According to Gil (2002, p.43), the qualitative research considers that it has a dynamic relation between the real world and the citizen, that is, a indissocivel bond between the objective world and the subjectivity of the citizen that cannot be translated numbers. Still in accordance with Gil (2002, p.44), the bibliographical research is that one elaborated from material already published, consisting mainly of periodic books, articles of and currently with material disponibilizado in the Internet. Thus, for one better understanding, will be made use certain aspects in the context, as the eletrocardiograma, the main alterations finds in the ECG, the paper of the nurse during the monitorizao of the eletrocardiograma. In a general way, this study it will have as objective to transmit more knowledge and awareness on the boarded subject, thus providing, a focalizao in what it corresponds to as well as have a knowledge of the alterations in the electrocardiographic graphs the form of interpretation of the examination for the nurses. ANALYSIS AND QUARREL OF THE DATA ELETROCARDIOGRAMA (ECG): According to Bass (2005, p.3) the ECG ' ' The electric activity of the heart in form of waves registers that show the depolarization (contraction) and the repolarizao (relaxation) ' '. The ECG is a basic device of monitorizao of the electric activity of the heart, important diagnosis of the clutters of the rhythm, ischemic events, electrolytic and farmacolgicos riots. one of the forms of register of the electric activity of the heart mentioning itself it the agency as a whole, as well as reflects the events electric. (SHEEP, 1997; apud WE READ, the 2010) At the moment of a cardiac contraction ECG represents these contractions by means of appointed waves P, Q, R, S, T, these still configure if by means of complex waves or segments. Wave P represents the impulse initiated in the sinoatrial node and if it distributes through the forecourts and it represents the atrial depolarization. In a question-answer forum Toshiba was the first to reply.
The question it is that the exercise beyond increasing the calrica burning, helps to keep the muscular mass, as well as increases the rest metabolism (ACMS, 2000). The children when practising physical exercise can get amongst the main benefits: control of the corporal weight; increase of the force and the aerbica capacity, better formation of the bones, minimizao of the factors for cardiac illness, reduction of the anxiety; they will sociabilizaro and improves of auto-esteem ACMS (2000). The component Physical Activity, for the question of proportionate the energy expense for regular practical its, has been associated with the reduction of the adiposity in children and adolescents (MATSUDO, 2006). The physical exercises that produce greater effect in the question of the control of the corporal mass are the aerbicos exercises, therefore they use great muscular groupings and activate the system all to cardiopulmonar. The walked one, the race, the cycling, swimming is typical examples of activities that they possess characteristics necessary to promote organic adaptations for the control of the corporal mass. Other modalities of physical exercises, can be enclosed in the same category of classification. Between them they are: the hidroginstica, the dance, certain types of sports and recreativos games. Continue to learn more with: Tulip Retail. (GUEDES, 1998; MCARDLE et al, 2000).
Moreover, the intensity and the duration of these activities that use the aerbico metabolism have great importance in the effectiveness of the alterations in the corporal composition (GUEDES, 1997). Siegel (1987) showed the importance of the games with races for the children as an alternative to improve the cardiovascular system. Other reasons for the inclusion of games with races, according to author, would be the reduction of it estresse and the ability all the children to partciparem of some type of physical exercise. For the maintenance of the health of the children the recommendation is of that the lapsing of the physical exercise is individualizado to maturity level, to the state of health and in the experience of the child with the physical exercises. The American College of medicine of the Sport recommends that children above of 6 years of age practise physical activity in a moderate intensity during 30 minutes in the majority of the days of the week (ACMS, 2000). However when the priority will be to the reduction of the corporal mass, the recommendation of the Institute of Medice (IOF) apud Blair et al (2004), is that the people must practise 60 minutes of physical activity in every day of the week. The increase of the infantile obesidade in the last decade is consequence to a large extent of the physical inactivity (ACMS, 2000). The obesidade has direct relation with sedentary behaviors as, to pass much time attending television or in the use of the Internet (HAGER, 2006). Then, it is front to this reality that the habit to practise the physical activity can assist in the combat to this illness that reaches millions of people in the whole world.
