Browsing by Author "Viterbo, Lilian Monteiro Ferrari"
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- Aedes aegypti: Environmental Inspection for Promoting a Safe Work Environment in na Oil Industry in Bahia, BrazilPublication . Viterbo, Lilian Monteiro Ferrari; Costa, André Santana; Vidal, Diogo Guedes; Dinis, Maria Alzira Pimenta
- Aplicación Del Self-Reporting Questionnaire (SRQ-20) en Trabajadores de la Industria Petrolífera en BrasilPublication . Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Costa, André Santana; Dinis, Maria Alzira PimentaLas perturbaciones mentales en el mundo afectan a millones de personas y, si no tratadas, cobran un enorme precio en términos de sufrimiento, invalidez y pérdida económica (OMS, 2008). En vista de las denuncias de salud mental identificadas en los consultorías del servicio de salud del trabajador, el foco de la presente investigación, se entendía que era importante delinear el perfil de las personas afectadas por los trastornos mentales comunes (TMC), con el fin de alentar a Promoción de la salud mental y recolección de datos epidemiológicos para la elaboración de intervenciones dirigidas y efectivas.
- Combining an evaluation grid application to assess ecosystem services of urban green spaces and a socioeconomic spatial analysisPublication . Vidal, Diogo Guedes; Fernandes, Cláudia; Viterbo, Lilian Monteiro Ferrari; Vilaça, Helena; Barros, Nelson; Maia, Rui LeandroThe complex interaction of ecological and social systems has shaped the cities through the time. This fosters the need to develop interdisciplinary approaches to urban issues by combining natural and social sciences. Cities, as the predominant mode of social organization, are vulnerable to social and environmental challenges which urban green spaces (UGS) can contribute to solve by the ecosystem services (ES) that can provide. The objective was to assess the quality of UGS framed by the ES classification and relate with the provision of these services in areas of distinct socioeconomic and environmental deprivation. An evaluation grid was applied in 25 UGS in the city of Porto. Socioeconomic and environmental deprivation index applied by the Porto City Hall in the Municipal Master plan to divide the city into 5 clusters of deprivation was used to select 5 UGS of each cluster. In the most deprived communities, namely in clusters of high and very high socioeconomic and environmental deprivation, the quality of UGS is lower than in the less vulnerable ones. Besides this, it was found that some UGS located in clusters with higher vulnerability have an overall good quality, namely those located in historic and touristic areas of the city. The evaluation grid may be useful to the local authorities to diagnose, monitor and evaluate the ES of UGS and to identify situations of environmental injustice contributing to pursue the implementation of sustainable development goals at a local level.
- Communication of Environmental Risks to Potentially Exposed Workers: An Experience in the Oil Industry, Bahia, BrazilPublication . Costa, André Santana; Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Dinis, Maria Alzira Pimenta; Simões, HelderConflicts between workers and health experts and their multiple rationalities must always be considered in the risk communication process. Disagreements are frequent in understanding occupational exposure to environmental agents among stakeholders. The present study aimed to describe the evolution of differences between experts and oil industry workers in Bahia, Brazil. The Tool of Instructions to the Double was applied and the results followed over three annual assessment cycles (2017–2019). In the observed period, a reduction in the share of disagreements between workers and experts was identified: 25.2% (n = 183) to 3.1% (n = 22), representing a percent variation of 98.9% relating the understanding of occupational noise exposure based on normative classification. The relations of conflict between workers and experts and the multiple social and cultural dimensions must always be considered as an important challenge in workers’ health. Thus, the use of models encouraging dialogue and value knowledge from the experience of workers seem to be more appropriate in conflicting contexts, enhancing risk control, protection and health promotion.
