Prevalencia de patologías osteomusculares del miembro superior y su relación con factores ocupacionales en trabajadores de una empresa de flores. Bogotá 2015

Antecedentes: Las patologías osteomusculares del miembro superior son una importante causa de morbilidad laboral a nivel mundial y en nuestro país, particularmente en el sector de la floricultura. Del desarrollo de estos desórdenes se derivan importantes costos derivados del ausentismo laboral, incapacidades y secuelas. Objetivo: determinar la prevalencia de patología osteomuscular de miembro superior con calificación de origen de enfermedad laboral, en los trabajadores con diagnóstico de patología musculo esquelética de miembro superior y su relación con algunos factores ocupacionales y demográficos. Metodología: Estudio de corte transversal en el que se revisaron datos secundarios procedentes de una base de datos del servicio de salud ocupacional entre enero y mayo de 2015, correspondiente a 465 operarios (no administrativos) a término indefinido de una empresa floricultora de Bogotá, incluyendo únicamente aquellos trabajadores con patologías osteomusculares de miembro superior, que contaban con la clasificación en el diagnóstico ya sea como enfermedad laboral o enfermedad común y mayores de edad. Se excluyeron 19 trabajadores, quienes habían sido reubicados en nuevos sitios de trabajo y no se contó con la información para determinar su actividad antes de realizar el cambio. Se evaluaron las siguientes variables: sexo, edad, antigüedad y el cargo desempeñados por los operarios. La relación entre variables se realizó con la prueba de chi2 de Pearson. Se midió la magnitud de la asociación por medio de OR con sus respectivos intervalos de confianza del 95%. Resultados: Se incluyó a 373 operarios a término fijo, con una media de edad de 39 años (DE=5.55) y una media de antigüedad en el cargo de 6 años (DE=1.15). El 82.84% correspondió al sexo femenino. La prevalencia de enfermedad laboral osteomuscular de miembro superior fue del 54,4%. En el análisis de relación entre la calificación de la enfermedad, y demás variables (sexo, antigüedad en el cargo, edad, actividad desempeñada, localización de la lesión); se encontró que: estar entre los 40 a 49 años (OR= 1,7; IC-95%:1,12 – 2,79), diagnóstico de síndrome de manguito (OR= 4.45; IC-95%: 2.48 – 8.23) y el síndrome de túnel de carpo (OR= 4.22; IC-95%: 2.45 – 7.41) se asociaron a enfermedad laboral. Conclusiones: La prevalencia de enfermedad laboral de patología osteomuscular de miembro superior en los operarios de un cultivo de flores de la Sabana de Bogotá es del (54,4%). Se encontró una mayor asociación con el síndrome del manguito rotador y enfermedad laboral. No se encontró asociación entre la enfermedad laboral y la actividad desempeñada, el tiempo de exposición, ni con el sexo del trabajador.

Diez visiones sobre la vejez : del enfoque deficitario y de deterioro al enfoque positivo.

Resumen del autor. Resumen en castellano y en inglés

Recerca sobre les necessitats socials de la gent gran de 80 i més anys que viuen soles a la ciutat d'Olot

Investigació socioeducativa que estudia les necessitats socials de les persones de més de 80 anys que viuen soles a la ciutat d’Olot. Els objectius de la recerca són descriure, explicar i comprendre les característiques i les necessitats socials d’aquesta població i contribuir a millorar les pràctiques de les polítiques locals referents als plans d’atenció a gent gran i Serveis Socials. La principal tècnica per recollir les dades ha estat un qüestionari d’elaboració expressa per aquesta investigació, contestat per 400 persones

La configuración de la prestación de jubilación en el régimen contributivo de la Seguridad Social

