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1. Neurofeedback training of executive function in autism spectrum disorder: distinct effects on brain activity levels and compensatory connectivity changes

Author

Daniela Jardim Pereira, Sofia Morais, Alexandre Sayal, João Pereira, Sofia Meneses, Graça Areias, Bruno Direito, António Macedo, and Miguel Castelo-Branco

Subjects
Neurofeedback, Dorsolateral prefrontal cortex, Autism spectrum disorders, Rt-fMRI, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Abstract

Abstract Background Deficits in executive function (EF) are consistently reported in autism spectrum disorders (ASD). Tailored cognitive training tools, such as neurofeedback, focused on executive function enhancement might have a significant impact on the daily life functioning of individuals with ASD. We report the first real-time fMRI neurofeedback (rt-fMRI NF) study targeting the left dorsolateral prefrontal cortex (DLPFC) in ASD. Methods Thirteen individuals with autism without intellectual disability and seventeen neurotypical individuals completed a rt-fMRI working memory NF paradigm, consisting of subvocal backward recitation of self-generated numeric sequences. We performed a region-of-interest analysis of the DLPFC, whole-brain comparisons between groups and, DLPFC-based functional connectivity. Results The ASD and control groups were able to modulate DLPFC activity in 84% and 98% of the runs. Activity in the target region was persistently lower in the ASD group, particularly in runs without neurofeedback. Moreover, the ASD group showed lower activity in premotor/motor areas during pre-neurofeedback run than controls, but not in transfer runs, where it was seemingly balanced by higher connectivity between the DLPFC and the motor cortex. Group comparison in the transfer run also showed significant differences in DLPFC-based connectivity between groups, including higher connectivity with areas integrated into the multidemand network (MDN) and the visual cortex. Conclusions Neurofeedback seems to induce a higher between-group similarity of the whole-brain activity levels (including the target ROI) which might be promoted by changes in connectivity between the DLPFC and both high and low-level areas, including motor, visual and MDN regions.

Published
2024
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2. Neural inhibition as implemented by an actor-critic model involves the human dorsal striatum and ventral tegmental area

Author

Ana Araújo, Isabel Catarina Duarte, Teresa Sousa, Joana Oliveira, Ana Telma Pereira, António Macedo, and Miguel Castelo-Branco

Subjects
Medicine, Science
Abstract

Abstract Inhibition is implicated across virtually all human experiences. As a trade-off of being very efficient, this executive function is also prone to many errors. Rodent and computational studies show that midbrain regions play crucial roles during errors by sending dopaminergic learning signals to the basal ganglia for behavioural adjustment. However, the parallels between animal and human neural anatomy and function are not determined. We scanned human adults while they performed an fMRI inhibitory task requiring trial-and-error learning. Guided by an actor-critic model, our results implicate the dorsal striatum and the ventral tegmental area as the actor and the critic, respectively. Using a multilevel and dimensional approach, we also demonstrate a link between midbrain and striatum circuit activity, inhibitory performance, and self-reported autistic and obsessive–compulsive subclinical traits.

Published
2024
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3. Comorbidity, Treatment, and Service Utilization Patterns in Difficult-to-Treat Depression Patients: A Retrospective Study in a Portuguese Community Mental Health Team

Author

João Gouveia, Marta Moura Neves, Nuno Madeira, Vítor Santos, and António Macedo

Subjects
difficult-to-treat depression, Portuguese community mental health team, real-world data, Medicine (General), R5-920
Abstract

