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Bakhtin

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Another point to be observed in the communication, according to author, is the vocabulary, that must translate into the receiver accurately the same felt that it has for the sender, when this does not occur, we say that it did not have an efficient communication. Thus, so that an efficient communication occurs, it is necessary the use of an understandable vocabulary to the receiver as it is to the sender. The communication is composed of verbal and not-verbal manifestations that are used for the communicators, with the intention to change information. The verbal one mentions the express words to it by means of the said language or writing that we use stops communicating in them. For intermediary of the language, we can display our ideas, divide experiences with the other people.

Therefore, without it, we can be limited and not to be understood (STEFANELLI, 1993). Regarding the verbal communication, Bakhtin comments: The job of the language is effected in form of declared (you pray and writings) concrete and only, pronounced for integrant of this or that field of the activity human being. These statements reflect the conditions specific and the purposes of each related field … Evidently, each particular statement is individual, but each field of use of the language elaborates its relatively steady types of statements, which we call sorts of the speech. (BAKHTIN, 2006, 261). The not-verbal communication mentions the manifestations to it of the body, not express for words, as the expressions face, the position of the body, the gestures among others. This form of communication is unconscious and control is not had on it (STEFANELLI, 1993). As if it does not have control on the not-verbal communication, many times are with the aid of the manifestations that we perceive if the sad, glad person this, with fear, feeling pain or worried. Among these manifestations, we can detach the face expression and the corporal one, however all the types of communication can provoke incompreenso, depending on the way as express and it is interpreted, causing modifications in the cases where the communication is effective (STEFANELLI, 1993).

Swaan Solutions

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The growth of the interdependence human being brought the extension and the intensification of the external effect of the action, or the proper existence, one, poor ones, on others, rich. The transistion for an urban and industrial society, that evidences the problems of the mutual dependence, meant the abandonment in such a way gradual, due to its impossibility, of individual solutions as to run away from the contact with the dismissed ones and/or to leave them it the flavor of the luck or the market, how much, due to its inefficacy front to the size of the problem, of voluntary solutions as the filantrpicas organizations, of charity and aid-loan. The well-being politics contemporaries, as the proper State produces that them, they would be resulted historical not anticipated of the efforts of the elites, and the conflicts the intra-elites, to explore, to manage, to control and to attenuate the increasing effect external of the destitution, ahead of the increasing failure of the individual solutions and the precariousness of the voluntary solutions. In this process we have gnese of the call social, basic conscience in the formation of a collective and national identity, defined as ' ' conscience of the intensive and extensive growth of the interdependence bows, together with the disposal to contribute with the remedies for the adversities and deficiencies that affect outros' ' (Of Swaan, they idem: 10). This sense of responsibility, that did not eliminate the filantrpica action, requires each time well-taken care of state and resources that will be extracted compulsively of the society and will benefit to all, contributing or not. The State if constituted as legitimate organization, due to formation of this social conscience, and capable, had to its specific characteristics, to regulate the effect negative of the social interdependences, that, throughout the time, tend to be reduced the solutions legal and administrative under the responsibility of a bureaucracy.

Medicamentoso

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An adolescent with acute glomerulonefrite can develop hipertensiva encefalopatia or an pregnant woman with edema proteinria can present convulsion of the eclampsia with only 160/100 pressricos levels of mmHg. Both are considered as emergency and must be treated as such. The hipertenso can be complicating a concomitant illness as in infarto of the myocardium and the dissecante aneurism of aorta. Also in these situations modest degrees of rise of the Par they will go to need immediate treatment. On the other hand, Par of 240/140 mmHg in assintomtico patient of 50 years, without damage evidence the agency-target can not need parenteral anti-hipertensiva therapy or, even though, nor to need hospitalization if could be folloied of close. Learn more about this with BSA.

Many times the high Par can not be considered as hipertensiva crisis and can have risk if the pressrica reduction fast and will be made in intempestive way. Clinical examples include chronic hipertenso and severe assintomtica, with deep of eye degree I or II, in aged patient, causing ischemic cerebral vascular accident as iatrogenia it deals with mento. Also pressricas rises associates to the anxiety and pseudohipertenso can simulate a picture of hipertensiva crisis. Advances in the farmacoterapia had allowed acute reductions of the Par in the majority of the cases. The balance between reducing the Par of efficient form always must be considered and keeping the sanguineous perfuso to the noble agencies, so that the risk does not exceed the benefit. This article has as objective to introduce the subject ' ' crisis hipertensiva' ' how much the definitions, epidemiologia, etiology and clinical picture with focus in urgency and emergency. Educate yourself with thoughts from Nieman Foundation. The call hipertensiva pseudocrisis if folloies of accented rise of the Par, unchained, most of the time, for the abandonment of the medicamentoso treatment in chronic hipertensos patients, but also for pain, discomfort and anxiety. The marcante clinical evidence is the absence of signals of fast deterioration of agency-target.

