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1.
Arch Prev Riesgos Labor ; 25(2): 80-85, 2022 Apr 15.
Artigo em Espanhol | MEDLINE | ID: mdl-35426267

RESUMO

La OMS ha calificado la indecisión ante las vacunas como uno de los 10 problemas más graves que amenazan la salud pública mundial. Esta reticencia a vacunarse, creciente en los últimos años, no excluye a los profesionales sanitarios. 77.000 trabajadores, el 7%, según la última Encuesta de Población Activa (EPA) de España realizada en septiembre de 2021, continuaban sin estar vacunados contra el SARS-CoV-2. Con respecto a la vacunación antigripal, aunque la pandemia ha motivado a vacunarse por primera vez a un 32% por ciento del personal sanitario (veremos si se mantiene esta tendencia en los próximos años), un 26% no lo ha hecho(3). Hay que tener en cuenta que, previa a la pandemia, sólo el 39% de los trabajadores se vacunaban de la gripe, cifra muy alejada de las recomendaciones de la OMS, que fija como objetivo la vacunación de, al menos, el 75% del personal sanitario….


Assuntos
Bombeiros , Incêndios , Exposição Ocupacional , Humanos
2.
Front Public Health ; 10: 870772, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35480571

RESUMO

Perceived organizational support (POS) in the relationship between neuroticism and job burnout among firefighters received little attention in China. A sampling of 716 firefighters in China, we drew on perceived organization support theory and the notion of support as a buffer in job burnout, examining moderating effects of POS on the relationship between neuroticism and three components of burnout (emotional exhaustion, depersonalization and reduced personal accomplishment). Also, this study explored the mediating effect of burnout on the relationship between neuroticism and mental health (i.e., anxiety and depression). We found that two components (depersonalization and emotional exhaustion) of burnout have significantly mediated the relationship between neuroticism and anxiety and depression. At the same time, POS reinforced the relationship between neuroticism and depersonalization and emotional exhaustion. Therefore, organizations can take our analysis into account when taking actions to improve firefighters' mental health. The implications of these findings were discussed.


Assuntos
Esgotamento Profissional , Bombeiros , Esgotamento Profissional/psicologia , Estudos Transversais , Humanos , Satisfação no Emprego , Saúde Mental , Neuroticismo
3.
JAMA Netw Open ; 5(4): e226257, 2022 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-35394514

RESUMO

Importance: Elevated levels of blood perfluoroalkyl and polyfluoroalkyl substances (PFASs) have been associated with a range of adverse health outcomes. Firefighters have been exposed to PFASs in firefighting foams and have previously been shown to have higher PFAS levels in blood samples than the general population. No interventions have been shown to reduce PFAS levels. Objective: To examine the effect of blood or plasma donations on PFAS levels in firefighters in Australia. Design, Setting, and Participants: This 52-week, open-label, randomized clinical trial enrolled participants from May 23 to August 23, 2019. Participants were 285 Fire Rescue Victoria staff or contractors with serum levels of perfluorooctane sulfonate (PFOS) of 5 ng/mL or more who were eligible to donate blood, had not donated blood in the 3 months prior to randomization, and were able to provide written informed consent. Analysis was performed on an intention-to-treat basis from May to July 2021. Interventions: Firefighters with baseline PFOS levels of 5 ng/mL or more were randomly assigned to donate plasma every 6 weeks for 12 months, donate blood every 12 weeks for 12 months, or be observed only. Main Outcomes and Measures: The primary end points were changes in the serum PFOS and perfluorohexane sulfonic acid (PFHxS) levels after 12 months of plasma or blood donations or after observation only. Secondary end points included changes in serum PFAS levels from week 52 to week 64, changes in other PFASs, and changes in complete blood count, biochemistry, thyroid function, and lipid profile from screening to week 52. Results: A total of 285 firefighters (279 men [97.9%]; mean [SD] age, 53.0 [8.4] years) were enrolled; 95 were randomly assigned to donate plasma, 95 were randomly assigned to donate blood, and 95 were randomly assigned to be observed. The mean level of PFOS at 12 months was significantly reduced by plasma donation (-2.9 ng/mL; 95% CI, -3.6 to -2.3 ng/mL; P < .001) and blood donation (-1.1 ng/mL; 95% CI, -1.5 to -0.7 ng/mL; P < .001) but was unchanged in the observation group. The mean level of PFHxS was significantly reduced by plasma donation (-1.1 ng/mL; 95% CI, -1.6 to -0.7 ng/mL; P < .001), but no significant change was observed in the blood donation or observation groups. Analysis between groups indicated that plasma donation had a larger treatment effect than blood donation, but both were significantly more efficacious than observation in reducing PFAS levels. Conclusions and Relevance: Plasma and blood donations caused greater reductions in serum PFAS levels than observation alone over a 12-month period. Further research is needed to evaluate the clinical implications of these findings. Trial Registration: anzctr.org.au Identifier: ACTRN12619000204145.


