Abstract Resolution 658/2022 of the Brazilian Regulatory Agency requires the determination of the permitted daily exposure (PDE) of pharmaceutical agents. Ginkgo biloba L. is used therapeutically to treat memory deficits and other brain diseases. However, published results indicate that more studies are needed to confirm the safety of Ginkgo biloba. This study aimed to evaluate the dry extract of Ginkgo biloba L. leaves PDE as an ingredient in an oral pharmaceutical product in preclinical studies using mice. Acute oral toxicity and repeated dose experiments were performed based on OECD guidelines, as well as genotoxicity tests. The results indicate that Ginkgo biloba L. has low acute toxicity, no liver toxicity, and does not alter blood glucose levels. No changes in weight gain were observed, but food intake decreased in males during the first week of treatment at the highest dose. Hematological parameters were not altered in males, whereas females presented lower leukocyte and lymphocyte counts and higher neutrophil counts at the highest dose. The lipid profile was not altered in males, whereas total cholesterol was increased in females. The estimated PDE was 0.1 mg/day and, when related to the maximum residual concentration, indicates that the cleaning process used is safe and does not require reassessment.

RESUMO A Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM) – componente Serviços teve por objetivo caracterizar a organização dos serviços de assistência farmacêutica na Atenção Básica do Sistema Único Saúde. A PNAUM – Serviços foi um estudo transversal, avaliativo, com amostra planejada de 600 municípios, realizado entre 2014 e 2015, composto por uma fase remota, com entrevistas telefônicas com gestores. Desses 600 municípios foram selecionados 300 para um inquérito em serviços de saúde. Foram selecionadas as 27 capitais, 0,5% dos maiores municípios de cada região e realizado um sorteio dos demais municípios. O cálculo do tamanho da amostra representativa nacional considerou três níveis: municípios, serviços de dispensação de medicamentos e usuários. As entrevistas foram realizadas com a utilização de um questionário estruturado específico para: secretário municipal de saúde, responsável pela assistência farmacêutica no município, responsável pela entrega de medicamentos, médico e usuário. Os dados secundários foram obtidos em bases oficiais, na data mais recente de atualização. A PNAUM – Serviços foi a primeira pesquisa de âmbito nacional visando a avaliação e obtenção de indicadores nacionais e regionais acerca de acesso a medicamentos, bem como utilização e uso racional, sob a ótica de variados atores sociais.

ABSTRACT The Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos –Serviços (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services) aimed to characterize the organization of pharmaceutical services in the Primary Health Care of the Brazilian Unified Health System (SUS). PNAUM – Services is a cross-sectional and evaluative study, with planned sample of 600 cities, held between 2014 and 2015, composed of a remote phase, with telephone interviews with health managers. Of these 600 cities, 300 were selected for a survey on health services. We selected the 27 capitals, the 0.5% largest cities of each region, and the remaining cities were drawn. The estimate of the representative national sample size considered three levels: cities, medicine dispensing services, and patients. The interviews were carried out with a structured questionnaire specific for: municipal secretaries of health, professionals responsible for pharmaceutical services in the city, professionals responsible for the dispensing of medicines, physicians, and patients. The secondary data were obtained in official databases, in the latest update date. PNAUM – Services was the first nationwide research aimed at the assessment and acquisition of national and regional indicators on access to medicines, as well as use and rational use, from the perspective of various social subjects.

RESUMO A Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM) – componente Serviços teve por objetivo caracterizar a organização dos serviços de assistência farmacêutica na Atenção Básica do Sistema Único Saúde. A PNAUM – Serviços foi um estudo transversal, avaliativo, com amostra planejada de 600 municípios, realizado entre 2014 e 2015, composto por uma fase remota, com entrevistas telefônicas com gestores. Desses 600 municípios foram selecionados 300 para um inquérito em serviços de saúde. Foram selecionadas as 27 capitais, 0,5% dos maiores municípios de cada região e realizado um sorteio dos demais municípios. O cálculo do tamanho da amostra representativa nacional considerou três níveis: municípios, serviços de dispensação de medicamentos e usuários. As entrevistas foram realizadas com a utilização de um questionário estruturado específico para: secretário municipal de saúde, responsável pela assistência farmacêutica no município, responsável pela entrega de medicamentos, médico e usuário. Os dados secundários foram obtidos em bases oficiais, na data mais recente de atualização. A PNAUM – Serviços foi a primeira pesquisa de âmbito nacional visando a avaliação e obtenção de indicadores nacionais e regionais acerca de acesso a medicamentos, bem como utilização e uso racional, sob a ótica de variados atores sociais.

