When guiding a monograph related to the acupuntura, we perceive that the lingual examination is not comumente boarded in monographs or TCC on anamnese corporal previous to the beginning of the treatment. In such a way, this article has as premise the lingual study for the determination of the state of the patient. The Color of the Body of the Language a pale language is less red of what a normal language, and indicates syndromes of deficiency and cold caused by a deficiency of Qi yang or an insufficience of Qi and blood. A red language is of redder intense red color and of what a normal language. This color indicates diverse syndromes of heat including the syndromes of interior heat for excess and syndromes of interior heat for deficiency. A dark language of red color indicates a situation of extreme heat.

In case of febris exgenos upheavals, this color indicates an invasion of pathogenic heat. In the endogenous illnesses, it indicates deficiency of yin, which leads to a hiperatividade of the Fire. A violet blue language indicates one estancamento of blood related with cold or heat. A very dark language of violceo blue color, and still dries and without brightness, it is related with the heat, whereas a humid language of color pale prpura is related with the cold. The presence of color spots prpura in the surface of the language also indicates estancamento of the blood. Adequate form of the language an inflamed language, logically, is bigger of what the normal one. If an inflamed language still presents a fragile aspect and a pale color, and with odontogramas in the edges, the diagnosis points then with respect to a deficiency of yang of bao and kidney. This condition if must to one me the circulation of the Corporal Fluid, which produces waters, fluid retention and humidity harmful.

Nobody likes if to submit the surgeries, independent of the objective, however, in some situations, does not have as to run away from them, still more if the problem will be decided only in the surgical table. An example of this is the surgeries that modify the form of the nose. Who to decide for this change, goes to find in the rinoplastias the only way to arrive at its objective. The rinoplastias allow that the nose increases or still diminishes of size, being able to change the form of the tip or the abaulamento of the back of the nose. Who to opt to this surgical procedure has the possibility also to correct some alteration of the breath, will be the case, as adenoid or shunting line of septo. However, exactly that the person decides to make an operation only for the aesthetic question, it is necessary that it starts, how much before, to save money for the accomplishment of the surgery.

No matter how hard the plastic interventions have passed for low one in its values, in recent years, had, mainly, to the popularizao of the surgery plastic, the prices of rinoplastias, still continues being significant for the majority of the people. The prices of rinoplastias can vary of R$ 2,500, 00 R$ 7,000, 00, as the complexity and the clinic where the procedure will be carried through. However, even though the sites of collective purchases are offering discountings that arrive 70% for the accomplishment of the plastic surgery. Moreover, so that the rinoplastia gets success, it is important that the plastic surgeon preserves the naturalness and authenticity of the face, since exists a harmony between the nose and the face of each person. Many famous doctors exist, who carry through plastic interventions in celebrities and, therefore, its prices can be highest of the market. This is not the only important criterion for the choice of the surgeon, since professional so good how much they can offer accessible prices.

The remodelagem of the body, for parts of the cosmetic applicators and of the plastic surgery, mimetiza constancy of youth. The reality goes in them escaping, in the happened negation of the manipulation of the time that provokes the signals of aging of the body. The action of the time already is passvel of being aplacada by the ingenuity of the virtual technology; we do not obtain to imagine until where we can arrive, packed for the armory of delay of the oldness and, for extension, of the death. 5,2 Experience of the transistion in the biological dimension of the time the objective of departure to think this is the agreement of the time as biological reality of the human body, that if constitutes in the physics-symbolic dualidade, if reproduces and crosses the existence in the axle health? illnesses, until the death. The body, while in alive system, makes the perception of the ticket of the time, in the organicidade of its biological rhythms. Whereas unconscious it does not recognize the ticket of the time and, therefore, it does not recognize the end of an existence, whose only intention is the satisfaction of the desire. Where the professionals, have that to be intent to look at, listening and the action, that is, the observing look catches the reality of the man in the cure of the death, comprehensive listening opens the canals of the auto perception and the action, that if makes shared in the formation of the professional pair? aged. If the death wins on the life, that if prepares to receive it, revealing in the glory of its accomplishments. 5,3 Experience of the transistion in the historical dimension of the time the starting point to think this transistion is the agreement of the time as historical reality of the human being, this being that produces science and the sociocultural system, making an experience of the time that exceeds the borders of the finitude.

