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2.
J Am Heart Assoc ; 10(13): e020796, 2021 07 06.
Artigo em Inglês | MEDLINE | ID: mdl-34155907

RESUMO

Background The LABBPS (Los Angeles Barbershop Blood Pressure Study) developed a new model of hypertension care for non-Hispanic Black men that links health promotion by barbers to medication management by pharmacists. Barriers to scaling the model include inefficiencies that contribute to the cost of the intervention, most notably, pharmacist travel time. To address this, we tested whether virtual visits could be substituted for in-person visits after blood pressure (BP) control was achieved. Methods and Results We enrolled 10 Black male patrons with systolic BP ≥140 mm Hg into a proof-of-concept study in which barbers promoted follow-up with pharmacists who initially met each patron in the barbershop, where they prescribed BP medication under a collaborative practice agreement with the patrons' physician. Medications were titrated during bimonthly in-person visits to achieve a BP goal of ≤130/80 mm Hg. Once BP goal was reached, visits were done by videoconference. Final BP and safety outcomes were assessed at 12 months. Nine patients completed the intervention. Baseline BP of 155±14/83.9±11 mm Hg decreased by -28.7±13/-8.9±15 mm Hg (P<0.0001). These data are statistically indistinguishable from prior LABBPS data (P=0.8 for change in systolic BP and diastolic BP). Hypertension control (≤130/80 mm Hg) was 67% (6 of 9), numerically greater than the 63% observed in LABBPS (P=not significant). As intended, the mean number of in-person visits decreased from 11 in LABBPS to 6.6 visits over 12 months. No treatment-related serious adverse events occurred. Conclusions Virtual visits represent a viable substitute for in-person visits, both improving pharmacist efficiency and reducing cost while preserving intervention potency. Registration URL: https://www.clinicaltrials.gov; Unique identifier: NCT03726710.


Assuntos
Afro-Americanos , Anti-Hipertensivos/uso terapêutico , Barbearia , Pressão Sanguínea/efeitos dos fármacos , Serviços Comunitários de Farmácia , Hipertensão/tratamento farmacológico , Telemedicina , Adulto , Idoso , Humanos , Hipertensão/diagnóstico , Hipertensão/etnologia , Hipertensão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Farmacêuticos , Projetos Piloto , Papel Profissional , Estudo de Prova de Conceito , Fatores de Tempo , Resultado do Tratamento
3.
J Health Care Poor Underserved ; 32(1): 258-270, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33678696

RESUMO

INTRODUCTION: Cardiovascular disease (CVD), accounting for one in every four U.S. deaths, has had a devastating impact on Mississippi's African American population. Seeking innovative mitigation models, this study assesses CVD prevalence and reach via barbershops to rural Mississippi African Americans. METHODS: Data was collected from barbershop clientele who consented to be screened and contacted for referral to clinical care if blood pressure was found to be elevated. RESULTS: Most participants were African American (97.7%, n=2,756) and male (54.4%). Descriptive findings revealed more than one-third of participants (34.2%) had elevated blood pressure at screening. Factoring in those with hypertension in control, we found lower rates of hypertension in the male population (males 51.4% vs. females 57.8%), a sharp contrast to national rates. CONCLUSION: Evaluation findings suggest CVD prevalence in rural Mississippi is comparatively high but that barbershop partners were able to successfully reach and screen the target population.


Assuntos
Barbearia , Hipertensão , Afro-Americanos , Feminino , Promoção da Saúde , Humanos , Hipertensão/epidemiologia , Masculino , Homens
4.
Indian J Public Health ; 65(1): 22-27, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33753685

