Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 18.416
Filtrar
1.
Med Klin Intensivmed Notfmed ; 115(1): 67-78, 2020 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-31950206

RESUMEN

Injuries of healthcare workers with sharp instruments are considered among the most frequent occupational accidents in hospitals. In at least half of the cases, the instruments are contaminated with blood and therefore bear an infection risk with bloodborne pathogens, such as hepatitis B, hepatitis C and human immunodeficiency virus (HIV). Needlestick injuries require besides immediate medical intervention, such as rinsing and disinfection of the wound or skin contamination, a prompt clarification of the immune status and if necessary a postexposure prophylaxis. Furthermore, follow-up examinations are required for up to 6 months after the accident. Information about the infectious state of the index person considerably facilitates the procedure. All healthcare workers should know the management of needlestick injuries. Preventive measures refer to the reduction of the number of needlestick injuries by improving work organization and usage of needle devices with safety features as well as to the reduction of infection risk by hepatitis B vaccination and wearing safety gloves.


Asunto(s)
Personal de Salud , Lesiones por Pinchazo de Aguja , Exposición Profesional , Accidentes de Trabajo , Infecciones por VIH/prevención & control , Infecciones por VIH/terapia , Hepatitis B/prevención & control , Hepatitis B/transmisión , Hepatitis C/prevención & control , Hepatitis C/transmisión , Humanos
2.
Toxicol Lett ; 320: 73-79, 2020 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-31811912

RESUMEN

INTRODUCTION: Choking agent exposure, among them chlorine gas, occurs in household or industrial accidents, chemical warfare and terrorist attacks. AIMS: Review of published animal and human data regarding the history, pathophysiology, clinical effects and management of chlorine exposure. PATHOPHYSIOLOGY: Highly soluble agents cause quick upper respiratory tract symptoms. Chlorine gas has a medium solubility, also causing delayed lower airway symptoms, mainly due to its oxidizing potential by releasing hypochlorous and hydrochloric acid, but also by interacting with Transient Receptor Potential channels. SYMPTOMS: Eyes may show conjunctival injection, abrasions and corrosions. Burns of the oronasal mucosa and trachea can occur. Dyspnea, bronchospasm and possible retrosternal pain occur frequently. Glottis edema or laryngospasm are acute life-threatening emergencies. Chlorine gas can cause toxic pneumonitis, lung edema and acute respiratory distress syndrome (ARDS). MANAGEMENT: General management includes physical examination, pulse oximetry and arterial blood gases. Eyes should be irrigated, humidified oxygen and inhalative bronchodilators administered. An EKG, cardiac enzymes and complete-blood-count should be obtained if there is retrosternal pain. Routine chest x-ray is not recommended - except if pulmonary edema is suspected. Laryngoscopy should be performed if glottis edema is suspected. Sodium bicarbonate inhalation after chlorine gas inhalation is discussed controversially. Mechanical ventilation with continuous-positive-airway-pressure or intubation/tracheotomy with high positive-end-expiratory-pressure may be necessary. Glucocorticoids for prevention of pulmonary edema should be applied restrictively. Prophylactic antibiotics are not recommended. In severe ARDS, extracorporeal membrane oxygenation (ECMO) can be considered. CONCLUSION: Treatment is mainly symptom oriented. New and promising therapies are in development.


Asunto(s)
Accidentes Domésticos , Accidentes de Trabajo , Quemaduras Químicas/terapia , Sustancias para la Guerra Química/envenenamiento , Cloro/envenenamiento , Quemaduras Oculares/terapia , Enfermedades Respiratorias/terapia , Animales , Quemaduras Químicas/etiología , Quemaduras Químicas/historia , Quemaduras Químicas/fisiopatología , Sustancias para la Guerra Química/historia , Cloro/historia , Quemaduras Oculares/inducido químicamente , Quemaduras Oculares/historia , Quemaduras Oculares/fisiopatología , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Exposición por Inhalación/efectos adversos , Exposición Profesional/efectos adversos , Pronóstico , Enfermedades Respiratorias/inducido químicamente , Enfermedades Respiratorias/historia , Enfermedades Respiratorias/fisiopatología , Medición de Riesgo
3.
Zhonghua Yu Fang Yi Xue Za Zhi ; 53(12): 1296-1298, 2019 Dec 06.
Artículo en Chino | MEDLINE | ID: mdl-31795589