In osteomielites of pelve the signals are: lameness, pain in abdome, hip, virilha or thigh and fever. In the diagnosis local pain in the infectado bone is proven intense, preceded of fever, loss of weight, fatigue. Presence of leucocitose. High VHS and PCR. Sanguineous samples (positive in 60%), cultures of inhaled of celulites and inhaled disgnostic of the space periosteal (or, if negative of the bone) must be evaluated before initiating antibioticoterapia.

Attainment of x-rays or TC for periosteais ascertainment of tumefao of soft fabrics, rise and calcificaes and ssea destruction and to consider alternative disgnostic (sseos tumors, leucemias sseos cysts). The RM is useful to delineate the extension of the infection for complex cases, or when the infection is associated with a trauma, surgery or falciforme anemia. The RM obtains to discern osteomielite from discite. (BEHRMAN, KLIEGMAN, 2004). One initiates the treatment with antibioticoterapia, the use of the adequate antibiotic in agreement the parameters of the child (weight, age). The used antibiotic must at least be kept per the 3 4 weeks or until ceasing of the symptoms and sensitivity of the microrganismos.

The monitoramento of hematolgicos systems, renal and heptico is of utmost importance a time that can be affected by the drug. Coadjuvante the antibioticoterapia the child must be kept in rest in the stream bed, immobilization of the affected extremity, with splice or bivalvado plaster, restraining or limiting the dissemination of the infection. Surgical treatment consists of the sequestrectomia (removal of bone dead) and surgical draining to prevent formation of abscesses. During the surgical draining, it puts polyethylene pipes in the wound (one instila antibitica solution in the area infectada for gravity and another on a suction device makes the draining) (WONG, 1999) In the nursing description the acute sprouting of the signals and symptoms is proven (pain, edema, eritema, fever). Evaluation of the patient how much the factors of risk (advanced age, diabetes, therapies with corticosteride) and former history of injury, infection or ortopdica surgery. In cases of acute hematognica osteomielite weakness generalized in sight of the sistmica reaction to the infection occurs. During the physical examination it has the exhibition of inflamed area, edemaciada and painful. It can have purulenta draining.

To be with the body in form for the summer is the desire of all the women, however to arrive at this time with everything on she is necessary many months before to start to take care of of the body and the mind. Although many people do not obtain to remain themselves in form in full winter, many appeal the plastic surgeries assist with it of the extreme sound to arrive in the summer with the body in form. A surgery example that is very common between the women is the lipoaspirao, exactly knowing of the risks who run, many of them prefers to make this procedure of what being some months threshing. A new technique is the ultrasonic lipoaspirao that liquidifica the fat before extracting using it inaudveis sonorous waves for us. This lipo functions well if you to want to take off some centimeters of the waist or some another region in the first session already you can yourself be noticed a depression in the place provoked for the extreme sound, showing that the fats of that point had melted, thus you are made of session in session until all the area if levels off. Different of what much people think, are not in a session that you will leave with the remodelled body, in general are made at least three sessions with intervals of one month between them. Exactly presenting excellent results after a time, lipo ultrasonic does not make no miracle, its effect is only aesthetic and it very does not diminish the weight of the patient, for this is necessary to make a balanced diet, contrary case lipo to keep does not only go you in form in the summer.

Administration and Management: To the nurses she fits beyond the tasks directly related with its performance next to the customer, the management of the resources? physicists, materials, human beings, financiers, politicians and of information? they must present individual characteristics as: to be able personal, interpersonal effectiveness, optimism and resilincia6. Although some certezas to exist, not yet have consensus on all the abilities that are indispensable to the nurses. However, it lacks to the professionals to the awareness of its transforming potential to get success in the result of the given services. We need to invest in the development of essential and durable abilities, translated for the association of knowledge, abilities and atitudes20. Joint enters the Dimensions of Gerenciar and of Cuidar Many are the obstacles faced in daily of the nurse during the joint between the management and its activities of care. Authors tell that a trend exists to the bureaucratization of the process of work of the Nursing, considering that the nurses each time more assume attributions that surpass its abilities and as they move away them to consequncia from the direct assistance to cliente19,8,13,22. The performance of exclusively bureaucratic functions for a majority of the nurses comes generating quarrels in the profession, therefore the vision of the nurse who is in the management tends to value this action as an action that makes possible the care and the assistencialista and its team technique tend to menosprezar the activities gerenciais3. The avalanche of activities that are delegated the predominantly bureaucratic nurses, the distance of the assistance, the planning of the care and the supervision of the team. The removal of the nurse of the actions to the direct care to the customer brings as consequncia to the recognition lack of its work on the part of the clientele and of the proper team of health, it lacks to the nurse to acquire knowledge itself of its transforming potential, considering that by means of its process of work, can innovate the care and divide the work gerencial.

