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Clinical Health Personnel Perception and Feedback on Occupational Health and Safety Management Practices in the South West Region, Cameroon 喀麦隆西南地区临床卫生人员对职业健康和安全管理实践的看法和反馈
Pub Date : 2016-02-03 DOI: 10.4172/2329-6879.1000228
T. TinyamiErick, Y. Cho, J. Choi
Background: This study aims at determining the perception and degree of satisfaction of health personnel involve in clinical practices with respect to Occupational Health and Safety (OHS) management practices, and assess the level of responses with selected OHS dimensions. Methods: A cross sectional study was randomly performed using a validated self-administered questionnaire among health personnel involve with clinical hospital based practices. Results: A total of 152 personnel took part in the study. Female (118, 77.6%) respondents were more represented in the study than men (34, 22.4%) with Mean (SD) age of 35.7 ± 8.64 years. Training and competence was perceived highest with (Mean SD, 4.14 ± 0.58) and safety goals perceived the least with (Mean SD, 2.31 ± 1.06). The study showed there was no significant effect for neither duration of service nor job position ( 0.05 and the nurses with Mean (SD) 2.60 ± 0.41, p>0.05). Correlation analysis showed a significant correlation between OHS dimensions and safety satisfaction and feedback. Conclusion: Generally, health personnel perceived OHS dimension very low. In this study it is evident that health facilities need to step up OHS practices as well as an inclusive and committed management and supervisory skills, based on the significant correlation between some OHS dimensions and safety satisfaction and feedback among the personnel.
背景:本研究旨在确定临床医务人员对职业健康安全(OHS)管理实践的认知和满意度,并通过选定的OHS维度评估反应水平。方法:一项横断面研究是随机进行的,在涉及临床医院实践的卫生人员中使用有效的自我管理问卷。结果:共有152人参与研究。女性(118人,77.6%)多于男性(34人,22.4%),平均(SD)年龄为35.7±8.64岁。训练和能力得分最高(平均SD为4.14±0.58),安全目标得分最低(平均SD为2.31±1.06)。研究结果显示,服务年限和工作岗位对护理质量均无显著影响(0.05),平均(SD) 2.60±0.41,p < 0.05)。相关分析显示,职业健康安全各维度与安全满意度和反馈呈显著相关。结论:卫生人员对职业健康安全维度的认知普遍偏低。在本研究中,卫生机构显然需要加强职业健康安全实践以及包容性和承诺的管理和监督技能,基于某些职业健康安全维度与人员安全满意度和反馈之间的显着相关性。
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引用次数: 0
Limitations of the Pesticide Management Regulation in Korea 韩国农药管理条例的局限性
Pub Date : 2016-02-03 DOI: 10.4172/2329-6879.1000227
Sangjun Choi
Overall amount of the Organization for Economic Co-operation and Development (OECD) pesticide sales were reported as 826,688 tons of active ingredients over the period 2000-2010 [1]. In particular, nearly all EU transition countries such as Estonia, the Czech and Slovak Republics and Hungary, showed a strong growth in pesticide purchases over the 2000s, compared to the 1990s. In terms of average pesticide use per unit arable and permanent crop area, Korea ranked as the second largest user of pesticides (12.5 kg/ha) among OECD countries in 2003 [2]. So, in the aspect of safety and health, pesticide is one of the most important chemicals that should be carefully controlled in Korea. For use of pesticide, the main challenge is to reduce the risks to human health and ecosystems, while increasing the level of crop productivity. Since 1985, the Food and Agriculture Organization of the United Nations (FAO) and World Health Organization (WHO) have published the guidelines regarding pesticide management to provide guidance to governments that seek to review, update or design national pesticide legislation [3]. According to this guideline, almost every country has some type of legislation covering pesticides, but many of existing laws have weaknesses. For example, they may not sufficiently reflect the requirements of international agreements or regional initiatives to harmonize requirements, or they may not be adequately connected to new national legislation on environmental protection, chemicals management, or other relevant areas. In this article, limitations of the current pesticide management regulation to protect the health of users from pesticides were discussed based on the previous pesticide studies in Korea.
