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1.
J Hazard Mater ; 422: 126771, 2022 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-34391975

RESUMO

The present study investigates potential nanomaterial releases and occupational health risks across the lifecycle of nano-enabled building materials (NEBMs), namely, insulations and coatings. We utilized real-world degradation scenarios of a) sanding (mechanical), b) incineration (thermal), and c) accelerated UV-aging (environmental) followed by incineration. Extensive physicochemical characterization of the released lifecycle particulate matter (LCPM) was performed. The LCPM2.5 aerosol size fraction was used to assess the acute biological, cytotoxic and inflammatory effects on Calu-3 human lung epithelial cells. RNA-Seq analysis of exposed cells was performed to assess potential for systemic disease. Findings indicated that release dynamics and characteristics of LCPM depended on both the NEBM composition and the degradation scenario(s). Incineration emitted a much higher nanoparticle number concentration than sanding (nearly 4 orders of magnitude), which did not change with prior UV-aging. Released nanofillers during sanding were largely part of the matrix fragments, whereas those during incineration were likely physicochemically transformed. The LCPM from incineration showed higher bioactivity and inflammogenicity compared to sanding or sequential UV-aging and incineration, and more so when metallic nanofillers were present (such as Fe2O3). Overall, the study highlights the need for considering real-world exposure and toxicological data across the NEBM lifecycle to perform adequate risk assessments and to ensure workplace health and safety.


Assuntos
Saúde do Trabalhador , Material Particulado , Aerossóis/análise , Materiais de Construção , Humanos , Incineração , Material Particulado/toxicidade
2.
J Hazard Mater ; 421: 126590, 2022 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-34332477

RESUMO

Inherently safer design is the most proactive approach to manage risk, as referred by scientists and experts. Researchers have adopted various methods in evaluating inherent safety indices like parameter-based indexing, risk-based indexing, consequence-based indexing, etc. However, the existing approaches have their limitations. The present paper focuses on establishing an inherent system safety index (ISSI) to evaluate inherently safer design during the concept development stage. The analysis starts by identifying a non-harmful system's inherent safety characteristics and related parameters. Four subindexes, determined from the non-harmful system's characteristics, are established using their relevant parameters. The safety of the chemical process system, the health of workers, and the environment's safety can be assured by selecting relevant parameters. Parameters are scored based on their deviation from the non-harmful condition. The sum of the deviations of the parameters gives the value of the inherent safety index. The case study looks at various routes of Methyl Methacrylate (MMA). According to the present case study, MMA production followed by Tertiary butyl alcohol is the safest route given health, safety, and environmental perspective. This approach helps overcome the limitation of parameter-based indexing, which arises from selecting predefined fixed parameters that become invalid in case of system variation or significant modification of the system. Besides, it considers the complexity and vulnerability that arises from the interaction of various factors|, which increase predetermined risk calculated at the design stage when the system is in operation. The subindices can be used individually if a focus is needed in a definite section of a system with a particular application or a smaller portion. This method is helpful for the industry in designing a safer plant considering the health, safety, and environmental perspective at the concept development stage.


Assuntos
Indústria Química , Modelos Teóricos , Saúde do Trabalhador , Fenômenos Químicos , Humanos
3.
Appl Ergon ; 98: 103558, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34411850

RESUMO

This explanatory sequential mixed-method study explored the factors associated with the investment (or not) in sit-stand workstations (SSWs) and alternative initiatives to reduce prolonged sitting at work from the perspective of furniture purchasing decision-makers in Australian workplaces. Participants (n = 270) from >200 organisations across 19 industry sectors completed an online survey. Seven interviews were conducted in a sub-sample of participants from organisations without SSWs. The majority (80%) of workplaces reported having invested in SSWs. Workplaces without SSWs, opposed to those with SSWs, were more likely to be private (79.6% vs. 43.5%), of small/medium size (70.4% vs. 35.6%) and without a wellness program (57.4% vs. 22.2%) (all p < 0.05). Financial implications were the main reason for not investing in SSWs. Exercise and stretch breaks were alternative initiatives to reducing sedentary behaviour at work. Better evidence on the return on investment is needed to support purchasing decisions on SSWs.


