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[Validation of an Instrument to Measure the Level of Safety Culture in Peru]. [秘鲁安全文化水平测量工具的验证]。
Pub Date : 2025-05-15 DOI: 10.12961/aprl.2025.28.02.03
Pablo Gutierrez, Eduardo Velásquez Ayala

Objective: Workplace safety culture plays a critical role in preventing occupational risks and improving worker well-being. However, despite existing regulations, its implementation remains inconsistent in various industries. This study aims to validate an instrument for measuring the level of safety culture in Peru to identify critical improvement areas and support evidence-based strategies.  Method: A three-part validation was conducted: selection of the instrument through a review of the scientific literature, qualitative validation through expert judgment, and quantitative validation via a pilot test with 42 workers. Reliability was assessed using Cronbach's alpha and McDonald's omega, while construct validity was examined using Exploratory Factor Analysis with Unweighted Least Squares and Promax rotation.

Results: The validated instrument consists of 16 questions grouped into five dimensions: a) active participation in safety, b) awareness and compliance with safety regulations, c) risk knowledge and safety training, d) concern for safety and adherence to procedures, and e) prevention and communication about safety. The final model demonstrated good internal consistency (Cronbach's ? = 0.822, Omega = 0.83) and a stable factorial structure, explaining 75.79% of the variance.

Conclusions: This validated questionnaire is a reliable tool for assessing safety culture in companies in Peru, allowing organizations to identify weaknesses and implement targeted safety interventions.

目的:工作场所安全文化在预防职业风险和提高工人福祉方面发挥着至关重要的作用。然而,尽管有相关规定,但在不同行业的执行情况仍不一致。本研究旨在验证一种测量秘鲁安全文化水平的工具,以确定关键的改进领域并支持基于证据的战略。方法:进行三部分验证:通过科学文献筛选仪器,通过专家判断进行定性验证,通过42名工人的中试进行定量验证。信度采用Cronbach's alpha和McDonald's omega进行评估,结构效度采用探索性因子分析和非加权最小二乘法和Promax旋转进行检验。结果:经验证的工具由16个问题组成,分为5个维度:a)积极参与安全;b)安全法规的意识和遵守;c)风险知识和安全培训;d)安全关注和遵守程序;e)安全预防和沟通。最终模型显示出良好的内部一致性(Cronbach’s ?= 0.822, ω = 0.83)和稳定的因子结构,解释了75.79%的方差。结论:这个经过验证的问卷是评估秘鲁公司安全文化的可靠工具,允许组织识别弱点并实施有针对性的安全干预措施。
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引用次数: 0
[Coexistence of a Tarlov cyst, pudendal neuropathy, and pelvic lipomatosis in the clinical course of a traffic-related injury while commuting: a case report]. [Tarlov囊肿、阴部神经病变和盆腔脂肪变性在交通相关损伤的临床过程中的共存:1例报告]。
Pub Date : 2025-05-06 DOI: 10.12961/aprl.2025.28.02.04
Yanet Galiano-Gómez, Dina Deryagina, Santiago Jardí-Lazaro, F Maria Ruiz-Alvarado, Yolanda Olivan-Pascual, Agustín Pumarola-Segura, José Miguel Martínez-Martínez

This case report presents a worker who sustained a traffic accident while commuting, and was then seen in clinic for thoracolumbar  pain with a torpid evolution. During follow-up, rare pathologies were progressively diagnosed: a Tarlov cyst, pudendal neuropathy, and pelvic lipomatosis. These three conditions, all affecting the pelvic region, led to pain, neurological dysfunction, and anatomical alterations, leading to a progressive disability. Although the Tarlov cyst was ruled out as the main cause, the pudendal neuropathy and pelvic lipomatosis accounted for the clinical manifestations. Despite medical treatment, the patient evolved toward absolute permanent disability, later recognized by judicial ruling. This case highlights how a traffic accident initially classified as minor can lead to severe, complex clinical outcomes.

