Perception of Body Image and Body Scheme in post-Stroke patient

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EURP190035.3d [15.4.2019–12:00pm] [1–33] Paper: OP-EURP190035
Occupational Exposure to Antineoplastic
Agents - Risk Perception
P Alexandre
1
, S Costa
2,3
, F Corte-Real
1,4
1
Faculty of Medicine, University of Coimbra, Portugal
2
National Institute of Health, Environmental Health Department, Porto,
Portugal
3
EpiUnit- Institute of Public Health of the University of Porto, Portugal
4
National Institute of Legal Medicine and Forensic Sciences, Portugal
Introduction:
Presently, there is an effort to standardize safety procedures in
order to minimize the exposure to antineoplastic agents.
Different types of perception can influence behaviours nd
attitudes underlying the occurrence of accidents or the
development of occupational diseases.
Objectives:
The main aim of this study was to evaluate occupational risk
perception among health care professionals manipulating
antineoplastic agents, including the use of personal protective
equipment (PPE).
Methods:
The study was observational and the data were collected
through a questionnaire adapted to the Portuguese reality
based on instruments published elsewhere.
Results:
Study population consisted of 97 health care professionals
working in hospitals, whose normal work routine included
handling, preparation and/or administration of antineoplastic
drugs. More than half of the professionals have been involved
in some type of incident with direct and inadvertent exposure.
The incidence is related to the perception of a poor work
organization. The frequency of use of PPE was lower in nurses
and assistants, and seems to be related to factors such as
organization, workload, behaviour of co-workers, specific
training and regular updates, medical follow-up and rotation
of staff.
Conclusions:
Our data shows the need to invest in training programs
tailored to the needs of each job category, taking into account
the type of functions and associated risk. These results
highlight the importance of promoting a safety and organiza-
tional climate in the workplace, with regular monitoring,
updating and dissemination on these matters, contributing to
the adherence to the implemented measures, motivation and
commitment among all staff.
Perception of Body Image and Body Scheme in
post-Stroke patient
S Picado
1
, G Almeida
1
, C Pereira
1
1
Departamento de Desporto e Sau
´de, Escola de Cie
ˆncias e Tecnologia,
Universidade de E
´vora, Portugal
Introduction:
The neurological lesions resulting from the stroke severely
affect individuals’ perception of their body image (Keppel, &
Crowe, 2000). The body is perceived as an ‘‘object that is ut of
control’’ (Kitzmu
¨ller, Ha
¨ggstro
¨m, & Asplund, 2013, p.20).
Objectives:
Characterize the body perception of adults over 50 years of age
with and without clinical diagnose of stroke. We also
investigated the role of the variables Elapsed time of the
stroke, injured cerebral hemisphere and Degree of dependence,
in the perception of the body image and in the precision of the
perception of the corporal scheme, in the group with stroke.
Methods:
We recruited 31 participants with stroke (78 7.8 years) and
31 without stroke (75 6.4 years). The perception of the
corporal image was acceded by the questionnaire "My corporal
image" (Lovo, 2001) and the perception of body scheme by the
test ‘‘Image Marking Procedure’’ (Thurm, 2007).
Results:
Comparison between groups showed that the Stroke group
perceives their body image less positively than the Comparison
group (no stroke), presenting lower scores in the variables
physical condition, body ability, health and appearance;
perceives his body schema less tightly than the Comparison
group at the level of the bodily points pertaining to the pelvic
girdle and more precisely at the level of the bodily points on
the shoulders, p < 0.05. The Eta test showed that the Degree of
Dependency explains the variation of the perception of the
body image and the precision of the perception of the width of
the shoulders, p < 0.05.
Conclusions:
The stoke group evidenced to be less confidence and showed a
less positive attitude towards their body. Moreover, this group
showed less precision in the perception of the corporal scheme,
particularly at pelvic girdle. From our findings emerges the
warning that post-stroke Rehabilitation interventions should
focus the body as a whole and not be directed almost
exclusively to the affected upper limb.
Predicting metabolic risk in healthy volunteers
through assessment of physiological responses to
ingestion of different meals
M Lages
1
, G Brito
1,2
, N Lopes
1,2
, R Fonseca-Pinto
1,2
, M Guarino
1
1
ciTechCare, Polytechnic Institute of Leiria, Portugal
2
School of Technology and Management, Polytechnic Institute of Leiria,
Portugal
Introduction:
Recent studies in animal models suggested that the carotid
bodies (CB) are implicated in the etiology of metabolic
diseases. The CB are multimodal sensors that detect changes in
lood gases, pH and insulin responding by increasing heart rate
(HR), respiratory rate (RR) and blood glucose. Early detection
of disturbed insulin action by recording cardiorespiratory and
metabolic responses to a meal ingestion, is, then, a methodol-
ogy with predictive value potential for metabolic dysfunction.
Objectives:
To compare CB mediated responses to oral glucose tolerance
test (OGTT), with a 300kcal and a 400kcal mixed meal in
healthy volunteers.
Methods:
To assess CB activity the volunteers were fed either a mixed
meal or a standard OGTT after a 12h fasting period, in
different days. The mixed meal had 65% carbohydrates, 23%
protein and 12% lipids. The OGTT consisted of 75g of sugar
and 200ml of water. Both meals were ingested gradually during
a period of 10 minutes. HR, oxygen saturation (SpO2) and RR
were monitored using the CBmeter. Interstitial glucose was
monitored continuously. CBView (1), a MatLab based soft-
ware, was developed to perform integrated recordings of
physiological responses assessed.
Results:
The total area under the curve (AUC) for glucose was larger for
OGTT (AUC=4513) compared with the 400kcal mixed meal
(AUC=3565) and the 300kcal mixed meal (AUC= 2947). There
were also differences in the AUC for HR among the meals
ingested (AUC=1790 for OGTT vs AUC=2009 for the 400kcal
mixed meal vs AUC=1228 for the 300kcal mixed meal). There
were no differences in the AUC for RR (AUC=1158 for OGTT;
AUC=1153 for the 400kcal mixed meal; AUC=1164 for the
300kcal mixed meal).
Conclusions:
The metabolic and cardiorespiratory physiological responses
were different among meals. These differences may have
predictive value to detect altered CB activity and enable an
early detection of metabolic diseases.
Project funded by FCT/SAICT-POL/23278/2016
Preparation of the Nursing Students Towards a
Competent Action in the Field of Disasters
P Santos
1
, I Rabiais
2
, J Amendoeira
3
1
Escola Superior de Sau
´de de Leiria, Portugal
2
Instituto Cie
ˆncias da Sau
´de, Universidade Cato
´lica Portuguesa, Portugal
3
Escola Superior de Enfermagem de Santare
´m, Portugal
16 European Journal of Public Health, Vol. 29, Supplement 1, 2019
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