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[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

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Data de publicação: 2024-04-08

Resumo: Pt Es En

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.

https://doi.org/10.1590/SciELOPreprints.8394

Long-term oncological and surgical outcomes after Video Endoscopic Inguinal Lymphadenectomy (VEIL) in patients with penile cancer
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Tobias-Machado, Marcos

; Ornellas, Antonio A.

; Hidaka, Alexandre K.

; Medina, Luis G.

; Mattos, Pablo A. L.

; Besio, Ruben S.

; Abreu, Diego

; Castro, Pedro R.

; Nishimoto, Ricardo H.

; Astigueta, Juan

; Dourado, Aurus

; Machado, Roberto D.

; Magnabosco, Wesley J.

; Corona-Montes, Victor

; Villoldo, Gustavo M.

; Zampolli, Hamilton C.

; Taha, Anis

; Auad, Pericles R.

; Faria, Eliney F.

; Arantes, Paulo B. O.

; Tavares, Alessandro

; Nascimento, Francisco S. M. S.

; Brazão Jr., Eder S.

; Rocha, Maurício M.

; Costa, Walter H.

; Panico, Vinicius

; Reis, Leonardo O.

; Almeida-Carrera, Roberto J.

; Silva, Rafael C.

; Zequi, Stênio C.

; Calixto, José R. R.

; Sotelo, Rene

International braz j urol

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Out 2023, Volume 49 Nº 5 Páginas 580 - 589

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To report outcomes from the largest multicenter series of penile cancer patients undergoing video endoscopic inguinal lymphadenectomy (VEIL). Materials and Methods: Retrospective multicenter analysis. Authors of 21 centers from the Penile Cancer Collaborative Coalition-Latin America (PeC-LA) were included. All centers performed the procedure following the same previously described standardized technique. Inclusion criteria included penile cancer patients with no palpable lymph nodes and intermediate/high-risk disease and those with non-fixed palpable lymph nodes less than 4 cm in diameter. Categorical variables are shown as percentages and frequencies whereas continuous variables as mean and range. Results: From 2006 to 2020, 210 VEIL procedures were performed in 105 patients. Mean age was 58 (45-68) years old. Mean operative time was 90 minutes (60-120). Mean lymph node yield was 10 nodes (6-16). Complication rate was 15.7%, including severe complications in 1.9% of procedures. Lymphatic and skin complications were noted in 8.6 and 4.8% of patients, respectively. Histopathological analysis revealed lymph node involvement in 26.7% of patients with non-palpable nodes. Inguinal recurrence was observed in 2.8% of patients. 10y- overall survival was 74.2% and 10-y cancer specific survival was 84.8%. CSS for pN0, pN1, pN2 and pN3 were 100%, 82.4%, 72.7% and 9.1%, respectively. Conclusion: VEIL seems to offer appropriate long term oncological control with minimal morbidity. In the absence of non-invasive stratification measures such as dynamic sentinel node biopsy, VEIL emerged as the alternative for the management of non-bulky lymph nodes in penile cancer.

https://doi.org/10.1590/s1677-5538.ibju.2023.0065

Biostimulant use in pangolão grass Digitaria pentzii subjected to saline stress
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Leite, Mauricio L. de M. V.

; Silva, Manuévely C. da

; Simões, Vicente J. L. P.

; Lucena, Leandro R. R. de

; Sales, Aldo T.

Revista Brasileira de Engenharia Agrícola e Ambiental

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Jan 2023, Volume 27 Nº 1 Páginas 26 - 33

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO A salinidade causada pelo excesso de sais na solução do solo é um dos estresses ambientais mais limitantes na agricultura no mundo. Nesse cenário, dentre as estratégias para favorecer a expressão do potencial genético das plantas, destaca-se o uso de bioestimulantes. Objetivou-se avaliar a influência de um bioestimulante à base de extrato de algas marinhas no crescimento, produção de forragem, trocas gasosas e acúmulo de íons sódio e potássio em capim-pangolão Digitaria pentzii, submetido a condições de estresse salino. O experimento foi conduzido de março a julho de 2019, em delineamento de blocos casualizados, em esquema fatorial 2 × 3, com duas concentrações do bioestimulante (0 e 8 mL L-1) e três condutividades elétricas da água de irrigação (0,03; 2 e 4 dS m-1), com quatro repetições. O acúmulo de 50 µmol g-1 de sódio nas folhas correspondeu a uma redução de 0,3 g de matéria seca na produção de lâminas foliares por vaso. O bioestimulante não influenciou as características estruturais do capim-pangolão, acúmulo de fitomassa e condutância estomática, independentemente da salinidade. No nível de 4 dS m-1 na água de irrigação, a toxicidade do estresse iônico devido ao acúmulo de sais na parte aérea do capim-pangolão é mais severa. Esta é a primeira evidência da tolerância “moderada” à salinidade do capim-pangolão em regiões semiáridas.

