<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-0319</journal-id>
<journal-title><![CDATA[Revista Cubana de Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Enfermer]]></abbrev-journal-title>
<issn>0864-0319</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-03192019000300008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Repercusiones del programa brasileño de evaluación de la calidad en la atención primaria en salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Repercussions of the Brazilian Program for the Assessment of Quality of Primary Care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muramoto]]></surname>
<given-names><![CDATA[Flavia Tiemi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matumoto]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escuela de Enfermaría de Ribeirão Preto - USP  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-03192019000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-03192019000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-03192019000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El Sistema Único de Salud brasileño, después de 25 años de su creación enfrenta el desafío de la evaluación, a través del Programa Nacional de Mejora del Acceso y de la Calidad de la Atención Básica.  Objetivo:  Analizar las repercusiones de la evaluación en el proceso de trabajo de los equipos de salud de la familia evaluados.  Métodos:  Investigación cualitativa, en forma de estudio de caso, realizada en región de salud del interior del estado de São Paulo, Brasil, constituida por 18 municipios, en el periodo de agosto de 2016 a enero de 2017. Participaron diez profesionales de equipos de salud de la familia, uno de cada municipio. Las entrevistas fueron semiestructuradas y siguieron el análisis de contenido temático de Bardin.  Resultados:  El programa se presentó como una herramienta esencial para identificar lagunas, inducir reflexiones críticas y organizar el proceso de trabajo. Los desafíos encontrados fueron la dificultad de implantación de las Prácticas Integrativas y Complementarias y la rotación de los profesionales. Se constatarton algunas fragilidades: la fuerte relación entre el instrumento y el traspaso de recursos financieros, y la posibilidad de enmascaramiento de las acciones en los equipos en el momento presencial del evaluador en el servicio de salud.  Conclusiones:  El Programa Nacional de Mejora del Acceso y de la Calidad de la Atención Básica se presentó capaz de inducir modificaciones relacionadas al medio y a las tecnologías duras y blandas duras. Se identificó el fortalecimiento del trabajo vivo y tecnologías ligeras en el trabajo del equipo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The Brazilian Unified Health System, after 25 years of creation, is facing the challenge of assessment by means of the National Program for Improving Access and Quality of Primary Care.  Objective:  To analyze the repercussions of assessment in the working process of the evaluated family health teams.  Methods:  Qualitative research, as a case study, carried out in a health region of the interior of São Paulo State, Brazil, made up by 18 municipalities, in the period from August 2016 to January 2017. Ten professional from family health team members participated, one from each municipality. The interviews were semi-structured and followed Bardin's thematic content analysis.  Results:  The program was presented as an essential tool for identifying gaps, inducing critical reflections, and organizing the work process. The challenges that came up we the difficulty for implementing Integrative and Complementary Practices and the rotation of professionals. Some weaknesses were noted: the strong relationship between the tool and the transfer of financial resources, and the possibility of masking the actions in the teams at the face of the evaluator in the health service.  Conclusions:  The National Program for Improving Access and Quality of Primary Care was presented as capable of inducing modifications related to the setting and to hard and soft-to-hard technologies. The strengthening of live work and light technologies in team work was identified.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Atención primaria de salud]]></kwd>
<kwd lng="es"><![CDATA[evaluación en salud]]></kwd>
<kwd lng="es"><![CDATA[salud de la familia]]></kwd>
<kwd lng="en"><![CDATA[primary care]]></kwd>
<kwd lng="en"><![CDATA[health assessment]]></kwd>
<kwd lng="en"><![CDATA[family health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castanheira]]></surname>
<given-names><![CDATA[ELR]]></given-names>
</name>
<name>
<surname><![CDATA[Sanine]]></surname>
<given-names><![CDATA[PR]]></given-names>
</name>
<name>
<surname><![CDATA[Zarilli]]></surname>
<given-names><![CDATA[TFT]]></given-names>
</name>
<name>
<surname><![CDATA[Nemes]]></surname>
<given-names><![CDATA[MIB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Desafios para avaliação na Atenção Básica no Brasil: a diversidade de instrumentos contribui para uma cultura avaliativa?]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Akerman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Furtado]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<source><![CDATA[Práticas de avaliação em saúde no Brasil-diálogos]]></source>
<year>2015</year>
<page-range>187-225</page-range><publisher-loc><![CDATA[Porto Alegre ]]></publisher-loc>
<publisher-name><![CDATA[Rede Reunida]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Starfield]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Atenção primária: equilíbrio entre necessidades de saúde, serviços e tecnologia]]></source>
<year>2002</year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
<publisher-name><![CDATA[UNESCO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Caldeira]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Modelo assistencial e indicadores de qualidade da assistência: percepção dos profissionais da atenção primária à saúde]]></article-title>
<source><![CDATA[Cadernos de Saúde Pública]]></source>
<year>2011</year>
<volume>26</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1187-93</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<collab>Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Atenção Básica</collab>
<source><![CDATA[Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica: Manual Instrutivo 3º ciclo (2015-2016)]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
<publisher-name><![CDATA[Ministério da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[MAS]]></given-names>
</name>
<name>
<surname><![CDATA[Spiri]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
<name>
<surname><![CDATA[Casquel]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Juliane]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[LO]]></given-names>
</name>
<name>
<surname><![CDATA[Placideli]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[O processo de avaliação do PMAQ-AB: olhar de uma equipe]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Akerman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Furtado]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<source><![CDATA[Práticas de avaliação em saúde no Brasil-diálogos]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Porto Alegre ]]></publisher-loc>
<publisher-name><![CDATA[Rede Reunida]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Florêncio]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[O Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica: Reflexões sobre o seu desempenho e processo de implantação]]></article-title>
<source><![CDATA[RECIIS]]></source>
<year>2011</year>
<volume>6</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>1-19</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Macinko]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Harris]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Brazil's National Program for Improving Primary Care Access and Quality (PMAQ) Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care]]></article-title>
<source><![CDATA[J Ambul Care Manage]]></source>
<year>2017</year>
<volume>40</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>s4-s11</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[RBM]]></given-names>
</name>
</person-group>
<source><![CDATA[Práticas de saúde: processos de trabalho e necessidades]]></source>
<year>1992</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[CEFOR]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Merhy]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Em busca do tempo perdido: a micropolítica do trabalho vivo em saúde]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Merhy]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
<name>
<surname><![CDATA[Onocko]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Agir em saúde: um desafio para o público]]></source>
<year>1997</year>
<page-range>71-112</page-range><publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Hucitec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Atributos essenciais da Atenção Primária à Saúde: resultados nacionais do PMAQ-AB]]></article-title>
<source><![CDATA[Saúde debate]]></source>
<year>2018</year>
<volume>42</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>52-66</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<source><![CDATA[Região e Redes. Caminho da universalização da Saúde no Brasil]]></source>
<year>2016</year>
<publisher-name><![CDATA[São Paulo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Minayo]]></surname>
<given-names><![CDATA[MCS]]></given-names>
</name>
</person-group>
<source><![CDATA[O desafio do conhecimento: pesquisa qualitativa em Saúde]]></source>
<year>2014</year>
<edition>14</edition>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Hucitec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bardin]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Análise de conteúdo]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Edições 70]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Minayo]]></surname>
<given-names><![CDATA[MCS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metodologia de Pesquisa Social]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Minayo]]></surname>
<given-names><![CDATA[MCS]]></given-names>
</name>
</person-group>
<source><![CDATA[O desafio do conhecimento: pesquisa qualitativa em saúde]]></source>
<year>2000</year>
<edition>7th</edition>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Hucitec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Faria]]></surname>
<given-names><![CDATA[HP]]></given-names>
</name>
<name>
<surname><![CDATA[Werneck]]></surname>
<given-names><![CDATA[MAF]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
</person-group>
<source><![CDATA[Processo de trabalho em saúde]]></source>
<year>2009</year>
<edition>2</edition>
<publisher-loc><![CDATA[Belo Horizonte ]]></publisher-loc>
<publisher-name><![CDATA[UFMG]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[ACP]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[MAC]]></given-names>
</name>
<name>
<surname><![CDATA[Contarato]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[Tristão]]></surname>
<given-names><![CDATA[FI]]></given-names>
</name>
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[EMS]]></given-names>
</name>
<name>
<surname><![CDATA[Rabello]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ambiência na Estratégia Saúde da Família]]></article-title>
<source><![CDATA[Vigil sanit debate]]></source>
<year>2015</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>36-41</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<collab>Prefeitura Municipal de Viradouro.Secretaria Municipal de Saúde</collab>
<source><![CDATA[Projeto de educação permanente em saúde/humanização]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Viradouro ]]></publisher-loc>
<publisher-name><![CDATA[SMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fausto]]></surname>
<given-names><![CDATA[MCR]]></given-names>
</name>
<name>
<surname><![CDATA[Giovanella]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Mendonça]]></surname>
<given-names><![CDATA[MHM]]></given-names>
</name>
<name>
<surname><![CDATA[Seidl]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Gagno]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A posição da estratégia saúde da família na rede de atenção à saúde na perspectiva das equipes e usuários participantes do PMAQ-AB]]></article-title>
<source><![CDATA[Saúde debate]]></source>
<year>2014</year>
<volume>38</volume>
<numero>spe</numero>
<issue>spe</issue>
<page-range>13-33</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[RBC]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[RMC]]></given-names>
</name>
<name>
<surname><![CDATA[Abreu]]></surname>
<given-names><![CDATA[DMF]]></given-names>
</name>
<name>
<surname><![CDATA[Reis]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Usos do planejamento e autoavaliação nos processos de trabalho das equipes de saúde da Família na atenção básica]]></article-title>
<source><![CDATA[Saúde debate]]></source>
<year>2014</year>
<volume>38</volume>
<numero>spe</numero>
<issue>spe</issue>
<page-range>124-39</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[RTO]]></given-names>
</name>
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[GWS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Co-construção de autonomia: o sujeito em questão]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[GWS]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[YM]]></given-names>
</name>
<name>
<surname><![CDATA[Minayo]]></surname>
<given-names><![CDATA[MCS]]></given-names>
</name>
<name>
<surname><![CDATA[Drumond Junior]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Akerman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Tratado de Saúde Coletiva]]></source>
<year>2012</year>
<edition>2nd</edition>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Hucitec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moraes]]></surname>
<given-names><![CDATA[PN]]></given-names>
</name>
<name>
<surname><![CDATA[Iguti]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Avaliação do desempenho do trabalhador como forma peculiar de prescrição do trabalho: uma análise do PMAQ-AB]]></article-title>
<source><![CDATA[Saúde Debate]]></source>
<year>2013</year>
<volume>37</volume>
<numero>98</numero>
<issue>98</issue>
<page-range>416-26</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Cotta]]></surname>
<given-names><![CDATA[RMM]]></given-names>
</name>
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reflexões sobre o processo de municipalização das políticas de saúde: a questão da descontinuidade político-administrativa]]></article-title>
<source><![CDATA[Interface comum saúde educ]]></source>
<year>2015</year>
<volume>19</volume>
<numero>52</numero>
<issue>52</issue>
<page-range>159-70</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
