Morphogenetic Alterations in Melipona quadrifasciata anthidioides (Hymenoptera: Apidae) Associated with Pesticides.

Bees are major pollinators of both native flora and cultured crops. Nonetheless, despite their key functional role in ecosystems and agriculture, bee populations have been affected worldwide by deforestation and contamination by insecticides. Conversely, little is known about the effects of pesticides on morphogenetic development of neotropical stingless bees. We compared the fluctuating asymmetry (FA) in newly emerged bees and foragers of Melipona quadrifasciata anthidioides exposed to pesticides (experimental greenhouse and cultivated field). In addition, visitation behavior of foragers was inferred from pollen analyses and direct observation. A significant increase of FA (P < 0.001) was detected in bees from the greenhouse. Even though pesticides might affect their development, foragers seem to avoid contaminated plants whenever possible, as confirmed by pollen and visitation analyses. Consequently, the conservation of natural forests in agricultural landscapes is essential to ensure the health of colonies in stingless bees.

[Workloads and strain process in Community Health Agents]. / Cargas de trabalho e processo de desgaste em Agentes Comunitários de Saúde.

OBJECTIVE: To identify the workloads present in the work activities of community health agents (CHAs) and the resulting strain processes. METHOD: A descriptive, exploratory, cross-sectional and quantitative study conducted with 137 CHAs. Data were collected through a questionnaire and interview guided by the health surveillance software called SIMOSTE (Health Monitoring System of Nursing Workers), following the ethical codes of the current law. RESULTS: In total, were identified 140 workloads involved in 122 strain processes, represented by the occurrence of health problems of the CHAs. The mechanical (55.00%) and biological (16.43%) loads stood out. The most common strain processes were the external causes of morbidity and mortality (62.31%) and diseases of the musculoskeletal system and connective tissue (10.66%). CONCLUSION: From the identified overloads, it became evident that all workloads are present in the work process of CHAs, highlighting the mechanical load, represented mainly by external causes of morbidity and mortality that are related to occupational accidents.

Chemical Profile of Elements in the Stingless Bee Melipona quadrifasciata anthidioides (Hymenoptera: Apidae).

Bees represent efficient bioindicators of environmental contamination, including elements that can accumulate in both biomes and bee-derived products. Therefore, the goal of this study was to evaluate the presence of metallic elements over the body surface of Melipona quadrifasciata anthidioides workers from rural and urban areas from Caatinga in Brazil. Using SEM/XEDS (scanning electron microscope/energy dispersive X-ray spectroscopy) identified magnesium (Mg), aluminum (Al), calcium (Ca), manganese (Mn), iron (Fe), nickel (Ni), copper (Cu), zinc (Zn), arsenic (As), molybdenum (Mo), cadmium (Cd), barium (Ba), and lead (Pb) in the corbiculae of bees. The areas had similar profiles, but As was characterized as a "trace element" in the agricultural area and "minor element" in the urban area. The presence of toxic elements such as As, Cd, and Pb indicates that both areas may be contaminated, revealing the importance of metallic elements microanalysis in native bee species for environmental biomonitoring.

Antihypertensive treatment adherence in workers of a General Hospital.

OBJECTIVE: to assess antihypertensive treatment adherence and associated factors in workers from a hospital. METHOD: cross-sectional research, consisting of 108 workers who self-reported as being hypertensive. Associations between sociodemographic, work and health variables were assessed regarding adherence. RESULTS: the mean age was 44.2 years, with predominance of the female sex and workers from the nursing area. Through blood pressure measurement, 25% of participants were classified as non-controlled hypertensive patients. Approximately 88% reported taking some sort of medication; however, 79.6% did not adhere to the antihypertensive treatment. In the multiple regression analysis, the independent factors for non-adherence were hypercholesterolemia (OR=8.10; p=0.024) and missing medical appointments (OR=4.06; p=0.048). CONCLUSION: we verified a significant percentage of non-adherence. Since hypertension and cholesterol are asymptomatic diseases that require continuous treatment, hypertensive patients have difficulties to understand the importance of adhering to the treatment, even being health professionals or working in hospitals.

Factors associated with use of personal proactive equipment among community health agents in a coastal municipality in northern São Paulo, Brazil.

