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Aims & Objectives: To study
the epidemiology of workplace hand injuries, to understand relation between
mode of injury and prognosis, to investigate into the possible contributing
factors and to study the Socio-economic impact. Design of Study: For the
prospective study there were 2 sources of data: 1) Proforma which was filled by
the hand surgeon and 2) A questionnaire that was filled up by safety officer.
For the retrospective study case, sheets were retrieved from the Medical
Records section and a telephonic or personal interview was carried out by a
single interviewer. Setting: Department of Plastic and Reconstructive Surgery,
Parvathy Hospital, Chennai, India. Patients: A total of 419 industrial injury
patients treated from January 2008 to January 2013 were included in the study.
Further follow-up regarding return to work and residual disability continues. Main
Outcome Measures: Personal details (Age, Gender, Handedness, Work experience, Income).
Type of injury, mode of injury, day and time of injury, treatment given,
disability and number of working days lost were measured. Results: Those
workers who were experienced less than 6 months had more workplace injuries and
the commonest contributing factor was co-workers carelessness followed by long
working hours and faulty machinery. Maximum injuries occurred on Monday and
morning shift. Conclusions: Constant supervision of trainees for 2 years,
shorter working hours with regular breaks, regular health checkups for
personnel, regular servicing of machines can prevent occurrence of hand
injuries. Corrective surgery within 6 hours, systematic and protocol based physiotherapy
and rehabilitation can reduce the economic loss and disability arising out of
work place injuries.
The present paper presents data from an intervention-research, which is
also a therapeutic experience, accomplished with a group of disabled children
accompanied by the adults who take care of them, in an institution specialised
in rehabilitation, located in Niterói/RJ, Brazil. The research
departed from an interrogation about the possibilities opened up by a device,
the Play Workshop, toward the interaction between the children and children and
adults, away from the diagnostic categories attributed to the children. Based on
authors such as Despret, Martins and others, the paper discusses the limits and
reach of the notion of disability and points out that play is a creation and bond
strengthening space between the children and between them and adults. Due to its
inter-relational character, playing allowed the arousal of a welcoming field to
the emotions involved. This way we stimulated participants’
self-knowledge about their actions, experiences and own bodies.