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METHODOLOGY qualitative Work of exploratrio bibliographical matrix in which it looks for to trace the trajectory on the aged one, family, the changes in the cycle of familiar life, breakings in aged, finally carried through one brief communication on the cares in the prevention of breakings provoked for falls, using as base national literatures. Educate yourself even more with thoughts from read more. DEVELOPMENT the population aging comes folloied of degenerative chronic illnesses with incapacities and deficiencies, becoming necessary the evaluation of the behavior of the functional capacity of the patient aged, since it is essential for the diagnosis, prognostic and clinical judgment (BRAZIL, 2006). More follows long-standing procedures to achieve this success. As Brazil (2006) the raised incidence of falls in aged is one of the pointers of this trend observed in the oldness. It must be faced as one of the most important symptoms in geriatria. The family is a natural group that through the times has development standards of interactions, standards this that constitute the familiar structure, that in turn governs the functioning of the members familiar. According to Papalo Grandson; Oak Son (2006) the falls are events found in all the population, being very frequent in aged individuals. They are not inevitable consequences of the aging, but when they occur, they signal the beginning of the fragility or announce an acute illness, beyond being important cause of injury, incapacity and death.

Although the majority of the falls does not result in important physical damage, they can cause an irreparable psychological reply and lead to morbidade mortality significant. In the two extremities of the life the fall occurrence is frequent, but it has meant distinct. While in infancy it marks the acquisition of mechanisms that go to guarantee the position and the locomotion, in the oldness indicates the deterioration of these systems, emphasizes (WEDGE; GUIMARES, 2004). For Netina (2003) diverse normal alterations related to the age exist, that happens in all the main systems of the body, being able to present itself at distinct moments for different people.

Of the total of confirmed cases, 21.6% (957/4.434) of the registers point some chronic conditions of health. The group of the chronic pneumopatias is most frequent, in 20,1% of the cases; the group of other comorbidades diabetes represents 5.3%. (BRAZIL, 2010, P. 5) 1,3 Distinction between epidemic, endemic disease and pandemic With the objective of if looking the scientific exactness, becomes necessary to present the distinction semantics between the vocbulos epidemic, endemic disease and pandemic, used in way many times indistinct in the current language, but that, however, they cause different meanings and that they demand measured and different attitudes.

Epidemic is a phenomenon that if characterizes for the incidence, in short period of time, great number of cases of an illness. (REZENDE, 2004) In accordance with Rouquayrol, Epidemiologia is: the science that studies the process health-illness in the community, analyzing the distribution and the determinative factors of the diseases and the agravos to the collective health, suggesting measured specific of prevention, control or eradication. (ROUQUAYROL, 1986, p.1) Resumidamente, can be said that endemic disease is an illness that predominates habitually in a region, of local cause. (YOUNG CHICKEN, 1962) Pandemic, in turn, is an epidemic of great ratios, that if more than spreads to some countries and a continent. Muscular dystrophy contributes greatly to this topic. The State secretary of Health of Minas Gerais affirms: A pandemic occurs when appears a new virus against which the population is not immunized? it does not have ready vaccine, nor the body of the people knows the virus. Thus, many are reached, resulting in an epidemic that if spreads in diverse countries.

Factors as the increment of the flow of people between countries, the urbanization and the population growth they contribute to speed up this process. (MG, 2010, P. 5) On the basis of these concepts and in the frightful data that had been collected not only in many countries, but in all the continents, data these that pointed with respect to the world-wide dissemination of this new virus, the illness came to be classified as pandemic.

According to studies of the secretariat of health of So Paulo, in last the three years it increased in 78% the number of women who look treatment in the health centers. It has other surveys that strengthen the alert one: the young is early initiating the routine of excessive alcoholic consumption, what it can favor hepticas the illnesses alcoholic. The alcoholic heptica cirrhosis generally is of the type to micronodular, however into the abstinentes patients who take much time, it can be become into macronodular, when predominating the regenerative phenomena and having ceased the consumption alcohol, that is an inhibitor of cellular regeneration (BERTELLI, CONCI, 2001). In many cirrhotic patients the granule deposit is observed of hemossiderina in the hepatcitos, that can easily be placed in evidence by means of the coloration of Perls. In some the deposit is only so massive that it can induce to the diagnosis of hemocromatose (RUBIN, FARBER, 2008). If you would like to know more about muscular dystrophy, then click here. In some fgados of patients with alcoholic cirrhosis intra-hepatocitrios globular inclusions of alpha-1-antitripsina are identified and if they must to fentipo Z, but to the excretor defect of the normal alpha-1-antitripsina as consequence of the proper cirrhosis.

