ABSTRACT The aim was to evaluate the productive performance and nutrient export of maize intercropped with drought-tolerant forage grasses. The experimental design was a randomized blocks in a 2x2x2+1 factorial scheme (two forage grasses species – Massai and Buffel; two forage sowing methods - in the furrow and broadcast; and two forage sowing times - anticipated and simultaneous; and monoculture maize as an additional control), with three replicates. The maize+forage intercropping promoted greater competition for resources, especially water, limiting N uptake, chlorophyll synthesis, and biomass production by maize under semiarid conditions. Early sowing gave forage plants a competitive advantage, favoring forage establishment before or immediately after the sowing of maize. Thus, the simultaneous sowing of forage grasses in a semiarid environment is a more appropriate option considering the importance of high levels of chlorophyll to ensure high photosynthetic activity in maize plants and greater capacity of biomass synthesis. Massai intercropped with maize exhibits a greaterpotential for biomass production than Buffel under semiarid conditions. Maize+Buffel result in highest macronutrient export by maize, while maize+Massai result in highest macronutrient exports by total forage biomass under a semiarid environment. The choice of the forage species and its sowing time in relation to maize are the main determinants of successful intercropping systems under semiarid conditions. droughttolerant drought tolerant 2x2x21 xx 2x2x2 1 x 2x2x2+ broadcast control, control , control) replicates maizeforage resources water uptake synthesis conditions advantage Thus MaizeBuffel Maize maizeMassai 2x2x

RESUMO O objetivo foi avaliar o desempenho produtivo e a exportação de nutrientes do consórcio de milho com gramíneas forrageiras tolerantes ao estresse hídrico. O experimento foi delineado em blocos casualizados em esquema fatorial 2x2x2+1 (duas espécies de gramíneas forrageiras – Massai e Buffel; dois métodos de semeadura – no sulco e a lanço; e duas épocas de semeadura – antecipada e simultânea; e monocultivo de milho como um controle adicional), com três repetições. O consórcio milho+forragem promoveu maior competição por recursos, principalmente água, limitando a absorção de N, síntese de clorofila e produção de biomassa pelo milho para condições semiáridas. A semeadura precoce deu vantagem competitiva às plantas forrageiras, favorecendo seu estabelecimento antes ou imediatamente após a semeadura do milho. Assim, a semeadura simultânea de gramíneas forrageiras em ambiente semiárido é uma opção mais adequada, considerando a importância de garantir altos teores de clorofila e, consequentemente, alta atividade fotossintética nas plantas de milho para garantir a capacidade de síntese de biomassa.Massai consorciado com milho apresenta maior potencial para produção de biomassa do que Buffel em condições semiáridas.Milho+Buffel resulta em maior exportação de macronutrientes pelo milho, enquanto milho+Massai resulta em maior exportação de macronutrientes pela biomassa forrageira total em ambiente semiárido.A escolha da espécie forrageira e sua época de semeadura em relação ao milho são os principais determinantes do sucesso do consórcio no semiárido. hídrico 2x2x21 xx 2x2x2 1 x 2x2x2+ lanço adicional, adicional , adicional) repetições milhoforragem forragem recursos água N semiáridas Assim adequada consequentemente biomassaMassai semiáridasMilhoBuffel Milho milhoMassai semiáridoA 2x2x

ABSTRACT Parkinson's disease causes a progressive decline of motor and cognitive functions, often affecting postural control. Training through virtual reality has been shown to be effective in improving this condition. This study aims to analyse the effects of the Kinect Adventures! games in postural control of people with Parkinson's disease. Ten individuals diagnosed with idiopathic Parkinson's disease, in stages I to III of the Hoehn & Yahr scale, aged between 48 and 73 years, were selected. Fourteen training sessions of one hour each, twice a week, were performed. Individuals were evaluated pre, post-intervention and 30 days after the last session of intervention by a force platform that measured the oscillation area and velocity of the centre of pressure in ten different sensory conditions and the Limits of Stability. Limits of Stability showed a statistically significant increase immediately after the training the 14 sessions, as were observed and there were no significant changes in oscillation area and velocity immediately after the intervention or 30 days after the end of training. The results of this study indicate that the training with Kinect Adventures! Games improve the postural control of people with Parkinson's disease, by increasing the Limits of Stability.

