Family Health Strategy and More Doctors Program in Rural Area of Porto Velho, Brazil: A Qualitative Analysis under the Nurse’s Perspective

The Family Health Strategy (FHS) together with the implementation of the More Doctors Program (MDP) has an effective contribution to the strengthening of Primary Health Care (PHC) and the consolidation of the Unified Health System (SUS), which has intended to meet the health needs of the population in need of care less complex. Thus, this study aims to analyze the Family Health Strategy and the Program More Doctors implanted in the Rural Municipality of Porto Velho, Rondônia, from the perspective of nurses. This is a qualitative research, descriptive exploratory performed in the field, based on the assessment the perspective of nurses working in the FHS, which are favored by the MDP. The data collection was carried out through a questionnaire,Primary Care Assessment Tool (PCA Tool), in its version validated in Brazil entitled PCA Tool- Brazil (BRAZIL, 2010). This instrument is widely used by national research that evaluates the quality of primary care. For the construction of the database was used Microsoft Word software. For qualitative data, the collection was carried out through interviews recorded by a script containing open questions. The response were discussed based on the content analysis technique proposed by Bardin (2011). The results achieved indicate that the MDM enabled the structuring of teams that were incomplete in the rural area of the town, however presents numerous challenges in the organization of the work process and the understanding of program objectives

Structural and spectroscopic investigation of the charge-ordered, short-range ordered, and disordered phases of the Co3O2BO3 ludwigite

Charge ordering is prone to occur in crystalline materials with mixed-valence ions. It is presumably accompanied by a structural phase transition, with possible exceptions in compounds that already present more than one inequivalent site for the mixed-valence ions in the charge-disordered phase. In this work, we investigate the representative case of the homometallic Co ludwigite Co2+2Co3+O2BO3 (Pbam space group) with four distinct Co crystallographic sites [M1–M4] surrounded by oxygen octahedra. The mixed-valent character of the Co ions up to at least T=873 K is verified through x-ray absorption near-edge structure (XANES) experiments. Single crystal x-ray diffraction (XRD) and neutron powder diffraction (NPD) confirm that the Co ions at the M4 site are much smaller than the others at low temperatures, consistent with a Co3+ oxidation state at M4 and Co2+ at the remaining sites. The size difference between the Co ions in the M4 and M2 sites is continuously reduced upon warming above ≈370 K, indicating a gradual charge redistribution within the M4−M2−M4 (424) ladder in the average structure. Minor structural anomalies with no space group modification are observed near 475 and 495 K, where sharp phase transitions were previously revealed by calorimetry and electrical resistivity data. An increasing structural disorder, beyond a conventional thermal effect, is noted above ≈370 K, manifested by an anomalous increment of XRD Debye-Waller factors and broadened vibrational modes observed by Raman scattering. The local Co-O distance distribution, revealed by Co K-edge extended x-ray absorption fine structure (EXAFS) data and analyzed with an evolutionary algorithm method, is similar to that inferred from the XRD crystal structure below ≈370 K. At higher temperatures, the local Co-O distance distribution remains similar to that found at low temperatures, at variance with the average crystal structure obtained with XRD. We conclude that the oxidation states Co2+ and Co3+ are instantaneously well defined in a local atomic level at all temperatures, however the thermal energy promotes local defects in the charge-ordered configuration of the 424 ladders upon warming. These defects coalesce into a phase-segregated state within a narrow temperature interval (475<T<495 K). Finally, a transition at ≈500 K revealed by differential scanning calorimetry (DSC) in the iron ludwigite Fe3O2BO3 is discussed

Post-embriononic development of Chrysomya putoria(Diptera: Calliphoridae) on a diet containing ampicillin in different concentrations

Here we evaluate the effects of different concentrations of the antibiotic ampicillin on the growth and development of Chrysomya putoria. Third-generation, first instar larvae (L1) reared on 60 grams of homogenate+agar 65% were treated with ampicillin sodium. The experiment consisted of four replicates (40 larvae/replicate) of each antibiotic concentration tested (T1: 466µg/mL ; T2: 81.33 mg/mL and T3: 166.66mg/mL) and a T4: control. The body mass of the mature larvae, after they abandoned the diet, were recorded in batches of five. The variation between the mean body mass of larvae and the duration of larval and pupal stages, and overall duration of the development, viability and normal rates were analyzed by ANOVA. There were no significant differences between the four treatments in the following parameters: body mass of larvae that discontinued the diet as well as the duration of larval, pupal, and total development. The sex ratios found in the four treatments did not differ from those expected. Normality rates were 100% for all treatments. There were no significant differences between treatments for larval and overall viability, but pupal viability differed significantly between T1 and the control, T1 and T2, and between the control and T3. The antibiotic did not appear to significantly alter the development of C. putoria