Assuntos
Saúde do Trabalhador , Local de Trabalho , Austrália , Tomada de Decisões , Humanos , Comportamento Sedentário , Postura Sentada
4.
Esc. Anna Nery Rev. Enferm ; 26(spe): e20210234, 2022. tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1342933

RESUMO

Objetivo: Descrever a experiência de planejamento, execução e avaliação de um serviço de suporte ético-emocional para profissionais de enfermagem frente à pandemia de COVID-19. Método: Relato de experiência no âmbito da Comissão de Suporte Ético-Emocional do Conselho Regional de Minas Gerais, Brasil, desenvolvido entre os meses de abril e dezembro de 2020 e operacionalizado através de ligações telefônicas e mensagens via aplicativo de comunicação. Resultados: Foram atendidos 241 profissionais. Foram revelados e declarados sentimentos, emoções, vivências e problemas oriundos do cotidiano de trabalho da enfermagem diante do contexto pandêmico. Tais problemas reforçam a eminência, a urgência e o valor que o suporte teve para a vida, trabalho e saúde dos profissionais atendidos, configurando-se como uma estratégia de saúde e de intervenção indispensável à promoção, prevenção, segurança e proteção da saúde mental frente à pandemia. Os atendimentos culminaram na redução de sentimentos negativos; na percepção aumentada (identificação de potenciais ameaças e contextos de "gatilhos"); na valorização pessoal; no autoconhecimento e autocuidado. Considerações finais e implicações para a prática: O suporte fez-se inovador para área da saúde e da enfermagem ao constituir-se como uma estratégia multidisciplinar promotora, aconselhadora e facilitadora do cuidado em tempos de COVID-19. Encoraja-se a manutenção desta estratégia após a pandemia


Objective: To describe the experience of planning, implementing and evaluating an ethical-emotional support service for Nursing professionals facing the COVID-19 pandemic. Method: An experience report in the scope of the Ethical-Emotional Support Commission of the Regional Council of Minas Gerais, Brazil, developed between April and December 2020 and operationalized through phone calls and messages via a communication application. Results: A total of 241 professionals were assisted. Feelings, emotions, experiences and problems arising from the daily Nursing work in the pandemic context were revealed and stated. Such problems reinforce the prominence, urgency and value that the support service had for the life, work and health of the professionals assisted, configuring itself as a health and intervention strategy, indispensable for mental health promotion, prevention, safety and protection in the face of the pandemic. The consultations culminated in the reduction of negative feelings; in increased perception (identification of potential threats and "trigger" contexts); in personal appreciation; and in self-knowledge and self-care. Final considerations and implications for the practice: The support service was innovative for the Health and Nursing areas by constituting a multidisciplinary strategy that promotes, counsels, and facilitates care in times of COVID-19. We encourage the maintenance of this strategy after the pandemic


Objetivo: Describir la experiencia de planificación, implementación y evaluación de un servicio de soporte ético-emocional para los profesionales de enfermería ante la pandemia de COVID-19. Método: Relato de experiencia en el ámbito de la Comisión de Soporte Ético-Emocional del Consejo Regional de Minas Gerais, Brasil, desarrollado entre los meses de abril y diciembre de 2020 y operacionalizado a través de enlaces telefónicos y mensajes vía la aplicación de comunicación. Resultados: Se atendió a 241 profesionales. Se revelaron y declararon los sentimientos, las emociones, las experiencias y los problemas derivados del trabajo diario de las enfermeras ante el contexto de la pandemia. Estos problemas refuerzan la eminencia, la urgencia y el valor que el soporte tiene para la vida, el trabajo y la salud de los profesionales atendidos, configurándose como una estrategia de salud y de intervención indispensable para la promoción, prevención, seguridad y protección de la salud mental frente a la pandemia. Las consultas culminaron en la reducción de los sentimientos negativos; en el aumento de la percepción (identificación de posibles amenazas y contextos "desencadenantes"); en la valoración personal; en el autoconocimiento y el autocuidado. Consideraciones finales e implicaciones para la práctica: El soporte fue innovador en el ámbito de la salud y la enfermería como estrategia multidisciplinaria para promover, asesorar y facilitar la asistencia en tiempos de COVID-19. Se fomenta el mantenimiento de esta estrategia después de la pandemia


