1,721,005 research outputs found
Work ability in workers with heart disease: assessing physical and psycho-social risks
No full textCardiovascular diseases are the main cause of death and disability in all industrialized countries, including Italy. Advances in acute phase treatment and increasingly effective rehabilitation programs have determined higher survival rates and a subsequent rise in disease prevalence in working age population. Hence the need for implementing social reintegration programs, including interventions aimed specifically at aiding the process of returning to work, in which the occupational physician plays a crucial role by means of assessing the compatibility between the workers residual clinical and functional capabilities and the characteristics of their job profile. On the basis of recent literature data, particular attention must be paid to occupational risks towards which cardiopathic patients are particularly susceptible, i.e. environmental risks (physical effort), organizational and psycho-social risks (workload and time pressure, shifts, job demand and control). A close collaboration between the occupation physician and the cardiologist to ensure an effective return to work process is highly recommended, as well as periodic re-evaluations of job placement adequacy that can also include clinical examinations, performed during working hours, of the degree of cardiovascular adaptation to working conditions
Il contributo della medicina del lavoro nella prevenzione cardiovascolare e nel reinserimento lavorativo del cardiopatico
No full textJob strain and heart rate variability. New evidence and new perspectives [Job strain e heart rate variability. Nuove evidenze e nuove prospettive]
No full textWork stress has been associated with an increased risk for cardiovascular disease. Two major pathways capable to explain the link between job stress and the cardiovascular diseases have been extensively studied: the hypothalamic-pituitary-adrenal axis and the autonomic nervous system (ANS). The analysis of heart rate variability (HRV) has been proposed to assess the regulation of the ANS. Several studies established that HRV reduction is a strong and independent predictor of mortality in patients with various cardiovascular diseases. However the assessment of HRV can also be used as a non-invasive tool to predict cardiovascular events in healthy subjects. The aim of this paper is to review and report the results of main studies assessing the association between JS and HRV. Up to now a limited number of studies assessing the relationship between working conditions and HRV has been published. In the majority of them, higher levels of JS has been found associated with lower values of HRV. The literature suggests that HRV analysis can be a valid indicator of JS effects on the cardiovascular system. For the future studies are necessary longitudinal cohorts studies appropriately selected, to obtain information about the cardiovascular effects of prolonged JS
Esperienza nel controllo dei soggetti a rischio di alcol-dipendenza in una azienda di pubblico soccorso
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Idoneità alla mansione specifica di lavoratori cardiopatici: quando la definizione del profilo clinico-funzionale prevale sulla diagnosi. Presentazione di due casi clinici.
No full textPrevalenza di disturbi della colonna in operatori sanitari in un ospedale del nord Italia
No full textDiagnosi differenziale nelle interstiziopatie polmonari. Sarcoidosi versus berilliosi: presentazione di caso clinico.
No full textValutazione del disagio psico-sociale ed organizzativo in aziende pubbliche. L'esperienza dello Studio SEMM.
No full textExplaining the occupational class differences in CHD incidence: the contribution of major risk factors and job strain.
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