Background and Objectives: Observational studies with data from real-world clinical practice with patients with difficult-to-treat depression (DTD) are rare. This study aims to collect observational data from the real-world clinical practice of a Portuguese community mental health team (CMHT) on the prevalence of DTD and to explore differences between DTD and non-DTD groups. Materials and Methods: We conducted a retrospective chart review study using data from Electronic Health Records (EHRs) of adult patients with psychiatric disorders followed by a CMHT from the Department of Psychiatry of the Coimbra Local Health Unit (between 1 December 2020–31 December 2022). The Dutch Measure for quantification of Treatment Resistance in Depression (DM-TRD) was used to assess the degree of treatment resistance and the Charlson Comorbidity Index (CCI) to measure medical comorbidity. Results: A quantity of 473 patients were referred to Cantanhede CMHT for a first assessment. Of these, 219 patients met the criteria for a primary diagnosis of any depressive disorder. Assistant psychiatrists identified 57 patients with DTD during follow-up (approximately 26%). The DTD group had higher rates of depressive episodes, greater depression severity, increased service use, higher DM-TRD scores, and a higher prevalence of comorbid anxiety symptoms, personality disorders, and severe medical comorbidities. The DTD group also had a higher prescription rate of antidepressants. Differences were observed in the use of antidepressant augmentation strategies and in the prescription of anticoagulant/antiplatelet drugs and analgesics, with higher prescription rates in the DTD group. We found correlations between DM-TRD and CCI scores, and between DM-TRD scores and all service use variables. Conclusions: Our results are consistent with a similar study in the United Kingdom, highlighting the need for a different approach to the management of DTD patients, who continue to live with a significant burden despite usual pharmacological and non-pharmacological treatments.

Published
2024
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4. Executive function in schizophrenia and autism in adults shares common components separating high and low performance groups

Author

Sofia Morais, Otília C. d’Almeida, Salomé Caldeira, Sofia Meneses, Graça Areias, Vanessa Girão, Catarina Bettencourt, Daniela Jardim Pereira, António Macedo, and Miguel Castelo-Branco

Subjects
executive function, schizophrenia, autism spectrum disorder, neuropsychology, stroop, Psychiatry, RC435-571
Abstract

The profile of executive function (EF) in adults with Schizophrenia (SCZ) and autism spectrum disorder (ASD) remains unclear. This study aims to ascertain if distinct EF patterns can be identified between each clinical condition by comparing the neuropsychological profile of adults with SCZ and ASD, for whom the differential diagnosis is still highly challenging. Forty-five individuals (15 SCZ, 15 ASD, 15 controls) matched for age, sex, education level, and handedness underwent intelligence evaluation and neuropsychological testing for working memory, inhibition, planning and set-shifting, and verbal fluency subdomains. Principal component analysis (2D-PCA) using variables representing 4 domains was employed to identify patterns in neuropsychological profiles. The ASD group had lower scores on the Digits Forward subtest compared to the SCZ group (7.2 ± 2.1 vs. 9.3 ± 1.9, p = 0.003; Cohen’s d: 1.05). ASD also performed significantly worse on the Stroop Word Test compared to the control group (77.7± 17.9 vs. 98.0 ± 12.7, p = 0.009; Cohen’s d: 1.31). No significant differences were observed between ASD and SCZ on other EF measures. The larger contributors for the dimensions in 2D-PCA were the Digits Forward subtest and Stroop Word Test. Still, there was substantial overlap between the clinical groups. This study suggests a high degree of similarity of EF between SCZ and ASD. Through four EF measures, the discrimination of low and high-functioning EF groups spanning both diagnostic categories may help to identify the individuals who could better benefit from cognitive rehabilitation strategies.

Published
2024
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5. Validation of the Bipolar Recovery Questionnaire for the Portuguese Population: Recovery and Predictors in People with Bipolar Disorder

Author

Julieta Azevedo, Diogo Carreiras, Raquel Guiomar, Maria João Martins, António Macedo, and Paula Castilho

Subjects
Bipolar Disorder, Psychometrics, Recovery of Function, Reproducibility of Results, Surveys and Questionnaires, Translations, Medicine, Medicine (General), R5-920
Abstract

