ABSTRACT Sweet potato is among the most important food crops in the world. Due to its high genetic diversity, this species has cultivars that can respond in different ways depending on mineral fertilization. Among the nutrients, phosphorus is related to physiological and biochemical processes that can influence the final quality of the product. This study aimed to assess the influence of P doses on the quality and bioactive compounds of sweet potato cultivars - Paraná, BRS Amélia, and BRS Cuia. The pH, soluble solids (SS), titratable acidity (TA), SS/TA ratio, soluble sugars, and the bioactive compounds - flavonoids, anthocyanins, and carotenoids - were evaluated. The P doses influenced sweet potato cultivars. The dose of 120 kg ha-1 promoted increments in the parameters pH, SS, TA, and SS/TA ratio for the cultivar BRS Cuia. The same dose promoted an increase in total soluble sugars for the cultivar BRS Amélia. P dose of 240 kg ha-1 promoted higher levels of flavonoids and anthocyanins in the cultivar Paraná, and there was an increase in carotenoid content at the dose of 60 kg ha-1.

RESUMO A batata-doce está entre as culturas alimentícias mais importantes do mundo. Por apresentar alta diversidade genética, essa espécie possui cultivares que podem responder de maneiras diferentes em função da adubação mineral. Dentre os nutrientes, o fósforo está relacionado com processos fisiológicos e bioquímicos que podem influenciar na qualidade final do produto. Este estudo teve como objetivo avaliar a influência de doses de P na qualidade e compostos bioativos de cultivares de batata-doce - Paraná, BRS Amélia e BRS Cuia. Foram avaliados o pH, sólidos solúveis (SS), acidez titulável (AT), relação SS/AT, açúcares solúveis e os compostos bioativos - flavonoides, antocianinas e carotenoides. As doses de P influenciaram as cultivares de batata-doce. A dose de 120 kg ha-1 promoveu incrementos nos parâmetros pH, SS, AT e relação SS/AT para a cultivar BRS Cuia. A mesma dose promoveu incrementos nos açúcares solúveis totais para a cultivar BRS Amélia. A dose de 240 kg ha-1 promoveu maiores teores de flavonoides e antocianinas na cultivar Paraná, e houve aumento no teor de carotenoides na dose de 60 kg ha-1.

The publication Cardiovascular Statistics – Brazil aims to provide an annual compilation of data and research on the epidemiology of CVDs in Brazil.  The report integrates official statistics from the Brazilian Ministry of Health and other governmental entities alongside data from the GBD project, coordinated by the IHME at the University of Washington. Additionally, it incorporates data derived from various sources and scientific studies, including cohorts and registries, that relate to CVDs and their associated risk factors. This publication is intended for a wide range of individuals, including researchers, clinicians, patients, healthcare policymakers, media professionals, the general public, and other interested parties seeking extensive national data about heart disease and stroke.  Volunteer researchers from various Brazilian universities and research institutions carry out the project. The group is led by a five-member steering committee (ALPR, CAP, DCM, GMMO, and LCCB). The Brazilian Society of Cardiology fully supports this initiative, and the project receives collaborative support from the GBD Brazil Network and an International Committee (GAR, PP, and TAG) from both the IHME/University of Washington (GAR) and the World Heart Federation (PP and TAG). 

A publicação Estatística Cardiovascular – Brasil tem por objetivo fornecer uma compilação anual dos dados e das pesquisas sobre a epidemiologia das DCV no Brasil.  Este documento integra as estatísticas oficiais do Ministério da Saúde do Brasil e outras entidades governamentais ao lado de dados do projeto GBD, coordenado pelo IHME da Universidade de Washington. Além disso, incorpora dados derivados de várias fontes e estudos científicos, inclusive coortes e registros, relacionados às DCV e fatores de risco associados. Esta publicação destina-se a um público variado, incluindo pesquisadores, clínicos, pacientes, formuladores de políticas de saúde, profissionais da mídia, o público em geral e todos aqueles que buscam dados nacionais abrangentes sobre DCV e acidente vascular cerebral. Pesquisadores voluntários de várias universidades e instituições de pesquisa brasileiros realizaram este projeto. O grupo é liderado por um comitê diretivo com cinco membros (ALPR, CAP, DCM, GMMO e LCCB). A Sociedade Brasileira de Cardiologia apoia integralmente esta iniciativa e o projeto recebe colaboração da Rede GBD Brasil1 e do GBD International Committee (GAR, PP e TAG) do IHME/Universidade de Washington (GAR) e da World Heart Federation (PP e TAG). 

Resumen: Rodeado de Estados con diferentes realidades sociales, económicas, políticas y medioambientales, el mar Mediterráneo es una región cuya biodiversidad está gravemente amenazada por los desechos marinos de plástico. Partiendo del análisis de los principales instrumentos internacionales y europeos, este estudio examina la legislación aprobada por España en 2018 y 2019 para transponer las directivas europeas de residuos y su eficacia en la lucha contra la contaminación por residuos plásticos y la preservación del mar Mediterráneo, tras las transposiciones de las principales directivas sobre residuos editadas por la Unión Europea entre 2018 y 2019. Se concluye que, aunque existe un marco con buenas intenciones para proteger el medio marino, parece que las acciones serán insuficientes para alcanzar los objetivos propuestos y recuperar el buen estado medioambiental de la región mediterránea.

Abstract: Surrounded by countries with different social, economic, political, and environmental realities, the Mediterranean Sea is a region whose biodiversity is seriously threatened by plastic marine waste. This study, starting from the analysis of key international and European instruments, examines the legislation adopted by Spain in 2018 and 2019 to transpose European waste directives and its effectiveness in combating plastic waste pollution and preserving the Mediterranean Sea, following the transposition of major waste directives issued by the European Union between 2018 and 2019. The conclusion is that, although there exists a well-intentioned framework to protect the marine environment, it appears that the actions taken will be insufficient to achieve the proposed objectives and restore the environmental health of the Mediterranean region.

Resumo: Cercado por Estados com diferentes realidades sociais, econômicas, políticas e ambientais, o Mar Mediterrâneo é uma região cuja biodiversidade está seriamente ameaçada pelo lixo marinho de plástico. Partindo da análise dos principais instrumentos internacionais e europeus, este estudo examina a legislação aprovada pela Espanha em 2018 e 2019 para transpor as diretivas europeias sobre resíduos e a sua eficácia na luta contra a contaminação por resíduos plásticos e na preservação do Mar Mediterrâneo, após as transposições das principais diretivas sobre resíduos editadas pela União Europeia entre 2018 e 2019. Conclui-se que, embora exista um fundamento com boas intenções para proteger o ambiente marinho, parece que as ações serão insuficientes para alcançar os objetivos propostos e recuperar o bom estado ambiental da região mediterrânea.

ABSTRACT Salinity is one of the abiotic stresses that affect gas exchange and growth of pomegranate. In this context, the application of nitrogen fertilizer through the leaves can minimize these effects. Thus, the objective of present study was to evaluate the effect of foliar nitrogen fertilization on pomegranate seedlings irrigated with brackish water. The design used was randomized blocks, in an incomplete factorial scheme (Central Composite Design) with five electrical conductivities of irrigation water - ECw (0.50, 1.15, 2.75, 4.35, and 5.00 dS m-1) and five doses of foliar nitrogen fertilization - FNF (0, 0.33, 1.15, 1.97, and 2.30 g L-1), with four replicates and two plants per experimental plot. Plant height, number of leaves, stem diameter, and gas exchange (stomatal conductance, net photosynthesis, intercellular CO2 concentration, transpiration rate, instantaneous carboxylation efficiency, instantaneous water use efficiency, and intrinsic water use efficiency) were evaluated at 60 days after the beginning of irrigation with saline water. Salinity of irrigation water negatively affects the gas exchange of pomegranate seedlings. Foliar nitrogen fertilization up to 1.31 g L-1 improves plant height and number of leaves in pomegranate seedlings under salt stress. Foliar nitrogen fertilization up to 1.59 g L-1 increases the net photosynthesis of pomegranate seedlings.