The cardiovascular surgery for being a complex therapeutical intervention possesss high risk for complications in trans and postoperative. With the reduction in the time of internment during postoperative mediate and the return of the patient for its residence they increase the risks for complications in postoperative the delayed one, needing in some cases of reinternao. In accordance with the service carried through for the team of nursing in the adult clinic of a Federal Hospital Reference in Cardiologia was carried through this study that has as object: The nursing consultation as evaluation instrument/accompaniment of the postoperative patient in the delayed one of cardiac surgery. The objectives of the related study are: to present the Service of Nursing in the ambulatorial accompaniment of the patients of postoperative of cardiovascular surgery; to indentificar the main complications of the patients in postoperative delayed of cardiovascular surgery taken care of in the nursing doctor’s office. For accomplishment of this descriptive study, with explicativa goal a quantitative boarding was used involving the systematic collection of numerical information, using statistical procedures. The 692 citizens of the research had been divided in: postoperative; after cateterismo; after implantation of mark-I pass and others. The data had been gotten through handbooks, book of register of patients and official reports of the institution, using two elaborated instruments previously.

The interventions of nursing had been classified in accordance with the NIC. The analysis in the sample that had been carried through 1,221 atendimentos in the clinic in the period of dezembro/2005 to junho/2006. 27% of the patients mention postoperative it of cardiac surgery, being 4 the average number of consultations for patient. 58% are about patients after cateterismo, 5% of patients after implantation of mark-I pass, and 10% of other atendimentos. Some type of complication in the operatria wound was observed in 12,5% of the taken care of patients, being 29% dehiscence in esternotomia, 49% dehiscence in safenectomia and 18% with infection. Amongst the interventions of nursing the procedures most frequent had been: accomplishment of dressings and withdrawal of surgical points. We conclude that to describe the service carried through for nurses the ambulatorial level and to display its experiences and knowledge, becomes important in view of that very this type of accompaniment carried through in the country is reduced, and still is very scarce literature on the subject. Being the operatria wound the main postoperative complication in the delayed one, we elaborate as suggestion a form for accompaniment of wounds who still will be able to supply subsidies creation of a commission of dressings with ends of standardization of the procedure in the institution. Words key: Clinic of nursing, after operatrio of cardiac surgery, nurse.

The use of drugs consists in a historically old phenomenon in the evolution human being and represents a serious problem of public health, resulting in some personal and social consequences to the future of the adolescents and all society. Demand special attention having itself in sight that, most of the time is in the adolescence or youth that occurs the first contact with the drugs and the establishment of a standard of problematic use. Muscular dystrophy is often quoted on this topic. ‘ ‘ In this phase, the individual passes for brusque biological, psychic changes and of social insertion, being a stage of great vulnerability in the development humano’ ‘. For the World-wide Organization of Sade (OMS), the use of drugs is considered a health problem publishes, therefore about 10% of the populations of the urban centers they make use of same. This fact has social, psychological, economic implications and politics, visa to be antisocial practical associates to crime and, accidents of transits, beyond being considered responsible by bigger part of all the deaths in the world, having been that about 25% of the AIDS cases they are on directly to the use of injectable drugs. The present study it is mentioned concerning the use of drugs in the adolescence, its impacts in the familiar scope, the paper of the family and the professional of health in the process of treatment of the adolescent. Cancer research has compatible beliefs. We stand out here the importance of the nurses as agent-key in the process of social transformation, participating in the drawing and the implantation of programs and projects of health promotion, prevention of the use and excessive alcoholic consumption and other drugs and social interaction