据报道,在2000-2010年期间,经济合作与发展组织(OECD)农药销售总量为826,688吨有效成分。特别是,几乎所有的欧盟转型国家,如爱沙尼亚、捷克和斯洛伐克共和国以及匈牙利,与20世纪90年代相比,2000年代农药购买量都出现了强劲增长。2003年,以单位耕地和永久作物面积的平均农药使用量为标准,韩国在经合组织(OECD)国家中排名第二(12.5公斤/公顷)。因此,从安全和健康的角度来看,农药是韩国最需要严格控制的化学品之一。对于农药的使用,主要挑战是减少对人类健康和生态系统的风险,同时提高作物生产力水平。自1985年以来,联合国粮食及农业组织(粮农组织)和世界卫生组织(卫生组织)出版了关于农药管理的准则,为寻求审查、更新或设计国家农药立法的各国政府提供指导。根据这一指导方针,几乎每个国家都有某种类型的农药立法,但许多现有法律存在弱点。例如,它们可能没有充分反映国际协定或协调要求的区域倡议的要求,或者它们可能没有适当地与关于环境保护、化学品管理或其他有关领域的新的国家立法联系起来。本文结合韩国以往的农药研究,讨论了现行农药管理法规在保护农药使用者健康方面的局限性。
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引用次数: 1
Violence and Aggression in Operating Room 手术室中的暴力和攻击
Pub Date : 2016-01-18 DOI: 10.4172/2329-6879.1000226
M. Malliarou, Konstantinia Karathanasi, P. Sarafis, P. Prezerakos, J. Koutelekos
Introduction: Operating room (OR) is a high-tense working environment from one hand but it is also a place where team work is needed and expected to be done. Good working relationships in operating room field are necessary in order safety and high quality of healthcare to be the standard of everyday practice. Verbal abuse is a common phenomenon that takes place between healthcare professionals and more often between physicians and nurses. Aim of the study: To determine the problem of verbal abuse in Greek Operating Rooms and to investigate its causative factors. Methodology: The study was conducted as a descriptive correlational design. The research population was composed of the nurses working in ORs of hospitals in Greece. 65 OR Registered nurses answered the questionnaire which was sent to them in electronic way (link). Results: The mean age of the nurses was 41.4 ± 6.83 years .OR nurses who participated in the research have been working for a mean period of 12.7 ± 7.82 years. The most of the nurses (92.4%) stated that they have been experienced verbal abuse in the workplace. The participants in 56.9% said they have taken some kind of formal training in communication skills. 1/3 of the sample (35.4%) who took part in this study were victims of verbal violence more than once a year and also roughly the same percentage (27.7%) believes that nurses confronted with verbal violence more than once weekly. The relationship between abuser and victim as a large percentage of 23.1% specify was a "physician". OR nurses experience frequent and severe levels of verbal abuse. Conclusion: This study’s findings indicated that the most common emotional reactions toward verbal abuse reported by OR nurses was anger followed by disgust, sadness and shock. It is imperative that OR nurses obtain special training in the recognition, management and development of strategies to deal with verbal abuse.
