Thesis (M.Fam.Med.)--University of the Witwatersrand, Faculty of Health Sciences, 2014. / Background: Health Care Workers (HCWs) are at risk of many blood borne infections at the workplace following injuries from sharp instruments and also from exposure of skin and mucous membranes to contaminated blood and body fluids. While the risk of exposure to blood and body fluids (BBF) among first level HCWs can be extrapolated to some degree from the literature on secondary and tertiary level HCWs, the rate of reporting of exposures and the reasons for not reporting may be very different. Objective: The objective of this study was to determine the rate of, and reasons for underreporting of blood and body fluid exposures by doctors and nurses working in the public primary health care setting of sub district F in the Johannesburg metropolitan district. Methods: The study was a quantitative descriptive cross sectional survey using an 18-item, self administered, anonymous questionnaire. Results: The study population included 515 health care workers (HCWs). The response rate was 90.1%. Most of the participants were nurses (87.4%) and female (88.1%). One hundred twelve (25.2%) of the participants reported having at least one BBF exposure in the preceding 12 months. The rate of BBF exposure was 80 per 100 HCWs per year. Two hundred ninety one exposures (82.0%) were not reported. Doctors were at increased odds for not reporting BBF exposures compared to nurses (OR = 2.146; P=0.011). The most common reason given for not reporting exposures was lack of time (42.7%). Conclusion: There is a high rate of underreporting of BBF exposures in the primary health care setting mostly due to lack of time. The rate of BBF exposure underreporting at this care level is comparable to that at secondary and tertiary levels. There is a need to improve BBF exposure reporting among workers at primary health care level.

Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.

Thesis (M.S.)--West Virginia University, 2001. / Title from document title page. Document formatted into pages; contains v, 104 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 48-54).

Thesis (doctoral)--Universität Erlangen.

Thesis (Ph. D.)--Ohio State University, 2003. / Title from first page of PDF file. Document formatted into pages; contains ix, 147 p. Includes bibliographical references (p. 143-147). Available online via OhioLINK's ETD Center

Thesis (Ph. D.)--West Virginia University, 2004. / Title from document title page. Document formatted into pages; contains vii, 146 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 74-83).

Thesis (M.P.H.)--University of Michigan, 1946.

Thesis (M.P.H.M (Primary Health Care Management))--Mahidol University, 2005.

Thesis (M.P.H.)--University of Michigan, 1946.

Orientador: Ricardo Carlos Cordeiro / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-10T11:14:17Z (GMT). No. of bitstreams: 1 Zangirolani_LiaThiemeOikawa_M.pdf: 1443262 bytes, checksum: dadd48f6db7b54ae54c474429ffe688a (MD5) Previous issue date: 2007 / Resumo: Objetivo: Estimar a distribuição espacial do risco de acidente do trabalho controlado por variáveis nutricionais, entre outras co-variáveis, em Piracicaba, São Paulo. Métodos: Por meio de estudo Caso-Controle Espacial de base hospitalar, tendo como variável de interesse a localização espacial dos acidentes do trabalho, foram amostrados 794 trabalhadores, no período de 16/05/2004 a 19/10/2004, sendo 263 casos e 531 controles. Os critérios de inclusão para casos foram: ser trabalhador acidentado do trabalho, morador de Piracicaba, com idade entre 15 e 60 anos, atendido no Centro de Ortopedia e Traumatologia de Piracicaba. Os controles foram igualmente selecionados, diferenciando-se apenas quanto ao motivo do atendimento: em virtude de acidente não do trabalho, considerando também trabalhadores acompanhantes dos casos. A estimativa da distribuição espacial foi feita por meio de ajuste do Modelo Aditivo Generalizado, tendo a posição geográfica dos casos e controles como componente espacial não linear, incluindo as demais co-variáveis como componente linear. Resultados: Como resultado, foi gerado um mapa que ilustra a variação da estimativa do risco espacial de acidentes do trabalho no espaço urbano de Piracicaba, controlada por sexo (OR=1,87 p<0,001)), escolaridade (OR=0,85 p<0,0001), ser autônomo (OR=0,36 p<0,01) e circunferência de cintura (OR=0,98 p=0,05), sendo as regiões centro-leste e a área que forma um "corredor" entre as regiões sul-norte, as de maior risco. Conclusões: O uso de ferramentas de geoprocessamento e a consideração de variáveis nutricionais fornecem elementos para a compreensão das relações que compõem o risco de acidentes do trabalho, sendo oportuna a continuidade de investigações que contemplem esses fatores / Abstract: Objectives: To estimate spatial distribution of occupational accident risk controlled for nutritional variants and others co-variants in Piracicaba, São Paulo, Brazil. Methods: A hospital based Spatial Case-Control study with occupational accident spatial location as the principal interest variant enrolled 794 workers between 16/05/2004 and 19/10/2004, totaling 263 cases and 531 controls. Inclusion criteria were: to be a worker, have an accident at work, live in Piracicaba, be aged between 15 and 60 years, and be treated at Piracicaba Orthopedic Trauma Center. Controls were equally selected, differing only by reason for treatment: accident not occurring at work, and including worker companion cases. Spatial distribution was made by adjusting a Generalized Additive Model, with case and control geographical position as a spatial non-linear component, and other co-variants as linear components. Results: A map was created showing estimated spatial risk variation of occupational accidents in the urban area of Piracicaba, controlled by gender (OR=1.87 p<0.001), time at school (OR=0.85 p<0.0001), self-employed (OR=0.36 p<0.01), and waist circunference (OR=0.98 P=0.05), where the regions center-east and area that form a "runner" between regions south-north are greatest risk areas. Conclusions: The use of geoprocessing tools and take in account nutritional variants provide elements to understand relations that compose the occupational accident risk, therefore is convenient to continue investigation that contemplate this factors / Mestrado / Epidemiologia / Mestre em Saude Coletiva