To characterize the taken care of in the Basic Attention (disgnostic, encaminhamentos using customers of crack, reference and against-reference), to describe to the degree of knowledge of each professional of the ESF, being discovered if they withhold the knowledge and the domain on the selection instruments, describing the interrelation crack and interventions in the family of the dependent and the importance of this relation and to identify to the instruments and used behaviors of work during the customer service of crack, in the states of acute poisoning and/or occasion psychotic induced for abusive use of the drug. To know the description of the dependents of crack and the politics of basic health, over all the methods and protocol of preliminary reconhecimentos (selection for use of instruments of easy application), the attribution of the professionals of basic health as agents of change in the attention context the family is of utmost importance as for the process of to identify, to receive and to direct to the specialized attendance correct. It is distinguished that the Communitarian Agents of Health, Technician of nursing and Nurses are agent-keys as professional researchers and of the area of the public health, are essential that they know problematic of the drugs in the performance communities, being they firing pins in the process of the social transformation, participating in the drawing and the implantation of programs and projects of health promotion, prevention of the use and abuse of crack and social integration. Cancer research has many thoughts on the issue. We understand that one has equipped of ESF, since that able, it can contribute effectively with practical its in this area of great social relevance. Therefore possessing disgnostic knowledge of the ways of selection for use of instruments of easy application and criteria, in the boarding to the dependent using customers of crack, being the understanding them on damages thematic and the conscience of the seriousness it paper exerted in the society, either as diligent in field, as educator or as part of this society, having part of the priesthood of the occupation the dispersion of the subsidies that provides to the individual quality of life and balance in the echo of the relations and its social conviviality. . For more specific information, check out muscular dystrophy.

He will delay some time so that the aged people if guide for what he is being made. To prevent to ask on the sensitivity of the monofilament in the place not to induce the reply. In the presence of calluses/calosidades, to evaluate the surrounding region, therefore the patients probably will not feel the monofilament in these regions. Without risk of danger additional: To elaborate a individualizado plan of handling that includes orientaes on cares with the feet. b) At risk: Set appointments consultations of revision to each 6 months with a team to multidiscipline able to manejar the diabetic foot. In each consultation it must: To inspect both the feet – to assure care of identified problems when indicated. To evaluate the footwear that the patient uses to supply orientaes adjusted.

To improve the knowledge of the patient on as to take care of of its diabetic foot c) High risk: Set appointments consultations of revision to each 3-6 months with a team to multidiscipline able to manejar the diabetic foot. In each consultation it must: To make orientaes how much to the use of special shoes when indicated. To consider the necessity of vascular evaluation or guiding for specialist, to evaluate and to assure the supply of a more intensive orientation on cares with the diabetic foot. d) With presence of ulcerao or infection: To direct a team to multidiscipline of attention to the diabetic foot in a stated period 24-hour to manejar the wounds adequately, with dressing and indicated desbridamento as: To evaluate the indication of sistmica antibioticoterapia for celulite or ssea infection; the treatment of first line consists of generic penicillins, macroldeos, clindamicina and/or metronidazol, as indicated, and ciprofloxacina or amoxicilina-clavulanato as antibiotics of second line. To investigate the comprometimento of the bone for the osteomielite suspicion, enclosed radiology and images, magnetic and bipsia resonance when indicated. To assure an adequate control of glicemia.

To direct for ortopdicos cares special (podlogo and shoes), and a quarrel individualizada on the prevention of recurrences, after the ulcer to have healed. Orientaes educational basic for the auto-cares of the feet. To examine the feet, if daily necessary to ask for helps the familiar one or to use mirror. To inform the doctor will have calluses, cracks, alterations of color or ulcers. To dress half clean, always preferential woollen, cotton, without rubber band. To pave shoes that do not press, of soft or weaveeed leather, not to use shoes without stockings. New shoes must be used to the few, to use initially in house for some hours per day. To never walk bare-footed same in house. To wash the feet daily, with water morna and neutral soap, to prevent hot water, to dry the feet well, especially between the fingers. After to wash the feet, to use a hidratante cream the lanolina base, petroleum jelly eliminates or glycerin, not to use between the fingers? To cut to the form nails straight line, horizontally. Not to remove calluses or stuck nails in house; to look team of health for orientation.