Assuntos
Humanos , Masculino , Feminino , Consulta Remota , Ética em Enfermagem , Telessaúde Mental , COVID-19/psicologia , Profissionais de Enfermagem/psicologia , Esgotamento Profissional , Saúde do Trabalhador , Carga de Trabalho
5.
Rev Esp Salud Publica ; 952021 Nov 17.
Artigo em Espanhol | MEDLINE | ID: mdl-34785633

RESUMO

OBJECTIVE: Health promotion at work (HPW) is an essential component of social and economic policies. Objectives: 1) To determine which regions in Spain have a HPW program and 2) To review these programs according to health promotion and equity models. METHODS: Regional HPW programs were identified through occupational health committee. Their webs were reviewed, and we interviewed by videoconference the persons in charge of each program. We used a data collection notebook to collect descriptive as well as quality variables, according to health promotion and equity models. RESULTS: 6 regions have a HPW program: Andalucía, Aragón, Cataluña, Comunidad Valenciana, Extremadura and Galicia, developed by health administration or work administration, but only in 1 case by both. 4 programs have regulations and 3 have created a network. The participation of occupational risk prevention services is key, while participation of workers and management teams is variable. Only 2 regions have incorporated information and materials related to COVID-19. Measures to promote equality and work-life balance, but not to promote equity. CONCLUSIONS: HPW in Spain is a reality in 6 regions, with differences between them related to the requisites and what the administration offers to them.


Assuntos
COVID-19 , Saúde do Trabalhador , Promoção da Saúde , Humanos , SARS-CoV-2 , Espanha
6.
Rev Esp Salud Publica ; 952021 Nov 17.
Artigo em Espanhol | MEDLINE | ID: mdl-34785634

RESUMO

The COVID-19 pandemic is clearly showing the importance for the surveillance and protection of human health of acting in all settings of life: family, community, education, leisure or work, among others, as well as addressing the multiple determinants that influence the health and well-being of the population: demographic, healthcare, environmental, social, eco-nomic, cultural or occupational, among others. With respect to occupational health and the work-related determinants of health, the potential of occupational health services acting at the company level is clear, and could be generalized to almost any public health action setting. This article reflects on the opportunities for coordination between the occupational health system in Spain (including resources from mutual insurance companies, companies themselves and administrations) and the public health system, including both health care (primary care, hospital) and public health services. We examine this in the context of health crises, like the present one, but also with a broader vision, commensurate with the necessary comprehensive care for human health, guaranteeing health as a fundamental and universal right in all life circumstances. To advance along these lines, we propose the incorporation of the "occupational health perspective" in all actions and services of the public healthcare system, especially with respect to public health services under the purview of the health administration.


Assuntos
COVID-19 , Saúde do Trabalhador , Humanos , Pandemias , Saúde Pública , SARS-CoV-2 , Espanha
7.
Rev Bras Enferm ; 75Suppl 3(Suppl 3): e20200419, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34787242

RESUMO

OBJECTIVE: To analyze the suffering and coping strategies of nurses working in Primary Health Care considering the psychodynamics of their work. METHODS: Descriptive study with a qualitative approach, carried out with 11 nurses working in Primary Health Care. Data were collected through semi-structured interviews, systematized, and interpreted using Bardin's content analysis method applied to recurrent themes. RESULTS: The suffering factors related to work in Primary Health Care are difficulties with management, the fragile structure of the health support network, and conflicts with the users. Defensive strategies to minimize these difficulties are the support of hierarchical superiors, the empowerment of the community and users, and communication between team members. FINAL CONSIDERATIONS: It is important that there be changes in the organization of this line of work to improve the workers' health.


Assuntos
Enfermeiras e Enfermeiros , Saúde do Trabalhador , Comunicação , Humanos , Atenção Primária à Saúde , Pesquisa Qualitativa
8.
Front Public Health ; 9: 747894, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34805071

RESUMO

Eighteen months into the COVID-19 pandemic, and as the world struggles with global vaccine equity, emerging variants, and the reality that eradication is years away at soonest, we add to notion of "layered defenses" proposing a conceptual model for better understanding the differential applicability and effectiveness of precautions against SARS-CoV-2 transmission. The prevailing adaptation of Reason's Swiss cheese model conceives of all defensive layers as equally protective, when in reality some are more effective than others. Adapting the hierarchy of controls framework from occupational safety provides a better framework for understanding the relative benefit of different hazard control strategies to minimize the spread of SARS-CoV-2.


Assuntos
COVID-19 , Saúde do Trabalhador , Humanos , Pandemias/prevenção & controle , SARS-CoV-2 , Gestão da Segurança
9.
Artigo em Inglês | MEDLINE | ID: mdl-34770215

RESUMO

This paper provides an examination of direct and mediated relationships among occupational stressors (responsibilities towards family and living environment), mental health (anxiety and depression), fatigue (physical and mental fatigue), and safety behaviour (safety compliance and safety participation). In this cross-sectional study, data were collected by means of a questionnaire among oil and gas workers (foreign employees working at a remote oil and gas field site located in Kuwait), during a two-month period (November-December 2018). Regression analyses (bivariate and hierarchical), carried out on 387 responses, were employed to test the links between occupational stressors, mental health, fatigue, and safety behaviour in the hypothesised model. The results provide support for the direct relationship in the model, in that both responsibilities towards family and living environment predicted safety behaviour participation. Further, the results provide partial support for the mediated relationships in the model, as mental health and fatigue were found to mediate the relationship of responsibilities towards family and living environment with safety participation behaviour. It is concluded that occupational stressors have a negative effect on safety behaviour, while mental health and fatigue can operate as risk factors. Given this, it is recommended that organisations need to enhance remote oil and gas workers' safety behaviour by encouraging them to effectively balance their stress, mental health, and level of fatigue. This can be achieved by actions such as promoting spirituality, boosting workers' resilience, providing recreational facilities and encouraging communications.


Assuntos
Saúde Mental , Saúde do Trabalhador , Ansiedade , Estudos Transversais , Humanos , Kuweit/epidemiologia , Inquéritos e Questionários
10.
Sensors (Basel) ; 21(21)2021 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-34770546

RESUMO

BACKGROUND: Although hydraulic support can help enterprises in their production activities, it can also cause fatal accidents. METHODS: This study established a composite risk-assessment method for hydraulic support failure in the mining industry. The key basic event of hydraulic support failure was identified based on fault tree analysis and gray relational analysis, and the evolution mechanism of hydraulic support failure was investigated based on chaos theory, a synthetic theory model, and cause-and-effect-layer-of-protection analysis (LOPA). RESULTS: After the basic events of hydraulic support failure are identified based on fault tree analysis, structure importance (SI), probability importance (PI), critical importance (CI), and Fussell-Vesely importance (FVI) can be calculated. In this study, we proposed the Fussell-Vesely-Xu importance (FVXI) to reflect the comprehensive impact of basic event occurrence and nonoccurrence on the occurrence probability of the top event. Gray relational analysis was introduced to determine the integrated importance (II) of basic events and identify the key basic events. According to chaos theory, hydraulic support failure is the result of cross-coupling and infinite amplification of faults in the employee, object, environment, and management subsystems, and the evolutionary process has an obvious butterfly effect and inherent randomness. With the help of the synthetic theory model, we investigated the social and organizational factors that may lead to hydraulic support failure. The key basic event, jack leakage, was analyzed in depth based on cause-and-effect-LOPA, and corresponding independent protection layers (IPLs) were identified to prevent jack leakage. IMPLICATIONS: The implications of these findings with respect to hydraulic support failure can be regarded as the foundation for accident prevention in practice.