RESUMO A salinidade é um dos estresses abióticos que afeta as trocas gasosas e o crescimento de romãzeira. Neste sentido, à aplicação de adubo nitrogenado via foliar poderá minimizar estes efeitos. Com isso, o objetivo do presente estudo foi avaliar o efeito da aplicação foliar com nitrogênio em mudas de romã irrigadas com águas salobra. O delineamento utilizado foi de blocos casualizados, em esquema fatorial incompleto (Composto Central de Box), sendo cinco condutividade elétrica da água - CEa (0,50; 1,15; 2,75; 4,35 e 5,00 dS m-1) e cinco doses de adubação nitrogenada via foliar - ANF (0; 0,33; 1,15; 1,97 e 2,30 g L-1), com quatro repetições. A salinidade da água de irrigação afeta negativamente as trocas gasosas de mudas de romãzeira. A adubação nitrogenada foliar até 1,31 g L-1 melhora o crescimento em altura e no número de folhas em mudas de romãzeira sob estresse salino. Adubação nitrogenada foliar até a dose de 1,59 g L-1 aumenta a fotossíntese das mudas de romãzeira.

ABSTRACT Chrysanthemum (Dendranthema grandiflora) is the second most produced and commercialized ornamental plant in the world. Measuring leaf area through non-destructive methods is fundamental for studies on its growth and production. The estimation of leaf area by linear dimensions of the leaves can be a strategy for this purpose. The objective of this study was to find allometric equations to estimate the leaf area of chrysanthemum. The linear, linear without intercept, quadratic, cubic, power, and exponential regression models were used for the analysis. The choice of equations was based on the highest coefficients of determination. The non-destructive method using allometric models has accuracy for estimating the leaf area (LA) of chrysanthemum from the product between leaf length (L) and leaf width (W). The LA of chrysanthemum can be estimated using the equation ŷ = 0.6611*LW0.9490 (L - leaf length; W - leaf width). This equation will allow researchers and producers to determine leaf area non-destructively.

RESUMO O crisântemo (Dendranthema grandiflora) é a segunda planta ornamental mais produzida e comercializada no mundo. A medição da área foliar por métodos não destrutivos é fundamental para estudos sobre seu crescimento e produção. A estimativa da área foliar por dimensões lineares das folhas pode ser uma estratégia para este fim. O objetivo deste estudo foi encontrar equações alométricas para estimar a área foliar do crisântemo. Os modelos de regressão linear, linear sem intercepto, quadrático, cúbico, potência e exponencial foram utilizados para a análise. A escolha das equações foi baseada nos maiores coeficientes de determinação. O método não destrutivo por meio de modelos alométricos tem acurácia para estimar a área foliar (AF) do crisântemo a partir do produto entre o comprimento da folha (C) e a largura da folha (L). A AF do crisântemo pode ser estimada pela equação ŷ = 0,6611*CL0,9490 (C - comprimento da folha; L - largura da folha). Essa equação permitirá que pesquisadores e produtores determinem a área foliar de forma não destrutiva.

Investigating specialized plant metabolites, traditionally referred to as ‘secondary metabolites’ present in leaf extracts of cashew trees (Anacardium occidentale) resistant and susceptible to anthracnose disease was carried out using metabolomics combined with chemometric tools. We used clones of dwarf-cashew with the following variations of characteristics: resistant and healthy (CCP 76, BRS 226, BRS 189), susceptible and healthy (BRS 265), and another clone also susceptible but affected by the disease (BRS 265). The UPLC-QTOF-MSE (ultra performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry) analysis of the leaves of Anacardium clones allowed us to annotate a total of 39 metabolites. The multiple orthogonal partial discriminant analysis of the least-squares (OPLS-DA) allowed twelve metabolites to be potential biomarkers of differentiation among the clones studied. Namely, the triene-(17:3)-anacardic acid found on CCP 76 and BRS 189 clones, respectively, is the main candidate for biomarker of resistance. While catechin, B-type procyanidin isomers, and procyanidin dimer monogallate identified in BRS 265 are significant potential biomarkers of susceptibility.

