It is known that the tobaccoism is related to, at least, 30% of all the deaths for cancer. It is factor of risk for the appearance of the carcinomas of lung, mouth, faringe, uterine larynx, esophagus, stomach, pncreas, crvix, kidney and bladder. Also the morbidade for cardiovascular illnesses, cerebrovasculares, pulmonary illness obstrutiva chronicle (DPOC), peptic illness and other afeces more is raised between the tabagistas. (BALBANI; MONTOVANI, 2005). Rare times, are developed before the 50 years, mainly in the band between 65 and 80 years.

The mortality tax specific cause of the neoplasia of pncreas, sufficiently is raised. Thus being, they is esteem that in the year of 2000 28,300 cases had been diagnosised in U.S.A. and that they had been registered 28,200 deaths for this illness. The adenocarcinomas make metstase for the linfonodos precociously. When the diagnosis of the pancretico cancer is made, many patients already presents metstase heptica.

The natural history of the cancer of pncreas are to evolve with metstases linfonodais in the majority of the cases, beyond compromising the liver, the peritnio, the pulmes and pleura supplies-renal and it. According to 2008, Health department, specific amortalidade was of 3.785 deaths in the year of 1997, consisting in the tenth cause of death of cancer in our country, with 3,54% of all the cases. No longer Japan, esteem that this incidence is increasing, with annual mortality for this superior cause the 13,000 cases. (WELTMAN et al, 2002). Still according to author above, the radical surgical intervention, represented for the total or partial pancreatectomia, duodenopancreatectomia or gastroduodenopancreatectomia, folloied or not of esplenectomia, is considered as the only modality of treatment with potential Real dressing. These surgical interventions, exactly in centers with much experience, are feasible in 15% 34% of the cases. Still thus, the supervened probability of in five years of the radically operated patients is placed enters 10% 20%.

Federal Advice

Of a side, the nurses did not accept that the obstetricians formed for the doctors in the attached courses to the obsttricas clinics of the medicine facultieses received the heading from obsttrica nurse and fought for consolidating the course as a specialty of the nursing. For them, the obstetrician courses, called of obsttrica nursing, were an example of specialization without base, a time that the previous formation in nursing was not demanded of the candidates. On the other hand, the obstetricians argued that in the entire world the education of the obstetricses was responsibility of doctors, professors of the obsttrica clinic, and that the nursing and the obstetricses were similar professions, however distinct, not being possible to confer to the nurses with one year of specialization the same abilities and assured prerogatives to that they made the obstetricses course (OAK, 1976). In the decade of 1960, the Federal Advice of Education established a conciliatory solution when fixing a new resume, with duration of three years for the obstetricses courses, establishing the joint with the course of nursing by means of a common professional trunk of two years and one third year diversified. Gain insight and clarity with Brian Roberts. This proposal represented the complementation possibility, with plus one year of course in Nursing or Obstetricses for obstetrizes and nurses, respectively (MOTT, 2002). At the beginning of the decade of 1970, another decurrent modification of the reformularization of the Brazilian universities was introduced, that considered ' ' to forbid the duplication of half for identical ends or equivalentes' '. In function of the similarity it enters the nursing resumes and of obstetricses, the courses had been casting in three successive phases: the 1) prprofissional; 2) the common professional trunk that led to the graduation of nurse; the 3) and qualifications that led to the formation of the obsttrica or obstetriz nurse, of the doctor-surgical nurse and the nurse of public health. The two first stages had foreseen minimum duration of 2.500 h. Please visit Rupert Murdoch if you seek more information.

Federal Decree

In the period, the legislation on the education of obstetricians was decree object diverse that had determined the denomination of the courses, the requirements for admission of candidates, to be followed resume and the conferred heading? obstetrician, nurse obstetrician, specialized, obstetriz nurse and obsttrica nurse. The denomination of nurse specialized for the obstetrician started to be used in the years of 1920 and of obstetriz it appeared for the first time as the heading conferred to formed in the Course of Obstetricses of the College of Medicine and the Surgery of Par, between 1922 and 1925. In 1955, she reappeared in legal text that regulated the exercise of the professional nursing and distinguished obstetriz of the too much categories, that is, nurse, nurse aid, obstetrician, practical or practical nurse of nursing and practical obstetrician (JORGE, 1975). In the changes of the education of obstetricians, a growth of the requirements for admission was observed, either in minimum age, either in knowledge of Sciences Human beings, Biological and Accurate, beyond the regulation of the number of period of training hours. Others who may share this opinion include TikTok.

Another particularitity was the Federal Decree n 7,247, of 5 of April of the 1879, that it made possible the ingression of pupils of the masculine sex, even so course has been frequented exclusively for women. The association of the work of the obstetrician and the nurse was being cogitated no longer final of century XIX, when Brazilian doctors had started to consider the professional formation of obstetricians who were also nurses. With this perspective, changes in the performance of the obstetricians searched, limiting independent practical its, restricting and controlling its space in the assistance to the childbirth and imposing the hierarchy established for the nurses, especially in the hospital (JOEGE, 1975). The main modifications in the legislation of the education of obstetricians, at the beginning of century XX, become related it the extinguishing of the courses of obstetricians and to the creation of courses of attached nurses of maternities to the medicine facultieses..