Justificativa e objetivos: Hepatite B é infecção viral universalmente prevalente e considerada a doença ocupacional infecciosa mais importante entre os profissionais de saúde, e o trabalhador de Enfermagem, por desenvolver ações invasivas em quantidade e frequência intensas, constitui grupo de extrema vulnerabilidade. Imunidade obtida por vacinação constitui estratégia preventiva eficaz, entretanto, cerca de 10% dos vacinados não alcançam títulos protetores de anticorpos, sendo necessário teste sorológico para confirmar imunidade. O objetivo deste estudo foi investigar o conhecimento da equipe de enfermagem sobre situação vacinal e perfil de imunoproteção para hepatite B. Métodos: Estudo epidemiológico, analítico, com 70 trabalhadores de um hospital público de referência regional no Estado da Paraíba. Após consentimento, foram submetidos à entrevista, coleta de sangue e testes sorológicos para detecção dos marcadores HBsAg e anti-HBs,em duplicata, por Eletroquimioluminescência. Os dados coletados foram processados no SPSS versão 22.0 e analisados por estatística descritiva. Resultados: A maioria dos participantes é do sexo feminino (85,7%), com média de idade de 33,4 anos e nível médio de escolaridade (75,7%). Sobre a situação vacinal, 65,7% declararam possuírem esquema completo e 12,9% não lembravam/não sabiam se já haviam recebido imunobiológico.Sobre o teste para verificação do status imunológico, 25,7% informaram desconhecerem a existência de teste específico para tal detecção. Houve associação significativa entre categoria profissional e conhecimento sobre o Anti-HBs. Conclusão: O desconhecimento dos trabalhadores de enfermagem sobre seu status vacinal e imunológico os colocam em vulnerabilidade constante para a hepatite B, sinalizando a urgência de atitudes institucionais protetivas para este público.

Background: The increasing and inappropriate use of antibiotics has increased the number of multidrug-resistant microorganisms to these drugs, causing the emergence of infections that are difficult to control and manage by health professionals. As an alternative to combat these pathogens, some monoterpenes have harmful effects on the bacterial cell membrane, showing themselves as an alternative in combating microorganisms. Therefore, the positive enantiomer α-pinene becomes an alternative to fight bacteria, since it was able to inhibit the growth of the species Escherichia coli ATCC 25922, demonstrating the possibility of its use as an isolated antimicrobial or associated with other drugs. Aims: The aim of this study is to evaluate the sensitivity profile of E. coli ATCC 25922 strain against clinical antimicrobials associated with (+) -α-pinene and how it behaves after successive exposures to subinhibitory concentrations of the phytochemicals. Methods: The minimum inhibitory concentration (MIC) was determined using the microdilution method. The study of the modulating effect of (+) -α-pinene on the activity of antibiotics for clinical use in strains of E. coli and the analysis of the strain's adaptation to the monoterpene were test using the adapted disk-diffusion method. Results: The results demonstrate that the association of monoterpene with the antimicrobials ceftazidime, amoxicillin, cefepime, cefoxitin and amikacin is positive, since it leads to the potentiation of the antibiotic effect of these compounds. It was observed that the monoterpene was able to induce cross-resistance only for antimicrobials: cefuroxime, ceftazidime, cefepime and chloramphenicol. Conclusion: It is necessary to obtain more concrete data for the safe use of these combinations, paying attention to the existence of some type of existing toxicity reaction related to the herbal medicine and to understand the resistance mechanisms acquired by the microorganism.

Introduction: The changes caused by menopause and the duration of this period in women's lives are of great scientific relevance, and achieving a better understanding of diseases such as diabetes prevalent in the climacteric and the risk factors associated with metabolic and cardiovascular diseases is essential. Objective:To determine the prevalence of Diabetes Mellitus (DM) in climacteric women, correlating socioeconomic and demographic variables.Method: This is a cross-sectional study with a quantitative approach, performed in 14 Family Health Units (USF) in the urban area of the municipality of Cajazeiras/Paraíba, Brazil, with 396 women. Data were collected in interviews using a structured questionnaire, and the variables were analyzed using the Statistical Package for Social Sciences (SPSS). Results:There was prevalence of DM in 11.6% (n = 396) of the climacteric women, who had DM as a single disease or associated with other diseases. Regarding the sociodemographic profiles and lifestyles of the diabetic women, it became evident that the 46 participants were on average 52.1 years old; had 5.2 years of formal education and per capita income of 0.7 minimum wage; 43.5% were in paid employment; 65.2% had a fixed partner; 23.9% reported being smokers; 15.2% reported use of alcohol; 73.9% said they were sedentary and 76.1% were overweight/obese.

Introduction: the Long-Stay Institutions, in majority, are places inappropriate and inadequate to the needs that the elderly have, for physical, social and cognitive nature of activities are scarce in these environments. Objective: evaluating the use of music as therapy for promoting the quality of life of elderly in a Long-Stay Care Institution in the city of Cajazeiras-PB. Method: this is an exploratory and interventional research with a quantitative approach, accomplished with 17 institutionalized elderly. Results: the music used as therapy is an important agent in the improvement of social interaction, in the development of new relationships and emotional bonds, with strong influence in the reestablishment of functional impairments present in the elderly. Conclusion: the institutionalized elderly involved in this work showed improvement of physical, social and cognitive order through the use of music therapy.

Introduction: with the various physiological and pathological changes relevant to the aging process, the elderly lose their autonomy and independence, limiting their ability for self-care and compromising the quality of life, which increases the need for social and professional support.Objective: verifying the knowledge about Assistive Technology by professionals and academics who work with the elderly in long term care services.Method: This is a cross-sectional study with a quantitative approach, carried out in three long-stay institutions for the elderly from the city of Cajazeiras, Paraiba. The sample consisted of employees, volunteers, teachers and academics, totaling 50 participants. The results were tabulated and statistically analyzed using the software Statistical Package for Social Sciences, version 22.0, presented in tables and discussed according to the pertinent literature. Results:The resources most identified by participants were the aid for daily life and practical life, architectural projects for accessibility and mobility aid. Some participants said they did not implement the Assistive Technology in their practice by not knowing the existing resources and its benefits, lack of training, limited resources and/or lack of Government resources and high cost of equipment. Conclusion:Assistive Technology represents the next step in the search for active aging, being the devices of great value for the elderly, increasing their functional capacity, autonomy and quality of life.

Introduction: Climacterium is a period of a woman's life, between 35 and 65 years old, marked by hormonal and biopsychosocial changes that can lead to the onset of depressive symptoms. The aim was to identify the prevalence of and factors associated with depressive symptoms in climacteric women.Method: An exploratory study, of cross-sectional type research, was carried out in Cajazeiras, Paraíba, Brazil, from January 2013 to March 2014. The sample included 411 women aged 40 to 60. Data collection was done by interviews using a structured script. Mean and standard deviation of age variables and per capita income were identified. For correlation between the variables, we used odds ratios (CI 95%), the X² and Fisher's Exact Test, with a significance level of 5%. Results Conclusion:Understanding and addressing the factors related to depressive complaints during climacterium supports the importance of conducting disease prevention programmes, thus delaying the onset of morbidity and improving quality of life.

RESUMO -A alta incidência de parasitoses na população pediátrica brasileira é uma questão de saúde pública com morbidade significativa e manifestações avaliáveis laboratorialmente. Este estudo objetivou investigar a prevalência de enteroparasitas em 18 crianças atendidas pela Creche Pró-Infância Francisca Francimar Santos Pinto, em Aurora -Ceará, por meio de hemogramas e exames parasitológicos de fezes. Foi observada uma alta prevalência de cistos do gênero Giardia, com correlação positiva com o aumento de eosinófilos. Além disso, 44,4% das crianças apresentaram valores abaixo do normal na Concentração de Hemoglobina Corpuscular Média (CHCM), sugerindo anemia de causa incerta, enquanto 66,7% das crianças parasitadas apresentaram eosinofilia. Recomenda-se a melhoria das condições de higiene e orientação dos responsáveis sobre medidas preventivas na creche, bem como a inclusão da análise laboratorial de amostras fecais na rotina de avaliação clínica para diagnóstico precoce e tratamento adequado.

Introduction: Mental health care advances through the perspective of the principles of Psychiatric Reform, deconstructing knowledge and ways of dealing with the user in psychological distress, emphasizing the subject, family, community, interdisciplinary work and social inclusion.