Caso clínico tipo labirinto: uma proposta de tecnologia educacional para a área da saúde/ Clinical case labyrinth type: a proposal of educational technology for the health area

O uso de tecnologias tem sido largamente empregado em todos os campos, principalmente na área da educação. Na área da saúde, a tecnologia tem sido cada vez mais utilizada para desenvolver o raciocínio clínico e crítico dos futuros profissionais. O objetivo deste trabalho é apresentar uma proposta de tecnologia educacional tipo labirinto para a área da saúde. Para a criação da proposta de fluxograma educacional, foi utilizado o conceito da metodologia de Design Thinking (DT) e do software Ludcichart, com a finalidade de formular respostas através da compreensão dos questionamentos a serem respondidos, a partir de informações coletadas pelo estudante, durante a observação do problema clínico apresentado, com a finalidade do desenvolvimento de um aplicativo educacional. As pesquisas acerca de casos clínicos/pacientes virtuais ainda são discretas, mas esses recursos se mostram como importantes ferramentas de apoio pedagógico, preparando melhor o profissional para a prática, principalmente antes do contato direto com o paciente, reduzindo os riscos de iatrogenias. A proposta do caso clínico tipo labirinto será facilitar o aprendizado do aluno/usuário, bem como servir como ferramenta para a auto avaliação e ainda possibilitar o acompanhamento do desenvolvimento/evolução pedagógica pelo professor/tutor. Com o desenvolvimento deste aplicativo, espera-se que esta tecnologia educacional possibilite melhorarias da cognição do estudante/usuário, transformando-o num agente crítico, reflexivo e propositivo, além de ser um suporte didático para o ensino de profissionais da saúde

TRATAMENTO CONSERVADOR DA APENDICITE AGUDA: UMA REVISÃO NA LITERATURA.

Acute appendicitis is a disease of the acute abdomen and the most common surgical condition of the abdomen. Its pathophysiology is related to obstruction of the appendix lumen caused by fecalith, lymph node hyperplasia and less frequently by parasites, neoplasms and foreign bodies, causing inflammation of the appendix. The diagnosis for the disease is clinical. The patient may present classic symptoms such as migratory abdominal pain, fever, vomiting, changes in feces and urine. Acute appendicitis is the main cause of urgent and emergency surgical intervention in general surgery in Brazil. Appendectomy is a procedure with low mortality, but it can still cause complications in up to 28% of patients, such as: wall abscess, intestinal obstruction, fecal fistula, evisceration, eventration, peritonitis and hemorrhage. In this context, the present study aimed to evaluate the effectiveness of conservative treatment in acute appendicitis. Therefore, the study is a bibliographical review, conducted by searching for articles indexed in the SciELO, PubMed and BVS databases, which had complete texts, belonging to the last 15 years, using the descriptors: “Conservative treatment of appendicitis ”, “Cost of conservative treatment of appendicitis”, “Pathophysiology”, “Diagnosis” and “Drug treatment”. Acute appendicitis is an important cause of morbidity and mortality due to the complications of this pathology, especially at extremes of age. Appendectomy is one of the most practical surgeries worldwide. However, like all surgical treatments, it also has associated risks: infection at the surgical site, intestinal obstruction and related complications in the genitourinary system. Antibiotic therapy may be an option for patients at high surgical risk and difficult surgical approaches. Although studies show a lower cure rate in patients with antibiotics than those treated surgically, there were no more surgical complications in patients operated after attempting clinical treatment, indicating that postponing surgery does not increase complications. Therefore, it was concluded that the conservative approach can be an alternative for uncomplicated and complicated appendicitis: in low levels of infection, antibiotic therapy can cure the disease in most cases, being an efficient and appropriate treatment; In more complicated cases, the use of antibiotics makes it possible to treat appendicitis and perform a late elective appendectomy.A apendicite aguda é uma enfermidade do abdome agudo e a afecção cirúrgica mais comum do abdome. Sua fisiopatologia está relacionada com a obstrução da luz do apêndice ocasionada por fecalito, hiperplasia de linfonodos e menos frequentemente por parasitas, neoplasias e corpos estranhos, causando a inflamação do apêndice. O diagnóstico para a doença é clínico. O paciente poderá apresentar sintomas clássicos como dor abdominal migratória, febre, vômito, alterações nas fezes e na urina. A apendicite aguda é a principal causa de intervenção cirúrgica de urgência e emergência pela cirurgia geral no Brasil. A apendicectomia é um procedimento de baixa mortalidade, mas mesmo assim pode causar complicações em até 28% dos pacientes, como: abscesso de parede, obstrução intestinal, fístula fecal, evisceração, eventração, peritonite e hemorragia. Nesse contexto, o presente estudo teve como objetivo avaliar a eficácia do tratamento conservador na apendicite aguda. Dessa forma, o estudo trata-se de uma revisão bibliográfica, conduzida através da busca por artigos indexados nas bases de dados SciELO, PubMed e BVS, que possuíam textos completos, pertencentes aos últimos 15 anos, utilizando os descritores: “Tratamento conservador da apendicite”, “Custo do tratamento do conservador da apendicite”, “Fisiopatologia”, “Diagnóstico” e “Tratamento medicamentoso”. A apendicite aguda é uma importante causa de morbidade e mortalidade devido as complicações dessa patologia, principalmente em extremos de idade. A apendicectomia é uma das cirurgias mais práticas a nível mundial. Porém, como todo tratamento cirúrgico, também apresenta riscos associados: infecção no sítio cirúrgico, obstrução intestinal e complicações relacionadas no sistema geniturinário. A antibioticoterapia pode ser uma opção para pacientes de alto risco cirúrgico e de difícil abordagem cirúrgica. Apesar de estudos mostrarem uma taxa inferior de cura em pacientes com antibiótico aos tratados cirurgicamente, não houve mais complicações cirúrgicas nos pacientes operados após tentativa de tratamento clínico, indicando que postergar a cirurgia não aumenta as complicações. Diante disso, concluiu-se que a abordagem conservadora pode ser uma alternativa para as apendicites não complicadas e complicadas: em baixos graus de infecção, a antibioticoterapia pode curar a doença na maioria das vezes, sendo tratamento eficiente e adequado; já nos casos mais complicados, o uso de antibióticos torna possível tratar a apendicite e fazer uma apendicectomia eletiva tardia