Abstract The objective of this study was to evaluate the subjective, chemical and sensorial meat characteristics of ½ Santa Inês (SI) x ½ No Defined Racial Standard (NDRS) and ½ Brazilian Somalis (BS) x ½ No Defined Racial Standard (NDRS) crossbred lambs, finished in confinement. Sixteen uncastrated male lambs with initial weight of 19.7 ± 2.03 kg and approximately 90 days of age. A randomized block design was used, with blocks represented by the initial weight of each genetic group, with eight animals per group. There was a higher degree and distribution of marbling, percentage of lipids and meat color for ½ BS x ½ NDRS lambs. The conjugated linoleic acid profile was higher for ½ SI x ½ NDRS lambs. Considering the meat quality of the evaluated genetic groups, Santa Inês crossbred lambs have a better nutritional value for meat, especially taking into account the production of foods that are beneficial to human health.

Resumo A revista Neotropical Ichthyology lança o Volume Especial (SI) “Human impacts and the loss of Neotropical freshwater fish diversity” com o objetivo de publicar artigos científicos relevantes sobre a atual crise da biodiversidade e a perda de diversidade de peixes de água doce Neotropicais no Antropoceno. O SI é composto por 22 publicações, sendo dois artigos de revisão e 20 artigos originais. Um total de 107 pesquisadores contribuíram com esses artigos, envolvendo 44 instituições sediadas no Brasil e em seis outros países. Os artigos publicados investigaram as principais atividades antrópicas e seus impactos sobre a diversidade de peixes, com foco especial na regulação dos rios, mineração, mudanças no uso do solo, aquicultura e pesca. Os estudos forneceram evidências sobre a perda de diversidade de peixes na região Neotropical, incluindo eventos de mortandade, alterações demográficas, contaminação, mudanças na estrutura das assembleias, perda de diversidade taxonômica e funcional, além da degradação de funções e serviços ecossistêmicos, e falta de ações efetivas de proteção e conservação. Os estudos foram conduzidos em rios, riachos, lagos e reservatórios de diferentes sistemas Neotropicais. Os estudos publicados neste SI representam uma amostra relevante da atual situação dos peixes de água doce na região Neotropical, reforçando a necessidade de revisão das políticas ambientais, ações de manejo e conservação, e prioridades socioeconômicas.

Abstract Neotropical Ichthyology promotes the Special Issue (SI) “Human impacts and the loss of Neotropical freshwater fish diversity” with the purpose of publishing relevant scientific articles on the current biodiversity crisis and the loss of Neotropical freshwater fishes in the Anthropocene. The SI is composed of 22 publications, being two review articles and 20 original articles. A total of 107 researchers contributed to these papers, involving 44 institutions based in Brazil and six other countries. Published articles investigated main anthropic activities and their impacts on fish diversity, with special focus on river regulation, mining, land use changes, aquaculture, and fisheries. Studies provided evidence about the loss of fish diversity in the Neotropics, including fish kill events, demographic changes, contamination, changes in assemblage structure, loss of taxonomic and functional diversity, besides the degradation of ecosystem functions and services, and the lack of effective protection and conservation. Studies were conducted in rivers, streams, lakes, and reservoirs from different Neotropical systems. The studies published in this SI represent a relevant sample of the current worrisome situation of freshwater fishes in the Neotropical region and call for urgent revision in environmental policies, management and conservation initiatives, and socioeconomic priorities.

