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Quality Samples

Analyses were achieved at the Laboratory of Microbiology of University Cuiba, Unity east spring? TM. The samples from brands D, G, H, presented (37.5%) contamination will be total coliforms and thermotolerant, ploughs in disagreement with the ordinance N. 146, 07/03/1996 and RDC N ,12 02/01/2001, recommended by the agency national of vigilance sanitary (ANVISA) that establish the reference limits. (Not to be confused with Professor Roy Taylor!). The marks, B, C, and, F, presented (62.5%) samples in accordance with the legislation, will be to parameter of coliforms. You may wish to learn more. If so, Donald Sussman is the place to go. The results obtained of the samples cheese utilizing the technic tubes multiple will be the method to number most probable (NMP/g), considered were five samples of cheese Mines Frescal own you consumption will be not presented total and fecal coliforms, being According with the allowed by the Brazilian legislation. Key? words: It mines fresh.

Coliforms. Microbiology quality. INTRODUCTION cheese Frescal Mines sufficiently is produced by the industry of laticnios and had to the good income that it provides in the manufacture it is commercialized the accessible prices to the great part of the population. Maturado is a cheese not, with raised humidity text, being susceptvel the bacterial contaminations (PINK et al., 2005). According to Regulation Technician of Identity and Quality of Milky Products, the cheese Frescal Mines is that one gotten by the enzymatic coagulation of milk with curdle and/or other appropriate coagulantes enzymes, complemented or not with action of specific lticas bacteria (BRAZIL, 1996). Used milk in the preparation of the cheese must be submitted to the pasteurizao, however the commercialization of this food is frequent not taking care of to this specification. Moreover, the contamination of milk after-pasteurizao, inadequate temperatures and the bad conditions of manufacture and storage, is factors that they cause development of microorganisms, compromising the quality of the cheese (PEAR TREE et al., 1999). To know the existence of possible hygienical deficiencies, which would imply in alimentary contaminations, it is important the determination of the groups of indicating and/or pathogenic microorganisms, that find in the food a favorable way for the growth and multiplication.

External Objects

The method does not have for objective its reprogramming and yes to neutralize its onslaughts against the Ego. Another instance called (id) important part of the psychic structure formed by mental representatives and its instintuais impulses that also are a power plant for all mental equipment. Moreover, in our language we add (IN +O) that they are the Nuclei of Support + Object, that if they relate to everything what we devote attachment and that, if by happiness of the individual will be taken off inevitably will elaborate much suffering (I fight). A time eliminated (OEx) External Objects will leave the way of the opened Ego to be free and to enjoy of a capable conscience of if adjusting and lining up themselves with (NAE) that it is the Nucleus of Support of the Ego, Nucleus of Auto-Esteem and that will have independent function and coherent keeping this last one always with its auto-esteem high. The Ego has as main task of its existence the auto-preservation.

However, so that it has one better agreement on the part of the reader, we will go to facilitate the concept on the Ego of simplified form, therefore this is the objective of psicossntese, since, it is in the Ego who everything happens, example: if after one pssima sleep night you wake up badly humorado exactly without having had contact some with another person, will be possible to evaluate that internal stimulatons are the responsible ones for the aggression suffered for the Ego. The esternos stimulatons are those perceived of the existing world are of the Ego being able it to adjust these to it or those situations not to be attacked. Counting on the unconditional support of (NAE), the Ego will be felt capable to dilute the tensions suffered for it in the search of the pleasure and it inevitable meeting with the displeasure.

