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au:SILVEIRA, LUIS FABIO

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Studies of Brazilian birds along altitudinal gradients: a critical review
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Schunck, Fabio

; Silveira, Luís Fábio

; Candia-Gallardo, Carlos

Zoologia (Curitiba)

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2023, Volume 40 elocation e22036

Abstract: En | Text: En | PDF: En

ABSTRACT Brazil is home to many mountain ranges which harbor diverse avifauna. However, studies on the altitudinal distribution of Brazilian birds are still few and many have never been published, hampering both the dissemination of basic information and conservation actions. Here we present a critical review of ornithological studies undertaken in Brazilian mountain ranges, and propose a classification of geographic scope, altitudinal gradient, and methodology. Since 1922, 184 ornithological studies included altitude in some way in Brazil, encompassing a variety of research topics and species. About a quarter of these studies were never published in peer-reviewed journals, and 39% do not provide basic data on elevation nor link the bird species with sampling plots, thus limiting their applicability. The majority of studies are concentrated (83%) in southern and southeastern Brazil, especially in the Serra do Mar range, and so most data are associated with the Atlantic Forest. Gaps remain in other regions, such as Amazonia (Pantepui region). Most studies either did not sample the entire elevation gradient, were not standardized, lacked explicit hypothesis, or did not account for a seasonal sampling embracing the four seasons of the year, so interpretation of the observed patterns remains difficult. With this compilation, we organize the available information and point to future altitudinal research on birds, in addition to highlighting the importance of preserving habitats along altitudinal gradients in the mountainous regions in Brazil.

https://doi.org/10.1590/s1984-4689.v40.e22036

Seasonal altitudinal movements of birds in Brazil: a review
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Schunck, Fabio

; Silveira, Luís Fábio

; Candia-Gallardo, Carlos

Zoologia (Curitiba)

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2023, Volume 40 elocation e22037

Abstract: En | Text: En | PDF: En

ABSTRACT Birds’ seasonal altitudinal movements in Brazil are poorly understood. The main source of information and has fostered interest since the 1980s. However, most of the available information is anecdotal, sources are repeatedly cited, and the information provided is quite superficial and speculative. Through bibliographic searches, we found 107 studies, 83 (77%) of which we consider valid, and only 63 (59%) were peer-reviewed. Most studies were carried out in southern and southeastern Brazil. Only 11 studies explicitly addressed seasonal altitudinal movements. Surprisingly, none of the studies simultaneously comprised a full year of study, standardized sampling methods, and encompassed the entire altitudinal range through which the birds might have moved. As a consequence, the quality of the data is questionable, and the expression “altitudinal migration” is unlikely to be accurate and has never been unequivocally demonstrated for birds in Brazil. Mention of “altitudinal migration” was found for 68 bird species, but these must be more clearly defined and appropriately tested.

https://doi.org/10.1590/s1984-4689.v40.e22037

New records of chewing lice (Insecta: Phthiraptera) parasites of Brazilian Anhimidae, Threskiornithidae, and Aramidae (Aves)
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Kuabara, Kamila M.D.

; Valim, Michel P.

; Silveira, Luís Fábio

Papéis Avulsos de Zoologia

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2023, Volume 63 elocation e202363020

Abstract: En | Text: En | PDF: En

We present records of chewing lice collected from bird skins of the families Anhimidae, Threskiornithidae, and Aramidae deposited at the Museum of Zoology of University of São Paulo (MZUSP). Twenty-one chewing lice species from the suborders Amblycera and Ischnocera were identified, seven of which are new records for Brazil. These species belong to the genera Ardeicola (1), Colpocephalum (3), Ibidoecus (1), and Plegadiphilus (2). Furthermore, ten species were recorded from new localities in Brazil, and Colpocephalum cayennensisPrice & Emerson, 1967 is for the first time recorded with precise locality in the country. Lastly, the bird host subspecies Phimosus infuscatus nudifrons (Spix, 1825) (Threskiornithidae) was for the first time found to harbor lice species.

https://doi.org/10.11606/1807-0205/2023.63.020

Rainy cycles in South America as a driver for the breeding of the Black Skimmer (Rynchops niger) and the Large-billed Tern (Phaetusa simplex) (Aves, Charadriiformes)
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Gouvêa, Ariane Campos

; Bravo, Gustavo A.

; Antas, Paulo de Tarso Zuquim

; Schuchmann, Karl-L.

