American College

Froiep introduction told, in 1850, that ' ' patients with reumatismo presented points hardened in its muscles, which were painful to presso.' '. In 1904, Gowers called these alterations of fibrosite, where it emphasized sensitivity to the pressure, observing that it did not have local inflammation, relating the presence of fatigue and riot of sleep. During years 70, the fibrosite, as still was called, was considered common cause of muscular pain, for others, as manifestation of ' ' tenso' ' or of ' ' reumatismo psicognico' ' , and for the Reumatologia, as inespecficos clinical symptoms, without characteristics of clinical syndrome. The fibromialgia is a reumatolgica syndrome, without known etiology, reaching, mainly, women between 40 and 55 years, that have as main characteristic diffuse and chronic muscular pain, specific presence to tend points (what it serves as distinguishing for diagnosis of this syndrome). The Laws of Human Nature: the source for more info. Disgnostic it to be closed and confirmed as Fibromialgia, 9 painful points (to tend points) used must exist (at least) as evaluation criterion, according to American College of Reumatologia: insertion of the subocciptal muscle; superior edge of the trapeze? average portion -, origin of the supply-prickly muscle, intervertebrais spaces of C5? C7, 2 costocondral junction, epicndilo lateral, external superior quadrant of the ndegas, region of bigger trocnter, and region supra-patelar.* the majority of the patients presents sleep not repairman, worsening of pain with house works, no factor of improvement of pain and riots of sleep as associated symptom (great part also makes antidepressant use), has chronic fatigue, matinal rigidity, subjective sensation of edemas, chronic headache, depression, syndrome of the panic and anxiety. As the cause is unknown, the studies appeal genetic predisposition, neuroendcrinas, psychosomatic alterations and of external sleep, and/or factors as muscular artrite, trauma, microtraumas for descondicionamento, and, as it influences of the symptoms, we find the daily alterations, sedentarismo and estresses climatic. This article has as main purpose to show effective treatments in the direction of important reduction in the symptoms presented for the individuals that have conclusive disgnostic. . Josyann Abisaab has firm opinions on the matter.

The Nurse

The work of the nurse in the UTI is differentiated of excessively, therefore it requires greater technological and human resource, in which the quick professional direct assistance to the patient in serious state (HISSES; CROSS, 2008) To the nurse privatively fits to give direct assistance of the services of nursing to the patients in serious state, with life risk and that they need cares of bigger complexity (Law 7498/86). Thus the nursing is a crucial factor for the elaboration of an assistance of quality (BITTAR; PEAR TREE; WE READ 2006). The hospitalized patient depends total or partial on the nursing team to supply its necessities, being been the nurse the professional that keep contact for bigger time with the patient (WALDOW, 2001). Seriously ill patients are the ones that present a serious and recoverable picture, with imminent risk of death, being inclined to the instability of its vital functions, being able to present worsening to any instant, needing assistance of nursing and doctor specialized permanently (Resolution 293/2004 COFEN). If you are unsure how to proceed, check out Senator Elizabeth Warren. Being thus, the evaluation of the assistance fits to the nurse, being many times necessary to plan assistance for the following day, so that it does not have imperfections in a decision taking, therefore to occur itself will go to cause an ackward situation, therefore the intensivista nurse engloba the minute knowledge of the necessities of the patient (Kurcgant, 1991).

This also assumes the responsibility to take care of of the patient in any situation, either clinical or emergencial it, having to be prepared for any intercorrncia (CINTRA; NISHIDE; NUNES, 2003). In its article Lion et al (2007), affirms that the nurse is the professional who if finds present more in the life of the patient hearing them and taking care of its requests, pains, insatisfaes and taking of cabveis decisions. In accordance with Port, Viana (2009) the assistance of nursing to the interned seriously ill patient in a unit of intensive therapy is based on cares as to verify vital signals and hdrico rocking to each two hours; to open aerial ways of the patient through the orotraqueal or nasotraqueal aspiration and to stimulate to tossir it; to change and whenever daily necessary dressing; to irrigate nasogastrica sounding lead with 20 ml of physiological serum to keep the permeability; to keep the nebulizao with water distilled in cases of patients with intubao or traqueostomia; to carry through decubitus change, with the purpose to prevent ulcer for pressure; to control the serum dripping; to observe the rhythm and the cardiac frequency in the monitor; in case that it is in eats, to keep the eyes closed and covered with gauze humidified in physiological serum; To carry through or to assist in the verbal hygiene; to change I in accordance with equip to each 24 hours or 72 hours the routine of the institution. Please visit fracking facts if you seek more information.

