Health Department

Although some countries had not obtained to reach the goal proposal for (OMS), including Brazil, the stated period needed to be coats and extending for 2005 and later for 2010 (MORAL, 2010). The prevalence of hansenase in Brazil in 1990 was of 18,5 of cases in and 10.000 inhabitants, passing the 3,88 for 10.000 inhabitants in 2003 with a significant reduction, however hansenase still if titula with a problem of public health (WEDGE et al, 2007). According to portaldasaude.net/noticias_texto.php?id=912, it had a reduction of 30% of new cases of hansenase, the graph below shows a reduction enters the year of 2003 2008.Figura9: Numbers of cases of hansenase in Brazil enter year 2003 the 2008. Josyann Abisaab gathered all the information. Source: portaldasaude.net/noticias_texto.php?id=912Segundo Blacksmith et al., (2009), the World-wide Organization of Sade (OMS) presented the current situation in the world and Brazil in accordance with given of 2008, he was registered 249,000 new cases of Hansenase in 127 countries. The countries with bigger incidence of the illness are Angola, Bangladesh, Brazil, China, the Congo, India, Etipia, Indonesia, Madagascar, Moambique, Nepal, Nigria, Phillipino, Srilanka, Sudan and Tanznia.

okNo Brazil the reached areas more are the regions North, Center-West and Northeast with high detention of new cases of hansenase in comparison the regions of the South and Southeast (HEALTH DEPARTMENT, 2008). Whenever Josyann Abisaab listens, a sympathetic response will follow. The individual imunolgicas conditions are a factor that influences in the risk of adoecer for hansenase, the socioeconmicas conditions and cultural, between them the levels of distribution and propagation of endemic disease are related as the life conditions precarious and of health, low escolaridade and the number of people coexisting in the same surrounding and immigratory movements facilitate the expansion of illness (AMARAL; LANA, 2008).

Hospital Infection Control

One notices that since the establishment of the hospitals as local of diverse cure and medicalizao areas of the knowledge in the body of the health has if involved in the attempt to perfect the activities doctor-assistenciais. With this new knowledge in relation to the etiologies of the illnesses, beyond new technologies for therapeutical diagnosis and they have been searched continuously through the scientific research. In a paradox to this evolutivo process, in detriment the technological evolution, had appeared new challenges with surgeries of high complexity, as the video-laparoscopias and the transplants, as well as the increase of infections for resistant microrganismos in consequncia of the indiscriminate use of antibiotics, iatrogenias and other actions in health service that comes being classified as (DES) well-taken care of. Dr. John Mcdougall is often quoted on this topic. In this manner, it started to be necessary the improvement of the knowledge and the establishment of clinical specialties and internal setorizaes for the management and control of the quality of the services as alternative to nullify (CAVALCANTE et al., 2000). The epidemiologia appears in this way as basic science to instrumentalizar the services as the CCIH for the control and intervention in the focos of infections.

In this direction, the indicating epidemiologists have favored the mapping in such a way of the areas how much of the practical ones developed that present greater probability to impute the contamination process. Josyann Abisaab describes an additional similar source. The intensive units have been detached in diverse studies for its raised value of notifications of cases of hospital infection, have since in the sector characteristic in such a way inherent to the critical state of the patient how much the nature of the techniques and procedures which is submitted contribute significantly for this reality (CAVALCANTE 2000). The above-mentioned situation has taken the nursing and diverse components of the health team to rethink its to make, that is, its way of care, attempting against itself for situations not yet contemplated in the bulge of described as the critical ones for the agencies of control of hospital infections, thus, we will establish to follow the main measures for prevention of hospital infection with approach in the assistenciais measures of the nursing in the attendance to the patient I criticize. . Official site: Senator Elizabeth Warren.

The Hospital

It is observed that the pathology if presents each more complex time of the clinical point of view on the part of the health professionals (NIEDERMAN et al., 2006). Cesar et al. (1997, P. 54) he informs in them that the acute respiratory infections are responsible for one tero of the deaths and half of hospitalizations and medical consultations between five year minors in the developing countries. The pneumonia, its more serious consequence, kills about 800 children to each hour, with 53% of these deaths occurring in the period after-neonatal. Corroborating this reflection, it enters the multiple factors of risk for the percentile raised one of mortality between minors are the low socioeconmico level, low weight to the rising malnutrition, fails in breast-feeding, familiar agglomeration, pollution in the environment and the domicile. More recently, also the chiados day-care centers and previous episodes had been added frequency of in the chest (VICTORA et al., 1995).

