More than 10,000 pre-Columbian earthworks are still hidden throughout Amazonia.

Indigenous societies are known to have occupied the Amazon basin for more than 12,000 years, but the scale of their influence on Amazonian forests remains uncertain. We report the discovery, using LIDAR (light detection and ranging) information from across the basin, of 24 previously undetected pre-Columbian earthworks beneath the forest canopy. Modeled distribution and abundance of large-scale archaeological sites across Amazonia suggest that between 10,272 and 23,648 sites remain to be discovered and that most will be found in the southwest. We also identified 53 domesticated tree species significantly associated with earthwork occurrence probability, likely suggesting past management practices. Closed-canopy forests across Amazonia are likely to contain thousands of undiscovered archaeological sites around which pre-Columbian societies actively modified forests, a discovery that opens opportunities for better understanding the magnitude of ancient human influence on Amazonia and its current state.

Browse from Three Tree Legumes Increases Forage Production for Cattle in a Silvopastoral System in the Southwest Amazon.

Assessing the palatability of forage from locally adapted trees could improve the sustainability of livestock production systems. However, grasses continue to dominate livestock feed across the Amazon. We established a silvopastoral cattle farming system in Peru, comparing three different forage tree species with grass monocultures using a randomised block design. Trees were arranged in alleys of 0.5 × 7.5 m, planted alongside grass, and were directly browsed by cattle. Browse removal was estimated by three methods: destructive sampling, canopy measurements and leaf counts. We found that all three tree species were palatable to cattle. Plots containing trees and grass produced more available forage (mean > 2.2 Mg ha-1) for cattle than the grass monocultures (mean = 1.5 Mg ha-1). Destructive sampling below 1.6 m demonstrated that cattle consumed 99% of the available Erythrina berteroana forage, 75% of the available Inga edulis forage and 80% of the available Leucaena leucocephala forage in 8 days. This research demonstrates methodologies to estimate the intake of locally adapted browse species by cattle and highlights the potential benefits of silvopastoral systems in the Amazon. Planting trees could also benefit animal health and provide ecosystem services such as soil regeneration, enhanced nutrient cycling and carbon capture.

Plants used traditionally as antimalarials in Latin America: Mining the tree of life for potential new medicines.

ETHNOPHARMACOLOGICAL RELEVANCE: Malaria remains a serious and challenging disease. Traditional antimalarial medicines are largely based on plants, and ethnopharmacological research has inspired the development of antimalarial pharmaceuticals such as artemisinin. Antimalarial drug resistance is an increasing problem in Plasmodium species, and new therapeutic strategies to combat malaria are needed. Although the number of malaria cases has been decreasing in Latin America, malaria remains a significant threat in many regions. Local people in Latin America have been using numerous plant species to treat malaria, some of which have been scientifically studied, but many others have not. AIM OF THE STUDY: Our principal objective is to harness ethnobotanical data on species used traditionally to treat malaria, combined with phylogenetic approaches, to understand how ethnobotany could help identify plant genera as potential sources of new medicines. MATERIALS AND METHODS: Plants used to treat malaria in Latin America were compiled from published and grey literature, unpublished data, and herbarium specimens. Initial assessment of potentially important species/genera/families included compiling the number of species used within the genus, the number of use reports per genus and species, and the geographic distribution of their use. The analysis of taxonomic distribution of species reported as antimalarial in Latin America (excluding the Southern Cone) was conducted, to determine which genera and families with reputed antimalarial properties are over-represented, and phylogenetic analyses were performed to identify if there was evidence for antimalarial species being dispersed/clustered throughout the tree or at its tips. This approach enabled 'hot-nodes' in certain families to be identified, to predict new genera with potential antimalarial properties. RESULTS: Over 1000 plant species have been used to treat malaria in Latin America, of which over 600 species were cited only once. The genera with the highest number of antimalarial species were Aspidosperma, Solanum, Piper, Croton and Aristolochia. In terms of geographic distribution, the most widely used genera were Aspidosperma, Momordica, Cinchona, Senna and Stachytarpheta. Significant phylogenetic signal was detected in the distribution of native species used for malaria, analysed in a genus-level phylogenetic framework. The eudicot and magnoliidae lineages were over-represented, while monocots were not. CONCLUSION: Analysis of ethnobotanical use reports in a phylogenetic framework reveals the existence of hot nodes for malaria across the Latin American flora. We demonstrate how species and genera currently lacking such reports could be pinpointed as of potential interest based on their evolutionary history. Extending this approach to other regions of the world and other diseases could accelerate the discovery of novel medicines and enhance healthcare in areas where new therapeutic strategies are needed.

Enhancement of conservation knowledge through increased access to botanical information.

Herbarium specimens are increasingly recognized as an important resource for conservation science and virtual herbaria are making specimens freely available to a wider range of users than ever before. Few virtual herbaria are designed with conservation use as a primary driver. Exceptionally, Brazil's Reflora Virtual Herbarium (RVH) was created to increase knowledge and conservation of the Brazilian flora. The RVH is closely integrated with the Flora of Brazil 2020 platform on which Brazil's new national Flora is under construction. Both resources are accessible via the Reflora home page and thousands of users move seamlessly between these Reflora resources. To understand how the Reflora resources are currently used and their impact on conservation science, we conducted a literature review and an online survey. We searched for publications of studies in which Reflora resources were used and publications resulting from Brazilian researchers who were part of Reflora's research and mobility program. The survey contained multiple choice questions and questions that required a written response. We targeted Reflora webpage visitors with the survey to capture a wider range of Reflora users than the literature review. Reflora resources were used for a variety of conservation-relevant purposes. Half the 806 scientific publications in which Reflora was cited and 81% of the 1069 survey respondents accessing Reflora resources mentioned conservation-relevant research outputs. Most conservation-relevant uses of the Reflora resources in scientific publications were research rather than implementation focused. The survey of Reflora users showed conservation uses and impacts of virtual herbaria were more numerous and diverse than the uses captured in the literature review. Virtual herbaria are vital resources for conservation science, but they must document use and impacts more comprehensively to ensure sustainability.

Revalorización del Conocimiento sobre Conservación por Medio de Mayor Acceso a la Información Botánica Resumen Los especímenes de los herbarios son reconocidos cada vez más como un recurso importante para la ciencia de la conservación, y, como nunca antes, los herbarios virtuales están poniendo a los especímenes a libre disposición para una gama mucho más amplia de usuarios. Pocos herbarios virtuales están diseñados con el uso para la conservación como conductor primario. Excepcionalmente, se creó el Herbario Virtual Reflora de Brasil (RVH, en inglés) para incrementar el conocimiento y la conservación de la flora brasileña. El RVH está integrado cuidadosamente con la plataforma Flora de Brasil 2020, sobre la cual está bajo construcción la nueva flora nacional de Brasil. Se accede a ambos recursos a través de la página inicial de Reflora y miles de usuarios navegan continuamente entre estos recursos de la página. Para entender cómo se usan actualmente los recursos de Reflora así como su impacto sobre la ciencia de la conservación, realizamos una revisión de la literatura y una encuesta en línea. Buscamos las publicaciones de estudios que usaron los recursos de Reflora y las publicaciones elaboradas por investigadores brasileños que formaron parte del programa de investigación y movilidad de Reflora. La encuesta incluyó preguntas de opción múltiple y preguntas que requerían una respuesta escrita. Enfocamos la encuesta en los visitantes a la página web de Reflora para obtener una gama más amplia de usuarios de Reflora que la que obtendríamos sólo con la revisión de la literatura. Los recursos de Reflora se usaron para una variedad de propósitos relevantes para la conservación. La mitad de las 806 publicaciones científicas en las que se citó a Reflora y el 81% de los 1069 encuestados que acceden a los recursos de Reflora mencionaron resultados de investigación relevantes para la conservación. La mayoría de los usos relevantes para la conservación de los recursos de Reflora en las publicaciones científicas estuvieron más enfocados en la investigación que en la implementación. La encuesta para los usuarios de Reflora mostró que los usos e impactos de los herbarios virtuales fueron más numerosos y diversos que los usos capturados en la revisión de la literatura. Los herbarios virtuales son recursos vitales para la ciencia de la conservación, pero deben documentar su uso y sus impactos exhaustivamente para asegurar su sustentabilidad.