Assuntos
Saúde do Trabalhador , Acidentes , Probabilidade , Medição de Risco
11.
Sensors (Basel) ; 21(21)2021 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-34770567

RESUMO

Monitoring of personal exposure to hazardous substances has garnered increasing attention over the past few years. However, no straightforward and exact indoor positioning technique has been available until the recent discovery of Wi-Fi round trip time (Wi-Fi RTT). In this study, we investigated the possibility of using a combination of Wi-Fi RTT for indoor positioning and a wearable particle monitor (WPM) to observe dust concentration during walking in a simulated factory. Ultrasonic humidifiers were used to spray sodium chloride solution inside the factory. The measurements were recorded three times on different routes (Experiments A, B, and C). The error percentages, i.e., measurements that were outside the expected measurement area, were 7% (49 s/700 s) in Experiment A, 2.3% (15 s/660 s) in Experiment B, and 7.8% (50 s/645 s) in Experiment C. The dust measurements were also recorded without any obstruction. A heat map was created based on the results from both measured values. Wi-Fi RTT proved useful for computing the indoor position with high accuracy, suggesting the applicability of the proposed methodology for occupational health monitoring.


Assuntos
Poeira , Saúde do Trabalhador
12.
Artigo em Inglês | MEDLINE | ID: mdl-34769869

RESUMO

The epidemic of psychosocial risks continues to increase and the COVID-19 pandemic has even worsened this threat on workers' health. This inexorable and evidence-based rise seems to be impervious to the preventive strategies proposed for more than 40 years. Hypotheses are proposed to explain this serious problem that drastically impacts public health and the economy. The objectives of this paper are to present, in this broad context of societal and cultural changes, how the present shift in management paradigms may represent opportunities to reduce work-related diseases. In the first part of this paper, we will summarize the situation on three main issues and their relation with psychosocial risks: (1) evolution of the occupational safety and health field, (2) change in the nature of work, and (3) emerging models of governance. In the second part, we will describe, through a few examples (among many others), how emerging models of corporate governance may reduce and prevent stress and burnout. Work is changing fundamentally, and this impacts workers' (and managers') health and well-being; that is why approaches in line with these changes are necessary. The COVID-19 pandemic has produced major changes in work organization. This may offer promising opportunities to reanalyze working conditions for a better control of occupational diseases and stress with all the benefits these improvements will bring for society and for individuals.


Assuntos
COVID-19 , Doenças Profissionais , Saúde do Trabalhador , Humanos , Doenças Profissionais/epidemiologia , Doenças Profissionais/prevenção & controle , Pandemias , SARS-CoV-2
13.
Artigo em Inglês | MEDLINE | ID: mdl-34769927

RESUMO

The study aim was to understand the availability of personal protective equipment (PPE) and the levels of anxiety, depression, and burnout of healthcare workers (HCWs) in the United Arab Emirates (UAE). This study was an online-based, cross-sectional survey during July and August 2020. Participants were eligible from the entire country, and 1290 agreed to participate. The majority of HCWs were females aged 30-39 years old, working as nurses, and 80% considered PPE to be available. Twelve percent of respondents tested positive for SARS-CoV-2. Half of HCWs considered themselves physically tired (52.2%), reported musculoskeletal pain or discomfort (54.2%), and perceived moderate-to-high levels of burnout on at least one of three burnout domains (52.8%). A quarter of HCWs reported anxiety (26.3%) or depression (28.1%). HCWs reporting not having musculoskeletal pain, having performed physical activity, and higher scores of available PPE reported lower scores of anxiety, depression, and burnout. UAE HCWs experienced more access to PPE and less anxiety, depression, and burnout compared with HCWs in other countries. Study findings can be used by healthcare organizations and policymakers to ensure adequate measures are implemented to maximize the health and wellbeing of HCWs during the current COVID-19 and future pandemics.


