189 research outputs found

    Dermatite allergica professionale: il ruolo del medico competente nella prevenzione

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    Occupational contact dermatitis are the second occupational diseases in industrialized countries and the preventive action and/or early diagnosis done by occupational physician (OP) is of paramount importance. OP in the process of risk evaluation must suggest products, detergents and personal protective equipment with low irritant or sensitization potential. During work, the use of skin creams has to be promoted to prevent irritation that is the first step towards impairment of the skin barrier and sensitization. During periodical medical surveillance OP can control skin conditions of workers looking for signs of irritant and contact dermatitis, can give advice about preventive measures and information about products used to permit an early and correct diagnosis. At the retour to work workers with a diagnosis of occupational dermatitis must avoid direct contact with irritant and sensitizing products

    Benessere lavorativo e salute: indagine con work ability index (WAI) su un campione di infermieri in una struttura ospedaliera del Nord-Est.

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    Background: Job satisfaction and work ability are important in the nursing profession to ensure good working conditions and to reduce work-related diseases and illness. Psychosocial factors such as social support and decision latitude (autonomy) could have a role in cardiovascular diseases, low back pain, injuries and sick leave. Aim: To evaluate work ability, job satisfaction, psychosocial factors and diseases in 10 departments of the Monfalcone Hospital. Material and methods: The Work Ability Index (WAI) questionnaire and Karasek Job Content Questionnaire with other questions related to working conditions and diseases were administered to 160 nurses working in 10 departments. The response rate was 90%. SPSS Statistic packaging was used for statistical analysis. Results: The study population had a mean age of 41.1±7 years and the majority were female (81.25%).WAI gave a rating of over 37 points (good and excellent) for 86.4%, with an average of 39.9±5.9 in women and 40.6±6.4 in men. The WAI differences between the departments were significant with Medicine and Surgery showing lower values (p=0.012). WAI was significantly lower in subjects with sick leave higher than 10 days per year (p=0.000) and in subjects with cardiovascular diseases (p=0.031). Conclusion: Our study showed very good working conditions for nurses. A follow-up of the analyzed population over time will add further information on this aspect

    Nano-scaled particles and fibres occupational exposure assessment: An integrated approach from air sampling to skin and surface contamination

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    Workers may be exposed to nanoparticles (NPs) by inhalation, cutaneous contact and gastroenteric pathways, but today there is no standardized method for either assessing or monitoring the occupational exposure. Moreover, there is no all-in-one assessment strategy, so it is preferable to consider different perspectives. Every assessment should be preceded by a preliminary analysis of the workplace in order to gather useful data on the potential exposure sources, which will help in outlining the assessment strategy. The purpose of air monitoring should be to characterize NP emissions and assess, as a minimum, the mass, particle number concentration, granulometric distribution, specific surface and chemical composition. There are several techniques which may assess these characteristics: the most used in real occupational contexts are mobility particle sizers, particle counters (optical, condensation, etc.), surface area monitors, while personal samplers are promising tools which still have been used almost only in research or controlled contexts. Skin and surfaces may be sampled according to the nature of substances and the circumstances of exposure. Sampling methods can be divided in three main categories: interception (e.g. carbon tabs), removal (e.g. adhesive tape stripping, wiping), in situ methods (e.g. UV fluorescence). Chemical analysis methods (e.g. spectroscopy) and electron microscopy techniques may enhance available data. Considering the available information, we suggest a stepwise approach for risk assessment composed of three steps, starting from a quick and relatively cheap screening method to assess exposure, followed by 2 gradually more accurate but costly approaches to perform whether a significant exposure is detected
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