Influencia da Qualidade do Sono na Qualidade de Vida no Trabalho de Policais Militares / Influencia de la Calidad del Sueño en la Calidad de Vida en el Trabajo de la Policía Militar / Influence of Sleep Quality on the Quality of Life and Work of Military Police Officers

Resumo Introdução: A profissão policial é considerada de alto risco e exige um vigor físico e mental do trabalhador diante do serviço realizado. De tal modo que uma boa qualidade do sono é importante, pois impacta diretamente em diversos aspectos na saúde desses trabalhadores. Ademais, a falta de uma boa qualidade do sono devido ao trabalho pode influenciar negativamente a qualidade de vida no trabalho. Objetivo: Analisar a influência da qualidade do sono na qualidade de vida no trabalho de policiais militares. Metodologia: Estudo quantitativo, correlacionalde corte transversal, realizado no primeiro semestre de 2019, com policiais de três municípios da Bahia, Brasil. Foram utilizados três instrumentos: sociodemográfico e características laborais; qualidade de vida de vida no trabalho; e qualidade do sono. Foi aplicado o teste do qui quadrado para as variáveis sociodemograficas e ocupacionais. Posteriormente, foi aplicado o teste de correlação de Spearman entre a qualidade do sono com as dimensões da qualidade de vida no trabalho. Resultados: Evidenciou-se entre os 298 policiais que a mediana da idade foi de 40 anos e tempo de serviço ≤ 7 anos, observou-se também que os policiais com pior qualidade do sono apresentaram qualidade de vida no trabalho insatisfatória em todas as dimensões (biológica/fisiológica; psicológica/comportamental; sociológica/relacional; econômica/política, ambiental/organizacional). Conclusão: Os policiais sofrem com a qualidade do sono e consequentemente influencia negativamente a qualidade de vida no trabalho. Assim, há uma necessidade de desenvolver ações no ambiente de trabalho que possam diminuir os afastamentos decorrentes dos problemas de saúde ocasionados pela qualidade do sono.

Resumen Introdución: La formación policial se considera de alto riesgo y requiere vigor físico y mental por parte de la persona trabajadora antes de realizar el servicio. Para esto, la buena calidad de sueño es importante, ya que impacta directamente en la salud de la población trabajadora en varios aspectos. Además, la falta de una buena calidad de sueño debido al trabajo puede influir negativamente en la calidad de vida fuera del trabajo. Objetivo: Analizar la influencia de la calidad del sueño en la calidad de vida en el trabajo de policías militares. Metodología: Estudio cuantitativo, correlacional transversal, realizado en el primer semestre de 2019, con policías de tres municipios de Bahía, Brasil. Se utilizaron tres instrumentos: características sociodemográficas y laborales, calidad de vida en el trabajo y calidad de sueño. Se aplicó la prueba chi cuadrado para las variables sociodemográficas y ocupacionales. Posteriormente, se aplicó la prueba de correlación de Spearman entre la calidad del sueño y las dimensiones de calidad de vida en el trabajo. Resultados: La muestra fue de 298 policías, la mediana de edad fue de 40 años y la antigüedad en el servicio fue ≤ 7 años. También, se observó quienes tuvieron peor calidad de sueño, también tuvieron una calidad de vida en el trabajo insatisfactoria en todos sus dimensiones (biológica/fisiológica; psicológica/conductual; sociológica/relacional; económica/política, ambiental/organizacional). Conclusión: Quienes son agentes de policía sufren de mala calidad de sueño y, en consecuencia, se influye negativamente su calidad de vida en el trabajo. Por lo tanto, existe la necesidad de desarrollar acciones en el lugar de trabajo que pueda reducir los riesgos de problemas de salud causados por la calidad del sueño.

