Browsing by Issue Date, starting with "2020-02-21"
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- Effectiveness of an Oral Health Program Among Brazilian Oil WorkersPublication . Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Costa, André Santana; Dinis, Maria Alzira PimentaThe aim of this study was to assess the effectiveness of the implementation of an oral health program among Brazilian oil workers, Bahia. The program consists in an annual consultation, with and an occupational dentist and oral health technicians, performing oral examination, in addition to having access to plaque and gingival indices obtained in the exam. The Oral Hygiene Index (OHI) was used, as well as the “Quality of oral hygiene”, “Periodontal disease”, “Systemic Arterial Hypertension” (SAH) and “Diabetes Mellitus” (DM) questionnaires. The reduction of periodontal disease was associated with the improvement of oral hygiene quality, with a positive impact in the reduction of the probability to develop high blood pressure and DM. The oral health promotion programme was effective in keeping or maintaining good oral health among workers, also resulting in savings to the company.
- Separação de casal: entre a satisfação conjugal e a separação judicialPublication . Moura, Fabiano Moura de; Cunha, PedroO presente estudo busca analisar por que as pessoas insatisfeitas com a relação conjugal permanecem casadas ou permanecem casadas por mais de seis meses e se separam. No referencial teórico, para responder a esse questionamento buscou-se, em dois capítulos, analisar o casamento e a separação. No primeiro capítulo foi possível discorrer sobre os conceitos de casal, família e casamento, analisando-se mais pormenorizadamente a perspetiva psicológica do casal, a história da psicoterapia do casal e a terapia comportamental do casal. No que diz respeito ao segundo capítulo, analisa-se a separação, a intimidade do casal, a satisfação e insatisfação da relação, as causas que permeiam essa separação, a busca pela identidade do casal e vários modelos terapêuticos. No que tange à pesquisa empírica, essa contou com uma amostra de conveniência composta por seis casais que foram divididos em dois grupos. O primeiro trata-se de três casais que se sentem insatisfeitos e permaneceram casados mesmo assim. Já o segundo grupo tem três casais que, após meses de insatisfação no relacionamento, resolveram se separar. Esses casais cumpriram os critérios estabelecidos na investigação e após o aceite foram feitas as entrevistas com eles. Diante do resultado das entrevistas, foi possível verificar a diferença entre os casais que fazem parte do mesmo grupo e a influência que a família tem na relação e na decisão de manter a relação ou de se separarem.
- Medical Emergency Resource Classification Instrument (MERCI) in the Oil Industry, BrazilPublication . Bonato, Denise Bonato Dias Carvalho; Costa, André Santana; Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Dinis, Maria Alzira PimentaThe area of medical urgency and emergency is an important component of health care. Oil and Gas companies exist in a variety of locations in Brazil. The quality of medical infrastructure and specialties differs, and it is important to ensure optimal workers medical care. This paper describes the development of an objective tool for classifying levels of medical emergency response services in the oil industry, Bahia, Brazil, based on the steps that make up a complete cycle of medical emergency care: emergency detection, specifically requested resources, first aid on site, specialized care, and assisted removal to definitive treatment unit. A committee of 12 recognized occupational health and medical emergency experts with at least five years’ experience participated in content validation through the Delphi Technique. The indicator was subdivided into 4 indices based on the risk profiles observed from the internal risk analysis documents. Medical Emergency Resource Classification Instrument (MERCI) aimed to reduce the subjectivities of the assessment and allocation of resources in medical emergencies, considering the characteristics of oil and gas companies regarding the assessment of risk scenarios, location and exposed population. The proposed methodology can lead top management to routinely adopt MERCI, ensuring the maintenance of medical emergency response resources, with a level of service appropriate to the needs of industry and workers.
- Health Risk Assessment in Oil Industry in Bahia, Brazil: The Worker’s Health Risk Index (WHRI)Publication . Viterbo, Lilian Monteiro Ferrari; Dinis, Maria Alzira Pimenta; Vidal, Diogo Guedes; Costa, André Santana; Oliveira, Pedro Vinícius Gomes; Nascimento, Jardel Gomes do; Simões, HelderThe 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. The sample, obtained by quota sampling, comprised 965 participants. The development stage integrates the Interdisciplinary Workers Health Approach Instrument (IWHAI) application to collect worker’s data, the analysis of the relationships between the indicators, the risk ranges definition, the WHRI formulas elaboration, the WHRI final application and its discriminant validity. Three risk ranges were defined: “Low”, “Moderate” and “High”. WHRI revealed the ability to identify differences between the population studied, according to sex, age group and education level. The results indicate that 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, triglycerides, altered glycemia and hypertension, poor oral hygiene and periodontal condition, smoking, less physically active (all with p < 0.05), and higher levels of abstentionism. WHRI major contribution is to make available a useful tool for the identification of WH risk, contributing to define clearer health promotion, prevention and intervention policies in the context of WH.
- Interferência das redes sociais nos relacionamentos conjugaisPublication . Moura, Karina Simões Moura de; Cunha, PedroO presente estudo buscou analisar a interferência das redes sociais nos relacionamentos conjugais e suas consequências para a vida do casal. É evidente que as novas tecnologias têm causado impacto na vida das pessoas e, no caso das redes sociais, estas podem ou não influenciar na relação conjugal. Diante disso, o referencial teórico centrado em dois capítulos vem discorrer sobre a relação conjugal e a interferência das redes sociais na vida do casal. O primeiro capítulo buscou retratar o contexto histórico da relação conjugal, a perspetiva sistêmica, a resolução dos conflitos, a perspetiva psicológica do casal e a satisfação e insatisfação do casal. No segundo capítulo, foi possível descrever a inserção das tecnologias no relacionamento conjugal, bem como a comunicação no relacionamento, a interferência da tecnologia na intimidade do casal e as abordagens terapêuticas na relação. Na parte empírica, o estudo contou com uma amostra por conveniência composta por dez casais, cujos requisitos de inclusão da amostragem foram cumpridos e as devidas autorizações dadas por todos os participantes. Da análise e discussão de resultados, com a aplicação do teste EASAVIC, foi possível compreender que todos os casais obtiveram um valor de somatório acima do ponto de corte, reforçando, assim, a satisfação conjugal de cada casal. Contudo, os resultados voltados para a entrevista com cada cônjuge demonstraram algumas insatisfações ao longo da análise, porém, mesmo com algumas categorias tendo esse item de insatisfação, foi possível verificar que, dos dez casais investigados, nove se consideram satisfeitos com a relação, embora vivenciem alguns conflitos na relação. Apenas um casal foi considerado insatisfeito. Ainda que diante de algumas limitações, os objectivos definidos para a investigação foram cumpridos, permitindo-nos compreender e avaliar o processo de comunicação do casal e a interferência das redes sociais na relação.
- Health monitoring and intervention plan on oil industry workers: results from a case-studyPublication . Oliveira, Gisela; Vidal, Diogo Guedes; Viterbo, Lilian Monteiro Ferrari; Costa, André Santana; Ferraz, Maria PiaOil industry workers are particularly vulnerable to risks related to their especial working conditions like exposure to hazardous chemicals, explosions and fires, working in confined spaces and often in remote areas or in offshore platforms. Dedicated work health surveillance plans that take into consideration environmental risks are of the utmost importance to safeguard workers health and to communicate identified faults and gaps to other institutional departments to provide adequate intervention. This work presents an assessment case-study of an on-going health intervention and monitoring plan focused on oil industry workers and the quality of potable water distributed. In the assessment of risks to health, the quality of water for human use is case-sensitive as water is vital to life but may act as a transmission vector for several diseases whose symptoms may appear as acute (often as a consequence of water contamination by microorganisms or toxic substances) or chronic, usually more related to the ingestion of chemically contaminated water. In the study timeline, six parameters were identified as critical in the water quality: Total Coliforms, Escherichia coli, iron, pH, turbidity and colour. A global graphical distribution of nonconformity analysis by working service for each geographic location and for the entire period of the study highlighted the two worse water quality work sectors: ‘Oil Extractions Stations’ and ‘Baths & Changing Rooms’. Corrective measures arising from this case-study of the on-going health monitoring and intervention plan focus on sensibilization for improvement of workers hygiene and for cleaning and sanitization procedures.
- 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.