Acidentes do trabalho em estudantes do ensino fundamental e médio do Estado de São Paulo

OBJECTIVES: To estimate the prevalence of occupational injuries and identify their risk factors among students in two municipalities. METHODS: A cross-sectional survey was conducted in public schools of the municipalities of Santo Antonio do Pinhal and Monteiro Lobato, Brazil. A stratified probabilistic sample was drawn from public middle and high schools of the study municipalities. A total of 781 students aged 11 to 19 years participated in the study. Students attending middle and high school answered a comprehensive questionnaire on living and working conditions, as well as aspects of work injuries, and health conditions. Multiple logistic regression models were fitted to estimate risk factors of previous and present occupational injuries. RESULTS: Of 781 students, 604 previously had or currently have jobs and 47% reported previous injuries. Among current workers (n=555), 38% reported injuries on their current job. Risk factors for work injuries with statistically significant odds ratio >;2.0 included attending evening school, working as a housekeeper, waiter or brickmaker, and with potentially dangerous machines. CONCLUSIONS: The study results reinforce the need of restricting adolescent work and support communities to implement social promotion programs.OBJETIVOS: Estimar a prevalência de acidentes de trabalho entre estudantes adolescentes em área urbana e identificar os fatores de risco de ocorrência dos acidentes de trabalho. MÉTODOS: Um estudo transversal foi conduzido nas escolas públicas de ensino fundamental e médio, das cidades de Santo Antonio do Pinhal e Monteiro Lobato, Estado de São Paulo. Foi realizada uma amostra probabilística estratificada em duas escolas públicas de ensino médio de cada uma das duas cidades pesquisadas. O total da população pesquisada foi de 781 estudantes, de 11 a 19 anos de idade. Os estudantes responderam um questionário sobre condições de vida e trabalho, incluindo as características dos acidentes de trabalho ocorridos e problemas de saúde. Foram estimados os fatores de riscos para a ocorrência de acidentes no trabalho, do passado e do presente, usando modelos de regressão logística múltipla. RESULTADOS: Dos 781 estudantes que participaram da pesquisa, 604 relataram ter experiência de trabalho. Destes, 47% relataram já ter sofrido acidentes. Entre aqueles que, no período de coleta de dados, estavam trabalhando (n=555), 38% afirmaram ter sofrido acidentes no posto que ocupavam naquele momento. Os fatores de risco para a ocorrência de acidentes de trabalho, que apresentaram razão de chances acima de 2,0, foram: estudar no período vespertino, exercer funções de empregado(a) doméstico(a), garçom ou oleiro, e trabalhar com objetos e máquinas perigosas. CONCLUSÕES: Os resultados mostram a necessidade de restringir o trabalho de adolescentes, dando apoio às comunidades na implementação de programas de desenvolvimento social

Bronzeamento e risco de melanoma cutâneo: revisão da literatura

Epidemiological studies suggest a relationship between suntanning habits and high risk of melanoma. A literature review was carried out for the period between 1977 and 1998 using Medline and Embase (Excerpta Medica) databases. The analysis showed that intentional sun exposure is highly prevalent among youths, despite their awareness of the risks involved in excessive exposure to ultraviolet radiation and their knowledge on skin protection measures. Intentional exposure is a habit fostered by certain beliefs and attitudes towards suntanning and stimulated by peer pressure and aesthetic referents.The most common tanning practices involve a high risk of developing melanoma. It was concluded that the most effective means to prevent melanoma is mass media dissemination of the concept that having a tanned skin is not healthy - since it implies the skin being damaged by solar ultraviolet radiation - and education campaigns for effectively changing people's behaviors and their motivations.Estudos epidemiológicos sugerem a relação entre comportamentos relacionados ao bronzeamento e risco elevado de melanoma. Nesse sentido, realizou-se revisão sobre essa temática que abrangeu o período correspondente aos anos de 1977 a 1998. Foram pesquisadas as bases de dados Medline e Embase (Excerpta Medica). A análise mostrou que entre os jovens, apesar do conhecimento sobre os riscos da exposição excessiva à radiação ultravioleta e sobre as práticas visando à proteção da pele, prevalece o hábito de expor-se intencionalmente ao sol. Esse hábito é alimentado por crenças e atitudes em relação ao bronzeado e estimulado por influência do grupo e de pessoas consideradas "referências". As práticas mais freqüentemente adotadas para bronzear a pele apresentam risco elevado para o desenvolvimento de melanoma. Conclui-se que a forma mais eficaz de prevenir o melanoma é divulgar nos meios de comunicação que a pele bronzeada não é saudável, pois foi danificada pela radiação ultravioleta solar; e iniciar campanhas com ações efetivas para mudar comportamentos, naquilo que os motiva e os alimenta