HIPERTENSÃO ARTERIAL: PREVALÊNCIA, TRATAMENTO E CONTROLE DA DOENÇA

In this article you will have the opportunity to understand that systemic arterial hypertension is a chronic non-communicable disease of multifactorial origin, and in addition, understand the diagnosis of hypertension, the associated risk factors and care management. This study is based on a bibliographical review, where bibliographical surveys were carried out based on the topic, understanding it to be a safe instrument for carrying out this research. Furthermore, in screening actions, health professionals must be sensitive to the signs and symptoms of hypertension to direct actions. People who experience headache, nausea, malaise, pain in the back of the neck, pain behind the eyes, chest pain, angina, fatigue and changes in blood pressure measurements without an apparent cause may have developed high blood pressure and should be screened and identified early for treatment. timely.Neste artigo você vai ter a oportunidade de compreender que a hipertensão arterial sistêmica é uma doença crônica não transmissível de origem multifatorial, e além disso, compreender o diagnóstico da HAS, os fatores de risco associados e o manejo do cuidado. Este estudo parte de uma revisão bibliográfica, onde foram realizados levantamentos bibliográficos a partir do tema, entendendo ser um instrumento seguro para a realização desta pesquisa. Além disso, nas ações de rastreamento os profissionais de saúde devem estar sensíveis aos sinais e sintomas da hipertensão para o direcionamento das ações. Pessoas que apresentam cefaleia, náusea, mal-estar, dor na nuca, dor atrás dos olhos, dor precordial, angina, fadiga e alteração na medida da pressão arterial sem causa aparente podem ter desenvolvido hipertensão arterial e devem ser rastreadas e identificadas precocemente para tratamento oportuno

