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1.
Dtsch Med Wochenschr ; 146(3): 198-204, 2021 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-33395708

RESUMO

The COVID-19 illness can occur as an occupational disease or work-related accident. According to the German list of occupational diseases, recognition as an occupational disease 3101 requires occupational exposure of an insured person who has been exposed to an increased risk of infection compared to the general population as a result of their occupational activity in one of the four areas: (1) health service or (2) social welfare sector, (3) laboratory or (4) during activities with increased risk of infection comparable to (1) to (3). The insurance cover covers employees, self-employed people - if not exempted from insurance cover - and honorary workers. The COVID-19 disease is subject to legal notification, mostly in conjunction with a contemporary SARS-CoV-2 virus detection. Regarding insured people who are not included within the aforementioned areas (1) to (4), the COVID-19 illness can be acknowledged as an occupational accident if the intense and direct contact with infected people - not intended as in the case of occupational disease 3101 - but otherwise situationally results from the insured activity itself.


Assuntos
/economia , Cobertura do Seguro , Doenças Profissionais/economia , Doenças Profissionais/etiologia , /isolamento & purificação , Notificação de Doenças/legislação & jurisprudência , Notificação de Doenças/normas , Alemanha , Ocupações em Saúde , Humanos , Cobertura do Seguro/economia , Cobertura do Seguro/normas , Laboratórios , Exposição Ocupacional , Fatores de Risco , Seguridade Social , Voluntários
2.
J Vasc Interv Radiol ; 32(2): 220-225.e2, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33461874

RESUMO

PURPOSE: To evaluate the impact of a versatile flexible ceiling-mounted C-arm on active table and gantry repositioning during interventions and its effect on operator discomfort, system usability, and patient safety compared with a traditional ceiling-mounted system. MATERIALS AND METHODS: There were 100 IR procedures studied: 50 in a traditional IR system (standard group) and 50 with a novel multiaxis ceiling-mounted system (test group). FlexArm was capable of multiple gantry rotation points allowing increased access to the patient in addition to 236 cm of lateral x-ray detector travel. For each procedure, both the table and the gantry repositioning were measured. Patient safety, patient/equipment repositioning effort, and physical discomfort were evaluated through an operator survey. RESULTS: Table repositioning was reduced from 42 to 16 instances per procedure (P < .001) in the test group compared with the standard group. The operators perceived less table and gantry repositioning effort (P < .0001) and decreased risks of equipment collisions, displacement of vascular access, and dislodgment of tubes/lines with the test group (P < .0001). Operator discomfort was reduced for all body areas in the test group over the standard group (P < .0001). CONCLUSIONS: The FlexArm system geometry enhances operator ergonomics, as there was a decrease need to move the table, leading to a perceived decrease in patient risk and decrease operator physical discomfort when compared to a traditional imaging system.


Assuntos
Angiografia/instrumentação , Ergonomia , Radiografia Intervencionista/instrumentação , Radiologistas , Angiografia/efeitos adversos , Desenho de Equipamento , Humanos , Doenças Musculoesqueléticas/etiologia , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Saúde do Trabalhador , Posicionamento do Paciente , Segurança do Paciente , Estudos Prospectivos , Radiografia Intervencionista/efeitos adversos , Fluxo de Trabalho
3.
Artigo em Inglês | MEDLINE | ID: mdl-32771337

RESUMO

BACKGROUND: Psychological suffering by health professionals may be associated with the uncertainty of a safe workplace. Front-line professionals exposed and involved in the diagnosis and treatment of COVID-19 patients are more susceptible. METHOD: This review was conducted based on papers that were published at MEDLINE, BMJ, PsycINFO, and LILACS, the according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). RESULTS: Health professionals had a higher level of anxiety (13.0 vs. 8.5%, p < 0.01, OR = 1.6152; 95%CI 1.3283 to 1.9641; p < 0.0001) and depression 12.2 vs. 9.5%; p = 0.04; OR = 1.3246; 95%CI 1.0930 to 1.6053; p = 0.0042), besides somatizations and insomnia compared to professionals from other areas. CONCLUSION: Health professionals, regardless of their age, showed significant levels of mental disorders. We observed a prevalence of anxiety and depression. Insomnia was a risk factor for both.


