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INTEVAL, an example of effective intervention for musculoskeletal pain in the workplace. INTEVAL,一个有效干预工作场所肌肉骨骼疼痛的例子。
Pub Date : 2023-09-27 DOI: 10.12961/aprl.2023.26.04.01
Merce Soler-Font

The World Health Organization considers the workplace as one of the best contexts for the prevention and control of non-communicable diseases. Implementing combined and de-medicalised interventions in Occupational Health Services (OHS) in a sustainable way over time can facilitate access to early detection, and management of musculoskeletal pain at work and improve workers' health. However, developing and implementing such interventions is challenging. Therefore, it is necessary to share previous interventions that describe both implementation and evaluation, in order to be used as practical examples that can inspire different OHS to implement sustainable interventions….

世界卫生组织认为工作场所是预防和控制非传染性疾病的最佳场所之一。随着时间的推移,以可持续的方式在职业健康服务(OHS)中实施联合和非药物干预措施,可以促进工作中肌肉骨骼疼痛的早期发现和管理,并改善工人的健康。然而,制定和实施此类干预措施具有挑战性。因此,有必要分享以前描述实施和评估的干预措施,以便作为实际例子,激励不同的职业健康安全实施可持续干预措施…。
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引用次数: 0
[Concordance between the Work Capability Index and the Years of Surviving Disability Estimated using the PoRT-9LSQ methodology]. [工作能力指数与使用PoRT-9LSQ方法估计的残疾生存年限之间的一致性]。
Pub Date : 2023-08-04 DOI: 10.12961/aprl.2023.26.04.02
Guillermo Soriano Tarin, Juan C Francisco-García, José M Alonso-Bosque, Marisa Valle-Robles, Alba Bernabeu-Atanasio

Objective: To analyze the association between lifestyles and health risk factors that can lead to prematurely leaving work, with the expected Years Lived with Disability (AYLD) in a working population, and to calculate the correlation between the Work Ability Index (WAI) and the Work Ability Score (WAS), and then both of these with the AYLD and its economic cost.

Methods: A cross-sectional study in a sample of workers who underwent a health examination. The information was collected using the ICL and WAS questionnaires, applying the PoRT-9LSQ methodology. Linear regression and analysis of variance (ANOVA) were used to analyze the association between the risk factors and AYLD. The correlation between WAI and WAS was analyzed using the intraclass correlation coefficient (ICC), and then between each of these the AYLD and its economic cost using adjusted linear regression.  Results: A total of 590 workers were included. Factors that most influenced the average AYLD were a sedentary lifestyle, poor diet, and overweight/obesity, with statistically significant differences according to sex, shift, and occupation (p<0.05). An ICC of 93.0%  was found between ICL and WAS, a good/excellent rating. The adjusted linear regression between ICL and ADSE was 7.982-0.136xICL (p<0.05), and was similar for WAS.  Conclusions: The WAI is useful for predicting AYLD in the working population. This can facilitate decisionmaking by health personnel to identify vulnerable people, encouraging changes in lifestyle and self-care.

