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Disertaciones |
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1
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CARLA REQUIÃO BARRETO
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Health-related quality of life and work ability of police officers from Salvador, Brazil.
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Líder : LILIANE ELZE FALCAO LINS KUSTERER
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MIEMBROS DE LA BANCA :
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FERNANDO MARTINS CARVALHO
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LILIANE ELZE FALCAO LINS KUSTERER
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MARIA CRISTINA TEIXEIRA CANGUSSU
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Data: 24-may-2018
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Resumen Espectáculo
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Objective: To identify factors associated to health-related quality of life (HRQOL) and work ability of military police officers from Salvador City, Brazil.
Methods: A cross-sectional study has investigated 329 male military police officers from Salvador City, Brazil, selected by proportionate stratified sampling. Health-related quality of life was evaluated by the 36-Item Short-Form Health Survey Questionnaire (SF-36); information about sociodemographic and occupational characteristics and life style was collected in a structured questionnaire. Work ability was evaluated by using the Work Ability Questionnaire. Data were analysed by using the Statistical Package for the Social Sciences. Two articles are presented: one deals with factors associated to HRQOL; another with factors associated to work ability of these police officers.
Results: Lower means of the Physical Component Summary were associated to working hours >8 hours/day, obesity, rented or financed housing, and poor work ability. Lower means of the Mental Component Summary were associated to age group 24-33 years, "mean" Municipal Human Development Index of the borrough were the police officer worked, and frequent alcohol drinking. The mean scores of each of the ten SF-36 indicators increased, according to a linear and systematic fashion, from the "Poor" to the "Excellent" strata of the Work Ability Index. According to the logistic model adopted, "poor" work ability, compared to the combined set of "moderate", "good", and "excellent" strata, was significantly associated to rented ou financed housing (OR=3.11; IC95% 1.35-7.16), and to obesity (OR=4,28; IC95%
1,79-10,20). Excellent work ability, compared to the combined set of "good", "moderate", and
"poor" strata, was significantly associated to salary >6 minimal wages (OR=2.32; IC95%
1.06-5.06), vigorous physical activity 3-7 days/week (OR=1.76; IC95% 1.03-2.94), and to not being obese (OR=2.86; IC95% 1.06-7.66).
Conclusions: Several sociodemographic, occupational, and life style factors were associated to the variation in the measures of health-related quality of life and of work ability of military police officers from Salvador City. The recognition of the contribution of these factors may help in the design and implementation of policies aimed to this occupational group.
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2
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ANA CÁSSIA BAIÃO DE MIRANDA
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Smoking habit cessation in participants of the Tobacco Control Program
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Líder : FERNANDO MARTINS CARVALHO
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MIEMBROS DE LA BANCA :
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AQUILES ASSUNCAO CAMELIER
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FERNANDO MARTINS CARVALHO
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KIONNA OLIVEIRA BERNARDES SANTOS
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Data: 29-may-2018
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Resumen Espectáculo
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Tobacco use is a public health problem, since it is the main preventable cause of death in the world. Smoking causes premature morbidity and mortality due to its negative effects on the respiratory and cardiovascular systems. Until 2030, eight million people will die in consequence of tobbacco exposure. Brazil is globally recognized as a reference in the implementation of public policies towards tobacco use cessation. The low prevalence of smokers (14.7%) in the country is relted to the Tobacco Cessation National Program that uses the strategies of cognitive-behavioral therapy and anti- tobacco drugs support. Health action aimed to quit tobacco use in the Basic Health Units are important since these equipments are the main gateway to the Unified Health System in Brazil. This study aimed to identify and to evaluate performance indicators (tobacco use cessation incidence rate, risk factors for smoking cessation, and risk factors for Program dropout) of participants in the Tobacco Cessation Program in the Basic Health Unit of Candeal Pequeno, Brotas Health District, Salvador City, Brazil. We analyzed data collected in electronic spreadsheets produced and provided by the Municipal Health Secretary, containing information about the 170 participants in the Program, from January, 2015 to June, 2017. Binary logistic regression models were used to identify risk factors for tobacco use cessation and dropout rates. Data were analyzed by using SPSS. The cumulative incidence rate for tobacco use cessation after 12 weeks in the program for the 170 participants was high: 57,1%. No predictor of smoking cessation in that period was identified. The cumulative incidence rate for tobacco use cessation after 4 weeks was associated to non-use of bupropion (P<0,004), adjusting by age, sex, nicotine dependence (Fargerström's test), arterial hypertension and diabetes mellitus. Dropout rate after 12 weeks in the Program was 26,4% and it was not associated to any of the variables investigated. It was estimated that, during the last
29 months, the Program has covered 67% of the eligible smoking clientele, considered as a satisfactory coverage. Low quality and quantity of information available about the evolution of patients in the Program have limited the study analyses. The Program showed satisfactory coverage, of the eligible clientele: 67%.
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3
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FAGNER SAMPAIO FILADELFO
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The protection of the environment and the health of the population in the vicinity of the mining company and producer of uranium concentrate in the interior of Bahia.