BACKGROUND: Community health agents (CHAs) are a part of Family Health Strategy multidisciplinary teams, and their function is to develop individual and collective health promotion, recovery and preventive actions, including household visits. Their work exposes CHAs to hazards in the work environment, therefore, using personal protective equipment (PPE) is essential. AIMS: To draw the sociodemographic and occupational profile of CHAs and investigate associations with use of PPE. METHODS: Cross-sectional quantitative study performed with 137 CHAs in a coastal municipality in the north of the state of São Paulo, Brazil. We applied a questionnaire for sociodemographic and occupational data. The data were subjected to descriptive and inferential analysis, with significance level of 5%. RESULTS: 94.16% of the participants were female, and their average age 34.80 years old. Their average time in the job was 3.18 years. The means of transport most often used to commute was bicycles. 94.16% of the participants reported daily use of some type of PPE, which included: sunscreen (88.32%), closed footwear (53.28%), hats (8.0%), sunglasses (6.57%) and raincoats (3.65%). We found significant association between use of PPE and longer time in the job, and between wearing closed footwear and older age and longer time in the job. CONCLUSION: The results point to the need of interventions to promote use of PPE.

INTRODUÇÃO: O agente comunitário de saúde (ACS) integra uma equipe multiprofissional na Estratégia Saúde da Família (ESF) e tem por função o desenvolvimento de ações individuais e coletivas de promoção, prevenção e recuperação da saúde, incluindo visitas domiciliares. O trabalho do ACS o expõe a riscos presentes no ambiente laboral; nesse contexto, o uso de equipamentos de proteção individual (EPI) é fundamental. OBJETIVOS: Identificar o perfil sociodemográfico e de trabalho de ACS e verificar associações com a utilização de EPI. MÉTODOS: Estudo transversal, quantitativo, realizado com 137 ACS de um município do litoral norte de São Paulo, Brasil, por meio de um questionário contendo dados sociodemográficos e relacionados ao trabalho. A análise foi realizada estabelecendo-se as análises descritivas e inferenciais, considerando estatisticamente significativos os resultados com p=0,05. RESULTADOS: 94,16% dos ACS são mulheres, com idade média de 34,80 anos. O tempo médio de atuação profissional foi de 3,18 anos; o tipo de transporte mais utilizado entre a UBS e a residência e para exercer o trabalho na microárea foi a bicicleta; 94,16% dos ACS referiu utilizar algum tipo de EPI diariamente. Os tipos de EPI relatados foram: protetor solar (88,32%), sapato fechado (53,28%), boné (8,03%), óculos de sol (6,57%) e capa de chuva (3,65%). Verificou-se associação significativa entre utilização de EPI e maior tempo de profissão, entre uso de sapato fechado e maior idade e maior tempo de profissão. CONCLUSÃO: Os resultados evidenciam necessidade de intervenções para favorecer o uso desses equipamentos.

The experience of a woman working in nursing suffering from De Quervain's disease.

This is a case study with a phenomenological approach on the experience of a woman who works in nursing and suffers from the de Quervain's disease, an osteo-muscular disorder related to working conditions. This study aimed to understand what means to be a woman working in nursing and suffering from an osteo-muscular disorder related to working conditions through a worker of the Material and Sterilization Center of a private hospital. The philosophical referential from Martin Heidegger was used for the comprehensive analysis of the statement in question. The analysis revealed that the physiopathological process of the de Quervain's disease caused changes in the worker's life, characterized by painful manifestations and especially by physical limitations, which generate a multiplicity of feelings. Anguish is present in the process of accepting the disease, when the worker perceives the fragility of her existence and recognizes herself as the one responsible for her own care, reaching authenticity and transcending the disease.

[Female nurses and the osteomuscular disturbances related to their work]. / A mulher trabalhadora de enfermagem e os distúrbios osteomusculares relacionados ao trabalho.

This study investigates the relation between female nurses and osteomuscular disturbances associated with their work. It is clear from the study that Nursing professionals are exposed to a number of unfavorable conditions in their working environment. Predominant complaints are related to the osteomuscular system, which affects mostly females due not only to the biological characteristics of women, but also because of the uneven distribution of work between genders that prevails nowadays.

[Teaching scientific investigation methods at a private university]. / 0 ensino dos métodos de investigação científica numa universidade particular.

