Medicina Del Lavoro最新文献

{"title":"Excess Total Mortality in Italy: An Update to February 2023 with Focus on Working Ages.","authors":"Gianfranco Alicandro,&nbsp;Alberto Giovanni Gerli,&nbsp;Stefano Centanni,&nbsp;Giuseppe Remuzzi,&nbsp;Carlo La Vecchia","doi":"10.23749/mdl.v114i3.14740","DOIUrl":"https://doi.org/10.23749/mdl.v114i3.14740","url":null,"abstract":"<p><strong>Background: </strong>Italy had a persistent excess of total mortality up to July 2022. This study provides updated estimates of excess mortality in Italy until February 2023.</p><p><strong>Methods: </strong>Mortality and population data from 2011 to 2019 were used to estimate the number of expected deaths during the pandemic. Expected deaths were obtained using over-dispersed Poisson regression models, fitted separately for men and women, including calendar year, age group, and a smoothed function of the day of the year as predictors. The excess deaths were then obtained by calculating the difference between observed and expected deaths and were computed at all ages and working ages (25-64 years).</p><p><strong>Results: </strong>We estimated 26,647 excess deaths for all ages and 1248 for working ages from August to December 2022, resulting in a percent excess mortality of 10.2% and 4.7%, respectively. No excess mortality was detected in January and February 2023.</p><p><strong>Conclusions: </strong>Our study indicates substantial excess mortality beyond those directly attributed to COVID-19 during the BA.4 and BA.5 Omicron wave in the latter half of 2022. This excess could be attributed to additional factors, such as the heatwave during the summer of 2022 and the early onset of the influenza season.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 3","pages":"e2023028"},"PeriodicalIF":2.7,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1f/b1/MDL-114-28.PMC10281071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of and Risk Factors for Hepatitis C Virus Infection in World Trade Center Responders.","authors":"Stephanie Factor,&nbsp;Vimi Desai,&nbsp;Michael Crane,&nbsp;Douglas Dieterich,&nbsp;Paolo Boffetta","doi":"10.23749/mdl.v114i2.14300","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.14300","url":null,"abstract":"<p><strong>Background: </strong>The risk of hepatitis C virus (HCV) infection among emergency responders exposed to human remains, blood/bodily fluids, and/or sewage is unknown. Methods: A cross-sectional study of 3871 World Trade Center General Responder Cohort (WTCGRC) members followed at the Icahn School of Medicine at Mount Sinai, born from 1945-1965, and recruited from 2016-2018 were tested for HCV infection, and prevalence was compared to National Health and Nutrition Examination Survey data from 2003 to 2012. A nested case-control study compared 61 HCV antibody positive cases to 2571 controls. Multivariable logistic regression models adjusting for time of birth, traditional HCV risk factors, and type of work at the World Trade Center (WTC) site, determined if contact with human remains, blood/bodily fluids, and/or sewage at the WTC site was associated with HCV infection. Results: The age-standardized point prevalence of HCV infection among WTCGRC members was 2.98% [95% CI (2.39, 3.56)] and in the US population was 3.33% [95% CI (2.54, 4.11)] [% difference = 0.35%, 95% CI (- 0.31%, 1.01%), P=0.47]. In separate multivariable models, adjusting for possible confounders, contact with human remains was not associated with HCV infection [OR = 1.10, 95%CI(0.63, 1.91), P = 0.74)], contact with blood and/or bodily fluids was not associated with HCV infection [OR = 1.45, 95%CI(0.82, 2.56), P = 0.20], and contact with sewage was significantly associated with HCV infection [OR = 1.72, 95%CI(1.00, 2.98), P = 0.05]. Conclusion: Contact with sewage may increase the risk of HCV infection.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023016"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/35/a6/MDL-114-16.PMC10133777.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined Effects of Noise and Hand-transmitted Vibration on Workers' Muscle and Mental Fatigues in a Simulated Construction Operation.","authors":"Seyed Hojat Mousavi Kordmiri,&nbsp;Mohsen Aliabadi,&nbsp;Rostam Golmohammadi,&nbsp;Massimo Bovenzi,&nbsp;Maryam Farhadian","doi":"10.23749/mdl.v114i2.13903","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.13903","url":null,"abstract":"<p><strong>Background: </strong>The frequent use of hand-held vibrating tools by construction workers exposes them to hand-transmitted vibration (HTV) and noise. This study investigated the effect of combined exposure to HTV and noise on workers' fatigues under simulated work with a typical building destruction tool.</p><p><strong>Methods: </strong>The repeated measures study was conducted on 40 construction workers exposed to HTV (5 m/s2 rms with frequencies of 31.5, 63, and 125 Hz), HTV (10 m/s2 rms- 31.5 Hz), noise (90 dBA), and concurrent exposure (noise (90 dBA) + HTV (10 m/s2 rms- 31.5 Hz)) with the typical vibrating hand-held tool for 30 minutes. Electromyography signals determined each worker's fatigue level in the Flexor digitorum superficialis (FDS) muscle in two pre- and post-exposure periods. The subjects also filled out the visual analog scale to evaluate mental fatigue severity subjectively.</p><p><strong>Results: </strong>The mean difference of muscle fatigue parameters was significant in all scenarios except for the two scenarios of alone exposure to HTV (5 m/s2 -125 Hz and noise exposure (p-value < 0.05). The mean difference of mental fatigue in all scenarios except for the two scenarios of exposure to HTV (5 m/s2 -125 Hz) and exposure to HTV (5 m/s2 -63 Hz) was significant (p-value < 0.05). The most differences in muscle fatigue parameters (Amplitude = 8.16±5.63, Mean frequency=-4.69±3.78) and mental fatigue (4.97±2.38) were observed in the simultaneous exposure to noise and HTV.</p><p><strong>Conclusion: </strong>Noise exposure alone cannot produce remarkable effects on muscle fatigue but can aggravate the effects of vibrations as a consequence of synergistic interaction. However, the role of noise on perceived mental fatigue was more dominant than the HTV. These findings should be considered to adapt the existing exposure limits to actual work conditions.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023021"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/04/b7/MDL-114-21.PMC10133775.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in the Long-term Impact of the COVID-19 Pandemic on the Mental Health and Professional Quality of Life of Resident and Specialist Physicians.","authors":"Valentina Delle Donne,&nbsp;Valentina Massaroni,&nbsp;Nicoletta Ciccarelli,&nbsp;Alberto Borghetti,&nbsp;Arturo Ciccullo,&nbsp;Gianmaria Baldin,&nbsp;Gabriele Giuliano,&nbsp;Alex Dusina,&nbsp;Elena Visconti,&nbsp;Enrica Tamburrini,&nbsp;Simona Di Giambendetto","doi":"10.23749/mdl.v114i2.13829","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.13829","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic created an extremely difficult situation for healthcare workers (HCWs) worldwide. We aimed to compare the mental health and professional quality of life of residents and specialist physicians in a cohort of Italian HCWs caring for patients with COVID-19 about two years after the start of the COVID-19 pandemic.</p><p><strong>Methods: </strong>In November 2021, an online survey investigating the emotional states of depression, anxiety, stress, compassion satisfaction and compassion fatigue was administered to HCWs (N= 78) at the Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.</p><p><strong>Results: </strong>Our findings suggest that from 5 to 20% of our cohort of HCWs still showed the effects of the adverse psychological impact of the pandemic and more than half of them experienced medium levels of compassion fatigue as well as a medium level of compassion satisfaction. Our results also show that those with fewer years of clinical practice might be at greater risk of burnout (p= 0.021), anxiety and stress symptoms (both ps= 0.027) and might develop a lower level of compassion satisfaction (p=0.018). Moreover, the factors that potentially contribute to poor mental health, compassion fatigue and compassion satisfaction seem to differ between residents and specialist physicians.</p><p><strong>Conclusions: </strong>This overview presents one of the first pictures of the long-term effects of the pandemic on the mental health and professional quality of life of an Italian sample of HCWs. Moreover, it also helps identify professionals who are most in need of support and emphasises the importance of improving the psychological and professional wellbeing of these individuals especially during a pandemic-like crisis with long lasting effects.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023012"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/a1/MDL-114-12.PMC10133772.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is a Dry Eye Disorder in Firefighters an Occupational Disease?","authors":"İbrahim Ethem Ay,&nbsp;Yiğit Şenol,&nbsp;Hamidu Hamisi Gobeka,&nbsp;Mustafa Doğan","doi":"10.23749/mdl.v114i2.13472","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.13472","url":null,"abstract":"<p><strong>Background: </strong>To examine firefighters (FFs) exposed to high levels of fire smoke and, as a result, to uncover risk factors for dry eye disorder (DED) compared to age-and gender-matched healthy individuals.</p><p><strong>Methods: </strong>In this cross-sectional study, 51 FFs from the Afyonkarahisar Municipality Fire Department were chosen at random (group 1). A control group (group 2) included 51 age- and gender-matched healthy individuals. The Ocular Surface Disease Index (OSDI) questionnaire was administered after all participants were thoroughly explained the study's objectives and procedures. Then, using a portable hand biomicroscope, an ocular exam was performed on-site. DED was defined as a non-anesthetic Schirmer test result of <10 mm and/or a tear film break-up time (TBUT) of <5 seconds.</p><p><strong>Results: </strong>Groups 1 and 2 had mean ages of 44.82±7.29 and 44.73±7.41 years, respectively (p=0.946). The median work duration in group 1 was 14 years (min-max: 1-27 years). TBUT test revealed a significantly increased DED prevalence in group 1 than group 2 (p=0.046). Despite the non-significant difference (p=0.276), Schirmer test revealed that group 1 had a higher DED prevalence than group 2. The OSDI score revealed that group 1 had more mild, moderate, and severe DED than group 2 (p=0.359). Longer work duration was associated with a higher DED prevalence (p=0.179).</p><p><strong>Conclusions: </strong>Given the high prevalence of fire smoke-induced DED in FFs, preventive measures such as regular ocular exams, encouraging personal protective equipment usage, and health education programs can assist in avoiding complications and reducing the burden of ocular diseases.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023020"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/bc/MDL-114-20.PMC10133776.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hey James, Write an Editorial for \"La Medicina del Lavoro\".","authors":"Antonio Mutti","doi":"10.23749/mdl.v114i2.14451","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.14451","url":null,"abstract":"Last year, Nature reported that some scientists were already using chatbots as research assistants – to help organize their thinking, generate feedback on their work, assist with writing code and summarize research literature [1]. A chatbot named James authored several paragraphs of this editorial using Artificial Intelligence (AI) and a Large Language Model or Logic Learning Machine (LLM). We checked for possible plagiarism, obtaining the following assessment: “It looks 100% original. We found no matching text in our databases or on the internet”. As technology and industry advance, we cannot ignore their ongoing impact on workers’ health and safety. It is, therefore, crucial to have a platform that addresses the complexity of work-related illnesses and injuries. “La Medicina del Lavoro” provides just that. The journal, established in 19091, has been instrumental in disseminating research, editorial reviews, and news of new technologies and laws that have improved the quality of health services for over a century. Today, its contributions are equally essential in promoting wellness and reducing workplace hazards. The range of topics covered by the journal is broad and includes occupational ergonomics, environmental health, occupational toxicology, and psychological health at work, to name a few. These topics demonstrate the scope of concern for occupational health matters. Many work-related illnesses and injuries are complex, requiring a multi-disciplinary approach. Work settings have specific factors affecting workers’ health; thus, evaluation and intervention should be tailored to the workplace. The journal encourages cross-disciplinary collaboration, which facilitates sharing of knowledge and expertise from various fields, such as occupational medicine and toxicology, epidemiology, and microbiology. As the official journal of the Italian Society of Occupational Health, it is committed to ensuring research integrity and the standards of leading publications providing valuable insights into the crucial intersection of work, environment, and health. It covers everything from occupational health to environmental sustainability, highlighting the importance of addressing these issues in the workplace. Addressed topics include environmental sustainability, occupational hazards, and workplace safety. These articles emphasize the importance of a holistic approach to workplace health and safety, which involves addressing physical and psychological factors. As employers strive to create healthier and safer work environments, it is crucial to consider the interplay between work, environment, and health. By adopting evidence-based policies that prioritize employee well-being, reduce occupational hazards, and promote environmental sustainability, workplaces can create a more productive, healthy, and resilient workforce. The journal also keeps up with changes in the field, such as the effects of COVID-19 on the workforce, the issue of remote work, and the i","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023014"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9310747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Promotion Interventions in Occupational Settings: Fact-finding Survey among Italian Occupational Physicians.","authors":"Veruscka Leso,&nbsp;Maurizio Coggiola,&nbsp;Enrico Pira,&nbsp;Alberto Pollone,&nbsp;Silvia Simonini,&nbsp;Donatella Talini,&nbsp;Giovanna Spatari,&nbsp;Ivo Iavicoli","doi":"10.23749/mdl.v114i2.14417","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.14417","url":null,"abstract":"<p><strong>Background: </strong> Occupational Physicians (OPs) are essential for health promotion (HP) at the workplace, although their HP knowledge and perception are still under-searched.</p><p><strong>Methods: </strong>Between September and December 2022, the Italian Society of Occupational Medicine (SIML) - HP working group performed a cross-sectional survey on SIML-OPs aimed to address their approach, experience, strategies, and needs concerning HP plans.</p><p><strong>Results: </strong>A total of 336 OPs completed the questionnaire. Regarding HP's OP perception, this was reported as a social investment (34.45%) and shared responsibility for all the company's preventive figures (30.18%). Over half of the enrolled OPs declared to have been involved as HP plans' organizers (57.30%) or collaborators (54.80%) in the previous 5 years. The greatest percentage of organizers were in the younger age groups (40-59 years; 50%). Additionally, following a more limited number of companies, prevalently of medium-high dimensions, and more than 500 workers were positively associated with greater OP participation in HP initiatives. Promoting healthy lifestyles was the main target of the HP plans (88.64%). Interdisciplinary collaboration, OP training on HP procedures and information on the targeted population have been reported as effective issues to support an active engagement of OPs in HP.</p><p><strong>Conclusions: </strong>A general interest of the Italian OPs with respect to HP was demonstrated, however, information on the potential benefits of HP in workplace aligned with OP perceptions and needs seem necessary to successfully implement HP interventions.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023017"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2b/ca/MDL-114-17.PMC10133770.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assuming the Challenge of Developing Research Projects in Occupational Health Nursing.","authors":"Javier González-Caballero","doi":"10.23749/mdl.v114i2.14247","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.14247","url":null,"abstract":"<p><p>In today's society of uncertainty, we are witnessing a transformation of the economic, social, demographic, digital, ecological, and employment model, which faces unforeseen challenges. These challenges require reflecting beyond their consequences, and new workplace risks call for a debate on solutions beyond traditional ones. In the specific context of companies, the main functions of occupational health nursing are to prevent, promote, protect, and restore workers' health. The integration of research into nursing practice entails the better implementation of scientific advances. Although in the real world of professional nursing practice, there is a discrepancy between the knowledge obtained through research and clinical practice, practicing based on care plans, solid practice guidelines, and scientific evidence is a maxim.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023018"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/65/MDL-114-18.PMC10133774.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alarm Fatigue in Nursing Students Undertaking Clinical Training in Intensive Care Units: A Multicenter Study.","authors":"Paolo Ferrara,&nbsp;Lara Carelli,&nbsp;Federico Ruta,&nbsp;Alessandro Delli Poggi,&nbsp;Milannie Marasigan,&nbsp;Barbara Pinna,&nbsp;Anne Destrebecq,&nbsp;Stefano Terzoni","doi":"10.23749/mdl.v114i2.13975","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.13975","url":null,"abstract":"<p><strong>Background: </strong>The frequency of alarms from monitors and other electro-medical devices is of great utility but can increase the professional's workload and expose nurses in the intensive care unit to Alarm Fatigue. A recent study suggested that students in training can also experience the problem during their first clinical experiences in intensive care. Unfortunately, no data are available about the Italian panorama. To explore Alarm Fatigue among Bachelor of Science in Nursing students at the end of their internship experience in intensive care settings.</p><p><strong>Methods: </strong>Multicenter cross-sectional design. A convenience sample of nurses from 3 Italian university hospitals was recruited. The students completed the revised version of the \"Alarm Fatigue questionnaire-ita\" at the end of the clinical internship in intensive care settings.</p><p><strong>Results: </strong>130 nursing students were enrolled (response rate 59.36%). The overall level of Alarm Fatigue was Me= 24.5 IQR [17.5, 30.5]. In addition, 9.23% of the sample reported errors or near misses related to Alarm Fatigue during the internship experience. The alarm fatigue level was higher in students who committed \"errors/almost errors\" (p=0.038) and in \"student workers\" (p=0.005).</p><p><strong>Discussion: </strong>The extent of alarm fatigue experienced by nursing students requires developing a preventive strategy.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023015"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e5/c7/MDL-114-15.PMC10133771.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Risks in the Changing World of Work: Moving from the Risk Assessment Culture to the Management of Opportunities.","authors":"Cristina Di Tecco,&nbsp;Benedetta Persechino,&nbsp;Sergio Iavicoli","doi":"10.23749/mdl.v114i2.14362","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.14362","url":null,"abstract":"<p><p>Increased attention to psychosocial risks and their potential impacts on workers' mental and physical health has flourished due to the changes taking place in the world of work. The changes in the world of work and the recent worldwide events have exacerbated the existing psychosocial risks and brought out new psychosocial risks to be considered for protecting workers' health. This favors the opening up of national and international debate on prioritizing psychosocial risks at work at the policies, strategies, and actions level. This contribution highlights the critical issues to be addressed, the needs to be covered, and the opportunities for better and more effective OSH protection in the workplace. Starting from a definition of psychosocial risks and their potential impacts, we offer an overview of the most recent developments in policies and strategies and the contribution of research in this field over time. A critical reflection on emerging topics, main needs, and challenges for organizations and stakeholders is offered. This time of change poses great concerns but also offers a great opportunity of moving from a culture of assessment to a culture of psychosocial risk management for improving workers' well-being, productivity, and health, where the risk assessment is an important step but not a point of arrival.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023013"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/e1/MDL-114-13.PMC10133769.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}