Occupational injuries in workers of a Spanish bank.

BACKGROUND: In 2017, 69 108 work-related traffic injuries with medical leave were documented, constituting 12% of all occupational injuries (OI) in Spain. AIMS: The aim of this study was to describe OI within a Spanish bank company during 2017. METHODS: A cross-sectional analysis was conducted using the company's mandatory OI records, presenting data in both absolute (n) and relative (%) frequencies. The chi-square test was employed for comparisons. RESULTS: Among the company's 10 399 employees, 176 OI cases were recorded. Most were minor musculoskeletal incidents, with one severe myocardial infarction and one mild anxiety episode. Lower limb injuries were the most prevalent. Injuries of the trunk (P < 0.001), neck (P < 0.05), and upper limbs (P < 0.001) were linked to workplace factors. Approximately 62% of OI occurred outside the workplace and resulted in more extended medical leave (P < 0.01). Traffic-related injuries accounted for 39% of OI cases and caused 49% of days lost due to OI (P < 0.001).Female gender (P < 0.001) and age over 40 years (P < 0.05) were significantly associated with OI. CONCLUSIONS: In our study, musculoskeletal injuries were the most common, with a single cardiovascular event being the most severe. OI occurring outside the workplace was more frequent and led to longer medical leaves. Notably, traffic-related injuries were especially significant, exceeding official statistics 4-fold.

Control médico en migraña y variables relacionadas. Resultados de la encuesta europea Trabajo y Migraña / Migraine medical control and related variables. Results of the European Work and Migraine survey

OBJETIVO: Es objetivo de este trabajo conocer las preferencias asistenciales y el uso requerido de atención médica por pacientes con migraña en distintos países de Europa y las diferencias en función de las condiciones sociales y demográficas. MATERIAL Y MÉTODOS: Estudio observacional transversal mediante encuesta anónima vía web a 3.342 pacientes de España, Italia, Francia, Portugal, Irlanda, Reino Unido, Alemania y un grupo mixto de países no incluidos en el diseño inicial. VARIABLES: edad, género, país, tipo de localidad, nivel de estudios y ámbito rural o urbano. Se recoge demanda asistencial por neurólogo, médico de atención primaria/de familia/médico general, médico del trabajo, enfermería, otro médico/otra especialidad, o no control médico/autocontrol. RESULTADOS: Acuden más a Neurología los pacientes de 21-60 años y alto nivel cultural. La asistencia por atención primaria/familia es mayor en áreas urbanas. Medicina del trabajo, enfermería y otras especialidades predominan en grandes ciudades. Mayor autocontrol en pacientes de 21-40 años y en mujeres. España y Alemania son los países con mayor demanda asistencial en Neurología y Atención Primaria. CONCLUSIONES: La demanda médica asistencial por migraña en Europa muestra resultados irregulares por países, siendo principalmente en Neurología y con menor participación de médicos de atención primaria, médicos del trabajo, enfermería u otras especialidades. Se observan diferencias por edad, género y nivel cultural tanto en la demanda asistencial como en la elección de especialista. Un importante porcentaje de pacientes se automedican o no llevan ningún control médico

OBJECTIVE: This purpose of this work is to determine the care preferences and the required use of medical care by migraine patients in the different countries of Europe, and the observed differences depending on their social and demographic conditions. MATERIAL AND METHODS: Cross-sectional observational study by anonymous web survey of 3,342 patients from Spain, Italy, France, Portugal, Ireland, United Kingdom, Germany, and a mixed group of countries not included in the initial design. VARIABLES: age, gender, country, type of location, level of studies and rural or urban area. The demand for care is collected by neurologist, primary care doctors/family/general practitioners, by occupational health doctors, nurses, by other doctors/other specialists, non-medical control/self-control. RESULT: The patients more seen by a neurologist were about 21-60 years old and with a high cultural level. Primary care/family doctor care is higher in urban areas. Occupational medicine, nursing, and other specialties predominate in large cities. Self-control is greater in patients aged 21-40 years and in women. Spain and Germany are the countries with the greatest demand for care in Neurology and Primary Care. CONCLUSIONS: The medical demand for migraine care in Europe shows irregular results according to countries, with it being a priority in neurology and with less participation of Primary Care physicians, work doctors, nurses, or other specialties. Differences are observed by age, gender, and cultural level both in the demand for care and in the choice of specialist. It is important to take into account the percentage of patients who have no medical control

