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Influencia de la autoeficacia profesional en las condiciones de trabajo subjetivas y la calidad de vida laboral
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Saltos Llerena, Irma

; Paravic Klijn, Tatiana

; Burgos Moreno, Mónica

Revista San Gregorio

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nov 2023, Volume 1 N. 55 Pages 107 - 124

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract The working conditions and the quality of work life in health personnel have undergone important changes today. In this regard, the health team must be able to perform new and increasingly complex challenges to face the changes that have arisen. The objective of this research was to explain the moderating effect of professional self-efficacy on the influence between subjective working conditions and quality of working life of the team members of the first and second level health care units of Zone 9 of the city of Quito, Ecuador. The research design was correlational and comparative, in which 223 members of the health team from two levels of care in Zone 9 of the city of Quito, Ecuador participated. It was found that the Subjective Working Conditions variable was evaluated by the respondents as "good"; while the variable Quality of Work Life was estimated as "average". When comparing occupational categories, it was found that in the "stress at work" factor, doctors presented the highest levels. The Professional Self-efficacy variable obtained the concept of "high". A statistically significant difference was found between the levels of care, with higher self-efficacy at the first level of care. Regarding professional self-efficacy, it was not possible to determine the moderating effect between subjective working conditions and quality of working life.

Resumen Las condiciones de trabajo y la calidad de vida laboral en el personal de salud han experimentado importantes cambios en la actualidad. Al respecto, el equipo de salud debe ser capaz de desempeñar nuevos y cada vez más complejos desafíos para afrontar los cambios suscitados. El objetivo de la presente investigación fue explicar el efecto moderador de la autoeficacia profesional sobre la influencia entre condiciones de trabajo subjetivas y calidad de vida laboral de los integrantes del equipo de las unidades de salud de primer y segundo nivel de atención de la Zonal 9 de la cuidad de Quito, Ecuador. El diseño de la investigación fue correlacional y comparativo, en el que participaron 223 miembros del equipo de salud de dos niveles de atención de la Zonal 9 de la ciudad de Quito, Ecuador. Se encontró que la variable Condiciones de Trabajo Subjetivas, fue evaluada por los encuestados como “buena”; mientras que la variable Calidad de Vida Laboral fue estimada como “media”. Al comparar categorías ocupacionales, se encontró que en el factor “estrés en el trabajo”, los médicos presentaron los mayores niveles. La variable Autoeficacia Profesional, obtuvo el concepto de “alta”. Se evidenció diferencia estadísticamente significativa entre los niveles de atención, siendo más alta la autoeficacia en el primer nivel de atención. Respecto a la autoeficacia profesional no se pudo determinar el efecto moderador entre las condiciones de trabajo subjetivas y calidad de vida laboral.

https://doi.org/10.36097/rsan.v1i55.2254

Factores asociados con la contaminación microbiológica en la carne de pollo comercializada en El Salvador
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López, Alejandro

; Burgos, Tatiana

; Vanegas, Marcela

; Álvarez, Zaida

; Mendez, Yudy

; Quinteros, Edgar

Revista Peruana de Medicina Experimental y Salud Pública

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mar 2023, Volume 40 N. 1 Pages 25 - 33

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

RESUMEN Objetivo. Determinar los factores higiénico-sanitarios asociados a la contaminación microbiológica de la carne de pollo comercializada en los mercados municipales de El Salvador. Materiales y métodos. Se realizó un estudio transversal analítico en los 33 mercados municipales de las cabeceras departamentales de El Salvador. La muestra se calculó a partir de 456 puestos de venta, obteniendo un total de 256 puestos. Por cada puesto se obtuvo una muestra de carne de pollo. El análisis microbiológico se realizó en el Laboratorio Nacional de Salud Pública. Se calcularon frecuencias, porcentajes, medidas de tendencia central y de asociación utilizando SPSS versión 21. Resultados. En el 74% de las muestras se encontró Escherichia coli, en el 24%, Staphylococcus aureus y en el 16%, Salmonela spp. La presencia de Salmonella spp, estuvo asociada con el no uso de desinfectante para las manos y no utilizar toalla para secarse las manos. La presencia de E. coli estuvo asociada al uso de accesorios personales y la inadecuada temperatura de almacenamiento. Mientras que la presencia de S. aureus, estuvo asociada a la falta de lavado de manos, no utilizar toalla para secarse las manos y no utilizar delantal. Conclusión. Las condiciones higiénico-sanitarias de los manipuladores y de los puestos de venta están asociadas a la contaminación microbiológica en la carne de pollo comercializada en El Salvador.

