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Original article
Ergonomics and musculoskeletal disorders among seaweed workers in Takalar Regency: A mixed method approach
Yahya Thamrina,
Corresponding author
yahyathamrin@yahoo.com

Corresponding author.
, Atjo Wahyua, Syamsiar S. Russenga, Andi Wahyunia, Andi Hardiantib
a Occupational Safety and Health Department, Faculty of Public Health, Hasanuddin University, Indonesia
b Epidemiology Department, Faculty of Public Health, Hasanuddin University, Indonesia
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Indonesia is a maritime as well as an archipelago country&#46; Indonesia has the largest number of islands &#40;17&#46;499&#41; in the world with 81&#46;000<span class="elsevierStyleHsp" style=""></span>km coastline&#46; Furthermore&#44; about 70&#37; of Indonesian territory is covered by waters&#46; The area even larger when Exclusive Economic Zone &#40;ZEE&#41; is added 3&#46;1<span class="elsevierStyleHsp" style=""></span>km<span class="elsevierStyleSup">2</span> from the coastline to the sea that comprises 5&#46;8 million km<span class="elsevierStyleSup">2</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">1</span></a> Due to this&#44; it is reasonable for some provinces in Indonesia including South Sulawesi building their economy from maritime sector of industry&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Seaweed industry is highly developed and become one of commodities that attract many people to involve the workplace&#46; Seaweed extracts are widely used for food&#44; beverages&#44; pharmaceuticals&#44; textiles&#44; paint&#44; and graphic photo papers&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">2</span></a> Due to the demand export market of dried seaweed from USA&#44; UK&#44; China&#44; Australia&#44; Japan and other countries considerably increase&#44; seaweed cultivation recently become major job of farmers in many coastal area including Takalar Regency&#44; South Sulawesi&#46; This regency produced 996&#46;550<span class="elsevierStyleHsp" style=""></span>tons in 2017 from about 17&#46;448<span class="elsevierStyleHsp" style=""></span>hectares&#8217; harvest area&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">However&#44; in Takalar Regency this industry is still predominantly as home industries&#46; As informal sector&#44; it is generally assumed that employees in these industries are vulnerable to experience injuries or other occupational health and safety problems&#46; The workers possibly face all kind of hazards such as physical&#44; chemical&#44; biological&#44; ergonomic and psychosocial hazards&#46; Furthermore&#44; seaweed workers are required to perform many types of jobs such as cultivation of seeding&#44; planting&#44; maintenance&#44; harvesting&#44; processing and drying&#46; All type of jobs is physical demanding&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Drying job for instance requires excessive force&#46; The job comprises lifting the seaweeds from harvest and spreading it on the ground covered by plastic sheet&#46; Stooping&#44; bending and squatting are the main work posture that potentially produce MSDs and work fatigue&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">3&#44;4</span></a> In addition&#44; during the process of drying&#44; the farmers are being exposed by direct sun for the long period without regular break that increase the possibilities to experience work fatigue&#44; dehydration&#44; heat cramps or even heat stroke&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">There is paucity of research conducting among seaweed workers particularly for the study that focusing on ergonomics among this sub group of workers&#46; This paper explores nonergonomics working positions and self-reported symptoms of MSDs among seaweed farmers in Takalar Regency as center of seaweed development industry in South Sulawesi Indonesia&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Design and method</span><p id="par0030" class="elsevierStylePara elsevierViewall">The study uses a mixed method design combining quantitative and qualitative approach&#46; All seaweed workers in Takalar Regency become the population of the study&#46; The sample were taken from four districts&#59; Mangarabombang&#44; Mappakasunggu&#44; Sanrobone and North Galesong&#46; Among nine districts in Takalar Regency&#44; those four districts have the highest number of people who work seaweed farmers&#46; Qualitative approach was done by Focus Group Discussion and In Depth Interview to stake holders in 4 districts&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Questionnaires survey were distributed among 161 workers between August 2018 and March 2019&#46; To examine the association between variables&#44; this study performed Chi Square test together with Odds Ratio analysis and qualitative study was employed using focus group discussions method&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Result</span><p id="par0040" class="elsevierStylePara elsevierViewall">This part explores information related to the distribution of seaweed farmer&#39;s characteristics&#44; distribution of awkward position during performing job&#44; and the distribution of self-reported symptoms of low back pain&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> presents demographic data of seaweed workers based on age&#44; gender&#44; marital status&#44; number of family members&#44; work period&#44; number of working hours per day&#46; As can be seen from the table almost 70&#37; of workers were at the age group between 20 and 49 years old while female workers were more than male &#40;60&#46;9&#37; and 39&#46;1&#37; respectively&#41;&#46; Regarding marital status&#44; there were 17 &#40;3&#46;8&#37;&#41; workers were single&#46; And concerning number of family who live together with the workers&#44; more than 40&#37; of the workers had five or more families&#46; Turning to work period&#44; more than 65&#37; of the workers have been working as seaweed farmers for above 5 years&#46; Regarding working hours&#44; there were 70 &#40;43&#46;4&#37;&#41; seaweed farmers worked more than 8<span class="elsevierStyleHsp" style=""></span>h a day&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> explores awkward working positions of the workers when they perform job in the workplace&#46; More than 50&#37; of the workers mentioned that they often work in bending position and almost 45&#37; of the workers mentioned that they often work sitting sideways or twisting&#46; Interestingly&#44; those awkward positions sometimes they had for more than 15<span class="elsevierStyleHsp" style=""></span>min without changing to other positions&#46; For monotone bending