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Proposed Protocol for Neuropathic Pain Assessment

Occupational Diseases and Environmental medicine 2020年第4期8卷 149-162页

作者： mª teófila vicente herrero mª Victoria Ramírez Iñiguez de la Torre Luis Reinoso Barbero Asociacion Españ ola de Especialistas en medicina del Trabajo Madrid Spain Occupational Health and Safety Services of Correos Valencia Spain Asociacion Españ ola de Especialistas en medicina del Trabajo Madrid Spain Occupational Health and Safety Services of Correos Albacete Spain Asociacion Españ ola de Especialistas en medicina del Trabajo Madrid Spain Occupational Medicine Service Grupo Banco Santander Madrid Spain Faculty of Health Sciences Universidad Internacional de la Rioja La Rioja Spain

Introduction: Pain with neuropathic characteristics is one of the most limiting as a consequence of injury or disease that affects the somatosensory system. Objective: An assessment protocol is proposed to quantify the impact of neuropathic pain integrating personal, clinical, work and social aspects and to establish guidelines in its management and evolutionary control. method: The medical literature on neuropathic pain and its impact is reviewed as a basis for including the variables that must be part of the protocol. Results: The variables are quantified individually and by groups of factors. The final result is stratified into four grades (mild, moderate, severe, extreme), which will serve for the subsequent control, monitoring and prevention of risks. Conclusion: The proposed protocol evaluates the impact of neuropathic pain in all aspects of the person who suffers it and quantifies the results establishing degrees for its control, follow-up and clinical, social and occupational intervention.

关键词： Neuropathic Pain Limitations Assessment Occupational Health Occupational medicine

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Proposed Occupational Vulnerability Index COVID-19

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Occupational Diseases and Environmental medicine 2020年第4期8卷 175-187页

作者： mª teófila vicente-herrero mª Victoria Ramírez Iñiguez de la Torre mª teresa del Campo Balsa Luis Reinoso Barbero Juan Carlos Rueda Garrido Cristina Santamaría Navarro Asociación Españ ola de Especialistas en medicina del Trabajo Madrid Spain Occupational Health and Safety Services of SPP Correos Valencia Spain Occupational Health and Safety Services of SPP Correos Albacete Spain Occupational Health and Safety Services of SPA Item-Prevención Albacete Spain Department of Occupational and Prevention at University Hospital Fundación Jiménez Díaz Universidad Autónoma de Madrid Madrid Spain Occupational medicine Service Grupo Banco Santander Madrid Spain Faculty of Health Sciences Universidad Internacional de la Rioja La Rioja Spain Occupational medicine SABIC medical Services Cartagena Spain University-PDI. Instituto de matemática multidisciplinar. Universitat Politècnica de València Valencia Spain

Introduction: Vulnerable is someone who can be hurt or receive injury, physically or morally. The work environment appears as one of the dimensions in which social vulnerability develops and social and occupational vulnerability is defined. The literature does not include an assessment of quantified occupational vulnerability as it already exists in the case of social vulnerability. The aim of this paper is to identify and quantify the variables included in the Protocol for the Assessment of Vulnerability to COVID-19 in such a way that the result can be quantified and allows for a predictive effect on the degree of vulnerability. methodology: The starting point is the design of a protocol proposal that includes 29 variables. Data is collected from a sample of 420 workers, quantifying the results according to each variable, the overall scores for each group of aspects assessed and, finally, the total score that estimates the degree of vulnerability according to established ranges. Results: Variables that have the highest coefficient and, therefore, the greatest weight in the probability of reaching a group of high or medium vulnerability are cardiovascular disease, cancer, and coagulation alteration. The weight of the labour aspects due to inadequate working conditions stands out. Conclusions: The results obtained with this protocol allow us to make a quantified assessment of labour vulnerability to COVID-19 by integrating individual variables of the worker, his working conditions and the preventive actions of his company against COVID-19, and can be useful as an Occupational Vulnerability Index (OVI).

关键词： COVID-19 Index Occupational Vulnerability Occupational Health Occupational medicine

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Cancer in Women and Its Relation to Work Systematic Review

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Occupational Diseases and Environmental medicine 2021年第2期9卷 74-91页

作者： maria teófila vicente-herrero maria Victoria Ramírez-Iñiguez de la Torre Luisa Capdevila García Asociacion Españ ola de Especialistas en medicina del Trabajo Occupational Health and Safety Services of SPP CorreosValencia Spain Asociacion Españ ola de Especialistas en medicina del Trabajo Occupational Health and Safety Services of SPP Correos andOccupational Health and Safety Services of SPA ITEM-Prevencion Albacete Spain Asociacion Españ ola de Especialistas en medicina del Trabajo Occupational Health and Safety Services of SPM MAPFREValencia Spain

Nowadays, cancer is one of the main worldwide causes of death and an increasing issue in public health. In the European Union, it is the first work-related cause of death. Studies about occupational risk exposure are a useful field of investigation to determine cancerous elements;special attention is paid to the relationship between cancer and work in women, who must constantly adapt to the working market and the new working fields, with their diverse degrees of exposure to risks. This revision has reviewed the bibliography gathered in medline related to breast cancer, cervix cancer, uterus cancer, and ovarian cancer, along with their relationship with different work-related risks and types of working roles. The results have shown enough scientific evidence to suspect that work related exposition could be a plausible cause of these gynaecological cancers. Therefore, we want to stress the need of enhancing the coordinated investigation between all the medical specialties involved, and to encourage the spread of the necessary knowledge to manage and prevent them.

关键词： Gynaecological Cancer Breast Cancer Work-Related Risk Factors Workplace Occupational Health

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Proposed Protocol for Risk Assessment and Stratification

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Occupational Diseases and Environmental medicine 2020年第3期8卷 99-110页

作者： teófila vicente-herrero Victoria Ramírez Iñiguez de la Torre teresa del Campo Balsa Luis Reinoso Barbero Alejandro Fernández montero Juan Carlos Rueda Garrido Asociación Españ ola de Especialistas en medicina del Trabajo Madrid Spain Occupational Health and Safety Services of Correos Valencia Spain Occupational Health and Safety Services of Correos Albacete Spain Department of Occupational and Prevention at University Hospital Fundación Jiménez Díaz Universidad Autónoma de Madrid Madrid Spain Occupational medicine Service Grupo Banco Santander Madrid Spain Faculty of Health Sciences Universidad International de la Rioja La Rioja Spain Department of Occupational medicine Universidad de Navarra Navarra Spain SABIC medical Services Cartagena Spain

Introduction: COVID-19 disease is a highly contagious viral infection caused by the SARS-CoV-2 coronavirus. There is growing interest in Public Health and Occupational Health in identifying the COVID-19 prognostic factors, needed to stratified patients by risk being necessary to consider occupational variables as well as individual and clinical factors of the workers. Objective: The aim of this study was to perform a tool to identify the more vulnerable workers for COVID-19 that will be useful to value their work limitations. methods: A review of medical literature about the vulnerability for COVID-19 is taken into account occupational risks and occupational preventive measures. Results: It is proposed an index of vulnerability criteria for COVID-19 in workers based on quantifying individual characteristics, pre-existing medical conditions and its control, high risk of occupational exposure, and prevention and protection strategies in the workplace. The final result is stratified into three degrees of vulnerability that will serve to propose the most appropriate preventive measures. Conclusion: This proposal protocol assesses about the vulnerability for COVID-19 infection in workers to help decide the preventive management at workplace in this pandemic situation.

关键词： COVID-19 Vulnerability Occupational Health Occupational medicine

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