Prevalence of dyslipidemia and risk factors in Campos dos Goytacazes, in the Brazilian State of Rio de Janeiro

OBJECTIVE: To determine the prevalence of dyslipidemias in adults in the city of Campos dos Goytacazes, in the Brazilian state of Rio de Janeiro, and to identify its relation to risk factors. METHODS: Cross-sectional, population-based, observational study with sampling through conglomerates and stratified according to socioeconomic levels, sex, and age, with 1,039 individuals. Risk factors, familial history, blood pressure, anthropometric measurements, glucose, triglycerides and cholesterol were determined. RESULTS: The following prevalences were observed: of dyslipidemias 24.2%; of hypercholesterolemia, 4.2%; of elevated LDL-C, 3.5%; of low HDL-C, 18.3%; and of hypertriglyceridemia, 17.1%. The following mean levels were observed: cholesterol, 187.6± 33.7 mg/dL; LDL-C, 108.7±26.8 mg/dL; HDL-C, 48.5±7.7 mg/dL; and triglycerides, 150.1±109.8 mg/dL. The following variables showed a positive correlation with dyslipidemia: increased age (P<0.001), male sex (P<0.001), low familial income (P<0.001), familial history (P<0.01), overweight/obesity (P<0.001), waist measure (P<0.001), high blood pressure (P<0.001), and diabetes mellitus (P<0.001). The following variables had no influence on dyslipidemias: ethnicity, educational level, smoking habits, and sedentary lifestyle. CONCLUSION: The frequency of lipid changes in the population studied was high, suggesting that measures for the early diagnosis should be taken, in association with implementation of programs for primary and secondary prevention of atherosclerosis.

Assessment of cardiovascular risk factors in a rural community in the Brazilian state of Bahia

OBJECTIVE: To assess the frequency of cardiovascular risk factors in the rural community of Cavunge, in the Brazilian state of Bahia. METHODS: A cross-sectional study was carried out with 160 individuals (age > 19 years) randomly drawn from those listed in the population census of the Cavunge Project. The following parameters were studied: arterial hypertension, dyslipidemia, diabetes, obesity, smoking, waist-hip ratio (WHR), physical activity, and overall cardiovascular risk classified according to the Framingham score. The assessing parameters used were those established by the III Brazilian Consensus on Hypertension and the II Brazilian Consensus on Dyslipidemia. RESULTS: Of the randomly drawn individuals, 126 with a mean age of 46.6 + 19.7 years were included in the study, 43.7% of whom were males. The frequency of arterial hypertension was 36.5%; 20.4% of the individuals had cholesterol levels >240 mg/dL; 31.1% of the individuals had LDL-C levels > 130 mg/dL; 4% were diabetic; and 39.7% had a high-risk Framingham score. Abdominal obesity was observed in 41.3% of the population and in 57.7% of the females. High caloric-expenditure (HCE) physical activities were performed by 56.5% of the individuals. The HCE group had a greater frequency of normal triglyceride levels (63% vs 44%; P=0.05), no diabetes, and WHR tending towards normal (46% vs 27%, P=0.08) as compared with those in the low caloric-expenditure group. CONCLUSION: Cardiovascular risk factors, such as hypertension and hypercholesterolemia, are frequently found in rural communities. The greatest frequency of normal triglyceride levels and normal WHR in the HCE group reinforces the association between greater caloric expenditure and a better risk profile.

Cost-Effectiveness of High, Moderate and Low-Dose Statins in the Prevention of Vascular Events in the Brazilian Public Health System

Background:Statins have proven efficacy in the reduction of cardiovascular events, but the financial impact of its widespread use can be substantial.Objective:To conduct a cost-effectiveness analysis of three statin dosing schemes in the Brazilian Unified National Health System (SUS) perspective.Methods:We developed a Markov model to evaluate the incremental cost-effectiveness ratios (ICERs) of low, intermediate and high intensity dose regimens in secondary and four primary scenarios (5%, 10%, 15% and 20% ten-year risk) of prevention of cardiovascular events. Regimens with expected low-density lipoprotein cholesterol reduction below 30% (e.g. simvastatin 10mg) were considered as low dose; between 30-40%, (atorvastatin 10mg, simvastatin 40mg), intermediate dose; and above 40% (atorvastatin 20-80mg, rosuvastatin 20mg), high-dose statins. Effectiveness data were obtained from a systematic review with 136,000 patients. National data were used to estimate utilities and costs (expressed as International Dollars - Int$). A willingness-to-pay (WTP) threshold equal to the Brazilian gross domestic product per capita (circa Int$11,770) was applied.Results:Low dose was dominated by extension in the primary prevention scenarios. In the five scenarios, the ICER of intermediate dose was below Int$10,000 per QALY. The ICER of the high versus intermediate dose comparison was above Int$27,000 per QALY in all scenarios. In the cost-effectiveness acceptability curves, intermediate dose had a probability above 50% of being cost-effective with ICERs between Int$ 9,000-20,000 per QALY in all scenarios.Conclusions:Considering a reasonable WTP threshold, intermediate dose statin therapy is economically attractive, and should be a priority intervention in prevention of cardiovascular events in Brazil.

