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La Medicina del Lavoro

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https://www.readbyqxmd.com/read/29701630/assessing-and-managing-the-shift-work-disorder-in-healthcare-workers
#1
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
https://www.readbyqxmd.com/read/29701627/effectiveness-of-health-and-safety-at-work-services-psal-in-reducing-occupational-injuries-in-lombardy-region
#2
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
https://www.readbyqxmd.com/read/29701629/the-evaluation-of-organizational-well-being-in-the-public-sector-an-integration-of-the-anac-questionnaire
#3
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
https://www.readbyqxmd.com/read/29701626/moral-distress-md-and-burnout-in-mental-health-nurses-a-multicenter-survey
#4
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
https://www.readbyqxmd.com/read/29701625/mortality-in-a-cohort-of-asbestos-exposed-workers-undergoing-health-surveillance
#5
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
https://www.readbyqxmd.com/read/29411737/chlorhexidine-induced-anaphylaxis-occurring-in-the-workplace-in-a-health-care-worker-case-report-and-review-of-the-literature
#6
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
https://www.readbyqxmd.com/read/29405178/assessment-of-occupational-radiation-dose-in-interventional-settings
#7
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
https://www.readbyqxmd.com/read/29405177/study-of-congenital-malformations-among-the-progeny-of-the-personnel-of-an-interforce-military-shooting-range-in-sardinia-italy
#8
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
https://www.readbyqxmd.com/read/29405176/gender-and-country-of-birth-inequalities-in-occupational-diseases-compensation-rate-in-italy-inail-data-base-analysis-2010-2013
#9
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
https://www.readbyqxmd.com/read/29405175/assessment-of-dexterity-and-diagnostic-accuracy-of-the-functional-dexterity-test-in-patients-with-carpal-tunnel-syndrome
#10
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
https://www.readbyqxmd.com/read/29405174/global-postural-reeducation-in-patients-with-chronic-nonspecific-neck-pain-cross-over-analysis-of-a-randomized-controlled-trial
#11
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
https://www.readbyqxmd.com/read/29405173/prevalence-of-musculoskeletal-disorders-in-subjects-not-exposed-to-biomechanical-overload
#12
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
https://www.readbyqxmd.com/read/29701628/seroprevalence-survey-of-arboviruses-in-workers-from-tuscany-italy
#13
Maria Elena Remoli, Cristiano Fiorentini, Antonella Marchi, Simona Di Renzi, Nicoletta Vonesch, Maria Vittoria Peri, Lucia Bastianini, Silvia 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
https://www.readbyqxmd.com/read/29240046/what-is-the-origin-of-the-italian-term-medico-competente
#14
Michele Augusto Riva, Francesco Carnevale
BACKGROUND: The meaning of the term "medico competente" - usually adopted in Italy to indicate the occupational physician - is little known. OBJECTIVES: To describe the origins of the word "medico competente" in Italy. METHODS: We conducted a comprehensive analysis of the Italian legislation from the end of the nineteenth century to the present day. RESULTS: In the United Kingdom, occupational physicians were originally named as "certifying surgeon" (1833) and "appointed surgeon" (1860)...
December 14, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29240045/pier-diego-siccardi-1880-1917-and-the-clinica-del-lavoro-in-the-trench-warfare
#15
Michele Augusto Riva, Michela Caramella, Massimo Turato, Giancarlo Cesana
BACKGROUND: The year 2017 marks the centenary of the death of the Italian scientist Pier Diego Siccardi (1880-1917), one of Luigi Devoto's assistants at the "Clinica del Lavoro" in Milan. OBJECTIVES: To commemorate Siccardi and to describe the activities of the physicians of the "Clinica del Lavoro" during World War I. METHODS: A comprehensive analysis was conducted on scientific papers written by Pier Diego Siccardi and by other physicians belonging to the Clinica del Lavoro, in the period 1915-1918...
December 14, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29240044/sinonasal-cancer-in-a-worker-exposed-to-chromium-in-an-unusual-industrial-sector
#16
Vera Comiati, Maria Luisa Scapellato, Enrico Alexandre, Tiziana Volo, Daniele Borsetto, Mariella Carrieri, Enzo Emanuelli, Diego Cazzador
BACKGROUND: Occupational exposure to chromium is carcinogenic for human respiratory system. Due to the low incidence of sinonasal malignancies, there is still a paucity of evidence to confirm that chromium(VI) exposure is a cause of nasal cancer. OBJECTIVES: To report on a sinonasal cancer (SNC) of rare occupational origin, increasing the awareness on epidemiological knowledge of occupational exposures to chromium compounds. METHODS: We describe a case of a 64-year-old chrome plater who worked in the galvanic industry in the early 1970s...
December 14, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29240043/nurses-work-functioning-questionnaire-nwfq-refinement-and-validation-of-the-italian-version
#17
Nicola Magnavita, Carlo Chiorri
BACKGROUND: The availability of an assessment measure for work impairment in nurses, or nursing students, is of crucial importance for early detection of workers/students at risk. Recently, a new measure, the Nurses Work Functioning Questionnaire (NWFQ), has become available, but there is no validated Italian version. OBJECTIVES: The aim of this study was to develop and validate an Italian version of the NWFQ. METHODS: We evaluated the factor structure, the internal consistency, and the convergent and discriminant construct validity with respect to organizational justice and job strain of the Italian NWFQ using data from 645 nursing students...
December 14, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29240042/range-of-motion-limitations-of-the-upper-body-in-obese-female-workers
#18
Nicola Cau, Veronica Cimolin, Luisa Brugliera, Giuseppe Ventura, Manuela Galli, Paolo Capodaglio
BACKGROUND: The prevalence of obesity is increasing worldwide, and the economic consequences of an increased percentage of obese workers are relevant in terms of health costs and absences from work. Obesity is associated with reduced participation in the workforce, increased absence from work, disability and health costs, lower salaries and reduced productivity. OBJECTIVES: We aimed at quantifying the limitations in range of motion (ROM) of the upper limb and the trunk of obese workers during basic occupational tasks...
December 14, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29240041/reduction-of-excavation-face-collapse-risk-in-tunnelling
#19
Filippo Ariani, Alberto Baldasseroni, Alessandro Muller, Marco Biffino, Alessandro Matteucci
Two large road tunnels, recently developed near Florence, showed instabilities of the excavation face which subsequently caused sixteen collapses. Due to the risk for workers' safety, the public authority for occupational health and safety (ASL) has monitored the failure rate and other background variables in order to assess the possible correlations between risk reductions, its own actions, and those of the various safety actors involved. OBJECTIVES: To evaluate if the interventions carried out by the design team were able to reduce the risks of collapse and which of the ASL actions and/or which other factors were more effective in changing the attitudes of the parties involved, leading to a more expensive but safer project variant...
December 14, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29240040/effects-of-the-work-limitations-on-the-career-path-of-a-cohort-of-health-workers
#20
Donatella Talini, Gianpaolo Romeo, Alberto Baldasseroni, Aldo Mignani, Alfonso Cristaudo
BACKGROUND: The median age of the workforce, and of healthcare workers in particular, is increasing, resulting in a reduced work capacity. This may prompt the occupational physician to issue fitness for work limitations. OBJECTIVES: To examine the health surveillance data collected over 20 years on the employees of a large healthcare institution to identify the effects of the limitations imposed on their career paths. METHODS: The database of health surveillance records gathered over the years was analysed using the same dedicated software...
December 14, 2017: La Medicina del Lavoro
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