Assuntos
Bombeiros , Fluorcarbonetos , Doadores de Sangue , Humanos , Masculino , Pessoa de Meia-Idade , Vitória
4.
Int J Hyg Environ Health ; 242: 113969, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35421664

RESUMO

INTRODUCTION: Firefighters are exposed to volatile organic compounds (VOCs) during structural fire responses and training fires, several of which (e.g., benzene, acrolein, styrene) are known or probable carcinogens. Exposure studies have found that firefighters can absorb chemicals like benzene even when self-contained breathing apparatus (SCBA) are worn, suggesting that dermal absorption contributes to potentially harmful exposures. However, few studies have characterized VOC metabolites in urine from firefighters. OBJECTIVES: We quantified VOC metabolites in firefighters' urine following live firefighting activity across two field studies. METHODS: In two separate controlled field studies, spot urine was collected before and 3 h after firefighters and firefighter students responded to simulated residential and training fires. Urine was also collected from instructors from the training fire study before the first and 3 h after the last training scenario for each day (instructors led three training scenarios per day). Samples were analyzed for metabolites of VOCs to which firefighters may be exposed. RESULTS: In the residential fire study, urinary metabolites of xylenes (2MHA), toluene (BzMA), and styrene (MADA) increased significantly (at 0.05 level) from pre- to post-fire. In the training fire study, MADA concentrations increased significantly from pre- to post-fire for both firefighter students and instructors. Urinary concentrations of benzene metabolites (MUCA and PhMA) increased significantly from pre- to post-fire for instructors, while metabolites of xylenes (3MHA+4MHA) and acrolein (3HPMA) increased significantly for firefighter students. The two highest MUCA concentrations measured post-shift from instructors exceeded the BEI of 500 µg/g creatinine. CONCLUSIONS: Some of the metabolites that were significantly elevated post-fire are known or probable human carcinogens (benzene, styrene, acrolein); thus, exposure to these compounds should be eliminated or reduced as much as possible through the hierarchy of controls. Given stringent use of SCBA, it appears that dermal exposure contributes in part to the levels measured here.


Assuntos
Poluentes Ocupacionais do Ar , Bombeiros , Incêndios , Exposição Ocupacional , Hidrocarbonetos Policíclicos Aromáticos , Compostos Orgânicos Voláteis , Acroleína , Poluentes Ocupacionais do Ar/análise , Benzeno/análise , Carcinógenos , Bombeiros/educação , Humanos , Exposição Ocupacional/análise , Hidrocarbonetos Policíclicos Aromáticos/urina , Estirenos , Compostos Orgânicos Voláteis/análise , Xilenos
5.
Artigo em Inglês | MEDLINE | ID: mdl-35409735

RESUMO

In this study, we analyzed how organization-level demands and organizational-level social support relate to the core dimensions of burnout and work engagement, controlling for individual resources (i.e., proactive coping) and demands (i.e., acute demands) using the Job Demands-Resources Theory. In a sample of 1487 Portuguese firefighters nested within 70 fire brigades, hierarchical linear modeling indicated that: (1) proactive coping was related to lower burnout and higher work engagement, whereas acute demands were related to higher burnout and lower work engagement (for vigor only); (2) proactive coping moderated the relationship between acute demands and vigor; and (3) unexpectedly, social support from colleagues was not related to firefighters' well-being, whereas organization-level demands were related to higher burnout and lower work engagement. These results suggest the need to implement practices and policies to guarantee the relevant conditions for improving the well-being of firefighters, to develop coping strategies in a proactive way, and finally, to enhance support from colleagues.


