health and beauty

DIABETIC FOOT 1-CONCEPT: It is the set of occured alterations in the foot of the carrier of DM, decurrent of neuropatias, micron and macrovasculopatias and increase of the susceptibilidade the infection, which had to the biomechanic alterations, that take the deformities. The neuropatia leads to a insensibilidade, that is, to the loss of protective sensation e, subsequently, to the deformity of the foot, with the possibility to develop an abnormal march. 2-CLASSIFICATION: ) Neuropatias b) Angiopatia c) Infections 3-FATORES OF RISK) the Alterations of sanguine circulation b) inadequate Shoes c) stuck Nails d) Calosidade e) Fictions f) Deformities (joanetes, fingers in hammer form, overlapped and in claws, proeminence of heads of the metatarsos. 4-INSPECTION MONOFILAMENT: Nine points in region plantar and one in the dorsal one must be tested. In the region plantar: 1, 3 and 5 fingers; 1, 3 and 5 metatarsianos heads; lateral regions of the half foot and in dorsal region between 1 and 2 fingers. The incapacity of the patient to feel the filament of 10 g in four or more points, enters the ten tested points the protection absence in the feet.

As to use the monofilament: It shows to the filament to the patient and wall lamp it in its hand so that it recognizes the type of stimulaton. It requests the patient to keep the closed eyes during the test. It has asked for to the patient to give attention and simply to answer ' ' sim' ' when feeling the filament. When applying the monofilament, perpendicularly keeps it to the tested surface, a distance of 1-2 cm; with a soft movement, it makes to bend over itself it on the skin and removes it. The total duration of the procedure, the contact with the skin and the removal of the monofilament, does not have to exceed two seconds? If the monofilament to slide for the side, disrespects the eventual reply of the patient and has tested local the same again later? It uses a sequence to perhaps in the test places? Having ulceradas areas, necrticas, cicatriciais or hiperceratticas, it has tested perimeter of the same one? If the patient not to answer to the application of the determined filament in one local one, continues the fortuitous sequence and comes back later to that place to confirm.

QUARREL According to Sussmann (2000), the points are joined between itself through called lines meridian that lead for all organism the called energy qui, that it is responsible for the life and health of the organism. In accordance with Fisher (2003), the carriers of face paralysis present ipsolateral hiperacusia, reduction of the gustativa sensitivity of tero previous of the language, beyond paresia of the face musculatura, deaf pain in return of the jaw or behind the ear. To put the specific signals and symptoms depends on the affected anatomical region. The acupuntura is one well defined therapeutical technique in the treatment of face paralysis, but in recent years many researchers have questioned in which period the acupuntura must be carried through. While some emphasize that the therapy must start in the acute phase others certify that the therapy in the remission phase brings resulted more satisfactory (Read, 2007). As Wein (2006) exists some advantages in the application of the acupuntura in relation to another one method conservative as: innumerable possibilities of application; reduction of the medicine use; simplicity of the necessary instrumentation; security in the treatment; complementation of the gaps of the modern medicine and aid in the diagnosis. The acupuntura recently if has become object of scientific inquiry, over all in the treatment of pain, nauseas and vomits, neurological whitewashing of patient victim of cerebral vascular accident, syndrome of the tunnel of carpo, dismenorreia, fibromialgia, chronic headache, lateral epicondilite and lombalgia (Pearl & Schillinger, 1999). Research made in last the 20 years had brought scientific tests of its neurobiolgicos mechanisms, as well as of its clinical applications. Some methods of use of the Acupuntura exist, but its choice depends on the esepecificidade and individuality of each considered treatment. Being a reflected and regulating therapy, stimulating the systems of regulation and cure of the organism and producing reflected answers local sistmicas, inespecficas and general, controlled for superior centers of central control and the systems endcrino and imunolgico (Moya, 2005).

