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Prevenção de Infeções por Neisseria Meningitidis no local de Trabalho: um protocolo de Exposição Ocupacional 预防工作场所脑膜炎奈瑟菌感染:职业接触规程
Pub Date : 2023-12-31 DOI: 10.31252/rpso.07.10.2023
C. Ribeiro, A. Aguiar, Gonçalo Miranda, P. Silva, Catarina Silva, J. Santos, L. Cruz
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引用次数: 0
Evidências sobre os Riscos Psicossociais e o Teletrabalho 关于心理社会风险和远程办公的证据
Pub Date : 2023-06-30 DOI: 10.31252/rpso.15.04.2023
J. Sobral, Carolina Quental, Joana Peixoto
Introduction Teleworking is a reality for many workers around the world, and although it has advantages, there are recent studies indicating that it can have a negative impact on workers’ mental health, increasing the risk of anxiety, depression and stress. Methodology ​​A literature search was conducted in March 2023 in the Scopus, SciELO, PePSIC, PsycInfo, PubMed, Applied Social Sciences Index and Abstracts (ASSIA) and Web of Science databases. Contents Telework allows the execution of work tasks without the need to physically move to the workplace. It is a practice that has advantages such as greater flexibility, autonomy, cost reduction and increased productivity, but can also have disadvantages and psychosocial risks for workers. The COVID-19 pandemic was a milestone of revolution in several aspects worldwide and, in this particular context, it marked a massive adoption of the Telework model by several companies. However, it is imperative to define strategies to prevent psychosocial risks and implement a sustainable model in order to ensure the physical and psychological well-being of individuals. The selected articles highlight as the main psychosocial risk factors the “work-family” conflict and its and demands. Discussion and Conclusions It is important that all health professionals, and in particular occupational health physicians, recognize the main psychosocial risks associated with Telework. Only through the development and implementation of preventive measures will be possible to minimize the consequences of telework and ensure a healthy working environment for all employees. Keywords: Psychosocial Risks, Telework, Occupational Health, Mental Health, Occupational Medicine, Occupational Nursing.
对于世界各地的许多工人来说,远程办公是一个现实,尽管它有优势,但最近的研究表明,它会对工人的心理健康产生负面影响,增加焦虑、抑郁和压力的风险。方法于2023年3月在Scopus、SciELO、PePSIC、PsycInfo、PubMed、Applied Social Sciences Index and Abstracts (ASSIA)和Web of Science数据库中进行文献检索。远程办公允许在不需要实际移动到工作场所的情况下执行工作任务。这种做法具有更大的灵活性、自主性、降低成本和提高生产率等优点,但也可能对工人产生不利影响和心理风险。2019冠状病毒病大流行在全球多个方面都是革命性的里程碑,在这种特殊背景下,它标志着多家公司大规模采用远程工作模式。然而,必须确定预防心理社会风险的战略,并实施可持续的模式,以确保个人的身心健康。所选文章强调了“工作-家庭”冲突及其需求是主要的社会心理风险因素。重要的是,所有卫生专业人员,特别是职业卫生医生,认识到与远程工作相关的主要心理社会风险。只有制定和实施预防措施,才能最大限度地减少远程工作的后果,并确保为所有雇员提供健康的工作环境。关键词:心理社会风险,远程办公,职业健康,心理健康,职业医学,职业护理
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引用次数: 0
Alergia ao Látex em Contexto Ocupacional 职业性乳胶过敏
Pub Date : 2023-06-30 DOI: 10.31252/rpso.27.05.2023
Pedro Vale, L. Rocha, M. Matos, J. Afonso, Roberto Ribas
Introduction/framework/objectives Latex allergy is recognized as a widespread health problem that assumed serious proportions in the 1990s. Although preventive measures have markedly decreased its incidence, recent studies have shown that it remains an important health problem in certain population groups, particularly in developing countries. This work aims to provide a comprehensive review of the current status of occupational latex allergies. We summarize various aspects of this condition, such as prevalence, risk groups, latex allergens, the diagnostic approach, prevention, and treatment. Methodology A bibliographic review was carried out in January 2023 in the following databases: PubMed/Medline, Cochrane Library, Evidence-based Medicine, Canadian Medical Association, Practice Guidelines and National Guideline Clearinghouse. Content Repeated exposure to latex in an occupational context can lead to worker sensitivity, with a significant clinical and socio-economic impact. We summarize various aspects of this condition, such as prevalence, risk groups, latex allergens, the diagnostic approach, prevention and treatment. Discussion and Conclusions The history of latex allergies has demonstrated that potent allergens such as Natural Rubber Latex proteins can cause rapid immunoglobulin-E-mediated sensitization and clinical allergies, reaching serious proportions in highly exposed individuals. Occupational exposure has a decisive influence on the allergen sensitivity profile, with important clinical and therapeutic consequences. The effectiveness of secondary prevention measures is limited. Thus, it is essential to implement early primary prevention measures in individuals belonging to risk groups, to avoid or minimize exposure to latex allergens. KEYWORDS: Healthcare Professionals, Latex allergy, Latex gloves, Latex hypersensitivity, Natural rubber latex, Occupational diseases, Occupational health, Occupational Medicine.
