PENGGUNAAN TEKNOLOGI INFORMASI DAN KOMUNIKASI (TIK) DALAM MANAJEMEN PROYEK KONSTRUKSI DI TIMOR LESTE

Teknologi Informasi dan Komunikasi (TIK) sangat dirasakan kebutuhan dan kepentingannya untuk perbaikan dan peningkatan kualitas dalam sebuah pekerjaan di dalam proyek konstruksi serta mengurangi proses pengolahan dan waktu untuk mengkomunikasikan informasi sehingga membuat kemungkinan produktivitas konstruksi meningkat.Teknologi Informasi dan Komunikasi (TIK) sebagai segala kegiatan yang terkait dengan pemrosesan, manipulasi, pengelolaan, pemindahan informasi antar media. Tujuan dari penelitian ini adalah untuk mengetahui Teknologi Informasi dan Komunikasi (TIK) yang digunakan dalam manajemen proyek konstruksi di wilayah Timor Leste, mengetahui beberapa perspektif Teknologi Informasi (TI) dalam manajemen proyek konstruksi, dan perbedaan atau persamaan penggunaan Teknologi Informasi dan Komunikasi (TIK) dalam manajemen proyek konstruksi di wilayah Timor Leste dengan Yogyakarta. Pada penelitian ini proses pengumpulan data dilakukan dengan cara pengumpulan data kuantitatif. Maka selanjutnya analisis data yang digunakan adalah analisis deskriptif dengan menghitungkan frekuensi dan persentase serta mean, standar deviasi, dan analisis uji T. Hasil analisis secara umum kontraktor maupun konsultan, paling banyak menggunakan Microsoft Word pada kapasitas pengolah kata dan paling sedikit menggunakan eCommerce dan eProcurement. Hasil tiap perspektif memiliki nilai yang berbeda-beda. Berdasarkan tiap perspektif yang terdapat di wilayah Timor Leste dan Yogyakarta dapat disimpulkan bahwa di wilayah Timor Leste lebih tinggi Perspektif manfaat yaitu sebesar 90% dan yang terendah perspektif utilitas pengguna sebesar 73%. Sedangkan di wilayah Yogyakarta perspektif manfaat pengaruh tertinggi sebesar 91%, dan yang terendah yaitu 76% perspektif utilitas pengguna. Dengan perbandingan menggunakan uji t, wilayah Timor Leste dan Yogyakarta tidak ada perbedaan penggunaan Teknologi Informasi dan Komunikasi (TIK) dalam manajemen proyek konstruksi. Hal ini dikarenakan dengan penggunaan Teknologi Informasi dan Komunikasi (TIK) dalam manajemen proyek konstruksi dapat meningkatkan kinerja kontraktor maupun konsultan

Hipotireoidismo na infância: Um relato de caso / Childhood hypothyroidism: A case report

O hipotireoidismo é um dos distúrbios hormonais mais frequentes em pediatria. É classificado em primário e secundário, sendo a causa primária a mais comum. O hipotireoidismo primário pode ser causado pela disormonogênese, deficiência de iodo ou por uma etiologia autoimune (tireoidite crônica linfocítica). Este estudo apresenta o relato de uma criança que buscou atendimento médico queixando-se de sintomas inespecíficos como baixa estatura, prurido ocular, dificuldade para enxergar, vômitos matutinos e constipação. No exame físico foi verificada bradicardia, idade aparente inferior à idade referida, pele edemaciada e seca, acantose nigricans, estatura abaixo do percentil 3 e índice de massa corpórea (IMC) acima do percentil 97. Exames laboratoriais e de imagem confirmaram a suspeita de tireoidite de Hashimoto, causa mais comum de hipotireoidismo na infância em localidades não deficientes em iodo. Dois meses e meio após instituição da terapia com levotiroxina, a criança evoluiu com melhora da sintomatologia, diminuição do peso e aumento da estatura

Análise da percepção dos alunos do cepi dom veloso frente a aprendizagem remota em tempos da pandemia COVID-19 / Analysis of the perception of students about remote learning during the COVID-19 pandemic