导读:手术室(OR)一方面是一个高度紧张的工作环境,但它也是一个需要和期望团队合作的地方。在手术室领域良好的工作关系是必要的,以确保安全和高质量的医疗保健成为日常实践的标准。言语虐待是一种常见的现象,发生在医疗专业人员之间,更经常发生在医生和护士之间。研究的目的:确定希腊手术室的言语虐待问题,并探讨其原因。方法:本研究采用描述性相关设计。研究人群由在希腊医院手术室工作的护士组成,65名手术室注册护士回答了以电子方式发送给他们的调查问卷(链接)。结果:护士的平均年龄为41.4±6.83岁,参与研究的手术室护士的平均工作年限为12.7±7.82年。大多数护士(92.4%)表示曾在工作场所遭受过言语虐待。56.9%的受访者表示,他们接受过某种形式的正式沟通技巧培训。参与本研究的样本中有三分之一(35.4%)的人每年至少遭受一次言语暴力,大致相同的比例(27.7%)的人认为护士每周至少遭遇一次言语暴力。施虐者与受害者之间的关系(23.1%)是“医生”。手术室护士经常遭受严重程度的言语虐待。结论:本研究结果表明,手术室护士对言语虐待最常见的情绪反应是愤怒,其次是厌恶、悲伤和震惊。手术室护士必须在言语虐待的识别、管理和策略制定方面接受专门的培训。
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引用次数: 5
Making Economic Social Decisions for Improving Occupational Health A Predictive Cost-Benefit Analysis 促进职业健康的经济社会决策:预测成本效益分析
Pub Date : 2015-12-29 DOI: 10.4172/2329-6879.1000225
Mahmoud Rezagholi, A. Bantekas
The few studies attempting to estimate costs of work-related disorders suffer from poor applied methodologies. Further, as the costs are often limited to the company, decisions about investment in improving the work environment are made at the company level. However, economic decisions on changing work environments and improving occupational health need to be made at the societal level. In an economic social decision, all direct and indirect costs imposed on society by work-related disorders are considered, regardless of who pays which cost. This study introduces and demonstrates a methodology appropriate for economic decisions at the societal level for preventing work-related disorders and promoting occupational health in the workplace. The methodology uses the concept of human capital in assessing productivity loss associated with the disorders. The empirical results show that Swedish society could have gained up to 442 855 537 SEK by preventing work-related disorders at the Swedish company Sandvik Materials Technology during 2014, 87% of which would have been captured by the company.
试图估计与工作有关的疾病成本的少数研究受到应用方法不当的影响。此外,由于成本通常限于公司,因此在改善工作环境方面的投资决策是在公司层面做出的。但是,关于改变工作环境和改善职业健康的经济决策需要在社会一级作出。在经济社会决策中,要考虑与工作有关的疾病对社会造成的所有直接和间接成本,而不管由谁支付哪一种成本。本研究介绍并展示了一种适用于社会层面经济决策的方法,以预防与工作有关的疾病和促进工作场所的职业健康。该方法使用人力资本的概念来评估与疾病相关的生产力损失。实证结果表明,2014年,瑞典社会可以通过预防瑞典山特维克材料技术公司的工作相关疾病获得高达442 855 537瑞典克朗的收益,其中87%的收益将被公司捕获。
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引用次数: 10
Situational Analysis of Occupational Health Issues of Restaurant and Dhaba Workers 餐馆和Dhaba工人职业健康问题的情境分析
Pub Date : 2015-12-28 DOI: 10.4172/2329-6879.1000224
R. Tiwari
The wide-scale urbanization has affected every aspect of life. The dietary habits and pattern has also changed. To meet the ever-increasing demand for new cuisines, the catering industry in India is becoming more prominent day by day. In India, many restaurants are usually operated individually particularly the road side dhabas. The present study was conducted with the aim of mapping the hazards posed by dhabas workers, to observe the current workplace condition of roadside small sized dhaba and to understand the occupational health and safety provisions for these workers. To map the health hazards to these workers detailed literature survey was done. This was followed by walk through survey of dhabas to directly observe the health and safety issues at workplace and lastly communication with owners and workers was carried out regarding occupational health and safety provisions. The first strategy revealed that these workers are at risk of developing morbid conditions like respiratory, dermatological, musculoskeletal, infections and injuries. The walk through survey suggested that the workers are mainly exposed to hazards like heat produced by stoves and tandoor, road side dust and smoke through vehicles plying on highways and poor illumination at the workplace. Questionnaire survey of 50 subjects suggested that only 14% considered that their occupation poses health hazards while only 16% mentioned that they have provision for health care at their workplace. Majority (70%) of the workers were resorting to traditional methods in case of illness while only 30% said that they use a piece of cloth to prevent inhalation of smoke near stoves. Thus to conclude this study suggests that the dhaba workers are at risk of several occupational hazards which is further increased by the poor working conditions and lack of awareness about the protective measures.