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Líder : TANIA MASCARENHAS TAVARES
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MIEMBROS DE LA BANCA :
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CARLOS EDUARDO SOARES DE FREITAS
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FABIO PERIANDRO DE ALMEIDA HIRSCH
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TANIA MASCARENHAS TAVARES
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Data: 06-jun-2018
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Resumen Espectáculo
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The research aims to analyze the protection of the environment and of the human health by several agencies, among which we highlight the Federal Public Prosecutor's Office (MPF) and of labor (MPT) and the Federal Court (JF) regarding environment health and work related to the activities of mining and production of uranium concentrate (yellow cake) of Indústrias Nucleares do Brasil S / A (INB) in the State of Bahia. The qualitative/quantitative method was used based on the documentary research of the administrative and judicial processes moved by MPF and MPT. Tests, analysis and systematization of the collected documentation supporting the investigations, the public civil actions (ACP) and the judicial processes, with emphasis on the technical scientific aspects of the tests and measurements made were performed, as well as identifying the possible interferences that can follow from the procedures, pointing out, obstacles and biases. The study generated the production of four articles with interrelated themes. The first one reports that 73 cases were distributed between 2000 and 2017, in 6 agencies of the judiciary, 51 administrative and 22 judicial demonstrating the course of time. The second one identifies and analyzes the sentenced labor lawsuits in the district of Caetité, with special attention to the speeches of the judges. The third examines two ACPs on environmental exposure that have not yet been finalized, and which last for approximately 10 years, using a scoring table created for this purpose. The fourth set out a panorama on the terms for the Adjustment of Conduct (TAC) carried out by the MPT and the mining companies in Bahia to resolve conflicts in the administrative level, without filing. It was observed that the Public Prosecutor's Office, even in a geographically decentralized manner, leads the protection of the environment and the health risks involved for residents close to mining. By the end of 2017, no judicial lawsuit has yielded practical results in resolving environmental disputes.
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4
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VANESSA SALGADO SILVA
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HEALTH OF WORKERS IN BASIC ATTENTION: WORKING CONDITIONS AND HEALTH DEMANDS IN AUTOMOTIVE OFFICES OF THE TERRITORY.
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Líder : PAULO GILVANE LOPES PENA
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MIEMBROS DE LA BANCA :
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Elizabeth Costa Dias
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MONICA ANGELIM GOMES DE LIMA
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PAULO GILVANE LOPES PENA
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Data: 08-jun-2018
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Resumen Espectáculo
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The health practices closest to everyday life and work of communities are related to Primary Care. Resident and nonresident workers in the Family Health Strategy (FHS) territory carry out productive activities which include informal and family services with precarious work conditions, reinforcing the need of approximation between FHS and territory workers. Among these activities, the automotive repair workshops present in great quantity and involve exposure to several harmful elements to health. Objective: Understanding work conditions and health care demands of automotive repair workshop workers within a health district of FHS territory, in Salvador – Bahia/Brazil. Method: Descriptive and exploratory research with socio-anthropological perspective and ethnographic approaches, using Ergonomic Analysis of Work elements. The workshops were selected to ensure representation of the diversity of services and job settings, through recognition with community health agents and key informants identification. Systematic observations, records in field diary and semistructured interviews were performed. For informations analysis, Content Analysis qualitative procedure was used, applying thematic analysis modality, as well as elements of Ergonomic Analysis of Work. Result: Forty-five workshops with staffs of 1 to 9 workers were identified and visited in the territory, with exclusively male workforce and ages between 17 and 80 years old. Many have a family organization with informal work and flexible work hours; low and variable remuneration; vacation and social security planning inconstancy/absence; and unhealthy working environments. The main risks identified were: manipulation of chemicals, physical arrangements, inadequate tools and postures, unprotected use of machinery and equipment, handling of flammable products, and pieces and particles projection on the body. Although there is little to no demand for care at Primary Care level, spine and upper limbs pain, dental, respiratory and systemic problems have been reported — as well as the need of the vaccination card update. Workers believe they are in good health, neglecting symptoms that are considered common, and do not show a bond and care relationship in their territory family health unit, although relatives attend or are visited by unit professionals, reporting a direct search for specialized and emergency services. Conclusion: The conditions of a traditionally precarious work that is degraded due to relations precariousness were evidenced, presenting characteristics responsible for the transformation of work into a generator of inequality in health. The present study demonstrates the need to adopt measures in the field of these workers health protection, with emphasis on vigilance and comprehensive care promotion. Therefore, an approximation between the health teams and these workers is essential in order to contribute to National Health Policy of Worker implementation in AB. Further research is needed to support the development of specific health protection policies for the informal and self-employed worker, considering their inclusion in FHS territory.
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5
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ELIANA MARIA DA SILVA PUGAS
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PROFILE OF ADVOCACY AND DISABILITY FOR WORK BETWEEN TEACHING PROFESSIONALS: ANALYSIS OF OFFICIAL RECORDS IN BRAZIL.