ABSTRACT Objective. To determine the hygienic-sanitary factors associated with the microbiological contamination of chicken meat sold at the municipal markets of El Salvador. Materials and methods. An analytical cross-sectional study was conducted in 33 municipal markets of the 14 departmental capitals of El Salvador. The sample consisted of 256 out of 456 possible market stalls. A sample of chicken meat was obtained from each market stall. The microbiological analysis was conducted at the National Public Health Laboratory. Frequencies, percentages, measures of central tendency and association were calculated with SPSS version 21. Results. Escherichia coli was found in 74% of the samples, Staphylococcus aureus in 24% and Salmonella spp. in 1%. The presence of Salmonella spp. was associated with not using hand sanitizer and not using towels for drying the hands. S. aureus was associated with the use of personal accessories and improper storage. The presence of S. aureus was associated with the lack of hand washing, not using a towel to dry the hands and not wearing an apron. Conclusion. The hygienic-sanitary conditions of the handlers and the market stalls were associated with microbiological contamination of chicken meat marketed in El Salvador.

https://doi.org/10.17843/rpmesp.2023.401.12100

Factores asociados a la contaminación microbiológica de la carne de pollo comercializada en El Salvador
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López, Alejandro

; Burgos, Tatiana

; Vanegas, Marcela

; Álvarez, Zaida

; Mendez, Yudy

; Quinteros, Edgar

Revista Peruana de Medicina Experimental y Salud Publica

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jan 2023, Volume 40 N. 1 Pages 25 - 33

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

https://doi.org/10.17843/rpmesp.2023.401.12100

Cross-cultural invariance of the Spanish version of the COVID-19 Assessment Scorecard to measure the perception of government actions against COVID-19 in Latin America
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Caycho-Rodríguez, Tomás

; Valencia, Pablo D. Ventura-León, José Carbajal-León, Carlos Vilca, Lindsey W. Reyes-Bossio, Mario Delgado-Campusano, Mariel Yupanqui-Lorenzo, Daniel E. Paredes-Angeles, Rubí Rojas-Jara, Claudio Gallegos, Miguel Cervigni, Mauricio Martino, Pablo Polanco-Carrasco, Roberto Palacios, Diego Alejandro Moreta-Herrera, Rodrigo Samaniego-Pinho, Antonio Rivera, Marlon Elías Lobos Figares, Andrés Buschiazzo Puerta-Cortés, Diana Ximena Corrales-Reyes, Ibraín Enrique Calderón, Raymundo Gallegos, Walter L. Arias Petzold, Olimpia Camargo, Andrés Torales, Julio Blanco, J. Arkangel Monge González, Pedronel Smith-Castro, Vanessa Rivera, Wendy Yamilet Matute Ferrufino-Borja, Daniela Ceballos-Vásquez, Paula Muñoz-del-Carpio-Toia, Agueda Palacios, Jorge Burgos-Videla, Carmen León, Ana María Eduviges Florez Vergara, Ibeth Vega, Diego Barria-Asenjo, Nicol A. Schulmeyer, Marion K. Rios, Hassell Tatiana Urrutia Lira, Arelly Esther Lira

Psicologia: Reflexão e Crítica

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2023, Volume 36 elocation 34

Abstract: En | Text: En | PDF: En

Abstract Objectives The present study aimed to evaluate the measurement invariance of a general measure of the perception of governmental responses to COVID-|19 (COVID-SCORE-10) in the general population of 13 Latin American countries. Methods A total of 5780 individuals from 13 Latin American and Caribbean countries selected by non-probabilistic snowball sampling participated. A confirmatory factor analysis was performed and the alignment method was used to evaluate invariance. Additionally, a graded response model was used for the assessment of item characteristics. Results The results indicate that there is approximate measurement invariance of the COVID-SCORE-10 among the participating countries. Furthermore, IRT results suggest that the COVID-SCORE-10 measures with good psychometric ability a broad spectrum of the construct assessed, especially around average levels. Comparison of COVID-SCORE-10 scores indicated that participants from Cuba, Uruguay and El Salvador had the most positive perceptions of government actions to address the pandemic. Thus, the underlying construct of perception of government actions was equivalent in all countries. Conclusion The results show the importance of initially establishing the fundamental measurement properties and MI before inferring the cross-cultural universality of the construct to be measured.

https://doi.org/10.1186/s41155-023-00277-9

Visibilización de condiciones de trabajo del personal de salud en Ecuador en tiempos de pandemia
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Saltos Llerena, Irma

; Paravic Klijn, Tatiana

; Burgos Moreno, Mónica

Revista Eugenio Espejo

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aug 2022, Volume 16 N. 2 Pages 153 - 161

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract The self-sacrificing and altruistic attitude of most health staff facing the COVID-19 pandemic sparked reflections in the media and the general population, who made a well-deserved recognition. The communication of the experiences about the difficult working conditions that they had in the Ecuadorian context constitutes an important contribution for the management of future epidemiological crises. The extraordinary situation generated by the expansion of COVID-19 affected the quality of life of professionals who provided care to those ones infected. The shortage of human, material and financial resources caused an increase in the workload, as well as increasing exposure to the SARS-CoV-2 virus. The analysis of the organizational measures taken, and their effectiveness were one of the starting points in the adoption of more efficient protocols in the search for greater security for health workers and the improvement of the quality of services in the face of new threats.