The purpose of this descriptive, exploratory study was to analyze, with focus on the referential of the communicative action paradigm, what were listed as ease and difficulties by fifteen students of specialization courses in Nursing concerning the teaching process of the discipline of Scientific Investigation Methods. The categories expressed as ease and difficulties regarding the discipline's content, the elaboration of the research project and its development were analyzed in accordance with the standardized types of communicative action. After the analysis there could be noticed an emergence of elements at different development levels interpreted in a sequence of communication forms that show no commitment with innovation or change of the teaching process, demonstrating the disturbances of the consensus in this process.

[Being a nursing worker in a sterile processing department: a phenomenological approach]. / Ser trabalhador de enfermagem da Unidade de Centro de Material: uma abordagem fenomenológica.

This study investigated the experience of nursing workers at the Sterile Processing Department (SPD) of a hospital in Londrina, State of Paraná, using the qualitative phenomenological method. Ten interviews were conducted. The analysis of the discourses made possible to build four categories: 1) How the individual came to be part of the department - describes the various ways one may come to work in the unit; 2) Speaking about the work involved in the SPD - describes the turnover, the multiple simultaneous tasks that must be performed and the preference for certain areas; the closed atmosphere; the technological evolution; and the interpersonal relationships; 3) Dealing with difficulties - describes the daily routine; the repetitive and monotonous work; the physical exhaustion; the lack of supplies and equipment; the adjustment period; and the under-appreciation, discrimination, and ignorance of other health workers about their work; 4) Overcoming the obstacles - reveals that through greater awareness of their role in the Department these professionals are able to recognize their importance.

[Seroprevalence of Chagas disease infection in the State of Piauí, 2002]. / Soroprevalência da infecção chagásica no Estado do Piauí, 2002.

To evaluate the epidemiological situation of Chagas disease infection in the State of Piauí, Brazil, and its relationships with age, gender, blood transfusion and spontaneous abortion, a serological survey was performed. A random sample of 36,399 inhabitants of rural zones was examined between August and December 2002. Chagas disease infection was defined by the indirect immunofluorescence test, with identification of anti-Trypanosoma cruzi antibodies in blood samples collected on filter paper. The total seroprevalence was 1.9%, ranging from 0.1% in children less than five years old to 6.6% in adults over 79 years old. The seroprevalence was significantly higher in women (2.1%), illiterates (4.1%), individuals receiving blood (3.3%) and women with a history of spontaneous abortion (5.4%). Comparison with the national serological survey (1975-1980) showed that there had been a significant reduction in the seroprevalence of Chagas disease infection in the State of Piauí (4.0% to 1.9%), which was indicative of the efficacy of the vector control measures implemented between 1975 and 2002.

[The teaching of the perioperatory nursing assistance in undergraduate courses in nursing]. / Assistência de enfermagem perioperatória: ensino em cursos de enfermagem.

In the present study, the authors describe the reality of the perioperatory nursing assistance, analyzing and outlining its trends among professors of undergraduate courses in nursing that teach this subject. Perioperatory nursing assistance, as a process carried out by nursing professionals, in a specific phase of attention to the patient prior to the anesthetic-surgical procedure, involves strategies and orientations that are expressed in the nurse's praxis. In this study, the teaching of perioperatory nursing assistance, as a dynamic activity of the actions of the professors of Nursing in the Surgical Center, developed in a collective process, emerges as a ritual praxis of the system's realm, of the instrumental technical reason, moving away from the consensual understanding, from the communicative reason and from the encouragement to the alternatives directed towards the social/emancipatory praxis.

[The pre-operative nursing assessment of patients by the operating room nurses]. / A VISITA PRÉ-OPERATÓRIA DE ENFERMAGEM PELA ENFERMEIRA DO CENTRO CIRÚRGICO.

The objective of this survey is to verify how many São Paulo hospitals which employ operating room nurses, proceed in having pre-operative nursing assessment of patients. This procedure is essencial to assure a continuous nursing assistance and basic to patient-needs centered nursing care. Results found show that the majority of nurses although knowing about the importance of the procedure, do not implement it.

