Pub Date : 2022-12-31DOI: 10.31252/rpso.24.12.2022
Dina Pita, M. Claudino, Carlos Meneses, M. Rodrigues, M. Manzano, M. Ramos
INTRODUCTION Workplaces are considered by the World Health Organization as one of the priority places for the development of health promotion actions, namely within the scope of work practices and healthy lifestyles (such as healthy eating, the practice of physical activity, prevention of obesity, professional stress, musculoskeletal injuries, among others). MATERIALS AND METHODS A review of guidelines and scientific articles related to health promotion was carried out, namely on physical activity in an occupational context. Pubmed, UpToDate and Clinical Key, World Health Organization and the Direção-Geral da Saúde were used as the main data sources and the research was carried out using the MeSH terms: “physical activity, health promotion, occupational health”. Publications between the year 2000 and 2022 written in English, Portuguese or Spanish were included. OBJECTIVE A review of the current scientific literature on physical activity is carried out in order to contribute to the implementation and improvement of policies aimed at promoting health in the workplace, thus increasing its potential benefits. DISCUSSION In light of new scientific evidence, all physical activity, regardless of the continuous duration of each practice period, has positive health effects. This implies an adaptation in the way of communicating about physical activity and in the way it is perceived, naturally translating a greater flexibility of behaviors and the potential for their integration, in different moments and contexts. CONCLUSION The recent characterization of physical activity as something easy to integrate into everyday life, regardless of its duration, brings a new vision in the approach to promoting physical activity, imposing the adaptation of strategies and policies that promote this área, namely at occupational level. KEY-WORDS: physical activity, health promotion, public health, occupational health, prevention, work.
世界卫生组织认为工作场所是制定促进健康行动的优先场所之一，即在工作习惯和健康生活方式的范围内(如健康饮食、体育活动、预防肥胖、职业压力、肌肉骨骼损伤等)。材料和方法对健康促进相关的指导方针和科学文章进行了回顾，即职业环境下的身体活动。主要的数据来源是Pubmed、update and Clinical Key、世界卫生组织和世界卫生组织总数据Saúde，研究使用MeSH术语:"身体活动、健康促进、职业健康"。2000年至2022年间以英语、葡萄牙语或西班牙语撰写的出版物也包括在内。目的对目前有关体育活动的科学文献进行审查，以促进旨在促进工作场所健康的政策的实施和改进，从而增加其潜在效益。根据新的科学证据，所有的体育活动，无论每次练习持续多长时间，都对健康有积极的影响。这意味着在身体活动的沟通方式和感知方式上的适应，自然地在不同的时刻和环境中转化为更大的行为灵活性和整合的潜力。最近将体育活动描述为一种容易融入日常生活的东西，无论其持续时间如何，这为促进体育活动的方法带来了新的愿景，即在职业层面上实施促进体育活动的策略和政策área。关键词:体育活动，健康促进，公共卫生，职业卫生，预防，工作
{"title":"Em Movimento pela Promoção pela Saúde","authors":"Dina Pita, M. Claudino, Carlos Meneses, M. Rodrigues, M. Manzano, M. Ramos","doi":"10.31252/rpso.24.12.2022","DOIUrl":"https://doi.org/10.31252/rpso.24.12.2022","url":null,"abstract":"INTRODUCTION Workplaces are considered by the World Health Organization as one of the priority places for the development of health promotion actions, namely within the scope of work practices and healthy lifestyles (such as healthy eating, the practice of physical activity, prevention of obesity, professional stress, musculoskeletal injuries, among others). MATERIALS AND METHODS A review of guidelines and scientific articles related to health promotion was carried out, namely on physical activity in an occupational context. Pubmed, UpToDate and Clinical Key, World Health Organization and the Direção-Geral da Saúde were used as the main data sources and the research was carried out using the MeSH terms: “physical activity, health promotion, occupational health”. Publications between the year 2000 and 2022 written in English, Portuguese or Spanish were included. OBJECTIVE A review of the current scientific literature on physical activity is carried out in order to contribute to the implementation and improvement of policies aimed at promoting health in the workplace, thus increasing its potential benefits. DISCUSSION In light of new scientific evidence, all physical activity, regardless of the continuous duration of each practice period, has positive health effects. This implies an adaptation in the way of communicating about physical activity and in the way it is perceived, naturally translating a greater flexibility of behaviors and the potential for their integration, in different moments and contexts. CONCLUSION The recent characterization of physical activity as something easy to integrate into everyday life, regardless of its duration, brings a new vision in the approach to promoting physical activity, imposing the adaptation of strategies and policies that promote this área, namely at occupational level. KEY-WORDS: physical activity, health promotion, public health, occupational health, prevention, work.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121676312","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}