RESUMO O objetivo deste estudo foi avaliar as características químicas de um processo contínuo de compostagem aeróbia com aeração passiva com material de alimentação proveniente da produção e abate de pequenos ruminantes, realizado com diferentes níveis de umidade. O processo de compostagem foi realizado em celas de tijolos, com resíduos sólidos (esterco e partes de carcaça) do abate de cabras e ovelhas, juntamente com capim-elefante seco picado e aparas de árvores. Os tratamentos empregaram três teores de umidade nas pilhas (30, 50 e 70%) e intervalos de tempo (0, 30, 60 e 120 dias) de avaliação do material compostado, com três repetições. As variáveis avaliadas foram os atributos químicos do composto gerado. O processo de compostagem aumentou as concentrações dos elementos Ca, Mg, S, Cu, Fe, Mn e Zn e reduziu o pH, o teor de lignina e a razão lignina/nitrogênio. O N, P e B apresentaram maior teor com 111, 61 e 94 dias, respectivamente. O K não teve sua concentração alterada. O teor de água de 70% produziu os maiores teores de N e menor razão lignina/N. Ao final do processo de compostagem, em 120 dias, houve aumento dos teores de N, P, Ca, Mg, S, B, Cu, Fe, Mn, Zn e condutividade elétrica em 33,7; 6,3; 17,5; 16,3; 666; 22; 31,3; 49,7; 30,4: 29,4 e 16,1%, respectivamente. E houve decréscimo nos valores de pH e lignina em 8,4 e 27,2%, respectivamente.

ABSTRACT The aim of this study was to assess the chemical characteristics of a continuous aerobic composting process with passive aeration of feed material from the production and slaughter of small ruminants at different moisture levels. The composting process was performed in a brick barn with solid residues (manure and carcass parts) from the slaughter of goats and sheep along with chopped dry elephant grass and tree trimmings. The treatments employed three moisture contents (30, 50, and 70% water) and four sample collections at timed intervals (0, 30, 60, and 120 days), with three repetitions. The variables evaluated were the chemical attributes of the generated compost. The compositing process increased the concentrations of the elements Ca, Mg, S, Cu, Fe, Mn, and Zn and reduced the pH, lignin, and lignin/nitrogen ratio. The levels of N, P, and B increased up to 111, 61, and 94 days, respectively, whereas no change in the K content occurred. At the end of the process at 120 days, the contents of N, P, Ca, Mg, S, B, Cu, Fe, Mn, Zn, and electrical conductivity were increased by 33.7, 6.3, 17.5, 16.3, 666, 22, 31.3, 49.7, 30.4, 29.4 and 16.1%, respectively. The pH and lignin values decreased by 8.4 and 27.2%, respectively.

ABSTRACT The application of organic composts derived from animal husbandry or agro-industry is a promising option to improve nutrient cycling and supply of soils and, consequently, forage production. The objective of this study was to evaluate the soil chemical properties and the nutritional state of elephant grass in response to rates of organic fertilizer composted from the waste of small ruminant production and slaughter systems. The experiment was conducted on a Fluvisol of a forage field with elephant grass var. Cameroon, and was arranged in a randomized block design with split-plots with repeated measures over time. Six rates of organic compost (0, 13.3, 26.6, 39.9, 52.3, and 79.8 t ha-1, in plots) and an additional treatment with mineral fertilizers were evaluated in four growth periods (60, 120, 180, and 240 days, in subplots) with four replications, resulting in a total of 28 plots. Soil fertility was evaluated after the fourth growth period, while leaf analysis was determined in every 60-day period. The increasing rates of organic compost increased the concentrations of OM, NH4+, NO3–, NH4+ + NO3–, P and base saturation, while the H+Al values decreased and the N and P contents increased in the plants. Compared with mineral fertilization, soil inorganic nitrogen and phosphorus increased by 34 and 97 % in response to the application of organic compost. In response to the application of organic compost, the leaf contents of all studied nutrients remained adequate in all studied periods, except for the macronutrient N and micronutrient Mn.

