Abstract Objective: To investigate the effects of different physical exercise programs and polymorphisms of the FTO (fat mass and obesity-associated gene) on body composition and cardiovascular risk factors in adolescents with overweight and obesity. Methods: A randomized, parallel, double-blind clinical trial consisting of the adolescent overweight from the state public network, in a simple representative random sample, who participated in an aerobic exercise or weight training intervention for 10 weeks. Anthropometry, body composition, biochemical markers, sexual maturation, and rs9939609 polymorphism in the FTO gene were assessed. 347 adolescents had their characterization of nutritional status. 72 individuals with overweight and obesity were invited to participate. 39 remained for the start of the program and were randomly allocated to both types of intervention. In the end, 26 subjects participated in the intervention programs, with 12 and 14 in the aerobic and weight training programs, respectively. Results: Heterozygous and homozygous bearers of risk allele A participating in the aerobic program showed improvements in glycemia (p = 0.002) and total cholesterol (p = 0.023) and a reduction in body fat mass (p = 0.041). The weight training program reduced glycemia in patients with the risk allele A (p = 0.027). Cameron’s stage four sexual maturation participants were 2.1 times more likely to improve their body fat (CI = 1.31–3.39). Conclusion: Aerobic exercises produced exclusively a significant decrease in fat mass and total cholesterol in patients with risk allele A. Distinct physical exercise programs may cause diverse changes in risk variables related to the health of adolescents.

RESUMO O uso da irrigação desempenha papel fundamental no avanço das fronteiras agrícolas e no aumento da produtividade nas áreas de cultivo, principalmente em ambientes semiáridos que apresentam alta variação espaço-temporal de chuvas. Essa prática é sugerida até mesmo para cultivos adaptados como palma forrageira (Opuntia sp.) e sorgo (Sorghum bicolor). Assim, objetivou-se avaliar a rentabilidade do uso da irrigação no sistema solteiro e sistema consorciado palma-sorgo no semiárido. O delineamento experimental foi em blocos casualizados em esquema fatorial 5 × 3: cinco lâminas de irrigação por gotejamento (0, 25, 50, 75 e 100% da evapotranspiração de referência - ET0) e três sistemas de cultivo (palma forrageira solteira, sorgo solteiro e consórcio palma-sorgo), com quatro repetições. O tratamento 0% ET0 correspondeu à condição de sequeiro com uma lâmina de 355 mm. Foi conduzido um ciclo de palma e dois de sorgo (planta e rebrota) compreendidos de novembro 2014 a novembro de 2015. Verificou-se que os maiores custos para implantação dos sistemas de cultivo em condições irrigadas se devem à aquisição do sistema de irrigação e insumos, representando 85,3% do custo operacional efetivo. O sistema sorgo solteiro e o sistema palma forrageira-sorgo proporcionaram as maiores produtividades de matéria fresca (62.013,05 e 60.075,36 kg ha-1), respectivamente. Com base em indicadores econômicos, a adoção de lâminas de irrigação (25, 50, 75 e 100% ET0) promoveu lucros para os sistemas (solteiro e consorciado) a partir do segundo ano de implantação.

ABSTRACT Irrigation plays a fundamental role in advancing agricultural frontiers and increasing crop productivity, especially in semi-arid environments, because they exhibit high spatiotemporal rainfall variation. This practice is suggested even for adapted crops, such as forage cactus (Opuntia sp.), sorghum (Sorghum bicolor), and single or intercropping systems. In this study, aimed to evaluate the profitability of using irrigation in a single and intercropping forage cactus-sorghum system in a semi-arid region. The experimental design was in randomized blocks in a 5 × 3 factorial arrangement: five drip irrigation depths (0, 25, 50, 75, and 100% of the reference evapotranspiration - ET0) and three cropping systems (single forage cactus, single sorghum, and intercropping forage cactus-sorghum), with four replicates. The 0% ET0 treatment corresponded to rainfed conditions at a depth of 355 mm. A cycle of forage cactus and two sorghum cultivars (plant and regrowth) was conducted between November 2014 and November 2015. It was verified that the highest costs for implantation of the crop systems in irrigated conditions are due to the acquisition of irrigation and input systems, representing 85.3% of the effective operational cost. The single sorghum and forage cactus-sorghum systems provided the highest fresh matter productivity (62,013.05 and 60,075.36 kg ha-1, respectively). Based on economic indicators, the adoption of irrigation depths (25, 50, 75, and 100% ET0) promoted profits for the systems (single and intercropping) from the second year of implementation.