ABSTRACT The Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos –Serviços (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services) aimed to characterize the organization of pharmaceutical services in the Primary Health Care of the Brazilian Unified Health System (SUS). PNAUM – Services is a cross-sectional and evaluative study, with planned sample of 600 cities, held between 2014 and 2015, composed of a remote phase, with telephone interviews with health managers. Of these 600 cities, 300 were selected for a survey on health services. We selected the 27 capitals, the 0.5% largest cities of each region, and the remaining cities were drawn. The estimate of the representative national sample size considered three levels: cities, medicine dispensing services, and patients. The interviews were carried out with a structured questionnaire specific for: municipal secretaries of health, professionals responsible for pharmaceutical services in the city, professionals responsible for the dispensing of medicines, physicians, and patients. The secondary data were obtained in official databases, in the latest update date. PNAUM – Services was the first nationwide research aimed at the assessment and acquisition of national and regional indicators on access to medicines, as well as use and rational use, from the perspective of various social subjects.

Introduction The aim of this study was to determine the antimicrobial susceptibility of Neisseria gonorrhoeae isolates obtained from patients attending a public referral center for sexually transmitted diseases and specialized care services (STD/SCS) in Belo Horizonte, Brazil. Methods Between March 2011 and February 2012, 201 specimens of Neisseria gonorrhoeae were consecutively obtained from men with symptoms of urethritis and women with symptons of cervicitis or were obtained during their initial consultation. The strains were tested using the disk diffusion method, and the minimum inhibitory concentrations of azithromycin, cefixime, ceftriaxone, ciprofloxacin, chloramphenicol, penicillin, tetracycline and spectinomycin were determined using the E-test. Results The specimens were 100% sensitive to cefixime, ceftriaxone and spectinomycin and exhibited resistances of 4.5% (9/201), 21.4% (43/201), 11.9% (24/201), 22.4% (45/201) and 32.3% (65/201) to azithromycin, ciprofloxacin, chloramphenicol, penicillin and tetracycline, respectively. Intermediate sensitivities of 17.9% (36/201), 4% (8/201), 16.9% (34/201), 71.1% (143/201) and 22.9% (46/201) were observed for azithromycin, ciprofloxacin, chloramphenicol, penicillin and tetracycline, respectively. The specimens had plasmid-mediated resistance to penicillin PPNG 14.5% (29/201) and tetracycline TRNG 11.5% (23/201). Conclusions The high percentage of detected resistance to penicillin, tetracycline, chloramphenicol and ciprofloxacin indicates that these antibiotics are not appropriate for gonorrhea treatment at the Health Clinic and possibly in Belo Horizonte. The resistance and intermediate sensitivity of these isolates indicates that caution is recommended in the use of azithromycin and emphasizes the need to establish mechanisms for the surveillance of antimicrobial resistance for the effective control of gonorrhea.

A sarna norueguesa é uma infestação cutânea altamente contagiosa causada pelo ectoparasita Sarcoptes scabiei var. hominis, que atinge principalmente indivíduos imunossuprimidos. Clinicamente, pode simular várias dermatoses, tais como psoríase, doença de Darier, dermatite seborréica, entre outras. O artigo relata o caso de uma mulher de 33 anos, imunocompetente, porém com diagnóstico de transtorno de ansiedade generalizada e cancerofobia, que apresentava placas bem delimitadas, sobre base eritematosa, recobertas por crostas rupioides, nas regiões cervical, axilar, mamária, umbilical, inguinal, além de dorso superior e cotovelos, mimetizando uma variante extremamente rara de psoríase, denominada psoríase rupioide.

Norwegian scabies is a highly contagious skin infestation caused by an ectoparasite, Scarcoptes scabiei var. Hominis, which mainly affects immunosuppressed individuals. Clinically, it may simulate various dermatoses such as psoriasis, Darier's disease, seborrheic dermatitis, among others. This is a case report of a 33-year-old woman, immunocompetent, diagnosed with generalized anxiety disorder (cancer phobia), who had erythematous, well-defined plaques, covered with rupioid crusts, on her neck, axillary folds, breast, periumbilical region, groin area, besides upper back and elbows, mimicking an extremely rare variant of psoriasis, denominated rupioid psoriasis.