Validation of a Brazilian Portuguese Version of the Walking Estimated-Limitation Calculated by History (WELCH)

Abstract Background: The Walking Estimated-Limitation Calculated by History (WELCH) questionnaire has been proposed to evaluate walking impairment in patients with intermittent claudication (IC), presenting satisfactory psychometric properties. However, a Brazilian Portuguese version of the questionnaire is unavailable, limiting its application in Brazilian patients. Objective: To analyze the psychometric properties of a translated Brazilian Portuguese version of the WELCH in Brazilian patients with IC. Methods: Eighty-four patients with IC participated in the study. After translation and back-translation, carried out by two independent translators, the concurrent validity of the WELCH was analyzed by correlating the questionnaire scores with the walking capacity assessed with the Gardner treadmill test. To determine the reliability of the WELCH, internal consistency and test–retest reliability with a seven-day interval between the two questionnaire applications were calculated. Results: There were significant correlations between the WELCH score and the claudication onset distance (r = 0.64, p = 0.01) and total walking distance (r = 0.61, p = 0.01). The internal consistency was 0.84 and the intraclass correlation coefficient between questionnaire evaluations was 0.84. There were no differences in WELCH scores between the two questionnaire applications. Conclusion: The Brazilian Portuguese version of the WELCH presents adequate validity and reliability indicators, which support its application to Brazilian patients with IC.

Species of Terebellides (Polychaeta, Terebellidae, Trichobranchinae) from the Brazilian coast

Terebellides sepultura sp. nov. is described from the continental shelf bottoms off southern Brazil. Terebellides carmenensis Solis-Weiss, Fauchald & Blankensteyn, 1991 is newly recorded for the Brazilian coast and notes on T. anguicomus F. Müller, 1858 and T. klemani Kinberg, 1867 are provided. A key to 28 species of Terebellides is given.

Five new Brazilian species of the genus Trybliophorus (Orthoptera, Romaleidae)

The new species Trybliophorus amazonicus, T. nigrus, T. rubricerus, T. olivaceus and T. paraensis from Amazonian region are described. Illustrations of male and female genitalia, as well as a map showing the geographical distribution of the species are included.

Catalogue of the type material of Phasmatodea (Insecta) deposited in Brazilian museums

The type material of Phasmatodea deposited in Brazilian museums and institutions is listed for the first time. New synonyms are proposed: Phibalosoma paulense Toledo Piza, 1938, Phibalosoma rochai Toledo Piza, 1938, Bacteria tuberculata Toledo Piza, 1938 and Bacteria tuberculata var. argentina Toledo Piza, 1938 are junior synonyms of Cladomorphus phyllinus (Gray, 1835). Nineteen new combinations are established.

Seasonal abundance of the shipworm Neoteredo reynei (Bivalvia, Teredinidae) in mangrove driftwood from a northern Brazilian beach

Shipworms are important decomposers of wood, especially in mangrove forests where productivity is high. However, little emphasis has been given to the activity of shipworms in relation to the export of nutrients from mangroves to adjacent coastal areas. As a first step to obtaining such information, the frequency of colonized mangrove driftwood as well as shipworm density and length were studied by collecting washed up logs during a year at Ajuruteua beach, state of Pará, northern Brazil. A single species, Neoteredo reynei (Bartsch, 1920), was found colonizing driftwood. Although large colonized logs were most common on the beach, shipworm density was higher in small logs, especially during the dry season. In general, however, density was higher during the wet season (January to April) and lowest in July. Overall shipworm mean length was 9.66cm. In large logs, mean length increased between the wet and dry seasons. However, there was no difference in length among log size categories. Mean shipworm length was similar throughout most of the year but tended to be greater in July. Although salinity varied between 10.9 and 40 during the year, no relationship was found between salinity and density or length. The results suggest that shipworm activity in driftwood logs is relatively constant throughout the year. Increased air humidity and rainfall may promote survival during the wet season. Large logs may take longer to colonize and thus have lower densities than small ones which are scarce probably because they are destroyed rapidly by shipworm activity. However, data on the disintegration of logs would be necessary to test this hypothesis. Larger size of shipworms in the dry season may be related to growth after an earlier recruitment period. Shipworms in large logs during the dry season may be better protected from dessication and high temperatures by the insulating properties of the larger volume of wood.

Revalidation of Acanthagrion cuyabae (Odonata, Coenagrionidae) and description of the female, with a key to the Brazilian species of the viridescens group

Acanthagrion cuyabae Calvert, 1909 was described based on a male from State of Mato Grosso, Brazil. The female of this species was described based on morphological characters of four individuals collected in copula from State of Mato Grosso do Sul, and three other specimens of same locality. Acanthagrion cuyabae is here revalidated based on morphological characters of the female. Illustrated keys to the groups of Acanthagrion Selys, 1876 and species of the viridescens group occurring in Brazil are provided.