La tesi té per objecte l'estudi dels elements configuradors de la prestació de jubilació en la seva modalitat contributiva, és a dir, l'edat pensionable (o edat d'accés a la pensió de jubilació) i el cessament voluntari de l'activitat professional, posant-se de manifest com les diferents reformes aprovades sobre el sistema de Seguretat Social i, en especial, sobre el sistema de jubilació a partir de la dècada dels anys 80 han anat desconfigurant aquesta prestació. En aquest sentit en la Tesi es fa una crítica àmpliament fonamentada i raonada de l'ús abusiu que s'ha fet i que es fa de les diferents modalitats de jubilació anticipada, ja que no solament no han servit per a facilitar l'anomenat "relleu intergeneracional", sinó que, al contrari, són un seriós obstacle per a fer front al fenomen de l'envelliment demogràfic, la manifestació més directa del qual constitueix el canvi en l'estructura de la població per edats derivat de l'important descens de les taxes de natalitat i fertilitat conjuntament amb el corresponent augment dels índexs de longevitat, fenomen aquest que està provocant una profunda transformació de la piràmide demogràfica. Així, es realitza un anàlisi crític de l'ús de la jubilació com si es tractés d'una mesura de política d'ocupació, ja que es produeix una important fallida de la voluntarietat com a element característic del cessament, mitjançant, entre d'altres mesures, la jubilació forçosa i molt especialment, per que està donant lloc a una expulsió anticipada del mercat de treball a nombrosos treballadors encara aptes pel treball que ateses les importants dificultats d'ocupació de les persones de edat avançada es veuen obligades a mantenir-se com a inactives durant molt de temps, en la majoria dels casos en contra del que és la seva voluntat. En front a aquest panorama en la Tesi es proposa reforçar aquests dos elements configuradors de la prestació de jubilació, restringint al màxim l'ús de la jubilació anticipada, efectuant majors controls de la mateixa per a que només sigui utilitzada per empreses que realment ho necessiten, de forma limitada en el temps, i dotant de major flexibilitat a l'edat de jubilació mitjançant el reforçament del seu caràcter de dret al descans i atribuint-ne una major eficàcia a la voluntarietat de aquest dret del treballador. També s'aborda l'examen d'altres qüestions, entre d'altres, referides al funcionament intern de aquesta prestació; el tractament diferenciat establert en els diferents règims de Seguretat Social; el seu càlcul; així com un examen de les fonts estatals e internacionals de regulació de aquesta matèria amb una significativa incidència respecte a la necessitat de realitzar una lectura conjunta dels arts. 41 i 50 de la Constitució espanyola de 1978 i a la complexa aplicació del Reglament de la Unió Europea, Reglament CEE/ 1408/1971 pel reconeixement i càlcul de la prestació de jubilació en el cas de cotitzacions a diversos Estats de la Unió Europea.

Envelhecimento activo e autonomia : um desafio às Instituições particulares de Solidariedade Social com resposta social em centro de dia : um estudo de caso

Diante das incertezas que perpassam o crescente envelhecimento das populações ressalta o papel das Instituições de Solidariedade Social e das respostas sociais na protecção às pessoas idosas e no apoio às famílias, para conquista do bem-estar individual e colectivo. Com este estudo pretendeu-se determinar de que forma os serviços disponibilizados pela resposta social em Centro de Dia promovem a autonomia e o envelhecimento activo dos clientes. A autonomia está presente em todo o curso de vida da infância até a velhice numa dialéctica entre a condição de dependência e independência. Mas principalmente pela necessidade da autodeterminação que converge com a afirmação dos Direitos Humanos, subsidiário de um envelhecimento activo e digno. Deste modo a investigação decorreu sob o referencial teórico do envelhecimento activo da autonomia e das respostas sociais. Como metodologia de análise foi utilizada uma abordagem que aliou o qualitativo e quantitativo (plural mix). A investigação decorreu na resposta social em Centro de Dia da Associação dos Idosos e Deficientes do Penedo (AIDP). Para a recolha de dados optámos por instrumentos de inquirição directa aos técnicos responsáveis e aos clientes. No caso dos primeiros foram aplicadas duas entrevistas semi-directivas e no segundo um questionário semi-estruturado individual. Os resultados elucidam o papel que a resposta social em Centro de Dia assume na promoção da autonomia, nomeadamente, na representação de oportunidades para o envelhecimento activo dos clientes e a percepção destes acerca dos resultados no seu quotidiano.

Impacto das questões relacionadas com a idade e a nutrição na promoção da saúde e redução do risco das doenças mais comuns nos idosos

Será revisto o Estado da Arte do Conhecimento sobre o impacto das questões relacionadas com a idade e a nutrição, que promovam a saúde e reduzem o risco das doenças mais comuns em idosos, particularmente as doenças cardiovasculares.

