Accidents, diseases and health complaints among seafarers on German-flagged container ships.

BACKGROUND: For seafarers on the high seas health hazards are various and due to the setting also specific. The spectrum of job-related health impairments and accidents is mainly influenced by the maritime characteristics. The aim of this study is to assess the kind of accidents and the frequency of diseases and health complaints among seafarers on German container ships by evaluating medical log books. METHODS: A systematic analysis of 14,628 medical entries from 95 medical log books of 58 container ships under German flag from 1995 to 2015 was performed. This monocentric retrospective and descriptive study used information on accidents, diseases and health complaints among different occupational groups and medical treatment procedures for the analysis and evaluation. RESULTS: The analysis showed that more than one third of all consultations with the Health Officer on board are related to internal (33.7%) and surgical (31.3%) symptoms. Almost twenty percent of consultations were due to respiratory infections (19.6%) and accidents (17.9%). Accidents represented the most frequent reason for unfitness for sea service (31.2%). Based on occupational categories, most injuries occurred among deck crew (22.5%), followed by ratings working in the engine room (18.9%). In 106 cases, telemedical contact with a physician ashore was necessary. In total, 15 seafarers had to be evacuated from the ship for further medical treatment onshore. Medicine/drug application was the most common therapeutic measure on board, accounting for 77% of all consultations. CONCLUSIONS: The high proportion of health complaints and accidents among seafarers shows that there is a need to optimize medical care at sea and accident prevention, e.g. by standardized treatment algorithms or improving the medical training of Health Officers. The development and introduction of a digital patient file to record medical treatments on the vessels could also improve medical documentation on board.

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.

Tratamiento combinado de Espongostan® y Mepitel® en heridas con pérdida de sustancia y abundante sangrado / Combined treatment of Espongostan® and Mepitel® in wounds with loss of substance and abundant bleeding: a case series

Objetivo: Las heridas por pérdida de sustancia en las yemas de los dedos son dolorosas, incapacitantes y sangran abundantemente. El tratamiento recomendado es a base de Espongostan®, aunque este producto puede combinarse con Mepitel®. La combinación de ambos tratamientos podría reducir el dolor y minimizar el sangrado en curas sucesivas. El objetivo de este estudio es describir la aplicación del tratamiento combinado de Espongostan® y Mepitel®. Además, se describirá la evolución del dolor y el sangrado en estos pacientes. Descripción del caso: Se aplicó el tratamiento combinado a 6 pacientes con heridas de pérdida de sustancia en las yemas de los dedos. Resultados: La escala EVA se mantuvo en valores moderados o se redujo a leve en curas sucesivas. Los pacientes no describen signos de dolor destacables al retirar el Espongostan®. Por otro lado, el sangrado remitió antes de 8 días. La tasa promedio de remisión del sangrado se situó en 1 caso por 4 días. Conclusión: La cura combinada es altamente positiva para minimizar el dolor y el sangrado, reduciendo por consiguiente las molestias derivadas sobre los pacientes. (AU)

Objective: Loss of substance wounds on the pads of the fingers are painful, disabling, and have profuse bleeding. The recommended treatment is based on Espongostan®, although this product may be combined with Mepitel ®. The combination of both treatments could reduce pain and minimize bleeding in successive cures. The objective of this study is to describe the application of the combined treatment of Espongostan® and Mepitel®. In addition, the evolution of pain and bleeding in these patients will be described. Description of the case: We applied the combined treatment to 6 patients with loss of substance wounds on the pads of the fingers. Results: The VAS scale remained at moderate values or was reduced to mild in successive cures. Patients do not describe noticeable signs of pain when removing the Espongostan®. Bleeding subsided before 8 days. The average bleeding remission rate was 1 case per 4 days. Conclusion: The combined cure is highly positive for minimizing pain, bleeding and reducing discomfort caused to patients. (AU)

[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.

Establishing the root causes of unsafe behaviors among construction workers: an integrative interpretive structural modeling analysis.

