[Prevalence and characterization of overactive bladder detected in a population in Madrid with self-administered OAB-V3 questionnaire in Primary Care]. / Prevalencia y caracterización de la vejiga hiperactiva detectada en una población de Madrid con el cuestionario OAB-V3 autoadministrado en atención primaria.

OBJECTIVE: Determining the prevalence of symptoms suggestive of overactive bladder (OAB) in a Spanish population and evaluate the impact of these symptoms on well-being and labour productivity in this population. DESIGN: Transversal study. LOCATION: Primary health care, Madrid, Spain. PARTICIPANTS: Males and females >30 years. INTERVENTIONS: Classification by primary care physicians with the Overactive Bladder Awareness Tool abbreviated version (OAB-V3). Subjects with score ≥3 and a similarly balanced control population with score <3 were clinically investigated. PRINCIPAL MEASUREMENTS: History, physical examination, urinalysis, sonography, general well-being scale and the questionnaires PPBC, OAB-q y WPAI-SHP. RESULTS: A total 923 subjects were screened, of which 209 (22.6%), 35% males and 65% females, had probable OAB. Age distribution increased from 11.1% in 4th decade to 44.4% in 9th decade. Kappa coefficient between suspected OAB and definite diagnosis was .83. The area under ROC curve for diagnosis based on OAB-V3 questionnaire and the presence of perceived bother and coping strategies was 92%. Subjects classified by score ≥3 had worse well-being, higher PPBC score and worse parameters on total OAB-q and transformed scores for each OAB-q subscale (P<.0001). In these subjects labour productivity was not affected (P=.14) but the capacity to perform regular activities was (P<.0001). CONCLUSIONS: OAB-V3 is a simple questionnaire to screen OAB with good predictive accuracy in a primary care setting and reveals important implications on health related quality of life issues.

Relationship Between Work Productivity and Clinical Characteristics in Rheumatoid Arthritis. / Relación entre productividad laboral y características clínicas de la artritis reumatoide.

OBJECTIVE: This study assesses the relationship between the ability to perform productive activities and the clinical characteristics of RA, such as disease activity, quality of life, functional capacity, workload, pharmacotherapy, and comorbidities. MATERIALS AND METHODS: A cross-sectional, observational and descriptive study was conducted. Patients aged 18-75years with a diagnosis of RA according to ACR/EULAR 2010 criteria who attended regularly to the Rheumatology service in the period between January and March 2017 were included. The questionnaires, WPAI-AR, HAQ-DI and RAQoL, were applied. RA disease activity was measured by DAS28-PCR. Correlations were made between the clinical data obtained and work productivity and activity impairment measured by WPAI-AR. RESULTS: Two hundred four patients with a diagnosis of RA were included, of whom 92.6% were women. Mean age was 54.46±9.3years. Regarding the percentage of impairment of daily life activities, we found a significant difference between employed and unemployed patients (P≤.002). A positive correlation was found between RA activity measured by DAS28-PCR, quality of life, and functional ability with the percentages of absenteeism, presenteeism, overall productivity loss, and impairment of daily life activities. CONCLUSION: A correlation between RA disease activity, functional capacity, quality of life, and working impairment was found. The strongest association was established with the degree of functional capacity.

Porcentaje de grasa corporal, inteligencia emocional y rasgos de personalidad en hombres y mujeres trabajadores / Body fat percentage, emotional intelligence, and personality traits in working men and women