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Líder : KIONNA OLIVEIRA BERNARDES SANTOS
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MIEMBROS DE LA BANCA :
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JORGANA FERNANDA DE SOUZA SOARES
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KIONNA OLIVEIRA BERNARDES SANTOS
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YUKARI FIGUEROA MISE
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Data: 13-jun-2018
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Resumen Espectáculo
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The work in teaching is an old occupation that accompanies from the beginning the process of upbringing, until the creation of a social identity. Recognizing the health problems (disorders) of workers in Education registered in official sources in the country and the disability associated with these events is fundamental to assess the health conditions of teaching professionals. The scientific literature presents studies of specific diseases; however, it is necessary to provide more detailed information that provides an overview of the health of these professionals coming from the sources that can subsidize intervention programs and policies. This study aimed to describe the health disorder and disability related to work among the teaching professionals in Brazil, based on the SINAN Notification System database. It is a descriptive study on the surveillance of health disorder notifications from 2007 to 2016 for the population of professionals in Education (CBO 23 and CBO 33) with the analysis of disorder/diseases of compulsory notification related to the National Survey Sample of Domicile – PNAD as the denominator. The analysis considered socio-demographic variables and work situation, focusing on the most frequent injuries: Severe Accident, Biological Material Accident, Musculoskeletal Disorders, Exogenous Intoxication and Mental Disorder to Incidence Rates and temporal evolution. The assessment of disability in each case was based on the clinical evolution. The study showed that there was a significant increase in the number of notifications recorded during the period investigated, especially for acute diseases and for the female sex. There was a higher frequency of disability due to mental disorder and serious accidents for workers with less than five years of work. Although official records describe estimates of health problems, there is still a distance from the actual health conditions of teaching professionals in the national panorama. Health surveillance needs to be strengthened so that the correct assessment of the diseases reflects the health / disease process, facilitates early diagnosis and supports prevention actions for workers.
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6
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VÂNIA OLIVEIRA RIBEIRO
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THE INCLUSION OF THE PUBLIC SERVANT WITH A DISABILITY IN AN IFES: IMPLEMENTATION OF PUBLIC POLICY
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Líder : MONICA ANGELIM GOMES DE LIMA
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MIEMBROS DE LA BANCA :
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ANA ANGELICA MARTINS DA TRINDADE
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ANA MARCIA DUARTE NUNES NASCIMENTO
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MONICA ANGELIM GOMES DE LIMA
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NORMA CARAPIA FAGUNDES
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Data: 13-jun-2018
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Resumen Espectáculo
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The understanding of disabled people (PcD in Portuguese) has gone through many changes along history- these changes had been caused by social, of value and organizational changes in society, such as capitalism, technological transformation, big wars and changes in the legislation. In changing this paradigm, society started a process of political organization and the building of a legislation that would make it possible the equalization of opportunities and equities for people with physical, sensorial and cognitive limitations, this way contribution for their insertion in the labor context. However, it is observed that just only facilitating this process of insertion, without the enabling of politics and institutional actions that favor their appropriate endurance is an obstacle for their effective inclusion, and it can collaborate to produce stigma, prejudice and stereotypes that are related to disability. So, the importance of this study is due to the need of more studies on what is happening to the inclusion of disabled federal public servants in a Federal Institution of Superior Teaching (IFES, in Portuguese), which is sited in the state of Bahia , in the Northeastern region of the country, a region which is marked by notorious pictures of inequalities, and where it is the highest percentage of disabled people (26,3%). Considering the importance of investigating the institutional context, this study aims to describe the strategies of implementation of the policy of inclusion of disabled public servants at IFES, as well as the used actions and technologies. It is an exploratory study, of qualitative approach and it has as its methodology the case only study. Participants in the study are managers and public servants that work in different classes in the institution that contribute for the implementation of the policy. As a resource for it, it is highlighted the creation of a sector especially for the inclusion of disabled people, capabilities, group works, among others. It is observed that IFES has been improving in this regard, but, yet, very slowly with moments of advance and setbacks. Programmatic, attitudinal and budgetary barriers make it difficult the operationalization of the policy, but the inclusive view of the university, of reception of diversity is a leverage for the tenure of inclusion.
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7
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IVY CRUZ FAISLON
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FORMAL WORK OF DISABLED PEOPLE IN BAHIA: ANALYSIS OF THE SCENARIOS FROM 2007 TO 2016.
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Líder : VERONICA MARIA CADENA LIMA
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MIEMBROS DE LA BANCA :
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LAURO ANTONIO PORTO
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SILVIA FERRITE GUIMARAES
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VERONICA MARIA CADENA LIMA
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Data: 15-jun-2018
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Resumen Espectáculo
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ONU refers to the Person with Disabilities (PD) as of the most significant minority in the world, with 650 million people (2010), reaching one billion people (WHO, 2011). Therefore, it is necessary to fight for a society that promotes the inclusion of those, which in the constitution includes physical, auditory, visual, cognitive or multiple characteristics, which deviate from those expected by socially, extrinsic to the normal standards. According to the ILO (2009), 72% of this population is found at an active age and Brazil’s Quotas Law defends that 2 to 5% of the vacancies in companies with 100 employees or more can be reserved for PDs or rehabilitated beneficiaries. Since the Northeast region contains the largest proportion of the population (26.63%), the present research aimed to describe and analyze the socio demographic and occupational characteristics of PDs in the labor market and its changes over the years 2007 to 2016 in Bahia in comparison to workers without disabilities, as well as the compliance with the Quotas Law. For that, a descriptive and comparative study of socio demographic and occupational variables developed from a secondary data source “RAIS”. The scenario of the formal labor market in Bahia in relation to the sociodemographic characteristics indicates similar profiles, more frequently on male gender, 30 to 39 years of age, brown race and complete and incomplete middle school degree, besides the Physical Deficiency being the type of disability that prevails among all the studied years. Regarding the occupational profile, there is an equivalence between the groups of workers in the range between 31 and 44 of contractual work; the most frequent remuneration range between 1 and 3 minimum wage; employment time over 3 years; and in relation to CBO, only with the difference between the inclusion of the administrative group services among the most expressive categories for PD. Companies with up to 99 employees are the ones with the highest PD hiring, while for PD this size is in the second position, after the size category ignored. The major difference between the groups is in the CNAE, with high variation between the more expressive activities sectors between the two groups of workers. The percentages of hiring are lower than those advocated in the Quota Law, with averages varying from 0.60% to 1.24%, while the expected would be 2 to 5%. Based on the analysis of these percentages and from the employability indices, it is evident how urgent actions are in the interest of improvements compared to the reality that perpasses the hiring of PDs in Brazil, and as a consequence in Bahia, as well as the devastating consequences related to different aspects of the Brazilian's life that brings direct and indirect interferences of its citizens exercise in the social relations.
