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1.
Artigo em Chinês | MEDLINE | ID: mdl-34074079

RESUMO

Objective: To analyze the incidence characteristics of occupational chronic benzene poisoning under two diagnostic criteria. Methods: In March 2020, 126 patients who were divided into the old criteria group (74 cases) and the new criteria group (52 cases) were retrospectively analyzed. These patients were diagnosed with occupational chronic benzene poisoning, and were diagnosed in our hospital during the period of January 2009 to December 2019. The gender composition, age of onset, years of benzene exposure, industry distribution, work type, benzene concentration in working environment and diagnostic grade of the two groups of patients were analyzed and compared. The follow-up of 22 benzene poisoning observation subjects under the old criteria were retrospectively analyzed. Results: There were no statistically significant differences in gender composition, age of onset, years of benzene exposure, industry distribution and work type between the old criteria group and the new criteria group (P>0.05) . In the old criteria group and the new criteria group, 41.9% (31/74) and 17.3% (9/52) of the patients' workplace benzene concentration exceeded the maximum allowable concentration, respectively. The composition of different benzene concentration in the workplace between the two groups showed statistically significant (P<0.05) . In the old criteria group, the proportion of mild poisoning (79.7%, 59/74) was the majority, while in the new criteria group, the proportion of moderate and severe poisoning (51.9%, 27/52) were the majority, and there was statistically significance in the composition ratio of diagnostic grade between the two groups (P<0.05) . Under the old criteria, after folow-up of 22 cases of benzene poisoning observation subjects, we observed that 8 cases (36.4%) progressed to the level of chronic benzene poisoning. Conclusion: The revision of diagnostic criteria for benzene poisoning may affect the composition of diagnosis classification. Based on the rights and interests of workers, formulating more complete diagnostic criteria and system policies will be more conducive to the development of occupational benzene poisoning prevention and control.


Assuntos
Doenças Profissionais , Exposição Ocupacional , Envenenamento , Benzeno , Doença Crônica , Humanos , Incidência , Estudos Retrospectivos
2.
Artigo em Chinês | MEDLINE | ID: mdl-34074080

RESUMO

Objective: To explore the relationship between the binaural high-frequency mean hearing threshold and the hypertension of female workers exposed to noise, and to understand the application significance of the binaural high-frequency mean hearing threshold as an internal effect indicator of the risk of hypertension in female workers exposed to noise. Methods: From January to December 2018, a total of 20882 female workers exposed to noise in Guangzhou were selected by cluster sampling. Pure tone audiometry, blood pressure, age and length of service were collected. Trend test was used to evaluate the effects of exposure to noise and binaural high-frequency mean hearing threshold on blood pressure. Binary logistic regression model was used to evaluate the risk of hypertension associated with exposure to noise and binaural high-frequency mean hearing threshold. Results: The detection rate of normal hearing threshold, mild hearing loss and severe hearing loss was 80.73% (16858/20882) , 16.21% (3384/20882) and 3.06% (640/20882) respectively. The prevalence of hypertension was 6.04% (1018/16858) in normal hearing group, 10.28% (348/3384) in patients with high frequency mild hearing loss, and 11.25% (72/640) in patients with high frequency severe hearing loss. There was a linear relationship between the increase of working age and high-frequency mean hearing threshold and the increase of systolic and diastolic blood pressure (P< 0.05) . Compared with those exposed to noise for less than 1 year, the risk of hypertension in female workers with 7-9 years and more than 9 years was decreased (OR= 0.79, 0.75, P<0.05) . Compared with normal hearing group, the risk of hypertension in high frequency mild hearing loss group was increased (OR=1.31, P<0.05) . Conclusion: The increase in the binaural high-frequency mean hearing threshold of female workers exposed to noise can increase the blood pressure level and the risk of hypertension, and attention should be paid to female workers with high-frequency mild hearing loss.


Assuntos
Perda Auditiva Provocada por Ruído , Hipertensão , Ruído Ocupacional , Doenças Profissionais , Exposição Ocupacional , Audiometria de Tons Puros , Limiar Auditivo , Feminino , Audição , Perda Auditiva Provocada por Ruído/epidemiologia , Humanos , Hipertensão/epidemiologia , Ruído Ocupacional/efeitos adversos , Doenças Profissionais/epidemiologia
3.
Artigo em Chinês | MEDLINE | ID: mdl-34074089

RESUMO

Objective: To analyze the health hazards of fluorine and its inorganic compounds to workers exposed to fluorine, and to provide technical support for the protection of workers exposed to fluorine and the revision of occupational disease diagnostic standards. Methods: In January 2019, 677 workers exposed to fluorine in a fluorine chemical company in Hunan Province were selected by cluster sampling, and occupational health examination was conducted. The suspected occupational poisoning workers were diagnosed as occupational diseases, which were divided into poisoning group and non-poisoning group. T test and Pearson χ(2) test were used for statistical analysis. Results: A total of 73 occupational chronic fluorosis patients were diagnosed. 93.15% (68/73) of the skeletal lesions were multiple, and the most frequent sites were the upper tibia and fibula. 35.00% (21/60) , 50.00% (18/36) and 58.82% (10/17) of the tibia, fibula, ulna and radius had periosteal changes only on one side. Other abnormal results were mainly dental calculus (60.71%, 411/677) , fatty liver (48.89%, 331/677) , abnormal electrocardiogram (44.17%, 299/677) , decreased bone mass (33.53%, 227/677) and increased ALT (13.15%, 89/677) . Compared with non-poisoning group, the age, length of service exposed to fluoride and fatty liver detection rate of poisoning group were higher, and the differences were statistically significant (P<0.01) . Conclusion: The changes of long bone caused by inorganic fluoride only occur in one side, so the basic location of occupational health examination should include bilateral long bone to avoid missed diagnosis. It is difficult to diagnose occupational poisoning with single slight periosteal ossification, it is suggested that the standard should be revised to specify the degree.


Assuntos
Intoxicação por Flúor , Doenças Profissionais , Exposição Ocupacional , Saúde do Trabalhador , Intoxicação por Flúor/diagnóstico , Fluoretos , Flúor , Humanos
4.
Artigo em Chinês | MEDLINE | ID: mdl-34074091

RESUMO

Pneumoconiosis is one of the most serious and common occupational disease in China at present, there are a variety of complications, which seriously affect the disease treatment, disease progress and prognosis, but also the direct cause of death. Therefore, the prevention and treatment of various comorbidities of pneumoconiosis is a major public health problem in our country. This article outlines the epidemiological characteristics of different comorbidities of pneumoconiosis, analyze and summarize its research status and existing problems, and put forward relevant thoughts, in order to provide reference for the prevention and treatment of pneumoconiosis comorbidities.


Assuntos
Minas de Carvão , Doenças Profissionais , Pneumoconiose , China/epidemiologia , Estudos Epidemiológicos , Humanos , Pneumoconiose/epidemiologia
5.
Artigo em Chinês | MEDLINE | ID: mdl-34074093

RESUMO

In this paper, the related research on occupational hazards of civil aviation employees at home and abroad is reviewed, and the effects of noise, radioactivity, harmful gas, bad posture, occupational stress, fatigue and many other factors on the health of civil aviation employees are summarized. This paper describes the characteristics of occupational hazard factors and their effects on the health of civil aviation employees in order to provide a basis for the management of civil aviation related units to control occupational hazard factors. The occupational health problems of civil aviation employees need to be paid attention to and managed.


Assuntos
Aviação , Doenças Profissionais , Saúde do Trabalhador , Estresse Ocupacional , Fadiga , Humanos , Ruído , Doenças Profissionais/epidemiologia , Doenças Profissionais/prevenção & controle
6.
Rev Esp Salud Publica ; 952021 Jun 09.
Artigo em Espanhol | MEDLINE | ID: mdl-34103466

RESUMO

BACKGROUND: The analysis of mortality offers an important indicator for assessing the state of workers' occupational health. Workers involved in the extraction, refining, alloying and manufacturing of metals are frequently exposed to occupational risks that can lead to their death. The objective of this work was to synthesize the scientific evidence about factors associated with mortality among workers in the metallurgical industry. METHODS: A bibliographic review was conducted using the PubMed database. Seventeen studies were included, where topics addressed specific problems that influence the mortality of workers in the metallurgical industry sector. Complete texts of the articles were reviewed. RESULTS: Findings show the highest probabilities of death due to malignant neoplasms (48%), diseases of the circulatory system (28%), work accidents (15%), suicide and violence (9%). CONCLUSIONS: Despite the research carried out, there are gaps and limitations in the study of mortality in workers in the metallurgical industry, mainly related to the relationship of the cause of death with occupational risk factors.


Assuntos
Acidentes de Trabalho/mortalidade , Metalurgia , Doenças Profissionais/mortalidade , Humanos , Fatores de Risco , Espanha/epidemiologia
7.
Med Probl Perform Art ; 36(2): 72-77, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34079980

RESUMO

OBJECTIVE: To explore the prevalence of musculoskeletal pain in dhol players in India. METHODS: A cross-sectional study was conducted in 96 dhol players. A self-administered questionnaire comprising of demographic profile, dhol player characteristics, presence of musculoskeletal pain, and specific area of pain according to the body region was used to collect information from the dhol players. RESULTS: The mean age and duration of playing dhol experience were 22.26±3.05 and 6.08±1.27 years, respectively. Among 96 dhol players, 93 (96.9%) and 55 (57.3%) reported presence of musculoskeletal pain with respect to the 12-month prevalence and 7-day prevalence, respectively. In 12-month prevalence, the most common site of pain was the low back (67.7%), followed by shoulder (54.2%) and wrist and hand (24%). In 7-day prevalence, the most common site of pain was the low back (41.7%), followed by shoulder (24%) and upper back (15.6%). Logistic regression analysis revealed that age (p=0.002) and duration of playing dhol (p<0.001) were associated with 7-day prevalence of musculoskeletal pain. CONCLUSION: The findings of this study indicated high prevalence of musculoskeletal pain in dhol players. Low back, shoulder, wrist/hand, and upper back were common sites of pain. Identification of these factors in dhol players may assist in further research on targeted prevention, scientific recommendations, and rehabilitation.


Assuntos
Doenças Musculoesqueléticas , Dor Musculoesquelética , Doenças Profissionais , Estudos Transversais , Humanos , Índia/epidemiologia , Dor Musculoesquelética/epidemiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , Extremidade Superior
8.
Codas ; 33(4): e20190189, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34105690

RESUMO

PURPOSE: To conduct a systematic review of the effectiveness of interventions to prevent occupational hearing loss, following up on the findings of the most recent version of Cochrane systematic review on the same topic. RESEARCH STRATEGY: Searches were carried out in PubMed, Web of Science and Scopus databases. SELECTION CRITERIA: The following interventions were considered: engineering/administrative controls; hearing protection devices (HPD); and audiological monitoring. DATA ANALYSIS: For bias risk analysis, each study was assessed according to randomization, allocation, blinding, outcomes, other sources of bias. RESULTS: 475 references were obtained. Of these, 17 studies met the inclusion criteria: one randomized, one interrupted time series, and 15 before and after studies. Most studies were conducted in industries; three in military and/or shooting training environments; one in an orchestra, and one in construction. Most studies showed a high risk of bias. Six studies found a reduction in short-term exposure to noise through engineering/administrative controls; one found a positive impact due to changes in legislation; five studies have found positive effects of HPD in reducing exposure to noise and of educational trainings in the use of HPD; lastly, two studies found a reduction in noise levels and an increase in the using of HPD due to the implementation of hearing conservation programs. CONCLUSÃO: Todos os estudos analisados concluíram que as intervenções utilizadas resultaram em efeitos positivos sobre a audição e/ou sobre a exposição ao ruído. Em relação aos efeitos de longo termo, a grande maioria dos estudos limitou-se a avaliar efeitos imediatos ou de curto termo, reforçando que estudos incluindo follow-up de longo termo devem ser desenvolvidos.


Assuntos
Perda Auditiva Provocada por Ruído , Doenças Profissionais , Seguimentos , Perda Auditiva Provocada por Ruído/prevenção & controle , Humanos , Doenças Profissionais/prevenção & controle
9.
J Am Vet Med Assoc ; 258(11): 1243-1253, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33978445

RESUMO

OBJECTIVE: To identify and quantify potential ergonomic hazards associated with routine reproductive examinations of cattle. SAMPLE: 7 bovine veterinarians. PROCEDURES: Each veterinarian was observed and videotaped during 2 bovine reproductive examination appointments. During each appointment, a force-matching protocol was used to estimate the entry force used by the veterinarian to insert an arm into a cow's rectum. Veterinarian posture and repetitive movements and the work environment were assessed and quantified during review of the video recordings. Descriptive data were generated. RESULTS: Of the 14 appointments observed, 9 and 5 involved examination of beef and dairy cows, respectively. For all veterinarians, an arm inclination ≥ 60° was observed during most reproductive examinations. The number of examinations performed per hour ranged from 19.1 to 116.8. The estimated entry force ranged from 121 to 349 N. During all 9 appointments involving beef cows, the veterinarian participated in other tasks (eg, operating overhead levers, opening gates, or assisting with cattle handling) that represented ergonomic hazards. CONCLUSIONS AND CLINICAL RELEVANCE: Results confirmed that reproductive examination of cattle exposes veterinarians to various ergonomic hazards involving awkward positions and repetitive and forceful exertions that can contribute to musculoskeletal discomfort and injury, particularly of the upper extremities (neck, shoulders, upper back, arms, elbows, wrists, and hands). Veterinarians frequently participated in other tasks during reproductive examination appointments that exposed them to additional ergonomic hazards. Risk mitigation strategies should prioritize minimizing exposure of veterinarians to tasks not directly associated with the reproductive examination procedure to decrease their overall ergonomic hazard burden.


Assuntos
Doenças dos Bovinos , Doenças Profissionais , Médicos Veterinários , Animais , Bovinos , Ergonomia , Feminino , Humanos , Doenças Profissionais/veterinária , Postura , Local de Trabalho
10.
BMJ Open ; 11(5): e044453, 2021 05 13.
Artigo em Inglês | MEDLINE | ID: mdl-33986051

RESUMO

OBJECTIVES: For the prevention of musculoskeletal diseases (MSDs), stretch training can be a measure of the workplace health promotion (WHP) for office workers. This can lead to an increase in mobility and, ultimately, reduce or prevent MSD. The aim of the study was to examine a standardised and individualised stretch training on a device, specifically 'five Business', for the prevalence of MSD. DESIGN: This study is a non-randomised control study. SETTING: WHP programme with clerical employees of a German car manufacturer. PARTICIPANTS: 252 (110 women; 142 men) subjects (median age of 44 ([Formula: see text] 21 years) finished the study successfully. Inclusion criteria included a full-time employment in the office workplace and subjective health. INTERVENTION: The intervention group completed 22-24 training units of 10 min each on the 'five-Business' device two times a week for 12 weeks. PRIMARY AND SECONDARY OUTCOME MEASURES: Data were collected in the form of a pre-post study Nordic Questionnaire. RESULTS: After the intervention, significantly fewer subjects reported pain in the area of the neck (-17.79), shoulder (-11.28%), upper back (-14.7%), lower back (-12.78%) and feet (-8.51%). The gender analysis revealed that women are, in general, more often affected by musculoskeletal complaints than men, especially in the neck (+29.5%) and feet (+15.03%). Both sexes had significant reductions of MSD in the most commonly affected regions. Thus, 27.12% less women reported having neck pain, while 13.14% less men reported having low back pain. CONCLUSIONS: The results suggest that a stretching programme performed for 3 months can reduce musculoskeletal complaints in the most commonly affected areas in office workers. Both men and women benefited from the stretch training to a similar extent, suggesting that this would be a promising measure for therapy and prevention as part of WHP.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Adulto , Feminino , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/epidemiologia , Doenças Profissionais/prevenção & controle , Prevalência , Caracteres Sexuais , Inquéritos e Questionários , Local de Trabalho , Adulto Jovem
11.
Yonsei Med J ; 62(6): 510-519, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34027638

RESUMO

PURPOSE: We aimed to investigate variations in the risk of low back pain (LBP), lower extremity muscle pain, and whole body fatigue according to differences in prolonged standing work hours in relation to risk factor exposure and rest frequency. MATERIALS AND METHODS: From the fifth Korean Working Conditions Survey data collected in 2017, data for 32970 full-time workers who worked for more than 1 year at their present job were analyzed. We classified the workers according to exposure to fatigue or painful postures, carrying heavy objects, performance of repetitive movements that burden the musculoskeletal system, and how often they took a break. Relationships between time spent in a standing posture at work and risks of LBP, lower extremity muscle pain, and whole body fatigue were analyzed by multivariate logistic regression. RESULTS: Of the full-time workers in the survey, 48.7% worked in a standing position for more than half of their total working hours. A higher odds ratio (OR) value for lower extremity muscle pain was observed in female not exposed to carrying heavy objects [OR: 3.551, 95% confidence interval (CI): 3.038-4.150] and not exposed to performing repetitive movements (OR: 3.555, 95% CI: 2.761-4.557). CONCLUSION: Changes in work methodologies are needed to lower the number of hours spent in a prolonged standing posture at work, including being able to rest when workers want to do so, to reduce pain and fatigue.


Assuntos
Doenças Profissionais , Posição Ortostática , Fadiga/epidemiologia , Fadiga/etiologia , Feminino , Humanos , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Postura , República da Coreia/epidemiologia
12.
Arch Prev Riesgos Labor ; 24(2): 30-45, 2021 04 15.
Artigo em Espanhol | MEDLINE | ID: mdl-34015201

RESUMO

OBJECTIVE: We examined associations between psychosocial risk factors and musculoskeletal discomfort among tellers at a bank Lima, Peru. METHODS: This was a cross-sectional descriptive study of 234 workers. The instruments used were the Questionnaire of Psychosocial Risks at Work SUSESO - ISTAS 21 Short Version, an adaptation of the Nordic Musculoskeletal DiscomfortQuestionnaire and a sociodemographic data sheet. These two questionnaires were administered between September and November 2018. We analyzed associations between the two main study variables with chi-square tests. RESULTS: The most prevalent psychosocial factor dimensions were "psychological demands" (50.1%) and "double presence" (49.1%). The most frequent musculoskeletal discomfort were in the neck (75.9%) and thoracolumbar (75%) areas. We observed an association between the level of psychosocial risk in the "compensation" dimension and the number of body regions affected by musculoskeletal discomfort (p<0.05). CONCLUSIONS: There is a relationship between the level of psychosocial risk in the "compensation" dimension and the number of body regions with reported musculoskeletal discomfort. We recommend implementing psychosocial risk factor preventive measures to avoid musculoskeletal discomfort in bank tellers.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Estudos Transversais , Humanos , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Peru/epidemiologia , Fatores de Risco , Inquéritos e Questionários
14.
MMWR Morb Mortal Wkly Rep ; 70(20): 753-758, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34014909

RESUMO

Throughout the COVID-19 pandemic, health care personnel (HCP) have been at high risk for exposure to SARS-CoV-2, the virus that causes COVID-19, through patient interactions and community exposure (1). The Advisory Committee on Immunization Practices recommended prioritization of HCP for COVID-19 vaccination to maintain provision of critical services and reduce spread of infection in health care settings (2). Early distribution of two mRNA COVID-19 vaccines (Pfizer-BioNTech and Moderna) to HCP allowed assessment of the effectiveness of these vaccines in a real-world setting. A test-negative case-control study is underway to evaluate mRNA COVID-19 vaccine effectiveness (VE) against symptomatic illness among HCP at 33 U.S. sites across 25 U.S. states. Interim analyses indicated that the VE of a single dose (measured 14 days after the first dose through 6 days after the second dose) was 82% (95% confidence interval [CI] = 74%-87%), adjusted for age, race/ethnicity, and underlying medical conditions. The adjusted VE of 2 doses (measured ≥7 days after the second dose) was 94% (95% CI = 87%-97%). VE of partial (1-dose) and complete (2-dose) vaccination in this population is comparable to that reported from clinical trials and recent observational studies, supporting the effectiveness of mRNA COVID-19 vaccines against symptomatic disease in adults, with strong 2-dose protection.


Assuntos
/imunologia , Pessoal de Saúde/estatística & dados numéricos , Doenças Profissionais/prevenção & controle , Adulto , Idoso , /administração & dosagem , Estudos de Casos e Controles , Feminino , Humanos , Esquemas de Imunização , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Estados Unidos/epidemiologia , Adulto Jovem
15.
Clin Med (Lond) ; 21(3): 195-200, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33947660

RESUMO

Employment, along with education, is central to the promotion of social mobility and the reduction of health inequalities. For the most part, however, physicians have limited exposure to occupational medicine during their training and rarely receive much in the way of formal training about occupational issues except those that fall commonly within their area of specialisation. Here, we illustrate why work and good employment can be so important for health and, therefore, why it should matter to all physicians. Given that under half of the UK population have access to occupational health services through their employer, physicians should be able to recognise any harm to health caused by work, so we describe the principles of eliciting a good occupational history. There is an important relationship between unemployment and poor health which will be discussed, illustrating the importance of being able to support people with long-term conditions and disabilities to remain in work for as long as they wish to do so. Patients expect to be able to seek advice from their physician about taking time off work because of ill health, planning a return to work after sickness absence and whether or not they need to change their work status because of their health condition. Therefore, we describe the fitnote: what it is for, how to complete one well and what core principles are needed in order to give patients good advice about working.


Assuntos
Doenças Profissionais , Médicos , Humanos
16.
Clin Dermatol ; 39(1): 92-97, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33972059

RESUMO

The life of medical specialists worldwide has dramatically changed due to the spread of the coronavirus disease 2019 (COVID-19) pandemic. Health care professionals (HCPs) have personally faced the outbreak by being on the first line of the battlefield with the disease and, as such, compose a significant number of people who have contracted COVID-19. We propose a classification and discuss the pathophysiology, clinical findings, and treatments and prevention of the occupational skin hazards COVID-19 poses to HCPs. The multivariate pattern of occupational skin diseases during the COVID-19 pandemic can be classified into four subgroups: mechanical skin injury, moisture-associated skin damage, contact reactions, and exacerbation of preexisting dermatoses. The clinical pattern is versatile, and the most affected skin sites were the ones in contact with the protective equipment. Dermatologists should recognize the plethora of HCPs' occupational skin reactions that are occurring during the COVID-19 pandemic and implement treatment and preventive strategies.


Assuntos
/epidemiologia , Pessoal de Saúde , Doenças Profissionais/classificação , Equipamento de Proteção Individual/efeitos adversos , Dermatopatias/classificação , Pele/lesões , /prevenção & controle , Progressão da Doença , Humanos , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Traumatismos Ocupacionais/etiologia , Traumatismos Ocupacionais/prevenção & controle , Dermatopatias/etiologia , Dermatopatias/prevenção & controle
17.
Int Heart J ; 62(3): 465-469, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34053997

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has changed the lives of healthcare professionals, especially vulnerable physicians such as young or female cardiologists. In Japan, they are facing the fear of not only infection but also weak and unstable employment, difficulties in medical practice and training anxiety, implications for research and studying abroad, as well as worsened mental health issues due to social isolation. Conversely, some positive aspects are seen through the holding of remote meetings and conferences. Here, we suggest a new working style for cardiologists, as well as offer solutions to the medical employment problems that have been taken place in Japan.


Assuntos
/psicologia , Cardiologistas/psicologia , Saúde do Trabalhador , Médicas/psicologia , Fatores Etários , Ansiedade/etiologia , Ansiedade/terapia , Pesquisa Biomédica/métodos , Cardiologistas/educação , Educação de Pós-Graduação em Medicina/métodos , Emprego , Feminino , Humanos , Japão , Saúde Mental , Doenças Profissionais/etiologia , Doenças Profissionais/terapia , Sexismo/psicologia , Isolamento Social/psicologia , Apoio Social , Populações Vulneráveis
18.
Med J Malaysia ; 76(3): 284-290, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34031324

RESUMO

INTRODUCTION: The Coronavirus Disease 2019 (COVID-19) has dramatically affected global healthcare systems. We aimed to determine the response of our paediatric surgical fraternity to a disease that overwhelmingly affects adults. MATERIALS AND METHODS: We conducted a cross-sectional questionnaire-based study over 6 weeks during a federally mandated lockdown. Using snowball sampling, we recruited paediatric surgeons, trainees and medical officers from paediatric surgical units in Malaysia. The anonymous online questionnaire covered sociodemographic information, changes in patient care, redeployment, concerns regarding family members, and impact on training. Mental well-being was assessed using the Depression, Anxiety and Stress Scale (DASS-21). Kruskal-Wallis, ANOVA and multiple regression analysis was used, with significance level 0.05. RESULTS: Of the 129 eligible participants, 100(77%) responded. Junior doctors had clinically higher levels of depression, anxiety, and stress. Age <30 years was significantly associated with anxiety. Junior doctors believed that redeployment led to loss of surgical skills (p<0.001) and trainees felt that clinical application of knowledge had reduced (p<0.020). CONCLUSION: Specific to our paediatric surgical community, this study highlights areas of concern, particularly among junior doctors. It is likely that recurrent cycles of the pandemic will occur soon. These issues must be addressed to preserve the mental and emotional well-being of all health care workers.


Assuntos
Transtornos Mentais/etiologia , Doenças Profissionais/etiologia , Pediatras/psicologia , Pediatria/tendências , Especialidades Cirúrgicas/tendências , Cirurgiões/psicologia , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/etiologia , Atitude do Pessoal de Saúde , /prevenção & controle , Criança , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Depressão/etiologia , Feminino , Humanos , Malásia/epidemiologia , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Saúde Mental , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Saúde do Trabalhador , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Pandemias , Pediatras/educação , Pediatras/tendências , Pediatria/educação , Padrões de Prática Médica , Escalas de Graduação Psiquiátrica , Especialidades Cirúrgicas/educação , Cirurgiões/educação , Cirurgiões/tendências , Inquéritos e Questionários
19.
Medicine (Baltimore) ; 100(21): e26176, 2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34032779

RESUMO

ABSTRACT: We aimed to establish the local prevalence of musculoskeletal pain among faculty members in Saudi Arabia and describe the patient's risk factors and preventive measures that may reduce its burden.An observational, quantitative, cross-sectional study was carried out to evaluate the prevalence of musculoskeletal pain and its risk factors among male faculty members in the College of Medicine and Dentistry, using a designed questionnaire based on the Standardized Nordic Musculoskeletal Questionnaire. Chi-square testing at a significance level of P < .05, was used for comparative analysis. SPSS version 26 was used for all analyses.Ninety responders participated in the survey analysis. The prevalence of musculoskeletal pain among faculty members was 77.8%, and the most common site of musculoskeletal pain occurred at two different sites of the three (low back, neck, and shoulder), with a prevalence of 38.9%. As for risk factors of musculoskeletal pain, only age group showed a significant correlation with the site of musculoskeletal pain (P = .024), where patients in the younger age group (25-35 years old) were at higher risk of lower back pain, while participants in the older age group (36 to 44 years old and 45 years or older) were at higher risk of musculoskeletal pain in two different sites.Musculoskeletal pain affects more than two-thirds of faculty members. In particular, low back pain is a common problem among faculty members. Age is a significant risk factor for the occurrence of musculoskeletal pain, with more than one site involvement in older age.


Assuntos
Docentes de Odontologia/estatística & dados numéricos , Dor Musculoesquelética/epidemiologia , Doenças Profissionais/epidemiologia , Adulto , Estudos Transversais , Humanos , Dor Lombar/epidemiologia , Dor Lombar/prevenção & controle , Masculino , Pessoa de Meia-Idade , Dor Musculoesquelética/prevenção & controle , Cervicalgia/epidemiologia , Cervicalgia/prevenção & controle , Doenças Profissionais/prevenção & controle , Prevalência , Fatores de Risco , Arábia Saudita/epidemiologia , Dor de Ombro/epidemiologia , Dor de Ombro/prevenção & controle
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