A face humana do herói: análise do processo saúde-doença de bombeiros a partir de comunidades virtuais / The hero's human face: analyzing firemen's health-disease process based on virtual communities / El rostro humano del héroe: análisis del proceso salud-enfermedad de bomberos a partir de comunidades virtuales

Resumo Poucos estudos na literatura nacional abordam a relação trabalho e saúde dos bombeiros militares; entre tais estudos, muitos focam apenas os indicadores patológicos e/ou consequências físicas, sem colocar em debate suas necessidades de saúde e vida no trabalho. Visando analisar essa relação em uma perspectiva ampliada e humanizada do herói, foi realizado um estudo exploratório e metodologicamente inovador em dois blogs da categoria. Desvelaram-se realidades até então invisíveis ou pouco conhecidas socialmente no tocante ao processo de trabalho do grupo investigado, como precarização das condições laborais, adoecimentos, desvios de função, humilhações e insatisfações, evidenciando a necessidade de reconhecer os bombeiros militares como trabalhadores e que carecem de condições dignas de trabalho e atenção integral à saúde, sobretudo no que diz respeito à saúde mental.(AU)

Abstract Few studies deal with military firemen's work/health relationship in national literature, among which many focus only on pathological indicators and/or physical consequences, not discussing their health and life needs at work. Aiming at analyzing this relationship under a wider, humanized perspective of heroes, an exploratory and methodologically innovative study was conducted in two industry blogs. Invisible or socially little known realities concerning the investigated group's work process were unveiled, such as precarious labor conditions, illnesses, role deviation, humiliation, and dissatisfaction. These realities show the need for acknowledging military firemen as workers who lack decent working conditions and comprehensive healthcare, particularly regarding their mental health.(AU)

Resumen Son pocos los estudios en la literatura nacional que abordan la relación trabajo y salud de los bomberos militares, entre ellos, muchos se enfocan solamente en los indicadores patológicos y/o consecuencias físicas, sin poner en debate sus necesidades de salud y vida en el trabajo. Con el objetivo de analizar esa relación desde una perspectiva ampliada y humanizada del héroe, se realizó un estudio exploratorio y metodológicamente innovador en dos blogs de la categoría. Se revelaron realidades hasta entonces invisibles o poco conocidas socialmente en lo que se refiere al proceso de trabajo del grupo investigado, tales como la precarización de las condiciones laborales, enfermedades, desviaciones de función, humillaciones e insatisfacciones, poniendo en evidencia la necesidad de reconocer a los bomberos militares como trabajadores y que carecen de condiciones dignas de trabajo y de atención integral de la salud, principalmente en lo que se refiere a la salud mental.(AU)

Factores psicosociales laborales y desempeño ocupacional en un grupo de bomberos / Psychosocial factors at work and occupational performance in the firemen

Las diversas actividades que realiza un bombero durante su trabajo son muy amplias, y a su vez lo exponen a todo tipo de situaciones peligrosas. Condiciones relacionadas con la organización, el contenido del trabajo, la realización de la tarea, las relaciones interpersonales, entre otras; pueden afectar tanto al desarrollo del trabajo como la salud del trabajador; es lo que se conoce como factores psicosociales laborales. En tal sentido, la presente es una investigación donde se pretendió determinar la influencia que tienen los factores psicosociales laborales sobre el desempeño ocupacional de los bomberos. La muestra estuvo conformada por 47 profesionales, a quienes se les aplicó el cuestionario para evaluar factores psicosociales laborales, ISTAS 21, en su versión corta adaptada para Venezuela, y una entrevista semi-estructurada para evaluar el Desempeño Ocupacional (CMDO). Resultados: Los bomberos que reflejaron niveles altos e intermedios de riesgo en el cuestionario, reportaron en la entrevista que su ejecución en algunas áreas del Desempeño Ocupacional como auto-cuidado, accesibilidad, productividad, manejo de las actividades instrumentales de la vida diaria, actividades académicas, actividades recreativas activas y socialización, resultaron ser insatisfactorias, debido a la falta de tiempo, difícil acceso a su lugar de trabajo, la inconformidad con sus salarios, escases de recursos para prestar un buen servicio.