目的:分析导致提前离职的生活方式和健康风险因素与工作人群预期残疾年数(AYLD)之间的关系,并计算工作能力指数(WAI)和工作能力得分(WAS)之间的相关性,然后计算两者与AYLD及其经济成本之间的相关性。方法:对接受健康检查的工人进行横断面研究。使用ICL和was问卷收集信息,采用PoRT-9LSQ方法。采用线性回归和方差分析(ANOVA)分析危险因素与AYLD之间的相关性。使用类内相关系数(ICC)分析WAI和WAS之间的相关性,然后使用调整后的线性回归分析每一个WAI和其经济成本之间的AYLD。结果:共纳入590名工人。影响平均AYLD的因素是久坐不动的生活方式、不良饮食和超重/肥胖,根据性别、轮班和职业,差异具有统计学意义(p
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引用次数: 0
[Influence of Ergonomic Preventive Resources in Development of Sequels Due to Non-Traumatic Diseases of the Shoulder]. [人体工程学预防资源对肩部非创伤性疾病后遗症发展的影响]。
Pub Date : 2020-04-15 DOI: 10.12961/aprl.2020.23.02.06
G. M. Rodríguez-Blanes, José Rafael Lobato-Cañón, J. Sánchez-Payá, José Ramón Ausó-Pérez, A. Cardona-Llorens
OBJECTIVETo describe the sequelae referred to the cases attended by non-traumatic diseases of the shoulder. To know how sociodemographic characteristics, preventive knowledge about the workplace and ergonomic requirements are associated with the presence of sequelae.METHODSCross-sectional observational study in a population of 345 patients attended for a year in the consultations of a primary health care center in Alicante. Through the Chi-square test, the associations between the sequels and the rest of the variables were studied.RESULSTS53.9% (n=186) of the participants reported having sequelae derived, especially occasional pain associated or not with limitation of joint mobility. They are risk factors: a low level of studies, cleaning activities and industrial sector, raising the arm over the shoulder and the monotony in the workplace. However, they are protective factors: male sex, having information on occupational risks, Personal Protective Equipment, the existence of a Labor Risk Prevention Service, Risk Assessment, Prevention Plan and periodic medical examinations. Knowing the risks of the position was shown as an independent protection factor against the development of secondary sequelae in the shoulder (ORa=0,2; IC95%=0,1-0,4). However, to raise the arm above the shoulder, behaving as an independent risk factor for the development of sequelae due to shoulder pathology (ORa=2,1; IC95%=1,0-4,3).CONCLUSIONSThe combination of ergonomic and training strategies seems useful in the prevention of the development of shoulder-level sequelae.
目的探讨肩关节非外伤性疾病的后遗症。了解社会人口学特征、工作场所预防知识和人体工程学要求与后遗症的存在之间的关系。方法对在阿利坎特一家初级卫生保健中心就诊一年的345例患者进行横断面观察研究。结果有s53.9% (n=186)的参与者报告有衍生的后遗症,尤其是偶发的与关节活动受限相关或不相关的疼痛。它们是风险因素:低水平的学习、清洁活动和工业部门、把手臂举过肩膀和工作场所的单调。然而,这些都是保护性因素:男性、了解职业风险、个人防护装备、存在劳动风险预防服务、风险评估、预防计划和定期体检。了解体位风险是防止肩部继发性后遗症发生的独立保护因素(ORa=0,2;IC95% = 0, 1 - 0, 4)。然而,将手臂抬高到肩膀以上,是肩关节病理引起的后遗症发生的独立危险因素(ORa=2,1;IC95% = 1, 0 - 4, 3)。结论人体工程学与训练策略相结合可有效预防肩位后遗症的发生。
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引用次数: 1
[Efficacy of eccentric exercise as a treatment for Achilles Tendinopathy: literature review]. [偏心运动治疗跟腱病的疗效:文献综述]。
Pub Date : 2020-04-15 DOI: 10.12961/aprl.2020.23.02.07
Anna Arnal-Gómez, G. Espí-López, Diego Cano-Heras, E. Muñoz-Gómez, Isabel Balbastre Tejedor, M. V. Ramírez-Íñiguez de la Torre, M. Vicente-Herrero
Introducción: las tendinopatías son consecuencia de cargas excesivas en el tendón, por lo que son frecuentes en el ámbito laboral debido a movimientos repetitivos y posturas forzadas. La tendinopatía de Aquiles se caracteriza por una respuesta de curación desorganizada, asociada a cierto grado de neovascularización, siendo el tratamiento conservador la estrategia inicial. Objetivos realizar una revisión bibliográfica para analizr la efectividad de los tratamientos utilizados en la tendinopatía aquilea a partir de los estudios incluidos. Material y métodos: revisión bibliográfica de artículos científicos consultando las bases de datos PubMed y The Cochrane Library utilizando las palabras clave “((tendinopathy) AND (Achilles Tendon) AND (exercise OR exercise therapy OR Muscle Stretching Exercises OR physical therapy modalities OR rehabilitation))”.  Resultados: Se obtuvieron 635 refrencias en Pubmed y 134 en Cochrane Library, de los cuales 14 cumplieron los criterios de inclusión. Los estudios seleccionados mostraron que, en general, los ejercicios excéntricos son una terapia efectiva aplicada entre 6 y 12 semanas en la tendinopatía de Aquiles, sin combinar o combinada con la plataforma de vibración, complementos nutricionales, tratamiento de tejidos blandos, terapia de láser o terapia de ondas de choque. Conclusión: la revisión muestra que el ejercicio excéntrico presenta los mejores resultados en el tratamiento de la tendinopatía aquilea.
