scholarly journals Aspects of work and sleep associated with work ability in regular aviation pilots

2019 ◽  
Vol 53 ◽  
pp. 16
Author(s):  
Pollyanna Pellegrino ◽  
Elaine Cristina Marqueze

OBJECTIVE: Analyze the association of work organization and sleep aspects with work ability in regular aviation pilots. METHODS: This is a cross-sectional epidemiological study with 1,234 regular aviation pilots who worked domestic and international flights, affiliated with the Brazilian Association of Civil Aviation Pilots. Data collection employed online questionnaire. We compared proportions using Pearson’s Chi-squared or Fisher’s exact hypothesis tests. Then, we conducted Poisson analysis, with robust variance, to test factors associated with moderate or low work ability. RESULTS: The prevalence of moderate or low work ability was 43.3%. We found that selfperception of insufficient sleep (PR = 1.29; 95%CI 1.06–1.57), increased perception for fatigue (PR = 1.51; 95%CI 1.24–1.84), more than 65 flight hours per month (PR = 1.22; 95%CI 1.01–1.46), less than 10 days of time off per month (PR = 1.27; 95%CI 1.04–1.55), and frequent operational delays (PR = 1.23; 95%CI 1.02–1.48) were factors associated with moderate or low work ability. CONCLUSIONS: Work organization was a determining factor for decreased work ability, especially concerning aspects related to rest and its influence on the sleep of pilots.

2021 ◽  
Vol 8 ◽  
Author(s):  
Ameerah M. N. Qattan ◽  
Noor Alshareef ◽  
Omar Alsharqi ◽  
Naseem Al Rahahleh ◽  
Gowokani Chijere Chirwa ◽  
...  

Objective: This study aims to determine the acceptability of a COVID-19 vaccine among healthcare workers in Saudi Arabia and the factors affecting their intention to accept the vaccine.Methods: The study used data from an online cross-sectional survey that was conducted in Saudi Arabia between 8 December 2020 and 14 December 2020. This study employed bivariate and multivariable regression analyses. The bivariate was used to describe and tabulate the frequency of all the variables, including the sociodemographic characteristics, the risk perception and the acceptance of the COVID-19 vaccination and a chi-squared test of independence was calculated. Multivariable logistic regression models were employed to examine and identify the factors associated with an intention to have the COVID-19 vaccination and the factors associated with its immediate acceptance.Results: Of the total of 736 healthcare workers who began the online questionnaire, 673 completed it (a 91.44% completion rate). Among the study participants, 50.52% were willing to have the COVID-19 vaccine, of which 49.71% intended to have the vaccine as soon as it becomes available in the country, while 50.29% would delay until the vaccine's safety is confirmed. Being a male healthcare worker, perceiving a high risk of infection, and believing that the COVID-19 vaccine should be compulsory for all citizens and residents in the country increased the probability of intention to vaccinate against COVID-19 and the probability of accepting the COVID-19 vaccination as soon as possible.Conclusion: This study calls for more health-related education among healthcare workers to alleviate any fears that might be associated with the COVID-19 vaccine.


Author(s):  
Abdullah Nimer ◽  
Suzan Naser ◽  
Nesrin Sultan ◽  
Rawand Said Alasad ◽  
Alexander Rabadi ◽  
...  

Burnout syndrome is common among healthcare professions, including resident physicians. We aimed to assess the prevalence of burnout among resident physicians in Jordan, and a secondary aim was to evaluate the risk factors associated with the development of burnout syndrome in those residents, including gender, working hours, psychological distress, training sector, and specialty. In this cross-sectional study, 481 residents were recruited utilizing multistage stratified sampling to represent the four major health sectors in Jordan. Data were collected using an online questionnaire, where the Copenhagen Burnout Inventory (CBI) was used to assess the prevalence of burnout. The prevalence, group differences, and predictors of burnout were statistically analyzed using STATA 15. Overall, 373 (77.5%) residents were found to have burnout. Factors associated with higher levels of burnout were psychological stress (β = 2.34, CI = [1.88–2.81]), longer working hours (β = 4.07, CI = [0.52–7.62], for 51–75 h a week, β = 7.27, CI = [2.86–11.69], for 76–100 h a week and β = 7.27, CI = [0.06–14.49], for >100 h a week), and obstetrics/gynecology residents (β = 9.66, CI = [3.59–15.73]). Conversely, medical sub-specialty residents, as well as private and university hospital residents, had lower burnout levels. We concluded that decreasing the workload on residents, offering psychological counseling, and promoting a safety culture for residents might help in mitigating burnout consequences.