Introducción: el exceso de peso en las personas tiene implicaciones negativas en la productividad laboral. La in-teligencia emocional y los rasgos de personalidad han mostrado diferencias entre personas con peso normal y con exceso de peso (de acuerdo con el IMC). Sin embargo, la evidencia de asociaciones con indicadores más objetivos como el porcentaje de grasa corporal es escasa. El objetivo del estudio fue determinar si existe relación entre el por-centaje de grasa corporal, la inteligencia emocional y los rasgos de personalidad en población joven trabajadora.Método: se realizó un estudio transversal-analítico en 125 jóvenes de Xalapa, Veracruz, México, con edad promedio de 24.6 años (DEedad±2.6). Se aplicó un cuestionario de datos sociodemográficos, la Escala de Inteligencia Emocional (EQ-i-M20), el Inventario de Rasgos de Personalidad (BFI-15p) y se midió el porcentaje de grasa corporal mediante análisis de bioimpedancia.Resultados: la inteligencia emocional y los rasgos de personalidad presentan diferencias entre los sexos. Las muje-res presentan menor inteligencia emocional y mayor neuroticismo que los hombres. En la muestra total, se identi-ficaron como predictores del porcentaje de grasa corporal algunas dimensiones de la inteligencia emocional como manejo de estrés, adaptabilidad y ánimo general, así como los rasgos de neuroticismo y apertura.Conclusión: es indispensable que los entornos laborales consideren las dimensiones de la inteligencia emocional y los rasgos de personalidad, en la planeación de estrategias para la promoción de la salud y la prevención de enfer-medades asociadas al exceso de peso (AU)

Introduction: Being overweight has negative implications for work productivity. Emotional intelligence and per-sonality traits have shown differences between normal-weight and overweight people (according to BMI). However, the evidence of associations with more objective indicators, such as body fat percentage, is scarce. The objective of the study was to determine the relationship between body fat percentage, emotional intelligence, and personality traits in young workers.Methods: A cross-analytical study was carried out on 125 young people living in Xalapa, Veracruz, Mexico, with a mean age of 24.6 years (SDage ± 2.6). A sociodemographic data questionnaire, the Emotional Intelligence Scale (EQ-i-M20), and the Personality Traits Inventory (BFI-15p) were used. Bioimpedance analysis (BIA) was used to quantify body fat percentage.Results: Both emotional intelligence and personality traits showed differences by sex. Women had lower emotional intelligence and higher neuroticism than men. Some domains of emotional intelligence, such as stress manage-ment, adaptability, and general mood, as well as neuroticism and openness traits, were identified as predictors for body fat percentage.Conclusions: Work environments must consider the dimensions of emotional intelligence and personality traits in planning strategies for health promotion and the prevention of diseases associated with excess weight (AU)

Productividad laboral en pacientes con artritis reumatoide temprana / Work productivity in patients with early rheumatoid arthritis

Introducción: La artritis reumatoide tiene un importante impacto sobre la función física y la productividad laboral. Objetivo: Determinar la productividad laboral de los pacientes con artritis reumatoide temprana identificando su relación con variables sociodemográficas y clínicas. Método: Se realizó un estudio observacional descriptivo de corte transversal en 53 pacientes atendidos en el Centro de Referencia de Enfermedades Reumáticas entre enero a diciembre de 2019. Para evaluar la productividad laboral se utilizó el cuestionario WPAI-AR. Resultados: Predominaron los pacientes entre los 35-55 años de edad (60,4 por ciento), el sexo femenino (60,4 por ciento). La productividad laboral medida a través de WPAI-AR reportó durante los últimos 7 días una media de 4,64 horas laborales perdidas, secundaria a la artritis reumatoide, con un porciento de pérdida por ausentismo del 16,5 por ciento y presentismo del 59,6 por ciento. Conclusiones: El mayor porciento de afectación de la productividad laboral le correspondió al presentismo. Se encontró asociación entre la pérdida de productividad laboral y la actividad clínica, la discapacidad funcional y la calidad de vida relacionada con la salud(AU)

Introduction: rheumatoid arthritis has been reported to have a significant impact on physical function and work productivity. Objectives: To determine the labor productivity of patient's diagnosis with early rheumatoid arthritis and to identify its possible relationship with sociodemographic and clinical variables. Methods: A cross-sectional descriptive observational study was carried out in 53 patients treated at the Reference Center for Rheumatic Diseases between January to December 2019. To evaluate labor productivity, the WPAIR AR questionnaire was used. Results: patients between 35-55 years of age predominated 60.4 percent, the female sex 60.4 percent. Labor productivity measured by WPAI AR reported during the last 7 days an average of 4.64 working hours lost, secondary to early rheumatoid arthritis, with a percentage of loss due to absenteeism of 16.5 percent and presenteeism of 59.6 percent. Conclusion: Conclusion: the highest percentage of affectation of labor productivity corresponded to labor presenteeism. Loss of work productivity was significantly associated with clinical activity, functional capacity, and health-related quality of lifepor ciento(AU)

