Orientador: Sergio Roberto de Lucca / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-07T16:48:57Z (GMT). No. of bitstreams: 1 Alves_LuciaHelenaNeves_M.pdf: 1047857 bytes, checksum: b7e66e5a6d52cf2b14c0db2abeefad18 (MD5) Previous issue date: 2006 / Resumo: A Lei 8213/91, artigo 20 define a doença do trabalho como a doença adquirida ou desencadeada em função de condições especiais em que o trabalho é realizado e que com ele se relacione diretamente. Confirmado o nexo causal com o trabalho, o beneficiário (segurado da Previdência Social) recebe o benefício por incapacidade laborativa, denominado auxílio-doença acidentário. Entretanto, o nexo técnico que estabelece a relação de causalidade entre a doença e o trabalho é de competência legal da perícia médica do INSS. Para que o segurado tenha o reconhecimento do nexo causal, garantindo-lhe alguns direitos, é necessário requerer administrativamente a alteração no tipo de benefício (auxílio-doença previdenciário para auxílio-doença acidentário). Este estudo tem por objetivo identificar os entraves institucionais para concessão do auxílio-doença na Previdência Social. O estudo foi realizado na Agência da Previdência Social na cidade de Indaiatuba. É um estudo descritivo, com uma população de 148 casos atendidos para esse fim, no período de 1995 a 2004, em listagem feita em 08/11/2004. A fonte de dados empregada na pesquisa foi extraída das Comunicações de Acidente de Trabalho (CATs) constantes nos processos de transformação de auxílio doença previdenciário para auxílio-doença acidentário e, posteriormente, de entrevistas com os segurados, funcionários e representantes sindicais de cinco entidades com sede na cidade. O estudo concluiu que a maior freqüência nesses processos se deu entre os operadores de máquinas, com idade média de 37 anos e com doenças osteomusculares. A proporção entre os sexos, todavia, mostrou-se homogênea. Em relação às dificuldades para caracterização de nexo causal entre o trabalho e a doença, foram apontadas pelos servidores problemas de ordem técnica e político-administrativo. Os representantes sindicais e os segurados apontaram que a maior dificuldade foi a avaliação e conclusão médico-pericial para estes casos, ocorrendo inclusive pareceres antagônicos entre a assistência médica do SUS ou de convênios e a perícia médica / Abstract: Law nº 8213/91, in article 20, defines occupational disease as the disease acquired or unleashed by the special conditions in which work is done and has a direct relation to it. Once the causal relationship is confirmed, the worker receives compensation from the Brazilian National Social Security System for working disability, which is called accident-compensation. The technical nexus that establishes work-relatedness for compensation lies in the legal sphere of the expert medical board of the National Insurance and Social Security Institute 1(INSS). In order to obtain the recognition of the causal relationship, which assures some rights to the insured worker, it is necessary to file a claim at the INSS to change the type of compensation (from social security illness-compensation to accident-compensation). The aim of this study is to identify the institutional hindrances (medicolegal roadblocks) in the path to obtain the concession of illness compensation from the Social Security System. The investigation was carried out at the Social Security Agency in the town of Indaiatuba, state of São Paulo, Brazil. It is a descriptive study with 148 cases analyzed for this purpose in the period between 1995 and 2004, in a listing dated November 8th, 2004. The source of data used in this study was derived from CATs2 pertaining to claims filed to change benefits from illness-compensation to accident-compensation and subsequent interviews with the claimants, with employees at the Social Security Agency and union representatives of five entities with headquarters in town. The study reached the conclusion that machine operators, mean age 37, with musculoskeletal disorders, were the most frequent claimants. The proportion between genders, however, was homogeneous. Establishing the relation between work and illnesses was difficult due to technical and policy-administrative problems, as pointed out by the employees at the Agency. Union representatives and claimants referred that the greatest difficulty lied in the evaluations and conclusions of the expert medical board at the INSS for these claims.There were even opposing reports between clinicians working for SUS(the public medical care system)or for private health-insurers and the medical experts at the INSS / Mestrado / Epidemiologia / Mestre em Saude Coletiva