Resumen La actitud sacrificada y altruista de la mayoría del personal de salud ante la pandemia de COVID-19 suscitó reflexiones en los medios de difusión y la población en general, los que hicieron un merecido reconocimiento. La comunicación de las experiencias acerca de las difíciles condiciones de trabajo que tuvieron en el contexto ecuatoriano, constituye un importante aporte para el manejo de futuras crisis epidemiológicas. La situación extraordinaria generada por la expansión del COVID-19 generó afectaciones en la calidad de vida en los profesionales que prestaron atención a los contagiados. La escasez de recursos humanos, materiales y financieros originaron un aumento de la carga de trabajo, además potenciar la exposición al virus del SARS-CoV-2. El análisis de las medidas organizativas tomadas y su efectividad resultan uno de los puntos de partida en la adopción de protocolos más eficientes en la búsqueda de mayor seguridad para los trabajadores de la salud y la elevación de calidad de los servicios ante nuevas amenazas.

https://doi.org/10.37135/ee.04.14.15

Influencia de las condiciones de trabajo en la percepción de la calidad del cuidado de profesionales de enfermería
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Luengo-Martínez, Carolina Paravic-Klijn, Tatiana Burgos-Moreno, Mónica

Index de Enfermería

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jun 2021, Volume 30 N. 1-2 Pages 29 - 33

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Main objective: To determine the influence of the nursing professional's working conditions on their perception of the Quality of Care. Methodology: quantitative research, with an explanatory and cross-sectional design. 290 nurses were enrolled in three hospitals in Chile. They were applied: questionnaire of socio-labour antecedents; the Karen Personal instrument to evaluate the Quality of Care and a questionnaire on Working Conditions. Main results: The existence of a favourable social environment, an adequate adjustment of the organization to the person and the adaptation of the person to the organization determine the perception of a higher Quality Nursing Care. Main conclusion: A greater appreciation of working conditions (favourable social environment, adequate adjustment of the organization to the person and adaptation of the person to the organization) increases the perception of the quality of care provided by nurses.

Resumen Objetivo principal: Determinar la influencia de las condiciones de trabajo del profesional de enfermería sobre su percepción de la Calidad del Cuidado. Metodología: investigación cuantitativa, de diseño explicativo y transversal. Se censó a 290 enfermeras en tres hospitales en Chile. Se aplicaron: cuestionario de antecedentes sociolaborales; el instrumento Karen Personal para evaluar la Calidad del Cuidado y un cuestionario de Condiciones de Trabajo. Resultados principales: La existencia de un entorno social favorable, un adecuado ajuste de la organización a la persona y la adaptación de la persona a la organización determinan la percepción de un cuidado de enfermería de mayor calidad. Conclusión principal: Una mayor valoración de las condiciones de trabajo (entorno social favorable, adecuado ajuste de la organización a la persona y adaptación de la persona a la organización) aumenta la percepción de la calidad del cuidado prestado por las enfermeras.

Trastornos tiroideos en pacientes adultos con insuficiencia renal crónica
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Real Delor, Raúl Emilio

; Roy Torales, Tatiana Elizabeth

; Acosta Santacruz, Cristina Rebecca

; Aguilar Mencía, Pedro David

; Alfonzo Palacio, Lourdes María

; Álvarez Bogado, Sara Romina

; Aspillaga Ribas, Ana Sofía

; Bareiro Núñez, Tamara

; Burgos Vera, Cristofer David

; Cabrera Dávalos, Juan Gabriel

; Cañete Miltos, Mercedes Aurora

; Delgado Caballero, Patricia

; Espínola Domínguez, Fermina Andrea

; Lezcano Medina, Fabio Natanael

; Lezcano Rojas, Alejandra Marie

; López Morel, Ariel

; Pane Achucarro, Thalia Yanette

; Ruiz Díaz García, Katherin Lorena

Revista del Nacional (Itauguá)

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jun 2021, Volume 13 N. 1 Pages 19 - 30