There has been a significant decline in worker productivity at construction sites globally owing to the increase in accidents and fatalities due to unsafe behavior among workers. Although many studies have explored the incidence of unsafe behaviors among construction workers, limited studies have attempted to evaluate the causal factors and to determine the root causes. An integrative interpretive structural modeling analysis of the interrelationships that exist between these causal factors established from relevant literature was conducted in this study to determine the root factors hence bridging this gap. Fifteen causal factors were identified through literature review, and the nature of interrelationships between them was determined using interpretive structural modeling (ISM) and a Cross-impact matrix multiplication applied to classification (MICMAC) analysis. Data was obtained from a purposively selected cohort of experts using semi-structured interviews. The emergent data was subsequently analyzed using the ISM and MICMAC analysis to ascertain the interrelationships between the causal factors. The results of the study showed that age, sleep quality, degree of interaction and workers' skillsets were the root causes of unsafe behavior among construction workers. Besides engendering the establishment of the root causes of unsafe behavior among construction workers, the results of this study will facilitate the prioritization of appropriate solutions for tackling the menace.

The health and safety of being fishermen: A Systematic Review.

Objectives: To explore the occupational safety and health of fishermen in coastal areas, and the causes and health problems experienced by them. Method: The systematic review was conducted in February 2021, and comprised search on Google Cendekia, ScienceDirect, ProQuest, PubMed and BioMed Central databases for relevant studies published in English or Indonesian from 2016 to February 2021. The key words used were fisheries, fishermen, occupational, safety and health. The studies identified were assessed using population-intervention-control-outcomes-study framework. RESULTS: Of the 24,271 studies initially identified, 23(0.09%) were reviewed in detail. Findings showed that fishing accidents occurred every year, causing traumatic injuries. The cause of such accidents had both internal and external factors. Health problems experienced by the fishermen included physical and mental health disorders. CONCLUSIONS: The occupational safety and health of fishermen need to be paid attention to.

Examining injury trends in parcel delivery drivers in the United States: Challenges and opportunities.

INTRODUCTION: Growth of e-commerce has caused a vast increase in parcel delivery, which raises concern for safety of drivers and other road users as more deliveries take place. METHODS: This project analyzes injury/illness and fatality trends among workers with delivery-related NAICS codes using three major sources of occupational hazard data in the United States: the Survey of Occupational Illnesses and Injuries, the Census of Fatal Occupational Injuries, and the Industrial Tracking Application. Descriptive statistics were employed to illustrate trends over time as well as to highlight opportunities for improved data collection and dissemination. RESULTS: The number of injuries to drivers has risen sharply over the past decade. Some of this increase appears due to growth of this industry, but increasing overall rates suggest the industry is becoming more hazardous. While nonfatal injuries were typically caused by continuous workplace exposures (e.g., repetitive strain, contact with object/equipment), fatalities were almost exclusively caused by transportation incidents. Additionally, crucial aspects of these trends are difficult or impossible to analyze given the current data landscape. CONCLUSIONS: Observed trends reinforce earlier calls for additional scrutiny of working conditions that threaten drivers. Injuries caused by transportation incidents are likely more severe than others and highlight the danger the transportation system poses to drivers and others. Current data collection and dissemination processes offer room to improve in terms of understanding how to prevent future injuries.

Fatal exsanguination following complete transection of femoral vessels due to angle grinder injury in an industrial accident.

Angle grinders are one of the most dangerous and frequently used tools in industrial settings. Angle grinder injuries range from superficial cuts to deep penetrating injuries with underlying fracture-dislocation and vascular trauma. The injuries caused by angle grinders mostly involve the head, face, or upper limbs, while the lower limb is an unusual site. The high-speed rotating disc of the angle grinders does not respect anatomical boundaries or structures; therefore, the injuries caused may be disfiguring, permanently incapacitating, or even fatal. We report a fatal case of an angle grinder injury to the lower limb. The victim sustained a sharp cut over the left thigh while woodworking in an industrial setup. The rotating disc of an angle grinder had transected the skin, subcutaneous fat and muscles, and both the femoral vessels of the left side, which led to fatal exsanguination within 10 min of the incident.

Investigation of Unsafe Acts Influence Law Based on System Dynamics Simulation: Thoughts on Behavior Mechanism and Safety Control.

In modern safety management, it is very important to study the influence of the whole safety system on unsafe acts in order to prevent accidents. However, theoretical research in this area is sparse. In order to obtain the influence law of various factors in the safety system on unsafe acts, this paper used system dynamics simulation to carry out theoretical research. First, based on a summary of the causes of the coal and gas outburst accidents, a dynamic simulation model for unsafe acts was established. Second, the system dynamics model is applied to investigate the influence of various safety system factors on unsafe acts. Third, the mechanism and the control measures of unsafe acts in the enterprise safety system are studied. This study's main result and conclusions are as follows: (1) In the new coalmines, the influence of the safety culture, safety management system, and safety ability on the safety acts were similar. The order of influence on the safety acts in production coalmines is as follows: safety management system > safety ability > safety culture. The difference is most evident in months ten to eighteen. The higher the safety level and safety construction standard of the company, the greater the difference. (2) In the construction of the safety culture, the order of influence was as follows: safety measure elements > safety responsibility elements = safety discipline elements > safety concept elements. It shows the difference in influence from the 6th month and attains its maximum value from the 12th month to the 14th month. (3) In the construction of the safety management system, the degree of influence in new coalmines was as follows: safety policy > safety management organization structure > safety management procedures. Among them, especially in the first 18 months, the impact of the safety policy was most apparent. However, in the production mine, the degree of influence was as follows: safety management organization structure > safety management procedures > safety policy, but the difference is very small. (4) The degree of influence on the construct of safety ability was as follows: safety knowledge > safety psychology = safety habits > safety awareness, but the difference on the impact was small.

A Cohort Study of Occupational Fatalities among Paramedicine Clinicians: 2003 through 2020.

INTRODUCTION/STUDY OBJECTIVES: Emergency medical technicians (EMTs) and paramedics respond to 40 million calls for assistance every year in the United States; these paramedicine clinicians are a critical component of the nation's health care, disaster response, public safety, and public health systems. The study objective is to identify the risks of occupational fatalities among paramedicine clinicians working in the United States. METHODS: To determine fatality rates and relative risks, this cohort study focused on 2003 through 2020 data of individuals classified as EMTs and paramedics by the United States Department of Labor (DOL). Data provided by the DOL and accessed through its website were used for the analyses. The DOL classifies EMTs and paramedics who have the job title of fire fighter as fire fighters and so they were not included in this analysis. It is unknown how many paramedicine clinicians employed by hospitals, police departments, or other agencies are classified as health workers, police officers, or other and were not included in this analysis. RESULTS: An average of 206,000 paramedicine clinicians per year were employed in the United States during the study period; approximately one-third were women. Thirty percent (30%) were employed by local governments. Of the 204 total fatalities, 153 (75%) were transportation-related incidents. Over one-half of the 204 cases were classified as "multiple traumatic injuries and disorders." The fatality rate for men was three-times higher than for women (95% confidence interval [CI], 1.4 to 6.3). The fatality rate for paramedicine clinicians was eight-times higher than the rate for other health care practitioners (95% CI, 5.8 to 10.1) and 60% higher than the rate for all United States workers (95% CI, 1.24 to 2.04). CONCLUSIONS: Approximately 11 paramedicine clinicians are documented as dying every year. The highest risk is from transportation-related events. However, the methods used by the DOL for tracking occupational fatalities means that many cases among paramedicine clinicians are not included. A better data system, and paramedicine clinician-specific research, are needed to inform the development and implementation of evidence-based interventions to prevent occupational fatalities. Research, and the resulting evidence-based interventions, are needed to meet what should be the ultimate goal of zero occupational fatalities for paramedicine clinicians in the United States and internationally.

[Accidents with biological material: factors associated with the non-use of personal protective equipment in Southern Brazil]. / Acidentes com material biológico: fatores associados ao não uso de equipamentos de proteção individual no Sul do Brasil.