The purpose of this qualitative master thesis is to investigate the cultural activity experiencesof employees and their meaning for well-being and work satisfaction. The method used inthis study was thematic analysis. The data collection was conducted through eightsemi-structured interviews with employees in a municipal department that participated incultural activities organized by their employer as a part of their ordinary work tasks. In theresult three main themes emerged with appurtenant sub-themes: The experience of increasedsocial interaction in the workplace (Promoting fellowship and cohesion in the workplace,New and deepened relationships with colleagues, and Conversations and discussions withcolleagues), The experience of a changed view of the workplace (Feeling appreciated by theemployer, The experience that cultural activities benefit the workplace, and The experience ofhow the cultural activities have been arranged), and The experience that cultural activitieslead to benefits for the individual (Something out of the ordinary and Enriching for theindividual). The main themes, together with their sub-themes, describe how the culturalactivities have been perceived to have affected social relations, increased well-being in theworkplace and enriched the individuals. The results are largely in line with previous researchand can be linked to established theories. All together, from what has emerged in the resultsand previous research the conclusion can be drawn that cultural activities could be used inwork-life to promote the individuals well-being and job satisfaction. / Syftet med föreliggande kvalitativa studie är att undersöka anställdas upplevelser avkulturaktiviteter som arrangerats av arbetsgivaren och deras eventuella betydelse förvälbefinnande och arbetstillfredsställelse. Metoden som användes i studien var tematiskanalys. Datainsamlingen skedde genom åtta semistrukturerade intervjuer med anställda vid enkommunförvaltning som haft deltagande i kulturaktiviteter organiserade av arbetsgivarensom en del av sina arbetsuppgifter. I resultatet utkristalliserades tre huvudteman medtillhörande underteman: Upplevelsen av en ökad social interaktion på arbetsplatsen(Främjande av gemenskap och sammanhållning på arbetsplatsen, Nya och fördjupaderelationer med kollegor, och Samtal och diskussion med kollegor), Upplevelsen av enförändrad syn på arbetsplatsen (Att känna sig uppskattad av arbetsgivaren, Upplevelsen avatt kulturaktiviteterna gynnar arbetsplatsen, och Upplevelsen av hur kulturaktiviteterna harorganiserats), och Upplevelsen av att kulturaktiviteterna leder till fördelar för individen(Någonting utöver det vanliga för individen, och Berikande för individen). Huvudtemanabeskriver tillsammans med sina underteman hur kulturaktiviteterna upplevs ha påverkatsociala relationer, ökat trivseln på arbetsplatsen samt varit utvecklande för medarbetarna somindivider. Resultatet går till stor del i linje med tidigare forskning och kan kopplas tilletablerade psykologiska teorier. Sammantaget dras slutsatsen utifrån vad som framkommit iresultatet och tidigare forskning att kulturaktiviteter skulle kunna användas inom arbetslivetför att främja individens välbefinnande och trivsel på arbetet.

The aim of the thesis is to approach the issues of health and safety at work and work-related accidents in the construction industry. The theoretical part is devoted to the historical development of occupational health and safety in general, and consequently the development of inspection bodies operating in this area at present. Then there is also handled accident statistics for 2012. The practical part is a form of treatment for specific health and safety plan construction contract with a subsequent risk analysis.

Uppsatsen syftar till att bidra med mer kunskap om könsdiskriminering och sexuella trakasserier riktade mot kvinnliga fastighetsmäklare i Sverige. Frågor som besvaras är: Hur uppfattar fastighetsmäklarna organisationskulturen på sina arbetsplatser? Förekommer könsdiskriminering och sexuella trakasserier i branschen? I så fall, i vilken omfattning och hur ges det i uttryck? Studien genomförs med hjälp av en kvantitativ metod i form av en webbenkät, besvarad av kvinnliga fastighetsmäklare i Sverige. Resultatet visar att fastighetsmäklarna anses ha en kultur på arbetsplatsen som tillåter samtal om arbetsmiljö, men däremot är det mindre än hälften av dem som känner till om arbetsplatsen har ett tillvägagångssätt för hantering av bristande arbetsmiljöhälsa. Studien visar också att könsdiskriminering och sexuella trakasserier förekommer i fastighetsmäklarbranschen mot kvinnliga fastighetsmäklare. Undersökningen visar att den som diskriminerar och/eller trakasserar är en chef, kollega/branschkollega och/eller kund/spekulant. Handlingen ges i uttryck både verbalt och fysiskt. / The purpose of this study is to contribute with more knowledge about gender discrimination and sexual harassment directet towards real estate agents in Sweden. Questions answered are: How do real estate agents perceive the organizational culture at their workplace? Does gender discrimination and sexual harassment occur in the industry? If so, to what extent, and how is it expressed? The study is based on a quantitative method, using an internet based questionnaire, answered by female real estate agents in Sweden. The results of the study show that the real estate agents are considered to have a culture in the workplace that allows conversations about the work environment, but on the other hand, less than half of them know whether the workplace has an approach for handling poor work environment health. The study also shows that gender discrimination and sexual harassment occur in the real estate industry against female real estate agents. It is shown that the person who discriminates/harasses is a manager, colleague/colleague in the industry and/or customer/speculator. The action can be expressed both verbally and physically.

