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Objective: To evaluate the efficacy of a cardiac rehabilitation program (CRP) in improving adherence to non-pharmacological secondary prevention in patients with acute coronary syndrome (ACS). Method: Retrospective study of patients with ACS referred to CRP in a tertiary hospital from 2018 to 2021. Pre-post differences in adherence to physical activity, Mediterranean diet, smoking, and motivation to change were analyzed. Age, sex, and baseline motivation were analyzed in predicting change in adherence. Results: 418 patients were included. At the end of the CRP, the adherence to the mediterranean diet increased (p < 0.05; d = 0.83), frequency of physical activity increased by 2.16 (p < 0.05), and motivation to change remained constant (p = 0.94). Both women and men improved their adherence to the mediterranean diet. Both sexes performed more physical activity at the end of the CRP (1.89 times more in men and 4 times more in women; p < 0.05). An association was found between initial motivation and greater changes in adherence to the mediterranean diet (p < 0.05). An inversely proportional difference was observed between age and adherence to the mediterranean diet (p < 0.05). Conclusions: The CRP, in our hospital environment, has an effect of improving adherence to the mediterranean diet and physical exercise in patients with ACS. The change in adherence to the diet increases as the motivation to change the baseline increases, and age is inversely related to the change in adherence.

Objetivo: Evaluar la eficacia de un programa de rehabilitación cardiaca (PRC) sobre la mejora de la adherencia a las medidas de prevención secundaria no farmacológicas en pacientes con síndrome coronario agudo (SCA). Método: Estudio retrospectivo con pacientes con SCA derivados a PRC en un hospital terciario de 2018 a 2021. Se analizaron diferencias pre-post de adherencia a actividad física, dieta mediterránea, tabaquismo y motivación al cambio. Se analizaron la edad, el sexo y la motivación basal en la predicción del cambio de adherencia. Resultados: Se incluyeron 418 pacientes. Al final del PRC aumentó la adherencia a la dieta mediterránea (p < 0.05; d = 0.83), la frecuencia de actividad física aumentó 2,16 (p < 0.05) y la motivación al cambio se mantuvo constante (p = 0.94). Tanto las mujeres como los hombres mejoraron la adherencia a la dieta mediterránea. Ambos sexos realizaron más ejercicio físico al final del PRC (1.89 veces más los hombres y 4 las mujeres; p < 0.05). Se encontró una asociación entre motivación inicial y mayores cambios en la adherencia a la dieta mediterránea (p < 0.05). Se observó una diferencia inversamente proporcional entre la edad y la adherencia a la dieta mediterránea (p < 0.05). Conclusiones: El PRC, en nuestro medio hospitalario, mejora la adherencia a la dieta mediterránea y al ejercicio físico en los pacientes con SCA. La adherencia a la dieta mediterránea aumenta a medida que lo hace la motivación al cambio basal, mientras que la edad está inversamente relacionada con el cambio de adherencia.

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Seasonally dry forests (SDFs) are one of the most challenging ecosystems for amphibians, fueling the diversity of this group of vertebrates. An updated inventory of native amphibians present in the Equatorial SDF is provided, which extends along the Pacific coast of Ecuador and northwestern Peru. The study is based on an extensive field sampling (two thirds of the total records) carried out throughout the Equatorial SDF, along with a compilation of the available information on distribution of amphibians in the region from published scientific papers, museum collections and on-line databases. The final dataset included 2,032 occurrence records for 30 amphibian species, belonging to eight anuran families. Additionally, data regarding conservation status, habitat use, spawn deposition site, reproductive mode, and body size, along with an identification key for all encountered species are provided. The results indicate a strong sampling bias with a deficit in the Peruvian part of the study area, and a need for urgent inventories targeted at under-sampled areas, using modern taxonomic methods. The study emphasizes the conservation priorities in the Equatorial SDF, based on the distribution, conservation status and life-history data. This information should be useful for the local authorities and institutions involved in the management and conservation of biodiversity in SDF.

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Disentangling the processes that drive plant community assembly is critical for understanding the patterns of plant diversity. We studied how different abiotic and biotic factors shape the interplay between the facets of alpine plant diversity, functional (FD), phylogenetic (PD) and taxonomic diversity (TD), in three different mountain ranges with contrasting evolutionary histories and climate conditions (Pyrenees and Mediterranean-type mountains in central Spain and Chilean Andes). We hypothesized that the causal links vary in strength and sign across regions. We used species inventories, functional trait data, and a phylogeny from 84 plant communities spread throughout three high-mountain alpine grasslands. Structural equation models were used to test our causal hypotheses on the relationships observed between the three diversity facets, and the abiotic (elevation, potential solar radiation and soil total nitrogen) and biotic factors (C-score). Despite our causal model presented a high variability in each mountain range, TD always decreased with increasing elevation (sum of direct and indirect effects). We also found some patterns suggesting that assembly processes could be climatically/biogeographically structured such as the negative relationship between FD and elevation found in Mediterranean mountains and the negative relationship between FD and TD found in both Spanish mountain ranges (independently of their different climates). A remarkable finding of this study is that ecological factors such as soil total nitrogen and elevation indirectly alter the relationships between the diversity facets. Our results suggest that diversity facets are simultaneously affected by different ecological and biogeographical/evolutionary processes, resulting in some general trends but also in parallel idiosyncratic patterns. Our findings highlight that although FD stand out by its explanatory power of community processes, TD and PD provide a complementary and necessary view that should not be disregarded in the attempt to globally explain community assembly processes.

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Mountains are considered excellent natural laboratories for studying the determinants of plant diversity at contrasting spatial scales. To gain insights into how plant diversity is structured at different spatial scales, we surveyed high mountain plant communities in the Chilean Andes where man-driven perturbations are rare. This was done along elevational gradients located at different latitudes taking into account factors that act at fine scales, including abiotic (potential solar radiation and soil quality) and biotic (species interactions) factors, and considering multiple spatial scales. Species richness, inverse of Simpson's concentration (Dequiv), beta-diversity and plant cover were estimated using the percentage of cover per species recorded in 34 sites in the different regions with contrasted climates. Overall, plant species richness, Dequiv and plant cover were lower in sites located at higher latitudes. We found a unimodal relationship between species richness and elevation and this pattern was constant independently of the regional climatic conditions. Soil quality decreased the beta-diversity among the plots in each massif and increased the richness, the Dequiv and cover. Segregated patterns of species co-occurrence were related to increases in richness, Dequiv and plant cover at finer scales. Our results showed that elevation patterns of alpine plant diversity remained constant along the regions although the mechanisms underlying these diversity patterns may differ among climatic regions. They also suggested that the patterns of plant diversity in alpine ecosystems respond to a series of factors (abiotic and biotic) that act jointly at different spatial scale determining the assemblages of local communities, but their importance can only be assessed using a multi-scale spatial approach.

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We assessed the relative importance of dispersal limitation, environmental heterogeneity and their joint effects as determinants of the spatial patterns of 229 species in the moist tropical forest of Barro Colorado Island (Panama). We differentiated five types of species according to their dispersal syndrome; autochorous, anemochorous, and zoochorous species with small, medium-size and large fruits. We characterized the spatial patterns of each species and we checked whether they were best fitted by Inhomogeneous Poisson (IPP), Homogeneous Poisson cluster (HPCP) and Inhomogeneous Poisson cluster processes (IPCP) by means of the Akaike Information Criterion. We also assessed the influence of species' dispersal mode in the average cluster size. We found that 63% of the species were best fitted by IPCP regardless of their dispersal syndrome, although anemochorous species were best described by HPCP. Our results indicate that spatial patterns of tree species in this forest cannot be explained only by dispersal limitation, but by the joint effects of dispersal limitation and environmental heterogeneity. The absence of relationships between dispersal mode and degree of clustering suggests that several processes modify the original spatial pattern generated by seed dispersal. These findings emphasize the importance of fitting point process models with a different biological meaning when studying the main determinants of spatial structure in plant communities.

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Interactions among species determine local-scale diversity, but local interactions are thought to have minor effects at larger scales. However, quantitative comparisons of the importance of biotic interactions relative to other drivers are rarely made at larger scales. Using a data set spanning 78 sites and five continents, we assessed the relative importance of biotic interactions and climate in determining plant diversity in alpine ecosystems dominated by nurse-plant cushion species. Climate variables related with water balance showed the highest correlation with richness at the global scale. Strikingly, although the effect of cushion species on diversity was lower than that of climate, its contribution was still substantial. In particular, cushion species enhanced species richness more in systems with inherently impoverished local diversity. Nurse species appear to act as a 'safety net' sustaining diversity under harsh conditions, demonstrating that climate and species interactions should be integrated when predicting future biodiversity effects of climate change.

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