Natural history of the lizard Enyalius iheringii (Squamata, Leiosauridae) in southern Brazilian Atlantic forest

Studies on the natural history of the lizard Enyalius iheringii Boulenger, 1885, as well as other tropical lizards, are rare. In this study, some aspects of the natural history of this endemic species from the Atlantic forest are reported in areas of Vale do Itajaí, state of Santa Catarina, Brazil. Twenty individuals were found, of which 18 were collected. Most of them were found over the vegetation (n=17) and on the ground (n=3). The main defensive strategy displayed was camouflage (n=16). Jumping (n=1), jumping and running (n=1) and running (n=2) were also observed in some individuals. When handled, lizards exhibited mouth wide open, hissing, and occasionally biting, as well as color change in males. Regarding its diet, the numerically most important prey was beetles (Coleoptera), followed by Lepidoptera larvae. Beetles, lepidopteran larvae and spiders were the most frequent food items. Males and females did not differ in size. Three sexually mature females (100-113 mm SVL) were found in December and January.

New and significant bird records from Rio Grande do Sul, with comments on biogeography and conservation of the southern Brazilian avifauna

I report on the occurrence of 16 species of birds in Rio Grande do Sul, southern Brazil, of which seven are new for the state - Accipiter superciliosus (Linnaeus, 1766), Brotogeris tirica (Gmelin, 1788), Hemitriccus margaritaceiventer (d'Orbigny & Lafresnaye, 1837), Phyllomyias griseocapilla Sclater, 1862, Saltator coerulescens Vieillot, 1817, Orthogonys chloricterus (Vieillot, 1819), and Sporophila lineola (Linnaeus, 1758) - and seven were previously known from unsubstantiated or poorly documented records - Ixobrychus exilis (Gmelin, 1789), Brotogeris chiriri (Vieillot, 1818), Coccyzus euleri Cabanis, 1873, Pulsatrix koeniswaldiana (Bertoni & Bertoni, 1901), Psilorhamphus guttatus (Ménétriès, 1835), Serpophaga griseicapilla Straneck, 2007, and Hemithraupis ruficapilla (Vieillot, 1818). Descriptive and natural history notes are presented for some of these species. The records of B. tirica, P. guttatus, P. griseocapilla, Myiozetetes similis (Spix, 1825), O. chloricterus, H. ruficapilla, and S. lineola represent significant southward range extensions of up to 300 km. Also, a new confirmed record of Myiarchus ferox (Statius Muller, 1776) is divulged. Finally, I argue that the Atlantic forests of north-eastern Rio Grande do Sul should be included in the Serra do Mar area of endemism (sensu SILVA et al., 2004) because of the presence of Orthogonys chloricterus, and comment on the possible range expansion of Myiozetetes similis, Sporophila lineola and other primarily tropical species in southern Brazil.

Description of the male of Mangora brokopondo (Araneae, Araneidae), with notes on Mangora species from Brazilian Oriental Amazon

The male of Mangora brokopondo Levi, 2007 is described and illustrated for the first time. Variation in the color pattern of the females is documented. Mangora woytkowskii Levi, 2007 is considered a junior synonym of M. hirtipes (Taczanowski, 1878). New records of M. alinahui Levi, 2007 and M. pia Chamberlin & Ivie, 1936 are presented.

Population biology of the crab Armases angustipes (Crustacea, Decapoda, Sesarmidae) at Brazilian tropical coast

The semi terrestrial crabs are important elements of the fauna of coastal regions. The aim of this study was to analyze the population structure of Armases angustipes (Dana, 1852) at estuaries of the Ariquindá River, considered a non impacted area, and Mamucabas River, considered a few impacted area, on the south coast of state of Pernambuco, Brazil. The species occurred in all months of the year. The number of individuals per month varied, being higher in the months of transition between the seasons. This is probably due to significant seasonal variations of air and burrow temperature and burrow salinity. There was no sexual dimorphism in size of A. angustipes in the mangrove of Ariquindá River, but males were larger than females in the mangrove of Mamucabas River. In both estuaries, the sex ratio did not differ from Mendelian proportion, but showed a deviation for females. The analysis of temporal variation in sex ratio showed significant differences in some months of the year. These variations are due to cyclical events that act distinctly on each sex. In both estuaries, size classes of carapace width were equally represented by both sexes. The ovigerous females of A. angustipes occurred only in some months of the year, especially in summer, in both estuaries. Probably the high phytoplankton productivity observed in summer favors the reproductive activity, since these algae serve as food for the larvae. Specimens of the population of Rio Ariquindá are largest and wider than those of Mamucabas River. This fact, associated with the low abundance of crabs and the lower frequency of ovigerous females observed in Mamucabas River, is an indication that this population may be influenced by the environmental impacts that this estuary has received.

The isolation of the perfect form of Microsporum Gypseum, Nannizzia Gypsea, Stockdale, 1963, from brazilian soil

Our work is on the isolation from brazilian soil of the perfect stage of Microsporum gypseum, Nannizzia gypsea, Stock., 1963, using cut sterilized children hair as bait.