Análisis crítico de las instituciones del visto bueno y de la jubilación patronal en el Código del Trabajo ecuatoriano (Tema Central)

La investigación versa sobre el visto bueno, forma de terminación unilateral del contrato de trabajo, motivada en causales determinadas en la ley y con un procedimiento ante autoridad administrativa, y sobre la jubilación patronal, incorporada en 1938 al primer Código Laboral Ecuatoriano y creada para solucionar, transitoriamente, el seguro de vejez de los trabajadores del sector privado. En el análisis hemos tratado de demostrar la obsolescencia y anacronismo de estas instituciones que no aportan en forma adecuada para el objetivo que fueron establecidas. La poca contundencia del visto bueno que, al no tener fuerza obligatoria, puede ser impugnado, la subjetividad con la que resuelve la autoridad y la lentitud del trámite administrativo, hacen necesario un sistema ágil y efectivo. La jubilación patronal debe ser sustituida por un beneficio que, sin perjudicar a los trabajadores, una vez terminada su vida laboral, les sirva como compensación a sus años de servicio.

Inulin-type fructans in healthy aging

Worldwide, the population is aging, with estimates of 1 billion people aged 60 y or over within the next 20 y. With aging comes a reduction in overall health and increased morbidity and mortality due to infectious disease. Mortality due to gastrointestinal infections is up to 400 times higher in the elderly compared with younger adults. Recent studies have shown that the gut microbiota changes in old age, with an increased number of bacterial groups represented in the predominant elderly gut microbiota. This change in species "evenness" coincides with parallel changes in immune function, diet, and lifestyle and may contribute to disease susceptibility and severity in old age. The intestinal microbiota may thus be identified as an important target for improving health through reduced disease risk. Here, the application of prebiotics, especially the inulin-type fructans, and synbiotics (prebiotics combined with efficacious probiotic strains) will be discussed in terms of microbiota modulation and impact on disease risk in the aged population. Recent human intervention studies have confirmed the microbiota modulatory capability of the inulin-type fructans in the elderly and there is some evidence for reduced risk of disease. However, there is a need for more and larger human intervention studies to determine the efficacy of prebiotics in the elderly, particularly studies that take advantage of recent high resolution analytical methodologies like metabonomics, to shed light on possible prebiotic mechanisms of action.

Understanding prebiotics in infant and childhood nutrition

Prebiotics and probiotics are ingredients in the diet that strengthen beneficial microbes in the gut, especially bifidobacteria. This article discusses their effects on health and their use in infant formula and foods for children and adults. They may also have benefits for the elderly population, since bifidobacteria are known to decrease with old age.

Therapeutic modulation of microbiota-host metabolic interactions

The complex metabolic relationships between the host and its microbiota change throughout life and vary extensively between individuals, affecting disease risk factors and therapeutic responses through drug metabolism. Elucidating the biochemical mechanisms underlying this human supraorganism symbiosis is yielding new therapeutic insights to improve human health, treat disease, and potentially modify human disease risk factors. Therapeutic options include targeting drugs to microbial genes or co-regulated host pathways and modifying the gut microbiota through diet, probiotic and prebiotic interventions, bariatric surgery, fecal transplants, or ecological engineering. The age-associated co-development of the host and its microbiota provides a series of windows for therapeutic intervention from early life through old age

Chemical process to separate iron oxides particles in pottery sample for EPR dating

Ancient potteries usually are made of the local clay material, which contains relatively high concentration of iron. The powdered samples are usually quite black, due to magnetite, and, although they can be used for thermoluminescene (TL) dating, it is easiest to obtain better TL reading when clearest natural or pre-treated sample is used. For electron paramagnetic resonance (EPR) measurements, the huge signal due to iron spin-spin interaction, promotes an intense interference overlapping any other signal in this range. Sample dating is obtained by dividing the radiation dose, determined by the concentration of paramagnetic species generated by irradiation, by the natural dose so as a consequence, EPR dating cannot be used, since iron signal do not depend on radiation dose. In some cases, the density separation method using hydrated solution of sodium polytungstate [Na(G)(H(2)W(12)O(40))center dot H(2)O] becomes useful. However, the sodium polytungstate is very expensive in Brazil: hence an alternative method for eliminating this interference is proposed. A chemical process to eliminate about 90% of magnetite was developed. A sample of powdered ancient pottery was treated in a mixture (3:1:1) of HCI, HNO(3) and H(2)O(2) for 4 h. After that, it was washed several times in distilled water to remove all acid matrixes. The original black sample becomes somewhat clearer. The resulting material was analyzed by plasma mass spectrometry (ICP-MS), with the result that the iron content is reduced by a factor of about 9. In EPR measurements a non-treated natural ceramic sample shows a broad spin-spin interaction signal, the chemically treated sample presents a narrow signal in g= 2.00 region, possibly due to a radical of (SiO(3))(3-), mixed with signal of remaining iron [M. lkeya, New Applications of Electron Spin Resonance, World Scientific, Singapore, 1993, p. 285]. This signal increases in intensity under -gamma-irradiation. However, still due to iron influence, the additive method yielded too old age-value. Since annealing at 300 degrees C, Toyoda and Ikeya IS. Toyoda, M. Ikeya, Geochem. J. 25 (1991) 427-445] states that E `(1)-signal with maximum intensity is obtained, while annealing at 400 degrees C E`(1)-signal is completely eliminated, the subtraction of the second one from 300 degrees C heat-treated sample isolate E`(1)-like signal. Since this is radiation dose-dependent, we show that now EPR dating becomes possible. (C) 2008 Elsevier B.V. All rights reserved.