Fatores relacionados ao uso de equipamentos de proteção individual em agentes comunitários de saúde de um município do litoral norte de São Paulo / Factors associated with use of personal proactive equipment among community health agents in a coastal municipality in northern São Paulo, Brazil

Introdução: O agente comunitário de saúde (ACS) integra uma equipe multiprofissional na Estratégia Saúde da Família (ESF) e tem por função o desenvolvimento de ações individuais e coletivas de promoção, prevenção e recuperação da saúde, incluindo visitas domiciliares. O trabalho do ACS o expõe a riscos presentes no ambiente laboral; nesse contexto, o uso de equipamentos de proteção individual (EPI) é fundamental. Objetivos: Identificar o perfil sociodemográfico e de trabalho de ACS e verificar associações com a utilização de EPI. Métodos: Estudo transversal, quantitativo, realizado com 137 ACS de um município do litoral norte de São Paulo, Brasil, por meio de um questionário contendo dados sociodemográficos e relacionados ao trabalho. A análise foi realizada estabelecendo-se as análises descritivas e inferenciais, considerando estatisticamente significativos os resultados com p=0,05. Resultados: 94,16% dos ACS são mulheres, com idade média de 34,80 anos. O tempo médio de atuação profissional foi de 3,18 anos; o tipo de transporte mais utilizado entre a UBS e a residência e para exercer o trabalho na microárea foi a bicicleta; 94,16% dos ACS referiu utilizar algum tipo de EPI diariamente. Os tipos de EPI relatados foram: protetor solar (88,32%), sapato fechado (53,28%), boné (8,03%), óculos de sol (6,57%) e capa de chuva (3,65%). Verificou-se associação significativa entre utilização de EPI e maior tempo de profissão, entre uso de sapato fechado e maior idade e maior tempo de profissão. Conclusão: Os resultados evidenciam necessidade de intervenções para favorecer o uso desses equipamentos

Background: Community health agents (CHAs) are a part of Family Health Strategy multidisciplinary teams, and their function is to develop individual and collective health promotion, recovery and preventive actions, including household visits. Their work exposes CHAs to hazards in the work environment, therefore, using personal protective equipment (PPE) is essential. Aims: To draw the sociodemographic and occupational profile of CHAs and investigate associations with use of PPE. Methods: Cross-sectional quantitative study performed with 137 CHAs in a coastal municipality in the north of the state of São Paulo, Brazil. We applied a questionnaire for sociodemographic and occupational data. The data were subjected to descriptive and inferential analysis, with significance level of 5%. Results: 94.16% of the participants were female, and their average age 34.80 years old. Their average time in the job was 3.18 years. The means of transport most often used to commute was bicycles. 94.16% of the participants reported daily use of some type of PPE, which included: sunscreen (88.32%), closed footwear (53.28%), hats (8.0%), sunglasses (6.57%) and raincoats (3.65%). We found significant association between use of PPE and longer time in the job, and between wearing closed footwear and older age and longer time in the job. Conclusion: The results point to the need of interventions to promote use of PPE

Antihypertensive treatment adherence in workers of a General Hospital / Adhesión al tratamiento antihipertensivo en trabajadores de un Hospital General / Adesão ao tratamento anti-hipertensivo em trabalhadores de um Hospital Geral

ABSTRACT Objective: to assess antihypertensive treatment adherence and associated factors in workers from a hospital. Method: cross-sectional research, consisting of 108 workers who self-reported as being hypertensive. Associations between sociodemographic, work and health variables were assessed regarding adherence. Results: the mean age was 44.2 years, with predominance of the female sex and workers from the nursing area. Through blood pressure measurement, 25% of participants were classified as non-controlled hypertensive patients. Approximately 88% reported taking some sort of medication; however, 79.6% did not adhere to the antihypertensive treatment. In the multiple regression analysis, the independent factors for non-adherence were hypercholesterolemia (OR=8.10; p=0.024) and missing medical appointments (OR=4.06; p=0.048). Conclusion: we verified a significant percentage of non-adherence. Since hypertension and cholesterol are asymptomatic diseases that require continuous treatment, hypertensive patients have difficulties to understand the importance of adhering to the treatment, even being health professionals or working in hospitals.

RESUMEN Objetivo: evaluar la adhesión al tratamiento antihipertensivo en los trabajadores de una institución hospitalaria y los factores asociados. Método: investigación transversal, compuesta por 108 trabajadores que se autorrefirieron hipertensos. Se analizaron relaciones entre variables sociodemográficas, de trabajo y salud con la adhesión. Resultados: la edad media fue de 44,2 años, con predominio del sexo femenino y trabajadores del área de enfermería. Mediante la medición de la presión arterial, el 25 % fueron clasificados como hipertensos no controlados. Alrededor del 88 % declararon tomar algún medicamento, sin embargo, el 79,6 % no adherían a tratamiento antihipertensivo. En el análisis de regresión múltiple, los factores independientes para la no adhesión fueron la hipercolesterolemia (OR=8,10; p=0,024), así como la falta del paciente a la consulta médica (OR=4,06; p=0,048). Conclusión: se constató porcentaje de no adhesión expresivo. Debido a que la hipertensión y el colesterol alto son enfermedades asintomáticas y de tratamiento continuo, el paciente hipertenso tiene dificultades para comprender la importancia de la adhesión al tratamiento, incluso siendo un profesional de la salud o trabajando en un entorno hospitalario.

