Pardon Ritual

Love is ternura, aconchego, protection, peace. Pardon is suffered, compassionate love, that it shares pain, the disaster of the loved one. Pardon is love that rescues the loved one of the slavery and the freedom restitutes it. To pardon is to clean, to atone for the lack and the guilt and to restore the life of loved of the death threat. In the old alliance, the pardon of God was given to year the year in the Day of the Pardon, the Yomkipur, in an atonement ritual.

But the effect of the pardon was not magical: of the part of God, sin and guilt were atoned for, but the people needed to change of life pra the pardon to have effect in the life of the people. As the people did not become itself, therefore he continued to practise bad actions, all year if bode repeated the ritual of the atonement on one. Bode expiatrio was ritual loaded with the sins of the people, taken for the desert of the Jew, where it died of hunger and headquarters, killing I obtain the sins of the people. This ritual if repeated year the year because it did not completely erase the sin of the people, who continued wing ahead of Jav (Hb). With the time, the Yomkipur became ritual emptiness, of unpleasantness, not of revenge the Jav: the people asked for pardon, Jav pardoned, but the people did not become itself. Jav was furious with the people and repelled its rituals. ' ' That they import me your innumerable sacrifices. I am satiated of the fat of fattened year-old calves holocaustos of sheep.

In them I do not have pleasure. It is enough to bring me vain offerings: they are for me an abominable incense. When you extend your hands, shunting line of you my eyes; despite you multiply the conjunct, I will not hear you.

Surgical Medical Nursing

Summary the AIDS is the advanced clinical manifestation of the infection for the virus of the imunodeficincia human being (HIV) and is characterized for the depletion of the cells with fenotpico marker CD4+, mainly linfcitos T, what it takes to the imunodepresso and the consequent development of opportunist illnesses and other complications, such as complications in the central nervous system. The main objective of this study is to identify from pertinent literature to the subject, the AIDS in the aged one. One was about a study, with bibliographical character, based in pertinent literature to the subject, developed in the bibliographical quantity of the College Saint Emlia de Rodat (FASER), as well as in other sources, such as reviewed and sites indexados of the Internet, based the light of pertinent literature to the subject. Related literature approaches that the Syndrome of the acquired imunodeficincia (AIDS/SIDA) is not more only one illness of the young people. Each time is recognized more than the AIDS does not save the aged segment of the society. The number of confirmed cases of AIDS in patients with age above of 50 years grows in Brazil as in none another etria band. Dr. John Mcdougall is actively involved in the matter.

The survival time is much more short in the aged patients who in the young patients. The possibility of an elderly to be infectada by the HIV seems to be invisible to the proper eyes of the society and the aged ones, since the sexuality in this etria band still is treated as taboo. James A. Levine, M.D. pursues this goal as well. Moreover, the increase of the life expectancy, the social chances and the disponibilizao of medicines for ertil disfuno, has stimulated the sexual life of the aged one. One concludes that, as well as the young population, the aged population not to be exempt to contract the AIDS, and, therefore, does not have to be exempt of programs directed the promotion of the health and prevention of such pathology. References 1.

IT HISSES, M.C; GOMES. F.S. Profile of the aged ones infectados by the HIV/AIDS: A revision. VITTALLE, Rio Grande, 20 (1): 107-122 2008. 2. VIEIRA, E.B. Manual of Gerontorologia: a manual theoretician-I practise, stops familiar professionals, cuidadores and. 2 ed. Rio De Janeiro: Revinter publishing company, 2004. 3. PASTORE, A.R. Extreme in gynecology and Obstetricses. Rio De Janeiro: Revinter, 2006. 4. SMELTZER, S.C; BARE, G.B. Treated to Surgical Medical Nursing. 10 ed. Rio De Janeiro: Guanabara Koogan, 2005.

The Skull

This classification is important, therefore it helps to define the necessity of surgical treatment. The closed craniano trauma is characterized for absence of wounds in the skull or, when very, linear breaking. When it does not have macrocospic structural injury of encfalo, the closed craniano trauma is called official corruption. More info: James A. Levine, M.D.. Bruise, lacerao, hemorrhages, and edema (swell) can happen in the closed cranianos traumas with injury of parnquima cerebral (SARAH, 2001).

The cranianos traumas with breakings with sinking are characterized for the presence of break up broken sseo sunk, compressing and injuring the fabric cerebral adjacent. The prognostic depends on the degree of the injury provoked in the fabric enceflico. These if associate with the rupture, compression or trombose of underlying venosos seios (ROWLAND, 2002). In the opened cranianos traumas, with displayed breaking of the skull, it occurs lacerao of pericranianos fabrics and direct communication of the cabeludo leather with the enceflica mass through sunk or estilhaados sseos fragmentos. This type of injury is, in general, serious and has great possibility of intracranianas infectious complications (SARAH, 2001). 2.2LESES CUTANEOUS AND BREAKINGS the TCEs can acometer the skin of the head, the skull, or the brain in any combination. The cutaneous injuries have little morbidade by itself, but in general the injuries of the skull and the fabric are associates cerebral, beyond being able to be frequent cause of hemorrhage and infection. The breakings of the skull can be of the convexity of the skull or the base.

