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[Psychosocial Risk Factors and Musculoskeletal Discomfort Among Tellers at a Banking Company in Lima, Peru]. [秘鲁利马一家银行出纳员的社会心理风险因素和肌肉骨骼不适]。
Q4 Medicine Pub Date : 2021-04-15 DOI: 10.12961/aprl.2021.24.02.04
Richard Raitt Rodriguez Rojas, Carlos Manuel Escobar Galindo, Paula Martha Veliz Terry, Roly Marino Jara Espinoza

Objective: We examined associations between psychosocial risk factors and musculoskeletal discomfort among tellers at a bank Lima, Peru.

Methods: This was a cross-sectional descriptive study of 234 workers. The instruments used were the Questionnaire of Psychosocial Risks at Work SUSESO - ISTAS 21 Short Version, an adaptation of the Nordic Musculoskeletal DiscomfortQuestionnaire and a sociodemographic data sheet. These two questionnaires were administered between September and November 2018. We analyzed associations between the two main study variables with chi-square tests.

Results: The most prevalent psychosocial factor dimensions were "psychological demands" (50.1%) and "double presence" (49.1%). The most frequent musculoskeletal discomfort were in the neck (75.9%) and thoracolumbar (75%) areas. We observed an association between the level of psychosocial risk in the "compensation" dimension and the number of body regions affected by musculoskeletal discomfort (p<0.05).

Conclusions: There is a relationship between the level of psychosocial risk in the "compensation" dimension and the number of body regions with reported musculoskeletal discomfort. We recommend implementing psychosocial risk factor preventive measures to avoid musculoskeletal discomfort in bank tellers.

目的:我们研究了秘鲁利马一家银行柜员的社会心理风险因素与肌肉骨骼不适之间的关系。方法:对234名工人进行横断面描述性研究。使用的工具是工作中的社会心理风险问卷SUSESO - ISTAS 21简短版,北欧肌肉骨骼不适问卷和社会人口统计数据表的改编。这两份问卷是在2018年9月至11月期间进行的。我们用卡方检验分析了两个主要研究变量之间的相关性。结果:最常见的心理社会因素维度为“心理需求”(50.1%)和“双重存在”(49.1%)。最常见的肌肉骨骼不适是颈部(75.9%)和胸腰椎(75%)区域。我们观察到“补偿”维度的社会心理风险水平与受肌肉骨骼不适影响的身体区域数量之间存在关联(结论:“补偿”维度的社会心理风险水平与报告的肌肉骨骼不适的身体区域数量之间存在关联。我们建议实施社会心理风险因素预防措施,以避免银行柜员的肌肉骨骼不适。
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引用次数: 2
[European Perspective on Occupational Hazards in Teleworking]. [远程工作中职业危害的欧洲观点]。
Q4 Medicine Pub Date : 2021-04-15 DOI: 10.12961/aprl.2021.24.02.01
William Cockburn, Miren Hurtado
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引用次数: 1
[Needs and barriers of medical personnel in Catalonian occupational health services]. [加泰罗尼亚职业卫生服务中医务人员的需求和障碍]。
Q4 Medicine Pub Date : 2021-04-15 DOI: 10.12961/aprl.2021.24.02.05
Hernán Vargas Leguás, Eva Porcel Pérez, Imma Cortès Franch

Objective: to identify the difficulties and needs of medical professionals in occupational health services in Catalonia with respect to carrying out their functions, as prescribed by law.

Methods: Delphi study in three rounds. The selection of participants was carried out sepa - rately for in-house versus outsourced occupational health services. The first round included two open-ended questions: What difficulties do you encounter when performing your duties in your occupational health service? And, what are your needs in terms of being able to per - form your duties in your occupational health service? In the second and third rounds, partic - ipants ranked the categories identified in the first round according to their importance and relevance. We calculated an inter-rater agreement index (ICC) and an "index of concern (IP)".