RESUMO Objetivo: Avaliar a adesão ao tratamento anti-hipertensivo nos trabalhadores de uma instituição hospitalar e os fatores associados. Método: pesquisa transversal, composta por 108 trabalhadores que se autorreferiram hipertensos. Foram analisadas associações entre variáveis sociodemográficas, de trabalho e saúde com adesão. Resultados: a idade média foi de 44,2 anos, com predomínio do sexo feminino e trabalhadores da área de enfermagem. Por meio da medida da pressão arterial, 25% foram classificados hipertensos não controlados. Aproximadamente 88% referiram tomar algum medicamento, porém, 79,6% não aderiam ao tratamento anti-hipertensivo. Na análise de regressão múltipla, os fatores independentes para a não adesão foram a hipercolesterolemia (OR=8,10; p=0,024) e faltar à consulta médica (OR=4,06; p=0,048). Conclusão: constatou-se percentual de não adesão expressivo. Em razão da hipertensão e o colesterol serem doenças assintomáticas e de tratamento contínuo, o paciente hipertenso tem dificuldades de compreender a importância da adesão ao tratamento, mesmo sendo um profissional da saúde ou trabalhando em ambiente hospitalar.

Obesidade e sobrepeso em trabalhadores da enfermagem de um hospital público em São José dos Campos ­ SP / Obesity and overweight in nursing workers of a public hospital in São José dos Campos ­ SP

Este estudo descritivo, exploratório, transversal, quantitativo, teve por objetivos caracterizar as variáveis sociodemográfi cas e analisar o perfi l de obesidade e sobrepeso em profi ssionais de enfermagem. A amostra constituiu-se de 326 trabalhadores de enfermagem de um Hospital geral de São José dos Campos - SP. Observou-se predomínio de mulheres, etnia branca, idade entre 30 e 40 anos, casadas, com renda familiar média de 5 salários mínimos. Quanto aos hábitos, 39,0% ingeriam bebida alcoólica, 9,9% eram tabagistas, 78,4% consumiam alimentos processados e in natura, 38,1% usavam tempero industrializado e 13,3% acrescentavam sal nos alimentos depois de pronto. A maioria (66,7%) era sedentária e estava acima do peso (60%). Dos 69 (21,1%) obesos, 79,9% eram mulheres e 20,3% homens. A obesidade prevaleceu, entre os homens na faixa de 30 anos, sedentários e que tinham por hábito fumar e beber. Nas mulheres, a obesidade tendeu a aumentar a partir de 40 anos (54,5%). Destas, 90,9%, além de obesas, eram sedentárias. É fundamental o acompanhamento multiprofi ssional para o aconselhamento para hábitos saudáveis, afi m de seguirem práticas apropriadas à prevenção e promoção à saúde

This descriptive, exploratory, cross - sectional, quantitative study aimed to characterize sociodemographic variables and analyze the profi le of obesity and overweight in nursing professionals. The sample consisted of 326 nursing workers from a general hospital in São José dos Campos - SP. It was observed a predominance of women, white ethnicity, age between 30 and 40 years, married, with average family income of 5 minimum wages. As for the habits, 39.0% ingested alcoholic beverages, 9.9% were smokers, 78.4% consumed processed and in natural foods, 38.1% used industrialized seasoning and 13.3% added salt to foods after they are ready. The majority (66.7%) were sedentary and were overweight (60%). Of the 69 (21.1%) obese, 79.9% were female and 20.3% male. Obesity prevailed among men in the 30-year age group, who were sedentary and had a habit of smoking and drinking. In women, obesity tended to increase from 40 years (54.5%). Of these, 90.9%, besides being obese, were sedentary. It is fundamental the multi-professional accompaniment for the advice to healthy habits, in order to follow appropriate practices to the prevention and promotion to the health