简介:肌腱病是由于肌腱承受过重的负荷而引起的,在工作场所由于重复的动作和紧张的姿势而经常发生。在这种情况下,治疗的目的是改善患者的生活质量,并改善他们的生活质量。本研究的目的是评估治疗跟腱病的有效性,并确定治疗跟腱病的最佳方法。材料和方法:对PubMed和Cochrane图书馆数据库中使用关键词“(肌腱病)和(跟腱)和(运动或运动治疗或肌肉拉伸运动或物理治疗模式或康复)”的科学文章进行文献综述。摘要目的:对Cochrane图书馆检索的Cochrane文献进行荟萃分析,并对Cochrane图书馆检索的文献进行荟萃分析。选定的研究表明,一般来说,偏心运动是一种有效的治疗跟腱病6 - 12周,不结合或结合振动平台、营养补充剂、软组织治疗、激光治疗或冲击波治疗。结论:本综述表明,偏心运动对跟腱病的治疗效果最好。
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引用次数: 5
[Time series of non-work related sickness absence incidence by subgroups of duration (2009-2018)]. [按持续时间分组的非工作相关疾病缺勤率时间序列(2009-2018年)]。
Pub Date : 2020-04-15 DOI: 10.12961/aprl.2020.23.02.05
M. Ballesteros Polo, M. Sampere Valero, J. C. López López, R. Sacristán Nieto, A. Ruiz Julián, S. Alguacil García, É. Santos Ávila, S. García Rubia, B. López Costa, J. M. Martínez Martínez
OBJECTIVEWe describe time trend incidence (2009-2018) of non-work related Sickness Absence(SA) segmented by duration of episodes in Spain.METHODSWe used SA cases from a health insurance company ("mutua") in Spain. Overall non-work related SA incidence and incidence by duration of episodes (1-3 days, 4-15 days, 16-30 days, 31-90 days and> 90 days) were obtained. A time series ecological study was carried out with an inflection point in 2013. The annual percentage of change and 95% confidence interval were obtained. The analyses were stratified by age and sex.RESULTSOverall incidence went from 35.3 cases per 100 workers-years in 2009 to 25.2 in 2013. From 2014, there is a sustained rise in the incidence of ITCC, ending 2018 with 34.1 cases per 100 workers-years. The overall incidence is determined mainly by processes less than 16 days in young population. The decrease in 2009-2013 occurred in all the duration segments, especially in 4 to 15 (APC=-11,2; 95% CI=(-14,1 a -8,2)) and more than 90 days (APC =-9,4; 95% CI =(-15,5 a -2,8)), mainly in young people. The rise in 2013-2018 was observed in all the segments, with the largest significant increase in sections of 1-3 days(younger workers: APC =18,9; 95% CI =(14,8 a 23,2)) and in more than 90 days (mainly in older ones). Time trend of SA showed similar pattern in both sexes.CONCLUSIONSTime trend analysis of SA incidence by duration segments offers a detailed information of SA. These results are useful for professionals in the prevention and management of SA.
