RESUMEN
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.
Asunto(s)
Estrategias de Salud Nacionales , Programas Nacionales de Salud , Atención Primaria de Salud , Brasil , EnfermerosRESUMEN
The objective of this study was to identify species of rhizobia (from the IPA 403 and IPA 49 isolates), to assess the physico-chemical characteristics of the biopolymers produced by these rhizobia and to determine the soluble intracellular proteins that are present in these rhizobia. The polysaccharides containing acetyl and pyruvic acid groups that were produced by different strains that had been cultivated in yeast extract mannitol (YEM) medium for 132, 144, and 168 h were evaluated for yield, viscosity, and concentration. Based on the analysis of their partial 16S rDNA sequences, both isolates were identified as Rhizobium tropici. The polymers produced in liquid YEM medium were recovered, dried and weighed to determine culture yield. Soluble intracellular proteins were identified through the techniques of 2D-PAGE and mass spectrometry for cultures that were cultivated for 168 h. The largest biopolymer yield and the highest viscosity and concentration of acetyl and pyruvic acids were obtained from the IPA 403 isolate after 168 h of culture. The proteins that were identified for the CIAT 899 isolate included elongation factor TU, a chaperone; GroE/GroEs and a putative glycosyltransferase, all of which catalyze the production of polysaccharides. For the IPA 403 strain, dinitrogenase and nitrogenase iron proteins were found. In the IPA 49 strain, glyceraldehyde-3-phosphate dehydrogenase was found along with two other proteins, the beta subunit of an electron-transferring flavoprotein and a dehydrogenase.
Asunto(s)
Proteínas Bacterianas/química , Biopolímeros/biosíntesis , Biopolímeros/química , Rhizobium tropici/metabolismo , Proteínas Bacterianas/metabolismo , Medios de Cultivo , ADN Bacteriano/análisis , ADN Bacteriano/genética , ADN Ribosómico/análisis , ADN Ribosómico/genética , Electroforesis en Gel Bidimensional , Espectrometría de Masas/métodos , ARN Ribosómico 16S/genética , Rhizobium tropici/clasificación , Rhizobium tropici/genética , Rhizobium tropici/crecimiento & desarrollo , ViscosidadRESUMEN
Aparelhos extra bucais säo comumente usados num tratamento ortodôntico. Entre eles destacam-se os tipos de máscaras faciais para traçäo reversa da maxila, arco extra bucal (AEB) com tala de traçäo cervical, AEB mais casquete com força direcional de traçäo alta, média e baixa, e o aparelho J-Hook ("Gancho J"). Este último tem-se mostrado eficaz e eficiente em diversas situações, sendo também mais confortável ao indivíduo