- Desenvolvimento de um instrumento quantitativo para inspeção sanitária em serviços de alimentação e nutrição, BrasilPublication . Viterbo, Lilian Monteiro Ferrari; Dinis, Maria Alzira Pimenta; Sá, Katia Nunes; Marques, Cynara Araújo Santos de Castrothor; Navarro, Marcus Vinícius Teixeira; Leite, Handerson Jorge DouradoO estudo visou desenvolver um Instrumento Quantitativo para Inspeção Sanitária (IQIS) em serviços de alimentação e nutrição de grande porte no Brasil. Utilizou-se a tecnologia de inspeção, no Modelo de Avaliação do Risco Potencial (MARP) e legislação sanitária brasileira. Estruturaram-se 12 dimensões, 41 módulos, 57 indicadores de controle de riscos (críticos/não críticos), numa escala de 0-5, totalizando 1.512 índices com codificação de respostas fechadas. O IQIS foi validado com o Coeficiente de Kappa, com excelente concordância para atributos de clareza e relevância (k = 0,82 e k = 0,92) e boa concordância para o atributo aplicabilidade (k = 0,78). O teste de Kruskal-Wallis mostrou inexistir diferença significativa entre as avaliações (p = 0,423), o Coeficiente de Correlação Intraclasse foi satisfatório (CCI = 0,53), o Alpha de Cronbach (α = 0,71) aceitável. O resultado final possibilitou classificar o serviço como tendo risco sanitário inaceitável. Considera-se o IQIS com conteúdo validado, tendo confiabilidade e reprodutibilidade para avaliação higiênico-sanitária, sendo uma inovação tecnológica para serviços de alimentação e nutrição e vigilância sanitária, possibilitando inspeção detalhada e rigorosa.
- Development and Validation of an Interdisciplinary Worker’s Health Approach Instrument (IWHAI)Publication . Viterbo, Lilian Monteiro Ferrari; Dinis, Maria Alzira Pimenta; Costa, André Santana; Vidal, Diogo GuedesThe present study aimed to develop and validate an Interdisciplinary Worker’s Health Approach Instrument (IWHAI). The development stage comprised a group of 10 professionals, including physicians, nurses, nutritionists, dentists and physical educators, as well as a judges’ committee, composed by 19 recognized experts in the area of worker’s health (WH). For the validation of the IWHAI, the Spearman’s correlation coefficient (rs) was calculated, the factor analysis to the instrument was applied, and the Cronbach’s alpha (α) and the Intraclass correlation coefficient (ICC) were calculated. The IWHAI was structured in five dimensions, integrating 43 health indicators, on a scale of 0–4, totalling 215 sub-indices with closed response coding. The instrument was validated with a Kappa coefficient (KAPPA) (k), with excellent agreement for all attributes, i.e., k = 0.88 for applicability, k = 0.80 for clarity and k = 0.82 for relevance. p > 0.05 results reveal moderate to strong positive correlations between some variables, i.e., pests, vectors and air quality/drinking water quality (rs = 0.69). A total of 14 components of the factor analysis, explaining 62.6% of the data variance, were extracted. α value is considered moderate to high, α = 0.61, the ICC value also being considered moderate to high, with ICC = 0.61. The IWHAI is considered validated, constituting a technological innovation for an interdisciplinary approach in the field of WH, enabling the prevention and integral promotion of health.
- Development and validation of a grid to evaluate ecosystem services of public urban green spaces in Porto (Portugal)Publication . Vidal, Diogo Guedes; Fernandes, Cláudia; Viterbo, Lilian Monteiro Ferrari; Vilaça, Helena; Barros, Nelson; Maia, Rui LeandroCities must be pleasant and healthy spaces able to contribute to ecosystems regeneration and to bring closer Humans and Nature. Contemporary social and environmental issues present big challenges to promoting sustainable and resilient cities. The potential of ecosystem services of the urban green spaces is visible in the regeneration of urban environment, namely in the improvement of environmental and public health and social dimensions. This work presents the development and validation of a grid to evaluate ecosystem services of public urban green spaces. The grid was applied in 25 public urban green spaces in the city of Porto. Statistical tests were performed to evaluate the reliability and consistency of the tool. Results show that the grid is robust and reliable, thus its application is acceptable and could result in potential gains. These include the monitoring of ecosystem services of public urban green spaces to adjust them to citizen’s social and environmental needs, namely if the tool will be adopted by the municipal department of green spaces and infrastructure management of the city of Porto, Portugal.
- Development and validation of a nursing instrument for triage in occupational health servicesPublication . Caribé, Janaína; Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Sá, Kátia NunesThis study aimed to develop and validate an instrument for nursing triage in occupational health services (ICEST). Exploratory factor-analysis techniques were used to remove redundant or non-endorsed items and identify the factor structure of the ICEST. Validation of the items, content, construct and reliability were also performed. The final ICEST consisted of 14 indicators and 71-graduated indexes. The ICEST showed to be reliable, consistent and satisfactory structure to be applied in occupational health services.
- Development of an innovative index to assess worker’s health risk: the WHRI applied to an oil industry in Bahia, BrazilPublication . Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Costa, André; Dinis, Maria Alzira Pimenta; Filho, Walter LealPurpose: The objective of this study was to assess the worker’s health (WH) risk, focused on sustainable development in a work context and based on the development and application of the Worker’s Health Risk Index (WHRI) in the oil extraction and production industry in Bahia, Brazil. Design/methodology/approach: The sample, obtained by quota sampling, comprised 965 participants. The development stage integrated a group of 10 specialists, including physicians, nurses, nutritionists, dentists and physical educators, all specialists in the WH area, as well as 3 experts in the area of data science. Three risk ranges were defined: "Low", "Moderate" and "High". Findings: The WHRI validation revealed reliability and reproducibility, as well as the ability to identify differences among the population studied according to sex, age group and education level. The results indicate that the WH risk is higher in men, aged above 50 years old and with a low level of education (p < 0.001). 74% of the participants are in the "Low", 21% in the "Moderate" and 5% in the "High" risk ranges. High-risk workers are also those with diabetes mellitus, altered triglyceride or glycemia levels, hypertension, poor oral hygiene and periodontal conditions, tobacco use, low levels of physical activity (all with p < 0.05), or alcohol abuse. Originality/Value: The WHRI’s major contribution is to make available a useful tool for the identification of WH risk, helping to define clearer health promotion, prevention and intervention policies in the context of WH.
- Diagnóstico dos hábitos alimentares, excesso de peso e obesidade em jovens da Área Metropolitana do PortoPublication . Martins, Alice; Pontes, Manuela; Vidal, Diogo Guedes; Costa, André; Viterbo, Lilian Monteiro FerrariIntrodução: A Organização Mundial de Saúde apresenta uma estratégia de intervenção para a obesidade infantil alicerçada em três domínios: atuação sobre os cuidados primários de saúde; as mediações junto das famílias; e as ingerências desenvolvidas pelas escolas. Objetivos: Caraterizar os hábitos alimentares e analisar a relação com o excesso de peso e obesidade nos jovens. Métodos: Diagnóstico do estado nutricional e do comportamento alimentar a uma amostra de 320 jovens, habitantes da Área Metropolitano do Porto. Resultados: Prevaleceram jovens do sexo feminino (53,1 %) e com uma média de idade de 16,2±1,0 anos. Os padrões de consumo alimentar indicam um consumo excessivo de refrigerantes e açúcares e uma reduzida ingestão de frutas, consumidas até 4 vezes por semana (29,4 %), e hortaliças, consumidas no máximo três vezes por mês (cerca de 50 %), não sendo verificadas diferenças significativas entre os sexos (p >0.05). Verificou-se a existência de diferenças significativas na ingestão de calorias, proteínas, hidratos de carbono, ferro, e de sódio, para todas as idades em ambos os sexos (p <0.05). Conclusões: Os resultados indiciam um desequilíbrio do estado nutricional dos participantes, esboçado pelos valores de sobrepeso e obesidade, o que se relaciona, de algum modo, com os comportamentos alimentares referenciados. Tabela 1. Distribuição da população por percentis de acordo com os critérios do CDC, em função do sexo e da idade cronológica. (%) Tabela 2. Caracterização do estado de nutrição (IMC) da totalidade da amostra em função dos critérios do CDC e de Cole (%) 31,3 % dos adolescentes com sobrepeso possuem 17 anos, sendo a obesidade mais comum aos 15 anos (50 %). Relativamente critério utilizado (CDC vs. Cole) verifica-se, respetivamente, uma prevalência de 15 % e 16,9 % de sobrepeso , e de 4,4 % e 3,8 % de obesidade para a totalidade da amostra.