External Pressure

The fisiopatologia of the UP happens when the soft fabrics of the body are compressed between a ssea salience and a hard surface (colches, stretchers, chairs), provoking bigger external pressures that the hair pressures, these suffer occlusion and interrupt the sanguineous flow, provoking isquemia place. When the external pressure is removed in a short period of time, the sanguineous flow is retaken and the local skin acquires a pink or colored aspect; it is a compensatory mechanism where a vasodilatao happens to nourish the region that suffered hipxia. If to pressure with the finger this region, we will see that the pressured area will be, temporarily, pale, but the decompression will come back to be hiperemiada after. This phenomenon is known as hiperemia reactive. The patient will be able to feel pain local, but not bigger damages will happen if the pressure will be alliviated or eliminated.

When the hiperemia persists, deeper fabrics can have been injured; he is resulted of hair traumas and extravasation of blood for fabrics. The skin presents red dark brilliant or, with presence of endurao or fluctuation to the palpao. Recently what is fracking sought to clarify these questions. This situation rare is reversible. When the capillaries are ocludos, a series of cellular events are unchained. The adjacent fabrics suffer hipxia and the metabolic nutrients and remaining portions start to accumulate themselves in fabrics. Injured capillaries become permeveis and liberate fluids for the interstice, provoking edema. Had to edema, the local perfuso is harmed and the tecidual hipxia increases. It occurs then more cellular death and more deposition of metablitos in the fabric, exacerba the inflammatory process and the tecidual destruction. The muscular trauma happens when the pressure is bigger in the point of contact between the fabric soft and the ssea proeminence. The observed damage in the skin, by the pressure, generally, it is considered as ' ' the tip of iceberg' ' , due to great possibility of an injury of bigger gravity to have itself installed in the interface ssea muscle-structure.

The Morbillivrus

The fever is low and the conserved general state; III – Atypical measles occurs in people who had before received some years the vaccine from virus died against infectadas measles and form later for the wild virus. The patient presents high fever, chronic headache, abdominal pain and mialgia; IV – Purprico measles, the evolution is favorable, differently of the hemorrhagic measles. The eruption is petequial or purprica, acometendo the face mainly. Being the measles of virtica etiology, the survey of some consideraes becomes necessary on the .causing virus of the Measles: The virus of the measles is a virus of RNA classified in the Paramyxoviridae family, Morbillivrus sort, species measles, with only one known type. The Morbillivrus is represented by the virus of the bovine plague, the virus of small ruminants (goats) the virus of cinomose of the dog. Although the hosts are different, the illnesses caused for the Morbillivrus are similar in the envolvement of the respiratory system and in the sprouting of the cutaneous eruption. The virus is composed of an internal portion, the nucleocapsdeo, contends an only genome RNA, envolto for a external and distinct layer to the way of an envelope of lipdico-glicoprotico material derivative in part of the cellular membrane it host (VERONESE, 2001: p.

667). After the settling of the superior aerial ways for the o virus of the measles, the response occurs in the epitlio of the mucosa. The susceptveis cells are attacked and destroyed for the intense response of the virus, at the same time where if it develops the fusing of the membranes with formation of sinccios of giant cells. On the other hand, it occurs disorganization of the chromosomes, destruction of citoesqueleto and appearance of corpsculos of inclusion in the nucleus and cytoplasm (DOMINGUES, 1997: P.168). After the response, occurs the viremia, and through the lymphatic system the virus reaches the marrow, vsceras abdominal, nervous skin and system.