Assuntos
Infecções por Coronavirus , Pessoal de Saúde/psicologia , Transtornos Mentais/etiologia , Transtornos Mentais/psicologia , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Pandemias , Pneumonia Viral , Humanos , Transtornos Mentais/epidemiologia , Doenças Profissionais/epidemiologia , Prevalência , Estresse Psicológico
4.
Artigo em Inglês | MEDLINE | ID: mdl-32777327

RESUMO

BACKGROUND: Health professionals are key personnel to containing infectious diseases like COVID-19. In the face of long work shifts (that reach 16 h per day on average), the risk of getting infected by a high-infectious disease and the lack of enough biological protection measures, mental suffering among health professionals suddenly became evident. METHOD: We carried out an updated meta-analysis to investigate the psychiatric impacts on health professionals in the face of the physical and psychological conditions to which they are subjected due to the high demands of the COVID-19 pandemic. Papers were researched in four databases from December 2019 to April 2020. In total, eight papers were included in the study. RESULTS: Health professionals working to fight COVID-19 are being more severely affected by psychiatric disorders associated with depression, anxiety, distress and insomnia, stress, and indirect traumatization than other occupational groups. No significant differences were observed in the publication bias. CONCLUSION: There is a strong association between health professionals and COVID-19 in terms of psychiatric repercussions. Our meta-analysis showed that health professionals have a higher level of indirect traumatization, in which the level of damage exceeds psychological and emotional tolerance and indirectly results in psychological abnormalities. The incidence of obsessive-compulsive traces and somatizations was higher in situations involving front-line professionals.


Assuntos
Infecções por Coronavirus , Transtornos Mentais/etiologia , Transtornos Mentais/psicologia , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Pandemias , Pneumonia Viral , Ansiedade/etiologia , Ansiedade/psicologia , Depressão/etiologia , Depressão/psicologia , Pessoal de Saúde , Humanos , Angústia Psicológica , Distúrbios do Início e da Manutenção do Sono/etiologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Estresse Psicológico/epidemiologia
5.
Diving Hyperb Med ; 50(4): 391-398, 2020 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-33325021

RESUMO

INTRODUCTION: Artisanal diving fishermen in Yucatán, Mexico have high rates of decompression sickness as a result of frequently unsafe diving practices with surface supplied compressed air. In this study, we investigated the prevalence of dysbaric osteonecrosis (DON), a type of avascular necrosis, in the most susceptible joints in a cohort of these fishermen. METHODS: We performed radiographs of bilateral shoulders, hips, and knees of 39 fishermen in Mexico and surveyed them about their medical and diving histories. We performed pairwise correlations to examine if the fishermen's diving behaviours affected the numbers of joints with DON. RESULTS: The radiographs revealed Grade II or higher DON in 30/39 (76.9%) of the fishermen. Twenty-two of 39 fishermen (56.4%) had at least two affected joints. The number of joints with DON positively correlates with the lifetime maximum diving depth and average bottom time. CONCLUSIONS: These findings represent among the highest prevalence rates of DON in divers and reflect the wide-spread scale of decompression sickness among these fishermen. Through this work, we hope to further educate the fishermen on the sequelae of their diving with the aim of improving their diving safety.


Assuntos
Doença da Descompressão , Mergulho , Doenças Profissionais , Osteonecrose , Doença da Descompressão/diagnóstico por imagem , Doença da Descompressão/epidemiologia , Doença da Descompressão/etiologia , Mergulho/efeitos adversos , Humanos , México/epidemiologia , Doenças Profissionais/diagnóstico por imagem , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Osteonecrose/diagnóstico por imagem , Osteonecrose/epidemiologia , Osteonecrose/etiologia
6.
Anaesthesiol Intensive Ther ; 52(5): 400-408, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33327699

RESUMO

According to the Occupational Safety and Health Administration of the Department of Labor of the United States, the exposure risk for anaesthesiologists working with COVID-19 patients can be classified as high or very high. This is mostly due to fact that the anaesthesiologists work in close contact with patients' airways, and the aerosol-generating nature of some procedures they perform. Fortunately, despite the occupational hazard, the incidence of COVID-19 among anaesthesiologists and intensivists remains relatively low. Current evidence suggests that the majority of SARS-CoV-2 infections in this group were either contracted outside of the work environment or can be attributed to personal protective equipment (PPE) malfunction. This article focuses on different aspects of anaesthesiologists' safety, risks connected with different clinical scenarios and procedures, issues related to testing and screening, as well as modifiable and non-modifiable risk factors for severe illness or from COVID-19. This analysis is accompanied by a review of guidelines dedicated to mitigating said risks. Educating the personnel, introducing appropriate procedures, and proper utilisation of PPE are essential to the safety of all parties involved in hospital care, particularly those with significant exposure risk.


Assuntos
Anestesiologia , Doenças Profissionais/etiologia , Pandemias , /epidemiologia , Cuidados Críticos , Guias como Assunto , Pessoal de Saúde , Humanos , Incidência , Doenças Profissionais/epidemiologia , Salas Cirúrgicas , Equipamento de Proteção Individual , Fatores de Risco
7.
Ter Arkh ; 92(6): 89-92, 2020 Jul 09.
Artigo em Russo | MEDLINE | ID: mdl-33346500

RESUMO

Osteoarthritis is a common pathology, which indicates the great medical and social significance of this disease. The article discusses the issues of pathogenesis, risk factors and diagnosis of professional and professionally caused osteoarthritis: the age of onset of the disease, the specifics of work, the localization of joint damage. Differential diagnosis issues are discussed.


Assuntos
Doenças Profissionais , Osteoartrite , Humanos , Articulação do Joelho , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Osteoartrite/diagnóstico , Osteoartrite/epidemiologia , Fatores de Risco
8.
Artigo em Inglês | MEDLINE | ID: mdl-33348698

RESUMO

This study examined the relationship of musculoskeletal symptoms with exposure to a combination of ergonomic risk factors at work and the possible ameliorating effect of enough time to rest during working hours or between consecutive shifts in Korean workers. Data were from the 2017 Korean Working Conditions Survey. Workers exposed to ergonomic risk factors were more likely to report musculoskeletal symptoms than those without exposure, and exposure to more ergonomic risk factors increased the probability of musculoskeletal symptoms. Workers who had the opportunity to rest when desired and those who had enough time to rest between consecutive shifts were less likely to report musculoskeletal symptoms. In conclusion, workers exposed to more ergonomic risk factors had an increased risk for musculoskeletal symptoms, and providing enough time to rest and recovery to workers reduced the risk of musculoskeletal symptoms.


Assuntos
Ergonomia , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , República da Coreia/epidemiologia , Fatores de Risco
9.
Artigo em Inglês | MEDLINE | ID: mdl-33352725

RESUMO

Brazil is the leader in poultry meat exports, in which most products are in the form of cuts. This study analyzed the exertion perception of poultry slaughterhouses workers when performing cutting tasks, as well as the influence of knife sharpness on the risk of developing musculoskeletal disorders by Occupational Repetitive Action (OCRA) method. Participants (n = 101) from three slaughterhouses were asked to rate their perceived exertion on the Borg scale during the cutting task when the knife was well and poorly sharpened. The OCRA results showed that the score for cutting with a dull knife was greater (43.57 ± 13.51) than with a sharp knife (23.79 ± 3.10) (p < 0.001). Consequently, there was a significant increase in the risk level of acquiring upper-limb work-related musculoskeletal disorders (UL-WMSD) by using a "poorly sharpened" knife (29%; p < 0.001; Borg scale 2-8). Thus, maintaining well-sharpened knives for optimal performance of the cutting task (fewer technical actions) is suggested, as well as including knife sharpening in the standard operating procedure to reduce musculoskeletal disorders.


