Pparently, this place would have been covered for a sheet. Passed few weeks, in the same infirmary, the solar light was left a displayed bottle of blood and observed in some hours a reduction in the bilirubin level, supporting then, the action of the light on the bilirubin levels. (COLVERO, 2005). The first studies on the effect of the light in the metabolism of bilirubin had been carried through in 1958 for doctor R.J. Caldwell Esselstyn Jr. may not feel the same. Cremer, considered the father of the fototerapia (ARONE, 2003). To know more about this subject visit Cardiologist.
The use of the treatment of the fototerapia in Brazil was initiated in 1960 espelhado one in the English model through the hematologista doctor, Dr. Humberto Coast Blacksmith, of the College of Medicine of So Paulo (RODRIGUES et al., 2007). The fototerapia when used correctly, controls the bilirubin levels in almost all the patients, with exception of those with serious hemolticos pictures and RN of very low weight (lesser that 1,500 g) with extensive hematomas (SMP, 2005; PEAR TREE 2009). 3.2. Production of Bilirubin the liver and bao are the main producing Bilirubin agencies, in which it is the end item of the catabolismo of the hemoglobina of the hemcias, composites that heme contains, such as the mioglobulinas, peroxidases and also resultant products of eritropoiese inefficacious, of the destruction of the precursors of the immature hemcias, want either in the ssea marrow, soon want either after its release in the circulation. It also has a small contribution of bilirubin not proceeding from heme, the call bilirubin of ‘ ‘ shunt’ ‘ (SEGRE, 2002).
It is important to be capable to differentiate between the normal and abnormal alterations in the people aged as well as educating the patient and family on these differences. Ausiello (2005) emphasizes that the state of health in the aged one is the result of many factors also the chronic illnesses of the aging. The falls that occur in one tero of the aged ones result in damages, breakings and high serious cognitivo risk. According to related mortality in aged it seems to be resulted of multiple contributing causes, exactly that a cause can be primary. It is verified that some types of health indices contribute as characteristic sociodemogrficas, habits of health, factors of risk, subclnicos clinical illnesses and, disability and cognitivo comprometimento. Fragility is found in aged a, which is considered as a debilitating syndrome that presents some symptoms and signals, also reduced muscular mass, loss of weight weakness, tolerance to the unsatisfactory exercise, low physical activity, reduced motor performance (AUSIELLO, 2005). Ausiello (2005) tells despite the fragility is a state of diminished reserve and absented vulnerability. The fragility syndrome is associated with risk of fall and necessity of hospitalization, incapacity and mortality. Learn more about this with Kenneth Nahum.
The loss of associated muscular mass to the aging which occurs in 13, 24% of 65 people of a70 years of age and in 60% in 80 years of age. The domiciliary therapy can increase aged the lean corporal mass and the same force in the more fragile these evidences suggests that initial periods of training of fragilities can be attenuated the fragility of periods of training even so final probably are a death omen. The preventive cares of health are efficient in aged and the attention on the practical clinics and physical habits of health since immunization until activity (AUSIELLO, 2005). Ausiello (2005) in its literature tells that the alterations associates to the age in the health and the illness are the result of variations in the alterations physiological latent that occur with the 5 age, presences of other illnesses and clinical conditions that if develop in elapsing of the times, genetic predisposition, for another illness factors of style of life, diet exercise, exposition the medicines and toxins, clinical entisica variety, illnesses and conditions.
The rehidratao must be immediate! The control of the fever is important, by the way, knows well that the rise of the temperature is an acknowledgment of the organism on some infectious process occurring in this patient. The moment where the infectious agent (antigen) penetrates in the organism the immune system enters in action, producing prohibited (antibodies), to fight the invading virus (antibodies). The fever is a reply of our organism and appears for the action of the immune system fighting an infection (antibodies destroying antigens). The professional of the health knows of this (or she would have to know), would have to also know that, in some cases of Affection the reactions are stronger for some specific reasons: Patient in cardiac medicine use, (anticoagulating, antiagregantes plaquetrios), antithermal medicine use (AAS), and main and the most serious one: Patient suffering the SECOND AFFECTION! Independe if the search for particular attendance or the public net, the medical unpreparedness is very great! It sees the example of the medical young work of the PSF, during the 2008 epidemic. When it has love and devotion when exerting the medicine, that earns is the population! The interest to the presented clinical picture, the adjusted basic actions can prevent the death of the patient! To another question: What it is happening with the Brazilian research? I come back to question: what it is happening in the research institutions? Some researchers have many years of institutions inside, seem to be in one? cmoda comfort zone? , following old and exceeded theories, keeping hypotheses maken a mistake on factors essential to eliminate the vector, first step to finish with the AFFECTION. One becomes urgent a releitura, a new study on the virus of the Affection. As already I cited in published articles already,.- 722/artigo/, the necessary research to advance and fast! After the evidence of the theory of the Finlay researcher (1881) that they were not ' ' miasmas' ' yes mosquitos that transmitted the Affection or Yellow Fever and was not easy? to knock down? exceeded hypotheses, Carlos J. .