Abstract Background: Police training is considered high risk and demands physical and mental vigor from the worker before preforming the service. Therefore, sleep quality is important as it directly impacts the health of these workers in several aspects. Furthermore, the lack of sleep quality due to work can negatively influence the quality of life outside of work. Aim: To analyze the influence of sleep quality on the quality of life and work of military police officers. Methods: A quantitative, cross-sectional correlational study, conducted in the first half of 2019 with police officers from three municipalities in Bahia, Brazil. Three instruments were used: sociodemographic and work characteristics; quality of life at work; and sleep quality. The chi-square test was applied for sociodemographic and occupational variations. Subsequently, the Spearman correlation test was applied between sleep quality and the quality of life and work dimensions. Results: Among the 298 police officers the median age was 40 years and the length of service was ≤ 7 years. It was also observed that police officers with poorer sleep quality had an unsatisfactory quality of life at work in all its dimensions (biological/physiological; psychological/behavioral; sociological/relational; economic/political, environmental/organizational). Conclusion: Police officers suffer from poor sleep quality and this negatively influence their quality of life and work. Therefore, there is a need to develop actions in the workplace that may reduce the risks of health problems caused by poor sleep quality.

Determining compliance with the COVID-19 daily symptom monitoring tool used to identify suspected COVID-19 workers of the military health support formation employees of the South African national defence force

Introduction: the COVID-19 pandemic had prompted governments in many countries to enact laws and policies to combat the spread of COVID-19 at work. The DEL required every worker to be screened when they arrived at work. Screening methods included self-reporting symptoms using a symptom monitoring tool. This study aimed to determine compliance with the symptom monitoring tool by assessing the knowledge, attitude, and practice of the MHSF employees. Methods: a cross-sectional questionnaire was administered to the employees. Information related to demographic, COVID-19 exposure, knowledge of COVID-19 and the symptom monitoring tool, attitude towards the symptom monitoring tool and practices towards COVID-19 and the symptom monitoring tool was collected. Results: a total of 90 participants participated in the study. The majority (N=45; 50%) of respondents were aged between 30 and 39 years old, with more female (N=50) than male (N=40) participants. The majority (N=51; 56.7%) only had grade 12 as the highest level of education. There were 25% (N=10) of males and 20% (N=10) of females who contracted COVID-19. The relationship between the COVID-19 positive cases and the symptom monitoring tool identifying symptoms had a strong negative correlation (-0.932). Respondent's knowledge of COVID-19 and the symptom monitoring tool was moderate (72.4%), with the attitude to the symptom monitoring tool being moderate (63.3%) as well. However, the practices of the COVID-19 guidelines and the symptom monitoring tool were good (93.3%).

Physical Fitness Test (PFT) in Police and Military in Brazil: A Systematic Review

Abstract Background Physical Fitness Tests (PFTs) are part of military routines and are usually administered to applicants for the Brazilian corps member, including the civil police. Objective To identify in the literature, scientific articles aimed at assessing physical fitness of police and military personnel in Brazil, using PFTs. Methods This was a systematic review, using the PRISMA systematization, using the following search keywords "police", "military", "physical fitness test" and " PFT", in English and Portuguese. The databases used were ScienceDirect, PubMed, BVS (Lilacs) and Scielo. Only original works performed with police and military personnel in Brazil were selected, through the application of inclusion and exclusion criteria. Results After the screening process, 11 articles were selected from a total of 1,487. Conclusions The data collected from the selected articles suggest that older age is related to a decrease in physical fitness, and better performance in the tests is related to a lower risk of comorbidities. Although high-intensity training improves physical fitness and anthropometric data, it is associated with injury rates; physically active lifestyle is associated with better flexibility.

Estilos de vida y estado nutricional en el personal militar sanitario durante la COVID-19 / Lifestyles and nutritional status in military health personnel during COVID-19

Introducción: El personal militar sanitario posee características laborales y factores propios de la vida militar, que los predisponen a alterar sus estilos de vida, más aún con las medidas restrictivas que se establecen por la emergencia sanitaria de la COVID-19. Objetivo: Determinar la asociación entre los estilos de vida y el estado nutricional del personal militar sanitario. Métodos: El estudio fue transversal, la muestra estuvo conformada por 104 profesionales sanitarios militares que laboran en el Hospital Militar Central. Se aplicó el Cuestionario de Estilos de Vida de Arrivillaga, Salazar y Gómez; se pesó y talló a los sujetos, para obtener el índice de masa corporal, también se obtuvo la medida del perímetro abdominal, que indicó el riesgo cardiometabólico, se realizó el análisis descriptivo, bivariado (prueba de ji cuadrado) y multivariado para obtener razones de prevalencia. Resultados: Se evidenció asociación entre estilo de vida poco saludable con el índice de masa corporal (razón de prevalencia = 15,467; IC 95 por ciento: 2,228 - 107,357: p < 0,001) de igual manera cuando fue ajustado para las variables edad, sexo, profesión y grado militar (razón de prevalencia ajustado =18,515; IC 95 por ciento: 2,98 - 114,913: p < 0,001). Conclusiones: Se concluye que existe asociación entre el estilo de vida y el estado nutricional, determinado por el IMC y el PA en el personal militar sanitario estudiado(AU)