Assuntos
Matadouros , Indústria de Embalagem de Carne , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Esforço Físico , Adolescente , Adulto , Animais , Brasil/epidemiologia , Ergonomia , Humanos , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/etiologia , Percepção , Aves Domésticas , Medição de Risco , Adulto Jovem
10.
Work ; 67(4): 763-765, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33325426

RESUMO

BACKGROUND: During the coronavirus disease (COVID-19) pandemic, people volunteered for sewing hand-made face masks. However, sewing-machine operating might be associated with high ergonomic risk and a negative impact on musculoskeletal health. OBJECTIVE AND METHODS: This paper describes an ultrasonographic diagnosis of a foot ganglion - after sewing 300 face masks within two months using a foot-operated sewing machine. RESULTS: The patient significantly improved after an ultrasound-guided aspiration and corticosteroid injection. CONCLUSION: In short, we highlight the importance of ultrasound examination in the management of work (overuse)-related disorders in occupational medicine practice.


Assuntos
Doenças do Pé/diagnóstico por imagem , Cistos Glanglionares/diagnóstico por imagem , Doenças Profissionais/diagnóstico por imagem , Indústria Têxtil , Voluntários , Anestésicos Locais/administração & dosagem , Anti-Inflamatórios/administração & dosagem , /prevenção & controle , Transtornos Traumáticos Cumulativos/complicações , Drenagem/métodos , Feminino , Doenças do Pé/etiologia , Traumatismos do Pé/complicações , Cistos Glanglionares/etiologia , Humanos , Máscaras , Acetato de Metilprednilosona/administração & dosagem , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Pandemias , Trimecaína/administração & dosagem , Ultrassonografia de Intervenção
11.
Environ Health Prev Med ; 25(1): 65, 2020 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-33129267

RESUMO

Occupational noise-induced hearing loss (ONIHL) is the most prevalent occupational disease in the world. The goal of this study was to review the epidemiology, pathogenesis, and preventive measures of ONIHL among workers and provide evidence for the implementation of control measures. Literature studies were identified from the MEDLINE, PubMed, Embase, Web of Science, and Google Scholar using the search terms "noise-induced hearing loss" "prevalence", "pathogenesis", and "preventive measures". The articles reviewed in this report were limited from 2000 to 2020. Articles that were not published in the English language, manuscripts without an abstract, and opinion articles were excluded. After a preliminary screening, all of the articles were reviewed and synthesized to provide an overview of the current status of ONIHL among workers. The mechanism of ONIHL among workers is a complex interaction between environmental and host factors (both genetic and acquired factors). The outcomes of noise exposure are different among individual subjects. Clinical trials are currently underway to evaluate the treatment effect of antioxidants on ONIHL. Noise exposure may contribute to temporary or permanent threshold shifts; however, even temporary threshold shifts may predispose an individual to eventual permanent hearing loss. Noise prevention programs are an important preventive measure in reducing the morbidity of ONIHL among workers.


Assuntos
Perda Auditiva Provocada por Ruído/prevenção & controle , Doenças Profissionais , Adulto , Idoso , Feminino , Perda Auditiva Provocada por Ruído/epidemiologia , Perda Auditiva Provocada por Ruído/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Ruído , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Prevalência , Adulto Jovem
12.
J Clin Psychiatry ; 81(6)2020 10 20.
Artigo em Inglês | MEDLINE | ID: mdl-33084255

RESUMO

OBJECTIVE: In light of the current evolving coronavirus disease 2019 (COVID-19) pandemic, and the need to learn from past infectious disease outbreaks to provide better psychological support for our frontline health care workers (HCW), we conducted a rapid review of extant studies that have reported on both psychological and coping responses in HCW during recent outbreaks. DATA SOURCES: We performed a systematic search of the available literature using PubMed, MEDLINE (Ovid), and Web of Science, combining key terms regarding recent infectious disease outbreaks and psychological and coping responses. Papers published from database inception to April 20, 2020, were considered for inclusion. Only studies in the English language and papers from peer-reviewed journals were included. STUDY SELECTION: We identified 95 (PubMed) and 49 papers (Web of Science) from the database search, of which 23 papers were eventually included in the review. DATA EXTRACTION: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used for data extraction. The McMaster University critical appraisal tool was used to appraise quantitative studies. Guidelines by Higginbotham and colleagues were used to appraise qualitative studies. Only studies exploring the combined psychological and coping responses of HCW amid infectious diseases were included. RESULTS: Salient psychological responses that can persist beyond the outbreaks included anxiety/fears, stigmatization, depression, posttraumatic stress, anger/frustration, grief, and burnout, but also positive growth and transformation. Personal coping methods (such as problem solving, seeking social support, and positive thinking) alongside workplace measures (including infection control and safety, staff support and recognition, and clear communication) were reported to be helpful. CONCLUSIONS: Psychological support for HCW in the current COVID-19 pandemic and future outbreaks should focus on both individual (eg, psychoeducation on possible psychological responses, self-care) and institutional (eg, clear communication, providing access to resources for help, recognition of efforts of HCW) measures.