本病例报告提出一名工人,他在上下班途中遭遇交通事故,随后因胸腰椎疼痛缓慢发展而就诊。在随访期间,罕见的病理逐渐被诊断为:Tarlov囊肿,阴部神经病变和盆腔脂肪瘤病。这三种情况均影响骨盆区域,导致疼痛、神经功能障碍和解剖改变,导致进行性残疾。虽然排除了Tarlov囊肿为主要原因,但阴部神经病变和盆腔脂肪变性占临床表现。尽管接受了医疗治疗,但病人逐渐演变为绝对的永久性残疾,这一点后来得到了司法裁决的承认。这个案例强调了一个最初被归类为轻微的交通事故如何导致严重的、复杂的临床结果。
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引用次数: 0
[Challenges and Priorities in Occupational Safety and Health in Ecuador, 2025]. [厄瓜多尔职业安全和健康方面的挑战和优先事项,2025年]。
Pub Date : 2025-05-02 DOI: 10.12961/aprl.2025.28.02.02
Antonio Ramón Gómez García, Michael Silva-Peñaherrera, Pamela Merino-Salazar, Fernando G Benavides
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引用次数: 0
[Llamada para discutir una brecha de seguridad microbiológica]. [呼吁讨论微生物安全差距]。
Pub Date : 2025-05-02 DOI: 10.12961/aprl.2025.28.02.06
Carlota Alejandre Colomo, Raúl Muñoz
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引用次数: 0
[Night-shift work: can we prevent the adverse health effects?] 夜班工作:我们能预防对健康的不利影响吗?]
Pub Date : 2025-04-20 DOI: 10.12961/aprl.2025.28.02.01
Manolis Kogevinas
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引用次数: 0
[Relevance of organizational communication in the field of public and occupational health]. [组织沟通在公共卫生和职业卫生领域的相关性]。
Pub Date : 2025-04-05 DOI: 10.12961/aprl.2025.28.02.05
Brian Johan Bustos-Viviescas, Carlos Enrique Garcia-Yerena, Carlos Alberto Romero Cuestas

Communication is a key element in organizations. There are different predominant approaches that directly affect workplace dynamics, among which are passive and aggressive communication, which represent opposite ends of the spectrum. In managing interpersonal relationships in a balanced way, assertive communication is recommended. Furthermore, when organizational communication is integrated at hierarchical levels, it can take the form of downward, upward, horizontal, and diagonal communication-each with its own particular characteristics, limitations, and possibilities within the organizational structure.

沟通是组织中的一个关键因素。直接影响职场动态的主要方式有很多,其中被动沟通和积极沟通是两种方式的对立面。在以平衡的方式管理人际关系时,建议进行自信的沟通。此外,当组织沟通在等级层次上集成时,它可以采取向下、向上、水平和对角线沟通的形式——每一种形式在组织结构中都有自己的特点、局限性和可能性。
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引用次数: 0
[Archivos 2024: Fomentando la conciencia multidimensional en salud laboral]. [2024年档案:提高职业健康的多维意识]。
Pub Date : 2025-01-15 DOI: 10.12961/aprl.2025.28.01.01
Francisco Vega Álvarez, Andrés A Agudelo-Suárez, Francisco Brocal, Jordi Delclós, Guillermo García González, Vega García, José María Ramada, Laura Serra, Sergio Vargas-Prada, Mireia Utzet, Consol Serra
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引用次数: 0
[Do courts admit the benefit related to risk during breastfeeding in female healthcare workers?] 法院是否承认女性卫生保健工作者在母乳喂养期间与风险相关的利益?]
Pub Date : 2025-01-15 DOI: 10.12961/aprl.2025.28.01.03
Ana María González Cáceres, María José Rosas Molina, Marco Antonio Mateo García, Luis Lang-Lenton Ramírez, Iván Suárez Melián, Elda María González Cáceres

The WHO and the Spanish Pediatric Association (AEP) recommend an early start of breastfeeding and its maintenance as long as possible. The benefit about risk during breastfeeding is initiated in Spanish legislation by a Ley Orgánica 3/2007 22 th of March and achieves regulatory development through a Real Decreto 295/2009 6th of March. CENDOJ Centro de Documentación Judicial is used for search keywords: Benefit related to risk during breastfeeding. Only 10 results are obtained, of which 5 are excluded because they do not concur to the search criteria. Most of the court's ruling are supporting the demands of the workers and it is remarkable an assessment of specific workplaces during breastfeeding. There is a discrepancy between WHO/AEP advice and the current Spanish labor legislation.

世卫组织和西班牙儿科协会(AEP)建议尽早开始母乳喂养,并尽可能长时间地维持母乳喂养。母乳喂养风险的好处是由西班牙立法Orgánica 3/2007 3月22日发起的,并通过3月6日的第295/2009号法令实现了监管发展。使用CENDOJ Centro de Documentación Judicial搜索关键词:与母乳喂养风险相关的益处。只得到10个结果,其中5个因为不符合搜索条件而被排除。法院的大多数裁决都支持工人的要求,这是对哺乳期间特定工作场所的评估。世卫组织/美国环境保护协会的建议与西班牙现行劳工立法之间存在差异。
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引用次数: 0
[Proposal for an International Pneumoconiosis Observatory in 2025]. [2025年建立国际尘肺病观测站的建议]。
Pub Date : 2025-01-15 DOI: 10.12961/aprl.2025.28.01.08
Anselmo López-Guillén, Antonio León-Jiménez, Diemen Delgado-García, Alan López-López

Pneumoconioses are occupational lung diseases associated with the inhalation of inorganic dusts, with varying prevalence worldwide, especially in industries with inadequate regulations. Despite improvements in developed countries, pneumoconiosis incidence remains and is increasing in emerging sectors like artificial stone production and handling. These diseases pose a significant global public health risk, especially in regions with limited workplace controls. We propose an International Pneumoconiosis Observatory to monitor prevalence and incidence, assess preventive measures, and coordinate international regulations. This entity would enable preventive strategy development, knowledge exchange, and rapid responses to new exposure risks. A coordinated global effort is essential to curbing pneumoconiosis cases and protecting vulnerable workers.

尘肺病是一种与吸入无机粉尘有关的职业性肺病,在世界范围内的患病率各不相同,特别是在法规不充分的行业。尽管发达国家的情况有所改善,但在人造石生产和处理等新兴部门,尘肺病的发病率仍然存在,而且还在增加。这些疾病构成重大的全球公共卫生风险,特别是在工作场所控制有限的地区。我们建议建立一个国际尘肺病观察站,以监测患病率和发病率,评估预防措施,并协调国际法规。该实体将使预防性战略的制定、知识交流和对新的暴露风险的快速反应成为可能。协调一致的全球努力对于控制尘肺病病例和保护弱势工人至关重要。
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引用次数: 0
[Risk in load lifting: much more than biomechanics. A mixed-methods research approach in a small Colombian construction company]. [荷载提升中的风险:远不止生物力学。哥伦比亚一家小型建筑公司的混合研究方法]。
Pub Date : 2025-01-15 DOI: 10.12961/aprl.2025.28.01.07
Lessby Gómez Salazar, Beatriz Sibaja Terán, Cecilia Andrea Ordóñez Hernndez, Luz América Martinez Älvarez

Objective: To comprehensively evaluate the risk associated with lifting loads in a small Colombian construction company, combining quantitative analysis of biomechanical factors and qualitative analysis of workers' perceptions and coping strategies.

Methods: Cross-sectional study with a mixed methods approach, both quantitative and qualitative. The quantitative phase consisted of an assessment of 8 common tasks in construction using the NIOSH and OWAS methods, breaking down each task into phases and considering the lifting of the load to estimate the most demanding posture and calculate the risk category. The qualitative phase included in-depth interviews with 9 workers (8 men, 1 woman) regarding risk perception and coping strategies, and thematic content analysis was performed.

Results: 62.5% of the evaluated tasks presented high to moderate risk levels of musculoskeletal injury, with shoveling and lifting cement bags being the highest risk tasks. The interviews revealed risk normalization, influence of sociocultural factors (machismo culture, competitiveness) and economic factors (job insecurity) on risk perception and management. Concomitant factors for analysis were identified, such as low work experience, the role of women in the sector, and the migratory status of workers.  Conclusions: The risk associated with lifting loads in construction transcends biomechanical aspects. Socioeconomic, psychosocial, gender, and cultural factors, among others, significantly affect how risk is faced. An integrative model was generated for risk analysis in this population and similar ones.

目的:结合生物力学因素的定量分析和工人认知及应对策略的定性分析,对哥伦比亚一家小型建筑公司的起重作业风险进行综合评价。方法:采用定量和定性混合方法进行横断面研究。定量阶段包括使用NIOSH和OWAS方法对施工中8个常见任务进行评估,将每个任务分解为阶段,并考虑负载的提升,以估计最苛刻的姿势并计算风险类别。定性阶段包括对9名工人(8男1女)就风险认知和应对策略进行深入访谈,并进行主题内容分析。结果:62.5%的评估任务存在高至中等水平的肌肉骨骼损伤风险,其中铲和提水泥袋是风险最高的任务。访谈揭示了风险常态化、社会文化因素(大男子主义文化、竞争力)和经济因素(工作不安全感)对风险感知和管理的影响。还确定了分析的相关因素,例如工作经验低、妇女在该部门的作用和工人的移徙状况。结论:在建筑施工中与起重负荷相关的风险超越了生物力学方面。社会经济、社会心理、性别和文化等因素显著影响着人们如何面对风险。建立了一个综合模型,用于对该人群和类似人群进行风险分析。
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Archivos de prevencion de riesgos laborales
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