ABSTRACT Salinity can have detrimental effects on plant development. To minimize this damage, strategies such as balanced maintenance of plants’ nutritional status have been proposed previously. The objective of this study is to investigate whether the optimization of foliar nitrogen fertilization can promote the growth and photochemical efficiency of purple basil subjected to salt stress. The experiment was performed using a randomized block design with an incomplete 5 × 5 factorial arrangement generated through experimental matrix Central Composite Design with two parameters: salinity of irrigation water at 0.5, 0.81, 2.75, 4.69, and 5.50 dS m-1; and nitrogen doses at 0, 58.58, 200, 341.42, and 400 mg L-1. It was found that an increase in the salinity of irrigation water reduced the growth and photochemical efficiency of purple basil. However, the foliar application of nitrogen at the concentration of 400 mg L-1 attenuated the harmful effects of salinity on both the absolute and relative growth rates of stem diameter, the relative growth of plant height, and chlorophyll A fluorescence. These results showed that foliar nitrogen fertilization is a suitable strategy to help mitigate salt stress in basil plants.

RESUMO A salinidade pode promover efeitos danosos ao desenvolvimento vegetal, sendo o necessário o uso de estratégias para minimizar os danos promovidos, como a manutenção equilibrada do estado nutricional da planta. Assim, o objetivo deste estudo foi avaliar o efeito da adubação nitrogenada foliar e da salinidade no crescimento e eficiência fotoquímica de manjericão roxo. O experimento foi conduzido com o delineamento de blocos casualizados, em arranjo fatorial incompleto 5 × 5 (salinidades da água de irrigação: 0,5; 0,81; 2,75; 4,69 e 5,50 dS m-1 × doses de nitrogênio: 0; 58,58; 200; 341,42 e 400 mg L-1), gerados através da matriz experimental Composto Central de Box. O aumento da salinidade da água de irrigação reduz o crescimento e a eficiência fotoquímica das plantas de manjericão roxo. Todavia, a aplicação foliar de 400 mg L-1 de N atenuou os efeitos deletérios da salinidade sobre as taxas de crescimento absoluto e relativo para o diâmetro do caule e relativo para a altura de plantas, assim como na fluorescência da clorofila a. Esses resultados mostram que a adubação foliar nitrogenada é uma estratégia para mitigar o estresse salino em plantas de manjericão.

ABSTRACT Objective The objective of the present study is to evaluate the anatomy of the inferior hypogastric plexus, correlating it with urological pathologies, imaging exams and surgeries of the female pelvis, especially for treatment of endometriosis. Material and Methods We carried out a review about the anatomy of the inferior hypogastric plexus in the female pelvis. We analyzed papers published in the past 20 years in the databases of Pubmed, Embase and Scielo, and we included only papers in English and excluded case reports, editorials, and opinions of specialists. We also studied two human fixed female corpses and microsurgical dissection material with a stereoscopic magnifying glass with 2.5x magnification. Results Classical anatomical studies provide few details of the morphology of the inferior hypogastric plexus (IHP) or the location and nature of the associated nerves. The fusion of pelvic splanchnic nerves, sacral splanchnic nerves, and superior hypogastric plexus together with visceral afferent fibers form the IHP. The surgeon’s precise knowledge of the anatomical relationship between the hypogastric nerve and the uterosacral ligament is essential to reduce the risk of complications and postoperative morbidity of patients surgically treated for deep infiltrative endometriosis involving the uterosacral ligament. Conclusion Accurate knowledge of the innervation of the female pelvis is of fundamental importance for prevention of possible injuries and voiding dysfunctions as well as the evacuation mechanism in the postoperative period. Imaging exams such as nuclear magnetic resonance are interesting tools for more accurate visualization of the distribution of the hypogastric plexus in the female pelvis.

