50 results on '"Sernia S"'
Search Results
2. EP17.06-01 COVID-19 Long-Lasting Effect on Lung Cancer Diagnoses in Italy: Update of the Real-World Multicenter COVID-DELAY Study
- Author
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Mentrasti, G., primary, Cognigni, V., additional, Galassi, T., additional, Signorelli, D., additional, Pizzutilo, E.G., additional, Martinelli, F., additional, Lo Russo, G., additional, Leporati, R., additional, Ambrosini, P., additional, Giusti, R., additional, D'Amuri, S., additional, Rocco, D., additional, Della Gravara, L., additional, Antonuzzo, L., additional, Fancelli, S., additional, Gori, S., additional, Sernia, S., additional, Ferrari, M., additional, De Tursi, M., additional, Di Marino, P., additional, Di Maio, M., additional, Salerno, F., additional, Zumstein, L., additional, Russano, M., additional, Citarella, F., additional, Adamo, V., additional, Russo, A., additional, Scimone, C., additional, Sforza, V., additional, Morabito, A., additional, La Verde, N., additional, Cona, M.S., additional, Catalano, V., additional, Emili, R., additional, Sarti, D., additional, Morgillo, F., additional, Di Guida, G., additional, Rocchi, M.B.L., additional, Parisi, A., additional, and Berardi, R., additional
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- 2023
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3. What to remove from the work environment: the sick worker or the cause of his sickness? Workplace bullying, a form of violence that causes sickness.
- Author
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Grima, D., Torre, G. La, and Sernia, S.
- Subjects
WORK environment ,BULLYING in the workplace ,VIOLENCE ,MENTAL health ,PUBLIC health - Abstract
Although there are many different definitions of workplace bullying in the scientific literature, it can be defined as a form of psychological and relational violence conducted systematically and continuously by one or more individuals, towards another individual, with the aim of causing him physical and mental harm and exclude him from the workplace. The elements common to all definitions are the work context, the duration for at least six months, the frequency of bullying actions, which must occur at least once a week, the evolution in phases and the power differential between aggressor and victim. The purpose of this article is not only to provide the most important definitions of workplace bullying and to identify the common elements, but also to report the most recent findings concerning gender and personality differences of both victim and aggressor, to report the most investigated professional sectors, to describe the causes and the consequences on both the worker and the organization and to present the legislative framework. Workplace bullying can be considered an emerging public health problem that requires preventive interventions. Secondary and tertiary prevention interventions are important, but the aim is to prevent the phenomenon when it has not yet developed. Primary prevention interventions promote a healthy work environment that reduces the development of work-related violence, including workplace bullying. [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
- View/download PDF
4. La disinfezione ambientale e di superfici diversificate come misura di sicurezza nelle strutture sanitarie ed in quelle ad esse assimilabili
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Ledda, A, Carducci, A, Clementi, M, D'Alessandro, D, Sernia, S, Firenze, A, Lombardi, R, and Triassi, M.
- Subjects
disinfezione ambientale ,superfici ,ambienti sanitari - Published
- 2022
5. Oncofertility: the importance of counseling for fertility preservation in cancer patients
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Zaami, S., Vergallo, G. M., Moscatelli, M., Napoletano, S., Sernia, S., and La Torre, G.
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Counseling ,counseling ,decision-making process ,mental health ,oncofertility ,Fertility ,Cancer Survivors ,Neoplasms ,Fertility Preservation ,Humans - Abstract
Scientific and technological advances in the diagnosis of neoplastic disease and the introduction of increasingly accurate and personalized anti-cancer treatments have significantly improved the chances of survival of most cancer patients, particularly at a young age. Since the interest of the research community in the life prospects of young cancer survivors has been growing, a new branch of medicine has emerged in recent years that reconciles the potentially gonadotoxic treatments of cancer with the preservation of fertility: oncofertility. The possibility of preserving one's fertility can be of great benefit for the psychological well-being of cancer patients, whose mental health is already severely tested by the cancer diagnosis. Although national and international guidelines urge doctors to start early a discussion on fertility conservation issues (reproductive counseling), still little is known as to the awareness of oncofertility by young cancer survivors and the information they receive about it.
- Published
- 2021
6. Misure di sicurezza per gli agenti infettivi del gruppo 3 nelle attività sanitarie
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Lombardi, R., Ledda, A., Tomao, P., Vonesch, N., Carducci, A., Clementi, M., D’Alessandro, D., Sernia, S., and Triassi, M.
- Subjects
rischio biologico ,prevenzione ,attività sanitarie - Published
- 2020
7. Working in “smart” mode during the Covid-19 pandemic. Validation of a questionnaire in the healthcare sector.
- Author
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Chiappetta, M., Mazzalai, E., Sernia, S., and La Torre, G.
- Subjects
COVID-19 pandemic ,MEDICAL care ,TEST reliability ,QUESTIONNAIRES ,SOCIAL sciences - Abstract
Background. During the most difficult phases of the Covid-19 health emergency, when access to the usual work location was not allowed due to the constraints related to the pandemic, Smart Working enabled business continuity in the face of the ongoing health emergency. Modern technology serves a new way of working, allowing workers to effectively manage their professional and personal spheres in a world that increasingly requires them to optimize their time. The main objective of this research is to validate a Smart Working questionnaire administered to healthcare workers. Methods. The questionnaire, reported in Annex I, consisting of 30 questions and submitted electronically through Google Forms, was administered in Italian to healthcare personnel of the Teaching hospital Umberto I and Sapienza University of Rome between September and October 2020. The questionnaire analyzed the characteristics of the sample and investigated the perception and attitude of healthcare personnel towards seven different aspects of Smart Working. A descriptive analysis of the sample examined and an internal consistency analysis was performed through the use of the SPSS (Statistical Package for Social Science) program version 25.0. Cronbach’s alpha statistical indicator, which measures reproducibility over time, reliability, and homogeneity of questions, was used for the analysis. Results. A total number of 53 health care providers answered the online questionnaire. The majority of the respondents were female (60.4%); 73.6% of respondents reported having a college degree or a higher educational level. The analysis showed an overall standardized Cronbach’s Alpha of 0.709, which corresponds to a good reliability. In the items analysis, the alpha value ranged from a minimum of 0.652 to a maximum of 0.756. Conclusions. The present tool is adequate to investigate attitudes towards Smart Working among healthcare workers. [ABSTRACT FROM AUTHOR]
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- 2021
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8. Evaluation of cardiovascular risk profile: a comparative analysis between CUORE algorithm and the Framingham risk scores
- Author
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La Torre, G, Palmeri, V, Pagano, L, Nati, G, Sernia, S, and Mannocci, A
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Adult ,Male ,Databases, Factual ,Cardiovascular Diseases ,Risk Factors ,Multivariate Analysis ,Humans ,Reproducibility of Results ,Female ,cardiovascular risk ,framingham score ,cuore score ,algorithm ,prediction ,coronary disease ,primary prevention ,adult ,aged ,cardiovascular diseases ,databases, factual ,female ,humans ,male ,middle aged ,multivariate analysis ,reproducibility of results ,risk factors ,algorithms ,Middle Aged ,Algorithms ,Aged - Abstract
Coronary heart diseases (CHD) are the leading cause of premature death and loss of disability adjusted life years in Europe. In order to implement appropriate health interventions as preventive tools, it is necessary to understand the epidemiological stratification of cardiovascular risk and the specific situation of each individual reality. This study investigates the reliability of two algorithms used to assess cardiovascular risk: the Framingham algorithm and the CUORE algorithm.Data specific on patients of General Practitioners working in the Province of Rome were considered, and a total of 996 subjects of both genders were evaluated. The goodness of fit of the regression model was evaluated using the R2 value.The inferential analysis showed that the R2 value of the simple linear regression between CHD risk calculated according to the CUORE method (dependent variable) and CHD risk calculated according the Framingham method (independent variable), was initially equal to 0.350, and rose to 0.732 when the independent variables "Gender" and "Age" were added, thereby creating a multivariate regression. The R2 of the multivariate regression was 0.478 when using CHD Framingham as the dependent variable and CHD CUORE as the independent variable.It emerged that the CUORE score was less reliable than the Framingham risk score; in fact, in the multiple linear regression model, the coefficient of determination was greater when the independent variable was the Framingham scale for CHD risk.