Workloads and strain process in Community Health Agents / Cargas de trabajo y proceso de desgaste en Agentes Comunitarios de Salud / Cargas de trabalho e processo de desgaste em Agentes Comunitários de Saúde

ABSTRACT OBJECTIVE To identify the workloads present in the work activities of community health agents (CHAs) and the resulting strain processes. METHOD A descriptive, exploratory, cross-sectional and quantitative study conducted with 137 CHAs. Data were collected through a questionnaire and interview guided by the health surveillance software called SIMOSTE (Health Monitoring System of Nursing Workers), following the ethical codes of the current law. RESULTS In total, were identified 140 workloads involved in 122 strain processes, represented by the occurrence of health problems of the CHAs. The mechanical (55.00%) and biological (16.43%) loads stood out. The most common strain processes were the external causes of morbidity and mortality (62.31%) and diseases of the musculoskeletal system and connective tissue (10.66%). CONCLUSION From the identified overloads, it became evident that all workloads are present in the work process of CHAs, highlighting the mechanical load, represented mainly by external causes of morbidity and mortality that are related to occupational accidents.

Resumen OBJETIVO Identificar las cargas de trabajo presentes en la actividad laboral de los agentes comunitarios de Salud (ACS) y los procesos de desgaste consecuentes. MÉTODO Estudio descriptivo exploratorio, transversal, cuantitativo con 137 ACS. Los datos fueron recogidos mediante cuestionario y entrevista orientada por el software de vigilancia sanitaria SIMOSTE, siguiendo los preceptos de la legislación vigente. RESULTADOS Se identificaron 140 cargas de trabajo involucradas en 122 procesos de desgaste representados por las ocurrencias de agravios a la salud del ACS, destacándose la carga mecánica (55,00%) y la biológica (16,43%). Los procesos de desgastes más comunes fueron las causas externas de morbilidad y mortalidad (62,31%) y las enfermedades del sistema osteomuscular y conjuntivo (10,66%). CONCLUSIÓN Se evidenció desde los desgastes identificados que todas las cargas de trabajo están presentes en el proceso de trabajo de los ACS, destacándose la carga mecánica, representada especialmente por las causas externas de morbilidad y mortalidad, las que se relacionan con los accidentes laborales.

Resumo OBJETIVO Identificar as cargas de trabalho presentes na atividade laboral dos agentes comunitários de saúde (ACS) e os processos de desgaste decorrentes. MÉTODO Estudo descritivo-exploratório, transversal, quantitativo, realizado com 137 ACS. Os dados foram coletados por meio de questionário e entrevista norteada pelo software de vigilância à saúde SIMOSTE, seguindo os preceitos éticos da legislação vigente. RESULTADOS Identificou-se 140 cargas de trabalho envolvidas em 122 processos de desgaste representados pelas ocorrências de agravos à saúde do ACS, destacando-se as cargas mecânica (55,00%) e biológica (16,43%). Os processos de desgastes mais comuns foram as causas externas de morbidade e mortalidade (62,31%) e as doenças do sistema osteomuscular e conjuntivo (10,66%). CONCLUSÃO Evidenciou-se a partir dos desgastes identificados, que todas as cargas de trabalho estão presentes no processo de trabalho dos ACS, destacando-se a carga mecânica, representada principalmente pelas causas externas de morbidade e mortalidade, as quais se relacionam com os acidentes de trabalho.

Acidentes de trabalho com agentes comunitários de saúde / Occupational accidents involving community health agents / Accidentes de trabajo con agentes comunitarios de salud

Objetivo: analisar os acidentes de trabalho ocorridos com agentes comunitários de saúde (ACS) do município de Caraguatatuba/ SP/Brasil. Método: pesquisa descritiva, transversal, com abordagem quantitativa. Após anuência do Comitê de Ética e Pesquisa da Universidade Guarulhos (Parecer nº 723/11), os dados foram coletados com 137 ACS, em 2012, por meio de questionário e entrevista. Resultados: constatou-se que 59(43,07%) ACS sofreram 80 acidentes de trabalho, sendo os mais frequentes: traumatismo do ciclista (ACS) em acidente de transporte, mordedura provocada por cão e quedas; 64(80%) dos acidentes foram típicos, 13(16,25%) de trajeto e 3(3,75%) doença do trabalho. Apenas 31(38,75%) acidentes foram notificados por meio da Comunicação de Acidentes de Trabalho e 16(20%) ocasionaram afastamento dos ACS das atividades laborais. Conclusão: os resultados alertam para a importância da promoção de medidas preventivas e interventivas no exercício do trabalho do ACS.

Objective: to analyze occurrence of occupational accidents in community health agents (CHAs) in the municipality of Caraguatatuba, São Paulo, Brazil. Method: in this quantitative, descriptive, cross-sectional study, approved by the Research Ethics Committee of Guarulhos University (No. 723/11), data were collected from 137 CHAs, in 2012, using a questionnaire and interview. Results: 59(43.07%) CHAs were found to have had 80 occupational accidents, the most frequent being CHA cyclist injured in traffic accident, by dog bite or by fall; 64(80.00%) were typical to the profession, 13(16.25%) were travel accidents and 3(3.75%) were occupational disease. Only 31(38.75%) of the accidents were reported by Occupational Accident Notification, and 16(20.00%) entailed absence from work. Conclusion: these results alert to the importance of promoting preventive and intervention measures in CHA working conditions.

Objetivo: analizar los accidentes de trabajo ocurridos con agentes comunitarios de salud (ACS) del municipio de Caraguatatuba/SP/ Brasil. Método: estudio descriptivo, transversal, con enfoque cuantitativo. Después de la aprobación del Comité de Ética en Investigación de la Universidad de Guarulhos (Dictamen Nº 723/11), los datos fueron colectados junto a 137 ACS, en 2012, por medio de cuestionario y entrevista. Resultados: se encontró que 59(43,07%) ACS sufrieron 80 accidentes de trabajo, siendo los más frecuentes: traumatismo de ciclista (ACS) en accidente de transporte, mordedura provocada por perro y caídas; 64(80,00%) de los accidentes fueron típicos, 13(16,25%) de desplazamiento y 3(3,75%) enfermedad del trabajo. Apenas 31(38,75%) de los accidentes fueron notificados por medio de la Declaración de Accidentes de Trabajo y 16(20,00%) necesitaron de licencia de las actividades laborales. Conclusión: los resultados alertan sobre la importancia de la promoción de medidas preventivas e interventoras en el ejercicio de la labor del ACS.

Angústia de mulheres trabalhadoras de enfermagem que adoecem por distúrbios osteomusculares relacionados ao trabalho / Anguish of nursing women professionals who suffer from work-related musculoskeletal disorders (WRMD) / Angustia de trabajadoras de enfermería portadoras de disturbios osteomusculares relacionados al trabajo

Os distúrbios osteomusculares relacionados ao trabalho (DORT) representam uma doença crônica e incapacitante, que preocupa a saúde pública mundial. Este estudo qualitativo fenomenológico teve como objetivo compreender o fenômeno "ser mulher trabalhadora de enfermagem vivenciando DORT". Participaram seis trabalhadoras de enfermagem, portadoras de DORT, cujas entrevistas foram norteadas pela questão: Gostaria que você me contasse a sua experiência, como é para você ser mulher, trabalhadora de enfermagem, convivendo com um distúrbio osteomuscular relacionado ao trabalho? Os discursos foram analisados segundo o referencial de Martin Heidegger e os resultados evidenciaram que ser trabalhadora de enfermagem portadora de DORT é uma experiência marcada pela angústia, uma vez que o cotidiano dessas mulheres é marcado por dor, limitação e exclusão no ambiente de trabalho.

Work-related musculoskeletal disorders (WRMD) represent a chronic and incapacitating disease, and a matter of concern to the public health worldwide. This qualitative phenomenological study aimed to reveal the phenomenon "being a female nursing professional living with WRMD". Six nursing professionals, suffering from WRMD, took part in the study. The interviews dealt with the guiding question: I would like you to tell me about your experience - how do you feel being a woman nursing professional, living with a work-related musculoskeletal disorder? Interviews were analyzed according to Martin Heidegger. Results showed that being a female nursing professional who suffers from WRMD is an experience which can give the anguish once the women daily is characterized by pain, limitations and prejudice in work environment.

Los disturbios osteomusculares relacionados al trabajo (DORT), representan una enfermedad crónica e incapacitante, de carácter preocupante para la salud pública mundial. Este estudio de cualitativo fenomenológico ha buscado desvelar el fenómeno "ser mujer trabajadora de enfermería vivenciando DORT". Seis mujeres trabajadoras en enfermería, portadoras de DORT, fueran entrevistadas con la cuestión: Me gustaría que usted me contase su experiencia - como es para usted ser mujer, trabajadora de enfermería y conviviendo con disturbio osteomuscular relacionado al trabajo? Los discursos fueron analizados según Martin Heidegger. Los resultados demostraron que ser mujer, trabajadora de enfermería y portadora de DORT es una experiencia que hace emerger sentimientos de angustia, debido al cotidiano de esas mujeres, marcado por el dolor, limitaciones y prejuicio.

Acidentes de trabalho e o plano de gerenciamento de resíduos de serviço de saúde / Occupational accidents and the management plan for health services waste / Accidentes de trabajo en el plan de gerencia de residuos de servicio de salud

O presente estudo teve por objetivo analisar os acidentes de trabalho ocorridos com os trabalhadores da saúdenas diferentes etapas de um chamado Plano de Gerenciamento de Resíduos de Serviço de Saúde (PGRSS) deum hospital do município de São Paulo. O material coletado foi constituído pelas comunicações de acidentes detrabalho arquivadas no Serviço de Engenharia, Segurança e Medicina do Trabalho no período de 2002 a 2006.Foram examinadas 150 comunicações, das quais 78 (52,00%) foram selecionadas para o estudo. Observou-seque, em sua maioria (67,12%), dos trabalhadores acidentados eram auxiliares de enfermagem, do sexo feminino(83,56%), com idade média de 37 anos e meio, e que o agente causador da maior parte dos acidentes foram asagulhas, ocasionando lesões perfurantes (80,77%), e os membros superiores foram a parte do corpo maisatingida em ambos os sexos (87,18%). Em relação às etapas do PGRSS, 69,23% dos acidentes ocorreram nasegregação dos resíduos, seguindo-se a etapa do seu acondicionamento (23,08%). Concluiu-se que asegregação adequada dos materiais perfurocortantes é um dos aspectos mais importantes na prevenção deacidentes de trabalho, assim como a notificação desses acidentes, medidas que permitem ações mais eficazes, evitando perdas pessoais, econômicas e sociais.

The main purpose of the study was to analyze occupational accidents occurred with healthcare personnel atdifferent steps of the Management Plan for Health Services Waste (MPHSW) of a hospital in São Paulo city. Datawas collected from the Occupational Accidents Report filed in the hospital Service of Engineering of Security andOccupational Medicine, from 2002 to 2006. One-hundred and fifty accidents report were examined. From them 78(52%) were selected for research. The majority (67.12%) of the healthcare personnel that suffered injuries werefemale (83.56%) nursing assistants with an average of 37.5 years of age. Needles sticks injuries were the highestcause (80.77%), the upper limbs were the most injured areas in both gender (87.18%); 69.23% of theoccupational accidents occurred at the wastes segregation stage followed by the packaging (23.08%). It wasconcluded that the adequate separation of perforative or cutting material is one of the most important aspects in preventing occupational accidents, as well as its notification, once it allows more effective actions, avoidingpeople, economical and social losses.

El presente estudio tuvo por objetivo analizar los accidentes de trabajo ocurridos con los trabajadores de la saluden los diferentes procesos de un Plan de Gerencia de Residuos de Servicio de Salud (PGRSS) de un hospital delmunicipio de São Paulo. El material recogido fue constituido por las Comunicaciones de Accidentes de Trabajoarchivadas en el Servicio de Ingeniería, Seguridad y Medicina del Trabajo el en período de 2002 a 2006. Fueronexaminadas 150 Comunicaciones, siendo 78 (52,0%) fueron seleccionadas para el estudio. Se observó que lamayoría (67,12%) de los trabajadores accidentados era auxiliar de enfermería, del sexo femenino (83,56%), conedad media de 37 años y medio; el agente causante de la mayor parte de los accidentes fueron las agujas,ocasionando lesiones perforantes (80,77%) y los miembros superiores fueron la parte del cuerpo más alcanzadaen ambos sexos. En relación a las etapas del PGRSS, 69,23% de los accidentes ocurrieron en la segregación delos residuos, seguida del acondicionamiento (23,08%). Se concluye que una adecuada separación de materialesperforantes y cortantes es uno de los aspectos más importantes en la prevención de accidentes de trabajo, asícomo su notificación, una vez que permite acciones más eficaces, evitando pérdidas personales, económicas ysociales.