ABORDAGENS INOVADORAS NO DIAGNÓSTICO PRECOCE DO GLAUCOMA

 In the continuous search for advances in the ophthalmological field, innovative approaches to the early diagnosis of glaucoma emerge as a crucial answer. The implementation of advanced imaging technologies and monitoring methods offers a promising prospect for identifying signs of the disease early, enabling more effective interventions. Objectives: Explore innovative approaches to early diagnosis of glaucoma. Methodology:  The articles found were read, upon reading the articles were subjected to inclusion and exclusion criteria, within the inclusion criteria original articles were considered, which addressed the topic researched and allowed full access to the content of the study, published in the period of 2015 to 2023, in Portuguese and English, totaling 19 articles for the present study. The research was carried out through online access to the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Literature in Health Sciences (LILACS) databases in March 2024. Results and Discussions:  Innovative approaches to the early diagnosis of glaucoma present promising advances in effective detection of the disease. The application of advanced imaging technologies, such as optical coherence tomography (OCT), has demonstrated remarkable sensitivity in identifying early structural changes, providing a solid foundation for timely interventions. The importance of these approaches in the clinical context, highlighting how early detection can positively influence the course of the disease. Furthermore, the personalization of care, made possible by these technologies, emerges as a determining factor in the approach to glaucoma, adapting to the specific needs of each patient. Conclusion: In summary, the results presented reinforce the positive impact of innovative approaches in the early diagnosis of glaucoma. The enhanced sensitivity provided by advanced imaging technologies highlights their crucial role in early identification of ocular changes. This conclusion highlights the continued importance of research and implementation of these approaches to improve the effectiveness of ophthalmological care, contributing significantly to the preservation of vision and quality of life for patients affected by glaucoma.Na busca contínua por avanços na área oftalmológica, as abordagens inovadoras no diagnóstico precoce do glaucoma emergem como uma resposta crucial. A implementação de tecnologias avançadas de imagem e métodos de monitoramento oferece uma perspectiva promissora para identificar precocemente os sinais da doença, possibilitando intervenções mais eficazes. Objetivos: Explorar abordagens inovadoras para o diagnóstico precoce do glaucoma. Metodologia:  Foi realizada a leitura dos artigos encontrados, mediante a leitura, os artigos foram submetidos a critérios de inclusão e de exclusão, dentre os de inclusão foram considerados artigos originais, que abordassem o tema pesquisado e permitissem acesso integral ao conteúdo do estudo, publicados no período de 2015 a 2023, em português e em inglês, totalizando 19 artigos para o presente estudo. A pesquisa foi realizada através do acesso online nas bases de dados National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) no mês de março de 2024. Resultados e Discussões:  As abordagens inovadoras no diagnóstico precoce do glaucoma apresentam promissores avanços na detecção eficaz da doença. A aplicação de tecnologias avançadas de imagem, como a tomografia de coerência óptica (OCT), demonstrou uma sensibilidade notável na identificação de alterações estruturais precoces, proporcionando uma base sólida para intervenções tempestivas. A importância dessas abordagens no contexto clínico, ressaltando como a detecção precoce pode influenciar positivamente o curso da doença. Além disso, a personalização dos cuidados, viabilizada por essas tecnologias, emerge como um fator determinante na abordagem do glaucoma, adaptando-se às necessidades específicas de cada paciente. Conclusão: Em síntese, os resultados apresentados reforçam o impacto positivo das abordagens inovadoras no diagnóstico precoce do glaucoma. A sensibilidade aprimorada proporcionada por tecnologias avançadas de imagem destaca seu papel crucial na identificação precoce de alterações oculares. Esta conclusão ressalta a importância contínua da pesquisa e implementação dessas abordagens para melhorar a eficácia dos cuidados oftalmológicos, contribuindo, significativamente, para a preservação da visão e qualidade de vida dos pacientes afetados pelo glaucoma