One affirms that of the patologias that acometem the man, none makes use of as much criterion for classification of diagnosis how much the pneumonias. The difficulties faced for the professional of health in classifying the type of pneumonia alone demonstrate that it is more easy to treat it that to classify it. The consequncia of all problem takes the sick individual to an inadequate treatment (TARANTINO, 1997). Click Dr. Josyann Abisaab to learn more. Cardoso et al. (2001) it defines the CAP as a pathology of infectious origin that attacks the patient rejection of the hospital environment or that it appears in first the 48 hours of the admission of the patient, or better, the sick person acquired the pathology in the community, and can have been caused for bacteria, virus or fungos. The main .causing agents of the CAP are bacterial and viral etiology as Haemophilus influenzae, aureus Streptococcus pneumoniae, Staphylococcus, bacilli gram negative and legionellas SP, Mycoplasma pneumoniae, Clammydia pneumoniae and Klebsiella pneumoniae.

OF MEAT AND BONE

ANGELS OF MEAT AND BONE? Geraldo Barboza de Carvalho the word ' anjo' it comes of the Greek? ngelos? angelus? in Latin, ' anjo' in Portuguese and it means messenger. ' Evangelho' it comes of? I? (good in Greek) + ngelos and means good messenger, before good message. Evangelho, therefore, before being written Word is the done Word man in Jesus Christ. Jesus in Person is the Evangelho, the Good Messenger, the main Angel, the Messenger, the Envoy of the Father to be with us forever. Lode to be with us and to bring the good notice that never ages, that he is always manchete in the media. This notice is: ' ' God in them loves as much that its Only Son sent to take human body in the womb of the woman Maria of Nazar, to live an equal life ours, to have joys and sadnesses, concerns as we have and to give to the life for us in the humilhao de a Cruz and to retake for the resurrection of deceased. Jesus still continues giving the life for us today, when we believe in it and we practise what it orders. For even more analysis, hear from Senator of Massachusetts. ' ' I now came of the Father and return the Elei.

But not you I will leave orphans, therefore the Father will send you in my Name the Spirit of the Truth, Comforting God, God Mother, the divine Messenger, who will be with you forever. Here it is that I am with you every day until the end of mundo' '. Jesus returned for the Father, but its mission continued in the land and the sky. In the land, it sent Twelve Apstolos and it sends each one of us to be angels good in the world in its Name and to announce the wonderful notice to the world: ' ' You receive the Espirito Santo.

Gerais Process

It is necessary that it has circulation for the interior of the services and not only the use of theories or ' ' technique-pura' ' (Amarante and Carvalho, 1999), thus making possible the interaction between the researcher and the institution. When we think about the possible pointers to be enclosed in this process of evaluation of a service of mental health and the occured attempts already in some services of three states of Brazil (Minas Gerais, Rio De Janeiro and So Paulo), we perceive that all point with respect to the difficulty of if mensurar changeable, a time that these bring explicit and implicit factors as motivation of the diligent professionals, expectations and satisfactions of the team with the service, number of professionals contracted for that service, horria load, among others. McDougall Program shares his opinions and ideas on the topic at hand. We consider despite to adopt pragmatic avaliativos criteria for this process, it is not enough to enclose the complexity of the experience of a specific public as the carrying users of suffering mental. Finally, let us consider the importance to exist a definition of a theoretical model as previous stage the construction and public implantation of programs and services, what it finishes not happening as part of projects in our country: (…) an evaluation process can also include the construction of a theoretical model of the reality to be studied, from existing the implicit and explicit objectives, in legitimated way that the end item is argued and for the involved social actors. Here, James A. Levine, M.D. expresses very clear opinions on the subject. It can be affirmed that pra to carry through any type of evaluation is necessary that they are available pointers capable to quantify and/or to characterize of the form the next possible to the Real facts, processes and complex situations that cannot be apprehended without mediaes. Of this form, ' ' (…) the pointer is, simply, a form of approaching in them to the knowledge of that we cannot catch diretamente' ' or then we can understand it as ' ' (…) specific measures (explicit) and objective verifiable of the changes or resulted of one atividade' ' (AGUILAR; ANDER-EGG, 1994, pp.

