Orientador: Neusa Maria Costa Alexandre / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-03T20:07:09Z (GMT). No. of bitstreams: 1 Panzeri_AnaJuliaFrazao_M.pdf: 6472430 bytes, checksum: 8f2bd57c6fd5610ee10959cde873b390 (MD5) Previous issue date: 2004 / Resumo: O objetivo da presente pesquisa foi identificar a ocorrência de sintomas musculoesqueléticos em professores do Ensino Fundamental, bem como a sua localização corporal, aspectos de qualidade de vida e tarefas do trabalho docente percebidas como mais fatigantes. Trata-se de um estudo transversal, com 157 professores efetivos da rede estadual e municipal de ensino da cidade de São João da Boa Vista. Foi utilizado um questionário auto-aplicável composto por quatro partes. Os instrumentos compreenderam um inventário sobre dados gerais e ocupacionais, uma adaptação da parte geral do Questionário Nórdico; o questionário genérico de avaliação da qualidade de vida (SF-36) e a escala RPE (Rating of Perceived Exertion) de Borg. Inicialmente foi realizada uma análise descritiva. Para realizar a análise estatística compararam-se dois grupos de sujeitos, com e sem sintomas nos últimos 12 meses. Posteriormente, compararam-se esses dois grupos especificamente em relação às regiões corporais de maior ocorrência de sintomas. As variáveis categóricas foram analisadas pelo teste de associação Qui-Quadrado ou teste de Fisher, e as variáveis contínuas pelo teste Mann-Whitney por abordagem metodológica quantitativa, com um nível de significância de 5%. Foi realizada também uma análise de regressão logística multivariada. Dos participantes, 90,4% apresentaram sintomas musculoesqueléticos nos últimos 12 meses e 64,3% nos últimos sete dias. As áreas corporais mais atingidas foram as regiões lombar, torácica, cervical, ombros e punhos e mãos. Quanto aos indicadores de gravidade, 35,7% referiram ter deixado de realizar atividades normais e 44,6% procuraram um profissional da área da saúde em razão da presença desses sintomas. Os dados sugeriram que professores mais jovens, que não possuem uma união estável, sem filhos e com um tempo menor de atuação profissional estão mais sujeitos ao aparecimento de sintomas osteomusculares. Os professores que referiram dor osteomuscular apresentaram, comprometimento nos seguintes domínios da qualidade de vida: dor, vitalidade, aspecto emocional, saúde mental, aspecto social, estado geral de saúde, aspectos físicos e capacidade funcional. Quanto às atividades do trabalho percebidas como mais fatigantes para o sistema musculoesquelético, "corrigir caderno na carteira do aluno (com inclinação de tronco) na posição em pé", "permanecer em pé durante toda a aula", "retirar grandes quantidades de materiais do armário e levá-los a mesa do professor" e "escrever na lousa" foram as atividades que apresentaram escores mais altos. Os resultados deste estudo confirmam a gravidade do problema entre os professores e reforçam a necessidade de novas pesquisas / Abstract: The objective of the present study was to identify the occurrence of musculoskeletal symptoms in teachers, as well as their localization, aspects of quality of lifeand teaching tasks perceived as more stressful. This is a transversal study carried out with 157 teachers of the state and city educational network in a city in the interior of the state of São Paulo. A self-applicable questionnaire, composed of four parts, was used. The instruments comprehended an inventory on unspecified and occupational data, adapted from the general portion of the Nordic Questionnaire; the generic questionnaire for evaluation of quality of life (SF-36) and Borg's RPE scale (Rating of Perceived Exertion). A descriptive analysis was performed as a first step. In order to carry out the statistical analysis two groups of subjects were compared, with and without symptoms in the previous 12 months. These two groups were afterward specifically compared as regards the body areas where symptom occurrence is more common. Chi-square or exact Fisher tests was applied for categorical variables, and the Mann-Whitney test for continuous variables additionally multivariate logistic regression analysis were performed. The significance levei adopted for statistical analysis was 5%. Of ali participants, 90.4% presented musculoskeletal symptoms in the previous 12 months and 64.3% in the previous seven days. The most frequently affected body areas were the lumbar, thoracic, cervical, shoulder and wrist and hand regions. As regards severity indicators, 35.7% referred having discontinued normal activities and 44.6% sought the attention of a health care professional as a result of the presence of these symptoms. The data suggest that younger teachers, who are not in a stable affective relationship, do not have children and have less time of professional activity are more prone to the occurrence of musculoskeletal symptom. The teachers that complained of musculoskeletal pain presented impairment of the followingquality of life aspects: pain, vitality,emotional aspect, mental health, social aspect, general health, physical aspects and functional capacity. Concerning the work activities perceived as more stressful to the musculoskeletal system, such as "Correcting assignments at the student's desk (bending the trunk) in the standing position", "Remaining in the standing position during the entire class"I "Removing large quantities of materiais from the cupboard and take them to the teacher's desk" and "Writingon the board"were the activities that presented the highest scores. The results of this study confirm the severity of the problem among teachers and emphasize the need for new research / Mestrado / Enfermagem e Trabalho / Mestre em Enfermagem

