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[Disinfection in the food industry: generation of total chlorinated haloacetic acids as a consequence of industrial hygiene malpractice]. [食品工业中的消毒:工业卫生不当造成的总氯代卤乙酸的产生]。
Pub Date : 2024-10-15 DOI: 10.12961/aprl.2024.27.04.01
Borja Garrido Arias
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引用次数: 0
[Can artificial intelligence help prevent suicide in healthcare workers?] 人工智能能帮助预防医护人员自杀吗?]
Pub Date : 2024-10-15 DOI: 10.12961/aprl.2024.27.04.02
Brian Johan Bustos-Viviescas, Carlos Enrique García Yerena, Javit Enrique Luna Manjarres
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引用次数: 0
[What happens after breast cancer treatment? A perspective from the consequences in working life]. 乳腺癌治疗后会发生什么?从工作生活的后果来看]。
Pub Date : 2024-10-15 DOI: 10.12961/aprl.2024.27.04.03
Jennifer Angie Fernández Chávez
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引用次数: 0
[Mental health in healthcare professionals after Covid-19]. [Covid-19后医护人员的心理健康状况]。
Pub Date : 2024-10-15 DOI: 10.12961/aprl.2024.27.04.09
Beatriz Talavera-Velasco

An interview with Beatriz Talavera-Velasco.

采访Beatriz Talavera-Velasco。
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引用次数: 0
[Night work and endometrial cancer]. [夜班与子宫内膜癌]。
Pub Date : 2024-07-15 DOI: 10.12961/aprl.2024.27.03.10
Laura Costas

Interview with Laura Costas.

采访劳拉·科斯塔斯。
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引用次数: 0
[A case of COVID-19 in a healthcare professional is recognized in the first instance as an occupational disease]. [医疗保健专业人员感染COVID-19病例首先被认定为职业病]。
Sofía Romero Gil, Marina Morcillo Martin, Paula Pereira Velicia, Kelly González Anselmo, José María Ramada, Fernando G Benavides
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引用次数: 0
[Relationship between certain uses of artificial intelligence and psychosocial risk factors in European work environments]. [欧洲工作环境中人工智能的某些使用与社会心理风险因素之间的关系]。
Pub Date : 2024-07-15 DOI: 10.12961/aprl.2024.27.03.02
Raúl Payá Castiblanque, Alejandro Pizzi

Introduction: To examine the relationship between the use of Artificial Intelligence (AI) to assess and monitor job performance and exposure to psychosocial risk factors, as well as associated adverse health effects in the European work environment.

Method: Cross-sectional study using microdata from the 2022 "Occupational Safety and Health in Post-Pandemic Workplaces (Flash Eurobarometer)" survey (EU-OSHA) with 27252 participants. After selecting 12 dichotomous dependent variables (psychosocial risks and adverse health effects) and the presence of AI and its various uses to supervise and evaluate workers performance as independent variables, we calculated the crude and adjusted (aOR) odds ratios by sociodemographic covariates and their corresponding 95% confidence intervals (95%CI).

Results: When AI is used to monitor or control individual performance, it increases time pressure and work overload (ORa=1.5;95%CI:1.3-1.7), reduces autonomy or influence over work processes (ORa=2.2;95%CI:2.1-2.3), and erodes communication or cooperation within the organization (ORa=1.5;95%CI:1.4-1.6). It also increases the probability of reporting stress, depression or anxiety (ORa=1.5; 95%CI:1.4-1.5) and accidents or injuries (ORa=1.7; 95%CI:1.6-1.8).

Conclusions: AI as a "digital supervisor" increases exposure to psychosocial risk factors and the likelihood of health damage. This highlights the importance of considering worker well-being along with economic efficiency when implementing AI in work organizations. These results can guide labor policies to balance process optimization with healthy work environments through social dialogue.