RESUMEN

The data were drawn from injury hospitalization surveillance system in Shandong province. From 2012 to 2018, 164 cases of acute occupational poisoning were reported from five surveillance counties (cities, districts), accounting for 6.11% (164/2 683) of total accidental poisoning cases. The annual average reported incidence of acute occupational poisoning hospitalization was 1.15/100 000. The number of male cases was 3.3 times that of females (126 vs 38). The poisoning cases mainly occurred between January to May in a year and 5-7 AM within a day. Those cases were mainly caused by irritating gases (92 cases, 56.10%) and asphyxiating gases (53 cases, 32.32%), of which chlorine (71 cases) and carbon monoxide (50 cases) were the main reasons. The average hospitalization medical cost of acute occupational poisoning cases was 7 278.81 RMB per case.


Asunto(s)
Accidentes de Trabajo , Intoxicación por Monóxido de Carbono/epidemiología , Hospitalización , Ocupaciones/estadística & datos numéricos , China/epidemiología , Ciudades , Femenino , Hospitalización/economía , Hospitalización/estadística & datos numéricos , Humanos , Incidencia , Masculino , Exposición Profesional/efectos adversos , Exposición Profesional/estadística & datos numéricos
4.
Rev Soc Bras Med Trop ; 53: e20180495, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31859937

RESUMEN

INTRODUCTION: This study aimed to document injuries caused by fish among professional fishermen in the Western Brazilian Amazon. METHODS: We undertook a descriptive, retrospective study, involving 51 professional fishermen, to determine clinical, epidemiological, and therapeutic aspects of their injuries. RESULTS: Among 51 fishermen interviewed, most injuries were due to mandi (Pimelodus spp.), and the hands were the most injured region, resulting in pain and bleeding in all cases. CONCLUSIONS: Our study findings confirm the morbidity of fish-related injuries, and reaffirm the need for relevant information regarding prevention and injury management.


Asunto(s)
Accidentes de Trabajo/estadística & datos numéricos , Mordeduras y Picaduras/epidemiología , Venenos de los Peces/envenenamiento , Explotaciones Pesqueras/estadística & datos numéricos , Adulto , Anciano , Animales , Brasil/epidemiología , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Adulto Joven
5.
Med Lav ; 110(S1): 7-12, 2019 Dec 06.
Artículo en Italiano | MEDLINE | ID: mdl-31846442

RESUMEN

The author deals with the medical-surgical panorama in Milan at the turn of the 19th century and at the beginning of the 20th century. The advances in knowledge acquired from the mid-nineteenth century on led to the emergence of medical and surgical specializations, as well as of new tools for the prevention and treatment of diseases, and the creation of a health and care network, on which it was possible to graft highly developed training opportunities. The example of an institution set up in Milan at the beginning of the twentieth century to treat the results of traumatic events is emblematic, not only because it is related to occupational accidents, but also because it explains the need to have specialists from various medical and surgical disciplines at the service of the entire population.


Asunto(s)
Instituciones de Salud , Especialización , Accidentes de Trabajo , Historia del Siglo XIX , Historia del Siglo XX , Especialización/historia
6.
Rev Esp Salud Publica ; 932019 10 10.
Artículo en Español | MEDLINE | ID: mdl-31597911

RESUMEN

OBJECTIVE: Neurotic disorders are one of the main health problems of Western societies. Its impact on labor productivity grows exponentially with an increase in its incidence and the duration of temporary disability (TD) processes. To know the characteristics of the patients belonging to a mutual of work accidents who had transient disability due to neurotic disorders, their temporal and geographic distribution, their comorbidities and those variables that affected their duration. METHODS: Retrospective descriptive study of the workers protected from a mutual of work accidents, national scope, who studied a disability period between 2006-2016 with diagnoses included between codes 300 and 300.9 of the CIE-9-CM, corresponding to Neurotic Disorders. We analyze clinical-demographic variables of patients, comorbidities during studied period and distributions by year and province, by Bayesian inference. We performed a logistic regression for the dependent variable duration of the TD adjusted for age, sex, toxic consumption, consultations, year, regulatory base and payment type. RESULTS: We registered 56,619 processes in Spain, which corresponded to 1.5% of the total TD processes served in the period. The highest percentage of cases was grouped between 2007 and 2009, when 11% of the population were registered annually. The variables associated with an increase in this duration were: older age, male sex, psychiatric and psychological consultations, diagnostic year, regulatory base (whose average was 50.5 euros) and type of payment (delegate in 78.2% of cases and direct in 21.8%). The prevalence by provinces was more marked in the north and the islands (Barcelona, Lleida, Las Palmas, Islas Baleares, Coruña, Cantabria, Girona, Álava, Tarragona, Pontevedra y Asturias they have more than 6%).The durations of the disability were greater in the east of the country. The most prevalent comorbidities during the study period were low back pain (with an average of 65.1 days of IT anxiety), cervical pain (with an average of 67 days) and digestive disorders (with an average of 59.4 days). CONCLUSIONS: There are comorbidities and variables associated with the temporary disability derived from neurotic disorders, with geographical differences. Deepening their knowledge and impact could promote better preventive and therapeutic approaches that allow an earlier functional recovery.


Asunto(s)
Accidentes de Trabajo/psicología , Trastornos de Ansiedad/terapia , Personas con Discapacidad/psicología , Ausencia por Enfermedad , Adulto , Trastornos de Ansiedad/complicaciones , Trastornos de Ansiedad/epidemiología , Teorema de Bayes , Comorbilidad , Femenino , Geografía , Humanos , Incidencia , Modelos Logísticos , Dolor de la Región Lumbar/complicaciones , Masculino , Prevalencia , Estudios Retrospectivos , España/epidemiología
9.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 11(5): 1161-1166, out.-dez. 2019.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1022183

RESUMEN

Objetivo: Explorar a visão dos profissionais de enfermagem quanto aos riscos ocupacionais e acidentes ocupacionais na Central de Material Esterilização. Método: estudo qualitativo exploratório realizado em um hospital de referência do estado do Piauí, com 12 profissionais de enfermagem. Os dados foram coletados no mês de maio de 2017, utilizou-se um roteiro de entrevista semi-estruturada e a análise dos dados foi realizada pelo Discurso do Sujeito Coletivo. Resultado: Emergiram três temas: Riscos presentes no ambiente de trabalho; A visão da Equipe de Enfermagem sobre os acidentes na CME e Assistência prestada aos profissionais acidentados. Conclusão: percebeu-se que os participantes estão cientes de que as atividades nesta unidade requerem o uso adequado de equipamento de proteção individual para protegê-los dos riscos e acidentes de trabalho, no entanto o processo de educação continuada precisa ser valorizado e periodicamente efetivado para maior segurança e valorização da equipe e melhorar do processo de trabalho


Objective: The research's main goal has been to explore the nursing professionals' perspective on occupational risks and work accidents in the Sterilization and Materials Processing Centers (SMPC). Methods: It is a qualitative exploratory study performed at a reference hospital in the State of Piauí, with 12 nursing professionals. Data were collected in May of 2017; a semi-structured interview script was used, and data analysis was performed by the Discourse of the Collective Subject. Result: Three themes emerged: Risks present in the work environment; The Nursing Team's view on accidents at SMPC and Assistance to injured professionals. Conclusion: Participants were aware that activities in this unit require the adequate use of Personal Protective Equipment (PPE) to protect them from occupational risks and accidents, however, the continuing education process needs to be valued and periodically effective for greater security and valorization of the team and improve the work process


Objetivo: Explorar la visión de los profesionales de enfermería en cuanto a los riesgos ocupacionales y accidentes ocupacionales en la Central de Material Esterilización. Método: estudio cualitativo exploratorio realizado en un hospital de referencia del estado de Piauí, con 12 profesionales de enfermería. Los datos fueron recolectados en el mes de mayo de 2017, se utilizó un guión de entrevista semiestructurada y el análisis de los datos fue realizado por el Discurso del Sujeto Colectivo. Resultado: emergieron tres temas: Riesgos presentes en el ambiente de trabajo; La visión del equipo de enfermería sobre los accidentes en la CME y la asistencia a los profesionales accidentados. Conclusión: se percibió que los participantes son conscientes de que las actividades en esta unidad requieren el uso adecuado de equipo de protección individual para protegerlos de los riesgos y accidentes de trabajo, sin embargo el proceso de educación continuada necesita ser valorado y periódicamente efectuado para mayor seguridad y valoración del equipo y mejorar el proceso de trabajo


Asunto(s)
Humanos , Masculino , Femenino , Riesgos Laborales , Accidentes de Trabajo , Esterilización , Equipos de Seguridad , Brasil , Salud Laboral , Grupo de Enfermería
11.
Artículo en Inglés | MEDLINE | ID: mdl-31561606

RESUMEN

There has been a long history of coal mine accidents and these, usually, involve serious injuries, fatalities, and the destruction of facilities. In the seventies, an explosion killed 28 miners in a Spanish coal mine. This paper gives insight into the main factors of the accident by means of the causation mode, using two well-known alternatives: (1) the method from the Spanish Instituto Nacional de Seguridad y Salud en el Trabajo (INSST), where the causes and circumstances of the accident are classified into immediate causes and basic causes, and (2) the Feyer and Williamson method, where the classification is done using precursor events and contributing factors. The analysis identifies the lessons to be learned from the disaster. Both methods have given very similar results, verifying the goodness of the analysis. Methane emissions due to a variation in the exploitation method, the electrical installation, and a lack of safety procedures and training were the main causes of the accident. These findings explain the real causes of this accident and can be very valuable for the prevention of future accidents.


Asunto(s)
Accidentes de Trabajo , Minas de Carbón , Humanos , España
12.
Medicina (Kaunas) ; 55(9)2019 Sep 17.
Artículo en Inglés | MEDLINE | ID: mdl-31533301

RESUMEN

Background and Objectives: Obstructive sleep apnea syndrome (OSAS) is the most frequent sleep disorder, characterized by the repeated collapse of the upper respiratory tract during sleep. In this study, we aimed to determine the prevalence of OSAS in heavy equipment operators and to determine the relationship between the work accidents that these operators were involved in and the OSAS symptoms and severity. In doing this, we aimed to emphasize the association of OSAS, which is a treatable disease, and these accidents, which cause loss of manpower, financial hampering, and even death. Materials and Methods: STOP BANG questionnaire was provided to 965 heavy equipment operators and polysomnography (PSG) was performed, in Izmir Esrefpasa Municipality Hospital, to the operators at high risk for OSAS. Demographic data, health status, and accidents of these operators were recorded. Results: All operators who participated in the study were male. The ages of the cases ranged from 35 to 58 and the mean age was 45.07 ± 5.54 years. The mean STOP BANG questionnaire results were 4.36 ± 3.82. In total, 142 operators were identified with high risk for OSAS and PSG could be performed on 110 of these 142 operators. According to the PSG results of the operators, 41 (37.3%) patients had normal findings, while 35 (31.8%) had mild, 20 (18.2%) had moderate, and 14 (12.7%) had severe OSAS. Among those 110 patients, 71 (64.5%) of the cases had no history of any accidents, 25 (22.8%) were almost involved in an accident due to sleepiness, and 14 (12.7%) were actually involved in an accident. There was a statistically significant relationship between the accident rate and OSAS severity (p: 0.009). Conclusion: Based on the data acquired in the present study, a positive correlation was determined between the accident statuses of drivers with OSAS severity. We want to attract attention to the necessity of evaluating the OSAS symptoms in professional heavy equipment operators during the certification period and at various intervals afterwards, and to carry out OSAS evaluations by PSG for those having a certain risk.


Asunto(s)
Accidentes de Trabajo/estadística & datos numéricos , Apnea Obstructiva del Sueño/complicaciones , Adulto , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Factores de Riesgo , Índice de Severidad de la Enfermedad , Apnea Obstructiva del Sueño/epidemiología , Apnea Obstructiva del Sueño/psicología , Encuestas y Cuestionarios
13.
BMC Public Health ; 19(1): 1257, 2019 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-31510988

RESUMEN

BACKGROUND: Media advocacy plays an important role in public health initiatives, as it can provide vital information to target populations, policy makers, or other relevant stakeholders. Unfortunately, little is currently known about the use of media advocacy to promote occupational safety and health programs. This study explores media coverage related to the Rollover Protection Structure (ROPS) Rebate Programs, which were designed to encourage the use of rollover protection on agricultural tractors, thus reducing the risk of tractor overturn fatalities. The Program's portrayal in the media, as well as the role that the media has played in implementing and sustaining these Programs. METHODS: Media articles pertaining to any of the state-based or National ROPS Rebate Programs and published between November 1, 2006 and October 31, 2018 were included for review. Discourse analysis was used to understand the messages portrayed by the media and how those messages shaped the outcomes of the ROPS Rebate Programs. RESULTS: During the study period, 212 unique articles were published about the ROPS Rebate Programs. While these articles all portrayed the ROPS Rebate Programs in a largely positive light, they were used at different stages, from pre-implementation through sustainment of the ROPS Rebate Programs, and to different extents. CONCLUSIONS: Media articles have played an important role in implementing and sustaining the ROPS Rebate Programs. Based on the results of this study, more robust and continuous media coverage are important for the longevity and success of public health programs.