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Tree-planters are likely to suffer from musculoskeletal injuries during their short work season. The objective of this research is to identify the biomechanical mechanisms that contribute to these injuries with an overall goal of reducing injury frequency and severity. Pre- and post-season discomfort questionnaires were administered to workers in two tree-planting camps to identify areas of the body most prone to injury. Musculoskeletal pain and discomfort were significantly higher post season. Greatest pain and discomfort were reported in the feet, wrists and back, while the highest frequency of pain was reported in the back. Upper body and trunk postures were recorded during the tree-planting task in the field using digital video and inclinometers. Results indicated that deep trunk flexion occurred over 2600 times per day and workers spent at least half of their workday in trunk flexion greater than 45 degrees. Although results provide useful insight into injury mechanisms, postural data were two dimensional. Inertial motion sensors were used in a second field study the following season to examine differences in three-dimensional upper limb and trunk relative joint angles during commonly used tree seedling unloading methods. Results showed trunk rotation up to 50 degrees combined with deep trunk flexion during parts of the task. Trunk flexion and rotation were significantly less when the tree seedling load was distributed asymmetrically as compared to symmetrically. Joint reaction forces in the lower body and trunk during the same unloading methods was examined during a simulated planting task in a lab environment. Greatest joint reaction forces and non-neutral postures occurred when the tree was inserted into the ground. Right-loaded planting bags resulted in more substantial differences in posture and joint reaction forces than either left-loaded or even-loaded bags. Axial forces were greater in the right leg than the left throughout the task, regardless of loading condition. In conclusion, underlying biomechanical mechanisms for injury during tree-planting seem to be a combination of awkward postures (particularly the trunk), repetitive motions, and carrying of heavy loads. Different seedling unloading strategies did not result in substantial overall differences in posture or joint reaction forces. / Thesis (Ph.D, Kinesiology & Health Studies) -- Queen's University, 2010-04-14 10:02:32.385

No description available.

Background: Worldwide, about 300 million people have some kind of visual impairment (VI). Most people with VI are in the older age range, as visual deficits increase with age. It is not unusual that people with VI suffer both from neck pain or scapular area symptoms and reduced balance, which they consider to be symptoms of old age. However, their symptoms may not be attributable to age, but rather to poor vision. Aims: First, to identify associations between visual, musculoskeletal and balance symptoms in people engaging in near work every day and in people with VI. Second, to design and validate a suitable instrument for gathering information about visual, musculoskeletal and balance symptoms in people with VI. Third, to explore differences in perceived symptoms between VI patients and people with normal vision in cross-sectional studies and by following a group of age-related macular degeneration (AMD) patients in a longitudinal study. Fourth, to identify the most specific predictors of higher levels of visual, musculoskeletal and balance symptoms. Methods: A specific instrument was developed: the Visual, Musculoskeletal and Balance symptoms (VMB) questionnaire. Patients with VI were compared to an age-matched reference group with normal vision in three different studies in order to detect differences in self-reported symptoms between the groups. In addition, a follow-up was conducted in a group of AMD patients. Results: Patients with VI reported higher levels of VMB symptoms than controls, and this increased over time. Visual deficits and the need for visual enhancement increased the risk of VMB symptoms. Conclusion: People with VI run a potentially higher risk of VMB symptoms than age-matched controls.