Personal protective equipment (PPE) should be adopted by all professional groups exposed to risks of contact with biological material. The aim is to analyze factors associated with the non-use of PPE by workers affected by occupational accidents with biological material. A quantitative, cross-sectional study was conducted to analyze notification forms of occupational accidents with biological material in municipalities in southern Brazil, from 2014 to 2019. Adjusted and unadjusted data analysis was performed and, subsequently, hierarchical analysis was used, and associations between independent variables and the outcome were established. The frequency of non-use of PPE over the years was 76.5%. At the end of the hierarchical analysis, the factors associated with the non-use of PPE were: years of accident occurrence, formal work status, recapping of materials, venous/arterial puncture, medication administration, inadequate disposal of materials, use of materials such as blades and lancets, and exposure of intact and non-intact skin. The factors analyzed showed a significant association with the non-use of PPE and work accidents with biological material, and highlight the importance of intervention strategies based on the reality experienced in each work environment.

Os equipamentos de proteção individual (EPIs) devem ser adotados por todos os grupos profissionais expostos a riscos de contato com material biológico. O objetivo é analisar fatores associados à não utilização de EPIs por trabalhadores acometidos por acidentes ocupacionais com material biológico. Estudo quantitativo, transversal, em que foram analisadas fichas de notificação de acidentes de trabalho com material biológico de municípios do Sul do Brasil de 2014 a 2019. Realizou-se análise não ajustada e ajustada dos dados e, após, utilizou-se a análise hierarquizada, sendo estabelecidas associações entre variáveis independentes e o desfecho. A frequência de não uso de EPI entre os anos foi de 76,5%. Ao final da análise hierarquizada, os fatores associados à não utilização de EPI foram: anos de ocorrência do acidente, situação de trabalho formal, reencape de materiais, punção venosa/arterial, administração de medicação, descarte inadequado de materiais, utilização de materiais como lâminas e lancetas e exposição da pele íntegra e não íntegra. Os fatores analisados apresentaram significativa associação com o não uso de EPIs e acidentes de trabalho com material biológico e ressaltam a importância de estratégias de intervenções baseadas na realidade vivenciada por cada ambiente laboral.

Risk-Reduction Research in Occupational Safety and Ergonomics: An Editorial.

Occupational health and safety is one of the pillars of public health [...].

Robot-related fatalities at work in the United States, 1992-2017.

BACKGROUND: Industrial robots became more commonplace in the US workplace during the mid- to latter part of the twentieth century. Recent scientific advances have led to the development of new types of robots, resulting in rapidly changing work environments. Information on occupational robot-related fatalities is currently limited for this developing field. METHODS: Robot fatalities were identified by a keyword search in restricted-access research files from the Census of Fatal Occupational Injuries (CFOI) surveillance system of the Bureau of Labor Statistics from the years 1992-2017. RESULTS: There were 41 robot-related fatalities identified by the keyword search during the 26-year period of this study, 85% of which were males, with the most cases (29%) occurring within the age group 35-44 years. Fatalities occurred primarily with large employers that were geographically clustered, with the Midwest accounting for 46% of the total. Most of the cases involved stationary robots (83%) and robots striking the decedents while operating under their own power (78%). Many of these striking incidents occurred while maintenance was being performed on a robot. CONCLUSIONS: The changing nature of robotics in the workplace suggests that emerging technologies may introduce new hazards in the workplace. Emerging technologies have led to an increase in the number of robots in the workplace and to increased human exposure to robotic machinery. These patterns demonstrate that public health professionals will likely face significant challenges to keep pace with developments in robotics to ensure the safety and health of workers across the country.

Analysis of Exertion-Related Injuries and Fatalities in Laborers in the United States.

