8 research outputs found
Douleurs et travail : aider le patient Ă garder un emploi
Introduction.â A significant part of the workers suffer from musculoskeletal pain (back pain,upper limb). Some of them are at risk to ose their job due to their health condition.
Objective. â The aim of the article is to describe synthetically what actors and measure can be used in order to help a patient keep his/her job in spite of the pain.
Results.â First place measures include a visit with the occupational physician before work resumption, part-time return to work and workplace accommodation.Second place measures require that a professional project is built by the patient supported by a knowledgeable person. These measures depend on the funding agency.They are devoted to compensate the work disability situation, and/or to provide the training required by the patientâs project.
Discussion and conclusion. â Work disability prevention faces many challenges due to barriers between the stakeholders, scattering of the knowledge and the complexity of legislative issues.However, it remains possible provided the patient is committed and supported by a case manager in charge of coordinating the information and the stakeholders. Confidence and collaboration are key issues in the process.
Impact des rejets dâassainissement permanents ou transitoires sur la qualitĂ© des eaux de baignade
La vulnĂ©rabilitĂ© des eaux de baignade aux rejets dâassainissement constitue Ă ce jour une sorte de « fait acquis ». GrĂące aux progrĂšs accomplis durant les quinze derniĂšres annĂ©es, les rejets de temps sec prĂ©sentent aujourdâhui un caractĂšre accidentel. La vulnĂ©rabilitĂ© aux rejets par temps de pluie, souvent massifs du fait du nombre de points de dĂ©versement et de leur extension gĂ©ographique, est certes connue des « spĂ©cialistes » mais en gĂ©nĂ©ral encore mal apprĂ©hendĂ©e. La nouvelle directive europĂ©enne sur les eaux de baignade introduit tout un ensemble de dispositions qui visent une meilleure maĂźtrise des sources de pollution : sur le long terme, plan dâĂ©radication ou de diminution en cas dâinsuffisance et sur le court terme, plan de gestion supposant un niveau de surveillance adĂ©quat de ces rejets. Ces dispositions, cohĂ©rentes avec celles de la directive cadre sur lâeau (DCE), auront des rĂ©percussions techniques importantes que cette communication se propose de dĂ©crire, comme notamment, lâinfluence de la courantologie cĂŽtiĂšre, la pollution bactĂ©riologique des eaux pluviales (mĂȘme en zone sĂ©parative) et les solutions dâamĂ©lioration envisagĂ©es pour limiter lâimportance des impacts des rejets dâassainissement