The aims of the thesis were to study relationships between the effects of online gaming and gambling and negative social consequences and ill health among adolescents and to determine whether gaming and gambling activities occur together. The papers in this thesis used epidemiological methods to obtain self-report information from Swedish adolescents aged 13–18 years. Time spent in online gaming was associated with negative social consequences, and this relationship was explained by online gaming motives. Gaming for fun and social motives was associated with a reduced risk of negative social consequences, whereas gaming to escape problems, gain status, or meet demands from others was associated with an increased risk. Increased online gaming time on weekdays increased the probability of having depressive, musculoskeletal, or psychosomatic symptoms, and was related to online gaming motives. The probability of ill health was low in those who reported gaming for fun or social motives. Adolescents with symptoms of attention deficit hyperactivity disorder (ADHD) were more sensitive to gambling frequency and to developing a gambling problem. However, among those identified as susceptible, adolescents with ADHD were equally affected compared with other susceptible participants in terms of their gambling frequency. Boys had a higher probability than girls of participating in online gambling in association with online gaming. Having at least one parent born outside Scandinavia was associated with a higher probability of online gambling, especially among girls. The effect of alcohol use as a factor contributing to online gambling was greater among boys than among girls. The results of this thesis contribute new knowledge about sex differences in online gaming and gambling behaviours and add to the limited research on online gaming and online gambling behaviours among adolescent girls. Gaming motives may be helpful for identifying online gamers needing support to reduce their unhealthy gaming behaviour. Information about factors related to gaming and gambling problems may be of interest to clinicians in psychiatry, psychology and social work, as well as to policymakers, parents and teachers involved in adolescent health and development. Effect preventive strategies should consider the sex differences in gaming and gambling behaviour in adolescents.

Submitted by SANTIAGO MAILLANE VANEGAS (santiagovanegas16@gmail.com) on 2018-10-10T15:49:49Z No. of bitstreams: 1 Dissertação_IMPRIMIR_10_10_18.pdf: 1157018 bytes, checksum: 2d9829d57be5dc60b5674ca065dc8dbf (MD5) / Rejected by Claudia Adriana Spindola null (claudia@fct.unesp.br), reason: Bom tarde, Solicitamos que realize correções na submissão seguindo as orientações abaixo: - Favor colocar o Certificado de aprovação com as assinaturas dos membros da banca. 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Agradecemos a compreensão. on 2018-10-10T18:34:00Z (GMT) / Submitted by SANTIAGO MAILLANE VANEGAS (santiagovanegas16@gmail.com) on 2018-10-10T18:46:06Z No. of bitstreams: 2 Certificado de aprovaçao.pdf: 139154 bytes, checksum: 26339a049f3cc62ddac1bb20abd2ed5f (MD5) Dissertação_Corrigido_10_10_18.pdf: 1216696 bytes, checksum: 96df1a2ca634dccc82b4a5d3c55461f7 (MD5) / Approved for entry into archive by ALESSANDRA KUBA OSHIRO ASSUNÇÃO (alessandra@fct.unesp.br) on 2018-10-10T20:35:26Z (GMT) No. of bitstreams: 1 vanegas_sm_me_prud.pdf: 1216696 bytes, checksum: 96df1a2ca634dccc82b4a5d3c55461f7 (MD5) / Made available in DSpace on 2018-10-10T20:35:26Z (GMT). No. of bitstreams: 1 vanegas_sm_me_prud.pdf: 1216696 bytes, checksum: 96df1a2ca634dccc82b4a5d3c55461f7 (MD5) Previous issue date: 2018-08-28 / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Introdução: Na sociedade moderna, a prática regular de exercícios físicos é considerada não só por seu valor profiláctico, mas também como um tipo de intervenção com potencial para atenuar diferentes sintomas relacionados a várias doenças. Diante de tal plano de fundo, a prática de esportes tem ganho cada vez mais espaço, sendo uma das manifestações mais importantes de exercício físico entre crianças e adolescentes. Se por um lado, a