47 resultados para Diversity and Rights in Care

em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"


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Little of Brazil's remaining Atlantic forest is protected, so it is important to assess how well the region's wildlife can persist in areas/habitats outside reserves. We studied bird diversity and abundance during 546 point counts in the Sooretama/Linhares reserve, 200 point counts in 31 forest fragments (10-150 h), and 50 point counts in < 30-year-old Eucalyptus plantations, within 7 km of the reserve. Only eight bird species were recorded in Eucalyptus, and this impoverishment, as compared to some Eucalyptus plantations elsewhere in Brazil may be a result of intensive clearance of understory vegetation. Species diversity in forest fragments was significantly lower than in the reserve. Twelve, mostly non-forest or edge species, were significantly commoner in the fragments, but nineteen species were frequent in the reserve but rare or absent in forest fragments. These included two Pyrrhura parakeets, a Brotogeris parakeet, a trogon Trogon, a jacamar Galbula, woodpeckers Piculus and Campephilus, Myrmotherula antwrens, and Hemithraupus and Tachyphonus tanagers. Bird species richness at points in forest fragments did not decline with fragment size, distance from the reserve, or forest quality. However, forest in fragments was more heavily degraded than forest within the reserve and poor forest quality may be the cause of declines in some species. Whilst protection of forest within reserves is a priority, management of forest fragments may aid conservation of some threatened species.

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Monthly samples were taken from April 1992 to March 1993 of fish assemblages present in six permanent lagoons and four ponds, fragmented from them during the drought period and during the terminal phases of desiccation, to evaluate changes in their diversity, abundance and dominance. Their relationships with hydrological and environment conditions were examined. A total of 63 fish species were identified. Species composition and abiotic factors were heterogeneous among the different water bodies. The proportion of piscivores and oxygen concentration were the determining factors for structuring the assemblages. The impact of piscivory upon fish diversity was neutral at the beginning and negative at the end of the dry season. In the terminal phase of desiccation, diversity was higher in ponds that contained a moderate proportion of piscivores than in these containing a higher proportion.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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The merozoite surface protein-2 (MSP-2) of Plasmodium falciparum comprises repeats flanked by dimorphic domains defining the allelic families FC27 and IC1. Here, we examined sequence diversity at the msp-2 locus in Brazil and its impact on MSP-2 antibody recognition by local patients. Only 25 unique partial sequences of msp-2 were found in 61 isolates examined. The finding of identical msp-2 sequences in unrelated parasites, collected 6-13 years apart, suggests that no major directional selection is exerted by variant-specific immunity in this malaria-endemic area. To examine antibody cross-reactivity, recombinant polypeptides derived from locally prevalent and foreign MSP-2 variants were used in ELISA. Foreign IC1-type variants, such as 3D7 (currently tested for human vaccination), were less frequently recognized than FC27-type and local IC1-type variants. Antibodies discriminated between local and foreign IC1-type variants, but cross-recognized structurally different local IC1-type variants. The use of evolutionary models of MSP-2 is suggested to design vaccines that minimize differences between local parasites and vaccine antigens. (C) 2004 Elsevier B.V. All rights reserved.

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Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the São Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions.Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of São Paulo (in 1990, 80% of deliveries and almost all admissions for children less than 1 year versus 32% and 46%, respectively, in 2002). The use of primary care units and 24-hour walk-in clinics also increased. All these changes reflect care provided by public resources. In the private sector, there was a decrease in direct payments and payments through company-paid health insurance and an increase in payments through self-paid health insurance.Conclusions. The major changes observed in the second survey occurred simultaneous to the changes that resulted from the implementation of the SUS. Population-based health surveys are adequate for analyzing and comparing the utilization of health care services at different times.

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