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La Medicina del Lavoro

Dario Consonni, Angela Pesatori
Following the publication of results of NLST (National Lung Screening Trial, USA) and ELCAP (Early Lung Cancer Action Project, USA), lung cancer screening with low-dose computed tomography (LDCT) in high-risk subjects has been recommended in North-America. Conversely, the European Community has been waiting for further evidence. The recently concluded Dutch-Belgian Lung Cancer Screening trial (NELSON) confirmed the efficacy of LDCT screening in reducing lung cancer mortality. Two recent studies in the USA and Italy showed positive results in occupational settings among workers formerly exposed to asbestos...
December 20, 2018: La Medicina del Lavoro
Maurizio Manno, Len Levy, Gunnar Johanson, Pierluigi Cocco
Silica, silicosis and lung cancer: what level of exposure is acceptable?
December 20, 2018: La Medicina del Lavoro
Mariagabriella Pugliese, Antonia Amatiello, Marco Correra, Vincenzo Stoia, Vincenzo Cerciello, Vincenzo Roca, Filomena Loffredo, Francesco Fiore, Giuseppe La Verde
BACKGROUND: Following recent epidemiological studies, which showed tissue reactions from ionizing radiation at significantly lower doses, the 2013/59 EURATOM Directive of 5th December 2013 lowered the limit on the equivalent dose to the eye lens from 150 mSv to 20 mSv per year. Therefore, as a precautionary measure, it is considered appropriate to perform a timely dose monitoring by using specific dosimeters. OBJECTIVES: Analysis of the current state of the eye lens exposures during interventional procedures...
December 20, 2018: La Medicina del Lavoro
Giovanni Di Stefano, Gaetano Venza, Gandolfa Cascio, Maria Gaudiino
BACKGROUND: In available scientific literature, the impact of organizational trust and perceived organizational support on employees' wellbeing has mainly been investigated without focusing on the different targets they can refer to. OBJECTIVES: The aim of the study is to test the direct role of these variables as precursors of well-being, job satisfaction and turnover intentions, by distinguishing two different levels in trust and support: the first one stemming from the employees' own team (in which employees have direct and daily interpersonal relationships, and within which they build their work experience), the second stemming from the organization itself...
December 20, 2018: La Medicina del Lavoro
Sondra Badolamenti, Valentina Biagioli, Francesco Zaghini, Rosario Caruso, Alessandro Sili
BACKGROUND: Emotional demands may be a significant risk factor for wellbeing in healthcare professionals. Nurses have been considered the most exposed to emotional burden known as emotional labour. Scholars define it as the process by which nurses sometimes hide/fake the real emotion or struggle to display the appropriate emotion to meet the emotional work requirements. Emotional labour can result in physical, psychological and behavioural disorders. A specific tool to measure it among nurses is still missing...
December 20, 2018: La Medicina del Lavoro
Inci Arikan, Ömer Faruk Tekin, Oğuzhan Erbas
BACKGROUND: Sick building syndrome (SBS) is defined as a condition occurring in those who live or work in a modern building and who suffer from symptoms such as headache, fatigue, lack of concentration and irritation of the skin and mucous membranes. OBJECTIVES: The aim of this study was to evaluate the relationship between personal characteristics, environmental factors and the prevalence of SBS among the secretaries working in a hospital. METHOD: In this cross-sectional study, questionnaires were administered to all secretaries who were working in Kutahya hospital in January and March 2018...
December 20, 2018: La Medicina del Lavoro
Ottavia Eleonora Ferraro, Davide Guido, Roberto Zambianchi, Simone Lanfranchi, Enrico Oddone, Simona Villani
BACKGROUND: Neurological and neurodegenerative diseases are multifactorial and their causes are not well understood yet. Among the relevant risk factors, pesticides and the productive activities in which they are used are included. OBJECTIVES: To evaluate the association of mortality from neurological diseases within the Province of Pavia (Italy) with the agricultural activities, as a proxy of pesticides exposure. METHODS: Population data for 2012 were provided by the local health unit (ATS) and by the registry office of the Regional Health Service...
