Repositório RCAAP

OBJETIVO: Avaliar os achados ecocardiográficos em pacientes com suspeita diagnóstica de endocardite infecciosa. MÉTODOS: Foram submetidos à investigação ecocardiográfica transtorácica e transesofágica 262 pacientes com suspeita diagnóstica de endocardite infecciosa. Analisadas imagens de vegetações, abscessos valvares e insuficiência periprotética aguda e avaliada a correlação com dados clínicos, laboratoriais, categoria diagnóstica e a evolução hospitalar. RESULTADOS: O diagnóstico de endocardite foi categorizado como definido em 127 (47,8%) episódios, possível em 81 (30,4%) e rejeitado em 58 (21,8%). Nos pacientes com o diagnóstico definido, foram identificadas 135 imagens de vegetações, 37 de abscesso e 6 de insuficiência periprotética. Vegetações foram mais freqüentes em pacientes com endocardite por estreptococos do grupo viridans e enterococos (p=0,02) e com duração dos sintomas < 10 dias (p= 0,001); abscesso mais freqüente em pacientes com duração dos sintomas < 10 dias (p= 0,001) e insuficiência periprotética associada à maior necessidade de tratamento cirúrgico (p=0,001). Nos pacientes com o diagnóstico possível de endocardite, foram identificadas 8 imagens ecocardiográficas consideradas compatíveis com vegetações e, nos pacientes com diagnóstico de endocardite rejeitado, não foram demonstradas vegetações, abscessos valvares e insuficiência periprotética. CONCLUSÃO: Nossos achados ecocardiográficos variaram de acordo com a categoria diagnóstica. A contribuição tanto para o diagnóstico quanto para a avaliação prognóstica deve levar em consideração a probabilidade pré-teste do diagnóstico de endocardite infecciosa.

OBJETIVO: Determinar a efetividade do isolamento cirúrgico da parede posterior do átrio esquerdo envolvendo os óstios das veias pulmonares, no tratamento da fibrilação atrial de etiologia reumática. MÉTODOS: Estudo prospectivo e randomizado envolvendo portadores de valvopatia mitral reumática, fibrilação atrial persistente com duração > a 6 meses, idade < a 60 anos e diâmetro atrial esquerdo < a 65 mm. Os pacientes foram distribuídos aleatoriamente em dois grupos: tratamento cirúrgico valvar (grupo controle) e tratamento cirúrgico valvar associado ao isolamento da parede posterior do átrio esquerdo mediante técnica de "corte e sutura" (grupo tratado). RESULTADOS: Foram operados 29 indivíduos, sendo que 27 (13 do grupo controle e 14 do grupo tratado), foram acompanhados regularmente. Os pacientes dos dois grupos não diferiram em relação às suas características basais. O tempo de seguimento médio foi de 11,5 meses no grupo controle e de 10,3 meses no grupo tratado. As freqüências cumulativas de pacientes livres de fibrilação atrial foram significativamente maiores no grupo tratado tanto na fase peri-operatória (p= 0,0035) quanto na fase tardia (p= 0,0430). CONCLUSÃO: O isolamento cirúrgico da parede posterior do átrio esquerdo envolvendo os óstios das veias pulmonares é uma forma efetiva de tratamento da fibrilação atrial na valvopatia mitral reumática.

OBJETIVO: Comparar o manejo dos pacientes com cardiopatia isquêmica, atendidos por cardiologistas em ambulatório geral de cardiologia, com aquele realizado em ambulatório específico de cardiopatia isquêmica, dando ênfase à solicitação do perfil lipídico e ao tratamento farmacológico prescrito. MÉTODOS: Dados obtidos de prontuário médico de 52 pacientes consecutivos atendidos no ambulatório de cardiopatia isquêmica (grupo I) e de 43 acompanhados no ambulatório de cardiologia geral (grupo II), sendo o diagnóstico anatômico de cardiopatia isquêmica, condição básica para sua inclusão. Considerou-se critério para dislipidemia, colesterol total > 200mg/dl e/ou LDL colesterol > 100 mg/dl em pacientes em uso ou não de hipolipemiantes e o uso de drogas hipolipemiantes, mesmo quando os níveis de colesterol total e/ou LDL colesterol eram < a 200 mg/dl e 100 mg/dl, respectivamente. Usou-se teste exato de Fischer para comparação de variáveis, aceitando como significativo p bicaudal < 0,05. RESULTADOS: Características demográficas, fatores de risco observados para cardiopatia isquêmica, prevalência de infarto do miocárdio prévio e procedimentos de revascularização prévios não apresentaram diferenças significativas entre os pacientes do grupo I e II. Observou-se que os pacientes do grupo I receberam aspirina em 98% dos casos, enquanto que no grupo II, sua prescrição foi de 83% (p=0,02). Em relação a drogas hipolipemiantes, as prevalências foram de 60% no grupo I e de 19% no grupo II (p=0,001). Exames de perfil lipídico foram solicitados para 98% dos indivíduos do grupo I e 79% do grupo II (p=0,003). CONCLUSÃO: Houve maior fidedignidade de condutas no ambulatório específico de cardiopatia isquêmica em relação às novas evidências médicas, principalmente no que tange à prescrição de aspirina e de drogas hipolipemiantes.

OBJETIVO: Avaliar a massa ventricular esquerda em pacientes com insuficiência cardíaca, as correlações com outras variáveis clínicas e com o prognóstico. MÉTODOS: Foram estudados 587 pacientes com idades entre 13,8 anos e 68,9 anos, 461 (78,5%) homens e 126 (21,5%) mulheres. A massa ventricular esquerda foi estimada com o uso do ecocardiograma no modo M e indexada pela altura. RESULTADOS: O índice da massa ventricular esquerda variou de 35,3 g/m a 333,5 g/m e aumentou conforme a idade. O índice da massa ventricular esquerda foi maior nos homens (média 175,7 g/m) do que nas mulheres (média 165,7 g/m). O índice da massa ventricular esquerda foi maior nos portadores de cardiomiopatia hipertensiva (média 188,1 g/m), de cardiomiopatia dilatada idiopática (média 177,7 g/m) e de cardiomiopatias de outras etiologias (média 175,1 g/m) do que nos portadores de cardiomiopatia chagásica (média 164,3 g/m) e isquêmica (média 162 g/m). O índice da massa ventricular esquerda de portadores de insuficiência cardíaca demonstrou associação com a idade, o sexo, a etiologia e o diâmetro do átrio esquerdo. A correlação com a fração de ejeção do ventrículo esquerdo foi negativa - o aumento do índice da massa ventricular esquerda associou-se à redução da fração de ejeção. O risco relativo de óbito foi 1,22 para cada acréscimo de 50 g/m no índice da massa ventricular esquerda. CONCLUSÕES: A estimação da massa ventricular esquerda pode contribuir para a avaliação prognóstica de portadores de insuficiência cardíaca.

OBJETIVO: Avaliar o implante de stents sem dilatação prévia com cateter balão convencional para o tratamento das obstruções coronarianas, utilizando-se cateteres guias de baixo perfil através da técnica radial. MÉTODOS: A técnica radial é atraente pela possibilidade de se evitar o trauma provocado pelo balão, menor tempo para sua realização, exposição reduzida à radiação e consumo de contraste em quantidades inferiores às habitualmente usadas neste tipo de procedimento. RESULTADOS: Analisada a experiência inicial de implante direto de stents, através de cateteres de baixo perfil por via radial, em 45 pacientes, com idade média de 65 anos. Em todos os casos houve sucesso no procedimento sem complicações maiores na fase hospitalar. CONCLUSÃO: Os resultados com a população estudada demonstraram ser a técnica radial segura, eficaz e com muito baixo risco de complicações.

OBJETIVO: Comparar dados clínicos-laboratoriais em portadores de estenose mitral submetidos à comissurotomia ou valvoplastia por cateter-balão, obtidos ao longo de 5 anos de acompanhamento. MÉTODOS: Foram acompanhados, prospectivamente, 81 pacientes no pré (PRÉ), imediatamente após o procedimento (POI), e ao longo de cinco anos (PO12M, PO24M,..., PO60M) e randomizados em dois grupos: GC: 37 pacientes (32,4 ± 7,2 anos e 89,2% mulheres) e GV: 44 pacientes (32,9 ± 9,5 anos e 90,9% mulheres). A avaliação compreendeu: classe funcional, ocorrência de eventos, eletrocardiograma e ecodopplercardiograma. RESULTADOS: Houve melhora expressiva da classe funcional na maioria dos pacientes, três casos do GC e do GV estavam em classe funcional III no PO60M. Não houve diferença em relação ao gradiente mitral entre os grupos. Houve diferença das médias de área valvar mitral entre os grupos durante toda avaliação. Não ocorreram óbitos. No POI do GC observamos 3 casos com insuficiência mitral (IM) moderada, 3 com sangramento (1 reoperado) e, no GV, 4 casos com IM moderada, 1 com IM importante, 2 com tamponamento cardíaco, 1 caso necessitou cirurgia por IM importante. Ao longo de 60 meses, no GV, 9 casos evoluiram com IM moderada ou importante e no GC, 6 casos evoluiram com IM moderada ou importante e outros dois necessitaram cirurgia por dupla disfunção mitral. CONCLUSÃO: Ambos os métodos obtiveram 100% de sucesso com baixa taxa de complicações. No seguimento, houve elevação discreta do gradiente mitral e queda de área valvar mitral em ambos os grupos.

Abstract This study deals with population structure and habitat sharing of two sympatric aeglid species, Aegla jarai Bond-Buckup and Buckup, 1994 and Aegla muelleri Bond-Buckup and Buckup, 2010 at Espingarda Creek, Serra do Itajaí National Park, Rio Itajaí-Açú basin, Santa Catarina, Brazil. Individuals of A. jarai (n = 190) and A. muelleri (n = 131) were captured from June/2001 to May/2002 in monthly collection. A total of 89 males and 101 females (2 ovigerous) of A. jarai were collected with a sex ratio of 1:1, and 56 males and 75 females (2 ovigerous) of A. muelleri, with a predominance of females. Aegla jarai was larger than A. muelleri and the reproductive period of A. jarai was in the winter and spring, while that of A. muelleri was in the spring. Three cohorts were observed throughout the year, and both species have a recruiting period in the spring and summer. Both species perform their entire life cycle in the Espingarda Creek and their coexistence is attributed to space partitioning: the larger A. jarai lives in the large spaces formed between boulders, while the smaller A. muelleri shelters in the small spaces between pebbles.

Abstract Temporary ponds are heterogeneous aquatic environments, in which hydrodynamics and richness of macrophytes may increase the diversity of zooplankton and other invertebrate communities. Cladocerans are common residents of these ecosystems, showing great variability of forms. During a faunistic survey in temporary ponds under the influence of riparian vegetation, in the Camucim Forest Protected Area, Pernambuco Endemism Center, Brazil, the cladocerans Moina dumonti Kotov, Elías-Gutiérrez and Granado-Ramírez, 2005 and Chydorus nitidulus (Sars, 1901) were found. These are their first records in the Oriental Northeast Atlantic hydrographic region, and the second record of M. dumonti in Brazil. The present study raises Cladocera species richness in Pernambuco State to 73 and also 16 in the Pernambuco Endemism Center.

Abstract Gonopods are phylogenetically important morphological characters, and in several cases providing diagnostic characters to support taxonomic and phylogenetic studies. Relatively few studies, however, have emphasized in-depth descriptions of gonopods, and the functional morphology of these structures are poorly understood. We use SEM to describe and illustrate the two pairs of gonopods (G1 and G2) of nine species of Mithracidae (Majoidea) and of Macrocoeloma trispinosum Latreille, 1825, recently relocated to Epialtidae (Majoidea). The G1 was found to present the typical characteristics of Majoidea: long, with a mesial suture, setae inserted from the base to the distal second third and sensilla in the apical plate; the G2 is always short and conical. The apical region of the G1 was diagnostic for the species analyzed, which could provide important characters for differentiating among the majoids; and also for studying the functional, reproductive, and phylogenetic significance of these structures.

Abstract The aim of this study is to investigate if Sargassum-associated herbivorous amphipods Cymadusa filosa Savigny, 1816 and Sunamphitoe pelagica (H. Milne Edwards, 1830) present differences in their population parameters at sites located at different distances from a state marina, which is the main source of pollution (especially heavy metals) in an impacted bay. The study was conducted at four beach sites within Flamengo Bay, Ubatuba municipality, northern coast of São Paulo State, Brazil. The beaches are Lamberto and Ribeira close to the pollution source and Flamengo and Santa Rita, which are more distant. We observed the predominance of juveniles in the populations of C. filosa and S. pelagica, followed by females, with the sex ratio for both species being favored toward females, and the highest densities of individuals were observed during the summer. Sunamphitoe pelagica presented lower density, smaller ovigerous females and egg volumes at Lamberto beach, indicating a possible higher sensitivity to metal pollution for this species. Cymadusa filosa showed no clear alteration of density, number of ovigerous females and egg volumes between sites. Our results emphasize the importance of studying the life history and reproductive parameters of herbivorous amphipods, showing how these parameters can be altered in contaminated areas.

Abstract Interest in feeding crayfish under culture conditions has increased in the last few years; however, there is still a lack of information on feeding crayfish according to their nutritional requirements (i.e., protein and amino acid dietary demands of broodstock). In this study, the protein and amino acid composition of abdominal muscle, gonads and hepatopancreas of male and female broodstock crayfish Pontastacus leptodactylus (Eschscholtz, 1823) were determined in the reproductive season. The results show that in P. leptodactylus, the amount of protein in the ovary was 47.25 mg/g and that it was 35.03 mg/g and 39.36 mg/g in the testes and vasa deferentia, respectively. In males, the values of essential amino acids (EAA) obtained in the abdominal muscle were significantly lower than those obtained from the hepatopancreas, testes and vasa deferentia (P < 0.05). In female crayfish, EAA/total amino acids (TAA) were found to be 45.48 % in the ovary, which is significantly higher than that of the abdominal muscle (40.19 %) and hepatopancreas (42.14 %) (P < 0.05). The results also show that abdominal valine, threonine, lysine, and histidine were statistically higher in female crayfish than male crayfish (P < 0.01). Leucine was the major EAA found in males in abdominal muscle (8.73 %). In conclusion, this study analyzed the protein and amino acid composition of abdominal muscle, hepatopancreas and gonad of crayfish in the breeding season in order to understand the protein and amino acid contents of wild caught crayfish and get an idea on the nutritional requirements of P. leptodactylus in the reproductive season.

Abstract The Galapagos slipper lobster (Syllarides astori Holthuis, 1960) is a species extensively distributed on rocky and coral reefs, sand, and mud in the Eastern Tropical Pacific Ocean, within the Gulf of California, Galapagos Archipelago, mainland Ecuador, and Isla de Cocos. Its presence has been reported in the southern region of the Baja California peninsula (Los Cabos). Here we report the presence of S. astori in the Baja California peninsula from Natividad Island, Guadalupe Island, and Socorro Island, Revillagigedo Archipelago. The Guadalupe Island record extends the distribution of this species 1,055 km north of its known limit. We developed a potential distribution model, and the results revealed a high probability of occurrence in different regions of the Eastern Tropical Pacific, such as the Baja California coast, Gulf of California, Colombia, and Ecuador.

Abstract In the present study, we describe a co-infection of two microsporidians within the abdominal muscle of the Amazon River prawn Macrobrachium amazonicum from Brazil, detected through light and transmission electron microscopy and histopathological analysis. Two spore types and respective early developmental stages (meronts, sporonts, and sporoblasts) appeared grouped in numerous adjacent clusters among the muscle fibers of the host. Spores were initially divided into two morphotypes, Sp. 1 and Sp. 2, based on differences in shape, size, and internal organization. The Sp. 1 spores are pyriform to ovoid (4.3 ± 0.3 × 3.7 ± 0.4 µm in size) and resided in groups of eight within a sporophorous vesicle. Sp. 1 spores had bilayered walls and long tape-like external filaments with irregular morphology and size, forming a complex contiguous membranous system attached to the spore wall. The umbrella-like anchoring disc of the spores was in continuity with an anisofilar polar tube arranged in 7‒8 (rarely 9) coils. The Sp. 2 spores were rod-like in shape (3.1 ± 0.5 × 0.8 ± 0.1 µm in diameter) and the polar tube had 7‒8 coils. Their merogonic and sporogonic stages occurred within the sarcoplasm of the muscle cells in close contact with the myofibrils. Based on ultrastructural organization of the sporogonic stages, the Sp. 1 and Sp. 2 morphotypes probably belong to the genera Inodosporus and Myospora, respectively.

Abstract We evaluated the composition, distribution, and abundance of the decapod genera at different developmental stages of larvae and adult macro-crustaceans along the coastline of the Parque Nacional Sistema Arrecifal Veracruzano, SW Gulf of Mexico. Collections were made using light traps. Temperature, salinity, oxygen, and pH were measured in situ. The samples were fixed with 70 % alcohol, separated, and identified by developmental stage and genus level with specialized literature. The Olmstead-Tukey test, the Shannon-Wiener diversity index, and Pielou equitability test were applied. Canonical correlation and cluster analysis were performed. In total, 20,049 individuals of 56 stage-genera were collected, with Potimirim Holthuis, 1954 postlarvae being the most abundant ones. The most abundant taxa were Potimirim at Playa Martí, Macrobrachium Spence Bate, 1868 at Plaza de la Soberanía, and Pachygrapsus Randall, 1840 at Playa Villa del Mar and Playa Tortugas. At Playa Villa del Mar, the highest diversity was found (3.47 bits*individuals-1), and this is related to the complexity of the site. In May, the greatest diversity (3.64 bits*individuals-1) was found, related to the time of reproduction of most of the stage-genera. Most stage-genera were classified as rare. Cluster analysis resulted in two groups, one containing taxa found in cold and wet months and the other of taxa found in dry months. Thus, the dynamics of the taxocene structure is determined by the lifecycles of the species, responding to the migration, reproduction, and colonization of each stage-genera.

Abstract The present study aims to describe the population structure of the freshwater prawn Macrobrachium brasiliense and to analyze whether it varies seasonally, with emphasis on abundance variation by demographic category, sex ratio, size, and morphotypes, in addition to analyzing the recruitment period and its relationship with rainfall. The collections of M. brasiliense were carried out in a Cerrado region, in the southeastern region of Brazil. The population structure was analyzed according to the size, sex, and life stage. The density of morphotypes was calculated by the proportion of each morphotype in the population. Male and female prawns were more abundant in the largest and smallest size classes, respectively. The juvenile morphotype was the most abundant among males (45.9 %), while the “Mirim” and “Açu” morphotypes occurred in a similar proportion (27.87 % and 26.23 %, respectively). The population structure varied significantly between seasons (dry and rainy). A relationship of juvenile abundance with rainfall was recorded. The recruitment period was observed between the end of the rainy season and the beginning of the dry season, while adults were more abundant at the end of the dry season and the beginning of the rainy season. The information in this study contributes to the knowledge of the influence of seasonality and rainfall on populations of aquatic organisms in the Cerrado region, such as the prawn M. brasiliense. Rainfall seasonality affects the population structure of these organisms between seasons, possibly due to the top-down and bottom-up effects caused by different rates of nutrient input in such aquatic systems.

