third of patients and were higher than COVID-19 in general population. The factors associated with having COVID-19 were female gender (OR 1.71, 95%CI: 1.17-2.50); contact at home (OR 5.07, 95%CI: 3.31-7.78) and outside the home (OR 3.14, 95%CI: 2.10-4.71) with a case of COVID-19; work outside of the home (OR 1.87, 95%CI: 1.26-2.78); family history of COVID-19 (OR 2.29, 95%CI 1.58-3.33) use of salicylate (OR 1.71, 95%CI: 1.17-4.28); and asthma (OR 7.10, 95%CI: 1.46-34.57). Conclusion: IBD patients at high risk of COVID-19 infection may need to avoid salicylate therapy but further studies are necessary to confirm this association. Backgrounds Fortunately COVID19 COVID 19 COVID-1 IBD. . (IBD) COVID19. 19. However immunemediated immune mediated Objective population Methods tertiarycare tertiary care public Ceará Brazil 2020 Furthermore Results 51 23 CD 28 UC 17 34% 34 (34% possibleconfirmed 15 90% 90 (90% symptomatic 65% 65 (65% OR 171 1 71 1.71 95CI CI 95 1.172.50 117250 1.17 2.50 2 50 1.17-2.50) 507 5 07 5.07 3.317.78 331778 3.31 7.78 3 31 7 78 3.31-7.78 314 14 3.14 2.104.71 210471 2.10 4.71 10 4 2.10-4.71 187 87 1.87 1.262.78 126278 1.26 2.78 26 1.26-2.78) 229 29 2.29 1.583.33 158333 1.58 3.33 58 33 1.58-3.33 1.174.28 117428 4.28 1.17-4.28) 710 7.10 1.4634.57. 1463457 1.46 34.57 46 57 1.46-34.57) Conclusion association COVID1 COVID- (IBD 202 (34 9 (90 6 (65 1.7 172 1.172.5 11725 117 1.1 250 2.5 1.17-2.50 0 5.0 317 3.317.7 33177 331 3.3 778 7.7 3.31-7.7 3.1 104 2.104.7 21047 210 2.1 471 4.7 2.10-4.7 18 8 1.8 262 1.262.7 12627 126 1.2 278 2.7 1.26-2.78 22 2.2 583 1.583.3 15833 158 1.5 333 1.58-3.3 1.174.2 11742 428 4.2 1.17-4.28 7.1 4634 1.4634.57 146345 146 1.4 3457 34.5 1.46-34.57 20 (3 (9 (6 1. 1.172. 1172 11 25 2. 1.17-2.5 5. 3.317. 3317 3. 77 7. 3.31-7. 2.104. 2104 21 47 4. 2.10-4. 1.262. 1262 12 27 1.26-2.7 1.583. 1583 1.58-3. 1.174. 1174 42 1.17-4.2 463 1.4634.5 14634 345 34. 1.46-34.5 ( 1.172 1.17-2. 3.317 3.31-7 2.104 2.10-4 1.262 1.26-2. 1.583 1.58-3 1.174 1.17-4. 1.4634. 1463 1.46-34. 1.17-2 3.31- 2.10- 1.26-2 1.58- 1.17-4 1.4634 1.46-34 1.17- 1.26- 1.463 1.46-3 1.46-
RESUMO Contexto: Felizmente, muito se tem estudado sobre a COVID-19 em pacientes com doenças inflamatórias intestinais (DII). As evidências sugerem que esses pacientes não parecem ter risco aumentado de COVID-19 grave. Mas ainda se tem algumas incertezas com relação às manifestações clínicas da COVID-19 em portadores de doenças imunomediadas. Objetivo: Este estudo teve como objetivo descrever os principais sintomas da COVID-19 e sua frequência em pacientes com DII e avaliar o impacto dos medicamentos utilizados no tratamento das DII na apresentação clínica da COVID-19. Métodos: Pacientes adultos com DII de três hospitais públicos terciários de ensino do Ceará, Nordeste do Brasil, foram avaliados em consulta ambulatorial no período de março a dezembro de 2020. Pacientes com COVID-19 possível ou confirmada foram comparados com pacientes sem COVID-19. Além disso, as incidências de cada sintoma foram avaliadas com base no uso de medicamentos utilizados para