乳胶过敏被认为是一种普遍存在的健康问题,在20世纪90年代占据了严重的比例。虽然预防措施显著降低了其发病率,但最近的研究表明,在某些人群中,特别是在发展中国家,它仍然是一个重要的健康问题。这项工作的目的是提供一个全面的审查,目前的状况,职业性乳胶过敏。我们总结了这种情况的各个方面,如患病率,风险群体,乳胶过敏原,诊断方法,预防和治疗。方法于2023年1月对以下数据库进行文献综述:PubMed/Medline、Cochrane图书馆、循证医学、加拿大医学协会、实践指南和国家指南信息交换所。在职业环境中反复接触乳胶可导致工人敏感,具有显著的临床和社会经济影响。我们总结了这种情况的各个方面,如患病率,危险人群,乳胶过敏原,诊断方法,预防和治疗。讨论与结论乳胶过敏的历史表明,天然胶乳蛋白等强效变应原可引起免疫球蛋白e介导的快速致敏和临床过敏,在高度暴露的个体中达到严重的比例。职业性暴露对过敏原敏感性有决定性的影响,具有重要的临床和治疗后果。二级预防措施的效果有限。因此,必须在属于风险群体的个人中实施早期一级预防措施,以避免或尽量减少接触乳胶过敏原。关键词:医护人员,乳胶过敏,乳胶手套,乳胶超敏反应,天然胶乳,职业病,职业健康,职业医学。
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引用次数: 0
Hiperconectividade e Direito à Desconexão 超连接和断开的权利
Pub Date : 2023-06-30 DOI: 10.31252/rpso.03.06.2023
Selma Carrilho, Hélia Gabriel, Joana Van Braekel, S. Pereira, T. Amaral
INTRODUÇÃO Jantares de família interrompidos, férias interpeladas com e-mails de trabalho, crianças que questionam incessantemente os pais acerca da continuidade do trabalho dado o avançado da hora… esta é a realidade que pode ser experienciada hoje. O desenvolvimento das tecnologias da informação e comunicação e a facilidade de acesso a estas, tornam os funcionários cada vez mais próximos do trabalho, ainda que de forma digital. Existirão benefícios? Existirão consequências negativas? Poderá́ tornar-se esta situação num fator de risco psicossocial? Estará a legislação adequada à realidade atual? Está definido e regulamentado o direito à desconexão? Com a realização do presente artigo de opinião, pretende-se refletir acerca das metodologias e técnicas de avaliação dos riscos presentes no local de trabalho, bem como conhecer o estado da arte relativamente ao direito à desconexão e as técnicas e metodologias de avaliação do risco psicossocial resultante da hiperconectividade laboral.