Percepções dos pesquisadores de uma empresa pública brasileira de pesquisa científica em relação ao teletrabalho / Researchers' perceptions of teleworking in a Brazilian public scientific research company / Percepciones de los investigadores de una empresa pública brasileña de investigación científica en relación al teletrabajo

A flexibilização espaço-temporal do trabalho tornou-se comum nas empresas privadas e públicas brasileiras após o advento da pandemia de COVID-19. O presente estudo objetivou analisar por meio da aplicação de um questionário de pesquisa as percepções dos pesquisadores da Empresa Brasileira de Pesquisa Agropecuária (Embrapa), após um ano atuando sob regime de teletrabalho, em relação às características laborais, sociais, produtivas e de contexto do trabalho, bem como aos benefícios, desafios e expectativas futuras associadas a esse modelo de trabalho. O público-alvo do estudo englobou 487 pesquisadores científicos (mestres, doutores e pós-doutores) da empresa pública alocados em 32 cidades amplamente distribuídas no território brasileiro. As percepções dos participantes da pesquisa em relação ao teletrabalho foram altamente positivas, refletindo-se em aumento de produtividade laboral e ganhos na autonomia do trabalho e na qualidade de vida. As expectativas revelam o desejo da maioria dos pesquisadores da Embrapa de manterem o regime de trabalho flexível, especialmente na modalidade híbrida.

The space-time flexibilization of work became common in private and public Brazilian companies after the advent of the COVID-19 pandemic. The objective of this study was to analyze, through a survey questionnaire, the researchers' perceptions at the Brazilian Agricultural Research Corporation (Embrapa) about work, social, and labor productivity characteristics related to the teleworking adopted over the course of a year in the company. The target audience of the study included 487 scientific researchers (master, doctor and post-doc level) from the public company located in 32 cities, widely distributed throughout the Brazilian territory. The perceptions of the research participants were highly positive in relation to teleworking, with reflections on labor productivity enhancement and gains related to work autonomy and quality of life. Also, the future expectations about teleworking reveal the desire of a majority of the Embrapa researchers to maintain a flexible working arrangement, particularly based on a hybrid model.

La flexibilización espacio-temporal del trabajo se hizo común en las empresas públicas y privadas brasileñas con el advenimiento de la pandemia COVID-19. El presente estudio tuvo como objetivo analizar, mediante la aplicación de un cuestionario de encuesta, las percepciones de los investigadores de Empresa Brasileira de Pesquisa Agropecuária (Embrapa), luego de un año de trabajo en régimen de teletrabajo, en relación a las características laborales, sociales, productivas y del contexto laboral, así como los beneficios, desafíos y expectativas futuras asociadas a este modelo de trabajo. El público objetivo del estudio incluyó a 487 investigadores científicos (con maestrías, doctorados y postdoctorados) de la empresa pública ubicados en 32 ciudades ampliamente distribuidas en el territorio brasileño. Las percepciones de los participantes de la investigación en relación con el teletrabajo fueron altamente positivas, reflejando un aumento en la productividad laboral y beneficios en la autonomía laboral y la calidad de vida. Las expectativas revelan el deseo de la mayoría de los investigadores de Embrapa de mantener el régimen de trabajo flexible, especialmente en la modalidad híbrida.

Cost of myopic patients with and without myopic choroidal neovascularisation. / Costes en pacientes miopes magnos con y sin neovascularización coroidea miópica.