Results: Among in-house occupational health services, the most highly ranked difficulties were case management of workers with limitations and the low quality of medical sur - veillance systems. Among outsourced occupational health services, the most notable dif - ficulties were the lack of communication with other organizations and the prioritization of economic and profitability criteria associated with the high work volume. For both types of services, there was a clear need to establish communication channels with other institu - tions or organizations such as primary care, mutual insurance companies, public medical evaluation units and public occupational health units.

Conclusions: The different type of occupational health services reflects important differ - ences in the types of difficulties encountered, but not in needs, where there are more points in common.

目标:查明加泰罗尼亚职业卫生服务专业人员在依法履行职责方面的困难和需要。方法:三轮德尔菲研究。参与者的选择分别针对内部和外包的职业健康服务进行。第一轮包括两个开放式问题:你在职业卫生服务部门履行职责时遇到什么困难?在职业健康服务中,你需要什么才能履行你的职责?在第二轮和第三轮中,参与者根据其重要性和相关性对第一轮确定的类别进行排名。我们计算了评级机构间协议指数(ICC)和“关注指数(IP)”。结果:在内部职业卫生服务中,最严重的困难是局限性工人的病例管理和医疗监测系统的质量低下。在外包职业保健服务中,最显著的困难是缺乏与其他组织的沟通,以及与高工作量相关的经济和盈利标准的优先次序。对于这两类服务,显然需要与其他机构或组织建立沟通渠道,如初级保健、相互保险公司、公共医疗评估单位和公共职业保健单位。结论:不同类型的职业卫生服务反映了遇到的困难类型的重要差异,但没有反映需求的差异,其中有更多的共同点。
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引用次数: 0
[Programs for Asbestos Abatement. Lessons from Poland]. [石棉消减计划]波兰的教训]。
Q4 Medicine Pub Date : 2021-01-21 DOI: 10.12961/aprl.2021.24.01.06
Vega García López

The commercialization of asbestos in Europe in the second half of the 20th century translated into consumption of millions of tons of this material. Occupational exposure to asbestos is controlled under the 2009 European Union Directive. Currently, through epidemiological surveillance and pathology registries (mainly mesotheliomas), it is possible to record past exposures. Despite prohibiting its use, large amounts of asbestos remain in buildings, infrastructures and vehicles, among others. The road to elimination of existing asbestos began with a 2013 European Parliament Resolution and the Opinion of the European Economic and Social Committee (2015 / C 251/03).To better understand barriers to implementing these plans, we reviewed the experience in Poland the only country that to date has implemented an action plan with great financial support, together with actions carried out in Spain generally, and Navarre specifically, given the latter's exhaustive registry of exposed workers.The enormous economic effort required to implement these plans, along with the environmental risks associated with asbestos abatement, require detailed planning, which should consider understanding why the objectives set by Poland, a benchmark country, have not been achieved to date.

20世纪下半叶,石棉在欧洲的商业化转化为数百万吨这种材料的消费。职业接触石棉受到2009年欧盟指令的控制。目前,通过流行病学监测和病理登记(主要是间皮瘤),有可能记录过去的接触情况。尽管禁止使用石棉,但大量石棉仍然存在于建筑物、基础设施和车辆等中。消除现有石棉的道路始于2013年欧洲议会决议和欧洲经济和社会委员会的意见(2015 / C 251/03)。为了更好地了解实施这些计划的障碍,我们回顾了波兰的经验,波兰是迄今为止唯一一个在大量财政支持下实施了行动计划的国家,同时回顾了西班牙普遍实施的行动,特别是纳瓦拉,因为后者对暴露工人进行了详尽的登记。执行这些计划所需的巨大经济努力,以及与减少石棉有关的环境风险,需要详细的规划,这应该考虑到为什么波兰这个基准国家所设定的目标迄今尚未实现。
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引用次数: 1
[Effects of the Covid-19 Pandemic on Workers'Mental Health]. [Covid-19大流行对工人心理健康的影响]。
Q4 Medicine Pub Date : 2021-01-21 DOI: 10.12961/aprl.2021.24.01.01
C. Ruiz-Frutos, Juan Gómez-Salgado
El impacto de la COVID-19 en la sociedad no es un tema baladí. Desde el inicio de la pandemia, el Johns Hopkins Coronavirus Resource Center había reportado hasta el 23 de noviembre de 2020 un total de 58.696.029 personas contagiadas y 1.556.730 muertes de personas diagnosticadas con el SARS-CoV-2 (en inglés, severe acute respiratory syndrome coronavirus 2; en español, coronavirus tipo 2 del síndrome respiratorio agudo grave). Siendo España el sexto país en número de contagios (1.556.730) y el noveno en muertes (42.619)…
COVID-19对社会的影响不是一个微不足道的问题。自大流行开始以来,约翰霍普金斯冠状病毒资源中心报告,截至2020年11月23日,共有58,696,029人感染,1,556,730人被诊断为SARS-CoV-2(严重急性呼吸系统综合症冠状病毒2);严重急性呼吸系统综合征2型冠状病毒)。西班牙在感染人数上排名第六(1556730人),在死亡人数上排名第九(42,619人)……
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引用次数: 20
[2020: Archivos in Times of COVID-19]. [2020:新冠肺炎时代的档案]。
Q4 Medicine Pub Date : 2021-01-21 DOI: 10.12961/aprl.2021.24.01.02
Laura Fontcuberta, Jordi Delclós, Guillermo García, José María Ramada, María Del Mar Seguí, Elena Ronda
En el momento de la redacción de esta nota editorial, seguimos mirando con preocupación y temor la evolución de la situación de la infección originada por el SARS-CoV-2, pero también con esperanza por el comienzo de la vacunación. Los retos que la pandemia ha representado y representa para la salud laboral son inmensos: cambios en las condiciones de trabajo, afectación del mercado laboral, aparición de nuevas formas de trabajo, el papel de los servicios de prevención en la lucha contra la transmisión de la enfermedad, así como en la detección y control de trabajadores infectados y sus contactos, el medio laboral como lugar de transmisión de la enfermedad o la identificación de trabajadores especialmente sensibles y vulnerables, son algunos de los ejemplos que podríamos citar…
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引用次数: 1
[Malignant Skin Neoplasms in Workers in the Fishing Industry: Systematic Review]. 渔业工人皮肤恶性肿瘤:系统综述
Q4 Medicine Pub Date : 2021-01-21 DOI: 10.12961/aprl.2021.24.01.05
Beatriz Muñoz-Cobo-Orosa, Claudia Varela-Serrano, Mercedes Rodriguez-Ledott, Javier Sanz-Valero

Objective: To review the scientific literature related to the effects of occupational exposure to risk factors for skin neoplasms in fishery workers.

Method: Critical analysis of the papers recovered through systematic review from en MEDLINE (PubMed), EMBASE, The Cochrane Library, Scopus, Web of Science y Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS). STOROBE guidelines were followed to evaluate their quality.

Results: After attributing inclusion and exclusion criteria to the search, 11 articles were accepted for review and critical analysis. In 7 of them, a statistically significant association was obtained between skin neoplasia and occupational exposure in fishermen.

Conclusions: Despite having found studies that were significant in terms of the relationship of malignant lesions and exposure to ultraviolet radiation in the workplace, some of them did not control possible biases, therefore the results should be taken with caution.

目的:综述渔业工人职业暴露对皮肤肿瘤危险因素影响的相关文献。方法:通过系统综述从en MEDLINE (PubMed)、EMBASE、Cochrane Library、Scopus、Web of Science y Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS)检索到的论文进行批判性分析。遵循STOROBE指南评估其质量。结果:在将纳入和排除标准归因到检索后,11篇文章被接受进行综述和批判性分析。其中7例渔民皮肤瘤变与职业暴露有统计学显著相关性。结论:尽管已经发现了关于恶性病变与工作场所紫外线照射关系的重要研究,但其中一些研究并没有控制可能的偏差,因此应谨慎对待结果。
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引用次数: 4
[Analysis of Heart Rate related to height and frequency of manual lifting]. 【心率与人工举重高度和频率的关系分析】。
Q4 Medicine Pub Date : 2021-01-21 DOI: 10.12961/aprl.2021.24.01.04
Luis A Saavedra-Robinson, Yenny A Paredes-Astudillo, Leonardo Quintana

Objective: To analyze the effects of vertical height and lifting frequency on the physiological response in workers during lifting of loads.

Methods: Factorial experimental design with blocks, considering vertical height and lifting frequency as independent variables; the dependent variable was defined as the heart rate. The experiment was conducted in 20 workers between the ages of 18 and 40 years with at least six months of experience in warehouse and packaging tasks at a dairy products company. We calculated the FRIMAT coefficient to determine the physiological load of the task.

Results: We found a significant effect on the heart rate response due to the interaction of the rate and the vertical height of the lift. Based on the FRIMAT coefficient, we obtained a rating of "minimal workload" for 85% of the treatments; for one treatment there was a rating of "somewhat difficult."

Conclusions: Height and frequency of lift do not act separately and have an effect on the physiological load of the worker during manual lifting, reflected by changes in the heart rate.

目的:分析升降高度和升降频率对工人升降时生理反应的影响。方法:以垂直高度和升降频率为自变量,采用块析因试验设计;因变量定义为心率。这项实验是在20名年龄在18岁到40岁之间的工人中进行的,他们在一家乳制品公司至少有6个月的仓库和包装工作经验。我们通过计算FRIMAT系数来确定任务的生理负荷。结果:我们发现由于速率和升降机垂直高度的相互作用,对心率反应有显著影响。根据FRIMAT系数,我们对85%的治疗获得了“最小工作量”的评级;其中一种治疗被评为“有些困难”。结论:升降高度和升降频率并不是单独作用的,它们对工人在手工升降过程中的生理负荷有影响,反映在心率的变化上。
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引用次数: 1
[Preventive Aspects for Migraine and the Workplace: A European Survey]. [偏头痛和工作场所的预防:一项欧洲调查]。
Q4 Medicine Pub Date : 2021-01-21 DOI: 10.12961/aprl.2021.24.01.03
María Teófila Vicente Herrero, María Victoria Ramírez Iñiguez de la Torre, Luis Reinoso Barbero, Elena Ruiz de la Torre

Introduction: Workplace health promotion integrates initiatives in health and safety in the occupational field, with personal improvements, increased productivity and lower risks and social cost, especially with respect to migraine headaches, a neurological disorder affecting approximately 11% of the population. The objective of this study was to know the preventive resources available to workers with migraine headaches and the preventive management options in their companies.

Method: Cross-sectional observational study of 3,342 patients from Spain, Italy, France, Portugal, Ireland, United Kingdom, Germany and other European Union countries, conducted through an anonymous survey on the web of the European Migraine & Headache Alliance (EMHA-web), from September 2018 to January 2019.

Results: Occupational stress (77.65%) and use of computer monitors (63.87%) are the most common risks described by workers with migraine. About. 43.71% of workers are not familiar with the type of occupational health service present in their company, 49.06% do not have a medical service; 67.67% reported no work-related limitations due to migraine, neither dismissal nor non-renewal of their contract (88.29%), but 42.14% had experienced some conflict due to decreased productivity; 26.54% were unaware of the concept of vulnerable workers or had not requested this status because of their migraine (63.8%), nor had.

工作场所健康促进综合了职业领域的健康和安全举措,提高了个人素质,提高了生产力,降低了风险和社会成本,特别是在偏头痛方面,这是一种影响约11%人口的神经系统疾病。本研究的目的是了解员工偏头痛的预防资源及其公司的预防管理方案。方法:2018年9月至2019年1月,通过欧洲偏头痛和头痛联盟(EMHA-web)网站上的匿名调查,对来自西班牙、意大利、法国、葡萄牙、爱尔兰、英国、德国和其他欧盟国家的3342例患者进行横断面观察研究。结果:职业压力(77.65%)和使用电脑显示器(63.87%)是偏头痛工人最常见的风险。约43.71%的工人不熟悉其公司现有的职业卫生服务类型,49.06%的工人没有医疗服务;67.67%的人没有因偏头痛而受到工作上的限制,既没有被解雇,也没有合同不能续签(88.29%),但42.14%的人因生产力下降而经历过一些冲突;26.54%的人不知道弱势工作者的概念,或者没有因为偏头痛而要求这一身份(63.8%),也没有。
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引用次数: 4
[Return to work in the context of the COVID-19 pandemic in the industrial and construction sectors in Navarre (Spain)]. [在纳瓦拉(西班牙)工业和建筑部门2019冠状病毒病大流行的背景下重返工作岗位]。
Q4 Medicine Pub Date : 2020-10-15 DOI: 10.12961/aprl.2020.23.04.04
Iñaki Moreno-Sueskun, Jorge Alberto Díaz-González, Asier Acuña Juanbeltz, Aingeru Pérez-Murillo, Ana Garasa Jiménez, Virginia García-Osés, Estrella Extramiana Cameno

Objective: To analyse the compliance of the preventive instructions formulated by the Health Authority against COVID-19 for the de-escalation phase among the industrial and construction sectors in Navarre.

Methods: On the basis of those preventive instructions, questionnaires were drawn up to verify their implementation on site. The occupational risk prevention technicians of the Occupational Health Service (OHS) of the Institute of Public and Work Health of Navarre and those of the External Prevention Services (EPS), under the executive coordination of the OHS, visited the enterprises to advise, verify and require, if necessary, compliance with the instructions dictated.

Results: The compliance of the preventive instructions is higher in the industrial sector than in the construction sector. Cleaning practices, hygienic resources and the provision of respiratory protection equipment are widespread. The application of necessary measures in common places (restrooms, dining rooms) are less frequent. There is a lack of informative posters and written corroboration of the preventive instructions. The difference of several results between the OHS and the EPS technicians is remarkable.

Conclusions: Weaknesses have been identified in achieving safe workplaces in the construction and industrial sectors during the de-escalation phase in the context of the Covid-19 pandemic. The role of Public Health in the enterprises and the integration of the prevention services in public policies against occupational risks must be reconsidered.

目的:分析纳瓦拉省工业和建筑部门制定的2019冠状病毒病(COVID-19)缓解阶段预防指示的遵守情况。方法:在预防指导意见的基础上,编制问卷,实地验证其执行情况。纳瓦拉公共和工作卫生研究所职业卫生服务处的职业风险预防技术人员以及职业卫生服务处的外部预防服务处的技术人员在职业卫生服务处的行政协调下访问了企业,提供咨询、核实并在必要时要求遵守所规定的指示。结果:工业部门对预防指令的符合性高于建筑业。清洁做法、卫生资源和提供呼吸防护设备得到广泛普及。在公共场所(卫生间、餐厅)采取必要措施的次数较少。缺乏关于预防说明的信息海报和书面证明。OHS技术人员和EPS技术人员在几个结果上的差异是显著的。结论:在Covid-19大流行的背景下,在缓解阶段实现建筑和工业部门安全工作场所方面发现了弱点。必须重新考虑公共卫生在企业中的作用以及将预防服务纳入针对职业风险的公共政策。
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引用次数: 5
期刊
Archivos de prevención de riesgos laborales
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