Pub Date : 2022-12-31DOI: 10.31252/rpso.24.09.2022
Juliana Vilas Boas, Tiago Brito, Flora Sampaio, C. Barbosa
ABSTRACT Introduction Tuberculosis is considered an Occupational Disease in Health Care Professionals and can have pulmonary manifestations or, more rarely, extrapulmonary manifestations, such as Ocular Tuberculosis, which can manifest in different ways. According to the Direção Geral de Saúde, Health Institutions should adopt early detection measures and considers that cases of active Tuberculosis in Health Care Professionals should be considered as an Occupational Disease. Case Report Technical Assistant, 57 years old, in the Physical Medicine and Hospital Rehabilitation service, with a history of recurrent episcleritis in the left eye for one year. She is observed by Ophthalmology and Internal Medicine. No other major complaints or background. She had a positive Mantoux test and a positive Interferon Gamma Release Assay test in a patient already medicated with oral and local corticosteroids, without improvement. It was assumed that it would be Ocular Tuberculosis, despite not being a typical presentation of the disease, but given the recurrence and treatment failure, it was decided to start treatment for Tuberculosis as active disease, with total remission of complaints. Given the occupational exposure, this case was reported as a suspicion of Occupational Illness and she was removed from her workplace until treatment was completed. Discussion Tuberculosis is one of the most important Occupational Diseases in Health Professionals. As an extrapulmonary manifestation, ocular tuberculosis is rare, but it can have strong implications for the patient’s health. Contrary to what has been observed with other occupational infectious diseases, the incidence of Tuberculosis has been increasing, so it is recommended to screen the risk groups. If there is suspicion, the Occupational Physician must remove the worker from the workplace, notify and report the suspicion of occupational disease. Early diagnosis can be difficult, due to the diversity of presentation, and constitutes a considerable clinical challenge, being often a presumptive diagnosis and the basic principles of treatment for extrapulmonary tuberculosis are common to pulmonary tuberculosis. Conclusion Ocular Tuberculosis as a disease presentation is rare and in Health Care Professionals it is an Occupational Disease given the risk of exposure. Occupational Disease participation by Occupational Medicine took into account the workplace and the risks, showing us the importance of correctly analyzing the place and working conditions, as well as the screening, prevention and infection control measures. Keywords: Ocular Tuberculosis; Occupational disease; Biological risk; Healthcare professional, Occupacional Health, Occupational Medicine.
{"title":"Tuberculose ocular num Profissional de Saúde","authors":"Juliana Vilas Boas, Tiago Brito, Flora Sampaio, C. Barbosa","doi":"10.31252/rpso.24.09.2022","DOIUrl":"https://doi.org/10.31252/rpso.24.09.2022","url":null,"abstract":"ABSTRACT Introduction Tuberculosis is considered an Occupational Disease in Health Care Professionals and can have pulmonary manifestations or, more rarely, extrapulmonary manifestations, such as Ocular Tuberculosis, which can manifest in different ways. According to the Direção Geral de Saúde, Health Institutions should adopt early detection measures and considers that cases of active Tuberculosis in Health Care Professionals should be considered as an Occupational Disease. Case Report Technical Assistant, 57 years old, in the Physical Medicine and Hospital Rehabilitation service, with a history of recurrent episcleritis in the left eye for one year. She is observed by Ophthalmology and Internal Medicine. No other major complaints or background. She had a positive Mantoux test and a positive Interferon Gamma Release Assay test in a patient already medicated with oral and local corticosteroids, without improvement. It was assumed that it would be Ocular Tuberculosis, despite not being a typical presentation of the disease, but given the recurrence and treatment failure, it was decided to start treatment for Tuberculosis as active disease, with total remission of complaints. Given the occupational exposure, this case was reported as a suspicion of Occupational Illness and she was removed from her workplace until treatment was completed. Discussion Tuberculosis is one of the most important Occupational Diseases in Health Professionals. As an extrapulmonary manifestation, ocular tuberculosis is rare, but it can have strong implications for the patient’s health. Contrary to what has been observed with other occupational infectious diseases, the incidence of Tuberculosis has been increasing, so it is recommended to screen the risk groups. If