家庭晚餐被打断,假期被工作邮件打断,孩子们不断地询问他们的父母,考虑到时间的流逝,工作的连续性……这就是今天可以体验到的现实。信息和通信技术的发展以及获取这些技术的便利使员工离工作越来越近,即使是以数字化的方式。有好处吗?会有负面后果吗?́会变成这种情况在心理社会危险因素?这项立法是否符合当前的现实?断开连接的权利是否被定义和规范?本文实现的评价,目的是反映风险评估的技术方法和工作场合中,认识艺术相对权利隔绝的状态和心理社会风险评估技术和方法的高速连接的工作。
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引用次数: 0
Caraterização do perfil de Doenças Profissionais notificadas num Hospital terciário Português entre 2012 e 2021 2012年至2021年葡萄牙一家三级医院报告的职业病概况特征
Pub Date : 2023-06-30 DOI: 10.31252/rpso.14.01.2023
Rui Ribeiro, N. Saldanha, P. Matos, Vanessa Teófilo, Salomé Moreira, P. Pinho, Pedro Norton
Introduction An occupational disease is a bodily injury, functional disturbance or pathology that is a necessary and direct consequence of exposure to occupational hazards and working conditions and does not result from the normal wear and tear of the body. The incidence of work-related diseases increases with age, being more frequent in females. Musculoskeletal injuries and paralysis, such as carpal tunnel syndrome, are the types of injuries most often recognized as occupational illnesses. Concerning the most predominant sector, the incidence is higher in industry, followed by construction and in the health area. Health professionals, given their exposure to ergonomic, physical, biological and chemical risks, have a high willingness to suffer from work-related illnesses. Objectives Characterize the profile of occupational diseases reported in a portuguese tertiary hospital, assessing their temporal distribution, the most affected professional category, as well as the type of injury and predominant body region. Methods An observational, cross-sectional and analytical study was realized using the analysis of occupational diseases reported in a portuguese tertiary hospital from January 2012 to December 2021, by consulting the Occupational Health Service databases. Results During the period considered, 610 occupational diseases were reported, of which 78.0% were female. The most affected professional category was nurses (40.8%), followed by operational assistants (28.5%). The year with the most notifications was 2021 (53.9%). SARS-CoV-2 infection was the most prevalent, with 431 cases, followed by musculoskeletal injuries, with 153 cases. Epicondylitis and tendinopathies of the shoulder joint were the most frequently notified musculoskeletal diseases with 39.7% and 24.0% of the participations, respectively. Conclusion Musculoskeletal injuries stand out as the most frequently reported type of injury, if we exclude the impact of SARS-CoV-2 infection, which is easily explained by exposure to the risks inherent in professions in the health sector. Its diagnosis and recognition are of great importance as they allow identifying problems and generate the need to provide a targeted response based on disease prevention and health promotion, among workers and employers. Keywords: Health Professionals, Occupational Diseases, Musculoskeletal Injury, Occupational Medicine, Occupational Hazards
职业病是暴露于职业危害和工作条件的必然和直接后果,而不是由于身体的正常磨损造成的身体伤害、功能障碍或病理。与工作有关的疾病的发病率随着年龄的增长而增加,在女性中更为常见。肌肉骨骼损伤和瘫痪,如腕管综合征,是最常被认为是职业病的伤害类型。在最主要的部门,发病率较高的是工业,其次是建筑业和卫生领域。由于卫生专业人员面临人体工程学、物理、生物和化学风险,他们很愿意患与工作有关的疾病。目的描述葡萄牙三级医院报告的职业病概况,评估其时间分布、受影响最严重的职业类别以及伤害类型和主要身体部位。方法对葡萄牙某三级医院2012年1月至2021年12月的职业病报告进行观察性、横断面性和分析性研究,查阅职业卫生服务数据库。结果调查期间共报告职业病610例,其中78.0%为女性。受影响最大的专业类别是护士(40.8%),其次是手术助理(28.5%)。通报最多的年份是2021年(53.9%)。SARS-CoV-2感染最普遍,有431例,其次是肌肉骨骼损伤,有153例。上髁炎和肩关节肌腱病是最常见的肌肉骨骼疾病,分别占39.7%和24.0%。如果我们排除SARS-CoV-2感染的影响,肌肉骨骼损伤是最常报告的损伤类型,这很容易解释为暴露于卫生部门职业固有的风险。对该病的诊断和识别非常重要,因为这样可以发现问题,并产生在工人和雇主中预防疾病和促进健康的基础上提供有针对性对策的需要。关键词:卫生专业人员,职业病,肌肉骨骼损伤,职业医学,职业危害
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引用次数: 0
Cancro da Tiroide associado ao Trabalho 与工作有关的甲状腺癌
Pub Date : 2023-06-30 DOI: 10.31252/rpso.04.04.2023
Mónica Santos, A. Almeida, Catarina Lopes
Introduction/framework/objectives The study of cancer and work-related etiology has been increasing, revealing some associations with previously undervalued occupational risk factors. In this sense, it is legitimate to find out whether Thyroid Cancer can be associated with certain occupational characteristics, so that occupational health and safety teams can effectively carry out its work. Thus, the aim of this review is to gather as much scientific evidence on the phenomenon as possible, to promote a healthier and safer work environment. Methodology This is a bibliographic review, initiated through a search carried out in January 2022, in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Content In recent decades, this pathology has increased to about three times more, becoming one of the most frequent in some countries, which may be associated with the existence of greater medical surveillance and more regular auxiliary diagnostic exams, not least because most of the lesions detected are increasingly small and premature: although other researchers consider that the increase in incidence is real, due to ionizing radiation and worsening of the Body Mass Index. Discussion and Conclusions The work circumstances that seem to be more associated are ionizing radiation, as well as some dust and chemical agents present in demolition areas/collapsed buildings and/or mercury, although without full consensus among researchers. It will be necessary to carry out further studies to prove the etiology of work origin, which will only be possible if the Occupational Health and Safety teams are aware of the problem and carry out epidemiological studies to investigate this potential causality. Keywords: thyroid cancer, ionizing radiation, occupational health, occupational medicine and safety at work.
