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La Medicina del Lavoro

Alessandro Porro, Lorenzo Lorusso, Bruno Falconi, Andrea Colombo, Paolo Maria Galimberti, Antonia Francesca Franchini
Since the end of the 19th century, X-rays have been used to detect lung diseases. In Italy, 207,096 miniature chest radiographs were taken from 1941 to 1948. Traditional radiographs gave better results, but miniature chest radiographs were useful for screening. Indeed, the development of mobile miniature chest radiography units resulted in an improvement in mass X-rays screening for the detection of penumoconiosis. These mobile miniature units were mounted on a bus chassis, a solution that allowed to easily reach workers...
May 28, 2018: La Medicina del Lavoro
Matteo Marco Riva, Francesco Cantamessa, Daniela Borleri, Giovanni Mosconi
BACKGROUND: This paper follows up on a project that was launched in 2008 and contributed to the development of the new Italian Society of Occupational Medicine (SIML) guidelines for the road haulage industry. OBJECTIVE: To reach a better understanding of occupational illness amongst truck drivers, in order to define appropriate health monitoring protocols and promote a healthy life-style. METHODS: We assessed 673 male drivers (mean age 43...
May 28, 2018: La Medicina del Lavoro
Giorgio Mattei, Valentina Sacchi, Salvatore Alfieri, Antonella Bisi, Niccolò Colombini, Silvia Ferrari, Giuseppe Giubbarelli, Fabriziomaria Gobba, Alberto Modenese, Luca Pingani, Marco Rigatelli, Marisa Rossetti, Giulia Venturi, Fabrizio Starace, Gian Maria Galeazzi
BACKGROUND: The triple-dip recession taking place in Italy in 2008-2014 impacted negatively on health, mainly by increasing the rate of unemployment. This increased the prevalence of mental health disorders, while reducing the number of available places on vocational rehabilitation programs (VRPs) delivered by the psychiatric services. OBJECTIVES: To explore the different points of views of stakeholders (namely, users and professionals) involved in VRPs developed inside an Italian Community Mental Health Center (CMHC)...
May 11, 2018: La Medicina del Lavoro
Miriam Levi, Tord Kjellstrom, Alberto Baldasseroni
BACKGROUND: With climate change, mean annual air temperatures are getting hotter and extreme weather events will become more and more common in most parts of the world. OBJECTIVES: As part of the EU funded project HEAT-SHIELD we conducted a systematic review to summarize the epidemiological evidence of the effects of global warming-related heat exposure on workers' health and productivity. METHODS: Three separate searches, focused, respectively, on: i) heat-related illness (HRI), cardiovascular, respiratory and kidney diseases; ii) traumatic injuries; and iii) vector-borne diseases or vectors distribution, were conducted in PubMed...
April 24, 2018: La Medicina del Lavoro
Gian Luca Rosso, Stefano Candura, Massimo Perotto, Michele Caramella, Cristina Montomoli
BACKGROUND: Sleepiness at the wheel and driving while engaged in other activities are well known risk factors for traffic accidents. This article estimates the prevalence of these factors among Italian Professional Drivers (PDs) and their impact on reported driving mistakes. METHODS: A cross-sectional study was conducted using anonymous questionnaires. PDs (n=497) were divided into two groups: high-risk PDs (HiRis_PDs) (those who self-reported more than one incident during the last 3 years and/or more than one mistake during the past year) and non-HiRis_PDs (subjects who did not meet the above-mentioned inclusion criteria)...
March 27, 2018: La Medicina del Lavoro
Pasquale Valente, Daniele Mipatrini, Alice Mannocci, Luca Enrico Ruscitti, Sabina Sernia, Mauro Ceccanti, Giuseppe La Torre
AIM: To perform an analysis of the perception of alcohol use among workers of the transportation, healthcare and building sectors. METHODS: A survey was carried out on alcohol consumption and knowledge of deriving health effects. Socio-demographic characteristics of the workers were collected. Risk indexes for habitual alcohol and binge consumption were calculated. RESULTS: The number of workers entering the survey is 3,914 (57% males; 58% married)...
March 5, 2018: La Medicina del Lavoro
Fabrizio Scafa, Giuseppe Calsamiglia, Paola Cadei, Emanuela Pettenuzzo, Giovanni Forni, Stefano Massimo Candura
BACKGROUND: Our previous experience with the "CardioWork" protocol (activated in 2005) demonstrated the usefulness of the interaction between occupational physician and cardiologist to facilitate work resumption after invasive heart procedures and subsequent rehabilitation, adapting the work tasks of the patients to the changed physical capabilities. OBJECTIVES: We surveyed the health conditions and employment status of the subjects previously studied, years after their completion of the protocol in order to verify its effectiveness over a long period of time...
