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Aim of the Study: We investigated the ethnomedical practices and knowledge of medicinal plant and fungus species of contemporary Yuracaré and Trinitario ethnic groups from Indigenous Territory and National Park Isiboro-Sécure (TIPNIS), located in the Bolivian Amazon region. Our aim was to identify the culturally most significant medicinal plant families, growth forms and species, as well as to assess the current state of knowledge regarding the bioactivity of the most important species, based on available literature data., Materials and Methods: Medicinal plant and fungus species were inventoried during homegarden and swidden sampling, walk-in-the-woods and transect sampling. Data on medicinal uses were obtained from 12 Yuracaré and 14 Trinitario participants., Results: We commence by providing a brief overview of Yuracaré and Trinitario ethnomedical systems, highlighting the important shamanistic component of particularly Trinitario traditional medicine. The rest of the paper is dedicated to an analysis and discussion based on the 349 inventoried medicinal plant and fungus species. Contingency table and binomial analyses of medicinal plants used versus the total number of inventoried species per family showed that several plant families are significantly over (Piperaceae, Araceae, Solanaceae, Asteraceae and Siparunaceae) and underused (Chrysobalanaceae, Sapotaceae, Lauraceae, Celastraceae and Annonaceae) in traditional medicine in TIPNIS. Also herbaceous plants are significantly overrepresented in the medicinal plant inventory, which is in line with relevant literature. Our ranking of medicinal species according to cultural significance is based on the Quality Use Agreement Value (QUAV) index we developed and presented in a previous paper. Results indicate that the QUAV index's property to mainly select species that combine multiple ethnomedical uses with high informant consensus, justifies its use as a measure of cultural significance of medicinal plants in TIPNIS. Results of a literature search suggest, on the other hand, that the QUAV(s) score of a species could also be indicative of its bioactivity., Conclusions: In addition to the QUAV index's value as a tool for assessing the cultural significance of medicinal species, it might also be useful to identify species with a higher likeliness of being bioactive., (Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.)

Objective: To investigate, by means of household surveys, the use of medicinal plants and pharmaceuticals in Apillapampa, a large Andean community of Quechua peasants, and in six small communities of Yuracaré-Trinitario "slash-and-burn" cultivators of the National Park Isiboro-Secure (the NPIS) in the Bolivian Amazon., Methods: A total of 12% of households in Apillapampa and nearly all households in the NPIS were interviewed about their use of medicinal plants and pharmaceuticals for treating illnesses. Informants were also asked to name any medicinal plants they knew., Findings: In spite of the presence of a primary health care service (PHC) with medical doctor in Apillapampa, an equal number of informants used medicinal plants and pharmaceuticals. In the NPIS, the prevalent use of medicinal plants or pharmaceuticals in any community depended on the distance of the community from the nearest village and from a PHC with medical doctor (r = 0.85 and r = -0.96; both P = 0.05. The NPIS communities' knowledge of plants expressed as the average number of medicinal plants mentioned correlated positively and negatively with distance from the nearest village and use of pharmaceuticals, respectively (r= 0.95, P < 0.005 and r = -0.90, P < 0.05, respectively)., Conclusion: The cultural importance of traditional medicine and the physical isolation of communities, both in general and from PHCs, are factors that influence the use of and knowledge about medicinal plants.