; Silveira, Luís Fábio

Papéis Avulsos de Zoologia

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2023, Volume 63 elocation e202363028

Abstract: En | Text: En | PDF: En

Abstract The Black Skimmer (Rynchops niger) and the Large-billed Tern (Phaetusa simplex) are two migratory waterbirds that breed simultaneously on many river beaches in South America. Both are polytypic taxa with little information about the distribution and nonbreeding (“wintering”) areas. Based on data from the literature, citizen science websites, fieldwork, and specimens housed in natural history museums, we revised the distribution of some of the main breeding colonies in South America, comparing it with continental rainy cycles to identify generalities about the role of precipitation seasonality on the defining intratropical migration routes of these species. Our data suggest that the seasonal precipitation cycle of South America directly influences the reproductive timing and distribution of both species, which is largely circumscribed by South America’s rivers. After breeding on sandy beaches during the dry season, both species disperse in small groups or even individually - not in large flocks as seen in breeding areas - making it difficult to find general migration patterns during the rainy season. Nonetheless, individuals of both species tend to follow the course of the largest rivers of the continent and even alternative routes to disperse into several areas throughout South America during the nonbreeding season.

https://doi.org/10.11606/1807-0205/2023.63.028

Detection of anti-Leishmania spp. antibodies in poultry from central region of Rio Grande do Sul, Brazil
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Tatto, Maurício

; Fernandes, Fagner D’ambroso

; Costa, Eliesse Pereira

; Shibuya, Fabio Yuji

; Freitas, Luiza Isaia de

; Osmari, Vanessa

; Roman, Isac Junior

; Bräunig, Patrícia

; Vogel, Fernanda Silveira Flores

; Botton, Sônia de Avila

; Sangioni, Luis Antônio

Revista Brasileira de Parasitologia Veterinária

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2023, Volume 32 N. 4 elocation e007723

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Domestic birds such as Gallus gallus, Meleagris gallopavo, Anser anser and Numida meleagris are widely distributed throughout the world and maintain contact with humans and other animal species considered reservoirs of both Visceral Leishmaniasis (VL) and American Tegumentary Leishmaniasis (ATL), including dogs and cats; wild canids, marsupials; and synanthropic animals such as rodents and chiroptera. Therefore, this study aimed to detect the presence of anti-Leishmania spp. antibodies in birds from a rural area of the municipality of Santa Maria, southern Brazil. From May to December 2022, 262 blood samples were collected from 244 chickens, 8 turkeys, 7 guinea fowl and 3 geese, distributed in 27 rural properties in 6 districts. All the sites visited presented positive birds for the presence of Leishmania spp. Thus, it is inferred that, contact with this protozoan can induce the production of antibodies, suggesting that these animals can be used as sentinels for the circulation of this agent. In addition, the blood of these animals is a preferred food source for insects of the subfamily Phlebotominae, which can be used them as bioindicators of the presence of these phlebotomes.

Resumo Aves domésticas, como Gallus gallus, Meleagris gallopavo, Anser anser e Numida meleagris, são amplamente distribuídas pelo mundo e mantêm contato com humanos e outras espécies animais consideradas reservatórios tanto da Leishmaniose Visceral (LV) quanto da Leishmaniose Tegumentar Americana (LTA), incluindo-se cães e gatos, canídeos silvestres, marsupiais; e animais sinantrópicos, como roedores e quirópteros. Portanto, este estudo teve como objetivo detectar a presença de anticorpos anti-Leishmania spp. em aves de uma área rural do município de Santa Maria, sul do Brasil. De maio a dezembro de 2022, foram coletadas 262 amostras de sangue de 244 galinhas, 8 perus, 7 pintadas e 3 gansos, distribuídas em 27 propriedades rurais de 6 distritos. Todos os locais visitados apresentaram aves positivas para a presença de Leishmania spp. Assim, infere-se que o contato com esse protozoário pode induzir a produção de anticorpos, sugerindo que esses animais possam ser utilizados como sentinelas para a circulação desse agente. Além disso, o sangue desses animais é uma fonte de alimento preferencial para insetos da subfamília Phlebotominae, que podem ser utilizados como bioindicadores da presença desses flebotomíneos.

https://doi.org/10.1590/s1984-29612023077

Sobrevida de Pacientes Transplantados Cardíacos com Doença de Chagas Sob Diferentes Regimes de Imunossupressores Antiproliferativos
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Furquim, Silas Ramos

; Galbiati, Luana Campoli

; Avila, Monica S.

; Marcondes-Braga, Fabiana G.

; Fukushima, Julia

; Mangini, Sandrigo

; Seguro, Luis Fernando Bernal da Costa

; Campos, Iascara Wozniak de

; Strabelli, Tania Mara Varejão

; Barone, Fernanda

; Paulo, Audrey Rose da Silveira Amancio de

; Ohe, Luciana Akutsu

; Galante, Mariana Cappelletti

; Gaiotto, Fabio Antonio

; Bacal, Fernando

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 10 elocation e20230133

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Background Chagas’ disease (CD) is an important cause of heart transplantation (HT). The main obstacle is Chagas’ disease reactivation (CDR), usually associated to high doses of immunosuppressants. Previous studies have suggested an association of mycophenolate mofetil with increased CDR. However, mortality predictors are unknown. Objectives To identify mortality risk factors in heart transplant patients with CD and the impact of antiproliferative regimen on survival. Methods Retrospective study with CD patients who underwent HT between January 2004 and September 2020, under immunosuppression protocol that prioritized azathioprine and change to mycophenolate mofetil in case of rejection. We performed univariate regression to identify mortality predictors; and compared survival, rejection and evidence of CDR between who received azathioprine, mycophenolate mofetil and those who changed from azathioprine to mycophenolate mofetil after discharge (“Change” group). A p-value < 0.05 was considered statistically significant. Results Eighty-five patients were included, 54.1% men, median age 49 (39-57) years, and 91.8% were given priority in waiting list. Nineteen (22.4%) used azathioprine, 37 (43.5%) mycophenolate mofetil and 29 (34.1%) switched therapy; survival was not different between groups, 2.9 (1.6-5.0) x 2.9 (1.8-4.8) x 4.2 (2.0-5.0) years, respectively; p=0.4. There was no difference in rejection (42%, 73% and 59% respectively; p=0.08) or in CDR (T. cruzi positive by endomyocardial biopsy 5% x 11% x 7%; p=0.7; benznidazole use 58% x 65% x 69%; p=0.8; positive PCR for T. cruzi 20% x 68% x 42% respectively; p=0.1) rates. Conclusions This retrospective study did not show difference in survival in heart transplant patients with CD receiving different antiproliferative regimens. Mycophenolate mofetil was not associated with statistically higher rates of CDR or graft rejection in this cohort. New randomized clinical trials are necessary to address this issue.

Resumo Fundamento A Doença de Chagas (DC) é uma causa importante de transplante cardíaco (TC). O principal obstáculo é a reativação da DC (RDC), normalmente associada a altas doses de imunossupressores. Estudos anteriores sugeriram uma associação do micofenolato de mofetila com aumento na RDC. No entanto, preditores de mortalidade são desconhecidos. Objetivos Identificar os fatores de risco de mortalidade em pacientes com DC após o TC e o impacto do regime antiproliferativo sobre a sobrevida. Métodos Estudo retrospectivo com pacientes chagásicos submetidos ao TC entre janeiro de 2004 e setembro de 2020, em protocolo de imunossupressão que priorizava o uso de azatioprina e sua mudança para micofenolato de mofetila em caso de rejeição. Realizamos regressão univariada para identificar preditores de mortalidade e comparamos sobrevida, rejeição, e evidência RDC entre os pacientes que usavam azatioprina, micofenolato de mofetila, e aqueles que mudaram de azatioprina para micofenolato (grupo “Mudança”) após a alta. Um valor de p<0,05 foi considerado estatisticamente significativo. Resultados Foram incluídos 85 pacientes, 54,1% homens, idade mediana 49 (39-57) anos, e 91,8% com prioridade na lista de espera. Dezenove (22,4%) usavam azatioprina, 37 (43,5%) micofenolato de mofetila, e 29 (34,1%) trocaram a terapia; a sobrevida não foi diferente entre os grupos, 2,9 (1,6-5,0) x 2,9 (1,8-4,8) x 4,2 (2,0-5,0) anos, respectivamente; p=0,4. Não houve diferença na taxa de rejeição (42%, 73% e 59% respectivamente; p=0,08) ou de RDC (T. cruzi positiva na biópsia endomiocárdica 5% x 11% x 7%; p=0,7; uso benzonidazol 58% x 65% x 69%; p=0,8; PCR positiva para T. cruzi 20% x 68% x 42% respectivamente; p=0,1). Conclusões Este estudo retrospectivo com pacientes com DC e TC não mostrou diferença na sobrevida entre os diferentes regimes antiproliferativos. O uso de micofenolato de mofetila não foi associado com taxas significativamente mais altas de RDC ou rejeição do enxerto nesta coorte. Novos ensaios randomizados são necessários para abordar essa questão.

https://doi.org/10.36660/abc.20230133

Evaluation of 10-minute post-injection 11C-PiB PET and its correlation with 18F-FDG PET in older adults who are cognitively healthy, mildly impaired, or with probable Alzheimer’s disease
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Carneiro, Camila de Godoi

; Faria, Daniele de Paula

; Coutinho, Artur Martins

; Ono, Carla Rachel

; Duran, Fábio Luís de Souza

; da Costa, Naomi Antunes

; Garcez, Alexandre Teles

; da Silveira, Paula Squarzoni

; Forlenza, Orestes Vicente

; Brucki, Sonia Maria Dozzi

; Nitrini, Ricardo

; Busatto Filho, Geraldo

; Buchpiguel, Carlos Alberto

Brazilian Journal of Psychiatry

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oct 2022, Volume 44 N. 5 Pages 495 - 506

