Christiane Brey

Absenteísmo por transtornos mentais em trabalhadores de saúde em um hospital no sul do Brasil

Objetivo Describir el perfil de salud de los trastornos mentales y de comportamiento en los trabajadores sanitarios de un hospital universitario en el sur de Brasil. Metodo Investigacion cuantitativa, transversal epidemiologico retrospectivo cuyos datos fueron recolectados a traves de documentos institucionales utilizados para alimentar lo Sistema de Vigilancia de la Salud de Trabajadores de Enfermeria y involucrados todos los registros de absentismo por los trastornos mentales y del comportamiento en 2011. Resultados Se descubrio que 55 registros totalizando 317 dias de absentismo. Los tecnicos de enfermeria presentaron el mayor numero de registros, 29,09%, las Unidades de Cuidados Intensivos fueron los sectores con el mayor numero de dias de trabajo perdidos, con un total del 81%, e los episodios depressivos tuvieron la frecuencia mas significativa, 52,72% de los registros. Conclusion Los resultados mostraron que los trastornos mentales en trabajadores de la salud son una realidad preocupante que requiere medidas urgentes.Objective To describe the health profile of mental and behavioral disorders in health professionals at a teaching hospital in southern Brazil. Methods This was a quantitative, retrospective cross-sectional epidemiological study whose data were collected through institutional documents used to feed the Health Monitoring System for Nursing Professionals and involved all absenteeism occurred in 2011. Results We found 55 records of absenteeism due to mental and behavioral disorders, a total of 317 days absent. Nursing technicians were the most absentee, with 29.09% of the records. The intensive care unit represented the sector with the highest number of days absent, 81%, and depressive episodes were the most frequent, representing 52.72% of mental disorders. Conclusion The results showed that mental disorders in health professionals are a cause for concern and urgently need intervention.

1345 Asbestos-related diseases in curitiba: the brazil-italy project

Introduction Brazil is one of the major producers of chrysotile, a well-known carcinogen, but few studies evaluated its impact locally. For these reasons, a joint project, supported by CAPES, Brasilia, was started between the Federal University of Paranà (UFPR), Curitiba, Brazil, and the Fondazione IRCCS Ca’ Granda, Milan, Italy. Methods The objects of the joint project include: a cohort mortality study among asbestos–cement workers in the Curitiba Metropolitan Region; the implementation of a registry of malignant mesothelioma (MM) in Curitiba based on the Italian model. MM cases are already collected (1998–2012) in the Curitiba Population-Based Cancer Registry (RCBP); but information on asbestos exposure is unavailable and diagnostic accuracy of MM has never been evaluated. For this reason, we translated the Italian standardised questionnaire on asbestos exposure and are implementing the database for MM cases in Portuguese. Clinical documentation of adult subjects with ICD-10 codes C45 (mesothelioma), C38 (mediastinal and pleural cancers), and C48 (peritoneal cancers) in the RCBP will be examined to evaluate diagnostic accuracy. Results The questionnaire has been preliminarily tested on 40 workers in Curitiba. The software has been translated and adapted. Review of clinical records of 269 subjects is in progress; we identified about 20% of death certificate only cases. For the cohort study, we obtained lists of workers employed since the beginning of production in three asbestos-cement factories. We identified about 4000 workers, 2300 with valid date of birth. Conclusion For the cohort study, we are exploring the existence of additional sources to complete missing information and contacting relevant institutions to perform the mortality follow-up. Within 2018 we foresee to have the questionnaire ready for use, the software implemented, and the clinical documentation review completed. This international collaboration is an important step towards a better assessment of the impact of chrysotile use in Brazil.

0476 The brazil-italy project on asbestos-related diseases in curitiba

Brazil is one of the major producers of chrysotile worldwide, but few studies evaluated its effects on the health of Brazilians. Moreover, there are concerns of miscoding of mesothelioma cases. A joint project was started between the Federal University of Paranà (UFPR), Curitiba, Brazil, and the Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy to evaluate effect of chrysotile exposure. The project, supported by CAPES, Brasilia, include two main areas of research. The first is a cohort mortality study among asbestos-cement workers. From the Ministerio Publlico do Trabalho, Curitiba, we recently received lists of about 10 000 workers employed since the beginning of production (1974, 1974, and 1993) in three asbestos-cement factories in Curitiba and its Metropolitan Region. Data editing and evaluation of sources of information to perform the mortality follow-up are in progress. The second area involves the implementation of a registry of malignant mesothelioma cases in Curitiba based on the Italian model. For this reason, two post-docs are in Milan to study procedures of the Italian and Lombardy Region Mesothelioma Registry, to translate the Italian standardised questionnaire on asbestos exposure, and to adapt the database. As a complementary study, we are analysing the records (1998–2012) related to mesothelioma of the Curitiba Population-Based Cancer Registry. Clinical documentation of 269 adult subjects with ICD-10 codes C45 (mesothelioma), C38 (mediastinal and pleural cancers), and C48 (peritoneal cancers) will be examined to identify potential false negatives (i.e., primary pleural/peritoneal cancers classified under incorrect cancer sites like mediastinum and retroperitoneum).

Absenteeism due to mental disorders in health professionals at a hospital in southern Brazil.

Objetivo Describir el perfil de salud de los trastornos mentales y de comportamiento en los trabajadores sanitarios de un hospital universitario en el sur de Brasil. Metodo Investigacion cuantitativa, transversal epidemiologico retrospectivo cuyos datos fueron recolectados a traves de documentos institucionales utilizados para alimentar lo Sistema de Vigilancia de la Salud de Trabajadores de Enfermeria y involucrados todos los registros de absentismo por los trastornos mentales y del comportamiento en 2011. Resultados Se descubrio que 55 registros totalizando 317 dias de absentismo. Los tecnicos de enfermeria presentaron el mayor numero de registros, 29,09%, las Unidades de Cuidados Intensivos fueron los sectores con el mayor numero de dias de trabajo perdidos, con un total del 81%, e los episodios depressivos tuvieron la frecuencia mas significativa, 52,72% de los registros. Conclusion Los resultados mostraron que los trastornos mentales en trabajadores de la salud son una realidad preocupante que requiere medidas urgentes.Objective To describe the health profile of mental and behavioral disorders in health professionals at a teaching hospital in southern Brazil. Methods This was a quantitative, retrospective cross-sectional epidemiological study whose data were collected through institutional documents used to feed the Health Monitoring System for Nursing Professionals and involved all absenteeism occurred in 2011. Results We found 55 records of absenteeism due to mental and behavioral disorders, a total of 317 days absent. Nursing technicians were the most absentee, with 29.09% of the records. The intensive care unit represented the sector with the highest number of days absent, 81%, and depressive episodes were the most frequent, representing 52.72% of mental disorders. Conclusion The results showed that mental disorders in health professionals are a cause for concern and urgently need intervention.

Absentismo laboral por trastornos mentales en trabajadores de la salud en un hospital brasileño

Objetivo Describir el perfil de salud de los trastornos mentales y de comportamiento en los trabajadores sanitarios de un hospital universitario en el sur de Brasil. Metodo Investigacion cuantitativa, transversal epidemiologico retrospectivo cuyos datos fueron recolectados a traves de documentos institucionales utilizados para alimentar lo Sistema de Vigilancia de la Salud de Trabajadores de Enfermeria y involucrados todos los registros de absentismo por los trastornos mentales y del comportamiento en 2011. Resultados Se descubrio que 55 registros totalizando 317 dias de absentismo. Los tecnicos de enfermeria presentaron el mayor numero de registros, 29,09%, las Unidades de Cuidados Intensivos fueron los sectores con el mayor numero de dias de trabajo perdidos, con un total del 81%, e los episodios depressivos tuvieron la frecuencia mas significativa, 52,72% de los registros. Conclusion Los resultados mostraron que los trastornos mentales en trabajadores de la salud son una realidad preocupante que requiere medidas urgentes.Objective To describe the health profile of mental and behavioral disorders in health professionals at a teaching hospital in southern Brazil. Methods This was a quantitative, retrospective cross-sectional epidemiological study whose data were collected through institutional documents used to feed the Health Monitoring System for Nursing Professionals and involved all absenteeism occurred in 2011. Results We found 55 records of absenteeism due to mental and behavioral disorders, a total of 317 days absent. Nursing technicians were the most absentee, with 29.09% of the records. The intensive care unit represented the sector with the highest number of days absent, 81%, and depressive episodes were the most frequent, representing 52.72% of mental disorders. Conclusion The results showed that mental disorders in health professionals are a cause for concern and urgently need intervention.