Assuntos
COVID-19 , Saúde do Trabalhador , Adulto , Estudos Transversais , Feminino , Pessoal de Saúde , Humanos , Pandemias , SARS-CoV-2 , Emirados Árabes Unidos/epidemiologia
14.
Artigo em Inglês | MEDLINE | ID: mdl-34770004

RESUMO

Health care workers (HCWs) working in different health care facilities are exposed to many hazards, especially during the COVID-19 pandemic. This questionnaire-based cross-sectional study aimed to assess the prevalence, pattern, and risk factors of occupational health hazards faced by 438 randomly selected HCWs from northern Saudi Arabia. The HCWs are commonly exposed to needle stick injuries (34.5%) under the biological hazards category; and work-related stress (69.6%) under the non-biological hazards categories. The significant associated factors were work setting (ref: Primary Health Center: Adjusted OR (AOR) = 2.81, 95%CI = 1.21-4.59, p = 0.017), smoking status (ref.: non-smoker: AOR = 1.73, 95%CI = 1.03-2.91, p = 0.039), and mean sleeping duration per day (AOR = 1.22, 95%CI = 1.04-1.43, p = 0.014) for biological, and smoking status (ref: non-smoker: AOR = 2.16, 95%CI = 1.09-3.29, p = 0.028), and mean sleeping duration per day (AOR = 1.35, 95%CI = 1.07-1.70, p = 0.013) for non-biological categories. This study revealed several risk factors and occupational health hazards that HCWs are exposed to during their work time. Periodic training and follow-up assessments regarding bio-safety measures for the HCWs should be implemented. Finally, future explorative studies are warranted on the feasibility of implementing rotation-based postings for the HCWs in different health care settings.


Assuntos
COVID-19 , Saúde do Trabalhador , Estudos Transversais , Pessoal de Saúde , Humanos , Pandemias , Prevalência , Fatores de Risco , SARS-CoV-2 , Arábia Saudita/epidemiologia
15.
Artigo em Inglês | MEDLINE | ID: mdl-34770045

RESUMO

The most recent version of the job demands-resources (JD-R) theory proposes that demanding working conditions and employee strain form a self-perpetuating loss cycle. By acknowledging that such cycles are detrimental for both employees and organizations, the present study aimed to contribute to enhancing the current scarce understanding regarding their explanatory mechanisms. For this purpose, it applied social cognitive theory to propose that occupational self-efficacy mediates the effects of two role stressors (i.e., role ambiguity and role conflict) on employee mental health complaints and vice versa. The hypothesized reciprocal mediation effects were tested using a three-wave full panel research design and a dataset of 917 (NT1 = 513, NT1+T2 = 122, NT1+T3 = 70, NT1+T2+T3 = 212) Croatian employees working in heterogeneous private sector industries. The results demonstrated that role conflict, but not role ambiguity, undermined employees' beliefs in their capabilities to successfully master their jobs which, in turn, led them to experience more mental health complaints over time. Contrary to expectations, poor mental health did not lead to diminished efficacy beliefs nor, in turn, more job demands over time. Overall, the results of this study demonstrated an additional mechanism in the job demands-strain relationship and, at the same time, shed new light on the role of personal resources within the JD-R theory. Accounting for the malleable nature of employee efficacy beliefs, the study proposes several ways in which organizations can enhance occupational self-efficacy and thereby curb the causal chain linking job demands and employee strain reactions.