前言:研究在欧洲工作环境中使用人工智能(AI)评估和监测工作绩效与暴露于心理社会风险因素以及相关的不利健康影响之间的关系。方法:使用来自2022年“大流行后工作场所的职业安全与健康(欧洲晴雨表)”调查(EU-OSHA)的微观数据进行横断面研究,共有27252名参与者。在选择了12个二分类因变量(社会心理风险和不良健康影响)以及人工智能的存在及其用于监督和评估工人绩效的各种用途作为自变量后,我们计算了社会人口统计学协变量的粗比值比和调整比值比及其相应的95%置信区间(95% ci)。结果:当人工智能被用于监测或控制个人绩效时,它增加了时间压力和工作过载(ORa=1.5;95%CI:1.3-1.7),降低了对工作过程的自主权或影响力(ORa=2.2;95%CI:2.1-2.3),并侵蚀了组织内部的沟通或合作(ORa=1.5;95%CI:1.4-1.6)。它还增加了报告压力、抑郁或焦虑的可能性(ORa=1.5;95%CI:1.4-1.5)和事故或伤害(ORa=1.7;95%置信区间:1.6—-1.8)。结论:人工智能作为“数字监督者”,增加了接触社会心理风险因素和健康损害的可能性。这突出了在工作组织中实施人工智能时考虑工人福祉和经济效率的重要性。这些结果可以指导劳工政策通过社会对话来平衡流程优化和健康的工作环境。
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引用次数: 0
Psychosocial risks and mental health of health and social care workers in the context of the COVID-19 pandemic. COVID-19大流行背景下卫生和社会保健工作者的心理社会风险和心理健康
Pub Date : 2024-07-15 DOI: 10.12961/aprl.2024.27.03.01
Nadia Vilahur Chiaraviglio
<p><p>Certainly, our perception of the world we live in has changed since COVID-19 irrupted in our lives in March 2020. Many of our certainties in the European continent were shaked by the unequivocal evidence of our vulnerability as individuals and our lack of preparedness as a society to manage a health emergency of unknown boundaries, despite having one of the most well-developed health systems across the globe. Much has been said about COVID-19, but never as I can remember, so much has been said about workers, and occupational safety and health, for once, hit the headlines. Healthcare workers - physicians, nurses, nurse practitioners, physician assistants, paramedical workers and alike were applauded daily, in Spain. The new heroes of our times, fulfilling the Hippocratic Oath, providing care to those more in need, while taking health risks of uncertain nature to themselves and their closest relatives. Health and social care workers were frontline workers not only because of their closeness to the virus, but because of the distress and moral dilemmas they faced while seeing people die in isolation or having to choose between one respirator, and too many patients. The pandemic was officially declared over by WHO in May 2023, and the world has been eager to return to normality, to overcome, to forget. However, adverse effects on the mental health and wellbeing of health and social care workers, one of the largest and steadily growing occupational sectors in the EU, are likely to persist. Health and social care workers across the EU consistently reported poor work conditions and high rates of work-related stress in mid 2022, in as much as 56% of the workforce in the sector, as well as a higher prevalence of mental health problems, compared to professionals in any other sector of activity. There appears to be a concerning trend of increasing exposure to work-related psychosocial risk factors within this sector, with amplified