关于癌症和工作相关病因的研究越来越多,揭示了一些与以前被低估的职业风险因素的关联。从这个意义上说,了解甲状腺癌是否与某些职业特征有关是合理的,以便职业卫生安全小组能够有效地开展工作。因此,这次审查的目的是尽可能多地收集有关这一现象的科学证据,以促进更健康和更安全的工作环境。这是一篇文献综述,于2022年1月在以下数据库中进行检索:“CINALH plus全文、Medline全文、效果评价摘要数据库、Cochrane对照试验中央注册库、Cochrane系统评价数据库、Cochrane方法学注册库、护理和联合健康Collection: comprehensive、MedicLatina和RCAAP”。近几十年来,这种病理增加了大约三倍,成为一些国家最常见的疾病之一,这可能与更大的医疗监测和更定期的辅助诊断检查有关,尤其是因为大多数检测到的病变越来越小和过早:尽管其他研究人员认为,由于电离辐射和身体质量指数的恶化,发病率的增加是真实的。讨论和结论:工作环境似乎更相关的是电离辐射,以及在拆迁区/倒塌的建筑物和/或汞中存在的一些灰尘和化学剂,尽管研究人员没有完全达成共识。有必要开展进一步的研究,以证明工作来源的病因,只有在职业健康和安全小组意识到这一问题并开展流行病学研究以调查这一潜在因果关系的情况下,才有可能开展研究。关键词:甲状腺癌,电离辐射,职业卫生,职业医学,工作安全
{"title":"Cancro da Tiroide associado ao Trabalho","authors":"Mónica Santos, A. Almeida, Catarina Lopes","doi":"10.31252/rpso.04.04.2023","DOIUrl":"https://doi.org/10.31252/rpso.04.04.2023","url":null,"abstract":"Introduction/framework/objectives The study of cancer and work-related etiology has been increasing, revealing some associations with previously undervalued occupational risk factors. In this sense, it is legitimate to find out whether Thyroid Cancer can be associated with certain occupational characteristics, so that occupational health and safety teams can effectively carry out its work. Thus, the aim of this review is to gather as much scientific evidence on the phenomenon as possible, to promote a healthier and safer work environment. Methodology This is a bibliographic review, initiated through a search carried out in January 2022, in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Content In recent decades, this pathology has increased to about three times more, becoming one of the most frequent in some countries, which may be associated with the existence of greater medical surveillance and more regular auxiliary diagnostic exams, not least because most of the lesions detected are increasingly small and premature: although other researchers consider that the increase in incidence is real, due to ionizing radiation and worsening of the Body Mass Index. Discussion and Conclusions The work circumstances that seem to be more associated are ionizing radiation, as well as some dust and chemical agents present in demolition areas/collapsed buildings and/or mercury, although without full consensus among researchers. It will be necessary to carry out further studies to prove the etiology of work origin, which will only be possible if the Occupational Health and Safety teams are aware of the problem and carry out epidemiological studies to investigate this potential causality. Keywords: thyroid cancer, ionizing radiation, occupational health, occupational medicine and safety at work.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122697328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Suporte Básico de Vida no Local de Trabalho: estratégias e programas de empoderamento 工作场所的基本生命支持:赋权战略和计划
Pub Date : 2023-06-30 DOI: 10.31252/rpso.07.01.2023
R. Patrício, Tânia Costa
Introduction The literature highlights the importance of training the basic life support, also in the occupational context, since although most organizations are not prepared, an average of 10,000 cardiorespiratory arrests occur per year in the workplace. From here emerges the need for companies to empower workers to respond quickly and effectively, at least until the arrival of differentiated help. Objectives Identify the strategies and programmes that, in an occupational context, enable workers to intervene in the face of a cardiorespiratory arrest. Methodology Systematic review of the literature according to the methodology of the Joanna Briggs Institute. As inclusion criteria, we defined studies available in full and free text, published from 2002 in Portuguese, English and German. The research was carried out during the month of November 2022 through the EbscoHost using the databases Cinahl with Full Text, Medline with Full Text, MedicLatina, Nursing & Allied Health Collection: Comprehensive and Cochrane Database of Systematic Reviews. The research equation was used: (programs or interventions or strategies or education) AND (workplace or work environment or work spaces or office or job) AND (basic life support or cardiopulmonary resuscitation or CPR) AND (occupational health and safety) NOT (healthcare or health care or hospital or health services or health facilities). Results Ten articles identified strategies and programs that enable workers to act in a cardiac arrest. The results attest to the importance of simulation, including using virtual and augmented reality, demonstration, role-playing, gamification, the use of mobile applications due to their accessibility and ease of use, theoretical face-to-face sessions and practices in groups and individuals with trained instructors ensuring feedback, offering a kit of materials with instructions and also involving community resources and all hierarchical levels of the companies. Options such as dissemination of statistical data, testimony from occupational health professionals and survivors can be useful as awareness-raisers. Conclusion It reinforces the need to implement training programs and strategies for workers that are effective and allow for improved outcomes in the event of cardiorespiratory arrests. It is believed that organizations that are committed to promoting a safe environment and empowering their workers, assuming this social responsibility, can have positive impacts for all stakeholders, for the company itself and for society in general, as they contribute to the resource management. Keywords: Community Participation; Cardiopulmonary resuscitation; Health strategies; Review.
文献强调了培训基本生命支持的重要性,也在职业背景下,因为尽管大多数组织没有准备好,但平均每年在工作场所发生10,000例心肺骤停。因此,企业需要赋予员工快速有效地做出反应的能力,至少在差异化帮助到来之前是这样。目标确定在职业环境下,使工人能够在面对心肺骤停时进行干预的策略和方案。方法论根据乔安娜布里格斯研究所的方法论对文献进行系统的回顾。作为纳入标准,我们定义了2002年以来以葡萄牙语、英语和德语发表的全文和免费文本的研究。该研究于2022年11月通过EbscoHost使用以下数据库进行:Cinahl全文数据库、Medline全文数据库、MedicLatina数据库、Nursing & Allied Health Collection: Comprehensive数据库和Cochrane系统评价数据库。使用研究方程:(计划或干预措施或策略或教育)AND(工作场所或工作环境或工作空间或办公室或工作)AND(基本生命支持或心肺复苏术或CPR) AND(职业健康与安全)NOT(医疗保健或保健或医院或卫生服务或卫生设施)。结果:10篇文章确定了使工人在心脏骤停时采取行动的策略和方案。结果证明了模拟的重要性,包括使用虚拟和增强现实,演示,角色扮演,游戏化,使用移动应用程序,因为它们的可访问性和易用性,理论面对面的会议和小组和个人的实践,训练有素的教师确保反馈,提供一套带有说明的材料,还涉及社区资源和公司的所有层级。传播统计数据、职业卫生专业人员和幸存者的证词等备选办法可有助于提高认识。结论:这加强了对工人实施有效的培训计划和策略的必要性,并允许在发生心肺骤停时改善结果。人们相信,致力于促进安全环境和赋予员工权力的组织,承担这种社会责任,可以对所有利益相关者,公司本身和整个社会产生积极影响,因为他们有助于资源管理。关键词:社区参与;心肺复苏;卫生策略;审查。
{"title":"Suporte Básico de Vida no Local de Trabalho: estratégias e programas de empoderamento","authors":"R. Patrício, Tânia Costa","doi":"10.31252/rpso.07.01.2023","DOIUrl":"https://doi.org/10.31252/rpso.07.01.2023","url":null,"abstract":"Introduction The literature highlights the importance of training the basic life support, also in the occupational context, since although most organizations are not prepared, an average of 10,000 cardiorespiratory arrests occur per year in the workplace. From here emerges the need for companies to empower workers to respond quickly and effectively, at least until the arrival of differentiated help. Objectives Identify the strategies and programmes that, in an occupational context, enable workers to intervene in the face of a cardiorespiratory arrest. Methodology Systematic review of the literature according to the methodology of the Joanna Briggs Institute. As inclusion criteria, we defined studies available in full and free text, published from 2002 in Portuguese, English and German. The research was carried out during the month of November 2022 through the EbscoHost using the databases Cinahl with Full Text, Medline with Full Text, MedicLatina, Nursing & Allied Health Collection: Comprehensive and Cochrane Database of Systematic Reviews. The research equation was used: (programs or interventions or strategies or education) AND (workplace or work environment or work spaces or office or job) AND (basic life support or cardiopulmonary resuscitation or CPR) AND (occupational health and safety) NOT (healthcare or health care or hospital or health services or health facilities). Results Ten articles identified strategies and programs that enable workers to act in