Controle, exigências, apoio social no trabalho e efeitos na saúde de trabalhadores adolescentes

OBJETIVO: Avaliar as dimensões físicas e psicológicas do trabalho de adolescentes (demanda de trabalho, controle no trabalho e apoio social e ambiental), relacionando-os a relatos de: dores no corpo, acidentes de trabalho, duração de sono e duração diária da jornada de trabalho. MÉTODOS: Participaram do estudo 354 estudantes do período noturno de escola pública no Município de São Paulo, entre abril e maio de 2001. Esses, responderam a questionário sobre condições de vida, trabalho (escalas Karasek de controle no trabalho) e estado de saúde. Foram feitas análises de regressão logística múltipla a fim de determinar a relação entre variáveis. RESULTADOS: As exigências psicológicas mostraram-se associadas aos relatos de dores no corpo (OR=3,3), maiores riscos de ocorrência de acidentes de trabalho (OR=3,0) e redução da duração do sono durante os dias de semana (segunda a quinta-feira) (pOBJECTIVE: To evaluate physical and psychological dimensions of adolescent labor (such as job demands, job control, and social support in the work environment), and their relation to reported body pain, work injuries, sleep duration and daily working hours. METHODS: A total of 354 adolescents attending evening classes at a public school in São Paulo, Brazil, answered questionnaires regarding their living and working conditions (Karasek's Job Content Questionnaire, 1998), and their health status. Data collection took place in April and May 2001. Multiple logistic regression analysis was used to determine relations among variables. RESULTS: Psychological job demands were related to body pain (OR=3.3), higher risk of work injuries (OR=3.0) and reduced sleep duration in weekdays (Monday to Thursday) (

Working hours associated with unintentional sleep at work among airline pilots

OBJETIVO Identificar fatores associados aos cochilos não intencionais durante as jornadas de trabalho de pilotos da aviação regular. MÉTODOS Estudo epidemiológico transversal conduzido com 1.235 pilotos brasileiros de avião do transporte aéreo regular, que realizavam voos nacionais ou internacionais, sendo a coleta de dados realizada on-line. Foi realizada análise de regressão logística bivariada e múltipla, tendo como variável dependente o cochilo não intencional durante o horário de trabalho. As variáveis independentes foram relacionadas a dados biodemográficos, características do trabalho, estilo de vida e aspectos do sono. RESULTADOS A prevalência do cochilo não intencional enquanto pilotava o avião foi de 57,8%. Os fatores associados ao cochilo não intencional foram: voar por mais de 65 horas por mês, atrasos técnicos frequentes, maior necessidade de recuperação após o trabalho, capacidade para o trabalho inferior à ótima, sono insuficiente e sonolência excessiva. CONCLUSÕES A ocorrência do cochilo não intencional durante a jornada de trabalho de pilotos da aviação regular está associada a fatores relacionados à organização do trabalho e à saúde.OBJECTIVE Tto identify factors associated with unintentional sleep at work of airline pilots. METHODS This is a cross-sectional epidemiological study conducted with 1,235 Brazilian airline pilots, who work national or international flights. Data collection has been performed online. We carried out a bivariate and multiple logistic regression analysis, having as dependent variable unintentional sleep at work. The independent variables were related to biodemographic data, characteristics of the work, lifestyle, and aspects of sleep. RESULTS The prevalence of unintentional sleep while flying the airplane was 57.8%. The factors associated with unintentional sleep at work were: flying for more than 65 hours a month, frequent technical delays, greater need for recovery after work, work ability below optimal, insufficient sleep, and excessive sleepiness. CONCLUSIONS The occurrence of unintentional sleep at work of airline pilots is associated with factors related to the organization of the work and health