Guedes

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This acts as process where if of the transference of a message of an sender, for verbal, not-verbal, chemical, electromagnetic a receiver, being able to be among others. The act of if communicating would be the way for intermediary of which the individual displays its experiences, ideas, knowledge and feelings to another human being. Soon, through this, a message is codified and exactly decoded using sonorous, iconographic or gestuais systems and signs or symbols among others (PEN-CASANOVA, 1999). Such can be used with verbal communication, audible manifestation, in the form of speaks, but not-verbal, as of form also written, in the corporal language, among others. It is important, to stand out, however, that, amongst the human beings the transference of the verbal message, involves a falante and one or more listeners. Therefore, the individuals are programmed since early communicating itself. Composed of systems of transmission of messages, in its verbal form the communication has the language, that in turn says it has it as main element (PEN-CASANOVA, 1999). Soon, the language says and allows it the transmission of the message.

It says it, as Guedes (1997) is a function of the breath, on to the neurofisiolgicas changes of the larngeos consequences, of the musculatura of the joint that receives impulses volunteers of the cranianos nerves for where if they create audible sounds and meanings, that is, words. Thus, in its production the movements can be complex and changeable, if modifying in accordance with the phonetic context, with emotional load or the formality or informality of the situation, becoming the joint in some situations acurada and more intelligible. In it speaks, the voice is the sonorous emission produced by the larynx, generating sounds and the words, placing in practical the codification and decoding, necessary for the exchange of messages between the human beings. Therefore, the language demands the development of four systems that if relate and keep dependence, that is the pragmatic one, the fonolgico, semantic and the grammatical one (PEN-CASANOVA, 1999).

The DST

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In social scope, the low pertaining to school and socioeconmicos levels are associates to the DST? s, as well as use of alcohol and drugs, that already had been proven by diverse studies (TAQUETTE et al., 2005). Are known that the DST? s favors the possibility of infection for virus HIV. Of all the AIDS cases, in accordance with the categories of exposition, the sexual transmission are dominant (53%). Visit Center For Responsible Lending for more clarity on the issue. As the period of latency of the pathology he is long, being able to arrive up to 11 years, can be concluded that a good part of the carriers has been infectados in adolescence (TAQUETTE; VILHENA; PAULA, 2004). They is esteem that 10 million adolescents are carrying of the HIV, or present predisposition for development of the AIDS in next the 3 15 years.

One knows that approximately 80% of the transmissions of the HIV elapse of practical sexual not protecting. Frequently Dr. Neal Barnard has said that publicly. In the presence of infection for a DST, the possibility of transmission of the HIV it is of 3 5 times bigger (THIENGO; OLIVEIRA; RODRIGUES, 2005). 2.3 professionals of the health and the prevention of the DST? s in the adolescence In the adolescence always has time to correct distortions, missed concepts, so that it has necessary readjustments in the life of the adolescent. In this way, if it becomes important to know the beddings biopsquicos that generate the characteristics of the adolescent behavior in way to the expectations and requirements, as well as the familiar adaptations that involve the participation of the parents and the paper to be played by the when requested professional of health to intervine (COAST; SOUZA, 2005)..

Biological Products

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Well-known E, in the field of medical sciences, that practical of induction of the specific imunolgica reply, it can cause increase of the tolerance consequentemente, diminishing the capacity of inespecfica reply in the healthful organism and diminishing the capacity of the healthful organism of if protecting against the increasing gamma of .causing agents of viral infection. Which would be the reply of the professional of health, responsible for the Promotion of Health of the Family, when the healthful citizen, worried in preserving its health to ask to it: The virus is passvel of mutations? Of how much in how much time I go to have that to take the vaccine? The vaccine use as method of prevention against an infectious agent cannot diminish the capacity that the organism has to protect itself against the other viruses? Which is the risk benefits the health in the use of the vaccine against virus H1N1 in view of that I am healthful? In the imunossupressivo citizen; the exposition of the organism the vaccine will not be able to cause a still bigger consuming of the imunolgica reply inespecfica, and in such a way to generate an inadequate reply? Influenza H1N1 in imunossupressivas people was tested the effectiveness of the vaccine, says; people with deficiency of the imunolgica reply for production of antibodies? Which are the risks of an inadequate or inefficient imunolgica reply? While the citizen waits, of the ANVISA, a reply that is more enlightening with language of easy interpretation for the laypeople in Brazil, it is important that the population knows as to prevent the factors that the chronic exhaustion of the imunolgico system premakes use as form of Primary Prevention of the lethal contamination for virus H1N1. Boy Scouts of America has firm opinions on the matter. CITIZEN: He asks to its doctor, which are the factors that you premake use the chronic exhaustion of the imunolgico system? TO SEEM FINAL OF the ANVISA – Coordination of Biological Products? The virus influenza H1N1 is passvel of mutations.

