For millennia, Amazonian peoples have managed forest resources, modifying the natural environment in subtle and persistent ways. Legacies of past human occupation are striking near archaeological sites, yet we still lack a clear picture of how human management practices resulted in the domestication of Amazonian forests. The general view is that domesticated forests are recognizable by the presence of forest patches dominated by one or a few useful species favored by long-term human activities. Here, we used three complementary approaches to understand the long-term domestication of Amazonian forests. First, we compiled information from the literature about how indigenous and traditional Amazonian peoples manage forest resources to promote useful plant species that are mainly used as food resources. Then, we developed an interdisciplinary conceptual model of how interactions between these management practices across space and time may form domesticated forests. Finally, we collected field data from 30 contemporary villages located on and near archaeological sites, along four major Amazonian rivers, to compare with the management practices synthesized in our conceptual model. We identified eight distinct categories of management practices that contribute to form forest patches of useful plants: (1) removal of non-useful plants, (2) protection of useful plants, (3) attraction of non-human animal dispersers, (4) transportation of useful plants, (5) selection of phenotypes, (6) fire management, (7) planting of useful plants, and (8) soil improvement. Our conceptual model, when ethnographically projected into the past, reveals how the interaction of these multiple management practices interferes with natural ecological processes, resulting in the domestication of Amazonian forest patches dominated by useful species. Our model suggests that management practices became more frequent as human population increased during the Holocene. In the field, we found that useful perennial plants occur in multi-species patches around archaeological sites, and that the dominant species are still Levis et al. Amazonian Forest Domestication managed by local people, suggesting long-term persistence of ancient cultural practices. The management practices we identified have transformed plant species abundance and floristic composition through the creation of diverse forest patches rich in edible perennial plants that enhanced food production and food security in Amazonia.

Historical ecologists have demonstrated legacy effects in apparently wild landscapes in Europe, North America, Mesoamerica, Amazonia, Africa and Oceania. People live and farm in archaeological sites today in many parts of the world, but nobody has looked for the legacies of past human occupations in the most dynamic areas in these sites: homegardens. Here we show that the useful flora of modern homegardens is partially a legacy of pre-Columbian occupations in Central Amazonia: the more complex the archaeological context, the more variable the floristic composition of useful native plants in homegardens cultivated there today. Species diversity was 10% higher in homegardens situated in multi-occupational archaeological contexts compared with homegardens situated in single-occupational ones. Species heterogeneity (β-diversity) among archaeological contexts was similar for the whole set of species, but markedly different when only native Amazonian species were included, suggesting the influence of pre-conquest indigenous occupations on current homegarden species composition. Our findings show that the legacy of pre-Columbian occupations is visible in the most dynamic of all agroecosystems, adding another dimension to the human footprint in the Amazonian landscape.

Most native Amazonian crops were domesticated in the periphery of the basin. The upper Madeira River basin is an important part of this periphery where several important crops were domesticated and others are suspected to have been domesticated or arrived early. Some of these crops have been reasonably well studied, such as manioc, peanut, peach palm, coca and tobacco, while others are not as well known, such as the hot peppers Capsicum baccatum and C. frutescens, and still others need confirmation, such as cocoyam and annatto. We review the information available for manioc, peach palm, Capsicum, peanut, annatto and cocoyam. The state-of-the-art for Capsicum frutescens, annatto and cocoyam is insufficient to conclude definitively that they were domesticated in the upper Madeira, while all the others have at least one of their origins or centers of diversity in the upper Madeira. Keywords: Amazonian crops. Center of domestication. Crop domestication. Southwestern AmazoniaResumo: A maioria dos cultivos nativos da Amazônia foi domesticada na periferia da bacia. A bacia do alto rio Madeira é uma parte importante dessa periferia, onde se suspeita que vários cultivos importantes foram domesticados, alguns são confirmados e outros possivelmente chegaram há muito tempo na região. Alguns destes cultivos foram razoavelmente bem estudados, tais como mandioca, amendoim, pupunha, coca e tabaco, enquanto outros não são tão bem conhecidos, como as pimentas Capsicum baccatum e C. frutescens, e ainda outros precisam de confirmação, como taioba e urucum. Revisamos as informações disponíveis para a mandioca, pupunha, Capsicum, amendoim, urucum e taioba. O estado da arte de Capsicum frutescens, urucum e taioba é insuficiente para concluir definitivamente que eles foram domesticados no alto rio Madeira, enquanto todos os outros têm pelo menos uma das suas origens ou centros de diversidade na região.

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O diabetes mellitus é causado por alterações na ação e/ou secreção da insulina, e quando mal controlada, provoca diversos danos induzindo complicações crônicas, como nefropatia e neuropatias, sobretudo nos pés. Objetivou-se investigar as complicações nos pés com diabetes atendidas no ambulatório de curativos de um hospital escola do município de Campina Grande-PARAÍBA. Pesquisa transversal, descritiva, com abordagem quantitativa, realizada em um ambulatório de atendimento a pacientes com úlceras nos pés, decorrentes da diabetes, em um hospital universitário. A pesquisa foi realizada com 38 participantes. A coleta de dados ocorreu de maio a abril de 2018, com a aplicação de um instrumento de coleta de dados com anamnese e exame físico. Verificou-se prevalência de diabetes tipo 2; com uma faixa etária média de 58,45 anos, predominando o sexo masculino. Identifica-se que 94,7% tinham duas ou mais alterações neuropáticas nos pés, 36,8% apresentavam neuropatia que afetava a coordenação motora; 42,1% não sentiam dor neuropática, contudo 86,8% tinham ferida aberta e 63,2% dos participantes apresentavam algum tipo de amputação em membros inferiores. Mais de 78% utilizavam calçados inadequados. Observou-se maior número de casos de diabetes tipo 2, predomínio em homens, devido a dificuldade para o autocuidado.