Abstract Objective: The goal of the present study was to compare the myocardial protection obtained with histidine-tryptophan-ketoglutarate (HTK) cardioplegic solution (Custodiol®) and with intermittent hypothermic blood solution. Methods: Two homogenous groups of 25 children with acyanotic congenital heart disease who underwent total correction with mean aortic clamping time of 60 minutes were evaluated in this randomized study. Troponin and creatine kinase-MB curves, vasoactive-inotropic score, and left ventricular function were obtained by echocardiogram in each group. The values were correlated and presented through graphs and tables after adequate statistical treatment. Results: It was observed that values of all the studied variables varied over time, but there was no difference between the groups. Conclusion: We conclude that in patients with acyanotic congenital cardiopathies submitted to total surgical correction, mean aortic clamping time around one hour, and cardiopulmonary bypass with moderate hypothermia, the HTK crystalloid cardioplegic solution offers the same myocardial protection as the cold-blood hyperkalemic cardioplegic solution analyzed, according to the variables considered in our study model.

RESUMO Avaliou-se o fluxo de biomassa do Pennisetum purpureum cv. Cameroon irrigado submetido a doses de composto orgânico proveniente de resíduos da produção e abate da ovinocaprinocultura. O experimento foi realizado em capineira de capim-elefante, durante quatro ciclos de 60 dias. Os tratamentos foram doses do composto orgânico (0; 13,3; 26,6; 39,9; 53,2; 79,8) toneladas·ha-1, além de um tratamento mineral (nitrogênio e potássio) equivalente a 720 e 900 kg ha-1 ano-1, respectivamente. Foi utilizado um delineamento em blocos casualizados em esquema de parcelas subdivididas, com medidas repetidas no tempo, sendo as parcelas as doses e as subparcelas os ciclos. As características morfogênicas do capim elefante foram influenciadas pelas doses do composto. A taxa de produção de forragem apresentou efeito linear crescente com as doses do composto para todos os ciclos avaliados, enquanto a taxa de acúmulo de forragem respondeu de forma quadrática nos ciclos 1 e 2 às doses do composto. A análise de contraste entre a adubação orgânica x mineral, revelou em todos os ciclos, exceto no primeiro, superioridade dos índices morfogênicos para a adubação mineral. Conclui-se que o capim-elefante foi responsivo ao composto orgânico sugerindo-se uma dose de 70,63 toneladas ha-1.

ABSTRACT This study evaluated the biomass flow of irrigated Pennisetum purpureum cv. Cameroon fertilized with different levels of organic compost made from waste derived from production and slaughter of sheep and goat farming. The experiment was conducted in a cut and carry of elephant grass for four 60 day-cycles. The treatments consisted of levels of organic compost (0; 13.3; 26.6; 39.9; 53.2; 79.8) ton ha-1, besides a mineral treatment with nitrogen and potassium of 720 and 900 kg ha-1 yr-1, respectively. This was a split plot randomized block design with repeated measures over time, in which levels were assigned to plots, and cycles, to subplots. Morphogenetic characteristics of elephant grass were influenced by levels of the compost. Forage production rate had increased linearly with levels of the compost in all cycles, while the forage accumulation rate responded quadratically to doses of compost in cycles 1 and 2. The contrast analysis between organic x mineral fertilization revealed, for all cycles, except the first, superiority of morphogenetic indices for mineral fertilizer. It can be concluded that the elephant grass responded to the organic compost and it is recommended the use of 70.63 ton ha-1.

Abstract Introduction: Advances in modern medicine have led to people living longer and healthier lives. Frailty is an emerging concept in medicine yet to be explored as a risk factor in cardiac surgery. When it comes to CABG surgery, randomized controlled clinical trials have primarily focused on low-risk (ROOBY, CORONARY), elevated-risk (GOPCABE) or high-risk patients (BBS), but not on frail patients. Therefore, we believe that off-pump CABG could be an important technique in patients with limited functional capacity to respond to surgical stress. In this study, the authors introduce the new national, multicenter, randomized, controlled trial "FRAGILE", to be developed in the main cardiac surgery centers of Brazil, to clarify the potential benefit of off-pump CABG in frail patients. Methods: FRAGILE is a two-arm, parallel-group, multicentre, individually randomized (1:1) controlled trial which will enroll 630 patients with blinded outcome assessment (at 30 days, 6 months, 1 year, 2 years and 3 years), which aims to compare adverse cardiac and cerebrovascular events after off-pump versus on-pump CABG in pre-frail and frail patients. Primary outcomes will be all-cause mortality, acute myocardial infarction, cardiac arrest with successful resuscitation, low cardiac output syndrome/cardiogenic shock, stroke, and coronary reintervention. Secondary outcomes will be major adverse cardiac and cerebrovascular events, operative time, mechanical ventilation time, hyperdynamic shock, new onset of atrial fibrillation, renal replacement therapy, reoperation for bleeding, pneumonia, length of stay in intensive care unit, length of stay in hospital, number of units of blood transfused, graft patency, rate of complete revascularization, neurobehavioral outcomes after cardiac surgery, quality of life after cardiac surgery and costs. Discussion: FRAGILE trial will determine whether off-pump CABG is superior to conventional on-pump CABG in the surgical treatment of pre-frail and frail patients. Trial registration: ClinicalTrials.gov, ID: NCT02338947. Registered on August 29th 2014; last updated on March 21st 2016.