tratamento da DII. Resultados: Foram incluídos no estudo 515 pacientes com DII: 234 com DC e 281 com RCU. Destes, 174 pacientes (34%) tinham COVID-19 possível/confirmado, dos quais 156 (90%) eram sintomáticos. Os principais sintomas foram febre (65%) e dor de cabeça (65%); sintomas gastrointestinais ocorreram em um terço dos pacientes, sendo mais frequentes do que na população geral com COVID-19. Os fatores associados a ter COVID-19 foram sexo feminino (OR 1,71, IC95%: 1,17-2,50); ter contato com caso de COVID-19, tanto intradomiciliar (OR 5,07; IC95%: 3,31-7,78) como fora do domicílio (OR 3,14; IC95%: 2,10-4,71); trabalhar fora de casa (OR 1,87; IC95%: 1,26-2,78); história familiar de COVID-19 (OR 2,29, IC95% 1,58-3,33), uso de salicilato (OR 1,71, IC95%: 1,17-4,28) e asma (OR 7,10; IC95%: 1,46-34,57). Conclusão: Pacientes com DII com alto risco de infecção por COVID-19 podem precisar evitar a terapia com salicilatos, mas mais estudos são necessários para confirmar esta associação. Contexto Felizmente COVID19 COVID 19 COVID-1 . (DII) grave imunomediadas Objetivo COVID19. 19. Métodos Ceará Brasil 2020 disso Resultados 51 23 28 RCU Destes 17 34% 34 (34% possívelconfirmado confirmado possível/confirmado 15 90% 90 (90% sintomáticos 65% 65 (65% OR 171 1 71 1,71 IC95 IC 1,172,50 117250 1,17 2,50 2 50 1,17-2,50) COVID19, 19, 5,07 507 5 07 3,317,78 331778 3,31 7,78 3 31 7 78 3,31-7,78 3,14 314 14 2,104,71 210471 2,10 4,71 10 4 2,10-4,71) 1,87 187 87 1,262,78 126278 1,26 2,78 26 1,26-2,78) 229 29 2,29 1,583,33, 158333 1,58 3,33 , 58 33 1,58-3,33) 1,174,28 117428 4,28 1,17-4,28 7,10 710 1,4634,57. 1463457 1,46 34,57 46 57 1,46-34,57) Conclusão salicilatos associação COVID1 COVID- (DII 202 (34 9 (90 6 (65 1,7 IC9 172 1,172,5 11725 117 1,1 250 2,5 1,17-2,50 5,0 0 317 3,317,7 33177 331 3,3 778 7,7 3,31-7,7 3,1 104 2,104,7 21047 210 2,1 471 4,7 2,10-4,71 1,8 18 8 262 1,262,7 12627 126 1,2 278 2,7 1,26-2,78 22 2,2 583 1,583,33 15833 158 1,5 333 1,58-3,33 1,174,2 11742 428 4,2 1,17-4,2 7,1 4634 1,4634,57 146345 146 1,4 3457 34,5 1,46-34,57 20 (3 (9 (6 1, 1,172, 1172 11 25 2, 1,17-2,5 5, 3,317, 3317 3, 77 7, 3,31-7, 2,104, 2104 21 47 4, 2,10-4,7 1,262, 1262 12 27 1,26-2,7 1,583,3 1583 1,58-3,3 1,174, 1174 42 1,17-4, 463 1,4634,5 14634 345 34, 1,46-34,5 ( 1,172 1,17-2, 3,317 3,31-7 2,104 2,10-4, 1,262 1,26-2, 1,583, 1,58-3, 1,174 1,17-4 1,4634, 1463 1,46-34, 1,17-2 3,31- 2,10-4 1,26-2 1,583 1,58-3 1,17- 1,4634 1,46-34 2,10- 1,26- 1,58- 1,463 1,46-3 1,46-
9.
Hand tumors
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Neder Filho, Antonio Tufi
; Costa, Antonio Carlos da
; Barros, Rui Sérgio Monteiro de
; Nakachima, Luis Renato
; Rodrigues, Mauricio Pinto
; Souza, Sandro Castro Adeodato de
; Oliveira, Ricardo Kaempf de
; Gama, Sérgio Augusto Machado da
; Sabongi, Rodrigo Guerra
; Hirakawa, Celso Kiyoshi
.
Revista da Associação Médica Brasileira
- Journal Metrics
10.
Diretriz sobre Diagnóstico e Tratamento da Cardiomiopatia Hipertrófica – 2024 202 20 2
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Fernandes, Fabio
; Simões, Marcus V.
