A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

A saúde mental no PSF e o trabalho de enfermagem La salud mental en el PSF y el trabajo de enfermería Mental health in the PSF and the work of nursing

Pesquisa com a finalidade de compreender os limites/possibilidades de implementação de ações de saúde mental nos serviços da rede básica de saúde do município de Cabedelo PB, na perspectiva da Reforma Psiquiátrica proposta no país. Tem referencial teórico-metodológico no Materialismo Histórico e Dialético. O material empírico foi analisado pela técnica de análise do discurso. Os resultados indicaram que o processo de trabalho dos enfermeiros identifica-se com o processo de trabalho Assistir (Cuidar/Fazer). Preserva aspectos do modelo tradicional, mas, incorpora outros enfoques da Saúde Coletiva, num movimento que requer a compreensão dos pressupostos do movimento pela Reforma Psiquiátrica para a transformação do processo de trabalho de enfermagem, no sentido da inclusão social e da integralidade da assistência.<br>Investigación con la finalidad de comprender los limites/posibilidades de implementación de acciones de salud mental en los servicios de la rede básica de salud del municipio de Cabedelo PB, en la perspectiva de la Reforma Psiquiátrica propuesta en el país. Tiene referencial teórico-metodológico lo Materialismo Histórico e Dialéctico. El material empírico fue analizado por la técnica de análisis del discurso. Los resultados indicaran que el proceso de trabajo de los enfermeros identifica-se con el proceso de trabajo Asistir (Cuidar/Fazer). Preserva aspectos del modelo tradicional, pero, incorpora otros enfoques de la Salud Colectiva, en un movimiento que requiere la comprensión de los presupuestos del movimiento por la Reforma Psiquiátrica para la transformación del proceso de trabajo de enfermería, en el sentido de la inclusión social e de la integralidad de la asistencia.<br>Research with the purpose of understanding the limits/possibilities of the implementation of mental health actions in the services of the basic health system of the municipal district of CabedeloPB, in the perspective of the Psychiatric Reform proposed in the country. It has theoretical-methodological reference in the Historical Materialism and Dialectics. The empiric material was analyzed by the technique of speech analysis. The results indicated that the work process of the nurses identifies with the work process to Attend (Care/Making). It preserves aspects of the traditional model, but it incorporates other focuses of the Collective Health, in a movement that requests the understanding of the presuppositions of the movement for the Psychiatric Reform for the transformation of the work process of nursing, in the sense of the social inclusion and of the integrality of the assistance

Work-rate-guided exercise testing in patients with incomplete spinal cord injury using a robotics-assisted tilt-table

Purpose: Robotics-assisted tilt-table (RTT) technology allows neurological rehabilitation therapy to be started early thus alleviating some secondary complications of prolonged bed rest. This study assessed the feasibility of a novel work-rate-guided RTT approach for cardiopulmonary training and assessment in patients with incomplete spinal cord injury (iSCI). Methods: Three representative subjects with iSCI at three distinct stages of primary rehabilitation completed an incremental exercise test (IET) and a constant load test (CLT) on a RTT augmented with integrated leg-force and position measurement and visual work rate feedback. Feasibility assessment focused on: (i) implementation, (ii) limited efficacy testing, (iii) acceptability. Results: (i) All subjects were able follow the work rate target profile by adapting their volitional leg effort. (ii) During the IETs, peak oxygen uptake above rest was 304, 467 and 1378 ml/min and peak heart rate (HR) was 46, 32 and 65 beats/min above rest (subjects A, B and C, respectively). During the CLTs, steady-state oxygen uptake increased by 42%, 38% and 162% and HR by 12%, 20% and 29%. (iii) All exercise tests were tolerated well. Conclusion: The novel work-rate guided RTT intervention is deemed feasible for cardiopulmonary training and assessment in patients with iSCI: substantial cardiopulmonary responses were observed and the approach was found to be tolerable and implementable. Implications for Rehabilitation -Work-rate guided robotics-assisted tilt-table technology is deemed feasible for cardiopulmonary assessment and training in patients with incomplete spinal cord injury. -Robotics-assisted tilt-tables might be a good way to start with an active rehabilitation as early as possible after a spinal cord injury. -During training with robotics-assisted devices the active participation of the patients is crucial to strain the cardiopulmonary system and hence gain from the training