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1.
Rev Med Suisse ; 19(831): 1197-1199, 2023 Jun 14.
Artículo en Francés | MEDLINE | ID: mdl-37314260

RESUMEN

Work-related contact dermatitis is frequent and might reduce the professional activity. Through the presentation of a clinical situation and its handling, this article shows the added value of an occupational medicine intervention. This procedure integrating a field observation has shown useful solutions after the medical handling and the maintenance of employment, although they were not always where we expected them.


Les eczémas professionnels sont fréquents et peuvent parfois limiter l'exercice de l'activité professionnelle. Au travers de la présentation d'une situation clinique et de sa prise en charge, cet article montre la plus-value d'une intervention de médecine du travail. Cette démarche intégrant une approche de terrain a révélé des leviers utiles à la suite de la prise en charge et au maintien en emploi, même s'ils n'étaient pas toujours là où on les attendait.


Asunto(s)
Dermatitis por Contacto , Medicina del Trabajo , Humanos , Vías Clínicas , Dermatitis por Contacto/etiología , Dermatitis por Contacto/terapia , Empleo
2.
Rev Med Suisse ; 18(788): 1303-1305, 2022 Jun 29.
Artículo en Francés | MEDLINE | ID: mdl-35770433

RESUMEN

Work is a social determinant of health. When it is adapted to the worker, its effects on health are beneficial. Unhealthy working conditions, with inadequate or absent management of psychosocial risk factors, can have negative consequences on workers' health. General practitioners are often on the front line in diagnosing these disorders and coordinating their treatment. In this article, we outline the key elements of an initial consultation with the general practitioner for situations of suffering and work and propose a draft structure for a care chain.


Le travail est un déterminant social important de la santé. Quand il est adapté, ses effets sur la santé des travailleurs sont bénéfiques. Des conditions de travail, rendues délétères par une gestion inadéquate d'éventuels facteurs de risque psychosociaux, peuvent entraîner des conséquences négatives sur la santé des travailleurs. Les médecins de famille sont souvent en première ligne pour établir le diagnostic de ces atteintes et coordonner leur prise en charge. Dans cet article, nous exposons les éléments-clés d'une première consultation chez le médecin de famille pour les situations de souffrance et travail et proposons une ébauche de structuration d'une filière de soins.


Asunto(s)
Salud Laboral , Humanos , Atención Primaria de Salud
3.
Swiss Med Wkly ; 151: w20537, 2021 07 19.
Artículo en Inglés | MEDLINE | ID: mdl-34318910

RESUMEN

BACKGROUND: In accordance with the International Labour Organization’s Maternity Protection Convention (No. 183) and European Union Directive 92/857CEE (1992), Switzerland’s Labour Law and its Maternity Protection Ordinance (OProMa) aim to protect the health of pregnant employees and their future children while enabling them to pursue their working activities. Gynaecologists-obstetricians have a key role in this legislation, particularly through the prescription of preventive leave for patients who would otherwise face dangerous or arduous tasks in the absence of an adequate risk analysis or suitable protective measures. However, international and national literature suggests that gynaecologists-obstetricians may encounter difficulties in fulfilling their role. AIMS: This study aimed to: (1) describe the practices and difficulties encountered by gynaecologists-obstetricians in the practical implementation of the OProMa; and (2) compare the evolution of these practices and difficulties between 2008 and 2017. METHODS: A survey by questionnaire was conducted in 2008 and repeated in 2017. Both surveys focused on gynaecologists-obstetricians working in the French-speaking part of Switzerland (in private practices, hospitals or both). Descriptive and comparative analyses were carried out. RESULTS: 83 gynaecologists-obstetricians responded in 2008 and 93 in 2017: response rates of 47% and 32%, respectively. In 2017, gynaecologists-obstetricians were more likely to ask questions about occupational risks faced by their patients when consulted by working mothers about their pregnancies. The estimated percentage of patients exposed to an occupational risk remained constant (20% in 2008 and 22% in 2017). Communication and collaboration with employers were reported to be difficult in both surveys, even though these are key elements in the implementation of the OProMa. Collaboration with occupational physicians, however, was more frequent in 2017. CONCLUSION: In 2017, gynaecologists-obstetricians showed a greater awareness of occupational risks and collaborated more frequently with occupational health specialists. However, the application of the OProMa remained limited over the studied time period. Improving training of gynaecologists-obstetricians in this field could be a significant factor in encouraging better implementation of the current legislation. Moreover, gynaecologists-obstetricians need to be given the necessary support to enable their clinical practice to evolve towards a more preventive type of medicine. Collaboration with relevant stakeholders, including occupational physicians, midwives and workers, should be encouraged.


Asunto(s)
Ginecología , Salud Laboral , Actitud del Personal de Salud , Niño , Femenino , Humanos , Embarazo , Encuestas y Cuestionarios , Suiza
5.
Rev Med Suisse ; 9(408): 2224, 2226-31, 2013 Nov 27.
Artículo en Francés | MEDLINE | ID: mdl-24383248

RESUMEN

Primary care physicians are among the specialists who most often have to deal with work-related health problems. Musculoskeletal (including the spine and limbs) and psychological problems are the most frequently encountered work-related diseases. In that context, it is essential for the primary care physician to identify the link between a disease and the occupational environment of the patient, in order to deliver appropriate care. This article deals with two clinical cases to illustrate the semiology and therapeutic aspects of burnout, and musculoskeletal disorders of the upper limb, respectively. It gives some clues to the primary care physician, about how to guide his practice in a multimodal way, oriented toward the patient himself, but also toward his occupational environment.


Asunto(s)
Enfermedades Profesionales/terapia , Salud Laboral , Atención Primaria de Salud/métodos , Agotamiento Profesional/diagnóstico , Atención a la Salud/organización & administración , Humanos , Enfermedades Musculoesqueléticas/diagnóstico , Enfermedades Musculoesqueléticas/etiología , Enfermedades Profesionales/diagnóstico , Exposición Profesional/efectos adversos , Pautas de la Práctica en Medicina , Atención Primaria de Salud/organización & administración
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