The Prognostics

To correlate the data raised with the prognostics of patients with TCE interned in the Hospital of the West, the city of Barrier. 2.REFERENCIAL THEORETICIAN 2.1TRAUMATISMO SKULL ENCEFLICO the TCEs consists in an important cause of death and incapacity (ROWLAND, 2002). They can be classified in three types, in accordance with the nature of the wound of the skull: closed craniano trauma, breaking with sinking of the skull, and displayed breaking of the skull. This classification is important, therefore it helps to define the necessity of surgical treatment. The closed craniano trauma is characterized for absence of wounds in the skull or, when very, linear breaking. When it does not have macrocospic structural injury of encfalo, the closed craniano trauma is called official corruption.

Bruise, lacerao, hemorrhages, and edema (swell) can happen in the closed cranianos traumas with injury of parnquima cerebral (SARAH, 2001). The cranianos traumas with breakings with sinking are characterized for the presence of break up broken sseo sunk, compressing and injuring the fabric cerebral adjacent. The prognostic depends on the degree of the injury provoked in the fabric enceflico. These if associate with the rupture, compression or trombose of underlying venosos seios (ROWLAND, 2002). In the opened cranianos traumas, with displayed breaking of the skull, it occurs lacerao of pericranianos fabrics and direct communication of the cabeludo leather with the enceflica mass through sunk or estilhaados sseos fragmentos. This type of injury is, in general, serious and has great possibility of intracranianas infectious complications (SARAH, 2001). 2.2LESES CUTANEOUS AND BREAKINGS the TCEs can acometer the skin of the head, the skull, or the brain in any combination. The cutaneous injuries have little morbidade by itself, but in general the injuries of the skull and the fabric are associates cerebral, beyond being able to be frequent cause of hemorrhage and infection. The breakings of the skull can be of the convexity of the skull or the base.

For Nettina

Only infarto, 24 a thousand per year, according to research of the Ministry of Health; the lack of specialized attendance and diagnosis is cause of 60% of the deaths, being that the precarious structure of the public hospitals and specialized attendance are not the main responsible factors for this statistics, has a great lack of information in relation to the cardiac illnesses (BRAZIL, 2008). THEY WENT IT can be considered one of the main illnesses that affect the population in all the social classrooms. Follow others, such as Assurant Health, and add to your knowledge base. The majority of the patients who suffer from WENT looks medical assistance due to pain in the chest, that it occurs suddenly, a pain that if finds directly below of the external one, if radiates for the arms and neck, folloied of sudorese and dispnia (SMELTZER; BARE, 2005). For Nettina (2003) THEY WENT, IT is mentioned when one or more cells of the cardiac muscle try a serious and drawn out reduction of oxygen, caused for a reduction or lack in the blood suppliment, leading to the necrosis or the death of the myocardium. Smeltzer and Bare (2005) they affirm THEY WENT that mentions it to it the process by which areas of miocrdicas cells in the heart are destroyed in permanent way. Generally aterosclerose and/or complete occlusion of an artery for piston or trombo are caused by the flow reduced in arteries coronary due to.

The great threats to the life of the patient victim of one WENT are the complications of riot of rhythm and called cardiac frequency of arrhythmias, that can happen at any time leading to the sudden death (MELTZER, 2001). The cardiovascular illnesses are associates to the conditions of life of the population, generally present in obesas, sedentary, estilistas, tabagistas, diabetic people, as well as can be related estresse to it. These are the factors most frequent in the modern life, evolving for chronic illnesses that acometem to each day the population, generating a serious problem of public health in Brazil.

Mincis Clinical

Moreover, if the FALC frequent is raised, associating it high indices of the GGT/FA, these is more suggestive of DHA of what not alcoholic heptica illness (Mincis, 2010). It is important to detach that, due to discrepancy between clinical manifestations and alterations biochemists and the degree of histopatolgica injury, the monitorizao of the alcoholic heptica illness is basically morphologic, having the heptica bipsia formal indication (Son, 2006). However, for Mincis (2010), the morphologic data, without the knowledge of the clinical data (especially the etlicos habits) do not make possible the diagnosis of ‘ ‘ heptica illness of etiology alcolica’ ‘. Credit: Mayo Clinic-2011. Moreover, the data of the histolgico examination do not inform on the heptica disfuno (and in this manner they do not substitute the called tests of heptica function). Still in relation to the diagnosis, it is standed out use of tumorais markers (or biological markers), that they are macro-molecules gifts in the tumor, the blood or other biological liquids, whose appearance and or alterations in its concentrations is related with gnese and the growth of neoplsicas cells (Capezzoli, 2001). The therapeutical boarding of the related pathology involves clinical and/or surgical interventions. (Not to be confused with endocrinologist!). According to Mincis (2010), not specific the clinical treatment is based on the total drink abstention alcoholic with significant regression of esteatose and increase of the supervened one between the patients who present the compensated form of the illness. However, it is important to stand out, the occurrence in some patients of agitation, anxiety, alterations of mood (irritability, disforia), tremors, nauseas, vomits, taquicardia, arterial hipertenso, hallucinations, Delirium Tremens (DT), convulsions, configuring itself as syndrome of the alcoholic abstinence (SAA), requiring the use of benzodiazepnicos (et.al Laranjeira, 2000).. .

