1,720,977 research outputs found
Patogenesi della cataratta in lavoratori professionalmente esposti alle radiazioni solari in ambiente marino: valutazione clinico-statistica
Full text linkNel presente articolo scientifico l'Autore, responsabile di un Ambulatorio Universitario di Alta specializzazione nell’ambito anche della Oftalmologia Sociale e del Lavoro, rappresenta i risultati ottenuti su due popolazioni omogenee come numero, età, professione svolta, che comporta una costante esposizione alla luce solare ed habitat di vita, rappresentato da due aree geografiche simili per fattori di rischio intrinseci ed estrinseci rispetto alla patogenesi della malattia oculare in questione, il golfo di Pozzuoli (NA) e il golfo di Olbia (OT), che si trovano entrambe a 40,5 – 41 gradi di latitudine nord e tutte e due sul mare, la prima nel continente europeo e l’altra in una isola medio-grande caratterizzata per altre malattie da fattori genetici particolari.In this scientific article, the Author, responsible for a University of Higher Specialization also in the field of Oftalmology of Work and Social, represents the results obtained on two homogeneous populations such as number, age, occupation that involves constant exposure to sunlight and habitat of life, represented by two similar geographical areas for intrinsic and extrinsic risk factors with respect to the pathogenesis of the eye disease in question, the gulf of Pozzuoli (NA) and the gulf of Olbia (OT), both at 40.5 to 41 degrees north latitude both of them on the sea, the first on the european continent and the other on a medium-large island characterized by particular genetic characters for other diseases
Preventive use of eye drops to stabilize the tear film in video display terminal workers: preliminary notes
Full text linkIn this work, he presents the results of preliminary work concerning the protective use of eye drops stabilizing all three layers that make up the tear film. Infact, video display terminals (VDT) are today an essential element in almost all work environments, from offices where they represent the fundamental work tool to production environments where they are indispensable for carrying out control functions (control stations, management of quantities and flows, etc.) or design. The risk due to VDTs is one of the factors considered by Legislative Decree 81/08, therefore its assessment falls within the employer's obligations and at the same time requires health surveillance by the occupational doctor
Refractive surgery: considerations in forensic and occupational medicine
Full text linkIn this brief communication, we will assess what issues are most forensic inherent in refractive surgery, devoting also to the general aspects of the problem, but without going into the specifics of individual cases or individual techniques. The current practice of a pre-printed signature below, often couched in general terms or formulated in an endless list of possible complications, serves more to define this event as bureaucratic and therefore as a consensus "documented" rather than "informed". Especially when this form is signed just before surgery, with the patient ready to be operated, is constantly interpreted by the judge as an act devoid of the meaning of information that enables the patient freedom of choice, which is seen instead as a safe conduct for the surgeon to protect against future challenges
Law and order of modern ophthalmology: Teleophthalmology, smartphones legal and ethics
Full text linkIn recent years, new technologies used in the field of ophthalmology have been emerging and developing rapidly. Two major aspects of these advancements are teleophthalmology and smartphones, which have enabled practitioners to achieve optimal outcomes in record time with minimal costs. Several rules and regulations have been applied to these technologies in order to frame them under the appropriate medico-legal ethics, and specialized committees have been dedicated to maintaining their efficacy and avoiding shortcomings. In addition multiple studies and case reports conducted worldwide have assessed them according to specific diseases or global concerns. This review article constitutes an up-to date account of almost all of the applications and medico-legal perspectives of technologies used in ophthalmology in order to summarize and better visualize their advantages and disadvantages
Could the life of admiral Nelson in Trafalgar be saved?
Full text linkThe Authors, after carrying out an historical reconstruction of the war and socio-political events inherent to the Battle of Trafalgar which took place on 21 October 1805, focus and place the emphasis on the physiopathological events that led to the death of Admiral Nelson. They highlight the probable trau-matic injuries he suffered and subsequent development of the morbid mass determining an example of ex post reconstruction with profiles of forensic medicine and history of medi-cine, definitely interesting and original
Assessment of workplace bullying in Italy by INAIL: forensic and occupational medicine considerations
Full text linkThe Authors, after a broad examination of the operating methods of inail (National Institute for Accident Insurance at Work) for the correct assessment and indentification of workplace bullying, carried out a comparative evaluation on the various diagnostic tests in the forensic psychiatric field for this occupational problem
Video display terminal use and limitations according to italian legislative decree: occupational and forensic perspective
Full text linkIn this paper, the authors conduct a review inherent in the use of video display units considering the laws currently in force in Italy, with emphasis on critical legislative and operational issues. Video Display Terminal (VDTs) are today an essential element in almost all work environments, from offices where they represent the fundamental work tool to production environments where they are indispensable for carrying out control functions (command stations, quantity management and flows, etc.) or for design work. The risk due to VDTs is one of the factors considered by the Italian Legislative Decree 81/08, so its assessment is part of the employer's obligations and at the same time requires health surveillance by the occupational physician. The new workstations have certainly not reduced visual postural demands, but they have changed them, opening the door to new disor-ders and imposing greater flexibility on the activity of the occupational physician, who often cannot limit himself to an annual inspection of the workplace. The aim of this work is to examine the current critical issues and future prospects of ergophthalmology
The role of the ophthalmologist in forensic medical judgement for videoterminalists
Full text linkThis work describes what are the regulations in the field of safety and prevention in the workplace, with particular regard to the legal medical aspects of the doctor in charge of Occupational Medicine in correlation with ergophthalmological examinations. The main subjects of this treatment are the employees videoter-minalists. The first part of this work aims to analyze the compliance, as well as laws and legislative decrees governing the obligations and duties of the employer to its employees, regarding the compliance of workplaces and equipment with the instrument that are routinely used by employees videoterminalists. The discussion continues by focusing on the specific aspects of the ergophthalmological examination. It also describes the different phases of the eye examination, starting from the identification of the employee and then to the collection of anamnestic data, which are an integratedpart of the medical-legal act and are also a useful tool for the final diagnosis. The discussion of the various phases of the ergophthalmological examination concludes with a description of indirect ophthalmoscopy with its crucial points, which are important points in any ophthalmo-logical examination. Given the considerable diffusion and the great amount of tech-nological innovations in the field of display screens, we conclude the discussion with a historical overview of the display screens that have been habitually used by employees in their workplace, describing the mechanism that underlie their operation through some hints of Physics
Cataract in professionals exposed to solar radiation: a cross sectional study
Full text linkPurpose: To find out frequency of cataract in seaside workers and possible factors associated to its development.
Study Design: Cross sectional observational.
Place and Duration of Study: Tyrrhenian coast of Tuscany (Italy), between Rosignano Marittimo and Cecina municipalities in July 2021.
Methods: Ninety-eight seaside workers were selected through convenience sampling technique. All the working subjects selected for this study had a bilateral natural vision equal to or greater than 6/10 in the anamnestic data collection, declared they had not eye diseases in the past and rarely used protective glasses during their work.
Results: The mean age of 98 outdoor workers is 40. Patients with the cataract are older than people without cataract (median 41 vs 38) (p < 0.001) and have a lower visual acuity (0.6 vs 0.7) (p < 0.001); stratifying by job, refraction state and Intra Ocular Pressure (IOP), there aren’t significant association with cataract. The multivariate analysis confirms that age and visual acuity are associated with the development of the cataract (OR 1.99 and 0.01, respectively).
Conclusion: Although senile cataract is an age related disease but Visually significant cataract is seen in persons working outdoors for longer hours
Uso del test di Gracis biprismatico delle sei diottrie(BPT) in ambito medico-militare : sua utilità nell'identificazione di simulatori e/o dissimulatori
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