We conducted the study to explore and define the role of the social worker in Primary Health Care. The medical care model on its own is viewed as inappropriate for developing countries. We see Primary Health Care as holding the key to improving the health status of the many disadvantaged communities in South Africa. The Primary Health Care approach demands those health care providers, including social workers work collaboratively to provide the best possible services to the communities. Social Work is a profession concerned with the disadvantaged. However, social workers are assigned a very limited role in Primary Health Care. Since participants are concerned about subjective and experiential realities, participatory research was the appropriate research method. The major findings and conclusions were that, social workers have a role in Primary Health Care. They have to be assertive and tell others what is it that they do to find a place in Primary Health Care / Social Work / M.A. (Social Science (Mental Health))

We conducted the study to explore and define the role of the social worker in Primary Health Care. The medical care model on its own is viewed as inappropriate for developing countries. We see Primary Health Care as holding the key to improving the health status of the many disadvantaged communities in South Africa. The Primary Health Care approach demands those health care providers, including social workers work collaboratively to provide the best possible services to the communities. Social Work is a profession concerned with the disadvantaged. However, social workers are assigned a very limited role in Primary Health Care. Since participants are concerned about subjective and experiential realities, participatory research was the appropriate research method. The major findings and conclusions were that, social workers have a role in Primary Health Care. They have to be assertive and tell others what is it that they do to find a place in Primary Health Care / Social Work / M.A. (Social Science (Mental Health))

Made available in DSpace on 2011-05-04T12:42:02Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / Esta tese tem como principal objetivo incorporar as experiências de trabalho dos profissionais dos Centros de Atenção Psicossocial (Caps) aos estudos acadêmicos, não apenas para formalizá-las, mas para auxiliar em seu desenvolvimento e na consequente ampliação da capacidade de defesa da saúde dos trabalhadores de saúde mental. Para tanto, vale-se das contribuições da clínica do trabalho francesa, especialmente a ergologia e a clínica da atividade, para colocar em diálogo o pólo dos saberes formalizados (das disciplinas) e o pólo dos saberes investidos na atividade (da experiência).No pólo dos saberes formalizados, relaciona diferentes concepções de saúde e trabalho, e apresenta as contribuições do ponto de vista da atividade para analisar o trabalho em saúde, o patrimônio de estudos sobre a relação entre saúde e trabalho em saúde mental e, finalmente, o processo de criação dos Caps, suas principais propostas e algumas considerações sobre os desafios da atividade de trabalho nestes serviços. No pólo dos saberes investidos na atividade, a partir da constituição de uma Comunidade Ampliada de Pesquisa com pesquisadores acadêmicos e profissionais de um Caps, analisa a atividade de trabalho nos Caps sob o ponto de vista da atividade, considerando a importância do fortalecimento de um patrimônio compartilhado sobre o trabalho em saúde mental para serviços produtores de saúde para usuários, familiares e trabalhadores. / This thesis has like principal objective incorporate the experiences of work of the professionals of the Psychosocial Attention Centers (Caps) to the academic studies, not only to formalize them, but to help in his development and in the consequent enlargement of the capacity of defense of the health of the mental health workers. To do so, this thesis uses the contributions of the french clinic of the work, specially the ergology and the clinic of the activity, to put in dialog the pole of the knowledges when they were formalized (of the disciplines) and the pole of the knowledges invested in the activity (of the experience). In the pole of to the formalized knowledges, it makes the relation between the different conceptions of health and work, and presents the contributions of the point of view of the activity to analyse the work in health, the inheritance of studies on the relation between health and work in mental health and, finally, the process of creation of the Caps, its principal proposals and some considerations on the challenges of the activity of work in these services. In the pole of the knowledges invested in the activity, from the constitution of an Enlarged Community of Research with academic and professional researchers of a Caps, it analyses the activity of work in the Caps from the point of view of the activity, considering the importance of the strengthening of an inheritance shared on the work in mental health for producing services of health for users, relatives and workers.

