Navegando por Palavras-chave "medicina do trabalho"

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    O ombro em uma linha de produção: estudo clínico e ultrassonográfico
    (Sociedade Brasileira de Reumatologia, 2009-08-01) Maeda, Ernesto Youiti [UNIFESP]; Helfenstein Junior, Milton [UNIFESP]; Ascencio, João Eduardo Barile; Pollak, Daniel Feldman [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION: The correlation among shoulder pain, abnormal physical examination and ultrasonography is controversial in the occupational scenario. OBJECTIVE: Establish the association between pain, physical examination and ultrasounds in workers of a pharmaceutical industry. PATIENTS AND METHODS: One hundred workers were invited to take part in the study and submitted to the inclusion and exclusion criteria, and 93 were included. All enrolled patients gave written informed consent, and had a physical examination performed by one of the authors. Ultrasound examination was performed, at the latest one month of the physical examination, by an experienced operator who was blind to the clinical setting. RESULTS: There was statistical correlation between pain and clinical maneuvers in 57 shoulders for supraspinatus tendon (SE) (P = 0,000) and no correlation with biceps tendon maneuvers (P > 0,05). In the comparison between clinical findings and ultrasonography, the maneuvers of Neer, Hawkins and Jobe had statistical association (P < 0,05). The association between pain and altered ultrasonography was statistically significant (16 among 57 individuals with pain, with P < 0,05), but there was significant false-positive ultrasound findings in asymptomatic shoulders (7 individuals). CONCLUSION: The precise diagnosis is a complex process, which requires the association of clinical and occupational anamnesis, accurate physical examination and ultrasonography performed by an experienced operator.
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    Questionário de auto-avaliação vocal: instrumento epidemiológico de controle da síndrome disfônica ocupacional em professores
    (Fundação Otorrinolaringologia, 2010-09-01) Almeida, Sandra Irene Cubas de [UNIFESP]; Pontes, Paulo [UNIFESP]; Bussacos, Marco Antonio; Neves, Luciano [UNIFESP]; Zambon, Fabiana; MTE Setor de Relações do Trabalho; Universidade Federal de São Paulo (UNIFESP); SINPRO/SP
    INTRODUCTION: The dysphonic syndrome is an occupational disease of high prevalence in the professor population. OBJECTIVE: In order to broach preventively the vocal aggression, it was tried to standardize a self assessment questionnaire to professors of all educational level, including beyond the clinical symptoms also the factors of the work organization. METHOD: It was performed a study of transversal cut in 328 professors of 4 educational institutions of the northern of São Paulo, which it was applied a self assessment questionnaire elaborated by TRipartite Commission of Standardization for Professional Voice. RESULTS: It was determined the prevalence of clinical symptoms that compound the dysphonic syndrome, as well as it was delineate the work organization and the quality of life of this population. CONCLUSION: The questionnaire applied was showed itself satisfactory en the description and elaboration of parameters with the aim of to implement preventive programs to populations exposed to professional overload of the voice use. Case study.