scholarly journals Levantamento de medidas de prevenção a doenças ocupacionais

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Erika Tamy Almeida Takeuti ◽  
Tânia Adas Saliba

O Cirurgião-Dentista está exposto à riscos ocupacionais em sua rotina profissional, que podem vir a causar danos em sua saúde, acidentes no ambiente de trabalho ou doenças ocupacionais, que vêm sendo retratadas na literatura desde o século XVIII. Os principais riscos estão relacionados a agentes biológicos, físicos, químicos, mecânicos e ergonômicos, que podem gerar escoliose, cifoescoliose e diversas Lesões por Esforço Repetitivo/Distúrbios Osteomusculares Relacionados ao Trabalho por meio de posturas inadequadas. O objetivo deste trabalho foi buscar na literatura científica os principais riscos aos quais o Cirurgião-Dentista se encontra exposto, analisar as medidas preventivas para que os profissionais da área possam ter mais conforto e segurança em um ambiente de trabalho e melhoria das condições. Concluímos que os Equipamentos de Proteção Individual (EPIs) são os melhores meios de evitar os riscos ocupacionais e, ao seguir rigorosamente todos os procedimentos destinados a manter a cadeia asséptica e promover a prática da ginástica laboral ao final do expediente, diminui os riscos laborais.Descritores: Odontologia; Doenças Profissionais; Contenção de Riscos Biológicos.ReferênciasGonçalves M, Oliveira M, Carvalho C. Riscos ocupacionais e agravos à saúde do trabalhador na prática odontológica. Rev CROMG. 2009;10(3):155-60.De Carli BMG, De Carli JP, Silva SO, Linden MSS, Trentin MS, Medeiros UV. Doenças ocupacionais com manifestações bucais. Odonto. 2012;20(40):49-55.Martins RJ, Garbin CAS, Garbin AJI, Prieto AKCP. Conhecimento e atitudes de profissionais da saúde frente à exposição ocupacional a material biológico. Cienc Trab. 2011;13(40):113-15.Oliveira LQ, Ferreira MBDC. Ergonomia na prática odontológica. J Oral Investig. 2017;6(1):15-28.Garbin AJÍ, Soares GB, Arcieri RM, Garbin CAS, Siqueira CE. Musculoskeletal disorders and perception of working conditions: a survey of brazilian dentists in São Paulo. Int J Occup Med Environ Health. 2017;30(3):367-77.Silva FAG, Miasato JM. Hepatites virais: um fator de risco na prática odontológica. Rev Bras Odontol. 2009;(7):23-7.Fernandez CS, Mello EB, Alencar MJS, Albrecht N. Conhecimento dos dentistas sobre contaminação das hepatites B e C na rotina odontológica. Rev Bras Odontol. 2013;  70(2):192-95.Arpone RM, Teixeira ACD, Sitolino CT, Parizi JLS, Nai GA. Riscos ocupacionais químicos no conhecimento de cirurgiões dentistas. Colloq Vitae. 2012;4(1):38-52.Garbin AJI, Wakayama B, Saliba NFF, Saliba TA, Garbin CAS. Ergonomia e desconforto físico: uma abordagem entre os acadêmicos em odontologia. Braz J Surg Clin Res. 2018; 21(1):29-32.Moura LKB, Moura MEB, Sousa CMM, Mesquita GV, Tapety FI, Araujo TME. O conhecimento cotidiano do risco ocupacional. Rev Interdiscip NOVAFAPI. 2011;4(3):31-7.Bragança DPP, Fernandes MM, Sassi C, Francesquini Júnior L, Daruge Júnior E. Condutas do Cirurgião-Dentista Frente a Acidentes Biológicos. Odonto. 2010;18(35):37-44.Orestes-Cardoso SM, Farias ABL, Pereira MRMG, Orestes-Cardoso AJ, Cunha Júnior IF. Acidentes perfurocortantes: prevalência e medidas profiláticas em alunos de odontologia. Rev Bras Saúde Ocup. 2009;34(119):6-14.Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services [published online ahead of print, 2020 Mar 16]. J Dent Sci. 2020;10.1016/j.jds.2020.02.002.Sabino-Silva R, Jardim ACG, Siqueira WL. Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis. Clin Oral Investig. 2020;24(4):1619-21.Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus Disease 19 (COVID-19): implications for clinical dental care. J Endod. 2020;46(5):584-95.Ministério do Trabalho e Emprego (BR). Norma Regulamentadora nº 9, de 8 de junho de 1978. NR7 Programa de Controle Médico de Saúde Ocupacional. Diário Oficial União 1978 jul. 8 [acesso: 2020 jan. 17]. Disponível em: http://www.trtsp.jus.br/geral/tribunal2/LEGIS/CLT/NRs/NR_9.htmlMiyada S, Garbin AJÍ, Gatto RCJ, Garbin CAS. Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil. Rev Soc Bras Med Trop. 2017;50(5):607-12.Garbin AJI, Garbin CAS, Diniz DG. Normas e diretrizes ergonômicas em odontologia: o caminho para a adoção de uma postura de trabalho saudável. Rev Odontol Univ Cid São Paulo. 2009;21(2):155–61.Santos RR, Garbin CAS, Saliba TA, Gatto RCJ, Garbin AJI. Incapacidade gerada pela dor osteomuscular em aluno de odontologia. Arch Health Invest. 2018;7(9):369-74.Yarid SD, Diniz DG, Orenha ES, Arcieri RM, Garbin AJI. Application of ergonomics principles in dental care. Interbio. 2009;3(2):11-7.Moraes PWT, Bastos AVB. As LER/DORT e os fatores psicossociais. Arq Bras Psicol. 2013;65(1):2-20.

2015 ◽  
Vol 29 (1) ◽  
Author(s):  
Danieli Cristina da SILVA ◽  
Alan Grupioni LOURENÇO ◽  
Ana Elisa Rodrigues Alves RIBEIRO ◽  
Alcyone Artioli MACHADO ◽  
Marilena Chinali KOMESU ◽  
...  

Author(s):  
Artênio Ísper Garbin ◽  
Gabriella Barreto Soares ◽  
Renato Moreira Arcieri ◽  
Cléa Adas Saliba Garbin ◽  
Carlos Siqueira

2019 ◽  
Vol 19 (4) ◽  
pp. 837-849
Author(s):  
Adriana de Araujo Pinho ◽  
Wilza Vieira Villela ◽  
Regina Maria Barbosa ◽  
Simone Souza Monteiro

Abstract Objectives: we investigated the lifetime prevalence of abortion and life contexts and reasons reported for first abortion among women living (WLHA) and not living with HIV/AIDS(WNLHA). Methods: representative samples of 975 users of public health care reference network for HIV/AIDS and of 1,003 users of the primary care public services in São Paulo municipality were selected by cluster-stratified sampling and answered an electronic socio-behavioral questionnaire. Results: the prevalence of abortion was 11.9% (CI95%9.8-13.9) among WLHA and 3.0% (CI95%2.4-5.7) for WNLHA.Most abortions (128) among WLHA occurred before diagnosis and 28 after diagnosis or during pregnancy when diagnosis was given. The majority of women did not use any contraception at the time of the first abortion. The use of misoprostol was the most reported method. Having HIV was very important in deciding to abort for half of the WLHA. Absence of marital life and the lack of desire to have children were the most reported reasons by both groups. Conclusions: the similarity in contexts and reasons to abort among WLHA and WNLHA suggests that they share experiences molded by gender and social inequalities that affect their ability to access sexual and reproductive health resources and services.


AIDS Care ◽  
2020 ◽  
Vol 33 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Thiago E. Sabino ◽  
Vivian I. Avelino-Silva ◽  
Clara Cavalcantte ◽  
Silvia P. Goulart ◽  
Olinda C. Luiz ◽  
...  

2017 ◽  
Vol 20 (6) ◽  
pp. 785-796
Author(s):  
Emílio Prado da Fonseca ◽  
Suelen Garcia Oliveira da Fonseca ◽  
Marcelo de Castro Meneghim

Abstract Objective: To investigate factors associated with the use of dental care services. Methods: A cross-sectional study with a representative sample of elderly individuals aged 65 years or older residing in the state of São Paulo in 2015 was performed. Hierarchical multivariate logistic regression analysis was used based on the theoretical model of access determination proposed by Andersen (1995) to predict dental care visits. Results: The prevalence of public service use by the elderly was 1.981 (37.8%), while 3.253 (62.2%) used the private service/ health plan/ other type of service. Hierarchical multiple analysis (p≤0.05) identified that less schooling or never having studied, non-white, lower income and motivated by pain/extraction were associated with the use of public dental services. The study showed a reduced use of public dental care among elderly persons who required some type of upper dentures (except complete dentures), need for some type of lower dentures (including complete dentures) and demonstrated a positive self-perception of oral health condition. Conclusions: A higher prevalence of the use of private dental care/health plan/other type of service was identified. Less schooling or never having studied, non-white skin color, lower income and seeking the dentist with pain or to extract teeth were factors associated with the use of public dental services by the elderly.


2013 ◽  
Vol 29 (11) ◽  
pp. 2197-2207 ◽  
Author(s):  
Thais Claudia Roma de Oliveira Konstantyner ◽  
Aline Medeiros da Silva ◽  
Luana Fiengo Tanaka ◽  
Heloísa Helena de Sousa Marques ◽  
Maria do Rosário Dias de Oliveira Latorre

In clinical practice, recurrence of thrush is common in children living with HIV/AIDS. The aim of this study was to determine the factors associated with time spent free of oral candidiasis using survival analysis for recurrent events. A retrospective cohort study was carried out with 287 children treated between 1985 and 2009 at a reference center in the city of São Paulo, Brazil. The Prentice, Williams and Peterson model for recurrent events was used for the investigation of factors associated with the time free of oral candidiasis. The following factors were associated with the time patients were free of oral candidiasis: moderate immunodepression (HR = 2.5; p = 0.005), severe immunodepression (HR = 3.5; p < 0.001), anemia (HR = 3.3; p < 0.001), malnutrition (HR = 2.6; p = 0.004), hospitalization (HR = 2.2; p < 0.001), monotherapy (HR = 0.5; p = 0.006), dual therapy (HR = 0.3; p < 0.001) and triple therapy/highly active antiretroviral therapy (HR = 0.1; p < 0.001). The method analyzed in the present study proved useful for the investigation of recurrent events in patients living with HIV/AIDS.


2001 ◽  
Vol 09 (04) ◽  
pp. 255-267
Author(s):  
E. MASSAD ◽  
F. A. B. COUTINHO ◽  
M. N. BURATTINI ◽  
L. F. LOPEZ

The devastating figures that recently emerged from a demographic study of the impact of HIV/AIDS in some African countries mark the return to the conditions of the XIXth century, when high birth rates were neutralized by equally high death rates. In the State of São Paulo, Brazil, AIDS is the second cause of death among men aged twenty to forty nine years and the first cause of death of women in the same age class. In this work we propose a mathematical treatment to evaluate the impact of AIDS mortality on the age structure of an affected population, namely, that of the state of São Paulo, Brazil. We propose four indicators for the estimation of the impact of AIDS mortality. The first is the age-dependent differences in ten years survival probabilities attributable to AIDS. The second is the difference in the average age of survivors after 10 years of AIDS. The next is the conventional life expectancy at birth for children born in 1996 and with AIDS prevalence assumed at its maximum value and remaining in steady-state afterwards. Finally, we calculate the differences in the life expectancy of individuals considering the effect of AIDS for only ten years. We found that, in the period between 1987 and 1996 the effects were small but very interesting. However, projecting to the future the conditions of 1996, we calculate that the population of the state of São Paulo would lose 3 years in the average life expectancy at birth.


2003 ◽  
Vol 17 (2) ◽  
pp. 85-93 ◽  
Author(s):  
Aluisio Cotrim Segurado ◽  
Shirlei Duarte Miranda ◽  
Maria-Do-Rosário Dias Oliveira Latorre

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