Assuntos
Adaptação Psicológica , Betacoronavirus , Infecções por Coronavirus/psicologia , Pessoal de Saúde/psicologia , Transtornos Mentais/etiologia , Doenças Profissionais/etiologia , Pneumonia Viral/psicologia , Resiliência Psicológica , Infecções por Coronavirus/prevenção & controle , Saúde Global , Humanos , Controle de Infecções , Transtornos Mentais/prevenção & controle , Transtornos Mentais/psicologia , Doenças Profissionais/prevenção & controle , Doenças Profissionais/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Apoio Social
13.
Artigo em Chinês | MEDLINE | ID: mdl-33036540

RESUMO

Objective: To investigate the risk of occupational hearing loss caused by noise exposure in an automobile parts manufacturing enterprise. Methods: In June 2019, an automobile parts manufacturing enterprise in Huizhou City was selected to conduct occupational hygiene field investigation, and occupational health investigation and occupational hazards detection were carried out in the workplace. 395 workers with 8-hour working day equivalent sound level (L(ex·8 h)) ≥85 dB (a) were selected as the research objects. The occupational noise exposure risk assessment method was used to assess the noise exposure risk of L(ex·8 h)≥85 dB (a) , and the risk of high-frequency hearing loss and occupational noise deafness caused by noise exposure were evaluated when the working years were 10, 20, 30, 35 and 40. Results: When the exposure years were less than or equal to 30 years, the risk of high-frequency hearing loss of bearing pedestal final examiners was medium risk, and the risk of other positions was acceptable; the highest risk of noise deafness was the bearing pedestal final examiner, and the risk classification was higher, and the other types of work were negligible risk and acceptable risk. When the exposure years are more than 30 years, the risk classification of high-frequency hearing loss of bearing pedestal final inspection workers is high-risk, and the risk classification of other types of work is medium risk; the highest risk of noise deafness is the bearing pedestal final inspection workers, and the risk classification is higher risk, and the other types of work are medium risk. Conclusion: The enterprise should pay attention to the risk of occupational hearing loss caused by noise exposure, especially the bearing pedestal final inspection workers, and strengthen the hearing protection of noise exposed people.


Assuntos
Perda Auditiva Provocada por Ruído , Ruído Ocupacional , Doenças Profissionais , Exposição Ocupacional , Automóveis , Perda Auditiva Provocada por Ruído/epidemiologia , Perda Auditiva Provocada por Ruído/etiologia , Humanos , Ruído Ocupacional/efeitos adversos , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Exposição Ocupacional/efeitos adversos , Medição de Risco
15.
Ann Cardiol Angeiol (Paris) ; 69(5): 227-232, 2020 Nov.
Artigo em Francês | MEDLINE | ID: mdl-33059875

RESUMO

The COVID-19 pandemic has swept through our hospitals which have had to adapt as a matter of urgency. We are aware that a health crisis of this magnitude is likely to generate mental disorders particularly affecting exposed healthcare workers. Being so brutal and global, this one-of the kind pandemic has been impacting the staff in their professional sphere but also within their private circle. The COV IMPACT study is an early assessment survey conducted for 2 weeks in May 2020, of the perception by all hospital workers of the changes induced in their professional activity by the pandemic. The study was carried out by a survey sent to the hospital staff of Béziers and Montfermeil. The readjusted working conditions were source of increased physical fatigue for 62 % of the respondents. Moral exhaustion was reported by 36 %. It was related to the stress of contracting the infection (72 %) but above all of transmitting it to relatives (89 %) with a broad perception of a vital risk (41 %). This stress affected all socio-professional categories (CSP) and was independent of exposure to COVID. Change in organisation, lack of information and protective gear and equipment were major factors of insecurity at the start of the epidemic. Work on supportive measures is necessary. It should focus on the spread of information, particularly towards the youngest, as well as bringing more psychological support and a larger amount of medical equipment, beyond healthcare workers and the COVID sectors.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Recursos Humanos em Hospital/psicologia , Pneumonia Viral/epidemiologia , Estresse Psicológico/etiologia , Adulto , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/transmissão , Família , Fadiga/etiologia , Fadiga/psicologia , França/epidemiologia , Inquéritos Epidemiológicos , Humanos , Disseminação de Informação , Pessoa de Meia-Idade , Moral , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Inovação Organizacional , Pandemias , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/psicologia , Pneumonia Viral/transmissão , Estresse Psicológico/psicologia , Adulto Jovem
16.
Med Lav ; 111(4): 249-268, 2020 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-32869763

RESUMO

BACKGROUND: Criteria for diagnosis and compensation of occupational musculoskeletal diseases varies widely between countries as demonstrated by the large differences between countries with comparable economics and social systems (for example, within the European Union). Several countries have a list of occupational diseases and sometimes these lists include diagnostic and attribution criteria, but these criteria are usually not very specific, and they may also be very different. OBJECTIVES: The aim of this paper is to explicitly define what are the information needed for an evidence-based diagnosis and attribution of an occupational musculoskeletal disease. METHODS: Based on the general framework of evidence-based medicine, a review is presented of the information required to define: - when a musculoskeletal disease is present, according to the best available techniques; - how to define a relevant exposure to biomechanical risk factors, according to the best available techniques. RESULTS: Criteria are presented to combine information regarding the diagnosis of a musculoskeletal disease and exposure to biomechanical risk factors for an evidence-based attribution of the disease to the occupational exposure. The criteria use a probabilistic model that combine epidemiologic and medical findings, workplace exposure assessment, and non-occupational factors evaluation. DISCUSSION: The use of the proposed criteria may improve the process of diagnosis and attribution of an occupational musculoskeletal disease. In addition, it makes possible to associate a probability rank to the attribution and, ultimately, it may improve the overall quality of the decisional process of the occupational physician.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Exposição Ocupacional , Humanos , Doenças Musculoesqueléticas/diagnóstico , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/diagnóstico , Doenças Profissionais/etiologia , Fatores de Risco , Local de Trabalho
17.
Artigo em Inglês | MEDLINE | ID: mdl-32872306

RESUMO

A number of epidemiological studies report an association between occupational noise exposure and arterial hypertension. Existing systematic reviews report conflicting results, so we conducted an updated systematic review with meta-analysis. We registered the review protocol with PROSPERO (registration no.: CRD 42019147923) and searched for observational epidemiological studies in literature databases (Medline, Embase, Scopus, Web of Science). Two independent reviewers screened the titles/abstracts and full texts of the studies. Two reviewers also did the quality assessment and data extraction. Studies without adequate information on recruitment, response, or without a comparison group that was exposed to occupational noise under 80 dB(A) were excluded. The literature search yielded 4583 studies, and 58 studies were found through hand searching. Twenty-four studies were included in the review. The meta-analysis found a pooled effect size (ES) for hypertension (systolic/diastolic blood pressure ≥140/90 mmHg) due to noise exposures ≥80 dB(A) of 1.81 (95% CI 1.51-2.18). There is no substantial risk difference between men and women, but data concerning this question are limited. We found a positive dose-response-relationship: ES = 1.21 (95% CI 0.78-1.87) ≤ 80 dB(A), ES = 1.77 (95% CI 1.36-2.29) >80-≤85 dB(A), and ES = 3.50 (95% CI 1.56-7.86) >85-≤90 dB(A). We found high quality of evidence that occupational noise exposure increases the risk of hypertension.


Assuntos
Hipertensão/epidemiologia , Ruído Ocupacional/efeitos adversos , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Pressão Sanguínea/fisiologia , Humanos , Hipertensão/etiologia , Doenças Profissionais/etiologia
18.
J Occup Environ Med ; 62(9): 692-699, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32890206

RESUMO

: COVID-19 illness can cause multiorgan illness. Some States have passed legislation granting a rebuttable presumption of causation by workplace exposure in certain occupations. This paper summarizes methodology for evaluating claimants utilizing known science and as well as information from the American Medical Association Guides resources.


Assuntos
Betacoronavirus , Infecções por Coronavirus/economia , Doenças Profissionais/economia , Exposição Ocupacional , Pandemias/economia , Pneumonia Viral/economia , Indenização aos Trabalhadores/organização & administração , Infecções por Coronavirus/etiologia , Infecções por Coronavirus/terapia , Humanos , Doenças Profissionais/etiologia , Doenças Profissionais/terapia , Pneumonia Viral/etiologia , Pneumonia Viral/terapia , Estados Unidos
19.
Rev Bras Enferm ; 73(suppl 2): e20200338, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32965402

RESUMO

OBJECTIVE: to identify publishing related to the mental health of health professionals working in the front line of the COVID-19 pandemic. METHODS: an integrative review that included primary articles indexed in the Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Web of Science, Science Direct databases and US National Library of Medicine databases. The result analysis was performed descriptively, in four analytical categories. RESULTS: The publishing involved aspects related to insufficient personal protective equipment, feelings of fear and stigma, the need for psychological and psychiatric support and the possibility of post-outbreak mental disorders. CONCLUSION: All mentioned aspects have a direct impact on the mental health of professionals, demanding the creation of strategies that minimize the emotional burnout of workers, considering that each country and culture reacts differently to the disease.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Pessoal de Saúde/psicologia , Saúde Mental , Pneumonia Viral/psicologia , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Medo/psicologia , Humanos , Transtornos Mentais/etiologia , Transtornos Mentais/psicologia , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Pandemias , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/epidemiologia , Pesquisa Qualitativa , Estereotipagem
20.
Niger J Clin Pract ; 23(9): 1295-1304, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32913171

RESUMO

Aims: The present study aimed to evaluate the incidence of LBP and related factors in over 18-year-olds. Materials and Methods: This research was a cross-sectional study involving individuals over 18 years of age with any complaints in the period from May 2015-June 2016 at different hospitals. The research data were evaluated by the SPSS 15.0 statistical package program. Descriptive statistics were presented as mean (±) standard deviation, median (min, max), frequency distribution, and percentage. Pearson's Chi-square test, Yates corrected Chi-square test, and Fisher's test were used as statistical methods. Statistical significance was accepted as P < 0.05. Results: A total of 5,989 people admitted during that period and 50% unknown frequency were taken to reach 1715 subject persons with 2% deviation and 95% confidence interval which reached 1720. The sociodemographic status, occupational conditions, the frequency of low back pain, and risk factors have been evaluated. Around 92.9% of individuals of 65 years of age and older have lifelong LPB while 57.1% have present LBP. The difference was statistically significant for "the satisfaction of working people" and "individuals working more than 41 h a week." (P < 0.001). Conclusion: Low back pain is still a serious problem that can be avoided by ensuring optimal working conditions and a healthier life.


Assuntos
Dor Lombar/diagnóstico , Dor Lombar/psicologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Qualidade de Vida , Adolescente , Adulto , Distribuição por Idade , Idoso , Estudos Transversais , Feminino , Humanos , Dor Lombar/epidemiologia , Dor Lombar/etiologia , Imagem por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Exposição Ocupacional/prevenção & controle , Exposição Ocupacional/estatística & dados numéricos , Satisfação Pessoal , Prevalência , Fatores de Risco , Distribuição por Sexo , Perfil de Impacto da Doença , Fatores Socioeconômicos , Turquia/epidemiologia
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