Complete versus partial revascularization for older adults with acute coronary syndrome: a meta-analysis and systematic review of randomized and multivariable adjusted data.

BACKGROUND: Evidence from randomized studies support complete over culprit-only revascularization for patients with acute coronary artery syndrome (ACS) and multivessel coronary artery diseases (MVD). Whether these findings extend to elderly patients, however, has not been thoroughly explored. METHODS: We conducted a systematic review and meta-analysis comparing clinical outcomes of elderly individuals (defined as age ≥75 years) with ACS and MVD submitted to complete vs partial-only percutaneous coronary intervention (PCI). PubMed, Embase, and Cochrane were searched. We computed pooled hazard ratios with 95% confidence intervals (CI) to preserve time time-to-event data. RESULTS: We included 7 studies, of which 2 were RCT and 5 were multivariable adjusted cohorts, comprising a total 10 147, of whom 43.8% underwent complete revascularization. As compared with partial-only PCI, complete revascularization was associated with a lower all-cause mortality (hazard ratio 0.71; 95% CI 0.60-0.85; P < 0.01), cardiovascular mortality (hazard ratio 0.64; 95% CI 0.52-0.79; P < 0.01), and recurrent myocardial infarction (hazard ratio 0.65; 95% CI 0.50-0.85; P < 0.01). There was no significant difference between groups regarding the risk of revascularizations (hazard ratio 0.80; 95% CI 0.53-1.20; P = 0.28). CONCLUSION: Among elderly patients with ACS and multivessel CAD, complete revascularization is associated with a lower risk of all-cause mortality, cardiovascular mortality, and recurrent myocardial infarction.

A new species of Hemiodus Müller (Characiformes: Hemiodontidae) from the lower Rio Xingu, Brazil.

A new species of Hemiodus is described from the Rio Xingu basin, Pará, Brazil. It is distinguished from congeners by the combination of presence of a dark longitudinal stripe extending from head to tip of lower caudal-fin lobe, an oblique blotch on dorsal-fin, 9-11 scale rows above lateral line, 58-66 perforated lateral line scales, and 17-20 circumpeduncular scales. Comments on the conservation status of the new species, as well as its relationships among Hemiodus species, are made.

DNA barcoding of commercially important snapper species (Lutjaniformes; Lutjanidae; Lutjanus) from Visakhapatnam, Central Eastern coast of India.

Snappers are commercially important fishes in Indian waters, currently belonging to the order Lutjaniformes, family Lutjanidae. Generally, recognizing species of Lutjanus is a challenging task not only because of overlapping morphological characters, such as shapes, size groups, or colour patterns, but also based on the definition of the species concept or the definition of the threshold for speciation. In India there has not been any updated and accurate study of the genus so far. Besides, identification of the group based on ecological aspects and DNA barcoding tools were confined to limited laboratories. In the present study, ten species of snappers were identified from samples obtained from the major fish landing centres in the Visakhapatnam, Central Eastern coast of India. Snapper species were identified using COI (Cytochrome oxidase I) sequences for DNA barcoding. The validity of the conjecture species-level taxonomy based on COI is assisted with high equivalence search (98-100%) both in BOLD and BLAST, well-distributed genetic distance values.

Are Brazilian Behavior Analysts Publishing Outside the Box? A Survey of General Science Media.

Recent studies have stressed the importance of disseminating behavior analysis to a more diverse audience and have provided ways to do so effectively. General science publications offer an attractive venue for communicating with a scientifically educated public. The present study examines behavior analysis research published in Science Today and Research Fapesp, monthly general science publications published by the Brazilian Society for the Advancement of Science and São Paulo Research Foundation, respectively. Behavior analytic terms were searched in issues published from 2003 to 2014, along with psychoanalytic terms as a comparative measure. Only 13 behavior analysis articles were found, while psychoanalytic articles totaled 150. Six of the behavior analysis articles misconstrue fundamental concepts of behavior analysis. The study recommends that behavior analysis researchers extend the dissemination of their findings outside the box.

Ressurrection of Curimatus albula Lütken (Characiformes: Curimatidae), a senior synonym of Cyphocharax lundi Dutra, Penido, Mello & Pessali.

