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Studies about fish assemblages in Brazilian streams have grown in recent years, however, it remains unclear whether this increase is followed by increments in the diversity of addressed topics and theoretical frameworks adopted by researchers. We performed a systematic search for Brazilian studies on stream fish assemblages recording study region, publication year, objectives, and spatial and temporal scales adopted. The number of studies is unevenly distributed among regions. Most papers describe the general structure of local fish assemblages and their scientific objectives have not varied through time. Studies have been conducted mainly at small temporal and spatial scales, though the latter is increasing over time. We argue for the need of focusing on recently developed ecological theories and frameworks, and expanding the temporal and spatial scales of studies. These changes will improve regional and local conservation policies, and the visibility of aquatic Brazilian research in the global scientific community.

Nonfunctioning pituitary adenomas (NFPAs) constitute one of the most common tumours in the sellar region and are often discovered only when associated with compressive symptoms. With the frequent use of brain imaging, there has been an increase in the prevalence of incidentally discovered NFPAs. We aim to determine the prevalence of incidental diagnosis with NPAs observed over a decade and compare the analytical, clinical and treatment differences between those who were diagnosed either incidentally or symptomatically. We also intend to evaluate the pathology differences between both groups. We retrospectively analysed patients aged ≥18 years with an apparent NFPA, defined as a pituitary lesion compatible with pituitary adenoma which is not associated with the clinical or biochemical evidence of a hormone‐secreting tumour. Inclusion criteria included normal prolactin level for lesions <9 mm or a prolactin level <100 ng/mL for lesions ≥10 mm in maximal tumour diameter. We included 119 patients [53.8% males; mean age: 56.8 years (SD = 16.7)]. Diagnosis was incidental in 47.1% of patients, and many patients had unappreciated signs and symptoms of pituitary disease. In the symptomatic and incidental groups, 66.7% and 41.1% of patients had hypopituitarism, respectively (p= .005). Only 20.4% of patients incidentally diagnosed had microadenoma (p= .060). Hypopituitarism was present in 18.8% of those patients with microadenomas. Most tumours were macroadenomas (87.4%). Half of those patients diagnosed incidentally were submitted to surgery, compared with 75.8% of those who were diagnosed symptomatically (p= .004). Nonfunctioning pituitary adenomas are commonly diagnosed incidentally, with many manifesting symptoms on examination. NFPAs incidentally diagnosed are more commonly macroadenomas and less frequently associated with hypopituitarism than symptomatic. Accordingly, if there was a greater level of knowledge and more suspicion about these pathologies, it might be possible to discover them earlier. Nonfunctioning pituitary adenomas are commonly diagnosed incidentally, with many manifesting symptoms on examination. If there was a greater level of knowledge and more suspicion about these pathologies, it might be possible to discover them earlier.

Klinefelter syndrome is the most frequently found aneuploidy among male patients. Its clinical presentation is very heterogeneous, and thus poses a challenge for a timely diagnosis.