Background: Child abuse in South Africa is a significant public health concern with severe negative outcomes for children; however, little is known about risk and protective factors for child abuse victimisation. This thesis investigates prevalence rates, perpetrators, and locations as well as predictors of physical, emotional and sexual child abuse victimisation. It also examines the influence of potential mediating and moderating variables on the relationships between risk factors and child abuse. Methods: In the first study, a systematic review of correlates of physical, emotional and sexual child abuse victimisation in Africa was conducted. The review synthesised evidence from 23 quantitative studies and was used to inform the epidemiological study. For study two to four, anonymous self-report questionnaires were completed by children aged 10-17 (n=3515, 57% female) using random door-to-door sampling in rural and urban areas in two provinces in South Africa. Children were followed-up a year later (97% retention rate). Abuse was measured using internationally recognised scales. Data were analysed using descriptive statistics, multivariate logistic regressions, and mediator and moderator analyses. Results: The first study, the systematic review, identified high prevalence rates of abuse across all African countries. It identified a number of correlates which were further examined using the study data from South Africa. The second study found lifetime prevalence of abuse to be 54.5% for physical abuse, 35.5% for emotional abuse, 14% for sexual harassment and 9% for contact sexual abuse. Past year prevalence of abuse was found to be 37.9% for physical abuse, 31.6% for emotional abuse, 12% for sexual harassment and 5.9% for contact sexual abuse. A large number of children experienced frequent (monthly or more regular) abuse victimisation with 16% for physical abuse, 22% for emotional abuse, 8.1% for sexual harassment and 2.8% for contact sexual abuse. Incidence for frequent abuse victimisation at follow-up was 12% for physical abuse, 10% for emotional abuse and 3% for contact sexual abuse. Perpetrators of physical and emotional abuse were mostly caregivers; perpetrators of sexual abuse were mostly girlfriends/boyfriends or other peers. The third study found a direct effect of baseline household AIDS-illness on physical and emotional abuse at follow-up. This relationship was mediated by poverty. Poverty and the ill-person’s disability fully mediated the relationship between household other chronic illnesses and physical and emotional abuse, therefore placing children in families with chronic illnesses and high levels of poverty and disability at higher risk of abuse. The fourth study found that contact sexual abuse in girls at follow-up was predicted by baseline school drop-out, physical assault in the community and prior sexual abuse victimisation. Peer social support acted as a protective factor. It also moderated the relationship between baseline physical assault in the community and sexual abuse at follow-up, lowering the risk for sexual abuse victimisation in girls who had been physically assaulted from 2.5/1000 to 1/1000. Conclusion: This thesis shows clear evidence of high levels of physical, emotional and sexual child abuse victimisation in South Africa. It also identified risk and protective factors for child abuse victimisation which can be used to inform evidence-based child abuse prevention interventions.

Text in English / This study sought to evaluate the implementation of an HIV and AIDS workplace policy at Sappi-Ngodwana mill. Employing process evaluation, and adopting a qualitative approach, the study evaluated the intervention process, the perceptions of the policy implementers, the strengths and weaknesses of the policy implementation, and suggests possible strategies for addressing the challenges. A systems approach was the theoretical point of departure and guiding framework of the research study. Research data was gathered through in-depth interviews with key informants and theory-driven and data-driven inductive reasoning was adopted in analysing the data. The general findings were that although the Sappi-Ngodwana mill implements a comprehensive HIV and AIDS programme that are in line with national and international benchmarks, there were challenges identified. Recommendations are that the company redesign the HIV and AIDS policy implementation plan with a specific focus on improving the peer educators` system. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS)

Text in English / This study sought to evaluate the implementation of an HIV and AIDS workplace policy at Sappi-Ngodwana mill. Employing process evaluation, and adopting a qualitative approach, the study evaluated the intervention process, the perceptions of the policy implementers, the strengths and weaknesses of the policy implementation, and suggests possible strategies for addressing the challenges. A systems approach was the theoretical point of departure and guiding framework of the research study. Research data was gathered through in-depth interviews with key informants and theory-driven and data-driven inductive reasoning was adopted in analysing the data. The general findings were that although the Sappi-Ngodwana mill implements a comprehensive HIV and AIDS programme that are in line with national and international benchmarks, there were challenges identified. Recommendations are that the company redesign the HIV and AIDS policy implementation plan with a specific focus on improving the peer educators` system. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS)