In regards to the exercise of being able of the nurse, a reproduction of the medical power is observed, where ' ' head of enfermagem' ' , most of the time he adopts an arrogant leadership of autocratic nursing and in the command of the nursing team, what he infers Padilha (1997). On the other hand, as for the relations of being able of the nurse next to the nursing team, an alternation of papers is verified, that is, these assumes attitudes of authority, responsibility and requirement in the fulfilment of the duties, fellow creatures to those of the doctors. The exercise of the power carried through for the nurse is based on the knowledge of the administration in nursing. Maximiano (2005) it appraises to manage as the process to take decisions on objectives and use of resources. This knowledge consolidated through the Nightingaleano model and of the administrative theories, amongst which if it detaches the beginning of the Classic and Scientific School that, as Fernandes and Spagnol (2003) bring as characteristic the spalling of the activities, the impessoalidade in the relations, the centralization of the power and the rigid hierarchy, what it can be observed through the authoritarian managemental behavior adopted by the nurses.
Ahead of the diversity of subjective acquired by the professional nurse, where the conquest is substituted by the responsibility and the freedom is imprisoned the limitation, it allows the professional, to half acquire and methods for attainment of the procedural character of autonomy in the nursing. Spagnol (2003), still infers that although the contributions of the classic model of management, the organization of the work in the hospital area, throughout the time have produced effect negative, which harm the work process. The author still cites the difficulties in taking care of readily to the necessities of the customers and the workers, what she intervenes with the quality of the given services, therefore the work is developed mechanically, without bonds with the customers and the professionals of the daily one.
The no-trombtica occlusion will be able to occur as consequence of the crystallization in the interior of the lumen of incompatible medicines or parenteral nutrition. It’s believed that PCRM sees a great future in this idea. The incorrect maintenance of the PICC contributes for the occlusion of the device, mainly when added to the long length and the small diameter of the catheter. (JESUS, SECOLI, 2008) According to Light (2008), for the maintenance of the catheter, an used protocol is the accomplishment of the salinization, before and after the ending of medicamentosa infusion, must be managed solution physiological 0.9% and when the device will not be in continuous use, the administration of anticoagulating solution must itself be carried through. It is important that before managing this solution, the previous solution must be inhaled and rejected and the catheter washed with physiological solution. The conservation of the catheter requires of the team the adjusted manipulation, to prevent future complications and to establish the biggest permanence of the catheter during the treatment. The success of the maintenance of the PICC depends on the training of the nursing team.
(RABBIT, NAMBA, 2009) During the removal of the catheter difficulties, that can comumente be caused by flebites, infection, tack of fibrinas in catheter and for venoespasmos, being this one of the causes can occur most frequent. To facilitate the catheter withdrawal, one uses some procedures to assist in the success of the technique of withdrawal of the PICC, such as, to promote techniques relaxation, providing to the neonato a calm environment and to make use of compresses mornas to dilatar the veins, diminishing its resistance. This procedure must be carried through carefully and if the resistance to persist, will need a radiological evaluation. (JESUS, SECOLI, 2008) 8,2 LOCAL COMPLICATIONS the flebite occurs due the mechanical, chemical or infectious factors, that cause the inflammation of the endoteliais cells of the venosa wall. The flebite mechanics occurs due to a trauma during the insertion, removal or movement of device PICC in the interior of the vase, is evidenced of 48 the 72 hours after the removed insertion or. .
We are beings of hidden faces As to arrive at the deep and obscure labyrinth of the mind human being? Which the reasons that take the being to act and to think of its desires and closer instincts differently? We drown in them in masks, we transfiguramos in them and we play innumerable roles to please and to satisfy the other, and thus we autoflagelamos in them, since we are ' ' masoquistas' ' , therefore we do not admit if it wants one minute of happiness, therefore to be happy, is to disdain the other. if coming across in them with situations, which, ours ' ' skin is in jogo' '? What to make when we are in berlinda and in we feel them threatened? In them we become desumanos and, it stops saving in them, we place in xeque the life of the other. Then, we show the obscure and shady face of our being. See more detailed opinions by reading what Boy Scouts of America offers on the topic.. We are now uneven human beings, disputing optimum place in the pdio and for we, do not exist as the place. However, at moments of fragility and solitude, we perceive that we are not one only, we are multiple and incomplete beings and we need the other as well as we need the breath stops to survive.
The totality of the being meets in the duplicity and partnership with its fellow creature, even so each one possesss its particularitity, its indissolvable individuality. You may wish to learn more. If so, Dr. Neal Barnard is the place to go. thus, we human beings, all live during our vital passage in search of answers for our attitudes and uncertainties of the life. However, the answers for these investigations if find there, hidden in our proper mental, unconscious labyrinth. We only can find the answers, therefore we are intransfervel proprietor only of the key that will go to open and to disclose and to decipher ours ' ' minotauro' ' , the deepest desires and restrained wills..