OBJECTIVE: To study the costs associated with high myopia (HM) with choroidal neovascularisation (mCNV) or without mCNV. METHODS: Observational, retrospective, cross-sectional, and multicentre study (HM and mCNV) conducted on adult patients. Annualised medical direct cost (MDC) from the perspective of the National Health System, the non-medical direct cost (nMDC) from the patient perspective, and productivity losses were calculated. RESULTS: A total of 137 mCNV and 48 HM patients were included (mean age [SD]: 55.1 [2.8] vs. 54.7 [13.8]; P=.2), with 80% women in both groups. The observation time (months) ranged from 17.9 (9.6) right eye (RE) and 20.0 (9.7), left eye (LE) in mCNV and 47.1 (21.5) RE/45.5 (20.7) LE in MM. A higher percentage of emergency room visits was observed in mCNV vs. HM patients (41.7 vs. 25%; P=.06) and retinal specialists (91.2 vs. 77.1%; P=.01). The MDC was higher in mCNV: € 1,985 (95% CI: 1772-2198) vs. € 356 (251-480) HM, P<.001. The nMDC was also higher in mCNV: € 256 (11-524) vs. €19 (11-26) HM, P>.4. The number of affected eyes, the follow-up time, and the mCNV were factors associated with direct costs. The impact on work productivity was higher in mCNV (quite/very concerned): 27.7 vs. 10.4% HM. The mCNV showed a significant association with activity impairment (OR: 3.47, 95% CI: 10.101-1.195). CONCLUSIONS: mCNV involves higher medical costs than HM. In addition, mCNV patients have a greater need of care and assistive devices, and greater impact of the disease in their work productivity.

Workplace accidents, absenteeism and productivity in patients with sleep apnea.

INTRODUCTION: Obstructive sleep apnea-hypopnea syndrome (OSAHS) has health-related outcomes, but the impact of OSAHS on occupational health has been scarcely studied. The aim of this study was to evaluate the effect of OSAHS on workplace accidents, absenteeism and productivity. METHOD: One hundred eighty-two OSAHS patients and 71 healthy subjects completed the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Spanish IMPALA (Impact of Disease on Work Productivity) index and answered various questions on workplace accidents and sick leave. Participants were classified to an OSAHS group or a non-OSAHS group according to polysomnography results. RESULTS: Patients with OSAHS had more sick leave lasting longer than 30days (16.6% vs. 7%, P=.049) and lower productivity (63.80% vs. 83.20%, P=.000) than subjects without OSAHS, although the rate of workplace accidents was similar in both groups (27.4% vs 25.4%; P>.050). None of the OSAHS-related variables was associated with workplace accidents. A diagnosis of OSAHS was related with absenteeism. Psychological distress and OSAHS were related with productivity. CONCLUSIONS: OSAHS causes limitations in the working lives of patients and leads to a higher incidence of sick leave and lower productivity. A diagnosis of OSAHS was the variable with most influence on the working lives of patients.

Productivity loss due to premature mortality caused by blood cancer: a study based on patients undergoing stem cell transplantation.

INTRODUCTION: Stem cell transplantation has been used for many years to treat haematological malignancies that could not be cured by other treatments. Despite this medical breakthrough, mortality rates remain high. Our purpose was to evaluate labour productivity losses associated with premature mortality due to blood cancer in recipients of stem cell transplantations. METHODS: We collected primary data from the clinical histories of blood cancer patients who had undergone stem cell transplantation between 2006 and 2011 in two Spanish hospitals. We carried out a descriptive analysis and calculated the years of potential life lost and years of potential productive life lost. Labour productivity losses due to premature mortality were estimated using the Human Capital method. An alternative approach, the Friction Cost method, was used as part of the sensitivity analysis. RESULTS: Our findings suggest that, in a population of 179 transplanted and deceased patients, males and people who die between the ages of 30 and 49 years generate higher labour productivity losses. The estimated loss amounts to over €31.4 million using the Human Capital method (€480,152 using the Friction Cost method), which means an average of €185,855 per death. The highest labour productivity losses are produced by leukaemia. However, lymphoma generates the highest loss per death. CONCLUSIONS: Further efforts are needed to reduce premature mortality in blood cancer patients undergoing transplantations and reduce economic losses.

La pérdida de productividad laboral atribuible al tabaquismo / Occupational productivity lose due to tobacco dependence

Introducción: La Organización Mundial de la Salud (OMS) destaca que una de las consecuencias del tabaquismo para la economía nacional está en la pérdida de la productividad laboral, lo cual trae apareado un círculo vicioso de adicción, falta de productividad y pobreza. La OMS también ha destacado que existe una relación muy estrecha entre desarrollo de las fuerzas productivas y consumo de cigarrillos y tabacos, donde que por lo general, los mayores consumos mundialmente se concentran en los países subdesarrollados, y no precisamente en los de mayor ingreso per cápita o desarrollo económico. De hecho, dada la fuerte dependencia que genera el consumo regular de productos manufacturados de la hoja del tabaco para fumar en sus consumidores, dicho consumo puede ir desplazando poco a poco el consumo de otros bienes y/o servicios de primera necesidad, lo cual acentúa los niveles de pobreza extrema, accesibilidad e iniquidad social. Objetivo: Identificar las características generales y fundamentales del tabaquismo como factor de riesgo en la pérdida de productividad laboral. Método: Se realizó un estudio descriptivo mediante una revisión bibliográfica que permitiera identificar las características generales y fundamentales del tabaquismo como factor de riesgo en la pérdida de productividad laboral. Resultados y discusión: Se desagregaron conceptualmente las distintas manifestaciones de la pérdida de productividad laboral atribuibles al tabaquismo como factor de riesgo. Conclusiones: El tabaquismo como factor de riesgo es un elemento clave en la pérdida de la productividad laboral. Dicha pérdida se manifiesta de diversas maneras e impactan negativamente también sobre la economía individual y social(AU)

Implicaciones del presentismo en la productividad laboral del área de la salud / Implications of presenteeism in labor productivity in the area of health

Recientemente han surgido algunos conceptos en el área laboral, específicamente asociados al sector salud, que previamente no se abordaban ni se mencionaban hasta que hace algunos años se dio un cambio en el paradigma y esos nuevos conceptos, dentro de los que resalta el presentismo, vinieron a ocupar un lugar dentro del análisis global de la situación laboral. El presentismo se ha tratado de definir, de manera sencilla, como apersonarse a trabajar a pesar de presentar un problema de salud o alguna otra situación que normalmente llevaría al ausentismo. A la hora del análisis correspondiente y de sus implicaciones no se puede olvidar otros factores que inciden en la productividad y que resultan fundamentales como por ejemplo el clima organizacional. Estos factores de la mano del presentismo y el ausentismo representan un impacto mayúsculo por sus costos económicos pero principalmente también por los denominados “costos ocultos” o no medibles debido a que involucra una mayor incidencia de errores médicos llegando inclusive a comprometer vidas humanas.

Recently some concepts have emerged in the occupational area, specifically associated with the health sector, that previously wasn’t taken into account or mentioned until some years ago, where the paradigm has changed and those new concepts, where the presenteeism plays an important role, came to take a place within the global working situation. The presenteeism has been known, like going to work even though the employee is having a health problem or some other situation that normally would take to the absenteeism. Besides, when we think in the implications of the presenteeism, we can’t forget several factors that influence in the productivity, like the organizational climate. These factors altogether with the presenteeism and the absenteeism, represent a great impact, because of their economic costs, but principally the “hidden or not measurable costs”, because they involve a higher incidence of medical errors, leading to compromise human lives.

Productividad laboral en pacientes con artritis reumatoidea: Instituto Guatemalteco de Seguridad Social, 2013 / Labor productivity in patients with rheumatoid arthritis: Guatemalan Institute of Social Security, 2013

Introducción: La artritis reumatoide está asociadacon un significativa pérdida en la productividad enel trabajo (ausentismo y presentismo). Objetivo: Determinar la productividad laboral en pacientes conartritis reumatoide que asisten a la consulta externade reumatología de la policlínica zona 1, periféricasde zona 5 y zona 11, y Autonomía, dependencias pertenecientes al Instituto Guatemalteco de Seguridad Social, ciudad de Guatemala, durante los meses de julio y agosto del año 2013. Métodos: Estudio descriptivo transversal, donde se realizó una revisión sistemática de expedientes y valoración clínica de 142 pacientes con diagnóstico de artritis reumatoide según criterios del Colegio Americano de Reumatología del año 1987. Además se aplicaron test estandarizados para valorar calidad devida (RAQoL), estado general de salud (HAQ) yel grado de actividad de la enfermedad (DAS28) ysu correlación con el impedimento de actividadesy productividad laboral (WPAI-RA). Resultados: El 84.51% de los pacientes fue de sexo femenino, el promedio de edad de 47.5 ± 11.06 años. Ciento nueve pacientes laboraban (76.76%), se obtuvosegún WPAI-RA una media 3.20 horas laborales perdidas debido a AR por paciente, en los últimos7 días. El porcentaje de ausentismo y presentismo laboral fue de 6.21% y 42.11%, respectivamente.Se obtuvo una correlación positiva débil entre elgrado de afectación de la productividad laboral y elgrado de actividad de la enfermedad (DAS28) r de Spearman de 0.347; correlación positiva moderada a fuerte con el estado general de salud (HAQ)r de Spearman de 0.602; y correlación positiva moderada a fuerte con la calidad de vida (RAQoL) r de Spearman de 0.621...

Background: Rheumatoid arthritis is associated withsignificant losses in work productivity (absenteeismand presenteeism). Objective: To determine thework productivity in patients with rheumatoid arthritis who attend at peripheral rheumatologic out-patient clinics in zone 5 and zone 11, Policlinic zone 1, and Autonomía, Guatemalan Institute of Social Security, Guatemala city, during July and August,2013. Methods: A cross-sectional study was carryout by performing a systematic review of medical records and clinical evaluation of 142 patients diagnosed with Rheumatoid Arthritis who met the American College of Rheumatology 1987 revised criteria. Standar dized tests were applied to assessquality of life (RAQoL), functional disability, Health Assessment Questionnaire (HAQ), Disease Activity Score (DAS28) and their correlations with the Work Productivity and Activity Impairment (WPAI-RA). Results: 84.51% were women, age average: 47.5+/- 11.06 years. One hundred nine patients wereworking (76.76%) and according to WPAI-RA, 3.20 hours were lost because of RA per patient in the last 7 days. The percentage of absenteeism and presenteeism was 6.21% and 42.11%, respectively. A slight positive correlation was found between the work productivity impairment and the degree of the disease activity (DAS28) r of Spearman 0.347; positive correlation from moderate to strong with the functional disability (HAQ) and quality of life (RAQoL), r of Spearman of 0.602 and 0.621, respectively...

Clima y cultura organizacional: dos componentes esenciales en la productividad laboral / Climate and organizational culture: two essential components in the working productivity

El clima y la cultura organizacional constituyen dos componentes de esencial importancia para la elevación de la productividad laboral. El clima organizacional es un componente esencial del proceso de socialización del conocimiento y la cultura. La socialización de la cultura y del conocimiento en una organización es una premisa fundamental de su éxito en tiempos donde la colaboración es fuente de ventajas competitivas(AU)

The climate and the organizational culture are two very important components for increasing the knowledge process and the culture. The organizational climate is a essential component in the socialization process. Culture socialization and of the knowledge in an organization is a fundamental premise for its success in times where collaboration is a source of competitive advantages(AU)

Clima y cultura organizacional: dos componentes esenciales en la productividad laboral / Climate and organizational culture: two essential components in the working productivity

El clima y la cultura organizacional constituyen dos componentes de esencial importancia para la elevación de la productividad laboral. El clima organizacional es un componente esencial del proceso de socialización del conocimiento y la cultura. La socialización de la cultura y del conocimiento en una organización es una premisa fundamental de su éxito en tiempos donde la colaboración es fuente de ventajas competitivas.

The climate and the organizational culture are two very important components for increasing the knowledge process and the culture. The organizational climate is a essential component in the socialization process. Culture socialization and of the knowledge in an organization is a fundamental premise for its success in times where collaboration is a source of competitive advantages.