Vascular Health

The bacilli not fagocitados they are multiplied slowly and they destroy the macrophages all taking the fabric pulmonary. The process will continue per weeks, with logarithmic multiplication of the bacilli. Three weeks of inhalation of the bacilli occur after metstases. When reaching the linfonodos and the sanguineous chain, will affect other agencies. In rich environments in oxygen, as superior areas of the pulmes, kidneys, extremities of the long bones and brain, the bacilli if multiply until the specific immunity happens. Together with the cellular immunity, the organism develops the call hipersensibilidade of the delayed type (HTR); such hipersensibilidade eliminates macrophages that had not been activated and that they contain bacilli. The HTR makes possible its destruction in the extracellular way.

According to SMELTZER et. Al. (2009), granulomas I contend masses of bacilli livings creature are converted into a fibroso fabric mass that has its central portion called tubercle of Ghon. This mass evolves for necrtica form being able to be calcificada; in this period of training, bacteria are latent and it does not have progress of the active illness. A wrong reply of the imunitrio system it can develop the active illness, as well as a reinfeco; the tubercle of Ghon ulcer leading for the bronchis material infectado. It has, then, an additional dissemination of the illness.

In agreement Imunobiologia TARANTINO et. Al. (2008), the TB is not a hereditary illness, even so already had described in literature rare congenital cases. The natural resistance says respect of the natural election during millenia in contact with the M. tuberculosis. The contact for a long time with the bacillus selected in the way, relatively resistant populations to the tuberculosis in the species human being. The secular action of the bacillus selects more resistant and capable populations each time of if protecting. Soon, those that never had entered in contact with the illness and arrive the places where exist tuberculosos are vitimados by the illness.

The Influenza Grippe (H1N1) In 24 of April of 2009, had first an alert one of the OMS (World-wide Organization of the Health) on the sprouting of a new illness, Gripe Influenza A (H1N1), also called Suna Grippe. In Brazil, until day 15 of July of that year, the Health department registered few cases and only of of people who had contracted the virus in the exterior or through contact with that it was it are of the country. In accordance with Axe (2009), passed only one month of the notification of the first case, already was available in scientific literature information on the virus, as well as the description of 642 cases of the infection with the virus influenza A (H1N1) identified in the United States. According to Tatiana Sabadini: Virus H1N1 was detected in April of 2009 in Mexico and the United States and if it spread quickly for the world. In Brazil, they had been registered 46,100 serious cases and 2,051 deaths in the last year. Of January the July of this year 793 cases had been identified, with necessity of internment and 95 deaths. (SABADINI, 2010, P. 1) However, in day 16 of July of 2009, the Health department registered the first case of direct transmission of virus H1N1 in the domestic territory, without contact with sick person come of the exterior.

This person was a patient of the State of So Paulo and came to falecer in virtue infects of it. It was the first evidence of that the circulation of virus H1N1 already was a lamentable reality in Brazil. I infect it for the H1N1 caused alarm, therefore she could be fast if to become uncontrollable, since its symptoms are very seemed the ones of a common grippe and could easily be confused and to camouflage the pandemic: sudden fever, cough, muscular migraine, pains, pains in the joints and coriza.

Objective: To analyze studies on the causes of the unexpected ones in nursing in surgical center. Methodology This work concerns a bibliographical research. This type of research will bring subsidies for the knowledge on what it was searched, as and under that approach and/or perspectives were treated the subject presented in scientific literature. In this research, &#039 was worked with the subject; ' Analysis Epidemiologist of the main causes of the Accidents in Nursing in Cirrgico&#039 Center; ' thus they are being presented given scientific already published. As GIL (2009) the bibliographical research of the support the almost all the phases of any type of research, being particularly important when the research problem requires very given dispersed for space 3. Development Main Causes of the Accidents in Surgical Center CANCELLATIONS OF SURGERIES the problematic one of the cancellation of surgeries has received attention on the part from researchers of the health area in the last few decades. Studies on cancellation of elective surgeries, mainly in public and university hospitals, they point taxes that vary of 17,6% 33%.

The repercussion of the surgery cancellation cause alterations in the routine of life of the patient, with consequent removal of the activities developed next to the work, to the home and necessity of mobilization of financial resources, consequently, its cancellation generates frustration for the patient, the family and multiprofessional team 4. LACK OF HUMAN RESOURCES the scarce number of nurses is limitante factor for the implantation of the systematization of assistance of perioperatria nursing (SAEP). The nurse if resents in leaving the alone patient, if he worries about feelings of it, being its almost inexistent presence for the patient in trans? operatrio. It is possible to affirm that the nurses of the surgical center seem to be moved away from the direct care to the patient, prioritizing the provisions of materials and equipment for related unit 5.