scholarly journals Danos Ocupacionais associados ao Crómio, com ênfase no setor da Conservação e Restauro de Obras de Arte

2020 ◽  
Vol 10 ◽  
pp. 1-16
Author(s):  
Mónica Santos ◽  
Armando Almeida
Keyword(s):  
Occupational Health ◽  
Biological Evaluation ◽  
Work Environments ◽  
Protection Measures ◽  
Medical Settings ◽  
Cochrane Database ◽  
Central Register ◽  
Restoration Work ◽  
Individual Protection ◽  
Academic Search

Introduction and Objective The Conservation and Restoration sector has not yet been fully or comprehensively addressed by Occupational Health, so there are several knowledge gaps. The authors aimed to collect and summarize all the information they found on the topic. The main risks associated with Chromium are spread across a variety of medical settings (albeit with different consensos) on cardiovascular, nephrological, hepatic, oncological, dermatological, otorhinolaryngological, pneumological, ophthalmic and haematological pathology. Methodology A survey was conducted in January 2019, considering Scopus search engines; PubMed / MedLine; Web of Science; Science Direct; Academic Search Complete; CINALH; Database of Abstracts and Reviews; Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; Nursing and Allied Health Collection; MedicLatina and RCAAP. Content / Results and Discussion No documents were found mentioning details concerning Chromium toxicity in this sector. For other professional areas information was scarce. Workers in the glass industry may also be exposed as well as in metallurgy/ welding and the chemical industry. Limitations The authors made efforts to try to make their research exhaustive but, once completed, they realised that they did not find relevant data on Chromium dosing in Conservation and Restoration work environments, nor an indication of which techniques can be used and which are the preferred ones, including biological evaluation. No articles were found describing collective or individual protection measures, even in a generic way. Conclusions Concrete and serious harms associated with Chromium have long been known. However, the Conservation and Restoration sector is still very little studied in the context of Occupational Health and the risks of eventual contact with this agent are no exception. It would be very pertinent to have motivated teams to study this sector and to address some of the limitations not developed in the international literature.

scholarly journals Danos Ocupacionais associados ao Cádmio, com ênfase no setor da Conservação e Restauro de Obras de Arte

2020 ◽  
Vol 10 ◽  
pp. 1-20
Author(s):  
Mónica Santos ◽  
Armando Almeida
Keyword(s):  
Occupational Health ◽  
Cadmium Sulphide ◽  
Protection Measures ◽  
Cochrane Database ◽  
Central Register ◽  
Starting Point ◽  
Individual Protection ◽  
Eighteenth And Nineteenth Centuries ◽  
Yellow Pigments ◽  
The 19Th Century

Introduction and objective The authors aimed to collect and summarize all the information they found on the subject, as a starting point for other projects that are considered pertinent in the context of the occupational health of these professionals. The main risks associated with Cadmium are distributed through diverse medical contexts (although with different consensos) in neurology, cardiovascular system, reproduction/ obstetrics, pediatrics, nephrology, oncology, pulmonology, ophthalmology, gastrointestinal tract, endocrinology and orthopedics/ rheumatology. Methodology This scoping review used search engines as PubMed; Web of Science; Science Direct; Academic Search Complete; CINALH; MedLine; Database of Abstracts and Reviews; Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; Nursing and Allied Health Collection; MedicLatina and RCAAP. Content or Results In this professional context, one document was found mentioning that in the eighteenth and nineteenth centuries pigments associated with cadmium, although toxic, but still used today, were discovered; the most relevant are (in frequency and toxicity) yellow and red cadmium, used since 1820 and 1910, respectively. Another article emphasized that during the 19th century yellow pigments were created with cadmium sulphide, and this color also depended on the addition of elements such as zinc, selenium and barium. Discussion There is so little bibliography on Cadmium’s medical risks in Conservators-Restorers that the authors have chosen to include in this section some data regarding other professionals who may also contact with this agent. Among these, the artists who elaborate (or have elaborated in the past) works of art with pigments with Cadmium, may be the most adequate, although also on these the bibliography is very reduced. It is believed that famous painters were exposed, namely Rubens, Renoir, Duffy and Klee. Limitations The authors made efforts to make their research exhaustive but, once completed, they realized that they did not find relevant data on Cadmium dosing in Conservation and Restoration workplaces in general, nor did they indicate which techniques may be used or which are preferable, such as biological monitoring. No evaluation of the associated risk was found for this professionals. Collective or individual protection measures were not mentioned in the bibliography consulted (even in generic terms, let alone specifying models and/ or materials). Conclusions It has long been known that concrete and serious harm is associated with Cadmium. However, the Conservation and Restoration sector is still very little studied in the context of Occupational Health and the risks of eventual contact with Cadmium are no exception. It would be very pertinent to have motivated teams to study this sector and to fill some of the limitations found, not developed in the international literature.