Fyrtiotalisterna och äldreomsorgen : massmediala konstruktioner av en ny sorts omsorgstagare

Baby boomers and elderly care: expectations in print media about a new kind of care users The Swedish baby boomer generation – known as the forties generation – has been characterized as youthful and powerful. At present, members of this generation are entering the category of old age and in about ten years they will start reaching ages where the likelihood of encountering elderly care increases significantly. The present study reports on how this expected meeting has been discussed in Swedish newspapers. Data consisted of 481 articles during the period 1995–2012 and was analyzed through qualitative content analysis. Results show that the generation was predicted to become a new type of demanding and self-conscious care users. Claims were backed by descriptions of formative events and typical characteristics that were projected onto a future as care user. Such projections tended to portray care users of present time as passive and submissive, and partly responsible for problems associated with elderly care 

De sociala konstruktionerna av hög ålder och funktionsförmåga : exemplet intellektuellt funktionshinder

The social constructions of old age and ability – the example of intellectual disability The aim of this article is to analyse and discuss constructions of old age as they are reflected in disability research with the focus on ageing and what it means to be elderly. The results of this study show three tendencies. First, the consequences of the impairment tend to be at forefront in studies of experiences of ageing among persons with intellectual disabilities. This obscures the fact that people with intellectual disabilities partake in a common idealisation of youthfulness that often contains ambivalence towards old age. Second, the concept of old age in disability research embraces significantly wider chronological age groups than those considered in ageing studies. Third, both disability and ageing research tend to use a late modern perspective of individualization as a way to illustrate new options and strategies, including resistance against stigmatisation. This article illustrates that social constructions of disability and old age are tightly interwoven, and constitute negations of normatively defined ideals of normality in a society where ability are highly regarded.

Greek shipping and the crisis of the 1980's

In 1982, Greek shipping plunged into a severe crisis: the size of the fleet declined dramatically and over 30% of the fleet was laid-up. catapulting many shipping companies into bankruptcy. The causes of the crisis were: The world recession, leading to regulation, protectionism, subsidization. and the growth of new competition in the tramp shipping market. The erosion of the cost differential between Greek shipping and other maritime nations of the world. The specialization and containerization of the world fleet. The old age and other characteristics of the Greek fleet, which exacerbated the crisis. Greek shipping, with its long history and the expertise, diligence, and supreme opportunism of its dynamic shipowners, will survive the crisis.

Atributos da qualidade: um estudo exploratório em serviços de estética e beleza

The main purpose of this exploratory work is to investigate the attributes that motivate customers to choose services within beauty and aesthetic centers. Everyday, we are taking by surprise due to the discovery of new procedures that will make many dreams come true regarding youth¿s prolong. Customers are much more demanding now, so the beauty industry must emphasize the importance of beauty in our day lives. The old age fears, the need of men and women in getting close to the perfect beauty and looking great explaining the reason many customer looking for beauty and aesthetic centers to ¿postpone¿ the inevitable old age.This work focus on the increase of beauty and aesthetic industry market position, the quality of service provide by these centers, emphasize the concepts of service quoted by different authors, for instance, Lovelock (2006), Las Casas (2002), Kotler (1998), the characteristics of services, the behaviour of customers, the conceptualized models of service quality from Albrecht and Zemke (1998), moments of truth according to Carlzon (1994).This work presents a summary of beauty along the years; shows the methodology used and the interviews results showing the main quality service attributes in beauty and aesthetic centers; the difficulty faced and suggestion for future research.