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La Medicina del Lavoro

Michael Belingheri, Rita Facchetti, Francesco Scordo, Francesco Butturini, Massimo Turato, Giovanni De Vito, Giancarlo Cesana, Michele Augusto Riva
BACKGROUND: Risk behaviors are frequent among young adults and they are particularly relevant when considering healthcare students. OBJECTIVES: The study is aimed to examine the prevalence of smoking, binge drinking, physical inactivity, and excessive bodyweight in a population of healthcare students attending an Italian university. METHODS: Healthcare students filled an anonymous multiple-choice questionnaire on the occasion of the occupational health visit that preceded their hospital internship...
April 19, 2019: La Medicina del Lavoro
Laura Dal Corso, Francesca Carluccio, Malì Scarcella, Giovanni Battista Bartolucci, Rosana Bizzotto, Liviano Vianello, Doriano Magosso, Nicola Alberto De Carlo
BACKGROUND: The present work is part of a greater research project, aimed to examine Safety Representatives' (SRs) role, twenty years after the appointment of this figure. OBJECTIVES: The study aims to investigate the role of some personal and organizational dimensions in the promotion of SRs' well-being, in terms of reducing burnout and improving performance. METHODS: The study involved 455 SRs operating in North East Italy. They completed a self-report questionnaire, regarding conflicts with co-workers, ethical conflict, training satisfaction, work engagement, performance, and burnout...
April 19, 2019: La Medicina del Lavoro
Mattia Marte, Ernesto Cappellano, Cristina Sestili, Alice Mannocci, Giuseppe La Torre
INTRODUCTION: Aggressions to healthcare personnel are a growing and underestimated phenomenon. The damage to the individual and to the community is real, since the assaults increase work stress and can also lead to sickness absence. Moreover, the consequences on the quality of care and economic repercussions need to be taken into account. OBJECTIVE: To estimate the prevalence of violence towards medical personnel of the College of Physicians and Surgeons of Rome and to evaluate its association with socio-demographic variables...
April 19, 2019: La Medicina del Lavoro
Maria Russo, Claudio Lucifora, Francesco Pucciarelli, Bruno Piccoli
BACKGROUND: Workplace hazards are a significant source of health impairment for workers and of financial losses for firms. EU directives on workers' health and safety standards significantly contributed to reduce reported occupational injuries, yet the incidence and prevalence of work-related mental illness is still very high. OBJECTIVES: We investigated the association between work-related hazards and individuals' perceived mental health. We reviewed the existing evidence on the channels through which task-related factors, adverse agents and psychosocial factors are expected to affect workers' health, with specific regard to mental health...
April 19, 2019: La Medicina del Lavoro
Guglielmo Dini, Nicola Luigi Bragazzi, Alfredo Montecucco, Alessandra Toletone, Nicoletta Debarbieri, Paolo Durando
BACKGROUND: New occupational hazards and risks are emerging in our progressively globalized society, in which ageing, migration, wild urbanization and rapid economic growth have led to unprecedented biological, chemical and physical exposures, linked to  novel technologies, products and duty cycles. A focus shift from worker health to worker/citizen and community health is crucial. One of the major revolutions of the last decades is the computerization and digitization of the work process, the so-called "work 4...
April 19, 2019: La Medicina del Lavoro
Sara Negri, Enrico Oddone, Francesco Morandi, Cristina Sottani, Francesco Gardinali, Annalisa Lillo, Ornella Pastoris, Valerio Dacrema, Anna Losurdo, Elena Grignani, Danilo Cottica, Marcello Imbriani
BACKGROUND: Current Italian regulations and procedures for surface decontamination of antineoplastic drugs (ADs) are not clear. Therefore, most hospital pharmacies follow internal procedures as an interpretation of the recommended handling guidelines. OBJECTIVES: Our study compared 7 different cleaning procedures after controlled contamination of the work surface of a biological safety cabinet workbench in an Italian hospital oncology pharmacy (HOP) to determine which of them is more efficient and practical...
April 19, 2019: La Medicina del Lavoro
Massimo Corradi, Giuseppina Folesani, Benedetta Robuschi, Luisella Selis, Maria Grazia Riccelli, Maria Grazia Riccelli, Roberta Andreoli, Roberta Pisi, Alfredo Chetta, Antonio Mutti
OBJECTIVES: To compare the reliability of spirometry and body plethysmography in detecting restrictive lung disease in clay excavation workers exposed to free crystalline silica (FCS). The exhaled breath condensate (EBC) biomarkers of oxidative stress were also assessed in order to evaluate early lung damage. METHODS: The study involved 62 workers (58 males and 4 females) at a company that extracts and processes clay. RESULTS: Body plethysmography (total lung capacity below the lower normal limit) and spirometry respectively indicated restrictive pattern prevalence rates of 22...