Abstract Purpose: To analyze the use of this sponge in pediatric patients undergoing split-liver transplantation. Methods: Retrospective study, including 35 pediatric patients undergoing split-liver transplantation, divided into two groups according to the use of the sponge: 18 patients in Group A (no sponge) and 17 in Group B (with sponge). Results: The characteristics of recipients and donors were similar. We observed greater number of reoperation due to bleeding in the wound area in Group A (10 patients - 55.5%) than in Group B (3 patients - 17.6%); p = 0.035. The median volume of red blood cells transfused in Group A was significantly higher (73.4 ± 102.38 mL/kg) than that in Group B (35.1 ± 41.67 mL/kg); p = 0.048. Regarding bile leak there was no statistical difference. Conclusion: The use of the human fibrinogen and thrombin sponge, required lower volume of red blood cell transfusion and presented lower reoperation rates due to bleeding in the wound area.

Abstract Objective: To measure the concentration of cefazolin in the anterior mediastinal adipose tissue of patients undergoing cardiac surgery, determining the variation of cefazolin concentration. Methods: Two samples of approximately 1g of subcutaneous tissue were collected from 19 patients who underwent surgery in December 2015: the first sample was collected right after sternotomy and the second one, before sternal synthesis with steel wires. Antibiotic dosage was administered through high performance liquid chromatography. Results: We observed a positive and statistically significant correlation between time 1 and cefazolin concentration (r=0.489 and P=0.039). For time 2 and cefazolin concentration, there was a negative and statistically significant correlation between both variables (r=-0.793 and P<0.001). A negative correlation was also observed between body mass index and cefazolin concentration at time 2 (r=-0.510 and P=0.031). The regression model showed that every 1-minute increase in time 1 corresponded to an increase of 0.240 µg/dL in cefazolin concentration, whereas every 1-minute increase in time 2 corresponded to a reduction of 0.046 µg/dL in cefazolin concentration. As for body mass index, every 1 kg/m2 increase corresponded to a reduction of about 0.510 µg/dL in cefazolin concentration. Conclusion: There was a positive and significant correlation between the initial time of surgery and cefazolin level in the first dosage. The evaluation of the second dosage showed a negative and significant correlation between cefazolin level and the second time of dosage. The concentration of cefazolin is under the influence of body mass index.

RESUMO Objetivo: comparar o resultado do transplante de fígado por hepatocarcinoma em pacientes submetidos ou não ao tratamento loco-regional e downstaging, em relação à sobrevida e risco de recidiva na fila de transplante. Métodos: estudo retrospectivo dos pacientes portadores de hepatocarcinoma submetidos a transplante hepático na região metropolitana de São Paulo, entre janeiro de 2007 e dezembro de 2011, a partir de doador falecido. A amostra foi constituída de 414 pacientes. Destes, 29 foram incluídos na lista por downstaging. Os demais 385 foram submetidos ou não ao tratamento loco-regional. Resultados: as análises dos 414 prontuários demonstraram um predomínio de pacientes do sexo masculino (79,5%) e com média de idade de 56 anos. O tratamento dos nódulos foi realizado em 56,4% dos pacientes em fila de espera para o transplante. O método mais utilizado foi a quimio-embolização (79%). Os pacientes submetidos ao tratamento loco-regional tiveram redução significativa no tamanho do maior nódulo (p<0,001). Não houve diferença estatística entre grupos com e sem tratamento loco-regional (p=0,744) e em relação à mortalidade entre pacientes incluídos no Critério de Milão ou ao downstaging (p=0,494). Conclusões: não houve diferença na sobrevida e ocorrência de recidiva associadas ao tratamento loco-regional. Os pacientes incluídos através do processo de downstaging apresentaram resultados de sobrevida comparáveis àqueles previamente classificados como Critério de Milão/Brasil.

