GROWTH AND MACRONUTRIENT CONTENT OF HABANERO PEPPER (Capsicum chinense Jacq.) SUBJECTED TO ORGANIC FERTILIZATION

Studies on the nutritional status of habanero pepper (Capsicum chinense Jacquin) in relation to organic fertilization are still incomplete and preliminary. To evaluate the effects of organic fertilizer doses, produced from family farming wastes, a greenhouse experiment was conducted at the Universidade Federal Rural da Amazônia, Belém, Pará, Brazil. The experiment followed an entirely randomized design, with five treatments and four repetitions. Each experimental plot was composed of a pot with a volume of 3.6 dm3 of soil, in which the seeds were sown. Five doses of organic fertilizer were tested (0%, 15%, 30%, 45% and 60%) composed of a mixture of chicken manure (10%), duck manure (20%), cassava peel (15%), cassava leaf (15%), bean straw (15%), rice husk (15%) and corn cob (10%), mixed in volumetric proportions in the substrate. A Yellow Latosol of sandy texture was sampled from the superficial layer (0-20 cm). The best results were achieved at 103 days using the 60% dose of organic manure. The content and accumulation of macronutrients in leaf tissues showed the following order: N˃K≥S˃Ca≥Mg˃P and N˃K˃S˃Mg˃Ca˃P. In the fruits the order was followed: N˃K˃S˃P˃Mg˃Ca.Os estudos sobre o estado nutricional da pimenta habanero (Capsicum chinense Jacquin) em relação à adubação orgânica ainda são incompletos e preliminares. Para avaliar os efeitos de doses de fertilizantes orgânicos, produzidos a partir de resíduos da agricultura familiar, foi conduzido um experimento em casa de vegetação na Universidade Federal Rural da Amazônia, Belém, Pará, Brasil. O experimento seguiu um delineamento inteiramente casualizado, com cinco tratamentos e quatro repetições. Cada parcela experimental foi composta por um vaso com volume de 3,6 dm3 de solo, no qual foram semeadas as sementes. Testou-se cinco doses do adubo orgânico (0%, 15%, 30%, 45% e 60%) composto pela mistura de esterco de galinha (10%), esterco de pato (20%), casca de mandioca (15%), folha de mandioca (15%), palha de feijão (15%), casca de arroz (15%) e sabugo de milho (10%), misturados em proporções volumétricas no substrato. Um Latossolo Amarelo de textura arenosa foi amostrado da camada superficial (0-20 cm). Os melhores resultados foram alcançados aos 103 dias utilizando a dose de 60% de adubo orgânico. O teor e acúmulo de macronutrientes nos tecidos foliares apresentaram a seguinte ordem: N˃K≥S˃Ca≥Mg˃P e N˃K˃S˃Mg˃Ca˃P. Nos frutos seguiu-se a ordem: N˃K˃S˃P˃Mg˃Ca

Reinfecção da Covid-19 em neonatos e crianças: revisão de literatura : Reinfection of Covid-19 in neonates and children: literature review

Em dezembro de 2019, um novo vírus respiratório foi detectado na China, sendo denominado posteriormente como COVID-19, provindo do vírus SARS-CoV-2. Este vírus se espalhou rapidamente gerando uma pandemia mundial. Vários foram e ainda são os problemas decorrentes deste vírus, que atingiu desde crianças aos idosos, dentre eles, cita-se a reinfeção dos indivíduos, causando como consequência, problemas de saúde inacabáveis. Assim, devido aos estudos elencarem menores sinais e sintomas nas crianças e, ainda, menores taxas de infecção, passou-se a questionar quanto as reinfecções em crianças e neonatos. Por isso, o estudo objetivou realizar uma revisão de literatura sobre reinfecção de COVID-19 em crianças e neonatos. Para isso, realizou-se uma revisão sistemática de literatura, através de uma busca nas bases de dados Latino-Americana e do Caribe em Ciências da Saúde, Google Scholar e Scientific Electronic Library Online, utilizando-se os descritores: Reinfecção COVID-19; Reinfecção COVID-19 em crianças; Reinfecção COVID-19 em neonatos; COVID-19 e reinfecção. Com isso, foram selecionados 10 artigos que compunham os critérios de inclusão e exclusão do presente estudo. Dessa forma, destaca-se que os estudos evidenciaram que o número de reinfecções em crianças e neonatos é baixo, porém, são escassas as literaturas sobre o tema, possuindo, assim diversas lacunas a serem sanadas para uma compreensão melhor do assunto

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030