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Parasitological evaluation and heavy metal levels of water from boreholes and hand-dug wells in peri-urban centres of Ejisu Juaben Municipality - 济济市华本市城郊钻孔和手挖井水的寄生虫学评价及重金属含量
Pub Date : 2016-01-01 DOI: 10.5455/jeos.20160307102331
Yaw Owusu Afriyie Kusi
Aim: The aim of the study is to evaluate the drinking water suitability of hand-dug wells and boreholes through the assessment of parasitic worms and concentrations of iron, manganese, zinc and cadmium in the Ejisu-Juaben municipality of Ashanti Region from 2012-2013. Method: Water samples were collected from three boreholes and three hand-dug wells selected randomly from each community and the water samples analyzed using various standard methods. Results: Two hand-dug wells at Ejisu and Juaben recorded iron (Fe) levels of 0.6810 and 0.3220 mg/l respectively, all boreholes and hand-dug wells had heavy metal (Fe, Mn, Zn and Cd) levels within the WHO guideline values. The mean iron concentration of boreholes and hand-dug wells across the various sampling locations was highly significant (p=0.001). In contrast, mean manganese and iron levels were not significant (p=0.507 and p=0.640 respectively). A total number of nine helminths were found out of the fifteen hand-dug wells. Six out of the nine helminths encountered were Ascaris species (66.7%), two were Hookworm (22.2%) and one was Schistosoma haematobium (11.1%) which were recorded at Ejisu, Juaben, Fumesua and Besease. A brief sanitation survey at each sampling community showed that, most hand-dug wells were sited near pit latrines, refuse dumps, septic tanks, piggeries and in the vicinity of domestic animals with a minimum distance of 5m. The difference between mean distance of boreholes and hand-dug wells to sanitary sites was statistically significant (p=0.039). Conclusion: By comparism, parasitological quality and metal concentrations of water from the selected boreholes were better than some of the selected hand-dug wells and thus must be treated before use.
目的:通过对2012-2013年阿散蒂地区额济素-聚本市手挖井和钻孔的寄生虫及铁、锰、锌、镉浓度的评价,评价手挖井和钻孔的饮用水适宜性。方法:在每个社区随机抽取3口钻孔和3口手挖井进行水样采集,采用各种标准方法进行水样分析。结果:济苏和聚本两口手挖井的铁(Fe)含量分别为0.6810和0.3220 mg/l,所有井和手挖井的重金属(Fe、Mn、Zn和Cd)含量均在WHO指导值范围内。各个采样点钻孔和手挖井的平均铁浓度非常显著(p=0.001)。而锰和铁的平均水平差异无统计学意义(p=0.507和p=0.640)。在15口手挖的井中,共发现了9只蠕虫。在济苏、华本、富美苏、贝塞等地共发现9种寄生虫,其中蛔虫6种(66.7%),钩虫2种(22.2%),血血吸虫1种(11.1%)。在每个抽样社区进行的简短卫生调查显示,大多数手挖井位于坑式厕所、垃圾场、化粪池、养猪场附近以及家畜附近,距离至少为5米。钻孔与手挖井到卫生点的平均距离差异有统计学意义(p=0.039)。结论:经比较,所选井水的寄生虫质量和金属浓度优于部分所选的手挖井,应在使用前进行处理。
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引用次数: 0
Occupational Exposure to Oxyacetylene Flame Could Predispose to Macrocytic Anaemia in Welders in Nnewi, South East Nigeria 职业暴露于氧乙炔火焰可诱发大细胞性贫血的焊工在奈威,尼日利亚东南部
Pub Date : 2016-01-01 DOI: 10.5455/jeos.20161124094126
N. Ibeh, J. Aneke, C. Okocha, E. Obeagu
Background: Oxyacetylene flame is known to contain a number deleterious components which could be of potentially occupational health importance. Objective: To evaluate the effects of occupational exposure to oxyacetylene flame on haematological indices in a population of welders in Nnewi, Nigeria. Subjects and Methods: A total of 100 subjects were randomly selected, comprising of 50 apparently healthy welders and controls, respectively. Subjects were further stratified into those that consumed alcohol and/or tobacco products and those who did not. Three milliliter (3ml) of venous blood was collected from each participant and dispensed into potassium- ethylene diamine tetra acetic acid (K-EDTA) containers for full blood count determination. This was done using the Sysmex® automated haematology analyser, Model Number: PCE 210. Results were expressed as means ± SD while the students t-test and Analysis of Variance (ANOVA) were used for comparison of means; P was significant at