目的描述西班牙非工作相关疾病缺勤(SA)的时间趋势发生率(2009-2018年)。方法采用西班牙一家健康保险公司(mutua)的SA病例。获得非工作相关SA的总发生率和发作时间(1-3天、4-15天、16-30天、31-90天和> 90天)的发生率。以2013年为拐点进行时间序列生态学研究。获得了年变化百分比和95%置信区间。这些分析是按年龄和性别分层的。结果总体发病率由2009年的35.3例/百人年上升至2013年的25.2例/百人年。从2014年开始,ITCC的发病率持续上升,截至2018年,每100名工人年发生34.1例。在年轻人群中,总体发病率主要由病程少于16天决定。2009-2013年,所有持续时间段均出现下降,特别是4 - 15年(APC=-11,2;95% CI=(-14,1 a -8,2))和超过90天(APC =-9,4;95% CI =(-15,5 a -2,8)),主要发生在年轻人中。2013-2018年,所有细分市场都出现了增长,其中1-3天的部分增幅最大(年轻员工:APC = 18.9;95% CI =(14,8 a, 23,2))和超过90天(主要是老年患者)。两性SA的时间变化趋势相似。结论按病程段对SA发病率进行时间趋势分析,可提供SA的详细信息。这些结果对专业人员预防和管理SA有一定的参考价值。
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引用次数: 0
[Health surveillance in Spain: needs for improvement?] 西班牙的卫生监测:需要改进吗?]
Pub Date : 2020-04-15 DOI: 10.12961/aprl.2020.23.02.03
María Jesús Terradillos García
La Organización Internacional del Trabajo (OIT) define la vigilancia de la salud en el trabajo como la recopilación, el análisis, la interpretación y la difusión continuada y sistemática de datos a efectos de la prevención, y comprende tanto la vigilancia de la salud de los trabajadores (vigilancia de la salud individual) como la del medio ambiente de trabajo (vigilancia de la salud colectiva), siendo las actividades de vigilancia de la salud individual fundamentalmente de carácter diagnóstico-preventivo, orientadas a la detección precoz de posibles daños derivados del trabajo, mientras que las de nivel colectivo son de carácter epidemiológico. Uno de los instrumentos de los que se vale la Medicina del Trabajo es precisamente esta vigilancia de la salud, que permite evaluar, controlar y realizar un  seguimiento de la repercusión de las condiciones de trabajo sobre la salud de la población trabajadora. Se trata, pues, de una técnica complementaria de las utilizadas por el resto de disciplinas de prevención de riesgos laborales ­­–Seguridad, Higiene y Ergonomía y Psicosociología– por lo que no tiene sentido su consideración como instrumento aislado de prevención: ha de integrarse en las políticas de prevención globales de la empresa…
国际劳工组织(劳工组织)定义了工作场所卫生监测作为收集、分析、解释和持续和有系统地传播预防的目的,包括这么多工人的健康监测(个人卫生监测)工作环境(集体卫生监测),个人健康监测活动主要是诊断和预防性质的,目的是及早发现可能的工作危害,而集体健康监测活动则是流行病学性质的。职业医学使用的工具之一就是这种健康监测,它使我们能够评估、监测和跟踪工作条件对工作人口健康的影响。因此,这一款常用的各类补充技术劳动风险预防其他学科———安全、卫生和工程学Psicosociología—因此毫无意义你考虑作为孤立的预防:预防政策总体上融入了公司...