大规模的城市化已经影响到生活的方方面面。饮食习惯和模式也发生了变化。为了满足对新菜系不断增长的需求,印度的餐饮业日益突出。在印度,许多餐馆通常是单独经营的,尤其是路边的餐厅。进行本研究的目的是绘制哈巴工人造成的危害图,观察路边小型哈巴目前的工作条件,并了解这些工人的职业健康和安全规定。对这些工人的健康危害进行了详细的文献调查。随后对各工厂进行了实地调查,直接观察工作场所的健康和安全问题,最后就职业健康和安全规定与业主和工人进行了沟通。第一项策略显示,这些工人有患呼吸道、皮肤病、肌肉骨骼、感染和受伤等疾病的风险。步行调查显示,工人们主要暴露在炉灶和煤门产生的热量、高速公路上行驶的车辆产生的路边灰尘和烟雾以及工作场所照明不足等危险环境中。对50个对象进行的问卷调查表明,只有14%的人认为他们的职业对健康构成危害,而只有16%的人提到他们在工作场所提供保健服务。大多数(70%)工人在生病时采用传统方法,而只有30%的工人说他们在炉子附近使用一块布来防止吸入烟雾。因此,本研究表明,dhaba工人面临几种职业危害的风险,而恶劣的工作条件和缺乏保护措施的意识进一步增加了这些风险。
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引用次数: 7
The prevalence and associated factors of occupational injury among workers in Arba Minch textile factory, Southern Ethiopia: a cross sectional study 埃塞俄比亚南部Arba Minch纺织厂工人职业伤害患病率及相关因素:一项横断面研究
Pub Date : 2015-12-08 DOI: 10.4172/2329-6879.1000222
G. Gebremichael, A. Kumie, D. Ajema
Background: Occupational accidents and work-related diseases cause over 2.3 million deaths annually; nearly 860,000 people are injured every day globally. There are limited studies that specifically determine the magnitude and associated factors of occupational injury in textile workers done in Ethiopia. Therefore, this study aimed to assess the prevalence and associated factors of occupational injury in Arba Minch Textile Factory workers. Methods: An institution based cross-sectional study design was implemented from March 3 to March 20, 2015 among selected 433 Arba Minch Textile Factory workers. An Amharic version pre-tested questionnaire and observation checklist were used to collect the data using trained six data collectors and two supervisors. Data was entered into Epi Info version 7 templates, cleaned and analyzed using SPSS Version 21 software. Bivariate logistic regression was used to explore the relation between the dependent and independent variables using crude odds ratio with 95% C.I. Finally, to determine the independent factors associated with occupational injury, multivariate logistic regression model with hierarchical entry of variables was done. Variables with P-value <0.05 in the final model were considered statistically significant. Results: The one year prevalence of occupational injury was 31.4%. Lower monthly salary was associated with higher odds of injury among the socio-demographic factors [AOR (95%C.I): 3.5(1.7, 7.2)]. Work environment related factors like extra hour duty, health and safety training and workplace supervision had significant association after adjusting all factors [AOR (95%C.I): 2.5 (1.2, 5.4), 0.4 (0.17, 0.97), and 0.36 (0.17, 0.75) respectively]. Among the behavioral factors, Personal Protective Equipment use and job stress showed association with injury significantly. Conclusion: The significant prevalence and associated factors of occupational injury in the factory workers should alert the factory, governmental and non-governmental organizations working on Occupational Health and Safety.
