Integrando Práticas Psiquiátricas no Cuidado Multidisciplinar do TEA

Introduction: Autism Spectrum Disorder (ASD) is a neuropsychiatric condition that mainly affects social communication, behavior and social interaction. Therefore, it is extremely important that the approach to the care and treatment of ASD is through a multidisciplinary team, including mental health professionals, educators and therapists, aiming to meet the specific needs of each individual on the spectrum. Objective: Investigate the impacts of integrating psychiatric practices in multidisciplinary care for Autism Spectrum Disorder (ASD), aiming to understand the correlations between psychiatric interventions, clinical evolution and quality of life. Methodology: The Pubmed, Cochrane and Scielo databases were used, searching for articles published between 2020 and 2023, in Portuguese or English. Final Considerations: By integrating psychiatric approaches into multidisciplinary care, it is possible to offer a comprehensive assessment of the emotional, behavioral and cognitive issues associated with ASD. In this way, this collaborative approach promotes individualization of care, recognizing the diversity of ASD manifestations and adapting therapeutic strategies according to the unique characteristics of each patient.Introdução: O Transtorno do Espectro Autista (TEA) é uma condição neuropsiquiátrica que afeta principalmente a comunicação social, o comportamento e a interação social. Dessa forma, é de extrema relevância que a abordagem no cuidado e tratamento do TEA seja através de uma equipe multidisciplinar, incluindo profissionais de saúde mental, educadores e terapeutas, visando atender às necessidades específicas de cada indivíduo no espectro. Objetivo: Investigar os impactos da integração de práticas psiquiátricas no cuidado multidisciplinar do Transtorno do Espectro Autista (TEA), visando compreender as correlações entre intervenções psiquiátricas, evolução clínica e qualidade de vida. Metodologia: Foram utilizadas as bases de dados Pubmed, Cochrane e Scielo, buscando artigos publicados entre os anos 2020 a 2023, nos idiomas Português ou Inglês.   Considerações finais: Ao integrar abordagens psiquiátricas no cuidado multidisciplinar, é possível oferecer uma avaliação abrangente das questões emocionais, comportamentais e cognitivas associadas ao TEA. Dessa forma, essa abordagem colaborativa promove a individualização do cuidado, reconhecendo a diversidade de manifestações do TEA e adaptando as estratégias terapêuticas de acordo com as características únicas de cada paciente

SÍNDROME DE SJÖGREN: TRATAMENTO DE COMPLICAÇÕES E MELHORIAS NA FUNÇÃO GLANDULAR

Sjögren's Syndrome is an autoimmune disease that mainly affects the glands that produce saliva and tears, causing significant dryness in the mouth and eyes.  Thus, an integrated approach that combines pharmacological and non-pharmacological strategies, adapted to individual needs, has shown effectiveness in reducing symptoms and generally improving the quality of life of patients with this syndrome. Objective: To identify the pathophysiological mechanisms underlying the syndrome and evaluate the effectiveness of different therapeutic interventions to control symptoms and prevent complications. Methodology: The Cochrane, Scielo and Medline databases were used, searching for articles published between 2016 and 2024, in Portuguese or English. Final Considerations: The therapeutic approach to Sjögren's Syndrome is diverse and essential for patients' quality of life. Firstly, interventions include immunosuppressive agents. Additionally, tear and saliva substitutes are important to alleviate dryness symptoms. Procedures such as occlusion of tear punctums and glandular electrical stimulation, as well as nutritional supplementation and oral and eye care, are also essential. Therefore, the combination of pharmacological and non-pharmacological strategies, personalized for each patient, is effective in reducing symptoms and improving quality of life.A Síndrome de Sjögren é uma doença autoimune que afeta principalmente as glândulas produtoras de saliva e lágrimas, causando secura significativa na boca e nos olhos.  Assim, uma abordagem integrada que combine estratégias farmacológicas e não farmacológicas, adaptadas às necessidades individuais, tem mostrado eficácia na redução dos sintomas e na melhoria geral da qualidade de vida dos pacientes com essa síndrome. Objetivo: Identificar os mecanismos patofisiológicos subjacentes à síndrome e avaliar a eficácia de diferentes intervenções terapêuticas para controlar os sintomas e prevenir complicações. Metodologia:  Foram utilizadas as bases de dados Cochrane, Scielo e Medline, buscando artigos publicados entre os anos de 2016 e 2024, nos idiomas Português ou Inglês. Considerações Finais: A abordagem terapêutica para a Síndrome de Sjögren é diversificada e essencial para a qualidade de vida dos pacientes. Primeiramente, intervenções incluem agentes imunossupressores. Além disso, substitutos de lágrimas e saliva são importantes para aliviar os sintomas de secura. Procedimentos como a oclusão de pontos lacrimais e a eletroestimulação glandular, bem como suplementação nutricional e cuidados bucais e oculares, também são essenciais. Dessa forma, a combinação de estratégias farmacológicas e não farmacológicas, personalizadas para cada paciente, é eficaz na redução dos sintomas e na melhoria da qualidade de vida

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

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