Today we go to speak on pendant, a so old object and that it always is if bringing up to date, they are diverse the models, in gold with diamonds, with crystals, but its presence it is constant in the neck of the mulherada one, rapaziada or even though in its bichinho of esteem. These pendants can also have one meaning for the person who this using, and also to mark a special moment. Every year in commemorative dates we give to gifts for our relatives and wanted friends, the ideal we would be not to wait a concrete date, but yes to only give they something who we had will at any time. However nor always he is easy to give to a gift for a person, after all the gostos so are differentiated that we do not know to the certainty what will please each person. But he is possible to adhere to an infallible option. We gain that pretty gold Pendant and we ask in them:
Oh! Cruel doubt! Where I must place this Pendant of gold? Calm girls and boys! Soon we find that necklace or gargantilha that this pendant falls that nor a glove, or then, that bracelet that was made for that gold Pendant. The end Pendants is pretty and fits in any necklace, bracelet or earring. The important one is always to be beautiful fashion. It has people that they use until gold Pendants in its cellular one, looks at that pretty! You badalando with its device and that pretty gold Pendant making that success! that such to make one mimo for its bichinho of esteem? They also deserve to walk fashion with that pretty gold Pendant have of as many types and sizes the doubt is to choose prettiest.
One of the beauty products that have earned the attention of the consumers is the use of face primer or to primer of eyes in the maquiagem. According to marks that are producing the product, primer serve to keep the maquiagem in the place for more time. Primer must be applied after the hidratante and solar protector and before the application of the base, that is the first layer of maquiagem in contact with the skin. Primer will also function as a protective layer of the skin, preventing the direct pigment contact contained in the base with the skin. Some formulas exist that are currently available and the ideal is to choose one that if adjusts its type of skin. Many specialists have fond the concliso that the use of primer if becomes necessary only at some moments where the maquiagem needs special durability: photographic sessions, parades, the day of the marriage or a party or social event. Of this form, the use of primer in its daily maquiagem is not absolutely necessary and you with certainty it does not need to invest in a product where it perhaps does not need as much. If still thus to want to invest in primer, send regards one of eyes, therefore it functions as a base for the shade, helping in the more alive setting of it and becoming corews..
Ahead of this question, the JJB athletes finish reduced the mental models that display the risk situations still more to them, forsaking instead of protecting, not only physically, but in the psychological dimension also, going against the main one felt that she developed the strategical techniques and of the old Jiu Jitsu for the current JJB: to protect weakkest in any situation, as much in foot how much in the soil. 2 – The rules of fight and contractual requirements of the MMA harm the correct execution of the techniques and strategies of the JJB, for example: closing of round when the JJB practitioner has a dominated position or an incased finishing, pressure of the controllers so that the more aggressive fighters are each time, duly warned to become uninteresting and contracts not to be renewed. As it can be observed, the MMA generates diverse artificialidades that do not condizem with the proposals of the soft arts, does not condizem with the JJB, seno sees, the techniques of body control is preferred by the practitioners of the soft arts in damage of the traumatic blows (they are used, but as complement), has seen the risk of breaking of the hands, as well as revealing aggressiveness, although to be arts that make possible the users to cause the worse damages, in case that they desire. Let us see the case of the Aikido where its techniques are extremely dangerous, capable to direct the body of the aggressor for the direction that to desire thus and, to have its projected head against the ground, wall or another solid extremity, however, the objective of the soft techniques is not to cause the destructive result, but yes, to control the causes, to control the aggressiveness and to brighten up it the maximum, searching the composition of the conflict by means of action that takes the aggressor to give up its violent intention, without suffering to injuries and if this to occur, controlled for the possible minimum..
For this end, them they must possess abilities and abilities to evaluate, systemize and to decide the behaviors most adequate, based in evidences cientficas’ ‘. 8-9 the planning and the taken consequence of decision as specific function of the nurse who develops the management of the service had been reduced to dimension technique, therefore composes only one set of action that they search to place one another action in practical, since the ideological questions and of being able intrinsic when planning are not considered by the nurses (10). Then, to reach the ability to take decisions, some stages need to be fulfilled. To know the institution and its mission, to evaluate the real necessities of the users and to carry through the work pautado in a planning that contemplates the detailing of information such as: ideas and forms of operacionalizar them; viable resources; definition of the involved ones and the steps to be followed; creation of cronogramas of work and envolvement of the diverse levels hierarchic. (11) Leadership the leadership is had as one of the main abilities to be acquired for the health professional, over all the nurse. ‘ ‘ In the work in multiprofessional team, the health professionals will have to be apt to assume position of leadership, always in view of well-being of the community. The leadership involves commitment, responsibility, empatia, ability for taking of decisions, communication and management of form accomplish and eficaz.’ ‘ 8-9.
Leadership is the process for which a group is induced to dedicate the objectives to it defended for the leader or partilhado by the leader and its followers. Leadership and administration if overlap, since some aspects of the leadership could be described as management. (12) She is necessary to remember that sort, power and leadership are linked.