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8
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TAIANE ARAÚJO DOS PRAZERES ORNELAS
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HOUSEHOLD WORK SETTINGS IN THE TERRITORY OF FAMILY HEALTH STRATEGY.
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Líder : MONICA ANGELIM GOMES DE LIMA
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MIEMBROS DE LA BANCA :
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Elizabeth Costa Dias
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MONICA ANGELIM GOMES DE LIMA
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PAULO GILVANE LOPES PENA
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Data: 19-jun-2018
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Resumen Espectáculo
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ABSTRACT Home work is a modality of work that grows more and more and presents itself as one of the various forms of precariousness of work present in society. In this modality of work, there is no frontier between the home and the work space executed, merging in the same environment. As a result, the whole family is exposed to the same occupational hazards of the activity developed by the worker. Workers who carry out some economic activity at home constitute a part of the population that is not well investigated for their health needs and for vulnerability and health risks. The growth of informal, family and home-based work reinforces the role of basic care in bringing health care as close as possible to where people live and work. Basic Health Care presents great potential to break with the invisibility of the health and working conditions of informal workers who carry out some type of work at home. A literature review was conducted which pointed to the low production of studies that address the Worker Health actions in basic care directed to the home work, which can make this research relevant and original, justifying its accomplishment. The purpose of this study is to understand the configurations of home work in the territory of the Family Health Strategy. This is a qualitative research, of a descriptive and exploratory character, from a socio-anthropological perspective. During the exploration of the field, several household activities were found. However, to perform in in-depth conversation, this study focused on the in-home work of dressmakers. A total of 07semistructured interviews were carried out from August 2017 to March 2018. Ethnographic resources were used to construct an interpretation, supported by the hermeneutic method. With the results, it is hoped to contribute to the recognition of the demands health of workers performing productive activities within the household, characterize under what circumstances it happens and open debate on issues identified as precarious for workers' health.
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9
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DANIELE TEIXEIRA DA SILVA
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PREVALENCE AND FACTORS ASSOCIATED WITH SUGESTIVE SKIN COMPLAINTS OF IRRITATIVE CONTACT DERMATITIS IN CRUSHERS AND FISHERIES OF SANTIAGO DO IGUAPE, CACHOEIRA, BAHIA, BRAZIL.
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Líder : RITA DE CASSIA FRANCO REGO
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MIEMBROS DE LA BANCA :
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EDUARDO MENDES DA SILVA
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RITA DE CASSIA FRANCO REGO
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VERONICA MARIA CADENA LIMA
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Data: 28-jun-2018
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Resumen Espectáculo
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Artisanal fishermen and artisanal fisherwomen in the practice of fishing are exposed to risks that contribute to the development of irritant contact dermatitis. This research, developed with the participation of the community and an intersectoral working group, presents a review of the literature and a scientific article. The literature review focuses on artisanal fishing, some of the environmental risks fishermen and fisherwomen are exposed, irritant contact dermatitis and gives a brief description of the relationship between health, environment and work, environmental health and sustainable development. The article is a cross-sectional epidemiological study carried out with 248 artisanal fishermen and artisanal fisherwomen from Santiago do Iguape, Bahia, whose main objective was to identify the prevalence and factors associated with skin complaints suggestive of irritant contact dermatitis in these workers. This epidemiological investigation points to the prevalence of skin complaints suggestive of irritant contact dermatitis of 25%, considering as cases the workers who reported to present redness, pain, rough skin, dry skin and burning. It is noticed how important it is to know and discuss skin complaints suggestive of irritant contact dermatitis and associated factors, to support the development of intervention strategies and actions in primary health care in fishing territories, in order to contribute to improving the living and working conditions of artisanal fishermen and artisanal fisherwomen.
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10
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REGINALDO DA PAIXÃO NETO
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Factors related to the use of medications to cope with the work routine in early childhood education.
