Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017

Background: The Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017) includes a comprehensive assessment of incidence, prevalence, and years lived with disability (YLDs) for 354 causes in 195 countries and territories from 1990 to 2017. Previous GBD studies have shown how the decline of mortality rates from 1990 to 2016 has led to an increase in life expectancy, an ageing global population, and an expansion of the non-fatal burden of disease and injury. These studies have also shown how a substantial portion of the world's population experiences non-fatal health loss with considerable heterogeneity among different causes, locations, ages, and sexes. Ongoing objectives of the GBD study include increasing the level of estimation detail, improving analytical strategies, and increasing the amount of high-quality data. Methods: We estimated incidence and prevalence for 354 diseases and injuries and 3484 sequelae. We used an updated and extensive body of literature studies, survey data, surveillance data, inpatient admission records, outpatient visit records, and health insurance claims, and additionally used results from cause of death models to inform estimates using a total of 68 781 data sources. Newly available clinical data from India, Iran, Japan, Jordan, Nepal, China, Brazil, Norway, and Italy were incorporated, as well as updated claims data from the USA and new claims data from Taiwan (province of China) and Singapore. We used DisMod-MR 2.1, a Bayesian meta-regression tool, as the main method of estimation, ensuring consistency between rates of incidence, prevalence, remission, and cause of death for each condition. YLDs were estimated as the product of a prevalence estimate and a disability weight for health states of each mutually exclusive sequela, adjusted for comorbidity. We updated the Socio-demographic Index (SDI), a summary development indicator of income per capita, years of schooling, and total fertility rate. Additionally, we calculated differences between male and female YLDs to identify divergent trends across sexes. GBD 2017 complies with the Guidelines for Accurate and Transparent Health Estimates Reporting. Findings: Globally, for females, the causes with the greatest age-standardised prevalence were oral disorders, headache disorders, and haemoglobinopathies and haemolytic anaemias in both 1990 and 2017. For males, the causes with the greatest age-standardised prevalence were oral disorders, headache disorders, and tuberculosis including latent tuberculosis infection in both 1990 and 2017. In terms of YLDs, low back pain, headache disorders, and dietary iron deficiency were the leading Level 3 causes of YLD counts in 1990, whereas low back pain, headache disorders, and depressive disorders were the leading causes in 2017 for both sexes combined. All-cause age-standardised YLD rates decreased by 3·9% (95% uncertainty interval [UI] 3·1–4·6) from 1990 to 2017; however, the all-age YLD rate increased by 7·2% (6·0–8·4) while the total sum of global YLDs increased from 562 million (421–723) to 853 million (642–1100). The increases for males and females were similar, with increases in all-age YLD rates of 7·9% (6·6–9·2) for males and 6·5% (5·4–7·7) for females. We found significant differences between males and females in terms of age-standardised prevalence estimates for multiple causes. The causes with the greatest relative differences between sexes in 2017 included substance use disorders (3018 cases [95% UI 2782–3252] per 100 000 in males vs s1400 [1279–1524] per 100 000 in females), transport injuries (3322 [3082–3583] vs 2336 [2154–2535]), and self-harm and interpersonal violence (3265 [2943–3630] vs 5643 [5057–6302]). Interpretation: Global all-cause age-standardised YLD rates have improved only slightly over a period spanning nearly three decades. However, the magnitude of the non-fatal disease burden has expanded globally, with increasing numbers of people who have a wide spectrum of conditions. A subset of conditions has remained globally pervasive since 1990, whereas other conditions have displayed more dynamic trends, with different ages, sexes, and geographies across the globe experiencing varying burdens and trends of health loss. This study emphasises how global improvements in premature mortality for select conditions have led to older populations with complex and potentially expensive diseases, yet also highlights global achievements in certain domains of disease and injury

Stratiodrilus (Annelida: Polychaeta: Histriobdellidae) associated with a freshwater decapod, with the description of a new species

