Medicina Del Lavoro最新文献

{"title":"Differences in Risk Perception Between the Construction and Agriculture Sectors: An Exploratory Study with a Focus on Carcinogenic Risk.","authors":"Massimiliano Barattucci, Tiziana Ramaci, Serena Matera, Francesca Vella, Valentino Gallina, Ermanno Vitale","doi":"10.23749/mdl.v116i3.16796","DOIUrl":"10.23749/mdl.v116i3.16796","url":null,"abstract":"<p><strong>Background: </strong>Risk perception is crucial in occupational health and safety, particularly in high-risk sectors like agriculture and construction. This study investigates the influence of personality traits, emotional states, and socio-demographic variables on perceived risks, explicitly focusing on carcinogenic exposure. The aim is to identify key factors shaping risk perception to inform safety interventions.</p><p><strong>Methods: </strong>Using a correlational research design, 91 Italian workers (49 from construction and 42 from agriculture) completed a comprehensive questionnaire assessing personality (Big Five model), emotional state, self-perceived safety knowledge, and risk perception across 14 dimensions. Statistical analyses included correlations, ANOVA, and regression models to explore relationships between variables.</p><p><strong>Results: </strong>Open-mindedness, emotional stability and extraversion were inversely related to perceived risk levels, while conscientiousness and friendliness correlated positively. Workers in agriculture reported higher awareness of carcinogenic risks than construction workers, though no significant differences emerged in perceived risk levels. Negative emotional states predicted higher risk perception, while self-perceived safety knowledge had only minor correlations with specific risk dimensions. Gender, age, and service length did not significantly influence risk perception.</p><p><strong>Conclusion: </strong>Personality traits, particularly openness and emotional stability, strongly influence risk perception, highlighting the importance of considering individual psychological profiles in occupational safety interventions. Although emotional state plays a notable role, self-perceived safety knowledge showed limited impact, suggesting a need for targeted education.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 3","pages":"16796"},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327543","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":"Audiometric Database of Academic Musicians in Uruguay.","authors":"Fernando Tomasina, Alice Elizabeth González, Myriam Adriana Pisani Biriel, Bettina Tellechea Genta, Gimena Clavijo, Gabriela Collazo Alza, Lorena De Patti, Beatriz Lozano Barra, Silvia Palermo, Carolina Ramirez, Ulrich Schrader","doi":"10.23749/mdl.v116i3.16424","DOIUrl":"10.23749/mdl.v116i3.16424","url":null,"abstract":"<p><strong>Background: </strong>This paper presents the results of an interdisciplinary study at the Universidad de la República (Uruguay), in which hearing loss is assessed in a group of academic musicians, including lyric singers, choristers, and orchestral musicians.</p><p><strong>Methods: </strong>Audiometric records from 137 academic musicians were analyzed. The Average Hearing Loss (PAM) methodology, based on Lafon and Duclos combined with the ISO 1999:2013 Standard, was used to convert all the registers to the hearing loss at the age of 35, which were then organized into a permanence curve and compared with reference curves from the ISO 1999:2013 Standard.</p><p><strong>Results and conclusion: </strong>The results presented here are estimated to represent more than 27 % of the total population of adult academic musicians nationwide. The findings suggest that academic musicians in Uruguay are at a higher risk of noise-induced hearing loss than the general population in the ISO 1999:2013 Standard.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 3","pages":"16424"},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327542","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":"Neurosensory Response of the Hand and Foot to Vibration Exposure.","authors":"Flavia Marrone, Nicole Sanna, Julio Sánchez García, Federico Ronchese, Enrico Marchetti, Angelo Tirabasso, Massimo Bovenzi, Marco Tarabini","doi":"10.23749/mdl.v116i3.17149","DOIUrl":"10.23749/mdl.v116i3.17149","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the vibrotactile perception threshold (VPT) changes in the fingers and toes of twenty-eight healthy subjects (15 males and 13 females aged 20 to 62 years) exposed to hand- and foot-transmitted vibration.</p><p><strong>Methods: </strong>The VPT was measured before and after the exposure of the hands and feet to 5 minutes of triaxial white noise pseudorandom vibration. The post-vibration VPT was measured immediately after and 15 minutes after the end of the exposure to assess the temporary threshold shift (TTS) of vibration perception. The effects of the anatomical district (index finger and big toe), measurement time (before and after vibration exposure), test frequency (8, 31.5, and 125 Hz), age group (Under30s and Over 40s), and gender (male and female) on the changes in VPT were investigated.</p><p><strong>Results: </strong>The findings revealed that the index finger and the big toe exhibited comparable profiles in the vibrotactile sensitivity at the low-middle vibration frequencies and in the recovery of the perception threshold after vibration exposure. The big toe showed a higher perception threshold than the index finger, and the difference increased with the test frequency. In addition to vibration frequency, age and skin temperature influenced the results of VPT and TTS measurements.</p><p><strong>Conclusions: </strong>The findings of this study can contribute to outlining alternative frequency weighting functions for the neurosensory response of the hand and foot to vibration exposure, and to update the current guidelines for evaluating human vibration exposure.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 3","pages":"17149"},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327559","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":"Assessing Work Addiction: Validity of the Italian Version of the Work Addiction Risk Test.","authors":"Francesco Marcatto, Lisa Di Blas, Donatella Ferrante, Simone Festa, Ilaria Palomba, Francesca Larese Filon","doi":"10.23749/mdl.v116i3.16177","DOIUrl":"10.23749/mdl.v116i3.16177","url":null,"abstract":"<p><strong>Background: </strong>Work addiction is a contemporary addiction affecting 8.3% to 22% of individuals in Europe, leading to detrimental effects on relationships, work-family balance, and overall well-being. Given its prevalence and impact, standardized assessment tools are crucial for distinguishing between work addiction and healthy work engagement.</p><p><strong>Methods: </strong>This study evaluated the psychometric properties of the Italian version of the Work Addiction Risk Test (WART). A convenience sample of 700 workers from Northeastern and Southern Italy completed the Italian version of the WART  along with other well-being at work and personality measures.</p><p><strong>Results: </strong>Exploratory factor analysis revealed a five-factor structure of the WART, partially overlapping with the original version. Despite some weaknesses in the factor structure, the WART demonstrated satisfactory psychometric properties, including internal consistency and associations with organizational and personality correlates of work addiction.</p><p><strong>Conclusions: </strong>The Italian version of the WART is a reliable tool for assessing work addiction risk among Italian workers. This tool can aid in identifying individuals at risk and facilitating early intervention and support. Future research should focus on further validating the factor structure and exploring the utility of the WART indifferent cultural and occupational contexts.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 3","pages":"16177"},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327541","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":"Posture Assessment of Rubber Tappers: A Comparative Analysis of OWAS, REBA, RULA, and PERA Methods.","authors":"Abi Varghese, Vinay V Panicker, Joby George","doi":"10.23749/mdl.v116i3.15875","DOIUrl":"10.23749/mdl.v116i3.15875","url":null,"abstract":"<p><strong>Background: </strong>The study provides a comprehensive ergonomics assessment of the postures encountered by rubber tappers using the OWAS, REBA, RULA, and PERA methods and compares the risk levels across various ergonomic assessment methodologies.</p><p><strong>Methods: </strong>The research examines the postures of fifty-one selected rubber tappers from the state of Kerala, India, during rubber tapping, analyzing 1111 different working postures. The postural assessment was conducted by analyzing video recordings of the work tasks and evaluating the postures using OWAS, REBA, RULA, and PERA. Each method's focus and application were considered to comprehensively evaluate the postural risks.</p><p><strong>Results: </strong>The demographic characteristics indicate that the workforce mostly consists of middle-aged males involved in physically strenuous activities. The result shows that the RULA method, emphasizing upper limb postures, is particularly suited for assessing postural loads in rubber tapping, highlighting the need to match ergonomic tools to the specific demands of work activities. While OWAS provides a general overview, RULA focuses on upper limbs, REBA assesses whole-body postures, and PERA incorporates cyclic work factors, enabling targeted ergonomic interventions. Additionally, it is crucial to consider that each method OWAS, RULA, REBA, and PERA has distinct strengths and applications.</p><p><strong>Conclusions: </strong>The research highlights the need for tailored ergonomic interventions for tasks such as 'Incision on the Channel'. Ultimately, the study validates implementing a context-specific approach for assessing ergonomic parameters and intervention measures aimed at enhancing the overall occupational health of rubber tappers.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 3","pages":"15875"},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327561","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":"A 7-Year Active Surveillance Experience for Occupational Lung Cancer in Bologna, Italy (2017-2023).","authors":"Monica Bogni, Daniela Cervino, Manuela R Rossi, Paolo Galli","doi":"10.23749/mdl.v116i2.16173","DOIUrl":"10.23749/mdl.v116i2.16173","url":null,"abstract":"<p><strong>Background: </strong>In Italy, lung cancer is the second most frequent neoplasm in men and the third in women. Exposure to carcinogens in workplaces plays a significant role. Still, cases attributable to occupational exposure are currently under-reported as occupational diseases: the current National Prevention Plan also encourages active research projects for the detection of cancers attributable to occupational exposure.</p><p><strong>Methods: </strong>The Unit of Prevention and Safety in the Workplace of Bologna Local Health Authority (Azienda Unità Sanitaria Locale-AUSL-)created a network for active surveillance of occupational lung cancer cases with the dedicated Diagnostic and Therapeutic Care Pathways(PDTA). Possible occupational exposure cases were selected within all incident PDTA cases using a self-completed patient filter form. Only patients selected through the form were interviewed; occupational physicians collected personal, occupational, and clinical history. Definition of a cooperation system with the local office of the National Institute for Insurance(INAIL)for monitoring the process during the medico-legal assessments conducted by the insurance institute up to resolution.</p><p><strong>Results: </strong>453 cases completed the filter form, 177 had a potential occupational exposure. Of these, 140 accepted the direct interview with occupational physicians. One hundred eleven cases interviewed were assessed with sure or suspect occupational origin: for 82, a claim for recognition was sent to the INAIL, while for the other 29 was sent to INAIL a report for epidemiological purposes. Out of 82 compensation claims, 18 individuals (4 females and 14 males) received compensation, while 4 cases remain under investigation. A total of 53 claims were rejected: 54.7% for lack of exposure to risk factors, 24.5% for insufficient exposure, 9.4% due to inadequate administrative documentation, 7.5% because of insufficient clinical documentation, and 3.8% for the absence of causal association.</p><p><strong>Conclusions: </strong>Several occupational lung cancers were found that otherwise would have been unrecognized. Asbestos was the most frequent agent occurring in the most widespread work sectors-construction and manufacture of metalworking products-and in the period of exposure from 1970 to 1980. Other relevant agents were welding fumes and polycyclic aromatic hydrocarbons. Active surveillance, direct patient interviews, and claims for recognition integrated by a complementary report are essential to increase the INAIL compensation rate.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 2","pages":"16173"},"PeriodicalIF":2.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006167","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":"When Occupational Cancer Recognition Falters.","authors":"Giorgio Assennato, Chiara De Giampaulis","doi":"10.23749/mdl.v116i2.16997","DOIUrl":"10.23749/mdl.v116i2.16997","url":null,"abstract":"<p><p>There are differences between epidemiology and legal medicine in addressing the problem of under-reporting occupational cancers. Epidemiology focuses on systematically gathering data and identifying patterns of under-reporting, which is not deemed to pose ethical dilemmas, as its goal is to improve public health outcomes. Conversely, legal medicine investigates individual cases and ensures compliance with legal standards, presenting more complex ethical challenges. Considering workers' frustrations when dealing with unrecognized occupational diseases is essential. These workers experience significant physical and emotional distress and should not have to face a complicated compensation claims process. There is a need for ethical approaches that support workers in navigating their rightful claims for compensation, not challenging their mental and emotional well-being.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 2","pages":"16997"},"PeriodicalIF":2.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055905","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":"Beyond the Balance Sheet: The Human Cost of Neglecting Occupational Health.","authors":"Antonio Mutti","doi":"10.23749/mdl.v116i2.17057","DOIUrl":"10.23749/mdl.v116i2.17057","url":null,"abstract":"","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 2","pages":"17057"},"PeriodicalIF":2.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058478","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":"Presenteeism and Its Associated Factors Among Teachers.","authors":"Hend Serya, Abdel-Hady El-Gilany","doi":"10.23749/mdl.v116i2.16010","DOIUrl":"10.23749/mdl.v116i2.16010","url":null,"abstract":"<p><strong>Background: </strong>Teaching is a mentally and physically demanding profession, often performed under challenging and stressful conditions. In Egypt, the lack of school resources, low teacher salaries, poor organizational climate, and high work pressures represent just a few challenges faced by the educational system. These difficulties can adversely affect teachers' health, leading to negative outcomes such as presenteeism. Despite this, no studies have assessed presenteeism among Egyptian teachers. Therefore, this study aimed to estimate the prevalence of presenteeism and identify associated factors among public school teachers.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving 373 teachers using an interview-administered questionnaire to gather information on their sociodemographic, occupational, and medical characteristics, along with their Stanford Presenteeism Scale scores and responses to the Job Content Questionnaire.</p><p><strong>Results: </strong>The prevalence of presenteeism among the teachers studied over the last 12 months was 70.8%. Of these, 74.6% had lower presenteeism scores, reflecting diminished performance in work activities. Key independent predictors of presenteeism included being a female teacher, having additional jobs, experiencing musculoskeletal and/or respiratory health issues, facing high job demands, and possessing low job control. The Adjusted Odds Ratios (AOR) for these factors were 4.1, 5.1, 3.1, 11.7, and 11.7, respectively.</p><p><strong>Conclusion: </strong>Presenteeism is highly prevalent among public school teachers in Egypt. Therefore, teachers with significant predictors of presenteeism should be given increased attention.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 2","pages":"16010"},"PeriodicalIF":2.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039668","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":"Welding Fumes Exposure and the Risk of Head and Neck and Gastrointestinal Cancer: A Systematic Review and Meta-Analysis.","authors":"Andrei Cosmin Siea, Giulia Collatuzzo, Maha Hamdani, Paolo Boffetta","doi":"10.23749/mdl.v116i2.16092","DOIUrl":"10.23749/mdl.v116i2.16092","url":null,"abstract":"<p><strong>Background: </strong>The association between welding fumes and cancers other than lung cancer remains undefined. We conducted a systematic review and meta-analysis on occupational exposure to welding fumes and the risk of head and neck cancer (HN, comprising oral, pharynx, and larynx) and gastrointestinal cancer (GI, comprising esophagus, stomach, colorectal, liver, and pancreas).</p><p><strong>Methods: </strong>A systematic search was performed in PubMed, Scopus, and Embase using PRISMA guidelines. Cohort studies on occupational exposure to welding fumes were identified. Study quality was assessed through the CASP score. Data were analyzed in random-effects models to calculate the relative risks (RR) and 95% confidence intervals (CI) of HN and GI cancer overall and stratified by cancer site.</p><p><strong>Results: </strong>Seven independent studies with data on oral, pharynx, larynx, esophagus, stomach, colorectal, liver, or pancreas cancer were identified. We observed the following associations: HN RR=1.10 (95% CI 1.00-1.22); GI RR= 1.03 (95% CI 0.97-1.10); oral and pharynx RR=1.06 (95%, CI 0.93-1.20, eleven risk estimates); larynx RR=1.17 (95%, CI 1.01-1.37, nine risk estimates); esophagus RR=0.98 (95%, CI 0.83-1.15, three risk estimates); stomach RR= 1.10 (95%, CI 1.02-1.19, five risk estimates); colorectal RR=0.99 (95%, CI 0.85-1.15, seven risk estimates); liver RR=1.23 (95%, CI 0.79-1.90, five risk estimates); and pancreas cancer RR=1.05 (95%, CI 0.94-1.16, three risk estimates).</p><p><strong>Conclusions: </strong>We observed an association between occupational exposure to welding fumes and larynx and stomach cancer. No association was found for other HN or GI cancers. Our study stresses the need to investigate the risk of cancers other than lung following occupational exposure to welding fumes.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"116 2","pages":"16092"},"PeriodicalIF":2.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006169","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}