In about 15% of the alcoholics, the necrosis to hepatocelular, fibrose and regeneration finish taking the formation of fibrosos septos that surround nodules hepatocelulares, constituting the two characteristics that define the cirrhosis (ROBBINS et al., 2005). Other injuries of the alcoholic hepatopatia, esteatose heptica and acute or persistent alcoholic hepatitis frequently are observed in conjunction with the cirrhosis. Not yet it was established if the typical alcoholic hepatitis that is, inflammatory heptica injury and acute necrosis represent a necessary precursor of the cirrhosis. However, some form of persistent necrosis causes clearly to the development of cirrhosis (RUBIN; FARBER, 2008). In accordance with Diepenbrock (2005), in the cases of established alcoholic cirrhosis, the prognostic it is, in its bigger part, considerably better for that they do not abuse the alcohol. However, many patients evolve for the hepatopatia in terminal period of training, and the alcoholic hepatopatia constitutes the only more common cause for liver transplant. 2,3 CLASSIFICATIONS OF CIRRHOSIS HEPTICA Due the inherent difficulties to any type of classification, we will present three distinct boardings, in the attempt to classify the cirrhosis, which are: morphologic, etiolgica and clinical (RUBIN; FARBER, 2008). In accordance with Brazilian Son (2006), this classification is

With regard to 50,000 atendimentos the almost carried through in the practical ones considered as central offices in the attendance of the UCIS between 2005 and 2007, it was observed that the used services more had been of nutrition, followed of the acumpuntura and Lian Going. Yoga was the used service less in every year studied, probably for the difficulty of adhesion of the users of this unit (Table 1). Inside of the studied period, variations in relation to the number of atendimentos of each had existed technique, however for difficulties of the service, however for adhesion of the users the determined strategy, as yoga. You may find cancer research to be a useful source of information. Profile of the users In accordance with the research carried through in the archives of the UCIS, we verify that in the period of 2005 the 2007 had been carried through 3,160 thus distributed selections: 1339 patients in 2005 (42%), 895 in 2006 (28%) and 926 in 2007 (30%). He had a reduction of the selections of new patients between the studied years, probably due to action of three factors: change in the form of guiding for the unit, therefore in March of 2006, the atendimentos had left of being carried through by spontaneous demand, and had passed to be referenciados by the public net of health, what it represents a strategy of regulation of the access; insufficience of the installed capacity of the unit, since it had a great increase in the demand, which had, probably, to a bigger spreading and acceptability of the practical ones for the users; finally, the necessity to gradual include in the programming of the unit the patient egresses. In 2007, a light recovery in the number of carried through selections is evidenced, what probably it was given for a magnifying of the covering of the basic attention in the adscrito territory of the UCIS, to a bigger spreading of the actions offered for the unit, as well as a bigger qualification of the demand, being respected the flows of regulation of the access to the UCIS.

Graph 6 represents the results of the posturais evaluations of the athletes. The first column of graph 6 represents the average of canostas that they had presented cifose torcica, being 7 of 9 athletes, in a 89% total. The second column represents a number of 3 athletes (33%) with cifose cervical. The third column illustrates 4 athletes (44%) with lordose accented. You may find cancer research to be a useful source of information. In the fourth column, it can be observed that 7 athletes (77%) had presented escoliose. The fifth and last 6 column presents canostas (66%) with depression of left shoulder. Quarrel Second (Magee, 2002), ' ' the correct position is the position in which a minimum of estresse is applied in each articulao' '. Already (Palmer and Apler, 2000) they say wants ' ' the correct position consists of the alignment of the body with efficiencies physiological and maximum biomechanic, what it minimizes estresses and the overloads suffered to the system of support for the effect from gravidade' '. (A valuable related resource: muscular dystrophy).

Leaving of these principles and that ' ' the injuries can take the athlete to lose part or all training and competition or to limit its ability atltica' ' (Gantus and Assumpo, 2002), (It hisses, 2008), we can affirm that decurrent pains of injuries influence negative in the performance of the athletes, considering that is the data gotten in this study, understand that it is of utmost importance a bigger attention how much the incidence of pains and injuries between the athletes who practise the modality canoe. The high loads of volume and intensity in the training, considering muscular overloads descompensatrias derived from the unilateral remana, result in muscular asymmetry. (Tribastone, 2001) it says that any generated disequilibrium of force and tension in the vertebral column causes what posturais shunting lines are called. .

Floral of Bach in the Odontologia HISTORY the Floral ones of Bach are a medicine developed for an English doctor, Dr. Edward Bach that, in 1930, it decided to release its profitable medical activity in London to search in the nature this system of cure that idealizes has much time. Through its experience as doctor, ' ' it evidences that the same treatment for people with the same illness functioned for ones and it does not stop others. It concluded that something beyond the organic illness existed? the individual characteristics, personalidade' '. (the Floral Therapy? Selected studies of Edward Bach, Ed. Ground). Thus, it abandoned its doctor’s office and laboratory in, London and it left for the field, it stops of the nature extracting the medicine that could alliviate the suffering of the people and obtained. Its legacy for the humanity was the system of Floral of Bach, formed for 38 extracted remedies of the essences of the flowers.