背景:职业事故和与工作有关的疾病每年造成230多万人死亡;全球每天有近86万人受伤。专门确定埃塞俄比亚纺织工人职业伤害程度和相关因素的研究有限。因此,本研究旨在评估Arba Minch纺织厂工人职业伤害的发生率及相关因素。方法:采用基于机构的横断面研究设计,于2015年3月3日至3月20日对433名Arba Minch纺织厂工人进行调查。使用阿姆哈拉语预测问卷和观察清单收集数据,由经过培训的6名数据收集者和2名主管进行数据收集。数据输入Epi Info version 7模板,使用SPSS version 21软件进行清理和分析。采用95% ci的粗比值比进行双变量logistic回归,探讨因变量与自变量之间的关系。最后,建立变量分层输入的多变量logistic回归模型,确定与职业伤害相关的独立因素。最终模型中p值<0.05的变量被认为具有统计学意义。结果:1年职业伤害发生率为31.4%。在社会人口学因素中,较低的月薪与较高的受伤几率相关[AOR (95% ci): 3.5(1.7, 7.2)]。调整各因素后,加班、健康安全培训和工作场所监管等与工作环境相关因素具有显著相关性[AOR (95% ci)分别为2.5(1.2,5.4)、0.4(0.17,0.97)和0.36(0.17,0.75)]。在行为因素中,个人防护用品使用和工作压力与伤害显著相关。结论:工厂工人职业伤害的显著发生率及其相关因素应引起工厂、从事职业健康与安全工作的政府和非政府组织的重视。
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引用次数: 33
First Aid Facilities in Workplaces in Brunei Darussalam for 2013-2014 2013-2014年文莱达鲁萨兰国工作场所的急救设施
Pub Date : 2015-12-07 DOI: 10.4172/2329-6879.1000221
K. N. Win, Hjh Sri Suriyati Shamsiana Binti Haji Bujang
Introduction: First aid is a well-established way to improve the management of medical emergencies. It is commonly used to minimize consequences resulting from injuries or illnesses until care from a nurse or doctor is available. The provision of first aid is especially important in workplaces where adult spend a quarter of their lives. The main aim and objective of this study is to determine the availability and condition of first aid facilities in workplaces in Brunei Darussalam for 2013-2014. Methods: Occupational Health Division, Ministry of Health, Brunei Darussalam conducted routine periodic inspection at various workplaces using a checklist. Information on first aid facilities was gathered from the checklist collected during the visits for the year 2013-2014. The information collected includes demographic profile of the study sample (type of industries and type of services), availability of first aid box, first aid room and first aider. Results: A total of 125 inspection visits were done for the year 2013-2014. The majority of these workplaces visited are of private service, 93 (74.4%). In addition to that, out of 125 workplaces, 46 (36.8%) of the first aid boxes are in satisfactory conditions, 25 (20.0%) provide first aid room and 21 (16.8%) has sufficient first aiders. Conclusions: The first aid facilities in workplaces in Brunei Darussalam are mostly of unsatisfactory conditions especially those in private services and the first aid system needs improvement. As a recommendation, awareness of the importance of an effective first aid system is needed amongst employers and employees.
简介:急救是一种行之有效的改善医疗紧急情况管理的方法。它通常被用来减少伤害或疾病的后果,直到得到护士或医生的护理。在成年人一生四分之一的时间都在工作场所度过的情况下,提供急救尤为重要。本研究的主要目的和目的是确定2013-2014年文莱达鲁萨兰国工作场所急救设施的可用性和条件。方法:文莱达鲁萨兰国卫生部职业卫生司使用检查清单对各个工作场所进行例行定期检查。从2013-2014年访问期间收集的清单中收集急救设施信息。收集的信息包括研究样本的人口统计资料(行业类型和服务类型),急救箱,急救室和急救人员的可用性。结果:2013-2014年共检查125次。这些被访问的工作场所大多数是私营服务机构,有93个(74.4%)。此外,在125个工作场所中,46个(36.8%)的急救箱状况良好,25个(20.0%)提供急救室,21个(16.8%)有足够的急救人员。结论:文莱达鲁萨兰国工作场所的急救设施大多不理想,特别是私营服务场所,急救系统需要改进。作为一项建议,雇主和雇员需要意识到有效的急救系统的重要性。
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引用次数: 0
Self-reported health effects among short and long-term pesticide Sprayersin Arusha, Northern Tanzania: a cross sectional study 坦桑尼亚北部阿鲁沙短期和长期农药喷洒者自我报告的健康影响:一项横断面研究
Pub Date : 2015-11-23 DOI: 10.4172/2329-6879.1000223
W. B. Manyilizu, R. Mdegela, R. Kazwala, M. Müller, J. Lyche, E. Skjerve
Background: The aim of the present study was to assess whether long-term exposure to pesticides is associated with adverse health effects in professional pesticide sprayers. Methods: The study was conducted in Lake Eyasi Basin and Ngarenanyuki in Arusha region, during the dry season in September-October 2013. In a cross-sectional study, 97 short-term exposed men with at most three months as professional sprayers were compared with 60 long-term exposed men with experience of at least five years as professional sprayers. The study participants were aged 18-30 years, drawn from the same source population and interviewed using semi structured questionnaire. The questions focused on spraying procedures and on present and recurrent medical history including presence of selected six known pesticide induced health conditions. Results: Organophosphates, carbamates, dithiocarbamates and pyrethroids were the most applied insecticides but also organochlorine fungicides and endosulfan were frequently applied. The majority of the sprayers reported unsafe pesticide use. Mean pesticide uses in litres, spray frequency per crop and per week were 637, and 1.3 respectively for about 270 days a year. Respiratory disease symptoms were the most frequently reported (46/157; 29.3%) followed by skin (27/157; 17.2%), and sight (24/157; 15.3%). When adjusted for age and other predictors, long-term exposed sprayers had significantly higher self-reported occurrences of peripheral neuropathy (OR=7.7, CI95%: 1.045-56.728, p=0.045) and respiratory disorders (OR=0.2, CI95%: 0.067-0.501, p=0.001) compared with short-term exposed. Furthermore, 10 sprayers, all long-term exposed reported poor libido and erection problems. Conclusions: These findings document lack of safety knowledge, safe pesticide management and the implementation of protective measures as well as suggesting that long-term exposure to pesticides increase the risk of experience disease conditions compared to short-term exposure.
背景:本研究的目的是评估长期接触农药是否与专业农药喷雾器的不良健康影响有关。方法:于2013年9 - 10月旱季在阿鲁沙地区的Eyasi湖流域和Ngarenanyuki进行研究。在一项横断面研究中,97名短期接触最多3个月专业喷雾器的男性与60名长期接触至少5年专业喷雾器的男性进行了比较。研究参与者年龄在18-30岁之间,来自同一来源人群,使用半结构化问卷进行访谈。问题的重点是喷洒程序以及目前和反复出现的病史,包括是否存在选定的六种已知农药引起的健康状况。结果:有机磷、氨基甲酸酯类、二硫代氨基甲酸酯类和拟除虫菊酯类杀虫剂用量最多,有机氯杀菌剂和硫丹用量也较多。大多数喷雾器报告使用了不安全的农药。每年约270天,平均农药使用量(以公升计)、每季和每周喷洒次数分别为637次和1.3次。呼吸道疾病症状是最常见的报告(46/157;29.3%),其次是皮肤(27/157;17.2%),视力(24/157;15.3%)。在调整了年龄和其他预测因素后,与短期暴露者相比,长期暴露者自我报告的周围神经病变(OR=7.7, CI95%: 1.045-56.728, p=0.045)和呼吸系统疾病(OR=0.2, CI95%: 0.067-0.501, p=0.001)的发生率显著高于短期暴露者。此外,10名长期暴露的喷雾器报告了性欲低下和勃起问题。结论:这些调查结果表明缺乏安全知识、安全农药管理和防护措施的实施,并表明与短期暴露相比,长期暴露于农药会增加经历疾病的风险。
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引用次数: 8
Calcifying Tendonitis of the Shoulder: Risk Factors and Effectiveness ofPhysical Therapy 肩部钙化肌腱炎:危险因素及物理治疗的效果
Pub Date : 2015-11-23 DOI: 10.4172/2329-6879.1000220
M. E. Fernández-Cuadros, O. Pérez-Moro, J. Nieto-Blasco, V. Rivera-García, Adela Olazar-Pardeiro, J. Mirón-Canelo
The aim of this study is to determine the different risk factors associated with Calcifying tendonitis (CT), to characterize it epidemiological-clinical-radiological, in a number of cases, and to assess the effect of physical therapy in improving mobility and decreasing pain. A prospective experimental intervention to a series of 50 patients (40 experimental group and 10 control group) diagnosed of CT referred to the Rehabilitation Department of the University Welfare Complex of Salamanca was performed, during October 2011 to February 2013. In the initial assessment the demographics, personal history, predisposing factors and type of calcification (formative/resorptive), were collected. The evaluation of the shoulder Range of Movement (initial ROM) was performed. Pain was valued according to visual analog scale (initial VAS). The intervention consisted in prescribing Kinesiotherapy (KT) (if restricted mobility) or various electrotherapy modalities (US ultrasound, TENS, Microwave MW, Shortwave SW, Interferential IF) (if pain). In the final evaluation mobility (final ROM) and pain (final VAS) was re-evaluated, in addition to the global patient satisfaction. CT is more common in women (n=36; 72%) than in men (n=14; 28%) (p=0.00). The CT occurs in middle age/working life (53.96 years, SD=±11.99). The most common occupation were housekeeper and assistant. They presented forced postures, repetitive movements and cargo handling. CT prevailed in right shoulders (n=33; 66%), in the SE tendon (n=46; 92%) and all patients had radiological, ultrasound (n=24; 48%) and MRI (n=8; 16%) evaluation. Most patients had formative (n=38; 76%) rather than resorptive calcifications (n=12; 24%) (p=0.00). The average number of rehabilitation sessions was 28.6 ± 12.9 days. VAS diminished from 5.96 to 3.26 points after kinesiotherapy/electrotherapy treatment. KT treatment recovers ROM significantly (p<0.05). Resorptive calcifications had more chronic pain. The treatment group decreased VAS significantly (p=0.00) from 5.47 to 2.28 points, while the control group diminished VAS not significantly from 6.92 to 5.75 (p=0.06). The significant risk factors for developing CT are female, Caucasian, middle-age/working-life, with repetitive manual movements or forced positions, right SE tendon, formative calcification. Kinesiotherapy improves mobility and electrotherapy reduces pain significantly in the experimental group
本研究的目的是确定与钙化肌腱炎(CT)相关的不同危险因素,在一些病例中描述其流行病学-临床-放射学特征,并评估物理治疗在改善活动能力和减轻疼痛方面的效果。对2011年10月至2013年2月在萨拉曼卡大学福利综合医院康复科就诊的50例CT诊断患者(试验组40例,对照组10例)进行前瞻性实验干预。在初步评估中,收集了人口统计学、个人病史、诱发因素和钙化类型(形成性/吸收性)。评估肩关节活动范围(初始ROM)。根据视觉模拟评分(initial VAS)对疼痛进行评分。干预包括处方运动疗法(KT)(如果活动受限)或各种电疗方式(美国超声,TENS,微波MW,短波SW,干扰if)(如果疼痛)。在最终评估活动(最终ROM)和疼痛(最终VAS)被重新评估,除了整体患者满意度。CT多见于女性(n=36;72%)高于男性(n=14;28%) (p = 0.00)。CT多发生于中年/工作年龄(53.96岁,SD=±11.99)。最常见的职业是管家和助理。他们表现出强迫的姿势,重复的动作和货物搬运。CT检查以右肩为主(n=33;66%),在SE肌腱中(n=46;92%),所有患者均行x线、超声检查(n=24;48%)和MRI (n=8;16%)的评估。大多数患者有形成性(n=38;76%)而非吸收性钙化(n=12;24%) (p = 0.00)。平均康复天数为28.6±12.9天。运动疗法/电疗治疗后VAS由5.96分下降至3.26分。KT治疗明显恢复ROM (p<0.05)。吸收性钙化多伴有慢性疼痛。治疗组VAS评分由5.47分下降至2.28分,差异有统计学意义(p=0.00);对照组评分由6.92分下降至5.75分,差异无统计学意义(p=0.06)。发生CT的重要危险因素为女性,高加索人,中年/工作-生活,重复性体力运动或强迫体位,右侧SE肌腱,形成性钙化。运动疗法改善了实验组的活动能力,电疗显著减轻了疼痛
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引用次数: 9
Work-Related Musculoskeletal Disorders Among Self Employed Sewing Machine Operators in Maiduguri, Nigeria 尼日利亚迈杜古里自雇缝纫机操作员中与工作相关的肌肉骨骼疾病
Pub Date : 2015-11-11 DOI: 10.4172/2329-6879.1000219
S. Maduagwu, G. Sokunbi, Bwala Mp, Akanbi Oa, Jajere Am, Jaiyeola Oa, Bc Maduagwu, A. Ojiakor
Background: Globally, studies on prevalence of WMSDs focused mainly on populations in organized industrial sectors and professions. Purpose: This study was therefore designed to determine the prevalence of WMSDs, risk factors and coping strategies for this disorder among self-employed sewing machine operators in Maiduguri, Nigeria. Method: Close-ended structured questionnaire, drafted and modified from the short version of the standardized Nordic Musculoskeletal Questionnaire (NMQ) for investigating work-related musculoskeletal symptoms in working populations was used for the study. Copies of this questionnaire were administered on willing and volunteer self-employed sewing machine operators in Maiduguri using a non-probability sampling of convenience technique. Results: Two hundred and nineteen copies of the questionnaire out of 247 administered were duly completed and retrieved. Ninety five out of the 219 respondents reported WMSDs, giving a prevalence of 43.4%. Mean and age range in years of the respondents were 30.03 ± 11.99 and 11-72 respectively. Majority (81.2%) of the respondents was in the age range of 11-40 years and males accounted for 63.9%. Weak significant association (p<0.05; p=0.042) in prevalence of WMSDs existed among the age groups. Lower back (41.7%) and neck (34.7%) were the most affected body parts. Conclusion: Majority of the respondents suffering from WMSDs were able to identify correctly the risk factors of this condition. This implies that this population may easily adjust to proper ergonomic measures if introduced to them.
背景:在全球范围内,关于WMSDs患病率的研究主要集中在有组织的工业部门和专业人群中。目的:本研究旨在确定尼日利亚迈杜古里个体缝纫机操作员wmsd的患病率、危险因素和应对策略。方法:采用封闭式结构化问卷,根据标准化北欧肌肉骨骼问卷(NMQ)的简短版本起草和修改,用于调查工作人群中与工作相关的肌肉骨骼症状。使用非概率抽样便利技术,对迈杜古里自愿和自愿的自雇缝纫机操作员进行了问卷调查。结果:在247份调查问卷中,有219份被正确填写并回收。219名受访者中有95人报告了wmsd,患病率为43.4%。调查对象平均年龄为30.03±11.99岁,年龄范围为11-72岁。调查对象的年龄在11-40岁之间,占81.2%,男性占63.9%。弱显著相关性(p<0.05);p=0.042),各年龄组间存在WMSDs患病率差异。下背部(41.7%)和颈部(34.7%)是影响最大的身体部位。结论:大多数患有wmsd的受访者能够正确识别这种情况的危险因素。这意味着,如果向这些人群介绍适当的人体工程学措施,他们可能很容易适应。
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引用次数: 10
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Occupational medicine and health affairs
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