Introduction: The paradigm in mental health care is progressively moving towards a recovery-focused perspective. Thus, there is a need for validated instruments to measure recovery in bipolar disorder (BD). The Bipolar Recovery Questionnaire (BRQ) is the most used instrument to assess it. The aim of this study was to translate and perform a cross-cultural adaptation of the BRQ to European Portuguese (PT-PT) and to explore further associations of recovery with sociodemographic and emotional regulation, as well as recovery predictors to inform future research and clinical practice. Methods: The BRQ was forward-translated and back-translated until a consensus version was found, and a test-retest design was used to assess temporal stability. Participants were recruited in public hospitals and organizations supporting people with BD, either referred by their psychiatrists or psychologists or through self-referral. Eighty-eight individuals diagnosed with BD were recruited to complete a battery of Portuguese-validated self-report questionnaires to assess recovery (BRQ), clinical mood symptoms (Hospital Anxiety and Depression Scale), affect (Positive and Negative Affect Scale), well-being (brief Quality of Life for Bipolar Disorder; Satisfaction with Life Scale) and emotion regulation (Difficulties in Emotion Regulation Scale). Results: The BRQ showed excellent internal consistency with a Cronbach alpha of 0.92, and test-retest exhibited good reliability (r = 0.88). Construct validity was confirmed through/by positive and moderate correlations with quality of life (QoL; r = 0.58) and positive affect (r = 0.52), and negative moderate correlations with depression (r = -0.64), and negative affect (r = -0.55). Both satisfaction with life (β = 0.38, p = 0.010) and recovery (β = 0.34, p = 0.022) impacted quality of life, supporting the BRQ’s incremental validity. Depressive symptoms and emotion dysregulation accounted for 51% of its variance. Conclusion: The BRQ is a valid and reliable instrument to measure recovery in people with BD in the Portuguese population and is suitable for both clinical and research contexts.

Published
2024
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7. Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil

Author

Walter A. Boeger, Michel P. Valim, Hussam Zaher, José A. Rafael, Rafaela C. Forzza, Alexandre R. Percequillo, Cristiana S. Serejo, André R.S. Garraffoni, Adalberto J. Santos, Adam Slipinski, Adelita M. Linzmeier, Adolfo R. Calor, Adrian A. Garda, Adriano B. Kury, Agatha C.S. Fernandes, Aisur I. Agudo-Padrón, Alberto Akama, Alberto M. da Silva Neto, Alejandro L. Burbano, Aleksandra Menezes, Alessandre Pereira-Colavite, Alexander Anichtchenko, Alexander C. Lees, Alexandra M.R. Bezerra, Alexandre C. Domahovski, Alexandre D. Pimenta, Alexandre L.P. Aleixo, Alexandre P. Marceniuk, Alexandre S. de Paula, Alexandre Somavilla, Alexandre Specht, Alexssandro Camargo, Alfred F. Newton, Aline A.S. da Silva, Aline B. dos Santos, Aline D. Tassi, Allan C. Aragão, Allan P.M. Santos, Alvaro E. Migotto, Amanda C. Mendes, Amanda Cunha, Amazonas Chagas Júnior, Ana A.T. de Sousa, Ana C. Pavan, Ana C.S. Almeida, Ana L.B.G. Peronti, Ana L. Henriques-Oliveira, Ana L. Prudente, Ana L. Tourinho, Ana M.O. Pes, Ana P. Carmignotto, Ana P.G. da Silva Wengrat, Ana P.S. Dornellas, Anamaria Dal Molin, Anderson Puker, André C. Morandini, André da S. Ferreira, André L. Martins, André M. Esteves, André S. Fernandes, André S. Roza, Andreas Köhler, Andressa Paladini, Andrey J. de Andrade, Ângelo P. Pinto, Anna C. de A. Salles, Anne I. Gondim, Antonia C.Z. Amaral, Antonio A.A. Rondón, Antonio Brescovit, Antônio C. Lofego, Antonio C. Marques, Antonio Macedo, Artur Andriolo, Augusto L. Henriques, Augusto L. Ferreira Júnior, Aurino F. de Lima, Ávyla R. de A. Barros, Ayrton do R. Brito, Bárbara L.V. Romera, Beatriz M.C. de Vasconcelos, Benjamin W. Frable, Bernardo F. Santos, Bernardo R. Ferraz, Brunno B. Rosa, Brunno H.L. Sampaio, Bruno C. Bellini, Bruno Clarkson, Bruno G. de Oliveira, Caio C.D. Corrêa, Caleb C. Martins, Camila F. de Castro-Guedes, Camilla Souto, Carla de L. Bicho, Carlo M. Cunha, Carlos A. de M. Barboza, Carlos A.S. de Lucena, Carlos Barreto, Carlos D.C.M. de Santana, Carlos E.Q. Agne, Carlos G.C. Mielke, Carlos H.S. Caetano, Carlos H.W. Flechtmann, Carlos J.E. Lamas, Carlos Rocha, Carolina S. Mascarenhas, Cecilia B. Margaría, Cecilia Waichert, Celina Digiani, Célio F.B. Haddad, Celso O. Azevedo, Cesar J. Benetti, Charles M.D. dos Santos, Charles R. Bartlett, Cibele Bonvicino, Cibele S. Ribeiro-Costa, Cinthya S.G. Santos, Cíntia E.L. Justino, Clarissa Canedo, Claudia C. Bonecker, Cláudia P. Santos, Claudio J.B. de Carvalho, Clayton C. Gonçalves, Cleber Galvão, Cleide Costa, Cléo D.C. de Oliveira, Cristiano F. Schwertner, Cristiano L. Andrade, Cristiano M. Pereira, Cristiano Sampaio, Cristina de O. Dias, Daercio A. de A. Lucena, Daiara Manfio, Dalton de S. Amorim, Dalva L. de Queiroz, Daniara Colpani, Daniel Abbate, Daniel A. Aquino, Daniel Burckhardt, Daniel C. Cavallari, Daniel de C. Schelesky Prado, Daniel L. Praciano, Daniel S. Basílio, Daniela de C. Bená, Daniela G.P. de Toledo, Daniela M. Takiya, Daniell R.R. Fernandes, Danilo C. Ament, Danilo P. Cordeiro, Darliane E. Silva, Darren A. Pollock, David B. Muniz, David I. Gibson, David S. Nogueira, Dayse W.A. Marques, Débora Lucatelli, Deivys M.A. Garcia, Délio Baêta, Denise N.M. Ferreira, Diana Rueda-Ramírez, Diego A. Fachin, Diego de S. Souza, Diego F. Rodrigues, Diego G. de Pádua, Diego N. Barbosa, Diego R. Dolibaina, Diogo C. Amaral, Donald S. Chandler, Douglas H.B. Maccagnan, Edilson Caron, Edrielly Carvalho, Edson A. Adriano, Edson F. de Abreu Júnior, Edson H.L. Pereira, Eduarda F.G. Viegas, Eduardo Carneiro, Eduardo Colley, Eduardo Eizirik, Eduardo F. dos Santos, Eduardo M. Shimbori, Eduardo Suárez-Morales, Eliane P. de Arruda, Elisandra A. Chiquito, Élison F.B. Lima, Elizeu B. de Castro, Elton Orlandin, Elynton A. do Nascimento, Emanuel Razzolini, Emanuel R.R. Gama, Enilma M. de Araujo, Eric Y. Nishiyama, Erich L. Spiessberger, Érika C.L. dos Santos, Eugenia F. Contreras, Eunice A.B. Galati, Evaldo C. de Oliveira Junior, Fabiana Gallardo, Fabio A. Hernandes, Fábio A. Lansac-Tôha, Fabio B. Pitombo, Fabio Di Dario, Fábio L. dos Santos, Fabio Mauro, Fabio O. do Nascimento, Fabio Olmos, Fabio