; Correia, Edileide de Barros
; Marcondes-Braga, Fabiana Goulart
; Coelho-Filho, Otavio Rizzi
; Mesquita, Cláudio Tinoco
; Mathias Junior, Wilson
; Antunes, Murillo de Oliveira
; Arteaga-Fernández, Edmundo
; Rochitte, Carlos Eduardo
; Ramires, Felix José Alvarez
; Alves, Silvia Marinho Martins
; Montera, Marcelo Westerlund
; Lopes, Renato Delascio
; Oliveira Junior, Mucio Tavares de
; Scolari, Fernando Luis
; Avila, Walkiria Samuel
; Canesin, Manoel Fernandes
; Bocchi, Edimar Alcides
; Bacal, Fernando
; Moura, Lidia Zytynski
; Saad, Eduardo Benchimol
; Scanavacca, Mauricio Ibrahim
; Valdigem, Bruno Pereira
; Cano, Manuel Nicolas
; Abizaid, Alexandre Antonio Cunha
; Ribeiro, Henrique Barbosa
; Lemos Neto, Pedro Alves
; Ribeiro, Gustavo Calado de Aguiar
; Jatene, Fabio Biscegli
; Dias, Ricardo Ribeiro
; Beck-da-Silva, Luis
; Rohde, Luis Eduardo Paim
; Bittencourt, Marcelo Imbroinise
; Pereira, Alexandre da Costa
; Krieger, José Eduardo
; Villacorta Junior, Humberto
; Martins, Wolney de Andrade
; Figueiredo Neto, José Albuquerque de
; Cardoso, Juliano Novaes
; Pastore, Carlos Alberto
; Jatene, Ieda Biscegli
; Tanaka, Ana Cristina Sayuri
; Hotta, Viviane Tiemi
; Romano, Minna Moreira Dias
; Albuquerque, Denilson Campos de
; Mourilhe-Rocha, Ricardo
; Hajjar, Ludhmila Abrahão
; Brito Junior, Fabio Sandoli de
; Caramelli, Bruno
; Calderaro, Daniela
; Farsky, Pedro Silvio
; Colafranceschi, Alexandre Siciliano
; Pinto, Ibraim Masciarelli Francisco
; Vieira, Marcelo Luiz Campos
; Danzmann, Luiz Claudio
; Barberato, Silvio Henrique
; Mady, Charles
; Martinelli Filho, Martino
; Torbey, Ana Flavia Malheiros
; Schwartzmann, Pedro Vellosa
; Macedo, Ariane Vieira Scarlatelli
; Ferreira, Silvia Moreira Ayub
; Schmidt, Andre
; Melo, Marcelo Dantas Tavares de
; Lima Filho, Moysés Oliveira
; Sposito, Andrei C.
; Brito, Flávio de Souza
; Biolo, Andreia
; Madrini Junior, Vagner
; Rizk, Stephanie Itala
; Mesquita, Evandro Tinoco
.
11.
Metabolic dysfunction-associated steatotic liver disease prevalence and risk factors in inflammatory bowel disease in tertiary center dysfunctionassociated dysfunction associated
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Oliveira, Lívia dos Remédios Pamplona de
; Ribeiro, Tarsila Campanha da Rocha
; Mourao Junior, Carlos Alberto
; Barra, Maria Antônia de Lima
; Silva, Mariana Hippert Gonçalves
; Shafee, Luis Pordeus
; Zacarias, Sarah Mendes
; Campos, Lenilton da Costa
; Valério, Helena Maria Giordano
; Chebli, Júlio Maria Fonseca
.
SUMMARY OBJECTIVE: The aim of this study was to evaluate the prevalence and risk factors related to metabolic dysfunction-associated steatotic liver disease in inflammatory bowel disease patients. METHODS: This is a cross-sectional study conducted on adults with inflammatory bowel disease from 2019 to 2021. Metabolic dysfunction-associated steatotic liver disease encompasses patients with steatosis and at least one cardiometabolic risk factor. Patients with alcohol consumption ≥20 g/day, chronic liver diseases, or methotrexate use were excluded. RESULTS: Almost 140 patients were included: 67.1% were female, with a mean age of 49.7±13.7 years, and 63.6% had Crohn's disease. The mean duration of inflammatory bowel disease was 9.7±7.9 years. Metabolic dysfunction-associated steatotic liver disease was observed in 44.3% and advanced liver fibrosis was excluded in 63.5% by Fibrosis-4. Patients with metabolic dysfunction-associated steatotic liver disease were older (p = 0.003) and had a higher number of metabolic syndrome components (2.9±1.1 versus 1.6±1.0; p<0.001), greater abdominal circumference (p<0.001), and body mass index (p<0.001). The only factor related to inflammatory bowel disease associated with metabolic dysfunction-associated steatotic liver disease was disease duration (11.6±9.5 versus 8.3±6.2; p = 0.017). A higher number of metabolic syndrome components and obesity increase by 2.2 times and an altered waist circumference by 2.6 times the occurrence of metabolic dysfunction-associated steatotic liver disease. CONCLUSION: A high prevalence of metabolic dysfunction-associated steatotic liver disease was observed in patients with inflammatory bowel disease, with the main risk factors being associated with metabolic syndrome predicting it, but not with inflammatory bowel disease features and/or its treatment. OBJECTIVE dysfunctionassociated dysfunction METHODS crosssectional cross sectional 201 2021 20 ≥2 gday g day g/day diseases RESULTS 14 included 671 67 1 67.1 female 497137 49 7 13 49.7±13. years 636 63 6 63.6 Crohns Crohn s 9779 9 9.7±7. 443 44 3 44.3 635 5 63.5 Fibrosis4. Fibrosis4 Fibrosis 4. 4 Fibrosis-4 0.003 0003 0 003 2.9±1.1 2911 2 (2.9±1. 1.6±1.0 1610 p<0.001, p0001 p<0.001 , 001 p<0.001) (p<0.001) p<0.001. . 11.6±9.5 11695 11 (11.6±9. 8.3±6.2 8362 8 0.017. 0017 0.017 017 0.017) 22 2. 26 CONCLUSION it andor treatment 202 ≥ 67. 49713 49.7±13 63. 977 9.7±7 44. Fibrosis- 0.00 000 00 2.9±1. 291 (2.9±1 1.6±1. 161 p000 p<0.00 (p<0.001 11.6±9. 1169 (11.6±9 8.3±6. 836 0.01 01 4971 49.7±1 97 9.7± 0.0 2.9±1 29 (2.9± 1.6±1 16 p00 p<0.0 (p<0.00 11.6±9 116 (11.6± 8.3±6 83 497 49.7± 9.7 0. 2.9± (2.9 1.6± p0 p<0. (p<0.0 11.6± (11.6 8.3± 49.7 9. 2.9 (2. 1.6 p<0 (p<0. 11.6 (11. 8.3 49. (2 1. p< (p<0 11. (11 8. ( (p< (1
12.
CHANGE IN A TERRA FIRME DENSE OMBROPHILOUS FOREST AFTER LOGGING IN THE BRAZILIAN AMAZON (2006-2016) 20062016 2006 2016 (2006-2016 2006201 200 201 (2006-201 200620 20 (2006-20 20062 2 (2006-2 (2006- (2006 (200 (20 (2 (
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Reategui-Betancourt, Jorge Luis
; Rezende, Alba Valéria
; Briceño, Guido
; Oliveira, Carlos Magno Moreira de
; Gaui, Tatiana Dias
; Khan, Salman
; Figueiredo, Axa Emanuelle Simões
; Freitas, Lucas José Mazzei de
.
RESUMO O manejo eficaz de florestas perturbadas requer um conhecimento adequado da dinâmica florestal. Neste estudo, avaliamos a mudança de uma floresta manejada em 18 parcelas permanentes de 1 hectare localizadas na floresta tropical de terra firme no leste da Amazônia (Brasil, Paragominas). Todos os indivíduos com diâmetro à altura do peito (DAP) ≥ 20 cm foram avaliados em duas avaliações separadas realizadas em 2006 e 2016. Os resultados indicam que, dez anos após a exploração, a floresta manejada apresenta um desequilíbrio nas taxas de recrutamento (1,54% ao ano) e mortalidade (2,23% ao ano), sugerindo que a floresta ainda está em processo de recuperação estrutural. No entanto, a biomassa mostrou um aumento após a exploração, atingindo 28,49 toneladas por hectare. As características das mudanças indicam que a floresta está em um processo silvigenético impulsionado pela exploração madeireira. Além disso, observamos que a floresta permanece ativa e possui potencial suficiente para uma nova produção de madeira no final do ciclo de corte, considerando as mesmas espécies e tamanhos de árvores. florestal estudo Brasil, Brasil (Brasil Paragominas. Paragominas . Paragominas) DAP (DAP 2 200 2016 1,54% 154 54 (1,54 ano 2,23% 223 23 (2,23 ano, , estrutural entanto 2849 28 49 28,4 madeireira disso corte árvores 201 1,54 15 5 (1,5 2,23 22 (2,2 284 4 28, 1,5 (1, 2,2 (2, 1, (1 2, (2 (
ABSTRACT The effective management of disturbed forests requires adequate knowledge of forest dynamics. In this study, we assessed the changes in a managed forest using 18 permanent 1 ha plots located in a ‘terra firme’ tropical rainforest in the Eastern Amazon (Paragominas, Brazil). All individuals with a diameter at breast height (DBH) ≥ 20 cm were evaluated in two separate assessments conducted in 2006 and 2016. The results show that, ten years after logging, the managed forest exhibits an imbalance between recruitment (1.54% per year) and mortality (2.23% per year) rates, indicating that it is still in the process of recovering its structure. Nevertheless, biomass tended to increase after logging (28.49 tons per hectare). The characteristics of these changes suggest that the forest is undergoing a silvigenetic process driven by the effects of logging. Furthermore, our observations indicate that the forest remains active and has sufficient potential for new timber production at the end of the cutting cycle, considering the same species and tree sizes. dynamics study terra firme Paragominas, Paragominas (Paragominas Brazil. Brazil . Brazil) DBH (DBH 2 200 2016 1.54% 154 54 (1.54 year 2.23% 223 23 (2.23 rates structure Nevertheless 28.49 2849 28 49 (28.4 hectare. hectare hectare) Furthermore cycle sizes 201 1.54 15 5 (1.5 2.23 22 (2.2 28.4 284 4 (28. 1.5 (1. 2.2 (2. 28. (28 1. (1 2. (2 (
13.