Assuntos
Esgotamento Profissional , Bombeiros , Esgotamento Profissional/epidemiologia , Humanos , Satisfação no Emprego , Portugal , Inquéritos e Questionários , Engajamento no Trabalho , Carga de Trabalho
6.
Int J Hyg Environ Health ; 242: 113966, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35398800

RESUMO

Firefighters may be occupationally exposed to per- and polyfluoroalkyl substances (PFASs) through Aqueous Film-Forming Foam (AFFF), smoke, dust and turnout gear, in addition to other background exposure sources. Epidemiological assessment of PFAS exposure in an occupational cohort of firefighting staff commenced in 2013-2014, following cessation of PFAS-based AFFF in Australian aviation. Here we present the study design and methodology of a follow-up study conducted in 2018-2019. We focus on our experiences engaging with stakeholders and participants with the establishment of an inclusive study group and highlight the key lessons learned from implementing a co-design process in the study. The study included a cross-sectional assessment of blood serum concentrations of 40 PFASs, including perfluorooctanoic acid (PFOA), perfluorooctane sulfonate (PFOS) and perfluorohexane sulfonate (PFHxS), and 14 health-related biomarkers in 799 current and former Aviation Rescue Firefighting Services employees. A large proportion (87%) of the participants from the preliminary exposure study in 2013-2014 were re-recruited in the follow-up study. This enabled further longitudinal analyses in this subset of 130 participants. Participants included employees from different work roles and timeframes, reflecting the periods when three different firefighting foams were utilised in Australia. Establishment of a collaborative and inclusive study group (including stakeholders and participants) contributed to several components of the study design, including the expansion of robust analytical quality assurance and control measurements, and tailoring of communication and dissemination strategies. These outcomes were key factors that improved transparency of the research design, methods and results. Additionally, implementing elements of co-design helped build trust between researchers and participants, which is an important consideration for studies funded by stakeholders related to the exposure source.


Assuntos
Ácidos Alcanossulfônicos , Bombeiros , Fluorcarbonetos , Austrália , Monitoramento Biológico , Estudos Transversais , Seguimentos , Humanos , Projetos de Pesquisa , Água
7.
Sensors (Basel) ; 22(8)2022 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-35458912

RESUMO

Several mobile devices have multiple sensors on board and interact with smartphones. This allows for a complex online evaluation of physiological data, important for interactive psychophysiological assessments, which targets the triggering of psychological states based on physiological data such as heart rate variability (HRV). However, algorithms designed to trigger meaningful physiological processes are rare. One exception is the concept of additional HRV reduction (AddHRVr), which aims to control for metabolic-related changes in cardiac activity. In this study we present an approach, based on data of a previous study, which allows algorithm settings to be derived that could be used to automatically trigger the assessment of psychosocial states by online-analysis of transient HRV changes in a sample of 38 firefighters. Settings of a static and a dynamic AddHRVr algorithm were systematically manipulated and quantified by binary triggers. These triggers were subjected to multilevel models predicting increases of objective stress during a period of 24 h. Effect estimates (i.e., odds) and bootstrap power simulations were calculated to inform about the most robust algorithm settings. This study delivers evidence that a dynamic AddHRVr algorithm can trigger transitions of stress, which should be further validated in future interactive psychophysiological assessments.


Assuntos
Bombeiros , Algoritmos , Emoções , Frequência Cardíaca/fisiologia , Humanos , Psicofisiologia
8.
Am J Ind Med ; 65(6): 492-499, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35411620

RESUMO

PURPOSE: The original effort-reward imbalance (ERI) questionnaire has been widely used as a measure of occupational stress. The need for brief measurement of psychosocial stress at work has risen. This study examined the psychometric properties of a 16-item short form ERI (S-ERI) questionnaire. METHODS: A cross-sectional study was conducted with a convenience sample of 247 career firefighters in the United States. An internet-based survey contained the S-ERI questionnaire, and assessed perceived health, demographics, and work characteristics. Internal consistency was tested by item-total correlation and Cronbach's α coefficients. Factorial validity was assessed by confirmatory factor analysis (CFA), and criterion validity was examined by testing the S-ERI's association with perceived health, controlling for other factors. RESULTS: The study participants were primarily young and mid-aged White males (mean age = 42 years, 75% White non-Hispanic, 93% males). The S-ERI questionnaire showed satisfactory internal consistency, with Cronbach α coefficients above 0.80 for all three scales: effort 0.82, reward 0.83, and overcommitment 0.81. CFA showed all the S-ERI components had a good fit (goodness-of-fit index = 0.99, comparative fit index = 0.92, root mean square error of approximation = 0.06). In terms of criterion validity, significantly increased odds ratios (ORs) for perceived health (those indicating they were less healthy) were found in firefighters in the lowest tertile of reward (OR = 7.06, 95% confidence interval [CI]: 2.86-17.43), and highest tertile of overcommitment (OR = 2.29, 95% CI: 1.00-5.22), after controlling for other factors. CONCLUSION: The S-ERI questionnaire is a reliable and valid measure to assess occupational stress. We recommend the use of S-ERI as a measure of occupational stress when initiating efforts to improve firefighters' wellness.


Assuntos
Bombeiros , Estresse Ocupacional , Adulto , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/psicologia , Recompensa , Estresse Psicológico/psicologia , Inquéritos e Questionários
9.
Artigo em Inglês | MEDLINE | ID: mdl-35270278

RESUMO

The purpose of this study is to revise and modify the firefighter job-related performance tests from overseas to implement into the circumstances in Korea, examine its validity by analyzing the level of association between the test employed in the ongoing firefighter selection process, and propose a Korean firefighter job-related physical fitness test. Therefore, a modified version of Candidate Physical Ability Test (CPAT) from the United States firefighter selection process was conducted on 28 male firefighter officer candidates. Recorded results from VO2max, heart rate, blood lactate, anaerobic power test, and the ongoing Korean firefighter physical fitness test were analyzed to assess the validity of the modified test. IBM SPSS Statistics Ver. 27.0 was employed for the data correlation analysis in different fitness factors and the total circuit physical test time. The results revealed the proposed modified firefighter job-related physical fitness test showed significant correlation with VO2max (r = -0.450, p < 0.05), METS (r = -0.735, p < 0.01) recovery lactate over 15 min (r = -0.460, p < 0.05), peak power (r = -0.484, p < 0.05), average power (r = -0.647, p < 0.01), and in the ongoing firefighter physical fitness test, grip strength (r = -0.709, p < 0.01), lower back strength (r = -0.681, p < 0.01), standing long jump (r = -0.618, p < 0.01), sit-ups (r = -0.397, p < 0.05), and shuttle run (r = -0.523, p < 0.01). Fitness factors including VO2max, recovery lactate, anaerobic power, muscular strength, and so forth known to play a crucial role in firefighting operations were also shown to be important in the modified firefighter job-related physical fitness test. However, we suggest that studies with a larger sample size are needed in order to generalize our findings.