A new species of Histriobdellidae (Annelida; Polychaeta) from Brazil, belonging to the genus Stratiodrilus (commensal polychaete) is described. Stratiodrilus arreliai is distinguished by the characteristics of the body appendages, and mandible apparatus as well as by its biogeographical distribution. A brief discussion is made on the association between the genus Stratiodrilus and the anomuran genus Aegla.110347147

The macrofauna associated with the bryozoan Schizoporella errata (Walters) in southeastern Brazil

The invertebrate fauna associated with colonies of the bryozoan Schizoporella errata was studied at two sites differing in hydrodynamism in southeastern Brazil. Patterns of species distribution, abundance, and diversity were similar at both sites. Polychaetes dominated the assemblages, both in number of individuals and species, with 70 species distributed in 20 families. Decapod crustaceans were also abundant, mainly anomuran crabs and caridean shrimps. Cluster analysis separated the samples from each site, and further analysis indicated that an interaction between water movement and trophic structure could explain these differences. At the site with low water movement, more muddy sediments were found inside the colonies, and a greater proportion of deposit-feeders was found. At the other site, higher hydrodynamism resulted in less sediments within the colonies, and favoured the occurrence of more filter-feeders. The trophic structure of faunal assemblages can help understand the structure of assemblages associated with biogenic substrata, as already demonstrated for benthic communities.65317318

Anelideos Poliquetos Associados A Um Briozoario. 1. Eunicidae, Lumbrineridae, Lysaretidae E Dorvilleidae

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Diversity and distribution of crustaceans from 13 sheltered sandy beaches along Sao Sebastiao Channel, south-eastern Brazil

The crustacean species composition in the intertidal zones of 13 sheltered unconsolidated marine beaches in south-eastern Brazil is described. Fifty-three crustacean species were collected, adding 46 species to the total reported by previous studies in the same region. Decapods dominated the community, in contrast to exposed sandy beaches where peracarids normally predominate. The species were distributed irregularly among the beaches. Richness varied markedly among sites, and was positively related to a combination of factors such as fine sand grains, high organic matter content, and relatively low silt-clay content. The presence of rock fragments enabled both rocky shore and sandy beach crustaceans to occur oil the same beaches. Richness and abundance of crustaceans showed no clear relationship to sediment grain size and slope, in contrast to the norm for exposed sandy beaches. The dominance of the tanaid Kalliapseudes schubarti in sonic areas may be a result of organic matter pollution in the region. These beaches showed higher species richness than typical sheltered and exposed sandy beaches, indicating that this sheltered, highly heterogeneous seascape is an important area for conservation.o TEXTO COMPLETO DESTE ARTIGO, ESTARÁ DISPONÍVEL À PARTIR DE AGOSTO DE 2015.81347548

Biological effects of extracts obtained from Stryphnodendron adstringens on Herpetomonas samuelpessoai

We report the effect of Stryphnodendron adstringens on the trypanosomatid Herpetomonas samuelpessoai. The parasites were grown at 28ºC in a chemically defined medium containing crude extract and fractions at concentrations from 100 to 5000 µg/ml obtained from S. adstringens. Concentrations of 500, 1000, 2500, and 5000 µg/ml both crude extract and semi-purified fraction progressively inhibited the protozoans' growth. At a concentration of 100 µg/ml, crude extract or a semi-purified (F3) fraction did not affect the growth of the protozoans. The F3-9 - F3-12 sub-fractions, at a concentration of 1000 µg/ml, also showed increased inhibitory activity on H. samuelpessoai. The IC50 of the crude extract and the F3 fraction were 538 and 634 µg/ml, respectively. Ultrastructural and enzymatic alterations in the trypanosomatids were also evaluated. H. samuelpessoai cultivated in the presence of IC50 crude extract showed considerable ultrastructural alterations, such as marked mitochondrial swelling with a large number of cristae and evident Golgi complex vesiculation, as observed by transmission electron microscopy. Cells exposed to 538 µg/ml of crude extract at 28ºC for 72 h, showed decreased activity of the enzyme succinate cytochrome c reductase, a typical mitochondrion marker, as compared to untreated cell