Curimatus albula Lütken 1874 was described from the Ribeirão da Mata at Lagoa Santa, a tributary of Rio das Velhas, Rio São Francisco basin. The species validity was questioned by Lütken (1875) himself, who suggested that the species could be a synonym of Curimatus gilbert Quoy & Gaimard, a species described from the Rio Macacu, a coastal river tributary of Guanabara bay, Rio de Janeiro. That synonymy was only formally proposed by Eigenmann (1910), and followed by most subsequent authors (e. g. Nielsen, 1974; Vari, 1992), except for Fowler (1975), who erroneously listed C. albula as the senior synonym of C. gilbert. Vari (1989) posteriorly removed both nominal species from Curimatus Oken (= Curimata Bosch) reallocating them in Cyphocharax Fowler, based on the lack of synapomorphic conditions present in other valid curimatid genera. Vari (1989) considered that those nominal species belonged to a major group within Cyphocharax also including C. grandocule Fernández-Yépez, C. modestus Fernández-Yépez, C. santacatarinae Fernández-Yépez, and C. voga Hensel, based on the presence of a rhomboidal caudal pigmentation and "random body spotting". Later, Vari (1992) included C. grandocule along with C. albula in the synonymy of C. gilbert, and listed several characters allowing further distinction of that species from the remaining species of the group (i.e., number of vertebrae, scales in transverse series, and pigmentation characters). Among the characters involving the pigmentation pattern, Vari (1992) stressed the lack of randomly arranged dark spots on the lateral and dorsolateral surfaces of the body in C. gilbert (versus present in C. voga).

Molecular species delimitation of the genera Anodus, Argonectes, Bivibranchia and Micromischodus (Ostariophysi: Characiformes)

ABSTRACT A good taxonomic assessment of specimens is an essential task to many biological studies and DNA data have provided additional sources of information to assist in the disentanglement of taxonomic problems among living organisms, as has been the case of some taxa of the megadiverse Neotropical ichthyofauna. Here we assessed all valid species in the Neotropical freshwater fish genera Anodus, Argonectes, Bivibranchia and Micromischodus of the family Hemiodontidae to establish molecular species boundaries among them. All species delimitation methods defined exactly only one MOTU for Anodus elongatus, Argonectes longiceps, A. robertsi, Bivibranchia bimaculata, B. notata, B. velox, and Micromischodus sugillatus, resulting in total congruence between nominal species and MOTUs for these seven taxa. The three species having discordant results across analyses: Anodus orinocensis, Bivibranchia fowleri, and Bivibranchia simulata, matched more than one MOTU per species in some methods, meaning that cryptic diversity may exist within these taxa. Overall, this great correspondence among morphological and molecular boundaries for thae species analysed seem to be indicative of a reasonably stable taxonomy within these Hemiodontidae genera.

RESUMO Uma avaliação taxonômica adequada dos espécimes é uma tarefa essencial para muitos estudos biológicos, e os dados de DNA têm fornecido fontes adicionais de informações para auxiliar no desemaranhamento de muitos grupos taxonômicos, como tem sido o caso de alguns táxons da megadiversa ictiofauna Neotropical. Aqui examinamos todas as espécies válidas dos gêneros de peixes Neotropicais de água doce Anodus, Argonectes, Bivibranchia e Micromischodus (família Hemiodontidae) para estabelecer limites moleculares entre elas. Todos os métodos de delimitação definiram exatamente apenas uma MOTU para Anodus elongatus, Argonectes longiceps, A. robertsi, Bivibranchia bimaculata, B. notata, B. velox e Micromischodus sugillatus, resultando em congruência total entre espécies nominais e MOTUs para estes sete táxons. As três espécies com resultados divergentes entre as análises, a saber, Anodus orinocensis, Bivibranchia fowleri e Bivibranchia simulata, corresponderam a mais de um MOTU por espécie em alguns métodos, mostrando que pode existir uma diversidade críptica dentro desses taxa. No geral, esta grande correspondência entre os limites morfológicos e moleculares para as espécies analisadas parece indicar uma taxonomia relativamente estável para esses gêneros de Hemiodontidae.

A new miniature characid (Ostariophysi: Characiformes: Characidae), with phylogenetic position inferred from morphological and molecular data.

Erythrocharax altipinnis is described from the Serra do Cachimbo, Pará, Brazil. The new taxon is distinguished from all of the Characidae genera by having the pelvic bones firmly attached through the isquiatic processes; a nearly triangular hiatus in the musculature covering the anterior chamber of the swim bladder between the first and second pleural ribs (pseudotympanum); the pedunculate, notably expanded and distally compressed teeth in both jaws; circumorbital series represented by antorbital and four infraorbital bones with laterosensory canals not enclosed; a single tooth row in the premaxillary with the teeth perfectly aligned and similar in shape and cusp number; the first three branched dorsal-fin rays distinctly elongate in males; a bright red adipose and caudal fins in life; a conspicuous dark midlateral stripe extending from the opercle to the tip of the median caudal-fin rays; and by the absence of a humeral spot. The phylogenetic position of the new taxon is discussed using morphological and molecular datasets, with conflicting results of both approaches discussed. Additionally, a summarized discussion on the current problems in the Characidae taxonomy is presented and the principal biases in the morphological dataset are also discussed.

A new miniature of Xenurobryconini (Characiformes: Characidae) from the rio Tapajós basin, Brazil

A new species of Xenurobrycon isdescribed from tributaries of the rio Tapajós, Pará, Brazil. It is diagnosed from all congeners by the dark color of the posterior half of both caudal-fin lobes, the presence of infraorbitals one, two, and three, the presence of a set of lamellar processes on eighth principal caudal-fin ray of mature males, the presence of bony hooks similar in size or decreasing posteriorly on last unbranched and first 9-12 branched anal-fin rays of mature males, the presence of only conical teeth on both jaws, the lack of the adipose fin and the presence of 15-18 predorsal scales. The description of the new species increases the number of species in Xenurobrycon to six. An updated key to the species of the genus is provided.

Uma espécie nova de Xenurobrycon édescrita de tributários do rio Tapajós, Pará, Brasil. Esta é diagnosticada de todas as congêneres pela coloração escura da metade posterior de ambos os lobos da nadadeira caudal, pela presença dos infraorbitais um, dois e três, pela presença de um conjunto de processos laminares no oitavo raio principal do lobo inferior da nadadeira caudal em machos maduros, pela presença de ganchos no último raio indiviso e primeiros 9-12 raios ramificados da nadadeira anal em machos maduros, estes com tamanho similar ou diminuindo de tamanho posteriormente, pela presença de apenas dentes cônicos nas maxilas, pela ausência de nadadeira adiposa e pela presença de 15-18 escamas pré-dorsais. A descrição da espécie novaaumenta o número de espécies em Xenurobrycon para seis. Uma chave atualizada para as espécies do gênero é fornecida.

Análise das respostas cardiovasculares agudas ao exercício resistido em diferentes intervalos de recuperação / Analysis of acute cardiovascular responses on resistance exercise in different recovery interval

INTRODUÇÃO: O sistema cardiovascular sofre sobrecarga durante a prática de exercícios físicos. Entretanto, pouco se sabe sobre a resposta cardíaca em diferentes intervalos de recuperação (IR). OBJETIVO: O presente estudo teve como objetivo analisar a sobrecarga cardíaca, utilizando como parâmetro cardiovascular a frequência cardíaca (FC), pressão arterial sistólica (PAS) e duplo-produto (DP) em IR distintos (IR), sendo delimitados em 45'' (IR45''), 60'' (IR60'') e 90'' (IR90''). MÉTODOS: O estudo analisou 10 voluntários do gênero masculino, com idade 21,5 ± 6,04 anos, peso 77,5 ± 10,62 kg e altura 179 ± 7 cm, que foram submetidos a um protocolo de três séries de 12 repetições à 60% de uma repetição máxima (1RM) no aparelho leg press 45º. O teste de Wilcoxon foi utilizado para comparar as variáveis hemodinâmicas tendo nível de significância quando p ≤ 0,05. RESULTADOS: Houve diferença significativa de todas as variáveis quando compara-se o estado pré-esforço com as séries subsequentes. A PAS apresentou diferença entre a primeira e as demais séries. Foi observada diferença entre a segunda e terceira série com IR45'', além de na terceira série o IR45'' apresentar maiores valores quando comparados ao IR90''. De forma semelhante, a FC apresentou diferença entre a primeira e todas as séries, em todos os IR. Os IR45'' e IR60'' apresentaram diferença entre a segunda e terceira séries. Contudo, o DP demonstrou diferença entre a primeira e todas as séries em todos os IR, além de IR45'' e IR60'' apresentar diferença entre a segunda e terceira série. CONCLUSÃO: De acordo com os resultados encontrados, conclui-se que a PAS e FC é sensível ao número de séries intrasséries, porém, não houve diferença quando se compara os IR entre si. Contudo, há maior tendência do IR45'' causar aumento da sobrecarga cardíaca, principalmente pelo aumento da PAS.

INTRODUCTION: The cardiovascular system is the most submitted to overload during exercise practice. However, there is a lack of knowledge about heart response under different recovery intervals (RI). OBJECTIVE: The purpose of this study was to analyse the heart overload, using as cardiovascular parameter, the heart rate (HR), sistolic blood pressure (SBP) and double product (DP) under different recovery intervals (RI), delimited in 45'' (RI45''), 60'' (RI60'') and 90'' (RI90'') seconds. METHODS: The study analysed 10 volunteers, age 21.5 ± 6.04 years, weight 77.5 ± 10.62 kg and height 179 ± 7 cm, that was submitted a protocol of three sets of 12 repetition of 60% 1RM in Leg Press 45º apparatus. The Wilcoxon test was used to compare hemodynamic variables with significance level when p ≤ 0.05. RESULTS: There were significant differences of all variables when compared to pre-state effort with subsequent sets. The SBP was different between the first and the other sets. Also been observed difference between the second and third sets with RI45'', and in the third set, the RI45'' present greater values when compared to RI90''. Similarly, the HR present difference between the first and all other sets in all RI. The RI45'' and RI60'' showed differences between the second and third sets. However, the DP has demonstrated difference between the first and all others sets in all RI, and, the RI45'' and RI60'' showed difference between the second and third sets. CONCLUSION: According to the results, it is concluded that the SBP and HR is sensitive to the number of sets intra-sets, but there was no difference when comparing the RI with each other. However, there is a greater tendency of RI45'' cause increased cardiac overload, primarily by increased in SBP.

Efeitos de um programa de exercício físico em pacientes com doença arterial obstrutiva periférica / Effects of physical exercise program in patients with obstructive peripheral arterial disease

O objetivo do estudo foi estratificar os fatores de risco cardiovasculares (FR) e avaliar os efeitos de um programa de exercício físico (PEF) por três meses em pacientes diagnosticados com doença arterial obstrutiva periférica (DAOP) através do teste de caminhada de 6 minutos (TC6), utilizando como parâmetro a distância total percorrida (DTP), tempo inicial da dor (TID), tempo final da dor (TFD) e tempo total da dor (TTD). O estudo foi composto por 12 voluntários, encaminhados para o programa de Reabilitação Física. Para estratificar os FR houve aplicação de questionário contendo pergunta objetivas com opção de sim ou não sobre tabagismo, diabetes mellitus, etilismo, hipertensão arterial, sedentarismo, hereditariedade, dislipidemia e obesidade, adotou-se o índice de massa corpórea. O TC6 foi realizado em um corredor de 22 metros e o paciente foi orientado a informar aos avaliadores o momento de início da dor (TID) e somente parar quando a dor tornar-se insuportável para continuar a caminhada. O TFD foi estabelecido quando o paciente retornou ao TC6. Ao final do teste foi calculada a DTP que o paciente atingiu. O teste de ANOVA foi utilizado para comparar as condições pré e pós-reabilitação, tendo nível de significância quando p<0,05. Observou-se que todos os pacientes mostraram-se sedentários, 58,3% são dislipidêmicos, 50% são tabagistas, hipertensos e apresentam hereditariedade. Houve diferença significativa na DTP (327,7±83,3 vs 431,7±90,5), TID (01:52±0:36 vs 02:59±0:41) e TTD (01:55±0:14 vs 00:45±0:36) pré e pós-reabilitação. O PEF para pacientes com DAOP se mostrou eficaz na DTP, TID, TTD.

A new species of Bryconadenos (Characiformes: Characidae) from the rio Curuá, rio Xingu drainage, Brazil

A second inseminating species bearing club cells organized into an anal-fin gland in sexually active males belonging to the genus Bryconadenos was recently discovered in the rio Xingu drainage and is described as new. It is distinguished from B. tanaothoros by the presence of a conspicuous dark blotch at the humeral region, and fewer scale rows between dorsal-fin origin and anal-fin origin. Males of B. weitzmani have longer pelvic fins at sizes beyond 30 mm SL. Bryconadenos weitzmani is further distinguished from B. tanaothoros by the cup shape of the anal-fin gland, its lower part much more developed than the upper, whereas in B. tanaothoros there is just a slit separating the almost equally developed upper and lower parts.

Uma segunda espécie inseminadora do gênero Bryconadenos, possuindo células "club" organizadas em uma glândula na nadadeira anal de machos sexualmente ativos, foi recentemente descoberta na bacia do rio Xingu, é descrita como nova. Distingue-se da outra espécie do gênero, B. tanaothoros, pela presença de uma conspícua mancha umeral e menor número de escamas entre a origem da nadadeira dorsal e a origem da nadadeira anal. Machos de B. weitzmani têm nadadeiras pélvicas mais longas a partir de 30 mm SL. Bryconadenos weitzmani distingue-se ainda de B. tanaothoros por apresentar a glândula da nadadeira anal em forma de taça, com a porção ventral muito mais desenvolvida que a dorsal, enquanto que em B. tanaothoros as duas porções apresentam-se quase igualmente desenvolvidas e separadas por uma fenda.