National Institute

(MONTORO, 1991 P. 259 apud GIGLIO, 2003, p 33). For Caldas et al., (2005, P. 295) the breast cancer is first cause of mortality enters the women in Brazil, according to statisticians of the National Institute of the Cancer (INCA) …. Molina, Dablen and Of Luca (2003) tells that the mamografia is considered the method most efficient for precocious detention of the cancer, having to be made annually. The disgnostic sensitivity of this procedure varies depending on the age of the patient, density of the breast …. In accordance with the INCA (2005) apud Ferreira and Oliveira (2006, P. 06), the auto-examination of the breasts does not have to change the clinical examination carried through by professional of health qualified for this activity.

However, the examination of the breasts for the proper woman helps in the knowledge of the body and must be contemplated in the actions of education for the health. For authors Karen and Ivo (2002); Miettinen (2002) apud Giglio (2003, P. 33): Although the current controversy how much to the supervened increase of of submitted women the mamogrfico tracking, one gives credit that the mamografia still is an important method for the precocious diagnosis of the breast cancer and, to to allow the detention of mammary tumors in initial periods of training, could, in fact, reduce the mortality associated with the breast cancer, what it would become evident, however, only after some years of pursuing. Diversely in Brazil, advances in the tax of mortality caused for mammary cancer in last the three decades had been noticed. Current data, gotten by means of the National Institute of the Cancer (INCA), esteem the occurrence of 15,6 deaths for 100.000 women/year (MARCHI and GURGEL, 2010, P. 192). In Brazil, an increasing persistence for the mamografia exists as instrument of the Public Health. One of the expressions of this interest is the inclusion of the subject in great national inquiries.


2.1.2.Fatores that influence in the pertaining to school learning Drouet (1990) standed out that, so that the teach-learning process occurs is necessary the respect to the professor, the pupils, the contents and the social environment. The imperfection in some of these serious elements cause problems in relation to the learning. Fonseca (1995), considered as factor of the learning difficulties the integration between a hereditary and neurobiolgica etiology and a partner-cultural etiology and classifies them in biological, social factors, partner-economic factors of envolvement and cultural privation and factors. Souza (1996), related the ambient, psychological and metodolgicos factors directly to the success and the failure academic. The emotional problems and the methods of education inadequate, is pointed by Moraes (1997), as the main causes of learning difficulties.

9 the pertaining to school performance depends on different factors: characteristics of the school (physical, pedagogical, qualification of the professor), of the family (level of escolaridade of the parents, presence of the parents and interaction of the parents with school and duties) and of the proper individual (ARAJO, 2002). According to Stevanato (2003), the learning difficulties almost always present associates the problems of another nature, mainly mannering and emotional, and the children present who it are described as less involved with the pertaining to school tasks that its colleagues without difficulties. As Ciasca (2003), to teach and to learn is slow, individual and structuralized processes, when if they do not complete for internal imperfection or external the riots and the difficulties appear of learning. The learning difficulty not only takes the child the desmotivao, but also to the consuming and reprovao, transforming it into a label inside of the school. In accordance with Pacheco (2005), exists interrelated factors that intervene with the processing of information and the social use of the language. Amongst them, estresse it cites it familiar, the degree of stimulation in the home, the effectiveness of the mothers in the education of its children, the economic limitations, the health, the degree of satisfaction with the life, the available chances for the parents, the social support of the familiar ones among others.

The Patients

Of the convexity they can be linear, gotten depressed, or composed. The linear breakings are common and they do not require specific treatment. However, they are signals of alert, being able to be indicative of that the TCE had certain gravity. For this, the patient with this type of breaking must carefully be observed by 12 the 24 hours in the acute phase. Neurological examinations must periodically be made in this period, and deterioration of the conscience level or alterations to the physical examination can be indicative of the presence of intracraniano hematoma (SARAH, 2001).