Assuntos
Saúde do Trabalhador , Autoeficácia , Satisfação no Emprego , Saúde Mental , Organizações
16.
Artigo em Inglês | MEDLINE | ID: mdl-34770116

RESUMO

In Japan, standing while working has not yet become commonplace, and there is little evidence to support the benefits of standing during the workday. Therefore, this study assessed the relationship between the introduction of a sit-stand desk and its ability to reduce the negative effects of sitting too long and increase employees' general health and productivity. Seventy-four Japanese desk workers participated in this three-month intervention study. Using a randomized controlled trial, the participants were divided into intervention (n = 36) and control (n = 38) groups. The participant characteristics were ascertained using a questionnaire. The intervention effectiveness was assessed by measuring health-, physical activity-, and work-related outcomes. The results indicate that the intervention group significantly decreased their sitting time at work (p = 0.002) and had reduced neck and shoulder pain (p = 0.001). There was a significant increase in subjective health (p = 0.002), vitality in work-related engagement (p < 0.001), and self-rated work performance over a four-week period (p = 0.017). These findings indicate a significant difference between the two groups, demonstrating the effectiveness of a sit-stand desk in reducing sedentary behavior and improving workers' health and productivity. Future research can accumulate further evidence of best practice use of sit-stand desks.


Assuntos
Saúde do Trabalhador , Local de Trabalho , Eficiência , Humanos , Comportamento Sedentário , Posição Ortostática
17.
Artigo em Inglês | MEDLINE | ID: mdl-34770135

RESUMO

The world of work is changing dramatically due to continuous technological advancements and globalization (the so-called industry 4 [...].


Assuntos
Saúde do Trabalhador , Indústrias , Internacionalidade
18.
Panminerva Med ; 63(3): 324-331, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34738774

RESUMO

BACKGROUND: New messenger RNA (mRNA) and adenovirus-based vaccines (AdV) against Coronavirus disease 2019 (COVID-19) have entered large scale clinical trials. Since healthcare professionals (HCPs) and armed forces personnel (AFP) represent a high-risk category, they act as a suitable target population to investigate vaccine-related side effects, including headache, which has emerged as a common complaint. METHODS: We investigated the side-effects of COVID-19 vaccines among HCPs and AFP through a 38 closed-question international survey. The electronic link was distributed via e-mail or via Whatsapp to more than 500 contacts. Responses to the survey questions were analyzed with bivariate tests. RESULTS: A total of 375 complete surveys have been analyzed. More than 88% received an mRNA vaccine and 11% received AdV first dose. A second dose of mRNA vaccine was administered in 76% of individuals. No severe adverse effects were reported, whereas moderate reactions and those lasting more than 1 day were more common with AdV (P=0.002 and P=0.024 respectively). Headache was commonly reported regardless of the vaccine type, but less frequently, with shorter duration and lower severity that usually experienced by participants, without significant difference irrespective of vaccine type. CONCLUSIONS: Both mRNA and AdV COVID-19 vaccines were safe and well tolerated in a real-life subset of HCPs and AFP subjects.


Assuntos
Vacinas contra COVID-19/administração & dosagem , Vacinas contra COVID-19/efeitos adversos , COVID-19/prevenção & controle , Cefaleia/induzido quimicamente , Vacinação/efeitos adversos , Adolescente , Adulto , Idoso , COVID-19/transmissão , Estudos Transversais , Feminino , Cefaleia/diagnóstico , Cefaleia/epidemiologia , Pesquisas sobre Serviços de Saúde , Pessoal de Saúde , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Saúde do Trabalhador , Medição de Risco , Fatores de Risco , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
19.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi ; 39(10): 770-775, 2021 Oct 20.
Artigo em Chinês | MEDLINE | ID: mdl-34727660

