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Objetivos: Descrever casos de pacientes com coinfecção tuberculose (TB) e HIV/aids acompanhados em um Hospital Referência em doenças infecciosas. Identificar, classificar e resolver os Problemas Relacionados ao uso de Medicamentos (PRM). E classificar a situação clínica e farmacoterapêutica. Métodos: Para a identificação, classificação e resolução do desfecho de PRM bem como a classificação da situação clínica e farmacoterapêutica, utilizou-se a metodologia Pharmacotherapy Workup. Trata-se um estudo observacional, descritivo, longitudinal, do tipo série de casos realizado em Hospital de Referência terciária em Belo Horizonte, seguindo as diretrizes CARE da Enhancing the QUAlity and Transparency Of health Research (EQUATOR). Foram incluídos pacientes coinfectados com TB e HIV/ aids, expostos ao tratamento preconizado pelo Ministério da Saúde, com 18 anos ou mais, de ambos os sexos, acompanhados por um período mínimo de seis meses. Resultados: Foram descritos seis casos de pacientes coinfectados com tuberculose e HIV/aids. A média de encontros com o farmacêutico foi de 6,33 (desvio padrão=0,82). Foram identificados 69 PRM, dos quais 40/69 (58,0%) relacionados à adesão, 17/69 (24,6%) à indicação, 8/69 (11,6%) à segurança e 4/69 (5,8%) à efetividade. Do total de pacientes 4/6 (66,6%) apresentaram hepatotoxicidade durante o acompanhamento. A situação clínica e farmacoterapêutica foi classificada como positiva para todos os pacientes. Conclusão: Houve alto número de PRM de adesão e indicação nos pacientes coinfectados. O monitoramento da efetividade e segurança dos tratamentos deve ser realizado, devido à maior susceptibilidade de reações adversas, como a hepatotoxicidade.

Carbon monitoring is critical for the reporting and verification of carbon stocks and change. Remote sensing is a tool increasingly used to estimate the spatial heterogeneity, extent and change of carbon stocks within and across various systems. We designate the use of the term wet carbon system to the interconnected wetlands, ocean, river and streams, lakes and ponds, and permafrost, which are carbon-dense and vital conduits for carbon throughout the terrestrial and aquatic sections of the carbon cycle. We reviewed wet carbon monitoring studies that utilize earth observation to improve our knowledge of data gaps, methods, and future research recommendations. To achieve this, we conducted a systematic review collecting 1622 references and screening them with a combination of text matching and a panel of three experts. The search found 496 references, with an additional 78 references added by experts. Our study found considerable variability of the utilization of remote sensing and global wet carbon monitoring progress across the nine systems analyzed. The review highlighted that remote sensing is routinely used to globally map carbon in mangroves and oceans, whereas seagrass, terrestrial wetlands, tidal marshes, rivers, and permafrost would benefit from more accurate and comprehensive global maps of extent. We identified three critical gaps and twelve recommendations to continue progressing wet carbon systems and increase cross system scientific inquiry.

Objectives: This study aims to describe and classify the drugs prescribed for coinfected patients treated at a reference hospital. Methods: A retrospective cross-sectional study with analysis of information contained in a database prepared in an earlier study The Anatomical Therapeutic Chemical (ATC) classification system was used to classify the prescribed drugs. Results: Eighty-one coinfected individuals participated in the study, with a mean age of 40 years old and numerous comorbidities. A total of 147 drugs were found and, when the frequency of prescription was evaluated, the most used therapeutic groups were anti-infectious, considering the large number of opportunistic infections (OIs) presented by coinfected patients, followed by feeding tract drugs used to treat adverse drug reactions. We could observe that 73% of the evaluated population had a CD4+ T lymphocyte count