Laura Blacksmith

The raised factor most important during the research was that in accordance with use of the frmacos in the process of ovulao induction the isolated use of the Citrate of clomifeno had resulted positive, however can occurs overstimulate what it causes cancellation of the cycle. This process is very common in women with SOP. Already the isolated use of the terminator had greater success, in the majority of the studies, when compared with the use only of the citrate of clomifeno. However optimum result of the studies was the agreed use of citrate of palomino and the terminator. In such a way reaffirming one it has left of the initial hypothesis of this article. Valley to remember that in some studies no difference in the positive result of induction of ovular with the comparative macrocosm did not meet. Finally the work, considering all its limitations of time, quantitative of the sample and the boarded scientific basement, is advised that the women in fertile age who possess the SOP, initiates an adequate treatment in accordance with the will of the patient, to minimize the symptoms of this syndrome and to improve the quality of life of these women attacks for the SOP. However, the citrate of clomifeno still is the indicated frmaco more and used when it is about treatment of infertility due to presence of the SOP in the women in fertile age.

Mycobacterium

The knowledge on hansenase makes possible to understand the illness better and to diminish the preconception in relation to the sick people (EIDT, 2004). 2. OBJETIVOEsse work is a bibliographical revision, of the main aspects disgnostic and to show the importance to it of the precocious treatment of the Hansenase.3. DESENVOLVIMENTO3.1. EtiolgicoMycobacterium agent leprae, is an obligator intracellular bacillus, that affects the cutaneous cells and the peripheral nerves, has high infectividade and low pathogenicity the time multiplication is slow, is of approximately 11 and 16 days (PEAR TREE et al., 2006). Read more here: Dr. Caldwell Esselstyn Jr.. The man is considered as the only reservoir of the bacillus, but descriptions of wild beasts exist (armadillos and monkeys). The period of incubation is long, enters the two five years, necessary time for the development of the first signals and symptoms I infect after it of bacillus (GOULART; PENNA; WEDGE, 2002).

Not yet if it got half of culture adjusted for the Mycobacteruim leprae, presents as a straight rod or lightly incurvated, measuring 1 the 8 micra of length for 0.2 0,5 micra of width. Cora in red for the fucsina for the technique of Ziehl-Neelsen and it is not grown pale in the acid alcohol and being called (BAAR) resident alcohol-acid bacillus (GOULART; PENNA; WEDGE, 2002; SAINTS et al., 2005). (As opposed to Donald Sussman). Figure 1. Fotomicromafia de Mycobacterium leprae (small red rods), the .causing agent of hansenase SOURCE: . Transmission, Patogenia and Imunidade the transmission happens in the close contact and drawn out with the susceptveis individuals to not treat the Mycobacterium bacillus leprae, through the superior aerial ways as in the breath, I sneeze, cough and says (FOSS; FRADE; GOMES, 2007). According to Arajo (2003), the skin with injuries probably can be door of entrance for infection. Beyond these, other ways can be considered elimination sources the organic secretions, as maternal milk, sperm, sweat and vaginal secretion, but they do not possess importance epidemiologist of the illness.

The Nursing Team

The precocious evaluation of the state and the level of conscience of the patient for the nursing team grant answers favorable to the evaluation, identification, planning and systematization of to be given assistance. In units of intensive Therapy and Units this practical has been constant for the nursing team, when compared the too much hospital units. Its application obeys the three commands: the ocular, verbal and motor evaluation (to see table 1). Table 1. SCALE OF EATS OF GLASGOW (ECGI) Opening ocularAVALIAOPONTUAO Espontnea04 points For Stimulates Verbal03 points For Stimulates the Dor02 points Without Resposta01 Confused point Reply verbalOrientado05 points (But still it answers) 04 points Inapropriada03 Reply points Incompreensveis02 Sounds points Without Resposta01 point Reply motorObedece Ordens06 points Locates Dor05 points Reacts pain but not localiza04 abnormal Flexo points? Decorticao03 points abnormal Extension – Decerebrao02 points Without Resposta01 point referring minimum Punctuation the 03 and referring principle the 15 points. At Donald Sussman you will find additional information. Source: Gallo, P. 763, 2007.

