AS DIFICULDADES DA TRIAGEM DO ESPECTRO AUTISTA EM CRIANÇAS NA ATENÇÃO BÁSICA

The integrative review examines the role of family physicians and other primary care professionals in the identification and care of Autism Spectrum Disorder (ASD), emphasizing the importance of continuous education and interdisciplinary collaboration.To analyze the main challenges faced by healthcare professionals in conducting ASD screening in primary care, from the team's perspective. An integrative literature review was conducted, covering studies published from 2013 to 2023. The research was built based on the PICO (Patient, Intervention, Comparison, and Outcomes) strategy and used health descriptors related to ASD. 427 articles were identified, which underwent eligibility criteria. The selected articles were read in full, summarized, and the results were organized in a table.Ten studies were selected that addressed various aspects of ASD care and diagnosis. The results found pointed out the difficulties to be overcome by healthcare professionals so that they feel confident and capable of conducting early screening and diagnosis: the complexities of medical consultations and issues related to healthcare professionals' remuneration and the need for interdisciplinary collaboration.This integrative review identifies the complexity of ASD diagnosis and care and the need for an interdisciplinary and collaborative approach to improve the care of children on the spectrum, emphasizing the need to promote adequate training and support for primary care healthcare professionals to enhance the quality of life for children with ASD and their families.A revisão integrativa analisa o papel do médico de família e demais profissionais da atenção básica na identificação e cuidado do Transtorno do Espectro Autista (TEA), destacando a importância da formação contínua e colaboração interdisciplinar. Analisar as principais dificuldades enfrentadas pelos profissionais de saúde na condução da triagem do TEA na atenção básica, sob a perspectiva da equipe. Foi realizada uma revisão integrativa da literatura, abrangendo estudos publicados de 2013 a 2023. A pesquisa foi construída com base na estratégia PICO (Paciente, Intervenção, Comparação e Outcomes) e utilizou descritores em saúde relacionados ao TEA. Foram identificados 427 artigos, que passaram por critérios de elegibilidade. Os artigos selecionados foram lidos na íntegra, resumidos e os resultados organizados em um quadro. Foram selecionados dez estudos que abordaram facetas do cuidado e diagnóstico do TEA. Os resultados encontrados apontaram as dificuldades a serem superadas pelos profissionais da saúde, para que estes se sintam confiantes e capacitados a realizar a triagem e o diagnóstico de forma precoce: as complexidades das consultas médicas e questões relacionadas à remuneração dos profissionais de saúde e a necessidade de colaboração interdisciplinar. Esta revisão integrativa identificou a complexidade do diagnóstico e cuidado do TEA e a necessidade de uma abordagem interdisciplinar e colaborativa para melhorar o atendimento de crianças no espectro, enfatizando a necessidade de promover a capacitação e o suporte adequados aos profissionais de saúde na atenção primária para melhorar a qualidade de vida das crianças com TEA e suas famílias

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora

Growing knowledge: an overview of Seed Plant diversity in Brazil

Abstract An updated inventory of Brazilian seed plants is presented and offers important insights into the country's biodiversity. This work started in 2010, with the publication of the Plants and Fungi Catalogue, and has been updated since by more than 430 specialists working online. Brazil is home to 32,086 native Angiosperms and 23 native Gymnosperms, showing an increase of 3% in its species richness in relation to 2010. The Amazon Rainforest is the richest Brazilian biome for Gymnosperms, while the Atlantic Rainforest is the richest one for Angiosperms. There was a considerable increment in the number of species and endemism rates for biomes, except for the Amazon that showed a decrease of 2.5% of recorded endemics. However, well over half of Brazillian seed plant species (57.4%) is endemic to this territory. The proportion of life-forms varies among different biomes: trees are more expressive in the Amazon and Atlantic Rainforest biomes while herbs predominate in the Pampa, and lianas are more expressive in the Amazon, Atlantic Rainforest, and Pantanal. This compilation serves not only to quantify Brazilian biodiversity, but also to highlight areas where there information is lacking and to provide a framework for the challenge faced in conserving Brazil's unique and diverse flora