a cardiac arrest. The results attest to the importance of simulation, including using virtual and augmented reality, demonstration, role-playing, gamification, the use of mobile applications due to their accessibility and ease of use, theoretical face-to-face sessions and practices in groups and individuals with trained instructors ensuring feedback, offering a kit of materials with instructions and also involving community resources and all hierarchical levels of the companies. Options such as dissemination of statistical data, testimony from occupational health professionals and survivors can be useful as awareness-raisers. Conclusion It reinforces the need to implement training programs and strategies for workers that are effective and allow for improved outcomes in the event of cardiorespiratory arrests. It is believed that organizations that are committed to promoting a safe environment and empowering their workers, assuming this social responsibility, can have positive impacts for all stakeholders, for the company itself and for society in general, as they contribute to the resource management. Keywords: Community Participation; Cardiopulmonary resuscitation; Health strategies; Review.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124077050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caraterização dos Acidentes de Trabalho num Hospital Terciário Português entre 2017 e 2022 2017年至2022年葡萄牙一家三级医院工作事故特征
Pub Date : 2023-06-30 DOI: 10.31252/rpso.24.06.2023
A. pereira, Ana Ribeiro, Gonçalo Miranda, P. Silva, Ana Silva, J. Soares, L. Cruz
Introduction Healthcare professionals are exposed to a multitude of occupational risks that can lead to work-related injuries, resulting in implications both at the hospital management level and community level. For the development of a preventive safety culture, it is essential to analyze the causes that lead to their occurrence. This study is a descriptive and analytical analysis of the work-related injuries that occurred in a hospital unit, characterizing them and relating them to occupational risks. The target population of the study consists of healthcare workers from a tertiary hospital in the north of Portugal. Aims Analysis of the work-related injuries recorded by the Occupational Health Service in a Portuguese tertiary hospital. Methods Retrospective observational study between January 2017 and December 2022. Data were obtained from the Occupational Health Service software. Results A total of 1279 work-related injuries were recorded from 2017 to 2022, of which 93,8% took place in the facilities of the Hospital Center. The majority of them (82,8%) occurred in female workers. A higher number of work-related injuries was observed among healthcare assistants (43.2%) and nurses (35.5%). The mechanical risk was found to have the highest incidence (46,4%), followed by biological (26,3%) and ergonomic (22,4%) risks. The upper limb (46,3%) and lower limb (22,4%) were the anatomical regions most affected by the accidents. Most of the lost days resulting from work-related injuries were in the range of 3 to 30 days (58,8%). Discussion and Conclusion Work-related injuries presented a variable distribution throughout the studied period and most of these took place within the Hospital Center. The mechanical risk, which is essentially responsible for musculoskeletal injuries, was the leading cause of injury, followed by biological risk, in accordance with the literature. There was a significant increase in the number of work-related injuries related to psychosocial risks, which is directly related to violent behaviors against hospital staff making it urgent to develop preventive measures in this area. Due to the morbidity caused and the consequent absenteeism, work-related injuries contributed to a significant loss of productivity. Therefore, it is essential to keep investing in preventive policies and improvement of the work conditions in the healthcare sector. KEYWORDS: Work-related injuries, Health Professionals, Injury, Disability, Absenteeism.