Abstract: En | Text: En | PDF: En

Objective: Positron emission tomography (PET) allows in vivo evaluation of molecular targets in neurodegenerative diseases, such as Alzheimer’s disease. Mild cognitive impairment is an intermediate stage between normal cognition and Alzheimer-type dementia. In vivo fibrillar amyloid-beta can be detected in PET using [11C]-labeled Pittsburgh compound B (11C-PiB). In contrast, [18F]fluoro-2-deoxy-d-glucose (18F-FDG) is a neurodegeneration biomarker used to evaluate cerebral glucose metabolism, indicating neuronal injury and synaptic dysfunction. In addition, early cerebral uptake of amyloid-PET tracers can determine regional cerebral blood flow. The present study compared early-phase 11C-PiB and 18F-FDG in older adults without cognitive impairment, amnestic mild cognitive impairment, and clinical diagnosis of probable Alzheimer’s disease. Methods: We selected 90 older adults, clinically classified as healthy controls, with amnestic mild cognitive impairment, or with probable Alzheimer’s disease, who underwent an 18F-FDG PET, early-phase 11C-PiB PET and magnetic resonance imaging. All participants were also classified as amyloid-positive or -negative in late-phase 11C-PiB. The data were analyzed using statistical parametric mapping. Results: We found that the probable Alzheimer’s disease and amnestic mild cognitive impairment group had lower early-phase 11C-PiB uptake in limbic structures than 18F-FDG uptake. The images showed significant interactions between amyloid-beta status (negative or positive). However, early-phase 11C-PiB appears to provide different information from 18F-FDG about neurodegeneration. Conclusions: Our study suggests that early-phase 11C-PiB uptake correlates with 18F-FDG, irrespective of the particular amyloid-beta status. In addition, we observed distinct regional distribution patterns between both biomarkers, reinforcing the need for more robust studies to investigate the real clinical value of early-phase amyloid-PET imaging.

https://doi.org/10.47626/1516-4446-2021-2374

Impacto da Primeira Onda da Pandemia de COVID-19 na Cirurgia Cardiovascular no Brasil: Análise de um Centro Terciário de Referência
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Lisboa, Luiz Augusto

; Mejia, Omar Asdrúbal Vilca

; Arita, Elisandra Trevisan

; Guerreiro, Gustavo Pampolha

; Silveira, Lucas Molinari Veloso da

; Brandão, Carlos Manuel de Almeida

; Dias, Ricardo Ribeiro

; Dallan, Luís Roberto Palma

; Miana, Leonardo

; Caneo, Luiz F.

; Jatene, Marcelo Biscegli

; Dallan, Luís Alberto Oliveira

; Jatene, Fabio Biscegli

Arquivos Brasileiros de Cardiologia

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mar 2022, Volume 118 N. 3 Pages 663 - 666

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20210235

Perspectives and challenges on isotopic ecology of terrestrial birds in Brazil
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Navarro, Ana Beatriz

; Magioli, Marcelo

; Moreira, Marcelo Zacharias

; Silveira, Luís Fábio

Zoologia (Curitiba)

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2022, Volume 39 elocation e21023

Abstract: En | Text: En | PDF: En

ABSTRACT Although stable isotopes have been increasingly used in ornithology since 1980 in many places, Brazil has been slow in adopting this methodology, especially when it comes to terrestrial birds. The most common elements in bird ecology studies are carbon, nitrogen, hydrogen, and oxygen stable isotopes, which provide information on diet, trophic interactions, habitat use, migration, geographic patterns, and physiology. It is important that Brazilian ornithologists become aware of the potential of stable isotope analysis in ecological studies, and the shortcomings of this tool. The use of stable isotopes to study bird ecology has great potential in Brazil, since many ecological questions about Neotropical birds can be addressed by it (e.g., resource and habitat use, migratory routes, isotopic niches, anthropogenic impacts, individual specialization). Brazilian museums and other Natural History collections can provide samples to study long-term temporal dynamics in bird ecology. Additionally, the integration of avian tissue sample information into a database may increase the collaboration among researchers and promote sample reuse in a variety of studies. All biomes in Brazil have been under pressure from anthropogenic impacts (e.g., land-use change, habitat loss, fragmentation, intensive agriculture), affecting several taxa, including terrestrial birds. Considering the negative effects of human expansion over natural areas and that stable isotopes provide useful ecological information, ornithologists in Brazil should increase their use of this tool in the future.

https://doi.org/10.1590/s1984-4689.v39.e21023

10.

