Month: June 2020

The Patient

A complete and complex formularization allows the planning of a treatment that will have to be presented and to be argued with the patient, in order to get a full agreement and an explicit commitment of enrollment in the process, beyond an obedience commitment the recommendations proposals during its transcorrer. TREATMENT FARMACOLGICO. . The used medications for the treatment of the TOC they are the inhibitors of the recaptao of the serotonina (IRSs). They include tricclico antidepressant clomipramina and fluoxetina, fluvoxamina, paroxetina and sertralina the IRSs selective they are the ones that had shown more effectiveness.

. MANNERING The objectives of the treatment are the reduction of the symptom-target and the learning of strategies to deal with obsessions and compulsory premncias in the future being able this being reached by the intervention under internment or ambulatorial attendance. The treatment starts with the construction of a list contends the ansiognicas situations in hierarchy that allow the handling of the anxiety for gradual approach. The use of a daily one elaborated by the patient, including the situation and the duration of the obsessions and rituals, is very useful in this phase and must servile as a guide for the planning and the evaluation of the progress of the treatment, the mannering treatment, is a drawn out exposition and the prevention of answers. . COGNITIVO The model considers that the correction of the negative evaluation of the obsessions is what reduces the anxiety of the TOC. Although the cognitiva therapy widely is used in the treatment of the depression and of other anxious upheavals in the TOC it meets in development process, not having still been submitted the empirical inquiry; it at the beginning plays an important complementary role and in the ending of the mannering boarding, facilitating the implementation of the treatment and assisting in the prevention of fallen again.

Marianna Medical University

We observed the mental state of patients within 3 months after surgery. According to the results their observations were divided into 4 groups. Unrecognized disease These people did not believe that they have cancer, they have not seen the emotional fluctuations. Having a fighting spirit they always had the spirit to fight cancer, were optimistic, read books about cancer and were ready to do everything to oppose him effectively. Controlling yourself accepting their diagnosis, they first fell in spirit, but then tried not to think about the disease and continued to lead a normal life. When they are desperate to have stated a diagnosis, they fell into despair, have lost the will to live, and for controlling the disease were strong emotion.

80% of people of "unrecognized disease" which had a lot of emotional fluctuations and the same percentage of people, "Having the fighting spirit" – survived. In the group of "control himself" survived 70% of people, about half of them cancer re-emerged. And in the "Desperate" upwards of 80% of patients. Thus, even in patients with a depression lowers the immune system. Mental turmoil of daily life, less shocking than the death of a spouse or when we learn that we have cancer, have a surprisingly strong influence on the physical body. Gloom and cell killers in St. Marianna Medical University conducted a study of the effect of final examinations for the health of students.

Final exams cause great anxiety among the students and mental stress. Was measured the activity of natural killer cells in the middle of exams and two weeks after graduation. The result – the activity of natural killer cells significantly decreased during exams, but after two weeks after the exams, it has increased in almost all. However, based only on these data, it is unclear whether this was the influence of fatigue when preparing for exams or mental stress.

United States

The world has become interdependent in the fields of trade and the movement of capital and people, but need to move forward on issues such as health, energy and the environment. With the crisis was revealed that short-term financial movements were the worst regulated. There is a clear need to reform or to build new global organizations for economic. The recent crisis had highlighted the damaging capability of easy money and the urgency of accelerating the evolution of the international financial system. That voracious capital lived plunged in the appetite of the increasingly rapid return. However, degeneration deeply touches the conceptions of the ethical and moral, which has restated the need for restrictive rules to a frenzied market. We must add, in this last concept, what economists call Slovenian effect, i.e., the existence of small markets without growth and structural reforms and attractiveness for foreign investment.