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Líder : TANIA MARIA DE ARAUJO
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MIEMBROS DE LA BANCA :
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ELAINE CRISTINA DE OLIVEIRA
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Maria de Fátima Duarte Martins
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TANIA MARIA DE ARAUJO
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Data: 11-jul-2018
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Resumen Espectáculo
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The research, cross-sectional epidemiological study, aims to identify the factors associated with the use of medications to deal with work routine in early childhood education. The population selected was teachers and auxiliary teachers of childhood education from municipal public schools in the southern region of the state of Rio Grande do Sul, totaling 16 cities. It is a cut of the research “Trabalho e saúde das professoras de educação infantil das escolas públicas municipais da região Sul do Rio Grande do Sul” (in english"Work and health of teachers of education of municipal public schools in the southern region of Rio Grande do Sul”) https://issuu.com/trabalhodocenteesaude. All teachers and assistants who were in effective professional practice at the time of application of the questionnaire were considered eligible for the study. 622 female workers were interviewed, of whom 396 (63.9%) were teachers and 224 (36.1%) were auxiliary teachers. Two respondents did not inform the type of work, therefore they were not considered in the study. For the data collection, a self-administered instrument was used, containing four blocks of questions: (I) general identification information, (II) psychosocial aspects of the work, using the Job Content Questionnaire (JCQ), (III) work activity information and (IV) health information. The variable outcome of the study, the use of medications as a strategy to deal with the work routine was obtained by answering the following question: "Am i taking some medication to deal with the work routine am i taking some medication?" categorized into yes and no. The results showed a high prevalence of medication use to deal with the work routine between teachers and auxiliaries teachers. The result shows the use of analgesic drugs, anti-inflammatories, antibiotics and antidepressants. Latent illness were observed and worsening of clinical status by the use of drugs to withstand the difficulties imposed by the profession. In this present situation, teachers and assistants work with symptoms of headache and backache, anxiety, nervousness, coughing and hoarseness, tiredness and fatigue.
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11
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FRANÇOISE MAGALHÃES CAMPOS
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Occupational stress and mental health among health workers: Assessment of gender and race inequality.
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Líder : TANIA MARIA DE ARAUJO
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MIEMBROS DE LA BANCA :
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EMANUELLE FREITAS GOES
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RITA DE CASSIA PEREIRA FERNANDES
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TANIA MARIA DE ARAUJO
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Data: 13-jul-2018
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Resumen Espectáculo
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Changes in the world of work cause impact on the health of individuals and the collective of workers. In addition to this, occupational diseases can be caused by individual, social, gender, race, socioeconomic factors, health conditions, work and daily life habits. Related to mental health, the psychosocial aspects of work are identified as occupational stressors that bring relevant impacts to workers' health. This study aimed to evaluate the association between occupational stress and mental health, focusing on possible inequality in gender and race among health workers. Thus, this research is a cross-sectional study whose data compose a multicentric project entitled "Working conditions, employment conditions and health of health workers in Bahia", the sample was of 3084 health workers of the network of basic attention and medium complexity of the cities of Feira de Santana, Salvador, Itabuna, Jequié and Santo Antônio de Jesus. A questionnaire was used containing questions about sociodemographic profile, occupational aspects, work environment, psychosocial aspects of work, domestic activities and daily life habits and aspects related to their health. To measure the psychosocial aspects of the work, the Job Content Questionnaire (JCQ) was used and the Self-Reporting Questionnaire (SRQ-20) was used to measure common mental disorders. The verification of factors associated with the outcome was used through Logistic Regression analysis. The prevalence of CMD among the groups was higher among black women, followed by non-black women; thus, this occurrence is associated with several factors. The variables associated with CMD among black women were the variables of the Demand-Control Model-DCM and work bond; among nonblack women were associated, in addition to the MDC, have children, work bond and domestic overload. For the group of men, among black ones remained schooling, to have children and practicing physical activity, among non-blacks the significant variables were work bond and leisure activity. Thus, the results found revealed that mental disorders make up a public health problem and the prevalence analyzed exposes a worrying scenario in the mental health situation of health workers, and there is a greater vulnerability to CMD among women, especially women black.
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12
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RAFAEL DOS REIS FRANÇA
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Absenteeism due to musculoskeletal disorders in workers from Judicial Sector
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Líder : RITA DE CASSIA PEREIRA FERNANDES
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MIEMBROS DE LA BANCA :
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RITA DE CASSIA PEREIRA FERNANDES
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KIONNA OLIVEIRA BERNARDES SANTOS
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NORMA SUELY SOUTO SOUZA
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Data: 26-jul-2018
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Resumen Espectáculo
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Objectives: To describe risk factors for absenteeism due to musculoskeletal disorders (MSD) in workers in the judicial sector. Methodology: A descriptive study was carried out to estimate the incidence of absenteeism by MSD and to describe the duration and frequency of absenteeism-disease; an analytical study of the retrospective cohort aimed to identify the risk factors associated with absenteeism by MSD. Both studies were based on the follow-up of 2662 workers from the judicial sector in the state of Bahia, from January 1, 2011 to December 31, 2016. Secondary data related to the sociodemographic and occupational aspects, and on sick leave of the workers were used. The multivariate analysis of data was performed using the survival analysis technique and the risk factors for MSD´s absenteeism were identified by Cox regression. Results: 594 workers (22.3%) presented medical licenses for MSD in the period. There was a higher incidence of the diagnosis of back pain (38.5%), followed by shoulder injuries (11.7%), synovitis and tenosynovitis (8.8%). There were 3.5 episodes of sick leave per employee with an average duration of 49 days. The highest incidence of absenteeism occurred among women (24.6%), aged over 50 (31.3%), lower educational level (42.6%), technician (25.2%), working in the administrative area (24.2%) and with service time over 30 years (34.5%). Kaplan-Meier estimator showed that in the 730 days (2 years) there was no difference in the probability of survival by sex (88%). At the end of the follow-up, it was noted that survival during follow-up was higher among men (79%). The probability of absenteeism due to MSD in workers during the first two years of follow-up of the study (2011-2012) was 12%. At the end of the study, it was observed that the probability of the worker in the judicial sector has a sick leave due to MSD in the period from 2011 to 2016 was 23%. After adjustment in the multivariate analysis, the risk factors for MSD´s absenteeism were: female sex (HR 1.39, 95% CI 1.18, 1.63), age over 40 years (HR 2, 57, 95% CI 1.90, 3.48), technical position (HR 1.48, IC 95% 1.21, 1.73) and those in the administrative area (HR 1.30, 95% CI 1.10, 1.53). Conclusion: The risk of absenteeism by MSD was greater in women, people over 40, individuals who perform technical tasks and work in the administrative area. The results may contribute to the planning of actions aimed to prevent musculoskeletal disorders and disability due to them and to promote health at work.
