João Silvestre Silva-Junior

Pés de imersão em água morna entre trabalhadores de lavagem de automóveis

Background Warm-water immersion foot (WWIF) is associated with prolonged contact with water at high temperature. Car wash workers are frequently exposed to humidity, however, there are not studies targeting diseases affecting this category of employees. Objective To investigate the frequency of WWIF among car wash workers. Methods The study was carried out in 2013 at a car wash service in Jundiaí, São Paulo, Brazil. A group of 30 workers was subjected to clinical interview and dermatological examination. Statistical tests were performed to assess the association between WWIF and independent variables. Results All the participants were male, their average age was 23 years old, and the most (60%) had worked at the investigated company for more than one year. Sixty percent of the participants exhibited lesions compatible with WWIF. Age and length of work at the company were associated with the assessed outcome. The participants were frequently and permanently exposed to humidity along the working day without wearing impermeable clothes. Conclusion Most participants exhibited WWIF; the ones over 30 years old and having worked less than 1 year at the investigated company exhibited higher odds of WWIF due to occupational exposure to humidity.Background Warm-water immersion foot (WWIF) is associated with prolonged contact with water at high temperature. Car wash workers are frequently exposed to humidity, however, there are not studies targeting diseases affecting this category of employees. Objective To investigate the frequency of WWIF among car wash workers. Methods The study was carried out in 2013 at a car wash service in Jundiai, Sao Paulo, Brazil. A group of 30 workers was subjected to clinical interview and dermatological examination. Statistical tests were performed to assess the association between WWIF and independent variables. Results All the participants were male, their average age was 23 years old, and the most (60%) had worked at the investigated company for more than one year. Sixty percent of the participants exhibited lesions compatible with WWIF. Age and length of work at the company were associated with the assessed outcome. The participants were frequently and permanently exposed to humidity along the working day without wearing impermeable clothes. Conclusion Most participants exhibited WWIF; the ones over 30 years old and having worked less than 1 year at the investigated company exhibited higher odds of WWIF due to occupational exposure to humidity.

O Programa de Estágio Monitorado na pós-graduação lato sensu em medicina do trabalho

CONTEXT: In 2004, a proposal was introduced to restructure an executive Masters course in Occupational Medicine, with an increase in the practical course load. The School of Medicine at the Sao Paulo Mercy Hospital (Sao Paulo, Brazil) introduced the Monitored Internship Program to complement the basic 680 class hours. OBJECTIVES: The studys objectives were to describe the program and the course coordinators perceptions of it and to analyze course alumnis current relationship to the occupational medicine specialty. MATERIAL AND METHODS: (a) Unstructured discussion among coordinators and an interview with partner companies; (b) Application of a questionnaire to 46 course graduates, discussing social and professional issues. RESULTS: The Monitored Internship Program has a 1,240 hour course load, participation is voluntary and based on double monitoring of the students activities, with the submission of weekly reports for clinical discussion. The study detected increasing interest in the theoretical/practical course and a lack of programs for professional development in the internship sites. Among the sample, 67.3% were meeting a weekly workload of greater than 20 hours in occupational medicine. DISCUSSION: The program meets the established guidelines and appears to help retain course participants within the specialty. The study raises the issue of the inability of the work market in this specialty to provide sufficient sites for more solid practical training and recommends discussing the specialtys regulation.