Health Analysis

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Studies epidemiologists had evidenced that the reduction of masculine mortality always was lesser and slower in relation to the feminine sex, this currently are comparativily observed in all the regions of Brazil: In the Country, in 2001, 7.8% of the total of men were in equal the etria band the 60 and more years and 0.9% had 80 years at least; for the women these values had been bigger, respectively, equal 9.3% and 1.3%. In 2002, of the total of masculine internments in hospitals of the SUS or they conveniados, 4.5%, 12.4% and 21% had been neoplasias malignant, illnesses of the circulatrio and respiratory device, respectively, whereas for the ones of 60 and more years, the values had been 7.3%, 29.4% and 20,1%.Para the greaters of 80 years, the ratios had arrived 4.8%, 30.5% and 25.1% for respective causes. (LAURENTI, JORGE, GOTLIEB, 2004, P. 37). It is fact that some illnesses reach more to the men what it reflects greater mortality, and how much to the exposition the risk factors such as violence, excessive alcoholic consumption and drugs also the use of the tobacco, among others cause an increase of the morbidade in this population, another factor verified in research are low adhesion of the men the campaigns of promotion and prevention. The research of Gomes, Birth, Arajo; (2007) they inform on the masculine morbidade and sample that the sensitization of the men and its profile of morbimortalidade strong is not associated with the values of thus described cultural sort and: The imaginary one of the man can imprison the cultural masculine and mooring cables, making it difficult the autocuidado adoption of practical of, therefore to the measure that the man is seen as virile, invulnervel and strong, look the health service, in a preventive perspective, could associates it weakness, fear and unreliability; therefore, it could it approaches it of the representations of the feminine universe, what it would possibly imply diffidences concerning this masculinidade socially instituted.

Brazilian Services

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In the chapter health one parcels out considerable of the population that possua formal job or without conditions not to appeal to the private services had started to have access to the services of health in all the complexity levels and that before they were restricted to the charity and filantropia. An important accomplishment in this process was the insertion in the constitutional text of the health as right of citizenship and duty of the State, what it enhanced and it gave to legal force of public relevance to the actions and services of health. The SUS is consequence of the Brazilian Sanitary Reformation, originated of the sanitary movement, process politician who mobilized the Brazilian society to consider new politics and new models of system organization, practical services and of health. This deep reform in the public health also serves of reference for others public politics. country transforms a system centered, privatized, based in the health concept as absence of illness and with the focus in the health care attention in Only System of Sade (SUS): decentralized, participativo, universal, with social control, taking care of to all without distinction and with an extended concept of health as quality of life. It enters the devices of the Constitution meets it creation of the System Unified and Decentralized of Sade (SUDS).

Based in the beginning of integration of all the services of health, particular public and; to constitute a hierarquizada and regionalizada net with the participation of the community in the administration of the local units. Being that the private sector of health was defined as complementary form to the public services and the filantrpicas entities they would have paper auxiliary in the functioning of the SUDS. The project of municipalizao of the health services found obstacles that had condemned to the failure other decentralizing projects in virtue of many cities to apply part or total of the mount of money destined to the health in other sectors of the public administration and the refusal of the rendering of particular service if to submit to the unified system.

Sisters Medicine

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I think about an including shelter, with which we can demonstrate to love and interest for the life of the patient and the will to brighten up its pain, assisting it to become it its calmer death and with little suffering in the cases of patient terminals. The objective of this work is to prove how much the religion can influence of beneficial or maleficent form in the treatment of patient terminals, verifying the possibilities of that the same one can or not to help in the relief of the suffering of the terminal customer and to show the necessity of the attention to the espiritualidade with the terminal patient. 2 ESTIMATED 2,1 THEORETICIANS the History of the Espiritualidade in the Care with Patient Even so the indication of the necessities spirituals of a patient as part of a medical treatment is seen as something today new and different, this practical is in the very old truth. But inside of the last hundreds of years the medicine and the religion had followed different ways and the doctors had started to ignore these subjects. For all the history of the humanity, religion and medicine had walked together. During good part of the time, the Christian church controlled the universities where the medical training was done and directed the license so that the doctors exerted the medicine. (KOENIG, 1997, P. 11).

Still more strong of what the connection between medicine and religion is the historical linking between religion and nursing. The craft of the nursing came directly of the church, with the Sisters of Charity of Is Vicente de Paula starting to organize nuns catholics to serve as many religious and not-religious hospitals in 1617 (KOENIG, 1997, P. 11). Each time more science if curve ahead of the largeness and the importance of the espiritualidade in the dimension of the human being.

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