[Migraine medical control and related variables. Results of the European Work and Migraine survey]. / Control médico en migraña y variables relacionadas. Resultados de la encuesta europea Trabajo y Migraña.

OBJECTIVE: This purpose of this work is to determine the care preferences and the required use of medical care by migraine patients in the different countries of Europe, and the observed differences depending on their social and demographic conditions. MATERIAL AND METHODS: Cross-sectional observational study by anonymous web survey of 3,342 patients from Spain, Italy, France, Portugal, Ireland, United Kingdom, Germany, and a mixed group of countries not included in the initial design. VARIABLES: age, gender, country, type of location, level of studies and rural or urban area. The demand for care is collected by neurologist, primary care doctors/family/general practitioners, by occupational health doctors, nurses, by other doctors/other specialists, non-medical control/self-control. RESULTS: The patients more seen by a neurologist were about 21-60years old and with a high cultural level. Primary care/family doctor care is higher in urban areas. Occupational medicine, nursing, and other specialties predominate in large cities. Self-control is greater in patients aged 21-40years and in women. Spain and Germany are the countries with the greatest demand for care in Neurology and Primary Care. CONCLUSIONS: The medical demand for migraine care in Europe shows irregular results according to countries, with it being a priority in neurology and with less participation of Primary Care physicians, work doctors, nurses, or other specialties. Differences are observed by age, gender, and cultural level both in the demand for care and in the choice of specialist. It is important to take into account the percentage of patients who have no medical control.

Dermatitis aerotrasportada de origen laboral en la industria química, farmacéutica y sector sanitario / Airborne contact dermatitis in chemical and pharmaceutical industry and healthcare sectors

INTRODUCCIÓN: La dermatitis de contacto aerotransportada (DCAT), es una forma de dermatitis profesional que por su manifestación clínica, localización y forma de contacto presentan característica propias, este hecho junto con la relevancia de la dermatosis dentro de la morbilidad profesional justifica la necesidad de sintetizar la evidencia científica existente mediante una revisión sistemática. OBJETIVOS: Identificar la evidencia científica sobre la DCAT, la existencia de un consenso sobre criterios diagnósticos, las medidas de prevención y la identificación de población especialmente sensible. MATERIAL Y MÉTODOS: Revisión sistemática de la producción científica publicada entre 2006 y 20014 sobre DCAT, se realizó una búsqueda sistemática mediante términos DeCS, MeSH, en diversas bases de datos y otros recursos informáticos (MEDLINE, COCHRANE, SCOPUS, SCIELO, OVID, BNCS, OSH, UPDATE). La evidencia se evaluó con los criterios SIGN. RESULTADOS: Tras el proceso de selección el resultado final fue de 15 artículos a analizar del total recuperado de 504. Los tipos de diseño: 1 Ensayo Clínico no aleatorizado sin grupo control y 14 Series de Casos, de los cuales 7 usaron grupo control. Las sustancias químicas que produjeron DCAT no publicadas previamente fueron: TFA, fibras PP y PE, Dihidrocloruro 2 2'-azobis (2-metilpropanamida) y HBTU1 ; y los fármacos: Tilosina, Pristinamicina, Carbocromeno y Famotidina. DISCUSIÓN Y CONCLUSIONES: La limitación de los resultados es el bajo nivel de evidencia científica de los artículos analizados, lo que compromete su validez externa. Con respecto a las revisiones de Santos R, y Grosens A (2001 al 2006) encuentran 9 casos nuevos de DCAT y Swinnen I, y Grossens A (2007-2011) describen 14 casos. En nuestra revisión (2006-2014) hay 6 nuevos casos, lo que reafirma un aumento en el interés del estudio y la trascendencia de esta patología

