European evidence based consensus on the diagnosis and management of Crohn's disease: special situations

This third section of the European Crohn's and Colitis Organisation (ECCO) Consensus on the management of Crohn's disease concerns postoperative recurrence, fistulating disease, paediatrics, pregnancy, psychosomatics, extraintestinal manifestations, and alternative therapy. The first section on definitions and diagnosis reports on the aims and methods of the consensus, as well as sections on diagnosis, pathology, and classification of Crohn's disease. The second section on current management addresses treatment of active disease, maintenance of medically induced remission, and surgery of Crohn's disease.

[Nursing training and municipal management of health in Brazil: significance of policies and practices]

In order to clarify central aspects to be considered in undergraduate education both in health sciences and in nursing, regarding contemporary health policies, this article presents a historical approach with emphasis on municipal health management. The authors point out the characteristic of the Sanitary Reform movement and of the neoliberal project in health, followed by a presentation of the National Health System (SUS). Using as starting point the concept of decentralization (only one command at each level of government)--the authors discuss the elaboration and implementation of public social policies and services at the local level. Which depend on an increase of local decision-making capacity, autonomy, control and social participation. The experiences of the cities of Campinas and Ribeirão Preto are described, with emphasis on aspects related to human resources and nursing, and organization of services.