December 20, 2018: La Medicina del Lavoro
Muriel Assunta Musti, Natalina Collina, Elisa Stivanello, Roberta Bonfiglioli, Stefano Giordani, Carla Morelli, Paolo Pandolfi
BACKGROUND: Breast cancer survivors often perceive reduced work ability upon returning to work. OBJECTIVES: To identify predictors of perceived reduced work ability following return to work among women treated for breast cancer and to describe workplace interventions and support after returning to work. METHODS: A questionnaire was sent to 18-65 years-old women (no. 1578) treated for breast cancer and residing in the catchment area of the Bologna Local Health Authority between 2010 and 2012...
December 20, 2018: La Medicina del Lavoro
Silvana Salerno
BACKGROUND: Many Italian migrant women left Italy for the United States of America (USA) in the years 1881-1932. In the USA they could only find poor jobs such as home work or unskilled jobs in the developing American manufacturing industries. OBJECTIVES: Analysis of the contribution of Italian migrant women to the improvement of working conditions in the USA. METHODS: Five case-studies have been selected and analyzed by national and international literature...
October 30, 2018: La Medicina del Lavoro
Cesare Garberi, Rossana Ravizza, Riccardo Colombo, Federica Borromeo, Chiara Rossetti, Simone Cisini, Marco Motta, Jutta Maria Birkhoff
Carotid artery dissection secondary to cervical blunt trauma is a rare and potentially life-threatening condition that can cause a variety of clinical presentations, including stroke, headache, neck pain, tinnitus, Horner syndrome and cranial neuropathies and is associated with long-term sequelae. We report a case of a 49-year-old industrial vehicles mechanic who was projected to the ground by the explosion of the tire of a heavy truck he was inflating. In the following hours he presented various neurological signs and symptoms and was admitted to the Emergency Department...
October 30, 2018: La Medicina del Lavoro
Daniela Acquadro Maran, Antonella Varetto
BACKGROUND: The literature analysis has shown the risk of victimization in nursing professions. To date, very few studies have focused on the behavioral differences characterizing the stalking campaign, the consequences (physical and emotive), and the coping strategies adopted by victims (male and female nurses). OBJECTIVES: The aim of this work was to compare the victimization experience of men and women working as nurses in public hospitals. METHODS: 2...
October 30, 2018: La Medicina del Lavoro
Ilaria Sottimano, Sara Viotti, Gloria Guidetti, Vincenza Cascio, Daniela Converso
BACKGROUND: Nursery school teachers are subjected to unavoidable physical demands, such as picking up children, putting them in the cradle, changing diapers etc. The potential detrimental effects on the workers' musculoskeletal system are amplified by the aging of the working population observed in recent years. OBJECTIVES: To describe the psychophysical health of nursery school teachers employed in a North-Western Italy municipality and their age-related problems...
October 30, 2018: La Medicina del Lavoro
Piero Lovreglio, Mauro Barbierato, Filippo Crociata, Enrico Tomao, Laura Diomede, Elisabetta Gallo, Pietro Scaramuzzo, Ignazio Drago, Matteo Paganelli, Pietro Apostoli, Leonardo Soleo
OBJECTIVES: To assess, by means of biological monitoring, exposure to polycyclic aromatic hydrocarbons (PAHs) and to metallic elements in Italian Navy workers operating near the industrial area in Taranto, and thereby estimate the health risk. METHODS: A total of 450 workers in the Italian Navy were examined; they had office type jobs, and 150 of them worked near the industrial area in Taranto (exposed group), 150 in Taranto but far from this area (internal control group) and 150 in Brindisi (external control group)...
October 30, 2018: La Medicina del Lavoro
Veruscka Leso, Luca Fontana, Ivo Iavicoli
BACKGROUND: In recent years, an increase in the worldwide demand for consumer goods and the need for a sustainable type of manufacturing have led to the so-called "fourth industrial revolution" or Industry 4.0. This 4.0 technological revolution, designed to make industrial production more efficient, more flexible and of higher quality, is characterized by greater automation and computerization. This trend will inevitably affect the way work is organized and carried out, and may affect the health and safety of workers...
