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Introduction: Occupational accidents are events that tend to be highly underreported in Brazil's official reporting systems. In this context, surveys with primary data collection are important to provide a better dimensioning of these events., Objectives: To characterize workers who had a non-fatal occupational accident within the microarea of a Family Health Unit in Salvador, state of Bahia, Brazil., Methods: An observational, analytical, individual, and cross-sectional was conducted, with data collected between January and February 2020. The questionnaires were administered during home visits. The final sample consisted of 134 workers aged 18 to 65 years., Results: The incidence of occupational accidents was 6.7% (n = 9), all typical, particularly involving female workers (55.6%); aged 30 to 59 years (66.7%); with education up to high school (77.8%); self-identified as Black/Brown (100%); who received between one and two minimum monthly salaries (55.6%); single (55.6%); and with self-rated fair health (66.7%). In the population analyzed, the cumulative incidence of accidents was higher in female individuals (6.9%), with incomplete/complete high school (8.3%), self-identified as Black/Brown (7.7%), with informal employment, (7.2%), personal income of one minimum monthly salary or less (9.5%) and working > 44 hours per week (8.2%)., Conclusions: A higher frequency of occupational accidents was recorded among individuals in situations of social vulnerability, which should be the focus of public policies and Occupational Health Surveillance in primary care., Competing Interests: Conflicts of interest: None

Breast cancer is the most common cancer in women worldwide. Most current guidelines recommend using multigene profiling assays to aid the decision on the addition of chemotherapy to adjuvant hormone therapy for women who present with early-stage, hormone receptor-positive, HER2-negative disease. One of these assays is the Oncotype DX, which predicts the disease recurrence risk and adjuvant chemotherapy benefits. Given its high cost, there is an economic incentive to evaluate its surrogates, such as the Magee equations. We assessed health system costs associated with the use of the Magee scores. A probabilistic decision tree was used to calculate the difference in mean health system costs based on data obtained from a randomized trial and the published literature. Costs were calculated from a perspective of Canada's publicly funded health care system. A series of sensitivity analysis was conducted to assess the robustness of the study findings. The Magee equations were associated with a total cost savings of C$100 per patient (95% CI, -C$3068 to C$5022) compared with standard of care. The difference in costs was highly sensitive to the extent that the Magee scores could reduce the frequency of adjuvant chemotherapy and Oncotype DX requests., (© 2019 John Wiley & Sons, Ltd.)

Background: Comprehensive approaches using the International Classification of Functioning, Disability and Health (ICF) Checklist have been adopted to give more visibility to demands related to specific health situations., Objective: To analyze the incapacity and functioning associated with activity/participation and environmental factors of female workers with repetitive strain injury/work-related musculoskeletal disorders (RSI/WRMSDs) using workers' narratives, ICF codes and the RSI/WRMSDs Checklist developed as a part of the present research project., Methods: A qualitative analysis of in-depth interviews with 15 female workers diagnosed with RSI/WRMSDs was completed. Functioning and disability were assessed by linking ICF codes identified in the participants' narratives to those included in the RSI/WRMSDs Checklist., Results: Fifty-three of 60 ICF codes included in the RSI/WRMSDs Checklist were detected in the participants' narratives. Related to activity/participation, 26 codes were identified and 27 related to environmental factors., Conclusion: These results highlight the significance of the RSI/WMSDs Checklist to detect clinical and social problems experienced by workers during the rehabilitation and return-to-work process. They also reinforce the relevance of expanding the application of the checklist to male and female workers with RSI/WRMSDs undergoing rehabilitation to attain other levels of validation.

Background: The increase in work-related health problems is a cause of concern for researchers worldwide. Intensification of work and the worker-work environment-illness relationship are some of the leading topics in debates on health and work. Facing this scenario, workplace physical activity (WPA) represents an option for prevention of work-related diseases., Aim: To describe and summarize how the Brazilian literature has addressed WPA., Methods: A scoping review was performed based on a search on the main databases of scientific articles available in Brazil using keywords "ginástica laboral" (workplace physical activity), "labor gymnastics", "ginástica do trabalho" (workplace physical activity), "exercícios laborais" (workplace physical exercise) e "cinesioterapia laboral (workplace kinesiotherapy)". Empirical studies conducted in Brazil and published along the past 10 years were included., Results: The 44 analyzed articles applied variable, mainly quantitative methods to the study of WPA. The studies were most frequently conducted by physical educators and physical therapists. WPA was performed in both private companies and public organizations with employees who performed a wide range of functions. Six categories were detected for WPA: pain management; lifestyle behaviors; mental health components; components of human movement; quality of life; and anthropometric indicators and vital signs., Conclusion: WPA has been investigated through many different methods and involving variable modalities of application. While still scarce, qualitative and multi-method studies could certainly increase the reach and potential of WPA.