The diverse activities that a fireman makes during his work are very ample, and they as well expose it to all type of dangerous situations. Conditions related to the organization, the content of the work, the accomplishment of the task, interpersonal relationships, the health of the worker can affect so much to the development of the work like a; it is what it is known like labor psycho-social factors. In such sense, the present is an investigation where it was tried to determine the influence that has the labor psycho-social factors on the occupational performance of the firemen. The sample: 47 professionals, to those who the questionnaire was applied to them to evaluate labor psycho-social factors, ISTAS 21, in its adapted short version for Venezuela, and a semi structured interview to evaluate Occupational performance (CMDO) Results: The firemen who reflected high and intermediate levels of risk in the questionnaire, reported in the interview that its execution in some areas of the Occupational Performance like car-care, accessibility, productivity, handling of the instrumental activities of the daily life, academic activities, active recreational activities and socialization, turned out to be unsatisfactory, due to the lack of time, difficult access to their place of work, and others factors.

Twenty-four-hour pattern in French firemen of lag time response to out-of-hospital cardiac arrest and work-related injury.

Circadian cognitive and physical rhythms plus 24 h patterns of accidents and work-related injuries (WRI) have been verified in numerous studies. However, rarely, if ever, have 24 h temporal differences in both work performance and risk of WRI been assessed in the same group of workers. We explored in a homogenous group of French firemen (FM) 24 h patterns of both lag time (LT) response duration to emergency calls for medical help (ECFM) for life-threatening out-of-hospital cardiac arrests (OHCA), used as a non-specific index of work performance, and WRI. Our studies demonstrate rather high amplitude statistically significant 24 h patterns of the two variables. The LT response duration was twice as long ~0500 h (slowest response) than ~1600 h (fastest response). In the same group of FM, the actual number WRI/h was greatest ~1600 h and lowest in the early morning hours. However, the 24 h pattern of the relative risk (RR) of WRIs, i.e., per clock hour number of WRI/(total number of responses to emergency calls x number of FM at risk per response), was very different, the RR being greatest ~0200 h and lowest in the afternoon. The 24 h pattern in LT response duration to ECMH for OHCA and RR of WRI was strongly correlated (r=+0.85, P<0.01), with the nocturnal trough (slowest response) in LT response duration coinciding with the nocturnal peak RR of WRI. These findings indicate the requirement for circadian rhythm-based interventions to improve the nocturnal compromised work performance and elevated risk of WRI of shift-working FM.

Análisis de la inclusión de la policía en la respuesta de emergencias al paro cardiorrespiratorio extrahospitalario / Analysis of the inclussion of police personnel on the out of hospital cardiac arrest emergency response

OBJETIVO: El presente estudio busca analizar una alternativa al pronóstico de paro cardiorrespiratorio extrahospitalario (PCE) como problema de salud pública al involucrar a los cuerpos policiacos en la respuesta de emergencias. MATERIAL Y MÉTODOS: Se analizó retrospectivamente un registro de PCE iniciado en junio de 2009. Se contrastó un modelo basado en un número limitado de ambulancias con primera respuesta por la policía. RESULTADOS: La mortalidad fue de 100 por ciento, tiempos de respuesta elevados y 10.8 por ciento recibió reanimación cardiopulmonar (RCP) por testigos presenciales. En 63.7 por ciento de los eventos la policía llegaba antes que la ambulancia y en 1.5 por ciento el policía dio RCP. El costo por vida salvada fue 5.8-60 millones de pesos en un modelo sólo con ambulancias vs. 0.5-5.5 millones de pesos en un modelo con primera respuesta policiaca. CONCLUSIONES: La intervención de la policía en la ciudad de Querétaro facilitaría la disminución de la mortalidad por PCE a un menor costo.

OBJETIVE: Out-of-hospital cardiac arrest (OCHA) is a public health problem in which survival depends on community initial response among others. This study tries to analyze what's the proportional cost of enhancing such response by involving the police corps in it. MATERIALS AND METHODS: We analyzed retrospectively an OCHA registry started on June 2009. We contrasted a model with limited number of ambulances and police based first response. RESULTS: Mortality was 100 percent, response times high and 10.8 percent of the victims were receiving cardiopulmonary resuscitation (CPR) by bystanders. In 63.7 percent of the events the police arrived before the ambulance, in 1.5 percent of these cases the police provided CPR. The cost for each saved life was of 5.8-60 million Mexican pesos per life with only ambulance model vs 0.5-5.5 million Mexican pesos on a police first response model with 12 ambulances. CONCLUSIONS: In Queretaro interventions can be performed taking advantage of the response capacity of the existing police focused on diminishing mortality from OCHA at a lesser cost than delegating this function only to ambulances.

