Occupational accidents in Slovak Military Forests and Estates: incidence, timing, and trends over 10 years.

Introduction: Forestry provides a wide range of employment opportunities worldwide and is seen as one of the high-risk industries in terms of occupational accidents. Objectives: The submitted study analyzed the injury rate in the Military Forests and Estates of the Slovak Republic (62.6 thousand ha) between 2013 and 2022. Methods: The data analyses included regression and correlation analyses, χ2 tests to analyze the relationships between studied variables, and incidence rates. Results: During the observed period, employees suffered 26 occupational accidents, of which 19.2% were light, 57.7% were registered, 23.1% were severe, and 0% were fatal. For every 1 million m3 of harvested timber, 7.7 accidents occurred. The incidence rate during the observed period was 672.1/100,000 employees. The highest proportion of accidents was in the age group 51-60 years and in employees with the lowest length of work experience <5 years. Regarding time, the highest proportion of occupational accidents occurred between 8:01 and 10:00 AM (53.8%) and day-wise on Thursdays (46.2%). The highest proportion of accidents occurred among forest workers (65.3%) during pruning and silviculture activities (42.3%). The most common injury site was forest stands (65.3%). Superficial injuries (34.6%) were the most common, mainly affecting the lower limbs (50%). The most frequent material agents causing the accidents were work and transport areas as sources of worker fall (38.5%), and the most frequent reason for an accident to occur was the lack of personal requirements for proper work performance (92.4%), whereas only (3.8%) of accidents occurred due to the use of forbidden or hazardous working procedures. Conclusion: The presented study identified the most vulnerable worker groups and provided an overview of the overall injury rate at the state forest company in Slovakia. The documentation can be incorporated into the safety strategies of forest enterprises.

Low back pain, work overload, and associated factors among hospital caregivers.

BACKGROUND: Caregivers assist patients in treatment based on their care needs and living activities. Very few studies have been conducted specifically on the occupational health and safety of hospital caregivers. OBJECTIVE: This study aimed to investigate the prevalence of excessive workload and low back pain among hospital caregivers and to identify potential associated factors. METHODS: This cross-sectional study included caregivers working at Gazi University Hospital. Socio-demographic and working-life characteristics were assessed. The Role Overload Scale was used to determine excessive workload and the Roland-Morris Disability Questionnaire was used to evaluate low back pain. RESULTS: The study included 528 participants. A total of 18.7% had work accidents in their department. 49.0% had sharp injuries. 68.9% of the participants performed tasks such as positioning, turning, lifting, or helping patients to walk. 72.2% stood for a long time during the workday. 52.8% thought that they worked under stress. 57.6% had low back pain in the last year and 38.6% in the last month, Significant differences exist in low back pain according to gender, body-mass index, standing for a long time and working under stress. Those who worked at night, had a work accident, positioned patients, stood for a long time, and worked under stress had higher mean scores on the Role Overload Scale. CONCLUSION: Tools should be used to lift and transport patients. In addition to occupational health and safety training, awareness of musculoskeletal risks should be increased. Employee well-being can be improved through exercise and stress reduction techniques.

The structure of near misses and occupational accidents in the polish construction industry.

Near misses are referred to in literature as precursors of occupational accidents. These events, and their relationships with occupational accidents in various economic sectors have been the subject of research in several countries around the world. In Poland, there has not been a lot of research with regards to near misses in the construction industry, and the published materials are of a very general nature. This article aims to fill the existing research gap regarding the relationship between near misses and occupational accidents in the Polish construction industry. The aim of the research presented in the article was to identify the qualitative and quantitative structure of hazardous events in the construction industry, and to estimate the a posteriori probability of the occurrence of such events. The research was carried out on the basis of information obtained from the hazardous event registration system from a large Polish enterprise that carried out construction works in Poland in the years 2015-2022. Identified dangerous events in the construction industry were divided into two generic groups, i.e. occupational accidents and near misses. Within each group, eight categories of hazardous events were identified, and subcategories were defined within each category. The power of each set and subset of events was then calculated. The posterior probability of the occurrence of events classified into individual sets was estimated using Bayes' theorem. Cross-validation of the obtained results was performed. Conclusions resulting from the conducted analyzes were formulated. The most common category of the analyzed dangerous events in the construction industry is "being hit by objects"; "being run over/falling over" and "work environment". Knowledge of the most common causes of near misses will allow actions that aim to reduce the number of occupational accidents to be determined.

Investigation of non-fatal occupational accidents and their causes in Turkish shipyards.

This study reports new data for 1028 non-fatal occupational accidents dated between January 2010 and April 2015 by applying the analytical hierarchy process (AHP) technique. A comprehensive survey was conducted at four shipyards in Tuzla, Istanbul and Yalova regions in Turkey and a workplace questionnaire appropriate for the AHP technique was carried out. The obtained results indicated that inadequate safety equipment and protective clothing, unsuitable usage of machines and tools, and disobeying occupational health and safety (OHS) procedures were the most common risk factors for the accidents. Hence the preventive measures could be identified by analyzing non-fatal accident data. After the identification of the descriptive measures, the priority order of these measures was asked of the occupational safety professionals in the shipbuilding industry, and we used the AHP method to evaluate the results.

The risk of road traffic crashes for occupational drivers: A responsibility study with comparison to the general population.

BACKGROUND: Road accidents are the leading type of work-related fatalities, but the impact of work-related travel on overall traffic safety has been scarcely studied. OBJECTIVE: The main objective of the present study was to assess drivers' relative road accident risk between work-related and personal journeys. METHODS: A responsible/non-responsible case-control study was performed on a sample of 7,051 road accidents in France from the VOIESUR project. Logistic regression determined odds-ratios according to work-related versus personal travel, and identified risk factors for responsibility, specific to each of the two sub-groups. RESULTS: Drivers traveling on duty or commuting home were significantly less often responsible for accidents than drivers on personal journeys: OR = 0.75 [0.63; 0.89] and 0.65 [0.53; 0.80] respectively. Responsibility was significantly more frequent in commuting to versus from work: OR = 1.38 [1.06; 1.78]. Among on-duty drivers, professional passenger-transport drivers had the lowest risk of responsibility (OR = 0.25 [0.11; 0.58]), while those on temporary or work/study contracts and professional light goods vehicle drivers had the highest risk (OR = 11.64 [2.15; 62.94] and OR = 29.83 [5.19; 171.38] respectively). When driving under the influence of alcohol, risk of responsibility was higher in commuting home than in personal journeys. CONCLUSION: On-duty drivers showed lower risk of responsibility for an accident than other drivers. However, on-duty drivers on temporary or work/study contracts, who are usually not subject to specific regulations, showed higher risk, and should be the subject of particular attention regarding occupational risk prevention.

Como a pandemia de COVID-19 afetou a notificação de acidentes do trabalho em diferentes atividades econômicas e ocupações no Brasil? Um estudo ecológico usando o p-score / How did the COVID-19 pandemic affect occupational accident notification in different economic activities and occupations in Brazil? An ecological study using p-score

Resumo Objetivo: mensurar o impacto da pandemia de COVID-19 nas notificações de acidentes do trabalho (AT) no Brasil, por atividade econômica e ocupação. Métodos: estudo ecológico que utilizou os casos de AT registrados entre 2015 e 2020 no Anuário Estatístico da Previdência Social. Os AT foram analisados por setor de atividade econômica, ocupação e códigos da 10ª revisão da Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde (CID-10). Uma adaptação do p-score foi aplicada para comparar os casos de AT pré-pandemia com os do primeiro ano da pandemia. Resultados: os p-scores variaram de -60,2%, para AT por nexo técnico epidemiológico, a -13,9%, para AT típico. As doenças do trabalho apresentaram p-score de 151,1%. Houve aumento notável nos casos de doenças ocupacionais dos capítulos I e X da CID-10. As notificações de AT diminuíram em todas as categorias de atividades econômicas, exceto nas de saúde humana e serviços sociais (p-score = 8,0%). Na maioria das categorias, os valores foram negativos, exceto nos subgrupos forças de segurança e profissionais de saúde de nível superior, técnico e gestores. Conclusão: houve redução geral na notificação de AT durante a pandemia de COVID-19 no Brasil, que evidenciou desigualdades entre diferentes setores de atividades e ocupações, além de mudança no perfil de adoecimento dos trabalhadores.

Abstract Objective: to assess the COVID-19 pandemic impact on Occupational Accident (OA) notifications in Brazil by economic activity and occupation. Methods: an ecological study was conducted using OA cases recorded in the Statistical Yearbook of Social Security from 2015 to 2020. Accidents were analyzed by sector of economic activity, occupation, and ICD-10 codes. Pre-pandemic cases were compared with the first year of the public health emergency scenario caused by Sars-Cov-2 using an adapted p-score. Results: p-scores ranged from -60.2% for technical-epidemiological Occupational Accidents to -13.9% for typical OA. Occupational diseases had a p-score of 151.1%. Cases of occupational diseases from ICD-10 chapters I and X showed a significant increase. OA notifications decreased in all CNAE sections, except for human health and social services activities (p-score = 8.0%). P-score values were negative in most CBO categories, except in subgroups such as security forces and high-level health professionals, technicians, and managers. Conclusion: Brazil registered a general reduction in OA notifications due to the pandemic, which evinced inequalities in different sectors and occupations, as well as changes in the illness profile of workers.

[Causes of Countermeasures Against Serious Accidents Caused by Health Hazards of Chemical Substances, Based on Cases of Occupational Accidents in Japan].

The purpose of this study was to summarize the typical and specific causes and risk reduction measures of serious accidents in Japan caused by chemical substances in terms of the 10 types of human health hazards in the UN GHS (Globally Harmonized System of Classification and Labelling of Chemicals) classification. The list of "Cases of Major Accidents Caused by Chemical Substances" published on the "Safety in the Workplace Website" of the Ministry of Health, Labor and Welfare (MHLW) was linked to the "Results of GHS Classification by the Government" of the National Institute of Technology and Evaluation (NITE). Analysis was conducted by health hazards in order to obtain reference examples of measures taken against health hazards in response to the revision of the law on autonomous chemical substance management in 2022. Using the text mining tool KH Coder ver. Three using cluster analysis, we grouped causes and measures among serious disasters by health hazard, illustrated co-occurrence networks, and extracted typical examples of each in a co-occurrence network. Representative causes of and measures against occupational accidents caused by health hazardous properties were summarized from the extracted typical cases. Although few occupational accidents were caused by the health hazards of chemicals, when all health hazards were classified into acute toxicity, acute health hazard, and chronic health hazard, contact was a clear cause for many of the acute toxicity and acute health hazards, such as corrosiveness and sensitization. However, many occupational accidents were caused by the physical hazardous aspects of the chemical substances or by the safety aspects of the workplace. Causes of occupational accidents due to health hazards included unsafe behavior and unsafe conditions, or lack of understanding of the physicochemical properties of a substance and specific reactions such as mixing or hydrolysis of the substance. Typical risk reduction measures for health hazards included equipment to prevent human contact with health hazardous substances, systems to control unsafe behavior, promoting understanding of chemical reactions, and providing information about chemicals to all persons involved in testing, research, and subcontract work. The data of occupational accident cases of "death or more than 4 days lost from work" were used. Most of the cases were related to acute health hazards, but relatively few to chronic health hazards, and few occupational accidents were caused by health hazards. Most of the occupational accidents were caused by health hazards due to the physical hazards of chemical substances and inadequate workplace safety. In light of the above, it is necessary in autonomous chemical substance management to first take risk reduction measures for workplace safety and chemical physical hazards, then to prevent contact with acute toxicity and acute health hazards such as corrosiveness and sensitization, and, lastly, to take risk reduction measures for chronic health hazards, using allowable concentrations and controlled concentrations as indices.

Long-term temporal analysis of fatal and severe occupational accidents in Central European forests of the Slovak Republic.

INTRODUCTION: Forestry is one of the most dangerous industries worldwide. Workers handle heavy loads and are exposed to numerous adverse factors of the work environment. This study was focused on analyzing severe and fatal occupational accidents over a long period. METHODS: Data were gathered from occupational safety and health databases of the State Forests of the Slovak Republic, which manages 879,113 ha of forests in Slovakia. Between 2007 and 2021, 210 severe and64 fatal accidents were recorded. The data analyses included contingency tables, Pearson χ2 test, and Cramer's V coefficient to analyze the relationships between studied variables. RESULTS: The mean annual number of fatalities was 14, occurring to workers aged 42 on average. Almost 80% of all fatal accidents were suffered by contractors of harvesting operations, who were 5.23 times more likely to suffer a fatality than company employees. On average, 1.28 severe and0.75 fatal accidents occurred per 1 million m3 of harvested timber. The outcomes of the correlation analysis showed a decreasing trend in incidence in the case of severe accidents. Workers ≤ 30 years or between 51 and 60 years of age were the most vulnerable in the case of fatal accidents. In the case of severe accidents, workers between 51 and 60 were the most vulnerable group. Most fatal accidents were suffered by tree fellers (72.2%) during felling (69.8%), who were in contact with falling trees and tree parts (93.7% share for this material agent). Conclusion and Practical Applications: The presented study identified the most vulnerable worker groups as well as the effects of factors on the occurrence of severe and fatal occupational accidents in forestry. The results will serve in development of occupational safety and health strategies in forest enterprises.

Avaliação do sistema de vigilância em saúde do trabalhador relacionada aos acidentes de trabalho, antes e após a implantação do software de linkage Sentinela, em Porto Alegre, 2018-2021 / Evaluation of the occupational health surveillance system before and after the implementation of the Sentinela linkage software, in Porto Alegre, 2018-2021 / Evaluación del sistema de vigilancia de la salud del trabajador relacionada con los accidentes de trabajo, antes y después de la implementación del software de enlace Sentinela, en Porto Alegre, 2018-2021

O objetivo deste artigo é avaliar, segundo alguns atributos, o sistema de vigilância dos acidentes de trabalho antes e após a implantação do software Sentinela (2018-2021), com base em uma pesquisa descritiva de dados secundários, e efetuar recomendações. Foram analisadas variáveis da ficha de investigação, de acordo com os atributos qualidade dos dados (completitude e consistência), oportunidade e representatividade. Os resultados mostraram que, após o Sentinela, houve aumento da notificação de acidentes (66,16%), maior completitude das variáveis, com importante alteração na 'atividade econômica' (98,9%) e 'evolução' (96,3%), diminuição dos campos ignorados/em branco, com destaque para o campo 'evolução' (3,7%), e melhora na oportunidade de controle dos acidentes fatais (79 dias). Concluímos que a vigilância dos acidentes de trabalho tem excelente qualidade dos dados, é representativa, mas inoportuna. O Sentinela melhorou o sistema, tornando-o mais sensível na captação dos acidentes e permitindo-lhe ter informações de melhor qualidade. É necessária a avaliação rotineira dos atributos, para aprimoramento constante do sistema, assim como rever as rotinas das equipes de saúde, melhorando a oportunidade de controle por meio de suas ações

This article aims to evaluate the occupational health surveillance system before and after the implementa-tion of the Sentinela software (2018-2021), according to some attributes and based on descriptive research using secondary data, and to make recommendations. Variables of the accident investigation report were analysed, according to the attributes of data quality (completeness and consistency), opportunity and rep-resentativeness. The results have revealed that after Sentinela, there was an increase in the notification of accidents (66.16%), greater completeness of the variables, with an important change in 'economic activity' (98.9%) and 'evolution' (96.3%), a decreased in blank fields/information missing, with emphasis on the 'evolution' field (3.7%), and an improvement in the opportunity to control fatal accidents (79 days). We have concluded that the surveillance of the occupational accidents has excellent data quality, is representative, but inopportune. The Sentinela has improved the system, making it more sensitive in capturing accidents, allowing it to provide better quality of information. An evaluation of the attributes is routinely necessary to constantly improve the system, as well as reviewing the routines of health professionals, improving the opportunity to control by their actions

El objetivo de este artículo es evaluar, según algunos atributos, el sistema de vigilancia de los accidentes de trabajo antes y después de la implementación del software Sentinela (2018-2021), por medio de una investigación descriptiva de datos secundarios, y hacer recomendaciones. Fueron analizadas variables de la ficha de investigación de accidentes, de acuerdo con los atributos de calidad de los datos (completitud y consistencia), oportunidad y representatividad. Los resultados demostraron que, después del Sentinela, ha habido un aumento de la notificación de accidentes (66,16 %), una mayor completitud de las variables, con un cambio importante en 'actividad económica' (98,9 %) y 'evolución' (96,3 %), una disminución de campos ignorados/en blanco, con énfasis en el campo 'evolución' (3,7%), y mejora en la probabilidad de control de los accidentes mortales (79 días). Concluimos que la vigilancia de los accidentes de trabajo tiene excelente calidad de datos, es representativa, pero inoportuna. El Sentinela ha mejorado el sistema, haciéndolo más sensible en la captación de los accidentes y permitiéndole tener informaciones de mejor calidad. La evaluación de los atributos con regularidad es necesaria para el perfeccionamiento constante del sistema, así como la revisión de las rutinas de los equipos de salud, mejorando la oportunidad de control a través de sus acciones

Predictors of rural driver self-reported passing behaviors when interacting with farm equipment on the roadway.

Background: Crashes involving farm equipment (FE) are a major safety concern for farmers as well as all other users of the public road system in both rural and urban areas. These crashes often involve passenger vehicle drivers striking the farm equipment from behind or attempting to pass, but little is known about drivers' perceived norms and self-reported passing behaviors. The objective of this study is to examine factors influencing drivers' farm equipment passing frequencies and their perceptions about the passing behaviors of other drivers. Methods: Data were collected via intercept surveys with adult drivers at local gas stations in two small rural towns in Iowa. The survey asked drivers about their demographic information, frequency of passing farm equipment, and perceptions of other drivers' passing behavior in their community and state when approaching farm equipment (proximal and distal descriptive norms). A multinomial logistic regression model was used to estimate the relationship between descriptive norms and self-reported passing behavior. Results: Survey data from 201 adult drivers showed that only 10% of respondents considered farm equipment crashes to be a top road safety concern. Respondents who perceived others passing farm equipment frequently in their community were more likely to report that they also frequently pass farm equipment. The results also showed interactions between gender and experience operating farm equipment in terms of self-reported passing behavior. Conclusions/Implications: Results from this study suggest local and state-level norms and perceptions of those norms may be important targets for intervention to improve individual driving behaviors around farm equipment.

Characteristics of fatal occupational injuries in migrant workers in South Korea: A machine learning study.

Objective: Analysis of occupational injuries is essential for developing preventive strategies. However, few studies have evaluated severe occupational injuries in migrant workers from the perspective of gender. Therefore, using a new analytical method, this study was performed to identify gender-specific characteristics associated with fatal occupational injuries among migrant workers; the interactions between these factors, were also analyzed. In addition, we compared the utility of explainable artificial intelligence (XAI) using SHapley Additive exPlanations (SHAP) with logistic regression (LR) and discuss caveats regarding its use. Materials and methods: We analyzed national statistics for occupational injuries among migrant workers (n = 67,576) in South Korea between January 1, 2007, and September 30, 2018. We applied an extreme gradient boosting model and developed SHAP and LR models for comparison. Results: We found clear gender differences in fatal occupational injuries among migrant workers, with males in the same occupation having a higher risk of death than females. These gender differences suggest the need for gender-specific occupational injury prevention interventions for migrant workers to reduce the mortality rate. Occupation was a significant predictor of death among female migrant workers only, with care jobs having the highest fatality risk. The occupational fatality risk of female workers would not have been identified without the performance of detailed job-specific analyses stratified by gender. The major advantages of SHAP identified in the present study were the automatic identification and analysis of interactions, ability to determine the relative contributions of each feature, and high overall performance. The major caveat when using SHAP is that causality cannot be established. Conclusion: Detailed job-specific analyses stratified by gender, and interventions considering the gender of migrant workers, are necessary to reduce occupational fatality rates. The XAI approach should be considered as a complementary analytical method for epidemiological studies, as it overcomes the limitations of traditional statistical analyses.

Statistical analysis of the severity of occupational accidents in the mining sector.

INTRODUCTION: The aim of this paper is to understand the causes of occupational accidents in Spain's mining sector in order to propose action plans and improve future accident rates. METHOD: This research analyzed a pool of data on 15,032 accidents occurring in the mining sector and reported to authorities between 2013 and 2018. Accidents are divided into three levels of severity: light, serious, and fatal. We study the influence of 12 variables on the accident severity rate in our sample. RESULTS: The results show that accident severity is related to age, gender, nationality, length of service, economic activity, company size, accident location, days of injury leave, day of the week, deviation, injury, and specific Spanish region. This sector produces a high rate of serious accidents compared to all other sectors; has a male-dominated, older and experienced workforce; and employs mainly Spanish workers. Its activity is concentrated in larger companies and the work involves the use of heavy machinery and dangerous materials. We offer conclusions and future lines of research to help regulators, companies and workers to improve worker safety.

Influence of communication determinants on safety commitment in a high-risk workplace: a systematic literature review of four communication dimensions.

Health, safety, and environment (HSE) are critical aspects of any industry, particularly in high-risk environments, such as the oil and gas industry. Continuous accident reports indicate the requirement for the effective implementation of safety rules, regulations, and practices. This systematic literature review examines the relationship between safety communication and safety commitment in high-risk workplaces, specifically focusing on the oil and gas industry. The review comprises 1,439 articles from 2004 to 2023, retrieved from the Scopus and Web of Science databases following the PRISMA comprehensive guidelines. This study considers safety communication, communication climate, and communication satisfaction to evaluate their influence on safety commitment under occupational health and safety. This study identifies safety commitment issues and their underlying factors, discussing measures for preventing and reducing accidents and incidents and highlighting preventive measures for future research. It also signifies the variables influencing accident and incident rates. The research underscores the importance of communication dimensions and the need for workers to possess adequate skills, knowledge, and attitudes regarding occupational safety and health procedures. Moreover, the study contributes to the industrial and academic domains by improving organizational safety commitment, promoting a safety culture, and developing effective communication strategies. Furthermore, practitioners may benefit from this comprehensive overview in developing, evaluating, and enhancing occupational safety.

Risk perception in the construction industry: A literature review and future research directions.

BACKGROUND: Risk perception is an intuitive risk about hazards to which people are exposed daily and is related to several factors. In the construction context, there is a need to identify and understand how risk perception is related to these factors; construction companies can implement this information to develop measures for effective risk management. OBJECTIVE: This literature review aims to identify recommendations for future research about factors that may be related to risk perception in construction workers. METHODS: We used the SPIDER tool and searched available electronic databases for the most recent research articles published on risk perception in the construction area. RESULTS: We identified main recommendations for future research: Behavior, environment and working conditions, risk assessment methods, culture, individual and demographic factors, and knowledge. CONCLUSION: Safety behavior is the primary variable of concern in studies related to risk perception in the construction area. Therefore, further research is needed to identify the factors that intervene and impact risk perception to reduce accident rates among construction industry workers.

Causes and circumstances of accidents at work in the European Union, Slovakia and Czech Republic.

There are several challenges in occupational safety and health that need to be addressed. The basic premise is the reduction of occupational accidents in individual sectors. Finding effective tools to reduce them is very challenging. Safety culture is perceived differently in the countries of the European Union. The basic intention of this article is to compare the accidents number in these two countries and in the European Union in selected NACE categories. This comparison is based on the statistical processing of data by NACE category and representation of accident rates in individual industries. The main causes of accidents were identified, which give space for further research in this field a state measures to prevent work accidents to happen or to reduce its numbers.

Acidentes de trabalho entre trabalhadoras(es) domésticas(os) sob a perspectiva de gênero, Brasil, 2016 a 2020 / Occupational injuries among domestic workers from the gender perspective, Brazil, 2016 to 2020 / Accidentes laborales entre trabajadoras(es) domésticas(os) desde una perspectiva de género, Brasil, de 2016 a 2020

Trabalhadoras(es) domésticas(os) estão submetidas(os) ao risco de acidentes de trabalho (AT) devido às atividades realizadas e à vulnerabilidade social relacionada à ocupação. Assim, o objetivo deste estudo é descrever as diferenças de gênero no perfil epidemiológico dos AT entre trabalhadoras(es) domésticas(os) no Brasil. Para tanto, realizou-se um estudo de casuística descritivo utilizando notificações dos AT com trabalhadoras(es) domésticas(os) do Sistema de Informação de Agravos de Notificação (Sinan), no período de 2016 a 2020. Dos 13.957 AT registrados para esse grupo ocupacional, foram mais frequentes aqueles com mulheres e homens não brancos, com escolaridade maior que oito anos e trabalhadores formais, embora a maioria desses casos não tenha gerado a Comunicação de Acidente de Trabalho. A maioria dos AT aconteceu com mulheres de 40 a 59 anos e homens mais jovens, de 18 a 39 anos. A ocupação de caseiro representou quase a totalidade dos registros de AT entre os homens, enquanto, entre as mulheres, as ocupações mais frequentes foram as de caseira e diarista. Diagnósticos de queda, impacto ou contato com objeto perfurocortante e acidentes de transporte foram os mais comuns. Embora a proporção de registros de AT entre ambos os sexos seja semelhante, os homens apresentam alguns indicadores de maior vulnerabilidade, e a maior formalidade em seus registros indica a invisibilidade das trabalhadoras domésticas mulheres e informais.

Domestic workers are at risk of occupational injuries (OI) due to the activities performed and the social vulnerability related to the occupation. Thus, the aim of this study is to describe gender differences in the epidemiological profile of OI among domestic workers in Brazil. Tio that end, a descriptive casuistry study using notifications of OI with domestic workers from the Notifiable Diseases Information System (SINAN), Brazil, was carried out from 2016 to 2020. Of the 13,957 OI registered for this occupational group, those with non-white women and men, with more than eight years of formal education and registered worker were more frequent, although most of these cases did not result in a Work Accident Communication. Most OI occurred with women aged 40 to 59 years and younger men, aged 18 to 39 years. The occupation housekeeping represented almost the totality of OI records among men, whereas among women, the most frequent occupations were housekeepers and day laborers. Diagnoses of falls, impact, or contact with sharp objects and transport accidents were the most common. Although the proportion of OI records between both sexes is similar, men show some indicators of greater vulnerability, and the greater formality in their registries indicates the invisibility of female and informal domestic workers.

Las(os) trabajadoras(es) domésticas(os) están sujetos al riesgo de accidentes de trabajo (AT), por las actividades que realizan y por la vulnerabilidad social de la ocupación. Este estudio tuvo por objetivo describir las diferencias de género en el perfil epidemiológico de AT entre trabajadoras(es) domésticas(os) en Brasil. Para ello, se realizó un estudio casuístico, descriptivo, con notificaciones de AT en trabajadoras(es) en el Sistema de Información de Enfermedades de Declaración Obligatoria (SINAN), recabadas entre 2016 y 2020. De los 13.957 AT registrados para este grupo ocupacional, la mayoría sucedió a mujeres y hombres no blancos, con más de ocho años de educación formal y a trabajadores informales, aunque la mayor parte de ellos no contó con la Comunicación por Accidente de Trabajo. La mayoría ocurrió en mujeres de 40 a 59 años y en hombres más jóvenes de 18 a 39 años. Los cuidadores de casas representaban casi todos los registros entre los hombres, mientras que, entre las mujeres, fueron las cuidadoras de casas y señoras de la limpieza a tiempo parcial. Los diagnósticos de caídas, impacto o contacto con objetos cortopunzantes y accidentes de transporte fueron los más frecuentes. Aunque la proporción de registros de AT entre ambos sexos es similar, los hombres muestran algunos indicadores de mayor vulnerabilidad, y la mayor formalidad de esos registros indica la invisibilidad de las trabajadoras de la limpieza y las trabajadoras informales.

Are men more likely to have serious occupational accidents? Findings of reported cases in Palmas, northern Brazil.

To ascertain whether male workers from Palmas, Tocantins state, northern Brazil, are more likely to have occupational accidents compared to female workers, all cases of serious occupational accidents reported between 2009 and 2019 were extracted from the Brazilian Notifiable Diseases Information System and compared with the economically active population according to sex. Men were found to be 6.2 times more likely to have a serious occupational accident compared to women. Therefore, reviewing occupational health and safety policies in predominantly male workplaces is necessary.

Para averiguar se trabalhadores do sexo masculino de Palmas, no estado do Tocantins, são mais propensos a terem acidentes de trabalho comparados com as do sexo feminino, foram extraídos do Sistema de Informação de Agravos de Notificação os casos de acidentes de trabalho graves notificados entre 2009 e 2019 e comparados com a população economicamente ativa de acordo com o sexo. Foi constatado que os homens apresentam 6,2 vezes mais chances de sofrerem um acidente de trabalho grave comparados com as mulheres. Portanto, é necessário rever as políticas de saúde e segurança do trabalhador nos ambientes de trabalho majoritariamente masculinos.

Implementation of Upper Extremity Trauma Registry: A Pilot Study.

Background: Hand traumas are common in young men and their complications can have negative effects on their occupation and economic activities. On the other hand, most of the hand injuries are related to occupation accidents and thus necessitates preventive measures. The goal of a clinical registry is assisting epidemiologic surveys, quality improvement preventions. Methods: This article explains the first phase of implementing a registry for upper extremity trauma. This phase includes recording of demographic data of patients. A questionnaire was designed. Contents include patients' characteristics, pattern of injury and past medical history in a minimal data set checklist. This questionnaire was filled in the emergency room by general practitioners. For 2 months the data were collected in paper based manner, then problems and obstacles were evaluated and corrected. During this period a web based software was designed. The registry was then ran for another 4 months using web based software. Results: From 6.11.2019 to 5.3.2020, 1675 patients were recorded in the registry. Random check of recorded data suggests that accuracy of records was about 95.5%. Most of the missing data was related to associated injuries and job experience. Some mechanisms of injury seems to be related to Iran community and thus warrants special attention for preventive activities. Conclusion: With a special registry personnel and supervision of plastic surgery faculties, an accurate record of data of upper extremity trauma is possible. The patterns of injury were remarkable and can be used for investigations and policy making for prevention.

Managing disabled workers due to occupational accidents in Indonesia: a case study on return to work program.

BACKGROUND: Limited research and studies prove the usefulness of case management for persons with disabilities, which helps disabled employees recover their dignity through medical vocational, and psychological rehabilitation in underdeveloped countries' Return To Work (RTW) programs. METHODS: This qualitative case study design involved semi structured interviews with case managers as the primary data source, supplemented by secondary data from BPJS Ketenagakerjaan. Data analysis utilized QDA Miner Lite and Python with ArcGIS integration for descriptive visualization. RESULTS: The RTW program of BPJS Ketenagakerjaan has already adopted ILO's fundamental suggestion, which creates two central themes: internal aspects that are essential to the RTW framework and external variables that impact RTW practice. The key themes produce six main pieces to discuss further: personal skill, personal literacy, providers, guidelines, authorities, and stakeholder support. CONCLUSION: Return to Work Program benefits companies, and the implementation of a career development service or a partnership with non-governmental organizations guarantees that disabled employees who cannot return to work with their former employers are still in the global economy.

[The problem of long/post-COVID in expert assessments]. / Problematik von Long­/Post-COVID in der Begutachtung.

Assessing long/post-COVID syndrome (PCS) following an infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a multidisciplinary challenge due to the diverse and complex symptoms. Besides discipline-specific evaluation of infection-related organ damage, the main issue is expert objectivity and causality assessment regarding subjective symptoms. The consequences of long/PCS raise questions of insurance rights in all fields of law. In cases of persistent impairment of performance, determining reduction in earning capacity is crucial for those affected. Recognition as an occupational disease (BK no. 3101) is vital for employees in healthcare and welfare sectors, along with occupational accident recognition and assessing the illness's consequences, including the reduction in earning capacity (MdE) in other sectors or work areas. Therefore, expert assessments of illness consequences and differentiation from previous illnesses or damage disposition are necessary in all areas of law, individually based on corresponding organ manifestations in medical fields and interdisciplinarily for complex late sequelae, for instance, by internists with appropriate qualifications for pulmonary or cardiac manifestations and neurologists, psychiatrists, and neuropsychologists for neurological and psychiatric manifestations, etc.