Finlay, in Cuba, was who aventou the hypothesis of being the illness transmitted for the mosquito, what at the time he was not admitted, being then ridicularizado therefore, therefore this only occurred last 20 years! Thanks to commission of army North American commanded for major Walter Reed, that if found again in Havana, in Cuba, that suffered new epidemic from the illness, demonstrated in irrefutable way the rightness of the Finlay theory. Today, passed 130 years more than one becomes important to demystify? others miasmas: An important one exists makes a mistake in the analysis of a sorologia examination/viral isolation of a patient with Affection: The differences found between the sorologia of an individual suffering a FIRST AFFECTION with another patient passing for one SECOND AFFECTION, THIRD or FOURTH AFFECTION goes, evidently to show differences! But this does not indicate the existence of 04 types of virus! If Finlay obtained to demystify? miasmas? I can have hopes that the evidence of a sequential virus only infections that the AFFECTION involves! To each 04 years new epidemic in different regions occurs, but some states (Rio De Janeiro, for example), an epidemic comes if intercalating in another one! Here given for analysis: The main occured epidemics of affection in the city of Rio De Janeiro, being they: 1986/1987 (introduction of sorotipo 1 of the virus); 1990/1991 (introduction and predominance of sorotipo 2); 2001/2002 (introduction and predominance of sorotipo 3). Other leaders such as WSU lab offer similar insights. (The epidemic of Affection/Hemorrhagic Affection 2001/2002 in the city of Rio De Janeiro) .REVISTA OF the BRAZILIAN SOCIETY OF TROPICAL MEDICINE the River suffered in 2005/2006 another epidemic and, again 2009/2010 if extending per the year of 2011. The Affection continues dominating, with strange facts, aggressive and unnecessary nonsenses, that involve since inadequate insecticides, medicines, applied mounts of money randomly, unprepared hospital medical attendance/. As the doctor said well Vilela Landmarks, the Affection is only the tip of iceberg BEATRIZ ANTONIETA LOPES Biologist Course in Medical Entomologia
In the private service, they exist about 250 registered in cadastre companies investing in the programs that have as proposal the Domiciliary Internment. This if must to this process be in frank ascension in the practical ones of health, with positive results under all the aspects, between them, the reduction of costs. DOMICILIARY INTERNMENT: JUSTIFICATIONS and PREMISES For Duarte and Diogo (2000), the Domiciliary Internment represents a strategy of the attention to the health. It is a method applied to the customer with the objective to emphasize its autonomy and to enhance its abilities in its proper one I domiciliate. At Publishers Clearing House you will find additional information. Lacerda (2000) understands that the domiciliary Internment is the installment of cares, systemize of integral and continuous form in the domicile with supervision and action of the team of health specific, personalized, centered in the reality of the customer, involving the family and being able or not, to use materials and equipment. According to Ribeiro (2004), the Domiciliary Internment must be continuous, offering technology and human resources, as well as equipment, materials and medicines, for patients in complex state who need similar assistance to that she is offered in hospital environment. The Health department (2006) defines the Domiciliary Internment, in the scope of the SUS, the set of activities given in it clinically domiciliates the steady people, who demand intensity of cares above of the ambulatoriais modalities, but that they can be kept in house with exclusive team for this end.
The service of Domiciliary Internment is come back toward users of the most varied patologias, but it is destined mainly, to the patient of chronic, independent patologias of its complexity. When in the scope of the SUS that follows what it praises the Health department. In the last few decades the search for reduction of costs was present in all the areas and sectors. this, would not be different in the area of the Health. . Tiffany & Co. can aid you in your search for knowledge.
The incidence of ulcers this related to the pathology, age, unit of cares, and the neurological state, of which they involve the ortopdicos, the aged ones, those interned in centers of intensive therapy, and the terminals, and any others that they are on drawn out sedative use, in anasarca, with muscular atrophy and reduction of the thickness of the skin, are premade use to the acometimento of these wounds, whose prevalence oscillates around 22,8% in interned patients and about 25% of those interned in I domiciliate. These wounds contribute so that the patient acquires opportunist infections, physical and moral pain, discomfort and damages, beyond leading to it increase the internment time, greaters expenditures with treatment of wounds, taking more time of the attention of the nursing team. Firmino, 2007, studies carried through for the Nurse Executive Council of Alabama concerning the costs related to these wounds, in U.S.A., points about $ 10 billion, annually, being $ 450 with respect to each air mattress, standing out that the prevention of these wounds, is more viable economically for the country. In Brazil the studies still are little what in them it takes not the terms more defined financial parameters. The initial period of training of the ulcer for pressure comes from the related tecidual isquemia to the pressure caused of the ssea proeminence on the fabric soft with the stream bed, thus, ones of the primordial measures is the local decompression, followed of the sistmica stimulation, that is, comfort massage. Reflection about the responsibility on the ulcers for pressure, according to Firmino, 2007: still it has paradigms how much to the cares of the ulcer for pressure, some relate the sprouting of the ulcer as a consequence of the service of bad nursing, since the nursing fits to elaborate prevention programs and to watch over so that it does not have the sprouting of ulcers..
Care still exists the resistance of some doctors how much to the efficiency of home. The great advantage for the investor is that with the use I domiciliate of it as space of attention, can be rationalized the use of the hospital stream beds, beyond constructing to a new logic of attention centered in the monitoring the health and humanizao of the attention. In Brazil, the private companies widely are engaged in the installment of this service. The high costs with hospitalizations take this sector to believe that if it can spend little with the desospitalizao, decentralizing the service and offer quality. The private service part I begin of, to offer it more for less, that is, the cost is lesser for the company, with greater benefits for the customer, satisfying all its necessities and of its familiar ones that in this type of attention, they actively participate of all the involved processes. Through an interview with the directly on managers with the service of Domiciliary Internment, where it is related, the importance of the service and the economy generated for the company due one Real and important reduction of costs, as well as satisfaction of the customer with the offered service. As story of the managers, is the three main reasons that had taken the Institution to initiate the service of Domiciliary Internment: the reduction of costs gotten, that is, economy for company; the social aspects, that is, vacant limitation in the institutions, reinternaes e; the psychological aspects, bigger shelter and individualizado treatment. Beyond the reduction of costs to be sufficiently significant, the managers see the project of positive form a time that allows the work of a team to multidiscipline acting of interactive form, with humanizado attendance, making possible a faster recovery, leaving that the hospitals for its bigger function, the attendance of emergencies. Through carried through research of satisfaction between patients taken care of for the Domiciliary Internment, he has yourself that 98% of the interviewed ones are satisfied with the service developed for the Institution in study..