The paper of the Basic Attention in our nation is distinguished, that acts through the ESF, aiming at by means of its components to supply cares with qualification in the assistance to the Sexual and Reproductive Health of the woman, a time that if has as tool base the familiar planning propitiated by the nurse in its professional performance in the ESF, perfazendo the routine clinic and not prescribing only STEEL, also giving information to the women to have the safe and free use of preconceptions and discriminations, this everything guided by taking care of in health, whose objective of the Nursing, is to receive of being under its cares. BRAZIL REFERENCES. Health department. Secretariat of Politics of Health. Assistance in familiar planning: manual technician. 4. ed. Brasilia: Health department, 2002.
This is review of the literature consists of scientific articles of national thematic audit of nursing. The dates were grouped into categories: Audit of nursing and quality of care you notice the rolls of nursing audit’ ‘ and ‘ ‘ duties of the nurse auditor.’ ‘ The analysis of the articles showed that the effectiveness of the audit nursing facilitate the assessment of quality of care provided you the client providing conditions will be its improvement. It was observed that the nursing you notice represent one of the research in the audit and that the nurse is the professional nursing enabled the audit function. Knowing that nursing is undergoing the curriculum reform, we believe it is teams will be reflection on the responsibility of educational institutions have you prepares professionals you perform the audit function in nursing and health. KEY WORDS: Audit of nursing; Quality of health care; Nursing rolls of professional. Superior part of the form.
Dictionary INTRODUCTION. The word auditorship has its origin in Latin ‘ ‘ audire’ ‘ that she means to hear, and that all person who possesss the function to verify the legitimacy of the economic-financial facts, giving accounts to a superior, could be considered as auditor. In the sector health, the first auditorship was carried through in 1918 with the objective to evaluate the practical doctor. Of beginning, this activity if characterized as a policialesca action, but to the few, it was receiving a new connotation. The auditorship service always was associated with the control administrative-financier of the organizations. Errors in collections, generating financial damage to the health institution, are related to the misregistration of materials and used medicines, as much for the nursing team how much doctor. In this in case that, the auditorship that it aims at to the reduction of financial losses is of great relevance.
In its Zimerman literature (2005, P. 35), it tells that: Being the aging a gradual loss of the functional efficiency, always has a necessity of adequacy to the new reality. Moreover, not we must to forget that each old one is a different individual, that needs a personal program of work, in accordance with its necessities. We must lead in account its past, its luggage, its losses, as well as its gift, its possibilities, its profits, its psicossocial and economic endorsement. Thus we will only be working so that this old either person honeys healthful, capable to use all its potentialities and to have a happyer life. 2,2 ssea anatomy In its literature Tortora and Grabowske (2002), affirms that the bone is an alive texture, complicated and energetic which is part of a pursuing without interruption in the process of dynamic remodelamento propitiating new bones and degrading old bones. Thus, bone is one fabric multi-functional constituted by three cellular types: the osteoblastos, the ostecitos and the osteoclastos.
The first cellular type drift of the osteoprogenitoras cells of the ssea marrow and if locates in the surface of trabculas, the canal To have of the fabric sseo ostenico and in the peristeo, and its main function is to synthecize the not mineralized ssea matrix. These cells have as function to keep the viability of the fabric sseo (OCARINO; SERAKIDES, 2005). For Rebelatto and Morelli (2004), the bones are formed by two macrocospic layers: cortical, situated bone is of the bone, it is the layer hardest, and the spongy one, that it is called bone to trabecular that is inside of the bone, being been most vulnerable osteoporose. The bone is a protector of the agencies who has as function to support the body, to assist in the movements, to raise the muscular system, and still serves to keep calcium and leaves minerals the organism.
DEVELOPMENT For Port (2005), the breasts are agencies glandulares pairs, situated in the superior part of the thorax, on the pectoral muscles, height of 3 and 4 susceptible costal arcs the stimulatons neuro hormonal and destined primordially to the milk secretion. Adiposo skin, fabric and mammary glands are constituted of. In its general morphology, the breasts resemble if the glands suroripas, that is is structures tbero acenosa that wolves present 15 a20, distributed radically and separate between if for fabric conjunctive, distributed and radially separate between if for fabric conjunctive dense. As Stevens and Lowe (2002), the feminine breast depends on a variety of hormone for its normal activity, and particularly shows considerable variations structural and functional throughout the life, during the puberty, pregnancy, lactation, the normal menstrual cycle and menopause. This growth regulating hormone also originates the form most common of illness of the breast, that in reason of the abnormal proliferation, is assigned fibrocstica alteration. The carcinoma is the illness most important of the breast is the immediate destination of the cases of mammary cancer of the many forms of illness of the breast, one time that the majority of the illnesses mammary presents as a papvel nodule. Although the true nature of the nodules mammary only can be evaluated by the histolgico examination of the areas of the excisdos nodules, it is possible if to have a good idea of the nature of this nodule before the surgery. The malignant tumors of the feminine breast are extremely common, contributing for 20% of all the malignidade in women, acomete 1 in 10 women (STEVENS; LOWE, 2002). Author according to cited above the factors prognostics can be used in the forecast of supervened in the breast cancer the same one are not an existing only illness to an enormous variation. An enormous variability not supervened after the treatment, the factors related to the prognostic in the breast cancer is clinically important in the measure where it allows aconselhamento of the patients.