Navegando por Palavras-chave "occupational medicine"
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- ItemAcesso aberto (Open Access)Fibromyalgia: clinical and occupational aspects(Assoc Medica Brasileira, 2012-05-01) Helfenstein Junior, Milton [UNIFESP]; Goldenfum, Marco Aurelio; Siena, César Augusto Fávaro; Universidade Federal de São Paulo (UNIFESP); Univ Tecnol Nacl Buenos Aires; Escola Super Gestao & Ciencias Saude Porto AlegreFibromyalgia: clinical and occupational aspectsFibromyalgia (FM) is a clinical syndrome commonly observed in daily medical practice and its etiopathogenesis is still unclear. As it is characterized by chronic musculoskeletal pain associated with several symptoms, FM may be confused with several other rheumatic and nonrheumatic diseases when they course with pictures of diffuse pain and chronic fatigue. FM treatment should be multidisciplinary, individualized, count on active participation of the patient, and based on combined pharmacological and non-pharmacological modalities. It is found both in work and non-work settings, and there is no scientific evidence in the literature showing that FM might be caused by occupation. FM seldom leads to incapacity to work. In cases where pain or fatigue do not respond to appropriate treatment, reaching significant levels, a short period away from work can be considered. As FM is a relevant subject, this review article was based on exploratory, qualitative, and bibliographic investigation, aiming to study the main clinical and occupational aspects of FM, emphasizing the theoretical-conceptual background and the experience of specialists.
- ItemAcesso aberto (Open Access)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.
- ItemAcesso aberto (Open Access)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/SPINTRODUCTION: 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.
- ItemSomente MetadadadosSleep parameters among offshore workers: An initial assessment in the Campos Basin, Rio de Janeiro, Brazil(Marcel Dekker Inc, 2004-01-01) Menezes, MCR; Pires, MLN; Benedito-Silva, A. A.; Tufik, S.; Universidade Federal de São Paulo (UNIFESP); Mental Hlth Program MacaeShift work has potentially adverse effects on health, particularly on sleep. the purpose of the present study was to assess sleep parameters among personnel working in oil and gas offshore installations in the Campos Basin, Rio de Janeiro, Brazil. One hundred and seventy-nine subjects were asked to complete a sleep questionnaire with multiple-choice answers. Offshore workers were divided into two groups according to their work schedule: (1) fixed daytime workers (n = 86; age: 35.8 +/- 9.6 yrs) and (2) shift (n = 87) or night (n = 6) workers (total n = 93; age: 37.7 +/- 9.7 yrs). Shift/night workers reported poor sleep more frequently than the daytime workers (20.4% vs. 1.2%, p < 0.01), as well as habitual difficulty in failing asleep (15.1% vs. 4.7%, p < 0.01), long latency of sleep onset (28% vs. 7%, p < 0.01), fragmented sleep (45.2% vs. 16.3%, p < 0.01), short sleep episodes (44.1% vs. 16.3%,p < 0.01), irregular bedtimes (29.0% vs. 12.8%,p < 0.01), and feeling tired upon awakening (15.1% vs. 3.5%, p < 0.01). Habitual napping and loud snoring were reported twice as often in shift/night than in day workers (p < 0.01). Nightmares, somnambulism, and unpleasant feeling in the legs were equality reported by both groups (p > 0.05). Few offshore workers had sought medical help for their sleep problems. A higher number of shift/night workers reported feelings of sadness compared with day workers (26.9% vs. 9.3%,p < 0.01). the findings of this study show that subjective reports of sleep-related problems are quite common among Brazilian offshore shift workers. Reliance on self-reported sleep problems and a cross-sectional design are the main limitations of our study.