South American Expert Roundtable : increasing adaptive governance capacity for coping with unintended side effects of digital transformation

This paper presents the main messages of a South American expert roundtable (ERT) on the unintended side effects (unseens) of digital transformation. The input of the ERT comprised 39 propositions from 20 experts representing 11 different perspectives. The two-day ERT discussed the main drivers and challenges as well as vulnerabilities or unseens and provided suggestions for: (i) the mechanisms underlying major unseens; (ii) understanding possible ways in which rebound effects of digital transformation may become the subject of overarching research in three main categories of impact: development factors, society, and individuals; and (iii) a set of potential action domains for transdisciplinary follow-up processes, including a case study in Brazil. A content analysis of the propositions and related mechanisms provided insights in the genesis of unseens by identifying 15 interrelated causal mechanisms related to critical issues/concerns. Additionally, a cluster analysis (CLA) was applied to structure the challenges and critical developments in South America. The discussion elaborated the genesis, dynamics, and impacts of (groups of) unseens such as the digital divide (that affects most countries that are not included in the development of digital business, management, production, etc. tools) or the challenge of restructuring small- and medium-sized enterprises (whose service is digitally substituted by digital devices). We identify specific issues and effects (for most South American countries) such as lack of governmental structure, challenging geographical structures (e.g., inclusion in high-performance transmission power), or the digital readiness of (wide parts) of society. One scientific contribution of the paper is related to the presented methodology that provides insights into the phenomena, the causal chains underlying “wanted/positive” and “unwanted/negative” effects, and the processes and mechanisms of societal changes caused by digitalization

Conhecimentos e práticas de adolescentes na prevenção de acidentes de trabalho: estudo qualitativo

OBJECTIVE: To describe knowledge and practices adopted by high school students to prevent occupational injuries. STUDY DESIGN: The study was carried out in a public school located in São Paulo, in 2003. Fifty-three evening students aged 14 to 21 years old participated the study, they were divided into two groups with and without job experience (32 and 21 students, respectively). The students answered two questions: "Why do occupational injuries occur?" and "How do you avoid occupational injuries?" Analyses were performed using the software "Quali-quanti" to structure collective discourses. ANALYSIS OF DISCOURSES: Adolescents with work experience reported that occupational injuries occur due to carelessness of the employee, bad luck of the employee, employer's negligence, lack of training, and unsafe workplace. Adolescents without work experience reported that the main causes of work injuries were carelessness of the employee and employer's negligence. Regarding the ways to protect themselves against occupational injuries, both groups reported that: they pay attention (would pay attention) and wear safety equipment (would wear) safety equipment. CONCLUSIONS: Adolescents from both groups showed limited knowledge about occupational injuries and prevention methods. Students "blamed the victim" to explain the injuries and considered "paying attention to work" as the best way to protect themselves. These facts showed that the culture of blaming the victim is present since adolescence and probably it is an outcome of a learning process of the society.OBJETIVO: Descrever conhecimentos e práticas adotados por estudantes do ensino médio na prevenção de acidentes de trabalho. DELINEAMENTO DO ESTUDO: O estudo foi realizado em uma escola pública, localizada no Município de São Paulo, em 2003. Participaram 53 estudantes do período noturno, com idades entre 14 e 21 anos, divididos em dois grupos: com e sem experiência de trabalho (32 e 21 adolescentes, respectivamente). Eles responderam a duas questões: "Por quê os acidentes de trabalho ocorrem?" e "O que você faz para evitar que ocorram acidentes de trabalho?". As análises dos dados foram feitas no programa Quali-quanti, para a elaboração do discurso de sujeito coletivo. ANÁLISE DOS DISCURSOS: Para os adolescentes com experiência de trabalho, acidentes ocorrem devido ao descuido ou má sorte do funcionário, irresponsabilidade do patrão, falta de treinamento no trabalho e ambiente de trabalho inseguro. Os adolescentes sem experiência relataram que acidentes de trabalho ocorrem devido ao descuido do funcionário e irresponsabilidade do patrão. Sobre as formas de proteção dos acidentes de trabalho os adolescentes de ambos grupos relataram que: prestam (prestariam) atenção no trabalho e usam (usariam) equipamentos de segurança. CONCLUSÕES: Os adolescentes dos dois grupos mostraram conhecimento limitado sobre acidentes de trabalho e formas de prevenção. Os adolescentes apontaram como "culpa da vítima" as ocorrências dos acidentes de trabalho e a melhor forma de proteção "prestar atenção no trabalho". A cultura de culpar a vítima está presente desde a adolescência e provavelmente é resultado de um processo de aprendizado na sociedade

Verification of genes differentially expressed in neuroblastoma tumours: a study of potential tumour suppressor genes

<p>Abstract</p> <p>Background</p> <p>One of the most striking features of the childhood malignancy neuroblastoma (NB) is its clinical heterogeneity. Although there is a great need for better clinical and biological markers to distinguish between tumours with different severity and to improve treatment, no clear-cut prognostic factors have been found. Also, no major NB tumour suppressor genes have been identified.</p> <p>Methods</p> <p>In this study we performed expression analysis by quantitative real-time PCR (QPCR) on primary NB tumours divided into two groups, of favourable and unfavourable outcome respectively. Candidate genes were selected on basis of lower expression in unfavourable tumour types compared to favourables in our microarray expression analysis. Selected genes were studied in two steps: (1) using TaqMan Low Density Arrays (TLDA) targeting 89 genes on a set of 12 NB tumour samples, and (2) 12 genes were selected from the TLDA analysis for verification using individual TaqMan assays in a new set of 13 NB tumour samples.</p> <p>Results</p> <p>By TLDA analysis, 81 out of 87 genes were found to be significantly differentially expressed between groups, of which 14 have previously been reported as having an altered gene expression in NB. In the second verification round, seven out of 12 transcripts showed significantly lower expression in unfavourable NB tumours, <it>ATBF1</it>, <it>CACNA2D3</it>, <it>CNTNAP2</it>, <it>FUSIP1</it>, <it>GNB1</it>, <it>SLC35E2</it>, and <it>TFAP2B</it>. The gene that showed the highest fold change in the TLDA analysis, <it>POU4F2</it>, was investigated for epigenetic changes (CpG methylation) and mutations in order to explore the cause of the differential expression. Moreover, the fragile site gene <it>CNTNAP2 </it>that showed the largest fold change in verification group 2 was investigated for structural aberrations by copy number analysis. However, the analyses of <it>POU4F2 </it>and <it>CNTNAP2 </it>showed no genetic alterations that could explain a lower expression in unfavourable NB tumours.</p> <p>Conclusion</p> <p>Through two steps of verification, seven transcripts were found to significantly discriminate between favourable and unfavourable NB tumours. Four of the transcripts, <it>CACNA2D3</it>, <it>GNB1</it>, <it>SLC35E2</it>, and <it>TFAP2B</it>, have been observed in previous microarray studies, and are in this study independently verified. Our results suggest these transcripts to be markers of malignancy, which could have a potential usefulness in the clinic.</p