prática regular de esportes entre jovens pode afetar positivamente a sua saúde e qualidade de vida, por outro lado, a prática esportiva (principalmente aquela objetivando alto rendimento) expõe cada vez mais crianças e adolescentes a um aumento no risco em lesões musculares. Objetivos: Analisar o impacto da prática esportiva sobre a ocorrência de sintomas musculoesqueléticos (dor, formigamento ou dormência) ao longo de 12 meses de seguimento entre adolescentes de ambos os sexos, bem como, identificar a relação de sintomas musculoesqueléticos com variáveis ligadas ao crescimento humano e inflamação entre adolescentes. Métodos: Este longitudinal com doze meses de seguimento envolvendo adolescentes com idade entre 12 e 16 anos de ambos os sexos. Amostra mínima para a realização do estudo foi estimada em 231 sujeitos. Os adolescentes serão agrupados segundo o envolvimento em diferentes modalidades esportivas (natação, futebol de campo, basquetebol, voleibol, karatê, judô e kung-fu) e grupos controle. Sintomas musculoesqueléticos serão avaliados por questionário previamente validado, ao passo que estimativas de composição corporal serão feitas por aparelho de densitometria óssea. Maturação biológica será estimada por medidas antropométricas. Resultados: Nos últimos 12 meses, o segmento corporal que os adolescentes mais relataram sintomas musculoesqueléticos foi no joelho (28,5%), enquanto o joelho permaneceu como o segmento corporal mais relatado com sintomas musculoesqueléticos na última semana antes da entrevista. Após dividir a amostra em grupos de participação esportiva, houve associação entre a participação esportiva e os sintomas musculoesqueléticos nos últimos 12 meses em quadris/coxas e joelhos. Da mesma forma, houve associação entre a participação esportiva e os sintomas musculoesqueléticos na última semana e em pés. Conclusão: os adolescentes que participaram de esportes de impacto e artes marciais tiveram maior ocorrência de sintomas musculoesqueléticos do que aqueles que não praticaram, principalmente em membros inferiores. / Introduction: In modern society, regular physical exercise is considered not only because of its prophylactic value, but also as a type of intervention with the potential to attenuate different symptoms related to various diseases. Faced with such background, the practice of sports has gained more and more space, being one of the most important manifestations of physical exercise among children and adolescents. On the one hand, the regular practice of sports among young people can positively affect their health and quality of life, on the other hand, sports practice (especially those aiming at high income) increasingly exposes children and adolescents to an increase in risk in muscle injuries. Objective: To analyze the impact of sports participation on the occurrence of musculoskeletal symptoms (pain, tingling or numbness) during 12 months of follow-up among adolescents of both sexes, as well as to identify the relation of musculoskeletal symptoms with variables related to human growth and inflammation among adolescents. Methods: This was a 12-month longitudinal follow-up involving adolescents aged 12 to 16 years of both sexes. Minimum sample for the study was estimated in 231 subjects. The adolescents will be grouped according to the involvement in different sports modalities (swimming, field soccer, basketball, volleyball, karate, judo and kung-fu) and control groups. Musculoskeletal symptoms will be assessed by a previously validated questionnaire, while body composition estimates will be made by bone densitometry apparatus. Biological maturation will be estimated by anthropometric measurements. Results: In the last 12 months, the body segment that adolescents most reported musculoskeletal symptoms was in the knee (28.5%), while the knee remained the most reported body segment with musculoskeletal symptoms in the last week before the interview. After dividing the sample into sports participation groups, there was an association between sports participation and musculoskeletal symptoms in the last 12 months on hips / thighs and knees. Likewise, there was an association between sports participation and musculoskeletal symptoms in the last week and in feet. Conclusion: adolescents who participated in sports impact and martial arts had a higher occurrence of musculoskeletal symptoms than those who did not practice, especially in lower limbs. / FAPESP: 2016/20354-0; 2017/18056-3

