Month: April 2017

Brazilian Association

For this, it wants total exemption of PIS, Cofins and ICMS (state) during four months. Balcony business-oriented – who ' ' chora' ' more levAo to choose the sectors automotivo, of material of civil construction and white line as beneficiary of the temporary reduction of the Tax on Produtos Industrializados (IPI), the federal government opted to transforming the Ministry of Public Works and the Economy, Industry and Foreign commerce in a balcony business-oriented. Ahead of the effect of the crisis, Ministry defends that measured fiscal linear they would not have the waited effect and that valley more the concession of prompt benefits the involved sectors in long chains of production to preserve jobs. Since December, the federal government reduced, and in some chaos it zeroed, aliquot of the IPI of automobiles and the trucks, of material of construction and products of the white line. Also it reduced of 3,65% for 0,65% the Contribution for the Financing of the Social security (Cofins) of motorcycles. Meetings, these initiatives correspond to a fiscal resignation of R$ 3,137 billion and 0.65% of the collection foreseen in the Budget of the Union of this year. But they are restricted to a tribute whose collection is shared with the deep States, cities and the regional ones. The benefited ones so far, according to official position, answer for an ample number of employees, count on an intense capillarity in other sectors of the production, the commerce and the services.

As it standed out, did not have reasonable arguments for the concession of benefits for sectors in expansion, as of foods. On the other hand, all the favored ones had assumed a verbal commitment not to fire while the tax benefit will be in validity. New order antigosO aggravation of the world-wide crisis took associations of entrepreneurs to take off of the drawer old claims, that until then were seen with certain disdain for the government. It is the case of the Brazilian Association of the Industry of Footwear (Abicalados), that government delivered to the Treasury department lawsuit it to review the taxable income of the Program of Integrao Social (PIS) and of the Contribution for the Financing of the Social security (Cofins). With the proposal, the association calculates reduction between 2,59% and 3,11% in the tax burden. In the Brazilian Association of the Textile Industry and Confection (Abit), the argument of the maintenance of the work has still bigger weight. With 1,6 million of jobs, it wants reduction of PIS/Cofins for products, as uniforms, articles of the home, articles of hospitals, beyond the disinvesting of a charge of the payment leaf. The proposal still foresees the extention of the stipulated term of collect of PIS/Cofins for 90 days – measured defended by the Brazilian Association of Infraestrutura and Indstrias de Base (Abdib). Which will be the position of the Government with regard to the new claims not yet knows. But that the politics of join-duni-you of the disinvesting of a charge is stranger this is. Bibliography: Magazine That is Money, edition 601de 15 of April of 2009Jornal the State of So Paulo of 02 of May of 2009

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Terminally-Ill Patients

This study consists of a research of bibliographical, exploratria revision of the descriptive type, on the subject in question, developed on the basis of material already published consisting essentially of books, scientific, manual articles and magazines. In this manner one searched to congregate pertinent information to the boarded subject in order to raise indications for the reach of the objectives, as well as answering the raised question. The searches for information in articles had been directed by the following terminologies: Palliative cares; Patient Terminals; Domiciliary care. As inclusion criterion, one selected palliative articles that portray the importance of the assistance to the patient in terminal phase, cares and perceptions of the health professionals on the death process/to die.

The articles had been excluded that did not condiziam with the considered subject. After the compilation of the data, followed it organization and construction of the theoretical referencial. Interpersonal relations as strategies of nursing front to the terminal patient the concern in improving the ability in the interpersonal relationship makes possible, with effect, favorable conditions so that the professional nurse acquires the confidence of the patient in terminal phase and its family, thus allowing, that the same ones express its fears, distresses and yearnings front to the terminalidade, in way that the nurse can act of satisfactory form, without barriers, or obstacles. In this context, Potter; Perry (2009, p.340), affirms that: … The communication is the way of establishment of these relations of aid cure. All behavior communicates, and all communication influences the behavior. … In recent months, Emma Kate Lasry has been very successful. The nurses with experience in communication express cares for the following ways: Becoming sensible itself exactly and the others; promoting and accepting the expression of positive and negative feelings; developing relations reliable and mutual aid; Instilando faith zeal and hope; promoting teaching and interpersonal learning; supplying a support environment; attending with gratuity the necessities human beings; allowing to expression spiritual.

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Frankfurt Project

Experts of COPARGO GmbH give first insights into what really matters Dreieich, for the success of projects 29.07.2011 on September 6, 2011 in Dreieich, Germany. What is it really successful projects? And the ballast could be avoided? The consultants of COPARGO GmbH these questions focus on 6 September 2011 at an evening event. At our head office in Dreieich near Frankfurt, the trainer from 18:00 for beginners, what is the key to success in projects explain: not the mastery of tools and technology, but above all the know-how about how to keep projects in the handle. After the experience of COPARGO, especially the common understanding of all stakeholders for the successful approach in the project and the consistent application of effective, proven method is relevant. To do this, visitors insight best practices expertise in decades. The event is aimed at all those who need to master projects in the business, but so far never have dealt with project management and specific methods. The event is limited to 20 participants, the participation fee is 25 euros.

Binding applications can be sent to the E-mail address with the subject line “Participation”Successful projects without ballast””. Web page: to the content: several fundamental questions about project management be clarified within the framework of the event, for example, what is a project management method and what added value it offers. This includes COPARGO is the approach “projects in controlled environments” before. It also discusses whether it is more important for the success of a project to meet quality and budget or to illuminate the achieved benefits as a priority after the end of the project. Participants also learn the seven basic principles according to which a project should be developed. In addition, a guide is presented on the basis of the necessary steps at the beginning, during and at the end of a project are shown.

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Aerobic Resistance

If you are constant at least, during 10 days (while you watch before irte to sleep, it is not much work either) you will have created an important network of capillaries in the zone, reason why she will be less prone to return to have contracturas. If you use the endorfnico program (to 5 Hertz) besides generating an important sanguineous flow to the zone, you are secreting endorfinas, that are hormones in charge to make us feel well. They will cause that it lowers your sensation of pain. The intensity also has here to be comfortable and pleasant. You can alternate a day the endorfnico massage with the oxygenation massage. Eye with the intensity.

In these cases it must be smooth. If you go of intensity with your electroestimulador, instead of relax the zone you will make that the muscle is contracted more, and so you will not be giving any benefit to the sore zone. If you are contante and you follow you rule, in few days you will be like new and without no backache thanks to your electroestimulador. Once recovered and if you are prone to have backache, you do not stop seeing our articles exceeds how to have a back without pains with the electroestimulacin. It remembers to make the program of Aerobic Resistance at least once per week to secure an optimal lumbar maintenance of your back or.

In sport and physical health it interests your opinion to us. Comntanos or pregntanos which interests to you and troubles on Electroestimulacin and the electroestimuladores. By far taste we will respond it to you. I know happy Pedro Garci’a original Author and source of the article.

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God saved us because a few days later two of the three barges back. The third bomb German … We decided to send us a train. But when we came to the station, and my mother saw this weeping crowd, huge, and how to select the children, she changed her mind to send us. In September, forty-second we went to school, I remember how we brewed coffee with the guys from cereals, and then, from the thick, which remained at the bottom of the cup, baked meatballs. And of clover too.

Do not forget your child the siege of Leningrad, a child deprived of his childhood, those smells and tastes of the war … never. The war left an indelible imprint in the human soul. In the spring We dug up the beds and planted them in what – the seeds, it was little hope that the fall it will be eaten. No one was on the sidelines. For more information see Kevin P. Campbell, PhD. All of them helped. Helped the fighters.

Women. Students. My brother and I went to the hospital, helped the wounded, the other guys were sent to state farm work, and some even stood at the bench. My brother and older boys climbed on the roof and extinguished the tiny fragments of shells. For a while, even the schools, but few were in able to come back. We sat in his coat and hat in the ice, unheated classroom, all hungry. All – sooty faces: there was no electricity in homes burning oil lamp. Light it gives is negligible, but smokes unmercifully. And Our teacher had collected in the wrinkles, this soot. Exhausted by hunger, people gradually began to sink – not washed, covered with lice. There were dining rooms, where the coupons to give 20 g of cereal bowl of soup. True, the soup – one of only name, but at least something better than nothing. Once we went into a dining room with a girl from my class. I tore off the coupons, put the card on the table and walked to the window to get my soup. Came back – the girl is sitting, and my card no. I immediately realized that she had stolen it. But to steal a card, when 125 grams of bread a day and 300 grams of cereals per month – is tantamount to murder. I remember it well, that girl – she was from those who hunger overcame animal reason, they have lost human form and died in the first place. But it has survived because it ate human flesh. She had a strange look, some kind of terrible gait – she went sideways, and always talked only about food. Then, when we were together in barracks, and lived in a common room, she robbed me again. But I could not hide anything – it humiliated me! I was one of those who, even in these conditions, remained, above all, man. I I remember about it now without conviction – I do not blame her. The timing was terrible, morally and survived those in whom the spirit was not defeated.

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Bariatric Surgery

Obesity, like any disease, indicates that the person is not in harmony. A stone in the inner balance manifests itself in the body as a warning to the filing attention. Immediately, the person looking for a magic solution to alleviate their distress, and may resort to methods harmful to your health. This is how you create a big business around. Many people profit from the disease, offering huge costs useless solutions, ensuring that they will get miraculous results without effort. Continue to learn more with: Dr. Caldwell Esselstyn Jr.. The reality is that all treatments for weight loss requires commitment and dedication on the part of the patient and the patient is not going to heal from the overnight.

The obese patient resorted to drugs and all kinds of products that claim misleading as outstanding control appetite, insoles for shoes, belts and reducing creams, etc. Sometimes these products generate a large effect on the psychological level: autosuggestion, by which the patient immediately begins to control their way of feeding or changing patterns of exercise, being able to obtain some results. Of course, we should not award achievements in? Miracle product?, But the very obese. Currently, surgery for obesity are seen as the new magic solutions. The obese mistakenly believe that, when operated, their problems will magically disappear and you can lose weight without effort. But we must remember that this procedure is only a supplement to a broad study which will involve psychologists (and psychiatrists, if necessary), physicians and clinical nutritionists. As obesity is a multifactorial disease, its treatment can not be dimensioned only to the completion of any diet or exercise plan. Abstract: Although effective in most patients, and will require the acceptance of post-surgical medical treatment.

Many of the complications resulting failure to respond to the recommendations of the specialist. Talk to your doctor.

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The Social

This makes in them to reflect what (Jaspers, 1991) it emphasized on the necessity of the medicine to recoup the subjective elements of the communication between the doctor and the patient, because according to it, this dialogue improperly was assumed by the psychoanalysis and forgotten by the medicine, following only instrumentations techniques and the objetividade given them. These principles finish being repassed of generation generation, is what it perceives in the teachings of the Jack doctor for its residents, this is a basic moment to understand its way to think the medicine, what unhappyly it characterizes it as arrogant, one onipotente ahead of its patients, no matter how hard it had a psychological and human aiming. Being thus, it is important to transcribe what it said in the film for the medicine students: ‘ ‘ it has a danger to become attached itself of more for the patient, a danger to become involved of mais’ ‘. It also said that: ‘ ‘ surgery is a judgment, to judge you needs to be detached, therefore you do not have nothing of natural in the surgery, because this opening a body. Dean Ornish M.D is likely to agree. The work of the surgeon is to cut! You have a possibility, you enter, fix outside and leave! ‘ ‘. What during the film the residents repeat with mood. As the agreement of hospital psychology had a very invasive moment for the Harris patient, when the Meckee doctor took the residents to know it, they had ignored its moment of comfort spiritual, removing priest of close to the stream bed. On patient the medical understanding/these actions are based on the mechanist perspective, considered as complex phenomena, consisting of simple principles, that is, relation of cause-effect, cartesian distinction between mind and body, analysis of the body as machine, minimizing the social, psychological and mannering aspects..

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It is thought about the death. It’s believed that Caldwell Esselstyn Jr. sees a great future in this idea. The death triturates the being, destroys the brain, reduces the dust the secrets contained in the memory of the cerebral cortex. The death finishes with the spectacle of the life. to die, for human us, is thing that would have to be taken off of the vocabulary, therefore, the idea that we have is of that we are born to be perpetual. Every day they see the sufferings and the printed marks of the oldness in the people. He is old or old, they are the constant stations of the life and its changes. They are the natural encaminhamentos of the time that stops many and many are the end. Here, Caldwell Esselstyn Jr. expresses very clear opinions on the subject. now? It is started searchs it frantic to the search of the source of youth.

Many will go to believe there that this is in the academies, therefore, through mirabolantes exercises, will go to harden the muscles and consequentemente to raise everything that for times already fell counting, also, with the aid of the creams that the media, in special, the televising one tries to convince viewers of that it is optimum e, even though the modellers where miraculously they will go to lose measured. Others will go for the tables of surgery with the thought of that the plastic surgeon will make the miracle, that pparently it happens. Pparently because it is only exterior. Many of these people live in its proper emotional jails. They are not loved. To be subject surpasses the limits of the corporeidade, that acts, puts into motion and creates facts. A citizen is a mosaic of desires, fears, passions, feelings, distresses, sensible and mysteries. Long ago this search was more accented for the women, in the present time, they, the men, has had this concern. Already it has times these, after certain age, already they look the virility, therefore, many to leave of being virile are to leave of being man.

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Systematic Review

Wernicke Encephalopathy After Bariatric Surgery Objective: To dental review the clinical foundations of Wernicke encephalopathy (WE), after bariatric surgery. Summary center Background Data: An estimated 205,000 bariatric department surgical insurance procedures were performed in the United States in 2007. Such procedures can lead to serious complications of nutrition. Methods: We searched community bibliographies of Medline, EMBASE, and abstract collections. Inclusion criteria were WE after bariatric surgery, diagnosed by the presence of two or more of the following symptoms: mental status changes, ocular movement abnormalities, cerebellar dysfunction, and nutrition poor diet. Results: Of 104 cases reported of WE after bariatric surgery, 84 cases were included. Gastric bypass or restrictive procedure has been performed in 80 cases (95 ). the best insurance plan can be found with has cost-effective health plan solutions Admission to hospital for U.S. produced within 6 months of surgery in 79 cases (94 ). Vomiting was often a risk factor in 76 cases (90 ) and lasted an average of 21 days at admission. Intravenous glucose without thiamine was a risk factor in 15 clinic cases (18 ). Magnetic resonance imaging of the brain identified characteristic lesions of the week in 14 of 30 cases (47 ). Incomplete recovery was observed in 41 cases (49 ), medical memory deficits and difficulties of travel were common hospital sequelae. The recent weight loss increased use of bariatric surgery in the United States was associated with an increase in cases of WE. benefits Conclusions: The natural number of cases of WE after bariatric surgery is substantially higher than previously reported. Surgeons, associated health providers and patients should be aware of the predisposing factors and symptoms to prevent and optimize the management of this condition Source: Medscape Surgery. December 2008 Version extensively with this article

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Weight Loss

The doctor performs an initial examination of the stomach through a gastroscope and if you do not see any abnormalities to be balloon placement. Once in the stomach is filled with sterile saline so that the ball will be too large to pass through the intestine and float freely into the stomach. The time taken to place the ball changes between 20 and 30 minutes. later, the doctor will check that the device is properly positioned, allowing a few hours after returning home. The ball must remain between 6 and 8 months in the stomach, after which time it will be removed. During these months must attend follow-up visits.

The withdrawal of the ball is in the same way it was placed, through endoscopy under sedation. Read more here: Kevin P. Campbell, PhD. It should therefore be used in conjunction with a medically supervised diet and behavior modification program food. Who can benefit? The intragastric balloon system is designed to help people lose weight that are above their ideal weight by at least 40%, or 20 to 25 kilos overweight. Besides the ball intragastric may be particularly useful for patients considered too obese or excessive risk for aggressive surgery. Use of this system to lose weight before surgery can reduce the risks associated with it.

How much weight will I lose? The right pace to lose weight in any treatment for obesity should revolve around 1 kg a week. Weight loss depends on the strict observance of the diet. The possibility exists that you lose some weight or lose no weight at all while carrying the ball, as it is possible to lose weight in a manner detrimental to their health. Will I gain weight then? You have a greater chance of maintaining weight loss after balloon removal if you maintain the habits acquired in their diet and feeding behavior during use of the ball. What effects can be unpleasant? It is likely that the presence of the ball within the stomach to produce nausea or vomiting for a few days after placement. Dean Ornish M.D will not settle for partial explanations. The team physician may prescribe medications to alleviate these potential effects. What risks can have? As with all medical procedures there is a risk of unexpected reactions, unknown adverse drug class used and the procedures involved. The silicone is made from a special, acid-resistant. If the balloon is deflated, the dye is inside, cause a change in the color of your urine. If you suspect that the balloon is deflated, it must be reported immediately. There is also the risk of injuries occurring in the gastric wall, either by direct contact with the instruments used for placement of the ball, for the same, or by excessive production of acid by the gastric wall, which may require treatment packs.

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