there is suspicion, the Occupational Physician must remove the worker from the workplace, notify and report the suspicion of occupational disease. Early diagnosis can be difficult, due to the diversity of presentation, and constitutes a considerable clinical challenge, being often a presumptive diagnosis and the basic principles of treatment for extrapulmonary tuberculosis are common to pulmonary tuberculosis. Conclusion Ocular Tuberculosis as a disease presentation is rare and in Health Care Professionals it is an Occupational Disease given the risk of exposure. Occupational Disease participation by Occupational Medicine took into account the workplace and the risks, showing us the importance of correctly analyzing the place and working conditions, as well as the screening, prevention and infection control measures. Keywords: Ocular Tuberculosis; Occupational disease; Biological risk; Healthcare professional, Occupacional Health, Occupational Medicine.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114166934","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}
Pub Date : 2022-12-31DOI: 10.31252/rpso.12.11.2022
Margarida Coelho, Helena A. Alves, Diogo Abreu, Laura Silva, Miguel Pereira, D. Melo, A. Oliveira, Fernando Mautempo
{"title":"Vírus da Hepatite B- Vacinação por Risco Ocupacional","authors":"Margarida Coelho, Helena A. Alves, Diogo Abreu, Laura Silva, Miguel Pereira, D. Melo, A. Oliveira, Fernando Mautempo","doi":"10.31252/rpso.12.11.2022","DOIUrl":"https://doi.org/10.31252/rpso.12.11.2022","url":null,"abstract":"","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131446768","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}
Pub Date : 2022-12-31DOI: 10.31252/rpso.09.07.2022
Diana Costa
INTRODUÇÃO A demência é uma síndrome, conhecidamente de natureza crónica e progressiva, causada por uma variedade de fatores que afetam a memória, pensamento, comportamento e a capacidade em realizar atividades quotidianas, sendo definida por sintomas como declínio da função cerebral devido a alterações físicas no cérebro, podendo condicionar funções corporais. Representa uma constelação de condições, umas mais modificáveis que outras, sendo a doença de Alzheimer (DA) a mais prevalente, com 50-70% dos casos(1). De acordo com a história natural da DA, à semelhança de outras, poderá evoluir de acordo com uma sequência de eventos, permitindo o diagnóstico precoce e/ou medidas para atenuar o problema(2, 3): Estadio Normal; Estadio Pré-Clínico (sem sinais/sintomas óbvios, mas passível de ser detetado com biomarcadores, embora continue em debate quais os mais adequados, incluindo neuroimagem)(4-6); Défice cognitivo ligeiro; Doença de Alzheimer (DA?). Estima-se, mundialmente, uma prevalência de 57 milhões de casos de demência (um novo caso a cada 3.2 segundos) e prevê-se que atinja os 153 milhões em 2050, em adultos com mais de 40 anos(7). Num estudo do JAMA, percebeu-se que no caso do espectro da DA, 18% dos adultos assintomáticos com 50 anos apresentavam já anormalidades de placas amiloides(8). Cerca de 10 a 20 % das pessoas com demências de início precoce ou declínio cognitivo leve têm menos de 65 anos(9). Estima-se também que 10 a 15% dos indivíduos com declínio cognitivo ligeiro avancem para demência a cada ano e que menos de um em cada cinco esteja familiarizado com a definição de declínio cognitivo, assumindo mais de 55% como um “sintoma normal do envelhecimento”(10). Em Portugal, a prevalência encontrada de declínio cognitivo é de 12.3% e de demência 2.7% entre os 55 e os 79 anos de idade(11). Segundo o Instituto de Saúde Pública da Universidade do Porto, em Portugal a maioria dos casos deve-se a demência vascular (DV), provavelmente pela elevada prevalência de hipertensão arterial (HTA) e doença cardiovascular (DCV), fatores de risco modificáveis. Os resultados desse estudo mostram que cerca de 4.5% dos indivíduos com mais de 55 anos apresentam pelo menos défice cognitivo ligeiro(12). O comprometimento cognitivo é assim uma realidade que provavelmente se tornará cada vez mais comum à medida que a força de trabalho envelhece(13): considerando a tendência continuada para o envelhecimento da população em Portugal, o futuro poderá nortear-se num aumento progressivo nos casos. Embora o início precoce da DA seja raro, alterações cognitivas leves podem iniciar a partir dos 30 ou 40 anos. No entanto, podem existir muitas razões secundárias para declínio cognitivo para além da neurodegeneração, que devem ser abordadas para diagnóstico diferencial(11). Estas podem incluir ansiedade, stress, depressão, infeções, distúrbios na tiróide, défices nutricionais, efeitos colaterais de medicamentos, ou outras razões médicas(14), algumas sugestões no Quadro 1 (Ane
{"title":"Envelhecimento da Força Laboral e Declínio Cognitivo: o que podem os serviços de Saúde Ocupacional fazer? Proposta de Rastreio","authors":"Diana Costa","doi":"10.31252/rpso.09.07.2022","DOIUrl":"https://doi.org/10.31252/rpso.09.07.2022","url":null,"abstract":"INTRODUÇÃO A demência é uma síndrome, conhecidamente de natureza crónica e progressiva, causada por uma variedade de fatores que afetam a memória, pensamento, comportamento e a capacidade em realizar atividades quotidianas, sendo definida por sintomas como declínio da função cerebral devido a alterações físicas no cérebro, podendo condicionar funções corporais. Representa uma constelação de condições, umas mais modificáveis que outras, sendo a doença de Alzheimer (DA) a mais prevalente, com 50-70% dos casos(1). De acordo com a história natural da DA, à semelhança de outras, poderá evoluir de acordo com uma sequência de eventos, permitindo o diagnóstico precoce e/ou medidas para atenuar o problema(2, 3): Estadio Normal; Estadio Pré-Clínico (sem sinais/sintomas óbvios, mas passível de ser detetado com biomarcadores, embora continue em debate quais os mais adequados, incluindo neuroimagem)(4-6); Défice cognitivo ligeiro; Doença de Alzheimer (DA?). Estima-se, mundialmente, uma prevalência de 57 milhões de casos de demência (um novo caso a cada 3.2 segundos) e prevê-se que atinja os 153 milhões em 2050, em adultos com mais de 40 anos(7). Num estudo do JAMA, percebeu-se que no caso do espectro da DA, 18% dos adultos assintomáticos com 50 anos apresentavam já anormalidades de placas amiloides(8). Cerca de 10 a 20 % das pessoas com demências de início precoce ou declínio cognitivo leve têm menos de 65 anos(9). Estima-se também que 10 a 15% dos indivíduos com declínio cognitivo ligeiro avancem para demência a cada ano e que menos de um em cada cinco esteja familiarizado com a definição de declínio cognitivo, assumindo mais de 55% como um “sintoma normal do envelhecimento”(10). Em Portugal, a prevalência encontrada de declínio cognitivo é de 12.3% e de demência 2.7% entre os 55 e os 79 anos de idade(11). Segundo o Instituto de Saúde Pública da Universidade do Porto, em Portugal a maioria dos casos deve-se a demência vascular (DV), provavelmente pela elevada prevalência de hipertensão arterial (HTA) e doença cardiovascular (DCV), fatores de risco modificáveis. Os resultados desse estudo mostram que cerca de 4.5% dos indivíduos com mais de 55 anos apresentam pelo menos défice cognitivo ligeiro(12). O comprometimento cognitivo é assim uma realidade que provavelmente se tornará cada vez mais comum à medida que a força de trabalho envelhece(13): considerando a tendência continuada para o envelhecimento da população em Portugal, o futuro poderá nortear-se num aumento progressivo nos casos. Embora o início precoce da DA seja raro, alterações cognitivas leves podem iniciar a partir dos 30 ou 40 anos. No entanto, podem existir muitas razões secundárias para declínio cognitivo para além da neurodegeneração, que devem ser abordadas para diagnóstico diferencial(11). Estas podem incluir ansiedade, stress, depressão, infeções, distúrbios na tiróide, défices nutricionais, efeitos colaterais de medicamentos, ou outras razões médicas(14), algumas sugestões no Quadro 1 (Ane","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"2011 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114795868","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}
Pub Date : 2022-12-31DOI: 10.31252/rpso.17.12.2022
Dina Pita, M. Claudino, C. Meneses, M. Rodrigues, M. Manzano, M. Ramos
Introduction Ionizing radiation comes from natural (radioactivity and cosmic radiation) or artificial sources. The artificial ionizing radiation, which includes the X-ray and the radioactive isotopes produced in the nuclear reactors, has many applications, notably in the industries, investigation and medicine sectors, turning the health professionals into exposed workers. Case description A case of a 61-year-old women, radiologic technologist in a radiology department in a pediatric hospital, with forty years of ionizing radiation exposure, culminating in retroperitoneal liposarcoma diagnosis, as described. Discussion The exposure to high levels of Ionizing radiation is related to the induction, yet not exclusive, of cancer. Accordingly, to International Agency for Research on Cancer, the exposure to ionizing radiation directly related to an increased risk for sarcomas, squamous cells carcinomas and adenocarcinomas. Conclusion The health protection of the professional health workers exposed to ionizing radiation within the hospital (as a workplace), brings up a major challenge for the occupational health services, which must organize radiological protection programs aiming to minimize the exposure of the health professionals and potential adverse effects directly related to it. Key-words: ionizing radiation, radiological protection, cancer, liposarcoma, occupational health, work medicine.
{"title":"Lipossarcoma Retroperitoneal- Relato de um caso raro","authors":"Dina Pita, M. Claudino, C. Meneses, M. Rodrigues, M. Manzano, M. Ramos","doi":"10.31252/rpso.17.12.2022","DOIUrl":"https://doi.org/10.31252/rpso.17.12.2022","url":null,"abstract":"Introduction Ionizing radiation comes from natural (radioactivity and cosmic radiation) or artificial sources. The artificial ionizing radiation, which includes the X-ray and the radioactive isotopes produced in the nuclear reactors, has many applications, notably in the industries, investigation and medicine sectors, turning the health professionals into exposed workers. Case description A case of a 61-year-old women, radiologic technologist in a radiology department in a pediatric hospital, with forty years of ionizing radiation exposure, culminating in retroperitoneal liposarcoma diagnosis, as described. Discussion The exposure to high levels of Ionizing radiation is related to the induction, yet not exclusive, of cancer. Accordingly, to International Agency for Research on Cancer, the exposure to ionizing radiation directly related to an increased risk for sarcomas, squamous cells carcinomas and adenocarcinomas. Conclusion The health protection of the professional health workers exposed to ionizing radiation within the hospital (as a workplace), brings up a major challenge for the occupational health services, which must organize radiological protection programs aiming to minimize the exposure of the health professionals and potential adverse effects directly related to it. Key-words: ionizing radiation, radiological protection, cancer, liposarcoma, occupational health, work medicine.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129464033","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}
Pub Date : 2022-12-31DOI: 10.31252/rpso.26.11.2022
Laura Silva, Margarida Coelho, H. Alves, Diogo Abreu, Miguel Pereira, D. Melo, A. Oliveira, Fernando Mautempo
{"title":"Exposição ao Vírus Varicella-Zoster- Sugestão de Protocolo em contexto Ocupacional","authors":"Laura Silva, Margarida Coelho, H. Alves, Diogo Abreu, Miguel Pereira, D. Melo, A. Oliveira, Fernando Mautempo","doi":"10.31252/rpso.26.11.2022","DOIUrl":"https://doi.org/10.31252/rpso.26.11.2022","url":null,"abstract":"","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129255572","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}
Pub Date : 2022-12-31DOI: 10.31252/rpso.15.10.2022
Beatriz Rios, José Alvarelhão, Ana Pinheiro
INTRODUCTION Temporomandibular disorder in violinists is a health condition that, in its severe forms, can have negative consequences over time. The aim of this study was to evaluate the prevalence of temporomandibular disorders in violinists and its relationship with anxiety about musical performance. METHODOLOGY A cross-sectional study was carried out on violinists from the central region of Portugal. The information was collected through an online survey. The survey included questions for sociodemographic characterization, years of study of the instrument, weekly time dedicated to the study, the disabling temporomandibular pain-screening instrument for screening for pain because of temporomandibular disorders, the index of inability to assess the impact on functionality, as well as the anxiety index towards Kenny’s musical performance. RESULTS Forty-nine violinists participated with a mean age of 27.9±9.3 years, mostly female (n=37, 75.5%). The average number of years of violin study was 17.5±7.5 years, and the average number of hours of study per week was 11.8±8.8 hours. The prevalence of temporomandibular disorders was reported by 28.6% of the participants, and a positive association was observed between the presence of temporomandibular disorders and the disability index of temporomandibular disorders (r=0.63; p<0.001), as well as with anxiety about musical performance (r=0.53; p<0.001). CONCLUSION For the sample studied, at least one in four violinists has temporomandibular disorders, which is associated with disability and anxiety about musical performance. These findings reinforce the need to sensitize instrumentalists and music teachers about the health risks, as well as the potential impact that this may have on musical performance. Future works may deepen the factors that explain the relationship between anxiety and temporomandibular disorders.
