Skin cancer risk perception and sun protection behavior at work, at leisure, and on sun holidays: a survey for Danish outdoor and indoor workers

BACKGROUND@#To prevent occupational skin cancer, it is essential that the sun-protective behavior of outdoor workers is adequate. The aim is to study the sun-protective behavior of Danish outdoor workers at work, at leisure, and on sun holiday and compare it to that of indoor workers.@*METHODS@#This is a cross-sectional study, based on a 53-item survey completed by Danish outdoor (n = 380) and indoor workers (n = 119) in 2016-2017. Status as outdoor or indoor worker was decided based on self-report and behavioral differences were tested using (paired) t tests and multiple regression adjusted for age, sex, educational level, history of smoking, and skin type.@*RESULTS@#Danish outdoor workers at work use sun protection less than they do at leisure and on sun holiday (α  80.0% agree that risk of skin cancer is reduced by the use of sun protection, and only 4.0% dismiss the possibility of sun protection use at work.@*CONCLUSIONS@#Skin cancer risk and use of sun protection at work are largely neglected in Danish outdoor workers, more so than at leisure and on sun holiday where their risk behavior resembles that of indoor workers. This indicates an untapped workplace preventive potential.

Atendimento pré-hospitalar ao idoso vítima de violência em cinco capitais brasileiras / Pre-hospital attendance to elders victims of violence in five Brazilian capitals

This article reviews the characteristics and operation in the daily routine of a pre-hospital care to the elderly victims of violence and accidents in five capitals (Manaus, Recife, Brasília, Rio de Janeiro and Curitiba). Besides that, it analyses their abilities, and potential obstacles. It was based on the triangulation of quantitative and qualitative methods analyzing data from 80 departments of mobile and fixed pre-hospitals: 32 in Manaus, 18 in Recife, 10 in Brasilia, 12 in Rio de Janeiro and eight in Curitiba. Among the findings are the differences in size and diversity of occupational categories and difficulties of the teams to identify, serve and report cases for lack of training, limited preventive action, almost no involvement and guidance to the family, practically no attention to the perpetrator; incipient articulation and partnership network, especially regarding on pre-hospital services and the hospital.

Este artigo analisa as características e a operacionalização no cotidiano da atenção pré-hospitalar aos idosos vítimas de violências e acidentes de cinco capitais (Manaus, Recife, Brasília, Rio de Janeiro e Curitiba), abordando ainda suas capacidades, seus obstáculos e potencialidades. Pautou-se na triangulação de métodos quantitativos e qualitativos. Analisaram-se dados de oitenta serviços da atenção pré-hospitalar móvel e fixa: 32 em Manaus; 18 em Recife; dez em Brasília; 12 no Rio de Janeiro e oito em Curitiba. Entre os achados estão as diferenças (de tamanho e diversidade de categorias profissionais) e dificuldades das equipes para identificar, atender e notificar os casos por falta de capacitação; pouca atuação preventiva; quase nenhum envolvimento com a família e orientação a ela; praticamente nenhum atendimento ao autor da agressão; incipiente articulação e parcerias da rede, sobretudo dos serviços pré-hospitalares com os hospitalares.

Study current situation of reproductive tract infection among bearing age married women in countryside and influence factors / 中国基层医药

Objective To study the current situation of reproductive tract infection among bearing age mar-fled women in countryside and influence factors. Methods We had examined 4916 women. Questionnaire investiga-tion,gynecologic examination,the inspection of pathogen and the B-ultrasound were collected by face to face in the clinic. Results The general prevalence rate of RTI was 53.93%. The prevalence rates of pelvic infection and cervici-tis were 3.97% and 51.12%. The prevalence rates of germs, trichomonal and candiclal vaginitis were 12.51%, 3.60% and 7.71% respectively. The infection rate for only one,two or three kind of RTI were 33.08% ,19.73% and 1.08% respectively. The influence factors were : age, education, family economy, sanitary habits, graviclity, frequent in-tercourse,induced abortion and knowledge towards RTI. Conclusion Among bearing age married women in country-side province the prevalence rate of RTI was higher and also showed evidence of some influence factors.

Conocimientos, actitudes y prácticas sobre el test de Papanicolau (PAP) en mujeres embarazadas consultantes de hospitales públicos del Departamento de Alto Paraná, Paraguay / Knowledge, attitudes and practices on the Papanicolau smear test (PAP) in pregnant women attending public hospitals of the Department of Alto Parana, Paraguay

El cáncer de cuello uterino es el más frecuente entre las mujeres en nuestro país y la manera más eficaz para detectar en forma precoz es la realización del test de Papanicolau. El objetivo de este trabajo es identificar conocimientos, actitudes y prácticas sobre el papanicolau en mujeres consultantes de Centros Asistenciales Públicos de Alto Paraná. Estudio descriptivo. Se aplicó un cuestionario estructurado llenado en entrevista a 1049 embarazadas en Hospitales Públicos principales del Dpto. Alto Paraná. Procesamiento utilizando el Paquete Informático para las Ciencias Sociales (SPSS). La participación de las mujeres fue voluntaria y anónima. El 66.3% (695/1049) escuchó hablar del PAP. A las preguntas Que es el PAP? ha respondido correctamente el 15.5% (108), imprecisa el 38.7% (120), errónea el 7.2% (50) y no sabe el 33.7% (383); Para que sirve?, en forma correcta 12.8% (89),errónea 37.3%(258), imprecisa, 37.0% (257) y 11.4% (79) no sabe. Alrededor del 40.0% cree que debe hacerlo cada 6 meses y cada año. El 54.0.5%(372) considera que debe empezar a hacerse "al iniciar las relaciones sexuales y el 41.4% (288) antes de los 20 años. Las principales fuentes de información sobre el PAP son el médico 32.7% (228); familiar 24.3% (169) y enfermera 19.2% (133). El 46.4% (487/1049) del total y el 70.1% (487/ 695) de las que mencionaron conocer se realizó alguna vez. El 16.0% una sola vez. Es alto el porcentaje que no tienen conocimiento sobre el PAP y que dieron respuestas imprecisas y erróneas y que nunca se han realizado el test.

The cervical cancer is the most common among women in our country and the most effective way to early detect it is the PAP. The objective of this work was to identify knowledge, attitudes and practices on the PAP smear test in women attending Public Hospitals of the Department of Alto Paraná. It is a descriptive study which applied structured questionnaires filled in during interviews with 1049 pregnant women in the main public hospitals of Alto Parana. For the processing, it was used the Software Package for Social Sciences (SPSS). The participation of the women was voluntary and anonymous. The 66.3% (695/1049) heard about the PAP. To the question what is the PAP? 15.5% (108) has responded properly, 38.7% (120) imprecisely, 7.2% (50) erroneously 33.7% (383) did not know anything. In relation to the question what is it for? 12.8% (89) answered correctly, 37.3% (258) erroneously, 37.0% (257) imprecisely and 11.4% (79) did not know. Around 40.0% believed they should have it every 6 months and each year, 54.0.5% (372) considered that they should begin to have it at becoming sexually active and 41.4% (288) before 20 years old. The main sources of information about the PAP were: doctor 32.7% (228); family 24.3% (169) and nurse 19.2% (133); The 46.4% (487/1049) of the total and 70.1 % (487/695) of those who said they knew it said they have had it some time; 16.0% only once. There was a high percentage of women that did not have any knowledge about the PAP and that provided imprecise and wrong answers and that have never had the test.