RESUMO
The purpose of workplace public health programmes and regulations is to promote safety and health for the entire working population nationwide. Some countries limit the scope of such programmes to medium or big-sized companies, leaving out small and micro-enterprises, thus discriminating against many workers exposed to risks. This Viewpoint aims to identify inequalities in occupational health generated by the new Regulation for Workplace Health Promotion (WHP) in Ecuador. We showed how the regulation excludes all micro-enterprises and displayed the essential role of micro-enterprises in the business fabric and the Ecuadorian labour market. More than 93% of the registered companies are micro-enterprises and these include more than 25% of the employees in the formal economy. Integrating occupational health into the public health system will require deep analysis to improve protection for the working population.
Assuntos
Saúde Ocupacional , Local de Trabalho , Humanos , Equador , Promoção da Saúde , Inquéritos e Questionários , Saúde PúblicaRESUMO
This paper aims to analyze the association between alcohol consumption, work stress, and depression and the moderating effect of social support and sex in this relationship. In a sample of workers from an electric generation industry from Ecuador (N = 99), hierarchical linear regressions were conducted to test the direct and moderation effects. Results show that alcohol consumption is positively associated with work stress and depression; social support moderates alcohol consumption's impact on depression but not on stress. This interaction effect is different according to sex. Further, an increase in alcohol consumption is associated with higher stress in women but not in men, and it relates to higher depression in men but not in women. Finally, we discuss the role of sex and social support as key factors to cope with the adverse effects of alcohol on well-being at work.
Assuntos
Estresse Ocupacional , Estresse Psicológico , Masculino , Humanos , Feminino , Equador/epidemiologia , Estresse Psicológico/epidemiologia , Depressão/epidemiologia , Consumo de Bebidas Alcoólicas/epidemiologia , Apoio Social , Estresse Ocupacional/epidemiologiaRESUMO
The association of cerebral ischemic attack with patent foramen ovale has not been extensively studied, and frequently the site of origin of embolism is not detected despite routine studies. We present the case of a young patient with ischemic stroke and permeable oval foramen in the context of May Thurner syndrome. The May Thurner syndrome is an entity scarcely studied in the medical literature and it has also been infrequently related to ischemic vascular cerebral accident, but in patients with permeable oval foramen without evidence of the emboligen source, it is interesting to rule it out as a cause of paradoxical embolism.