April 19, 2019: La Medicina del Lavoro
Alessandro Porro, Bruno Falconi, Lorenzo Lorusso, Paolo Maria Galimberti, Michele Augusto Riva, Antonia Francesca Franchini, Carlo Cristini
BACKGROUND: In the 1950s, occupational medicine and occupational psychology found a common field of action in the Clinica del Lavoro in Milan. OBJECTIVES This study aims to analyze and document how this encounter took place and, in particular, the contribution of the Clinica del Lavoro to the development of occupational psychology in Italy. METHODS: Historical sources of that period were investigated. RESULTS: Before the 1950s, experimental psychology was only taught at the Catholic University of the Sacred Heart in Milan...
February 22, 2019: La Medicina del Lavoro
Najla Mechergui, Imen Youssef, Nejla Ben Charrada, Nadia Ben Ali, Mohamed Fredj, Nizar Ladhari
INTRODUCTION: Organic solvents (OS) are substances with well-known nervous system tropism. Long-term exposure can cause several neurological and neuropsychic manifestations (mainly toxic encephalopathy). A potential causal relation between epileptic seizures and exposure to OS remains controversial. METHODS: We report seven cases of patients with no neurological history who had been professionally exposed to OS and who had at least one epileptic seizure after exposure...
February 22, 2019: La Medicina del Lavoro
Elisabetta Chellini, Giuseppe Lippi, Gianluca Festa, Sandra Fani, Fabio Capacci, Andrea Martini, Francesca Battisti
BACKGROUND: In 2016 the Administration of the Tuscany Region, Italy, established a health surveillance programme for workers with past asbestos exposure. The programme includes two levels of activities, a local basic health evaluation, and a centralized in-depth evaluation of specific cases. OBJECTIVES: To estimate the number and identify the workers with past exposure to asbestos in Tuscan industrial settings entitled to participate in the health surveillance programme...
February 22, 2019: La Medicina del Lavoro
Maria Del Mar Seguí-Crespo, Natalia Cantó Sancho, Elena Ronda, Renzo Colombo, Stefano Porru, Angela Carta
BACKGROUND: The original Spanish version of the Computer Vision Syndrome Questionnaire (CVS-Q©) is a validated instrument with good psychometric properties to measure the Computer Visual Syndrome (CVS) in workers exposed to video display terminals (VDT). The Italian version would facilitate research and its use in clinical practice the prevention of occupational hazards. OBJECTIVE: To culturally translate and adapt the CVS-Q© into Italian. METHODS: Study with 5 consecutive stages: Direct translation, Synthesis of translations, Retro-translation, Consolidation by a committee of experts and Pre-test...
February 22, 2019: La Medicina del Lavoro
Francesca Larese Filon, Erica Paniz, Andrea Prodi
BACKGROUND: Although women make up half of the population of medical students and residents, they are still under-represented in prominent leadership positions in academia. The disparity is greatest at the highest levels and represents a loss of talent for academic health centers, showing that women must choose between career advancement and personal life. OBJECTIVES: The aim of this study was to analyze gender distribution in Italian medical academia in all hierarchical roles (researchers in tenure track positions, associate and full professors) in different disciplinary scientific fields (SSD) in 2015 compared to 2005...
February 22, 2019: La Medicina del Lavoro
Gabriele D'Ettorre, Vincenza Pellicani, Annamaria Vullo
BACKGROUND: Work-related stress (WRS) in the healthcare sector is a major issue for both workers and organizations. To date, no consensus exists regarding differences in gender susceptibility to WRS in healthcare workers (HCWs). OBJECTIVES: The purpose of this study was to analyze how male and female HCWs employed in emergency departments experienced WRS. METHODS: A cross-sectional study was conducted regarding the perception of WRS in registered nurses employed in emergency departments...
February 22, 2019: La Medicina del Lavoro
Gabriele Giorgi, Antonio Ariza Montes, Venerando Rapisarda, Marcello Campagna, Giacomo Garzaro, Giulio Arcangeli, Nicola Mucci
INTRODUCTION: In the European Union, the employment rate for the population in the age group 55-64 years has greatly increased in the last two decades. Companies, especially in sectors such as banking, are looking for new strategies to improve the productivity of workers in this age group. OBJECTIVES: This study was conceived with the purpose of exploring the associations between job characteristics that could influence stress and certain organizational aspects in a large population of banking workers...
February 22, 2019: La Medicina del Lavoro
Matteo Bonzini, Paolo Grillo, Dario Consonni, Raquel Cacace, Carla Ancona, Francesco Forastiere, Pier Luigi Cocco, Giannina Satta, Liana Boldori, Michele Carugno, Cecilia Angela Pesatori
BACKGROUND: Oil refinery workers are exposed to several well-established carcinogens and working in this type of industry has been classified by IARC as probable carcinogen to humans (Group 2A). OBJECTIVES: To examine the mortality experience of workers employed in four Italian oil refineries. METHODS: The cohort included 5112 male workers ever employed between 1949 and 2011. The average follow-up period was 49 years. Standardized mortality ratios (SMR) and 95% Confidence Intervals (CI) were calculated using as reference age-gender-calendar specific regional rates...
February 22, 2019: 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
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