ABSTRACT In fruit species, the amount of solar energy absorbed can influence fruit quality; hence, ensuring optimal light distribution management in the canopy of plants is essential. Therefore, the objectives of this study were (i) to analyze the variations in gas exchange through the day and (ii) identify the photosynthetically active photon flux density (PPFD) that promotes higher chlorophyll fluorescence and electron transport rate in jaboticaba seedlings. The experimental design was completely randomized, with treatments consisting of 18 photosynthetic photon flux densities and three evaluations throughout the day. Six replicates were used, with two plants per plot. Gas exchange and chlorophyll a fluorescence in P. peruviana were altered due to fluctuating photosynthetic photon flux density (0; 25; 50; 75; 100; 125; 150; 175; 200; 400; 600; 800; 1,000; 1,200; 1,400; 1,600; 1,800; and 2,000 μmol m-2 s-1) and environmental conditions throughout the day (8:00 a.m., 12:00 and 4:00 p.m.). The higher PPFD (1,384.6 μmol m-2 s-1) and air temperature (39.74 °C) at noon (12:00 p.m.) favored gas exchange in this species. An increase in PPFD of up to 1,000 μmol m-2 s-1 positively influenced the gas exchange and chlorophyll a fluorescence of P. peruviana.

RESUMO Em espécies fruteiras, é essencial considerar o gerenciamento da distribuição da luz nas copas das plantas, pois a quantidade de energia solar absorvida pode influenciar na qualidade dos frutos. Diante disso, os objetivos deste estudo foram: (i) analisar as variações das trocas gasosas ao longo do dia; (ii) identificar a densidade de fluxo de fótons fotossinteticamente ativos (PPFD) que promove maior fluorescência da clorofila e maior taxa de transporte de elétrons em mudas de jaboticaba. O delineamento experimental foi inteiramente casualizado, sendo os tratamentos compostos por 18 densidades de fluxo de fótons fotossinteticamente ativos (0; 25; 50; 75; 100; 125; 150; 175; 200; 400; 600; 800; 1.000; 1.200; 1.400; 1.600; 1.800 e 2.000 μmol m-2 s-1) e três horários de avaliação ao longo do dia (08:00, 12:00 e 16:00 h). Foram utilizadas seis repetições, considerando duas plantas por parcela útil. Trocas gasosas e fluorescência da clorofila a de P. peruviana foram alterados em virtude da PPFD e das condições ambientais ao longo do dia. A alta PPFD (1.384,6 μmol m-2 s-1) e temperatura do ar (39,74 °C) no horário de 12 horas favoreceu as trocas gasosas dessa espécie. O aumento da PPFD até 1.000 µmol m-2 s-1 influenciou positivamente as trocas gasosas e fluorescência da clorofila a de P. peruviana.

Abstract In this work, a thermal plasma-based ablation test system was used to evaluate the ablative performance of the EPDM composite. The system produces a high enthalpy plasma jet generated by a plasma (DC) torch, operating at atmospheric pressure using compressed air as working gas, enabling the variation of the thermal flux concerned with the studied EPDM composites. The samples were characterized using Scanning Electron Microscopy (SEM), Energy Dispersive Spectroscopy (EDS), Fourier-Transform Infrared spectroscopy (FTIR), and Thermogravimetric Analysis (TGA) to investigate the morphology, mass-loss rate, the reaction layer (char formation), and chemical changes of the samples for each thermal flux. For a complete evaluation, the thermal fluxes were varied in 0.30, 0.45, 0.60, 0.75, and 0.90 MW/m2 and for each thermal flux, disk-shape samples remained exposed to the plasma jet for 10s. During the plasma jet exposure time, the temperatures of the surface and the back of the samples were collected to verify the formed char layer's insulator capacity and the samples' thermal diffusivity for each experimental condition. The mass loss is continuous under the thermal fluxes of 0.30 and 0.45 MW/m2, stabilizing at 60% until 0.75 MW/m2. The formed char layer begins to lose its protective capacity, evidenced by the size decrease (from 800 µm to 700 µm), due to the ablation process of the reaction layer from the thermal flux of 0.90 MW/m2.

ABSTRACT Afforestation of sites disturbed after bauxite mining is the favorite technique to restore all ecosystem functions. The nature of the tree species used for revegetation of post-mining land can accelerate the recovery of soil organic matter and nutrient cycles. This study aimed to determine the litterfall production, decomposition rate and nutrient content from three types of forest cover ( Eucalyptus , Anadenanthera peregrina , mixed plantation of 16 native species) planted in a bauxite mining area in recovery. Litterfall production was evaluated monthly over 30 months, and the litter mass was assessed twice a year (dry and rainy periods). Total nutrient content was determined from samples grouped by period (dry and rainy). The annual average values for litterfall dry mass and litter mass were higher in Eucalyptus and mixed native. The period (dry or rainy) did not influence litterfall rates in A. peregrina , but Eucalyptus and mixed native presented higher amounts for litterfall during the rainy and dry periods, respectively. Litter accumulation in Eucalyptus was not affected by the season of the year, but mixed native and A. peregrina presented higher litter accumulation in the dry season. Apparent decomposition rates of A. peregrina and mixed native were higher in the rainy season, highlighting the A. peregrina with the highest values compared with the other forest covers. The mixed native presented the highest leaf content of P, K, Ca and Mg in both the litterfall and litter mass, while Eucalyptus had the lowest P, K, Ca, S and N content and the highest C content in the litterfall. Litterfall production is important in degraded areas to ensure the nutrient return to the soil. The data obtained suggest that the cultivation of a mixed of 16 native trees contribute for produce the higher annual litterfall yields, besides produces leaf litterfall of better nutritional quality in relation to P, K, Ca, Mg and S. Therefore, mixed of native trees can be a promising option for reactivation of nutrient cycling and organic matter formation in mined area of bauxite in the Brazilian Atlantic Forest.

Abstract Objective: To evaluate inactivated CoronaVac prime vaccination, antibody decay, booster dose, and safety in ANCA-Associated Vasculitis (AAV) patients. Methods: Fifty-three AAV patients and 106 Controls (CG) received CoronaVac on days: D0 (first dose), D28(second dose), and D210 (booster dose, 32 AAV: 32 CG). The primary outcome was immunogenicity after the second vaccine dose (day 69) assessed by Seroconversion Rates (SC) of anti-SARS-CoV-2 S1/S2 IgG and Neutralizing Antibodies (NAb). Secondary outcomes were safety, immunogenicity (D28/D240), 6-months antibody decay (D210) and the booster dose response (D240). Results: At D69 SC (65.1% vs. 96.8%, p = 0.0001), GMT (21.3 UA/mL vs. 67.7 UA/mL, p < 0.001) and NAb- positivity (53.7% vs. 80.6%, p = 0.001) were moderate but lower in naïve-AAV patients than CG. Patients without SC used more often IS (93.3% vs. 53.3%, p = 0.015), mycophenolate mofetil (20% vs. 0%, p = 0.037) and prednisone (60.0% vs. 28.6%, p = 0.057) than seroconverted. NAb negativity in AAV patients was associated with prednisone treatment (57.9% vs. 18.2%, p = 0.015) and IS (84.2% vs. 55.0%, p = 0.046). Logistic regression analysis models showed that only prednisone was associated with lower seroconversion (OR = 0.2, 0,95% CI 0.05–0.86, p = 0.030) and with lower NAb positivity (OR = 0.2, 0,95% CI 0.05–0.88, p = 0.034). After six months (D69–D210) a decrease in IgG positivity occurred in 32 AAV patients (15.7%, p = 0.074) and 32 CG (18.7%, p = 0.041). For the NAb positivity, the 6-month decrease was not significant (p = 0.114) whereas a major reduction occurred for CG (p < 0.001). A booster dose (D240) resulted in an increment in IgG-positivity (21.9%, p = 0.023) and NAb-positivity (34.4%, p = 0.006) in AAV patients. No moderate/severe adverse events attributable to the vaccine were observed. Conclusion: This study provides novel data on the excellent safety and moderate immunogenicity of CoronaVac in AAV patients. A six-month mild antibody waning was observed with a good response to the booster dose, although levels remained lower than CG (CoronavRheum-NCT04754698).