Performance evaluation of an emergency department in Rio de Janeiro: a hybrid approach using Discrete Events Simulation and Data Envelopment Analysis Janeiro
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Resumo A eficiência e a qualidade do setor de emergência são essenciais para garantir sua segurança e integridade dos pacientes. Problemas como espera prolongada, gestão e alocação de recursos críticos estão associados ao aumento da morbidade e mortalidade dos pacientes, especialmente entre a população em situações de risco. Este trabalho avalia o desempenho de uma emergência hospitalar localizado no Rio de Janeiro/RJ, baseando-se na utilização dos seus recursos e desempenho de filas. A metodologia inclui o desenvolvimento do macroprocesso da emergência, análise estatística preliminar dos dados e modelo de simulação de eventos discretos sobre diferentes condições de demandas. O tempo médio de permanência na emergência é de 58,12 minutos nos meses de maior demanda e passaria para 104,58 minutos, diante de um estresse de 15%. Diferentes cenários de melhorias foram testados e suas eficiências foram mensuradas por meio de análise envoltória de dados, num modelo que considera orientação ao output e retorno de escala constantes. A análise de sensibilidade realizada em um dos cenários eficientes revelou que o desempenho proposto pode tornar o hospital mais responsivo a picos de demanda e situações emergenciais. Isso garante ao hospital maior resiliência e um melhor aproveitamento dos recursos em condições adversas. pacientes prolongada risco JaneiroRJ Janeiro RJ Janeiro/RJ baseandose baseando se filas demandas 5812 58 12 58,1 10458 104 104,5 15 15% constantes emergenciais adversas 581 5 1 58, 1045 10 104,
Abstract The efficiency and quality of the emergency department are paramount to ensure that patients receive immediate and appropriate care. Issues such as lengthy waiting times, critical resource management and allocation, and patient scheduling are linked to increased morbidity and mortality, particularly among the elderly and vulnerable populations. This study aims to assess the performance of an emergency department hospital in Rio de Janeiro based on the analysis of resource utilization and queue performance. The methodology encompassed the development of the emergency macro-process, a preliminary statistical analysis of the collected data, and discrete event simulation under different demand conditions. The study found that the average length of stay in the emergency department was 58.12 minutes, potentially increasing to 104.58 minutes under a 15% demand stress. Improvement scenarios were tested, and their efficiencies were measured using data envelopment analysis in an output-oriented and constant return to scale model. The sensitivity analysis revealed that the proposed performance enhancements could make the hospital more responsive to demand peaks and emergencies, ensuring greater resilience and better resource utilization under adverse conditions. care times allocation mortality populations macroprocess, macroprocess macro process, process macro-process conditions 5812 58 12 58.1 10458 104 104.5 15 stress tested outputoriented output oriented model emergencies 581 5 1 58. 1045 10 104.
14.
Um olhar para o Geomagnetismo
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Oliveira, Carlos Eduardo Quintanilha Vaz de
; Vieira, Luís Eduardo Antunes
; Ferreira, José Leonardo
.
A existência do campo geomagnético é amplamente conhecida pela comunidade, pois desde a infância há o contato com as bússolas e a rosa dos ventos, evidenciando sempre sua utilidade para a localização no Globo, especialmente nos meios marinhos e aéreos. Apesar de mapeado há séculos, suas propriedades de declinação e inclinação costumam ser negligenciadas por meio da afirmação de que o desvio da bússola para o meridiano costuma ser pequeno – e tende a ser nas regiões equatoriais. Já outras propriedades, como a Anomalia Magnética do Atlântico Sul (SAMA) são pouco conhecidas da população. Este trabalho apresenta um olhar de média profundidade sobre o geomagnetismo, e disponibiliza uma ferramenta computacional cujo objetivo é diminuir a distância entre aspectos pouco conhecidos acerca do campo geomagnético e os alunos dos anos iniciais dos cursos de graduação nas áreas de ciências exatas e da Terra. comunidade ventos Globo aéreos séculos equatoriais SAMA (SAMA população geomagnetismo Terra
The existence of the geomagnetic field is widely known by the community, as since childhood there is contact with compasses and the compass rose, always highlighting its usefulness for location on the Globe, especially in marine and air environments. Despite being mapped for centuries, its declination and inclination properties are often overlooked through the claim that the compass deviation from the meridian is usually small – and tends to be in equatorial regions. Other properties such as the South Atlantic Magnetic Anomaly (SAMA) are little known to the population. This work presents a medium depth look at geomagnetism and provides a computational tool whose objective is to reduce the distance between little-known aspects about the geomagnetic field and students in the initial years of undergraduate courses in the areas of exact and Earth sciences. community rose Globe environments centuries regions SAMA (SAMA population littleknown sciences
15.
Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
; Slipinski, Adam
; Linzmeier, Adelita M.
; Calor, Adolfo R.
; Garda, Adrian A.
; Kury, Adriano B.
; Fernandes, Agatha C.S.
; Agudo-Padrón, Aisur I.
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; Silva Neto, Alberto M. da
; Burbano, Alejandro L.
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; Lees, Alexander C.
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; Domahovski, Alexandre C.
; Pimenta, Alexandre D.
; Aleixo, Alexandre L.P.
; Marceniuk, Alexandre P.
; Paula, Alexandre S. de
; Somavilla, Alexandre
; Specht, Alexandre
; Camargo, Alexssandro
; Newton, Alfred F.
; Silva, Aline A.S. da
; Santos, Aline B. dos
; Tassi, Aline D.
; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
; Chagas Júnior, Amazonas
; Sousa, Ana A.T. de
; Pavan, Ana C.
; Almeida, Ana C.S.
; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
; Carmignotto, Ana P.
; Wengrat, Ana P.G. da Silva
; Dornellas, Ana P.S.
; Molin, Anamaria Dal
; Puker, Anderson
; Morandini, André C.
; Ferreira, André da S.
; Martins, André L.
; Esteves, André M.
; Fernandes, André S.
; Roza, André S.
; Köhler, Andreas
; Paladini, Andressa
; Andrade, Andrey J. de
; Pinto, Ângelo P.
; Salles, Anna C. de A.
; Gondim, Anne I.
; Amaral, Antonia C.Z.
; Rondón, Antonio A.A.
; Brescovit, Antonio
; Lofego, Antônio C.
; Marques, Antonio C.
; Macedo, Antonio
; Andriolo, Artur
; Henriques, Augusto L.
; Ferreira Júnior, Augusto L.
; Lima, Aurino F. de
; Barros, Ávyla R. de A.
; Brito, Ayrton do R.
; Romera, Bárbara L.V.
; Vasconcelos, Beatriz M.C. de
; Frable, Benjamin W.
; Santos, Bernardo F.
; Ferraz, Bernardo R.
; Rosa, Brunno B.
; Sampaio, Brunno H.L.
; Bellini, Bruno C.
; Clarkson, Bruno
; Oliveira, Bruno G. de
; Corrêa, Caio C.D.
; Martins, Caleb C.
; Castro-Guedes, Camila F. de
; Souto, Camilla
; Bicho, Carla de L.
; Cunha, Carlo M.
; Barboza, Carlos A. de M.
; Lucena, Carlos A.S. de
; Barreto, Carlos
; Santana, Carlos D.C.M. de
; Agne, Carlos E.Q.
; Mielke, Carlos G.C.
; Caetano, Carlos H.S.
; Flechtmann, Carlos H.W.
; Lamas, Carlos J.E.
; Rocha, Carlos
; Mascarenhas, Carolina S.
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; Waichert, Cecilia
; Digiani, Celina
; Haddad, Célio F.B.
; Azevedo, Celso O.
; Benetti, Cesar J.
; Santos, Charles M.D. dos
; Bartlett, Charles R.
; Bonvicino, Cibele
; Ribeiro-Costa, Cibele S.
; Santos, Cinthya S.G.
; Justino, Cíntia E.L.
; Canedo, Clarissa
; Bonecker, Claudia C.
; Santos, Cláudia P.
; Carvalho, Claudio J.B. de
; Gonçalves, Clayton C.
; Galvão, Cleber
; Costa, Cleide
; Oliveira, Cléo D.C. de
; Schwertner, Cristiano F.
; Andrade, Cristiano L.
; Pereira, Cristiano M.
; Sampaio, Cristiano
; Dias, Cristina de O.
; Lucena, Daercio A. de A.
; Manfio, Daiara
; Amorim, Dalton de S.
; Queiroz, Dalva L. de
; Queiroz, Dalva L. de
; Colpani, Daniara
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; Aquino, Daniel A.
; Burckhardt, Daniel
; Cavallari, Daniel C.
; Prado, Daniel de C. Schelesky
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; Lucatelli, Débora
; Garcia, Deivys M.A.
; Baêta, Délio
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; Rueda-Ramírez, Diana
; Fachin, Diego A.
; Souza, Diego de S.
; Rodrigues, Diego F.
; Pádua, Diego G. de
; Barbosa, Diego N.
; Dolibaina, Diego R.
; Amaral, Diogo C.
; Chandler, Donald S.
; Maccagnan, Douglas H.B.
; Caron, Edilson
; Carvalho, Edrielly
; Adriano, Edson A.
; Abreu Júnior, Edson F. de
; Pereira, Edson H.L.
; Viegas, Eduarda F.G.
; Carneiro, Eduardo
; Colley, Eduardo
; Eizirik, Eduardo
; Santos, Eduardo F. dos
; Shimbori, Eduardo M.