{"title":"Disfunção temporomandibular e a sua relação com a Ansiedade perante o Desempenho musical em Violinistas- um estudo transversal","authors":"Beatriz Rios, José Alvarelhão, Ana Pinheiro","doi":"10.31252/rpso.15.10.2022","DOIUrl":"https://doi.org/10.31252/rpso.15.10.2022","url":null,"abstract":"INTRODUCTION Temporomandibular disorder in violinists is a health condition that, in its severe forms, can have negative consequences over time. The aim of this study was to evaluate the prevalence of temporomandibular disorders in violinists and its relationship with anxiety about musical performance. METHODOLOGY A cross-sectional study was carried out on violinists from the central region of Portugal. The information was collected through an online survey. The survey included questions for sociodemographic characterization, years of study of the instrument, weekly time dedicated to the study, the disabling temporomandibular pain-screening instrument for screening for pain because of temporomandibular disorders, the index of inability to assess the impact on functionality, as well as the anxiety index towards Kenny’s musical performance. RESULTS Forty-nine violinists participated with a mean age of 27.9±9.3 years, mostly female (n=37, 75.5%). The average number of years of violin study was 17.5±7.5 years, and the average number of hours of study per week was 11.8±8.8 hours. The prevalence of temporomandibular disorders was reported by 28.6% of the participants, and a positive association was observed between the presence of temporomandibular disorders and the disability index of temporomandibular disorders (r=0.63; p<0.001), as well as with anxiety about musical performance (r=0.53; p<0.001). CONCLUSION For the sample studied, at least one in four violinists has temporomandibular disorders, which is associated with disability and anxiety about musical performance. These findings reinforce the need to sensitize instrumentalists and music teachers about the health risks, as well as the potential impact that this may have on musical performance. Future works may deepen the factors that explain the relationship between anxiety and temporomandibular disorders.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123423550","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}
Pub Date : 2022-12-31DOI: 10.31252/rpso.03.12.2022
Sérgio Pastrana, Isaura Serra
Introduction The current context caused by the COVID-19 pandemic highlights more sharply the importance of vaccination and the National Vaccination Program, whose compliance by health professionals is essential for prevention in the workplace. Goals To assess the knowledge of health professionals from a Group of Health Centers in the South of Portugal about the Occupational Health Service and the recommended vaccination for health professionals in Portugal. Methodology Descriptive, cross-sectional study, using a quantitative methodology, carried out in a convenience sampling process. The sample consisted of 176 health professionals in the context of Primary Health Care, from different professional groups, distributed across the 18 functional units of the same Group of Health Centers, of both sexes. The data obtained were analyzed using the computer program Microsoft Excel. Results A total of 176 individuals participated in the study, predominantly female (78.1%), prevailing the age group between 30 and 50 years (62.5%) and with a higher percentage of the academic degree of Licentiate (58.9%). The most represented professional group was Nursing (56.2%), followed by Operational Assistants (18,9%), Doctors (17,8%) and SuperiorTechnicians of Diagnostic and Therapeutic (5,3%). The analysis of the data obtained shows a reduced influence of the Occupational Health Service in a fundamental area such as the promotion of vaccination of health professionals. Of those that responded that they had received training and/or information, only 12.2% reported that this had happened in the context of Occupational Health. The results obtained also revealed a lack of knowledge about the recommended vaccination for health professionals in Portugal and the lack of training actions and vaccination campaigns for health professionals, in addition to the context of the COVID-19 pandemic. The analyzed data revealed levels of partial or compromised knowledge regarding the vaccination recommended for health professionals, despite the vast majority of (87%) claiming to know the recommended program. Conclusions The Group of Health Centers under study has a reduced number of human resources assigned to the Occupational Health Service. A lack of knowledge about the vaccination plan recommended by the General Directorate of Health for these professionals and a rate of adherence to vaccination below the recommended indicators was identified. Therefore, it is imperative to promote the Occupational Health Service and invest in this resource as a vector for promoting literacy, namely in relation to vaccination recommended for these professionals in Portugal. Keywords: Occupational Health, Vaccination, Health Professionals.