背景:已知氧乙炔火焰含有一些可能对职业健康有潜在影响的有害成分。目的:评价职业接触氧乙炔火焰对尼日利亚奈威焊工人群血液学指标的影响。受试者与方法:随机选取100名受试者,其中表面健康的焊工50名,对照组50名。研究对象进一步被分为消费酒精和/或烟草制品的人和不消费酒精和/或烟草制品的人。从每位参与者身上采集静脉血3毫升(3ml),并将其分配到乙二胺四乙酸钾(K-EDTA)容器中进行全血细胞计数测定。这是使用Sysmex®自动血液分析仪完成的,型号:PCE 210。结果以均数±SD表示,均数比较采用学生t检验和方差分析(ANOVA);P在
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引用次数: 2
Hypothesis: overestimation of Chernobyl consequences 假设:高估切尔诺贝利的后果
Pub Date : 2016-01-01 DOI: 10.5455/JEOS.20160812114809
S. Jargin
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引用次数: 3
Sergei V. Jargin. 2016. Hypothesis: overestimation of Chernobyl consequences. Journal of Environmental and Occupational Science 5(3):59-63. - 谢尔盖·v·贾尔金,2016。假设:高估切尔诺贝利的后果。环境科学学报,5(3):59-63。-
Pub Date : 2016-01-01 DOI: 10.5455/JEOS.20161012095029
Sergei V. Jargin
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引用次数: 1
Pattern of Work-Related Musculoskeletal Disorders Among Nigerian Hospital Workers - 尼日利亚医院工作人员与工作有关的肌肉骨骼疾病的模式
Pub Date : 2016-01-01 DOI: 10.5455/JEOS.20160328020833
O. Ayanniyi, Oluwasegun Sunday Nudamajo, C. Mbada
Background and objectives: Work-Related Musculoskeletal Disorders (WRMSDs) are recognized as leading causes of significant human suffering and loss of productivity. This study investigated the pattern of WRMSDs among hospital workers in Osun State, South-West, Nigeria. Materials and Methods: A total of 769 hospital workers participated in this descriptive study, yielding a response rate of 75.8%. However, only 742 questionnaires were found valid and used in the final analysis. The survey tool used in this study was a combination of the Nordic Questionnaire and a self-developed occupational health proforma. Data was analyzed using descriptive statistics of mean, percentage and frequency. Results: Working in erect standing posture (37.3%) and in bending position for 3 to 4 hours (40.7%) were mostly common among the hospital workers. Pattern of time spent working at a stretch and work breaks durations vary across different postures. Irrespective of work postures, work break time was often less than 30 minutes. The low back (61.1%) was the worst hit anatomical region, followed by neck (43.4%), shoulder (32.1%), and upper back (31.5%), while the elbow (12.7%) was the least affect body site. The 12-months WRMSDs prevalence, 12-months and 7 days activity limitation for low back disorder was 61.1%, 18.6% and 17.3% respectively. Nursing profession recorded a higher percentage of WRMSDs, in all the nine anatomically defined body part, followed by administrative officers and laboratory scientists. Conclusion: Work-related musculoskeletal disorders affects all sectors of hospital workforce with spinal related disorders being predominant. The pattern of WRMSDs and its associated activity limitation differs across vocational and professional groups with higher predilection among nursing professionals, followed by administrative officers and laboratory scientists. The low back was most injured anatomical site across vocational and professional groups.