position&#44; more than 80&#37; of the farmers maintained that they often or sometimes have that position during the job&#46; Furthermore&#44; 31&#46;1&#37; of the farmers claimed that they often perform monotone sitting sideways &#40;twisting&#41; and 46&#37; of the workers maintained for sometimes&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> depicts self-reporting symptoms of MSDs include pain&#47;sore particularly in lower back area 66&#46;5&#37;&#44; fever 5&#46;6&#37;&#44; sprain 8&#46;7&#37;&#44; numb 3&#46;1&#37; and strain more than 60&#37;&#46; There was one farmer reveal for having inflammation on her back&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discussion</span><p id="par0060" class="elsevierStylePara elsevierViewall">According to Baron et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">5</span></a> the leading causes of work related musculoskeletal disorders mainly from physical stresses and awkward working positions such as lifting&#44; forceful gripping&#44; twisting&#44; bending&#44; squatting&#44; kneeling and vibrating equipment&#46; Working process as a seaweed worker involves planting&#44; harvesting&#44; drying&#44; and sorting seaweed&#46; At the times of working the worker bend&#44; sitting and stand for a long time&#46; Sorting seaweed is done manually and repetitive in bad sitting position&#47;twisting for hours&#46; This study found that almost 50&#37; of the farmers performing their job in bending and twisting position&#46; Hence&#44; it is highly likely for them to experience MSDs particularly for those who have been working for long period of time&#46; As the informant said in indepth interview&#58;<span class="elsevierStyleItalic">&#8220;Yes there is an influence&#44; like a seaweed farmer that he sat continuously end up hurt his back&#8221;</span><span class="elsevierStyleDisplayedQuote" id="dsq0010"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">&#8220;&#8230; I think they &#40;worker&#41; doing the work habitually like that and feel comfortable&#46; But the problem is if they &#40;worker&#41; sit for a long time it can cause pain&#47;sore in the back&#8221;</span></p></span></p><p id="par0065" class="elsevierStylePara elsevierViewall">Similar findings were highlighted by maintained that workers suffer from MSDs due to it can occur in all category of work&#44; from very heavy category&#44; heavy&#44; moderate&#44; and even light job&#46;<a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">6&#44;7</span></a></p><p id="par0070" class="elsevierStylePara elsevierViewall">Furthermore&#44; MSDs complaints can be caused by not only from working position but also from many other factors include work organization&#44; psychosocial&#44; tools&#44; individual&#44; and the workplace itself&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">6</span></a> Process of drying seaweed can result Musculoskeletal complaints by stooping&#44; squatting and bending work posture especially when drying used a plastic sheet the farmer force to lift seaweed with excessive lifting weight&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">7</span></a> Worker who work with nonergonomics work posture have 12 times the chance of experiencing MSDs than worker with ergonomic work posture&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">8</span></a> As the informant said in focus group discussion&#58;<span class="elsevierStyleDisplayedQuote" id="dsq0015"><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">&#8220;The most hard thing I feel is bending position and squatting position for a long time while working&#8230;&#8221;</span></p></span></p><p id="par0075" class="elsevierStylePara elsevierViewall">Most of seaweed farmers are working outdoors and they are being exposed by the sun&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">9</span></a> explained MSDs complains will be raised from the workers who perform their job while being exposed by direct sun light&#44; using excessive force to lift heavy workload and without rest in regular basis&#46; This situation is happening when seaweed workers in the process of harvesting and drying the seaweed&#46; Traditional practicing during drying seaweed for instance&#44; the workers needs to force energy lifting the harvest to drying spot and or spreading it on the ground covered by plastic sheet&#46; Stooping&#44; bending&#44; twisting and squatting are the main work posture that potentially produce musculoskeletal disorders and work fatigue&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">3&#44;4</span></a> As the informant said in focus group discussion&#58;<span class="elsevierStyleDisplayedQuote" id="dsq0020"><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">&#8220;I feel strain at arm&#46; We lift around 50 kilo per sack&#46; We lift that for about 200 m at seashore&#8230;&#8221;</span></p></span><span class="elsevierStyleDisplayedQuote" id="dsq0025"><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">&#8220;I bear the seaweed directly without tools to the sun-dried place&#44; I lift around 100 kilo with a friend&#8230;&#8221;</span></p></span></p><p id="par0080" class="elsevierStylePara elsevierViewall">Some research and publications have revealed that the best practice to decrease work related MSDs&#46; They categorized the simple solutions into two ways&#59; redesign the equipment or tools and redesign the work process&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">5&#44;7</span></a> Concerning MSDs among seaweed workers&#44; Previous research states that limiting heavy lifting load&#44; providing the workers a regular break and redesign of seaweed dryer will reduce work fatigue and MSDs complaints among farmers&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">7</span></a> Some research stated that to reduce exposure to hazardous occupational agent among aquaculture worker divided into hazard control at source&#44; hazard control along path and hazard control at the worker&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">10</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">In addition&#44; the application of ergonomics principles as soon as possible will create safe&#44; healthy&#44; safe&#44; and comfortable workplaces&#46;<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">11&#44;12</span></a> The quality of workers&#8217; safety and health will be disrupted and will lead to be contra productive to reduce workers&#8217; physical and mental health and wellbeing if application or ergonomics are being ignored&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">13</span></a> As a result&#44; the productivity of the workers is declined&#46; Hence&#44; healthy and safe