{"title":"Cuidar de quem cuida: promoção da Vacinação nos Profissionais de Saúde, em Saúde Ocupacional","authors":"Sérgio Pastrana, Isaura Serra","doi":"10.31252/rpso.03.12.2022","DOIUrl":"https://doi.org/10.31252/rpso.03.12.2022","url":null,"abstract":"Introduction The current context caused by the COVID-19 pandemic highlights more sharply the importance of vaccination and the National Vaccination Program, whose compliance by health professionals is essential for prevention in the workplace. Goals To assess the knowledge of health professionals from a Group of Health Centers in the South of Portugal about the Occupational Health Service and the recommended vaccination for health professionals in Portugal. Methodology Descriptive, cross-sectional study, using a quantitative methodology, carried out in a convenience sampling process. The sample consisted of 176 health professionals in the context of Primary Health Care, from different professional groups, distributed across the 18 functional units of the same Group of Health Centers, of both sexes. The data obtained were analyzed using the computer program Microsoft Excel. Results A total of 176 individuals participated in the study, predominantly female (78.1%), prevailing the age group between 30 and 50 years (62.5%) and with a higher percentage of the academic degree of Licentiate (58.9%). The most represented professional group was Nursing (56.2%), followed by Operational Assistants (18,9%), Doctors (17,8%) and SuperiorTechnicians of Diagnostic and Therapeutic (5,3%). The analysis of the data obtained shows a reduced influence of the Occupational Health Service in a fundamental area such as the promotion of vaccination of health professionals. Of those that responded that they had received training and/or information, only 12.2% reported that this had happened in the context of Occupational Health. The results obtained also revealed a lack of knowledge about the recommended vaccination for health professionals in Portugal and the lack of training actions and vaccination campaigns for health professionals, in addition to the context of the COVID-19 pandemic. The analyzed data revealed levels of partial or compromised knowledge regarding the vaccination recommended for health professionals, despite the vast majority of (87%) claiming to know the recommended program. Conclusions The Group of Health Centers under study has a reduced number of human resources assigned to the Occupational Health Service. A lack of knowledge about the vaccination plan recommended by the General Directorate of Health for these professionals and a rate of adherence to vaccination below the recommended indicators was identified. Therefore, it is imperative to promote the Occupational Health Service and invest in this resource as a vector for promoting literacy, namely in relation to vaccination recommended for these professionals in Portugal. Keywords: Occupational Health, Vaccination, Health Professionals.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"40 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121004849","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}
Pub Date : 2022-12-31DOI: 10.31252/rpso.08.10.2022
José Pereira, Ana Vieira, Pedro Pinto, A. Pereira
Introduction/framework/objectives Psittacosis is a rare entity caused by Chlamydophila psittaci. This bacterium is transmitted through contact with contaminated birds, namely psittaciformes, which include parrots, macaws and parakeets, as pigeons and chickens. The objective of this work is to highlight the pathology and the role of Occupational Health in it. Methodology A bibliographic search was carried out on original articles published in Portuguese and English, in June 2022, in the PubMed and Cochrane Library databases, using the keywords “Psittacosis”, “Occupational exposure” and “Occupational health”. Three articles were also included, not covered by the research, relevant to the work, for reporting the Portuguese reality. Contents Outbreaks can occur in workers with occupations that involve contact with live birds or carcasses, such as veterinarians, breeders, or pet store workers. However, it is difficult to establish the precise incidence and prevalence of psittacosis, probably due to the lack of routine screening. Transmission occurs mainly by aerosols, inhalation of urine, feces or other contaminated particles; transmission between humans, although possible, is rare. The incubation period ranges from five to 14 days, but may extend to weeks in cases of subacute or latent infection. It has a clinical presentation like a flu-like syndrome and can cause disseminated and even potentially fatal disease. The most frequent findings on chest radiography are segmental or lobar consolidation, especially in the lower lobes. It can occasionally cause marked leukocytosis, c-reactive protein (CRP) is often elevated, and liver enzymes change in approximately half of hospitalized patients, with elevation of aspartate aminotransferase (AST) and low serum albumin levels. Tetracyclines are the drug of choice for treatment. Discussion and Conclusions Although the number of cases is apparently small, the impact of the disease is most likely underestimated. Thus, it is necessary to increase the awareness of this pathology both for Occupational Health professionals and for employers and workers themselves. On the other hand, an approach is needed that encompasses collaboration between human and animal health agencies, laboratories and medical and veterinary professionals, for timely surveillance, reporting and treatment. Thus, anamnesis and early recognition of the epidemiological context are extremely important, with a view to diagnosing and instituting appropriate therapy. In addition, occupational risk factors and exposure control among workers should be considered to prevent transmission in the workplace. KEYWORDS: psittacosis, occupational exposure, occupational health.
{"title":"Psitacose e Saúde Ocupacional","authors":"José Pereira, Ana Vieira, Pedro Pinto, A. Pereira","doi":"10.31252/rpso.08.10.2022","DOIUrl":"https://doi.org/10.31252/rpso.08.10.2022","url":null,"abstract":"Introduction/framework/objectives Psittacosis is a rare entity caused by Chlamydophila psittaci. This bacterium is transmitted through contact with contaminated birds, namely psittaciformes, which include parrots, macaws and parakeets, as pigeons and chickens. The objective of this work is to highlight the pathology and the role of Occupational Health in it. Methodology A bibliographic search was carried out on original articles published in Portuguese and English, in June 2022, in the PubMed and Cochrane Library databases, using the keywords “Psittacosis”, “Occupational exposure” and “Occupational health”. Three articles were also included, not covered by the research, relevant to the work, for reporting the Portuguese reality. Contents Outbreaks can occur in workers with occupations that involve contact with live birds or carcasses, such as veterinarians, breeders, or pet store workers. However, it is difficult to establish the precise incidence and prevalence of psittacosis, probably due to the lack of routine screening. Transmission occurs mainly by aerosols, inhalation of urine, feces or other contaminated particles; transmission between humans, although possible, is rare. The incubation period ranges from five to 14 days, but may extend to weeks in cases of subacute or latent infection. It has a clinical presentation like a flu-like syndrome and can cause disseminated and even potentially fatal disease. The most frequent findings on chest radiography are segmental or lobar consolidation, especially in the lower lobes. It can occasionally cause marked leukocytosis, c-reactive protein (CRP) is often elevated, and liver enzymes change in approximately half of hospitalized patients, with elevation of aspartate aminotransferase (AST) and low serum albumin levels. Tetracyclines are the drug of choice for treatment. Discussion and Conclusions Although the number of cases is apparently small, the impact of the disease is most likely underestimated. Thus, it is necessary to increase the awareness of this pathology both for Occupational Health professionals and for employers and workers themselves. On the other hand, an approach is needed that encompasses collaboration between human and animal health agencies, laboratories and medical and veterinary professionals, for timely surveillance, reporting and treatment. Thus, anamnesis and early recognition of the epidemiological context are extremely important, with a view to diagnosing and instituting appropriate therapy. In addition, occupational risk factors and exposure control among workers should be considered to prevent transmission in the workplace. KEYWORDS: psittacosis, occupational exposure, occupational health.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131719192","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}
Pub Date : 2022-06-30DOI: 10.31252/rpso.01.05.2022
Mónica Santos, A. Almeida, Catarina Lopes
Introduction/framework/objectives The concept itself is not exotic to Occupational Health and Safety professionals, nor does include very complex considerations that are not partially assimilated; however, not all of them will have delved into the subject, so the need arose to prepare a review that would address this. Methodology This is a Bibliographic Review, initiated through a survey carried out in January 2022, in the RCAAP database. Contents The concept of Ability to Work becomes increasingly relevant with the aging of the general population and the active population, due to the fact that retirement tends to be later, in most countries. The concept is broad, complex and multidimensional. Work Capacity is a product of resources versus the physical, mental and social demands of work. It reflects how well an employee is doing now and in the near future; it is the perception that they have of their current productive capacity, comparing it with the best that ever existed. Greater Work Capacity is associated with well-being, greater productivity and more quality of performance. To quantify, there is the Work Capacity Index, translated and validated for Portugal. Discussion and Conclusions Once in possession of concrete data that modulate Work Capacity, the professionals of the Occupational Health and Safety Teams are more likely to enhance their actions, in order to obtain healthier and safer work environments, making employees more satisfied and productive, generating better performance and higher profits for the employer. It would be interesting for some teams with ongoing projects on the subject to disclose the steps they have taken, so that the evidence produced helps professionals in this area. KEYWORDS: work capacity, work capacity index, safety at work, occupational health and occupational medicine.
{"title":"Capacidade de Trabalho","authors":"Mónica Santos, A. Almeida, Catarina Lopes","doi":"10.31252/rpso.01.05.2022","DOIUrl":"https://doi.org/10.31252/rpso.01.05.2022","url":null,"abstract":"Introduction/framework/objectives The concept itself is not exotic to Occupational Health and Safety professionals, nor does include very complex considerations that are not partially assimilated; however, not all of them will have delved into the subject, so the need arose to prepare a review that would address this. Methodology This is a Bibliographic Review, initiated through a survey carried out in January 2022, in the RCAAP database. Contents The concept of Ability to Work becomes increasingly relevant with the aging of the general population and the active population, due to the fact that retirement tends to be later, in most countries. The concept is broad, complex and multidimensional. Work Capacity is a product of resources versus the physical, mental and social demands of work. It reflects how well an employee is doing now and in the near future; it is the perception that they have of their current productive capacity, comparing it with the best that ever existed. Greater Work Capacity is associated with well-being, greater productivity and more quality of performance. To quantify, there is the Work Capacity Index, translated and validated for Portugal. Discussion and Conclusions Once in possession of concrete data that modulate Work Capacity, the professionals of the Occupational Health and Safety Teams are more likely to enhance their actions, in order to obtain healthier and safer work environments, making employees more satisfied and productive, generating better performance and higher profits for the employer. It would be interesting for some teams with ongoing projects on the subject to disclose the steps they have taken, so that the evidence produced helps professionals in this area. KEYWORDS: work capacity, work capacity index, safety at work, occupational health and occupational medicine.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124898392","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}
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