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Macrocypraea mammoth is a new species from Trindade, a remote oceanic island located 1160 km off Espírito Santo, Brazil. This isolated species is described in a detailed morphological scenario that includes all Recent congeneric species. The detailed anatomy of two Recent species, M. zebra and M. cervinetta, were described in a previous paper. The remaining one, M. cervus, is included herein. Brief taxonomical comments on all these species is also included. The new species can be distinguished from other Western Atlantic species by its larger size, proportionally heavier and more solid shell, more rounded and wider outline, longer posterior tapered ending and slightly inflated base; anatomically it has some exclusivities, such as the mantle papillae mostly bearing 3–5 distal aligned projections, osphradium with a shorter branch, modifications in some odontophore muscles, penis with a clear glandular region, and a sac-like bursa copulatrix with a long duct. Based on the comparative analysis, the genus Macrocypraea can be defined by the wide distance between the osphradium and gill; a twofold buccal muscle (mc); a radular ventral tensor muscle (pair m11) surrounding radular sac; and a bursa copulatrix located at middle level of the pallial oviduct. Register ZooBank: urn:lsid:zoobank.org:pub:C8E6E515-508F-47DE-9753-4EA619C1DDFD. [ABSTRACT FROM AUTHOR]

Objective: To estimate the prevalence of multimorbidity and complex multimorbidity in rural workers and their association with sociodemographic characteristics, occupational contact with pesticides, lifestyle and clinical condition. Methods: This is a cross-sectional epidemiological study with 806 farmers from the main agricultural municipality of the state of Espírito Santo/Brazil, conducted from December 2016 to April 2017. Multimorbidity was defined as the presence of two or more chronic diseases in the same individual, while complex multimorbidity was classified as the occurrence of three or more chronic conditions affecting three or more body systems. Socio-demographic data, occupational contact with pesticides, lifestyle data and clinical condition data were collected through a structured questionnaire. Binary logistic regression was conducted to identify risk factors for multimorbidity. Results: The prevalence of multimorbidity among farmers was 41.5% (n = 328), and complex multimorbidity was 16.7% (n = 132). More than 77% of farmers had at least one chronic illness. Hypertension, dyslipidemia and depression were the most prevalent morbidities. Being 40 years or older (OR 3.33, 95% CI 2.06–5.39), previous medical diagnosis of pesticide poisoning (OR 1.89, 95% CI 1.03–3.44), high waist circumference (OR 2.82, CI 95% 1.98–4.02) and worse health self-assessment (OR 2.10, 95% CI 1.52–2.91) significantly increased the chances of multimorbidity. The same associations were found for the diagnosis of complex multimorbidity. Conclusion: We identified a high prevalence of multimorbidity and complex multimorbidity among the evaluated farmers. These results were associated with increased age, abdominal fat, pesticide poisoning, and poor or fair health self-assessment. Public policies are necessary to prevent, control and treat this condition in this population. [ABSTRACT FROM AUTHOR]

Introduction: Chronic kidney disease (CKD) has a set of clinical and laboratory abnormalities where renal function loss is noted. The high prevalence of comorbidity of people living with CKD, its economic impact and its prognosis have made it a public health problem, justifying the need to implement preventive measures. Objective: To analyse the mortality and incidence of hospital admissions for CKD. Methods: Ecological study with a time series design using secondary microdata of deaths and hospital admissions from patients with CKD from 1996 to 2017 in the State of Espírito Santo, Brazil. Results: The average mortality rate of CKD during the studied years was 2.92 per 100,000 inhabitants per year. During this period global mortality was a stationary phenomenon. In women, the trend of mortality from 2005 on increased 7,87% per year. Between 2008 and 2017, the average incidence hospital admissions due to CKD per year was 45.76 per 100,000 inhabitants. It was observed that the overall hospital admission increased by the equivalent of 6.23% per year. More than a half of mortality and hospitalisations correspond to male patients over 50 years of age. In terms of mortality, 32.99% corresponded to Caucasian patients, while 35.13% of hospitalisations were mixed race. Conclusion: We found that age and gender are factors associated with deaths and hospitalisations for chronic kidney disease. While hospitalisation increases 6.23% per year, global mortality remains stationary. However, from 2005 onwards a trend towards increasing of 7.87%/annual in mortality was observed in women. [ABSTRACT FROM AUTHOR]