背景和目的:与工作有关的肌肉骨骼疾病(WRMSDs)被认为是造成人类严重痛苦和生产力损失的主要原因。本研究调查了尼日利亚西南部奥松州医院工作人员wrmsd的模式。材料与方法:共有769名医院工作人员参与了本描述性研究,回复率为75.8%。然而,只有742份问卷被发现有效并用于最终分析。本研究使用的调查工具是北欧问卷和自行开发的职业健康表格的结合。数据分析采用均值、百分比和频率描述性统计。结果:医院工作人员以直立站立姿势(37.3%)和弯腰姿势(40.7%)工作3 ~ 4小时最多见。伸展工作的时间模式和工作休息的持续时间因不同的姿势而异。不管工作姿势如何,工作休息时间往往不到30分钟。下背部(61.1%)是受影响最严重的解剖区域,其次是颈部(43.4%)、肩部(32.1%)和上背部(31.5%),肘部(12.7%)是受影响最小的身体部位。12个月WRMSDs患病率为61.1%,腰背部疾病12个月和7天活动受限率分别为18.6%和17.3%。在所有九个解剖定义的身体部位中,护理职业的wrmsd比例较高,其次是行政官员和实验室科学家。结论:与工作相关的肌肉骨骼疾病影响医院所有部门的工作人员,其中脊柱相关疾病占主导地位。wrmsd的模式及其相关的活动限制在职业和专业群体中有所不同,护理专业人员的偏好较高,其次是行政官员和实验室科学家。腰背部是职业和职业人群中受伤最多的解剖部位。
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引用次数: 10
Prevalence and Antibiotic Resistance Patterns of Salmonella Isolates from Lactating Cows andIn-contact Humans in Dairy Farms, Northwest Ethiopia - 埃塞俄比亚西北部奶牛场产乳牛和接触者分离的沙门氏菌流行率和抗生素耐药性模式
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20151102014711
D. Hailu, A. Gelaw, W. Molla, L. Garedew, L. Cole, Roger P. Johnson
Background: Salmonellosis is an infectious disease of humans and animals caused by species of Salmonella. Salmonella are widespread in the environment and commonly found in farm effluents and sewage. Epidemiological information on the prevalence of salmmonelosis is a prerequisite to develop appropriate control strategies. Objective: To assess the prevalence and antibiotic resistance patterns of Salmonella isolates. Methods: A cross-sectional study was conducted. A total of 152 cows and 14 humans were included in the study. Milk, fecal sample and human stool were collected. Samples were pre-enriched with buffered peptone water and transferred to selenite cysteine broth and rappaport-vassilidis broth. Isolation was made by plating on to xylose lysine deoxycholate agar and brilliant green agar. Biochemical, antibiotic susceptibility testing and serotyping were done. Data were entered and analyzed using SPSS version 20 software. Binary logistic regression was applied and p-values of less than 0.05 were considered statistically significant. Results: Of the total 21 Salmonella isolates identified, 19(90.5%) and 2(9.5%) isolates were from lactating cows and in-contact individuals, respectively. Salmonella bredeney was the most common (85.7%). Drinking water source had statistically significant (P=0.027) association. All isolates were resistant at least to one of the antibiotics tested with 100% to ampicillin. All isolates were sensitive to ciprofloxacin and amoxacilin/clavulanic acid. Conclusion: Large percentage of Salmonella isolates were resistant at least to one of the antibiotics tested. Salmonellosis treatment could be difficult in the future unless wise use of antibiotics is practiced.
背景:沙门氏菌病是一种由沙门氏菌引起的人畜传染病。沙门氏菌在环境中广泛存在,通常存在于农场废水和污水中。关于沙门氏菌病流行的流行病学信息是制定适当控制战略的先决条件。目的:了解沙门氏菌的流行情况及耐药模式。方法:采用横断面研究。研究对象是152头牛和14人。采集牛奶、粪便和人粪便样本。样品用缓冲蛋白胨水预先富集,并转移到亚硒酸盐半胱氨酸肉汤和rappaport-vassilidis肉汤中。用木糖赖氨酸脱氧胆酸琼脂和亮绿琼脂进行分离。进行生化、药敏及血清分型检测。使用SPSS 20版软件进行数据录入和分析。采用二元逻辑回归,p值小于0.05认为有统计学意义。结果:共鉴定出21株沙门氏菌,其中19株(90.5%)来自乳牛,2株(9.5%)来自接触者。其中以布氏沙门氏菌最多见(85.7%)。饮用水源相关性有统计学意义(P=0.027)。所有分离株至少对一种抗生素耐药,对氨苄西林的耐药率为100%。所有分离株均对环丙沙星和阿莫西林/克拉维酸敏感。结论:大部分分离的沙门氏菌至少对一种抗生素耐药。除非明智地使用抗生素,否则沙门氏菌病的治疗在未来可能会很困难。
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引用次数: 12
Human Health Risk Assessment of Trace metals in Water from Qua Iboe River Estuary, Ibeno, Nigeria - 尼日利亚伊贝诺夸伊博河口水中痕量金属的人体健康风险评价
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20150714122504
E. Moses, B. Etuk