Introduction: Military health personnel have work characteristics and factors inherent to military life that predispose them to alter their lifestyles, even more so with the restrictive measures that were established by the health emergency of COVID-19. Objective: To determine the association between lifestyles and nutritional status of military health personnel. Methods: The study was cross-sectional, the sample consisted of 104 military health professionals who work in the Central Military Hospital. The Lifestyle Questionnaire of Arrivillaga, Salazar and Gómez was applied; subjects were weighed and carved to obtain the body mass index, the measurement of the abdominal perimeter was also obtained, which indicated the cardiometabolic risk, the descriptive, bivariate analysis (chi-square test) and multivariate analysis was performed to obtain prevalence ratio values. Results: The association between "unhealthy" lifestyle with the Body Mass Index (prevalence ratio = 15,467; 95 percent CI: 2,228-107,357: p < 0,001) was evidenced in the same way when it was adjusted for the variables age, sex, profession and military rank (adjusted prevalence ratio = 18,515; 95 percentCI: 2,98-114,913: p < 0,001). Conclusions: There is an association between lifestyle and nutritional status determined by body mass index and abdominal circumference in military health personnel(AU)

El servicio de sanidad militar en el proceso de modernización, burocratización y profesionalización del ejército argentino (1888-1938) / The military health service in the process of modernization, bureaucratization and professionalization of the Argentine Army (1888-1938)

RESUMEN Hacia fines del siglo XIX y principios del siglo XX se inició la modernización, burocratización y profesionalización del Ejército Argentino. Como resultado de ese proceso se conformaron las divisiones del Ejército, esto es, organizaciones militares autónomas entre sí, compuestas por unidades de diferentes armas, elementos de apoyo de combate y de servicios. Entre estos últimos estaba el de sanidad militar, que actuaba en las unidades operativas de los distritos militares para el reconocimiento de los ciudadanos para el Servicio Militar Obligatorio y en los hospitales militares. Este artículo tiene por objetivos: 1) caracterizar ese proceso en sus relaciones con las concepciones de la defensa, organización, funciones y despliegue territorial del Ejército; 2) analizar, en ese marco, la conformación del servicio de sanidad militar entre 1888, con la sanción de la Ley Orgánica del Cuerpo de Sanidad del Ejército y la Armada, y 1938, con los cambios en el diseño orgánico del Ejército en vísperas de la Segunda Guerra Mundial.

ABSTRACT At the end of the 19th and beginning of the 20th century, a process of modernization, bureaucratization and professionalization of the Argentine Army was initiated. As a result of this process, Army divisions were formed, which are autonomous military organizations composed of units of various weapons, combat support elements and services. Included among the latter was the military health service, which acted both in the operational units of the military districts in order to incorporate citizens into the Compulsory Military Service as well as in military hospitals. This article aims to: 1) characterize this process in relation to the concepts of defense, organization, functions and territorial deployment of the Army; 2) analyze, within that framework, the formation of the military health service between 1888 -when the Organic Law of the Sanitary Corp of the Army and the Navy was sanctioned - and 1938 - when the Army's organic design was changed on the eve of the Second World War.

Vivendo entre a segurança e o risco: implicações à saúde do policial militar / Living in the midst of security and risk: implications on military police officers' health

This is a descriptive and exploratory study conducted in the first half of 2012 with 12 military police officers from a Military Police Brigade in a capital of southern Brazil, which aimed to investigate occupational hazards from the point of view ofworkers. Data was collected through interviews and analyzed by means of thematic analysis. The study complied with Resolution 466/12 of the National Health Council. Physical violence, disease transmission by contact with blood, and accidents were the mainrisks identified. Most of the participants reported wearing personal protective equipment to protect their health. The subjects perceive that their job interferes negatively with their personal life, and greater satisfaction with the activity involves thecommunity's acknowledgement for the services provided. Co-management of everyday problems and ongoing health education can be protagonism alternatives that may contribute to prevention of diseases and promotion of military police officers' health.

Trata-se de um estudo descritivo e exploratório, realizado no primeiro semestre de 2012, com 12 policiais militares de umBatalhão de Policia Militar de uma capital da região sul brasileira queteve como objetivo investigar os riscos ocupacionais, sob o ponto de vista dos trabalhadores. Os dados foram coletados mediante entrevistas e analisados por meio da análise temática. A pesquisa respeitou a Resolução 466/12do Conselho Nacional de Saúde. A violência física, a transmissão de doenças pelo contato com sangue e os acidentes foram os principais riscos identificados. A maioria referiu usar Equipamentos de Proteção Individual para a proteção à saúde. A maior satisfação da atividade envolve o reconhecimento da comunidade pelo serviço prestado. Cogestão dos problemas cotidianos e educação permanente em saúde podem ser alternativas de protagonismo que podem contribuir para a prevenção de agravos e promoção da saúde dos policiais militares.

Los cuerpos militares como hito social del cuidado para la enfermería naval / Military bodies as a social milestone of care for naval nursing

En las últimas décadas la enfermería en México ha realizado investigaciones que buscan recuperar su identidad disciplinar con base en la historiografía de distintos gremios de enfermeras indagando sobre sus orígenes y antecedentes históricos para definir los elementos ontológico y epistemológicos que les caracterizan. Tal es el caso de la Enfermería Naval que a través de su historia, describe la evolución profesional como gremio, con el objetivo de construir la primera historiografía sobre la formación de enfermeras navales en el medio militarizado, contribuyendo a su vez con el acervo histórico de la enfermería en México. La historia de este gremio se construyó con base en la fenomenología descriptiva e interpretativa, para ello se efectuó análisis de contenido de fuentes históricas documentales, periódicos, fotografías, videos, microfilms, entrevistas a profundidad e inclusive una historia de vida, entre las cuales se categorizaron temas y subtemas definiendo como ejes teóricos: los orígenes de la sanidad en el ejército, la iniciación de la enfermería en la Armada y la evolución de las enfermeras navales al servicio de sus milicias. Los resultados han revelado que los cuidados de enfermería hacia las milicias marítimas en México, datan desde el siglo XVIII principalmente en los puertos de Veracruz y Acapulco; así también, que a lo largo del siglo XX mediante fenómenos sociales como: la profesionalización de los marinos militares, la Segunda Guerra Mundial, el crecimiento económico de la zona marítima mexicana, la proporción de ayuda humanitaria a población en situación de catástrofe natural y el apoyo en los procesos de seguridad nacional, es como la enfermería naval mexicana ha evolucionado su práctica profesional. Se concluye que el gremio de enfermeras navales ha evolucionado en su disciplina, a través de estudiar, adaptar y articular su práctica profesional con su población de estudio que son los cuerpos militares marítimos, incrementando su nivel educativo a partir de la existencia de su escuela y consolidando su reconocimiento en el ámbito militar mediante la adaptación de sus cuidados en cuyo ambiente, representa la parte humana de la Armada de México.

On last decades the nursing in Mexico has done research with the intention of recovering its identity as a discipline based on the historiography of different nurses guilds, inquiring about their origins and historical background in order to define the ontologic and epistemological elements that characterize them. Such is the case of the Naval Nursing that through its history, describes the professional evolution as a guild, with the objective of building the first historiography about the formation of naval nurses inside the military scope, and at the same contributing with the nursing historical heritage of Mexico. The History of this guild was constructed based on the descriptive and interpretative phenomenology, for this was performed an analysis of the content of historical documental sources, newspaper, photographs, videos, microfilms, interviews in depth and even a life story, among which topics and subtopics were categorized, defining as theoretical axis: Origins of health in the army, the beginnings of the nursing in the Army and the evolution of the naval nurses to the services of their militias. The results have revealed that the nursing attentions toward the militias in Mexico dating mainly from the XVIII century in the Veracruz and Acapulco ports; also that along the XX century due to social phenomena as: the professionalization of the marines, the Second World War, the economic growth in the Mexican maritime area, the portion of humanitarian help given to the population at natural disaster and the support on the national security process, is how the Mexican naval nursing has evolved its professional practice. I conclude that the guild of the naval nurses has evolved in its discipline, through knowing, attending and articulating its professional practice with its study population which are the maritime military corps, increasing its educational level since the foundation of its school and consolidating its recognition in the military scope through adapting its care representing the human part of the Mexican Navy. Keywords: Military, naval nursing, care.