ABSTRACT Salinity caused by excess salts in soil solutions is one of the most limiting environmental stresses in agriculture worldwide. In this scenario, among strategies that favor the expression of the genetic potential of plants, the use of biostimulants stands out. The objective of this study was to evaluate the influence of a seaweed-based biostimulant on growth, forage production, gas exchange, and accumulation of sodium and potassium ions in pangolão grass (Digitaria pentzii) under saline stress. The experiment was conducted from March to July 2019 using a randomized block design, in a 2 × 3 factorial scheme with two concentrations of biostimulant (0 and 8 mL L-1) and three electrical conductivities of irrigation water (0.03, 2 and 4 dS m-1), with four replicates. The accumulation of 50 µmol g-1 of sodium in leaves corresponded to a reduction of 0.3 g of dry matter in the leaf blade production per plot. The biostimulant did not influence the structural characteristics, phytomass accumulation, or stomatal conductance of the pangolão grass, regardless of salinity. At the level of 4 dS m-1 in irrigation water, the ionic stress toxicity due to the accumulation of salts in the aerial part of pangolão grass was more severe. This is the first evidence of the “moderate” salinity tolerance of pangolão grass in semi-arid regions.

https://doi.org/10.1590/1807-1929/agriambi.v27n1p26-33

Climate-smart agriculture and soil C sequestration in Brazilian Cerrado: a systematic review
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Oliveira, Dener Márcio da Silva

; Tavares, Rose Luiza Moraes

; Loss, Arcângelo

; Madari, Beata Emoke

; Cerri, Carlos Eduardo Pellegrino

; Alves, Bruno Jose Rodrigues

; Pereira, Marcos Gervasio

; Cherubin, Maurício Roberto

Revista Brasileira de Ciência do Solo

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2023, Volume 47 Nº spe elocation e0220055

Resumo: En | Texto: En | PDF: En

ABSTRACT Climate-smart agriculture (CSA) practices, mainly no-tillage (NT), cover cropping (CC), soil fertilization with organic amendments (OA), and crop-livestock (CL) and crop-livestock-forestry (CLF) systems, has been widely adopted in areas from Brazilian Cerrado. The CSA may partly offset former soil C losses and contribute to climate change mitigation. However, contradictory findings brought uncertainties about the effect of CSA on soil C. Here, by a systematic review of 87 papers and using 621 data pairs, we provided a pervasive biome-scale analysis of soil C stock changes associated with the adoption of CSA across Brazilian Cerrado. All CSA practices evaluated showed average positive rates of C stock change, indicating a general tendency of soil C accretion after its adoption. In areas under NT, CC and CLF, greater rates were estimated for the deeper soil profile evaluated (0.00-1.00 m) (1.24 ± 0.85, 0.54 ± 0.54 and 1.00 ± 1.47 Mg ha–1 yr–1, respectively), while OA and CL showed more soil C accretion when the assessment was limited down to 0.10 m depth (0.82 ± 0.60 and 0.59 ± 0.66 Mg ha–1 yr–1, respectively). Unfortunately, the lack of basic information precluded any attempt to statically compare our estimations. In this sense, we must be cautious in stating that soil C sequestration occurs at those rates after the adoption of CSA practices. Despite these limitations, the results clearly show that the diversification and intensification of agricultural areas in the Cerrado by the adoption of CSA is a promising pathway to increase soil C stocks, and consequently, contribute to climate change mitigation and adaptation. Finally, our findings emphasize the importance of efforts that stimulate farmers to adopt these practices on large scale, such as Brazil’s Low-Carbon Agriculture Plan, besides providing sound empirical evidence about the role of soil C sequestration in Brazil achieving its Nationally Determined Contributions commitments.

https://doi.org/10.36783/18069657rbcs20220055

Investigação da atividade eletroquímica de liga Al-Cu-Li após processo de soldagem por fricção e mistura
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Silva, Rejane Maria P. da

; Milagre, Mariana X.

; Araujo, João Victor de S.

; Ramirez, Oscar Mauricio P.

; Machado, Caruline de Souza C.

; Antunes, Renato A.

; Costa, Isolda

Química Nova

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2023, Volume 46 Nº 4 Páginas 307 - 318

Resumo: Pt | Texto: Pt | PDF: Pt

In this work, the local electrochemical activity of the zones coupled by Friction Stir Welding (FSW) of an Al-Cu-Li alloy was studied and the results were correlated to the microstructural characteristics of each zone. Electrochemical studies were carried out in the zones affected by welding using cyclic voltammetry (CV) and scanning electrochemical techniques (namely, SECM - Scanning Electrochemical Microscopy and LEIS - Local electrochemical impedance spectroscopy). The results showed that the welding joint (WJ) is predominantly cathodic relatively to the heat affected zones (HAZ). The HAZ was always anodic and showed the highest electrochemical activities among the tested ones. The high electrochemical activity of the HAZ was associated with the effect of galvanic coupling between the cathodic region (WJ) and the anodic region (HAZ). In addition, the advancing side (AS) presented increased electrochemical activity compared to the retreating one (RS).

https://doi.org/10.21577/0100-4042.20230014

Industrial egg residue as a calcium source in broiler feed: digestibility and growth performance
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NOVACK, CLAUDIO

; BOIAGO, MARCEL M.

; ZAMPAR, ALINE

; BARRETA, MAURICIO

; OLIVEIRA, ROSILENE

; ROSCAMP, EDUARDO

; DILKIN, JÉSSICA D.

; PETROLLI, TIAGO G.

; ARAUJO, DENISE N.

; TAVERNARI, FERNANDO C.

; LOPES, MARCOS T.

; SILVA, ALEKSANDRO S. DA

Anais da Academia Brasileira de Ciências

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2023, Volume 95 Nº 2 elocation e20201688

Resumo: En | Texto: En | PDF: En

Abstract Industrial egg residue (IER) possesses substantial concentrations of calcium and crude protein. The objective of this study was to measure the digestibility and performance of broilers when IER was added to the feed. Four treatments were tested, which caused increasing replacement of calcitic limestone by IER (0, 35, 70 and 100%) during a 42-day production cycle. First, total bird excreta were collected from broilers with and without IER, and we determined dry matter digestibility, apparent metabolizable energy (AME), calcium, and nitrogen retention. The IER presented 7.5% of crude protein, 31% of calcium, 209 kcal/kg of AME and the digestibility coefficients for dry matter, crude protein, and calcium were calculated at 83.95%, 86.20%, and 67%, respectively. After the digestibility test, the effects of IER on performance, carcass and meat yield were evaluated. No significant differences between the treatments were found in terms of performance (weight gain, feed conversion, consumption, and mortality), and no differences were found in terms of carcass or meat yield. A linear decrease in the percentage of abdominal fat was observed with increasing inclusion of IER in feed. These findings suggest that IER can totally replace limestone (calcium carbonate) in broiler diets.

https://doi.org/10.1590/0001-3765202320201688

Erosion of four Brazilian coastal deltas: how dam construction is changing the natural pattern of coastal sedimentary systems
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OLIVEIRA, EMILIANO C.

; BARBOZA, RAUL D.

; SILVA, BEATRIZ G.G.

; DIAZ FILHO, MAURICIO C.

Anais da Academia Brasileira de Ciências

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2023, Volume 95 Supl. 1 elocation e20220576

Resumo: En | Texto: En | PDF: En

Abstract Reservoir-building on rivers is still “the Brazilian energy culture”, such that many other dams are being constructed and planned, with many other rivers potentially suffering the same impact in their sediment flux. In this study, we evaluated the impacts of reservoir-building on the erosion of the São Francisco, Jequitinhonha, Doce, and Paraíba do Sul river deltas. A time series of Landsat images from 1973 to 2020 was analyzed, with three key highlighted moments (1973, 1997 and 2020) that summarize the erosion processes on these deltas. In addition to the images, continuous river water discharge, sediment discharge and basin rainfall data were analyzed between 1940 and 2020, providing river parameters over a period exceeding that of the satellite data. The findings suggest that coastal erosion has progressed in the four deltas, with higher estimated losses in the São Francisco and Paraíba do Sul over the 47 years of available satellite images. However, despite minimal overall estimated gains, the Jequitinhonha and Doce experienced high erosion at their river mouths, as in the other two rivers, compensated by accretion in distal coastal areas. These results can be explained by reductions in river flux and consequent sediment transport capacity due to reservoirs.

https://doi.org/10.1590/0001-3765202320220576

Produção e decomposição de serapilheira em áreas de reflorestamento e floresta nativa no sul do Amazonas
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Bello, Ozias Cunha

; Cunha, José Maurício

; Campos, Milton César Costa

; Pereira, Marcos Gervasio

; Santos, Luís Antônio Coutrim

; Martins, Thalita Silva

; Brito Filho, Elilson Gomes de

Ciência Florestal

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Dez 2022, Volume 32 Nº 4 Páginas 1854 - 1875

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

Abstract The diversity of forest species is an intrinsic characteristic of the Amazon biome, with litter being the main responsible for the largest portion of nutrients returned to the soil. Thus, the objective of this study was to quantify the annual production of burlap and to determine the rate of decomposition over one year, comparing the results in the different study environments. The study was developed in the municipality of Humaitá-AM. For the evaluation of the litter production, ten cone collectors were randomly installed in each study area. Each litter sample was placed separately in properly identified paper bags and taken to the laboratory and dried in a forced air circulation oven at 65 ° C. The litter decomposition rate was estimated by mass loss analysis using litter bags. Litter production with the highest annual average was 8,03 Mg ha-1 year -1 for the native forest environment, with no significant difference for the other study areas. Among the fractions of the litter that contributed the most to the leaf, reaching a higher average percentage in the year of 72,1% for the environment of reforestation with teak (Tectona grandis L.). The decomposition of litter occurred more rapidly (0.0025 g g-1 day) in the reforestation environment with genipap (Genipa americana L.), requiring 277,26 days to decompose half of the leaf material.

Resumo A diversidade de espécies florestais é uma característica intrínseca do bioma Amazônico, sendo a serapilheira a principal responsável pela maior parcela dos nutrientes devolvidos ao solo. Dessa forma, o objetivo deste estudo foi quantificar a produção anual de serapilheira e determinar a velocidade de decomposição ao longo de um ano, comparando os resultados nos diferentes ambientes de estudo. O estudo foi desenvolvido no município de Humaitá-AM. Para a avaliação da produção de serapilheira, foram instalados de modo aleatório dez coletores cônicos em área de Floresta Nativa, área de Reflorestamento com Teca (Tectona grandis L), área de Reflorestamento com Jenipapo (Genipa americana L.) e ambiente de Reflorestamento considerado Misto, composto pelas espécies Mogno (Swietenia macrophylla King.), Andiroba (Carapa guianensis Aubl.), Jenipapo (Genipa americana L.), Teca (Tectona grandis L.) e Sumauma (Ceiba pentandra). Cada amostra de serapilheira foi colocada, separadamente, em sacos de papel devidamente identificados e levadas para laboratório e secas em estufa de circulação de ar forçado a 65°C. A estimativa da taxa de decomposição da serapilheira foi feita pela análise de perda de massa utilizando-se litter bags. A produção de serapilheira média anual foi de 8,03 Mg ha-1 ano-1 para o ambiente de floresta nativa, e não houve diferença significativa para as demais áreas de estudo. Entre as frações da serapilheira, a que mais contribuiu foi a foliar, atingindo maior média percentual no ano de 72,1% para o ambiente de reflorestamento com teca (Tectona grandis L.). A decomposição da serapilheira ocorreu de forma mais acelerada (0,0025 g g-1dia) no ambiente de reflorestamento com jenipapo (Genipa americana L.), sendo necessários 277,26 dias para que fosse decomposta metade do material foliar.

https://doi.org/10.5902/1980509843526

[SciELO Preprints] - Guideline of the Brazilian Society of Cardiology on Diagnosis and Treatment of Patients with Chagas Disease Cardiomyopathy
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Marin-Neto, José Antonio Rassi Jr., Anis Moraes Oliveira, Gláucia M. Lemos Correia, Luís Claudio Novaes Ramos Jr., Alberto Hasslocher-Moreno, Alejandro Marcel Luquetti Ostermayer, Alejandro Sousa, Andréa Silvestre de Amato Vincenzo de Paola, Angelo Sobral de Sousa, Antonio Carlos Pinho Ribeiro, Antonio Luiz Correia Filho, Dalmo Moraes de Souza, Dilma do Socorro Cunha-Neto, Edecio J. A. Ramires, Felix Bacal, Fernando Pereira Nunes, Maria do Carmo Martinelli Filho, Martino Ibrahim Scanavacca, Maurício Magalhães Saraiva, Roberto Alves de Oliveira Júnior, Wilson M. Lorga-Filho, Adalberto de Jesus Benevides de Almeida Guimarães, Adriana Lopes Latado Braga, Adriana Sarmento de Oliveira, Adriana V. L. Sarabanda, Alvaro Yecê das Neves Pinto, Ana Assis Lopes do Carmo, André Schmidt, André Costa, Andréa Rodrigues da Ianni, Barbara Maria Markman Filho, Brivaldo Eduardo Rochitte, Carlos Thé Macedo, Carolina Mady, Charles Chevillard, Christophe Bittencourt das Virgens, Cláudio Marcelo Nery de Castro, Cleudson De Paoli de Carvalho Britto, Constança Felícia Pisani, Cristiano do Carmo Rassi, Daniela C. Sobral Filho, Dario Rodrigues Almeida, Dirceu A. Bocchi, Edimar T. Mesquita, Evandro de Souza Nogueira Sardinha Mendes, Fernanda Pereira, Francisca Tatiana Sperandio da Silva, Gilberto Marcelo de Lima Peixoto, Giselle Glotz de Lima, Gustavo H. Veloso, Henrique Turin Moreira, Henrique Bellotti Lopes, Hugo Masciarelli Francisco Pinto, Ibraim Pinto Dias, João Carlos Bemfica, João Marcos Silva-Nunes, João Paulo Soares Barreto-Filho, José Augusto Kerr Saraiva, José Francisco Lannes-Vieira, Joseli Menezes Oliveira, Joselina Luzia V. Armaganijan, Luciana Martins, Luiz Cláudio C. Sangenis, Luiz Henrique Barbosa, Marco Paulo Almeida-Santos, Marcos Antônio Simões, Marcos Vinicius Shikanai-Yasuda, Maria Aparecida Vieira Moreira, Maria da Consolação Higuchi, Maria de Lourdes Costa Monteiro, Maria Rita de Cássia Felix Mediano, Mauro Felippe Maia Lima, Mayara T. Oliveira, Maykon Moreira Dias Romano , Minna Nitz, Nadjar de Tarso Jorge Medeiros, Paulo Vieira Alves, Renato Alkmim Teixeira, Ricardo Coury Pedrosa, Roberto Aras, Roque Morais Torres, Rosália dos Santos Povoa, Rui Manoel Rassi, Sérgio Gabriel Salles Xavier, Sérgio Marinho Martins Alves , Silvia B. N. Tavares, Suelene Lima Palmeira, Swamy da Silva Junior, Telêmaco Luiz da Rocha Rodrigues, Thiago Madrini Junior, Vagner Maia da Costa , Veruska Dutra, Walderez

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Data de publicação: 2022-10-11