Laborers are particularly vulnerable to exertional injuries and illnesses, as they often engage in heavy physical work for prolonged hours, yet no studies have examined the top causes of catastrophic exertional injuries and fatalities among this population. The purpose of the investigation was to characterize the top causes of exertional injury and fatality within open access, Occupational Safety and Health Administration (OSHA) reportable data. A secondary analysis of OSHA reported injury and fatality data was performed through open access records from OSHA Severe Injury Reports (2015-2022) and OSHA fatality inspection data (2017-2020), respectively. The research team characterized each reported injury and fatality as "exertion-related" or "non-exertion-related. Injury and fatality rates were reported per 100,000 equivalent full-time worker years and included 95% confidence intervals (95% CI). Of 58,648 cases in the OSHA Severe Injury Report database from 2015-2020, 1682 cases (2.9%) were characterized as exertional (0.20 injuries per 100,000 full-time worker years, 95% CI: 0.19, 0.22). Heat-related injuries encompassed 91.9% of the exertional injuries (n = 1546). From the 2017-2022 OSHA fatality inspection database, 89 (1.9%) of 4598 fatalities were characterized as exertion-related (fatality rate: 0.0160 per 100,000 full-time equivalent workers, 95% CI: 0.009, 0.0134). The exertion-related fatalities primarily consisted of heat-related cases (87.6%). Exertion-related injuries and fatalities were most reported in Southeast states, in the construction and excavation industry, and among nonunionized workers. As heat stress continues to be recognized as an occupational health and safety hazard, this analysis further highlights the need for targeted interventions or further evaluation of the impact of heat stress on construction and excavation workers, nonunionized workers, and workers in Southeastern states.

Analysis of Risk Factors of Coal Chemical Enterprises Based on Text Mining.

Coal chemical enterprises have many risk factors, and the causes of accidents are complex. The traditional risk assessment methods rely on expert experience and previous literature to determine the causes of accidents, which has the problems such as lack of objectivity and low interpretation ability. Analyzing the accident report helps to identify typical accident risk factors and determines the accident evolution rule. However, experts usually judge this work manually, which is subjective and time-consuming. This paper developed an improved approach to identify safety risk factors from a volume of coal chemical accident reports using text mining (TM) technology. Firstly, the accident report was preprocessed, and the Term Frequency Inverse Document Frequency (TF-IDF) was used for feature extraction. Then, the K-means algorithm and apriori algorithm were developed to cluster and for the association rule analysis of the vectorized documents in the TF-IDF matrix, respectively to quickly identify the hidden risk factors and the relationship between risk factors in the accident report and to propose targeted safety management measures. Using the sample data of 505 accidents in a large coal chemical enterprise in Western China in the past seven years, the enterprise accident reports were analyzed by text clustering analysis and association rule analysis methods. Through the analysis, six accident clusters and 13 association rules were obtained, and the main risk factors of each accident cluster were further mined, and the corresponding management suggestions were put forward for the enterprise. This method provides a new idea for coal chemical enterprises to make safety management decisions and helps to prevent safety accidents.

Using Nuclear Energy for Maritime Decarbonization and Related Environmental Challenges: Existing Regulatory Shortcomings and Improvements.

In recent years, the use of nuclear energy as propulsion for merchant ships has been proposed as a means of promoting the transition toward maritime decarbonization and environmentally sustainable shipping. However, there are concerns that nuclear-powered merchant ships could pose risks to the marine environment in the event of accidents, such as collisions, machinery failure or damage, fire, or explosions. The current international regulatory framework for nuclear-powered merchant ships is insufficient to address these risks. This research aims to address this gap by conducting a policy analysis of the existing regulations and a critical examination of their effectiveness in addressing the environmental risks of nuclear-powered merchant ships. Through this analysis, the study identifies the shortcomings and insufficiencies in the current framework and explores potential solutions to improve it, with the goal of enhancing the international community's ability to mitigate the potential impacts of radioactive marine pollution from nuclear-propelled ships in an era of maritime decarbonization.

Framework for Integrating Productive, Contributory, and Noncontributory Work with Safe and Unsafe Acts and Conditions.