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Made available in DSpace on 2015-03-05T20:04:16Z (GMT). No. of bitstreams: 0 Previous issue date: 3 / Nenhuma / OBJETIVO: Avaliar a capacidade funcional de trabalhadores e sua associação com características individuais e ocupacionais. MÉTODO: Estudo epidemiológico transversal com 360 trabalhadores do setor técnico e produção de uma indústria de materiais elétricos. Utilizaram-se 3 questionários auto-aplicáveis: um com variáveis demográficas, socioeconômicas, ocupacionais e de estilo de vida, o Índice de Capacidade para o Trabalho (ICT) e o Questionário Nórdico de Sintomas Osteomusculares. Modelos de regressão de Poisson foram utilizados para obtenção das Razões de Prevalência (RP) brutas e ajustadas e seus respectivos Intervalos de Confiança 95% (IC95%) RESULTADOS: Participaram do estudo 337 trabalhadores, 51,6% do sexo feminino, 42,1% entre 20 e 29 anos, estando 66,2% nas linhas de produção. A prevalência de baixa/moderada capacidade para o trabalho foi de 19% (IC95% 15%-23%) e a de sintomas osteomusculares relacionados ao trabalho de 47,5% (IC95% 42%-53%). A análise multivariada revelou que a capacidade para o traba / OBJECTIVE: To assess the functional capacity of workers in an electric materials plant and its association with individual and occupational characteristics.METHOD: This is a cross-sectional survey with 360 workers from the technical and production sector of a industry of electric materials. Three self-completed questionnaires were used to collect information on demographic, social-economic, occupational, and life style variables, the Work Ability Index (WAI), and the Nordic Questionnaire of Musculoskeletal Symptoms. Poisson regression models were used to estimate the crude and adjusted Prevalence Ratios (PR) and their respective 95% confidence intervals (CI95%).RESULTS: 337 workers took part in the survey. Of these, 51.6% were women, 42.1% were 20 and 29 years old, and 66.2% were from the production lines. The prevalence of reduced work ability was of 19% (CI95% 15%-23%) and the musculoskeletal symptoms related to work was of 47.5% (CI95% 42%-53%). Multivariate analyses showed that the reduced work ability ca

Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2016-11-07T18:24:06Z No. of bitstreams: 1 Ricardo Toshio Enohi.pdf: 3070369 bytes, checksum: 619dad466b7a420504d8c9f359324626 (MD5) / Made available in DSpace on 2016-11-07T18:24:06Z (GMT). No. of bitstreams: 1 Ricardo Toshio Enohi.pdf: 3070369 bytes, checksum: 619dad466b7a420504d8c9f359324626 (MD5) Previous issue date: 2016-09-26 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Introduction: Working in different and night shifts directly affects the health of workers. This situation can be experienced by pilots in civil aviation due to its highly complex and exhausting activity. Purpose: This study aims to investigate the work and sleep factors associated with musculoskeletal symptoms in Brazilian pilots of civil aviation, as well as identify the main body parts affected. Methods: A descriptive epidemiological study was held with a large sample of 1234 pilots from ABRAPAC, who voluntarily replied to a survey from November 2013 to March 2014. The survey had information about age, gender, marital status, work, health and sleep. The dependent variables were the musculoskeletal symptoms and for this, a modified Brazilian version of the Standardized Nordic Questionnaire was used. Also in the Robust Poisson regression, the variables for chronic (in the last 12 months), acute (in the last 7 days) and work-related musculoskeletal symptoms were dichotomized into ¿without symptom¿ and ¿with symptom¿. It was considered ¿with symptom¿ the pilot who reported pain in at least one of the four body parts with the highest prevalence in the study: upper back, lower back, neck and shoulder. The data were analyzed by Stata 12.0 program. Results: The prevalence of chronic musculoskeletal symptoms was 65,9% and work-related 46,9% to the last 12 months. The prevalence of acute musculoskeletal symptoms was 28,0% and work-related 23,3% to the last 7 days. It was verified that pilots who worked 11-21 years , with 66-hour flight journey or more per month , with irregular-work hours involving the night-shifts , with low sleep quality and insomnia were risk factors for chronic musculoskeletal symptoms. These variables were also considered risk factors for work-related symptoms . To acute musculoskeletal symptoms, it was observed that working seven consecutive days or more per month, with low sleep quality and insomnia were risk factors. These variables were also considered risk factors for work-related symptoms . Conclusion: It was concluded that work organizational structure associated with a low sleep quality and insomnia were predisponent factors to musculoskeletal symptoms among Brazilian pilots of civil aviation. The upper and lower back, neck and shoulder were considered the body parts with the highest prevalence. / Introdução: O trabalho em turnos e noturno afeta diretamente a saúde do trabalhador, situação essa vivenciada pelos pilotos da aviação civil. Além disso, é uma atividade desgastante, dada a sua alta complexidade, podendo trazer prejuízos à saúde. Objetivo: Analisar a prevalência e os fatores organizacionais e de sono associados aos sintomas musculoesqueléticos entre pilotos da aviação comercial, bem como as regiões corporais de maior prevalência dos sintomas. Métodos: Foi realizado um estudo transversal com os pilotos associados da Associação Brasileira de Pilotos da Aviação Civil - ABRAPAC. Dos 2530 pilotos associados, um total de 1234 pilotos participou voluntariamente da pesquisa respondendo o questionário online, no período de novembro de 2013 a março de 2014. O questionário continha perguntas sobre condições sociodemográficas, trabalho, saúde, estilo de vida e sono. Os desfechos do estudo foram os sintomas musculoesqueléticos avaliados por meio do Questionário Nórdico de Kuorinka, adaptado e validado para a cultura brasileira. Para a análise de regressão de Poisson, com variância robusta, dos sintomas musculoesqueléticos crônicos (nos últimos 12 meses e nos últimos 12 meses relacionados ao trabalho) e agudos (nos últimos sete dias e nos últimos sete dias relacionados ao trabalho) foram dicotomizados em ¿sem sintoma¿ e ¿com sintoma¿. Foi classificado com sintoma o piloto que relatou dor em pelo menos uma das quatro regiões corporais de maior prevalência na amostra estudada, sendo essas, superior das costas, inferior das costas, pescoço e ombros. Em todos os testes foi considerado significante o valor de p<0,05. Os dados foram analisados por meio do programa STATA 12.0. Resultados: A prevalência dos sintomas musculoesqueléticos crônicos, considerando as nove regiões corporais avaliadas, foi de 65,9% e dos sintomas relacionados ao trabalho foi de 46,9%. Quanto aos sintomas musculoesqueléticos agudos e os sintomas relacionados ao trabalho, a prevalência foi de 28,0% e de 23,3%, respectivamente. As queixas mais prevalentes foram nas regiões do tronco (parte inferior das costas, superior das costas, pescoço) e ombros. Verificou-se que trabalhar entre 11 e 21 anos como piloto, com a jornada mensal média acima de 66 horas, em turno irregular, ter sono insuficiente e sintomas de insônia foram fatores associados para os SME crônicos. Esses mesmos fatores também foram associados para os SME crônicos relacionados ao trabalho. Para os SME agudos, observou-se que trabalhar sete dias consecutivos ou mais, ter má qualidade de sono e sintomas de insônia foram fatores associados. Esses mesmos fatores também foram associados para os SME agudos relacionados ao trabalho. Conclusão: Conclui-se que a prevalência dos sintomas musculoesqueléticos entre os pilotos da aviação comercial pesquisados é elevada e que problemas na organização do trabalho e de sono são fatores associados a esses sintomas. Sendo as regiões corporais de maior prevalência as do tronco (parte inferior e superior das costas, pescoço), seguidas do ombro.