conditions&#44; effective&#44; convenient&#44; and efficient will be taking place when ergonomic rules and principles are being applied in the workplace especially when it is based on local wisdom&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">13</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conclusions</span><p id="par0090" class="elsevierStylePara elsevierViewall">This study suggests that the number of seaweed farmers who performed nonergonomics working position were relatively large&#46; Bending and twisting were two main positions that sometimes and even often they perform without any break&#46; Even though there is limitation of this research where the symptoms were just self-reported without any clinical examination&#46; However&#44; this research highlights some symptoms that were likely to be MSDs that can be used as evidence for further research&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Thus&#44; it is recommended to other research to explore more about this area&#46; Ergonomics rules and principles for better tools and work practices for seaweed farmers should be applied as solutions for the problems that have been identified through this research&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflict of interest</span><p id="par0100" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
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          "identificador" => "xpalclavsec1239509"
          "titulo" => "Keywords"
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        2 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
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        3 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Design and method"
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          "identificador" => "sec0015"
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          "titulo" => "Discussion"
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          "identificador" => "sec0025"
          "titulo" => "Conclusions"
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        7 => array:2 [
          "identificador" => "sec0030"
          "titulo" => "Conflict of interest"
        ]
        8 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
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    "fechaRecibido" => "2019-05-29"
    "fechaAceptado" => "2019-07-15"
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      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1239509"
          "palabras" => array:3 [
            0 => "Ergonomics"
            1 => "Musculoskeletal disorders"
            2 => "Seaweed"
          ]
        ]
      ]
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    "resumen" => array:1 [
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">As a maritime country&#44; Indonesia has diverse biodiversity&#46; Recently in coastal area&#44; the industry that manages marine products has been grown rapidly and one of them is the seaweed industry&#46; Takalar Regency has become one of center of seaweed industry development in Indonesia especially in South Sulawesi&#46; However&#44; there is lack of concern about health and safety problems particularly ergonomics and musculoskeletal disorders &#40;MSDs&#41; among seaweed farmers&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The study uses a mixed method design combining quantitative and qualitative approach&#46; The sample were taken from four districts&#59; Mangarabombang&#44; Mappakasunggu&#44; Sanrobone and North Galesong&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">More than 50&#37; of the workers mentioned that they often work in bending position and almost 45&#37; of the workers mentioned that they often work sitting sideways or twisting&#46; self-reporting symptoms of MSDs include pain&#47;sore particularly in lower back area 66&#46;5&#37;&#44; fever 5&#46;6&#37;&#44; sprain 8&#46;7&#37;&#44; numb 3&#46;1&#37; and strain more than 60&#37;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">This research found that large number of employees performed their job in nonergonomics positions that might be associated with MSDs&#46; The research revealed as well the number of farmers who suffer from MSDs symptoms&#46; It is suggested to apply ergonomic rules and principles by redesign tools and the work process&#46;</p></span>"
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        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Peer-review under responsibility of the scientific committee of the International Conference on Women and Societal Perspective on Quality of Life &#40;WOSQUAL-2019&#41;&#46; Full-text and the content of it is under responsibility of authors of the article&#46;</p>"
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                  \t\t\t\t">Monotone bending<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>min&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Monotone twisting<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>min&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">46&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Repetitive movement&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">131&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">86&#46;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Excessive force&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2310954.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Nonergonomics working positions&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0015"
        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Variables&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Yes</th><th class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="center" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">n</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Pain&#47;sore&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Fever&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">5&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">152&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">94&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sprain&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">147&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">91&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Numb&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">96&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Inflammation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">160&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Strain&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

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Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos