Revista Brasileira de Medicina do Trabalho最新文献

Risks of accidents involving biological material in Primary Care: analysis of the state of São Paulo (2020-2024). 初级保健中涉及生物材料的事故风险：对<s:1>圣保罗州（2020-2024）的分析

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-25 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2025-1480

Danilo Panebianco, Gabriel Demarchi, Gabryel Roberto da Costa, Lorena Passos Viana, Marcio Amaro Sena Curvello, Ricardo Toshio Enohi

{"title":"Risks of accidents involving biological material in Primary Care: analysis of the state of São Paulo (2020-2024).","authors":"Danilo Panebianco, Gabriel Demarchi, Gabryel Roberto da Costa, Lorena Passos Viana, Marcio Amaro Sena Curvello, Ricardo Toshio Enohi","doi":"10.47626/1679-4435-2025-1480","DOIUrl":"https://doi.org/10.47626/1679-4435-2025-1480","url":null,"abstract":"Introduction: Work accidents due to exposure to biomaterials represent a common risk in the routine of primary health care professionals, due to insufficient training and partial adherence to biosafety standards.Objectives: To identify, between 2020 and 2024, the risk factors associated with work accidents involving exposure to biological material in Primary Health Care and Family Health Strategy professionals in the state of São Paulo.Methods: Ecological study based on data from the Notifiable Diseases Information System database, including Primary Health Care professionals. Statistical analysis was performed using the Mann-Whitney and Kruskal-Wallis tests.Results: A total of 289 cases were reported, with white women between 35 and 49 years old predominating. Community health agents and nursing technicians had the highest number of notifications. Dental procedures were the main circumstance of accidents. Most were vaccinated against hepatitis B and tested negative for hepatitis B surface antigen, antibodies to hepatitis B surface antigen, hepatitis C virus, and human immunodeficiency virus.Conclusions: Work accidents due to exposure to biomaterial have a defined epidemiological profile, which facilitates the implementation of targeted measures, especially for the most vulnerable group - community health agents - aimed at improving professional training, reinforcing safe practices, and strengthening preventive strategies.","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 3","pages":"e20251480"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational medicine: strategies to promote health and well-being in the workplace. 职业医学：促进工作场所健康和福祉的战略。

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-23 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2025-1435

Jordana Carneiro Rodrigues da Cunha, Amanda Caroline de Freitas Barbosa, Isadora de Bessa Guimarães, Samara Gomes Costa, Raul Vidica Teodoro Barcelos, Joana Darc Silvério Porto

{"title":"Occupational medicine: strategies to promote health and well-being in the workplace.","authors":"Jordana Carneiro Rodrigues da Cunha, Amanda Caroline de Freitas Barbosa, Isadora de Bessa Guimarães, Samara Gomes Costa, Raul Vidica Teodoro Barcelos, Joana Darc Silvério Porto","doi":"10.47626/1679-4435-2025-1435","DOIUrl":"https://doi.org/10.47626/1679-4435-2025-1435","url":null,"abstract":"This study analyzed workplace health and well-being promotion strategies through a narrative literature review, focusing on national and international approaches implemented between 2015 and 2024. The results highlighted that integrated actions, combining medical surveillance and psychosocial support, reduce occupational risks, increase productivity, and strengthen employee-company bonds. Models such as Workplace Health Promotion Embedded in Medical Surveillance and Total Worker Health® stood out for promoting physical and mental health, while Hong Kong's Joyful@Healthy Workplace program demonstrated the effectiveness of combining educational campaigns and ergonomically adapted environments. The success of these strategies depends on leadership commitment, active employee participation, and the development of an organizational culture focused on well-being, adapted to each context's socio-cultural and economic specificities. In Brazil, implementing these practices requires investments in occupational health, public-private partnerships, and developing indicators to measure their long-term impacts. It is concluded that adopting holistic and continuous approaches is essential to create healthier, more inclusive, and productive workplaces, benefiting both individuals and organizations.","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 3","pages":"e20251435"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstructive sleep apnea syndrome: aeronautical medical assessment. 阻塞性睡眠呼吸暂停综合征：航空医学评估。

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-22 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2024-1326

José de Sousa Vale, Silvia Maria Pimenta

引用次数: 0

Ethical reflections in legal medicine and forensic medical expertise: looking beyond the norm. 法律医学和法医专业知识的伦理反思：超越规范。

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-22 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2025-1478

Gustavo de Almeida

引用次数: 0

Characteristics of tinnitus in workers exposed to occupational noise: a systematic review. 职业性噪声暴露工人耳鸣的特点：一项系统综述。

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-22 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2025-1466

Eduarda Gabrielle Azambuja Freire, Taís de Azevedo Picinini, Adriana Laybauer Silveira Unchalo, Adriane Ribeiro Teixeira

{"title":"Characteristics of tinnitus in workers exposed to occupational noise: a systematic review.","authors":"Eduarda Gabrielle Azambuja Freire, Taís de Azevedo Picinini, Adriana Laybauer Silveira Unchalo, Adriane Ribeiro Teixeira","doi":"10.47626/1679-4435-2025-1466","DOIUrl":"https://doi.org/10.47626/1679-4435-2025-1466","url":null,"abstract":"Tinnitus is an auditory symptom characterized by the perception of sound without an external source and is often associated with occupational noise exposure. This study aimed to analyze the possible characteristics of tinnitus in workers exposed to occupational noise. This is a systematic literature review conducted by researchers who independently performed the search and analysis of articles. Searches were conducted in the PubMed, Embase, Latin American and Caribbean Health Sciences Literature (LILACS), Scopus, and Web of Science databases as well as Google Scholar, used as a source of gray literature. The review question was: \"What are the characteristics of tinnitus in workers exposed to occupational noise?\" Descriptors were selected from the Medical Subject Headings and the Health Sciences Descriptors. A total of 1,002 studies were identified, and after analysis, only 7 were included in the review. Studies indicated that tinnitus was predominantly perceived in both ears, with a high-pitched tone. Loudness was classified as mild to moderate. The type of tinnitus was described as a \"whistle\" or \"hissing.\" Periodicity was mostly intermittent. In individuals exposed to occupational noise, tinnitus is bilateral, high-pitched, mild to moderate in loudness, tonal, and intermittent. Monitoring tinnitus and its characteristics in workers is essential for auditory and mental health.","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 3","pages":"e20251466"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delivery app workers: working conditions and resistance to the control of digital platforms. 外卖app工作者：工作条件和对数字平台控制的抵制。

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-22 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2025-1493

Carolina Cozatti de Camargo, Sergio Roberto de Lucca

{"title":"Delivery app workers: working conditions and resistance to the control of digital platforms.","authors":"Carolina Cozatti de Camargo, Sergio Roberto de Lucca","doi":"10.47626/1679-4435-2025-1493","DOIUrl":"https://doi.org/10.47626/1679-4435-2025-1493","url":null,"abstract":"Introduction: The article addresses the work mediated by digital platforms from the narratives of delivery deliverers in Campinas-São Paulo, Brazil.Objectives: The objective of the study was the influence of algorithmic management on the activities of these workers, and the strategies of resistance to increasing exploitation.Methods: Qualitative research. 100 platform riders were interviewed between January and July 2023 in three waiting hubs in three shopping centers of the city.Results: The narratives identified the work process of algorithmic management and undignified working conditions as main thematic matrices and, respectively, the subcategories length of working hours and lack of transparency in the evaluation criteria and remuneration; discrimination and prejudice, and insecurity and work accidents. It was evidenced the power of hubs as a point of exchange of experiences and resistance to the algorithmic manager of platforms.Conclusions: Despite the discouragement about the future, expressed by most of the deliverers, there is hope in the struggle for the right to decent work and social protection.","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 3","pages":"e20251493"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burden and quality of life of caregivers of individuals with stroke in the Western Amazon. 西亚马逊地区脑卒中患者护理人员负担与生活质量

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-22 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2025-1379

Evandro Piccinelli da Silva, Isabela Saura Sartoreto Mallagoli, Eloizi Cezar Dos Santos Piccinelli, Maria Aline do Nascimento Oliveira, Kleyton Góes Passos, Angélica Gonçalves Silva Belasco

{"title":"Burden and quality of life of caregivers of individuals with stroke in the Western Amazon.","authors":"Evandro Piccinelli da Silva, Isabela Saura Sartoreto Mallagoli, Eloizi Cezar Dos Santos Piccinelli, Maria Aline do Nascimento Oliveira, Kleyton Góes Passos, Angélica Gonçalves Silva Belasco","doi":"10.47626/1679-4435-2025-1379","DOIUrl":"10.47626/1679-4435-2025-1379","url":null,"abstract":"Introduction: Stroke causes functional limitations and requires care from informal caregivers, who often experience caregiver burden and compromised quality of life.Objectives: We aimed to assess the burden and quality of life of caregivers of patients with stroke and correlate burden with sociodemographic and clinical aspects, quality of life of both the caregivers and the patients, and the functional independence of the patients.Methods: This cross-sectional study included 136 caregivers and their patients from Cruzeiro do Sul, Acre, Brazil. A caregiver burden scale (Zarit Burden Interview), a quality of life instrument (36-item Short-Form Health Survey), and a functional independence questionnaire (Barthel Index) were used. In addition, sociodemographic and clinical data on caregivers were collected.Results: Caregiver burden was moderate-to-severe in 78.7% and severe in 39.7%. All domains of caregiver quality of life were compromised except functional capacity. According to the logistic regression, caregiver burden was most associated with home ownership and living with the patient (p = 0.0046), low caregiver scores in the physical (p = 0.0007) and mental health (p = 0.0009) domains, and moderate-to-severe patient dependence (p = 0.0040).Conclusions: Caregiver burden was associated with home ownership and living with the patient, low physical and mental health scores, and moderate-to-severe patient dependence.","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 3","pages":"e20251379"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unhealthy work allowance and profile of workers at a federal university before and after adoption of the concession module of Integrated Health Care Subsystem for Civil Servants. 采用公务员综合保健子系统优惠模块前后联邦大学工人的不健康工作津贴和概况。

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-22 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2024-1333

Cristiane de Almeida Pereira, Eliane Marina Palhares Guimarães, Mery Natali Silva Abreu

{"title":"Unhealthy work allowance and profile of workers at a federal university before and after adoption of the concession module of Integrated Health Care Subsystem for Civil Servants.","authors":"Cristiane de Almeida Pereira, Eliane Marina Palhares Guimarães, Mery Natali Silva Abreu","doi":"10.47626/1679-4435-2024-1333","DOIUrl":"10.47626/1679-4435-2024-1333","url":null,"abstract":"Introduction: In 2018, the Integrated Health Care Subsystem for Civil Servants Concession Module for Occupational Allowances (Módulo de Concessão para Adicionais Ocupacionais do Subsistema Integrado de Saúde do Servidor) was established as a pilot project. This computerized system was created to enhance the processes for granting occupational allowances, ensure compliance with current legislation, and record this information within the federal public service.Objectives: To identify the positions, sectors, and risk units at Federal University of Minas Gerais, to characterize the profile of employees engaged in unhealthy activities, and to quantify the number of employees who received the allowance before and after the system's implementation.Methods: A quantitative design with descriptive and analytical aims, utilizing secondary data obtained from payroll control spreadsheets.Results: The data indicated that the institution's typical employee is female, aged between 40 and 60 years, holds an undergraduate degree, occupies health related positions, and works in a hospital. Moreover, there was a 26.8% reduction in the number of employees receiving the allowance, a 30.0% reduction in the number of units, and a 64.7% reduction in the number of organizational units with recognized compensable unhealthy conditions.Conclusions: Although this remote management system standardized procedures, allowed remote access to information, and reduced expenses related to unhealthy allowances, it was not developed with a focus on disease or accident prevention, nor on the promotion of worker health.","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 3","pages":"e20241333"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food insecurity in older adults with subsistence jobs and its relationship with isolation conditions due to COVID-19, eating habits, and emotional symptoms, Medellin, Colombia, 2021. 从事自给工作的老年人的粮食不安全状况及其与COVID-19导致的隔离状况、饮食习惯和情绪症状的关系，哥伦比亚麦德林，2021年。

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-14 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2025-1265

María Osley Garzón-Duque, Fabio León Rodríguez-Ospina, Sara Isabel Sierra-Gaviria, Valeria Cano-Cano

{"title":"Food insecurity in older adults with subsistence jobs and its relationship with isolation conditions due to COVID-19, eating habits, and emotional symptoms, Medellin, Colombia, 2021.","authors":"María Osley Garzón-Duque, Fabio León Rodríguez-Ospina, Sara Isabel Sierra-Gaviria, Valeria Cano-Cano","doi":"10.47626/1679-4435-2025-1265","DOIUrl":"10.47626/1679-4435-2025-1265","url":null,"abstract":"Introduction: Food insecurity among older adults with subsistence jobs has been little explored in the context of the pandemic.Objectives: To identify the conditions of isolation due to COVID-19, eating habits, and emotional symptoms associated with food insecurity among older adults with subsistence jobs in Medellín, Colombia, 2021.Methods: Cross-sectional study with primary sources of information from 208 workers. The design and execution of the fieldwork were carried out in collaboration with the workers and their leaders. Results are presented for the nutritional component of workers aged ≥ 60 years who participated in the macro-project from which this product is derived.Results: 68.7% were between 60 and 69 years old, and 73.0% were heads of household. Women reported lower incomes, 53.0% were without a partner, and 58.6% did not have permission to work. Men had higher consumption of cigarettes and alcohol. 97.0% isolated themselves in quarantine, 83.1% received some type of support during the pandemic, and 62.2% continued to receive it. 56% were overweight or obese, and 32.7% had severe family dysfunction. 50% saw their lives affected, and 96.6% saw their work affected by mandatory isolation. 38.0% experienced moderate/severe food insecurity, which was higher (p < 0.05) among those who did not have a partner, consumed one or two meals a day, and experienced family dysfunction. Family dysfunction and consuming one or two meals a day contributed to explaining food insecurity.Conclusions: The mandatory isolation imposed on older adults with subsistence jobs had an impact on their lives and health, increasing their socio-environmental and labor vulnerability.","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 3","pages":"e20251265"},"PeriodicalIF":0.0,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burnout syndrome in Brazil (2014-2024): regional variations and temporal trends in an epidemiological study. 巴西职业倦怠综合征（2014-2024）：流行病学研究中的区域差异和时间趋势

Revista Brasileira de Medicina do Trabalho Pub Date : 2025-09-14 eCollection Date: 2025-07-01 DOI: 10.47626/1679-4435-2025-1479

Maria Fernanda Quandt Treml, Amanda Vieira Sarubbi, Maria Eduarda Smaniotto Madeira, Amanda Wollmann Rasoto, Nathalia Schwarzer

{"title":"Burnout syndrome in Brazil (2014-2024): regional variations and temporal trends in an epidemiological study.","authors":"Maria Fernanda Quandt Treml, Amanda Vieira Sarubbi, Maria Eduarda Smaniotto Madeira, Amanda Wollmann Rasoto, Nathalia Schwarzer","doi":"10.47626/1679-4435-2025-1479","DOIUrl":"10.47626/1679-4435-2025-1479","url":null,"abstract":"Introduction: Burnout syndrome is classified in International Classification of Diseases-11 as a disorder related to chronic workplace stress, characterized by emotional exhaustion, negative feelings toward work, and reduced professional efficacy. It represents a growing public health issue impacting quality of life and productivity.Objectives: To analyze the regional and temporal distribution of burnout syndrome in Brazil between 2014 and 2024, based on sociodemographic and clinical data available in the public health system.Methods: A retrospective, observational, quantitative study using data extracted from the Departamento de Informática do Sistema Único de Saúde system. Variables analyzed included sex, age group, race, substance use, psychotropic drug use, treatment regimen, referral to Psychosocial Care Centers, and clinical evolution. Statistical analysis was performed using Microsoft Excel 2013 with analysis of variance, 95%CI, and p < 0.05 as significance threshold.Results: Most reported cases were women (71.6%), aged 35 to 49 years (56.7%). The Southeast (52.8%) and Northeast (29.8%) regions concentrated most notifications. The year 2024 had the highest notification rate (28.4%; p = 0.008). Psychotropic drug use was identified in 51.7% of cases, while alcohol, tobacco, and illicit drug use accounted for less than 8%, without statistical significance. Conclusions: The syndrome showed a 96.4% increase over the analyzed period, predominantly affecting women in the Southeast region. This rise may be related to increased diagnostic awareness, professional training, and mental health awareness strategies.","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 3","pages":"e220251479"},"PeriodicalIF":0.0,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0