RESUMO

Background: Barbers are occupationally predisposed to blood borne viral infection (BBVI) such as human immunodeficiency virus, hepatitis B and C. Unhygienic workplaces, improper disinfection and inadequate wound-care can increase the susceptibility of both clients and barbers to BBVI. There is paucity of studies on practices regarding BBVI among barbers, especially in India. Objectives: To identify the pattern and predictors of practices related to BBVI transmission among male barbers in a rural area of West Bengal. Methods: A cross-sectional study was conducted from June 2017 to August 2019 in Indas block of Bankura district among 138 male barbers, who were permanent residents and worked for >6 months. Barbers, randomly selected from 10 Gram Panchayats according to probability proportionate to size, were interviewed. Two barbering sessions were observed. Data were analyzed using SPSS version 16 software. Univariate and multiple linear regression was carried out to identify predictors of better practices. P < 0.05 was considered for statistical significance. Results: Dangerous practices such as reuse of blades (8, 5.8%) and face-towel (77, 55.8%), sale/distribution of used blades (77, 55.8%), improper disinfection of sharps (79, 57.2%), reuse of alum without disinfection (129, 93.5%), and improper wound care (71, 51.4%) were observed. Predictors of better practice regarding BBVI were better attitude regarding BBVI (B = 0.172, standard error [SE] = 0.046, P = 0.000) and increased years of schooling (B = 0.054, SE = 0.021, P = 0.012). Conclusion: Inimical infection control practices were noticed. They are serving the general people and therefore they should be imbibed with correct BBVI knowledge and must do away with all hazardous practice during their barbering activities.


Assuntos
Barbearia , Hepatite B , Estudos Transversais , Conhecimentos, Atitudes e Prática em Saúde , Hepatite B/epidemiologia , Humanos , Índia/epidemiologia , Masculino
6.
Int Arch Occup Environ Health ; 94(5): 877-887, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33459872

RESUMO

OBJECTIVE: Exposures at hairdressers' work have been reported to lead to an increased risk of several health outcomes. The present study aimed to investigate the relations between occupational exposures and respiratory symptoms and lung function among hairdressers in Iran. METHODS: We conducted a cross-sectional study to compare potential respiratory effects among 140 women working as hairdressers to such effects among 140 women working as office workers (administrative personnel). Both groups worked in Shiraz, Iran. Respiratory symptoms were assessed by a standard respiratory questionnaire. The questionnaire also inquired about substances used and workspace conditions, including ventilation type. Lung function levels were measured by spirometry. RESULTS: Respiratory symptoms, including cough, wheezing, shortness of breath, and chest tightness were significantly more frequent in hairdressers compared to the reference group (p < 0.05). After controlling for potential confounders, hairdressers had a prevalence ratio (PR) of 2.18 (95% CI 1.26-3.77) for cough, 9.59 (95% CI 1.004-91.73) for wheezing, 2.06 (95% CI 1.25-3.39) for shortness of breath, and 3.31 (95% CI 1.84-5.97) for chest tightness compared to the reference group. Lung function parameters (including VC, FVC, and FEV1) were significantly reduced in hairdressers (p < 0.001). Absence of air conditioning predicted greater reduction in lung function (p < 0.05) in the exposed. Decrease in FVC with normal FEV1/FVC in the exposed group suggested existence of restrictive lung function. CONCLUSIONS: This study provides evidence of increased prevalence of respiratory symptoms and restrictive lung function impairment among hairdressers in Iran.


Assuntos
Barbearia , Tosse/epidemiologia , Dispneia/epidemiologia , Pulmão/fisiopatologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional , Adulto , Tosse/fisiopatologia , Estudos Transversais , Dispneia/fisiopatologia , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Doenças Profissionais/fisiopatologia , Prevalência , Testes de Função Respiratória , Sons Respiratórios/fisiopatologia
7.
Am J Ind Med ; 64(1): 39-47, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33210336