AISI 6160 steel is used to manufacture cutting blades and springs due to its high tensile strength and good ductility. However, it has low mechanical strength and low wear resistance. In this work, a duplex treatment consisting of CCPD followed by PN was performed to improve the surface properties of the steel. In addition, XRD, optical microscopy, microhardness, and sphere-disk tribological analysis were used to verify the surface changes of the samples. The results showed a significant improvement in surface hardness and better wear resistance of AISI 6160 Steel submitted to Duplex treatment. The sample submitted to the CCPD treatment for 4 hours and, after nitriding at 500 °C for 2 hours, presented higher surface hardness and wear resistance than the sample only subjected to plasma deposition, characterizing the efficiency of the use of the duplex treatment adopted in the present work.

Abstract The present study verified the presence of phytoconstituents and evaluated antioxidant (DPPH, FRAP, NO and TBARS tests) and antiglycation (REM test) activities of unconventional wild edible fruits Chrysophyllum cainito, Hancornia speciosa and Plinia glomerata. It was verified the presence of phenolic compounds for all fruits and flavonoids were observed only for C. cainito, which presented in its peel the highest total phenols (90.34 μg GAE mg-1) and flavonoids (30.4 μg RE mg-1) content. Sugar concentration was significant for all fruits, where H. speciosa showed the highest reducing sugar content (576.12 mg g-1) and C. cainito pulp showed the highest total sugar content (858.67 mg g-1). All fruits presented vitamin C and carotenoids, highlighting P. glomerata with the best results for ascorbic acid (2260.94 mg 100 g-1) and carotenoids (59.62 µg g-1). Extracts presented antioxidant activity, highlighting C. cainito peel that presented 65.64% (DPPH), 231.34 µM TE L-1 (FRAP), 49.34% (NO) and 22.56% (TBARS), while in antiglycation evaluation, P. glomerata showed evident activity. Therefore, it was possible to determine different phytoconstituents, and antioxidant and antiglycation activities of the fruits. These data provide subsidies for application of these fruits in new studies, to increase knowledge and preservation of these species.

ABSTRACT The study aimed to determine the evapotranspiration (ETc) of the mango cv. ‘Palmer’ over two productive cycles, analyzing water-use efficiency (WUE) and crop water productivity (CWP) to propose average crop coefficient (Kc) values for improving irrigation management under cultivation conditions in the Low-Middle São Francisco Valley. The study was conducted from July 2019 to May 2021 in a commercial ‘Palmer’ mango orchard in Petrolina, State of Pernambuco, Brazil. Micrometeorological data was collected throughout the experimental period. The crop evapotranspiration (ETc) was determined using Bowen ratio energy balance (BREB), and then the Kc, WUE, and CWP were determined. The highest ETc values occurred during the floral induction phase (5.14 ± 0.85 mm day-1), with a Kc of 0.85; however, the lowest values were observed during the fruit maturation phase (3.60 ± 0.73 mm day-1), with a Kc of 0.91. Average water consumption per cycle was 1445 mm, with a daily average of 4.39 mm day-1. WUE and CWP were 16.9 and 24.5 kg ha-1 mm-1, respectively. Average Kc values of 0.81, 0.76, 0.85, 0.90, 0.95, and 0.91 are recommended for the vegetative growth, rest period and shoot maturation, floral induction, flowering, fruit development, and fruit maturation phases, respectively.

This investigation describes the synthesis of eugenol analogs presenting 1,2,3-triazole fragments and evaluation of their antileishmanial activity. The alkylation of guaiacol (1) with allyl bromide afforded 1-(allyloxy)-2-methoxybenzene (2) (93% yield). The Claisen rearrangement conducted with 1 gave ortho eugenol (3) (82% yield). Alkylation procedures performed with 3 produced 1-allyl-3-methoxy-2-(prop-2-yn-1-yloxy)benzene (4) (73% yield) and 1-allyl-3-methoxy-2-(pent-4-yn-1-yloxy)benzene (6) (53% yield). The copper(I)-catalyzed alkyne-azide cycloaddition (CuAAC) reactions involving alkynes 4 and 6 with different benzylic azides afforded twenty-two eugenol analogs with 1,2,3-triazole functionalities (48-93% yield). We screened the compounds at 10 μmol L 1 against Leishmania braziliensis intracellular amastigotes during macrophage infection. The action of these compounds was compared with the known leishmanicidal drug amphotericin B. None of the analogs were toxic to macrophages at 10 μmol L-1. The cytotoxic concentration at 50% (CC50), effective concentration at 50% (EC50), and selectivity index (SI) were determined to the best compounds 4-((2-allyl-6-methoxy)phenoxymethyl)-1-(4-chlorobenzyl)-1 H-1,2,3-triazole (8c) and 4-((2-allyl-6-methoxy)phenoxymethyl)-1-(4-trifluoromethoxybenzyl)-1 H-1,2,3-triazole (8h). They showed a significant leishmanicidal effect, with EC50 of 28.09 µmol L-1 (8c) and 52.03 µmol L-1 (8h). The SIs were 9.7 for 8c and > 5.7 for 8h. These compounds have the potential as new leishmanicidal agents against L. braziliensis and may represent a starting point for the development of alternative treatments for cutaneous leishmaniasis.