Aims: This study aimed to determine levels of trace metals in Qua Iboe river estuary (QIRE), Ibeno and estimate human health risk associated with water from the river via ingestion and dermal exposure. Method: Trace metals in water from QIRE was measured using atomic absorption spectrophotometer and human health risk induced by the trace metals in dry and wet seasons was investigated using mathematical models recommended by United States Environmental Potential Agency (USEPA). Results: The range for the different metals investigated in dry season were as follows: Pb (0.147 to 0.19mg/l), Cd (0.02 to 0.31mg/l), V(0.04 to 0.11mg/l), Cr (0.09 to 0.18mg/l), Ni (0.28 to 0.61mg/l), Fe (8.78 to 13.97mg/l), Zn (0.13 to 0.56mg/l). The results for wet season were: Pb (0.07 to 0.19mg/l), Cd (0.05 to 0.31mg/l), V (0.01 to 0.03mg/l), Cr (0.02 to 0.15mg/l), Ni (0.03 to 2.33mg/l), Fe (0.02 to 4.92mg/l), Zn (0.11 to 0.43mg/l). Concentrations of metals were above USEPA limits except Zn. The target hazard quotient (THQ) and hazard index (HI) values via ingestion of water were greater than one while the THQ values via dermal contact were greater than one for Cd only. The combined target hazard index (HI*) from ingestion and dermal contact of water was greater than unity for Cd, Cr and Pb for wet and dry seasons. Conclusion: Findings in this study show that Pb, Cd and Cr may contribute to health risk from dermal and oral exposure to water from the QIRE systems. Constant monitoring and remediation processes of the QIRE are strongly recommended.
目的:本研究旨在确定伊贝诺夸伊博河河口(QIRE)的微量金属水平,并通过摄入和皮肤接触估计与河流水相关的人类健康风险。方法:采用原子吸收分光光度计测定QIRE水体中微量金属含量,并采用美国环境潜力署(USEPA)推荐的数学模型研究干湿季节微量金属对人体健康的危害。结果:旱季对不同金属的测定范围为:Pb (0.147 ~ 0.19mg/l)、Cd (0.02 ~ 0.31mg/l)、V(0.04 ~ 0.11mg/l)、Cr (0.09 ~ 0.18mg/l)、Ni (0.28 ~ 0.61mg/l)、Fe (8.78 ~ 13.97mg/l)、Zn (0.13 ~ 0.56mg/l)。丰水期结果为:Pb (0.07 ~ 0.19mg/l)、Cd (0.05 ~ 0.31mg/l)、V (0.01 ~ 0.03mg/l)、Cr (0.02 ~ 0.15mg/l)、Ni (0.03 ~ 2.33mg/l)、Fe (0.02 ~ 4.92mg/l)、Zn (0.11 ~ 0.43mg/l)。除锌外,其他金属的浓度均高于美国环保局的限值。通过水摄入的目标危害商(THQ)和危害指数(HI)均大于1,而通过皮肤接触的THQ值均大于1。湿季和旱季食水和皮肤接触对Cd、Cr、Pb的综合目标危害指数(HI*)均大于1。结论:本研究结果表明,铅、镉和铬可能会导致皮肤和口腔接触来自QIRE系统的水造成健康风险。强烈建议持续监测和纠正QIRE程序。
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引用次数: 9
Prevalence of occupational contact dermatitis, knowledge and adaption of preventive measures by chemical industries workers of Pune: An observational study - 普那市化工工人职业性接触性皮炎的患病率、预防措施的知识和适应:一项观察性研究
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20141106012039
Ateequr Rahman, A. Sultana, Khaleequr Rahman, Syed Taher Alil Bilgrami
Objective: To study the prevalence of occupational contact dermatitis (OCD), knowledge and adaption of preventive measures by chemical industries workers in Pimpri Chinchwad, Pune. Materials and methods: Across sectional study was conducted from August 2010 to July 2011 on five hundred randomly selected participants from varnish, cement, nickel salt and oil paint industries. A semi-structured interview questionnaire was used to record details regarding socio-demographic data, knowledge and preventive measures adapted towards occupational hazards. Nordic occupational skin questionnaire and Occupational Contact Dermatitis Disease Severity Index (ODDI) were used to record the data related to the disease. Results: Overall prevalence of OCD was 5.20% (n=26/500).The prevalence in varnish, oil paint, nickel salt and cement exposed workers was 9.82% (n=11/112), 6.42%(n=7/109), 3.72%(n=6/161) and 1.69%(n=2/118) respectively. The