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Introduction: hypothyroidism can be associated with chronic kidney failure and its symptoms can overlap. Objectives: to determine the frequency and clinical characteristics of silent thyroid disorders in adult patients with chronic renal failure. Methodology: we conducted an observational, correlational, prospective, multicenter study. We included adults’ men and women, with chronic kidney failure, who attended the Hospital Nacional (Itauguá) and the Hospital Militar (Asunción) during 2020. The subjects who gave their consent were invited to the determination of the serum thyroid profile. Subjects in predialytic and dialytic therapy were included. Known carriers of thyroid diseases were excluded. Demographic and clinical variables were measured. We applied descriptive and analytical statistics. The protocol was approved by the Ethics Committee of the Universidad Privada del Este. Results: we included 103 women and 115 men, with a mean age of 58 and 57 years, respectively. Overweight was found in 52,4 % and obesity in 16,6 %. In 66 % of the cases the patients were in stage 5 of renal failure. Diabetic and hypertensive origin was the predominated etiology. Anemia was found in 90 %. Regarding the thyroid profile, 20,2 % were found in the normal range, 12,4 % in clinical hypothyroidism, 15,6 % in subclinical hypothyroidism, 20,2 % with euthyroid sick syndrome and 31,6 % with low T3 syndrome. A significant association was found between creatinine clearance and thyroid status. Conclusion: 28 % had some degree of hypothyroidism. Thyroid function screening is recommended in patients with chronic renal failure.

RESUMEN Introducción: el hipotiroidismo puede asociarse a la insuficiencia renal crónica, solapándose sus síntomas. Objetivo: determinar la frecuencia y características clínicas de los trastornos tiroideos silentes en pacientes adultos con insuficiencia renal crónica. Metodología: estudio observacional, correlacional, prospectivo, multicéntrico. Se incluyeron varones y mujeres, mayores de edad, portadores de insuficiencia renal crónica, que asistieron al Hospital Nacional (Itauguá) y Hospital Militar (Asunción) durante 2020. Los sujetos que dieron su consentimiento fueron sometidos a la determinación del perfil tiroideo. Se incluyeron a sujetos en terapia predialítica y dialítica, se excluyeron a conocidos portadores de enfermedades tiroideas. Se midieron variables demográficas y clínicas. Los datos fueron sometidos a estadística descriptiva y analítica. El protocolo fue aprobado por el Comité de Ética de la Universidad Privada del Este. Resultados: ingresaron al estudio 103 mujeres y 115 varones, con edad media 58 y 57 años, respectivamente. Se halló sobrepeso en 52,4 % y obesidad en 16,6 %. El 66 % se encontraba en estadio 5 de insuficiencia renal y predominó la etiología diabética e hipertensiva. La anemia se encontró en 90 %. Respecto al perfil tiroideo, se encontró 20,2 % en rango normal, 12,4 % en hipotiroidismo clínico, 15,6 % en hipotiroidismo subclínico, 20,2 % con síndrome del enfermo eutiroideo y 31,6 % con síndrome T3 bajo. Se halló asociación significativa entre la depuración de creatinina y los estados tiroideos. Conclusión: en 28 % se halló algún grado de hipotiroidismo. Se recomienda el tamizaje del funcionamiento tiroideo en pacientes con insuficiencia renal crónica.

https://doi.org/10.18004/rdn2021.jun.01.019.030

Relationship between Dyslipidemia, Cultural Factors, and Cardiorespiratory Fitness in Schoolchildren
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Reuter, Cézane Priscila

; Brand, Caroline

; Silva, Priscila Tatiana da

; Reuter, Éboni Marília

; Renner, Jane Dagmar Pollo

; Franke, Silvia Isabel Rech

; Mello, Elza Daniel de

; Burgos, Leandro Tibiriçá

; Schneiders, Letícia de Borba

; Burgos, Miria Suzana

Arquivos Brasileiros de Cardiologia

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jun 2019, Volume 112 N. 6 Pages 729 - 736

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Fundamento: A presença de dislipidemia e os aspectos comportamentais são fatores determinantes do risco cardiovascular, sobretudo na infância e adolescência. Objetivos: Verificar possíveis relações entre dislipidemia, fatores culturais e aptidão cardiorrespiratória (APCR) em escolares. Métodos: São sujeitos deste estudo transversal 1.254 crianças e adolescentes do Sul do Brasil, sendo 686 do sexo feminino, com idade entre 7 e 17 anos. Foi considerada dislipidemia a presença de níveis aumentados em pelo menos um dos parâmetros do perfil lipídico: triglicerídeos (TG), colesterol total (CT) e frações de alta (HDL-c) e baixa densidade (LDL-c). Os aspectos culturais foram avaliados por meio de questionário autorreferido pelo escolar. Os dados foram analisados pela regressão logística, considerando os valores de razão de chances (odds ratio; OR) e intervalos de confiança (IC) para 95%. Resultados: Foi encontrada elevada prevalência de dislipidemia (41,9%), a qual esteve associada com o sexo feminino (OR: 1,56; IC: 1,24-1,96) e com a presença de sobrepeso/obesidade (OR: 1,55; IC: 1,20-2,00). Quando os componentes do perfil lipídico foram avaliados de forma separada, observou-se que altos níveis de LDL-c se associaram ao deslocamento sedentário para a escola (OR: 1,59; IC: 1,20-2,09). Escolares com sobrepeso/obesidade apresentam maiores chances de elevação nos níveis de CT (OR: 1,40; IC: 1,07-1,84) e TG (OR: 3,21; IC: 1,96-5,26). O HDL-c apresentou associação com o elevado tempo em frente à televisão (OR: 1,59; IC: 1,00-2,54). Conclusão: A presença de alteração nos parâmetros lipídicos associa-se com fatores culturais, especialmente voltados ao sedentarismo e baixos níveis de APCR.

Abstract Background: The presence of dyslipidemia and behavioral aspects are determinants of cardiovascular risk, especially in childhood and adolescence. Objective: To verify possible relationships between dyslipidemia, cultural factors, and cardiorespiratory fitness (CRF) in schoolchildren. Methods: This cross-sectional study evaluated a sample of 1,254 children and adolescents between the ages of 7 and 17 from the South of Brazil, 686 of whom were female. Dyslipidemia was defined as increased levels of at least one of the following lipid profile parameters: triglycerides (TG), total cholesterol (TC) and fractions of high (HDL-c) and low-density lipoprotein (LDL-c). Cultural aspects were evaluated by a self-reported questionnaire. Data were analyzed by logistic regression, considering the odds ratios (OR) and confidence intervals (CI) at 95%. Results: The results revealed a high prevalence of dyslipidemia (41.9%), which was associated with female sex (OR: 1.56; IC: 1.24-1.96) and overweight/obese status (OR: 1.55; IC: 1.20-2.00). When lipid profile parameters were evaluated separately, high levels of LDL-c were observed to be associated with sedentary school transport (OR: 1.59; IC: 1.20-2.09). Schoolchildren who were overweight/obese had higher chances of elevated levels of TC (OR: 1.40; IC: 1.07-1.84) and TG (OR: 3.21; IC: 1.96-5.26). HDL-c was shown to be related to high television time (OR: 1.59; IC: 1.00-2.54). Conclusion: Alterations in lipid parameters are associated with cultural factors, especially those related to sedentary lifestyle and low levels of CRF.

https://doi.org/10.5935/abc.20190068 2249 downloads

Acoso laboral y factores asociados en trabajadores de servicios de emergencias
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Paravic-Klijn, Tatiana Burgos-Moreno, Mónica Luengo-Machuca, Luis

Index de Enfermería

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dec 2018, Volume 27 N. 4 Pages 201 - 205

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Objetivo: Determinar el acoso laboral y factores asociados en trabajadores que se desempeñan en servicios de emergencias de establecimientos de salud públicos y privados Método: Investigación cuantitativa, correlacional y transversal. Muestra probabilística estratificada por ocupaciones y por establecimientos, intervalo de confianza 95%, margen de error 5%, representada por 366 trabajadores. Se utilizó apartados sociodemográficos y de acoso laboral de encuesta "Violencia Laboral en Sector Salud". Se contó con aprobaciones de comités éticos científicos, y consentimiento informado. Se realizó análisis descriptivo e inferencial. Resultados: La prevalencia del acoso laboral fue 14,3%, siendo tres veces mayor en establecimientos públicos. Ser mujer y ser soltero resultaron estadísticamente significativos para hospitales públicos. Solo en un caso la víctima demandó legalmente. Conclusiones: el acoso laboral debe preocupar a empleadores y trabajadores, para establecer medidas que favorezcan un ambiente laboral saludable y libre de violencia.

Abstract Objective: Determine workplace harassment and associated factors in workers who work in emergency services of public and private health facilities. Method: Quantitative, correlational and transversal research. Probabilistic sample stratified by occupations and by establishments, confidence interval 95%, margin of error 5%, represented by 366 workers. Sociodemographic and labor harassment sections of the "Work Violence in the Health Sector" survey were used. It counted on approvals of scientific ethical committees, and informed consent. A descriptive and inferential analysis was carried out. Results: The prevalence of workplace harassment was 14.3%, being three times higher in public establishments. Being a woman and being single was statistically significant only for public hospitals. Only in one case the victim sued legally. Conclusions: Workplace harassment should concern employers and workers, to establish measures that favor a healthy work environment free of violence.

10.

Prevalencia de violencia física, abuso verbal y factores asociados en trabajadores/as de servicios de emergencia en establecimientos de salud públicos y privados
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Paravic-Klijn, Tatiana Burgos-Moreno, Mónica

Revista médica de Chile

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jun 2018, Volume 146 N. 6 Pages 727 - 736

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Background: One of the peculiarities of our society is the increase in violence and its repercussions in various areas. Health care is not an exemption. Aim: To determine the prevalence of physical violence, verbal abuse towards emergency service health care workers at two public and two private health centers in the province of Concepción, Chile. Material and Methods: A questionnaire for Work Violence in Health Centers, with dimensions about physical violence and verbal abuse was applied to 366 health care workers, stratified according to center and occupational categories. Results: Thirteen percent of workers perceived physical violence. Paramedical technicians had the higher risk of perceiving this type of violence. Fifty nine percent of workers perceived verbal abuse. Nurses and administrative staff had the higher risk of perceiving this type of violence. The most common offenders were patients and family. The most common form of coping with abuse was avoiding a reaction. Most of the physical and verbal aggressions were not reported or denounced. Conclusions: There is a high prevalence of verbal abuse and physical violence in emergency services, which requires measures to achieve a zero tolerance to violence in these spaces.

https://doi.org/10.4067/s0034-98872018000600727

11.

Relationship between Cardiometabolic Parameters and Elevated Resting and Effort Heart Rate in Schoolchildren
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Silva, Cristiane Fernanda da Burgos, Miria Suzana Silva, Priscila Tatiana da Burgos, Leandro Tibiriçá Welser, Letícia Sehn, Ana Paula Horta, Jorge André Mello, Elza Daniel de Reuter, Cézane Priscila

Arquivos Brasileiros de Cardiologia

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sep 2017, Volume 109 N. 3 Pages 191 - 198

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Fundamento: Pouco se tem estudado sobre frequência cardíaca e suas relações com alterações metabólicas. Objetivo: Verificar se existe associação entre frequência cardíaca e disfunções metabólicas em crianças e adolescentes. Método: Estudo transversal com 2.098 escolares, com idade entre 7 e 17 anos. As variáveis avaliadas foram: frequência cardíaca (FC), pressão arterial sistólica (PAS), diastólica (PAD) e de pulso (PP), duplo-produto (DP), consumo de oxigênio pelo miocárdio (mVO2), perfil lipídico e glicêmico, níveis de ácido úrico, índice de massa corporal (IMC) e circunferência da cintura (CC). Os valores de FC de repouso e esforço foram divididos em quartis. A associação entre os valores contínuos de FC com indicadores cardiometabólicos foi testada por meio da regressão linear. Resultados: O colesterol LDL apresentou média significativamente superior (p = 0,003) nos escolares com FC de repouso maior ou igual a 91 bpm, em comparação aos escolares que apresentaram menos de 75 bpm. Comparados com os quartis da FC de esforço, a PAS, PAD, glicose e ácido úrico apresentaram valores elevados quando a FC foi igual ou superior a 185 bpm. A PAS, a glicose e o colesterol HDL demonstraram associação significativa com a FC de repouso. Observou-se o ácido úrico como um preditor do aumento da FC de esforço. Conclusão: Escolares com FC de repouso mais elevada apresentam médias superiores de colesterol LDL. Para FC de esforço, observou-se elevação na pressão arterial, nos níveis de glicose e de ácido úrico. O ácido úrico demonstrou ser preditor da elevação da FC de esforço.

Abstract Background: Little has been studied on heart rate and its relationship with metabolic disorders. Objective: To identify possible association between heart rate (HR) and metabolic disorders in children and adolescents. Methods: This cross-sectional study evaluated 2.098 subjects, aged between 7 and 17 years. The variables evaluated were: HR, systolic (SBP) and diastolic blood pressure (DBP), pulse pressure (PP), double-product (DP), myocardial oxygen consumption (mVO2), lipids, glucose and uric acid levels, body mass index (BMI) and waist circumference (WC). The values of HR at rest and effort were divided into quartiles. The association between continuous values of HR and cardiometabolic indicators was tested by linear regression. Results: LDL cholesterol presented a significantly higher mean (p = 0.003) in schoolchildren with resting HR greater or equal to 91 bpm, compared to students with less than 75 bpm. Compared with the quartiles of effort HR, SBP, DBP, glucose and uric acid presented high values when HR was greater or equal than 185 bpm. SBP, glucose and HDL cholesterol demonstrated a significant association with resting HR. Uric acid was observed as a predictor of increased effort HR. Conclusion: Schoolchildren with a higher resting HR have higher mean of LDL cholesterol. For effort HR, there was an increase in blood pressure, glucose and uric acid levels. Uric acid has been shown to be a predictor of elevated effort HR.

https://doi.org/10.5935/abc.20170103 1726 downloads

12.

Dyslipidemia is Associated with Unfit and Overweight-Obese Children and Adolescents
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Reuter, Cézane Priscila Silva, Priscila Tatiana da Renner, Jane Dagmar Pollo Mello, Elza Daniel de Valim, Andréia Rosane de Moura Pasa, Luiza Silva, Rafaela da Burgos, Miria Suzana

Arquivos Brasileiros de Cardiologia

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mar 2016, Volume 106 N. 3 Pages 188 - 193

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Fundamento: Falta de aptidão aeróbica e obesidade, em separado, estão associadas com perfis lipídicos anormais. Objetivo: Identificar possíveis relações de dislipidemia com aptidão cardiorrespiratória e obesidade, combinadas, em crianças e adolescentes. Métodos: Estudo transversal incluindo 1.243 crianças e adolescentes (563 meninos e 680 meninas) entre 7 e 17 anos de idade oriundos de 19 escolas. Avaliou-se obesidade usando o índice de massa corporal (IMC). Aptidão cardiorrespiratória foi determinada com o teste de corrida/caminhada de 9 minutos. Os seguintes marcadores foram utilizados para compor o perfil lipídico de cada participante: colesterol total, frações de colesterol (lipoproteínas de alta densidade e de baixa densidade) e triglicerídeos. Os dados foram analisados com o programa SPSS v. 20.0, usando-se razão de prevalência (RP) e regressão de Poisson. Resultado: Dislipidemia é mais prevalente em crianças e adolescentes do tipo inapto/sobrepeso-obesidade em comparação a meninos e meninas do tipo apto/abaixo do peso-peso normal (RP: 1,25; p = 0,007 e RP: 1,30; p = 0,001, respectivamente). Conclusões: A prevalência de dislipidemia está diretamente relacionada a obesidade e baixos níveis de aptidão cardiorrespiratória.

Abstract Background: Both poor aerobic fitness and obesity, separately, are associated with abnormal lipid profiles. Objective: To identify possible relationships of dyslipidemia with cardiorespiratory fitness and obesity, evaluated together, in children and adolescents. Methods: This cross-sectional study included 1,243 children and adolescents (563 males and 680 females) between 7 and 17 years of age from 19 schools. Obesity was assessed using body mass index (BMI) measurements, and cardiorespiratory fitness was determined via a 9-minute run/walk test. To analyze the lipid profile of each subject, the following markers were used: total cholesterol, cholesterol fractions (high-density lipoprotein and low-density lipoprotein) and triglycerides. Data were analyzed using SPSS v. 20.0, via prevalence ratio (PR), using the Poisson regression. Results: Dyslipidemia is more prevalent among unfit/overweight-obese children and adolescents compared with fit/underweight-normal weight boys (PR: 1.25; p = 0.007) and girls (PR: 1.30, p = 0.001). Conclusions: The prevalence of dyslipidemia is directly related to both obesity and lower levels of cardiorespiratory fitness.

https://doi.org/10.5935/abc.20160025 5492 downloads

13.

Validación de la Escala Subjetiva de Carga mental de trabajo (ESCAM) en profesionales de la salud de Chile
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Ceballos-Vásquez, Paula Rolo-González, Gladys Hernández-Fernaud, Estefanía Díaz-Cabrera, Dolores Paravic-Klijn, Tatiana Burgos-Moreno, Mónica Barriga, Omar

Universitas Psychologica

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mar 2016, Volume 15 N. 1 Pages 261 - 270

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

El objetivo de este estudio es confirmar las características psicométricas de la Escala Subjetiva de Carga Mental de Trabajo (ESCAM) en trabajadores sanitarios de hospitales chilenos. Participaron en este estudio 379 trabajadores de tres hospitales. Los instrumentos utilizados fueron: (a) ESCAM y (b) el cuestionario SUSESO-ISTAS 21. Los resultados indican que ESCAM se estructura en cinco dimensiones: Demandas cognitivas y complejidad de la tarea, Características de la tarea, Organización temporal, Ritmo de trabajo y Consecuencias para la salud. Asimismo, se observan correlaciones significativas entre la puntuación total de ESCAM y sus dimensiones con los factores de SUSESO-ISTAS 21. Además, se comprobó la validez de la escala mediante el análisis de perfiles de carga mental con diferentes grupos profesionales.

The aim of this study is to confirm the psychometric characteristics of the Subjective Mental Workload Scale (SCAM) in health workers of Chilean Hospitals. The instruments used were: (1) SCAM; (2) questionnaire SUSESO-ISTAS 21. The sample was composed of 379 workers from three hospitals. The findings showed that SCAM is structured in five dimensions: Cognitive demands and task complexity, Task characteristics, Temporal organization, Work rate, and Health consequences. Likewise, significant correlations between overall score of SCAM and its dimensions with the SUSESO-ISTAS 21 factors were found. Also, scale validity was verified through mental workload profiles with different professional groups.

https://doi.org/10.11144/Javeriana.upsy15-1.vsmw

14.