February 28, 2018: La Medicina del Lavoro
Gabriele D'Ettorre, Vincenza Pellicani, Mariarita Greco, Mauro Mazzotta, Annamaria Vullo
BACKGROUND: Shift work disorder (SWD) is a major concern for both healthcare workers (HCWs) employed in hospital wards and healthcare organizations. The consequences of SWD may lead to increased service costs and lower standards of care. OBJECTIVES: To identify and evaluate the latest developments in assessing and managing the occupational risk of SWD in shift-HCWs through a search of the literature published in the last five years. METHODS: We performed a search of the literature starting from June 2012, using MEDLINE/Pubmed...
February 20, 2018: La Medicina del Lavoro
Nicole Ruggiero, Battista Magna, Nicoletta Cornaggia, Anna Maria Rosa, Orazio Ferrero, Massimiliano Mazzieri, Dario Consonni, Susanna Cantoni
INTRODUCTION: In recent years, Italy has seen a reduction in workplace accidents due to several factors, including the controls carried out by the Health and Safety at Work Services (PSAL) of the Local Health Units (ATS). OBJECTIVE: To verify the contribution of PSAL Services to injury reduction. In particular, to identify the existence of a difference between incidence rates of accidents in companies before and after inspections and possible variations in rates between inspected and non-inspected companies...
February 20, 2018: La Medicina del Lavoro
Federica Emanuel, Lara Bertola, Lara Colombo
BACKGROUND: In Italy, the work-related stress and organizational well-being evaluation is subject to specific norms and regulations. The Italian National Anti-Corruption Authority (Autorità Nazionale Anticorruzione - ANAC) has developed a questionnaire to assess the organizational well-being of the employees in Public Administration Institutions. OBJECTIVES: The study aims to analyse, according to the Job Demands-Resources Theory, the relationship between some job demands (workload, discrimination) and job resources (supervisors and colleagues support, job autonomy, fairness, career opportunities, membership), and some outcomes (work-related stress, emotional exhaustion, job satisfaction)...
February 16, 2018: La Medicina del Lavoro
Fabiana Delfrate, Paolo Ferrara, Daniela Spotti, Stefano Terzoni, Giulia Lamiani, Eleonora Canciani, Loris Bonetti
INTRODUCTION: Moral Distress (MD) is a common experience among nurses and if it is not recognised and treated, it may lead to serious consequences on nurses' health and quality of care. MD has been studied in several healthcare contexts. However, there are only few studies on MD in psychiatry and in Italy there are no data in this field.  Objective: To assess the presence of MD among mental health nurses in Italy and verify whether there is a relationship between MD and burnout. METHODS: We conducted a multicentre survey among nurses of Mental Health services of four hospitals in Milan...
February 6, 2018: La Medicina del Lavoro
Fabiano Barbiero, Tina Zanin, Federica Edith Pisa, Anica Casetta, Valentina Rosolen, Manuela Giangreco, Corrado Negro, Massimo Bovenzi, Fabio Barbone
BACKGROUND: The coastal area of Friuli Venezia Giulia (FVG) region, north-eastern Italy, was characterized by work activities in which asbestos was used until the early 1990s, particularly in shipbuilding. A public health surveillance program (PHSP) for asbestos-exposed workers was established, although limited evidence exists about the efficacy of such programs in reducing disease occurrence and mortality. OBJECTIVES: To compare mortality in a cohort of 2,488 men occupationally exposed to asbestos, enrolled in a PHSP in FVG between the early 1990s and 2008, with that of the general population of FVG and Italy...
February 6, 2018: La Medicina del Lavoro
Alessandra Toletone, Guglielmo Dini, Emanuela Massa, Nicola Luigi Bragazzi, Patrizia Pignatti, Susanna Voltolini, Paolo Durando
BACKGROUND: Chlorhexidine has been widely used in the occupational field as an effective antiseptic and disinfectant, especially in the health-care services. Several cases of allergic reactions to chlorhexidine have been reported, both in the general population and in workers. OBJECTIVES: To describe a case of occupational chlorhexidine-induced severe anaphylaxis that occurred in the workplace in a health-care worker (HCW) and to update the literature on chlorhexidine as a possible occupational allergen...
