Doença falciforme e o efeito modulador da vitamina D em crianças: uma revisão integrativa / Sickle cell disease and the modulating effect of vitamin D in children: an integrative review

INTRODUÇÃO: A deficiência de Vitamina D (VD) é frequente na doença falciforme (DF) em decorrência do status inflamatório crônico, danos renais, endoteliais, hiperhemólise e melanodermia. Atualmente, a suplementação desse nutriente em falcêmicos tem se mostrado importante devido sua ação sistêmica e imunológica. OBJETIVOS: Analisar o impacto da VD em crianças com DF. MÉTODOS: Trata-se de uma revisão integrativa da literatura, onde foram analisados estudos, publicados originalmente em inglês e português, dos últimos dez anos, em humanos, tendo como referência as bases de dados MEDLINE, SciELO e LILACS. A busca foi efetuada mediante a consulta ao MeSH. Os descritores utilizados foram: "children"; "vitamin D"; "sickle cell anemia"; "supplementation". Foram identificados 32 artigos a partir da frase de pesquisa. Ao aplicar os critérios de inclusão, nove artigos foram eleitos para o estudo. RESULTADOS: A partir da análise dos artigos incluídos, 6 avaliaram a prevalência da deficiência de VD em crianças com anemia falciforme e os outros três artigos relataram sobre a suplementação de VD em crianças também com anemia falciforme. Todos os estudos mostraram que as crianças tratadas com reposição de VD tiveram uma diminuição de idas ao pronto-socorro e maior estabilidade hemodinâmica durante os tratamentos. CONCLUSÃO: Outros ensaios clínicos randomizados devem ser realizados para identificar o papel da DV na qualidade de vida e na redução da morbidade falciforme. A contribuição deste artigo é reconhecer que há evidências sobre a vitamina D fora dos ensaios clínicos randomizados.

INTRODUCTION: Vitamin D (VD) deficiency is frequent in sickle cell disease (SCD) due to chronic inflammatory status, kidney and endothelial damage, hyperhemolysis and melanoderma. Currently, the supplementation of this nutrient in sickle cell patients is important due to its systemic and immunological action. Objectives: To analyze the impact of VD in children with SCD. METHODS: This is an integrative literature review, which analyzed studies, originally published in English and Portuguese, in the last ten years, in humans, using the MedLine, SciELO and LILACS databases as References. The search was performed by consulting the MeSH. The descriptors used were: "children"; "vitamin D"; "sickle cell anemia"; "supplementation". 32 articles were identified from the search phrase. When applying the inclusion criteria, nine articles were chosen for the study. RESULTS: Among the included articles, six evaluated the prevalence of VD deficiency in children with sickle cell anemia, and the other three reported on VD supplementation in children with sickle cell anemia. All studies showed that children treated with VD replacement had a decrease in emergency room visits and greater hemodynamic stability during treatments. CONCLUSION: Further randomized controlled trials should be carried out to identify the role of VD in quality of life and in the reduction of sickle cell morbidity. The contribution of this paper is to recognize that there is evidence about vitamin D outside of randomized controlled trials.

Associations of Body Condition Score at Calving, Parity, and Calving Season on the Performance of Dairy Cows and Their Offspring.

This study aimed to evaluate the impact of body condition score (BCS) at calving, parity, and the calving season on the performance of dairy cows and their offspring. Data from 521 Holstein cows that calved a female calf and had their BCS evaluated at calving from a single commercial farm located in Southern Brazil were used. Cows were categorized into five BCS classes: class 1: <3.0 (n = 19), class 2: 3.0-3.25 (n = 134), class 3: 3.5-3.75 (n = 160), class 4: 4.0-4.25 (n = 142), and class 5: >4.25 (n = 66). Data were also categorized by calving order (primiparous and multiparous dams) and by calving season. The study was designed as a prospective cohort study. Variables with normal distribution were analyzed by the MIXED procedure of SAS, while binary outcomes were analyzed by the GLIMMIX procedure of SAS. Daughters from primiparous dams were born lighter (39.1 ± 0.42 vs. 41.4 ± 0.29 kg, p < 0.01), but they had the same weights as the daughters from multiparous cows at weaning (121.5 ± 1.67 vs. 120.4 ± 1.58 kg, p = 0.20). As expected, primiparous cows showed lower (p < 0.01) 305-day milk yields than multiparous ones: 8633 ± 363 vs. 10,761 ± 249 kg, respectively. Regarding the calving season, cows that calved in the winter were the most productive ones, and those that calved in the fall had lower milk yields (p = 0.01). Calves born in the winter were heavier at birth (p < 0.01), calved younger (p = 0.04), and produced more milk at first lactation (p = 0.03). The BCS class had an impact (p < 0.01) on calf birth weights; daughters from Class 1 cows (BCS < 3.0) were lighter (38.0 ± 1.0 kg) than the calves from Class 5 cows with a BCS > 4.25 (41.9 ± 0.57 kg). Calves from dams with a BCS < 3 (Class 1) had a 31.8% culling rate until weaning, while calves from cows with a BCS of 3.0-3.25 (Class 2) had a 9.6% culling rate (p = 0.12). These results suggest that maternal and environmental factors, such as calving season and parity, in addition to the dams' body condition score at calving, are associated with different offspring performances.

Aspectos da assistência em pacientes com Doença Falciforme no contexto da pandemia da COVID-19 / Aspects of care in patients with Sickle Cell Disease in the context of the COVID-19 pandemic

Introdução: A pandemia determinada pelo novo coronavírus (SarsCoV-2), doença intitulada COVID-19, atingiu mais de 219 países com grande agravo e impacto à saúde mundial. A infecção pelo vírus desencadeia uma resposta imune explosiva, hiperativada e descontrolada, com manifestações clínicas graves em pessoas com doenças subjacentes. A Doença falciforme (DF), uma condição genética que determina imunosupressão, coloca os pacientes em maior risco de infecções respiratórias e complicações pulmonares dentro do contexto da pandemia. Objetivo: Analisar o impacto da COVID-19 em portadores de DF e propor uma diretriz de atendimento a esta população. Métodos: Trata- se de uma revisão sistemática de literatura onde foram analisados estudos, publicados originalmente em inglês, entre março a dezembro de 2020, tendo como referência as bases de dados MedLine, SciELO e LILACS. A busca foi efetuada mediante a consulta ao MeSH com os descritores "sickle cell disease", "covid-19"e "guideline". Foram identificados 64 artigos a partir da frase de pesquisa. Ao aplicar os critérios de inclusão, 7 artigos foram eleitos para o estudo. Resultados e Conclusão: A infecção pelo novo coronavírus pode precipitar intercorrências em pacientes com DF, como crises vaso-oclusivas e síndrome torácica aguda. Considerando esses dados, os autores formularam uma diretriz para orientação e cuidado aos indivíduos com DF

Introduction: The pandemic caused by the new coronavirus (SarsCoV-2), a disease called COVID-19, has reached more than 219 countries with great damage and impact on global health. The viral infection triggers an explosive, hyperactive and uncontrolled immune response, with severe clinical manifestations in people with underlying diseases. Sickle Cell Disease (SCD), a genetic condition that determines immunosuppression, causes patients a greater risk of respiratory infections and pulmonary complications within the context of the pandemic. Objective: To analyze the impact of COVID-19 in patients with SCD and propose a guideline to care for this population. Methods: This is a systematic literature review where studies were analyzed, originally published in English, between March and December 2020, using the MedLine, SciELO and LILACS databases as references. The search was carried out by consulting the MeSH with the descriptors "sickle cell disease", "covid-19" and "guideline". 64 articles were identified from the search phrase. When applying the inclusion criteria, 7 articles were chosen for the study. Results and Conclusion: The infection with the new coronavirus could cause complications in patients with SCD, such as vaso-occlusive crises and acute chest syndrome. Considering these data, the authors formulated a guideline for guidance and care for individuals with SCD.

Feed Intake of Growing Dairy Heifers Raised under Tropical Conditions: A Model Evaluation Using Meta-Analysis.

Several models for predicting dry matter intake (DMI) of replacement dairy heifers have been developed; however, only a few have been evaluated using data from heifers of different breeds raised under tropical conditions. Thus, the objective of this study was to evaluate the DMI equations for dairy heifers managed under tropical conditions. A total of 230 treatment means from 61 studies using dairy heifers (n = 1513 heifers, average body weight = 246 kg) were used. The animals were grouped into two groups based on their genetics: (1) Bos taurus (Holstein, Jersey, Brown Swiss, and Holstein × Jersey) and (2) crossbred (Bos taurus × Bos indicus). Seven previously published DMI equations (HH, HHJ, QUI, STA, 2001 NRC, OFLin, and OFNLin) for heifers were evaluated using mean bias, slope bias, mean squared prediction errors (MSPE) and its decomposition, and other model evaluation statistics. For Bos taurus heifers, our results indicated that OFNLin and HHJ had lower mean bias (0.13 and 0.16 kg/d, respectively) than other models. There was no significant slope or mean bias for HHJ and OFNLin (p > 0.05), indicating agreement between the observed and predicted DMI values. All other models had a significant mean bias (p < 0.05), whereas the QUI model also presented a significant slope bias (p < 0.02). For crossbred heifers, the STA equation was the only one that did not present mean and slope bias significance (p > 0.05). All other DMI models had significant mean bias when evaluated using crossbred data (p < 0.04), and QUI, OFLin, and OFNLin also presented significant slope bias (p < 0.01). Based on our results, predictions from OFNLin and HHJ best represented the observed DMI of Bos taurus heifers (MSPE ≤ 1.25 kg2/d2, mean bias ≤ 0.16 kg/d), whereas STA was the best model for crossbred heifers (MSPE = 1.25 kg2/d2, mean bias = 0.09 kg/d). These findings indicate that not all available models are adequate for estimating the DMI of dairy heifers managed under a tropical climate, with HHJ and OFNLin for Bos taurus and STA for crossbreds being the most suitable models for DMI prediction. There is evidence that models from Bos taurus heifers could be used to estimate the DMI of heifers under tropical conditions. For heifer ration formulation is necessary to consider that DMI is influenced by breed, diet, management, and climate. Future work should also include animal genetic and environmental variables for the prediction of DMI in dairy heifers.

Chemical control of foliar diseases in soybean depends on cultivar and sowing date / O controle químico de doenças foliares na cultura da soja depende do cultivar e da época de plantio

The aim was to study the effect of early application of two fungicide mixtures on the control of Asian rust and powdery mildew, as well as on grain yield in five soybean cultivars at two sowing dates. The experiment was carried in the experimental area of FAMV/UPF. The cultivars A 4910 RG (super-early), BMX Apolo RR, A 6001 RR and Fundacep 55 RR (early) and Coodetec 214 RR (moderate), established at 13/11/2007 and 3/12/2007 were used. Trifolia of these cultivars were treated twice with the fungicides ciproconazol + azoxystrobin (Priori Xtra®, 0.3 L ha-1 plus Nimbus® adjuvant 0.6 L ha- 1) and epoxiconazol + pyraclostrobin (Opera®, 0.5 L ha-1), in three moments 1: pre-closure of the space between the lines and 21 days after; 2: pre-closure of space between rows and R5.1 stage (10% of beginning seed); and 3: R1 (beginning bloom) and R5.1 stages. The severity (% of affected leaf area) of powdery mildew and number of lesions cm2 of Asian rust were evaluated. After that plants were harvested, the thousand grain weight (g) and grain yield (kg ha-1) were quantified. The experimental design was a split-plot with four replicates, where the main plot were the five cultivars, and the subplots were the control treatment (untreated plants) and the six chemical control programs. Tukey and t-Student tests (p0.05) were used for separation of means of treatments and seasons, respectively. In general terms, foliar application of fungicides controlled both Asian rust and powdery mildew, as well as generated an increase on the thousand grain weight and grain yield. However, there seems to be an interaction among soybean genotypes and sowing date. Thus, our results allow us to infer that the chemical control of leaf diseases in the soybean crop depends of the cultivar and sowing date.