job-demands and limited job resources peaking during the COVID-19 pandemic. Many of us may experience another pandemic, arising under the current scenarios of climate alterations leading to disease vectors spreading in new areas, the return of old ones, and aggravated human transmission pathways. While we cannot fully predict what the next epidemic could be or how it will hit us, what can be said with high certainty is that caring for those who care, will undoubtedly increase our preparedness as a society in the face of future health emergencies and crises.  Safeguarding the mental health of workers in the health and social care sector will help retaining a critical workforce by improving their working conditions and wellbeing. It will ensure a better quality of care and patient safety, and ultimately increase the resilience of our health systems in the face of future outbreaks.  Public bodies such as the European Agency for Safety and Health at Work (EU-OSHA) are currently focusing their research efforts on further understa
当然,自2020年3月COVID-19闯入我们的生活以来,我们对生活的世界的看法发生了变化。尽管我们拥有全球最发达的卫生系统之一,但我们作为个人的脆弱性和作为一个社会在管理未知边界的突发卫生事件方面缺乏准备的确凿证据动摇了我们在欧洲大陆的许多确定性。关于COVID-19已经说了很多,但在我的记忆中,关于工人和职业安全与健康的讨论从未如此之多,这一次成为头条新闻。在西班牙,医生、护士、执业护士、医师助理、医务辅助人员等保健工作者每天都受到赞扬。我们这个时代的新英雄,履行希波克拉底誓言,为更需要帮助的人提供护理,同时为自己和亲人承担不确定的健康风险。卫生和社会护理工作者之所以成为一线工作者,不仅是因为他们与病毒的接触,还因为他们在看到人们在隔离中死亡或不得不在一个呼吸器和太多病人之间做出选择时所面临的痛苦和道德困境。世卫组织于2023年5月正式宣布大流行结束,世界一直渴望恢复正常,克服困难,忘记过去。然而,卫生和社会护理工作者是欧盟最大和稳步增长的职业部门之一,对他们的心理健康和福祉的不利影响可能会持续存在。整个欧盟的卫生和社会护理工作者一直报告说,到2022年中期,该部门多达56%的劳动力的工作条件恶劣,工作压力高,而且与任何其他活动部门的专业人员相比,心理健康问题的发生率更高。该行业似乎出现了一个令人担忧的趋势,即越来越多地接触与工作相关的社会心理风险因素,在2019冠状病毒病大流行期间,工作需求扩大,工作资源有限。我们中的许多人可能会经历另一场大流行,这是在目前气候变化导致疾病媒介在新地区传播、旧地区回归以及人类传播途径恶化的情况下发生的。虽然我们无法完全预测下一次流行病可能是什么,或者它将如何袭击我们,但可以非常肯定地说,照顾那些关心的人,无疑将增强我们作为一个社会面对未来卫生紧急情况和危机的准备。保障卫生和社会保健部门工作人员的心理健康将有助于通过改善他们的工作条件和福利来留住关键劳动力。它将确保更好的护理质量和患者安全,并最终增强我们卫生系统面对未来疫情的抵御能力。欧洲工作安全与健康机构等公共机构目前的研究重点是进一步了解和记录有关人类健康和社会保健活动部门工人所经历的多重风险(包括化学、身体和心理危害)及其复杂相互作用的证据。一个正在进行的项目是量化从COVID-19大流行开始到2023年年中使用有效临床量表测量的不良心理健康结果的负担。结果显示,在整个行业中,许多心理健康问题和状况的患病率非常高,其临床形式也较为严重,并确定了在女性占主导地位的行业中,可能面临更高心理健康问题风险的亚群体。此外,它系统地绘制和评估了自2020年以来开展的一系列干预措施,以增加社会心理健康,预防和管理该部门的精神健康问题,为工作场所提供实际指导和一系列可扩展的例子。总之,需要采取大规模和长期的系统干预措施,结合组织和个人的重点方法,保护工人免受复杂和不断变化的工作环境对其心理健康造成的挑战。有必要进一步投资,以确保该部门所有职业的体面工作条件。对进入劳动力市场的年轻专业人员的具体培训应侧重于提高对职业安全和健康的认识,特别是解决与工作有关的社会心理风险,并支持在医疗专业工作中消除对精神健康的污名化,创造一种支持精神健康问题的文化。也许一些根本性的变化正在发生。 最近,国际劳工组织(劳工组织)在其国际劳工大会(劳工大会)第110届会议上于2022年6月通过了关于将安全和健康的工作环境纳入劳工组织工作基本原则和权利框架的决议等信号,有力地重申了保护工人安全和健康的宪法原则。这一历史性决定得到了劳工组织三方成员的表达和支持,显示了对保护工作中的生命和健康的新的集体承诺,体现了这一层面作为工作中的第五类基本原则和权利。
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引用次数: 0
[Dystonia. Professional contingency in musicians. About a case]. (肌张力障碍。音乐家的职业偶然性。关于一个案子]。
Pub Date : 2024-07-15 DOI: 10.12961/aprl.2024.27.03.05
María Teófila Vicente Herrero