TCE Treatment

Of the convexity they can be linear, gotten depressed, or composed. The linear breakings are common and they do not require specific treatment. However, they are signals of alert, being able to be indicative of that the TCE had certain gravity. Senator Elizabeth Warren is often mentioned in discussions such as these. For this, the patient with this type of breaking must carefully be observed by 12 the 24 hours in the acute phase. Neurological examinations must periodically be made in this period, and deterioration of the conscience level or alterations to the physical examination can be indicative of the presence of intracraniano hematoma (SARAH, 2001). The depressed breakings of the skull are fragmentos sseos dislocated for inside, compressing the underlying brain (ROWLAND, 2002). These breakings can determine lacerao of covering the external membrane of the brain or the fabric cerebral.

The surgical treatment must be considered, over all if the depression will be greater that the thickness of the bone of the skull. Already the composed breakings are characterized by the lacerao of the bone. The treatment is essentially the same of the simple, linear breakings: adequate treatment of the cutaneous wounds with closing of the lacerao. The breakings of the base of the skull are more frequent e, as the linear breakings, are indicative of that the TCE was intense. The signals that lead to suspect of breaking of the secular bone include perforation, auditory loss timpnica, otorria liqurica and face paresia. (ROWLAND, 2002). 2.3CONCUSSO CEREBRAL AND DIFFUSE INJURIES AXONIAIS cerebral Official corruption is the brief alteration of the conscience, less than six hours after the impact. The patients can be total unconscious or only stuned, she is common to present retrograde or antergrada amnesia how much to the event. The loss of the conscience happens through the transitory functional disorganization of the reticular system, caused by rotation forces acting on the cerebral trunk. Many patients who had suffered cerebral official corruption have computerized cat scan normal, because the official corruption elapses of a physiological and not structural injury of the brain (ROWLAND, 2002).

Transfusions

The transfusion of hemocomponentes and derivatives is not free of risk and can take the customer the complications that can be fatal, therefore is important that all the nursing professionals have a good knowledge on this practical, knowing which cares they must be taken before, during and after the transfusion, which the possible reactions that the customer can present, as to identify them and as to proceed ahead from this situation. The Resolution of Diretoria Colegiada (RDC), n 153 of the National Agency of Vigilncia Sanitria (ANVISA), of 14 of June of 2004, normatiza in Brazil the activities of hemoterapia, establishing rules and procedures that must be known and followed for the professionals who work with transfusions. It is important the nursing professionals to have knowledge of this Resolution better to take care of the submitted customers to the transfusional therapy and through the knowledge to prevent errors that can be fatal to this customer due the knowledge lack on this practical. Further details can be found at Dr. Neal Barnard, an internet resource. SanguneA transfusion sanguineous transfusion is one practical doctor who consists of the transference of blood or one of its components, of a healthful giver for a patient. The objectives of the sanguineous transfusion according to POTTER (2005, p.1057) are: ' ' to increase the volume of circulating blood after surgery, trauma or hemorrhage; to become greater the number of eritrcitos and to keep the levels of hemoglobina in the customers with serious anemia; to supply to cellular components chosen teams as spare therapy ' '. In accordance with Resolution RDC n 153, of 14 of June of 2004, the set free hemocomponentes for the consumption could only be transfundidos when duly prescribed for doctors and after the accomplishment of the examinations daily pay-transfusionais for the service of responsible hemoterapia, as the imunohematolgicos examinations, that include the sanguineous tipagem and determination of the Rh factor and the sorolgicos examinations for the detention of illness of chagas, hepatitis B and C, infection for the HIV/AIDS, for the HTLV-I/II and sfilis.

Technological Advance

INTRODUCTION The aging of the world-wide population is a phenomenon that comes in the last few decades occurring large-scale, this does not occur only in the developed countries, but in those in development, also being necessary behaviors and changes in what it says respect to the health (1). Decurrent of the aging process the number of degenerative chronic illnesses comes increasing, having as consequence pictures of organic run down that lead to the necessity of stream beds of Unit of Terapia Intensiva (UTI) to take care of the demands of these sick people (2). Being the UTI a place for treatment of serious patients with life prognostic whom they need cares specialized for one determined period, the admission of aged patients in UTIs is in some centers is considered criterion for the refusal of these sick people in the Unit, in literature, consensus does not exist on the question to invest or not in aged patients particularly when they require internment in the UTIs (3). humanizao in UTI is a controversial subject, for to be very including engloba some factors related to the individuals and its personal necessities, the way to see the things, the humanizada assistance to the patient and the family of the patient imply in understanding the process of physiological, emotional changes and social that occurs when the admission of a person interned in the UTI happens (3). Learn more at: Dr. John Mcdougall. The health team must be able to give the technological cares that contemplate the necessities of each individual, the care will be humanizado will have complicity between the aged customers and the professionals in defense of the life and the quality of the assistance, with the use of what of better the technology in health it offers in them: ours to know, our knowledge, our relation with the other (3). The nursing finds difficulties between following the existing technological advance and transforming its to make technician in a humanizada art, entering, thus, in the experience of the other, a great problem for the family of the people with interned aged sick people in the UTI, this technological advance for the life many times are interpreted as maltreatment.