Resumo: En Pt

This guideline aimed to update the concepts and formulate the standards of conduct and scientific evidence that support them, regarding the diagnosis and treatment of the Cardiomyopathy of Chagas disease, with special emphasis on the rationality base that supported it.nbsp; Chagas disease in the 21st century maintains an epidemiological pattern of endemicity in 21 Latin American countries. Researchers and managers from endemic and non-endemic countries point to the need to adopt comprehensive public health policies to effectively control the interhuman transmission of T. cruzi infection, and to obtain an optimized level of care for already infected individuals, focusing on diagnostic and therapeutic opportunistic opportunities. nbsp; Pathogenic and pathophysiological mechanisms of the Cardiomyopathy of Chagas disease were revisited after in-depth updating and the notion that necrosis and fibrosis are stimulated by tissue parasitic persistence and adverse immune reaction, as fundamental mechanisms, assisted by autonomic and microvascular disorders, was well established. Some of them have recently formed potential targets of therapies.nbsp; The natural history of the acute and chronic phases was reviewed, with enhancement for oral transmission, indeterminate form and chronic syndromes. Recent meta-analyses of observational studies have estimated the risk of evolution from acute and indeterminate forms and mortality after chronic cardiomyopathy. Therapeutic approaches applicable to individuals with Indeterminate form of Chagas disease were specifically addressed. All methods to detect structural and/or functional alterations with various cardiac imaging techniques were also reviewed, with recommendations for use in various clinical scenarios. Mortality risk stratification based on the Rassi score, with recent studies of its application, was complemented by methods that detect myocardial fibrosis.nbsp; The current methodology for etiological diagnosis and the consequent implications of trypanonomic treatment deserved a comprehensive and in-depth approach. Also the treatment of patients at risk or with heart failure, arrhythmias and thromboembolic events, based on pharmacological and complementary resources, received special attention. Additional chapters supported the conducts applicable to several special contexts, including t. cruzi/HIV co-infection, risk during surgeries, in pregnant women, in the reactivation of infection after heart transplantation, and others.nbsp; nbsp;nbsp; Finally, two chapters of great social significance, addressing the structuring of specialized services to care for individuals with the Cardiomyopathy of Chagas disease, and reviewing the concepts of severe heart disease and its medical-labor implications completed this guideline.

Esta diretriz teve como objetivo principal atualizar os conceitos e formular as normas de conduta e evidências científicas que as suportam, quanto ao diagnóstico e tratamento da CDC, com especial ênfase na base de racionalidade que a embasou. A DC no século XXI mantém padrão epidemiológico de endemicidade em 21 países da América Latina. Investigadores e gestores de países endêmicos e não endêmicos indigitam a necessidade de se adotarem políticas abrangentes, de saúde pública, para controle eficaz da transmissão inter-humanos da infecção pelo T. cruzi, e obter-se nível otimizado de atendimento aos indivíduos já infectados, com foco em oportunização diagnóstica e terapêutica. Mecanismos patogênicos e fisiopatológicos da CDC foram revisitados após atualização aprofundada e ficou bem consolidada a noção de que necrose e fibrose sejam estimuladas pela persistência parasitária tissular e reação imune adversa, como mecanismos fundamentais, coadjuvados por distúrbios autonômicos e microvasculares. Alguns deles recentemente constituíram alvos potenciais de terapêuticas. A história natural das fases aguda e crônica foi revista, com realce para a transmissão oral, a forma indeterminada e as síndromes crônicas. Metanálises recentes de estudos observacionais estimaram o risco de evolução a partir das formas aguda e indeterminada e de mortalidade após instalação da cardiomiopatia crônica. Condutas terapêuticas aplicáveis aos indivíduos com a FIDC foram abordadas especificamente. Todos os métodos para detectar alterações estruturais e/ou funcionais com variadas técnicas de imageamento cardíaco também foram revisados, com recomendações de uso nos vários cenários clínicos. Estratificação de risco de mortalidade fundamentada no escore de Rassi, com estudos recentes de sua aplicação, foi complementada por métodos que detectam fibrose miocárdica. A metodologia atual para diagnóstico etiológico e as consequentes implicações do tratamento tripanossomicida mereceram enfoque abrangente e aprofundado. Também o tratamento de pacientes em risco ou com insuficiência cardíaca, arritmias e eventos tromboembólicos, baseado em recursos farmacológicos e complementares, recebeu especial atenção. Capítulos suplementares subsidiaram as condutas aplicáveis a diversos contextos especiais, entre eles o da co-infecção por T. cruzi/HIV, risco durante cirurgias, em grávidas, na reativação da infecção após transplante cardíacos, e outros.nbsp;nbsp;nbsp; Por fim, dois capítulos de grande significado social, abordando a estruturação de serviços especializados para atendimento aos indivíduos com a CDC, e revisando os conceitos de cardiopatia grave e suas implicações médico-trabalhistas completaram esta diretriz.nbsp;

https://doi.org/10.1590/SciELOPreprints.4820

10.

Development and Chemical Characterization of Pequi Pericarp Flour (Caryocar brasiliense Camb.) and Effect of in vitro Digestibility on the Bioaccessibility of Phenolic Compounds
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Santos, Bárbara O.

; Tanigaki, Maurício

; Silva, Mauro R.

; Ramos, Ana Luiza C. C.

; Labanca, Renata A.

; Augusti, Rodinei

; Melo, Júlio O. F.