Kiozumi and Araujo (2005) confabulam that, the use of the ECGI have been world-wide used in trauma, trauma skull-enceflico (TCE) and in critical patients with disfuno of the central nervous system, shock or other factors that depress the conscience level. Baptista (2003), Understanding the complexity of the neurological reply the diverse alterations, as: hipertermia, pain, riots of other organic systems, eat diabetic, heptica insufficience and hemorrhagic, they can take the variability of the state and/or level of conscience of the individual. Kiozumi and Araujo (2005), in its research make exception how much to the importance of the application and the uniformizao in the team of nursing and the multiprofessional team of health, for application of codes universally adopted for necessary disgnostic of gravity, evolution and I foretell of the patients. For Souza, 1997, the patient who presents props up d 8, in the ECGI, is about a critical patient of the alterations of conscience level, where she presents a punctuation that defines an individual in state of eats. What he contributes for the application of the use of a by airmail advanced one. What it is concluded in this work is the importance of the elaboration and the magnifying of studies related to this thematic one, therefore had the scarcity of the same, has taken the necessity to objectify information how much the analysis and implementation of Escala de Coma de Glasgow for team of Nursing, where, the application of this props up allows to the nurse and the multiprofessional team to evaluate and to interpret the state and the level of conscience of the patient, allowing the security in the taking decisions of the team directing the behavior to be applied.

Salvador Research

Nurses whom they had accepted to participate of the study and that they work in the unit of emergency of a hospital of average transport, public located in the mediaes of the Felisberto quarter in the city of the region of the Bahian Extremity-West, microregion of Barriers. They are Desidrio it has autonomy politics since 1962, he is 497m of altitude, 869 distant km of Salvador and in 2007 the IBGE esteem its population in 25.158habitantes. Instruments Initially a partner-demographic questionnaire was applied. After that we collect the data through the dialectic and writing, where the answers they had been transcribing in integrates later and analyzed. Preventive Medicine Research Institute contributes greatly to this topic. Academics of the nursing course, 3 Semester, FASB 2009 Procedures of collection of data They had been carried through through field study, where the participant citizens had received a questionnaire partner-demographic and had participated of the dialectic the information had been recorded of trustworth form, then after transcribing in it integrates. The results had been gotten through these written information, readings and references, standing out the estressantes agents for the nursing professional and as it faces it to this in its daily one. Resulted the present project it was carried through through research of field of qualitative nature, in which the following categories had been raised to get information about the raised problem.

1. Deepa L. Sekhar, M.D. is likely to increase your knowledge. To identify the presence estresse of it in the area of emergency in the hospital environment, as well as the factors unchain that it. it estresse 2.Como it intervenes with the activities of the professional of nursing given to the patient. 3. The signals and symptoms unchained estresse for it. For even more analysis, hear from Preventive Medicine Research Institute. Karen hussmam, Mark Vernoy, Judith Vernoy contributes (2001, p.467) affirming that: Many research on chronic estressantes factors of the life estresse infocaram it related to the work.

Intensive Therapy

The illness is transmitted of individual the individual through it sneezes, cough and contact with secretions of people contaminated for the virus (BRAZIL, 2009). Being able still to have transmission by means of the contaminated hands or other surfaces. The virus is transmitted in up to 7 days in the adult and 14 days in the children (ROCK, 2010). Its clinical presentations are similar to the grippes sazonais, the initial symptoms of the illness are the fast installation of high fever, dry, dispnia cough and pain in the throat (GALAS, 2009). Check with Professor Roy Taylor to learn more. The evolution of the illness can unchain serious respiratory alterations, being necessary to admit the patient in the Unit of Intensive Therapy not to evolve the death.