Assuntos
Bombeiros , Exercício Físico , Teste de Esforço , Feminino , Humanos , Ácido Láctico , Masculino , Aptidão Física/fisiologia
10.
Artigo em Inglês | MEDLINE | ID: mdl-35329348

RESUMO

There is high concern about the exposure of firefighters to toxic products or carcinogens resulting from combustion during fire interventions. Firefighter turnout gear is designed to protect against immediate fire hazards but not against chemical agents. Additionally, the decontamination of firefighter personal protective equipment remains unresolved. This study evaluated the feasibility of a screening method based on headspace-gas chromatography-ion mobility spectrometry (HS-GC-IMS) in combination with chemometrics (cluster analysis, principal component analysis, and linear discriminant analysis) for the assessment of the transference of volatile compounds through turnout gear. To achieve this, firefighter turnout gears exposed to two different fire scenes (with different combustion materials) were directly analyzed. We obtained a spectral fingerprint for turnout gears that were both exposed and non-exposed to fire scenes. The results showed that (i): the contamination of the turnout gears is different depending on the type of fire loading; and (ii) it is possible to determine if the turnout gear is free of volatile compounds. Based on the latest results, we concluded that HS-GC-IMS can be applied as a screening technique to assess the quality of turnout gear prior to a new fire intervention.


Assuntos
Bombeiros , Incêndios , Exposição Ocupacional , Compostos Orgânicos Voláteis , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Exposição Ocupacional/análise , Equipamento de Proteção Individual , Compostos Orgânicos Voláteis/análise
11.
J Am Heart Assoc ; 11(7): e022543, 2022 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-35319223

RESUMO

Background Exposure to inhaled smoke, pollutants, volatile organic compounds, and polycyclic aromatic hydrocarbons in the firefighting environment has been associated with detrimental respiratory and cardiovascular effects, making firefighters a unique population with both personal and occupational risk factors for cardiovascular disease. Some of these exposures are also associated with development of atrial fibrillation. We aimed to study the association of atrial fibrillation and occupational exposure in firefighters. Methods and Results A cross-sectional survey was conducted between October 2018 and December 2019. Data were gathered electronically and stored in a secure REDCap database through Louisiana State University Health Shreveport. Firefighters who were members of at least 1 of 5 preselected professional organizations were surveyed via electronic links distributed by the organizations. The survey queried the number of fires fought per year as a measure of occupational exposure, as well as self-reported cardiovascular disease. A total of 10 860 active firefighters completed the survey, of whom 93.5% were men and 95.5% were aged ≤60 years. Firefighters who fought a higher number of fires per year had a significantly higher prevalence of atrial fibrillation (0-5 fires per year 2%, 6-10 fires per year 2.3%, 11-20 fires per year 2.7%, 21-30 fires per year 3%, 31 or more fires per year 4.5%; P<0.001). Multivariable logistic regression showed that a higher number of fires fought per year was associated with an increased risk of atrial fibrillation (odds ratio 1.14 [95% CI, 1.04-1.25]; P=0.006). Conclusions Firefighters may have an increased risk of atrial fibrillation associated with the number of fires they fight per year. Further clinical and translational studies are needed to explore causation and mechanisms.


Assuntos
Fibrilação Atrial , Bombeiros , Incêndios , Exposição Ocupacional , Fibrilação Atrial/epidemiologia , Fibrilação Atrial/etiologia , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Exposição Ocupacional/efeitos adversos , Autorrelato
12.
Appl Ergon ; 102: 103753, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35344794

RESUMO

Firefighters have reported their protective boots to be bulky and ill-fitting, which they believe restrict the lower body movement on the unpredictable fireground. This study used 3D foot scanning to compare the shape of firefighters' feet to the general population, the shape of female firefighters' feet to males, and the impact of the heavy fire gear on foot shape. The results found the foot breadth of firefighters was larger than the general population and the feet of female firefighters were slimmer than males. Furthermore, it revealed that the feet of firefighters became longer, wider, and flatter when bearing the weight of fire gear. Protective boots should be designed based on the foot shape and dimensions of the actual population, with consideration of sex differences and the impact of weight-bearing for their safety.


Assuntos
Bombeiros , Incêndios , Feminino , Humanos , Masculino , Movimento , Suporte de Carga
13.
J Occup Environ Med ; 64(3): e131-e135, 2022 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-35244089

RESUMO

OBJECTIVES: Characterize occupational cancer risk perceptions and attitudes toward cancer prevention practices among firefighters in the Dominican Republic. METHODS: Focus group discussions and key informant interviews were conducted in June 2019 among firefighters from three fire departments. Themes were inductively created using a qualitative descriptive approach. RESULTS: Thirty-seven firefighters were interviewed with a group mean age of 36.2 ±â€Š10.3 years, of which 97.3% were male, and 37.1% worked at least 10 years. Six themes emerged: 1) availability of personal protective equipment (PPE); 2) toxic exposure during fire suppression; 3) work-related stress; 4) lack of workplace health promotion activities; 5) Dominican culture impacts medical checkups; and 6) expensive medical copays limits healthcare access. CONCLUSION: Dominican firefighters are willing to adopt cancer prevention practices, however organizational barriers (ie, PPE availability, cultural barriers, and health promotion practices) limit engagement.


Assuntos
Bombeiros , Neoplasias , Exposição Ocupacional , Adulto , República Dominicana , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/etiologia , Neoplasias/prevenção & controle , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/prevenção & controle , Equipamento de Proteção Individual , Pesquisa Qualitativa
14.
RECIIS (Online) ; 16(1): 139-158, jan.-mar. 2022. tab, ilus
Artigo em Português | LILACS | ID: biblio-1366558

RESUMO

O objetivo foi analisar as postagens relacionadas à covid-19 em Serviços de Redes Sociais On-line por parte do Corpo de Bombeiros Militares, especialmente o caráter informativo desta instituição, com o propósito de identificar a relação entre postagens e documentos oficiais. Como procedimentos metodológicos foram delimitadas as seguintes ações: coletar os dados das postagens; analisar os dados, incluindo o cálculo de representatividade de postagens com suporte de documentos, os serviços mais utilizados e os períodos das postagens; verificar os termos de classificação; e realizar a análise dos documentos oficiais. A amostra foi delimitada ao Corpo de Bombeiros Militar dos estados do Pará, do Ceará, de São Paulo, de Santa Catarina e de Goiás ­ no Facebook, no Instagram e no Twitter. Os resultados apontam tempestividade na publicação de conteúdos nesses serviços nos primeiros dias. As publicações foram marcadas com termos da temática e do georreferenciamento. Identificou-se um baixo percentual de publicações ligadas a documentos oficiais: 5,05% do total analisado. Destacam-se o Instagram, com maior veiculação, e a atuação nos estados de Goiás, Santa Catarina e Pará.


The objective was to analyze the posts on Online Social Network Services by the Military Firefighters Corps related to covid-19, especially the informative character of the institution, to identify the relationship between posts and official documents. As methodological procedures, the following actions were defined: collect data from the posts; analyze the data including the calculation of representativeness of posts supported by documents, most used services and post periods; check classification terms; and perform the analysis of official documents. The sample was limited to the Military Fire Brigades of the states of Pará, Ceará, São Paulo, Santa Catarina and Goiás on Facebook, Instagram and Twitter. The results show timeliness in the publication of content in these services in the early days. The publications were marked with terms of the theme and georeferencing. It was identified a low percentage of publications linked to official documents, 5.05% of the publications. Instagram stands out, with the greatest coverage, and the actions taken by the states of Goiás, Santa Catarina, and Pará.


El objetivo fue analizar las publicaciones en los los Servicios de Redes Sociales en Línea de los Cuerpos de Bomberos Militares relacionadas con el covid-19, especialmente el carácter informativo de esta entidad, con el fin de identificar la relación entre las publicaciones y los documentos oficiales. Como procedimientos metodológicos se definieron las siguientes acciones: recolección de datos de las publicaciones; análisis de los datos, incluido el cálculo de la representatividad de las publicaciones respaldados por documentos, servicios y periodos de publicación más utilizados; consulta a los términos de clasificación; y la análisis de documentos oficiales. La muestra se limitó a los Bomberos Militares de los estados de Pará, Ceará, São Paulo, Santa Catarina y Goiás en Facebook, Instagram y Twitter. Los resultados muestran la puntualidad en la publicación de contenidos en estos servicios en los primeros días. Las publicaciones fueron marcadas con términos de la temática y georreferenciación. Se identificó un bajo porcentaje de publicaciones vinculadas a documentos oficiales: 5,05% del total analizado. Se destacan Instagram, con la mayor cobertura, y la actuación de los estados de Goiás, Santa Catarina y Pará.


Assuntos
Humanos , Registros , Bombeiros , Rede Social , COVID-19 , Arquivos , Coleta de Dados , Pandemias , Web Semântica
15.
Einstein (Sao Paulo) ; 20: eAO5885, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35195161

RESUMO

OBJECTIVE: To investigate the impact of in loco physical therapy interventions on military firefighters involved in search and rescue operations following the collapse of the Brumadinho dam, in Minas Gerais. To describe the clinical and demographic profile of military firefighters receiving physical therapy care. METHODS: Physical therapy assessment and care protocols were designed. Protocols were based on manual physical therapy approaches, and aimed primarily to alleviate musculoskeletal pain. Physical therapists involved were duly trained prior to interventions to level technical skills. Physical therapy was provided upon request (i.e., military workers sought the service after work shift completion). RESULTS: A total of 318 military firefighters, most of whom were males (92.5%) mean age 32.9 years, received physical therapy care (575 sessions spread out over 48 days). In this sample, 43.4% of military workers had a history of musculoskeletal complaints. Military workers seeking physical therapy after completion of their work shifts reported mean pain intensity of 5.4 in a numerical scale. Spinal pain was reported in 61.7% of cases, followed by generalized muscle and myofascial pain (16.7%), lower and upper limb pain (14.4% and 6.8%, respectively). At the end of sessions, mean pain intensity reported dropped down to 1.3. Differences were statistically significant (non-parametric Wilcoxon test; p=0.001). CONCLUSION: The unprecedented physical therapy intervention described had a positive impact on relief of musculoskeletal pain among military firefighters involved in search and rescue operations during the Brumadinho dam disaster, and seen at the end of their work shifts.


Assuntos
Desastres , Bombeiros , Militares , Adulto , Brasil , Humanos , Masculino , Modalidades de Fisioterapia
17.
Artigo em Inglês | MEDLINE | ID: mdl-35206197

RESUMO

The purpose of this study was to utilize community-based participatory research (CBPR) methods to identify behaviors that may increase the exposure rates of firefighters to carcinogens and other occupational hazards. Key informant interviews and focus groups were conducted as part of a larger study that included exposure assessments at fire stations, in fire engines, and in personal vehicles. A purposive sample of five fire chiefs and leaders of the firefighter association was chosen, and these individuals were selected to participate in interviews. Unstructured interviews explored issues related to firefighter exposures and occupational hazards. Three focus groups were conducted over a three-month period. Following the focus groups, survey questions emphasizing the following three aspects of firefighting were developed: exposure to airborne smoke contaminants during fire suppression, accumulated exposure on turnout gear after fire suppression, and exposure to airborne contaminants at the fire departments. The use of community-based participatory research can be very beneficial, especially when conducting research with a group that may be hard to reach or have misgivings regarding researchers. By utilizing this approach in the current study, researchers were able to partner with a community that may be hard to reach and gain buy-in from community leadership.