; Takahashi, Jacqueline A.

; Araújo, Raquel L. B. de

Journal of the Brazilian Chemical Society

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Set 2022, Volume 33 Nº 9 Páginas 1058 - 1068

Resumo: En | Texto: En | PDF: En

The pequi pericarp corresponds to the largest portion of the fruit and has a high nutritional value, but it is discarded as an agro-industrial residue. The present study aimed to prepare and characterize flours from the pequi pericarp in terms of their proximate composition, its antioxidant potential before and after the in vitro digestibility process and chemical profile, aiming at the full use of this fruit. The samples of pequi pericarp flours from the cities of Sete Lagoas, Paraopeba and Felixlândia were analyzed. The profile of chemical compounds present in the flours was determined using paper spray mass spectrometry. The in vitro simulated digestion technique was used to verify the stability of the phenolic compounds and the maintenance of the antioxidant capacity of the samples. The flours from the pequi pericarp showed to have higher levels of protein, ash and dietary fiber, compared to the data described in the literature for the pulp of the fruit. The analysis of paper spray mass spectrometry allowed the identification of 46 chemical compounds including amino acids, sugars, organic acids and phenolic compounds. The analysis of the main components showed that there was no chemical variation among the fruits from the cities studied. Through the in vitro digestibility technique, it was possible to observe an increase in the bioaccessibility of phenolic compounds, contributing to increase the already significant antioxidant capacity of the samples. It was concluded that the pequi pericarp flour has the potential to be used as a food ingredient due to the high bioaccessibility of its bioactive compounds, capable of reducing the risk of developing diseases caused by oxidative stress.

https://doi.org/10.21577/0103-5053.20220022

11.

Volviéndonos mejores: necesidad de acción inmediata ante el reto de la obesidad. Una postura de profesionales de la salud
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Barquera, Simón

; Véjar-Rentería, Lesly Samara

; Aguilar-Salinas, Carlos

; Garibay-Nieto, Nayely

; García-García, Eduardo

; Bonvecchio, Anabelle

; Perichart, Otilia

; Torres-Tamayo, Margarita

; Esquivias-Zavala, Héctor

; Villalpando-Carrión, Salvador

; García-Méndez, Rosalba Carolina

; Apolinar-Jiménez, Evelia

; Kaufer-Horwitz, Martha

; Martínez-Montañez, Olga Georgina

; Fajardo Niquete, Ileana

; Aguirre-Crespo, Alejandra

; Gómez-Álvarez, Enrique

; Hernández-Jiménez, Sergio C.

; Denova-Gutiérrez, Edgar

; Batis, Carolina

; Elías-López, Daniel

; Palos-Lucio, Ana Gabriela

; Vásquez-Garibay, Edgar M.

; Romero-Velarde, Enrique

; Ortiz-Rodríguez, María Araceli

; Almendra-Pegueros, Rafael

; Contreras, Alejandra

; Nieto, Claudia

; Hernández-Cordero, Sonia

; Munguía, Ana

; Rojas-Russell, Mario

; Sánchez-Escobedo, Samantha

; Delgado-Amézquita, Elvia

; Aranda-González, Irma

; Cruz-Casarrubias, Carlos

; Campos-Nonato, Ismael

; García-Espino, Fátima

; Martínez-Vázquez, Sophia

; Arellano-Gómez, Laura P.

; Caballero-Cantú, Idalia

; Hunot-Alexander, Claudia

; Valero-Morales, Isabel

; González-González, Lorena

; Ríos-Cortázar, Víctor

; Medina-García, Catalina

; Argumedo, Gabriela

; Calleja-Enríquez, Carmen Rosa

; Robles-Macías, Edna

; Nava-González, Edna J.

; Lara-Riegos, Julio

; Sánchez-Plascencia, Ana K.

; Hernández-Fernández, Mauricio

; Rodríguez-Núñez, Jose Luis

; Rangel-Quillo, Sarai

; Cancino-Marentes, Martha Edith

; Hernández-Viana, Mónica J.

; Saldivar-Frausto, Mariana

; Álvarez-Ramírez, Miriam

; Sandoval-Salazar, Cuauhtémoc

; Silva-Tinoco, Rubén Oswaldo

; Moreno-Villanueva, Mildred

; Villarreal-Arce, María Elena

; Barriguete, J. Armando

; White, Mariel

; Jauregui, Alejandra

; Tolentino-Mayo, Lizbeth

; López-Ridaura, Ruy

; Rivera-Dommarco, Juan

Salud Pública de México

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Abr 2022, Volume 64 Nº 2 Páginas 225 - 229

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract: In recent decades, the growing obesity epidemic in Mexico has become one of the most important public health challenges faced by the country. With support from the World Obesity Federation, we formed a working group in 2021 to identify and summarize priority actions that Mexico can take to face this epidemic. More than 1 000 health professionals joined the development and discussion process. Recommendations from previously published, high-level documents and guidelines were taken into account. In commemoration of World Obesity Day 2022, this statement is presented as input for health care professionals to develop actions to address obesity. The statement includes 10 recommendations that include population-level and individual-level actions. It emphasizes the importance of social participation, comprehensive interventions with a person- centered perspective, planetary sustainability, on improving education and communication campaigns, as well as fostering a built environment that promotes active living, and shielding prevention and control efforts from conflicts of interest. The statement calls for obesity to be treated seriously, based on scientific evidence, in a timely and comprehensive manner, employing a life-course and ethical approach that does not perpetuate weight stigma in society.

resumen está disponible en el texto completo

https://doi.org/10.21149/13679

12.

