Objetivou-se identificar a existência da automedicação por populares com a finalidade de prevenção ao SARS-CoV-2 e analisar os potenciais agravamentos deste uso ao organismo humano. Trata-se de uma pesquisa descritiva e analítica, de natureza quantitativa, onde a coleta de dados desse estudo foi realizada através de um formulário semiestruturado, disponibilizado de forma eletrônica, utilizando a ferramenta Google Forms. Os critérios de inclusão compreendem: usuário de rede social e que responderam o formulário no período estabelecido pelos pesquisadores. Há a prevalência de participantes do sexo feminino e portadores de ensino fundamental e superior completo, no qual não houve predomínio da prática de automedicação. Os maiores índices de automedicação aos fármacos Ivermectina e Azitromicina, a maioria dos indivíduos adquiriram esses medicamentos através da farmácia comercial. Portanto é importante ressaltar que não se deve ingerir fármacos sem a orientação médica, o que demostra a importância de que os profissionais de saúde bem como os veículos midiáticos, conscientizem a população sobre os cuidados que devem ser tomados e os riscos que eles podem sofrer ao se automedicar.

Objective To analyze the scientific production regarding maternal folic acid (FA) supplementation and its relationship with autistic spectrum disorder (ASD). Data Sources We performed unrestricted electronic searches in the BIREME virtual bank, Virtual Health Library (VHL) and Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed) databases. Selection of Studies For sample selection, articles that met the proposed objectives were included, published in English, Spanish and Portuguese, the use of Health Sciences Descriptors (DeCS): autistic OR autism AND autism spectrum disorder AND folic acid, AND, with the use of the Medical Subject Headings (MeSH): autistic OR autism AND autistic spectrum disorder AND folic acid. Data Collection Data extraction was performed by the reviewers with a preestablished data collection formulary. Data Synthesis The Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) was used based on a checklist with 27 items and a 4-step flowchart. Results A total of 384 articles was found by the search strategies, of which 17 were eligible following the pre-established criteria. The main findings of the present review point to maternal FA supplementation in the pre-conception period and beginning of pregnancy as a protective effect in relation to ASD, which should be indicated in this period as prevention to the problem. Conclusion According to the research analyzed, more studies are necessary to know its effects on pregnancy, since the consumption of excessive FA may not be innocuous.

Objective: To analyze the scientific literature on neonatal ophthalmia and its relation to the type of delivery and prevention methods.Method: Systematic review and meta-analysis with quantitative and qualitative approach based on the recommendations of the Cochrane Handbook. The databases were searched SciELO, LILACS and ME-DLINE/PubMed with use of descriptors in Decs neonatal ophthalmia, conjunctivitis, endophthalmitis and newborns and their descriptors in English present in the MeSH with the inclusion of case reports. Publications were selected between 2004 and 2014 in any language, complete with newborns and individuals diagnosed with neonatal ophthalmia. Studies were excluded if they had no information on the type of delivery and prevention methods. Results:The relationship between vaginal and cesarean delivery have little statistical significance, while significant, when referring to the presence or absence of ophthalmia with OddsRatio (OR) 1.6, and confidence interval (CI) CI (0.168-15.2) and its relationship with preventive method (OR) 10.5 with CI (0.668 to 165.1). The overall result is not statistically significant although it may be considered presenting (OR) of 2.6 with IC (0.753 to 9.278) . Conclusion:There is a significant relationship between mode of delivery, prevention and ophthalmia, the overall outcome of the metaanalysis demonstrated little negativity statistics which should be related to types of studies and quantities available that present enough reduced, highlighting the need for further studies.

Breast cancer is a heterogeneous and complex disease with different situations of threat to their patients, which can cause psychological discomfort, anxiety and a depressed state in women. The aim of this study was to analyze the performance of nursing to psychological repercussions on living with breast cancer. This is a descriptive and cross-sectional study with qualitative characteristics. It was conducted with professional nurses in Basic Health Units (UBS) in the municipality of Juazeiro do Norte-CE, Northeast of Brazil, located in the region of Cariri. The study began to be developed after the approval of the Research Ethics Committee, CAAE: 50809315.8. 0000.5624. Data collection occurred through a semi-structured interview. For the interpretation of the results, the technique of content analysis was used. The results showed that nurses realize that emotional support, care and assistance in coping, improve the construction of a good performance of the professional nurse. However, it is possible to realize the need for information and qualified assistance by multidisciplinary team to these patients and even their family members. It was identified as difficulty in assisting the denial of patient to start the treatment, but the facility is in the intimacy that the professional nurse can engage with the customer. It highlighted the care through dialogue and health education. And, finally, the nurse is aware of such importance of his/her role when supporting the patient. Thus, the improvement of professional assistance was evidenced as regards emotional support, reception, qualified listening, health education measures leading to self-knowledge, self-esteem and acceptance of the disease and the creation of bonds with the patients.

RESUMO O programa de vacinação do Brasil demonstra ser competente no combate a difteria, porém foram encontrados problemas no processo de descartes dos resíduos da vacinação, sendo preciso novas estratégias que busquem evitar riscos ambientais e a saúde da população. O artigo propõe avaliar a eficiência no combate à difteria a partir da vacinação e o seu processo de despejo no meio ambiente na cidade de Juazeiro do Norte-C E. Foi realizado um levantamento de dados da cobertura vacinal e a incidência de casos da doença pelo Sistema do Departamento de Informática do SUS. Nota-se que na cidade de Juazeiro do Norte-C E, o último caso notificado de difteria foi em 2003. Os anos seguintes não apresentaram nenhuma prevalência da doença o que gerou base para análise da cobertura vacinal na região. Houve um aumento da cobertura vacinal contra a difteria durante os anos após casos registrados da doença. Em 2003, a vacina aplicada ainda era DTP e sua cobertura foi bem reduzida comparada ao dos anos seguintes. Nos anos de 2013 a 2015 os tipos de vacina contra a difteria aumentaram, surgiu a união da DTP+Hib com a da hepatite formando a Pentavalente e a DTPa para gestantes. Em outros dados coletados do SIPNI, em Juazeiro do Norte nos anos 2009 a 2011, em uma população de 12.183 crianças entre 4 e 6 anos, apenas 3798 (31,17%) receberam o segundo reforço da DTP. Foi possível identificar as diferenças no uso de vacinas sem e com agulhas, demostrando as vantagens para o meio ambiente, pacientes e profissionais da adequação ao sistema cutâneo sem agulhas. Outra prática comum no p rocesso de descarte final das vacinas é a incineração dos materiais. Esse processo emite gases poluentes que prejudicam a saúde humana e o meio ambiente. A eficiência da vacinação diftérica reduziu o número de casos da doença na cidade de Juazeiro do Norte. A produção de vacinas em larga escala aumenta o lixo hospitalar contaminante que se descartado de maneira incorreta interfere no meio ambiente. Alternativas tecnológicas e científicas para o descarte adequado da vacina diftérica contribuem e contribuirão de maneira significativa para a preservação ambiental e saúde humana.