RESUMO

Objective: To grasp the occupational health monitoring of radiation workers in medical institutions across the country, and to discover weak links in the prevention and treatment of occupational radiation diseases. Methods: In 2020 January, according to the monitoring data of the "National Radiation Health Information Platform" (Occupational Radiation Disease and Occupational Health Monitoring Subsystem and Occupational Radiation Disease Reporting Subsystem) , the national occupational health monitoring data from January 1 to December 31, 2019, including the number of radiation workers in medical institutions, occupational health examinations, personal dose monitoring and occupational radiation disease diagnosis, were descriptive analyzed. Results: There were a total of 394436 radiation workers in medical institutions across the country. The number of radiation workers in various provinces was quite different, with a median of 10206, which was positively correlated with the number of permanent residents in each province (r=0.947) . There were 376 personal dose monitoring institutions nationwide, and the personal dose monitoring rate of radiation workers in medical institutions was 96.61% (381045/394436) . There were 419 occupational health inspection institutions for radiation workers across the country, and 269 (64.20%) used software to print physical examination forms. A total of 334455 radiation workers in medical institutions had been subjected to occupational health examinations. The rate of occupational health examinations for radiation workers in medical institutions was 84.79% (334455/394436) . The abnormal rate of chromosomal aberrations in peripheral blood lymphocytes of radiation workers in medical institutions was 0.33% (776/233571) , the detection rate of posterior posterior subcapsular turbidity was 0.63% (2093/334455) , and the abnormality rate of thyroid color ultrasound was 28.49% (14946/52464) . In 2019, a total of 16 cases of occupational radiation diseases were reported. Conclusion: The personal dose monitoring rate and occupational health examination rate of medical radiation workers nationwide are relatively high, but the quality of lymphocyte chromosome aberration analysis, eye lens examination and thyroid color photograph examination needs to be further improved.


Assuntos
Doenças Profissionais , Exposição Ocupacional , Saúde do Trabalhador , Lesões por Radiação , China , Humanos
20.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi ; 39(10): 766-769, 2021 Oct 20.
Artigo em Chinês | MEDLINE | ID: mdl-34727659

RESUMO

Objective: To explore the impact of occupational stress and shift work on the mental health of railway workers and provide a scientific basis for occupational health protection. Methods: In April 2019, stratified cluster sampling method was used to select 613 railway workers from Fuzhou railway as subjects. Job Content Questionnaire (JCQ) , Symptom Checklist-90 (SCL-90) , Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were used to investigate railway workers' occupational stress and mental health conditions. The influencing factors of railway workers' mental health were analyzed. Results: The detection rates of mental health problems, anxiety and depression of railway workers were 40.5% (248/613) , 4.4% (27/613) and 9.0% (55/613) , respectively. There were 250 railway workers with occupational stress (40.78%) . There were statistically significant differences in the total scores of SCL-90 among different groups of working age and education background (P<0.05) . And there were statistically significant differences in the SAS total scores among different groups of education background (P<0.05) . The detection rates of mental health problems and anxiety in the night shift group were higher than that in the white shift group, and the differences were statistically significant (P<0.05) . The detection rate of mental health problems in the group with occupational stress was higher than that in the group without occupational stress, and the difference was statistically significant (P<0.05) . Logistic regression analysis found that night shift work was the main risk factor affecting railway workers' anxiety (OR=2.38, 95%CI: 1.04-5.46, P<0.05) . The results of interaction analysis showed that compared with the non-occupational stress+white shift group, the workers in the night shift+occupational stress group had the higher risk of mental health problems and anxiety (OR=3.14, 95%CI: 1.84-5.38; OR=4.29, 95%CI: 1.36-13.54; P<0.05) . Conclusion: Night shift and occupational stress are the risk factors for the mental health of railway workers, and the interaction between night shift and occupational stress is the most harmful to the mental health of railway workers.


Assuntos
Saúde do Trabalhador , Estresse Ocupacional , Jornada de Trabalho em Turnos , Humanos , Saúde Mental , Estresse Ocupacional/epidemiologia , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
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