It is common for companies that are in the process of implementing the Last Planner System (LPS) journey to attempt an increase in productive work and a reduction in waste, such as contributory and noncontributory work. Even though the LPS has proven to have a synergy with the health and safety requirements, companies with deficient health and safety management systems tend to classify work involving substandard acts or conditions as standard, and then pretend to benchmark against other companies that are indeed performing safe work. The following work introduces a framework to simultaneously register and analyze productive, contributory, and noncontributory work, with the substandard acts and conditions in a construction site, allowing for the measurement of production and health & safety indicators simultaneously. In the absence of technology that automatically captures these indicators, it is proposed that simultaneous measurements be made through direct inspections and photo and video recording by means of a handheld camera. The proposed continuous improvement framework follows the steps indicated below: (1) defining the productive, contributory, and noncontributory work with surveys performed on the most representative stakeholders of the industry; (2) proposing a new classification of production and safety work; (3) assessing the level of application of the LPS in the company; (4) measuring the indicators; (5) improving the use of the LPS and performing new measurements; (6) statistically linking deadly, serious, and minor accidents, standard and substandard acts, standard and substandard conditions, and productive, contributory, and noncontributory work. This framework was applied to a case study of a building project in Lima and the results were improved simultaneous indicators, especially the health and safety indicators. Automated classification of productive and nonproductive work using technology still represents a challenge.

Using Structural Equation Modelling to Predict Safety and Health Status among Stone Industries.

BACKGROUND: The creation of a working organization with a high safety level ensures employees' health in their workplaces, therefore current study evaluated effect the organizational structure on the safety and health in the stone industry. METHODS: The study was done among the 100 stone industries in Isfahan, Iran. We asked selected participants to complete the organizational structure questionnaire and ELMERI checklists. tested the hypothesis with Smart PLS 3.0. RESULTS: The model fit index showed the standardized root mean square (SRMR=0.08), the normalized fit index (NFI=0.9), The coefficient of determination (R2 = 0.362), Effect size (ƒ2 was less than 0.2), and the Predictive relevance of the model (Q2=0.216) which is considered a good fit for mode. Also, the relation between formalization and health and safety was significant (ß = -0.47). CONCLUSION: findings suggest that Organization factors are the basic reasons associated with occupational accidents and the main indicator of safety and health performance.

Comparison of Trends in the Incidence of Traumatic Spinal Cord Injury in Daily Life, Automobile Accidents, and Industrial Accidents: A National Multi-Insurance Study in Korea.

BACKGROUND: To examine the incidence of traumatic spinal cord injury (TSCI) from all etiologies, we measured and compared the incidence of TSCI from three national or quasi-national databases in South Korea, namely, the National Health Insurance Service (NHIS), automobile insurance (AUI), and Industrial Accident Compensation Insurance (IACI). METHODS: We reviewed patients with TSCI reported in the NHIS database between 2009 and 2018, and in the AUI and IACI databases between 2014 and 2018. TSCI patients were defined as those first admitted to the hospital with a diagnosis of TSCI according to the International Classification of Diseases (10th revision) criteria. Age-adjusted incidence was calculated using direct standardization using the 2005 South Korean population or the 2000 US population as the standard population. The annual percentage changes (APC) of TSCI incidence were calculated. The Cochrane-Armitage trend test was performed according to the injured body region. RESULTS: In the NHIS database, age-adjusted TSCI incidence using the Korean standard population increased significantly from 2009 to 2018 (from 33.73 per million in 2009 to 38.14 per million in 2018, APC = 1.2%, P = 0.014). Contrarily, age-adjusted incidence in the AUI database significantly decreased from 13.88 per million in 2014 to 11.57 per million in 2018 (APC = - 5.1%, P = 0.009). In the IACI database, the age-adjusted incidence showed no significant difference, while crude incidence showed a significant increase (from 22.02 per million in 2014 to 28.92 per million in 2018, APC = 6.1%, P = 0.038). According to the age group, all the three databases showed high incidences of TSCI in those in their 60s and 70s or older. Among those in their 70s or older, the incidence of TSCI increased dramatically in the NHIS and IACI databases, while no significant trend was found in AUI database. In 2018, the number of TSCI patients was the highest among those over 70 years of age in the NHIS, whereas among those in their 50s were the highest in both AUI and IACI. The proportion of patients with cervical spinal cord injury was the most common in all these databases. CONCLUSIONS: The differences in trends in the incidence of TSCI may be due to the different etiologies and different characteristics of subjects depending on insurance type. These results imply the need for tailored medical strategies for the different injury mechanisms represented by three national insurance services in South Korea.

Accidente laboral y estresores de la organización del trabajo en el personal de salud: una mirada desde la seguridad y la salud en el trabajo: revisión narrativa / Workplace accident and work organization stressors in health personnel: a narrative review from safety and health at work / Acidentes de trabalho e estressores da organização do trabalho em profissionais de saúde: uma perspectiva de segurança e saúde no trabalho: revisão narrativa

Los accidentes laborales en el personal de salud se presentan como consecuencia de los estresores de la organización del trabajo. Estos estresores afectan la satisfacción laboral y la productividad. El objetivo de la presente revisión es reportar la evidencia científica sobre la relación entre el accidente laboral y los estresores de la organización del trabajo en el personal de salud, desde la perspectiva de la seguridad y salud en el trabajo. En la recolección de información se identificaron inicialmente 190 artículos, de los cuales se excluyeron siete por duplicación; se revisaron 183 títulos y resúmenes, descartando 139 de ellos. Luego, se revisaron 44 estudios completos, descartando 17. Por último, fueron incluidos en la revisión 27 estudios que cumplieron con los criterios de elegibilidad. En el sector salud los accidentes laborales se encuentran ligados a factores como la sobre­carga, largas jornadas de trabajo y el turno nocturno, que afectan de forma negativa la salud y el bienestar de los trabajadores. Los estresores de la organización del trabajo, específicamente la sobrecarga laboral, la falta o insuficiencia de recursos humanos y las jornadas extendidas de trabajo, son la principal causa de accidentes de origen laboral en el personal de salud, por ello, es necesario implementar estrategias de prevención y control tendientes al mejoramiento de las condiciones de salud y bienestar de los trabajadores.

Workplace accidents in health personnel occur as a consequence of work organization stressors. These stressors affect job satisfaction and productivity. The objective of this review is to report the scientific evidence on the relationship between workplace accidents and work organization stressors in health personnel, from the perspective of safety and health at work. In the collection of information, 190 articles were initially identified, of which seven were excluded due to duplication; 183 titles and abstracts were reviewed, discarding 139 of them. Then, 44 complete studies were reviewed, discarding 17. Finally, 27 studies that met the eligibility criteria were included in the review. In the health sector, workplace accidents are linked to factors such as overload, long work hours and night shifts, which negatively affect the health and well-being of health workers. The stressors of work organization, specifically work overload, the lack or insufficiency of human resources and extended working hours, are the main cause of work-related accidents in health personnel. Therefore, it is necessary to implement prevention and control management strategies aimed at improving the health and well-being of health workers.

Os acidentes de trabalho em profissionais de saúde ocorrem como consequência dos estressores da organização do trabalho. Esses estressores afetam a satisfação no trabal-ho e a produtividade. O objetivo desta revisão é relatar as evidências científicas sobre a relação entre acidentes de trabalho e estressores da organização do trabalho em profissionais de saúde, sob a perspectiva da saúde e segurança ocupacional. Na coleta de informações, inicialmente foram identificados 190 artigos, dos quais sete foram excluídos por duplicidade; Foram revisados 183 títulos e resumos, descartando-se 139 deles. Em seguida, 44 estudos completos foram revisados, descartando 17. Finalmente, 27 estudos que atenderam aos critérios de elegibilidade foram incluídos na revisão. No setor saúde, os acidentes de trabalho estão ligados a fatores como sobrecarga, longas jornadas de trabalho e plantões noturnos, que afetam negativamente a saúde e o bem-estar dos trabalhadores. Os estressores da organização do trabalho, especificamente a sobrecarga de trabalho, a falta ou insuficiência de recursos humanos e as jornadas de trabalho extensas, são a principal causa de acidentes de trabalho em profissionais de saúde, portanto, é necessário implementar estratégias de prevenção e controle que visem melhorar a saúde e o bem-estar dos trabalhadores.