Abstract The present study reports two new distributional records of palaemonid shrimp, Palaemonella tenuipes Dana, 1852, and P. rotumana (Borradaile, 1898) from the Lakshadweep region, Arabian Sea. The study provides detailed information on, and insight into, diagnostic characters, distinctiveness, and illustrations of both species. The individuals of P. tenuipes were collected from a depth of about 0.5 m in shallow barren pools on rocky flats near the shore, while a specimen of P. rotumana was collected from a dead coral patch at a depth of 1-2 m. The intraspecific genetic divergences were estimated for both species using COI and 16S sequence data.

Abstract A new gecarcinucid freshwater crab, Mekhongthelphusa menglongensis sp. nov., is described from Menglong Town, Jinghong City, Xishuangbanna Dai Autonomous Prefecture, Yunnan Province, China. This is the first report of the mainly Indochinese genus Mekhongthelphusa Naiyanetr, 1994, in China. The new species can be distinguished morphologically from the other four nominal species in this genus by its carapace and male first gonopod. The mitochondrial 16S sequences of this new species are provided and the phylogenetic position of the genus is discussed.

Abstract Alien species are organisms introduced into an area outside of their natural range and are considered a major cause of biodiversity loss in the marine environment. The aim of this work is to report on the alien crustacean species observed in Ecuador. A bibliographic review was conducted using a digital search in the scientific literature. A total of ten alien species of crustaceans, representing eight genera in seven families, were encountered in Ecuador. The only crab, Cardisoma crassum Smith, 1870, was observed in the Galapagos Islands. The other species include barnacles, crayfishes, and freshwater prawns. Native ranges of the alien crustaceans include the Indo-Pacific region, North America, Asia, and Australia. Major introduction pathways are aquaculture and transport by ship. Procambarus alleni (Faxon, 1884) was reported recently as an aquarium species, but its presence in the natural environmental is currently unknown. One alien species has been introduced each decade since the 1960s. Some species (the barnacles Amphibalanus improvisus (Darwin, 1854), Amphibalanus reticulatus (Utinomi, 1967), and the copepod Lernaea cyprinacea Linnaeus, 1758) were reported as alien species for Ecuador but need verification regarding their current status. Additionally, the barnacle Dosima fascicularis (Ellis and Solander, 1786) presented an occasional record in the Galapagos Islands, but due to its dispersal ability and open ocean habitat it is not possible to conclude that this really is an alien species. The list of alien crustacean species recorded in Ecuador is considered incomplete due to both scarce published work regarding this topic and taxonomic problems. Therefore, it is necessary to carry out more research to establish a complete list of the alien species present in Ecuador and assess their impact on aquatic ecosystems.

Abstract The brackish-water crabs of the genus Ptychognathus Stimpson, 1858, the most diverse genus in the family Varunidae, inhabit the estuaries or seashores influenced by freshwater. Ptychognathus sakaii, a new species from Kenting, southern Taiwan, is described in this study, with a comprehensive key to the ten species of this genus from Taiwan. This new species is similar to its congeners, but can be distinguished mainly by the features of the carapace, ambulatory legs, and male first gonopods.

Abstract Detailed morphology of the first three postembryonic developmental stages (Stages I-III juvenile) in representatives from all four crayfish families, Austropotamobius torrentium (von Paula Schrank, 1803) (Astacidae), Procambarus virginalis Lyko, 2017 (Cambaridae), Cambaroides japonicus (De Haan, 1841 [in De Haan, 1833-1850]) (Cambaroididae) and Cherax destructor Clark, 1936 (Parastacidae) are described and the diagnostic characters for each family are indicated. A phylogenetic tree of freshwater Astacidea, based on these new diagnostic juvenile characters is constructed to suborder, superfamily and family levels, and compared with a molecular phylogenetic tree. The evolutionary history of maternal care in freshwater crayfish is discussed based on particular features of the postembryonic stages of each family. Using comparisons between the phylogenetic tree and global geo-history, the location and timing of the early evolution of maternal care in postembryonic development and the extension of this care are estimated.