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[PMID]:29203748
[Au] Autor:Pashkov VM; Batyhina OM; Trotska MV
[Ad] Endereço:Poltava Law Institute Of Yaroslav The Wise National Law University, Poltava, Ukraine.
[Ti] Título:International legal regulation of impact of occupational injuries and diseases on agricultural workers' health.
[So] Source:Wiad Lek;70(5):953-958, 2017.
[Is] ISSN:0043-5147
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Agricultural workers' health depends on many factors: working conditions, security arrangements, medicine, quality of drugs, the environment, etc. Occupational injuries and diseases are also among the factors that can negatively affect their health. THE AIM: To analyze provisions of the international legislation and scientific literature concerning existence of restrictions on impact of occupational injuries and diseases on agricultural workers' health. MATERIALS AND METHODS: International acts, data of international organizations and conclusions of scientists have been examined and used in the study. The article also integrates information from scientific journals and monographs from a medical and legal point of view with scientific methods. This article is based on dialectical, comparative, analytic, synthetic and comprehensive research methods. Impact of occupational injuries and diseases on agricultural workers' health has been studied within the system approach, as well as analysis and synthesis. CONCLUSIONS: The level of occupational morbidity, traumatism and above all standard of agricultural workers' health depends on the way of occupational safety organization. Working conditions and safety in agricultural industry and therefore the appropriate standard of health remain unsatisfactory in many countries.
[Mh] Termos MeSH primário: Saúde do Trabalhador/legislação & jurisprudência
Traumatismos Ocupacionais/terapia
Medicina do Trabalho/legislação & jurisprudência
Indenização aos Trabalhadores/legislação & jurisprudência
[Mh] Termos MeSH secundário: Agricultura/legislação & jurisprudência
Eficiência Organizacional/legislação & jurisprudência
Feminino
Seres Humanos
Masculino
Indicadores de Qualidade em Assistência à Saúde
Local de Trabalho/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


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[PMID]:27779603
[Au] Autor:Cuneo JG; DeBerard MS; Wheeler AJ
[Ad] Endereço:*Department of Psychology, Utah State University, Logan, UT †VA San Diego Healthcare System, San Diego, CA.
[Ti] Título:Lumbar Fusion in Utah Workers' Compensation Patients: Changing Outcomes Across a Decade.
[So] Source:Spine (Phila Pa 1976);42(9):692-699, 2017 May 01.
[Is] ISSN:1528-1159
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY DESIGN: This study was a retrospective-cohort design involving a review of patient medical and cost records and a 2-year postsurgery follow-up outcome survey. OBJECTIVE: To evaluate the functional and cost outcomes associated with recent lumbar fusion surgeries in Utah workers and compare these outcomes with a comparable prior study cohort. SUMMARY OF BACKGROUND DATA: Lumbar fusion performed on injured workers has dramatically increased over the past 2 decades and this likely coincided with the increased use of more advanced surgical instrumentation. Considering the recent changes in lumbar fusion surgery, there is a need to identify how patient outcomes have changed among injured workers. MATERIALS AND METHODS: Retrospective chart review and 2-year postsurgery follow-up survey of patient outcomes were performed. Postsurgical outcomes for this sample were compared with established norms for back pain patients and a previous cohort of compensated lumbar fusion patients obtained from Workers' Compensation Fund of Utah. RESULTS: The current cohort evidenced a solid fusion rate of 89% and significant increase in the use of surgical instrumentation, particularly titanium fusion cages. Despite increased solid fusion rates, injured workers who have undergone lumbar fusion in Utah demonstrated equivalent and in some cases worse outcomes than those documented a decade ago. Specifically, there were significant increases in back pain dysfunction and narcotic medication usage in the current versus the past cohort. Medical and compensation costs for compensated lumbar fusion patients in Utah also significantly increased since the mid-1990s. CONCLUSION: Over the past decade, injured workers who have undergone lumbar fusion in Utah showed an increase in solid fusion rates and costs without a corresponding improvement in patient outcomes. LEVEL OF EVIDENCE: 3.
[Mh] Termos MeSH primário: Vértebras Lombares/cirurgia
Fusão Vertebral
Indenização aos Trabalhadores
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Estudos Retrospectivos
Fusão Vertebral/economia
Fusão Vertebral/estatística & dados numéricos
Resultado do Tratamento
Utah/epidemiologia
Indenização aos Trabalhadores/economia
Indenização aos Trabalhadores/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1097/BRS.0000000000001964


