294 resultados para TRUST-REGION ALGORITHM
Resumo:
OBJECTIVE to describe hospital admissions for ambulatory care sensitive conditions in children under five years of age in the State of Paraná, Brazil by condition type, age group and health region. METHOD a temporal ecological study was conducted using data from the Unified Health System Hospital Information System for the period 2000 to 2011. Conditions were grouped in accordance with the list of ambulatory care sensitive conditions in Brazil. RESULTS there was an increase in the rate of admissions for ambulatory care sensitive conditions in all age groups in 50% of the health regions, with a marked increase in children under the age of one. Pneumonia, gastroenteritis and asthma were the main causes of admissions. There was an increase in the proportion of overall admissions accounted for by pneumonia and gastroenteritis. CONCLUSION the increase in admissions reveals the need for actions to improve access to primary healthcare and provide effective treatment of the main ambulatory care sensitive conditions in order to prevent hospital admissions among children.
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OBJECTIVEAnalysing the concepts of Continuous Health Education - CHE (EPS - in Portuguese), operated by municipal managers and translated into official documents.METHODQualitative research with the use of official documents and semi-structured interviews with the Municipal Health Secretaries or Coordinators of Primary Health Care in the Northeast Region of São Paulo State, and thematic analysis of empirical material.RESULTSResults indicate difficulties in the municipalities problematizing their management practices, services and health care; EPS tools presented are insufficient and unsatisfactory for amending the array of problems raised and are still far from the routine of Primary Care services.CONCLUSIONDespite efforts to implement EPS actions for the strengthening of primary care, the process appears to be incipient.
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Heilipus odoratus sp. nov. (type locality: Brazil, Amazonas, Manaus) is described based on adults reared from seeds of Aniba rosaeodora Ducke (Lauraceae), popularly called "pau-rosa". The species is spermophagous and develops from egg to adult inside the seeds. The new taxon is compared with the similar Heilipus draco (Fabricius, 1801). Illustrations of larva, pupa, adult and of important structures for species identification are given, including the male and female genitalia, figured for the first time for a species of Heilipus.
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A new species of treehopper, Calloconophora gaudencia sp. nov., from Araruna, Paraíba State, is described and illustrated.
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The genus Myllaena Erichson, 1837, of the tribe Myllaenini Ganglbauer, 1895, is recorded from Brazil for the first time. A new species, Myllaena brasiliensis sp. nov., is described and illustrated; it is closely related to the insomnis species group, described from the Nearctic region. A short diagnosis of the genus and an annotated catalog of Myllaena species from the Neotropical region are also provided.
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Pimelerodius punctiventris sp. nov. (type locality Brazil, Amazonas, Itacoatiara) is described and illustrated. The new taxon is compared with similar species, being distinguished from the other 12 known species of the genus by the presence of punctures in ventrite I. The available published key for identification of species of Pimelerodius is adapted to include the new species. A modification of the generic description of the aedeagus of Pimelerodius is provided, a necessity due to the differences observed in the aedeagus of the new species. The occurrence of P. motacilla (Boheman, 1843) in the Amazon Region, recorded in sympatry with P. punctiventris in Itacoatiara, AM, is discussed and confirmed, based on the study of 41 available specimens.
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In Colombia, mainly classic forensic medicine methods were used to clarify crimes until 2004. However, other disciplines, including forensic entomology, started to be considered only after the New Accusatory System introduction in Bogotá and the Coffee Region in 2005. In order to provide tools for obtaining evidentiary material elements in judicial trials, it is presented here the succession of insects throughout the decomposition process of an exposed carcass of Sus scrofa Linnaeus 1758 (Suidae) and the Occurrence Matrix of colonizing species. This process was evaluated under ambient conditions in the Andean rural area of the city of Pereira, in the Mundo Nuevo district, located in a pre-montane Wet Forest area, from October to November 2006. A sampling period of 27 days and 3198 individuals were collected. We found these colonizing species in the following stages of decomposition: Lucilia eximia (Wiedemann, 1819) fresh; Hemilucilia semidiaphana (Rondani, 1850), Oxelytrum discicolle (Brullé, 1840), and Cochliomyia macellaria (Fabricius 1775) bloated; Chrysomya albiceps (Wiedemann 1819), Compsomyiops verena (Walker, 1849), Ophyra aenescens (Wiedemann, 1830) and Musca domestica Linnaeus, 1758 active; Fannia sp. advanced and Stearibia nigriceps (Meigen, 1826) remains. This study provides support tools to define the Post Mortem Interval that may be used by experts from government institutions and laboratories officially accredited.
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Butterflies (Lepidoptera, Papilionoidea and Hesperioidea) of the "Baixada Santista" region, coastal São Paulo, southeastern Brazil. A list with 538 species of butterflies recorded in the Baixada Santista, São Paulo ( SE Brazil) is presented. Standard sampling protocols (i.e. with entomological nets) were followed. Baited traps were installed for fruit feeding species. Data from the literature and entomological collections were also considered in the total estimated species richness. The species richness recorded in the Baixada Santista region represents about 16% of the Brazilian butterfly fauna, and 34% of the known butterfly fauna for the state of São Paulo. The present list contains an appreciably higher number of species in comparison to other lists from similar biomes farther south, such as Blumenau in Santa Catarina, and Maquiné in Rio Grande do Sul.
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Bionomic data and larval density of Scarabaeidae (Pleurosticti) in sugarcane in the central region of Mato Grosso do Sul, Brazil. Phytophagous larvae of Scarabaeidae cause damage to diverse crops. Information on these pests is scarce; therefore, the objective of this study was to determine biological aspects and larval density of species occurring in an area of sugarcane. The studies were developed in Sidrolândia from April 2009 to March 2010. Scarab beetle larvae were collected in sugarcane roots every fifteen days, taken to the laboratory and reared to obtain the adults and determine biological parameters. A total of 2,656 larvae were collected, being 162 Liogenys fuscus, 120 Cyclocephala verticalis, 37 Cyclocephala forsteri, and 2337 Anomonyx sp. In January, 53.65 larvae m-2 were obtained, and the most abundant species was Anomonyx sp, representing 87.99% of the total larvae collected. From November to March, the greatest densities of Anomonyx were observed in the field. The adults of this species occurred from May to September, and egg laying from September to November. Eggs measured 1.1 x 1.7 mm, and incubation period last 15.4 days. First instar larvae were observed mainly in October; second instar larvae from November to April; and third instar from January to July. Pupae were observed from May to August. The most abundant scarab beetle, Anomonyx sp. in roots of sugarcane presents one generation per year in Sidrolândia, MS.