Dystonia is a motor disorder that causes involuntary contractions of muscles through repeated movements. Wind and string players are particularly vulnerable to this disease, with orofacial and dominant upper limb involvement. Its origin is multifactorial, with ergonomic, psychosocial and organizational risks standing out as occupational risks. The Spanish legislation does not include musician's dystonia in the list of occupational diseases. The determination of contingency is complex in order to establish the principles of causality and temporality required by the Mutual Social Security Collaborators and by the National Institute of Social Security. The process frequently ends up in the Courts of Justice. Scientific evidence and jurisprudential doctrine provide documentary support that facilitates decision-making and opens the door to the future incorporation of musicians' dystonia into the list of occupational diseases in our country.

肌张力障碍是一种运动障碍,通过重复运动导致肌肉不自主收缩。管弦乐演奏者特别容易患此病,常累及口面部和主要上肢。它的起源是多因素的,与人体工程学,社会心理和组织风险突出的职业风险。西班牙立法并未将音乐家的肌张力障碍列入职业病清单。为了确立社会保障共同合作者和国家社会保障研究所所要求的因果关系和暂时性原则,确定偶然性是复杂的。这一过程经常在法院结束。科学证据和法学理论提供了文献支持,有助于决策,并为今后将音乐家的肌张力障碍纳入我国的职业病清单打开了大门。
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引用次数: 0
[Design and validation of an instrument to measure the level of worker participation in an Occupational Health and Safety Management System]. [设计和验证测量工人参与职业健康安全管理体系水平的工具]。
Pub Date : 2024-07-15 DOI: 10.12961/aprl.2024.27.03.03
Pablo Gutierrez, Jesus Alegre-Quintana, Liliana Agustini-Paredes

Introduction: Occupational health and safety is affected by various internal and external factors, most importantly the human factor. The objective of this study was to design and validate a questionnaire to measure the level of worker participation in occupational health and safety management systems.

Method: To design the questionnaire, Peruvian regulations and recommendations from international institutions, among others, were consulted. The qualitative validation was based on expert judgment, using the content validity coefficient (CVC). For quantitative validation, we conducted a reliability analysis using Cronbach's alpha coefficient, correlation analysis of the questions, and construct validity analysis using exploratory and confirmatory factor analysis.

Results: We designed a 25-item questionnaire with a CVC of 0.94. The quantitative validation was performed at the Industrial Engineering College of the Universidad Nacional Mayor de San Marcos, resulting in the elimination of 5 questions based on results of the reliability, construct and exploratory factor analyses. In the confirmatory factor analysis, the remaining 20 questions had factor loadings greater than 0.50, and a repeat reliability analysis yielded a Cronbach's alpha of 0.949.

Conclusions: This validated questionnaire will allow the determination of the degree of participation in occupational safety and health in companies, as well as the ability to assess needs and impact of implemented improvements.

职业健康安全受各种内外部因素的影响,最主要的是人为因素。本研究的目的是设计并验证一份问卷,以衡量工人参与职业健康安全管理体系的水平。方法:设计调查问卷,并参考秘鲁法规和国际机构的建议等。采用内容效度系数(content validity coefficient, CVC)进行专家判断的定性验证。为了进行定量验证,我们使用Cronbach's alpha系数进行信度分析,对问题进行相关分析,并使用探索性和验证性因子分析构建效度分析。结果:我们设计了一份25题的问卷,CVC为0.94。在圣马科斯国立马约尔大学工业工程学院进行定量验证,根据信度、结构和探索性因素分析的结果,消除了5个问题。在验证性因子分析中,其余20个问题的因子负荷大于0.50,重复信度分析的Cronbach's alpha为0.949。结论:这一经过验证的问卷将能够确定公司参与职业安全和健康的程度,以及评估实施改进的需求和影响的能力。
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引用次数: 0
期刊
Archivos de prevencion de riesgos laborales
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