ODDI mean(SD) score of severity index was 4.2(1.44). The prevalence regarding poor, average and good knowledge of occupational hazards was 7.22%(n=12/166), 4.24%(n=12/283) and 3.92%(n=2/51) respectively. The prevalence regarding not at all, irregularly and regularly adapting preventive measures was 11.11%(n=13/117), 4.67% (n=10/214) and 1.78% (n= 3/169)respectively. Conclusion:The workers involved in varnish chemical industry are more susceptible to OCD than workers involved in nickel salt, cement, and oil paint industries. This study clearly indicates that knowledge regarding the occupational hazards and adaption of preventive measures are prerequisite to lower the prevalence of OCD in chemical industries workers as prevalence was higher in poor knowledge workers and workers who had not adapted any preventive measures.
目的:了解普那市平普里市化工工人职业性接触性皮炎(OCD)患病率、预防措施知识及适应情况。材料和方法:横断面研究于2010年8月至2011年7月进行,随机选择500名来自清漆、水泥、镍盐和油漆行业的参与者。采用半结构化访谈问卷记录有关社会人口统计数据、知识和针对职业危害的预防措施的详细信息。采用北欧职业皮肤问卷和职业接触性皮炎疾病严重程度指数(ODDI)记录疾病相关数据。结果:强迫症的总患病率为5.20% (n=26/500)。在清漆、油漆、镍盐和水泥暴露工人中患病率分别为9.82% (n=11/112)、6.42%(n=7/109)、3.72%(n=6/161)和1.69%(n=2/118)。严重程度指数的ODDI平均(SD)评分为4.2(1.44)。职业危害知识贫乏、一般和良好的患病率分别为7.22%(n=12/166)、4.24%(n=12/283)和3.92%(n=2/51)。未采取预防措施、不定期采取预防措施和定期采取预防措施的患病率分别为11.11%(n=13/117)、4.67% (n=10/214)和1.78% (n= 3/169)。结论:清漆化工行业从业人员比镍盐、水泥、油漆行业从业人员更易患强迫症。本研究清楚地表明,了解职业危害和适应预防措施是降低化学工业工人强迫症患病率的先决条件,因为知识贫乏的工人和没有采取任何预防措施的工人的患病率较高。
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引用次数: 10
Exploratory Study of Bacterial Contamination of Different Surfaces in Four Shopping Malls in Sharjah, UAE 阿联酋沙迦四个购物中心不同表面细菌污染的探索性研究
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20150611030039
M. Elsergany, M. Moussa, A. Ahsan, Athra Khalfan, A. Eissa
Introduction: Frequent touch surfaces encountered in shopping malls can play a role in transmission of microbial pathogens and the dissemination of infectious diseases. This study aims at assessing the bacterial contamination of such surfaces in 4 large shopping malls in Sharjah, UAE. Materials and Methods: A total of 224 samples were collected from 4 different malls in Sharjah, UAE, in 2014, using sterile cotton swabs. The swabs were transferred and spread on Nutrient agar plates and incubated for 48 hours at 37°C. Colony forming units (CFUs) were counted for each plate, then isolated and identified using colony morphology, differential staining, and growth capabilities on different types of media. Results: Out of all collected samples, 192 (amounting to 86%) were positive (contaminated with bacteria). In each mall, more than 80% of all sampled surfaces were contaminated with bacterial growth. The highest bacterial density was found on food courts’ trays, food courts tables’ surfaces, and food tray handles. Comparing the average bacterial count from all surfaces in the 4 different malls under study, a significant result was observed, with one-way repeated measures ANOVA yielding the following: F(3) = 3.42, p = 0.024. The highest mean bacterial counts were in the malls with the highest numbers of visitors/m2. Conclusion: Nearly, every single sampled surface yielded a moderate to heavy degree of bacterial contamination. This is cause for concern, because infection risk depends to a large extent on infectious doses of pathogens. Consequently, cleaning services in shopping malls should be improved, and the public should be educated on the best hygiene-related precautions to be taken in malls.
