The importance of excretion by Chironomus larvae on the internal loads of nitrogen and phosphorus in a small eutrophic urban reservoir

Measurements of ammonium and phosphate excretion by the Chironomus larvae were conducted in order to evaluate the importance of these chironomids for the internal loads of a small eutrophic urban reservoir. Ammonium and phosphate excretion rates by Chironomus larvae of small size (6-10 mm total length) were significantly higher than those of the Chironomids having medium (9-11 mm) and large (11-16 mm) sizes. A dependence in relation to temperature was recorded for the ammonium and phosphate excretions that was significantly higher at 25 °C than at 20 and 15 °C. Through a linear relation between biomass (dry weight) and total length and, between excretion and biomass and, data on chironomids densities, after an intense sampling in 33 sites distributed all along the reservoir bottom, the mean phosphate and ammonium excretion rates corresponded to 2,014 ± 5,134 µg.m-2/day and 1,643 ± 3,974 µg.m-2/day, respectively. Considering the mean biomass (34 mg.m-2) of Chironomus, the lake area (88,156 m²) and the mean excretion rates, the contribution of benthic chironomids to the internal loads would be 181 KgP and 147 KgN. for the sampling months (October-November 1998). These values showed that the internal loads by excretion from Chironomus larvae correspond to approximately 33% of the external loads of phosphorus in the lake and, in the case of nitrogen, to only 5%

Validity and reliability of a health care service evaluation instrument for tuberculosis

OBJECTIVE To evaluate the validity and reliability of an instrument that evaluates the structure of primary health care units for the treatment of tuberculosis. METHODS This cross-sectional study used simple random sampling and evaluated 1,037 health care professionals from five Brazilian municipalities (Natal, state of Rio Grande do Norte; Cabedelo, state of Paraíba; Foz do Iguaçu, state of Parana; Sao José do Rio Preto, state of Sao Paulo, and Uberaba, state of Minas Gerais) in 2011. Structural indicators were identified and validated, considering different methods of organization of the health care system in the municipalities of different population sizes. Each structure represented the organization of health care services and contained the resources available for the execution of health care services: physical resources (equipment, consumables, and facilities); human resources (number and qualification); and resources for maintenance of the existing infrastructure and technology (deemed as the organization of health care services). The statistical analyses used in the validation process included reliability analysis, exploratory factor analysis, and confirmatory factor analysis. RESULTS The validation process indicated the retention of five factors, with 85.9% of the total variance explained, internal consistency between 0.6460 and 0.7802, and quality of fit of the confirmatory factor analysis of 0.995 using the goodness-of-fit index. The retained factors comprised five structural indicators: professionals involved in the care of tuberculosis patients, training, access to recording instruments, availability of supplies, and coordination of health care services with other levels of care. Availability of supplies had the best performance and the lowest coefficient of variation among the services evaluated. The indicators of assessment of human resources and coordination with other levels of care had satisfactory performance, but the latter showed the highest coefficient of variation. The performance of the indicators “training” and “access to recording instruments” was inferior to that of other indicators. CONCLUSIONS The instrument showed feasibility of application and potential to assess the structure of primary health care units for the treatment of tuberculosis