Hematopoietic stem cell transplantation (HSCT) is a treatment that requires long periods of hospitalization. The mobility restrictions result in physical, functional and psychological impairments. Physical exercise is a therapy that can restore physical and functional capacities; however, it is necessary to understand the effects of its practice in post-HSCT individuals. The purpose of this systematic review (SR) was to assess the impact of physical exercise in children and adolescents undergoing HSCT. The SR was conducted following the PRISMA guidelines through search in the electronic databases Embase, Lilacs, PEDro, PubMed and SCOPUS, without limitation of dates and languages. Randomized or non-randomized clinical trials with children and adolescents who underwent HSCT, aged between 3 to 19 years old, who participated in a regular physical activity program, were assessed. After removing duplicates and selecting studies according to the eligibility criteria, seven parallel studies incorporating hospitalized and discharged participants undertaking aerobic and strengthening exercises were included in this study. The main outcomes analyzed were exercise capacity, quality-of-life, body composition and freedom. Five studies comprised the meta-analysis regarding the effects of the distance walked in the 6-min walk test and quality-of-life. Physical exercise is considered to be safe, feasible and efficacious to prevent the decline of the quality-of-life in children and adolescents undergoing HCST, as well as a considerable improvement in physical capacity.

Abstract The majority of tilapia farming is used for the production of fillets, resulting in the generation of waste that can be used to increase food stocks by producing minced fish. The aim of this study was to characterize and evaluate the viability of boiling and mechanical techniques for obtaining minced fish in relation to performance, physical-chemical and microbiological parameters and to reduce the waste generated in the process of filleting Nile tilapia. Based on performance outcomes, the mechanical technique proved to be 12% more efficient than the boiling one. The cost of the boiling technique was higher due to performance and operating costs. In both techniques microbiological alterations were not observed. Centesimal analysis results showed a difference in humidity between the techniques, which was expected due to loss of water during the boiling process, which possibly also affected protein levels. Over all, the use of a deboning machine allied lower operating cost, better performance, quality and practicality. The debone machine technique it's feasible considering the large volume of waste generated daily on fish farms, which requires a speedy and effective disposal. Further, makes possible obtaining a nutritional raw material of high added-value and contributing to the reduction of environmental impacts.

O conhecimento de como os animais depositam componentes químicos como água, proteína, gordura e cinzas na carcaça é importante para a formulação de uma dieta equilibrada, permitindo o máximo desempenho com baixo impacto ambiental. Logo, o trabalho foi conduzido, com o objetivo de avaliar a influência de diferentes linhagens de tilápia sobre a deposição de componentes químicos na carcaça. Os componentes corporais analisados foram água, proteína, gordura e cinzas. Para a determinação das curvas de deposição química corporal em função da idade foram ajustados os modelos exponencial, Brody, logístico, Gompertz e vonBertalanffy. Houve ajuste apenas do modelo exponencial para a água, tendo as linhagens UFLA e Comerciais as que depositaram numa velocidade mais rápida (P<0,05) em relação às demais linhagens. Quanto à proteína, a linhagem Vermelha foi a que teve menor peso à maturidade, estimado (49,37g) e foi mais precoce quanto à deposição máxima em relação as outras linhagens (Chitralada, UFLA e Comercial), no qual obtiveram peso a maturidade estimada em 231,5g e deposição máxima aos 337 dias de idade. Não houve diferença (P>0,05) dos parâmetros do modelo logístico entre as linhagens Vermelha,UFLA e Comercial para extrato etéreo, sendo a deposição máxima (0,23 g) aos 310 dias de idade. Em relação à deposição de cinzas, a linhagem Comercial teve maior deposição máxima (0,10 g) e, aos 337 dias de idade, sendo mais tardia em relação as outras linhagens que obtiveram deposição máxima de 0,033 g, aos 254 dias de idade. Portanto, conclui-se que as linhagens genéticas avaliadas diferem quanto às curvas de deposição química de água, proteína, extrato etéreo e cinzas.

