Thesis (Ph. D.)--University of Washington, 2003. / Vita. Includes bibliographical references (leaves 37-41).

Orientador: Sergio Roberto de Lucca / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-22T07:09:40Z (GMT). No. of bitstreams: 1 Farias_SamanthaHasegawa_M.pdf: 1856773 bytes, checksum: f7b96ea7213453c0adbb4fd4c64e3e06 (MD5) Previous issue date: 2013 / Resumo: É expressivo o número de Pessoas Portadoras de Deficiência (PPD) no Brasil e no mundo. Um dos fatores que levam ao aumento das estatísticas relacionadas a indivíduos com deficiência adquirida é o Acidente de Trabalho (AT), que pode provocar sequela permanente como amputações, comprometendo a qualidade de vida e do trabalho do trabalhador acidentado. Para possibilitar a reinserção dos acidentados no mercado de trabalho, o Instituto Nacional de Seguridade Social (INSS) mantém o Programa de Reabilitação Profissional (PRP). Objetivo: Estudar as características sociodemográficas e profissionais dos trabalhadores amputados, vítimas de AT, que receberam órtese e prótese do setor de Reabilitação Profissional do INSS e verificar as características dos acidentes de trabalho, a taxa de retorno ao mercado de trabalho formal, os fatores de sucesso e insucesso do PRP, discutir a importância da prótese como parte do processo de reinserção profissional. Métodos: O presente trabalho é um estudo transversal, descritivo, quantitativo, realizado INSS de Campinas/SP. A população de estudo foi constituída por todos os amputados inscritos na RP do INSS, no período de 2007 a 2012. Os dados foram coletados através de um levantamento de informações sócio-demográficas contidas nos prontuários dos amputados por acidente de trabalho, tais como: idade, gênero, dados da empresa, situação funcional antes e depois do acidente, utilização de recurso auxiliar para locomoção e participação no programa de reabilitação profissional. Resultados: Foram analisados 40 amputados, sendo 37 do sexo masculino. Nesta população de estudo, os adultos jovens na faixa etária de 18 a 29 anos foram os mais acometidos. O ramo de atividade que mais contribuiu para a ocorrência de AT com amputação foi o de Indústria de transformação com 30% dos casos. Em relação à ocupação dos acidentados, 60% trabalhavam na produção de bens e serviços industriais. Ocorreram 6 casos de AT com desvio de função e 10 acidentes de trajeto. A prótese foi utilizada por 38 indivíduos amputados enquanto que os demais utilizaram órteses como recurso auxiliar de locomoção. Participaram do PRP 28 amputados e, desses, 20 foram reinseridos no mercado de trabalho. Conclusão: Constatou-se que 65% dos trabalhadores protetizados foram reinseridos no mercado de trabalho. Discute-se o papel do atual modelo do PRP, que além do fornecimento de prótese ao trabalhador com sequela permanente não se evidencia o suporte psicossocial para acompanhamento e efetiva reinserção destes trabalhadores / Abstract: It is expressive the number of Persons with Disabilities (PWD) in Brazil and worldwide. One of the factors that leads to the increase of statistics related to acquired deficiency is the Occupational Accident (OA), which can cause permanent sequelae such as amputations, compromising the quality of life and work of the injured worker. To allow the reintegration of the victims into the labor market, the National Institute Of Social Security (INSS) keeps the Professional Rehabilitation Program (PRP). Objective: To study the socio demographic and professional characteristics of the amputees workers, victims of OA, who have received orthoses and prosthesis of the Professional Rehabilitation sector of INSS and verify characteristics of occupational accidents, the rate of return to the formal labor market, the success and failure factors of PRP, to discuss the importance of the prosthesis as part of the professional reintegration process. Methods: The present paper is a cross-sectional, descriptive, quantitative study conducted at the National Institute Of Social Security (INSS) in Campinas, São Paulo. The study population comprised all amputees who participated in the Professional Rehabilitation program in the period from 2007 to 2012. Data were collected through a survey on sociodemographic information contained on patient charts of occupational accident amputees, such as age, gender, company details, position before and after the accident, use of auxiliary device for ambulation and participation in the occupational rehabilitation program. Results: 40 amputees were analyzed, 37 being males. Young adults in the age group from 18 to 29 years were the main victims. The fields of activity that contributed the most to the occurrence of occupational accidents with amputation were trade, manufacturing industry with 30% of cases. Regarding the occupation of the injured, 60% worked in the production of goods and industrial services. Six cases of occupational accident occurred while performing activities not suited to the job, and ten were commuting accidents. Prosthesis was worn by 38 amputees, while the others used orthoses as an auxiliary device for ambulation. Most amputees (28) participated in the Professional Rehabilitation Program, amputees and, of these, 20 were reintegrated into the labor market. Conclusion: A was found that 65% of workers with prostheses were reinserted into the formal labor market. It discusses the role of the current model of PRP that beyond providing permanent prosthesis to the worker with permanent sequel the psychosocial support is not evident for monitoring and effective reintegration of these workers / Mestrado / Epidemiologia / Mestra em Saúde Coletiva

Thesis (M.S.)--University of South Florida, 2007. / Title from PDF of title page. Document formatted into pages; contains 20 pages. Includes bibliographical references.

Title from PDF of title page. / Document formatted into pages; contains 76 pages. / Thesis (M.S.P.H.)--University of South Florida, 2003. / Includes bibliographical references. / Text (Electronic thesis) in PDF format. / ABSTRACT: Nationally, 10,852 workplace amputation injuries in the US were reported in 1997. This number has been gradually decreasing over time to 9,658 amputations in 2000. In Florida, the amputation injuries have been increasing from 272 in 1997 to 417 in 2000. The reason for this increase is unclear and deserves further study. The purpose of a portion of this study was to examine the Federal and Florida BLS data to determine the characteristics of the typical worker with an amputation injury. A worker with an amputation injury was most likely to be a white male between the ages of 35 and 44 with 1 to 5 years of employment. The amputated part was usually a finger which was injured in a machinery source. The purpose of the self-designed survey was to determine if there were any differences in the amputation prevention strategies between companies with and without amputation injuries. / ABSTRACT: The survey also attempted to uncover any changes made to the safety training program after an amputation injury occurred. Using the Florida workers compensation data, surveys were sent to all companies with amputation injuries for the years 1999, 2000, and 2001. An equal number of surveys were sent to companies without amputation injuries during the same years of interest. A total of 840 surveys were mailed out. 146 were returned as undeliverable. 35 surveys were returned in the amputation group and 35 surveys were returned in the control group. All SIC codes were represented except mining. In the amputation group during the years investigated, 15 out of 35 (42.9%) companies claimed amputation injuries and 20 (57%) companies did not. The true error rate for the workers compensation data was a 13% misclassification of amputation injuries into that category. / ABSTRACT: Comparison of the prevention strategies between the amputation and control groups revealed no significant differences. Of the companies claiming amputation injuries, 8 out of 15 (53%) made no changes to their safety training program after the injury occurred. Proactive techniques and global changes in safety culture mindset will be necessary before major reductions in amputation injuries can occur. / System requirements: World Wide Web browser and PDF reader. / Mode of access: World Wide Web.