October 29, 2018: La Medicina del Lavoro
Rosario Caruso, Arianna Magon, Federica Dellafiore, Sara Griffini, Laura Milani, Alessandro Stievano, Carole A Orchard
OBJECTIVE: To develop and validate an Italian version of the Assessment of Interprofessional Team Collaboration Scale II (I-AITCS II). METHODS: A multiphase validation study was conducted. The first phase was the AITCS-II translation from English into Italian to develop the first version of I-AITCS II for practitioners. The second phase was the study of I-AITCS II face and content validity, and the third phase was a cross-sectional data collection to provide evidence of construct validity using the psychometrics testing and the reliability assessment through the internal consistency study...
August 28, 2018: La Medicina del Lavoro
Vincenza Cofini, Alberto Capodacqua, Santina Calisse, Italia Galassi, Lora Cipollone, Stefano Necozione
BACKGROUND: Biological injuries are the most common and serious among health care workers. OBJECTIVES: This study aims to estimate the injuries' incidence, job distribution and temporal trend in a hospital in Southern Italy. METHODS: Data on accidents, collected from January 2010 to December 2016, were analyzed. Poisson distribution was used to calculate incidence rates and respective 95% confidence intervals. Trends were analyzed using the Joinpoint regression model...
August 28, 2018: La Medicina del Lavoro
Omar Laraqui, Salwa Laraqui, Nadia Manar, Tarik Ghailan, Reda Hammouda, Frédéric Deschamps, Chakib El Houssine Laraqui
BACKGROUND: The prevalence of psychoactive substances is constantly increasing in developing countries, and all professional sectors are concerned. Taxi drivers are a particular target because of the dangerousness and complexity of their work. However, few studies have investigated toxic habits in this population. OBJECTIVES: The aim of the study was to determine the prevalence of the use and misuse of addictive substances in taxi drivers and to appreciate poly-consumptions according to socio-demographic and occupational characteristics...
August 28, 2018: La Medicina del Lavoro
Andrea Spinazzè, Andrea Cattaneo, Francesca Borghi, Luca Del Buono, Davide Campagnolo, Sabrina Rovelli, Domenico Maria Cavallo
BACKGROUND: It is recognized that engineering control measures are needed to reduce occupational exposure to engineered nanomaterials (NMs): of these, fume hoods are among the most widespread collective protection equipment used while handling NMs in occupational settings.  It is known that in some circumstances, handling NMs in fume hoods can result in a significant release of NMs. OBJECTIVE: To assess the effectiveness of fume hoods in reducing exposure while handling graphene nanoplatelets and to define the conditions that result in a lower dispersion of particles and thus less operator exposure...
August 28, 2018: La Medicina del Lavoro
Adela Koni, Maria Kufersin, Federico Ronchese, Mauro Travan, Milena Cadenaro, Francesca Larese Filon
BACKGROUND: Work-related musculoskeletal (MS) disorders are very common among dentists due to abnormal positions maintained during their work. There is the need to teach undergraduate students ergonomic procedures to prevent MS pain and disorders. METHODS: All the students of the School of Dentistry at the University of Trieste were enrolled for the study (No. 55). A self-administered questionnaire was used to collect anthropometric information, previous or current diseases, MS pain and disorders and work tasks performed...
August 28, 2018: La Medicina del Lavoro
Silvia De Simone, Gianfranco Cicotto, Laura Borgogni
BACKGROUND: Several empirical studies have investigated Job Burnout and its predictors, underlining the role of situational and organizational factors. The Perceptions of Context construct (PoC) has yet to be studied in healthcare contexts. OBJECTIVES: The aim of the study is to broaden the knowledge of the Job Burnout determinants focusing on the dimensions of the context and to integrate research in this field with a construct that emphasizes the relational dimension, the Interpersonal Strain...
August 28, 2018: La Medicina del Lavoro
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