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[PMID]:27779316
[Au] Autor:Kucera KL; Roos KG; Hootman JM; Lipscomb HJ; Dement JM; Silverstein BA
[Ad] Endereço:Division of Occupational & Environmental Medicine, Duke University, Durham, North Carolina.
[Ti] Título:Work-related illness and injury claims among nationally certified athletic trainers reported to Washington and California from 2001 to 2011.
[So] Source:Am J Ind Med;59(12):1156-1168, 2016 Dec.
[Is] ISSN:1097-0274
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Little is known about the work-related injury and illnesses experienced by certified athletic trainers (AT). METHODS: The incidence and characteristics of injury/illness claims filed in two workers' compensation systems were described from 2001 to 2011. Yearly populations at risk were estimated from National Athletic Trainers' Association membership statistics. Incidence rate ratios (IRR) were reported by job setting. RESULTS: Claims were predominantly for traumatic injuries and disorders (82.7%: 45.7% sprains/strains, 12.0% open wounds, 6.5% bruises) and at these body sites (back 17.2%, fingers 12.3%, and knee 9.6%) and over half were caused by body motion and overexertion (51.5%). Compared with school settings, clinic/hospital settings had modestly higher claim rates (IRR = 1.29, 95% CI: 1.06-1.52) while other settings (e.g., professional or youth sport, nursing home) had lower claim rates (IRR = 0.63, 95% CI: 0.44-0.70). CONCLUSIONS: These first known estimates of work-related injuries/illnesses among a growing healthcare profession help identify occupational tasks and settings imposing injury risk for ATs. Am. J. Ind. Med. 59:1156-1168, 2016. © 2016 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Revisão da Utilização de Seguros/estatística & dados numéricos
Doenças Profissionais/epidemiologia
Traumatismos Ocupacionais/epidemiologia
Esportes/estatística & dados numéricos
Indenização aos Trabalhadores/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
California/epidemiologia
Feminino
Seres Humanos
Armazenamento e Recuperação da Informação
Masculino
Meia-Idade
Doenças Profissionais/etiologia
Traumatismos Ocupacionais/etiologia
Washington/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1002/ajim.22648


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[PMID]:27779309
[Au] Autor:Schoenfisch AL; Lipscomb H; Sinyai C; Adams D
[Ad] Endereço:Duke University School of Nursing, Durham, North Carolina.
[Ti] Título:Effectiveness of OSHA Outreach Training on carpenters' work-related injury rates, Washington State 2000-2008.
[So] Source:Am J Ind Med;60(1):45-57, 2017 Jan.
[Is] ISSN:1097-0274
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Despite the size and breadth of OSHA's Outreach Training program for construction, information on its impact on work-related injury rates is limited. METHODS: In a 9-year dynamic cohort of 17,106 union carpenters in Washington State, the effectiveness of OSHA Outreach Training on workers' compensation claims rate was explored. Injury rates were calculated by training status overall and by carpenters' demographic and work characteristics using Poisson regression. RESULTS: OSHA Outreach Training resulted in a 13% non-significant reduction in injury claims rates overall. The protective effect was more pronounced for carpenters in their apprenticeship years, drywall installers, and with increasing time since training. CONCLUSIONS: In line with these observed effects and prior research, it is unrealistic to expect OSHA Outreach Training alone to have large effects on union construction workers' injury rates. Standard construction industry practice should include hazard awareness and protection training, coupled with more efficient approaches to injury control. Am. J. Ind. Med. 60:45-57, 2017. © 2016 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Indústria da Construção
Capacitação em Serviço/estatística & dados numéricos
Saúde do Trabalhador/educação
Traumatismos Ocupacionais/epidemiologia
Traumatismos Ocupacionais/prevenção & controle
Indenização aos Trabalhadores/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Competência Profissional
Avaliação de Programas e Projetos de Saúde
Fatores de Tempo
Estados Unidos
United States Occupational Safety and Health Administration
Washington/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161105
[St] Status:MEDLINE
[do] DOI:10.1002/ajim.22665


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[PMID]:29197906
[Au] Autor:Glass WI; Clayson H
[Ad] Endereço:Centre for Public Health Research, Massey University, Wellington, Principle Advisor-Occupational Medicine, Technical Programmes and Support, WorkSafe, New Zealand Government, Wellington.
[Ti] Título:Asbestos-worker exposure, family disease.
[So] Source:N Z Med J;130(1466):90-91, 2017 Dec 01.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:Family members, mostly female, can be at risk of asbestos-related disease as a result of the transfer of asbestos from the workplace to the home on the hair, boots and clothes of the worker. It is argued that in these cases the home should be recognised as an extension of the workplace and that the employer has a duty of care to contain and control the asbestos. Given these circumstances, the family member with the disease should be entitled to cover under the Accidence Compensation Legislation.
[Mh] Termos MeSH primário: Asbestos/toxicidade
Saúde da Família
Exposição por Inalação
Exposição Ocupacional
Indenização aos Trabalhadores
[Mh] Termos MeSH secundário: Saúde da Família/economia
Saúde da Família/legislação & jurisprudência
Seres Humanos
Neoplasias Pulmonares/induzido quimicamente
Neoplasias Pulmonares/economia
Mesotelioma/induzido quimicamente
Mesotelioma/economia
Indenização aos Trabalhadores/economia
Indenização aos Trabalhadores/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
1332-21-4 (Asbestos)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171204
[St] Status:MEDLINE


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[PMID]:29029551
[Au] Autor:Laliberté M; Mazer B; Orozco T; Chilingaryan G; Williams-Jones B; Hunt M; Feldman DE
[Ad] Endereço:École de Réadaptation, Faculté de Médecine, Université de Montréal, C.P. 6128 Succursale Centre-ville, Montréal, Québec, Canada H3C 3J7; and Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain (CRIR), Montréal, Québec, Canada.
[Ti] Título:Low Back Pain: Investigation of Biases in Outpatient Canadian Physical Therapy.
[So] Source:Phys Ther;97(10):985-997, 2017 Oct 01.
[Is] ISSN:1538-6724
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background: Previous research suggested that physical therapy services can be influenced by patient characteristics (age, sex, socioeconomic status) or insurance status rather than their clinical need. Objective: The aim of this study was to determine whether patient-related factors (age, sex, SES) and the source of reimbursement for physical therapy services (insurance status) influence wait time for, frequency of, and duration of physical therapy for low back pain. Design: This study was an empirical cross-sectional online survey of Canadian physical therapy professionals (defined as including physical therapists and physical rehabilitation specialists). Methods: A total of 846 physical therapy professionals received 1 of 24 different (and randomly selected) clinical vignettes (ie, patient case scenarios) and completed a 40-item questionnaire about how they would treat the fictional patient in the vignette as well as their professional clinical practice. Each vignette described a patient with low back pain but with variations in patient characteristics (age, sex, socioeconomic status) and insurance status (no insurance, private insurance, Workers' Compensation Board insurance). Results: The age, sex, and socioeconomic status of the fictional vignette patients did not affect how participants would provide service. However, vignette patients with Workers' Compensation Board insurance would be seen more frequently than those with private insurance or no insurance. When asked explicitly, study participants stated that insurance status, age, and chronicity of the condition were not factors associated with wait time for, frequency of, or duration of treatment. Limitations: This study used a standardized vignette patient and may not accurately represent physical therapy professionals' actual clinical practice. Conclusions: There appears to be an implicit professional bias in relation to patients' insurance status; the resulting inequity in service provision highlights the need for further research as a basis for national guidelines to promote equity in access to and provision of quality physical therapy services.
[Mh] Termos MeSH primário: Acesso aos Serviços de Saúde
Cobertura do Seguro
Dor Lombar/terapia
Seleção de Pacientes
Fisioterapia
Indenização aos Trabalhadores
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Canadá
Distribuição de Qui-Quadrado
Estudos Transversais
Feminino
Seres Humanos
Seleção Tendenciosa de Seguro
Masculino
Meia-Idade
Modalidades de Fisioterapia/estatística & dados numéricos
Fisioterapia/estatística & dados numéricos
Mecanismo de Reembolso
Viés de Seleção
Fatores Sexuais
Classe Social
Inquéritos e Questionários
Tempo para o Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171015
[St] Status:MEDLINE
[do] DOI:10.1093/ptj/pzx055


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[PMID]:28780566
[Au] Autor:Järvholm B; Burdorf A
[Ad] Endereço:Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
[Ti] Título:Effect of reduced use of organic solvents on disability pension in painters.
[So] Source:Occup Environ Med;74(11):827-829, 2017 Nov.
[Is] ISSN:1470-7926
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate whether the decreased use of paints based on organic solvents has caused a decreased risk for neuropsychiatric disorders in painters by studying their incidence in disability pensions. METHODS: The incidence of disability pension in Swedish painters who had participated in health examinations between 1971 and 1993 was studied through linkage with Swedish registers of disability pension over 1971-2010 and compared with the incidence in other construction workers as woodworkers, concrete workers and platers. When phasing out began in the 1970s, about 40% of paints were based on organic solvents and it had decreased to 4% in 1990s. The analysis was adjusted for age, time period, body mass index and smoking. RESULTS: The painters (n=23 065) had an increased risk of disability pension due to neurological diagnosis (n=285, relative risk (RR) 1.92, 95% CI 1.67 to 2.20) and psychiatric diagnosis (n=632, RR=1.61, 95 % CI 1.42 to 1.82). For neurological disorders there was a time trend with a continuously decreasing risk from 1980 onwards, but there was no such trend for psychiatric disorders. CONCLUSIONS: High exposure to organic solvents increased the risk for disability pension in neurological disorders, and the risk decreased when the use of organic solvents decreased. The painters also had an increased risk of disability pension due to psychiatric disorders, but the causes have to be further investigated.
[Mh] Termos MeSH primário: Indústria da Construção
Pessoas com Deficiência
Doenças do Sistema Nervoso/prevenção & controle
Doenças Profissionais/prevenção & controle
Exposição Ocupacional/efeitos adversos
Pensões
Solventes/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Indústria da Construção/tendências
Seres Humanos
Incidência
Masculino
Transtornos Mentais/induzido quimicamente
Meia-Idade
Doenças do Sistema Nervoso/induzido quimicamente
Doenças Profissionais/induzido quimicamente
Ocupações
Compostos Orgânicos/efeitos adversos
Pintura
Medição de Risco
Fatores de Risco
Suécia
Indenização aos Trabalhadores
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Organic Chemicals); 0 (Solvents)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170807
[St] Status:MEDLINE
[do] DOI:10.1136/oemed-2017-104421


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[PMID]:28700387
[Au] Autor:O'Donnell JA; Anderson JT; Haas AR; Percy R; Woods ST; Ahn UM; Ahn NU
[Ad] Endereço:*Department of Orthopedics, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH†Ohio Bureau of Workers' Compensation, Columbus, OH‡New Hampshire NeuroSpine Institute, Bedford, NH§Department of Orthopedics, University Hospitals Cleveland Medical Center, Cleveland, OH.
[Ti] Título:Treatment of Recurrent Lumbar Disc Herniation With or Without Fusion in Workers' Compensation Subjects.
[So] Source:Spine (Phila Pa 1976);42(14):E864-E870, 2017 Jul 15.
[Is] ISSN:1528-1159
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To determine outcomes after reoperation discectomy with or without fusion surgery for recurrent lumbar disc herniation (RLDH) in the workers' compensation (WC) population. SUMMARY OF BACKGROUND DATA: RLDH is estimated to occur in 7% to 24% of patients after discectomy. There are two main surgical options after reherniation: a revision discectomy (RD), or an RD combined with fusion (RDF). METHODS: A total of 10,592 patients received lost-work compensation from the Ohio Bureau of Workers' Compensation for a lumbar disc herniation between 2005 and 2012. Patients with lumbar spine comorbidities, a smoking history, or multilevel surgery were excluded. One hundred two patients had RD alone for RLDH and 196 had RDF procedures. The primary outcome was whether subjects returned to work (RTW). RESULTS: A total of 298 WC patients met our study criteria, including 230 (77.2%) men and 68 (22.8%) women with an average age of 39.4 years (range 19-66). The RDF group had lower rates of RTW than the RD group (27.0% vs 40.2%; P = 0.03). Multivariate regression analysis showed that reoperation with discectomy and fusion (P = 0.04; odds ratio [OR] = 0.56), psychiatric illness (P < 0.01; OR = 0.19), and opioid analgesic use within 1 month of reoperation (P < 0.01; OR = 0.44) were independent negative predictors of RTW. RDF patients were supplied with opioids for 252.3 days longer (P < 0.01) and incurred $34,914 (31.8%) higher medical costs (P < 0.01) than the RD alone group. CONCLUSION: We analyzed outcomes after operative management of RLDH in the WC population. WC patients receiving RDF had lower RTW rates, higher costs, and a longer duration of postoperative opioid use than those receiving RD alone. This information allows for informed patient management decisions and suggests that fusion should be reserved for patients with clear indications for its use. We are unable to conclude what treatment method is best, but rather we provide a baseline for future studies. LEVEL OF EVIDENCE: 3.
[Mh] Termos MeSH primário: Discotomia
Deslocamento do Disco Intervertebral/cirurgia
Vértebras Lombares/cirurgia
Fusão Vertebral
Indenização aos Trabalhadores
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Recidiva
Reoperação
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170713
[St] Status:MEDLINE
[do] DOI:10.1097/BRS.0000000000002057


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[PMID]:28622485
[Au] Autor:Connelly LB
[Ti] Título:The Nature of Whiplash in a Compensable Environment: Injury, Disability, Rehabilitation, and Compensation Systems.
[So] Source:J Orthop Sports Phys Ther;47(7):503-508, 2017 Jul.
[Is] ISSN:1938-1344
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Synopsis Whiplash is a compensable injury in many jurisdictions, but there is considerable heterogeneity in the compensation arrangements that apply across jurisdictions, even within some countries. These compensation schemes have, however, been subject to a common set of interrelated concerns, chiefly concerning the incentives, behaviors, and outcomes that may arise when financial compensation for injuries is available to injured parties. This article provides a nontechnical overview of some of those concerns through the lens of economics: principally, insurance economics and health economics, including related subsets such as information economics and agency theory, as well as economics and the law. It notes that because it is generally infeasible to randomize the treatment (ie, compensation) via trials, analyses of observational data are necessary to discover more about the relationship between compensation and health outcomes. This poses the analytical challenge of discovering causal connections between phenomena from nonrandomized data sets. The present article calls for further research that would enable convincing causal interpretations of such relationships via the careful analysis of rich observational data sets using modern econometric methods. J Orthop Sports Phys Ther 2017;47(7):503-508. Epub 16 Jun 2017. doi:10.2519/jospt.2017.7533.
[Mh] Termos MeSH primário: Acidentes de Trânsito/economia
Pessoas com Deficiência/reabilitação
Seguro Saúde
Traumatismos em Chicotada/economia
Traumatismos em Chicotada/reabilitação
[Mh] Termos MeSH secundário: Compensação e Reparação/ética
Compensação e Reparação/legislação & jurisprudência
Avaliação da Deficiência
Pessoas com Deficiência/psicologia
Seres Humanos
Seguro Saúde/ética
Motivação
Traumatismos em Chicotada/diagnóstico
Traumatismos em Chicotada/psicologia
Indenização aos Trabalhadores
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170617
[St] Status:MEDLINE
[do] DOI:10.2519/jospt.2017.7533


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[PMID]:28533885
[Au] Autor:Omrane A; Kreim A; Henchi MA; Kammoun S; Bessadi L; Amri C; Khalfallh T; Bouzgarrou L
[Ad] Endereço:Département de Médecine de Travail et d'Ergonomie, Faculté de Médecine de Monastir, Monastir, Tunisie.
[Ti] Título:[Occupational asthma compensation in the Tunisian Center: cross-sectional study over a period of eight years].
[Ti] Título:Asthme professionnel indemnisé dans le centre tunisien: étude ransversale sur huit ans..
[So] Source:Pan Afr Med J;26:164, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: Our study aimed to highlight the epidemiological profile of patients compensated for occupational asthma in the Tunisian Center, to identify their professional characteristics and to determine compensation practices for this occupational disease. METHODS: We conducted an exhaustive retrospective study over a period of eight years. This case study included workers with occupational asthma diagnosed and compensated in the Tunisian Center by the only two medical commissions empowered to set rates for permanent partial disability caused by either a work-related injury or an occupational diseases in the seven central governorates. RESULTS: A total of 129 workers, with average age of 40.6 ± 7.75 years were compensated for occupational asthma during the study period. Sex ratio was 0.66. The most incriminated etiologic agents were vegetable dust pollution in the textile industry (75.2%), wood dust, flour and isocyanates. Nonspecific bronchial hyperreactivity was found in 38% of cases, a high rate of IgE in 14% of cases and positive skin prick test in 10.9% of cases. The average rate of permanent partial disability was 25.6 ± 14.2%. On the basis of the analytical study, this rate was related to patient's age and to the medical commission which had set this rate. CONCLUSION: This study of workers compensated for occupational asthma provides relevant data about epidemiological and clinical features of diagnosed patients and committee practices in particular, in term of application of the voluntary indicative scale, but it does not allow an assessment of the prevalence of this pathology which is often underestimated.
[Mh] Termos MeSH primário: Asma Ocupacional/epidemiologia
Exposição Ocupacional/efeitos adversos
Indenização aos Trabalhadores/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Asma Ocupacional/economia
Hiper-Reatividade Brônquica/epidemiologia
Estudos Transversais
Avaliação da Deficiência
Feminino
Seres Humanos
Masculino
Meia-Idade
Exposição Ocupacional/economia
Estudos Retrospectivos
Testes Cutâneos
Tunísia/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170613
[Lr] Data última revisão:
170613
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170524
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.164.11486



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