导读:商场中经常接触的表面会对微生物病原体的传播和传染病的传播起到作用。本研究旨在评估阿联酋沙迦4个大型购物中心的此类表面的细菌污染。材料与方法:采用无菌棉签于2014年在阿联酋沙迦4个不同商场采集样本224份。将拭子转移并铺在营养琼脂板上,在37℃下孵育48小时。对每个平板的菌落形成单位(cfu)进行计数,然后利用菌落形态学、差异染色和不同类型培养基上的生长能力进行分离和鉴定。结果:采集样本中192份(86%)呈阳性(细菌污染)。在每个购物中心,超过80%的采样表面被细菌污染。细菌密度最高的地方是食品广场的托盘、餐桌表面和食品托盘把手。比较4个不同购物中心所有表面的平均细菌数量,通过单向重复测量方差分析得出显著结果:F(3) = 3.42, p = 0.024。平均细菌数量最高的是游客数量最多的购物中心。结论:几乎每一个样品表面都有中度到重度的细菌污染。这令人担忧,因为感染风险在很大程度上取决于病原体的感染剂量。因此,购物中心的清洁服务应该得到改善,公众应该接受教育,了解在购物中心应采取的最佳卫生预防措施。
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引用次数: 7
ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PERCEPTION OF NIGERIAN PHYSIOTHERAPISTS ON MANUAL HANDLING TECHNIQUES 评估尼日利亚物理治疗师对手工处理技术的知识、态度和看法
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20151217013219
C. Mbada, O. Adejuyigbe, J. Omole, O. Idowu, U. Okafor, B. Adekanla, A. Okonji
Background and objective: Manual handling is an integral part of physiotherapy education and training. Still, Work-Related Musculoskeletal Disorders (WRMSDs) associated with manual handling are common among physiotherapists. This study investigated the level and determinants of knowledge, attitude and perception of Nigerian physiotherapists on manual handling techniques. Materials and Methods: Ninety-eight physiotherapists participated in this cross-sectional study. An adapted self-administered questionnaire pilot tested for its content validity was used as the survey instrument. The questionnaire sought information on socio-demographics, knowledge, attitude and perception on manual handling techniques, and WRMSDs associated with manual handling. Descriptive statistics of mean, frequency and percentages; and inferential statistic of Chi-square test were used for the analysis. Alpha level was set at p0.05). Lack of equipment was the most implicated reason (90.4%) for not using recommended techniques of manual handling in practice. Conclusion: There was a high prevalence of manual handling associated WRMSDs among Nigerian physiotherapists. Majority of the physiotherapists had good knowledge of manual handling techniques but demonstrated negative attitude toward its use in clinical practice owing to non-availability of needed equipment. The finding of this study reveals a theory-practice gap of manual handling techniques among Nigerian physiotherapists.
背景和目的:手工操作是物理治疗教育和培训的一个组成部分。尽管如此,与手工操作相关的与工作相关的肌肉骨骼疾病(WRMSDs)在物理治疗师中很常见。本研究调查了尼日利亚物理治疗师对手工处理技术的知识、态度和看法的水平和决定因素。材料与方法:98名物理治疗师参与了本横断面研究。采用一份经内容效度测试的自填问卷作为调查工具。调查问卷寻求关于社会人口统计学、知识、对人工搬运技术的态度和看法以及与人工搬运有关的水资源安全指标的信息。平均值、频率和百分比的描述性统计;采用卡方检验和推理统计量进行分析。α水平设为p0.05)。缺乏设备是在实践中不使用推荐的人工处理技术的最重要原因(90.4%)。结论:尼日利亚物理治疗师中手工操作相关wrmsd的患病率很高。大多数物理治疗师对手工处理技术有很好的了解,但由于缺乏所需的设备,他们对在临床实践中使用手工处理技术表现出消极的态度。本研究的发现揭示了尼日利亚物理治疗师手工处理技术的理论与实践差距。
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引用次数: 3
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Journal of Environmental and Occupational Science
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