O objetivo foi estudar o efeito da aplicação antecipada de duas misturas de fungicidas no controle da ferrugem asiática e do oídio, bem como no rendimento de grãos em cinco cultivares de soja em duas épocas de semeadura. O experimento foi conduzido no campo experimental da FAMV/UPF. Utilizaram-se as cultivares A 4910 RG (super precoce), BMX Apolo RR, A 6001 RR e Fundacep 55 RR (precoces) e Coodetec 214 RR (moderado), estabelecidas em 13/11/2007 e 3/12/2007. Os fungicidas piraclostrobina + epoxiconazole e azoxistrobina + ciproconzole foram pulverizados duas vezes em 1: pré-fechamento do espaço entre as linhas e 21 dias após, 2: pré-fechamento do espaço entre as linhas e R5.1 (10% de granação), e 3: R1 (início da floração) e R5.1. Avaliaram-se a severidade (% da área foliar afetada) do oídio e o número de lesões cm2 da ferrugem asiática. Logo após as plantas foram colhidas, o peso de mil grãos (g) e rendimento de grãos (kg ha-1) foram quantificados. O delineamento experimental utilizado foi o de parcelas divididas com quatro repetições, onde a parcela principal foram as cinco cultivares, e as subparcelas foram o tratamento controle (plantas não tratadas) e os seis programas de controle químico. Para a separação das médias dos tratamentos e épocas, foram utilizados os testes de Tukey e t-Student (p0.05), respectivamente. De modo geral, a aplicação foliar de fungicidas controlou tanto a ferrugem asiática como o oídio, assim como também gerou um aumento do peso de mil grãos e rendimento de grãos. No entanto, parece existir uma interação entre os genótipos e data de semeadura. Assim, nossos resultados nos permitem inferir que o controle químico das doenças foliares na cultura da soja depende do cultivar e da data de semeadura.

Métodos de diagnóstico e pontos críticos de bem-estar de bovinos leiteiros / Welfare assessment methods and critical points for dairy cattle

O bem-estar de animais de produção tem sido discutido nos âmbitos comercial, social e acadêmico, sendo que tal discussão pode ser enriquecida pela elaboração de protocolos de diagnóstico de bem-estar animal bem definidos, favorecendo a regulamentação de uma legislação específica. O objetivo desta revisão é discutir os métodos de diagnóstico de bem-estar animal e apontar os principais pontos críticos que afetam o bem-estar dos bovinos leiteiros. O diagnóstico de bem-estar compreende a observação do comportamento animal e de indicadores fisiológicos e sanitários, como análise hematológica e dosagem de hormônios, análise do escore de locomoção, a observação de lesões corporais e o estado geral de saúde dos animais. Tais ferramentas permitem verificar quais são os principais pontos críticos que afetam o bem-estar dos animais e construir estratégias de melhoria. As vacas em lactação podem sofrer restrições ambientais, nutricionais e sanitárias. Os bezerros passam pelo distresse do desmame precoce e do isolamento social. Alguns pontos críticos de bem-estar de gado leiteiro reconhecidos internacionalmente parecem prováveis no cenário brasileiro. Entretanto, é possível a existência de diferenças importantes em relação aos sistemas de produção praticados no Brasil e no exterior, uma vez que o acesso ao pasto é um fator comum na produção brasileira e pode estar associado a um maior grau de bem-estar animal. Dessa forma, é importante a condução de trabalhos de diagnóstico de bem-estar específico para os animais envolvidos com a produção de leite no Brasil.

The welfare of farm animals is under broad discussion within the commercial, social and academic environments, and discussion may be enriched by specific guidelines and legislation based on well-defined assessment protocols. The objective of this review is to discuss the methods for assessing animal welfare and to point out the main critical points that affect the welfare of dairy cattle. The assessment of animal welfare is based on behavioral observations and physiological and health parameters such as analysis of blood parameters and hormone concentrations, locomotion scoring, presence of body lesions and general health state of the animals. These tools allow for the analysis of the main critical points that affect animal welfare and the proposal of improvement strategies. The lactating cows may suffer from environmental, nutritional and sanitary restrictions. Dairy calves go through weaning distress and social isolation. Some of the critical welfare points recognized internationally seems likely to occur in the Brazilian scenario. However, some differences possibly exist, once the access to pasture is a common factor in Brazilian production and may be associated with a higher welfare degree. Thus, it is important to carry on specific welfare assessment of the animals involved in milk production in Brazil.