Are recaptures of banded birds efficient at detecting altitudinal migrations in the Atlantic Forest?
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Schunck, Fabio

; Rego, Marco Antonio

; Silveira, Luís Fábio

; Candia-Gallardo, Carlos

Zoologia (Curitiba)

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2022, Volume 39 elocation e22025

Abstract: En | Text: En | PDF: En

ABSTRACT Altitudinal migration in birds comprises seasonal movements between breeding and non-breeding areas in mountainous regions, attributed to biotic and abiotic factors. Different authors have suggested the existence of altitudinal migration between high and low areas of the mountains of the Atlantic Forest, with movement from high to low during the winter when birds would be fleeing the cold and in search of food, but there is no documented evidence. Through recaptures of understory birds, we investigated possible altitudinal migration in a region of the Atlantic Forest in Southeast Brazil. Twenty mist-nets were set at four locations between 15 and 729 m a.s.l. during 143 days of field work, distributed over 54 months and covering all seasons of the year. A total of 1946 birds (98 species) were captured/banded with 558 being recaptured (28.6%; 45 species). However, only 42 of the recaptures were at a different elevation. Most of the movements were of short distances and performed only once by birds, showing no seasonal pattern. These movements may be better interpreted as daily movements undertaken by birds of mixed-species flocks looking for food or moving around their respective home-ranges. Our results show that mist-nets may not be an effective tool in detecting altitudinal movements of birds and that other methods should be evaluated for this purpose.

https://doi.org/10.1590/s1984-4689.v39.e22025

11.

An annotated avian inventory of the Brazilian state of Alagoas, one of the world’s most threatened avifauna
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Lima, Rafael Dantas

; Silveira, Luís Fábio

; Lemos, Renata Constant de Amorim

; Lobo-Araújo, Lahert William

; Andrade, Arthur Barbosa de

; Francisco, Mercival Roberto

; Efe, Márcio Amorim

Papéis Avulsos de Zoologia

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2022, Volume 62 elocation e202262034

Abstract: En | Text: En | PDF: En

Abstract The northeast Brazilian state of Alagoas harbors a rather diverse, and one of the world’s most threatened, avifauna. However, the knowledge about its avifauna is currently scattered on several publications and the state’s birds have never been comprehensively assembled into a checklist. To fill this shortfall, we present here the first critical review of all available bird records for the state of Alagoas. We present a list of 520 bird species recorded in the state, of which 503 are supported by documentary evidence. We also comment on the distribution, migratory movements, taxonomy and conservation of the region’s avifauna and correct previous misidentified or invalid records for the state.

https://doi.org/10.11606/1807-0205/2022.62.034

12.

Natural history museums and zoological collections of São Paulo State
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Percequillo, Alexandre Reis

; Barbosa, Marina F. C.

; Bockmann, Flávio A.

; Bogoni, Juliano A.

; Esguícero, André L. H.

; Lamas, Carlos

; Moraes, Gilberto José de

; Pinto-da-Rocha, Ricardo

; Silveira, Luís Fábio

Biota Neotropica

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2022, Volume 22 N. spe elocation e20221426

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Scientific collections constitute a valuable source for contributions to scientific research and the training of human resources in systematics, but also other areas of biological knowledge. In this contribution, we intend to discuss these advancements in collections and the role played by FAPESP in sponsoring them, as well as a general overview of the zoological collections in São Paulo state. We also aim to stress the importance of zoological collections and the need for continuous logistic and financial support from institutions and research agencies to maintain and develop these unique repositories of biodiversity. From 1980 to the present, FAPESP supported 118 research projects focused on several areas of zoology that are directly or indirectly associated with collections. There is a constant growth in the number of projects, and the financial support provided by FAPESP through the Biota Program was paramount for the advancement of our knowledge of biodiversity in Brazil. Parallel to the scientific advances, but not less important, this support allowed curators to increase the number of specimens, and to organize, maintain and digitize them in these valuable and irreplaceable collections. Regarding the lack of new taxonomists, it is essential that FAPESP and universities in São Paulo encourage the formation of new academics in zoological groups where specialists are rare. Considering the investment provided by FAPESP, it is quite important that the institutions that benefited from these resources took greater responsibility to safeguard these collections, and they should consider including resources on their budgets to obtain safety certificates, ensuring their permanence for many generations to come. Zoological collections are a heritage of humanity and are essential not only for the improvement of our knowledge of biodiversity but also with direct applications, among other services provided by these biological resources. It is important that research and teaching institutions in São Paulo that house specimens under their care start to value more this important patrimony and this heritage, as these collections represent the most valuable testimony of our impressive biodiversity, records of our past, and windows to our future, essential to our academic, scientific, cultural and social sovereignty.

Resumo As coleções científicas constituem uma fonte valiosa para contribuições à pesquisa científica e para a formação de recursos humanos em sistemática, mas também em outras áreas do conhecimento biológico. Nesta contribuição, pretendemos discutir esses avanços nas coleções e o papel desempenhado pela FAPESP no seu patrocínio, bem como um panorama geral das coleções zoológicas do estado de São Paulo. Também pretendemos enfatizar a importância das coleções zoológicas e a necessidade de apoio logístico e financeiro contínuo de instituições e agências de pesquisa para manter e desenvolver esses repositórios únicos de biodiversidade. Ao longo de 1980 até os dias atuais, a FAPESP apoiou 118 projetos de pesquisa focados em diversas áreas da zoologia, direta ou indiretamente associados a coleções. Há um crescimento constante no número de projetos, e o apoio financeiro da FAPESP por meio do Programa Biota foi fundamental para o avanço do nosso conhecimento sobre a biodiversidade no Brasil. Paralelamente aos avanços científicos, mas não menos importante, este apoio permitiu aos curadores aumentar o número de exemplares, e organizá-los, mantê-los e digitalizá-los nestas valiosas e insubstituíveis coleções. Em relação à falta de novos taxonomistas, é fundamental que a FAPESP e as universidades paulistas estimulem a formação de novos acadêmicos em grupos zoológicos onde os especialistas são raros. Considerando o investimento realizado pela FAPESP, é de suma importância que as instituições beneficiadas com esses recursos tenham maior responsabilidade na salvaguarda desses acervos, devendo considerar a inclusão de recursos em seus orçamentos para obtenção de certificados de segurança, garantindo sua permanência por muitas gerações. As coleções zoológicas são patrimônio da humanidade, e são essenciais não apenas para o aprimoramento do nosso conhecimento sobre a biodiversidade, mas também com aplicações diretas, entre outros serviços prestados por esses recursos biológicos. É importante que as instituições de pesquisa e ensino paulistas que abrigam exemplares sob seus cuidados passem a valorizar mais esse importante patrimônio e essa herança, pois essas coleções representam o testemunho mais valioso de nossa impressionante biodiversidade, registros do nosso passado e janelas para o nosso futuro, essenciais à nossa soberania acadêmica, científica, cultural e social.

https://doi.org/10.1590/1676-0611-bn-2022-1426

13.

Liver transplantation: survival and indexes of donor-recipient matching
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Silveira, Fábio

; Silveira, Fabio Porto

; Freitas, Alexandre Coutinho Teixeira de

; Coelho, Júlio Cezar Uili

; Ramos, Eduardo José Brommelstroet

; Macri, Matheus Martin

; Tefilli, Nertan

; Bredt, Luis Cesar

Revista da Associação Médica Brasileira

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jun 2021, Volume 67 N. 5 Pages 690 - 695

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: The aim of this study was to determine the prospective capacity and impact of donor risk index, preallocation survival outcomes following liver transplant, donor model for end-stage liver disease, and balance of risk on patients’ 30-day survival after liver transplantation. METHODS: We prospectively analyzed patient survival in a multicentric observational cohort of adult liver transplantation through the year of 2019 at the state of Paraná, Brazil. The receiver operating characteristic curve, the area under the curve, and the best cutoff point (i.e., the Youden’s index) were estimated to analyze the prognostic value of each index. RESULTS: In total, 252 liver transplants were included with an average model for end-stage liver disease score of 21.17 and a 30-day survival of 79.76%. The donor risk index was the only prognostic variable with no relation to patients’ 30-day mortality model for end-stage liver disease and donor model for end-stage liver disease have no prognostic value on receiver operating characteristic curve, but preallocation survival outcomes following liver transplant, survival outcomes following liver transplant, and balance of risk presented good relationship with this observation. The cutoff value was estimated in 11-12 points for balance of risk and 9-12 for preallocation survival outcomes following liver transplant and survival outcomes following liver transplant. The 30-day survival for the group of transplants with scores up to 12 points (n=172) in all the three indexes was 87.79%, and for those transplants with scores higher than 12 it was 36.36%. CONCLUSIONS: The 30-day survival is 79.76%, and balance of risk, survival outcomes following liver transplant, and preallocation survival outcomes following liver transplant are the good prognostic indexes. The cutoff value of 12 points has clinical usefulness to predict the post-liver transplantation results.

https://doi.org/10.1590/1806-9282.20201088 61 downloads

14.

Atualização de Tópicos Emergentes da Diretriz Brasileira de Insuficiência Cardíaca – 2021
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Marcondes-Braga, Fabiana G.

; Moura, Lídia Ana Zytynski

; Issa, Victor Sarli

; Vieira, Jefferson Luis

; Rohde, Luis Eduardo

; Simões, Marcus Vinícius

; Fernandes-Silva, Miguel Morita

; Rassi, Salvador

; Alves, Silvia Marinho Martins

; Albuquerque, Denilson Campos de

; Almeida, Dirceu Rodrigues de

; Bocchi, Edimar Alcides

; Ramires, Felix José Alvarez

; Bacal, Fernando

; Rossi Neto, João Manoel

; Danzmann, Luiz Claudio

; Montera, Marcelo Westerlund

; Oliveira Junior, Mucio Tavares de

; Clausell, Nadine

; Silvestre, Odilson Marcos

; Bestetti, Reinaldo Bulgarelli

; Bernadez-Pereira, Sabrina

; Freitas Jr, Aguinaldo F.

; Biolo, Andréia

; Barretto, Antonio Carlos Pereira

; Jorge, Antônio José Lagoeiro

; Biselli, Bruno

; Montenegro, Carlos Eduardo Lucena

; Santos Júnior, Edval Gomes dos

; Figueiredo, Estêvão Lanna

; Fernandes, Fábio

; Silveira, Fabio Serra

; Atik, Fernando Antibas

; Brito, Flávio de Souza

; Souza, Germano Emílio Conceição

; Ribeiro, Gustavo Calado de Aguiar

; Villacorta, Humberto

; Souza Neto, João David de

; Goldraich, Livia Adams

; Beck-da-Silva, Luís

; Canesin, Manoel Fernandes

; Bittencourt, Marcelo Imbroinise

; Bonatto, Marcely Gimenes

; Moreira, Maria da Consolação Vieira

; Avila, Mônica Samuel

; Coelho Filho, Otavio Rizzi

; Schwartzmann, Pedro Vellosa

; Mourilhe-Rocha, Ricardo

; Mangini, Sandrigo

; Ferreira, Silvia Moreira Ayub

; Figueiredo Neto, José Albuquerque de

; Mesquita, Evandro Tinoco

Arquivos Brasileiros de Cardiologia

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jun 2021, Volume 116 N. 6 Pages 1174 - 1212

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20210367 3168 downloads

15.

Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
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Freitas, Flavio Geraldo Rezende de

; Hammond, Naomi

; Li, Yang

; Azevedo, Luciano Cesar Pontes de

; Cavalcanti, Alexandre Biasi

; Taniguchi, Leandro

; Gobatto, André

; Japiassú, André Miguel

; Bafi, Antonio Tonete

; Mazza, Bruno Franco

; Noritomi, Danilo Teixeira

; Dal-Pizzol, Felipe

; Bozza, Fernando

; Salluh, Jorge Ibrahin Figueira

; Westphal, Glauco Adrieno

; Soares, Márcio

; Assunção, Murillo Santucci César de

; Lisboa, Thiago

; Lobo, Suzana Margarete Ajeje

; Barbosa, Achilles Rohlfs

; Ventura, Adriana Fonseca

; Souza, Ailson Faria de

; Silva, Alexandre Francisco

; Toledo, Alexandre

; Reis, Aline

; Cembranel, Allan

; Rea Neto, Alvaro

; Gut, Ana Lúcia

; Justo, Ana Patricia Pierre

; Santos, Ana Paula

; Albuquerque, André Campos D. de

; Scazufka, André

; Rodrigues, Antonio Babo

; Fernandino, Bruno Bonaccorsi

; Silva, Bruno Goncalves

; Vidal, Bruno Sarno

; Pinheiro, Bruno Valle

; Pinto, Bruno Vilela Costa

; Feijo, Carlos Augusto Ramos

; Abreu Filho, Carlos de

; Bosso, Carlos Eduardo da Costa Nunes

; Moreira, Carlos Eduardo Nassif

; Ramos, Carlos Henrique Ferreira

; Tavares, Carmen

; Arantes, Cidamaiá

; Grion, Cintia

; Mendes, Ciro Leite

; Kmohan, Claudio

; Piras, Claudio

; Castro, Cristine Pilati Pileggi

; Lins, Cyntia

; Beraldo, Daniel

; Fontes, Daniel

; Boni, Daniela

; Castiglioni, Débora

; Paisani, Denise de Moraes

; Pedroso, Durval Ferreira Fonseca

; Mattos, Ederson Roberto

; Brito Sobrinho, Edgar de

; Troncoso, Edgar M. V.

; Rodrigues Filho, Edison Moraes

; Nogueira, Eduardo Enrico Ferrari

; Ferreira, Eduardo Leme

; Pacheco, Eduardo Souza

; Jodar, Euzebio

; Ferreira, Evandro L. A.

; Araujo, Fabiana Fernandes de

; Trevisol, Fabiana Schuelter

; Amorim, Fábio Ferreira

; Giannini, Fabio Poianas

; Santos, Fabrício Primitivo Matos

; Buarque, Fátima

; Lima, Felipe Gallego

; Costa, Fernando Antonio Alvares da

; Sad, Fernando Cesar dos Anjos

; Aranha, Fernando G.

; Ganem, Fernando

; Callil, Flavio

; Costa Filho, Francisco Flávio

; Dall´Arto, Frederico Toledo Campo

; Moreno, Geovani

; Friedman, Gilberto

; Moralez, Giulliana Martines

; Silva, Guilherme Abdalla da

; Costa, Guilherme

; Cavalcanti, Guilherme Silva

; Betônico, Gustavo Navarro

; Reis, Hélder

; Araujo, Helia Beatriz N.

; Hortiz Júnior, Helio Anjos

; Guimaraes, Helio Penna

; Urbano, Hugo

; Maia, Israel

; Santiago Filho, Ivan Lopes

; Farhat Júnior, Jamil

; Alvarez, Janu Rangel

; Passos, Joel Tavares

; Paranhos, Jorge Eduardo da Rocha

; Marques, José Aurelio

; Moreira Filho, José Gonçalves

; Andrade, Jose Neto

; Sobrinho, José Onofre de C

; Bezerra, Jose Terceiro de Paiva

; Alves, Juliana Apolônio

; Ferreira, Juliana

; Gomes, Jussara

; Sato, Karina Midori

; Gerent, Karine

; Teixeira, Kathia Margarida Costa

; Conde, Katia Aparecida Pessoa

; Martins, Laércia Ferreira

; Figueirêdo, Lanese

; Rezegue, Leila

; Tcherniacovsk, Leonardo

; Ferraz, Leone Oliveira

; Cavalcante, Liane

; Rabelo, Ligia

; Miilher, Lilian

; Garcia, Lisiane

; Tannous, Luana

; Hajjar, Ludhmila Abrahão

; Paciência, Luís Eduardo Miranda

; Cruz Neto, Luiz Monteiro da

; Bley, Macia Valeria

; Sousa, Marcelo Ferreira

; Puga, Marcelo Lourencini

; Romano, Marcelo Luz Pereira

; Nobrega, Marciano

; Arbex, Marcio

; Rodrigues, Márcio Leite

; Guerreiro, Márcio Osório

; Rocha, Marcone

; Alves, Maria Angela Pangoni

; Rosa, Maria Doroti

; Dias, Mariza D’Agostino

; Martins, Miquéias

; Oliveira, Mirella de

; Moretti, Miriane Melo Silveira

; Matsui, Mirna

; Messender, Octavio

; Santarém, Orlando Luís de Andrade

; Silveira, Patricio Júnior Henrique da

; Vassallo, Paula Frizera

; Antoniazzi, Paulo

; Gottardo, Paulo César

; Correia, Paulo

; Ferreira, Paulo

; Torres, Paulo

; Silva, Pedro Gabrile M. de Barros e

; Foernges, Rafael

; Gomes, Rafael

; Moraes, Rafael

; Nonato filho, Raimundo

; Borba, Renato Luis

; Gomes, Renato V

; Cordioli, Ricardo

; Lima, Ricardo

; López, Ricardo Pérez

; Gargioni, Ricardo Rath de Oliveira

; Rosenblat, Richard

; Souza, Roberta Machado de

; Almeida, Roberto

; Narciso, Roberto Camargo

; Marco, Roberto

; waltrick, Roberto

; Biondi, Rodrigo

; Figueiredo, Rodrigo

; Dutra, Rodrigo Santana

; Batista, Roseane

; Felipe, Rouge

; Franco, Rubens Sergio da Silva

; Houly, Sandra

; Faria, Sara Socorro

; Pinto, Sergio Felix

; Luzzi, Sergio

; Sant’ana, Sergio

; Fernandes, Sergio Sonego

; Yamada, Sérgio

; Zajac, Sérgio

; Vaz, Sidiner Mesquita

; Bezerra, Silvia Aparecida Bezerra

; Farhat, Tatiana Bueno Tardivo

; Santos, Thiago Martins

; Smith, Tiago

; Silva, Ulysses V. A.

; Damasceno, Valnei Bento

; Nobre, Vandack

; Dantas, Vicente Cés de Souza

; Irineu, Vivian Menezes

; Bogado, Viviane

; Nedel, Wagner

; Campos Filho, Walther

; Dantas, Weidson

; Viana, William

; Oliveira Filho, Wilson de

; Delgadinho, Wilson Martins

; Finfer, Simon

; Machado, Flavia Ribeiro

Revista Brasileira de Terapia Intensiva

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apr 2021, Volume 33 N. 2 Pages 206 - 218

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.

Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.

https://doi.org/10.5935/0103-507x.20210028 273 downloads

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