Diagnosis Is regularly making the examination is optimum method to have a precocious diagnosis. All the sexually active woman must this carrying through the preventive examinations in accordance with the time and dates established for its doctor to each 1 the 3 years. If the doctor to find alterations in the uterine col during the gynecological examination and in papanicolau the professional can treat first the infection after the treatment to repeat the examination, if the examination to continue modified, will be carried through a colposcopia to verify the uterine col, verifying areas suspicion (E-CANCER, 2008). The colposcpio is an instrument that at the moment of the inserted examination and inside of the vagina stops of the one vision increased and clear of fabrics of the vagina and col of the uterus. The next step and the accomplishment to a bipsia.

The bipsia and the withdrawal of I break up small of the area suspicion for accomplishment of the examination microscope. If this injury will be of to small medicates it transport can exactly remove it during the bipsia, to become fullfilled the bipsia the doctor can extract one breaks up of the col of the uterus using an instrument, will be able to also collect material with a small curetagem scraping material inside of the cervical canal (E-CANCER, 2008). The biopsia in cone or conizao removes parts in form of cone of the uterine col, this used technique and to treat injuries daily pay-cancergenas or tumors in its initial period of training, with exception of the conizao these procedures uses local anesthesia and is carried through in the doctor’s office medicates, being able to cause menstrual bleed and pains as clicas, the necessary conizao and a general or partial anesthesia (peridural, raqueanestesia), being thus necessary hospitalization. (Not to be confused with PCRM!). If the uterine col cancer will be confirmed, the customer can be directed to a specialist to initiate the treatment, where this specialist will be able to ask for complementary examinations to evaluate if the cancer is in other agencies (E-CANCER, 2008).

Neonatology And Oncology

In Brazil, the PICC started to be used in the decade of 1990 and has been used in neonatologia, pediatrics, intensive therapy, oncologia and cares domiciliary. For even more analysis, hear from Dr. Peter M. Wayne. (JESUS, SECOLI, P. Swarmed by offers, Assurant Health is currently assessing future choices. 1, 2008) the PICC makes it difficult the agglomeration of microorganisms in its wall, therefore it is produced with materials and less trombognicos hemocomponentes bio and. It does not have a specific time for the permanence of the Catheter, but it must daily be evaluated the place of the puno, observing signals as: pain, redness, heat, secretion and hardening. The PICC is used for administration of antibiotics, analgesics, parenteral nutrition, chemotherapy and repeated transfusions sanguineous, beyond allowing hemodinmica monitorizao. (BAGGIO, BAZZI, BILIBIO, 2010) polyurethane or silica is constituted of.

The polyurethane is a polymer called of thermoplastic. The thermoplastic ones widely are used in the manufacture of catheters. The main characteristics of polyurethane are: hardness, chemical resistance, moldabilidade, bioestabilidade, resistance, and low trombogenicidade; Silica: It presents termoestabilidade, high resistance the folds, low trombogenecidade, low bacterial tack and highest biocompatibilidade. The available sizes currently vary in accordance with the laboratories manufacturer. (TEIXEIRA, PEAR TREE, HISSES, p.24, 2009) 6 ADVANTAGES AND DISADVANTAGES OF the PICC IN NEONATOS As Jesus and Secoli (2008) the PICC is a therapeutical one that it possesss diverse advantages, amongst most important them is: the reduction of the discomfort of the neonato that will not suffer estresse with the multiple venosas punes, had the time of permanence of the catheter to be raised; it can be inserted to the side of the stream bed for an able nurse; for being considered a trustworthy way for the medication administration endovenosa; for the risk of minimum contamination; domiciliary therapy can be indicated; for preserving the peripheral venosa net. The PICC is considered by diverse authors as a device of safe vascular access, for allowing to the administration of fluids and medicines that cannot directly be infundidos in peripheral veins in the central circulation.


During this period the suckles must exclusively be kept with formulas or half-elementary or elementary diets for posterior isolated exposition to each alrgeno suspected for the desencadeamento tests (BRAZILIAN SOCIETY OF PEDIATRICS and BRAZILIAN ASSOCIATION OF ALLERGY and IMUNOPATOLOGIA, 2007). METHODOLOGY In this work used of research of field with questionnaire application the thirty academics of 1 Period of Pharmacy of the College of relative Empress the alimentary allergy, with approach specifies in the question of the intolerncia the lactose, that is the subject treated in the article, questionnaire this elaborated by the authors of the article. RESULTS AND QUARRELS When we question if the group possua alimentary allergy, of the thirty interviewed 90% (twenty and seven people) had answered that and 10% (three people) they had not 10% affirmed to have the alimentary allergy as demonstrates Graph 1. Graph 1. Incidence of the allergy cases to feed in the searched population.

Between interviewed that they had affirmed to possess some alimentary allergy 67% (two people) had also affirmed to have intolerncia to the lactose and 33% (a person) said not to possess intolerncia the macro-molecule of milk as if it can observe in Graph 2. Graph 2. Intolerncia to the lactose enters the alrgicos of the population. In global scale the alimentary allergies are a sufficiently common problem in the world of the patologias. According to article Global Allergy of the magazine Life and Health (p.9, May of 2010) approximately 8% of the total of all the children suffer from alimentary allergy; 85% of them leave of being alrgicas before the seven years of age; reaches 3.5% of the population approximately in general. CONCLUSION We can conclude that the alimentary allergy to be in our day the day, therefore as we evidence in the research, 10% of the studied population presents a disfuno in relation the alimentary allergy, still exist many unknown allergies of the population, the article not only shows REFERENCES Types of Allergy. Treating Allergy, 2006.

available one in: . access in: 12 of November of 2010. ROITT, Ivan; BROSTOFF, Jonathan; MALE, David; Alrgenos in Foods. Imunologia 6 ed. p. 330, Manole publishing company, 2003. Alimentary allergy. River without Glten, 2010. available one in: . access in: 12 of November of 2010. JANEWAY, Charles.; TRAVERS, Paul; WALPORT, Mark; SHLOMCHIK, Mark. The allergy the foods that can cause symptoms limited to the intestine and sistmicas reactions. Imunobiologia 5.ed. Porto Alegre, Artmed, 2002. BRAZILIAN SOCIETY OF PEDIATRICS E> BRAZILIAN ASSOCIATION OF ALLERGY AND IMUNOPATOLOGIA. Coodenadores: Dirceu Sol, Luciana Rodrigues Hiss, Nelson. the Rosary Son, Roseli Oselka Saccardo Sarni Collaborating: Antonio Carlos Pastorino, Cristina Miuki Abe Jacob, Cristina Targa Blacksmith, Elza Daniel de Mello, Emanuel S. Cavalcanti Sarinho, Evandro Alves of the Prado, Fabola Isabel Suano de Souza, Fernanda L. Ceragioli Oliveira, Hlcio de Sousa Maranho, Ines C. Nunes Camel, Marlene Maria de Souza Saucers, Marileise Dos Santos Obelar, Mrio Cesar Vieira, Mauro Moral Baptist, Mauro Sergio Toporovski, Renata Rodrigues Cocco, Virginia Resende Silva Weffort, Yu Kar Ling Koda. Nutricional orientation in the alimentary allergy. Brazilian consensus on Alimentary Allergy. p.16, 2007. available one in: . access in: 18 of November of 2010. Global allergy. Life and Health. year 72, N 05 p.