Abstract The success of Procamallanus (Spirocamallanus) inopinatus infection in fish involves a complexity of variables. This study aims to evaluate the relationship between abundance of P. (S.) inopinatus with biometric and somatic parameters, sex, relative condition factor (Kn) and hosts diet, as well as to evaluate length relationship of the parasites and the hosts. The fishes were collected by the mesh method and data, length, weight, sex, gonad and liver weight, Gonadosomatic index (GSI) and hepatosomatic index (HSI), Kn and stomach content were recorded. Twenty-seven specimens of P. (S.) inopinatus were collected in the intestine from Serrasalmus rhombeus and 52 from Leporinus friderici. In general, the prevalence, mean intensity and mean abundance of infection was higher in L. friderici. The total abundance was explained by the variables GSI, HSI total length, gonad and liver weight. Fish relative condition factor (kn) and sex were not influenced by the infection, being that the parasite infection did not impair the body condition of the hosts. There is no relationship between host length and parasite length in any of the evaluated fish species. On average, S. rhombeus parasites are 0.69 cm larger than L. friderici parasites.

ABSTRACT This study aimed to evaluate the effects of sunflower meal (SFM) inclusion on the performance, nutrient digestibility, and respirometric parameters in sheep. Twenty-four Dorper × Santa Inês uncastrated males, with an average age of 5 mo and initial body weight (BW) of 27.91±6.0 kg, were distributed in a randomized block design with four treatment diets containing 0, 100, 200, and 300 g of SFM/kg of total dry matter, replacing soybean meal. Intake, weight gain, ingestive behavior, and in vitro digestibility were evaluated according to the SFM inclusion. The respirometric parameters were evaluated in an open-circuit respirometric chamber. There was a quadratic response in dry matter intake expressed according to the SFM inclusion, with minimum points of 90.56 g/kg 0.75 BW for inclusion levels of 96 g of SFM/kg. A linear decrease in the in vivo digestibility of dry matter, neutral detergent fiber, and non-fibrous carbohydrate and in vitro fermentation of dry matter and fibrous carbohydrates was observed in response to SFM inclusion. These results reflect the higher fiber content of the byproduct, which reduced the non-fibrous carbohydrates in the diets. Despite the change in nutrient availability, average daily gain (299 g/day), O 2 consumption (26.24 L/kg 0.75 BW), and CH 4 production (2.25 L/kg 0.75 BW) were not influenced by the SFM inclusion, indicating that changes in the nutritional value of the diet did not affect the animals’ energetic metabolism. Sunflower meal inclusion decreased the digestibility but did not affect the animal gain and the respirometric parameters. The SFM can replace soybean meal in the diet of growing lambs; however, it has a maximum inclusion point of 88 g SFM/kg for feed conversion, which is a necessary factor for evaluating the replacement cost.

Biochar from slow pyrolysis under controlled conditions is favorable in the transformation of waste into materials that serve as soil conditioners, and/or environmental remediation. Thus, this work aimed to produce and characterize biochar from cassava waste under different temperature conditions and evaluate interactions with Ca2+ and Pb2+ for agricultural and environmental applications. To investigate the efficiency of the interaction of biochar with nutrients (Ca) and contaminants (Pb), the influence of pH and contact time were evaluated. There was an increase in pH, pHzpc (zero point charge), and condensed aromatic structures in BC, due to the increase in pyrolysis temperature. Also, biochar demonstrated a Pb2+ adsorbed amount of 2.03 to 2.37 mg g-1 and a Ca2+ release capacity of 0.655 to 0.765 mg g-1. In this way, biochar produced from residues of cassava waste can be a viable strategy to enhance agricultural production and reduce environmental contaminants.

ABSTRACT Objectives. To characterize how physical activity and sedentary behavior have been measured in national health surveys in South American countries. Methods. An extensive search was made for national health surveys from all 12 South American countries through health websites, national statistical offices, and contact with researchers and policy-makers. The following eligibility criteria were used to select surveys: conducted in a South American country; used a nationally representative sample ≥ 18 years; coordinated by the public, private or mixed private–public sector; and assessed physical activity and/or sedentary behavior. Data were extracted on general information about the surveys, specific details about the physical activity and sedentary behavior assessment, and additional questions related to activity behavior. Results. In total, 36 surveys were included, two of which were multicountry surveys; all surveys assessed physical activity and 27 assessed sedentary behavior. Most surveys (23/36; 64%) were based on previously validated international questionnaires, but 13 (57%) of these deviated from the reference tools, introducing changes and adaptations. Sedentary behavior was assessed mostly through questions on screen time and/or daily sitting time in the same physical activity questionnaires. No survey used device-based measures to generate data on these behaviors. Conclusions. Differences between instruments used and modifications limit the comparability of data across countries. This highlights the importance of standardizing assessment within South America for physical activity and sedentary behavior sections in national surveys, with the broader aim of contributing to establishing a standardized strategy for the surveillance of physical activity and sedentary behavior in South America.

RESUMO Objetivos. Caracterizar como a atividade física e o comportamento sedentário têm sido medidos em pesquisas nacionais de saúde em países sul-americanos. Métodos. Foi realizada uma busca extensa de pesquisas nacionais de saúde de todos os 12 países sul-americanos em sites de saúde e órgãos nacionais de estatística, e pelo contato com pesquisadores e formuladores de políticas. Foram usados os seguintes critérios de elegibilidade para selecionar as pesquisas: conduzida em um país sul-americano; que tenha usado uma amostra nacionalmente representativa ≥ 18 anos; coordenada pelo setor público, privado ou público-privado; e que tenha avaliado a atividade física e/ou o comportamento sedentário. Os dados extraídos eram sobre informações gerais das pesquisas, detalhes específicos sobre a avaliação da atividade física e do comportamento sedentário e questões adicionais relacionadas ao comportamento na atividade. Resultados. Ao todo, 36 pesquisas foram incluídas, duas das quais foram conduzidas em vários países. Todas as pesquisas avaliaram a atividade física e 27 avaliaram o comportamento sedentário. A maioria das pesquisas (23/36; 64%) baseou-se em questionários internacionais previamente validados e 13 (57%) delas se desviaram das ferramentas de referência, introduzindo mudanças e adaptações. O comportamento sedentário foi avaliado principalmente por meio de perguntas sobre tempo de tela e/ou tempo diário sentado nos mesmos questionários sobre atividade física. Nenhuma pesquisa utilizou medições realizadas por dispositivos para gerar dados sobre esses comportamentos. Conclusões. As diferenças entre os instrumentos usados e as modificações limitam a comparabilidade dos dados entre os países, o que destaca a importância de padronizar a avaliação na América do Sul para as seções de atividade física e comportamento sedentário em pesquisas nacionais, com o objetivo mais amplo de contribuir para o estabelecimento de uma estratégia padronizada para a vigilância da atividade física e do comportamento sedentário na América do Sul.

RESUMEN Objetivos. Describir cómo se han medido la actividad física y el sedentarismo en las encuestas nacionales de salud en los países de América del Sur. Métodos. Se llevó a cabo una extensa búsqueda de encuestas nacionales de salud de los doce países sudamericanos en sitios web de salud, oficinas nacionales de estadística y mediante el contacto con investigadores y responsables de formular políticas. Para escoger las encuestas se emplearon los siguientes criterios de selección: realizada en un país sudamericano; muestra representativa a nivel nacional de ≥ 18 años; coordinada por el sector público, el sector privado o mixto público-privado; y evaluación de la actividad física o el sedentarismo. Se extrajeron datos como información general de las encuestas, detalles específicos de la evaluación de la actividad física y el sedentarismo, y otras preguntas relacionadas con la actividad física. Resultados. En total, se incluyeron 36 encuestas, dos de las cuales se realizaron en varios países. Todas las encuestas evaluaron la actividad física; 27, el sedentarismo. La mayoría de las encuestas (23/36; 64%) se basaron en cuestionarios internacionales anteriormente validados, de los cuales 13 (57%) se desviaron de las herramientas de referencia al tener cambios y adaptaciones. El sedentarismo se evaluó principalmente en los mismos cuestionarios de actividad física mediante preguntas sobre el tiempo invertido delante de pantallas o el tiempo diario sentado. Ninguna encuesta aplicó medidas basadas en dispositivos para obtener datos sobre estos comportamientos. Conclusiones. Las diferencias entre los instrumentos empleados y las modificaciones limitan la comparabilidad de los datos en todos los países. Esto pone de relieve la importancia de estandarizar la evaluación en América del Sur de las secciones dedicadas a la actividad física y al sedentarismo en las encuestas nacionales, con el objetivo general de contribuir a la creación de una estrategia estandarizada para la vigilancia de la actividad física y el sedentarismo en América del Sur.

Abstract Objectives This analysis describes the protocol of a study with a case-cohort to design to prospectively evaluate the incidence of subclinical atherosclerosis and Cardiovascular Disease (CVD) in Chronic Inflammatory Disease (CID) participants compared to non-diseased ones. Methods A high-risk group for CID was defined based on data collected in all visits on self-reported medical diagnosis, use of medicines, and levels of high-sensitivity C-Reactive Protein >10 mg/L. The comparison group is the Aleatory Cohort Sample (ACS): a group with 10% of participants selected at baseline who represent the entire cohort. In both groups, specific biomarkers for DIC, markers of subclinical atherosclerosis, and CVD morbimortality will be tested using weighted Cox. Results The high-risk group (n = 2,949; aged 53.6 ± 9.2; 65.5% women) and the ACS (n=1543; 52.2±8.8; 54.1% women) were identified. Beyond being older and mostly women, participants in the high-risk group present low average income (29.1% vs. 24.8%, p < 0.0001), higher BMI (Kg/m2) (28.1 vs. 26.9, p < 0.0001), higher waist circumference (cm) (93.3 vs. 91, p < 0.0001), higher frequencies of hypertension (40.2% vs. 34.5%, p < 0.0001), diabetes (20.7% vs. 17%, p = 0.003) depression (5.8% vs. 3.9%, p = 0.007) and higher levels of GlycA a new inflammatory marker (p < 0.0001) compared to the ACS. Conclusions The high-risk group selected mostly women, older, lower-income/education, higher BMI, waist circumference, and of hypertension, diabetes, depression, and higher levels of GlycA when compared to the ACS. The strategy chosen to define the high-risk group seems adequate given that multiple sociodemographic and clinical characteristics are compatible with CID.

ABSTRACT Monkeypox virus (MPXV), a zoonotic virus endemic to the African continent, has been reported in 33 non-endemic countries since May 2022. We report an almost complete genome of the first confirmed case of MPXV in Brazil. Shotgun metagenomic sequencing was completed in 18 hours, from DNA extraction to consensus sequence generation.

ABSTRACT In 2022, an outbreak of monkeypox is being reported in non-endemic areas, with unusual clinical manifestations. The detailed clinical description of the first patient that received the diagnosis of monkeypox in Brazil is reported here, whose clinical manifestations can easily lead to misdiagnosis of sexually transmitted infections. A 41 years old male presented to an emergency room with a vesicular rash with eight days of evolution. He had traveled to Portugal and Spain and reported non-penetrative sexual involvement with three different male individuals. On the third day of symptoms, he sought medical care and received empirical treatment directed to sexually transmitted infections. As the symptoms did not improve, he sought medical attention at an infectious disease referral center presenting, on admission, an ulcerated penile lesion with central necrotic crusts, a disseminated pleomorphic skin rash and an oropharyngeal ulcer. The monkeypox diagnosis was suspected due to the characteristics of the lesions and the history of intimate contact with casual partners, and it was later confirmed by sequencing the almost complete monkeypox genome. The patient was hospitalized for pain control, which required opiate administration. He developed a secondary bacterial infection on the penile lesions, which were treated with oral antibiotics. He was discharged after 14 days, with lesions in process of re-epithelialization. Given the current outbreak, we must consider the possibility of monkeypox in patients with suggestive lesions, anywhere on the body (including the genitals), added to an epidemiological link or history of intimate contact with strangers or casual partners.

RESUMO Objetivo: Fornecer orientações sobre a frequência e os componentes dos exames oftalmológicos para crianças saudáveis de 0 a 5 anos. Métodos: Essas diretrizes foram desenvolvidas com base em revisão bibliográfica e experiência clínica de um comitê de especialistas. Foram realizadas buscas PubMed/Medline; documentos selecionados não se restringiram a revisões sistemáticas, ensaios clínicos randomizados e estudos observacionais. Quando adequado, o perfil GRADE foi aplicado para graduá-los e o consenso de especialistas foi usado nos tópicos sem evidência científica. Também foram revisadas as recomendações pela Academia Americana de Pediatria, Associação Americana de Oftalmologia Pediátrica e Estrabismo, Academia Americana de Oftalmologia, Royal College of Ophthalmologist e Sociedade Canadense de Oftalmologia. O documento final foi aprovado pela Sociedade Brasileira de Oftalmologia Pediátrica e Sociedade Brasileira de Pediatria. Resultados: Os recém-nascidos devem ser submetidos ao teste do reflexo vermelho e inspeção dos olhos e anexos pelo pediatra dentro de 72 horas de vida ou antes da alta da maternidade. O teste do reflexo vermelho deve ser repetido pelo pediatra durante as consultas de puericultura pelo menos três vezes ao ano durante os primeiros 3 anos de vida. Se factível, um exame oftalmológico completo pode ser feito entre 6 a 12 meses de vida. Até os 36 meses de idade, os marcos visuais, função visual apropriada para a idade, fixação e alinhamento ocular também devem ser avaliados pelo pediatra ou médico da família. Pelo menos um exame oftalmológico completo deve ser realizados entre 3 e 5 anos de idade. O exame deve conter pelo menos inspeção dos olhos e anexos, avaliação da função visual apropriada para a idade, avaliação da motilidade e alinhamento ocular (testes de cobertura), refração sob cicloplegia e avaliação do fundo de olho dilatado. Conclusões: As diretrizes sobre a frequência da avaliação oftalmológica são ferramentas importantes para orientar os médicos sobre a melhor prática a fim de evitar problemas visuais tratáveis na infância, que poderiam comprometer seu desenvolvimento social, escolar e global, além de causar perda permanente da visão.

ABSTRACT Purpose: To provide guidance on the frequency and components of eye examinations for healthy children aged 0 to 5 years. Methods: These guidelines were developed based on the medical literature and clinical experience of an expert committee. PubMed/Medline searches were performed, with selected publications not restricted to systematic reviews, randomized controlled trials, or observational studies. The Grading of Recommendations Assessment, Development, and Evaluation profile was applied when suitable, and for issues without scientific evidence, recommendations were based on expert consensus. Recommendations by the American Academy of Pediatrics, American Association of Pediatric Ophthalmology and Strabismus, American Academy of Ophthalmology, Royal College of Ophthalmologists, and Canadian Ophthalmological Society were also reviewed. The final guideline document was approved by the Brazilian Pediatric Ophthalmology Society and by the Brazilian Pediatric Society. Results: Newborns must undergo the red reflex test and inspection of the eyes and adnexa by a pediatrician within 72 hours of life. The red reflex test should be repeated by the pediatrician during childcare consultations at least three times per year during the first 3 years of life. If feasible, a comprehensive ophthalmologic examination may be performed between 6 and 12 months of age. Until 36 months of age, the pediatrician should assess the infant’s visual development milestones, age-appropriate assessment of visual function, ocular fixation, and eye alignment. At least one comprehensive ophthalmologic examination should be performed at 3 to 5 years of age. The examination should minimally include inspection of the eyes and adnexa, age-appropriate visual function assessment, evaluations of ocular motility and alignment (cover tests), cycloplegic refraction, and dilated fundus. Conclusions: Guidelines concerning the frequency of ophthalmic assessment are important tools for directing physicians regarding best practices that avoid treatable vision problems that affect children’s development, school, and social performance and cause unnecessary permanent vision loss.

The suspended particulate material (SPM) present in waters has fundamental importance for a better understanding of environmental behaviors of aquatic pollutants. This work determined the physicochemical parameters (pH, temperature, conductivity, total organic carbon and metals concentration) in water samples from Mundaú-Manguaba estuarine-lagoon system, Alagoas, Brazil. This work extracted and characterized the organic matter present in SPM in this estuary and studied the interaction of this organic matter with potentially toxic metals (Cd2+ and Pb2+). The results of the physical-chemical parameters evaluated showed influence of the tide and also of anthropic contributions close to the estuary. In fact, the lead concentrations determined (0.10-1.32 mg L-1) are well above that allowed by Brazilian legislation (< 0.010 mg L-1). The organic matter present in the SPM showed a high degree of humification being similar to the organic matter extracted from water and showed strong interaction by Pb2+ ions.