In recent years, nurses have developed projects in the area of hospital to community transition. The objective of the present study was to analyze the transitional care offered to elderly people after they used emergency services and were discharged to return to the community. The action research method was chosen. The participants were nurses, elderly people 70 years old or older, and their caregivers. The study was carried out from October 2018 to August 2019. The data were collected by means of semi-structured interviews with the nurses, analysis of medical records, participatory observation, phone calls to the elderly people and caregivers, and team meetings. The qualitative data were submitted to Bardin’s content analysis. Statistical treatment was carried out by applying SPSS version 23.0. The institution’s research ethics committee approved the research. Only 31.4% of the sample experienced care continuity after discharge, and the rate of readmission to emergency services during the first 30 days after discharge was 33.4%. The referral letters lacked data on information provided to patients or caregivers, and nurses mentioned difficulties in communication between care levels, as well as obstacles to teamwork; they also mentioned that the lack of health policies and clinical rules to formalize transitional care between the hospital and the community perpetuated non-coordination of care between the two contexts. The low level of literacy of patients and their relatives are mentioned as a cause for not understanding the information regarding seeking primary health care services and handing the discharge letter. It was concluded that there is an urgent need to mobilize health teams toward action in the patients’ process of returning home, and this factor must be taken into account in care planning.

Aim: This study aims to evaluate the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and factors associated with this practice as well as drugrelated problems and self-medication by pharmacy students of University Center Catholic of Quixadá, Ceará, Brazil. Methods: The prospective study with a quantitative approach was conducted. The participants were 96 female pharmacy students, who answered an e-mail questionnaire containing questions regarding the main NSAIDs used, pre-menstrual and menstrual use, drug-related problems and self-medication. Results: The results showed that students >39 years and in the 1st year of graduation had the lowest rates of use of NSAIDs, 33.3% (p = 0.0005) and 77.7% (p = 0.01) respectively. The most commonly drug used were dipyrone (64.5%) and paracetamol (54.1%), mainly for painful processes such as headache (68.7%) and colic (62.5%). Self-medication was 92.7% those students, and the main side effects were nausea (14.5%) and heartburn (10.4%). There was greater use of anti-inflammatories among university students in the menstrual period, in those with irregular menstrual cycle and with a flow <7 days. Conclusion: In conclusion, NSAIDs are the most frequently used drugs among students of female pharmacy colleges for algic processes such as headache, menstrual cramps, migraine and others referred to as possible hormonal changes. High self-medication was observed, which leads to frequent gastrointestinal adverse effects. Studies are still needed to evaluate the possible impacts of the use of these drugs in the medium and long term in this population.

Macela (Egletes viscosa (L.) Less.) é uma erva medicinal utilizada para tratar distúrbios digestivos e intestinais. Estudos prévios revelaram a existência de dois quimiotipos de macela, cujos óleos essenciais são caracterizados pela presença de acetato de trans-pinocarveíla (quimiotipo A) ou acetato de cis-isopinocarveíla (quimiotipo B). A análise de sequências de DNA do espaçador transcrito interno (ITS/5,8S) revelou oito polimorfismos de base única (SNPs) e um sítio inserção/ deleção que diferenciam os dois quimiotipos. Além disso, foi possível identificar espécimes selvagens de E. viscosa pertencendo a ambos quimiotipos e amostras comerciais, obtidas em mercados locais, pertencendo somente ao quimiotipo A. A análise filogenética confirmou a posição taxonômica desses dois quimiotipos na tribo Astereae. Portanto, a análise de seqüências de DNA da região ITS/5,8S proporciona uma efetiva e acurada estratégia para identificar os quimiotipos A e B de E. viscosa."Macela" (Egletes viscosa (L.) Less.) is a medicinal herb used to treat digestive and intestinal problems. Previous studies revealed the existence of two chemotypes of "macela", whose essential oils are characterized by the presence of trans-pinocarveyl acetate (chemotype A) or cisisopinocarveyl acetate (chemotype B). Herein, DNA sequence analysis of the internal transcribed spacer region (ITS/5.8S) showed eight single nucleotide polymorphisms (SNPs) and one insertion/ deletion site that clearly distinguished the chemotypes of E. viscosa. Moreover, it was possible to identify wild specimens of E. viscosa belonging to both chemotypes and commercial samples, purchased at local markets, belonging only to chemotype A. The phylogenetic analysis confirmed their taxonomic position within the tribe Astereae. Therefore, analysis of ITS/5.8S DNA sequences provides an effective and accurate strategy for identifying the chemotypes A and B from E. viscosa.

Professor da Faculdade Católica Rainha do Sertão.Resumo Introdução: A qualidade do ar é verificada através da presença de poluentes que podem torná-lo prejudicial à saúde do homem e dos demais seres vivos. O ar presente nas salas de cirurgias poderá influenciar nas ocorrências de infecções, tornando-se uma fonte de contaminação bacteriana nos centros cirúrgicos, que é considerado uma unidade de área crítica do setor hospitalar. Objetivo: Determinar o perfil de susceptibilidade aos antimicrobianos de bactérias isoladas e identificadas do ar do centro cirúrgico no Hospital Municipal Doutor Eudásio Barroso, Quixadá-CE. Metodologia: Trata-se de estudo do tipo experimental, prospectivo, transversal e com abordagem quantitativa, utilizando-se como método de coleta a exposição de placas por sedimentação espontânea. Resultados: Observou-se a prevalência para bacilos Gram negativos (52,2%), verificou-se que a espécie Pseudomonas aeruginosa foi o microrganismo com maior frequência (34,8%). Com relação ao teste de sensibilidade a antimicrobiano, 100% dos cocos Gram positivos foram sensíveis aos antimicrobianos analisados. Conclusão: Os resultados encontrados nesta pesquisa demonstraram que o conhecimento da microbiota do ar e a determinação de seus perfis de sensibilidade a antimicrobianos, constituem um instrumento essencial para controle microbiológico no ambiente hospitalar e na redução de ocorrências de infecções hospitalares veiculadas pelo ar. Palavras-chave: Farmacorresistência Bacteriana. Microbiologia do Ar. Salas cirúrgicas.

Objetivo: identificar interações medicamentosas potenciais em prontuários de pacientes de um hospital e maternidade de um município brasileiro. Métodos: estudo documental, retrospectivo, com abordagem quantitativa, realizado entre janeiro e junho de 2017, em um hospital filantrópico do Estado do Ceará, Brasil. A fonte documental foram os prontuários de 167 pacientes. Os dados foram analisados por estatística descritiva com frequência absoluta e relativa. As interações medicamentosas potenciais foram verificadas por meio do Sistema Micromedex. Resultados: dos 167 prontuários, 80 (48%) eram de pacientes do sexo masculino e 87 (52%) do sexo feminino. Identificou-se que 24 das interações medicamentosas foram “potenciais maiores”, presentes, sobretudo, na associação dos seguintes fármacos: dipirona/ibuprofeno, dipirona/prednisona, dipirona/diclofenaco. Conclusão: o estudo mostra a necessidade de maior cautela na prescrição de dipirona com outros medicamentos, haja vista um maior envolvimento dele em interações medicamentosas potenciais.