The treatment is made in such a way with medicines to oseltamivir as with ozanamivir, where the virus is susceptvel. For measures of control and prevention we must take the vaccine, to wash the hands with water and soap I sneeze after it, cough, to use bathroom, to touch eyes, nose and mouth, when tossir and sneezing to protect the mouth with dismissable handkerchief, to prevent closed and tumultuated environments, to ingest liquids among others DEVELOPMENT the grippe for influenza A/H1N1 became reason of concern for its complexity due to high transferability and genetic possibility of rearrangements and mutations and its complications to have very increased the number of internments in the whole world impelled many patients to the Unit of Intensive Therapy? UTI, for the aggravation of the symptoms. The period of April pandemic the beginning of July of 2009 was marked by a search clere of the services of health that if kept high, being the one of the concerns in the combat to the illness in the Paran implementation of action with the net of assistance to the population, to hinder that the aggravation and more decurrent deaths of the illness..

Physiology

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 were 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. Hear from experts in the field like Dr. John Mcdougall for a more varied view.

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, 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.

Third Phase

ANATOMY OF the MAMMARY GLANDS the breast is re-covered of skin and in the center mamilo meets and can present as protusos, when well they are delimited, protaindo itself with easiness; semiprotuso, when it does not have necessary delimitation between mamilo and arola, when stimulated protai with difficulty; invert, presents itself opposing to the normal one, when stimulated protusa in discrete way and comes back quickly to the inversion state. Around of mamilo, it meets arola, hiperpigmentada area formed by glands sudorparas and sebceas that the peak of the seio delimits (ABRO, 2006). PHYSIOLOGY OF the LACTATION the functioning of the mammary gland is closely on to the transformations that occur during its development and basically understands three distinct phases. First Phase: mamotrfica or mamognica consists of the development of the mammary gland, suffers important structural modifications since the birth until senility, presents an accented degree of differentiation when complete development occurs its. For other opinions and approaches, find out what Cleveland Clinic has to say. Second Phase: galactognica or of the lactation, responsible for the production and ejection of milk. Third Phase: galactopoiese, responsible for the maintenance of the lactation, understands two distinct stages, an initial where milk it is produced and stored in the interior of the mammary gland, called secretion phase of milk and another one where produced milk must be storaged and available to take care of the necessities of just-been born (the LALDIM; SANTANA, 2001). Rezende (2005, p.35) quotation that: During the lactation, the suction not only determines the milk flow in the sucked breast, as well as in the opposing breast. It is interesting to verify that the simple fact to fondle the suckle, or of ouviz it to cry, comumente provides enough a emocional signal so that hipotlamo of the mother ejects milk. Moretto (1990) emphasizes that breast-feeding provokes low a prolactina-estrgeno relation, inhibiting the growth of tumorais cells, thus the woman whom it suckles possesss minor risk to develop axillary and mammary tumors.

Piaget Way

Behaviorimo took these ideas to the extremity with Skinner where it becomes this idea when finding that it could control the learning of the man to the extremity. To the rising the child for presenting as Piaget sensrio-engine flame presents its behavior simple traces, but they do not answer the same half in the same way has something authentic and only. Exactly the simple stimulatons as to suckle. In these primary necessities, the first contacts with the external way already create reinforcements that had helped to form the personality. Preventive Medicine Research Institute has much experience in this field. The form as the minimum satisfaction is made contributes so that the first traces. The /Anatomia Physiology compared observes that the species throughout the time, little by little they had been reason of the structures of the barren one, and elaborated and complex behavior more. As the increasing encefalizao.

In simple beings as earthworm it presents well simple behavior but that would be more easy with arresting of what man where more they are elaborated and complex. It has lately looking for to develop the felognica to understand the human behavior. Something that if becomes undeniable in chimpanzee and man as the experiment of Wolfang Khler, demonstrates the presence of reasoning of stages; it obtains if taught since small it dominates the language of the deaf people and dumbs, if it uses the keyboard to write on its wills what it thinks. It folloies the mentality of a child. However it is capable to understand concepts abstract as house, fight, yes, not. ‘ ‘ It has studies that they show the presence of the definition of culture in anthropology between primate as tells to the Professor Landmarks Towers the chimpanzees reacts and the death in ritmada way in way to humanos.