The hair flatter is a very useful device to arrange its hair. However, some cares exist to have to use it with the due security. Flatters exist that can reach for top of 230C, and therefore all the care is little. Tips to use its flatter of hair in security: – Not touch with the fingers in the internal part of the plates of the flatter, when this will be in functioning. The plates reach high temperatures, therefore it has care for not being burnt. – The flatter moved away from the water Keeps does not have to use it in wet hair or wet it does not put the device in any ladoCertifique that the surface puts where it is resistant the high temperatures. – Choice the temperature in accordance with its type of fine cabeloCabelos/frgeis_ the 120 normal 160CCabelos or pintados_ between 160 and 180 strong 180CCabelos and espessos_ 200CNo case not to have much experience at least advises the use of the temperature. It follows the tips and it obtains pretty hair and in security.

Extreme consumption of stimulants (amphetamines, tricclicos, etc.) In the gestation? Daily pay? Severe Hipertenso Picture 3? Situations that simulate hipertensiva crisis? Ventricular insufficience left acute? Uremia of any etiology, particularly with volume overload? Ischemic enceflico vascular accident? Cerebral tumor? Craniano trauma? Epistaxes (after-ictal)? Illnesses of the colgeno particularly lpus, with cerebral vasculite? Encefalite? Ingestion of drugs (cocaine), fenilclidina? Acute intermittent Porfiria? Hipercalcemia? Acute anxiety with hyperventilation and syndrome of the panic Many times, the simple repetition of the measurements finds values gradually lesser, explained for the regression to the average and the syndrome of the apron branco18, 19. Initial history and the examination physicist must quickly differentiate urgency emergency. So soon either confirmed or suspected the emergency diagnosis, he has necessity of if making a cardiac monitoramento in the patient, as well as a way for venoso access. Hospital internment must be provided, of preference in unit of intensive cares and moderate the light adrenrgicas crises/? Syndrome of rebote (abrupt suspension and inhibitors 457 ivos, while the therapeutical one of attack is initiated. In the majority of the cases the treatment does not have to be delayed in the direction of if waiting the results of the laboratoriais examinations.

The data gotten in the history and the physical examination of the patient search to identify the causes that had precipitated the pressrica rise, evidences of injury of agency-target caused for the severe pressure or both. The doctor must get information on the former history of hipertenso how much to the duration, the severity and the level of control; extension of the damage of previous agency; medication prescribed for doctor or acquired directly in the balcony without medical prescription and eventual use of considered drugs illicit; related to the severe rise of the Par. Beyond the mensurao of the Par in the supina or seated positions and foot, to evidence the presence of postural hipotenso, the examination must be directed to evaluate the comprometimento of the main targets reached for the hipertenso as kidneys, brain and heart..

Of these, 800 a thousand, commit suicide. In Brazil a estimate is had that at least 13 million people presents picture that it indicates to the depression. Without a doubt they are given alarming and destarte, is had that to have a bigger concern of the government in relation to the subject. Not less important, it is the carried through diagnosis to mention itself to the psicopatologia. The majority of the health professionals, without counting the neighbors, professors, manicures, hairdressers, mechanics, priests, shepherds, nuns, salesmen of picol, bank clerks, our parents, believes to fully know to diagnosis to such of the illness. A banal act became, when a person is chorosa, to say that it has DEPRESSION.

I affirm this fact for already having heard of some professionals of health and other mentioned above instances, that do not have formation in mental health, dangerous pearls, nonsenses and errors. It is arrived the point, of the patient already to come to look for to me, with the diagnosis of someone (a) who although to work a particular clinic, rank of health or hospital, he is alhures to understand in fact the relations psychic. This psicopatologia still can be the fundamental deep problem of or symptom of another problem. It has that if observed if the possible patient it is not only sad. The concern must be had to verify the following aspects: Transfundos of psicopatolgicas experiences, constitutional Vulnerability, predisponent and precipitantes factors beyond the neurovegetativas, ideativas, cognitivas alterations, of autovalorao, volition and psicomotoras before giving names to the oxen. Without counting that the diagnosis and treatment, must always have the participation of a professional of the area of mental health. In the case of the general physicians, when possible, before the lapsing, the psychoanalysts or psychologists would have to direct the patients, for the work in set. One another point related to the diagnosis, is the fact to exist subtypes as: Episode or depressive, distimia, atypical, melancholic, psychotic, agitated, estupor depressive and organic phase.