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Results in Journal Revista Brasileira de Medicina do Trabalho: 343

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Revista Brasileira de Medicina do Trabalho; doi:10.47626/1679-4435

Revista Brasileira de Medicina do Trabalho; doi:10.5327/z1679-4435

Revista Brasileira de Medicina do Trabalho; doi:10.5327/z16794435

Paulo Henrique Poti Homrich, Fabio Fernandes Dantas-Filho, Laura Luna Martins, Emilian Rejane Marcon
Revista Brasileira de Medicina do Trabalho, Volume 18, pp 97-102; doi:10.5327/z1679443520200478

Abstract:
Presenteeism is an occupational and psychosocial phenomenon with negative impact on the work environment. In addition to causing losses in productivity losses, it also has implications for the state of health of workers. Therefore, presenteeism is likely to become a serious public health problem. The aim of the present study was to discuss the implications, means for evaluation and impact of presenteeism on the health and work of health care workers. We performed a literature search in database PubMed using keywords presenteeism, absenteeism, nurse presenteeism, physician presenteeism, sickness presenteeism, physician health organization, and working sick. We conclude that adequate assessment, raising the health managers’ awareness about the risks and harms associated with this phenomenon, and developing management tools will contribute to reduce the impact of presenteeism. This seems to be the proper path to make this problem more visible and hinder its growth.
Arthur Marcelino Filho, Rodrigo Japur Duarte-Tavares, Katienne Brito Marcelino, Julio Alves Silva-Neto
Revista Brasileira de Medicina do Trabalho, Volume 18, pp 103-108; doi:10.5327/z1679443520200419

Abstract:
Background: Occupational risk factors are associated with many types of neoplasms including cervical cancer. Objective: To review the specialized literature for evidence on the relationship between cervical cancer and exposure to occupational hazards. Methods: Literature search in electronic databases using keywords cervical cancer and occupational risk. Results: Workers occupationally exposed to tobacco, fungi or bacteria, metalworking fluids and tetrachloroethylene used in dry cleaning and for metal degreasing exhibited higher susceptibility to cervical cancer. Conclusion: Few studies sought to investigate relationships between cervical cancer and occupational hazards, which hinders the attempts at establishing a causal link.
Beatriz Maria Dos Santos Santiago Ribeiro, Vladimir Araujo Da Silva, Jucelei Pascoal Boaretto, Iria Roberta Staut Freitas, Rita De Cassia De Marchi Barcelos Dalri, Eleine Aparecida Penha Martins
Revista Brasileira de Medicina do Trabalho, Volume 18, pp 109-112; doi:10.5327/z1679443520200456

Abstract:
Background: Acupuncture is an integrative and complementary practice for which biosafety standards are essential. Objective: To elicit a reflection on biosafety in acupuncture to reduce occupational hazards associated with infection as adverse effect for both provider and patient. Methods: The present theoretical essay is grounded on references intentionally selected from June through October 2019. Results: Infection is the adverse effect most frequently reported for acupuncture practice, which involves considerable risk of microorganism inoculation. Provider awareness should be raised to comply with biosafety principles and thus ensure their and patient safety without any negative implications for the effectiveness of treatment. Conclusion: We recommended providers to adopt universal biosafety practices during acupuncture procedures.
Mariana Roberta Lopes Simões, Heloisa Helena Barroso, Danielle Sandra Da Silva De-Azevedo, Ana Carolina Monteiro Duarte, Rose Elizabeth Cabral Barbosa, Giovanni Campos Fonseca, Marcus Alessandro De Alcantara
Revista Brasileira de Medicina do Trabalho, Volume 18, pp 82-90; doi:10.5327/z1679443520200425

Abstract:
Background: Health care workers stand out in recent studies as a function of high rates of workplace violence. Objective: To calculate the prevalence of workplace violence involving health care workers and associated factors. Methods: Cross-sectional study with municipal health care workers in Diamantina, Minas Gerais, Brazil. Data were collected in interviews from December 2016 through March 2017. Variable workplace violence was considered as outcome on univariate and multivariate analysis. Descriptive and analytical statistical techniques were used (Poisson regression). Results: The study population comprised 203 municipal health care workers (79% response rate). The prevalence of workplace violence was 40.4–47.9% for women and 22.0% for men. Occupational factors associated with violence were job satisfaction, support at work and psychological demands. Conclusion: The prevalence rates we found and associated factors point to the relevance of health protection policies targeting this category of workers which may contribute to mitigate the negative effects of violence on the health of workers and consequently on the quality of care delivery.
Carine Muniz Dos Santos, Fernanda Oliveira Ulguim, Hildegard Hedwig Pohl, Miriam Beatrís Reckziegel
Revista Brasileira de Medicina do Trabalho, Volume 18, pp 66-73; doi:10.5327/z1679443520200498

Abstract:
Background: Demands as to productivity transform the work environment more and more stressful, and negatively impact on the motivation of workers and the performance of their work activities. Initiatives seek to consolidate advances in policies for comprehensive care for workers health, with actions to prevent injuries and promote health. Offering workers a Labor Gymnastics Program (PGL), which is not restricted to attention to musculoskeletal disorders, becomes a tool to encourage change in habits. Aim: To identify possible changes in workers habits after the implementation of a PGL. Method: 41 workers in the administrative area and support from a teaching hospital in the municipality of Santa Cruz do Sul answered the questionnaire. The questionnaire includes variables on eating habits, displacement and physical activity, applied before and after intervention. The sessions were held during the workday, with frequency of three times a week, on alternate days, for 4 months, composed of physical activities and information on dietary reeducation, postural education, body awareness and the importance of regular physical activity. Results: There is a predominance of females (61.0%), and age of 33.5±10.2 years. Changes in some habits were identified: increase in the number of workers who practice regular physical activity (p=0.01), increase in the duration and frequency of activity (p=0.04), and maintenance / reduction in the frequency of consumption of “Embedded” (p=0.03). Conclusion: It was possible to identify positive changes in workers habits after the implementation of the PGL, suggesting that it is an important strategy in the field of health promotion.
Patrik Nepomuceno, Carine Muniz Dos Santos, William Vinicius Kleinpaul, Polliana Radtke Dos Santos, Cassiane De Mendonça Braz, Maiara Helena Rusch, Ana Paula Pohl Duarte, Hildegard Hedwig Pohl
Revista Brasileira de Medicina do Trabalho, Volume 18, pp 91-96; doi:10.5327/z1679443520200482

Abstract:
Background: The state of health of rural workers is influenced by the living conditions to which they are subjected, including social, economic, technological and organizational aspects. Given the scarcity of studies on this population of workers, establishing their profile is necessary. Objectives: To analyze cardiovascular risk according to demographic factors and anthropometric status of rural workers under the Pardo River Valley Regional Development Council (COREDE-VRP). Methods: Cross-sectional analytical study with rural workers in five municipalities in the COREDE-VRP southern region. We administered a structured questionnaire for lifestyle socioeconomic information, physical activity and self-reported health. Anthropometric measurements, resting heart rate and electrocardiogram (ECG) were performed to analyze heart rate variability (HRV). Results: Women exhibited higher cardiovascular risk, which in turn did not differ as a function of age, marital status, socioeconomic status or lifestyle. We found a relationship between cardiovascular risk and anthropometric measurements, but not with cardiovascular variables. Conclusion: Women exhibited higher cardiovascular risk, which was not associated with marital status, socioeconomic status, alcohol use, smoking, sleep disorders or physical activity. Therefore, we emphasize the relationship between cardiovascular risk and anthropometric variables, as well as the lack of association with heart rate and autonomic imbalance.
Luan Ramos, Ana Luiza Bertani, José Davi Oltramari, William Dhein
Revista Brasileira de Medicina do Trabalho, Volume 18, pp 74-81; doi:10.5327/z1679443520200487

Abstract:
Background: Occupational diseases are the second leading cause of sick leave in Brazil, among which musculoskeletal disorders are very common especially among workers whose job includes typing tasks. Thermography analyzes the temperature distribution on the skin surface and is used for diagnosis and prevention of musculoskeletal disorders. Objective: To investigate the thermal behavior of the skin on the wrist and finger extensor muscle area before, during and after a typing task. Methods: Twenty-four workers whose job involves typing were allocated to two groups—with or without elbow, forearm or injury—and performed a 10-minute typing task. Four thermography images were captured from the forearms and fingers at baseline, 0–2, 3–5 and 8–10 minutes and the minimum, maximum and mean temperature was calculated. The data were subjected to factorial ANOVA with software SPSS v 20.0. The significance level was set to 5%. Results: Minimum (mean difference–d=1.7), maximum (d=0.8) and mean (d=0.39) temperature was lowest on the elbow of participants with forearm injury; maximum temperature was lower on the right compared to the left side (d=0.39). Temperature did not vary as a function of time. Conclusion: There was difference in skin temperature between individuals with or without forearm injury and between the right and left sides, but not as a function of time. In future studies tasks should be longer and/or have set typing speed and goals.
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