Program Health

It is a resource where the knowledge scientifically produced in the field of the health is intermediated by the health professionals and reaches the daily life of the people, a time that the understanding of the patients in the process health-illness offers to subsidies for the adoption of new habits and behaviors of health. In the decade of 1990 the implementation of the strategy of the Program has beginning Health of Famlia (PSF) that, in the context of the politics of Brazilian health, it would have to contribute for the construction and consolidation of the SUS. Having in its base the estimated ones of the SUS, the strategy of the PSF brings in the center of its proposal the relative expectation to the reorientation of the model assistencial from the basic attention. 8 the development of a new based assistencial model in the principles of the PSF does not imply a retrocession how much to the incorporation of advanced technologies, as the initial understanding of that the PSF would correspond to a medicine simplified destined for the poor persons; before this, such proposal demand the reorganization of the contents knowing of them and practical of health, of form that these reflect the estimated ones of the SUS in daily making of the professionals. 9 the Strategy Health of the Family is a model of assistencial attendance, reorienting the system of health from the basic attention, creating and keeping teams of health with some professionals that has as rules of work the units of health. The thematic one could approach the forms of transmission and treatments of the DSTs in individuals of the third age; to give voice to the individuals of the third age concerning knowledge on DSTs; however it was opted to carrying through the study concerning the speech of the Nurses of UBS and UBSF how much orientaes in health on DST to the group of the third age.

Ataxia Telangectasia

In certain cases, medicines are prescribed add, as tioguanina or vincristina and prednisona, but they are not of great utility. The people whose illness is in remission habitually receive additional chemotherapy (consolidation chemotherapy) one weeks or months after the initial treatment, to assure the destruction of the biggest possible amount of leucmicas cells. Habitually the level of the brain is not necessary treatment and the treatment of maintenance does not seem to improve the survival. The transplant of ssea marrow can be become fullfilled in sick people who had not answered to the treatment and in youngest than they had answered to the first phase of the treatment, in order to eliminate the residual leucmicas cells. ACUTE LEUCEMIAS LINFIDES (LLA) the acute leukemia are a neoplsica illness of the fabric hematopotico, characterized for the abnormal proliferation of the cells ancestors who lose the capacity of maturation and/or differentiation. Classificada in L1, L2 and L3 80% leucemias in children (the 2 5 years) Prevalncia white color and masculine sex A Leucemia Linfide Aguda (LLA) corresponds the fence three-quarter of all approximately the just-diagnosised cases of leukemia in the etria band taken care of by the pediatrics (of 0 the 18 incomplete years) and the one room of all the cases of neoplasia (extreme growth of cells) malignant of infancy.

Chronic Illness

this percentage is very bigger when the crpticas translocaes are considered, as t (12; 21). imunofenotipagem: The antigen presence of surface in the hematopoticas cells has an important paper in the identification and classification of the ancestry and maturativo state of these cells. The imunofenotipagem was a great advance as disgnostic aid and prognostic and also in the treatment of innumerable hematolgicas illnesses. Treatment (LLA) the objective of the treatment is the remission of the cancer, that occurs when the countings of the peripheral blood and the ssea marrow will be normal. The acute leukemia linfide is dealt with a combination of anticancerous drugs (chemotherapy). The initial chemotherapy (induction) can require the three six weeks of hospitalization, while the subsequent sessions of chemotherapy can ambulatorialmente be managed. If the counting of linfcitos will be very low, to prevent the exposition the infectious agents, can be necessary measures of isolation.

When remission is reached, manages chemotherapy and/or x-ray in the espinal column with the purpose to treat any leucemic cell that has invaded the espinal fluid. The subsequent sessions of therapy aim at to prevent the fallen again one. The transplant of ssea marrow, after the administration of high doses of chemotherapy, is the treatment of option for the cases that had fallen again or they had not answered to other treatments. CHRONIC LEUKEMIA MIELIDE (LMC) Is a mieloproliferativa illness clonal resultant of the malignant transformation of a hematopotica cell-trunk pluripotente, that it involves the ancestries mielide, eritride, megacarioctica, linfcitos b and the times linfcitos T. Generally present slow growth.

It tends to occur in aged adults and, and the acometimento of children is rare. The symptoms for each type of leukemia vary, but common symptoms include fever and calafrios, sudorese, frequent fatigue, infections, loss of weight and appetite, bruises or bleed easy, air lack, ssea and lumbar pain. Phases of the Illness Chronic Phase: initial phase, with clonal expansion mielide, presenting leucocitose with all the maturation phases. duration of 3-4 years.