A pandemia causada pelo coronavírus (COVID-19/SARS-Cov-2) tornou-se um problema mundial, afetando inúmeros setores essenciais, incluindo o educacional, impossibilitando aos alunos irem à escola para estudar e fazendo com que mantivessem um distanciamento social em casa. Como uma das formas de conter o avanço da pandemia, as escolas foram fechadas entre março e abril de 2020. A secretaria de Educação do Estado de Goiás, com o intuito de garantir a continuação do ensino, propôs a implantação do Regime de Aulas Não Presenciais (REANP), no qual a escolaridade foi transferida para a casa dos alunos, e as interações entre docentes e discentes estabeleceram-se por meio da utilização de mídias de ensino à distância. Tendo em vista o desafio da migração do sistema educacional presencial para o online, este estudo objetivou explorar as percepções dos alunos do Centro de Educação em Período Integral Dom Veloso – CEPI Dom Veloso, situado na cidade de Itumbiara-GO, frente a aprendizagem remota em tempos de pandemia. A pesquisa foi de caráter quali-quantitativo, e a coleta de dados realizada por meio de aplicação de questionário anônimo, estruturado e autoaplicável, este subdividido em categorias, sendo elas: características gerais, percepção do aluno quanto ao REANP, tecnologias inclusivas e questões direcionadas ao ensino médio quanto à escolha de profissão. O questionário foi respondido entre os dias 09 a 16 de setembro de 2020 por 7 turmas do Ensino Fundamental II e 6 de Ensino Médio, totalizando 118 participantes. A análise dos dados foi realizada por estatística descritiva e processados em planilha eletrônica, de onde foram retiradas as categorias e subcategorias mais significativas por percentuais. As respostas subjetivas foram consideradas em sua totalidade como indicadores para a realização de futuras propostas pedagógicas. Esta pesquisa contribui com a literatura de colaboração online entre escola, comunidade, professores, responsáveis e alunos, pois possibilita analisar como tem sido o processo de transição do ensino presencial para o meio virtual e as ações que mais impactam no sucesso da aprendizagem dos alunos, evidenciando ainda, uma forte tendência das novas tecnologias serem utilizadas como ferramentas perenes no processo de ensino-aprendizagem. 

A Psicomotricidade Como Ferramenta Inclusiva da Criança Autista na Educação Infantil/ Psychomotricity as an Inclusive Tool for Autistic Children in Early Childhood Education

 O presente artigo objetiva compartilhar experiências de inclusão através da psicomotricidade com crianças com deficiência da educação infantil, no Município de Caucaia. A pesquisa foi realizada em uma instituição pública de ensino, da Educação Infantil, composta por crianças na faixa etária entre 2 e 5 anos. Inicialmente, abordaremos sobre a importância da psicomotricidade na educação infantil como forma de inclusão, pesquisar o conceito e cenário da psicomotricidade no Brasil e identificar os desafios e as possibilidades da inclusão no Brasil. A metodologia adotada consistiu em uma pesquisa qualitativa, descritiva do tipo etnometododológica, uma vez que descrevemos a partir de uma experiência vivida e refletida. Utilizou-se da fotografia e do registro em diário como procedimentos metodológicos para a construção dos dados. O referencial teórico consultado consiste nas obras de Barro e Barros (2005), Wallon (1995), Fonseca (1988), dentre outros. Dentre os resultados desta pesquisa destacamos a participação ativa do sujeito de forma gradual nas atividades de psicomotricidade, demonstrando aceitação e conhecendo o seu próprio corpo aprendendo a dominar as suas limitações no espaço dessas experiências

Associação entre a ooforectomia bilateral precoce e o desenvolvimento do parkinsonismo e Doença de Parkinson em mulheres na pré-menopausa

O parkinsonismo é um distúrbio do sistema nervoso de maior incidência masculina do que feminina, visto que, por mecanismos fisiológicos, o estrogênio possui efeitos neuroprotetores, com funções como aumento da dopamina, um neurotransmissor essencial para o controle das funções motoras. Além disso, previne a formação dos corpúsculos de Lewy e da agregação da α-sinucleína, responsáveis pela progressão da Doença de Parkinson. Por isso, a doença se apresenta diferentemente nas mulheres. A remoção cirúrgica de ambos os ovários em mulheres na pré-menopausa para a prevenção do câncer de ovário parece favorecer o surgimento da doença, tendo em vista a perda da produção do hormônio protetor. Assim, o objetivo do estudo é analisar a associação entre a ooforectomia bilateral precoce e o desenvolvimento de parkinsonismo e Doença de Parkinson em mulheres na pré-menopausa. Trata-se de uma revisão bibliográfica sistemática, do tipo quantitativa, que utilizou as plataformas do PubMed, SciELO e Cochrane Library como bases de dados para seleção dos artigos, todos na língua inglesa. Foram utilizadas literaturas publicadas com recorte temporal de 2017 a 2022. De acordo com as literaturas analisadas, a ooforectomia bilateral precoce em mulheres na pré-menopausa aumenta o risco do desenvolvimento de parkinsonismo. Desse modo, a diminuição dos procedimentos cirúrgicos profiláticos para câncer de ovário nas pacientes com risco médio de malignidade reduziria o risco dessa condição