; Suárez-Morales, Eduardo
; Arruda, Eliane P. de
; Chiquito, Elisandra A.
; Lima, Élison F.B.
; Castro, Elizeu B. de
; Orlandin, Elton
; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
; Araujo, Enilma M. de
; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
; Contreras, Eugenia F.
; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
; Lansac-Tôha, Fábio A.
; Pitombo, Fabio B.
; Dario, Fabio Di
; Santos, Fábio L. dos
; Mauro, Fabio
; Nascimento, Fabio O. do
; Olmos, Fabio
; Amaral, Fabio R.
; Schunck, Fabio
; Godoi, Fábio S. P. de
; Machado, Fabrizio M.
; Barbo, Fausto E.
; Agrain, Federico A.
; Ribeiro, Felipe B.
; Moreira, Felipe F.F.
; Barbosa, Felipe F.
; Silva, Fenanda S.
; Cavalcanti, Fernanda F.
; Straube, Fernando C.
; Carbayo, Fernando
; Carvalho Filho, Fernando
; Zanella, Fernando C.V.
; Jacinavicius, Fernando de C.
; Farache, Fernando H.A.
; Leivas, Fernando
; Dias, Fernando M.S.
; Mantellato, Fernando
; Vaz-de-Mello, Fernando Z.
; Gudin, Filipe M.
; Albuquerque, Flávio
; Molina, Flavio B.
; Passos, Flávio D.
; Shockley, Floyd W.
; Pinheiro, Francielly F.
; Mello, Francisco de A.G. de
; Nascimento, Francisco E. de L.
; Franco, Francisco L.
; Oliveira, Francisco L. de
; Melo, Francisco T. de V.
; Quijano, Freddy R.B.
; Salles, Frederico F.
; Biffi, Gabriel
; Queiroz, Gabriel C.
; Bizarro, Gabriel L.
; Hrycyna, Gabriela
; Leviski, Gabriela
; Powell, Gareth S.
; Santos, Geane B. dos
; Morse, Geoffrey E.
; Brown, George
; Mattox, George M.T.
; Zimbrão, Geraldo
; Carvalho, Gervásio S.
; Miranda, Gil F.G.
; Moraes, Gilberto J. de
; Lourido, Gilcélia M.
; Neves, Gilmar P.
; Moreira, Gilson R.P.
; Montingelli, Giovanna G.
; Maurício, Giovanni N.
; Marconato, Gláucia
; Lopez, Guilherme E.L.
; Silva, Guilherme L. da
; Muricy, Guilherme
; Brito, Guilherme R.R.
; Garbino, Guilherme S.T.
; Flores, Gustavo E.
; Graciolli, Gustavo
; Libardi, Gustavo S.
; Proctor, Heather C.
; Gil-Santana, Helcio R.
; Varella, Henrique R.
; Escalona, Hermes E.
; Schmitz, Hermes J.
; Rodrigues, Higor D.D.
; Galvão Filho, Hilton de C.
; Quintino, Hingrid Y.S.
; Pinto, Hudson A.
; Rainho, Hugo L.
; Miyahira, Igor C.
; Gonçalves, Igor de S.
; Martins, Inês X.
; Cardoso, Irene A.
; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
; Golfetti, Ivan F.
; S. Campos-Filho, Ivanklin
; Oliveira, Ivo de S.
; Delabie, Jacques H.C.
; Oliveira, Jader de
; Prando, Jadila S.
; Patton, James L.
; Bitencourt, Jamille de A.
; Silva, Janaina M.
; Santos, Jandir C.
; Arruda, Janine O.
; Valderrama, Jefferson S.
; Dalapicolla, Jeronymo
; Oliveira, Jéssica P.
; Hájek, Jiri
; Morselli, João P.
; Narita, João P.
; Martin, João P.I.
; Grazia, Jocélia
; McHugh, Joe
; Cherem, Jorge J.
; Farias Júnior, José A.S.
; Fernandes, Jose A.M.
; Pacheco, José F.
; Birindelli, José L.O.
; Rezende, José M.
; Avendaño, Jose M.
; Duarte, José M. Barbanti
; Ribeiro, José R. Inácio
; Mermudes, José R.M.
; Pujol-Luz, José R.
; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
; Prado, Joyce R. do
; Botero, Juan P.
; Almeida, Julia C.
; Kohler, Julia
; Gonçalves, Julia P.
; Beneti, Julia S.
; Donahue, Julian P.
; Alvim, Juliana
; Almeida, Juliana C.
; Segadilha, Juliana L.
; Wingert, Juliana M.
; Barbosa, Julianna F.
; Ferrer, Juliano
; Santos, Juliano F. dos
; Kuabara, Kamila M.D.
; Nascimento, Karine B.
; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
; Zilch, Kássia
; Barão, Kim R.
