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La Medicina del Lavoro

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
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
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
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
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
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
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
Massimo Bovenzi, Marianne Schust, Marcella Mauro
This paper offers an overview of the relation of low back pain (LBP) to occupational exposures to whole-body vibration (WBV) and mechanical shocks. LBP is a condition of multifactorial origin and is a very common health problem in the general population. Among occupational risk factors, epidemiological studies of driving occupations have provided evidence for strong associations between LBP and occupational exposures to WBV and mechanical shocks. Since it is hard to separate the contribution of WBV exposure to disorders in the lower back from that of other individual, ergonomic or psychosocial risk factors, a quantitative exposure-response relationship for WBV cannot be outlined precisely...
December 14, 2017: La Medicina del Lavoro
Giuliana Buresti, Fabrizio Colonna, Marisa Corfiati, Antonio Valenti, Benedetta Persechino, Alessandro Marinaccio, Bruna Maria Rondinone, Sergio Iavicoli
BACKGROUND: Despite their considerable interest for public health policies and for occupational disease management and assessment, the economic costs of asbestos-related diseases (ARDs) for society have not been fully estimated or even frequently discussed. OBJECTIVES: The aim of this study was to estimate the economic burden of mesothelioma in Italy by assessing the overall societal cost of the disease, applying an econometric model. METHODS: We analyzed two main cost groups, public and social...
October 27, 2017: La Medicina del Lavoro
Marco Lembo, Antonio Santoro, Martina Andellini, Giulia Losito, Nicole Olivini, Mario Graziano Tucci, Michele Del Gaudio
BACKGROUND: Environmental measurements were performed in an operating theatre within a pediatric cardiac department, during a surgical operation involving the use of carbon dioxide for the implantation of a ventricular system (VAD). OBJECTIVES: After some reports from the staff, who were complaining about low temperatures in the operating room, it was decided to check carbon dioxide levels, the conditions of thermal comfort and the presence of draughts. METHODS: Microclimatic parameters and carbon dioxide concentration were performed with a microclimatic unit Delta OHM model HD 32...
October 27, 2017: La Medicina del Lavoro
Nicola Magnavita, Ilaria Capitanelli, Sergio Garbarino, Daniele Ignazio La Milia, Umberto Moscato, Enrico Pira, Andrea Poscia, Walter Ricciardi
BACKGROUND: Italy is the European country with the highest number of citizens over the age of sixty. In recent years, the unsustainability of the social security system has forced the Italian government to raise the retirement age and reduce the chances of early exit, thus sharply increasing the age of the workforce. Consequently, a significant proportion of older workers are currently obliged to do jobs that were designed for young people. Systematic health promotion intervention for older workers is therefore essential...
October 27, 2017: La Medicina del Lavoro
Fabio Malesani, Giovanni Guglielmi
BACKGROUND: The assessment of fitness for work regarding employees exposed to ionizing radiations and with an increased susceptibility to malignancies requires a particularly complex procedure. OBJECTIVES: To determine, where possible, parameters for the assessment of fitness for work of employees exposed to ionizing radiations, who have increased susceptibility to malignancies. METHODS: To set out suitable criteria for the assessment of fitness for work...
October 27, 2017: La Medicina del Lavoro
Dimitri Sossai, Francesco Stefano Molina, Mario Amore, Giovanna Ferrandes, Elena Sarcletti, Gabriella Biffa, Simone Accorsi, Martino Belvederi Murri, Marzia Jole Tomellini, Francesco Copello
INTRODUCTION: An increase in the rate of non-fatal violence events, from 20.65/10,000 in 2012 to 22.81/10,000 in 2014, was observed at the IRCCS Ospedale Policlinico San Martino in Genoa. OBJECTIVES: To analyze the incidence and outcome of the phenomenon of violence, by identifying the type of aggressive event and the ward in which it occurred, assuming that the occurrence is evenly distributed and not only limited to the psychiatric or to the emergency department...
October 27, 2017: La Medicina del Lavoro
Lucia Mangone, Enza Di Felice, Cinzia Storchi, Antonio Romanelli, Serena Broccoli, Massimo Vicentini, Paolo Giorgi Rossi
BACKGROUND: In Italy, Mesothelioma Registries (MRs) have been established by law for the epidemiological surveillance of occupational cancers. MRs collect information about asbestos exposure of incident cases, through interviews. In the Emilia-Romagna region, MR was implemented in 1996 and extended its network of health professionals who report suspected mesothelioma in 2001 and 2007. OBJECTIVES: This study evaluated the impact of the extension of the network on MR sensitivity and timeliness...