February 1, 2018: La Medicina del Lavoro
Fabiola Cretti
INTRODUCTION: In light of both current Italian radioprotection law and the new European Directive, radiation dose monitoring was carried out on the interventional staff, of the new Papa Giovanni XXIII Hospital in Bergamo, Italy, potentially exposed to high radiation levels. METHODS: Interventional activities were mapped and personal dose data were collected for three years using thermo-luminescent dosimeters. Effective dose (ED) to whole body and equivalent dose (HT) to hands and eye lenses were estimated from Hp(10) and Hp(0...
February 1, 2018: La Medicina del Lavoro
Giannina Satta, Michela Ursi, Claudia Pili, Marcello Campagna, Pierluigi Cocco
BACKGROUND: Claims of an excess of congenital malformations in a village nearby the military shooting range of Salto di Quirra (PISQ), Sardinia have attracted media attention. OBJECTIVE: To verify such reports with a retrospective study of the reproductive history of the PISQ personnel. METHODS: In 2011, we interviewed 390 soldiers employed at the PISQ shooting range (86.7% of the total workforce) about their reproductive history, including age at first conception, number of live births and spontaneous abortions, and cases of malformations among their progeny, as well as work history and lifestyle habits...
February 1, 2018: La Medicina del Lavoro
Silvana Salerno
BACKGROUND: In Italy and in Europe occupational diseases (OD) claims are growing among women, and international studies show women's lower compensation rate. OBJECTIVES: Analysis of occupational diseases compensation rate among "Italian" women (country of birth: Italy) and "immigrant" women (country of birth: not Italy) focusing on biomechanical overload of the upper limb, the most common OD in Italy. METHODS: INAIL (Italian National Institute for Insurance against Accidents at Work) statistical data (2010-2013) on ascertained OD in Industry-Services (I-S) were analyzed by gender and country of birth with particular attention to biomechanical overload of the upper limb and to occupational diseases not included in the official OD list...
February 1, 2018: La Medicina del Lavoro
Francesco Sartorio, Stefano Vercelli, Elisabetta Bravini, Anna Zanetta, Serena Bargeri, Fabrizio Pisano, Giorgio Ferriero
BACKGROUND: The diagnosis of carpal tunnel syndrome (STC) is centered on the symptoms. However, patients also show an impairment of sensorimotor functions, but the relationship between STC and manual dexterity has never been investigated. OBJECTIVES: To analyze the correlation between manual dexterity and severity of the STC. Another objective was the diagnostic accuracy of the clinical battery including provocative tests (Phalen, Tinel) and Functional Dexterity Test (FDT)...
February 1, 2018: La Medicina del Lavoro
Paolo Pillastrini, Federico Banchelli, Andrew Guccione, Emanuele Di Ciaccio, Francesco Saverio Violante, Monia Brugnettini, Carla Vanti
OBJECTIVE: To compare the effects of Global Postural Reeducation (GPR) with Manual Therapy (MT) in participants with chronic nonspecific neck pain (NP). METHODS: Pre- and post-treatment analysis of cross-over data from an RCT was done. Seventy-eight subjects with chronic nonspecific NP aged 18 to 80 years completed the trial. The group who had received GPR crossed-over to MT and the previous MT group received GPR for 9 sessions once or twice a week. Measures were assessed at pre-treatment and post-treatment...
February 1, 2018: La Medicina del Lavoro
Giulia Stucchi, Silvia Cairoli, Rossana Crapanzano, Stefano Basilico, Giuseppe Leocata, Natale Battevi
BACKGROUND: Data on the prevalence of work-related musculoskeletal disorders (WMSDs) in groups of unexposed subjects may serve for comparison in studies on risk/damage in groups of exposed subjects and for the planning of preventive interventions. OBJECTIVES: To assess the musculoskeletal health status in a group of working subjects not exposed to biomechanical overload. METHODS: Medical histories were collected by occupational health physicians as part of an active health surveillance program...
February 1, 2018: La Medicina del Lavoro
Maria Elena Remoli, Cristiano Fiorentini, Antonella Marchi, Simona Di Renzi, Nicoletta Vonesch, Maria Vittoria Peri, Lucia Bastianini, Sonia Rossi, Giulia Bartoccini, Maya Lissa Kuttappasery, Maria Grazia Ciufolini, Paola Tomao
BACKGROUND: Arthropod-borne viruses (Arbovirus) play an important role among emerging and re-emerging infectious diseases and in the spreading of infections in new geographic areas. Although some arboviral infections may be asymptomatic or mild flu-like illnesses, many occur as severe forms of meningitis and meningoencephalitis. OBJECTIVES: To assess whether arboviral infections may be associated with occupational risk, in a population of agricultural and forestry workers potentially at high risk for arthropods bite and sting...
January 30, 2018: La Medicina del Lavoro
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