ABSTRACT
La ficha de vigilancia de la salud de los trabajadores expuestos a amianto del anexo V del Real Decreto 396/2006, sobre riesgo de amianto, es una importante fuente de información sobre los efectos para la salud de la exposición a amianto. Sobre una muestra de 400 fichas cumplimentadas por los servicios de prevención, se ha evaluado la exhaustividad de la cumplimentación de los datos mediante el recuento y el cálculo de los porcentajes observados de los ítems correctamente cumplimentados. La exhaustividad de la cumplimentación de los datos es en general baja, especialmente en lo que se refiere a datos de identificación personal, historia laboral y resultados de la exploración radiológica. La insuficiente exhaustividad de los datos de la ficha dificulta el conocimiento sobre el impacto y los efectos sobre la salud de la exposición a amianto(AU)
The medical record form included in Spanish Royal Decree 396/2006 (Annex 5), regulating health protection for workers exposed to asbestos, is an important source of information on the health effects of asbestos exposure. The frequency and percentage of correctly filled data was assessed in a sample of 400 medical records. Overall, data completeness was low, especially regarding individual identification data, occupational history and results of radiographic studies. The poor completeness of recorded data hinders accurate knowledge of the impact and effects of asbestos on Spanish workers health(AU)
Subject(s)
Humans , Male , Female , Health Surveillance Services , Surveillance of the Workers Health , Surveillance of Working Environment , Occupational Health/legislation & jurisprudence , Occupational Health/trends , Asbestos/adverse effects , Asbestos/toxicity , Vital Statistics , Research Report/standards , Research Report/legislation & jurisprudenceABSTRACT
The medical record form included in Spanish Royal Decree 396/2006 (Annex 5), regulating health protection for workers exposed to asbestos, is an important source of information on the health effects of asbestos exposure. The frequency and percentage of correctly filled data was assessed in a sample of 400 medical records. Overall, data completeness was low, especially regarding individual identification data, occupational history and results of radiographic studies. The poor completeness of recorded data hinders accurate knowledge of the impact and effects of asbestos on Spanish workers' health.
Subject(s)
Asbestosis/etiology , Medical Records , Occupational Diseases/etiology , Occupational Exposure/adverse effects , Asbestosis/prevention & control , Humans , Occupational Diseases/prevention & control , SpainABSTRACT
OBJECTIVE: A prospective analysis of 19 consecutive cases of spondylolysis repair using a new hook screw device is presented. The objective of the study was to assess the clinical, radiologic, and computed tomography (CT) scan outcomes to establish the indications of isthmic repair in the treatment of spondylolysis. METHODS: Nineteen patients treated with a new segmental pedicle screw hook fixation were followed up for a minimum of 2 years (mean 30 months, range 24-48 months). Mean age was 20.5 years (range 13-29 years). All lytic defects were bilateral and located at L5, except for one at L3. CT scans were obtained at 6 months and 1 year postoperatively. CT scans were performed using both traditional and reverse gantry angled cuts to assess the healing of the defect. Fusion was considered to be present when trabeculae passed across the lytic defect. CT scan images were not considered conclusive until 1 year after surgery, because in two cases, trabecular pass across the pars was observed on only one side after 6 months, becoming bilateral 1 year postoperatively. CONCLUSIONS: Twelve of 13 patients who were 20 years or younger at the time of the study (average age 17.2 years) had fusion (92%), whereas in the group of 6 patients age 21 and older (average age 27.5 years), no cases of fusion were observed. Clinical outcome was excellent to good in 15 patients, fair in 3 cases, and poor in 1. The group of patients age 20 or younger had significantly better clinical results (84% excellent or good) (P = 0.00097) than those obtained in the group of patients age 21 and older (66% excellent or good) (P = 0.016). According to the current findings, the authors believe that segmental pedicle screw hook fixation is a useful alternative in the treatment of spondylolysis in adolescents but do not recommend this procedure in patients over age 20.