Assuntos
Bombeiros , Exposição Ocupacional , Carcinógenos , Grupos Focais , Humanos , População Rural
18.
BMJ Open ; 12(2): e051227, 2022 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-35115350

RESUMO

OBJECTIVES: The increase in global wildland fire activity has accelerated the urgency to understand health risks associated with wildland fire suppression. The aim of this project was to identify occupational health research priorities for wildland firefighters and related personnel. DESIGN: In order to identify, rank and rate health research priorities, we followed a modified Delphi approach. Data collection involved a two-stage online survey followed by semi-structured interviews. SETTING: British Columbia, Canada. PARTICIPANTS: Participants included any current or past wildland firefighter or individuals engaged in related roles. There were 132 respondents to the first survey. Responses to the first survey were analysed to produce 10 research topics which were ranked by 75 participants in the second survey (response rate: 84%). PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the identification, ranking and level of agreement of research priorities through a two-round online survey. We contextualised these findings through deductive and inductive qualitative content analysis of semi-structured interviews. RESULTS: The most important research priorities identified were (% consensus): effects of smoke inhalation on respiratory health (89%), fatigue and sleep (80%), mental health (78%), stress (76%) and long-term risk of disease (67%). Interviews were completed with 14 individuals. Two main themes were developed from an inductive content analysis of interview transcripts: (1) understanding the dynamic risk environment; and (2) organisational fit of mitigation strategies. CONCLUSIONS: Participants expressed a general concern with the unknown mental and physical health impacts of their jobs, including the long-term risk of morbidity and mortality. Future research must address knowledge gaps in our understanding of the health impacts of wildland fire and work to develop appropriate mitigation strategies while considering the needs of workers and unpredictable workplace environment. TRIAL REGISTRATION NUMBER: Open Science Framework, https://osf.io/ugz4s/.


Assuntos
Bombeiros , Incêndios Florestais , Colúmbia Britânica , Técnica Delfos , Humanos , Pesquisa
19.
Am J Mens Health ; 16(1): 15579883221076897, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35184574

RESUMO

The main aim of the present study is to evaluate reach, dose, fidelity, and outcomes of the interventions for promoting voluntary exercise training among South Korean firefighters. Four interventions for promoting voluntary exercise training among firefighters (i.e., virtual reality exercise system intervention, poster intervention, monitor intervention, and wearable health device intervention) were performed in a fire station located in Seoul, South Korea. To evaluate reach and dose received related to each intervention, participants were asked to answer several simple questions. Three process evaluators completed a 20-item survey to share their impressions related to the quality of intervention delivery. Paired t test was used to examine mean changes in primary (i.e., mean minutes of exercise training per week) and secondary outcomes (i.e., beliefs and intention) between pre- and postinterventions. More than 60% of participants experienced monitor and wearable health device interventions. Process evaluators tend not to agree with a statement saying that the number of the virtual reality exercise equipment was appropriate. Among firefighters who participated in exercise training less than 150 min per week at 1-month follow-up, mean minutes of exercise training per week increased by 67.95 min after interventions. Future studies need to examine whether the monitor and wearable health device interventions effectively increase exercise training participation among firefighters in other fire stations located in Seoul, South Korea.


Assuntos
Bombeiros , Exercício Físico , Humanos , Intenção , Avaliação de Resultados em Cuidados de Saúde , República da Coreia
20.
Artigo em Inglês | MEDLINE | ID: mdl-35206585

RESUMO

The article describes the importance of dimensional allowances, which are a consequence of the use of personal protective equipment (PPE) for work safety. The method of 3D scanning was proposed for determining the dimensional allowances which has been preliminary validated. Two geometric solids (a cylinder and a cuboid) were used to approximate the minimum space around the person using PPE. The solids are a simplified representation of the silhouette of a human subject performing activities in a confined work environment. They also correspond to the typical shapes of access openings and confined spaces, reflecting the real working conditions of welders, firefighters, mine rescuers, and other rescue teams. A detailed analysis of dimensional allowances for a full welding PPE set is provided. Based on the adopted parameters: the dimensions of the body, the base area and the volume, the differences in the dimensions of the body of a person dressed in underwear and in PPE were compared. The results of the presented studies indicate a significant role of dimensional allowances in interactions between persons wearing PPE and the work environment. The results are planned to be implemented in a new anthropometric atlas of human's measures used for ergonomic design.


Assuntos
Bombeiros , Soldagem , Ergonomia , Humanos , Equipamento de Proteção Individual , Local de Trabalho
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