; Teixeira, Larissa
; Sousa, Laura D. do N.M. de
; Dumas, Leandro L.
; Vieira, Leandro M.
; Azevedo, Leonardo H.G.
; Carvalho, Leonardo S.
; Souza, Leonardo S. de
; Rocha, Leonardo S.G.
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; Vieira, Letícia M.
; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
; Loureiro, Lourdes M.A. El-moor
; Barreto, Luana B.
; Barros, Luana M.
; Lecci, Lucas
; Camargos, Lucas M. de
; Lima, Lucas R.C.
; Almeida, Lucia M.
; Martins, Luciana R.
; Marinoni, Luciane
; Moura, Luciano de A.
; Lima, Luciano
; Naka, Luciano N.
; Miranda, Lucília S.
; Salik, Lucy M.
; Bezerra, Luis E.A.
; Silveira, Luis F.
; Campos, Luiz A.
; Castro, Luiz A.S. de
; Pinho, Luiz C.
; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
; Simone, Luiz R.L.
; Malabarba, Luiz R.
; Cruz, Luiza S. da
; Sekerka, Lukas
; Barros, Lurdiana D.
; Santos, Luziany Q.
; Skoracki, Maciej
; Correia, Maira A.
; Uchoa, Manoel A.
; Andrade, Manuella F.G.
; Hermes, Marcel G.
; Miranda, Marcel S.
; Araújo, Marcel S. de
; Monné, Marcela L.
; Labruna, Marcelo B.
; Santis, Marcelo D. de
; Duarte, Marcelo
; Knoff, Marcelo
; Nogueira, Marcelo
; Britto, Marcelo R. de
; Melo, Marcelo R.S. de
; Carvalho, Marcelo R. de
; Tavares, Marcelo T.
; Kitahara, Marcelo V.
; Justo, Marcia C.N.
; Botelho, Marcia J.C.
; Couri, Márcia S.
; Borges-Martins, Márcio
; Felix, Márcio
; Oliveira, Marcio L. de
; Bologna, Marco A.
; Gottschalk, Marco S.
; Tavares, Marcos D.S.
; Lhano, Marcos G.
; Bevilaqua, Marcus
; Santos, Marcus T.T.
; Domingues, Marcus V.
; Sallum, Maria A.M.
; Digiani, María C.
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; Nascimento, Maria C. do
; Becerril, María de los A.M.
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; Passos, Maria I. da S. dos
; Felippe-Bauer, Maria L.
; Cherman, Mariana A.
; Terossi, Mariana
; Bartz, Marie L.C.
; Barbosa, Marina F. de C.
; Loeb, Marina V.
; Cohn-Haft, Mario
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; Cordeiro, Ralf T.S.
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; Singer, Randal A.
; Querino, Ranyse B.
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; Lara, Rogéria I.R.
; Rossi, Rogério V.
; Gerstmeier, Roland
; Ochoa, Ronald
; Hutchings, Rosa S.G.
; Ale-Rocha, Rosaly
; Rocha, Rosana M. da
; Tidon, Rosana
; Brito, Rosangela
; Pellens, Roseli
; Santos, Sabrina R. dos
; Santos, Sandra D. dos
; Paiva, Sandra V.
; Santos, Sandro
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; Costa, Sávio C.
; Gardner, Scott L.
; Leal, Sebastián A. Muñoz
; Aloquio, Sergio
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; Lima, Sheila P.
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; Thiengo, Silvana C.
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; Vaz, Stéphanie
; Peck, Stewart B.
; Christo, Susete W.
; Cunha, Suzan B.Z.
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; Miranda, Thaís P.
; Freitas, Thales R.O.
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; Pacheco, Thaynara L.
; Martins, Thiago F.
; Alvarenga, Thiago M.
; Carvalho, Thiago R. de
; Polizei, Thiago T.S.
; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
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; Krolow, Tiago K.
; Carvalho, Tiago P.
; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
; Pinheiro, Ulisses dos S.
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; Maia, Valéria C.
; Tavares, Valeria
; Costa, Valmir A.
; Amaral, Vanessa S. do
; Silva, Vera C.
; Wolff, Vera R. dos S.
; Slobodian, Verônica
; Silva, Vinícius B. da
; Espíndola, Vinicius C.
; Costa-Silva, Vinicius da
; Bertaco, Vinicius de A.
; Padula, Vinícius
; Ferreira, Vinicius S.
; Silva, Vitor C.P. da
; Piacentini, Vítor de Q.
; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
; Sousa, Viviane R.
; Sant’Anna, Vivianne B. de
; Mathis, Wayne N.
; Souza, Wesley de O.
; Colombo, Wesley D.
; Tomaszewska, Wioletta
; Wosiacki, Wolmar B.
; Ovando, Ximena M.C.
; Leite, Yuri L.R.
.
ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
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