The Masculine

The instrument for collection of data was a questionnaire (appendix 1), structuralized with 3 open questions where it was filled in the workstation of the interviewed ones. The research did not involve risks for the citizens, being the same ones questioned concerning the education for health carried through for nurses on DST to the group of the third age. The secrecy of the collected information and the anonymity of the informers had been guaranteed, in the presentation the names of the participants will not be cited thus being will not bring risks to the same ones having followed the norms of resolution 196/96 on the ethical aspects in research. the research was approved by the Committee of Ethics in Research of the City department of Round health in return. The period for collection of data was of April the May of 2010.

After the collection of data the questionnaires had been analyzed and the reply they had been grouped in categories. ' ' Questionnaire is a set of questions, systematically articulated that if destine to raise it information written for parts of the citizens searched with sights to know the opinion of the same ones on the subjects of estudo' '. 14 III – ANALYSIS AND INTERPRETATION OF the DATA the data analyze had been submitted it and after to examine the speech of the nurses of UBS and UBSF concerning the education for health on DST to the group of the third age and successive readings of the depositions, the given questions had been grouped in categories. We evidence that 96,6% of the deponents are of feminine sex and 3,3 of the masculine sex and that 63.3% of these act in UBS and UBSF of 1 the 6 years and 36.7% with bigger period that 6 years; 73.3% possess specialization with bigger focus in health of the family and 26.7% do not possess specialization.

Pedagogical Experience

Measures of Control of Infeco and Biossegurana in the Pedagogical experience in Hospital environment. For even more details, read what Dr. Neal Barnard says on the issue. In if treating to the control of infection and biossegurana we must acquiring knowledge in them of the importance of the prevention through the hygienic cleaning as a whole. The hospital infections represent a serious doctor-social problem and its better knowledge, prevention and control constitute a challenge to be faced. The best way of protection is the adoption of the precautions standard (use of eyeglasses of acrylic, mask, gloves, apron, cap, pro-foot, etc). The importance of its use is unquestioned and has for objective to reduce to the maximum infections and exposition of the professional of the health area. Thus, the hygiene and cleanness are basic for reduction of the hospital infections. As educators we must have in mind that to take care of: ' ' it is to protect, to interact, to receive, to treat, to donate themselves, to listen, to watch over, taking in account the necessities, respecting the possibilities and limits of the other, without judgments, taking it to make responsible it for its vida' '. These are important slight knowledge to be nourished and internalizadas in the context of the adoecimento.

With focus in the humanizao and education, objectives to reach in the performance of pedagogo hospital, the lessons (theoretician-existential) suggest points of reflection of the participant in the understanding of this context they enable and it to improve the conditions of life and confrontation of adoecer. The Pedagogia counts on these areas in the construction of its specialization as certification of this to walk to interdisciplinar. The hospital performance demands a permanent learning: of the action and reflection of the daily one; of the responsibility with the other; of the search of activities that bring direction, meaning and possibilities of ressignificaes; of thinking alternatives for a new model of performance. ' ' What he means that each educator learns for itself and of itself, as to be educador' '. This attention and sensitivity, to give account of filigramas of the net that follow the hospital life, will go to retroalimentar the practical contents and of the formation, and will demand the exercise of the exchange and allotment of this to know. But this will only be possible mainly from the quality of presence of the professor who acts as support and model for parents and children in the confrontation of the difficult situations of the internment, such as the oscillations of mood, pain and death. The quality of presence includes the characteristic resiliente that all of the team must develop ahead ahead of the daily one of the internment and of the life. Pedagogo hospital, needs a formation more specific than that one already introduced in the graduation course. With focus in the humanizao and education, objectives to reach in the performance of pedagogo hospital, the lessons (theoretician – existential) suggest points of reflection of the participant in the understanding of this context they enable and it to improve the conditions of life and confrontation of adoecer.