The knowledge of how animals deposited chemical components as water, protein, fat and ash in the carcass is importance for the formulation of a balanced diet, allowing maximum performance with a low environmental impact. So, the study was carried out to evaluate the influence of different tilapia strains (Chitralada, Commercial, Red and Universidade Federal de Lavras [UFLA]) on the deposition of bodily chemical components in the carcass. The bodily components analyzed were water, protein, fat and ash. For the determination of the bodily chemical deposition curves by age, the exponential, Brody, logistic, Gompertz and von Bertalanffy models were adjusted. The Commercial and UFLA strains deposited water at a faster speed (P<0.05) compared with the remaining strains. As for protein, the Red strain had a lower estimated maturity weight (49.37 g), and was more precocious (202 days) with regard to maximum deposition in comparison to the other strains (Chitralada, UFLA and Commercial) in which there was an estimated maturity weight of 231.5 g and maximum depositionfor 337 days. There were no differences (P>0.05) for the logistic model parameter between Red, UFLA and Commercial strains for fat, which presented a maximum fat deposition (0.23 g) at 310 days of age. Regarding ash deposition, the Commercial strain presented a higher maximum deposition (0.10 g) at 337 days, occurring later than the other strains that presented maximum deposition (0.033g) at 254 days of age. Thus, it was concluded that the genetic strains evaluated differ in chemical deposition curves of water, protein, fat and ash.

Para o desenvolvimento de uma tecnologia de cultivo é necessária a determinação da densidade de estocagem ideal. Objetivou-se determinar a melhor densidade de estocagem para juvenis de Brycon orthotaenia, cultivados em tanques-rede, durante a fase de recria. A pesquisa foi conduzida na Fazenda Experimental da Epamig, em Felixlândia, Estado de Minas Gerais, na represa de Três Marias. Foram utilizados 9.000 alevinos, distribuídos em 12 berçários com 2 m³ em tanques-rede, seguindo o delineamento inteiramente casualizado, com três repetições e quatro diferentes densidades de estocagem (150, 300, 450, 600 peixes m-3). Amostras aleatórias de cada tanque-rede foram coletadas para as avaliações, no início do experimento e aos 60 dias de cultivo. Foram estimados os parâmetros produtivos, índice de crescimento específico e uniformidade. Obteve-se uma relação linear positiva (p < 0,05) para biomassa final (r² = 0,88), ganho de peso da biomassa (r² = 0,87), produtividade (r² = 0,86), conversão alimentar aparente (r² = 0,96) e para viabilidade econômica (r² = 0,96). Para sobrevivência (r² = 0,98), a relação linear foi negativa (p < 0,05). Não houve diferença significativa entre os tratamentos (p > 0,05) para os parâmetros de crescimento, uniformidade e peso final. Conclui-se que a densidade de 300 peixes m-3 é a mais indicada, pois, proporciona maior receita líquida, sobrevivência e boa conversão alimentar.

Developing a rearing technology requires the determination of the optimum stocking density. This study aimed to determine the best stocking density for Brycon orthotaenia juveniles grown in net cages, during the rearing phase. The research was conducted at the Experimental Farm of EPAMIG, in Felixlândia, Minas Gerais State, in the Três Marias Reservoir. 9,000 fingerlings were distributed into 12 net cages, 2 m³ each, according to a completely randomized design with three replications and four different stocking densities (150, 300, 450, 600 fish m-3). Random samples were taken from each net cage, at the onset of the experiment and at 60 rearing days, to assess production parameters, specific growth rate and uniformity. We verified a positive linear relationship (p < 0.05) for final biomass (r² = 0.88), weight gain (r² = 0.87), productivity (r² = 0.86), apparent feed conversion (r² = 0.96) and economic viability (r² = 0.96). For survival (r² = 0.98), the relationship was negative (p < 0.05). There were no significant differences between treatments (p > 0.05) for growth parameters, uniformity and final weight. It can be concluded that the density of 300 fish m-3 is the most suitable, because it provides higher net revenue, survival, and a good feed conversion.

The objective of this study was to evaluate the morphometric growth and weight gain of strains of tilapia (Thai, Red, UFLA and Commercial) by nonlinear models. Initially, 500 male fingerlings of each strain, at 85 (Red and UFLA) and 86 (Thai and Commercial) days of age, were stocked separately in raceways with 56 m³. Twenty fish of each strain were randomly sampled, weighed and measured monthly. Five nonlinear models (Brody, von Bertalanffy, Gompertz, logistic and exponential) were tested, choosing one that best fit to the data. The variables studied were: weight, standard length (SL), head length (HL), height 1 (H1), height 2 (H2), height 3 (H3), first distance (D1), second distance (D2), first width (W1), second width (W2) and third width (W3). The exponential model had the best fit to weight and morphometric data, with the exception of W2, in which the best fitted model was von Bertalanffy. The convergence of the exponential model to data indicates that the cultivation period studied was not enough for the strains to reach maturity weight. The UFLA strain presented the lowest value for parameter "a" (initial weight estimate), 8.71 g, and the highest for parameter k (specific growth rate), 0.0127, when compared with other evaluated strains. However, the highest k of UFLA was not enough to overcome the final weight observed for the Commercial strain (603.1 g), which was higher than all other strains. Regarding the morphometric measurements, the UFLA strain also had the highest k for the variables SL, HL, HH, H1, H2, H3 and D2, and similar k to Commercial and Thai strains for the variables D1 and W3 respectively. The strains differ as to weight gain and morphometric growth.

With the purpose of evaluating the changes and the degree of heterosis on performance and carcass traits of fish from the diallel crossing between Pacu and Tambaqui, four genetic groups were generated through hormonal induction: pacu, tambaqui, tambacu and paqui. For 196 days, 400 juveniles of each genetic group were stocked in a pond divided into four parts of equal size, one for each group. At the end of this period, when the fish weighed on average 1024 g (±115.52 g), 20 specimens of each genetic group were sampled, weighed, measured: head length; standard length; body height; and width; and also processed resulting in following body yield: viscera; carcass; head; fillet; rib; residue and skin yields. There was positive heterosis for body weight, viscera and skin yield and head measures and negative heterosis for carcass and filet yield and body width, indicating that the hybrids have better performance on weight gain, but are inferior in relation to the carcass conformation.

OBJETIVO: Descrever os aspectos morfológicos da mácula em pacientes com retinopatia da prematuridade (ROP). MÉTODOS: Doze pacientes com retinopatia da prematuridade graus I, II and III foram submetidos a mapeamento de retina e avaliação por tomografia de coerência óptica. RESULTADOS: Em todos os treze olhos de 12 pacientes a tomografia de coerência óptica mostrou a camada do epitélio pigmentar hiperrefletiva, sendo a área macular com maior intensidade. Nesses olhos as camadas da retina não estavam totalmente diferenciadas. A depressão foveal ficou claramente evidente pela tomografia de coerência óptica em 23%. CONCLUSÃO: Nos pacientes prematuros com retinopatia da prematuridade, a tomografia de coerência óptica mostrou as camadas da retina pouco diferenciadas com aumento da refletividade na área macular do complexo epitélio retiniano pigmentar-coriocapilar.

PURPOSE: To describe morphological features of the macula in patients with retinopathy of prematurity. METHODS: Twelve premature babies with retinopathy of prematurity grades I, II and III underwent dilated fundus examination and optical coherence tomography evaluation. RESULTS: In all thirteen eyes of the twelve premature patients optical coherence tomography revealed a condensed retinal pigmented epithelial layer in the macular-foveal area shown by increased reflectivity. In these eyes the retinal layers were not well differentiated. Foveal depression was clearly evident in 23%. CONCLUSIONS: In premature patients with retinopathy of prematurity, optical coherence tomography revealed poorly differentiated layers in the macular region with increased reflectivity in retinal pigmented epithelial-choriocapillaris zone.

Estudar os achados em tomografia de coerência óptica num caso de granuloma por Toxocara. Paciente com uma lesão macular cicatricial no olho esquerdo foi submetido a retinografia e tomografia de coerência óptica. Nas imagens de tomografia de coerência óptica, o granuloma aparece como uma imagem de uma massa arredondada hiper-reflectiva acima do epitélio pigmentar e abaixo da retina neurossensorial acompanhado de duas lesões satélites menores. A tomografia de coerência óptica pode nos ajudar a melhorar o entendimento da fisiopatologia do granuloma retiniano do Toxocara, seu diagnóstico e conduta.

