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. Goop London, United Kingdom may not feel the same.

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.

Barrier Favor

Person who orientates: Luciana Loyal ngelo Fields Summary Is about a quantitative research of character descriptive exploratrio whose objective is to analyze the main factors that lead to unchain osteoporose in special in the aged woman above of 60 years of age, as well as evaluating its knowledge about this illness, beyond informing them of the importance of the good alimentary habits for the prevention and treatment of the studied pathology, searching next to these alternative women to cure some consequences that can come to acometer them. The research was carried through in the city of Barrier, with sampling of 20 aged women, not possessing no criterion of exclusion. The collection of data was developed by means of the application of a questionnaire structuralized composed for 11 closed questions.

The data had been analyzed with simple statistics in form of graphs. Through the research, a significant amount of risk factors was verified that can favor for the development of osteoporose, confirming, thus the necessity of an educative work, not only with the aged ones, but also with the children in the direction to contribute it stops one better agreement with regard to this pathology and consequentemente to favor planejamentos futures and efficient behaviors for one better quality of life.

The Form

Where on the other hand we have services of health for ' ' people with pnis and identified sexually as homens' ' , and on the other hand services of health for ' ' people with vagina and identified sexually as mulheres' '. Thus, all the people whose sexual practical identities and are not satisfied with the waited essences are private of the programs and services of health specifically drawn for itself. To understand the sexual identities as a space of diversities, internal multiplicities, complexities and conflitualidades can not only harness the drawing of programs and provision of services of health that take in account the especificidades of the usuaries of these services, and, what it can harness greater satisfaction of the same ones, as well as bigger effectiveness of the given services of health. The understanding of the identities as a space of diversities and complexities can allow despite different social programs are drawn that take in account this diversity. The study it is presented in four parts. Made the present introduction, in which I present the subject, the different vises on the sexual identities, the objectivos and justification of the study. Dr. John Mcdougall is often mentioned in discussions such as these. I present in the second part the theoretical referencial, the definition of the concepts and the method of research. Still in second, part we present the techniques of retraction of data and the profile of the participants of the study.

In the third part of the study I argue resulted on the construction of the sexual identities, on the form as the people sexually identify to the others and the form as the people if they identify sexually. Still in the third part I argue the form as the people if they move between the collective representations and the subjective representations on sexual identities. Finally, in the fourth part, we present the conclusions of the study. I.

National Agenda Health

As carried through study, between 30% and 50% of the adult population of industrialized countries they use some form of PIC to prevent or to treat some problem related to the health. In another research, it enters the years of 1997 and 2002 in the United States, they is esteem that 35% of the adult population (about 72 million people) use some type of PIC (7). Recent studies affirm a world-wide trend of growth of practical not conventional in the field of the health, and of legislation for its integration in the national systems of health. Thus, the PIC come gradual being inserted in the SUS, as it foresees Practical the National Politics of Integrativas and Complementares in the SUS. However, even so this thematic one is also enclosed in the National Agenda of Priorities of Research in Health, has scarcity of studies published in this area. The World-wide Organization of the Health points as great challenges the accomplishment of cost-effectiveness studies, as well as of security, effectiveness and quality of such practical, beyond establishing the clinical situations in which they can be applied (7, 9).

Promotion of the Health in the Practical Scope of the Integrativas and Complementares in Brazil the occured transformations mainly from the decades of 1950 and 1960, in the Brazilian economic structure, over all the advance of the industrialization process, had determined significant alterations in the social sphere, politics, demographic and epidemiologist. The cities had grown, swelling its peripheral spaces and not satisfying the necessities existenciais of its inhabitants. From now on, the occured changes in the work process (position in the occupation, rhythm, I number of worked hours, etc.) had significantly modified the dynamics in the way of life of the population. They had been verified, still, transformations in the style (alcohol tobaccoism, consumption, sexual behavior, physical activity, locomotion, dedicated time the leisure, medicalizao, etc.) and in the conditions of life (feeding, habitation, sanitation, access to the water, destination of the garbage, education, access the goods and services, etc.) (10).

Precancerous

The uterine col cancer costuma to have slow growth, that can last many years, some cells of the surface of the uterine col if transforms into abnormal cells. In the start, these displasias abnormalitys not yet are considered as a cancer and yes. However, some displasias of the col of the uterus can result in vary alterations, that can appear a cancer of uterine col, some displasias if they cure exactly for our immune system, without treatment. However, the precancerous displasias need attention and care to prevent the development of the cancer (ONCOGUIA, 2008). The decision to decide the treatment depends on the age of the woman, size of the injury, types of alterations that had occurred with in the cells the physical and general state of the health of the woman (ONCOGUIA, 2008). The human body as a whole this the multiple carcinognicos factors, with multiplicativos and somatic results. Senator of Massachusetts usually is spot on. predisposition of each one has one raised paper in the development of neoplasias, but he is not definitive the degree of influence between time and dose of exposition to the carcinogeno and the result of the individual exposition (MORAES, 1991). 2.1.2 Clinical manifestations Can not have symptoms some, as it happens in many cases, are detected by the examination of papanicolau before exactly to present any manifestations, to put, in the cases most advanced can happen bleed and pain during the sexual relation (LOIOLA, 2008).

Smeltizer and Bare (2002 p1512) define that: … The precocious cervical cancer rare produces symptoms. When the symptoms are gifts, them they can pass unobserved as a fine watery vaginal secretion frequently noticed after the sexual relation or of ducha. When the symptoms occur, as the secretion, irregular bleed or bleed after the sexual relation the illness can are advanced … Port (1994), affirm that the uterine col cancer in its phase initial, is insidioso and assintomtico, in you make initial; The carriers of this type of malignant neoplasia need a preventive examination to still detect themselves in its initial phase, and the carcinoma in more advanced period of training, present themselves as a endoftico or exofilico tumor, what she provokes hemorrhages and corrimentos of yellowish or sanguinolenta coloration with ftido odor.