A chemical investigation of Eugenia brasiliensis Lam. (Myrtaceae) leaves led to the isolation of α-amyrin and β-amyrin (in a mixture), betulin, 29-hydroxy-oleanolic acid, quercetin, catechin and gallocatechin. Herein, the identification of 29-hydroxy-oleanolic acid is reported for the first time in the Myrtaceae family. Moreover, in this study, the extract, fractions and six of the seven compounds were monitored for toxicity toward Artemia salina, antibacterial and acetylcholinesterase inhibitory activity. The crude ethanol extract of the leaves and fractions were found be active on A. salina toxicity bioassay.

Professores não se sentem sempre confiantes em relação aos tópicos de Educação Moral que ensinam às crianças no Ensino Fundamental. Por este motivo decidimos conhecer como e o que os futuros professores nos cursos de Ensino Médio de formação de professores no Brasil aprendem sobre Educação Moral. De acordo com a lei educacional brasileira (9394/96) a Educação Moral deve ser ensinada como Tema Transversal. Não há uma disciplina especial para este assunto na escola. Educação Moral é chamada Ética e deve ser aprendida por meio de todas as disciplinas escolares. Esta pesquisa teve como objetivo descobrir como é ensinado e como estes estudantes entendem Educação Moral. O estudo de Alasdair MacIntyre sobre Virtude foi a base teórica. Foi pedido aos estudantes que falassem sobre o significado das virtudes e respondessem questões escritas e orais. Pediu-se que dessem conceitos de Família, Escola e País e que descrevessem a si próprios em diferentes situações. A metodologia da "Escuta Sensível" de René Barbier foi escolhida e os dados foram estudados de acordo com a análise de Laurence Bardin. Resultados mostram que os estudantes estão interessados na formação em Educação Moral, embora haja diferentes problemas concernentes à aprendizagem de ética.

Teachers don't feel always confident concerning Moral Education topics they teach to children in elementary school. Because of this we decided to know how and what future teachers in Brazilian education courses learn about Moral Education. According to the Brazilian educational law (9394/96) Moral Education must be taught as a Transverse Theme. There is not a special subject for this topic in school. Moral Education is called Ethics and must be learnt through all the school subjects. This research aimed to discover how it is taught and how these students understand Moral Education. Alasdair MacIntyre's study about Virtue was the theoretical basis. Students were asked to talk about meaning of virtues and answered written and oral questions. They were asked to give concepts to Family, School and Country and to describe themselves in different situations. Rene Barbier's "sensible listening" methodology was chosen and data were studied according to Laurence Bardin's analyze. Results show that students are interested in Moral Education studies, though there are different problems concerning ethics learning.

Los maestros no siempre se sienten confiados en relación a los tópicos de Educación Moral que enseñan a los niños en el Ensino Fundamental. Por estos motivos, decidimos conocer como y lo qué los futuros profesores, hoy en los cursos de Ensino Médio<A HREF="#nt2">2</A> de formación de profesores en el Brasil, aprenden sobre Educación Moral. Según la ley educacional brasileña (nº 9394/96), la Educación Moral debe ser enseñada como un tema transversal, o sea, no hay una disciplina especial para este sujeto en la escuela. Educación Moral es llamada de Ética y debe ser aprendida por medio de todas las disciplinas escolares. Esta investigación tiene por escopo descubrir como se enseña y como estos estudiantes estudian la Educación Moral. La base teorica fue el estudio de Alasdair MacIntyre sobre la virtud. Se pidió a los estudiantes que hablaran sobre el significado de las virtudes y contestaran a cuestiones escritas y orales. Se les pidió que elaboraran conceptos de Familia, Escuela y Pais, y que se describieran a si mismos en diversas situaciones. Fue elegida la metodología de la "escucha sensible" de René Barbier, y los dados fueran estudiados de acuerdo al analisis de Laurence Bardin. Los resultados muestran que los estudiantes están interesados en la formación en Educación Moral, aunque hayan todavía diversos problemas acerca del aprendizaje de la ética.