R. Amaral, Fabio Schunck, Fábio S. P. de Godoi, Fabrizio M. Machado, Fausto E. Barbo, Federico A. Agrain, Felipe B. Ribeiro, Felipe F.F. Moreira, Felipe F. Barbosa, Fenanda S. Silva, Fernanda F. Cavalcanti, Fernando C. Straube, Fernando Carbayo, Fernando Carvalho Filho, Fernando C.V. Zanella, Fernando de C. Jacinavicius, Fernando H.A. Farache, Fernando Leivas, Fernando M.S. Dias, Fernando Mantellato, Fernando Z. Vaz-de-Mello, Filipe M. Gudin, Flávio Albuquerque, Flavio B. Molina, Flávio D. Passos, Floyd W. Shockley, Francielly F. Pinheiro, Francisco de A.G. de Mello, Francisco E. de L. Nascimento, Francisco L. Franco, Francisco L. de Oliveira, Francisco T. de V. Melo, Freddy R.B. Quijano, Frederico F. Salles, Gabriel Biffi, Gabriel C. Queiroz, Gabriel L. Bizarro, Gabriela Hrycyna, Gabriela Leviski, Gareth S. Powell, Geane B. dos Santos, Geoffrey E. Morse, George Brown, George M.T. Mattox, Geraldo Zimbrão, Gervásio S. Carvalho, Gil F.G. Miranda, Gilberto J. de Moraes, Gilcélia M. Lourido, Gilmar P. Neves, Gilson R.P. Moreira, Giovanna G. Montingelli, Giovanni N. Maurício, Gláucia Marconato, Guilherme E.L. Lopez, Guilherme L. da Silva, Guilherme Muricy, Guilherme R.R. Brito, Guilherme S.T. Garbino, Gustavo E. Flores, Gustavo Graciolli, Gustavo S. Libardi, Heather C. Proctor, Helcio R. Gil-Santana, Henrique R. Varella, Hermes E. Escalona, Hermes J. Schmitz, Higor D.D. Rodrigues, Hilton de C. Galvão Filho, Hingrid Y.S. Quintino, Hudson A. Pinto, Hugo L. Rainho, Igor C. Miyahira, Igor de S. Gonçalves, Inês X. Martins, Irene A. Cardoso, Ismael B. de Oliveira, Ismael Franz, Itanna O. Fernandes, Ivan F. Golfetti, Ivanklin S. Campos-Filho, Ivo de S. Oliveira, Jacques H.C. Delabie, Jader de Oliveira, Jadila S. Prando, James L. Patton, Jamille de A. Bitencourt, Janaina M. Silva, Jandir C. Santos, Janine O. Arruda, Jefferson S. Valderrama, Jeronymo Dalapicolla, Jéssica P. Oliveira, Jiri Hájek, João P. Morselli, João P. Narita, João P.I. Martin, Jocélia Grazia, Joe McHugh, Jorge J. Cherem, José A.S. Farias Júnior, Jose A.M. Fernandes, José F. Pacheco, José L.O. Birindelli, José M. Rezende, Jose M. Avendaño, José M. Barbanti Duarte, José R. Inácio Ribeiro, José R.M. Mermudes, José R. Pujol-Luz, Josenilson R. dos Santos, Josenir T. Câmara, Joyce A. Teixeira, Joyce R. do Prado, Juan P. Botero, Julia C. Almeida, Julia Kohler, Julia P. Gonçalves, Julia S. Beneti, Julian P. Donahue, Juliana Alvim, Juliana C. Almeida, Juliana L. Segadilha, Juliana M. Wingert, Julianna F. Barbosa, Juliano Ferrer, Juliano F. dos Santos, Kamila M.D. Kuabara, Karine B. Nascimento, Karine Schoeninger, Karla M. Campião, Karla Soares, Kássia Zilch, Kim R. Barão, Larissa Teixeira, Laura D. do N.M. de Sousa, Leandro L. Dumas, Leandro M. Vieira, Leonardo H.G. Azevedo, Leonardo S. Carvalho, Leonardo S. de Souza, Leonardo S.G. Rocha, Leopoldo F.O. Bernardi, Letícia M. Vieira, Liana Johann, Lidianne Salvatierra, Livia de M. Oliveira, Lourdes M.A. El-moor Loureiro, Luana B. Barreto, Luana M. Barros, Lucas Lecci, Lucas M. de Camargos, Lucas R.C. Lima, Lucia M. Almeida, Luciana R. Martins, Luciane Marinoni, Luciano de A. Moura, Luciano Lima, Luciano N. Naka, Lucília S. Miranda, Lucy M. Salik, Luis E.A. Bezerra, Luis F. Silveira, Luiz A. Campos, Luiz A.S. de Castro, Luiz C. Pinho, Luiz F.L. Silveira, Luiz F.M. Iniesta, Luiz F.C. Tencatt, Luiz R.L. Simone, Luiz R. Malabarba, Luiza S. da Cruz, Lukas Sekerka, Lurdiana D. Barros, Luziany Q. Santos, Maciej Skoracki, Maira A. Correia, Manoel A. Uchoa, Manuella F.G. Andrade, Marcel G. Hermes, Marcel S. Miranda, Marcel S. de Araújo, Marcela L. Monné, Marcelo B. Labruna, Marcelo D. de Santis, Marcelo Duarte, Marcelo Knoff, Marcelo Nogueira, Marcelo R. de Britto, Marcelo R.S. de Melo, Marcelo R. de Carvalho, Marcelo T. Tavares, Marcelo V. Kitahara, Marcia C.N. Justo, Marcia J.C. Botelho, Márcia S. Couri, Márcio Borges-Martins, Márcio Felix, Marcio L. de Oliveira, Marco A. Bologna, Marco S. Gottschalk, Marcos D.S. Tavares, Marcos G. Lhano, Marcus Bevilaqua, Marcus T.T. Santos, Marcus V. Domingues, Maria A.M. Sallum, María C. Digiani, Maria C.A. Santarém, Maria C. do Nascimento, María de los A.M. Becerril, Maria E.A. dos Santos, Maria I. da S. dos Passos, Maria L. Felippe-Bauer, Mariana A. Cherman, Mariana Terossi, Marie L.C. Bartz, Marina F. de C. Barbosa, Marina V. Loeb, Mario Cohn-Haft, Mario Cupello, Marlúcia B. Martins, Martin L. Christofersen, Matheus Bento, Matheus dos S. Rocha, Maurício L. Martins, Melissa O. Segura, Melissa Q. Cardenas, Mércia E. Duarte, Michael A. Ivie, Michael M. Mincarone, Michela Borges, Miguel A. Monné, Mirna M. Casagrande, Monica A. Fernandez, Mônica Piovesan, Naércio A. Menezes, Natalia P. Benaim, Natália S. Reategui, Natan C. Pedro, Nathalia H. Pecly, Nelson Ferreira Júnior, Nelson J. da Silva Júnior, Nelson W. Perioto, Neusa Hamada, Nicolas Degallier, Ning L. Chao, Noeli J. Ferla, Olaf H.H. Mielke, Olivia Evangelista, Oscar A. Shibatta, Otto M.P. Oliveira, Pablo C.L. Albornoz, Pablo M. Dellapé, Pablo R. Gonçalves, Paloma H.F. Shimabukuro, Paschoal Grossi, Patrícia E. da S. Rodrigues, Patricia O.V. Lima, Paul Velazco, Paula B. dos Santos, Paula B. Araújo, Paula K.R. Silva, Paula R. Riccardi, Paulo C. de A. Garcia, Paulo G.H. Passos, Paulo H.C. Corgosinho, Paulo Lucinda, Paulo M.S. Costa, Paulo P. Alves, Paulo R. de O. Roth, Paulo R.S. Coelho, Paulo R.M. Duarte, Pedro F. de Carvalho, Pedro Gnaspini, Pedro G.B. Souza-Dias, Pedro M. Linardi, Pedro R. Bartholomay, Peterson R. Demite, Petr Bulirsch, Piter K. Boll, Rachel M.M. Pereira, Rafael A.P.F. Silva, Rafael B. de Moura, Rafael Boldrini, Rafaela A. da Silva, Rafaela L. Falaschi, Ralf T.S. Cordeiro, Ramon J.C.L. Mello, Randal A. Singer, Ranyse B. Querino, Raphael A. Heleodoro, Raphael de C. Castilho, Reginaldo Constantino, Reinaldo C. Guedes, Renan Carrenho, Renata S. Gomes, Renato Gregorin, Renato J.P. Machado, Renato S. Bérnils, Renato S. Capellari, Ricardo B. Silva, Ricardo Kawada, Ricardo M. Dias, Ricardo Siewert, Ricaro Brugnera, Richard A.B. Leschen, Robert Constantin, Robert Robbins, Roberta R. Pinto, Roberto E. dos Reis, Robson T. da C. Ramos, Rodney R. Cavichioli, Rodolfo C. de Barros, Rodrigo A. Caires, Rodrigo B. Salvador, Rodrigo C. Marques, Rodrigo C. Araújo, Rodrigo de O. Araujo, Rodrigo de V.P. Dios, Rodrigo Johnsson, Rodrigo M. Feitosa, Roger W. Hutchings, Rogéria I.R. Lara, Rogério V. Rossi, Roland Gerstmeier, Ronald Ochoa, Rosa S.G. Hutchings, Rosaly Ale-Rocha, Rosana M. da Rocha, Rosana Tidon, Rosangela Brito, Roseli Pellens, Sabrina R. dos Santos, Sandra D. dos Santos, Sandra V. Paiva, Sandro Santos, Sarah S. de Oliveira, Sávio C. Costa, Scott L. Gardner, Sebastián A. Muñoz Leal, Sergio Aloquio, Sergio L.C. Bonecker, Sergio L. de S. Bueno, Sérgio M. de Almeida, Sérgio N. Stampar, Sérgio R. Andena, Sergio R. Posso, Sheila P. Lima, Sian de S. Gadelha, Silvana C. Thiengo, Simone C. Cohen, Simone N. Brandão, Simone P. Rosa, Síria L.B. Ribeiro, Sócrates D. Letana, Sonia B. dos Santos, Sonia C.S. Andrade, Stephane Dávila, Stéphanie Vaz, Stewart B. Peck, Susete W. Christo, Suzan B.Z. Cunha, Suzete R. Gomes, Tácio Duarte, Taís Madeira-Ott, Taísa Marques, Talita Roell, Tarcilla C. de Lima, Tatiana A. Sepulveda, Tatiana F. Maria, Tatiana P. Ruschel, Thaiana Rodrigues, Thais A. Marinho, Thaís M. de Almeida, Thaís P. Miranda, Thales R.O. Freitas, Thalles P.L. Pereira, Thamara Zacca, Thaynara L. Pacheco, Thiago F. Martins, Thiago M. Alvarenga, Thiago R. de Carvalho, Thiago T.S. Polizei, Thomas C. McElrath, Thomas Henry, Tiago G. Pikart, Tiago J. Porto, Tiago K. Krolow, Tiago P. Carvalho, Tito M. da C. Lotufo, Ulisses Caramaschi, Ulisses dos S. Pinheiro, Ulyses F.J. Pardiñas, Valéria C. Maia, Valeria Tavares, Valmir A. Costa, Vanessa S. do Amaral, Vera C. Silva, Vera R. dos S. Wolff, Verônica Slobodian, Vinícius B. da Silva, Vinicius C. Espíndola, Vinicius da Costa-Silva, Vinicius de A. Bertaco, Vinícius Padula, Vinicius S. Ferreira, Vitor C.P. da Silva, Vítor de Q. Piacentini, Vivian E. Sandoval-Gómez, Vivian Trevine, Viviane R. Sousa, Vivianne B. de Sant’Anna, Wayne N. Mathis, Wesley de O. Souza, Wesley D. Colombo, Wioletta Tomaszewska, Wolmar B. Wosiacki, Ximena M.C. Ovando, and Yuri L.R. Leite

Subjects
Biodiversity, knowledge management, taxonomy, web services, zoology, Zoology, QL1-991
Abstract

ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others.

Published
2024
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8. Impacto Orçamentário dos Produtos de Terapias Avançadas no Sistema Único de Saúde

Author

Denizar Vianna, Camile Giaretta Sachetti, Antonio Carlos Campos de Carvalho, Gesner Oliveira, Luccas Saqueto, André Pellizzaro, Antonio Macedo, João Pedro Mussi, Maria Paula Heck, and Jéssica Portal Maia

Subjects
Produtos de Terapias Avançadas, Análise de Impacto Orçamentário, Sistema Único de Saúde, Pharmacy and materia medica, RS1-441, Pharmaceutical industry, HD9665-9675
Abstract

Buscou-se mapear os principais produtos de terapia avançada aprovados por agências sanitárias de referência para avaliar o potencial impacto da incorporação no Sistema Único de Saúde. Para isso, definiu-se o preço a partir da metodologia de precificação aplicada pela CMED para produtos com moléculas novas e ganho terapêutico e a demanda a partir da incidência das doenças, seguindo o crescimento populacional. Como resultado, estimou-se, para os cinco anos após cenários de incorporação, impactos entre R$ 16,6 e R$ 53,0 bilhões, proporcionando subsídios relevantes para os agentes tomadores de decisão.

Published
2024
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