ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

Health care, quality certification and institutional support: a focus on primary health care in Brazil

Objective. To provide an overview of the distribution of institutional support in primary care in Brazil and to identify associations between the activities of institutional support and the outcome of the certification of the National Programme for Improving Access and Quality in Primary Health Care (PMAQ). Materials and methods. A cross-sectional study was conducted through interviews with 16 960 profes- sionals in Brazil in 2012. To examine the relationship between the received support and the quality of health care it was made a multiple binary logistic regression. Results. A positive relationship between high-level support and certification in the sub-dimensions analyzed was observed: women and child care, diabetes mellitus/ hypertension and mental health. The support activities which contributed most were: self-assessment, shared assessment, targeted workshops and training. Conclusion. Institutional support activities have helped to improve the quality and access of the population to healthcare in the country

IMPLICAÇÕES DA PANDEMIA DE COVID-19 NO TRANSTORNO DE ANSIEDADE GENERALIZADA

Generalized Anxiety Disorder (GAD) is a mental disorder characterized by excessive and persistent worry, along with physical and cognitive symptoms. To better understand its impact on the COVID-19 pandemic, this study employed bibliographic research in databases, looking for articles that investigated the effects of the pandemic and its implications for GAD. During the COVID-19 pandemic, there has been a significant increase in the prevalence of GAD in various population groups. Health professionals, pregnant and postpartum women, and students stood out as the most affected.  The results revealed that trigger factors, such as uncertainties related to the pandemic, restrictions on access to medical care, financial concerns, social isolation, family members with a high degree of risk of infection, as well as other factors, contributed to the increase in GAD. This research also highlighted the importance of social support in mitigating anxiety symptoms and used a population-based research approach to understand the impact of the pandemic on the prevalence of GAD in diverse groups, highlighting the need for interventions to promote the mental health and well-being of these vulnerable populations. El trastorno de ansiedad generalizada (TAG) es un trastorno mental caracterizado por una preocupación excesiva y persistente, junto con síntomas físicos y cognitivos. Para comprender mejor su impacto en la pandemia COVID-19, este estudio utilizó la investigación bibliográfica en bases de datos, buscando artículos que investigaran los efectos de la pandemia y sus implicaciones para el TAG. Durante la pandemia del COVID-19, se ha producido un aumento significativo de la prevalencia del TAG en diversos grupos de población. Los profesionales de la salud, las mujeres embarazadas y puérperas y los estudiantes destacaron como los más afectados. Los resultados revelaron que los factores desencadenantes, como las incertidumbres relacionadas con la pandemia, las restricciones en el acceso a la atención médica, las preocupaciones financieras, el aislamiento social, los familiares con un alto grado de riesgo de infección, así como otros factores, contribuyeron al aumento del TAG. Esta investigación también destacó la importancia del apoyo social para mitigar los síntomas de ansiedad y utilizó un enfoque de investigación basado en la población para comprender el impacto de la pandemia en la prevalencia del TAG en diversos grupos, destacando la necesidad de intervenciones para promover la salud mental y el bienestar de estas poblaciones vulnerables.O Transtorno de Ansiedade Generalizada (TAG) é um distúrbio mental caracterizado por preocupações excessivas e persistentes, juntamente com sintomas físicos e cognitivos. Para melhor entender seu impacto na pandemia de COVID-19, este estudo empregou a pesquisa bibliográfica em bases de dados, buscando artigos que investigaram os efeitos da pandemia e suas implicações no TAG. Durante a pandemia de COVID-19, houve um aumento significativo na prevalência do TAG em diversos grupos populacionais. Profissionais de saúde, mulheres grávidas, puérperas e estudantes, destacaram-se como os mais afetados. Os resultados revelaram que fatores desencadeantes, como incertezas relacionadas à pandemia, restrições de acesso à assistência médica, preocupações financeiras, isolamento social, familiares com alto grau de risco de infecção, além de outros fatores, contribuíram para o aumento do TAG. Esta investigação também destacou a importância do apoio social na mitigação dos sintomas de ansiedade e utilizou uma abordagem baseada em pesquisa populacional para compreender o impacto da pandemia na prevalência do TAG em grupos diversos, ressaltando a necessidade de intervenções para promover a saúde mental e o bem-estar dessas populações vulneráveis.O Transtorno de Ansiedade Generalizada (TAG) é um distúrbio mental caracterizado por preocupações excessivas e persistentes, juntamente com sintomas físicos e cognitivos. Para melhor entender seu impacto na pandemia de COVID-19, este estudo empregou a pesquisa bibliográfica em bases de dados, buscando artigos que investigaram os efeitos da pandemia e suas implicações no TAG. Durante a pandemia de COVID-19, houve um aumento significativo na prevalência do TAG em diversos grupos populacionais. Profissionais de saúde, mulheres grávidas, puérperas e estudantes, destacaram-se como os mais afetados. Os resultados revelaram que fatores desencadeantes, como incertezas relacionadas à pandemia, restrições de acesso à assistência médica, preocupações financeiras, isolamento social, familiares com alto grau de risco de infecção, além de outros fatores, contribuíram para o aumento do TAG. Esta investigação também destacou a importância do apoio social na mitigação dos sintomas de ansiedade e utilizou uma abordagem baseada em pesquisa populacional para compreender o impacto da pandemia na prevalência do TAG em grupos diversos, ressaltando a necessidade de intervenções para promover a saúde mental e o bem-estar dessas populações vulneráveis

Percepção dos usuários sobre o cuidado prestado por equipes participantes do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica no Brasil

Resumo Objetivo: analisar a percepção dos usuários sobre o cuidado prestado por equipes participantes do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) no Brasil. Métodos: estudo transversal com dados de entrevistas com usuários das equipes, em 2012. Empregou-se regressão logística multinomial para analisar a associação entre nível de percepção (muito bom/bom, regular, ruim/muito ruim) e variáveis de quatro atributos da atenção básica: acessibilidade, integralidade, longitudinalidade e coordenação do cuidado. Resultados: dos 65.391 entrevistados, 78,9% avaliaram o atendimento como muito bom/bom, 19,0% como regular e 2,1% como ruim/muito ruim. A avaliação muito bom/bom foi associada a questões sobre os quatro atributos estudados. Destacam-se as associações com atendimento pelo mesmo médico (OR 3,21; IC95% 2,68; 3,83) e realização do exame físico na consulta (OR 3,08; IC95% 2,50; 3,79). Conclusão: a maioria dos usuários avaliou positivamente o atendimento, contudo existe percepção de problemas no cuidado conforme os atributos recomendados

Institutional and matrix support and its relationship with primary healthcare

OBJECTIVE To analyze whether the level of institutional and matrix support is associated with better certification of primary healthcare teams.METHODS In this cross-sectional study, we evaluated two kinds of primary healthcare support &#8211; 14,489 teams received institutional support and 14,306 teams received matrix support. Logistic regression models were applied. In the institutional support model, the independent variable was &#8220;level of support&#8221; (as calculated by the sum of supporting activities for both modalities). In the matrix support model, in turn, the independent variables were the supporting activities. The multivariate analysis has considered variables with p < 0.20. The model was adjusted by the Hosmer-Lemeshow test.RESULTS The teams had institutional and matrix supporting activities (84.0% and 85.0%), respectively, with 55.0% of them performing between six and eight activities. For the institutional support, we have observed 1.96 and 3.77 chances for teams who had medium and high levels of support to have very good or good certification, respectively. For the matrix support, the chances of their having very good or good certification were 1.79 and 3.29, respectively. Regarding to the association between institutional support activities and the certification, the very good or good certification was positively associated with self-assessment (OR = 1.95), permanent education (OR = 1.43), shared evaluation (OR = 1.40), and supervision and evaluation of indicators (OR = 1.37). In regards to the matrix support, the very good or good certification was positively associated with permanent education (OR = 1.50), interventions in the territory (OR = 1.30), and discussion in the work processes (OR = 1.23).CONCLUSIONS In Brazil, supporting activities are being incorporated in primary healthcare, and there is an association between the level of support, both matrix and institutional, and the certification result

Compreendendo o apoio matricial e o resultado da certificação de qualidade nas áreas de atenção à criança, mulher, diabetes/hipertensão e saúde mental

Este artigo apresenta a distribuição do apoio matricial (AM) no Brasil, identificando relações entre as atividades de AM e a certificação do PMAQ-AB. Utilizaram-se dois modelos de regressão logística múltipla. As atividades de AM na Atenção Básica são significativas mas desiguais, com altos graus de AM em lugares desenvolvidos. Existe associação positiva entre o grau de apoio e o resultado obtido na certificação. Elevados graus de AM correspondem a 89%, 80%, 89% e 63% de chances de as equipes obterem uma melhor certificação na atenção à mulher, criança, hipertensão e diabetes e saúde mental, respectivamente. O AM tem ajudado a melhorar a qualidade da Atenção Básica no Brasil

Microorganisms And Process For Producing N-propanol

The invention provides fermentative methods for producing n-propanol. The methods of the invention involve providing a suitable carbon source, a microorganism expressing the di carboxylic acid pathway, reducing equivalents, and at least one gene coding for an enzyme that catalyzes the conversion of propionate/propionyl-CoA into n propanol. The methods further involve contacting the carbon source and reducing equivalents with the microorganism under conditions favorable for the production of n-propanol. Also provided are methods for producing propylene and polypropylene from the n-propanol and microorganisms suitable for use in the methods of the invention.CA2772292 (A1)C12P7/04CA20102772292C12P7/0

Microorganisms And Process For Producing N-propanol

Resumo não disponível.KR20120083391 (A)C12P7/04C12N15/52C12N15/74KR20127009025C12P7/04C12N15/52C12N15/7