Our aim was to study optical coherence tomographic findings in a case of Toxocara granuloma. A patient with a cicatricial macular lesion, diagnosed as ocular toxocariasis, was examined with optical coherence tomography. In optical coherence tomography images, the macular granuloma appeared as a highly reflective round mass protruding above the retinal pigment epithelium with two other surrounding masses. Optical coherence tomography may increase understanding of the pathophysiology of the retinal Toxocara granuloma and help in the clinical diagnosis and management of its macular complications.

OBJETIVOS: Identificar por meio de cultura e bacterioscopia os microrganismos veiculados por corpo estranho corneal e sua sensibilidade aos antibióticos em teste de antibiograma. MÉTODOS: Foi realizado estudo prospectivo em 101 pacientes que procuraram o Pronto-Socorro de Oftalmologia do Hospital São Paulo-UNIFESP/EPM, com diagnóstico de corpo estranho corneal. Previamente a qualquer tratamento o corpo estranho e amostra do fundo de saco conjuntival ipsilateral foram coletados em tubos separados com tioglicolato. Realizou-se semeadura em meios sólidos de ágar sangue, chocolate, Sabouraud e exame bacterioscópico com as colorações de Gram e Giemsa e antibiograma. Culturas positivas para o corpo estranho foram comparadas com as de fundo de saco conjuntival para excluir contaminação com flora normal. RESULTADOS: Cerca de 92% dos pacientes foram do sexo masculino, com idade média de 35 anos. O olho direito foi acometido em 62,4% (intervalo de confiança 95%: 52,2 - 71,8%) da amostra e 32,7% (intervalo de confiança 95%: 23,7 - 42,7%) apresentou crescimento bacteriano positivo em cultura. Os microrganismos encontrados nas culturas dos corpos estranhos foram: Streptococcus, alpha-hemolytic (n=4), Staphylococcus aureus (n=4), Staphylococcus, coagulase-negative (n=4), Corynebacterium xerosis (n=3), bacilo gram-positivo não identificado (n=2), Moraxella sp (n=1), Serratia sp (n=1), Acynetobacter sp (n=1). O antibiograma revelou que 95% dos casos foram sensíveis ao cloranfenicol e 90% a ciprofloxacina, antibióticos usados na rotina de nosso serviço. CONCLUSÃO: O corpo estranho corneal foi importante vetor de contaminação, porém a grande maioria dos microrganismos isolados foi sensível a antibioticoprofilaxia empregada no tratamento.

PURPOSE: To determine by bacterioscopy and culture the microorganisms carried by corneal foreign body and their sensitivity to antibiotics by antibiotic sensitivity test. METHODS: A prospective study was carried out and information was collected on 101 patients who presented with corneal foreign body at the São Paulo Hospital Eye Emergency Service. Prior to any treatment, a sample of the ipsilateral inferior conjunctival fornix and the foreign body were collected and immersed in thioglycolate broth. Samples were sown on solid culture media including blood, chocolate and Sabouraud agar. Bacterioscopic examination using Gram and Giemsa staining and sensitivity test were performed. Positive foreign body culture results were compared to ipsilateral conjunctival fornix culture to exclude possible normal flora growth. RESULTS: Approximately 92% of patients were males with a mean age of 35 years and in 62.4% (95% confidence interval: 52.2 - 71.8%) had the right eye was affected. Foreign body positive cultures were achieved in 32.7% (95% confidence interval: 23.7 - 42.7%) of the cases. The microorganisms isolated from the foreign body culture were identified as: Streptococcus, alpha-hemolytic (n=4), Staphylococcus aureus (n=4), Staphylococcus, coagulase-negative (n=4), Corynebacterium xerosis (n=3), unidentified Gram-positive bacillus (n=2), Moraxella sp (n=1), Serratia sp (n=1), Acynetobacter sp (n=1). The microbial sensitivity test showed that 95% of the cases were sensitive to chloramphenicol and 90% were sensitive to ciprofloxacin, these being antibiotics used in our routine service. CONCLUSION: Superficial corneal foreign body acts as important contaminant vector and the great majority of isolated bacteria were sensitive to the antibiotic prophylaxis used in the treatment.