Theoretical part of dissertation was written on the basis of studying professional literature. It provides overview of Scabies disease, its epidemiological incidence, transmission, clinical course, diagnostics and also of its treatment. Practical part was formed retrospectively by qualitative research and secondary data analysis. These data were collected from different publications from the State Health Institute in Prague and the Health Information and Statistics Institute in the Czech Republic. The main aim of this dissertation was analyzing the trend of scabies incidence in the Czech Republic within ten years period (2003 2012). Moreover the practical part of this dissertation contains information related to trends of scabies incidence in individual districts of the Czech Republic depending on age, sex, team, seasonal index, or epidemiological scabies incidence as occupational disease. Linear regression was used to assess the incidence trend. Subsequently correlations were ascertained by using method of correlation coefficient calculation. In the research it was found that registered scabies incidence seems to more likely be decreasing from the beginning of followed period (i.e. from the beginning of 2003). According to the seasonal index the most common incidence of this disease within followed period was in October. On the other hand the lowest scabies incidence was in June. The highest sickness rate was recorded in the district Ústí nad Labem with almost 50 cases per 100 000 inhabitants. Scabies as occupational disease belongs to the most common recorded transmissible and parasitic disease in the Czech Republic, mainly at nurses in the hospitals, attendants in retirement homes, in internal wards and in social care institutes. The highest incidence rate was notified in age categories from 5 to 9 years. There exists strong positive linear correlation between scabies incidence and age. Epidemiological scabies incidence in the Czech Republic had two main peaks during period 1965 2012, in 1970 and 1993.

This diploma thesis is dealing with issues of employer's liability for industrial injuries and occupational diseases and from that consequent obligation to compensate damage or non- material damage, through individual types of compensation. The first part provides a brief excursion into the development of the legislation on industrial injuries and occupational diseases and deals with the question of mandatory statutory insurance of the employer, implemented through two private insurance companies. The second part of the diploma thesis deals with the circumstances, which lead to emergence of employer liability for industrial injury. Substantial space is dedicated to situations where it may not be obvious at first sight that an industrial injury may occur. The industrial injuries resulting from teambuilding, business trip and injury originating from myocardial infarction are discussed in more detail. Further, here are defined the facts leading to the partial or total deprivation of liability by the employer. These facts are recklessness, own fault violation of regulations or instructions and drunkenness or misuse of addictive substances. The third part concerns with conditions under which the employer is liable for occupational diseases. The fourth part deals with individual types of compensation to...

O trabalho em Enfermagem tem sido objeto de inúmeras pesquisas, sobretudo pela possibilidade de adoecimento físico e mental dos trabalhadores devido a peculiaridades do processo e das condições de trabalho oferecidas pelas instituições de saúde. As hipóteses testadas foram: H1 - Os aspectos profissionais (carga horária, setor e turno de atuação), psicossociais do ambiente laboral (demanda psicológica e física, controle, apoio social e insegurança), o tipo de trabalho e a exposição ao estresse ocupacional são fatores associados ao aumento de depressão nos enfermeiros, após o controle das demais variáveis; H2 - A adição do apoio social influencia a relação entre demanda psicológica e controle no trabalho e a depressão nos enfermeiros, após o controle das demais variáveis. O objetivo foi avaliar os aspectos profissionais e psicossociais do trabalho em ambiente hospitalar e a presença de depressão em enfermeiros. Trata-se de um estudo observacional, descritivo e correlacional, tipo corte transversal do qual participaram 292 enfermeiros de um hospital universitário do interior do Estado de São Paulo. A coleta de dados foi realizada, no período de março a maio de 2009, por meio da aplicação de três instrumentos: Formulário de Identificação do Trabalhador, Questionários do Conteúdo do Trabalho (JCQ) e Inventário de Depressão de Beck - I (BDI-I). Os instrumentos escalares obtiveram de forma geral valores substanciais ou quase perfeitos. O BDI-I obteve alfa de Cronbach 0,83. As dimensões do JCQ obtiveram coeficiente alfa: demanda psicológica 0,72; controle 0,76 e sub-dimensões uso de habilidades 0,69 e autoridade decisória 0,59; demanda física 0,81; apoio social 0,79 e sub-dimensões apoio social dos supervisores 0,82 e apoio social dos colegas 0,71; e insegurança no trabalho 0,20. Quanto à caracterização dos participantes, a maioria era do sexo feminino (91,10%), casados (49,32%), com idade média de 38,6 anos. 45,21% revelaram ter apresentado mudança significativa em sua vida no último ano e 22,22% dessas mudanças eram relativas ao trabalho. Os trabalhadores eram servidores públicos (81,2%), ocupavam cargo de enfermeiro (70,89%), com tempo médio de atuação no hospital de 11,13 (DP±8,77) anos e carga horária de trabalho semanal média de 42,81h (DP±13,62). Quanto aos aspectos psicossociais no trabalho, as prevalências e médias das dimensões foram: alta demanda psicológica - 49,66% e 32,71 (DP±5,90); baixo controle no trabalho - 50,34% e 68,10 (DP±10,22); baixo uso de habilidades - 50,00% e 34,87 (DP±5,42); baixa autoridade decisória - 82,19% e 33,23 (DP±6,35); alta demanda física - 48,97% e 11,67 (DP±2,71); baixa insegurança - 81,16% e 5,05 (DP±2,44); baixo apoio social no trabalho - 82,88% e 22,41 (DP±3,43); baixo apoio do supervisor - 88,36% e 10,92 (DP±2,52); baixo apoio dos colegas - 84,93% e 11,49 (DP±1,58). Dentre os participantes, os tipos de trabalho vivenciados foram: alta exigência (23,63%), trabalho ativo (26,03%), trabalho passivo (26,71%) e baixa exigência (23,63%). Quanto à exposição ao estresse ocupacional os enfermeiros distribuíram-se entre exposição intermediária (52,74%), maior exposição (23,63%) e sem exposição (23,63%). Entre os enfermeiros 9% apresentaram presença de sintomas indicativos de depressão, classificados como depressão leve (5,14%) e depressão moderada (3,77%), com escore médio de 7,24 (DP±5,77). A hipótese 1 foi parcialmente confirmada e dentre os aspectos relacionados a depressão propostos no modelo final estão: demanda psicológica, controle, apoio social, demanda física, trabalho em alta exigência, maior exposição ao estresse ocupacional, carga horária de trabalho e unidade clínica, cirúrgica e ambulatorial. A hipótese 2 foi parcialmente confirmada e o apoio social demonstrou influenciar a medida da demanda psicológica e da sub-dimensão uso de habilidades. Dessa forma, as condições de trabalho vivenciadas pelos enfermeiros no ambiente hospitalar implicam em depressão e, possivelmente, em outras conseqüências para a saúde desses profissionais. / The work in Nursing has been object of numerous studies because of the potential for physical and mental damage to workers due to peculiarities of the process and the work conditions found in health institutions. The following hypotheses had been tested: H1 - The professional aspects (work hours, work unit and work shift), the psychosocial work aspects (psychological and physical demand, control, social support and insecurity), the type of work and the exposure to occupational stress are factors associated to the increase of depression in nurses, after the control of the others variables; H2 - The addition of social support influences the relation between psychological job demand and job control and the depression in nurses, after the control of the others variables. This observational, descriptive, correlational and crosssectional study aimed to evaluate the professional and psychosocial work aspects at hospital environment and the presence of depression in nurses. In total, 292 nurses from one university hospital have participated in this study. The data collection was realized, from March to May of 2009, through the application of three instruments: form of identification of worker, Job Content Questionnaire (JCQ) and Beck Depression Inventory - I (BDI-I). In general, the instruments had substantial or almost perfect values for Cronbach\'s Alpha. For BDI-I, alpha was 0.83. For JCQ\' dimensions, the values were: psychological job demand 0.72; job control 0,76 and its sub-dimensions skill discretion 0.69 and decision authority 0.59; physical demand of work 0.81; social support at workplace 0.79 and its sub-dimensions social support from supervisors 0,82 and social support from colleagues 0.71; and job insecurity 0.20. Among the participants, most were female (91.10%), married (49.32%), with average age of 38.6 years. 45.21% had significant and recent life event and 22.22% of these events were related to work. In regard to the work, most were public employees (81.2%), registered nurses (70.89%), with average time of performance in the hospital of 11.13 years (DP±8.77) and average of work hours per week 42.81 hours (DP±13.62). The prevalence and average of the psychosocial work aspects were: high psychological job demand - 49.66% and 32.71 (DP±5.90); low job control - 50.34% and 68.10 (DP±10.22); low skill discretion - 50.00% and 34,87 (DP±5.42); low decision authority - 82.19% and 33.23 (DP±6.35); high physical demand - 48.97% and 11.67 (DP±2.71); low insecurity - 81.16% and 5.05 (DP±2.44); low social support - 82.88% and 22.41 (DP±3.43); low support from supervisor - 88.36% and 10.92 (DP±2.52); low support from colleagues - 84.93% and 11.49 (DP±1.58). Among the participants, the types of work experienced were: high-strain job (23.63%), active job (26.03%), passive job (26.71%) and low-strain job (23.63%). According to the level of exposure to occupational stress, the nurses were divided into intermediate exposure to stress (52.74%), high exposure to stress (23.63%) and without exposure to stress (23.63%). Among the nurses, 9% of them have indicated depression symptoms, classified as minor depression (5.14%) and moderate depression (3.77%), with average score of 7,24 (DP±5.77). Hypothesis 1 was partially confirmed and the work aspects related to depression in the final model were: psychological job demands, job control, social support at workplace, physical demands of work, high-strain jobs, high exposure to occupational stress, work hours and clinical, surgical and ambulatory units. Hypothesis 2 was partially confirmed and the social support dimension has demonstrated its influence to the measure of the psychological job demand and the subdimension skill discretion. Thus, the working conditions faced by nurses at hospital environment imply in depression and, possibly, in other consequences for the health of these professionals.

Orientador: Satoshi Kitamura / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-11T11:10:12Z (GMT). No. of bitstreams: 1 Roza_FernandaAlbieriMarchiLopes_M.pdf: 2315417 bytes, checksum: 5134e985d650d5e2597bd5c8cddcedb7 (MD5) Previous issue date: 2007 / Resumo: A literatura nacional e principalmente internacional consultada, apresenta muitos desacordos sobre a altura mais apropriada da tela do computador, em relação à altura dos olhos do operador, visando propiciar ao usuário, melhores condições de trabalho. Alguns autores, associações e organizações vinculadas à ergonomia sugerem que o topo da tela do computador deva estar na linha dos olhos do indivíduo ou levemente para baixo. Através do presente estudo pretende-se propor um novo posicionamento da tela do computador, visando um melhor posicionamento para a coluna cervical, de modo que sua curvatura fique a mais fisiológica possível; e analisar sua influência na sintomatologia da região cervical. O método utilizado constou de três etapas: (1) aplicação de um questionário sobre sintomas, utilizando uma escala analógica visual (1 a 10), na qual o indivíduo assinalou o seu nível de dor; em três regiões do corpo que mais o incomodava ao utilizar o computador; (2) a medição para determinar a altura dos seus olhos em relação à parte central da tela e (3) aplicação do mesmo questionário, após um período de 90 dias de observação, para que se pudesse avaliar a eficácia da intervenção em relação à dor, quanto à sua localização e à sua intensidade. O estudo foi realizado nos setores administrativos de duas empresas. O ¿grupo intervenção¿ (empresa A) com um total de 24 sujeitos (15 mulheres e 9 homens), e média de idade de 30.2(DP=9.4); recebeu a orientação e a intervenção ergonômica (alteração da altura da tela do computador). O ¿grupo controle¿ (empresa B), com um total de 20 sujeitos (7 mulheres e 13 homens), e média de idade de 31.6(DP=7.1); recebeu a orientação ergonômica do posto de trabalho, sem alterar a altura da tela. A intervenção permaneceu em vigor durante um período aproximado de três meses em que o indivíduo desenvolveu o seu trabalho habitual normal. No final do período, os dados do questionário e da escala analógica visual antes e depois da intervenção foram registrados através do programa computacional SAS (Statistical Analysis System). Os resultados mostram que houve queda significativa na média da medida da dor das dez áreas analisadas (cervical, ombros, dorsal, cotovelos, antebraço, lombar, punhos/mãos/dedos, quadris e coxas, joelhos e tornozelos/pés), sendo semelhantes estatisticamente nas duas empresas. A região cervical apresentou valores médios maiores (sem significância estatística) do declínio da medida da dor na