Da Organização Do Sistema à Fragmentação Do Cuidado: A Percepção De Usuários, Médicos E Farmacêuticos Sobre O Componente Especializado Da Assistência Farmacêutica

The Specialized Pharmaceutical Care Component (CEAF) of the Unified Health System (SUS) aims to ensure the comprehensiveness of drug treatment in the outpatient care. In order to analyze the perceptions of the actors involved with the CEAF about this Component, a qualitative research (focus group and semi-structured interviews) was conducted. A strong dependence of CEAF in relation to other structural actions in health policy was observed. According to the actors, the current organization and management of health services do not promote continuity of care, which results in fragmented care. Factors such as lack of coordination among healthcare services and professionals, problems in the organization of flows and insufficient provision of services were highlighted. Furthermore, the focus of pharmaceutical services on medication, that means, a minimalist view, has impacted in different ways the healthcare provided for the people. Coordination of services, appropriate to health needs, should result in the perception of continuity of care from the perspective of the user is necessary In this way, it is understood that the access to medication has been ensured, but the comprehensiveness of healthcare, preconized by the “healthcare lines”, is compromised. © 2016, Institute de Medicina Social da UERJ. All rights reserved.26269171

Acoustic assessment and distribution of the main pelagic fish species in ICES Subdivision 9a South during the ECOCADIZ 2020-07 Spanish survey (August 2020)

The present working document summarises the main results obtained from the ECOCADIZ 2020-07 Spanish (pelagic ecosystem-) acoustic-trawl survey conducted by IEO between 01st and 14th August 2020 in the Portuguese and Spanish shelf waters (20-200 m isobaths) off the Gulf of Cadiz (GoC) onboard the R/V Miguel Oliver. The 21 foreseen acoustic transects were sampled. A total of 26 valid fishing hauls were carried out for echo-trace ground-truthing purposes. Four additional night trawls were conducted to collect anchovy hydrated females (DEPM-adult ad hoc sampling). Chub mackerel was the most frequent captured species in the fishing hauls, followed by mackerel, anchovy, horse mackerel, bogue, sardine, blue jack mackerel and Mediterranean horse mackerel. Round sardinella, longspine snipefish, Atlantic pomfret and transparent goby showed a very low occurrence, whereas the occurrence of boarfish and pearlside was incidental. Chub mackerel, anchovy and sardine showed the highest yields in these hauls. The estimate of total NASC allocated to the “pelagic fish species assemblage” has shown a slight decrease in relation to the historical records in 2018 and 2019, mainly caused by the regional decrease in Spanish waters. However, both total and regional estimates are still above their respective historical averages. Such estimates are the result of the relatively high acoustic contributions of anchovy, sardine (both mainly in Spanish waters), and chub mackerel (in Portuguese waters). GoC anchovy was widely distributed in the surveyed area, showing the highest densities between Cape Santa Maria and Bay of Cadiz. Anchovy acoustic estimates in summer 2020 were of 5153 million fish and 44 877 tones, with the bulk of the population occurring in the Spanish waters. The population was composed by fishes not older than 2 years, with age-0 fish contributing 75% of the total population. The largest (and oldest) fish were distributed in the westernmost waters and the smallest (and youngest) ones concentrated in the surroundings of the Guadalquivir river mouth and adjacent shallow waters. The current biomass estimate becomes in the second historical maximum within the time-series. GoC sardine distributed almost all over the surveyed area (avoiding the Spanish easternmost waters), but was mainly concentrated between west Cape Santa Maria and the Bay of Cadiz, especially in the Spanish central waters of the Gulf, where numerous dense mid-water schools were recorded in the coastal fringe (20-40 m depth). The estimates of sardine abundance and biomass in summer 2020 were 1923 million fish and 50 721 t, estimates close to the historical average, but lower than the values estimated last year and the most recent maxima reached in 2018. Although up to 5-year olds were recorded in the population, age-0 juveniles accounted for 71% of the total numbers, mainly occurring in relatively shallow waters along the coastal fringe comprised between Tinto-Odiel river mouth and the Bay of Cadiz. Chub mackerel was widely distributed in the surveyed area, mainly in the central and western shelf waters, although the highest densities occurred in the western Algarve. A total of 32 854 t and 448 million fish were estimated for Chub mackerel, estimates similar to the most recent ones and very close to the time-series average. Age-0 and age-1 groups were the dominant age groups and mainly occurring in the Portuguese waters. The oldest fish (3-5 years) occurred almost exclusively in Spanish water

U-Pb zircon and monazite geochronology of Variscan magmatism related to syn-convergence extension in Central Northern Portugal

The Viseu area is located in the Central Iberian Zone of the Iberian Variscan Belt and hosts numerous post-thickening, collision-related granitoids intruded into upper and middle crustal levels. The present paper reports high precision U-Pb zircon and monazite ages for four plutons of the Viseu area: The syn-kinematic granitoids of Maceira (314±5 Ma), Casal Vasco (311±1 Ma) and Junqueira (307.8±0.7 Ma) and the late-kinematic biotite monzogranites of Cota (306±9 Ma). This points to a synchronous emplacement of the different syn-kinematic plutons shortly followed by the intrusion of the late-kinematic granites and shows that the Upper Carboniferous plutonism occurred within a short time span of ca. 10 million years. The ascent of granite magmas took place after an extensional tectonic event (D2) and is coeval with dextral and sinistral crustal-scale transcurrent shearing (D3). Field and petrographical evidence suggest a narrow time-span between peak T metamorphic conditions and the intrusion of granitic melts which implies very fast uplift rates accommodated through active tectonic exhumation. Magma compositions evolve through time, reflecting an increasing involvement of mid-crustal sources and the underplating effect of an upwelling asthenospheric mantle at the base of a thinning and stretching continental crust. © 2005 Elsevier B.V. All rights reserved

Cichlid biogeography: comment and review

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72313/1/j.1467-2979.2004.00148.x.pd