Gas exchange and millet phytomass under organic fertilization and graywater irrigation
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Silva, José R. I.

; Souza, Eduardo

; Leite, Maurício L. de M. V.

; Barros Junior, Genival

; Sales, Aldo T.

; Antonino, Antônio C. D.

Revista Brasileira de Engenharia Agrícola e Ambiental

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Fev 2022, Volume 26 Nº 2 Páginas 111 - 118

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO A água cinza é um método alternativo para aumentar a oferta hídrica para produção agrícola nas regiões semiáridas. O objetivo deste estudo foi avaliar os efeitos de diferentes lâminas de irrigação de água cinza nas trocas gasosas e acúmulo de fitomassa do milheto com e sem adubação orgânica. A pesquisa foi conduzida em condições de casa de vegetação em Serra Talhada-PE, municipio na região semiárida do Brasil, em delineamento de blocos casualizados em esquema fatorial (4 × 2 + 1) e três repetições. O primeiro fator correspondeu à lâmina de irrigação com água cinza equivalente a 25, 50, 75 e 100% de água disponível do solo, e o segundo fator a adição de esterco bovino como fertilizante (0 e 34 Mg ha-1), e um controle (irrigação com água de baixa salinidade). A irrigação com efluente de água cinza não promove efeitos negativos nas trocas gasosas e acúmulo de fitomassa, contudo, também não disponibiliza nutrientes suficientes para incrementar essas variáveis. A redução das lâminas de irrigação causou diminuição das trocas gasosas a partir dos 45 dias após aplicação dos tratamentos. A massa de perfilhos basais foi o componente da planta mais favorecida pela adubação orgânica.

ABSTRACT Graywater is an alternative method to increase the water supply for agricultural production in semi-arid regions. The objective of this study was to evaluate the effects of different irrigation depths of graywater on the gas exchanges and phytomass of millet plants with and without organic fertilization. The research was conducted under greenhouse conditions in Serra Talhada municipality in semiarid region of Brazil, in a randomized complete block design with a factorial (4 × 2 + 1) plot and three replicates. The first factor corresponded to graywater irrigation depth equivalent to 25, 50, 75 and 100% of the available water content of the soil, and the second factor was the addition of bovine manure as fertilizer (0 and 34 Mg ha-1), and a control (irrigation with low-salinity water). Irrigation with graywater effluent did not promote adverse effects on gas exchanges and phytomass accumulation; however, it also did not provide enough nutrients to promote increase in these variables. The reduction in irrigation depth caused a decrease in gas exchange from 45 days after the application of the treatments. The basal tiller mass was the most favored plant component due to organic fertilization.

https://doi.org/10.1590/1807-1929/agriambi.v26n2p111-118

13.

Antarctic organisms as a source of antimicrobial compounds: a patent review
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SILVA, MAURÍCIO B.

; FEITOSA, ALEXYA O.

; LIMA, IGOR G.O.

; BISPO, JAMES R.S.

; SANTOS, ANA CAROLINE M.

; MOREIRA, MAGNA S.A.

; CÂMARA, PAULO E.A.S.

; ROSA, LUIZ HENRIQUE

; OLIVEIRA, VALÉRIA M.

; DUARTE, ALYSSON W.F.

; QUEIROZ, ALINE C.

Anais da Academia Brasileira de Ciências

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2022, Volume 94 Supl. 1 elocation e20210840

Resumo: En | Texto: En | PDF: En

Abstract Currently, antimicrobial resistance has become a global public health problem, which has made the need for new antimicrobial compounds to deal with resistant infections an emergency. However, environments that once offered so many innovative molecules, now already exhaustively exploited, do not meet this need. In this context, a geographically isolated, under-explored and extreme environment, such as Antarctica, which holds organisms with unique physiological and biochemical characteristics, assumes great importance as a potential source of new compounds with antimicrobial activity. In this patent review, we investigate the state of technological development in the field of antimicrobial compounds obtained from Antarctic organisms, highlighting the main countries and researchers active in the field, the species utilized, the compounds obtained, and their possible therapeutic applications. As results, few patent documents were found, however they encompass a wide diversity of compounds and species, indicating a great antimicrobial potential present in Antarctic biota, including compounds active against the most important human pathogenic microorganisms, such as including methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus spp. and multi-resistant Mycobacterium tuberculosis. Furthermore, due to the increasing trend in patent applications, a significant rise in the number of patents in this area is expected in the coming years.

https://doi.org/10.1590/0001-3765202220210840

14.

Mobility impairment and life satisfaction in the Northern Region of Malawi
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Alswang, Jared M.

; Belshe, William B.

; Killi, Dexter

; Bandawe, Weston

; Silliman, Erin S.

; Bastian, Aaron C.

; Upchurch, Brooke K.

; Bastian, Megan F.