October 27, 2017: La Medicina del Lavoro
Anna Gasperazzo, Paolo Toffanin, Francesca Larese Filon
BACKGROUND: Green coffee workers can develop allergic symptoms due to green coffee beans (GCB) or to castor bean (CB) that can contaminate sacks used for the transportation. Data are limited in literature and a previous study performed in Trieste demonstrated allergic symptoms in 14.3% of dockworkers handling GCB. OBJECTIVES: To evaluate symptoms and exposure to GCB ultrafine particles in Trieste dockworkers. METHODS: Workers involved in GCB sacks transportation, storage and opening were asked to fill out a questionnaire on allergic respiratory symptoms...
October 27, 2017: La Medicina del Lavoro
Jun Tu, Ke-Jian Liu, Dan Kuang, Liang Wang
BACKGROUND: Fluoride bone injury affects millions of people exposed to fluoride worldwide, and has no treatment - prevention is the only solution. OBJECTIVES: A risk prediction model was developed to identify workers at high risk for fluoride bone injury in aluminum production. METHODS: We collected data from the Molecular Epidemiology Study of Fluoride Bone Injury. 120 fluoride bone injury cases and 120 controls were involved in the study...
October 27, 2017: La Medicina del Lavoro
Giannina Satta, Michela Ursi, Elisabetta Garofalo, Elisabetta Masala, Claudia Pili, Ileana D'Andrea, Annarita Tocco, Giuseppe Avataneo, Maria Valeria Flore, Marcello Campagna, Pierluigi Cocco
BACKGROUND: As several media reports suggested an increase in cancer mortality in the surrounding area, we investigated the mortality experience of the military personnel of the Interforce shooting range of Salto di Quirra (PISQ) in Sardinia, Italy. METHODS: Based on the PISQ registers, we reconstructed the cohort of 6,828 military personnel who had been employed at PISQ for at least six months on January 1, 1990 or entered subsequently up to June 30, 2005. We searched for life status or date, place, and cause of death of each cohort member up to December 31, 2010...
October 27, 2017: La Medicina del Lavoro
Dario Consonni, Pier Alberto Bertazzi
BACKGROUND: The P-value is widely used as a summary statistics of scientific results. Unfortunately, there is a widespread tendency to dichotomize its value in "P<0.05" (defined as "statistically significant") and "P>0.05" ("statistically not significant"), with the former implying a "positive" result and the latter a "negative" one. OBJECTIVE: To show the unsuitability of such an approach when evaluating the effects of environmental and occupational risk factors...
October 27, 2017: La Medicina del Lavoro
Danielle Wajngarten, Juliana Álvares Duarte Bonini Campos, Patrícia Petromilli Nordi Sasso Garcia
Work-related musculoskeletal disorders (WRMDs) interfere with workers' productivity and quality of life. Thus, early detection of disabilities caused by WRMDs is vital for preventing the aggravation of symptoms. Early detection aids and is aided by educational and preventive programs. WRMDs can be detected using the Disabilities of the Arm, Shoulder and Hand (DASH) Scale. OBJECTIVES: The present study aimed to review the literature on the application of the DASH Scale through a consideration of the cultural adaptation process and an evaluation of the scale's psychometric properties...
August 28, 2017: La Medicina del Lavoro
Michele De Benedetto, Sergio Garbarino, Antonio Sanna
Obstructive sleep apnea (OSA) syndrome is an underdiagnosed widespread chronic disease involving both sexes and all ages. Undiagnosed and untreated OSA is associated with workplace productivity losses and significant direct and indirect medical costs. A cost analysis of OSA was carried out in Italy ten years ago. Overall OSA medical costs, largely due to treatment of comorbidity, amounted to € 2,9 billion or 55% of total medical costs. Direct medical costs, due to diagnosis and treatment of OSA, were 6% of overall OSA costs, while medical costs due to the absence of diagnosis and of prevention of comorbidities represented 49% of the overall cost...
August 28, 2017: La Medicina del Lavoro
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