Author(s):  
Evgeny V. Zibarev ◽  
Igor V. Bukhtiyarov ◽  
Elena A. Valtseva ◽  
Andrej V. Tokarev

Introduction. An essential feature of the professional activity of pilots of civil aviation aircraft is the high intensity of work due to pronounced emotional, intellectual, and sensory loads, unique work modes. The study aims to assess the intensity of work and the prevalence of factors affecting fatigue among civil aviation pilots according to an anonymous online questionnaire. Materials and methods. Experts surveyed 667 members of the flight crews in remote anonymous online questioning. We developed the questionnaires under the criteria for assessing the intensity of work, assessing the risk factors for fatigue development according to the ICAO recommendations, and analyzing the pilot's activity algorithm. The researchers used descriptive statistical methods to analyze the survey data. Results. The working conditions of pilots according to 7 indicators of tension correspond to class 3.2: a high level of intellectual loads (72-100% of pilots), a large number of overlapping time zones (18%), the maximum duration of concentrated observation (70.7%), a high density of signals and messages (29.9%), a significant number of objects of simultaneous observation (18.9%), a high degree of risk to one's own life and responsibility for the safety of others (98%), as well as a rough working day (79%). According to the totality of indicators, the general class of labor intensity corresponds to the highest degree (class 3.3). The factors affecting the fatigue of pilots include rare rest between flights (44.6% of respondents), intermittent sleep (59.9%), not always a full sleep before the night flight shift (85.9%). According to the survey results, the share of pilots who have spontaneous sleep during the flight is 74.3%, and frequently delayed reaction to usual, non - standard, or extreme stimuli and signals is 12.3%. Conclusions. The obtained data of the questionnaire survey confirm the results of psychophysiological studies that have shown that the level of the labor intensity of pilots is "super-intense or extreme." Therefore, considering the prevalence of factors affecting fatigue among the crew members, and based on the understanding of the fundamental problems noted by the pilots, it is necessary to develop measures and management solutions to minimize the risk factors for fatigue development.


Author(s):  
Pierre M. Tebeu ◽  
Aurelien Kamdem ◽  
Jean P. Ngou-Mve-Ngou ◽  
Esther Meka ◽  
Jesse S. S. Antaon ◽  
...  

Background: Surgical site infection is the invasion by microorganisms of the tissue layers affected by the surgical procedure. Maternal morbidity from infections has been shown to be higher after caesarean section compared to the vaginal delivery. Objective of the research was to analyze the risk factors associated with surgical site infections after caesarean section.Methods: This was a cross sectional (affected/non affected) study approved by the institutional committee for ethics and research of the faculty of medicine and biomedical sciences. A total of 310 medical files were assessed, 62 files from patients with surgical site infections and 248 files from patients without any complications. The data was collected using a pretested questionnaire and analyzed using the statistical package for the social sciences (SPSS) software version 22.0. The Chi squared and the Fisher exact tests were used to assess homogeneity between the 2 groups. Odd ratio 95% confidence interval was used to assess the association between the variables.Results: The proportion of surgical site infections during the study was 1.81%. Factors associated with surgical site infections were premature rupture of membranes (OR: 2.065; 95% CI 1.051-4.05; p=0.035); the vertical midline incision (OR=5.26; 95% CI; 1.41-19.57; p=0.013) and a operation by a resident physician doctor (OR=1.98; 95% CI 1.09-3.59; p=0.02).Conclusions: A factors associated with surgical site infections after caesarean section are a premature rupture of membranes, vertical midline incision and the qualification of the practitioner.


2014 ◽  
Vol 22 (6) ◽  
pp. 950-958 ◽  
Author(s):  
Sonia Regina da Costa Lapischies ◽  
Vanda Maria da Rosa Jardim ◽  
Luciane Prado Kantorski

OBJECTIVES: to analyze the prevalence of satisfaction at work and identify associated factors in Psychosocial Care Centers.METHOD: cross-sectional study involving 546 workers from 40 Psychosocial Care Centers in the South of Brazil. The satisfaction was identified based on the Assessment Scale of Satisfaction in the Mental Health Team and a logistic regression model was used for the adjusted data analysis.RESULTS: the prevalence of satisfaction at work corresponded to 66.4%. Factors directly associated with satisfaction: higher-level function (except physicians and psychologists), work time of six months or less, making a larger number of home visits, good supervision by the team, possibility to make collective choices and take courses.CONCLUSIONS: the satisfaction is associated with the work organization and conditions and demonstrates the need to invest in team supervisions, in process that democratize the services and in the workers' training.


Medicina ◽  
2019 ◽  
Vol 55 (8) ◽  
pp. 474
Author(s):  
Maria Misrelma Moura Bessa ◽  
Jefferson Drezett ◽  
Fernando Adami ◽  
Sandra Dircinha Teixeira de Araújo ◽  
Italla Maria Pinheiro Bezerra ◽  
...  

Background and Objectives: In pregnancies resulting from incest, the adolescent maintains close family and emotional relations with the aggressor, different from what occurs when pregnancy results from sexual violence by strangers. Evidence indicates that this type of relationship with the aggressor may interfere in the dynamics of such violence and the adolescent’s access to health services. Materials and Methods: The objective of this research was to describe and correlate aspects associated with pregnancy when resulting from rape of adolescents in situations of incest; rape when perpetrated by an unknown aggressor and an abortion as allowed by law was sought. Method: A cross-sectional, epidemiological study of adolescents treated at the Pérola Byington Hospital, São Paulo, Brazil, bringing an allegation of pregnancy, resulting from sexual violence and a request for abortion as allowed by law. A total of 311 adolescents, being 134 in the “pregnancy from incest group”, and 174 in the group “pregnancies resulting from rape by a stranger” were considered under the study variables; relationships were investigated using the chi-squared test and Poisson regression with robust variance. Results: The study included 137 cases (44.1%) of pregnancy resulting from incest, and 174 cases (55.9%) of pregnancy from rape by a stranger. In cases of incest, a declaration of religion (92.0%) was significantly more frequent, and the adolescents were approached in spaces considered safe or private (92.7%); the aggressor taking advantage of the adolescent’s legal condition of vulnerability as a function of age (83.3%). Cases of incest presented a lower median adolescent age and greater gestational development, with gestations being ≥ 13 weeks prevailing. Conclusion: Cases of pregnancy by incest presented indicators suggesting both proximity and relationship with the aggressor, and pregnancy at a very early age, which postponed the adolescent’s procurement of health service, and interfered negatively with abortion assistance as allowed by law.


2016 ◽  
Vol 40 (1) ◽  
pp. 88-93 ◽  
Author(s):  
Carlos Alberto Feldens ◽  
Renata Prestes Martins ◽  
Renata Rocha Maciel ◽  
Fabiana Vargas-Ferreira ◽  
Paulo Floriani Kramer

Objective: The aim of the present study was to identify factors associated with the occurrence of distoclusion among preschool children in southern Brazil. Study Design: A cross-sectional study was carried out with a sample of 1026 children aged two to five years enrolled at public preschools in the city of Canoas, Southern Brazil. Interviews were held with parents/caregivers to acquire demographic, socioeconomic and behavioral data. Six examiners who had undergone a training and calibration exercise performed the oral examinations. Distoclusion was recorded when the cusp of the maxillary canine was in an anterior relation to the distal surface of the mandibular canine during centric occlusion. Statistical analysis involved simple and multivariate Poisson regression with robust variance. Results: The prevalence of distoclusion was 36.5% (375/1026). This condition was more frequent in younger children, those classified as white or brown, those who were breastfed for a shorter period of time, those who used a pacifier and those who were bottle fed. The multivariate analysis demonstrated that the likelihood of exhibiting distoclusion was greater among two-year-olds (P=0.038), three-year-olds (P=0.023), those classified as white (P=0.016), those who used a pacifier (P<0.001) and those who used to use a pacifier (P<0.001). Conclusion: Counseling with regard to the duration of pacifier use could contribute toward reducing the prevalence of distoclusion and its consequences in preschool children.


2020 ◽  
Vol 26 (3) ◽  
pp. 215-219 ◽  
Author(s):  
Maria Eduarda Ferreira Costa ◽  
Jader Barbosa Fonseca ◽  
Ana Izabela Sobral de Oliveira ◽  
Kryslly Danielle de Amorim Cabral ◽  
Maria das Graças Rodrigues de Araújo ◽  
...  

ABSTRACT Introduction The increased number of people who choose running as a form of exercise has been associated with a higher prevalence of musculoskeletal injuries. Objectives To determine the prevalence and the factors that could be correlated with injuries among amateur runners in Recife, in the State of Pernambuco (PE), Brazil. Methods An observational, cross-sectional study, in which 300 (three hundred) amateur runners answered a social demographic questionnaire, as well as questions about training characteristics, footstrike and landing pattern, and history of running injuries. The data were analyzed by descriptive statistics, the student-t test to compare means, and the Chi-squared to compare prevalences. Results The prevalence of injuries amongst runners in Recife-PE was 58.5% (n= 175), the knee being the most commonly injured site (37.3%). In both groups - runners with and without injuries – there was a higher number of male runners, with 72.4% and 72.6% respectively. There was no difference in relation to the weekly frequency of running between the groups (p<0.63). However, runners with a history of injuries ran around 7 kmh a week more than the runners without injuries (p<0.03). A neutral footstrike (F=0.87; p=0.99) and hindfoot landing (F=4.13; p=0.90) were the most reported running patterns in both groups. It was found that wear was the main criterion used for changing running shoes in both groups (F = 8.35, p = 0.4). Conclusion There was a high prevalence of musculoskeletal injuries among amateur runners in Recife-PE. Among the factors associated with the injuries, one variable was significant: a higher weekly volume of training. Level of evidence II; Study type: Cross-sectional study.


Author(s):  
Brian Loloji ◽  
Foster Munsanje ◽  
Titus Haakonde ◽  
Mwanamwaka Samanyama

Background: Shisha smoking in Zambia, referring to the way of smoking tobacco in which the vapor passes through water before inhalation, is seen as a new practice, especially among youths of 18 to 25 age group. Factors associated with this practice have not yet been established. This study aimed at assessing the factors associated with shisha smoking among students at Evelyn Hone College.Methods: A cross-sectional study was conducted on 347 Evelyn Hone College students selected using convenience sampling method. Data collection was by pre-tested semi-structured questionnaires. Chi-squared statistical tests were used to determine the association between the independent variables, which were demographic, social, environmental, cultural and personal factors, and the dependent variable being shisha smoking using SPSS version 18.Results: The study revealed that shisha smoking was significantly associated with age of the smoker, level of income, peer pressure and knowledge levels of the smokers on adverse effects associated with shisha smoking. These relationships were determined by the logistical regression output which showed that age [OR=1.802 (1.152-2.818), p<0.05)], friends smoke cigarette/shisha [(OR=4.417 (1.760-11.086), p<0.05)], monthly allowance/income [(OR=0.663 (0.456-0.965), p<0.05)] and perceived risk [(OR=0.084 (0.046-0.154), p<0.05)] which all showed significant association with shisha smoking.Conclusions: Interventions to reduce or quit shisha smoking among students need to have extended policies that apply to cigarette smoking. Additionally, health education campaigns against shisha smoking should as well be packaged in the anti-smoking messages targeting the youths.


2021 ◽  
Vol 30 ◽  
Author(s):  
Luciane Prado Kantorski ◽  
Michele Mandagará de Oliveira ◽  
Carlos Alberto dos Santos Treichel ◽  
Poliana Farias Alves ◽  
Duilia Sedrês Carvalho Lemos ◽  
...  

ABSTRACT Objective: to identify the occurrence of the factors associated with: (1) suspected infection by the virus that causes COVID-19; (2) absenteeism at work due to suspected infection or diagnosis of infection by the virus that causes COVID-19; and (3) performance of tests for the screening of infection by the virus that causes COVID-19 among Nursing professionals. Method: a cross-sectional study conducted with 890 nurses in June and July 2020. The associations between the outcomes and the other variables were explored using Poisson regression models with robust variance estimators. Results: occurrence of the outcomes was (1) 35.5%, (2) 16.2% and (3) 38.2%, respectively. For suspected infection, associations were observed with assessment of the working conditions as deficient (RR: 1.55; 95% CI: 1.21-1.99) and with lack of Personal Protective Equipment (RR: 1.27; 95% CI: 1.06-1.51). Absenteeism at work was associated with the adoption of moderate social distancing (RR: 1.49; 95% CI: 1.00-2.21). To perform the screening tests, the associations with links to outpatient (RR: 2.47; 95% CI: 1.52-4.01) and hospital (RR: 2.49; 95% CI: 1.60-3.89) services stood out, in addition to direct contact with patients with confirmed COVID-19 diagnoses (RR: 1.65; 95% CI: 1.33-2.05). Conclusion: despite the high occurrence of suspected infection and a considerable incidence of absenteeism at work among professionals from the various services under study, disparity in access to the screening tests was evidenced, especially with regard to the professionals who work in Primary Care.


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