Abstract The females of yellowtail tetra (Astyanax lacustris), known as the freshwater sardine, are approximately 1.33 times larger than males, and thus, all-female monosex culture would increase production and reduce size variability. The present work aimed to identify the optimal dose of 17α-methyltestosterone (MT) to be used in the masculinization of A. lacustris for indirect sex reversal. Three different concentrations of MT (20, 40, and 60 mg/kg of feed in the diet) were fed to the fry for 30 days. Thirty adult individuals from each treatment, including the control (0 mg MT/kg), were evaluated for gonadal development, morphological and histological sexual identification, zootechnical performance, and the possible genotoxic effect caused by prolonged exposure to MT. MT significantly (P<0.01) affected the differentiation of the gonads, with the presence of possible inhibitory effects in all treatments. Intersex individuals were present in the 20 and 60 mg MT/kg treatments. All treatments were able to masculinize A. lacustris and the treatment with the lowest hormone concentration produced the highest percentage of males 76.7%, while the control had 46.7% males. The presence of erythrocyte nuclear alterations indicated a possible cytotoxic effect of MT in treatments 40 and 60 mg MT/kg, however, the use of the hormone did not affect the growth and the survival of the individuals. Thus, the use of MT is a viable option for obtaining neomales as a first step into the production of all-female progenies.

Abstract Objectives: To evaluate the inconsistency between clinical diagnosis of death and autopsy findings in adolescents with chronic diseases. Methods: A cross-sectional study including a sample of adolescents’ autopsies who died in a pediatric and adolescent tertiary hospital over 18 consecutive years. During this period, there were n = 2912 deaths, and n = 581/2912(20%) occurred in adolescents. Of these, n = 85/581(15%) underwent autopsies and were analyzed. Further results were divided into two groups: Goldman classes I or II (high disagreement between main clinical diagnosis of death and anatomopathological findings, n = 26) and Goldman classes III, IV or V (low or no disagreement between these two parameters, n = 59). Results: Median age at death (13.5 [10‒19] vs. 13 [10‒19] years, p = 0.495) and disease duration (22 [0‒164] vs. 20 [0‒200] months, p = 0.931), and frequencies for males (58% vs. 44%, p = 0.247) were similar between class I/II vs. class III/IV/V. The frequency of pneumonia (73% vs. 48%, p = 0.029), pulmonary abscess (12% vs. 0%, p = 0.026), as well as isolation of yeast (27% vs. 5%, p = 0.008), and virus (15% vs. 2%, p = 0.029) identified in the autopsy, were significantly higher in adolescents with Goldman class I/II compared to those with Goldman class III/IV/V. In contrast, cerebral edema was significantly lower in adolescents of the first group (4% vs. 25%, p = 0.018). Conclusion: This study showed that 30% of the adolescents with chronic diseases had major discrepancies between clinical diagnosis of death and autopsy findings. Pneumonia, pulmonary abscess, as well as isolation of yeast and virus were more frequently identified at autopsy findings in the groups with major discrepancies.