BEDDING As we live in a dual world, where in everything exists the positive and the negative, the Floral ones of Bach act in the direction to fortify the virtue that has in each one, moving away, of this form, the negative aspect. For example, if we feel fear of some thing, situation or person, being this a negative aspect, certainly, will be present in us, also, its opposite that is the courage to face such thing, situation or person. When taking the Floral ones of Bach, them go to act in the direction of engrandecer our courage, the point of the fear to disappear. It is as when we enter in a dark room (negative aspect), when lighting the light (positive aspect), the blackout disappears. In such a way, we need to perceive what we feel ahead of our challenges and to manage floral the adequate one.

IN ODONTOLOGIA One of the emotions, still, gift in the patients is the FEAR. In the essence, it is the fear to feel pain, exactly that if it translates, simply, in the fear to go to the dentist. For this emotional state, the MIMULLUS will act in the direction to rescue the courage and the confidence of the patient, being made possible it to face it the odontolgico treatment with tranquilidade. TREATMENT WITH FLORAL OF BACH Normally, in my atendimentos, I make a formula more complete than can work some negative aspects, jointly. This formula, usually, does not exceed the meeting of 06 (six) floral ones. The Floral ones if present in liquid form e, normally, the dose are of 4 (four) drops 4 (four) times to the day. It can be taken pure, or be added in a little of water, milk or juice. ' ' In urgent cases, I can itself be managed it in intervals few minutes, until if he perceives the improvement. In serious cases, to each half hour; in persistent cases, to each the two three hours, or in the frequency that the patient to feel necessidade.' ' (The Floral Remedies of the Dr. Bach, Ed. Thought). CONCLUDING It was with much satisfaction that, has three years, vi that the Odontologia already was opened for the aid of the holistic therapy, as of Floral of Bach, earning the space of lecture in audience in the CIOSP. The holistic therapy exists for, in set with the conventional medicine, to propitiate to the people a quality of better life.

With regard to sricos levels, in the SOP, the LH one meets increased. Normally one meets, in comparison to the FSH, equal values, 2:1 or until 2,5:1. The increase of the andrognios, the prolactina can also occur. In relation the genetics, the occurrence of SOP in women of the same family meets in some studies, indicates that a genetic susceptibility for the syndrome exists. In patients with SOP, 50 87% of its parentas of first degree will present some associated symptom (LEGRO, 1995). The patients with SOP present predisposition to the development of diabetes mellitus type II, including the cardiovascular obesidade and problems associates. Learn more about this with Heart Specialist. These women who possess the syndrome that engravidam presents greater risk of spontaneous abortion. This if must the necessity induce the ovulao.

The treatment of the SOP depends on the symptoms of the patient, of the probable etiopatognico mechanism, the motivation and the objectives. (HALBE, 2000). For that they do not want to engravidar, is used contraceptive verbal agreed (STEEL). In relation to the hirsutismo factors, the best ones resulted are gotten with the STEEL association and antiandrogncica drug of peripheral action as acetate of ciproterona, the espironolactona, flutamida or the finasterida one. The improvement if of after the six months of treatment (FREITAS, 2006). in the treatment of infertility in case of SOP, the loss of weight is the natural treatment to reestablish the ovulao.

The used medication more is the citrate of clomifeno (CC). Clarion Project contributes greatly to this topic. This has low cost, easy dosage, minimum adverse effect and positive result if treating to gestation. However the treatment in must extend the six cycles more than. Also the metformina can be used. This, in turn, is biguanida of verbal use that increases peripheral sensitivity to the insulina, inhibits the heptica glucose production and diminishes the intestinal glucose absorption. When used in patients with SOP, it reduces the sricos levels of insulina and, consequently, of testosterone, restoring the ovulatria function and the menstrual cycle (SANTANA; FERRIANE; S, 2008).

In order to get it dilution was only used to dilutions 10-1, 10-2, 10-3 in the analyses of the samples. It was used methodology proposal for Hisses et al. (2001) that it was the technique of the multiple pipes for the most likely number (NMP/g). Cancer research has much to offer in this field. 2,3 2.3.1 MICROBIOLOGICAL DETERMINATION Determination of the Most likely Number of Coliformes Total (NMP/g) For the determination of Coliformes total used it technique of multiple pipes for the most likely number (NMP/g). It made it dilution 10-1, homogeneizando 25g and cheese with 225mL of peptonada water 1% and the seriadas dilutions (10-2, 10-3), sowed 1mL of each dilution, in third copy.