; Pinal, Sierra M.

; Klein, Mark B.

; Ndhlozi, Bertha

; Silva, Mauricio

; Chipolombwe, John

; Thompson, Rachel M.

African Journal of Disability (Online)

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2022, Volume 11 Páginas 1 - 7

Resumo: En | Texto: En | PDF: En

BACKGROUND: There exist many psychosocial sequelae associated with mobility impairment, especially in low-resource settings where access to mobility assistive devices is limited OBJECTIVES: This study aims to (1) define the burden and presenting aetiologies of mobility impairment in the rural Northern Region of Malawi and (2) assess the relationship between physical disability, life satisfaction and access to mobility aids METHODS: At mobility device donation clinics throughout the Northern Region of Malawi, adults living with mobility impairment were surveyed with a demographic questionnaire and a series of validated surveys to assess their physical activity levels (Global Physical Activity Questionnaire [GPAQ]), degree of mobility impairment (Washington Group Extended Set Questions on Disability) and life satisfaction (patient-reported outcomes measurement information systems satisfaction with participation in social roles and general life satisfaction RESULTS: There were 251 participants who qualified for inclusion, of which 193 completed all surveys. Higher physical activity scores were positively correlated with increased life satisfaction: (1) satisfaction with participation in social roles (0.481, p < 0.0001) and (2) general life satisfaction (0.230, p < 0.001). Respondents who had previously used a formal mobility device reported 235.5% higher physical activity levels ([139.0%, 333.0%], p = 0.006), significantly higher satisfaction with participation in social roles ([0.21, 6.67], p = 0.037) and equivocally higher general life satisfaction ([−1.77, 3.84], p = 0.470 CONCLUSION: Disability and mental health do not exist in isolation from one another. Given the positive correlations between formal mobility device usage and both physical activity and life satisfaction, interventions that increase access to mobility-assistive devices in undertreated populations are imperative CONTRIBUTION: This study contributes to the understanding of the complex relationship between physical disability, access to mobility aids, and life satisfaction. Results from this study suggest the potential benefit that increasing access to mobility aids may have in improving the quality of life of mobility impaired persons in resource-limited settings, such as the Northern Region of Malawi

https://doi.org/10.4102/ajod.v11i0.1013

15.

Rocky reef fish biodiversity and conservation in a Brazilian Hope Spot region
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Machado, Augusto A.

; Moraes, Fernando C. de

; Aguiar, Aline A.

; Hostim-Silva, Mauricio

; Santos, Luciano N.

; Bertoncini, Áthila A.

Neotropical Ichthyology

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2022, Volume 20 Nº 3 elocation e220032

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo As ilhas costeiras do Grande Rio, ao sul das cidades do Rio de Janeiro e Maricá, têm sofrido múltiplos impactos antrópicos. Apesar destes problemas, esses sistemas insulares abrigam uma grande diversidade de espécies de peixes. Os peixes recifais são componentes essenciais das comunidades costeiras marinhas tropicais, fornecendo alimento e fonte de renda para milhões de pessoas em todo o mundo. Neste trabalho, geramos uma lista de verificação atualizada do Monumento Natural das Ilhas Cagarras e áreas do entorno com base em dados de pesca, registros da literatura e múltiplas técnicas de amostragem, incluindo a técnica de vídeo rotacional subaquático usada pela primeira vez no Brasil. Apresentamos um inventário de 282 espécies de peixes representando 91 famílias, com 21 novos registros para área de estudo, incluindo uma espécie não nativa (Heniochus acuminatus). Além disso, nossos resultados mostram um nível de endemismo moderado da província brasileira (aproximadamente 6,0%), sendo 10,5% das espécies classificadas em uma das categorias ameaçadas da IUCN. Nossos esforços mostram o cenário da biodiversidade de peixes e sua distribuição nas ilhas costeiras mais de 10 anos após o estabelecimento do Monumento Natural das Ilhas Cagarras, reforçando a importância de programas de pesquisa de monitoramento para a gestão desta Área Marinha Protegida e suas águas adjacentes, que desempenham papel fundamental para a pesca artesanal.

Abstract Coastal islands of Grande Rio, located south Rio de Janeiro and Maricá cities have been under multiple anthropogenic impacts. Despite these problems, these insular systems shelter a high diversity of fish species. Reef fishes are essential components of tropical marine coastal communities, also providing food and income for millions of people around the world. In this work, we generated an updated checklist from Cagarras Islands Natural Monument and surrounding areas based on fisheries data, literature records and multiple sampling techniques, including the Submersible Rotating Video technique, used for the first time in Brazil. We present an inventory of 282 fish species representing 91 different families, with 21 new records for the study area, including a non-native species (Heniochus acuminatus). In addition, our results show a moderate endemism level for the Brazilian province (approximately 6.0%), while 10.5% of species are assigned to one of IUCN’s threatened categories. Our efforts show the fish biodiversity scenario and their distribution on coastal islands more than 10 years after the Cagarras Islands Natural Monument establishment, reinforcing the importance of monitoring research programs for the management of this Marine Protected Area and surrounding waters, that play a key role for artisanal fisheries.

https://doi.org/10.1590/1982-0224-2022-0032

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