It is what Professor Adolfo Castilla (Professor of applied economics of the Universidad Antonio de Nebrija) called the five fingers of economic death, taking the expression of English The five fingers of death used by American film noir movies. The effect Slovenia adds the rise in continuous of the interest rates, the decrease in the United States, fiscal pressure higher and continued exchange-rate appreciation. The danger lies in an eventual reactivation of the crisis by incorrect action of the regulatory institutions of the world economy. We must add that political tensions change the framework in which businesses in the world are made. Emerging economies offer such dangers, the disparity in their incomes. Already, in good part, the success does not depend on the use of advanced technology or costs, but political, especially anti-American game. Let’s add corruption and legal uncertainty.

In short, the recent crisis left wounds in what Marcelo Manucci (Doctor in communication sciences – USal-) calls the until now economic force structure Bad Request

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organised civil society and the institutions of the nation-State failing not. Concern for the human leads to what has been my approach base on the topic: politics must regain its primacy over the economy, strategies should be directed to address growing poverty and consequential emigration, more new large themes as health, ecological health and energy, in a wrapper of the human. original author and source of the article.

The Brazilian Central Bank

These quarrels had appeared at the moment where they had been proposals changes that reached the normative agencies of Sistema Financeiro Nacional (SFN) composed for Conselho Monetrio Nacional (CMN), Brazilian Central Bank (BACEN) and Commission of Movable Values (CVM). The transformation in the Brazilian administrative apparatus, initiate in years 90 had, as main lines of direction established in the Managing Plan of the Reformation of Estado (PDRE): – To fortify the strategical, in charge nucleus of the formularization of public politics, integrated for the direct administration, who would be reduced by the allocation of functions in the other segments, Legislative beyond them and Judiciary; – To institute regulating agencies with new instruments of control for the exclusive activities, directed toward the fiscalization, regulation, collection and policy; – To foment the sprouting of independent social organizations for the sector of not exclusive activities, as education, the health, the culture, the research, the environment, activities that must be stimulated by the State, however, dispensable that manages it them directly; – To privatize sectors of activities that can be developed by the market, on to the production of goods and services. According to former-minister of the farm LUIZ CARLOS BRESSER PEAR TREE, the adoption of such measures corresponds to the reaction of the Brazilian State front to the institucional crisis and the globalization of the economy; ' ' The crisis of the State imposed the necessity to reconstruct it; the globalization, the imperative to redefine its functions. Before the world-wide integration of the markets, and the productive systems, the States could have as one of its basic objectives to protect the respective economies of the international competition. After the globalization very, the possibilities – and the desejabilidade – of the State to continue to exert this paper had diminished. Its new paper is to guarantee the universality of the services of basic education and of health, financing the formation of human capital, and to promote the competitiveness international of the companies.

Sanitary Reformation

The health got five articles of the constitutional text determining that this is right of all and to have of the State, being integrated the services of regionalizada and hierarchic deformed health, constituting a system only accomplishing the health as a basic right for the exercise of the citizenship and the human rights. The situation of the health publishes gained a new context in the decade of 1990, one of the conquests was the approval of Law 8,080 (Organic Law of the Health? LOS), that it makes use on the promotion, the protection and the recovery of the health of the population. Understanding the health as dimension essential of the quality of life and indispensable resource for the social, economic and personal development. Art. 1 – This Law regulates, in all the domestic territory, the actions and services of health, executed, isolatedly or jointly, in permanent or eventual character, for natural or legal people of public law or private. Art. 2 – the health is a basic right of the human being, having the State to provide the indispensable conditions to its full exercise. 1 – the duty of the State to guarantee the health consists of the reformularization and execution of economic policies and social that they aim at to the reduction of risks of illnesses and of other agravos in the establishment of conditions that assure universal and igualitrio access to the actions and the services for its promotion, protection and recovery.

2 – the duty of the State does not exclude from the people, the family, the companies and the society. (BRASIL.1990). Analyzing the performance of the inserted Social Service in the area of the Health in years 80 it is observed that the profession still arrives the 1990 with little practical alteration of the institucional one, still a disarticulated category of the Movement of the Sanitary Reformation and without no occupation in the machine of the State for sectors of the professional category. .