A paradigm for achieving successful pediatric trauma verification in the absence of pediatric surgical specialists while ensuring quality of care.

BACKGROUND: Pediatric trauma centers (PTCs) are concentrated in urban areas, leaving large areas where children do not have access. Although adult trauma centers (ATCs) often serve to fill the gap, disparities exist. Given the limited workforce in pediatric subspecialties, many adult centers that are called upon to care for children cannot sufficiently staff their program to meet the requirements of verification as a PTC. We hypothesized that ATCs in collaboration with a PTC could achieve successful American College of Surgeons (ACS) verification as a PTC with measurable improvements in care. This article serves to provide an initial description of this collaborative approach. METHODS: Beginning in 2008, a Level I PTC partnered with three ATC seeking ACS-PTC verification. The centers adopted a plan for education, simulation training, guidelines, and performance improvement support. Results of ACS verification, patient volumes, need to transfer patients, and impact on solid organ injury management were evaluated. RESULTS: Following partnership, each of the ATCs has achieved Level II PTC verification. As part of each review, the collaborative was noted to be a significant strength. Total pediatric patient volume increased from 128.1 to 162.1 a year (p = 0.031), and transfers out decreased from 3.8% to 2.4% (p = 0.032) from prepartnership to postpartnership periods. At the initial ATC partner site, 10.7 children per year with solid organ injury were treated before the partnership and 11.8 children per year after the partnership. Following partnership, we found significant reductions in length of stay, number of images, and laboratory draws among this limited population. CONCLUSION: The collaborative has resulted in ACS Level II PTC verification in the absence of on-site pediatric surgical specialists. In addition, more patients were safely cared for in their community without the need for transfer with improved quality of care. This paradigm may serve to advance the care of injured children at sites without access to pediatric surgical specialists through a collaborative partnership with an experienced Level I PTC. Further risk-adjusted analysis of outcomes will need to be performed in the future. LEVEL OF EVIDENCE: Therapeutic/care management, level IV.

An ethnobotanical study of anti-malarial plants among indigenous people on the upper Negro River in the Brazilian Amazon.

BACKGROUND: In this article we present the plants used for the treatment of malaria and associated symptoms in Santa Isabel do Rio Negro in the Brazilian Amazon. The region has important biological and cultural diversities including more than twenty indigenous ethnic groups and a strong history in traditional medicine. OBJECTIVE: The aims of this study are to survey information in the Baniwa, Baré, Desana, Piratapuia, Tariana, Tukano, Tuyuca and Yanomami ethnic communities and among caboclos (mixed-ethnicity) on (a) plant species used for the treatment of malaria and associated symptoms, (b) dosage forms and (c) distribution of these anti-malarial plants in the Amazon. METHODS: Information was obtained through classical ethnobotanical and ethnopharmacological methods from interviews with 146 informants in Santa Isabel municipality on the upper Negro River, Brazil. RESULTS: Fifty-five mainly native neotropical plant species from 34 families were in use. The detailed uses of these plants were documented. The result was 187 records (64.5%) of plants for the specific treatment of malaria, 51 records (17.6%) of plants used in the treatment of liver problems and 29 records (10.0%) of plants used in the control of fevers associated with malaria. Other uses described were blood fortification ('dar sangue'), headache and prophylaxis. Most of the therapeutic preparations were decoctions and infusions based on stem bark, root bark and leaves. These were administered by mouth. In some cases, remedies were prepared with up to three different plant species. Also, plants were used together with other ingredients such as insects, mammals, gunpowder and milk. CONCLUSION: This is the first study on the anti-malarial plants from this region of the Amazon. Aspidosperma spp. and Ampelozizyphus amazonicus Ducke were the most cited species in the communities surveyed. These species have experimental proof supporting their anti-malarial efficacy. The dosage of the therapeutic preparations depends on the kind of plant, quantity of plant material available, the patient's age (children and adults) and the local expert. The treatment time varies from a single dose to up to several weeks. Most anti-malarial plants are domesticated or grow spontaneously. They are grown in home gardens, open areas near the communities, clearings and secondary forests, and wild species grow in areas of seasonally flooded wetlands and terra firme ('solid ground') forest, in some cases in locations that are hard to access. Traditional knowledge of plants was found to be falling into disuse presumably as a consequence of the local official health services that treat malaria in the communities using commercial drugs. Despite this, some species are used in the prevention of this disease and also in the recovery after using conventional anti-malarial drugs.

Useful Brazilian plants listed in the manuscripts and publications of the Scottish medic and naturalist George Gardner (1812-1849).

ETHNOPHARMACOLOGICAL RELEVANCE: Information regarding the beneficial use of native Brazilian plants was compiled by a number of European naturalists in the 19th century. The Scottish surgeon botanist George Gardner (1812-1849) was one such naturalist; however, the useful plants recorded in his manuscripts have not yet been studied in depth. AIM OF THE STUDY: To present data recorded by Gardner in his manuscript Catalogue of Brazilian Plants regarding the use of native plants by Brazilian people and evaluate the extent to which they have been explored. MATERIALS AND METHODS: Data on useful plants were obtained from Gardner׳s manuscript Catalogue of Brazilian Plants deposited in the Archives of the Royal Botanic Gardens, Kew, UK. The identification of each plant was determined and/or updated by consulting the preserved botanical collections of Gardner deposited in the Herbarium of the Royal Botanic Gardens, Kew (hereafter K), and expert determinations in other herbaria where duplicates are held. Correlated pharmacological studies for each plant were obtained from the PubMed database. Information recorded in Gardner׳s diary and previously published elsewhere complemented these data. RESULTS: A total of 63 useful plants was recorded from the Catalogue and a further 30 from Gardner׳s book Travels in the Interior of Brazil (Gardner, 1846). Of the recorded names in the Catalogue, 46 (73%) could be identified to species by consulting specimens collected by Gardner and held at Kew. Thirty-six different traditional uses were registered for the identified plants, the most common being as febrifuges, to treat venereal complaints and as purgatives. Fewer than 50% of these species have been the focus of published pharmacological studies, yet for those which have been thus investigated, the efficacies reported by Gardner were confirmed. CONCLUSION: The data recorded by Gardner represent a rich, relatively unexplored source of information regarding the traditional uses of Brazilian plants which merits further investigation.

Plantas vasculares da região do Parque Estadual Cristalino, norte de Mato Grosso, Brasil / Vascular plants from the Parque Estadual Cristalino, Northern Mato Grosso, Brazil

Os resultados do primeiro inventário botânico detalhado da região do Parque Estadual Cristalino, Mato Grosso, Brasil, são apresentados, incluindo uma lista de espécies. Um total de 1366 espécies de plantas vasculares distribuídas em 626 gêneros e 151 famílias foram registradas. As famílias com maior número de espécies foram Leguminosae, Rubiaceae, Melastomataceae, Malvaceae sensu lato e Moraceae. A flora inclui pelo menos sete novas espécies e diversos endemismos da região da Serra do Cachimbo, assim como muitos registros novos para o estado e alguns novos para o Brasil. Mais estudos provavelmente irão incrementar o número de espécies de forma significativa. Apesar da região apresentar uma diversidade alfa relativamente baixa em comparação a outras regiões já estudadas na Amazônia, a sua grande heterogeneidade de fitofisionomias é refletida numa elevada diversidade beta. Levando em conta esta riqueza biológica, situação importante mas ainda pouco estudada da margem ecotonal da Amazônia meridional, e sua posição estratégica com relação ao avanço sul-norte do deflorestamento, a região do Cristalino ocupa alta prioridade em termos de conservação.

The results of the first detailed botanical inventory in the region of the Cristalino State Park, Mato Grosso, Brazil, are presented, including an annotated checklist. A total of 1366 species of vascular plants, representing 626 genera and 151 families, were recorded. The most species-diverse families included Leguminosae, Rubiaceae, Melastomataceae, Malvaceae (sens. lat.) and Moraceae. The flora includes at least seven new species and several endemics from the Serra do Cachimbo, as well as many new records for the State of Mato Grosso and several for Brazil. Further studies are likely to increase the number of species significantly. The region does not show high alpha-diversity by Amazonian standards but is ecologically diverse, resulting in high levels of beta-diversity. Considering this biological richness, its situation within the important yet relatively poorly studied ecotone of the Amazonian margin, and its strategic position at the advancing frontier of deforestation pushing northwards into the basin, Cristalino is a high priority for conservation.

The role of botanic gardens in the science and practice of ecological restoration.

Many of the skills and resources associated with botanic gardens and arboreta, including plant taxonomy, horticulture, and seed bank management, are fundamental to ecological restoration efforts, yet few of the world's botanic gardens are involved in the science or practice of restoration. Thus, we examined the potential role of botanic gardens in these emerging fields. We believe a reorientation of certain existing institutional strengths, such as plant-based research and knowledge transfer, would enable many more botanic gardens worldwide to provide effective science-based support to restoration efforts. We recommend botanic gardens widen research to include ecosystems as well as species, increase involvement in practical restoration projects and training practitioners, and serve as information hubs for data archiving and exchange.

Using learning networks to understand complex systems: a case study of biological, geophysical and social research in the Amazon.

Developing high-quality scientific research will be most effective if research communities with diverse skills and interests are able to share information and knowledge, are aware of the major challenges across disciplines, and can exploit economies of scale to provide robust answers and better inform policy. We evaluate opportunities and challenges facing the development of a more interactive research environment by developing an interdisciplinary synthesis of research on a single geographic region. We focus on the Amazon as it is of enormous regional and global environmental importance and faces a highly uncertain future. To take stock of existing knowledge and provide a framework for analysis we present a set of mini-reviews from fourteen different areas of research, encompassing taxonomy, biodiversity, biogeography, vegetation dynamics, landscape ecology, earth-atmosphere interactions, ecosystem processes, fire, deforestation dynamics, hydrology, hunting, conservation planning, livelihoods, and payments for ecosystem services. Each review highlights the current state of knowledge and identifies research priorities, including major challenges and opportunities. We show that while substantial progress is being made across many areas of scientific research, our understanding of specific issues is often dependent on knowledge from other disciplines. Accelerating the acquisition of reliable and contextualized knowledge about the fate of complex pristine and modified ecosystems is partly dependent on our ability to exploit economies of scale in shared resources and technical expertise, recognise and make explicit interconnections and feedbacks among sub-disciplines, increase the temporal and spatial scale of existing studies, and improve the dissemination of scientific findings to policy makers and society at large. Enhancing interaction among research efforts is vital if we are to make the most of limited funds and overcome the challenges posed by addressing large-scale interdisciplinary questions. Bringing together a diverse scientific community with a single geographic focus can help increase awareness of research questions both within and among disciplines, and reveal the opportunities that may exist for advancing acquisition of reliable knowledge. This approach could be useful for a variety of globally important scientific questions.

Fatal injuries in the United States involving respirators, 1984-1995.

There is little published information concerning the epidemiology of fatal injuries involving respiratory protection. We compiled a case series from U.S. Occupational Safety and Health Administration investigation reports from 1984 through 1995. For the 12-year period there were 41 incidents resulting in 45 deaths due to asphyxiation or chemical poisoning while wearing a respirator. There were 23 deaths related to airline respirators, 17 deaths involving use of negative pressure (air purifying) respirators, and 5 deaths involving self-contained breathing apparatus. Among the 23 deaths involving airline respirators, 15 were associated with compatible connection couplings for breathable air and inert gases. Three workers with beards died who wore tight-fitting respirators in an atmosphere that was immediately dangerous to life and health. Most of the fatalities involved regulatory and procedural violations, and would have been prevented by proper training and compliance with existing regulations. The information concerning the victims was limited but it did not appear that medical screening would have prevented any of the deaths.