Psychosocial factors and mental work load: a reality perceived by nurses in intensive care units
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Ceballos-Vásquez, Paula Rolo-González, Gladys Hérnandez-Fernaud, Estefanía Díaz-Cabrera, Dolores Paravic-Klijn, Tatiana Burgos-Moreno, Mónica

Revista Latino-Americana de Enfermagem

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apr 2015, Volume 23 N. 2 Pages 315 - 322

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

OBJETIVO: analisar a percepção de fatores psicossociais e a carga mental de trabalho de enfermeiros que trabalham em unidades de terapia intensiva. A hipótese é que os enfermeiros dessas unidades podem perceber os riscos psicossociais e manifestar uma alta carga mental de trabalho. Além disso, a dimensão psicossocial relacionada às demandas cognitivas do cargo explicaria a maior parte da carga mental de trabalho. MÉTODO: estudo quantitativo, com delineamento descritivo, transversal e comparativo. Foi examinada 91% da população das Unidades de Terapia Intensiva de três hospitais chilenos, correspondente a 111 enfermeiros. Os instrumentos utilizados incluíram (a) um questionário do histórico biossociodemográfico; (b) o questionário SUSESO-ISTAS 21; e (c) a Escala Subjetiva de Carga Mental de Trabalho (ESCAM). RESULTADOS: no total, 64% e 57% dos participantes perceberam um alto nível de exposição aos riscos psicossociais Demanda psicológica e Jornada dupla, respectivamente. Além disso, foi observado um nível de médio para alto de carga mental global. Foram obtidas correlações positivas e significativas entre algumas das dimensões do SUSESO-ISTAS 21 e do ESCAM. Utilizando uma análise de regressão, determinou-se que três dimensões do questionário de risco psicossocial ajudaram a explicar 38% da carga mental total. CONCLUSÃO: os enfermeiros das unidades de terapia intensiva percebem os fatores psicossociais e a sobrecarga mental de trabalho em várias de suas dimensões.

OBJECTIVE: To analyse the perception of psychosocial factors and mental workload of nurses who work in intensive care units. It is hypothesised that nurses in these units could perceive psychosocial risks, manifesting in a high mental work load. The psychosocial dimension related to the position's cognitive demands is hypothesised to mostly explain mental work load. METHOD: Quantitative study, with a descriptive, cross-sectional, and comparative design. A total of 91% of the intensive care unit populations of three Chilean hospitals was surveyed, corresponding to 111 nurses. The instruments utilised included (A) a biosociodemographic history questionnaire; (b) the SUSESO-ISTAS 21 questionnaire; and (c) the Mental Work Load Subjective Scale (ESCAM, in Spanish). RESULTS: In total, 64% and 57% of participants perceived high levels of exposure to the psychosocial risks Psychosocial demands and Double shift, respectively. In addition, a medium-high level of overall mental load was observed. Positive and significant correlations between some of the SUSESO-ISTAS 21 and ESCAM dimensions were obtained. Using a regression analysis, it was determined that three dimensions of the psychosocial risk questionnaire helped to explain 38% of the overall mental load. CONCLUSION: Intensive care unit nurses felt that inadequate psychosocial factors and mental work overload existed in several of the tested dimensions.

OBJETIVO: analizar la percepción de Factores psicosociales y Carga mental de trabajo de enfermeras/os que laboran en Unidades Críticas. Se hipotetiza que los/as enfermeros/as de estas unidades pudieran percibir riesgos psicosociales; Mostrarán una Carga mental de trabajo alta; y la dimensión psicosocial relacionada con exigencias cognitivas del puesto explicará en mayor medida la Carga Mental. MÉTODO: estudio cuantitativo, de diseño descriptivo, transversal y comparativo. Se censó el 91% de la población de Unidades Críticas de tres hospitales chilenos, correspondiente a 111 enfermeras/os. Los instrumentos utilizados fueron: (a) Cuestionario de antecedentes biosociodemográficos; (b) Cuestionario SUSESO-ISTAS 21; y (c) Escala Subjetiva de Carga Mental de Trabajo (ESCAM). RESULTADOS: el 64% y el 57% de los/as participantes perciben un alto nivel de exposición a los riesgos psicosociales Demandas psicológicas y Doble presencia, respectivamente. Además, se obtiene un nivel de Carga mental global media-alta. Se obtuvo correlaciones positivas y significativas entre algunas dimensiones de SUSESO-ISTAS 21 y ESCAM, y mediante un análisis de regresión se obtuvo que tres dimensiones del cuestionario de riesgos psicosociales contribuyen a explicar un 38% de la Carga mental global. CONCLUSIÓN: las/os enfermeras/os de unidades críticas, perciben factores psicosociales inadecuados y sobrecarga mental de trabajo, en varias de sus dimensiones.

https://doi.org/10.1590/0104-1169.0044.2557 19579 downloads

15.

Psychosocial factors and mental work load: a reality perceived by nurses in intensive care units
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Ceballos-Vásquez, Paula Rolo-González, Gladys Hérnandez-Fernaud, Estefanía Díaz-Cabrera, Dolores Paravic-Klijn, Tatiana Burgos-Moreno, Mónica

Revista Latino-Americana de Enfermagem

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2015, Volume 23 N. 2 Pages 315 - 322

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/0104-1169.0044.2557 3 downloads

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