Asunto(s)
Accidentes de Trabajo/prevención & control , Agricultura/estadística & datos numéricos , Promoción de la Salud/métodos , Salud Laboral/estadística & datos numéricos , Personal Administrativo , Seguridad de Equipos , Humanos , Estados Unidos
14.
Home Healthc Now ; 37(5): 265-272, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31483358

RESUMEN

Home healthcare workers (HHWs) are routinely exposed to occupational safety hazards when servicing patients in their homes that put them at risk for injury. These hazards can be broadly classified as "electric, fire and burn," "environmental," or "slip, trip, and lift" hazards. To better train HHWs regarding their potential exposure to these hazards, a home healthcare virtual simulation training system (HH-VSTS) was developed. The HH-VSTS contains three training modules, corresponding to the aforementioned hazard categories, and an assessment module. In each training module, the trainee must navigate the virtual space, via a mouse click, and identify items or conditions that represent hazards. Once an item has been clicked on, the HH-VSTS asks the user if the item or condition is a hazard. For items or conditions that are hazards, additional text boxes present material to the user as to why the item constitutes a hazard and potential remediation approaches. Thus, it is important that hazards be identified and clicked on for the trainee to receive the educational component of the training system. This article evaluated the ability of 49 HHWs to find hazards in each of the three categories. In all modules, participants found the most salient hazards (e.g., clutter on stairs, unattended candles, biohazard stains) but struggled to find some of the less salient hazards. Several less salient hazards included the pet food bowls in the path of travel, the frayed electrical cord, oxygen tube leaking into a mattress, hot water that was too hot, and elevated room temperatures. Overall, this analysis found that most of the hazards within the training modules could be found by naïve HH-VSTS users. These data suggest the need for including hints that guide users toward hazards with which they are less familiar.


Asunto(s)
Enfermeras de Salud Comunitaria , Salud Laboral , Interfaz Usuario-Computador , Accidentes por Caídas/prevención & control , Accidentes Domésticos/prevención & control , Accidentes de Trabajo/prevención & control , Adulto , Anciano , Femenino , Humanos , Elevación/efectos adversos , Masculino , Persona de Mediana Edad , Enfermeras de Salud Comunitaria/educación , Enfermeras de Salud Comunitaria/psicología , Adulto Joven
15.
BMJ Case Rep ; 12(8)2019 Aug 20.
Artículo en Inglés | MEDLINE | ID: mdl-31434672

RESUMEN

A rare case of Staphylococcus gallinarum endophthalmitis with intraocular foreign body (IOFB) was managed successfully by vitrectomy, IOFB removal and intravitreal antibiotics with steroids. Intraoperatively, the inferior retina was noted to be pale, possibly secondary to arteriolar occlusion/inflammation. This pale retina detached while peeling the vitreous, but spontaneously reattached postoperatively within a week. The case report describes the natural course of an iatrogenic detachment of pallid retina and the outcome of an uncommon ocular infection.


Asunto(s)
Antibacterianos/uso terapéutico , Endoftalmitis/diagnóstico , Infecciones Bacterianas del Ojo/terapia , Lesiones Oculares Penetrantes/terapia , Desprendimiento de Retina/diagnóstico , Accidentes de Trabajo , Adulto , Endoftalmitis/terapia , Cuerpos Extraños en el Ojo , Infecciones Bacterianas del Ojo/patología , Infecciones Bacterianas del Ojo/fisiopatología , Lesiones Oculares Penetrantes/patología , Lesiones Oculares Penetrantes/fisiopatología , Humanos , Masculino , Desprendimiento de Retina/fisiopatología , Desprendimiento de Retina/cirugía , Resultado del Tratamiento , Agudeza Visual , Vitrectomía
16.
Am Surg ; 85(7): 752-756, 2019 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-31405422

RESUMEN

To characterize both emergency room (ER) and hospital discharge dispositions of patients presenting with farm-related injuries. The 2012 National Trauma Data Bank was queried in August 2017 for injuries occurring on a farm. Patients were stratified by gender, age group, race, Injury Severity Score (ISS), and injury type. We performed logistic regression analysis to correlate parameters with likelihood of discharge home or death. P values < 0.05 were considered significant. Five thousand six hundred thirty-one patients were identified, the majority of whom were male (72%) and white (85%). The most common mechanisms of injury included animal-related (29%), followed by falls, vehicles, and other causes. The highest ISSs were seen in vehicular injuries (11% ISS of 25+) and the greatest fatality rate was seen in machinery injuries (4%). Four thousand seven hundred fifty-three (84%) patients were admitted to the hospital, and 4056 (72%) were discharged home from the ER or after hospitalization. One hundred thirty patients (2%) died of their farm-related injury. Most patients presenting to the ER with farm-related injuries survive, are admitted to the hospital, and are ultimately discharged home. Few patients die of their injuries. Animal injury is most common and machinery injury most lethal of farm trauma patients presenting to the ER.


Asunto(s)
Agricultura , Granjas , Heridas y Traumatismos/etiología , Accidentes por Caídas/estadística & datos numéricos , Accidentes de Trabajo/estadística & datos numéricos , Adolescente , Adulto , Distribución por Edad , Anciano , Niño , Preescolar , Femenino , Humanos , Lactante , Puntaje de Gravedad del Traumatismo , Modelos Logísticos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Adulto Joven
17.
Toxicol Ind Health ; 35(8): 558-566, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31462195

RESUMEN

The absence of studies that investigate the causes and risk factors of nonfatal occupational injury in Tunisia inhibits the development of effective preventive strategies. The objective of this study was to identify the causes and risk factors of nonfatal occupational injury in the private sector in Tunisia. We used retrospective data derived from the occupational injury reporting forms submitted to the Caisse Nationale d'Assurance Maladie. A sample of 42,293 workers in the private sector for 2014 contains information on sociodemographic variables. Multivariable Poisson regression was used to investigate the association of cause-specific injury with demographic variables. The leading causes of nonfatal occupational injury were "falls" (employee fall and falling objects; 36%) and "struck by objects" (23%). Male employees were at higher risk of "exposure to extreme temperatures" (PR = 12 [7-45]), "asphyxia and poisoning" (PR = 4 [2.4-12]), "transport and handling" (PR = 2.4 [1.9-5]), "falling objects" (PR = 2.3 [1.4-3.7]), and "employee fall" (PR = 1.2 [1.1-1.5]). Although, rural areas were at higher risk to "asphyxia and poisoning" (PR = 3.6 [1.1-11.4]), "transport and handling" (PR = 2.5 [1.3-5.4]), and "burns" (PR = 1.3 [1.1-3]). It is important that effective interventions be developed to minimize the impact of falls and "struck by objects." The most vulnerable categories to occupational injury are less educated men, rural residents aged between 15 years and 24 years, and elderly employees (55 years and over). Thus, our findings can contribute to the planning of prevention intervention programs that should expand to the most vulnerable categories.


Asunto(s)
Traumatismos Ocupacionales/etiología , Accidentes por Caídas/estadística & datos numéricos , Accidentes de Trabajo/estadística & datos numéricos , Adolescente , Adulto , Factores de Edad , Asfixia/epidemiología , Asfixia/etiología , Estudios Transversales , Femenino , Golpe de Calor/epidemiología , Golpe de Calor/etiología , Humanos , Masculino , Persona de Mediana Edad , Traumatismos Ocupacionales/epidemiología , Envenenamiento/epidemiología , Envenenamiento/etiología , Distribución de Poisson , Sector Privado/estadística & datos numéricos , Factores de Riesgo , Factores Sexuales , Factores Socioeconómicos , Túnez/epidemiología , Adulto Joven
18.
N Z Med J ; 132(1501): 33-40, 2019 08 30.
Artículo en Inglés | MEDLINE | ID: mdl-31465325

RESUMEN

AIM: To describe quad bike injury-related hospitalisations in the Midland region over a six-year period. METHOD: A retrospective review of anonymised, prospectively-collected trauma registry data from 1 July 2012 to 30 June 2018 was undertaken. Cases include patients hospitalised with quad bike-related injuries. Non-major injuries are included to provide a clearer picture of the trauma burden. RESULTS: Three hundred and forty-six injuries resulted in hospitalisation with 70.2% of events occurring on a farm. Males outnumbered females 3.7:1. Forty-six children (<16 years) were hospitalised, of which 23 were injured on-farm and seven on a road. Over six years there was an annual average increase of 7.3% for all events occurring on a farm, 2.6% for injuries occurring during a farming activity and 4.7% for off-farm recreational injuries. CONCLUSION: Despite continued public debate and education on the safe use of quad bikes, injuries severe enough to require hospitalisation continue to occur. Children continue to be injured, both as riders and passengers. Ageing farmers are a developing area for concern. While workplace safety garners most of the safety attention, two other areas also deserve injury prevention consideration; injuries that occur on-farm but not during farming activities and those occurring off-farm to recreational riders.


Asunto(s)
Accidentes de Trabajo , Traumatismos Ocupacionales , Vehículos a Motor Todoterreno , Prevención de Accidentes/métodos , Prevención de Accidentes/estadística & datos numéricos , Accidentes de Trabajo/prevención & control , Accidentes de Trabajo/estadística & datos numéricos , Adulto , Ciclismo/normas , Agricultores/estadística & datos numéricos , Femenino , Dispositivos de Protección de la Cabeza , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Nueva Zelanda/epidemiología , Traumatismos Ocupacionales/epidemiología , Traumatismos Ocupacionales/etiología , Traumatismos Ocupacionales/terapia , Sistema de Registros/estadística & datos numéricos , Estudios Retrospectivos , Población Rural , Índices de Gravedad del Trauma
19.
Orthopedics ; 42(5): e410-e414, 2019 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-31408523

RESUMEN

Nail gun injuries are common among users, and most frequently involve the hands and lower extremities. A wide variation in costs and time are missed from work due to these injuries, and training on the proper use of nail guns has been shown to decrease workplace-related injuries. Minimal long-term disability can be expected, and orthopedic evaluations provide an opportunity to inform patients on proper use of these devices. In this article, management of nail gun injuries is discussed, including the necessity for a high suspicion for wound contamination because foreign material is often deposited with the nail, as well as treatment with debridement and antibiotics. [Orthopedics. 2019; 42(5):e410-e414.].


Asunto(s)
Industria de la Construcción , Traumatismos de la Mano/terapia , Traumatismos Ocupacionales/terapia , Ortopedia , Heridas Penetrantes/terapia , Accidentes de Trabajo , Traumatismos de la Mano/etiología , Humanos , Masculino , Traumatismos Ocupacionales/etiología , Heridas Penetrantes/etiología
20.
Work ; 64(1): 107-116, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31450534

RESUMEN

BACKGROUND: A considerable amount of money is invested annually in workplaces to promote creative, comfortable and safe work environments. The processes and effects of these investments are however not sufficiently studied. OBJECTIVE: The objective of this article is to examine work environment investment processes and identify organizational critical elements for optimizing investment in terms of occupational health and safety effects for employees. METHODS: Twelve case studies were conducted in different sectors. The data was collected through interviews, by studying available documents, and, in several cases, observations and measurement of hazards by means of the PIMEX-method. RESULTS: The empirical results yielded seven different critical elements for work environment investment processes. The critical elements identified were: identifying the need, risk assessment, involvement of staff, consultation with OHS expertise, procurement and delivery, implementation and training of workers, and evaluation. CONCLUSIONS: The critical elements have wide similarities with steps outlined in Swedish Work Environment Management processes, and ideas described in the Plan-Do-Act-Check model. If organizations follow this process, they are provided with improved possibilities for maximizing invested money for a safer working environment.


Asunto(s)
Salud Laboral/economía , Lugar de Trabajo/economía , Accidentes de Trabajo/economía , Accidentes de Trabajo/prevención & control , Humanos , Enfermedades Profesionales/economía , Enfermedades Profesionales/prevención & control , Exposición Profesional/economía , Exposición Profesional/prevención & control , Estudios de Casos Organizacionales , Medición de Riesgo , Seguridad/economía , Lugar de Trabajo/psicología
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA