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Recommendations by the Scientific Department of Neuroimmunology of the Brazilian Academy of Neurology (DCNI/ABN) and the Brazilian Committee for Treatment and Research in Multiple Sclerosis and Neuroimmunological Diseases (BCTRIMS) on vaccination in general and specifically against SARS-CoV-2 for patients with demyelinating diseases of the central nervous system
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Becker, Jefferson
; Ferreira, Lis Campos
; Damasceno, Alfredo
; Bichuetti, Denis Bernardi
; Christo, Paulo Pereira
; Callegaro, Dagoberto
; Peixoto, Marco Aurélio Lana
; Sousa, Nise Alessandra De Carvalho
; Almeida, Sérgio Monteiro De
; Adoni, Tarso
; Santiago-Amaral, Juliana
; Junqueira, Thiago
; Pereira, Samira Luisa Apóstolos
; Gomes, Ana Beatriz Ayroza Galvão Ribeiro
; Pitombeira, Milena
; Paolilo, Renata Barbosa
; Grzesiuk, Anderson Kuntz
; Piccolo, Ana Claudia
; D´Almeida, José Arthur Costa
; Gomes Neto, Antonio Pereira
; Oliveira, Augusto Cesar Penalva De
; Oliveira, Bianca Santos De
; Tauil, Carlos Bernardo
; Vasconcelos, Claudia Ferreira
; Kaimen-Maciel, Damacio
; Varela, Daniel
; Diniz, Denise Sisterolli
; Oliveira, Enedina Maria Lobato De
; Malfetano, Fabiola Rachid
; Borges, Fernando Elias
; Figueira, Fernando Faria Andrade
; Gondim, Francisco De Assis Aquino
; Passos, Giordani Rodrigues Dos
; Silva, Guilherme Diogo
; Olival, Guilherme Sciascia Do
; Santos, Gutemberg Augusto Cruz Dos
; Ruocco, Heloisa Helena
; Sato, Henry Koiti
; Soares Neto, Herval Ribeiro
; Cortoni Calia, Leandro
; Gonçalves, Marcus Vinícius Magno
; Vecino, Maria Cecilia Aragón De
; Pimentel, Maria Lucia Vellutini
; Ribeiro, Marlise De Castro
; Boaventura, Mateus
; Parolin, Mônica Koncke Fiuza
; Melo, Renata Brant De Souza
; Lázaro, Robson
; Thomaz, Rodrigo Barbosa
; Kleinpaul, Rodrigo
; Dias, Ronaldo Maciel
; Gomes, Sidney
; Lucatto, Simone Abrante
; Alves-Leon, Soniza Vieira
; Fukuda, Thiago
; Ribeiro, Taysa Alexandrino Gonsalves Jubé
; Winckler, Thereza Cristina D’ávila
; Fragoso, Yara Dadalti
; Nascimento, Osvaldo José Moreira Do
; Ferreira, Maria Lucia Brito
; Mendes, Maria Fernanda
; Brum, Doralina Guimarães
; Glehn, Felipe Von
.
RESUMO O DC de Neuroimunologia da ABN e o BCTRIMS trazem, nesse documento, as recomendações sobre vacinação da população com doenças desmielinizantes do sistema nervoso central (SNC) contra infecções em geral e contra o coronavírus da síndrome respiratória aguda grave 2 (SARS-CoV-2), causador da COVID-19. Destaca-se a gravidade do atual momento frente ao avanço da COVID-19 em nosso País, o que torna mais evidente e importante a criação de guia de referência para orientação aos médicos, pacientes e autoridades de saúde pública quanto à vacinação, meio efetivo e seguro no controle de determinadas doenças infecciosa. O DCNI/ABN e o BCTRIMS recomendam que os pacientes com doenças desmielinizantes do SNC (ex., EM e NMOSD) sejam constantemente monitorados, quanto a atualização do seu calendário vacinal, especialmente, no início ou antes da mudança do tratamento com uma droga modificadora de doença (DMD). É importante também salientar que as vacinas são seguras e os médicos devem estimular o seu uso em todos os pacientes. Evidentemente, deve ser dada especial atenção às vacinas com vírus vivos atenuados. Por fim, é importante que os médicos verifiquem qual DMD o paciente está em uso e quando foi feita a sua última dose, pois cada fármaco pode interagir de forma diferente com a indução da resposta imune.
ABSTRACT The Scientific Department of Neuroimmunology of the Brazilian Academy of Neurology (DCNI/ABN) and Brazilian Committee for Treatment and Research in Multiple Sclerosis and Neuroimmunological Diseases (BCTRIMS) provide recommendations in this document for vaccination of the population with demyelinating diseases of the central nervous system (CNS) against infections in general and against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes COVID-19. We emphasize the seriousness of the current situation in view of the spread of COVID-19 in our country. Therefore, reference guides on vaccination for clinicians, patients, and public health authorities are particularly important to prevent some infectious diseases. The DCNI/ABN and BCTRIMS recommend that patients with CNS demyelinating diseases (e.g., MS and NMOSD) be continually monitored for updates to their vaccination schedule, especially at the beginning or before a change in treatment with a disease modifying drug (DMD). It is also important to note that vaccines are safe, and physicians should encourage their use in all patients. Clearly, special care should be taken when live attenuated viruses are involved. Finally, it is important for physicians to verify which DMD the patient is receiving and when the last dose was taken, as each drug may affect the induction of immune response differently.
https://doi.org/10.1590/0004-282x-anp-2021-0162
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2.
The Program for Biodiversity Research in Brazil: The role of regional networks for biodiversity knowledge, dissemination, and conservation
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ROSA, CLARISSA
; BACCARO, FABRICIO
; CRONEMBERGER, CECILIA
; HIPÓLITO, JULIANA
; BARROS, CLAUDIA FRANCA
; RODRIGUES, DOMINGOS DE JESUS
; NECKEL-OLIVEIRA, SELVINO
; OVERBECK, GERHARD E.
; DRECHSLER-SANTOS, ELISANDRO RICARDO
; ANJOS, MARCELO RODRIGUES DOS
; FERREGUETTI, ÁTILLA C.
; AKAMA, ALBERTO
; MARTINS, MARLÚCIA BONIFÁCIO
; TOMAS, WALFRIDO MORAES
; SANTOS, SANDRA APARECIDA
; FERREIRA, VANDA LÚCIA
; CUNHA, CATIA NUNES DA
; PENHA, JERRY
; PINHO, JOÃO BATISTA DE
; SALIS, SUZANA MARIA
; DORIA, CAROLINA RODRIGUES DA COSTA
; PILLAR, VALÉRIO D.
; PODGAISKI, LUCIANA R.
; MENIN, MARCELO
; BÍGIO, NARCÍSIO COSTA
; ARAGÓN, SUSAN
; MANZATTO, ANGELO GILBERTO
; VÉLEZ-MARTIN, EDUARDO
; SILVA, ANA CAROLINA BORGES LINS E
; IZZO, THIAGO JUNQUEIRA
; MORTATI, AMANDA FREDERICO
; GIACOMIN, LEANDRO LACERDA
; ALMEIDA, THAÍS ELIAS
; ANDRÉ, THIAGO
; SILVEIRA, MARIA AUREA PINHEIRO DE ALMEIDA
; SILVEIRA, ANTÔNIO LAFFAYETE PIRES DA
; MESSIAS, MARILUCE REZENDE
; MARQUES, MARCIA C.M.
; PADIAL, ANDRE ANDRIAN
; MARQUES, RENATO
; BITAR, YOUSZEF O.C.
; SILVEIRA, MARCOS
; MORATO, ELDER FERREIRA
; PAGOTTO, RUBIANI DE CÁSSIA
; STRUSSMANN, CHRISTINE
; MACHADO, RICARDO BOMFIM
; AGUIAR, LUDMILLA MOURA DE SOUZA
; FERNANDES, GERALDO WILSON
; OKI, YUMI
; NOVAIS, SAMUEL
; FERREIRA, GUILHERME BRAGA
; BARBOSA, FLÁVIA RODRIGUES
; OCHOA, ANA C.
; MANGIONE, ANTONIO M.
; GATICA, AILIN
; CARRIZO, MARÍA CELINA
; RETTA, LUCÍA MARTINEZ
; JOFRÉ, LAURA E.
; CASTILLO, LUCIANA L.
; NEME, ANDREA M.
; RUEDA, CARLA
; TOLEDO, JOSÉ JULIO DE
; GRELLE, CARLOS EDUARDO VIVEIROS
; VALE, MARIANA M.
; VIEIRA, MARCUS VINICIUS
; CERQUEIRA, RUI
; HIGASHIKAWA, EMÍLIO MANABU
; MENDONÇA, FERNANDO PEREIRA DE
; GUERREIRO, QUÊZIA LEANDRO DE MOURA
; BANHOS, AUREO
; HERO, JEAN-MARC
; KOBLITZ, RODRIGO
; COLLEVATTI, ROSANE GARCIA
; SILVEIRA, LUÍS FÁBIO
; VASCONCELOS, HERALDO L.
; VIEIRA, CECÍLIA RODRIGUES
; COLLI, GUARINO RINALDI
; CECHIN, SONIA ZANINI
; SANTOS, TIAGO GOMES DOS
; FONTANA, CARLA S.
; JARENKOW, JOÃO A.
; MALABARBA, LUIZ R.
; RUEDA, MARTA P.
; ARAUJO, PUBLIO A.
; PALOMO, LUCAS
; ITURRE, MARTA C.
; BERGALLO, HELENA GODOY
; MAGNUSSON, WILLIAM E.
.
Abstract The Program for Biodiversity Research (PPBio) is an innovative program designed to integrate all biodiversity research stakeholders. Operating since 2004, it has installed long-term ecological research sites throughout Brazil and its logic has been applied in some other southern-hemisphere countries. The program supports all aspects of research necessary to understand biodiversity and the processes that affect it. There are presently 161 sampling sites (see some of them at Supplementary Appendix), most of which use a standardized methodology that allows comparisons across biomes and through time. To date, there are about 1200 publications associated with PPBio that cover topics ranging from natural history to genetics and species distributions. Most of the field data and metadata are available through PPBio web sites or DataONE. Metadata is available for researchers that intend to explore the different faces of Brazilian biodiversity spatio-temporal variation, as well as for managers intending to improve conservation strategies. The Program also fostered, directly and indirectly, local technical capacity building, and supported the training of hundreds of undergraduate and graduate students. The main challenge is maintaining the long-term funding necessary to understand biodiversity patterns and processes under pressure from global environmental changes.
https://doi.org/10.1590/0001-3765202120201604
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3.
Desempenho de diferentes grupos genéticos de bovinos de corte em confinamento
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Euclides Filho, Kepler
; Figueiredo, Geraldo Ramos de
; Euclides, Valéria Pacheco Batista
; Silva, Luiz Otávio Campos da
; Rocco, Vanessa
; Barbosa, Rodrigo Amorim
; Junqueira, Claudia Elias
.
Foram utilizadas informações provenientes de 188 animais, pertencentes a dez grupos genéticos, avaliados em confinamento. Para as análises dos dados, os animais foram agrupados em três subconjuntos considerando-se idade, sexo e dieta recebida. Os subconjuntos analisados foram: 1) animais inteiros de sobreano recebendo a dieta "a": 39 Nelore (N), 12 Brangus (BR), 8 1/2 Simental-1/2 Nelore (SN), 8 1/2 Caracu-1/2 Nelore (CCN), 21 1/2 Valdostana-1/2 Nelore (VAN); 2) animais inteiros desmamados recebendo a dieta "b": 12 N, 12 1/2 Canchim-1/4 Angus-1/4 Nelore (CAN), 16 1/2 Canchim-1/4 Simental-1/4 Nelore (CSN), 12 1/2 Braford-1/2 Brangus (BDBR), 12 1/2 Braford-1/4 Angus-1/4 Nelore (BDAN), 7 1/2 Brahman-1/4 Angus-1/4 Nelore (BHAN); 3) fêmeas desmamadas recebendo a dieta "b" em duas formulações, uma em que o concentrado representou 30% da MS e o outro, em que o concentrado correspondeu a 50% da MS total. Neste caso, a análise incluiu 29 fêmeas, 15 CAN e 14 CSN. Para os animais dos subconjuntos 1 e 2, o concentrado foi fornecido para atender 50% da MS total da dieta. Os animais do subconjunto 1 apresentaram desempenhos semelhantes, com ganho de peso diário médio igual a 1,60 kg/dia e com conversão alimentar igual a 6,36 kg de MS ingerida/kg de ganho de peso. Para o ganho de peso diário médio e para a conversão alimentar, somente foram observadas diferenças entre os animais do subconjunto 2. O maior ganho de peso diário médio foi observado para os animais CSN (1,69 kg/dia) e as melhores conversões alimentares foram verificadas para os animais CSN e BHAN (4,76 kg de MS ingerida/kg de ganho de peso e 4,67 kg de MS ingerida/kg de ganho de peso, respectivamente). Para o subconjunto 3 não houve diferenças entre os grupos genéticos, mas a formulação da dieta apresentou efeitos significativos importantes, especialmente, para conversão alimentar. Os animais da formulação com menor teor de concentrado apresentaram melhor conversão alimentar (5,58 kg de MS ingerida/kg de ganho de peso versus 6,66 kg de MS ingerida/kg de ganho de peso).
It was utilized data from 188 animals from ten genetic groups. For the statistical analysis, the animals were grouped into three subgroups according to age, sex and diet. Thus, the subgroups analyzed were: 1) intacted yearling males receiving the "a" ration: 39 Nellore (N), 12 Brangus (BR), 8 1/2 Simmental - 1/2 Nellore (SN), 8 1/2 Caracu - 1/2 Nellore (CCN), 21 1/2 Valdostana - 1/2 Nellore (VAN); 2) intacted weaned males receiving the "b" diet: 12 N, 12 1/2 Canchim - 1/2 1/4 Angus - 1/4 Nellore (CAN), 16 1/2 Canchim - 1/4 Simmental - 1/4 Nellore (CSN), 12 Braford - 1/2 Brangus (BRBD), 12 1/2 Braford - 1/4 Angus - 1/4 Nellore (BDAN), 7 Brahman - 1/4 Angus - 1/4 Nellore (BHAN); 3) weaned females receiving the "b" diet under two formulations, one in which the concentrate represented 30% of total dry matter (DM) and the other in which the participation of the concentrate was 50% of total DM. For this subgroup the analysis included 29 females, 15 CAN and 14 CSN. Animals in subgroups 1 and 2, were fed a diet contained 50% of concentrate in the DM. Animals in subgroup 1 had similar performances. The average daily gain was 1.60 kg/day and average feed conversion was 6.41 kg of DM intake/kg of weight gain. The statistical analysis revealed that for average daily gain as well as for feed conversion, it were observed differences only among animals on subgroup 2. The greater average daily gain was recorded on CSN animals (1.69 kg/day) and the best feed conversion on CSN and BHAN animals (4.76 kg of DM intake/kg of weight gain and 4.67 kg of DM intake/kg of weight gain). The analyses of subgroup 3 allowed the conclusion that in spite of not having any difference between genetic groups, formulation showed an important effect, mainly on feed conversion. The animals receiving the diet formulation in which the concentrate represented 30% of the total DM showed better feed conversion (5.58 kg of DM intake/kg of weight gain versus 6.66 kg of DM intake/kg of weight gain).
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