医疗保健专业人员面临着多种职业风险,这些风险可能导致与工作有关的伤害,从而在医院管理层面和社区层面产生影响。对于预防性安全文化的发展,有必要分析导致其发生的原因。本研究对某医院单位发生的工伤进行了描述性和分析性分析,描述了工伤的特征,并将其与职业风险联系起来。该研究的目标人群包括来自葡萄牙北部一家三级医院的医护人员。目的分析葡萄牙某三级医院职业卫生服务部门记录的工伤情况。方法2017年1月至2022年12月进行回顾性观察研究。数据来自职业健康服务软件。结果2017 - 2022年共发生工伤1279起,其中93.8%发生在医院中心设施内。其中大多数(82.8%)发生在女工身上。保健助理(43.2%)和护士(35.5%)的工伤人数较高。机械风险发生率最高(46.4%),其次是生物风险(26.3%)和人体工程学风险(22.4%)。上肢(46.3%)和下肢(22.4%)是受意外伤害最严重的解剖区域。大多数因工伤而损失的天数在3至30天之间(58.8%)。讨论与结论:在整个研究期间,工伤呈可变分布,其中大多数发生在医院中心。根据文献,机械风险是导致肌肉骨骼损伤的主要原因,是导致损伤的主要原因,其次是生物风险。与心理社会风险相关的工伤数量显著增加,这与针对医院工作人员的暴力行为直接相关,因此迫切需要在这一领域制定预防措施。由于发病率和随之而来的缺勤,工伤造成了生产力的重大损失。因此,必须继续投资于预防政策和改善保健部门的工作条件。关键词:工伤、卫生专业人员、伤害、残疾、缺勤。
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引用次数: 0
Cancro Testicular associado ao Trabalho 与工作有关的睾丸癌
Pub Date : 2023-06-30 DOI: 10.31252/rpso.08.04.2023
Mónica Santos, A. Almeida, Catarina Lopes
Introduction/framework/objectives Testicular Cancer usually appears at earlier ages than other oncological pathologies, therefore, it is more likely to be diagnosed in the active population. It is suspected that part of the cases may have an occupational etiology, so it will be relevant to develop efforts for its early diagnosis and prevention. In this sense, this review intends to highlight the most relevant publications on the subject, to facilitate the work of occupational health teams. Methodology The research and bibliographic review were carried out in January 2022, in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Content It is most frequent in developed countries; corresponds to 1% of all cancers diagnosed in men, considering all age groups. Incidences have been increasing to nearly double over the last four decades in most countries, possibly due to some occupational and/or environmental exposures. Discussion and Conclusions Occupational issues that seem to be more related to this cancer are contact with some chemical agents (namely pesticides, asbestos, solvents and heavy metals); as well as ionizing radiation. Thus, some of the most relevant sectors will be agriculture, civil construction, demolitions, industry with the production of chemical agentes, paper and plastics, laundries and firefighters. It would be relevant for some Occupational Health and Safety teams to dedicate some time to investigating these issues, enhancing global scientific knowledge on this topic and, in particular, deepening the national level (global incidence, more relevant sectors/professions/tasks, as well as collective and individual protection measures most used and effective). KEYWORDS: testicular cancer, asbestos, pesticides, occupational health, occupational medicine, occupational safety.
睾丸癌通常比其他肿瘤病理更早出现,因此更容易在活跃人群中被诊断出来。怀疑部分病例可能有职业病因,因此开展早期诊断和预防工作具有重要意义。从这个意义上说,本审查旨在突出在这个问题上最相关的出版物,以促进职业卫生小组的工作。研究和文献综述于2022年1月在以下数据库中进行:CINALH plus全文、Medline全文、疗效评价摘要数据库、Cochrane对照试验中央注册库、Cochrane系统评价数据库、Cochrane方法学注册库、护理和联合健康Collection: comprehensive、MedicLatina和RCAAP。内容在发达国家最为常见;考虑到所有年龄组,相当于男性确诊癌症的1%。在过去四十年中,大多数国家的发病率增加了近一倍,可能是由于某些职业和/或环境暴露。似乎与这种癌症更相关的职业问题是接触某些化学剂(即杀虫剂、石棉、溶剂和重金属);还有电离辐射。因此,一些最相关的部门将是农业、民用建筑、拆除、生产化学剂、纸张和塑料的工业、洗衣业和消防员。一些职业健康和安全小组有必要花一些时间调查这些问题,加强关于这一专题的全球科学知识,特别是深化国家一级的问题(全球发病率、更相关的部门/专业/任务,以及最常用和最有效的集体和个人保护措施)。关键词:睾丸癌、石棉、农药、职业卫生、职业医学、职业安全。
{"title":"Cancro Testicular associado ao Trabalho","authors":"Mónica Santos, A. Almeida, Catarina Lopes","doi":"10.31252/rpso.08.04.2023","DOIUrl":"https://doi.org/10.31252/rpso.08.04.2023","url":null,"abstract":"Introduction/framework/objectives Testicular Cancer usually appears at earlier ages than other oncological pathologies, therefore, it is more likely to be diagnosed in the active population. It is suspected that part of the cases may have an occupational etiology, so it will be relevant to develop efforts for its early diagnosis and prevention. In this sense, this review intends to highlight the most relevant publications on the subject, to facilitate the work of occupational health teams. Methodology The research and bibliographic review were carried out in January 2022, in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Content It is most frequent in developed countries; corresponds to 1% of all cancers diagnosed in men, considering all age groups. Incidences have been increasing to nearly double over the last four decades in most countries, possibly due to some occupational and/or environmental exposures. Discussion and Conclusions Occupational issues that seem to be more related to this cancer are contact with some chemical agents (namely pesticides, asbestos, solvents and heavy metals); as well as ionizing radiation. Thus, some of the most relevant sectors will be agriculture, civil construction, demolitions, industry with the production of chemical agentes, paper and plastics, laundries and firefighters. It would be relevant for some Occupational Health and Safety teams to dedicate some time to investigating these issues, enhancing global scientific knowledge on this topic and, in particular, deepening the national level (global incidence, more relevant sectors/professions/tasks, as well as collective and individual protection measures most used and effective). KEYWORDS: testicular cancer, asbestos, pesticides, occupational health, occupational medicine, occupational safety.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132475849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Direitos Laborais da Mulher Grávida- um Guia prático para Profissionais de Saúde 孕妇劳动权利——保健专业人员实用指南
Pub Date : 2023-06-30 DOI: 10.31252/rpso.21.01.2023
Maria João Fonseca, Pedro Gonçalves, N. Silva
Introduction The labor rights of pregnant women are of great relevance for the doctors that follow the pregnancy, as well as for the Occupational Health doctors. For them to be able to ensure work safety for this vulnerable group, they need to have a good understanding of the work laws. The multidisciplinarity between the two medical specialties can constitute an important alliance in the identification of specific labor risks, and the orientation of the worker. Methodology This is an review of the portuguese legislation conducted in november of 2022, regarding the Portuguese Work Code, complemented by the Practical Guide of the Subsidy of Specific Risks, from the Social Security Institute. Contents Pregnant workers must be considered a susceptible group for specific risks and there must be taken measures regarding their health and security, from various points of view. This cannot result in disadvantage in the work market and it cannot affect the equality of treatment between men and women. It’s the pregnant women right that the work conditions are evaluated, and, if needed, adapted by the employer, so the safety of the mother and the fetus is guaranteed. Discussion and Conclusions It’s important for health professionals to be informed about the work rights of pregnant women. The collaboration with Occupational Health professionals is essential in the right identification of specific work risks, so that the pregnancy can proceed without exposured to such risks and, in the case of such exposure, they can be rightly adjusted. Keywords: Labor rights; Pregnancy; General and Familiar Medicine; Occupational Medicine; Occupational Health.
孕妇的劳动权利与跟踪妊娠的医生以及职业卫生医生有着密切的关系。为了确保这一弱势群体的安全生产,他们需要对劳动法规有很好的了解。这两个医学专业之间的多学科可以在识别特定劳动风险和工人定位方面构成重要的联盟。这是对2022年11月进行的葡萄牙立法的审查,涉及《葡萄牙工作守则》,并辅以社会保障研究所的《特定风险补贴实用指南》。必须将怀孕女工视为特定风险的易感群体,必须从各个角度对她们的健康和安全采取措施。这不会导致在工作市场上处于不利地位,也不会影响男女之间的平等待遇。孕妇有权对工作条件进行评估,并在必要时由雇主进行调整,以保证母亲和胎儿的安全。对卫生专业人员来说,了解孕妇的工作权利是很重要的。与职业卫生专业人员的合作对于正确确定具体的工作风险至关重要,以便怀孕可以在不暴露于此类风险的情况下进行,并且在暴露于此类风险的情况下,可以正确调整这些风险。关键词:劳动权利;怀孕;普通医学和普通医学;职业医学;职业健康。
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Revista Portuguesa de Saúde Ocupacional
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