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引用次数: 0
[Management guidelines for vulnerable workers and persons and SARS-CoV-2 in Catalonian businesses]. [针对弱势工人和人员的管理指南以及加泰罗尼亚企业的SARS-CoV-2]。
Pub Date : 2020-04-15 DOI: 10.12961/aprl.2020.23.02.08
Grupo de trabajo GTPSVTESSARS-CoV
Objectius del document Elaborar un document de consens professional de Medicina del Treball sobre la identificació i gestió, en un entorn de pandèmia, de: les persones especialment vulnerables (PEV) davant la COVID-19 a les empreses,  els treballadors/res especialment sensibles (TES) enfront del risc laboral d’exposició al SARS-CoV-2 a les empreses, que ajudi a prendre aquelles decisions mèdiques i laborals, ètiques, al voltant de les persones i la feina que són especialment complexes en moments de molta pressió i incertesa com els actuals de pandèmia pel coronavirus SARS-CoV-2 i que contribueixin a conciliar els drets a la salut i a la feina dels treballadors/res, a complir amb les seves responsabilitats a les empreses i a garantir els serveis bàsics i essencials als ciutadans.
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引用次数: 1
[Denial of disability versus inability to meet essential job functions]. [否认残疾与无法履行基本工作职能]。
Pub Date : 2020-04-15 DOI: 10.12961/aprl.2020.23.02.09
Ambar Deschamps Perdomo
The return to work process following a prolonged medical leave includes an assessment of both work capacity and ability to meet essential job functions. We present the case of an administrative assistant with a congenital vocal cord injury who was denied total permanent disability. The initial fitness for duty examination after her prolonged absence resulted in a determination of fitness, but with limitations. After performing a risk assessment and review of the essential job functions of her occupation, she was dismissed based on inability to meet the essential demands of the job. Assessments of work capacity/disability must be multidisciplinary, integrating the diagnosis, treatment, course of the illness, and conducted from both a preventive and work perspective.
长期病假后重返工作的过程包括对工作能力和履行基本工作职能的能力进行评估。我们提出的情况下,行政助理与先天性声带损伤谁被拒绝完全永久残疾。在她长时间缺勤后进行的初步适合执勤检查确定她适合执勤,但有局限性。在对其职业的基本工作职能进行了风险评估和审查后,她因无法满足工作的基本要求而被解雇。对工作能力/残疾的评估必须是多学科的,包括诊断、治疗和病程,并从预防和工作的角度进行。
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引用次数: 0
[The Catalan Society of Occupational Health(@SCSL) facing the big challenge of COVID-19]. 加泰罗尼亚职业健康协会(@SCSL)面临COVID-19的巨大挑战。
Pub Date : 2020-04-15 DOI: 10.12961/aprl.2020.23.02.01
E. Purtí, J. Inglés, Leyre De la Peña, Maria Cruz Rodríguez, Montserrat Puiggené, Mª Carmen Bernad, Santiago Calvet, Rosa María Orriols, B. López, E. Martínez, M. Carmen Torres, Sonia Alonso, J. Ramada
Con la llegada a España del SARS-CoV-2, el incremento exponencial de enfermos de COVID-19 y sus lamentables consecuencias para un número importante de personas, la @SCSL ha tenido que adaptarse a esta nueva situación. El virus se ha propagado en muchos hogares, en numerosas empresas y en todos los centros sanitarios, sociosanitarios y residenciales del país, llegando incluso a situarnos al borde del colapso asistencial. Esta nueva variable, en forma de riesgo biológico, llegó provocando en la población trabajadora un desequilibrio de la siempre compleja relación bidireccional entre el trabajo y la salud…
随着SARS-CoV-2在西班牙的到来,COVID-19患者的指数级增长及其对相当多的人造成的不幸后果,@SCSL不得不适应这种新情况。该病毒已在全国许多家庭、许多公司以及所有保健、社会保健和居住中心传播,甚至使我们处于保健崩溃的边缘。这个以生物风险形式出现的新变量,在工作人口中造成了工作和健康之间复杂的双向关系的不平衡。
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引用次数: 2
[Case investigation approach for occupational diseases]. [职业病个案调查法]。
Pub Date : 2019-10-01 DOI: 10.12961/aprl.2019.22.04.1
Jerónimo Maqueda Blasco, José María Roel Valdés
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引用次数: 0
期刊
Archivos de prevencion de riesgos laborales
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