The depressed breakings of the skull are fragmentos sseos dislocated for inside, compressing the underlying brain (ROWLAND, 2002). These breakings can determine lacerao of covering the external membrane of the brain or the fabric cerebral. The surgical treatment must be considered, over all if the depression will be greater that the thickness of the bone of the skull. Already the composed breakings are characterized by the lacerao of the bone. The treatment is essentially the same of the simple, linear breakings: adequate treatment of the cutaneous wounds with closing of the lacerao. The breakings of the base of the skull are more frequent e, as the linear breakings, are indicative of that the TCE was intense.

The signals that lead to suspect of breaking of the secular bone include perforation, auditory loss timpnica, otorria liqurica and face paresia. (ROWLAND, 2002). 2.3CONCUSSO CEREBRAL AND DIFFUSE INJURIES AXONIAIS cerebral Official corruption is the brief alteration of the conscience, less than six hours after the impact. The patients can be total unconscious or only stuned, she is common to present retrograde or antergrada amnesia how much to the event. The loss of the conscience happens through the transitory functional disorganization of the reticular system, caused by rotation forces acting on the cerebral trunk.

The Patients

Smeltzer and Bare, (2004) agree that the accomplishment of this stage does not offer to the patient great risk of infection, therefore the professional act as vector in the process of transmission of illnesses. The laudering of the hands is one practical one of simple asepsis that continues being the main form to prevent and to control the infections, without significant responsibilities for the institutions, beyond generating extensible benefits to those involved ones in the care process, having to configure itself as a habit that all the health professionals must carry through before and after any procedure, either invasive it or not. (GONALVES, 2009 apud GENZ, 1998; TIMBY, 1996) Gonalves, (2009), apud, Brazil, (2007), agree despite the laudering of the hands is essential in the hospital routine. The control of infections in the sector of health, englobando the practical ones of hygienic cleaning of the hands, concurs for improvement of the quality in the attendance and assistance for the customer and takes care of the legal and ethical requirements. The improvements of this practical are unquestioned, therefore it assists in the reduction of the morbimortalidade of the patients and also it reduces costs related to the treatment of the infectious pictures. In the item to explain the procedure to the patient, was gotten a percentage of 94,44% (17 technician) that they had not carried through the explanation to the patient.

He keeps the conscientious patient about the invasive procedure, facilitates the accomplishment of this, therefore the patient being calm the sanguineous vases presents itself dilatados congratulating the visualization of these diminishing the risk of errors in the handling. In the requirement to pave the gloves, was detected the percentage of 94,44% that it indicates the accomplishment of this stage. It stops Smeltzer and Bare, (2004) ' ' it prevents the exposition of the nurse to the blood of the patient and the patient and nurse to ltex' ' In the phase of election for the place of the puno, it was gotten 83, 33% (15 technician) had carried through correctly.

The Arterial

The cerebral aneurisms occur much more comumente in adults of what in children, but they can occur in any age. They are a little more common in women of what in men. The rupture of the aneurism in general provokes collapse, ‘ ‘ bigger migraine of vida’ ‘ vomits for the bleed around the brain, being able to cause death. This situation is one of the types of hemorrhagic cerebral spill. Cause rigidity of nape of the neck in more than the half of the cases, fellow creature to the infectious meningite. The death can occur will have the comprometimento of vital areas as of control of the breath or the arterial pressure. The treatment must be fast is surgical, being complicated had to the difficulties in the access to the place without injuring more the brain, and as to keep complete the sanguineous circulation of the part before irrigated by this artery.

Depending on the place of this aneurism in the brain, the surgery can be more or less risky. It is treated by the neurosurgeon. Two basic forms of treatment exist: for micron surgery and for it saw to endovascular. When the aneurism is discovered, before occurring ruptures, a called surgery microcoil thrombosis can be carried through. The process of the embolizao balloon alone is recommended in patients where surgery can very be risky. During a picture of aneurism rupture, the symptoms allow some previsibility of evolution.

1 Degree: Light migraine and has taken sensitivity to the light. 2 Degree: Strong migraine, fort sensitivity the light, small laziness. 3 Degree: Strong migraine, fort sensitivity to the light, strong laziness. 4 Degree: Start of vegetal state. 5 Degree: It eats Deep, dying. The prognostic for a patient of cerebral aneurism depends on the size, if the format is irregular and of the position of the aneurism, of the age of the person, if the person is smoking, if she had rupture of the aneurism, time of the disruption, if she has complications and occured rupture (diverse complications, mainly, vasoespasmo, hidrocefalia, cerebral isquemia secondary, hipertenso intracraniana, etc.), of the general health, reserve functionary of too much agencies and systems (pulmes, kidneys, liver, heart, endocrinolgico), of its current previous neurological condition/. Half of the individuals with a cerebral aneurism ragged dies of the initial bleed before arriving at the hospital (for example: in house or the work) before they can be given any aid to them. She is one of the cause most frequent of sudden and unexpected death in adults between the 25 and 55 years of age. Of that they arrive livings creature to hospital 50% will have fatal evolution (mainly those that they arrive in eat moderate the deep one). The majority of the individuals that arrive conscientious and guided to the hospital, that serious complications do not present you add in the internment, nor new bleed, in general recover with almost no neurological deficit.

Solar System World

A Common Place to visit ' ' The presence itself if carries through on a deep essential of absence, therefore we only are next to us being between the things and with outros' '. (Chau, 2002:23) Today, I discovered a special place pra if to visit. Here between us, interesting place is what not lack of So Paulo, the Visconde de Mau, of Belm Brasilia, Venice Canada. We find many baffling, exotic, colorful places stops embrenhar in them. The globalizado world does not present more borders. If you will have a good dose of adventure sense and money the Solar System can be its limit.

I heard to say that NASA around has special excursions of the Moon and who knows of some planet of not yet known, total, Solar System. By the way, different places if to know are the chamaris of the alternative routes to the mass tourism. Recently, I knew a person, a type of known aura, that soon makes in them to feel in house, then we are friends. The coincidences of gostos, vision of world, politics had been as much and of feelings that if were not for the homosexual preference, I would say that I had found my soul twin. The places are many, the people and the cultures that we visit how much we have a fraternal attitude stops with the world. The different, but so equal conviviality of we, the possibility to dive in the life of the other, one another different one of me. Of living its pains and pleasures and if leaving to be guided by this unknown hand, in the base of the confidence, if allowing to be presented the distant worlds of which if it could not have access if it did not have this delivery in the ones of the one well bigger family of what that one that we earn to the rising.


E the reason for that is simple: it obtained to transmit to its subconscious mind the wealth idea and forever it will have what it needs, exactly being victim of a financial collapse of the government of tomorrow and all the current values lose the value, it will continue to attract wealth. To project the virtue in poverty is bad way for that they want to reach the glorious life in way to the money, who possesss poverty feelings alone will attract poverty, us we attract what we think constantly, as well as affirmed Buddha, ' ' the man is the consequence of what pensa.' ' To be abismado to this theory that stops many seems one loses of time is to omit the interior power of the human being, is to hinder that the capacity of each being is disclosed and reduces the condition of needy poor persons, who in accordance with live blowing of the wind. But to obtain such prodigies, she is not necessary to be an intellectual or expert of as to be able he functions them of the mind, is only enough to think in accordance with wants it. It starts to imagine wealth feelings and success, of preference before going to sleep, this is optimum moment for the mind process in general, preventing to take for the stream bed the problems that had elapsed during the day. People who if had never become millionaire had possibilities to obtain what she has today by means of its works. She forgets this idea ridicule to all obtain the money that needs working day and night, this will cause to a physical and mental fatigue will make that it to be a sick person for all the life. Successful millionaire and entrepreneurs had not had that to work in surplus, were mental only engineers, believing the success and mentalizando progress in the businesses constantly.