empresa A; mas com diferença estatisticamente significante entre homens e mulheres (p<0.05).Por outro lado,observou-se que não há associações do nível de dor com as faixas etárias e o uso do computador por dia. Os resultados corroboram para demonstrar os benefícios da intervenção ergonômica em postos de trabalhos informatizados, principalmente na minimização dos desconfortos músculo esqueléticos e num ambiente mais confortável e adequado para o trabalho / Abstract: Considering both national and international researched literature, one can notice several disagreements about the most appropriate height of the computer screen in relation to operator eyes' level, being here the target to provide better working conditions to the user. Some authors, associations and organizations suggest that the top of the computer screen should be at the line of the person¿s eyes, or slightly down.This study proposes a new position of the computer screen so that the curvature of the cervical spines is the most physiological as possible. F Furthermore, it, intends to analyze the influence of the symptoms of the cervical region. The method applied consisted of tree phases:(1) a survey on the symptoms, using a vision analogical scale (1 to10) in which the person mentioned his pain level in three regions of his body where computer disturbed him the most while using it;(2) the measurement to determine the level of the eyes related to the central spot of the screen;(3) the application of the same survey, after 90 days of observation, so to evaluate the effectiveness of the intervention in relation to the pain, as well as its location and intensity. The study was done in the administrative sectors of two enterprises. The ¿intervention group¿(Company A) with a total of 24 persons (15 women and 9 men) whose age average of 30.2(SD=9.4)received the guidance and ergonomic intervention by changing the level of the computer screen. The ¿control group¿(Company B) with a total of 20 persons(13 women and 7 men )whose age average of 31.6(SD=9.4)received the guidance of ergonomics for their workstation, without changing the level of the screen. The intervention remained under effect for approximately three months during which the persons did their usual and normal work. At the end of the period both the survey data and the usual analogical scale were recorded by a computer software called SAS (Statistical Analysis System), before and after the intervention. The results showed that there was significant reduction in the average measurement of the pain of the ten analyzed areas ( cervical, shoulder, dorsal,elbow,forearm,back,wrists,hands, fingers, hips and thighs, knees and ankles, feet)being statistically similar for both companies. The cervical region results showed higher average values (no statistical significance) of reduction in the extent of pain in Company A , but with statistically significant differences between men and women(p>0.05).On the other hand, it was observed that there is no association between the pain level and the different ages of the users and the daily use of computer. The results confirm the benefits of ergonomic intervention at computer work, mainly to minimize the muscle and skeletal discomforts in a more comfortable and appropriate environment for the job / Mestrado / Epidemiologia / Mestre em Saude Coletiva

This thesis deals with the conception of compensation for bodily harm arisen from industrial injuries or occupational diseases. Recently, it was decided bodily harm of employees continues to be compensate by the employer under his objective liability for damages. The main aim of the thesis is to describe current legislation in the Labour Code and to compare it with the general bodily harm compensation legislation in the Civil Code. The thesis is divided into 7 chapters. The first chapter defines the concept of bodily harm and its specifics. The second chapter brings brief insight into the field of the international law, especially focuses on the conventions of the International Labour Organization which provides minimum standards of the compensation for industrial injuries and occupational diseases. In the third chapter follows short excursion into the European law, focused primarily on providing compensation to the migrant workers within the European Union. The fourth chapter describes historical development of compensation for bodily harm arisen from industrial injuries or occupational diseases in legislation since the Industrial Revolution until recent past. Fifth chapter is already fully focused on the main issue of this thesis - analysis of the current legislation of compensation for bodily...

The topic of this thesis is employee's claims in the case of work accidents or occupational diseases, because the assessment and determination of damages is still an actual issue. The first part of the thesis deals with theoretical introduction and definition of terms which are material for the whole thesis. The first part defines the liability in labour law, the liability of employee and employer, work accidents and occupational diseases and mainly the employer's liability for damages and non-material damage caused by work accidents or occupational diseases to employees. The next chapter focuses on insurance which is obligatory for all employers who employ at least one employee. This insurance is important in case of the employer becomes liable for damage or non-material damage caused by work accidents or occupational diseases. The insurance is important especially for small and medium-sized employers for whom the compensation could be liquidating and could lead to the termination of their activities. The most importatnt chapter of the thesis is the chapter concerning individual types of employee's claims for damages or non-material damage which arise from work accident or occupational disease, or claims of survivors of employee in case of employee's death, and their assessment. The most...

A responsabilidade civil ligada aos acidentes de trabalho e às doenças ocupacionais é fonte de constantes preocupações de magistrados, doutrinadores e estudiosos do Direito do Trabalho, em especial após o advento da Emenda Constitucional nº 45/04. Em particular em sua vertente objetiva, que procura estabelecer a responsabilidade pelo risco da atividade, independentemente de culpa do agente. No entanto, há evidente lacuna no estudo da responsabilidade civil relacionada aos acidentes de trabalho e às doenças ocupacionais ligadas aos esportes profissionais. Conquanto os esportes envolvam elementos lúdicos e recreativos, sua prática profissional movimenta elevadas quantias de dinheiro e inúmeros feixes de contratos de trabalho. O alto índice de acidentes, lesões e enfermidades relacionadas ao esporte, que por vezes encerram prematuramente a carreira de atletas que ainda estão muito longe do estrelato, reclama a análise e a proteção jurídica conferidas pelo direito do trabalho, como direito social e fundamental. Este estudo se propõe a analisar os fundamentos jurídicos, doutrinários e jurisprudenciais, que inter-relacionam os campos da responsabilidade civil, do direito do trabalho e do esporte de alto rendimento, praticado profissionalmente. / The liability related to accidents at work and occupational diseases is a source of constant concern of judges, jurists and scholars of labor law, especially after the enactment of Constitutional Amendment No. 45/04. In particular in its objective aspect, which seeks to establish the liability for the risk of the activity, regardless of the agent\'s fault. However, there is an obvious gap in the study of the liability related to accidents at work and occupational diseases linked to professional sports. Although the playful and recreational elements involving sports, their professional practice moves large sums of money and numerous bundles of labor contracts. The high rate of accidents, injuries and illnesses related to sports, which sometimes prematurely terminate the career of athletes who are still far from stardom, claims analysis and legal protection conferred by labor law, as a social and fundamental right. This study aims to analyze the legal grounds, doctrinal and jurisprudential, which interrelate the fields of civil liability, labor law and high performance sport, practiced professionally.

Made available in DSpace on 2016-04-28T20:38:51Z (GMT). No. of bitstreams: 1 Luiz Antonio Manzochi.pdf: 510688 bytes, checksum: 7693cc5bd5779875d4cec40006425d3c (MD5) Previous issue date: 2014-04-04 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This study had the objective to contribute to improving the professional qualification of invisible emergency workers, as well as to prepare an Occupational Health Program for these professionals, with the aim to ensure their physical and mental health. Invisible emergency professionals are those work actively in emergency situations but not directly with the care of people, and for that reason, do not receive specific training on emergency work. A qualitative research with purposeful sample was carried out. Five professionals answered semi-structured interviews: a daily print media journalist, an ambulance driver, an emergency department receptionist, a forensic photographer, and a psychosocial care volunteer. The content of the interviews was analyzed and organized into categories based on the literature, especially on the concepts of Psychology of Emergency, Social Psychology (identity), and Organizational Psychology (training and qualification), with the aim to raise knowledge on the phenomenon studied. It was possible to observe the lack of preparation and specific training of the invisible professionals working in emergencies. The structure of the occupational health care is ineffective and stigmatizes professionals who need psychological or psychiatric care. The training, development and education area does not promote trainings that address the real needs of the professionals. Emotional and psychosomatic disorders cause changes in the relationship and behavioral patterns of these employees. The study suggests action and management strategies that could change this reality, providing enough space for the professionals to perform their functions effectively, preserving their physical and mental health / Este estudo teve como objetivo inicial contribuir para melhoria na qualificação profissional do trabalhador invisível que atua nas emergências, assim como na elaboração de Programa de Atenção à Saúde do trabalhador para esses profissionais, buscando garantir sua saúde física e mental. Profissionais invisíveis das emergências são aqueles que atuam de forma ativa na emergência, mas não diretamente na assistência e, por este motivo, não recebem treinamento específico sobre trabalho nas emergências. Trata-se de uma pesquisa qualitativa com amostra proposital. Foram entrevistados por meio de entrevista semiestruturada cinco profissionais: uma jornalista de cotidiano de mídia impressa, um motorista de ambulância, uma recepcionista de pronto socorro hospitalar, um fotógrafo da polícia científica e uma voluntária de atenção psicossocial. O conteúdo das entrevistas foi analisado e organizado em categorias construídas com base na literatura, sobretudo em conceitos da Psicologia das Emergências, Psicologia Social (identidade) e Psicologia organizacional e do Trabalho (treinamento e capacitação), com o intuito de agregar conhecimentos que auxiliassem na compreensão do fenômeno estudado. Foi possível observar o despreparo e falta de treinamento específico para atuar em emergências que afetam os profissionais invisíveis. A estrutura do serviço de atenção à saúde do trabalhador não é efetiva e contribui para estigmatizar o profissional que precise de atendimento psicológico ou psiquiátrico. A área de treinamento, desenvolvimento e educação não realiza treinamentos que contemplem a real necessidade dos profissionais. Transtornos emocionais e psicossomáticos levam o profissional a apresentar mudanças de padrão de relacionamento e comportamento. O estudo sugere estratégias de atuação e manejo que possam mudar esta realidade, propiciando espaço adequado para o profissional desempenhar suas funções de forma efetiva e preservando sua saúde física e mental

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-01-11T15:48:40Z No. of bitstreams: 1 Rafael Perales de Aguiar.pdf: 978173 bytes, checksum: 40945e11c597d3136223e4e1796b3664 (MD5) / Made available in DSpace on 2017-01-11T15:48:40Z (GMT). No. of bitstreams: 1 Rafael Perales de Aguiar.pdf: 978173 bytes, checksum: 40945e11c597d3136223e4e1796b3664 (MD5) Previous issue date: 2016-12-14 / This thesis aims to conduct a study on social security benefit accident assistance, in order to demonstrate the exact extent of coverage of this benefit today and its main features, focus on the latest legislative changes. The work will make a historical analysis of accident assistance, demonstrating how it has evolved and for which reason the benefit was structured in the current manner, integrating the social security protection, after leaving an nature origin of private obligatory insurance to the employer for accidents work to their employees. Also dedicate a part of this study to explain some general concepts important Social Security Law directly related to the comprehension of the accident assistance. Besides to promote a discussion about current basis of this benefit as your possible new nature. This study will follow the methodology of deduction, through legal and doctrinal analysis of the benefit; induction, analysis of a specific case to explain the general through case law and; dialectic opposition of ideas to discuss and understand all the issues addressed in the dissertation. Regarding the research technique applied, a collection of doctrinal and jurisprudential data on the subject and review and analysis of collected data and arguments will be made, and will be an analysis of the relevant legislation to retirement benefits for disability, sickness and accident assistance / A presente dissertação tem por finalidade realizar um estudo sobre o benefício previdenciário auxílio-acidente, com o objetivo de demonstrar a extensão exata da cobertura deste benefício, hoje, e suas principais características, sob o enfoque das mais recentes alterações legislativas. O trabalho fará uma análise histórica do auxílio-acidente, demonstrando como evoluiu e por qual razão o benefício foi estruturado da atual maneira, integrando a proteção da Seguridade Social, depois de partir de uma origem de natureza privada obrigacional do empregador de fazer seguro para acidentes de trabalho aos seus empregados. Também se dedicará uma parte deste estudo para explicar alguns conceitos gerais importantes do Direito Previdenciário relacionados diretamente com a compreensão do auxílio-acidente, além de promover uma discussão sobre o atual fundamento deste benefício e sua possível nova natureza. Este estudo seguirá a metodologia da dedução, através da análise legal e doutrinária do benefício; indução, análise de um caso específico para explicar o geral através de jurisprudência e; dialética, contraposição de ideias para discutir e entender todos os problemas abordados na dissertação. Já em relação à técnica de pesquisa aplicada, será feita uma coleta de dados doutrinários e jurisprudenciais acerca do tema e revisão e análise destes dados e argumentos coletados, assim como, será feita uma análise da legislação pertinente aos benefícios aposentadoria por invalidez, auxílio-doença e auxílio-acidente

<p>SAMMANFATTNING</p><p><p>Ländryggsbesvär är generellt vanligt förekommande i befolkningen och samhällsekonomiskt kostsamt. Riskfaktorer för ländryggsbesvär beskrivs vara flerdimensionella, där nämns främst arbetsrelaterade och psykosociala faktorer. Poliser är en yrkesgrupp där arbetssjukdomar rapporteras vanligt förekommande oavsett kön. Trots det är polisers arbetssituation dåligt utforskad. Syftet med studien är att kartlägga upplevt hälsotillstånd och arbetssituation bland utryckningspoliser med fokus på ländryggsbesvär, som underlag för preventiva åtgärder. Metoden bestod av en tvärsnittsstudie i form av en omfattande enkätundersökning. Urvalet inom polisens utryckningsenhet i Västerås var totalt. Så många som 60 % angav arbetsrelaterade ländryggsbesvär, en större del med besvär var män och förekomst av tunga lyft var vanligare bland svarande med besvär. Personer med ländryggsbesvär tog i mindre utsträckning pauser, kände sig stressade på arbetet och besvärades oftare av kroppslig värk. Deltagarna själva kopplade sina ländryggsbesvär till dåligt utformad arbetsutrustning, dålig sittställning i yrkesfordonen och till fysiska ingripanden. Av litteraturen beskrivna riskfaktorer för ländryggsbesvär var vanligt förekommande inom enheten. Där nämns ogynnsamma arbetsställningar och arbetsmoment samt psykosociala faktorer i form av hög arbetsbelastning, lågt stöd från arbetsledning och låg möjlighet att påverka sin arbetssituation.</p><p>Slutsats: För att förbättra arbetsmiljön för utryckningspoliser bör åtgärder inriktas mot belastningsergonomiska- och psykosociala faktorer i arbetet samt utformning av utrustning och arbetsfordon utifrån ergonomi och säkerhet.</p></p> / <p>ABSTRACT</p><p>Low back pain is a common disorder which causes high economic costs for the society. Risk factors for back pain are described as multidimensional, including both work related and psychosocial factors. Police-officers belong to an occupational group were work related diseases are frequently reported, irrespective of gender. The work situation for these officers however is poorly covered by targeted research. The purpose of this study is to survey the health- and work situation among police-officers with the focus on low back pain. The hope is that the results can be used as a base for preventive interventions. A cross sectional design with an extensive survey was used for the study. The selection was total within the unit of patrolling police officers in Västerås. As many as 60 % reported low back pain, with an overrepresentation among men. Heavy lifting was more common among those with low back pain. Those reporting low back pain more rarely took breaks during the work day, they felt more stressed at work and were more often troubled with physical pain. The study participants linked their back problems to badly designed work equipment, badly adjusted vehicles and to physical interventions. Risk factors for low back pain, described by the literature, were common within the unit. Especially, work tasks involving unfavorable movements and body positions were singled out. Among psychosocial factors, low social support from management and low ability to influence the work situation were associated with low back pain.</p><p>Conclusion: To improve the work environment for patrolling police-officers, measures should be focused on load and strain ergonomics, psychosocial factors as well as to develop equipment and vehicles more on the basis of ergonomics and safety measures.</p>