Tatuadores: principais Fatores de Risco e Riscos Laborais, Doenças Profissionais associadas e Medidas de Proteção recomendadas

2020 ◽  
Vol 10 ◽  
pp. 1-58
Author(s):  
Mónica Santos
Keyword(s):  
Risk Factors ◽  
Full Text ◽  
Cochrane Central Register ◽  
Protection Measures ◽  
Implementation Phase ◽  
Occupational Risks ◽  
Cochrane Database ◽  
Central Register ◽  
Safe Work ◽  
Individual Protection

Introduction/ objectives Over the last few decades getting tattoos has been progressively better accepted by society in most countries; thus, the number of establishments and professionals in the area has also increased. However, since it is a recent activity and with heterogeneous norms/ licensing, these individuals often escape the evaluation by Occupational Health. The literature on this subject is scarce. This review was intended to characterize the profession of tattoo artist with regard to: vocational training; main risk factors/ occupational risks; more prevalent semiology and associated major diseases; work accidents; collective/ individual protection measures adopted and associated legislation. Methodology This is a Scoping Review, initiated through a survey conducted in April 2019 in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: Comprehensive, MedicLatina, Academic Search Ultimate, Science Direct, Web of Science, SCOPUS and RCAAP. Content In most countries, a person can work in the area without having specific qualifications; the products can be purchased via internet and the rules for opening the establishment vary locally. Given the absence of norms that parameterize the necessary qualifications to exercise, the same happens in the process of teaching in this sector. The main occupational risks/ risk factors are the quimical and biological agents, vibrations, noise, forced/ maintained postures, repetitive movements, visual effort, handling needles and sharps and prolonged shifts. Musculoskeletal semiology is very prevalent. Discussion / Conclusions / Limitations / Projects for the Future The risk factors are very similar to other professional sectors, such as dental medicine, which has already been studied in detail. Most of the few published documents on Tattoo Artists have a simplistic methodology and the samples are small. In addition, the absence of uniform labor standards and licensing undermines safe work. It would be very important that these arise and be progressively perfected. In a post-implementation phase, it would be desirable to have an institution with the capacity and authority to monitor compliance and to require the correction of identified problems. Similarly, it would also be interesting if the education process were also formalized and compulsory, perhaps starting at a technical level and evolving (if the progression of the sector allows or requires), to other degree.

scholarly journals Occupational health in the framework of the COVID-19 pandemic: a scoping review

2020 ◽  
Vol 22 (3) ◽  
pp. 1-8
Author(s):  
Luis Carlos Betancourt Sanchez ◽  
Edwin Omar Ochoa Gelvez ◽  
Claudia Carolina Velásquez Bernal ◽  
Yenny Andrea Rozo Silva ◽  
Daniel Arturo Quiroga Vargas
Keyword(s):  
Occupational Health ◽  
Scoping Review ◽  
Health Workers ◽  
Work Organization ◽  
Personal Protection Equipment ◽  
Protection Measures ◽  
The Face ◽  
Search And Selection ◽  
Academic Search

Objective To collect the available evidence related to occupational health in the face of the introduction of the new SARS-CoV-2 coronavirus pandemic.Methods Scoping review developed from the Arksey and O'Malley framework. The search was performed in the databases PubMed, Academic Search Complete, Science Direct, Medline, Scopus, Web of Science and Google Scholar. Documents on COVID-19 and its relationship with occupational health published in English, Portuguese and Spanish were included. The review, selection and characterization of the studies was carried out by five reviewers.Results The search and selection identified 43 documents published between December 2019 and April 2020. The topics covered include occupational exposure, protection measures, psychosocial affectations of workers, particularly health, as well as conditions of work organization that can influence contagion.Conclusions Health workers are the most exposed workforce. Accompaniment, coaching and training in relation to patient care and the use of personal protection equipment are essential to reduce contagion among health personnel. In other work activities, social distancing is the standard measure for the mitigation of transmission, as well as the continuous disinfection of workplaces.

scholarly journals Vibrações, Ruído e Hipoacusia: associação fisiopatológica ou não?

2020 ◽  
Vol 9 ◽  
pp. S137-S148
Author(s):  
Mónica Santos ◽  
Armando Almeida ◽  
Catarina Lopes ◽  
Tiago Oliveira
Keyword(s):  
Risk Factors ◽  
Occupational Health ◽  
Bone Conduction ◽  
Health And Safety ◽  
Occupational Risk ◽  
Cochrane Central Register ◽  
Occupational Risk Factors ◽  
Cochrane Database ◽  
Central Register ◽  
Sympathetic Vasoconstriction

Introduction / framework / objectives Vibrations and noise are two reasonably prevalent occupational risk factors and, in many situations, present together. If a pathophysiological association between them is real, it will be very relevant to verify this, in order to readjust, if necessary, the vibration and noise limits considered safe. Methodology This is an Scoping Review, initiated by a September 2019 survey of the “Cochrane Central Register of Controlled Trials databases, CINALH plus with full text, Database of Abstracts of Reviews of Effects, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: Comprehensive, MedicLatina, Academic Search Ultimate, Science Direct, SCOPUS and RCAAP.” Content Some researchers have quantified higher hearing losses in workers simultaneously exposed to noise and vibrations; however, workers exposed to vibration from work instruments are generally also exposed to higher levels of noise. If there is a pathophysiological link between these two occupational risk factors, it is believed that this may be related to the theory of sympathetic vasoconstriction (observed in white-finger syndrome) and may also damage the cochlea, producing ischemic damage to the hair cells. Another hypothesis points out that some work tools may give rise to vibrations that can reach the inner ear directly, through bone conduction (especially at the temporal level). Conclusions Most of the studies consulted did not have a very robust methodology that allows a rigorous evaluation of whether the most intense hypoacusis in individuals simultaneously exposed to vibration results from a true pathophysiological association, or if it is only a statistical bias. It would be interesting for occupational health teams to investigate on clients with workers simultaneously exposed to these two risk factors (and, if possible, with combinations of different intensities), in order to produce knowledge capable of enhancing occupational health and safety.

Métodos para detetar o Risco de surgirem Lesões Músculo-Esqueléticas relacionadas com o Trabalho- sabemos o suficiente?

2020 ◽  
Vol 10 ◽  
pp. 1-66
Author(s):  
Mónica Santos
Keyword(s):  
Occupational Health ◽  
Full Text ◽  
Direct Methods ◽  
Practical Experience ◽  
Cochrane Central Register ◽  
Self Assessment ◽  
Work Related ◽  
Cochrane Database ◽  
Central Register ◽  
Almost All

Introduction / background / objectives Work-related Musculoskeletal Injuries are prevalent and relevant. There are several methods for detecting risk, depending on the tasks performed. However, not all professionals working in the Occupational Health teams have well-structured knowledge or practical experience in most of these methods. Methodology It is a Review, initiated through a survey conducted in April 2020, in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP ”. Content There are several categories of methods for assessing the risk of Musculoskeletal Lesions Related to Work. For that we have, in a very synthetic way, the self-assessment questionnaires (completed by the workers), the observational methods (more or less complex) and the direct methods. This work describes in detail OWAS, RULA, REBA, NIOSH Equation and Strain Index. Conclusions Articles are easily found in indexed databases that mention that they used them, but due to the limitations imposed by most journals in view of the size of the document, almost all authors only mention the name of the method they used and, at most, make a description very synthetic of it. In turn, in some Master’s or Doctoral Theses (where this problem does not exist), a more detailed methodological description can be found, but even so, it is not always possible to understand in practice how to use all methods or we find discreetly different versions, result of adaptations or a mixture of methods, carried out over the decades. Any professional on an Occupational Health Team will have a reasonable sense of what are the most damaging tasks; however, presenting this evidence, attenuating subjectivity and making use of the hierarchy that mathematical scales can offer, makes evaluations more scientific, rigorous and easier to be accepted as valid by the Employer/ Representatives/ Workers and, consequently, increase the receptivity to proposed measures to mitigate/ correct the problem and reassess it after this phase. It would be desirable for all professionals in the field to have at least a generic idea of ​​the existing methods and to know where they can go to obtain more information, in order to execute these techniques, if necessary.

scholarly journals Ruído: Medidas de Proteção Coletivas e Individuais

2020 ◽  
Vol 9 ◽  
pp. S82-S90
Author(s):  
Mónica Santos ◽  
Armando Almeida ◽  
Catarina Lopes ◽  
Tiago Oliveira
Keyword(s):  
Occupational Health ◽  
Full Text ◽  
Noise Exposure ◽  
Structure Design ◽  
Protective Equipment ◽  
Cochrane Central Register ◽  
Protective Measures ◽  
Protection Measures ◽  
Occupational Risk Factor ◽  
Cochrane Database

Introduction / framework / objectives Noise is an occupational risk factor extensively addressed in the Occupational Health literature. However, its pathophysiological consequences have traditionally been emphasized, sometimes neglecting more detailed explanations concerning personal protective equipment and collective protective measures. Methodology This is a Scoping Review, initiated by a September 2019 search of the databases “CINALH plus with full text, Medline with full text, Cochrane Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: Comprehensive, Academic Search Ultimate, Science Direct, SCOPUS and RCAAP.” Content There are several collective protection measures (at the workspace structure/ design and use of various materials/ devices) that are able to attenuate noise exposure. When exceeding the lower exposure value (80 decibels) the employer must provide hearing protection; if the upper exposure value (85 decibels) is reached or exceeded its use is required (after prior enhancement of collective protective measures). However, workers and their representatives have to be consulted to choose the model. In selecting the latter, account should be taken of European Community certification, appropriate attenuation, compatibility with tasks and other protective equipment used simultaneously; as well as the physical condition of the worker, acceptability and comfort that it will generate. The effectiveness of these will depend on time of use, correct utilization, shape/ size, fit to the ear, pressure (head and/ or ear), resistance to extreme temperatures and material. Conclusions Occupational health team professionals generally need up-to-date information on individual and collective protection measures to mitigate the effects of noise in the workplace. The bibliography (in indexed databases) on these two themes is not very abundant and / or easily accessible. However, these measures, well used, can attenuate noise, promoting safer and healthier work. It would be pertinent for Occupational Health teams who deal with clients with different noise levels, to investigate which of these techniques are most appropriate to each situation and how employees adhere better to the process and perform their part more effectively.

scholarly journals Occupational Health and Safety Standards of Foreign Seasonal Farm Workers: Evaluation of Personal Protection Measures, Policies and Practices

2020 ◽  
Author(s):  
Swarna Weerasinghe
Keyword(s):  
Occupational Health ◽  
Agricultural Sector ◽  
Health And Safety ◽  
Occupational Health And Safety ◽  
Farm Workers ◽  
Agricultural Workers ◽  
Protection Measures ◽  
Safety Standards ◽  
Seasonal Farm Workers ◽  
Policies And Practices

Health and safety standards are paramount to all agricultural workers and more so to the foreign seasonal farm workers. European, North American and Oceanic agricultural sector heavily depends on the foreign workers migrating temporarily to carryout seasonal agricultural work that are not attractive to local citizens. The aim of this chapter is to critically analyze existing workplace health and safety measures, policies and practices of Foreign agricultural workers with a secondary focus on Canadian public health standards that applies to COVID-19 pandemic control and beyond. During the pandemic, many countries opened international labour migration as a measure of economic recovery. Recent news media reported two Caribbean workers in the Canadian Agricultural sector, had died of COVID-19 complications. The basis of this chapter is the research based evidence that the author carried out on occupational health and safety standards of the population of foreign seasonal farm workers using a multi-method data collection: a scoping review of existing standards, policies and practices and personal interviews with seasonal agricultural workers and their employers. This chapter provides a critical analysis of data from multiple sources and from multiple jurisdictions to uncover gaps and malpractices of existing occupational health and safety practice standards for illness and injury prevention of foreign seasonal farm workers.

scholarly journals Análise da Revisão Cochrane: Alta Hospitalar Precoce para Hospitalização Domiciliária. Cochrane Database Syst Rev. 2017;6:CD000356.

2017 ◽  
Vol 30 (12) ◽  
pp. 835
Author(s):  
Mariana Alves ◽  
Miguel Bigotte Vieira ◽  
João Costa ◽  
António Vaz Carneiro
Keyword(s):  
Systematic Review ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Care Group ◽  
Cochrane Central Register ◽  
Cochrane Database ◽  
Central Register ◽  
Objective Evidence ◽  
Hospital At Home ◽  
At Home

Hospital at home is a service that provides active treatment by healthcare professionals in the patient’s home for a condition that otherwise would require acute hospital in-patient care. However, the clinical benefit of this intervention and its effect on health costs are not established. This Cochrane systematic review aimed to assess the effectiveness and costs of managing patients with hospital at home compared with inpatient hospital care. A systematic review of the literature was carried out by searching the following databases to 9 January 2017: Cochrane Effective Practice and Organization of Care Group (EPOC) register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, EconLit and clinical trials registries. Thirty-two randomized trials (2 of which unpublished), including 4746 patients, were included. The present review provides insufficient objective evidence of economic benefit (through a reduction in hospital length of stay) or improved health outcomes.

scholarly journals Serum bilirubin and ischaemic stroke: a review of literature

2020 ◽  
Vol 5 (2) ◽  
pp. 198-204
Author(s):  
Xiao Wang ◽  
Danhong Wu ◽  
Ping Zhong
Keyword(s):  
Ischaemic Stroke ◽  
Serum Bilirubin ◽  
Neuroprotective Effect ◽  
Cochrane Library ◽  
Cochrane Central Register ◽  
Cochrane Database ◽  
Central Register ◽  
Comprehensive Search ◽  
Endogenous Antioxidant ◽  
The Cochrane Library

Bilirubin, a product of heme metabolism, is the most potent endogenous antioxidant which increases in many oxidative stress conditions such as stroke. It has been widely known to exert neuroprotective effect on stroke through mechanisms involved in development, therefore, it can influence the occurrence and prognosis of ischaemic stroke (IS). In this review, studies were identified by a comprehensive search of Pubmed, Embase, the Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Methodology Register) and Web of Science to examine the correlation between serum bilirubin levels and risks of developing IS as well as IS outcomes. Additional studies were identified by reviewing references and contacting authors.

scholarly journals A Systematic Review and Jurisdictional Scan of the Evidence Characterizing and Evaluating Assisted Peritoneal Dialysis Models

2020 ◽  
Vol 15 (4) ◽  
pp. 511-520 ◽  
Author(s):  
Mark Hofmeister ◽  
Scott Klarenbach ◽  
Lesley Soril ◽  
Nairne Scott-Douglas ◽  
Fiona Clement
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Peritoneal Dialysis ◽  
Cochrane Central Register ◽  
Home Based ◽  
Cochrane Database ◽  
Central Register ◽  
Professional Assistance ◽  
Dialysis Outcomes ◽  
Assisted Peritoneal Dialysis

Background and objectivesCompared with hemodialysis, home peritoneal dialysis alleviates the burden of travel, facilitates independence, and is less costly. Physical, cognitive, or psychosocial factors may preclude peritoneal dialysis in otherwise eligible patients. Assisted peritoneal dialysis, where trained personnel assist with home peritoneal dialysis, may be an option, but the optimal model is unknown. The objective of this work is to characterize existing assisted peritoneal dialysis models and synthesize clinical outcomes.Design, setting, participants, & measurementsA systematic review of MEDLINE, Cochrane Central Register of Controlled Trails, Cochrane Database of Systematic Reviews, Embase, PsycINFO, and CINAHL was conducted (search dates: January 1995–September 2018). A focused gray literature search was also completed, limited to developed nations. Included studies focused on home-based assisted peritoneal dialysis; studies with the assist provided exclusively by unpaid family caregivers were excluded. All outcomes were narratively synthesized; quantitative outcomes were graphically depicted.ResultsWe included 34 studies, totaling 46,597 patients, with assisted peritoneal dialysis programs identified in 20 jurisdictions. Two categories emerged for models of assisted peritoneal dialysis on the basis of type of assistance: health care and non–health care professional assistance. Reported outcomes were heterogeneous, ranging from patient-level outcomes of survival, to resource use and transfer to hemodialysis; however, the comparative effect of assisted peritoneal dialysis was unclear. In two qualitative studies examining the patient experience, the maintenance of independence was identified as an important theme.ConclusionsReported outcomes and quality were heterogeneous, and relative efficacy of assisted peritoneal dialysis could not be determined from included studies. Although the patient voice was under-represented, suggestions to improve assisted peritoneal dialysis included using a person-centered model of care, ensuring continuity of nurses providing the peritoneal dialysis assist, and measures to support patient independence. Although attractive elements of assisted peritoneal dialysis are identified, further evidence is needed to connect assisted peritoneal dialysis outcomes with programmatic features and their associated funding models.

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