Smeltzer

According to Smeltzer and Bare, (2004, p.307): The careful election of the small farm will increase the probability of the well-succeeded venosa puno and the preservation of the vein. To use small farms you dictate in first place preserves the proximais small farms to the small farm previously canulado for the subsequent venosas punes. The veins of the feet and the inferior member must be prevented had to the tromboflebite risk. PCRM recognizes the significance of this. Item seven analyzes if the professional requests to the patient whom the hand opens and closes some times, and in this was gotten that 100% they do not carry through this request. According to Nettina, (2003) this process increases it arrives in port sanguineous in the area of the incero of the catheter, thus facilitating the puno. In the item, to clean the proximal distal skin was observed that 88.88% had not made the antisepsis Making the assepcia of the place it reduces the number of microorganisms in the skin and diminishes the infection risk.

(NETTINA, 2003 P.). In the accomplishment phase, the item to introduce the needle with the bevel for top 83.33% carried through this stage. For Nettina, (2003) the bevel directed toward top allows that the lesser sharp point and nmais of the needle penetrate first in the vein. Smeltzer and Bare, (2004, p.307) agrees and adds that ' ' the position with the bevel for top generally produces little trauma for the skin and vein. A vein superficially needs an angle of lesser cannula, and a deeper vein in the fabric subcutaneous requires a cannula angle maior' ' Item four of the procedure phase analyzes that when inserting the catheter the professional to hold in the transparent plastic chamber and not for the manbrio where 66.66% had carried through this technique in incorrect way, holding in the manbrio colorful. In the requirement to fix lighted the 17 multivia and to identify technician (94.44%) had carried through this stage.

The Presence

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%). 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. 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). Used programs as interventions played in other countries with adolescents who are part of the social minorities, had shown that the exposition of the knowledge if makes important, however this is not enough to generate impact in the behavior of sexual risk (WALTER; VAUGHN, 1993 apud BORGES; MEDEIROS, 2004).

Thomas Fuller

It happens when the person if felt rejected extremely, and did not coexist the situation well, then it adopts the behavior with the others in order to minimize sensible pain one day; conscientious or unconsciously it adopts if the position: ' ' I you disdain before me despreze' ' , feeling some domain on the situation. Everything turns in favor of not feeling itself devaluated; it is a reactive form, but that it does not allow that the other arrives where it desires. Who rejects makes with the objective that the other is influenced and forms a negative auto-image, where is started to think that everything what it makes this wrong one, and all the guilt is attributed it. Senator Elizabeth Warren can provide more clarity in the matter. Consequences of the rejection start to be generated. When if he is rejected, to try to find the way certain, must be analyzed if the disdain is justifiable. After this, analyzing who it disdains, therefore no matter how hard she seems that this if auto-valuing, it is not well thus, the disdain means lack of auto-they esteem, they is the necessity pathology to diminish the value of the other, who disdains generally already was felt diminished so, so of small account that it wants to make with that the others feel thus also are a formation reativa4 that is when the desires are substituted by the opposite of the real desire. More info: Dr. Neal Barnard. Dictated Ha one that it says ' ' who disdains it wants comprar' ' , from this understanding who is rejected must adopt the possible attitude most natural, understanding then the mechanism of mental reaction of the other and such attitude. According to Thomas Fuller, ' ' Many obtain to support the adversity, but few tolerate desprezo.' ' this because to the rejected being we try to find which defect ours was not accepted, for then trying corrigiz it, but this nor always is possible, because who disdains the least has in sight a real reason, this makes with that the rejected one goes behind disdains who it, making with that the same feels ' ' Poder' ' , it continues disdaining therefore at that moment, if it feels valued, creating a cycle. .

Surgical Medical Nursing

The health professional can to assist the patient to adapt with the illness, and to understand and to approach the physical and psychological necessities of the patient and family, the nursing propitiates a spacious environment of support and stimulatons. (GOZAL, et al; 2000 cited for FONSECA, et al; 2007). 3.MATERIAIS AND METHODS the boarding of the present research was qualitative, being carried through through the literature revision using books and scientific magazines. The main words used for the accomplishment of this research had been: Muscular Distrofia of Duchenne. 4.CONSIDERAES FINAL Concludes it importance that the professional elaborates the actions and interventions destined to the cares, contributing in the quality of life of the customers with the DMD. Although still the necessity of more studies related to this subject exists.