The used way was Caldo Lauril Sulfato Triptose (LST) and incubou it 35C during 24 and 48 hours. From the reading of the combination it enters the positive pipes (with growth and production of gas in the pipes of Durham) and negatives was determined the NMP/g for total coliformes. It became confirmation with Green Broth Shining Bile 2% in the same conditions of time and temperature praised by the American Public Health Association (APHA, 1992). 2.3.2 Determination of the Most likely Number of Coliformes Termotolerantes technique of the multiple pipes had been quantified using it, with Escherichia Broth coli (EC). Of total the positive pipes for Coliformes, the repicagens of the culture had become, for pipes with Broth EC. After the sowing incubou it 44,5oC for 24? 48 hours, in bath? Maria, with series of three pipes for each dilution praised for the American Public Health Association (APHA, 1992).

From the reading of the combination it enters the positive pipes (with growth and production of gas in the pipes of Durham) and negatives was determined the NMP/g for termotolerantes coliformes. 3. RESULTS AND QUARREL the results gotten in the microbiological analyses for the Most likely Number (NMP/g) of Coliformes total and termotolerantes of the samples of the cheese Frescal Mines, are presented in Table 01.

The baciloscopia of skin (esfregao intradrmico), whenever available, it must be used as complementary examination for the classification of the cases as PB or MB. The positive baciloscopia classifies the case as MB, independently of the number of injuries. It is observed that the negative result of the baciloscopia does not exclude the diagnosis of hansenase. Treatment – the treatment of hansenase is ambulatorial, using the standardized therapeutical projects in accordance with the operational classification. Being: Paucibacilares: rifampicina, dapsona; Multibacilares: rifampicina, dapsona and clofazimina. The treatment is one right of all citizen and is available gratuitously in all the units of health SUS.

Vaccine BCG – Application of vaccine BCG-ID in the intradomiciliares contacts, without presence of signals and symptoms of hansenase at the moment of the evaluation, independently to be PB or MB, depends on vaccine history, with the following recommendations: Without scar to prescribe a dose. If you are not convinced, visit cancer research. With a BCG scar to prescribe a dose. With two scars of BCG not to prescribe dose. Prevention of incapacities – the prevention of incapacities is an activity that if it initiates with the precocious diagnosis, treatment with PQT, examination of contacts and BCG, identification and adequate treatment of the reactions and neurites the autocuidado orientation of, as well as giving emotional and social support. The neurological evaluation, classification of the incapacity degree, application of prevention techniques and the orientation for the autocuidado one are procedures that they need to be carried through in the units of health. These measures are necessary to prevent sequels, such as: ulcers, loss of the muscular force and deformities (hands in claw, fallen foot, lagoftalmo).

The cases send regards to the guiding to the units of reference that could not be decided in the basic units. Individuals after 15 days of treatment or already cured do not transmit more the illness. Indemnity to the victims in Brazil In accordance with federal decree 6,168, of 24 of July of 2007, the patients interned and compulsively isolated in hospitals colonies of all the country, until the year of 1986, will have right to the monthly lifetime pension in the value of 750 Reals. To receive the benefit, the patients need to present documents that prove the obligatory internment and to fill a petition of special pension. The resource will be paid for the INSS. CONCLUSION hansenase is easy to diagnosis, to treat and has cure, however, when diagnosised and treated delayed it can bring serious consequences for carriers for the injuries incapacitate that them physically. The treatment is long and must be followed in agreement medical orientaes, therefore the abandonment can result in restarts of the treatment or incapacitantes complications. The treatment is a right of all citizen and is available gratuitously in all the units of health of the SUS.

The absences of nursing employees disorganize the team work, modify the quality and amount of cares given to the patient and bring problems to the nurses who lead the nursing team, that they have under its responsibility the necessity to give to solution for all the administrative problems that occur in its workstation (ROBAZZI; PARACHINI; GIR et al., 1990). When if it has greater number of serious patients, the workers are tenser and also increases the possibility of errors in the cares with the patients (SHIMIZU, 2000, P. 258). The level of anguish of the nurses, many times, is bigger of what of the other members of the nursing team, since the Law of the Professional Exercise of Nursing, Law n. Learn more at: cancer research. 7.498, of 25 of June of 1996, ampler responsibilities to this professional are clear when attributing, also on the errors that can be committed by the subordinated workers it (BRAZIL, 1987a). The work of nursing in UTIs is developed in environments with generating situations of tension; the convivncia with the suffering and the anguish of the other and with the death, becomes it complex and of great responsibility.

The continuous permanence in this environment generates a quantitative overload and qualitative, propitiating an alert constant to prevent errors, contributing to become the nurses most rigid I exactly obtain, since they know of its responsibility for the nursing team, and many times, even for other professionals. .