For the identification or diagnosis of this illness must first be made a tracing of this type of diabetes. The test of tracing after consists of the determination of the glicemia 1 hour the ingestion of 50 glucose g in 200 ml of water, in any height of the day, not being necessary that the pregnant woman is in jejum. The tracing is considered positive and the DG must be confirmed with the accomplishment of a Verbal Test of Tolerance to Glicose (PTOG), case 140 the plasmtica glicemia is mg/dl. (O’ SULLIVAN and MAHAN, 1964). The test of tracing will have to be effected between 24 and 28 week, and, in case that she is negative, must be repeated to the 32 weeks of gestation. For the opposite, the pregnant that present risk raised for the illness, will have to carry through the test soon after the diagnosis of the pregnancy.
If the result will be negative, will have repetiz it again enters the 24 and 28 weeks and, in case that the negatividade persists, to the 32 weeks. The test of tracing will have to be effected between 24 and 28 week, and, in case that she is negative, must be repeated to the 32 weeks of gestation. For the opposite, the pregnant that present risk raised for the illness, will have to carry through the test soon after the diagnosis of the pregnancy. If the result will be negative, will have repetiz it again enters the 24 and 28 weeks and, in case that the negatividade persists, to the 32 weeks.
Positive Catalase, has formation of bubble on of plates, in case that I oppose is catalase negativa.3.2 Test of coagulasePosteriormente the Catalase became the test of Coagulase in all the colonies that had presented resulted positive in the test of catalase. This test has for objective to verify or not it presence of the Coagulase enzyme. This active enzyme plasma coagulation factors harvested with anticoagulating Citrate. The Staphylococcus aureus possesss this enzyme. After the preparation of a suspension from the colonies of positive Positive Gram Coconuts catalase, was incubou in microbiological greenhouse, aliquot of 200 l together with plasma barren of rabbit harvested with citrate for 24h 36C, in barren glass pipe. Ribeiro; To sound (2002), affirm that in case of formation of cogulo the bacterium in question is of the Staphylococcus species aureus.4 Test of NovobiocinSimultaneamente to the test of the Coagulase became fullfilled the test of the Novobiocina for all the coconuts positive gram-positive catalase. In case of negative Coagulase this test serves to differentiate the main not producing species of Estafilococos of coagulase.
This test was carried through becoming it sowing of the bacterium in question on a plate of Agar blood, assists with it of one swab barren. On this sowing a record of Novobiocina was placed and the plate was incubada in microbiological greenhouse for 24h to 36C. After this period of time was become fullfilled measured it of the inhibition halo, where this occurred. Levi (2004) affirms that the resistant samples show to zones of inhibition of 6 12 mm, and most sensible they present halos of 16 mm more or. Cepas of epidermidis Staphylococcus saprophyticus is resistant and of Staphylococcus they are sensveis.5 Identification of EnterobactriasAs negative Gram bacteria that had grown in the MacConkey agar, had been submitted the tests stops identification using itself the Kit for Enterobatrias of company NEWPROV.
Figure 3 – Values of average and shunting line standard of the age in ralao to the IMC of the masculine sample in accordance with the age (n = 92). In figure 4 we can notice an increase of the percentage of fat in the measure where the groups go advancing of etria band. The etria band of 10 years presented average of 21,32 (12,59), configuring taxes raised, being classified as moderately high according to levels of %G considered by Son, 1999 in the table – Classification of the sample how much to the percentage of relative fat. Figure 4 – Values of average and shunting line standard of the age in relation to the percentage of fat (%G) of the masculine sample in accordance with the age (n = 92) Table 3 – Values of Average and Shunting line Standard of the weight, stature, index of corporal mass (IMC), and percentage of fat (%G). in accordance with the sort.
GENEROPESOESTATURAIMC%G Masculina34,31 (7,97) 1,37 (0,07) 18.1 (3,11) 19,03 (10,51) Feminina33,79 (7,28) 1,37 (0,08) 17.81 (2,64) 26,22 (9,9) We can notice that masculine sex presented average greaters of 18,1 (3,11) of what the feminine sex in question IMC, being both classified according to table 2 Points of Cut of IMC in adolescents for overweight and obesidade as normal weight for the age. With relation the percentage of fat (%G), the feminine sex got an equal 0 variable the 26,22 (9,9), being classified as high and the masculine sample with a 19,03 average of (10,51), classified adjusted for the age according to source: Deurenberg, P. pieters, j.j.l and hautuast (1990) cited by (Fernandes son 1999). Although the women to present one IMC of lesser value of what the men, the percentage of fat exceeded the values indicated for the age. Conclusion On the basis of results of this study, can be concluded that: It is suggested in this study that the prevention and the treatment of the obesidade in infancy and adolescence could prevent the incidence of possible illnesses in the followed adult life of some program of physical activity.