Dermatomiosite juvenil, manifestações clínicas e condutas médicas: relato de caso / Juvenile dermatomyositis, clinical manifestations and medical management: case report

O presente artigo visou relatar o caso clínico de uma paciente, sabidamente portadora do anticorpo anti-Ro e de alterações enzimáticas musculares, que foi encaminhada por uma Unidade de Pronto Atendimento (UPA) a um hospital público devido à refratariedade à terapêutica instituída na unidade. Posteriormente, procedeu-se a internação desta em enfermaria de reumatologia. Trata-se, portanto, de um estudo descritivo, do tipo relato de caso, que visou discorrer sobre as principais observações constatadas durante a permanência da paciente no centro terciário de atenção à saúde. Para tanto, foram analisados os documentos sobre suas evoluções diárias, bem como os resultados de exames laboratoriais e de imagens realizados por ela. A paciente evoluiu com características clínicas típicas e, por vezes, patognomônicas de dermatomiosite juvenil (DMJ), como fraqueza muscular proximal e simétrica, heliotrópio, pápulas de Gottron, sinal do “V” do decote e vasculites, além de intercorrências como manifestações gastrointestinais. A abordagem farmacológica, ajustada às alterações diárias em seu quadro clínico, permitiram melhor prognóstico e estabilização da agudização da doença. 

revista de Ciências da Arte

Organizando-se agora no formato de número duplo, de modo a comportar dois números por ano, a revista digital Convocarte – Revista de Ciências da Arte mantém o mesmo propósito de promover o debate e edição de questões artísticas no espaço universitário, mantendo as coordenadas dominantes: convocar um número de especialistas em torno de um tema do mundo das artes, integrar trabalhos relevantes desenvolvidos nas fases curriculares e de projecto em mestrados e doutoramentos, sobretudo da FBAUL, e publicar trabalhos desenvolvidos em linhas de investigação do CIEBA. Assim, embora de funcionamento afecto à área científica de Ciências da Arte e do Património a Convocarte está aberta a outras especialidades interessadas em contribuir para a reflexão sobre as artes em geral, incorporando ensaios de predomínio teórico enraizado nos mais predominantes modos de discurso sobre arte, tais como História da arte, Crítica de Arte, Estética, Teorias da Arte ou Curadoria. (...) O nº2 organizou-se em torno de uma homenagem a uma figura importante das teorias da arte em Portugal, estratégia que Convocarte procurará manter nos próximos números. A intenção será deixar estudos sistematizados, entre o depoimento ou o ensaio, a memória e a reflexão, que estudem figuras marcantes da cultura portuguesa. (...) Neste número essa pasta foi dedicada a Rui Mário Gonçalves. Os textos são o resultado de uma sessão especial alargada a 2 de Maio no âmbito dos 2ºs Encontros com Críticos de Arte, com organização e coordenação de Fernando Rosa Dias, Cristina Tavares e Viviane Soares Silva, e decorridos ao longo das segundas do mês de Maio de 2016 na FBAUL (http://convocarte.belasartes.ulisboa.pt/index.php/2016/04/29/2o-encontros-com-criticos-de-arte/#more-325). A partir destes trabalhos reuniu-se um conjunto de estudos em torno de Rui Mário Gonçalves, com depoimentos e estudos sobre as mais diferentes facetas desta importante figura da cultura portuguesa: crítico de arte, historiador de arte, curador artístico, pedagogo e professor, político e activista, etc. A Convocarte orgulha-se de publicar os textos dessas comunicações, acrescentado de outros estudos, agradecendo a todos os colaboradores deste evento, que consideramos uma pasta que adianta contributos dando continuidade a estudos no catálogo de homenagem e no âmbito de apresentação da colecção do crítico de arte na SNBA, realizada pouco antes na SNBA.info:eu-repo/semantics/publishedVersio

Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

Background: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to implement strategies that can mitigate diseases. It can also facilitate more rigorous monitoring of progress towards national and international health targets, such as the Sustainable Development Goals. For three decades, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) has filled that need. A global network of collaborators contributed to the production of GBD 2021 by providing, reviewing, and analysing all available data. GBD estimates are updated routinely with additional data and refined analytical methods. GBD 2021 presents, for the first time, estimates of health loss due to the COVID-19 pandemic. Methods: The GBD 2021 disease and injury burden analysis estimated years lived with disability (YLDs), years of life lost (YLLs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries using 100 983 data sources. Data were extracted from vital registration systems, verbal autopsies, censuses, household surveys, disease-specific registries, health service contact data, and other sources. YLDs were calculated by multiplying cause-age-sex-location-year-specific prevalence of sequelae by their respective disability weights, for each disease and injury. YLLs were calculated by multiplying cause-age-sex-location-year-specific deaths by the standard life expectancy at the age that death occurred. DALYs were calculated by summing YLDs and YLLs. HALE estimates were produced using YLDs per capita and age-specific mortality rates by location, age, sex, year, and cause. 95% uncertainty intervals (UIs) were generated for all final estimates as the 2·5th and 97·5th percentiles values of 500 draws. Uncertainty was propagated at each step of the estimation process. Counts and age-standardised rates were calculated globally, for seven super-regions, 21 regions, 204 countries and territories (including 21 countries with subnational locations), and 811 subnational locations, from 1990 to 2021. Here we report data for 2010 to 2021 to highlight trends in disease burden over the past decade and through the first 2 years of the COVID-19 pandemic. Findings: Global DALYs increased from 2·63 billion (95% UI 2·44–2·85) in 2010 to 2·88 billion (2·64–3·15) in 2021 for all causes combined. Much of this increase in the number of DALYs was due to population growth and ageing, as indicated by a decrease in global age-standardised all-cause DALY rates of 14·2% (95% UI 10·7–17·3) between 2010 and 2019. Notably, however, this decrease in rates reversed during the first 2 years of the COVID-19 pandemic, with increases in global age-standardised all-cause DALY rates since 2019 of 4·1% (1·8–6·3) in 2020 and 7·2% (4·7–10·0) in 2021. In 2021, COVID-19 was the leading cause of DALYs globally (212·0 million [198·0–234·5] DALYs), followed by ischaemic heart disease (188·3 million [176·7–198·3]), neonatal disorders (186·3 million [162·3–214·9]), and stroke (160·4 million [148·0–171·7]). However, notable health gains were seen among other leading communicable, maternal, neonatal, and nutritional (CMNN) diseases. Globally between 2010 and 2021, the age-standardised DALY rates for HIV/AIDS decreased by 47·8% (43·3–51·7) and for diarrhoeal diseases decreased by 47·0% (39·9–52·9). Non-communicable diseases contributed 1·73 billion (95% UI 1·54–1·94) DALYs in 2021, with a decrease in age-standardised DALY rates since 2010 of 6·4% (95% UI 3·5–9·5). Between 2010 and 2021, among the 25 leading Level 3 causes, age-standardised DALY rates increased most substantially for anxiety disorders (16·7% [14·0–19·8]), depressive disorders (16·4% [11·9–21·3]), and diabetes (14·0% [10·0–17·4]). Age-standardised DALY rates due to injuries decreased globally by 24·0% (20·7–27·2) between 2010 and 2021, although improvements were not uniform across locations, ages, and sexes. Globally, HALE at birth improved slightly, from 61·3 years (58·6–63·6) in 2010 to 62·2 years (59·4–64·7) in 2021. However, despite this overall increase, HALE decreased by 2·2% (1·6–2·9) between 2019 and 2021. Interpretation: Putting the COVID-19 pandemic in the context of a mutually exclusive and collectively exhaustive list of causes of health loss is crucial to understanding its impact and ensuring that health funding and policy address needs at both local and global levels through cost-effective and evidence-based interventions. A global epidemiological transition remains underway. Our findings suggest that prioritising non-communicable disease prevention and treatment policies, as well as strengthening health systems, continues to be crucially important. The progress on reducing the burden of CMNN diseases must not stall; although global trends are improving, the burden of CMNN diseases remains unacceptably high. Evidence-based interventions will help save the lives of young children and mothers and improve the overall health and economic conditions of societies across the world. Governments and multilateral organisations should prioritise pandemic preparedness planning alongside efforts to reduce the burden of diseases and injuries that will strain resources in the coming decades. Funding: Bill & Melinda Gates Foundation

Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the Global Burden of Disease Study 2021

Background: Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternative scenarios assessing disease burden trajectories if selected sets of risk factors were eliminated from current levels by 2050. Methods: Using forecasts of major drivers of health such as the Socio-demographic Index (SDI; a composite measure of lag-distributed income per capita, mean years of education, and total fertility under 25 years of age) and the full set of risk factor exposures captured by GBD, we provide cause-specific forecasts of mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) by age and sex from 2022 to 2050 for 204 countries and territories, 21 GBD regions, seven super-regions, and the world. All analyses were done at the cause-specific level so that only risk factors deemed causal by the GBD comparative risk assessment influenced future trajectories of mortality for each disease. Cause-specific mortality was modelled using mixed-effects models with SDI and time as the main covariates, and the combined impact of causal risk factors as an offset in the model. At the all-cause mortality level, we captured unexplained variation by modelling residuals with an autoregressive integrated moving average model with drift attenuation. These all-cause forecasts constrained the cause-specific forecasts at successively deeper levels of the GBD cause hierarchy using cascading mortality models, thus ensuring a robust estimate of cause-specific mortality. For non-fatal measures (eg, low back pain), incidence and prevalence were forecasted from mixed-effects models with SDI as the main covariate, and YLDs were computed from the resulting prevalence forecasts and average disability weights from GBD. Alternative future scenarios were constructed by replacing appropriate reference trajectories for risk factors with hypothetical trajectories of gradual elimination of risk factor exposure from current levels to 2050. The scenarios were constructed from various sets of risk factors: environmental risks (Safer Environment scenario), risks associated with communicable, maternal, neonatal, and nutritional diseases (CMNNs; Improved Childhood Nutrition and Vaccination scenario), risks associated with major non-communicable diseases (NCDs; Improved Behavioural and Metabolic Risks scenario), and the combined effects of these three scenarios. Using the Shared Socioeconomic Pathways climate scenarios SSP2-4.5 as reference and SSP1-1.9 as an optimistic alternative in the Safer Environment scenario, we accounted for climate change impact on health by using the most recent Intergovernmental Panel on Climate Change temperature forecasts and published trajectories of ambient air pollution for the same two scenarios. Life expectancy and healthy life expectancy were computed using standard methods. The forecasting framework includes computing the age-sex-specific future population for each location and separately for each scenario. 95% uncertainty intervals (UIs) for each individual future estimate were derived from the 2·5th and 97·5th percentiles of distributions generated from propagating 500 draws through the multistage computational pipeline. Findings: In the reference scenario forecast, global and super-regional life expectancy increased from 2022 to 2050, but improvement was at a slower pace than in the three decades preceding the COVID-19 pandemic (beginning in 2020). Gains in future life expectancy were forecasted to be greatest in super-regions with comparatively low life expectancies (such as sub-Saharan Africa) compared with super-regions with higher life expectancies (such as the high-income super-region), leading to a trend towards convergence in life expectancy across locations between now and 2050. At the super-region level, forecasted healthy life expectancy patterns were similar to those of life expectancies. Forecasts for the reference scenario found that health will improve in the coming decades, with all-cause age-standardised DALY rates decreasing in every GBD super-region. The total DALY burden measured in counts, however, will increase in every super-region, largely a function of population ageing and growth. We also forecasted that both DALY counts and age-standardised DALY rates will continue to shift from CMNNs to NCDs, with the most pronounced shifts occurring in sub-Saharan Africa (60·1% [95% UI 56·8–63·1] of DALYs were from CMNNs in 2022 compared with 35·8% [31·0–45·0] in 2050) and south Asia (31·7% [29·2–34·1] to 15·5% [13·7–17·5]). This shift is reflected in the leading global causes of DALYs, with the top four causes in 2050 being ischaemic heart disease, stroke, diabetes, and chronic obstructive pulmonary disease, compared with 2022, with ischaemic heart disease, neonatal disorders, stroke, and lower respiratory infections at the top. The global proportion of DALYs due to YLDs likewise increased from 33·8% (27·4–40·3) to 41·1% (33·9–48·1) from 2022 to 2050, demonstrating an important shift in overall disease burden towards morbidity and away from premature death. The largest shift of this kind was forecasted for sub-Saharan Africa, from 20·1% (15·6–25·3) of DALYs due to YLDs in 2022 to 35·6% (26·5–43·0) in 2050. In the assessment of alternative future scenarios, the combined effects of the scenarios (Safer Environment, Improved Childhood Nutrition and Vaccination, and Improved Behavioural and Metabolic Risks scenarios) demonstrated an important decrease in the global burden of DALYs in 2050 of 15·4% (13·5–17·5) compared with the reference scenario, with decreases across super-regions ranging from 10·4% (9·7–11·3) in the high-income super-region to 23·9% (20·7–27·3) in north Africa and the Middle East. The Safer Environment scenario had its largest decrease in sub-Saharan Africa (5·2% [3·5–6·8]), the Improved Behavioural and Metabolic Risks scenario in north Africa and the Middle East (23·2% [20·2–26·5]), and the Improved Nutrition and Vaccination scenario in sub-Saharan Africa (2·0% [–0·6 to 3·6]). Interpretation: Globally, life expectancy and age-standardised disease burden were forecasted to improve between 2022 and 2050, with the majority of the burden continuing to shift from CMNNs to NCDs. That said, continued progress on reducing the CMNN disease burden will be dependent on maintaining investment in and policy emphasis on CMNN disease prevention and treatment. Mostly due to growth and ageing of populations, the number of deaths and DALYs due to all causes combined will generally increase. By constructing alternative future scenarios wherein certain risk exposures are eliminated by 2050, we have shown that opportunities exist to substantially improve health outcomes in the future through concerted efforts to prevent exposure to well established risk factors and to expand access to key health interventions

Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BackgroundDisorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by the International Classification of Diseases (ICD)-11, or a subset of cases of congenital, neonatal, and infectious conditions that cause neurological damage. Here, we estimate nervous system health loss caused by 37 unique conditions and their associated risk factors globally, regionally, and nationally from 1990 to 2021.MethodsWe estimated mortality, prevalence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs), with corresponding 95% uncertainty intervals (UIs), by age and sex in 204 countries and territories, from 1990 to 2021. We included morbidity and deaths due to neurological conditions, for which health loss is directly due to damage to the CNS or peripheral nervous system. We also isolated neurological health loss from conditions for which nervous system morbidity is a consequence, but not the primary feature, including a subset of congenital conditions (ie, chromosomal anomalies and congenital birth defects), neonatal conditions (ie, jaundice, preterm birth, and sepsis), infectious diseases (ie, COVID-19, cystic echinococcosis, malaria, syphilis, and Zika virus disease), and diabetic neuropathy. By conducting a sequela-level analysis of the health outcomes for these conditions, only cases where nervous system damage occurred were included, and YLDs were recalculated to isolate the non-fatal burden directly attributable to nervous system health loss. A comorbidity correction was used to calculate total prevalence of all conditions that affect the nervous system combined.FindingsGlobally, the 37 conditions affecting the nervous system were collectively ranked as the leading group cause of DALYs in 2021 (443 million, 95% UI 378–521), affecting 3·40 billion (3·20–3·62) individuals (43·1%, 40·5–45·9 of the global population); global DALY counts attributed to these conditions increased by 18·2% (8·7–26·7) between 1990 and 2021. Age-standardised rates of deaths per 100 000 people attributed to these conditions decreased from 1990 to 2021 by 33·6% (27·6–38·8), and age-standardised rates of DALYs attributed to these conditions decreased by 27·0% (21·5–32·4). Age-standardised prevalence was almost stable, with a change of 1·5% (0·7–2·4). The ten conditions with the highest age-standardised DALYs in 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer's disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer.InterpretationAs the leading cause of overall disease burden in the world, with increasing global DALY counts, effective prevention, treatment, and rehabilitation strategies for disorders affecting the nervous system are needed