Barreiras da reabilitação cardíaca em uma cidade do nordeste do Brasil

Identifying barriers by regions of Brazil can be a valuable strategy to improve the insertion and adherence of patients with cardiopathy to cardiovascular rehabilitation programs. Objective: To identify and describe the reasons that lead to the non-inclusion of individuals with cardiopathy in cardiovascular rehabilitation programs. Methods: Descriptive cross-sectional study with 79 individuals of both sexes, aged over 50 years, with cardiopathy from five private cardiology clinics. To identify the factors that interfered with the inclusion of patients in cardiovascular rehabilitation programs, the scale of barriers for cardiac rehabilitation was applied. This instrument is composed of 22 items, 21 of which are closed and objective questions. Individuals were instructed to tick "YES" or "NO" for each target item on the scale if they identified the item as a barrier to inclusion / adherence. Results: 64 (81%) of the sample did not know about the existence of cardiovascular rehabilitation and its benefits. For 50 (63%) the distance from the residence to the rehabilitation center was a barrier. In addition, the cost of urban mobility 37 (47%) and the lack of indication of the physician as unnecessary 32 (40%) were also pointed as barriers. Conclusion: The results of this study indicate that the main reasons for non-insertion in cardiovascular rehabilitation programs were the lack of knowledge about the benefits of this type of program, the distance of the patients' residence to the nearest center and the displacement cost.Averiguar as barreiras por regiões do Brasil, pode ser uma valiosa estratégia para melhorar a inserção e adesão dos pacientes cardiopatas a programas de reabilitação cardiovascular. Objetivo: Identificar e descrever os motivos que levam a não inclusão de indivíduos cardiopatas em programas de reabilitação cardiovascular. Métodos: Estudo descritivo de corte transversal com 79 indivíduos de ambos sexos, com idade superior a 50 anos, cardiopatas provenientes de cinco clínicas particulares de cardiologia. Para identificação dos fatores que interferiam na inclusão dos pacientes aos programas de reabilitação cardiovascular, foi aplicada a escala de barreiras para reabilitação cardíaca. Esse instrumento é composto de 22 itens, sendo que 21 são questões fechadas e objetivas. Os indivíduos foram instruídos a assinalar "SIM" ou "NÃO" para cada item objetivo da escala, caso identificassem o item como uma barreira ou não para a inclusão/adesão. Resultados: 64(81%) da amostra não sabia da existência da reabilitação cardiovascular e dos seus benefícios. Para 50(63%) a distância da residência até o centro de reabilitação foi uma barreira. Além disso, o custo com mobilidade urbana 37 (47%) e a não indicação do médico por achar desnecessário 32 (40%) também foram apontadas como barreiras. Conclusão: Os resultados deste estudo indicam que as principais bramireis para a não inserção em programas de reabilitação cardiovascular foram a falta de conhecimento sobre os benefícios desse tipo de programa, a distância da residência dos pacientes até o centro mais próximo e o custo com deslocamento

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