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13
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ADÍLIO CAMPOS PORTUGAL
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Management of health care waste: perceptions of the employees of the Veterinary Hospital of a public university
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Líder : LUIZ ROBERTO SANTOS MORAES
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MIEMBROS DE LA BANCA :
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LUIZ ROBERTO SANTOS MORAES
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SEVERINO SOARES AGRA FILHO
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LIDIANE MENDES KRUSCHEWSKY LORDELO
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SILVIO ROBERTO MAGALHÃES ORRICO
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Data: 01-ago-2018
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Resumen Espectáculo
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The aspects related to environmental and health issues are closely related, this is perceived in studying solid waste. A large share of solid waste, despite the small amount, is health care waste (RSS) these are results from human or animal health activities. This study is a qualitative research that aims to analyze workers' perceptions about the management of SSR in the veterinary hospital of a public university, knowing the possible risks to the environment and health. The study data were obtained by observations of two focus group meetings; one group contained nine statutory workers in the career of administrative technician in education and the other with outsourced workers. Data were analyzed after categorization by content analysis. The results revealed different perceptions between the two groups, which may be related to the opportunity of education, work condition and type of hiring. The different perceptions varied from the definition of RSS, knowledge of management stages, laws applied to the theme, understanding of health risks and environmental impacts. It revealed a need for greater concern of the Institution with the theme, investments in measures of protection and prevention and training of professionals.
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14
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LUCIANA PEREIRA BARBOZA
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EXPERIENCES OF PROSTITUTES IN THE HISTORICAL CENTER OF SALVADOR: RESISTANCE AND KNOWLEDGE SHARED IN PROSTITUTION.
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Líder : MONICA ANGELIM GOMES DE LIMA
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MIEMBROS DE LA BANCA :
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MONICA ANGELIM GOMES DE LIMA
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MARIA DO CARMO SOARES DE FREITAS
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LENY ALVES BOMFIM TRAD
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Data: 01-ago-2018
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Resumen Espectáculo
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Prostitution is an activity that involves sex trade and the exercise of several dimensions of human sexuality. The first reports on the activity date back to ancient Greece and Rome and society’s and the State’s relationship with prostitution varied throughout history. The social representation of female prostitutes is built from elements of the culture, the economic basis, and the material that produces ideology and normalizes sexual behavior. Religious discourses, at first, and medical discourses, at a later moment, instituted a place of marginality for female prostitutes, a place of rejection for exercising a form of sexuality that deviates from social norm, from that which was established for women. Since they occupy a marginalized and stigmatized space, these women are exposed to several forms of violence and the risks related to prostitution are insufficiently addressed by public policies. This study aims to understand the discourses of prostitutes working the Historical Center of Salvador on their work, their perception of risks and vulnerability related to the occupation, and the strategies of risk reduction and health production developed by the professionals. This research project is a qualitative, exploratory study. 14 in-depth interviews were conducted as well as visitations to prostitution points assisted by the Consultório de Rua team from November 2017 to March 2018 using an ethnographic approach. Dialectic hermeneutics were used for analysis referential, since we understand that it is paramount to interpret the context in which the subject is inserted and explore the similarities, differences, and contradictions to understand their social reality. 2 modalities of this work were identified in this territory: closed work, which happens in brothels, and and open work, offers happen on the streets, bars and squares, with different work processes. Regardless of the kind of work they do, women with less social vulnerability have a more organized work process, report not being victims of violence, and use protection with almost every client. Poorer women are more exposed to aggressions and default and eventually had unprotected sex with clients, since this means better payment. They also used psychoactive substances in excess. Prostitution in this territory is marked by social determinants, meaning women of better social status do not face the traditional risks and vulnerabilities associated with this occupation. Prostitution is marked by unequal gender relations, but also allows women access to a higher income and more autonomy in the context of female underemployment. The insertion and discourses on female prostitution are many, making it impossible to talk about only one identity that encompasses all workers. However, all of them elaborate knowledge and resist during their work routine and any policy created to face the problems of prostitution requires the participation and protagonism of these workers.
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15
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UÉLITO EVERALDO SOUZA RIBEIRO JÚNIOR
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Hypertension and physical activity in workers.
