Objective:  The present study sought to assess whether any statistically significant differences exist between evaluations conducted by medical doctors and those by social workers within the National Social Security Institute (INSS), regarding identification of disability using the adapted Brazilian functionality index to grant retirement. Method To do this, an analytical investigation was done using the official INSS database for the period from October 2013 to January 2016, regarding evaluations to confirm disability among workers who were insured through the INSS. The analysis was conducted using the R software, version 3.4.1. A concordance index, significance analysis and the Pearson correlation test were applied. The sensitivity and specificity of the evaluations made by doctors, by social workers and by both were calculated. Arating index was obtained by dividing the result from the doctors’ evaluations by the result from the social workers’ evaluations. Results The correlation analysis using the R software showed that there was no statistical difference between the evaluations conducted by medical doctors and social workers. However, differences were observed in relation to calculation of the sensitivity of the evaluations, and in the analyses on the rating index and standard deviation between the doctors’ and social workers’ evaluations, especially in the domains of sensory function, domestic life and education, work and economic life. Conclusions This study demonstrated that there is a difference between evaluations conducted by medical experts and by social workers, which can be explained in terms of each professional’s interpretation of what is defined in the manual. The criteria used to define the rules for obtaining the benefit should be discussed. We highlight that the prerequisite for identifying a disability is that an impairment should be characterized by means of the International Classification of Diseases (ICD-10), which is a medical prerogative.

48%. There were several risk factor of it, such as night work or psychological demand. Conclusion This review of the literature showed the prevalence of work-related disorders among hospital doctors. The risk factors studied can guide prevention policies within hospitals. Introduction The trade of laboratory technician (TL) exposes to many risks to health, because of biological or chemical or physical exposures. But the TL occupation is constantly evolving, the techniques are constantly changing. The purpose of this article is to take stock of the occupational TL pathologies which were recently described in the literature. Material and method This is a literature review, based on Medline and Scopus medical databases, on publications between 01/01/2006 and 31/12/2016. The research was conducted in French and English. Only articles about TL in Hospital or Teaching Hospital were selected. Results Twenty-eight articles were studied. The main infectious pathology described was brucellosis; A case of meningitis was studied. The cutaneous allergies reported concerned sensitisation to certain solvents. There was no allergy to latex. Musculoskeletal disorders (MSD) were studied in 4 articles. The main MSDs were low back pain and neck pain. Several articles have been alerted on the occurrence of burnout syndrome (BO). However, no prevalence studies were conducted over the period studied. Conclusion LT can present many occupational pathologies. Few articles studied the prevalence of MSD and BO. Introduction The occupational divers are subject to numerous risks. For instance, divers can get infections. We review the infectious diseases in professional divers. Materials and methods This is a literature review until 30/05/ 2017. The research was conducted on Medline and Scopus databases, in French and English languages. Results Fifteen papers report cases of infections in professional divers. These are mainly skin infections, but also ENT and ophthalmological infections. Discussion-conclusion According to data collected, infections among professional divers are quite rare. These diseases are not specific to the workplace, and are comparable with data on recreational diving. Prevention is mainly based on hygiene and equipment maintenance. Introduction The junior doctors are subject to several professional constraints. This study aims to assess the prevalence of anxiety, depressive disorder and burnout (BO) and their risk factors. Material and method This is a review of the literature between 01/01/2004 and 31/10/2014. A prevalence were calculated for a virtual population. Results The prevalence of anxiety disorders was between 15.8% and 87% depending on the study; that of mood disorder was between 16.3% and 48%. The prevalences of virtual populations were 32.5% and 21.7% respectively. BO prevalence was between 10% and 80.2% while prevalence for virtual population was 33.2%. Several studies have shown that working hours, study or work relations were risk factors. Conclusion The data in the literature ranged from one study to a...

Objective: The aim of the present study was to analyze the legislation relating to individuals with disabilities in Latin America, focusing on the definition of individuals with disabilities and how they are certified as such.  Method: In this investigation, the legal provisions in force in Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Dominican Republic, Uruguay and Venezuela were retrieved via the internet. It was then sought to identify the following: the specificity of guarantees of human rights and fundamental freedoms for individuals with disabilities, in line with the United Nations Convention on the Rights of Persons with Disabilities; the definition of disability and individuals with disability; what criteria are applied, i.e. whether a specific table, the International Classification of Functioning (ICF) or the International Classification of Diseases (ICD) is used; and whether the disability is assessed in a biomedical or biopsychosocial manner, i.e. whether this is done solely by a doctor or is a multiprofessional assessment, and whether, if done by a doctor, there is any support through psychological or social worker evaluation when necessary. Results: With the exception of Cuba, for which no specific legislation was found, the legislation dealing with individuals with disabilities in the other Latin American countries investigated in this study has been constructed in line with the main provisions of the United Nations Convention on the Rights of Persons with Disabilities. In Bolivia, Chile, Colombia, Ecuador, El Salvador, Guatemala, Honduras, Panama, Dominican Republic, Uruguay and Venezuela, disabilities are assessed and certified through tables or the ICD or ICF. Biopsychosocial assessments are made by doctors in Bolivia, El Salvador, Guatemala, Honduras, Uruguay and Venezuela. In Brazil, Chile and Ecuador, social assessments are made by other professionals to support evaluations made by doctors. In Argentina, Colombia, Costa Rica, Haiti and Panama, the assessment is biomedical. In relation to the other countries, it was not possible to understand, from the legislation, how disabilities are assessed. Conclusion: This study demonstrated that the laws in the countries examined here all have the purpose of guaranteeing fundamental rights and freedoms for individual with disabilities through public policies. Their aim is to enable equality of opportunity in the fields of healthcare, rehabilitation, education, work, leisure, culture and justice, in accordance with the principles recommended in the United Nations Convention on the Rights of Persons with Disabilities. Out of all the countries investigated, social assessments by professionals of other specialties to support medical evaluations are only required in three of them; tables or the ICD or ICF are used in assessing and certifying disabilities in eleven of them; the biopsychosocial assessment is made by doctors in six of them; and the assessment is biomedical in another five countries. In the remainder, the assessment criteria were not made clear through the legislation examined.  

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