AVANÇOS EM CIRURGIAS MINIMAMENTE INVASIVAS NA ORTOPEDIA

In recent years, orthopedic medicine has witnessed remarkable advances through the increasing adoption of minimally invasive surgical techniques. This innovative approach represents a significant change in the way orthopedic interventions are performed, with impactful benefits on postoperative recovery. The use of specialized instruments and less invasive techniques has provided patients with a number of advantages, including less pain, faster recovery and reduced post-surgical complications. Objectives: Analyze advances in minimally invasive surgeries in orthopedics. Methodology: The articles found were read, upon reading the articles were subjected to inclusion and exclusion criteria, within the inclusion criteria original articles were considered, which addressed the topic researched and allowed full access to the content of the study, published in the period of 2015 to 2023, in Portuguese and English. The research was carried out through online access to the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Literature in Health Sciences (LILACS) databases in February 2024. Results and Discussions: The positive impacts of advances in minimally invasive surgeries in orthopedics. A significant reduction in postoperative pain was observed in patients undergoing these procedures, attributed to less aggression to the surrounding tissues. Furthermore, functional recovery was notably faster, demonstrating the effectiveness of less invasive techniques in preserving healthy tissues. With regard to post-surgical complications, results indicated a notable decrease in infection and hemorrhage rates compared to more traditional approaches. The improved precision of instruments used in minimally invasive surgeries has contributed to a lower rate of complications, highlighting the importance of these advances in improving the safety of orthopedic procedures. Conclusion: In conclusion, advances in minimally invasive surgeries in orthopedics represent a promising evolution in the surgical approach, demonstrating significant benefits in reducing pain, faster recovery and a lower incidence of post-surgical complications. These results suggest a positive transformation in the orthopedic medicine scenario, providing not only improvements in patients' quality of life, but also improved efficiency and safety in procedures. Continued research and implementation of these innovative techniques are critical to consolidating these benefits and shaping the future of orthopedic surgical practices.Nos últimos anos, a medicina ortopédica tem testemunhado avanços notáveis por meio da crescente adoção de técnicas cirúrgicas minimamente invasivas. Essa abordagem inovadora representa uma mudança significativa na forma como intervenções ortopédicas são realizadas, com benefícios impactantes na recuperação pós-operatória. A utilização de instrumentos especializados e técnicas menos invasivas tem proporcionado aos pacientes uma série de vantagens, incluindo menor dor, recuperação mais rápida e redução das complicações pós-cirúrgicas. Objetivos: Analisar os avanços em cirurgias minimamente invasivas na ortopedia. Metodologia: Foi realizada a leitura dos artigos encontrados, mediante a leitura foram submetidos a critérios de inclusão e exclusão, dentro os de inclusão foram considerados artigos originais, que abordassem o tema pesquisado e permitissem acesso integral ao conteúdo do estudo, publicados no período de 2015 a 2023, em português em inglês. A pesquisa foi realizada através do acesso online nas bases de dados National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) no mês de fevereiro de 2024. Resultados e Discussões: Os impactos positivos dos avanços em cirurgias minimamente invasivas na ortopedia. Observou-se uma significativa redução da dor pós-operatória nos pacientes submetidos a esses procedimentos, atribuída à menor agressão aos tecidos circundantes. Além disso, a recuperação funcional foi notavelmente mais rápida, evidenciando a eficácia das técnicas menos invasivas na preservação dos tecidos saudáveis. No que diz respeito às complicações pós-cirúrgicas, os resultados indicaram uma notável diminuição nas taxas de infecção e hemorragia em comparação com abordagens mais tradicionais. A precisão aprimorada dos instrumentos utilizados nas cirurgias minimamente invasivas contribuiu para um menor índice de complicações, destacando a importância desses avanços na melhoria da segurança dos procedimentos ortopédicos. Conclusão: Em conclusão, os avanços em cirurgias minimamente invasivas na ortopedia representam uma promissora evolução na abordagem cirúrgica, demonstrando benefícios significativos na redução da dor, recuperação mais rápida e menor incidência de complicações pós-cirúrgicas. Estes resultados sugerem uma transformação positiva no cenário da medicina ortopédica, proporcionando não apenas melhorias na qualidade de vida dos pacientes, mas também eficiência e segurança aprimorados nos procedimentos. A contínua pesquisa e implementação dessas técnicas inovadoras são fundamentais para consolidar esses benefícios e moldar o futuro das práticas cirúrgicas ortopédicas

Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants

Summary Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. Findings We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes—gaining too little height, too much weight for their height compared with children in other countries, or both—occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls. Interpretation The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI &lt;18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For school&#x2;aged children and adolescents, we report thinness (BMI &lt;2 SD below the median of the WHO growth reference) and obesity (BMI &gt;2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesit

Catálogo Taxonômico da Fauna do Brasil: setting the baseline knowledge on the animal diversity in Brazil

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