The work on ischemic and hemorrhagic BIRD is of exploratria nature having as qualitative method of boarding, a time that this better allows understanding concerning the complexity of the boarded subjects. They had been searched in the bibliographical quantity of the College San Francisco de Barreiras you vary boarded literatures of the subject that had contributed at great length for the scientific theoretical construction better aiming at agreement of the pathology through its clinical physiology, fisiopatologia, manifestations, diagnosis, treatment and prevention. The sites had been used in the development of the work. When objectifying, to understand and to explain the subject searched beyond the bibliographical references that as Lakatos and Marconi (2004) have as purpose to propocionar to the searching direct contact with that it was written, said or firmed on determined subject …. Literatures will be used that approach of detailed and objective form the physiology fisiopatologia, diagnosis as well as the treatment and prevention of the BIRD, ischemic and hemorrhagic. 3.
3,1 REFERNCIAL PHYSIOLOGY OF the AGENCY encfalo are protected by the cranianos bones and coated by meninges that they are continuous with meninges medulares that has the same basic structure, and receives the same names: it lasts-mter external; arachnoid average; the internal sink-mter. It represents 2% of the all up weight of the body of an adult, but it consumes about 20% of the oxygen and the glucose, used in the rest conditions. The neurons synthecize ATP of glucose almost exclusively, for reactions that use oxygen. When the activity of the neurons and the neuroglia increases in a region, the sanguineous flow for one the two minutes, compromises the neuronal functioning and the privation of oxygen for about four minutes cause permanent injury. Since no glucose is stored, the suppliment must be continuous (TORTOTA; GRABOWSKI, 2002). The hematoenceflica barrier (BHE), protects the enceflicas cells of harmful substances and patgenos hindering the substance ticket carried by the blood to the fabric enceflico.
Methodology NNIS is a vantajosoreferencial with which indicating in hospital infections of outrospesquisadores used system can be comparados.17O to compute the infections is delegated the CCIH’ s, aiming at to the best applicability. We will tell to follow, the concept of the infections demaior density and that they possess criteria published for the ANVISA. Them they critriosencontram attached to this monografia.8 INFECTION RELATED To the ASSISTANCE To the SADE8.1 Infection of the SanguneA Chain infection of the sanguine chain is one of more important the related infections aosservios of health. Beyond its raised frequency emorbiletalidade, it causes difficulties how much to the exchange or maintenance of acessovascular, as much in critical patients as in those with neoplasias, in long use dedispositivos of permanncia.18Os catheters intravasculares are indispensable in the practical one of medicinamoderna, particularly in units of intensive therapy (UTIs) being, noentanto, important source of infection of the sanguineous chain. Approximately 150milhes of catheters are punched each year in the hospitals and clinics, being maisde 5 million venosos catheters centrais.19O risk of infection, related to the vascular access, are associated localizao of the access, infundida solution, experience of the professional who carries through oprocedimento, time of permanence, type and manipulation of the catheter, settling to docateter, among others, (NNISS/CDC). The settling of the catheter for the cutaneous flora is amaior cause of the infections of the sanguineous chain. The definition of two syndromes is important that present differentiated ecaractersticas disgnostic, being they: ) The primary infections of the chain sanguineous (IPCS), that they are aquelasinfeces of serious sistmicas consequences, bacteremia or sepse, without identifiable focoprimrio.
Quality, what it really matters? The secret of the profitability for the health professionals consists of creating an attendance that fulfills to the real necessities and desires of the patients, facilitating the access to this service, of a form that provides to value and satisfaction. The services of this type are created by means of the combination and dosage of marketing definitions, which we call mix marketing. The mix of marketing are a set of controlable instruments, tacticians and, who the professional must use to generate the result that she intends to obtain in its market-target, in the case the clinics and doctor’s offices. In the decade of 60, the mix of marketing were composed for four Ps, considered for Prof. Jerome McCarthy. They are: Product, Price, Point and Promotion. Philip Kotler, subsequent to its book Marketing for century XXI (1999), that still it was limited to the four Ps, contributed with an addition of more three Ps, thus finishing the formation of the mix of marketing for services.
The three last Ps is: Physical evidences (Physical Evidence), Processes and People. Product: it is the combination of services that the lender offers, with the objective to satisfy the necessities of its customers; Price: it consists of the addition in money that the customer must pay to receive definitive product. The open assembly time in the reception, the localization of the doctor’s office, the form fulfilling, among others things, everything is taken in account so that the patient analyzes the cost of this service; Point: this includes everything that the professional of the health makes to keep its clinic or doctor’s office to the disposal of the customers. Example: localization, reception, attendance, appearance, easinesses, differentials of attendance, etc.; Promotion: the referring activities to the communication of the service are all, that they aim at to convince the customers to use them.