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Líder : RITA DE CASSIA PEREIRA FERNANDES
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MIEMBROS DE LA BANCA :
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RITA DE CASSIA PEREIRA FERNANDES
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MARCO ANTONIO VASCONCELOS REGO
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FRANCISCO JOSE GONDIM PITANGA
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Data: 01-ago-2018
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Resumen Espectáculo
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A cross-sectional study investigated the association between physical activity (PA), occupational, in leisure-time and household tasks, and Hypertension in 1070 workers in the Footwear Industries and Urban Cleaning. An interviewer-applied questionnaire investigated sociodemographic, occupational, lifestyle and hypertension aspects. Direct measurements of blood pressure, waist circumference, weight and height were also performed. The hypertension was defined as the average of two measures, with systolic BP ≥140 and or diastolic BP ≥90, or regular treatment for Hypertension. PA was measured by self-report of household task, material handling at work, with duration scale of 6 points, and leisure-time PA measured by 4-items qualitative scale. Cox regression, for a cross-sectional study, was used to explore the associated factors with hypertension, as well as to analyze the association between PA and hypertension. The prevalence of hypertension was 24% in the population, being higher amongst men, in those with older age, overweight individuals, smokers and those who drink more than once/week, and being also higher amongst those who often work on shifts and those with longer service time. The final multivariate model showed that being active in only one or in none PA dimension represents 62% more hypertension than being active at home, in leisure-time and at work, after adjustment by the co-variables. The strong association between overweight (PR = 2.26), older age (PR = 2.10) and male (PR = 1.62) with hypertension was highlighted in this final model. Conclusion: Low PA was positively associated with hypertension in the three PA dimensions and this association has a cumulative nature, suggesting the relevance of preventing physical inactivity in the domestic environment, in leisure-time and work environment. In addition, amongst the modifiable risk factors, in addition to physical inactivity, that is the main variable of the present investigation, overweight has prominent role in the occurrence of hypertension amongst workers, imposing their control to prevent the disease.
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16
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CARLOS HENRIQUE SILVA DOS SANTOS
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The social precariousness of the lawyer's work and the health effects.
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Líder : CARLOS EDUARDO SOARES DE FREITAS
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MIEMBROS DE LA BANCA :
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ANA ANGELICA MARTINS DA TRINDADE
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ANDRE ALVES PORTELLA
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CARLOS EDUARDO SOARES DE FREITAS
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RENATA QUEIROZ DUTRA
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Data: 02-ago-2018
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Resumen Espectáculo
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In order to understand the perspective of the process of social precarization of labor
and reflections on advocacy, it is essential to discuss aspects that characterize the
centrality of work in the life of the worker, as well as the ways that capital makes it
unworthy and the harmful effects of this system with the creation of traumas,
subtraction of rights, loss of identification and illness of the category. This dissertation
seeks to analyze the relationships between social precariousness of work and the
harmful health conditions of young lawyers who practice mass advocacy. Qualitative
methods were used, and the study was carried out through the analysis and review
of the literature on the precariousness of work relationships and their effects on
worker health. The research made use of semistructured interviews and observation
of the labor activities of the lawyer in Feira de Santana, Bahia. For the evaluation of
the interviews was used Discourse Analysis and to choose the sample was used the
method "snowball". The objective of this study was to study the specific data of the
profession, such as those registered with the Brazilian Bar Association. The
narratives of the interviewees point out the stress, the instability and the weariness of
the profession. Precariousness manifests itself mainly in working conditions, through
a strenuous work day, absence of breaks for rest and food, double working hours, a
competitive and stressful environment, control mechanisms and productivity
monitoring, lack of recognition and perspectives in the workplace. advocacy; besides
the external factors such as the bureaucratic environment of the judicial system and
the interpersonal relations between client and lawyer, culminating with the illness of
this category. From what has been extracted, it is possible to infer that the young
lawyer is exposed to conditions that are harmful to his health. For this worker in law
there is a growing threat to his well-being arising from the exercise of his activity,
which has adapted to the current rules of capitalism and the service sector and has
made work environments and relationships even more flexible, leading to a situation
illness of this worker.
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17
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CARLA CATHARINE CHAVES NASCIMENTO
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Experiences and confrontations of nurses working in mobile pre-hospital care: a look at the organization of work and the health of these professionals.
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Líder : LAURO ANTONIO PORTO
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MIEMBROS DE LA BANCA :
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EDUARDO JOSE FARIAS BORGES DOS REIS
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LAURO ANTONIO PORTO
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MARIA DO CARMO SOARES DE FREITAS
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Data: 02-ago-2018
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Resumen Espectáculo
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This is an exploratory, descriptive, qualitative-based field research aimed at understanding aspects of the work organization of nurses working at the Mobile Prehospital Care (APH) and their influence on the health of these workers. The data collection was performed through electronic questionnaire, interview and unsystematic observation. Nurses from the Salvador Emergency Mobile Service of Salvador (SAMU) who worked on a 24-hour on-call scale performing the institution’s basic activities participated in the study. Two nurses did not participate in the research: one was on medical leave and the other on maternity leave. The research was approved by the Ethics in Research Committee of the Federal University of Bahia, Medical School of Bahia, and had the consent of the Municipal Health Department of Salvador and the management of the SAMU of that municipality. The anonymity of the interviewees was preserved using pseudonyms and the data were analyzed in light of the content analysis theory. The nurses were divided into regulators and interventionists in front of their different activities. The study allowed to draw the sociodemographic, occupational and health profile of the study participants. Regarding work organization, the nurses reported overload; the regulators, through the accumulation of duties and lack of legal support for action and the interventionists, due to the unfair division of tasks in the team, problems related to the Regulation Center and infrastructure. A survey of occupational hazards was carried out by the nurses and improvement measures were suggested. Urban violence was described as an occupational risk for the APH professional, with interference in the accessibility of the population to the service in places of social conflict. A nurse is thus seen as a professional with greater occupational risk in this context, and organizational improvements were suggested in order to reduce the suffering in the execution of their work activity and, consequently, reduce these professionals’ health problems.
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18
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LUAMORENA LEONI SILVA
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Work on the Family Health Strategy.
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Líder : PAULO GILVANE LOPES PENA
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MIEMBROS DE LA BANCA :
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CARLOS EDUARDO SOARES DE FREITAS
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MARIA DA GRACA DRUCK DE FARIA
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MONICA ANGELIM GOMES DE LIMA
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PAULO GILVANE LOPES PENA
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Data: 10-ago-2018
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Resumen Espectáculo
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This dissertation analyses the changes promoted in the standardization on the organization of the work process carried out in basic health care (Unified Health System - SUS), based on the restructuring promoted by the implementation and nationalization of the Family Health Strategy (ESF) and the National Program Improving Access and Quality (PMAQ). Methodologically, the research is based on two integrative syntheses, the first of which results from a literature review that sought to establish the "state of the art" of the discussion about basic health care in Brazil, and the second constructed an approximation between the product of the first revision with Marx's social value-time-of-work theory (2013) and the theoretical-logical model proposed by João Bernardo, Portuguese Marxist historian. This second synthesis delimited, as object of study, the relation between the FHS, the productive restructuring imposed by the change of the capitalist regime of accumulation and the social precarization of the work. In order to approximate the existing and current legislation on work in the Family Health Strategy, from January 17 to February 12, 2018, a meeting of 1,683 public and work on primary care / family health strategy on the website of the Brazilian Ministry of Health, defined as the only interlocutor of interest for the study. After cataloging and defining the inclusion and exclusion criteria, 13 documents were selected for the PNAB versions of 2006, 2011 and 2017; ordinances 1,654 / 2011 and 1,645 / 2015 of the Ministry of Health, which have on PMAQ; and the SelfAssessment Manuals for Improving Access and Quality (AMAQ) for the years 2012, 2013 and 2017. From the analytical category "Organization and Management of the Work Process", each document was evaluated, seeking to identify elements and characteristics of management and work organization suggestive of Taylorism-Fordism and / or Toyotism. As a result, the survey delimited an approximation of the Ministry of Health regulations, starting in 2011, of a business standard for managing work organization and production in basic public health services. It was evidenced that a metamorphosis of an essentially Taylorist-Fordist public service structure in a hybrid model of labor and production management, marked by structuring elements of the Japanese model and the managed attention: job flexibility, demand-driven production, teamwork, adaptation of quality control circles, accountability of workers for process and product quality, performance pay, and goal achievement. However, it is understood that this study presents, in fact, an exploratory and inaugural character, opening and, at the same time, demanding new investigative inroads as a necessary step towards the understanding of the process of reorganization of work management and health production in AB promoted through the ESF and the PMAQ-AB.
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19
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MARCOS VINÍCIUS DE SANTANA SILVA
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Meaning of the profession in the Family Health Strategy for dental surgeons.
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Líder : LILIANE ELZE FALCAO LINS KUSTERER
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MIEMBROS DE LA BANCA :
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FERNANDO MARTINS CARVALHO
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LILIANE ELZE FALCAO LINS KUSTERER
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VIVIANE ALMEIDA SARMENTO
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Data: 30-ago-2018
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Resumen Espectáculo
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INTRODUCTION: The inclusion of dentistry in the Brazilian public healthcare system occurred in face of the need to increase healthcare coverage in the country. Oral health has been historically represented by models that do not have the potential of meeting population demands. The Brazilian National Oral Health Policy was created to reverse oral healthcare precariousness, which for several years suffered from mutilating and individualized techniques. With oral health expanding into family healthcare, primary healthcare now represents one of the main sources of jobs for dental surgeons (DS). The role of DS in family healthcare includes challenges such as multiprofessional, intersectoral, and collective work. Academic training regarding the use of equipment and tools may hamper the insertion of DS in comprehensive healthcare practices. OBJECTIVE: To understand the challenges faced by DS in their daily work routine within the Brazilian Family Health Strategy. METHODOLOGY: The present investigation is a descriptive exploratory study and was conducted using qualitative methods. The study subjects were DS that compose the Oral Health Staff. Participant observation and semi-structured interviews were conducted. Ten DS from various sanitary districts of the municipality of Salvador were interviewed. Content analysis was used for the treatment and analysis of material. Three thematic categories emerged: healthcare model; work in the field of family health; training to act in family health. RESULTS: dentists acknowledged primary health as the healthcare organizer, they were shown to only partially understand the healthcare network, most presented dominant clinical care in their schedule and predominance of activities with school children. Structural difficulties, low healthcare coverage, and insecurity in the work environment were observed. Clinical training predominated, and participants were unanimous in indicating professional stability as a factor for choosing the job. FINAL CONSIDERATIONS: The focus on clinical specialization reflects an unfamiliarity with the Healthcare Network, and the need to act in other fields in an intersectoral way. Higher investment is necessary in the training of professionals that act in the field of Family Health in order to supply comprehensive care to users and have satisfied professionals. Work precariousness and poor work conditions are a reality in the field of public oral health.
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