Lombalgia na atividade policial militar: análise da prevalência, repercussões laborativas e custo indireto / Lumbagia en la actividad de la policía militar: análsis de la prevalencia, impacto laboral y el costo indirecto / Low ack pain in the military police activity: analyis of prevalencce, job impact and indirect cost

Introdução: A dor lombar crônica é uma importante causa de sofrimento e incapacitação. Na atividade policial militar, o indivíduo está exposto a uma série de fatores que podem interferir em sua saúde. Alguns exercem funções internas como as atividades administrativas, outros fazem o policiamento ostensivo, permanecendo por muitas horas em pé e utilizando equipamentos, que aliados às condições do trabalho, podem levar à sobrecarga da coluna. Objetivo: Determinar a prevalência de lombalgia incapacitante em policiais militares do Estado da Bahia e estimar o gasto com pagamento de salários a esses policiais. Metodologia: Trata-se de um estudo quantitativo, transversal, de caráter descritivo simples, por meio de um levantamento retrospectivo de dados. Resultados: A dorsalgia foi a principal queixa nas inspeções médicas realizadas pela Junta de Saúde da Polícia Militar da Bahia. No presente trabalho foi observado um gasto, apenas com pagamento de salários de policiais afastados, de R$ 1.500.000,00 ao ano, sem considerar os custos diretos (medicamentos, consultas, internações). Conclusão: Fica claro, portanto, que a lombalgia onera os cofres públicos estaduais de maneira significativa e diminui a disponibilidade de policiais para o policiamento ostensivo. Portanto, é preciso que o Poder Público Estadual desenvolva estratégias de prevenção e reforce as medidas de tratamento, visando reabilitar esses militares no menor tempo possível.

Introduction: Chronic low back pain is a major cause of suffering and disability. In the military police activity, the individual is exposed to a number of factors that could affect its health. Some perform internal functions such as administrative activities, others do the patrolling, remaining for many hours standing and using equipment, which together with the conditions of work, can lead to overloading of the column. Objective: To determine the prevalence and constraints generated by the tables of low back pain in military police of the State of Bahia and estimate the indirect cost of absenteeism caused by low back pain in military police. Methodology: This is a quantitative, cross-sectional, descriptive simple, done through a retrospective survey data. Results: Back pain was the main complaint in the medical inspections conducted by the Board of Health of the Military Police of Bahia. In this study, we observed an expense, just to pay salaries for police officers away from R$ 1.5 million a year without considering direct costs (drugs, consultations, hospitalizations). Conclusion: Clearly, therefore, low back pain is levied on the public state coffers significantly. Therefore, it is necessary to develop prevention strategies and strengthen treatment measures aimed at rehabilitating this military police in the shortest time possible.

Introducción: El dolor lumbar crónico es una causa importante de sufrimiento e incapacidad. En la actividad de la policía militar, el individuo está expuesto a una serie de factores que podrían afectar su salud. Algunos realizan funciones internas como las actividades administrativas, otros hacen el patrullaje, permaneciendo por muchas horas de pie y con el uso de equipos, que junto con las condiciones de trabajo, pueden conducir a una sobrecarga de la columna. Objetivo: Determinar la prevalencia y las limitaciones generadas por las tablas de dolor de la región lumbar en la policía militar del Estado de Bahía y estimar el costo indirecto del ausentismo de la Policía Militar. Metodología: Se trata de un análisis cuantitativo, transversal, descriptivo simple, a través de una base de datos retrospectiva. Resultados: El dolor de la región lumbar es la queja principal de las inspecciones médicas llevadas a cabo por la Junta de Sanidad de la Policía Militar de Bahía. En este estudio, se observó un gasto, sólo para pagar los salarios de los agentes de policía, de R$ 1,5 millones al año, sin tener en cuenta los costos directos (fármacos, consultas, hospitalizaciones). Conclusión: Es evidente, por tanto, que el dolor de la región lumbar afecta las arcas del Estado de manera significativa. Por lo tanto, es necesario desarrollar estrategias de prevención y fortalecer las medidas de tratamiento de estos militares en el menor tiempo posible.