ABSTRACT Objective: to compare the outcome of liver transplantation for hepatocarcinoma in submitted or not to locoregional treatment and downstaging regarding survival and risk of recurrence in transplant waiting list patients. Methods: retrospective study of patients with hepatocarcinoma undergoing liver transplantation in the metropolitan region of São Paulo, between January 2007 and December 2011, from a deceased donor. The sample consisted of 414 patients. Of these, 29 patients were included in the list by downstaging. The other 385 were submitted or not to locoregional treatment. Results: the analysis of 414 medical records showed a predominance of male patients (79.5%) with average age of 56 years. Treatment of the lesions was performed in 56.4% of patients on the waiting list for transplant. The most commonly used method was chemoembolization (79%). The locoregional patients undergoing treatment had a significant reduction in nodule size greater (p<0.001). There was no statistical difference between groups with and without locoregional treatment (p=0.744) and on mortality among patients enrolled in the Milan criteria or downstaging (p=0.494). Conclusion: there was no difference in survival and recurrence rate associated with locoregional treatment. Patients included by downstaging process had comparable survival results to those previously classified as Milan/Brazil criteria.

RESUMO A implantação de barragens tem perturbado e fragmentado os ecossistemas fluviais da América do Sul, afetando a migração dos peixes e dinâmicas de dispersão. Sistemas de transposição de peixes (STPs) têm sido instalados na tentativa de atenuar esses impactos. No entanto, pouco se sabe sobre a distribuição geográfica desses dispositivos, bem como o esforço de pesquisa aplicado para entender seu funcionamento e limitações. Nosso trabalho reuniu a literatura disponível com a finalidade de fornecer um panorama sobre os mecanismos investigados na América do Sul, bem como revelar o esforço e perfil das pesquisas. Encontramos 80 estudos que investigaram 25 STPs, a maioria escadas instaladas nos trechos superiores de grandes rios, particularmente na bacia do rio Paraná. Um resultado interessante é que a maior parte dos STPs está desconectada de trechos a montante e jusante devido à presença de outras barragens sem STPs. Embora o número de estudos tenha aumentado na última década, não registramos tendência consistente de incremento ao longo dos anos. No geral, os estudos abordam aspectos do próprio STP, especificamente a passagem ascendente, ignorando temas mais abrangentes (i.e. distribuição de habitats, dinâmica populacional). Além disso, o foco da pesquisa se direciona especialmente às questões de eficiência da passagem e raramente ao contexto da conservação e sucesso do manejo. Nossa avaliação, portanto, indicou que os estudos pretéritos são tecnicamente limitados, revelando importantes lacunas sobre o conhecimento dos STPs como medida de manejo.

ABSTRACT River regulation has fragmented fluvial ecosystems in South America, affecting fish migration and dispersion dynamics. In response, authorities have installed fish passage facilities (FPF) to mitigate impacts. However, little is known about the geographical distribution of these facilities, and no synthesis of the research effort applied to understanding their functioning and limitations exists. To address this issue, our study gathered the available scientific literature about fishways in South America to provide an overview of studied FPF and associated research effort. We found 80 studies that investigated 25 FPF, mostly ladders installed in the upper reaches of large rivers, particularly in the Paraná River Basin. One important finding is that most facilities do not lead to upstream and/or downstream sites due to the presence of other dams with no FPF. Though the number of studies has increased over the past 10 years, there is no consistent trend towards increased research effort. Overall, studies have focused on the fishway itself (i.e. upstream passage), and rarely evaluated broader issues (i.e. habitat distribution, population dynamics, conservation and management success). Our research therefore identified technical limitations of past studies, and revealed important gaps in the knowledge of FPF as a management tool.

RESUMO Racional: Estratégia cirúrgica para aumentar o número de transplantes hepáticos na população pediátrica é a transecção hepática ex-situ (redução ou split). No entanto, ela está associada com complicações, tais como hemorragia e fístulas. A esponja de fibrinogênio e trombina humana é útil para melhorar a hemostasia nas operações hepáticas. Objetivo: Comparar transplantes hepáticos pediátricos com transecção hepática ex-situ (redução ou split) com ou sem a esponja de fibrinogênio e trombina humana. Métodos: Foi realizada análise prospectiva de 21 pacientes submetidos ao transplante de fígado com transecção hepática ex-situ com a aplicação da esponja de fibrinogênio e trombina humana na área cruenta (grupo A) e análise retrospectiva de 59 pacientes sem a esponja (grupo B). Resultados: As características dos receptores e doadores eram semelhantes. Observou-se menor número de reoperações devido à hemorragia na área da cruenta no grupo A (14,2%) em comparação com o grupo B (41,7%, p=0,029). Não houve diferença em relação à fístula biliar (grupo A: 17,6%, grupo B: 5,1%, p=0,14). Conclusão: Houve menor número de reoperações por sangramento da área cruenta do enxerto hepático quando a esponja de fibrinogênio e trombina humana foi utilizada.

ABSTRACT Background: Surgical strategy to increase the number of liver transplants in the pediatric population is the ex-situ liver transection (reduction or split). However, it is associated with complications such as hemorrhage and leaks. The human fibrinogen and thrombin sponge is useful for improving hemostasis in liver surgery. Aim: Compare pediatric liver transplants with ex-situ liver transection (reduction or split) with or without the human fibrinogen and thrombin sponge. Methods: Was performed a prospective analysis of 21 patients submitted to liver transplantation with ex-situ liver transection with the application of the human fibrinogen and thrombin sponge in the wound area (group A) and retrospective analysis of 59 patients without the sponge (group B). Results: The characteristics of recipients and donors were similar. There were fewer reoperations due to bleeding in the wound area in group A (14.2%) compared to group B (41.7%, p=0.029). There was no difference in relation to the biliary leak (group A: 17.6%, group B: 5.1%, p=0.14). Conclusion: There was a lower number of reoperations due to bleeding of the wound area of the hepatic graft when the human fibrinogen and thrombin sponge were used.

ABSTRACT Composting is a useful way of transforming livestock waste into organic fertilizer, which is proven to increase soil nutrient levels, and thus crop yield. Remains from production and slaughter of small ruminants can become a source of important elements for plant growth, such as N, after microorganism-driven decomposition.The aim of this investigation was to evaluate the effects of this compost on soil fertility and on the nutritional status and yield of the corn crop. The experiment was conducted in a Haplic Luvisol in a randomized block design with six treatments and five application rates of the organic compound in Mg ha-1: 3 (half the standard rate), 6 (standard rate), 9 (one and a half times the standard rate), 12 (twice the standard rate), and 24 (four times the standard rate) and an additional treatment with mineral fertilizers (110, 50 e 30 kg ha-1 of N, P2O5 and K2O, respectively), with four blocks. Evaluations were performed for two harvests of rainfed crops, measuring soil fertility, nutritional status, and grain yield. The compost increased P, K, Na and Zn values in the 0.00-0.20 m layer in relation of mineral fertilization in 616, 21, 114 and 90 % with rate 24 Mg ha-1 in second crop. Leaf N, Mg, and S contents, relative chlorophyll content, and the productivity of corn kernels increased in 27, 32, 36, 20 e 85 %, respectively, of low rate (3 Mg ha-1) to high rate (24 Mg ha-1) with of application of the compost. Corn yield was higher with application of organic compost in rate of 24 Mg ha-1 than mineral fertilizer combination in second crop.