1,720,963 research outputs found
Work-related post-traumatic stress disorder: report of five case
No full textPost-traumatic stress disorder (PTSD) may arise after events involving a risk to physical integrity or to life, one’s own or that of others. It is characterized by intrusive symptoms, avoidance behaviors, and hyper-excitability. Outside certain categories (e.g., military and police), the syndrome is rarely described in the occupational setting. We report here five unusual cases of work-related PTSD, diagnosed with an interdisciplinary protocol (occupational health visit, psychiatric interview, psychological counselling and testing): (1) a 51 yr-old woman who had undergone three armed robbery attempts while working in a peripheral post office; (2) a 53 yr-old maintenance workman who had suffered serious burns on the job; (3) a 33 yr-old beauty center receptionist after sexual harassment and stalking by her male employer; (4) a 57 yr-old male psychiatrist assaulted by a psychotic outpatient; (5) a 40 yr-old woman, sales manager in a shoe store, after physical aggression by a thief. All patients required psychiatric help and pharmacological treatment, with difficulty of varying degrees in resuming work. We conclude that PTSD can develop even in professional categories generally considered to be at low risk. In such cases, a correct interdisciplinary diagnostic approach is fundamental for addressing therapy and for medico-legal actions
Work resumption after invasive heart procedures, rehabilitation and ergonomic evaluation: from the hospital to the workplace
Full text linkOur Institute adopts a multidisciplinary protocol named “CardioWork” for work resumption after invasive cardiac procedures and subsequent rehabilitation: after evaluation of the cardiac functional profile, the occupational physician analyses the work activity prior to the cardiopathological event, identifies the presumed task energy requirement (from specific, published tables), and compares it with the exercise test results. Indications regarding timing and modality of returning to work are formulated accordingly. To verify the reliability of the indications thus provided, we carried out a clinical-functional follow-up study in the workplace, with Holter ECG and Armband measurement of actual energy expenditure. Over the course of two years, we enrolled 36 patients (mostly males, aged between 30 and 70 years), hospitalized after coronary revascularization, valve replacement or cardiac defibrillator implant. After rehabilitation, instrumental diagnostics (Holter ECG, echocardiography, exercise test) showed discrete functional conditions, with better values with regard to cardiac function than exercise capacity and effort tolerance. All subjects were judged fit for the job, in most cases with limitations concerning ergonomic factors, working timetable and/or stress. They returned to work quickly, with good adherence to the indications provided. Workplace Holter ECG did not show appreciable differences compared to the hospital evaluation. In one case, the average energy expenditure measured while working was higher than that inferred from the tables; in the remaining subjects, the actual expenditure coincided with what was expected or was lower. In a minority of cases (39%), the measured average expenditure slightly exceeded the optimal value (35% of the maximal value at the exercise test) recommended at the time of hospital discharge. At the end of the workplace evaluation, it was not necessary to formulate new indications. The study provides further evidence of the effectiveness of the CardioWork protocol in promoting return to work after invasive heart procedures. Though they need continuous updating, the published estimates of presumed task energy requirement remain reliable. In particularly complex cases, it is however advisable to carry out a field check of the ergometric assessments performed at the end of rehabilitation
Job preservation by an office worker with idiopathic cervical dystonia: case report
No full textBackground: Work preservation is a main goal in the rehabilitation of chronic disabling diseases. We describe the application of an interdisciplinary protocol, involving the occupational therapist and the ergonomist, in the case of a 50 year-old office worker with idiopathic cervical dystonia, a movement disorder that can seriously impair work capability. Case report: The disease was diagnosed at age 25, and subsequently worsened. The man presented postural difficulties and pain. The symptomatology worsened during working shifts, preventing him from doing his job properly. Functional evaluation and ergonomic inspection of the office environment led to the correction of evident critical inadequacies. This allowed the patient to continue working in correct conditions, resulting in improvement of his global health status. Conclusions: The interdisciplinary rehabilitative approach here described may allow subjects with idiopathic cervical dystonia to keep their jobs by adapting the workplace to the changed physical capabilities
Le malattie professionali nella pratica clinica: contributo casistico
No full textIntroduzione La patologia professionale che giunge all’osservazione clinica varia nel corso degli anni, come conseguenza delle mutazioni dei cicli tecnologici e delle mansioni. Conoscere tali cambiamenti permette di perfezionare gli interventi preventivi e i percorsi diagnostici. Metodi Analisi dei casi di malattie professionali segnalate dall’ICS Maugeri alle Autorità Competenti nel periodo 1 gennaio 2011 - 31 gennaio 2019, e confronto con analoghi studi precedenti (1982-2010). Risultati Nel periodo considerato, sono stati segnalati 285 casi su 261 pazienti: 178 maschi e 83 femmine; età: 19-88 anni (media: 53). Rimangono frequenti, seppur in riduzione rispetto al passato, le patologie dell’apparato respiratorio (101 casi), di cui 72 correlate all’amianto (54 casi di placche pleuriche, 13 di mesotelioma e 5 di asbestosi) e le restanti suddivise tra pneumoconiosi (n=7), asma bronchiale (n=9), BPCO (n=2) e altre interstiziopatie (n=2). In aumento le patologie da sovraccarico biomeccanico del rachide (n=22), dell’arto superiore (n=65) e dell’arto inferiore (n=2). Stabili i casi di ipoacusia da rumore (n=17). Pressoché raddoppiati rispetto al quinquennio precedente i disturbi psichiatrici lavoro-correlati (da 17 casi a 47). Segnalati 4 casi di saturnismo. Conclusione Si conferma la progressiva riduzione del numero di malattie professionali diagnosticate in ambito ospedaliero [1-3]. Tuttavia, rispetto agli anni precedenti risultano in aumento i casi asbesto-correlati, tutti dovuti a esposizioni antecedenti la Legge 257/1992. Risulta preoccupante l’aumento, rispetto agli anni precedenti, dei casi di disturbi di disadattamento, ansia e disturbo da stress post-traumatico, in parte dovuti a mobbing sul posto di lavoro. Su 47 casi, 31 sono soggetti di sesso femminile. Pure in aumento le patologie da sovraccarico biomeccanico dell’apparato locomotore, sia per una maggiore sensibilità ed efficacia diagnostica, sia per un aggiornamento delle tabelle dal Decreto Ministeriale del 10 Giugno 2014, che pone maggiore attenzione alle patologie muscolo-scheletriche da agenti fisici. Tali patologie, pur non rappresentando un pericolo per la vita del lavoratore, influenzano negativamente sia la performance lavorativa, sia la qualità della vita. In termini di efficacia degli interventi di prevenzione, risulta rilevante la progressiva riduzione dei casi di ipoacusia, ma soprattutto dei casi di allergopatie respiratorie (9 casi di asma, 9 di oculorinite) e cutanee (10 DAC). Tale riduzione riflette il miglioramento degli interventi di prevenzione primaria e di educazione sanitaria dei lavoratori (ad esempio riguardo il corretto utilizzo dei DPI)
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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