INTRODUCTION: Due to its location, clinical signs and form of contact, the airborne contact dermatitis (ABCD) is a unique type of occupational dermatitis. It results unquestionable the need of synthetising the scientific evidence through a systematic review taking into account the dermathoses relevance in the occupational morbidity. OBJECTIVES: To identify the scientific evidence for ABCD, the existence of a consensus on diagnostic criteria, on preventive measures and on the identification of especially sensitive population. MATERIAL AND METHODS: A systematic review of the scientific literature published between 2006 and 2014 about ABCD. A systematic search was performed using DeCS, MeSH, in various databases and other computer resources (MEDLINE, COCHRANE, SCOPUS, SCIELO, OVID, BNCS, OSH, UPDATE). The evidence was evaluated following a SIGN criteria. RESULTS: 15 articles were selected to be analyzed after a selecting process of 504. Types of design: 1-Non-randomized clinical trial without control group and 14 Case Series, 7 of which were using a control group. The ABCD chemicals not previously published: TFA, PP/PE fibers, Ethyl 2 2'- azobis Dihidroclorure (2- methyl propanamide) and HBTU1 , and the drugs: Tylosin, Pristinamycin, Carbocromen and Famotidine. DISCUSSION AND CONCLUSIONS: The limitation of the results reveals the low scientific evidence levels on the analyzed articles, compromising his external validity. Regarding the reviews of Santos R, and Grossens A. (2001-2006), 9 new cases of ABCD were found and Swinnen I, and Grossens A. (2007-2011) described 14 cases. In our review (2006-2014) there are 6 new cases, confirming an increasing interest in this study and the gravity of this disease. As it is impossible to demonstrate a particularly sensitive population, it can be concluded that the ABCD is gaining importance. The scientific production should be improved with designs which generate a higher level of evidence allowing to take preventive measures

Lipoatrofia semicircular. A propósito de un caso, en un paciente muy alto / Semicircular lipoatrophy. The case of a very tall worker

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Marcadores biológicos emergentes de riesgo cardiovascular en población laboral / Emergent biological markers of cardiovascular risk in occupational poblation

Este estudio transversal y descriptivo se realizó sobre una población inicial de 200 trabajadores que, tras aplicar los criterios de exclusión, se redujo a 119 sujetos. Determinamos los factores de riesgo cardiovascular más prevalentes y relacionamos los marcadores emergentes (proteína C reactiva, lipoproteína (a) y homocisteina) con el valor de la clasificación de predicción de coronariopatía a los diez años de Framingham (FCRS). Finalmente valoramos la necesidad de introducirlos en el screening lipídico (prevención primaria). Resultados: la hipercolesterolemia, el tabaquismo y el estrés son los factores de riesgo más frecuentemente observados y están fuertemente relacionados con los hábitos personales, siendo por tanto, modificables. La proteína C reactiva resultó ser el mejor marcador de riesgo de los tres marcadores (aunque no significativa estadísticamente), además de ser la más eficiente y no precisar especiales cuidados en la fase preanalítica

This transversal and descriptive study was based over 200 workers, but only 119 passed the exclusion criteria. The aim of this study is to determinate the most prevalent cardiovascular risk factors and to evaluate the relation between the emergent markers of cardiovascular risk (C Reactive Protein, Lipoprotein (a) and homocysteine) and the Framingham Coronary Risk Score (FCRS). We also sought the possibility of introducing these markers in the initial blood screening. Results: hypercholesterolemia, smoking and stress are the prevalent cardiovascular risk factors, and all of them can be modified. Although not statistically significant in our results, the C Reactive Protein is the best biological emergent marker of cardiovascular risk that we studied, and the less expensive, thus being very adequate as a preventive marker