RESUMO

BACKGROUND: The disease burden of coronavirus disease 2019 (COVID-19) is not uniform across occupations. Although healthcare workers are well-known to be at increased risk, data for other occupations are lacking. In lieu of this, models have been used to forecast occupational risk using various predictors, but no model heretofore has used data from actual case numbers. This study assesses the differential risk of COVID-19 by occupation using predictors from the Occupational Information Network (O*NET) database and correlating them with case counts published by the Washington State Department of Health to identify workers in individual occupations at highest risk of COVID-19 infection. METHODS: The O*NET database was screened for potential predictors of differential COVID-19 risk by occupation. Case counts delineated by occupational group were obtained from public sources. Prevalence by occupation was estimated and correlated with O*NET data to build a regression model to predict individual occupations at greatest risk. RESULTS: Two variables correlate with case prevalence: disease exposure (r = 0.66; p = 0.001) and physical proximity (r = 0.64; p = 0.002), and predict 47.5% of prevalence variance (p = 0.003) on multiple linear regression analysis. The highest risk occupations are in healthcare, particularly dental, but many nonhealthcare occupations are also vulnerable. CONCLUSIONS: Models can be used to identify workers vulnerable to COVID-19, but predictions are tempered by methodological limitations. Comprehensive data across many states must be collected to adequately guide implementation of occupation-specific interventions in the battle against COVID-19.


Assuntos
COVID-19/epidemiologia , Exposição Ocupacional/estatística & dados numéricos , Distanciamento Físico , Aviação , Barbearia , Bombeiros/estatística & dados numéricos , Pessoal de Saúde/estatística & dados numéricos , Humanos , Aplicação da Lei , Práticas Mortuárias , Saúde do Trabalhador , Prevalência , Fatores de Risco , Professores Escolares/estatística & dados numéricos , Fatores de Tempo , Transportes , Washington/epidemiologia , Local de Trabalho
8.
Mycoses ; 64(4): 428-436, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33341968

RESUMO

BACKGROUND: Tinea capitis is a highly contagious infectious disease caused by dermatophytes. In Central Europe, it is mainly caused by zoophilic dermatophytes, as, for example Microsporum (M) canis or Trichophyton (T) mentagrophytes and increasingly by anthropophilic fungi. T tonsurans was commonly related to the Tinea gladiatorum, where transmission occurred between infected persons or via contaminated floors. OBJECTIVE: Reporting the transmission of this highly contagious dermatophyte for the first time via beard shaving and hairdressing in barber shops in Germany. PATIENTS AND METHODS: 18 young male patients developed tinea capitis and/or barbae shortly after shavings of the beard and/or hair in a barber shop. Native, cultural and molecular diagnostics as well as tissue biopsies and resistance tests were performed of skin and hair samples. RESULTS: In all samples, T tonsurans could be identified. The medical history and the clinical picture suggest a transmission through contaminated hairdressing tools. The patients were treated with terbinafine or itraconazole in combination with or exclusively with topical antimycotics. CONCLUSION: The transmission and a resulting increase in the incidence of infections with T tonsurans may be due to shavings with direct skin contact of insufficiently disinfected hairdressing tools. This path of infection has already been observed in Africa and is now being described for the first time in Germany. Knowledge of the pathogen and its transmission ways are essential to interrupt the chain of infection.


Assuntos
Barbearia , Cadeia de Infecção , Pisos e Cobertura de Pisos , Tinha/transmissão , Trichophyton/patogenicidade , Adolescente , Antifúngicos/uso terapêutico , Criança , Pré-Escolar , Alemanha , Cabelo/microbiologia , Humanos , Incidência , Masculino , Estudos Retrospectivos , Pele/microbiologia , Pele/patologia , Tinha/tratamento farmacológico , Tinha/microbiologia , Trichophyton/efeitos dos fármacos , Trichophyton/genética , Adulto Jovem
9.
Occup Med (Lond) ; 70(7): 523-526, 2020 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-32851406

RESUMO

Allergic contact dermatitis (ACD) is a common occupational disease. Hairdressers and beauticians are at increased risk of occupational chronic hand eczema. We present a case of mixed occupational, non-occupational and iatrogenic ACD in a hairdresser which illustrates that delayed diagnosis can result in high morbidity, and unnecessary treatment and cost. A hairdresser with chronic hand and facial eczema failed medical management with topical steroids and dupilumab. Patch testing revealed contact allergy to multiple occupational exposures, home exposures and topical medicaments.


Assuntos
Dermatite Alérgica de Contato/etiologia , Dermatite Ocupacional , Preparações para Cabelo/efeitos adversos , Dermatoses da Mão/etiologia , Corticosteroides/efeitos adversos , Adulto , Barbearia , Dermatite Alérgica de Contato/tratamento farmacológico , Hipersensibilidade a Drogas , Feminino , Luvas Protetoras , Humanos , Doença Iatrogênica , Exposição Ocupacional/efeitos adversos
11.
MMWR Morb Mortal Wkly Rep ; 69(28): 930-932, 2020 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-32673300

RESUMO

On May 12, 2020 (day 0), a hair stylist at salon A in Springfield, Missouri (stylist A), developed respiratory symptoms and continued working with clients until day 8, when the stylist received a positive test result for SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). A second hair stylist (stylist B), who had been exposed to stylist A, developed respiratory symptoms on May 15, 2020 (day 3), and worked with clients at salon A until day 8 before seeking testing for SARS-CoV-2, which returned a positive result on day 10. A total of 139 clients were directly serviced by stylists A and B from the time they developed symptoms until they took leave from work. Stylists A and B and the 139 clients followed the City of Springfield ordinance* and salon A policy recommending the use of face coverings (i.e., surgical masks, N95 respirators,† or cloth face coverings) for both stylists and clients during their interactions. Other stylists at salon A who worked closely with stylists A and B were identified, quarantined, and monitored daily for 14 days after their last exposure to stylists A or B. None of these stylists reported COVID-19 symptoms. After stylist B received a positive test result on day 10, salon A closed for 3 days to disinfect frequently touched and contaminated areas. After public health contact tracings and 2 weeks of follow-up, no COVID-19 symptoms were identified among the 139 exposed clients or their secondary contacts. The citywide ordinance and company policy might have played a role in preventing spread of SARS-CoV-2 during these exposures. These findings support the role of source control in preventing transmission and can inform the development of public health policy during the COVID-19 pandemic. As stay-at-home orders are lifted, professional and social interactions in the community will present more opportunities for spread of SARS-CoV-2. Broader implementation of masking policies could mitigate the spread of infection in the general population.


Assuntos
Barbearia , Infecções por Coronavirus/prevenção & controle , Máscaras , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Política Pública , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19 , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Exposição Ambiental/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Missouri/epidemiologia , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Adulto Jovem
12.
Curr Cardiol Rep ; 22(8): 64, 2020 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-32562103

RESUMO

PURPOSE OF REVIEW: This review summarizes the results of recent barbershop-based studies focusing on the diagnosis and management of hypertension (HTN) in black adults. The pitfalls of prior attempts and opportunities for the development of future programs to address health disparities on a larger scale are also reviewed. RECENT FINDINGS: While barbershop health outreach has become a commonplace in recent years, the quality of the evidence on the effectiveness of such programs has been weak, until the Los Angeles Barbershop Blood Pressure Study (LABBPS), a rigorously carried out cluster-randomized trial, demonstrated a - 21 mmHg greater reduction in BP among black hypertensive men who were assigned to a pharmacist-led HTN intervention when compared with usual care. Given the available evidence, barber health promotion paired with focused hypertension-specialty care has the potential to reduce, if not eliminate, the present wide gap in hypertension care and ultimately lead to a reduction of hypertension-related complications among blacks. Future research should seek to improve the scalability and transferability of the LABBPS model both to other geographic regions and to other at-risk groups.


Assuntos
Barbearia , Hipertensão , Adulto , Afro-Americanos , Pressão Sanguínea , Promoção da Saúde , Humanos , Masculino
13.
BMC Public Health ; 20(1): 718, 2020 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-32429958

RESUMO

BACKGROUND: Work-related musculoskeletal disorders (MSDs) are the major threats to public health, with a significant impact on workers, employers, and the general population. Musculoskeletal disorder related to work not only results in adverse health effects such as physical injury, disability, and a reduction in workers' quality of life, but it also places immense burdens on the use of healthcare facilities and a substantial loss of productivity. The purpose of this research was to discover the prevalence and associated factors of work-related MSDs among hairdressers in Oromia Special Zone Surrounding Finfine, Ethiopia. METHODS: A cross-sectional survey was carried out between March and April 2019. We included a total of 699 hairdressers with a systematic random sampling technique. Work-related MSDs was evaluated with the standardized Nordic Musculoskeletal survey, and the survey was administered by the interviewer. We employed SPSS version 20 software to perform a bivariate and multivariate analysis. A p-value of < 0.05 was considered a significant association. RESULTS: In total, 652 hairdressers were interviewed with a response rate of 93.2%. Participants' mean age was 33.19 (SD ± 9.639) years. The prevalence of work-related MSDs was 70.2% (N = 458) [95% CI (66.7, 73.9)] and 55.7% in the past 12-months and 7 days, respectively. The study showed the highest prevalence rate was observed in shoulder 53.7% (n = 350) followed by 53.4% (n = 348) neck and 53.2% (n = 347) low back. Of the participants, 33.4% (n = 153) perceived their pain to be severe whereas 28% (n = 128) a high disabling. Almost one-third (n = 187) of the respondents used healthcare services. Age [AOR = 2.73; 95% CI (2.55, 5.46)], work experience [AOR = 1.51; 95% CI (1.03, 2.20)], number of customers served per day [AOR = 2.35; 95% CI (1.35, 4.11)], and hours spent standing to make hair [AOR = 3.4; 95% CI (2.49, 7.77)] were significantly associated factors. CONCLUSION: This study found work-related MSDs were prevalent among hairdressers, but the use of healthcare services remains low. Age, length of employment, number of customers served per day, and number of hours spent standing per day to make hair were significantly associated. Therefore, we recommend employers need to develop health and safety programs that account for factors related to the workplaces. The findings also demonstrate that health practitioners would encourage pain management procedures.


Assuntos
Barbearia/estatística & dados numéricos , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Adulto , Estudos Transversais , Etiópia/epidemiologia , Feminino , Humanos , Setor Informal , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/psicologia , Doenças Profissionais/psicologia , Prevalência , Qualidade de Vida , Inquéritos e Questionários
14.
Contact Dermatitis ; 83(2): 75-82, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32311093

RESUMO

Occupational hand eczema is common among hairdressers, and protective gloves are important in limiting exposure to irritants and allergens. Various glove types may differ in their protective ability, and their use may lead to hand eczema due to skin irritancy and allergy. MEDLINE was searched for studies investigating permeation of gloves to irritants and allergens used in the hairdressing trade, as well as adverse effects of glove use affecting hairdressers. Forty-four studies were identified; nine reported on permeation. Of those, two in vitro studies found nitrile rubber (NR) gloves to give the best protection when handling hair dyes. Polyethylene (PE) gloves had the lowest reported break-through time. The prevalence of sensitization to rubber materials in European hairdressers was as follows: thiuram mix, median 2.5% (range 0%-8.2%), weighted average 3.0% (95% confidence interval [CI] 3.0%-3.1%); mercapto mix, median 0.4% (range 0%-3.3%), weighted average 0.5% (95% CI 0.47%-0.50%), mercaptobenzothiazole, median 0.6% (range 0%-6.6%), weighted average 0.7% (95% CI 0.6%-0.7%), NRL-type I allergy, median 1.3% (range 1%-16.4%), weighted average 4.0% (95% CI 3.6%-4.5%). In conclusion, NR gloves provide the best skin protection for hairdressers, although natural rubber latex (NRL) and polyvinylchloride (PVC) gloves may be sufficient in most cases. PE gloves are not recommended. Synthetic rubber gloves with low or no levels of accelerators are preferred.


Assuntos
Barbearia , Luvas Protetoras , Tinturas para Cabelo/química , Exposição Ocupacional/prevenção & controle , Luvas Protetoras/efeitos adversos , Luvas Protetoras/estatística & dados numéricos , Humanos , Hipersensibilidade/etiologia , Látex/efeitos adversos , Nitrilas , Permeabilidade , Polietileno , Cloreto de Polivinila , Borracha/efeitos adversos
15.
Contact Dermatitis ; 83(1): 1-7, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32243591

RESUMO

BACKGROUND: Although occupational contact urticaria (CU) and protein contact dermatitis (PCD) are considered frequent among workers with exposure to proteinaceous materials, data on occupations at risk and the main causes of these occupational skin diseases are relatively limited. OBJECTIVES: To report the causative agents and risk occupations for CU and PCD in the Finnish Register of Occupational Diseases (FROD). METHODS: We retrieved from the FROD all recognized cases of CU/PCD in the years 2005-2016. RESULTS: With 570 cases, CU and PCD constituted 11% of all recognized cases of occupational skin diseases in the study period. Occupations with the highest incidence of CU/PCD included bakers, chefs and cooks, farmers and farm workers, veterinarians, gardeners, and hairdressers. The most common causative agents were cow dander and flour and grain, followed by natural rubber latex (NRL) and other food. In food-related occupations, wheat and other flours were by far the most common cause of CU/PCD, with 76 cases, whereas fish and other animal-derived food caused 33 and other plant-derived food caused 23 cases. CONCLUSIONS: Apart from the Finnish peculiarity of cow dander allergy, a striking finding was a large share of CU/PCD caused by flours in food handlers as compared to other food.


Assuntos
Alérgenos/efeitos adversos , Dermatite Alérgica de Contato/epidemiologia , Dermatite Ocupacional/epidemiologia , Proteínas de Plantas/efeitos adversos , Urticária/epidemiologia , Agricultura , Ração Animal/efeitos adversos , Animais , Apium/efeitos adversos , Barbearia , Bovinos , Alérgenos Animais/efeitos adversos , Daucus carota/efeitos adversos , Dermatite Alérgica de Contato/etiologia , Dermatite Ocupacional/etiologia , Ficus/efeitos adversos , Finlândia , Farinha de Peixe/efeitos adversos , Peixes , Farinha/efeitos adversos , Indústria Alimentícia , Humanos , Hipersensibilidade ao Látex/epidemiologia , Pastinaca/efeitos adversos , Raízes de Plantas/efeitos adversos , Sistema de Registros , Solanum tuberosum/efeitos adversos , Urticária/etiologia , Médicos Veterinários
16.
BMJ Open ; 10(4): e035940, 2020 04 26.
Artigo em Inglês | MEDLINE | ID: mdl-32341046

RESUMO

INTRODUCTION: African American adults are disproportionately burdened by chronic diseases, particularly at younger ages. Developing culturally appropriate interventions is paramount to closing the gap in these health inequities. The purpose of this systematic review is to critically evaluate health promotion interventions for African Americans delivered in two environments that are frequented by this population: barbershops and hair salons. Characteristics of effective interventions will be identified and evidence for the effectiveness of these interventions will be provided. Results of this review will inform future health promotion efforts for African Americans particularly focused on the leading health inequities in obesity-related chronic diseases: cardiovascular disease, cancer and type 2 diabetes. METHODS AND ANALYSIS: Subject headings and keywords will be used to search for synonyms of 'barbershops,' 'hair salons' and 'African Americans' to identify all relevant articles (from inception onwards) in the following databases: Academic Search Ultimate, Cumulative Index of Nursing and Allied Health Literature, Embase, PsycINFO, PubMed, Web of Science (Science Citation Index and Social Sciences Citation Index) and ProQuest Dissertations. Experimental and quasi-experimental studies for adult (>18 years) African Americans delivered in barbershops and hair salons will be included. Eligible interventions will include risk reduction/management of obesity-related chronic disease: cardiovascular disease, cancer and type 2 diabetes. Two reviewers will independently screen, select and extract data and a third will mediate disagreements. The methodological quality (or risk of bias) of individual studies will be appraised using the Effective Public Health Practice Project Quality Assessment Tool. Quality and content of the evidence will be narratively synthesised. ETHICS AND DISSEMINATION: Since this is a protocol for a systematic review, ethical approval is not required. Findings from the review will be widely disseminated through conference presentations, peer-reviewed publications and traditional and social media outlets.


Assuntos
Afro-Americanos , Barbearia , Promoção da Saúde/métodos , Obesidade/complicações , Adulto , Doenças Cardiovasculares/prevenção & controle , Doença Crônica/prevenção & controle , Diabetes Mellitus Tipo 2/prevenção & controle , Humanos , Neoplasias/prevenção & controle , Obesidade/prevenção & controle , Projetos de Pesquisa , Gestão de Riscos , Comportamento de Redução do Risco , Revisões Sistemáticas como Assunto
17.
Am J Ind Med ; 63(6): 484-489, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32175619

RESUMO

BACKGROUND: Asbestos is the primary known cause of malignant mesothelioma. Some cosmetic talc products have been shown to contain asbestos. Recently, repeated exposures to cosmetic talc have been implicated as a cause of mesothelioma. METHODS: Seventy-five individuals (64 females; 11 males) with malignant mesothelioma, whose only known exposure to asbestos was repeated exposures to cosmetic talcum powders, were reviewed in medical-legal consultation. Out of the 75 cases, 11 were examined for asbestiform fibers. RESULTS: All subjects had pathologically confirmed malignant mesothelioma. The mean age at diagnosis was 61 ± 17 years. The mean latency from exposure to diagnosis was 50 ± 13 years. The mean exposure duration was 33 ± 16 years. Four mesotheliomas (5%) occurred in individuals working as barbers/cosmetologists, or in a family member who swept the barber shop. Twelve (16%) occurred in individuals less than 45 years old (10 females; 2 males). Forty-eight mesotheliomas were pleural (40 females; 8 males), 23 were peritoneal (21 females; 2 males). Two presented with concomitant pleural and peritoneal disease. There was one pericardial, and one testicular mesothelioma. The majority (51) were of the epithelioid histological subtype, followed by 13 biphasic, 8 sarcomatoid, 2 lymphohistiocytoid, and 1 poorly differentiated. Of the 11 individuals whose nontumorous tissues were analyzed for the presence of asbestiform fibers, all showed the presence of anthophyllite and/or tremolite asbestos. CONCLUSIONS: Mesotheliomas can develop following exposures to cosmetic talcum powders. These appear to be attributable to the presence of anthophyllite and tremolite contaminants in cosmetic talcum powder.


Assuntos
Poluentes Ocupacionais do Ar/efeitos adversos , Mesotelioma Maligno/epidemiologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Talco/efeitos adversos , Adulto , Poluentes Ocupacionais do Ar/análise , Amiantos Anfibólicos/efeitos adversos , Amiantos Anfibólicos/análise , Barbearia , Indústria da Beleza , Feminino , Humanos , Neoplasias Pulmonares/epidemiologia , Neoplasias Pulmonares/etiologia , Masculino , Mesotelioma Maligno/etiologia , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Exposição Ocupacional/análise , Neoplasias Pleurais/epidemiologia , Neoplasias Pleurais/etiologia , Talco/análise , Fatores de Tempo
18.
Environ Geochem Health ; 42(10): 3157-3170, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32193807

RESUMO

Human hair is considered as a potential biowaste worldwide, and improper disposal of hair can create multiple environmental problems. Due to unique characteristic features, human waste hair can be efficiently utilized for versatile applications, from agricultural industries to fashion industries. There is a huge business of human hair in many multinational countries and also in some rural areas of India. The continuous demand of such keratinous waste for human need in turn is producing residual waste at an alarming rate that causes environmental degradation. Therefore, our study aims to investigate the possible impacts of waste hair reprocessing activity on environmental health in rural India, citing examples from Radhapur village. Physico-chemical parameters of pond water and soil from the dumpsite were assessed. Along with this, elemental profile of waste hair, pond water and soil was estimated. To assess the deterioration of water quality, zooplankton diversity was also measured. Water quality index showed that the studied ponds are unsuitable for drinking purpose and aquaculture. The Shannon index further indicated comparatively lower diversity of zooplankton community in the studied ponds. Due to the presence of total organic carbon and available N-P-K, the soil can sustain the growth and survival of plants; however, the risk of toxic metal accumulation may be persisted. Hence, to enhance the utilization of waste hair in a large scale, a policy framework is extremely required that will incorporate environmental and social well-being and provide necessary support towards sustainable development. Future study needs to be carried out to eliminate the toxic elements from the water and soil using some phytoremediation strategies.


Assuntos
Saúde Ambiental , Monitoramento Ambiental , Cabelo/química , Resíduos Industriais/análise , Lagoas/química , Solo/química , Zooplâncton/fisiologia , Animais , Barbearia , Biodiversidade , Poluição Ambiental/análise , Humanos , Índia , Poluição da Água/análise , Qualidade da Água , Zooplâncton/efeitos dos fármacos
19.
J Gen Intern Med ; 35(10): 3057-3059, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32180133

RESUMO

Black men in the USA experience disproportionate cardiovascular disease mortality compared to their white counterparts, in part due to an excess of uncontrolled hypertension. A promising intervention to address these disparities involves the direct pharmacologic management of hypertension by clinical pharmacists in Black male patrons of barbershops, as demonstrated in the Los Angeles Barbershop Blood Pressure Study (LABBPS). Despite the observed reduction in systolic blood pressure of > 20 mmHg after 1 year, the feasibility of scaling up such an intervention to a regional or national platform remains uncertain. Here we explore the success of LABBPS in the context of prior barbershop interventions and theorize the most important aspects driving the observed reductions. We further make a case for prioritizing preventive care in nontraditional settings in an effort to reduce health disparities.


Assuntos
Barbearia , Hipertensão , Afro-Americanos , Pressão Sanguínea , Promoção da Saúde , Humanos , Hipertensão/epidemiologia , Hipertensão/terapia , Masculino
20.
Contact Dermatitis ; 82(6): 343-349, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32144776

RESUMO

BACKGROUND: Detailed epidemiological studies on occupational skin diseases (OSDs) are scarce. OBJECTIVES: To analyze risk occupations for OSDs in the Finnish Register of Occupational Diseases (FROD). METHODS: We retrieved numbers of OSD cases (excluding skin infections) for different occupations from the FROD in 2005-2016. In the FROD, Finnish ISCO-08-based classification of occupations was used since 2011, and the preceding ISCO-88-based version until 2010. We combined cases from the earlier and the later period using conversion tables provided by Statistics Finland. We included occupations with at least five cases and analyzed them in detail. We calculated incidence rates for OSDs and separately for allergic contact dermatitis (ACD) in different risk occupations using national labor force statistics. We also studied causes of ACD in these occupations. RESULTS: Risk occupations with the largest number of OSD cases included farmers, hairdressers, assistant nurses, cooks, cleaners, machinists, and nurses. Occupations with the highest incidences of OSDs comprised spray painters (23.8/10 000 person years), bakers (20.4), and dental technicians (19.0). Epoxy compounds and acrylates were prominent causes of ACD in occupations with the highest incidences of ACD. CONCLUSIONS: Uniform use of International Standard Classification of Occupations (ISCO) would facilitate comparisons of OSD figures in different countries.


Assuntos
Dermatite Alérgica de Contato/epidemiologia , Dermatite Alérgica de Contato/etiologia , Dermatite Ocupacional/epidemiologia , Dermatite Ocupacional/etiologia , Ocupações/estatística & dados numéricos , Acrilatos/efeitos adversos , Barbearia/estatística & dados numéricos , Indústria da Construção/estatística & dados numéricos , Culinária/estatística & dados numéricos , Técnicos em Prótese Dentária/estatística & dados numéricos , Dermatite Irritante/epidemiologia , Compostos de Epóxi/efeitos adversos , Fazendeiros/estatística & dados numéricos , Finlândia/epidemiologia , Serviço de Limpeza/estatística & dados numéricos , Humanos , Incidência , Indústria Manufatureira/estatística & dados numéricos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Sistema de Registros
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