Vidas em risco: a identidade profissional dos bombeiros militares / Lives at risk: the professional identity of the military firemen

Este artigo discute a configuração da identidade profissional do Bombeiro Militar da região da grande Florianópolis, SC. Para contemplar tal objetivo geral, os objetivos específicos e o referencial teórico enfocaram: caracterização da profissão, identidade, trabalho, escolha profissional e qualidade de vida. Quanto ao método, a pesquisa definiu-se como exploratória e descritiva, delineada como um levantamento. Utilizou-se um questionário semi-aberto. Analisaram-se os dados quantitativa e qualitativamente. Participaram da pesquisa 266 Praças do 1º Batalhão do Corpo de Bombeiros. Por meio desta pesquisa, foi possível concluir que esses profissionais sentem-se realizados com sua profissão, muito embora possuam queixas, as quais não são sobre o conteúdo da profissão, mas sim sobre falta de condições para exercê-la e sobre aspectos organizacionais. Esses sujeitos "vivem" a profissão mesmo fora do seu horário de trabalho. Também foi possível verificar que, assim como as teorias afirmam, o trabalho é um fator constituinte da identidade do sujeito.

This article discourses the configuration of the professional identity of the Military Firemen from the region of the Greater Florianópolis, SC. To contemplate such general objective, the specific objectives and the theoretical referencial focused on: characterization of the profession, identity, work, professional choice and quality of life. As method, the research was defined as exploratory and descriptive, delineated as a survey. An half-open questionnaire was used. The data was analyzed in a qualitative and quantitative form. Participated in the research, 266 "praças" of the 1st Firemen Battalion. With this research, it was possible to conclude that these professionals feel themselves carried through with their profession although complaints exist, which are not on the content of the profession, but on the lack of conditions to fulfil it and on organizacional aspects. These citizens "live" the profession even outside their working hours. It was also possible to verify that, as well as the theories affirm, the work is a constituent factor of the identity of the citizen.

Estratégias de rastreamento e intervenções breves para problemas relacionados ao abuso de álcool entre bombeiros / Screening and brief intervention strategies for problems related to alcohol abuse among firemen

Efeitos deletérios do abuso do álcool são amplamente conhecidos e descritos. A prevenção ao abuso de álcool é particularmente importante em categorias profissionais específicas, por exemplo, trabalhadores submetidos a situações de risco e estresse constantes, como bombeiros. A prevenção pode ser crucial para reduzir possíveis conseqüências do abuso de álcool nessas categorias profissionais. Neste trabalho, ilustramos o uso de uma abordagem em particular, o programa de Triagem e Intervenção Breve (TIB) para bombeiros de Juiz de Fora, MG. A TIB foi realizada em associação com outras avaliações, com um fluxo de intervenção aos bombeiros. Nossa proposta se mostrou factível e sistematizou o atendimento aos mesmos, de forma que permitiu uma integração deste tipo de procedimento com as atividades do setor de saúde. Sugerimos que a TIB, em se tratando de problemas relacionados ao abuso de álcool, se mostrou eficaz neste contexto.

Deleterious effects of alcohol abuse are widely known and described. Prevention of alcohol abuse is particularly important in specific professional categories, i.e. workers subjected to constant risk and stressful situations, like firemen. Prevention may be crucial to reduce possible consequences arising from alcohol abuse in such professional categories. In the present paper we illustrate the use of a particular approach based on prevention, the Screening and Brief Intervention (TIB), on firemen from Juiz de Fora, MG. The TIB has been applied in association with other evaluation strategies and has proved to be viable and efficient as health care prevention in such context.

Job Stressors in Subway Workers and Firemen / 대한산업의학회지

OBJECTIVES: To determine the job stress factors of subway workers and firemen and to develope appropriate stress management systems for the works places. METHODS: The study subjects comprised 1,826 male subway workers and 538 male firemen residing in Daegu metropolitan city. The Korean Occupational Stress Scale (KOSS) questionnaire was used. RESULTS: The median values of the study subjects were lower than the reference values. The categories of physical environment and insufficient job control were more stressful to firemen while the organization system category was stressful to both subway workers and firemen (p<0.05). There was no statistical difference in the stress factor of the interpersonal conflict category. Among the firemen, the physical environment category was more stressful to field work department workers than to desk workers (p<0.05). CONCLUSION: The study results suggested that interpersonal conflict and organization system categories are stressful to male subway workers and firemen. Especially, effective control of firemen's physical environment stress factor is needed.