- Published
- 2018
9. La valutazione dei rischi lavorativi: problematiche e possibili soluzioni. Proposta di linee guida del gruppo di lavoro 'Prevenzione e sicurezza sui luoghi di lavoro
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TRIASSI, MARIA, CARDUCCI A, SARTINI M, ORTIS M, MESSINEO A, SERNIA S, MONTELLA E, SCHIAVONE D, VERANI M, CAPONI E, CURINI R., Triassi, Maria, Carducci, A, Sartini, M, Ortis, M, Messineo, A, Sernia, S, Montella, E, Schiavone, D, Verani, M, Caponi, E, and Curini, R.
- Subjects
rischi lavorativi - Published
- 2012
10. La valutazione dei rischi lavorativi: problematiche e possibili soluzioni. Proposte di linee guida del gruppo di lavoro 'Prevenzione e sicurezza sui luoghi di lavoro'
- Author
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annalaura carducci, Messineo, A., Curini, R., MARCO VERANI, Caponi, Elisa, Ortis, M., Sartini, M., Sernia, S., Guerriero, G., Montella, E., Schiavone, D., and Triassi, M.
- Published
- 2013
11. Su di un caso di responsabilità civile del chirurgo estetico per intervento di liposuzione-lipofilling
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Arcangeli, Mauro, Premate, A., and Sernia, S.
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- 1995
12. Responsabilità professionale del medico per ostruzione tubarica da isterosalpingografia
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Arcangeli, Mauro, Premate, A, and Sernia, S.
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- 1995
13. Considerazioni medico legali su un caso di responsabilità professionale per paralisi ostetrica post-partum
- Author
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Arcangeli, Mauro, Premate, A, and Sernia, S.
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- 1995
14. Criteriologia medico legale nella definizione e diagnosi di asma bronchiale
- Author
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Arcangeli, Mauro and Sernia, S.
- Published
- 1994
15. CRITERIOLOGIA MEDICO-LEGALE NELLA DEFINIZIONE E DIAGNOSI DI ASMA PROFESSIONALE
- Author
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Prestigiacomo, C, Arcangeli, Mauro, and Sernia, S.
- Published
- 1994
16. Patologie del rachide ed idoneità al lavoro. Contributo casistico
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Sernia, S, Arcangeli, Mauro, Corsi, R, and LO GIUDICE, B.
- Published
- 1990
17. Contact Dermatoses in Metal Workers
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Papa, G., primary, Romano, A., additional, Quaratino, D., additional, Di Fonso, M., additional, Viola, M., additional, Sernia, S., additional, Boccia, I., additional, Di Gioacchino, M., additional, Venuti, A., additional, and Calvieri, S., additional
- Published
- 2000
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18. LA VALUTAZIONE DEI RISCHI LAVORATIVI: PROBLEMATICHE E POSSIBILI SOLUZIONI. PROPOSTA DI LINEE GUIDA DEL GRUPPO DI LAVORO 'PREVENZIONE E SICUREZZA SUI LUOGHI DI LAVORO
- Author
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annalaura carducci, Sartini, M., Ortis, M., Messineo, A., Sernia, S., Montella, E., Schiavone, D., MARCO VERANI, Caponi, Elisa, Curini, R., and Triassi, M.
19. La valutazione dei rischi lavorativi: criticità ed indicazioni operative
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annalaura carducci, Messineo, A., Curini, R., MARCO VERANI, Caponi, Elisa, Ortis, M., Sernia, S., Guerriero, G., Montella, E., Schiavone, D., Bacaloni, A., Nataletti, P., and Triassi, M.
20. IL PROTOCOLLO SANITARIO PER IL LAVORATORE ITALIANO ALL'ESTERO. ESPERIENZA DI SAIPEM.
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Nicosia, V., De Sanctis, S., Sguera, A., Consentino, M., Gialdi, C., Donghi, R., and Sernia, S.
- Abstract
Copyright of Giornale Italiano di Medicina del Lavoro ed Ergonomia is the property of Giornale Italiano di Medicina del Lavoro ed Ergonomia Editorial Board and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2011
21. Workplace violence among healthcare workers, a multicenter study in Italy
- Author
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G. La Torre, A. Firenze, L.P. Di Gioia, G. Perri, M. Soncin, D. Cremonesi, N. De Camillis, S. Guidolin, G. Evangelista, M. Marte, N.G. Fedele, S. De Sio, A. Mannocci, S. Sernia, S. Brusaferro, La Torre, G, Firenze, A, Di Gioia, L P, Perri, G, Soncin, M, Cremonesi, D, De Camillis, N, Guidolin, S, Evangelista, G, Marte, M, Fedele, N G, De Sio, S, Mannocci, A, Sernia, S, and Brusaferro, S
- Subjects
Male ,physical aggression ,Health Personnel ,prevalence ,Public Health, Environmental and Occupational Health ,Physical aggression, Prevalence, Risk factor, Verbal abuse, Workplace violence ,General Medicine ,Middle Aged ,Aggression ,verbal abuse ,Cross-Sectional Studies ,Italy ,risk factor ,Surveys and Questionnaires ,workplace violence ,Humans ,Female ,Workplace - Abstract
Objectives: The purpose of this study is to assess the prevalence and determinants of workplace violence and the sociodemographic risk factors associated. Study design: This was a multicenter cross-sectional study. Methods: The study was performed using self-compiled Italian version of the World Health Organization's questionnaire on workplace violence online by filling in a Google form. The survey was opened from May 2018 to March 2020 and lasted 5-10 min. Results: The sample consists of 3659 healthcare workers, of which 2525 (69%) are females, 1446 (39.5%) are nurses, and 2029 (55.5%) are health workers from northern Italy. The most frequent age group of the sample is 50-54 years (16.7%). A total of 366 (10%) healthcare workers are victims of physical aggression at work in the last 12 months, of which 6.3% with a weapon. The risk of being a victim of physical aggression at work in the last 12 months is significantly associated with the following independent variables: male gender (odds ratio [OR] 1.72, 95% confidence interval [CI]: 1.36-2.17), work in southern Italy (OR 1.59, 95% CI: 1.10-2.28), and being a nurse (OR 2.56, 95% CI: 2.01-3.25). The risk of being a victim of physical aggression at work with a weapon in the last 12 months is significantly associated with work in southern Italy (OR 9.33, 95% CI: 3.83-22.73). A total of 1723 (47.1%) of healthcare workers declare to be a victim of verbal aggression at work in the last 12 months. The risk of being a victim of verbal aggression at work in the last 12 months is significantly associated with the following independent variables: work in northern Italy (adjusted OR [aOR] 1.54, 95% CI: 1.32-1.81), work in southern Italy (aOR 3.68, 95% CI: 2.90-4.68), and be more than 55 years old (aOR 0.73, 95% CI: 0.63-0.85). Conclusions: The study underlines that the problem of verbal and physical aggression against healthcare workers is still central and is a further starting point for research. The prevalence of violence is difficult to assess because violent incidents are underreported or unreported. The results of the study suggest that increased awareness is needed to develop effective control strategies at the individual, hospital, and national levels to prevent aggression and improve the conditions of victims. (c) 2022 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
- Published
- 2022
22. Occupational Medicine and Prevention of Chronic and Infectious Diseases.
- Author
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La Torre G, Shaholli D, Colaprico C, Manai MV, Ammirati S, Mantione G, and Sernia S
- Abstract
Occupational medicine is a clinical discipline that draws attention to the health of workers and their ability to work [...].
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- 2023
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23. Assessment of the Impact of Low-dose Ionizing Radiation Exposure on Health Care Workers: A Study of Methods Used from a Scoping Review.
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De Giorgi A, Bongiovanni A, De Sio S, Sernia S, Adamo G, and La Torre G
- Subjects
- Humans, Retrospective Studies, Cross-Sectional Studies, Health Personnel, Radiation, Ionizing, Radiation Exposure adverse effects, Radiation Exposure analysis, Occupational Exposure adverse effects, Occupational Exposure analysis
- Abstract
Abstract: Healthcare workers may be exposed to ionizing radiation. Ionizing radiations are an important occupational risk factor for the potential damage they can cause to workers' health. Actually, the attention is focused on diseases caused by damage to radiosensitive organs. The aim of our study is to evaluate the methods used for the assessment of the impact of exposure to low-dose ionizing radiation in a population of healthcare workers (HCWs). The electronic database PubMed was searched by title, abstract, and medical subheadings (MeSH) terms. The extracted data were arranged into tables by dividing bibliographic reference, exposure, and statistical analysis information. The quality assessment was performed with the use of the Newcastle-Ottawa Quality Assessment Scale. The search strategy involved retrieving 15 studies (eight cohorts and seven cross-sectional studies). The univariate tests have been performed in 14 studies (93.3%), and Chi-square and T-test were the most commonly used. Multivariate tests have been performed in 11 studies (73.3%), and the most commonly performed were Logistic and Poisson Regressions. The most rated organ was the thyroid gland (six studies). The annual cumulative effective dose was the most used method to assess the dose rate (seven studies). Due to the characteristics of pathologies involved, a retrospective cohort study with an adequate control group and use of the annual cumulative effective dose to account for exposure could be useful features to obtain the best possible evidence. All the elements were found rarely in studies considered. The need is highlighted for more in-depth studies to investigate this topic., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2023 Health Physics Society.)
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- 2023
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24. Evaluation of the Factors Associated with Reinfections towards SARS-CoV-2 Using a Case Control Design.
- Author
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La Torre G, Paglione G, Barone LC, Cammalleri V, Faticoni A, Marte M, Pocino RN, Previte CM, Bongiovanni A, Colaprico C, Ricci E, Imeshtari V, Manai MV, Shaholli D, Barletta VI, Carluccio G, Moretti L, Vezza F, Volpicelli L, Massetti AP, Cinti L, Roberto P, Napoli A, Antonelli G, Mastroianni CM, and Sernia S
- Abstract
Objective: The risk of reinfection with SARS-CoV-2 has been rapidly increased with the circulation of concerns about variants. So, the aim of our study was to evaluate the factors that increase the risk of this reinfection in healthcare workers compared to those who have never been positive and those who have had only one positivity., Methods: A case-control study was carried out at the Teaching Hospital Policlinico Umberto I in Rome, Sapienza University of Rome, in the period between 6 March 2020 and 3 June 2022. Cases are healthcare workers who have developed a reinfection with the SARS-CoV-2 virus, while controls were either healthcare workers who tested positive once or those who have never tested positive for SARS-CoV-2., Results: 134 cases and 267 controls were recruited. Female gender is associated with a higher odds of developing reinfection (OR: 2.42; 95% CI: 1.38-4.25). Moreover, moderate or high alcohol consumption is associated with higher odds of reinfection (OR: 1.49; 95% CI: 1.19-1.87). Diabetes is also associated with higher odds of reinfection (OR: 3.45; 95% CI: 1.41-8.46). Finally, subjects with increased red blood cell counts have higher odds of reinfection (OR: 1.69; 95% CI: 1.21-2.25)., Conclusion: From the prevention point of view, these findings indicate that particular attention should be paid to subjects with diabetes mellitus, women and alcoholic drinkers. These results could also suggest that contact tracing represents a fundamental approach model against the SARS-CoV-2 pandemic, together with the health information of participants.
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- 2023
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25. What to remove from the work environment: the sick worker or the cause of his sickness? Workplace bullying, a form of violence that causes sickness.
- Author
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Grima D, La Torre G, and Sernia S
- Subjects
- Male, Humans, Violence prevention & control, Workplace psychology, Health Status, Occupational Stress, Bullying prevention & control, Bullying psychology, Workplace Violence
- Abstract
Abstract: Although there are many different definitions of workplace bullying in the scientific literature, it can be defined as a form of psychological and relational violence conducted systematically and continuously by one or more individuals, towards another individual, with the aim of causing him physical and mental harm and exclude him from the workplace. The elements common to all definitions are the work context, the duration for at least six months, the frequency of bullying actions, which must occur at least once a week, the evolution in phases and the power differential between aggressor and victim. The purpose of this article is not only to provide the most important definitions of workplace bullying and to identify the common elements, but also to report the most recent findings concerning gender and personality differences of both victim and aggressor, to report the most investigated professional sectors, to describe the causes and the consequences on both the worker and the organization and to present the legislative framework. Workplace bullying can be considered an emerging public health problem that requires preventive interventions. Secondary and tertiary prevention interventions are important, but the aim is to prevent the phenomenon when it has not yet developed. Primary prevention interventions promote a healthy work environment that reduces the development of work-related violence, including workplace bullying.
- Published
- 2023
- Full Text
- View/download PDF
26. Thyroid parameters variations in healthcare workers and students exposed to low-dose ionizing radiations.
- Author
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Sernia S, Bongiovanni A, De Giorgi A, Cafolla A, De Sio S, and La Torre G
- Subjects
- Humans, Thyroid Hormones, Thyrotropin, Radiation, Ionizing, Thyroxine, Thyroid Diseases diagnostic imaging, Thyroid Diseases epidemiology
- Abstract
Summary: Background. Ionizing Radiations (IR) are an important occupational risk factor for the potential damage that can cause to workers' health and for their presence in numerous professional settings. Health care workers (HCW) can be exposed to IR from various sources, in particular from x-rays using radiological equipment, and represent the largest group of workers occupationally at risk, despite increased regulation and protection which caused exposure to low dose radiations. The thyroid gland is one of the most sensitive organs to damage and an important target of IR, leading to functional and organic diseases. The aim of this study is to assess the variations in thyroid hormones, in a population of HCW exposed to low-dose IR. Methods. 121 individuals of the Teaching Hospital Policlinico Umberto I in Rome exposed to low-dose of IR (78 HCW, 17 Residents and 26 Radiology Technicians Students) were observed assessing serum levels of different thyroid function parameters as free triiodothyronine, free thyroxine and thyroid stimulating hormone at T1, T2 and DeltaT. Age, gender, history of thyroid diseases, BMI and smoke were analyzed as possible influencing factors using linear and multiple logistic regression analysis. Results. Analyzing TSH, fT3 and fT4 serum levels, in two different measurement (T1 and T2) and considering Delta between them, adjusting for different confounding factors, data showed no variation of TSH levels related to occupational exposure, a decrease of fT3 hormone values in HCW and residents, and an increase of fT4 in HCW. Discussion. The analysis of our results revealed that hospital occupation has an impact on thyroid hormones variations, with an increase of fT4 and a decrease of fT3 and no variations of TSH. These results are in conflict with previous studies evidences, in which both free hormones decreased with a concomitant increase of TSH. Conclusion. Exposure to low dose IR influences levels of free thyroid hormones, with no variation in TSH, which could result in a functional or organic disease. For this reason it is recommended continuous surveillance through a periodic check of all the thyroid hormones for an overall view of each HCW. However, further studies are necessary to confirm hormones trend and assess any related thyroid diseases., Competing Interests: The authors of this article have no conflict of interests to disclose., (Copyright© by GIMLE.)
- Published
- 2022
27. Prevalence and Risk Factors of Bullying and Sexual and Racial Harassment in Healthcare Workers: A Cross-Sectional Study in Italy.
- Author
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La Torre G, Firenze A, Colaprico C, Ricci E, Di Gioia LP, Serò D, Perri G, Soncin M, Cremonesi D, De Camillis N, Guidolin S, Evangelista G, Marte M, Fedele NG, De Sio S, Mannocci A, Sernia S, and Brusaferro S
- Subjects
- Cross-Sectional Studies, Female, Health Personnel, Humans, Male, Prevalence, Risk Factors, Surveys and Questionnaires, Workplace, Bullying, Sexual Harassment, Workplace Violence
- Abstract
Background: This cross-sectional study aims to evaluate the prevalence and socio-demographic factors associated with workplace bullying, sexual harassment and racial harassment among Italian health workers., Methods: We recruited 3129 participants using an online Italian translation of the 'Workplace Violence in the Health Sector Country Case Studies Research Instruments Survey' (WVHS) questionnaire. Data were analyzed with univariate (chi-square) and multivariate (multiple logistic regression) analysis., Results: Univariate analysis shows that females are significantly more affected by bullying (16.4% vs. 12.3%) and sexual harassment (2.4% vs. 1.3%). On the other hand, males are significantly more affected by racial harassment (3.1% vs. 2.0%). Multivariate analysis shows higher odds of being affected by bullying (OR = 1.30; 95% CI (1.03, 1.64)) and sexual harassment (OR = 2.08; 95% CI (1.04, 4.00)) for females, and higher odds of undergoing racial harassment (OR = 1.55; 95% CI (0.95, 2.53)) for males., Conclusion: This analysis of work situations looks to identify those risk factors, existing or potential, that increase the probability of episodes of violence. A group of work or other subjects identified by direction will have to evaluate the vulnerability of workplaces and establish more effective preventive actions to be adopted.
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- 2022
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28. Mindfulness as a tool for reducing stress in healthcare professionals: An umbrella review.
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La Torre G, Leggieri PF, Cocchiara RA, Dorelli B, Mannocci A, Sernia S, and Guerra F
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- Humans, Health Personnel, Anxiety prevention & control, Delivery of Health Care, Stress, Psychological prevention & control, Mindfulness methods, Burnout, Professional prevention & control
- Abstract
Background: Health care providers (HCPs) and health care students experience a huge amount of stress due to high workloads and pressure to perform and are likely to develop anxiety, depression and burnout., Objective: The objective was to carry out an umbrella review of systematic and narrative reviews on the effectiveness of mindfulness-based interventions in reducing stress and improving well-being in HCPs and health care students., Methods: Systematic and narrative reviews that examined the impact of mindfulness-based interventions on HCPs and healthcare students' perceived stress were identified through a systematic search of three electronic databases: PubMed, Scopus and Web of Science., Results: Fifteen articles were included in the analysis: eleven systematic and four narrative reviews. Studies' quality varied from critically low to high. The different interventions showed positive results in reducing stress in both HCPs and students, with mindfulness-based stress reduction (MBSR) course having the major impact., Conclusions: MBSR techniques and other mindfulness based interventions resulted to be potentially effective in reducing stress. However, despite the vast amount of data collected by the studies and the promising results, several limitations affected the validity of the studies. Therefore, more research that considers the critical aspects of this field is required, in order to provide more reliable results.
- Published
- 2022
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29. [Association between socio-demographic factors and eye diseases of italian university employees subjected to health surveillance: an observational study].
- Author
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Sernia S, Prokopenko K, Lia L, D'Egidio V, Strippoli L, Antoniozzi T, Del Buono S, Mannocci A, and La Torre G
- Subjects
- Adult, Cross-Sectional Studies, Female, Humans, Male, Prevalence, Risk Factors, Universities, Astigmatism, Myopia
- Abstract
Summary: Background. Workers exposed to occupational hazards for the ocular apparatus are subject to health surveillance which includes an eye examination. Objectives. To assess the prevalence of eye diseases among University employees and analyze the association between socio-demographic factors and eye conditions by analyzing computerized data. Methods. A cross-sectional study was conducted on the collected data. A univariate analysis and a logistic regression were performed to verify the association between eye diseases and socio-demographic factors, such as gender and age. This study was carried out using a database of computerized eye charts of a University of Rome, referring to the 2017-2018 period. Results. The sample study consists of 4503 employees, 44.86% men 55.13% women. The average age was 44.53 years. The most frequent eye conditions in University workers are refractive ones: myopia (53.87%), astigmatism (37.95%), presbyopia (34.06%), hypermetropia (14.25%). Multivariate analysis shows that increasing age is associated with an increase in risk with all outcome variables, except for myopia (OR = 0.98; 95% CI: 0.97 - 0.98). Moreover, women have a lower risk of astigmatism (OR = 0.83; C 95%: 0.73 - 0.94), keratoconus (OR = 0.22; 95% CI: 0.09 - 0.54) and dyschromatopsia (OR = 0.08; 95% CI: 0.02 - 0.34). Conclusions. Considering the high number of workers involved in the study, the frequency of exposure to occupational risks and the exposure to multiple risk factors at the same time in some categories of workers, the health surveillance resulted to be a useful tool for monitoring and control of eye diseases in workers at risk., Competing Interests: The authors of this article have no conflict of interests to disclose., (Copyright© by GIMLE.)
- Published
- 2021
30. Working in "smart" mode during the Covid-19 pandemic. Validation of a questionnaire in the healthcare sector.
- Author
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Chiappetta M, Mazzalai E, Sernia S, and La Torre G
- Subjects
- Adult, Cross-Sectional Studies, Female, Humans, Italy epidemiology, Male, Middle Aged, Reproducibility of Results, SARS-CoV-2, Young Adult, COVID-19 epidemiology, Health Care Sector organization & administration, Health Knowledge, Attitudes, Practice, Pandemics, Surveys and Questionnaires standards
- Abstract
Conclusions: The present tool is adequate to investigate attitudes towards Smart Working among healthcare workers., Background: During the most difficult phases of the Covid-19 he-alth emergency, when access to the usual work location was not allowed due to the constraints related to the pandemic, Smart Working enabled business continuity in the face of the ongoing health emergency. Mo-dern technology serves a new way of working, allowing workers to effectively manage their professional and personal spheres in a world that increasingly requires them to optimize their time. The main objective of this research is to validate a Smart Working questionnaire administered to healthcare workers., Methods: The questionnaire, reported in Annex I, consisting of 30 questions and submitted electronically through Google Forms, was administered in Italian to healthcare personnel of the Teaching hospi-tal Umberto I and Sapienza University of Rome between September and October 2020. The questionnaire analyzed the characteristics of the sample and investigated the perception and attitude of healthcare personnel towards seven different aspects of Smart Working. A descriptive analysis of the sample examined and an internal consistency analysis was performed through the use of the SPSS (Statistical Package for Social Science) program version 25.0. Cronbach's alpha statistical indicator, which measures reprodu-cibility over time, reliability, and homogeneity of questions, was used for the analysis., Results: A total number of 53 health care providers answered the online questionnaire. The majority of the respondents were female (60.4%); 73.6% of respondents reported having a college degree or a higher educational level. The analysis showed an overall standardized Cronbach's Alpha of 0.709, which corresponds to a good reliability. In the items analysis, the alpha value ranged from a minimum of 0.652 to a maximum of 0.756.
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- 2021
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31. [Injuries among Sapienza University students].
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La Torre G, Mannocci A, Sestili C, Di Folco F, Foschi C, Lucchese C, Brauneis S, and Sernia S
- Subjects
- Accidental Injuries pathology, Adolescent, Adult, Cohort Studies, Female, Humans, Incidence, Male, Retrospective Studies, Rome, Universities, Young Adult, Accidental Injuries epidemiology, Accidents, Occupational statistics & numerical data, Students statistics & numerical data
- Abstract
Summary: Background. The phenomenon of accidents during the university course is a public health problem. Students spend a lot of time at university and in structure for training. This this leads them to be exposed to biological, chemical and ergonomic risk of accidents or occupational diseases. Aim. The aim of this study is to describe accidents that occurred to students of Sapienza University in Rome during the period 2010-2015. Materials and Methods. Retrospective study conducted on a cohort of students from Sapienza University in the years 2010-2015. As a source of data was used register of accidents reported by the students. Results. During the period considered, injuries were recorded in 791 students, mainly female (71.8%). Nursing students were the most affected (92.8%), followed by medical students (5.7%) and finally students of other faculties (1.5%). Point wounds were the most frequent (n=462) representing 58.4% of the total and occur mainly at the wrist and hand (n=380); the second most frequent type of injury is contact with biological liquid (n=159) followed by contusions (n=72), the most affected site in this case are the head and the face (n=81; n=23). Contusions often also involve multiple regions (n=17). In lesser numbers there are also the distortions (n=55), and fractures (n=26) the most frequent first ankle and foot (25.5%), the second most frequent wrist and hand (34.6%) The incidence of accidents ranged from 0.079% in 2011 to 0.161% in 2012. Conclusion. There is a need to design measures for more intensive specific training on biomedical students, especially nursing students, as the most exposed category, in order to reduce the accident phenomenon. Particular attention should be paid to the safe handling of sharp objects. It would be beneficial to include in the course of teaching lessons aimed at security and greater awareness of the risk., Competing Interests: The authors of this article have no conflict of interests to disclose., (Copyright© by GIMLE.)
- Published
- 2020
32. [Workplace injuries in micro and small enterprises in the period 2013-2015 in the province of Rome (Italy)].
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La Torre G, Petronzi F, Bollini G, Mannocci A, and Sernia S
- Subjects
- Humans, Rome, Occupational Health, Occupational Injuries epidemiology, Workplace statistics & numerical data
- Abstract
Summary: Background. Micro and small enterprises (MSE) have fewer than 10 and 50 employees, and an annual balance sheet total that does not exceed € 2million and 10 million, respectively. Aim. To assess injuries in the micro and small enterprises in the Province of Rome in the period 2013-2015. Methods. In this study MSEs of the Confederazione Nazionale dell'artigianato piccole e medie imprese (CNA) of Rome were randomly selected. Results. In 290 MSEs sampled, 7 workplace injuries occurred, 3 in the same enterprise (PVC window frames, one injury per year) and the others occurred in an orthopaedic laboratory, in a store for building construction, in a cleaning company and in a company plant. The injury rate was 5.93‰ in three years (i.e., 1.97‰ per year on average). Conclusions. Workplace injuries in MSEs in the Province of Rome is not relevant (almost 2‰ per year), if compared to the injury rates in the Lazio region and the national level., Competing Interests: The authors of this article have no conflict of interests to disclose., (Copyright© by Aracne Editrice, Roma, Italy.)
- Published
- 2019
33. Are Bank Employees Stressed? Job Perception and Positivity in the Banking Sector: An Italian Observational Study.
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Mannocci A, Marchini L, Scognamiglio A, Sinopoli A, De Sio S, Sernia S, and La Torre G
- Subjects
- Adult, Female, Humans, Italy epidemiology, Male, Middle Aged, Pilot Projects, Surveys and Questionnaires, Banking, Personal, Burnout, Professional psychology, Occupational Stress, Stress, Psychological, Workplace psychology
- Abstract
Background : The epidemiology of stress on bank workers in Europe is only at the introductory stages. This study investigated for the first time the association between occupational stress level in bank-employees using the BEST8, Karasek-Model and socio-demographic and working factors in Italy. Methods : The observational pilot study involved 384 employees. Three questionnaires were adopted to collect data: Karasek-Model, BEST8 ( p < 0.001) and Positivity-Scale. Results : 25% of the sample belonged to high stress group. The workers more stressed were older with a commercial role and consumer of antidepressants/sedatives. Women were much more likely to agree with the perception of feeling unsafe in a possible robbery (OR = 2.42; 95% CI: 1.50-3.91) and with that sales requests were in conflict with one's own personal moral code (OR = 2.31; 95% CI: 1.38-3.87). Older employees declared feeling inadequate in the workplace (OR = 1.97; 95% CI: 1.07-3.65) and younger employees referred to be anxious about meeting financial budget goals. Workers who had a low positivity had a lower probability of adaptation (OR = 0.88; 95% CI: 0.83-0.93). Conclusions : The occupational stress level in the banking sector involves many aspects: gender, type of bank, role, personal morals, high job-demands, low level of decision-making. This study recommended that banks should implement strategic interventions for well-being of employees, and consequently for their productivity., Competing Interests: The authors declare no conflict of interest.
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- 2018
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34. {Perception of alcohol problem among workers of the transportation, healthcare and building sectors in the Lazio Region].
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Valente P, Mipatrini D, Mannocci A, Ruscitti LE, Sernia S, Ceccanti M, and La Torre G
- Subjects
- Adult, Binge Drinking epidemiology, Female, Humans, Italy epidemiology, Male, Middle Aged, Occupational Health, Risk Factors, Social Perception, Surveys and Questionnaires, Workplace statistics & numerical data, Alcohol Drinking epidemiology, Construction Industry statistics & numerical data, Delivery of Health Care statistics & numerical data, Health Knowledge, Attitudes, Practice, Transportation statistics & numerical data
- Abstract
Aim: To perform an analysis of the perception of alcohol use among workers of the transportation, healthcare and building sectors., Methods: A survey was carried out on alcohol consumption and knowledge of deriving health effects. Socio-demographic characteristics of the workers were collected. Risk indexes for habitual alcohol and binge consumption were calculated., Results: The number of workers entering the survey is 3,914 (57% males; 58% married). Two-thirds of the sample reported good knowledge of alcohol-related risks that could occur at the workplace, and 55% of alcohol-related health risks. Binge drinking is inversely associated with female gender, good perceived health and good knowledge of alcohol-related risks at the workplace and of alcohol-related health risks. People who are single, young and working in the building sector show higher odds for binge drinking. The habitual use is positively associated with marital status (OR=1.51 for single) and working sector (in the building sector OR=3.28; in the healthcare OR=1.90); and inversely associated with good health (OR=0.70), good knowledge of alcohol-related risks at the workplace (OR=0.54) and of alcohol-related health risks (OR=0.41)., Conclusions: Socio-demographic factors, such as age, gender and marital status are associated with different patterns of alcohol consumption, that in turn are inversely associated with good knowledge of alcohol-related risks at the workplace and of alcohol-related health risks. These results suggest the need to increase knowledge of alcohol-related issues among the workers, both at the workplace and in everyday life.
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- 2018
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35. Association between Work Related Stress and Health Related Quality of Life: The Impact of Socio-Demographic Variables. A Cross Sectional Study in a Region of Central Italy.
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La Torre G, Sestili C, Mannocci A, Sinopoli A, De Paolis M, De Francesco S, Rapaccini L, Barone M, Iodice V, Lojodice B, Sernia S, De Sio S, Del Cimmuto A, and De Giusti M
- Subjects
- Adolescent, Adult, Aged, Cross-Sectional Studies, Family Characteristics, Female, Health Status, Health Surveys, Humans, Italy, Male, Middle Aged, Multivariate Analysis, Rome, Young Adult, Occupational Stress, Quality of Life
- Abstract
The aim of this work is investigate relationship between health-related quality of life and work-related stress and the impact of gender, education level, and age on this relationship. A cross-sectional study was conducted among workers of various setting in Rome and Frosinone. Work-related stress was measured with a demand-control questionnaire and health-related functioning by SF (short form)-12 health survey. There were 611 participants. Men reported high mental composite summary (MCS) and physical composite summary (PCS). In multivariate analysis age, gender ( p < 0.001) and job demand (0.045) predicted low PCS. Low MCS predicted poor PCS. Job demand and educational level resulted negatively associated with MCS. In an analysis stratified for age, gender, and educational level, gender and age resulted effect modifier for MCS, gender and education level for PCS. In women increase of decision latitude predict ( p = 0.001) an increase in MCS; a low job demand predict high MCS in male ( p ≤ 0.001). In younger workers, a lower level of job demand predicted high MCS (<0.001). For PCS, gender and education level resulted effect modifier. In women, high decision latitude predicted higher PCS ( p = 0.001) and lower level of job demand results in higher PCS ( p ≤ 0.001). Higher educational level resulted predictor of low PCS. Management of risk about work-related stress should consider socio-demographic factors., Competing Interests: The authors declare no conflict of interest.
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- 2018
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36. [Employee Wellbeing in a University Department, Italy].
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Sinopoli A, Sestili C, Lojodice B, Sernia S, Mannocci A, De Giusti M, Villari P, and La Torre G
- Subjects
- Adult, Aged, Female, Humans, Italy, Male, Middle Aged, Self Report, Occupational Health, Occupational Stress epidemiology, Universities
- Abstract
A serene workplace environment can provide significant benefits to employees. The aim of the present study was to assess wellbeing of employees in a university department, by administering validated questionnaires (Karasek and INAIL) and to determine any similarities and / or differences. The sample consisted of 48 employees (22.9 % male and 77.1% female) in various job categories including doctors, biologists, nurses, and technical and administrative staff. Results obtained from the Karasek questionnaire allowed us to calculate the values of Decision latidude and Job demand. The intersection of the medians of the two components, respectively 56 and 30, allowed us to divide participants into four quadrants consisting of high "strain" workers, active and passive and low "strain" workers. Thirty seven percent of the sample was found to be at high risk of stress. Significant differences in responses were identified in relation to gender, age, job seniority and educational level. Responses to the two questionnaires compared favorably. Seventeen questions were compared, and for eleven of these there was sufficient agreement, with kappa test values comprised between 0.194 and 0.408 (p<0.05). Results confirm that work-related stress is a relevant issue. Karasek and INAIL questionnaires, while investigating similar issues, should not be used alternatively but rather administered simultaneously.
- Published
- 2017
37. Cardiovascular Diseases Risk Factors in oil and gas workers: a ten years observational retrospective cohort.
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Mannocci A, Pignalosa S, Nicosia V, Saulle R, Sernia S, and La Torre G
- Subjects
- Adult, Biomarkers blood, Body Mass Index, Cardiovascular Diseases blood, Cholesterol blood, Dyslipidemias chemically induced, Dyslipidemias prevention & control, Extraction and Processing Industry, Follow-Up Studies, Healthy Lifestyle, Humans, Hypertension chemically induced, Hypertension prevention & control, Italy, Male, Occupational Diseases blood, Retrospective Studies, Risk Factors, Triglycerides blood, Cardiovascular Diseases chemically induced, Cardiovascular Diseases prevention & control, Occupational Diseases chemically induced, Occupational Diseases prevention & control, Occupational Exposure adverse effects, Petroleum adverse effects
- Abstract
Objectives: The study aim was to examine the trend of major clinical biochemistry factors associated with cardiovascular diseases and dyslipidemia onset over a 10-year period (2000-2010) in Oil and Gas workers., Methods: The information extracted from "Computerized management of individual medical services database" regarding 439 Italian workers of an oil and gas company were analysed., Results: A constant and significant increase of the average Body Mass Index and serum cholesterol were found, and in particular in workers < 36 years: BMI was 24.4 (2000) and 25.8 (2010) with p < 0.001, and cholesterol was 188.3 mg/dL (2000) and 206.5 mg/dL (2010) with p < 0.001., Conclusion: Analysed variables are the most important risk factor for cardiovascular, neurological and neoplastic diseases, as well as they reduce life expectancy. Occupational medicine in particular in extreme working environmental conditions, such as for workers in oil and gas companies, monitoring health status and promoting healthy life style, has a strategic role to perform cost-effective strategies to reduce health risks, thus improving the workers lifestyle.
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- 2016
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38. [Risk of nasopharyngeal cancer, Leukemia and other tumors in a cohort of employees and students potentially exposed to (FA) formaldehyde in University laboratories].
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Sernia S, Di Folco F, Altrudo P, Sbriccoli B, Sestili C, Colamesta V, Del Buono S, Michetti A, Ortis M, Dawodu A, Villari P, and La Torre G
- Subjects
- Adult, Carcinoma, Female, Humans, Male, Middle Aged, Nasopharyngeal Carcinoma, Retrospective Studies, Risk, Students, Formaldehyde analysis, Leukemia epidemiology, Lymphoma epidemiology, Nasopharyngeal Neoplasms epidemiology, Occupational Exposure statistics & numerical data, Universities
- Abstract
FA was recently classified as carcinogen of second class (category 1B). A retrospective cohort study was conducted for the evaluation of the association between exposure to FA and cancer in professionally potentially exposed in a University setting. The cohort was composed of 140 exposed to FA and 364 not exposed in the period 1999-2015. The results showed no cancers of naso-pharynx and leukemias or lymphomas both among exposed and not exposed. Moreover, the exposure to FA is not significantly associated to an increase of other types of tumors.
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- 2016
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39. Second-hand smoke exposure generated by new electronic devices (IQOS® and e-cigs) and traditional cigarettes: submicron particle behaviour in human respiratory system.
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Protano C, Manigrasso M, Avino P, Sernia S, and Vitali M
- Subjects
- Hot Temperature adverse effects, Humans, Respiratory System physiopathology, Respiratory Tract Diseases physiopathology, Tobacco Products adverse effects, Electronic Nicotine Delivery Systems adverse effects, Health Knowledge, Attitudes, Practice, Respiratory Tract Diseases etiology, Tobacco Smoke Pollution adverse effects, Tobacco Smoke Pollution prevention & control
- Abstract
Passive exposure profiles to submicronic particles (SMPs, 5.6-560 nm) of traditional cigarettes and new electronic commercial devices (e-cig and IQOS®, a new heat-not-burn smoking device) were compared. During smoking, SMPs released by traditional cigarettes resulted four-times higher than those released by electronic and heat-not-burn devices and remained high for at least one hour, while SMPs values returned immediately similar to background for electronic and heat-not-burn devices. In all experiments, approximately half of SMPs resulted so small to reach the alveolar region.
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- 2016
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40. Gender perspective in occupational medicine and workplace risk assessment: state of the art and research agenda.
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Protano C, Magrini A, Vitali M, and Sernia S
- Subjects
- European Union, Female, Gender Identity, Humans, Italy epidemiology, Male, Risk Assessment, Risk Factors, Risk Management, Sex Factors, Occupational Diseases epidemiology, Occupational Medicine, Workplace
- Abstract
The aim of this study was to investigate the current situation and the research agenda in the field of gender differences, both generically in the occupational settings and in the specific activity of risk assessment. Gender is a key determinant of health; the evaluation of documents and scientific literature shows increasing attention to a gender oriented approach, as demonstrated by the development of Gender Medicine, actually cross-oriented in all medical specialties, the publication of books dedicated to this topic and the birth of "ad hoc" new scientific societies and journals. Even today, however, the gender differences are not considered as they should in the context of health disciplines, including occupational medicine. In this respect, in fact, the critical issues to be overcome are numerous, such as the phenomena of "segregation", the exposure to risk factors and their effects, related also to non-professional, socio-cultural features that differentiate male and female workers. All these factors can lead to situations of inequality in health. In fact, the European directives on safety at work repeatedly highlight the attention to gender differences in prevention, assessment and management of risks. In this regard, the European Agency for Safety and Health at Work advocates an approach "more sensitive" to gender in all the processes of assessment and risk management, from the research of all potential sources of risk to the decision-making processes, in order to address the prevention of risks in a holistic manner.
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- 2016
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41. [Changes in tobacco addiction and spirometric variations in workers exposed to chemical risk in biochemical research laboratories of a large Italian University--a retrospective cohort study].
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Sernia S, Quaglia V, Sbriccoli B, Ortis M, Colamesta V, and La Torre G
- Subjects
- Adult, Age Factors, Female, Forced Expiratory Volume, Humans, Italy, Male, Retrospective Studies, Risk, Spirometry, Universities, Vital Capacity, Laboratory Personnel, Smoking Cessation, Tobacco Use Disorder physiopathology
- Abstract
Objective: To describe smoking cessation in a group of workers exposed to chemical risk and factors associated; to assess the changes of respiratory function over the years also in relation to risks to which they were exposed., Materials and Methods: We studied employees/students occupationally exposed to chemical risk from whom we also had information about smoking status and who had done a spirometry in all periodic visits and who had at least two periodic medical examinations during the follow-up., Results: Variables significantly associated to the smoking cessation are gender and exposure to biological risk. The changes in Forced Vital Capacity between the last and the first visit were associated to a significant negative correlation, from multivariate analysis, to age and to exposure to the display screen equipment. The Tiffeneau index was significantly positively associated with exposure to display screen equipment and to manual handling of loads; the Forced Expiratory Flow 25-75% was significantly associated with physical risk., Conclusions: A greater awareness on the consequences of smoking is recommended in subjects exposed to chemical risk, especially in women, in addition to a serial monitoring of lung function in order to carry out an early intervention in the first phase of airflow limitation.
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- 2015
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42. Levels of anti-HBs antibody in HBV-vaccinated students enrolled in the faculty of medicine, dentistry and health professions of a large Italian University.
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Sernia S, Ortis M, Antoniozzi T, Maffongelli E, and La Torre G
- Subjects
- Adult, Databases as Topic, Demography, Dentistry, Female, Humans, Italy, Male, Multivariate Analysis, Occupational Medicine, Faculty, Health Personnel, Hepatitis B Antibodies blood, Hepatitis B virus immunology, Students, Universities, Vaccination
- Abstract
Background: Prophylaxis against hepatitis B virus (HBV) addressed to students of the faculties of health professions has received great attention. Objectives. The present study aims to assess vaccination coverage against hepatitis B in healthcare professionals in training., Materials and Methods: A retrospective study was carried out using data from the students of medicine, dentistry, and health professions., Results: 4180 vaccination certifications were examined through the internal database. Significant differences (<0.0001) emerge between the number of doses applied and the antibody level. 50.4% of the students have nonprotective antibody levels (<10 IU). The age of the first dose significantly influences the level of coverage, resulting in more coverage in those vaccinated with earlier onset (1-10 years). Antibody levels are not significantly different by type of course; the levels of noncoverage are present in 44.4% of the students of medicine and dentistry and in 50.6% among those belonging to the health professions., Conclusions: This study represents one of the first experiences in Italy on vaccination against HBV and the relationship between doses of vaccination and antibody titer in the biomedical students that can configure a step forward in the real-time monitoring in order to establish a register of vaccination.
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- 2015
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43. Prevalence of major cardiovascular risk factors among oil and gas and energy company workers.
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Mannocci A, Pignalosa S, Saulle R, Sernia S, De Sanctis S, Consentino M, Gialdi C, Nicosia V, and La Torre G
- Subjects
- Adult, Age Factors, Body Mass Index, Cross-Sectional Studies, Female, Humans, Italy, Male, Middle Aged, Prevalence, Risk Factors, Cardiovascular Diseases epidemiology, Industry, Natural Gas, Occupational Exposure statistics & numerical data, Petroleum
- Abstract
Introduction: Cardiovascular diseases (CVD) remain the biggest cause of disability and premature death throughout the world., Aim: The aim of this study was to describe and determine the prevalence of major cardiovascular risk factors emerged at the first medical examination carried out by a group of an oil and gas contractor company workers in the observation period 2000-2010., Methods: An observational cross-sectional study was conducted on 1073 workers (mean age 41 years, SD = 9.5) presenting overweight BMI (body mass index) values, hypertension and cholesterol problems., Results: In particular, we found that workers > 45 years had significant higher risk to have obesity (OR = 3.8, CI 95% = 2.5-5.7), hypertension (OR = 2.7, CI 95% = 2.1-3.6), high blood fasting glucose (OR = 2.6, CI 95% = 1.2-5.5), high cholesterol (OR = 2.7, CI 95% = 2.0-3.6), high triglycerides (OR = 1.8, CI 95% = 1.4-2.4) compared to younger (< 45 years).
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- 2015
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44. [Latent tuberculosis infection: prevalence amongst healthcare students at the Sapienza University of Rome (Italy)].
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Sernia S, Ortis M, Antoniozzi T, Palazzo C, Colamesta V, D'Aguanno S, Renzini V, and La Torre G
- Abstract
Healthcare workers, including medical, dentistry and nursing students, have an increased risk of Mycobacterium tuberculosis infection. In this study the prevalence of tuberculin skin test (TST) positivity (defined as induration ≥ 5 mm) among healthcare students enrolled at the Sapienza University of Rome (Italy) in the years 2011-2012 was evaluated. Overall, 2,519 students with a mean age of 20.6 years were tested, of whom 62.4% were female, 0.4% were vaccinated with BCG and 4.6% were foreign-born. Eighty-two students (3.3%) were found to have a positive TST. Prevalence varied by age and geographical place of birth. A baseline evaluation of medical and other healthcare students' TST status at the beginning of their training is essential to better implement infection and control measures for tuberculosis infection.
- Published
- 2014
45. [Control and prevention of tuberculosis in healthcare facilities].
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Sernia S, Arcaro P, Ortis M, and La Torre G
- Subjects
- Humans, Occupational Diseases prevention & control, Occupational Exposure prevention & control, Population Surveillance, Risk Assessment, Health Facilities, Infectious Disease Transmission, Patient-to-Professional prevention & control, Tuberculosis prevention & control
- Abstract
Tuberculosis remains the leading cause of death by a single infectious agent. Healthcare workers who for professional reasons are exposed to infectious patients and to potentially contaminated materials are at high risk of infection. This article provides a review of existing regulations and summarizes national and international guidelines and operational protocols for tuberculosis surveillance in clinical settings.
- Published
- 2013
46. Practical method of control of TBC in a population of students belonging to the Sapienza University of Rome, Italy.
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Sernia S, Antoniozzi T, and Ortis M
- Subjects
- Antitubercular Agents therapeutic use, Documentation, Electronic Health Records, Guideline Adherence legislation & jurisprudence, Humans, Mandatory Reporting, Morbidity trends, Population Surveillance, Practice Guidelines as Topic, Radiography, Thoracic, Rome epidemiology, Student Health Services legislation & jurisprudence, Student Health Services organization & administration, Tuberculin Test, Tuberculosis diagnosis, Tuberculosis drug therapy, Tuberculosis epidemiology, Universities, Students statistics & numerical data, Tuberculosis prevention & control
- Abstract
Aim: To describe the surveillance and control protocol for tuberculosis in healthcare students in use at the CMO of University "Sapienza" and founded on a dedicated database., Methods: Analysis of health certificates through a dedicated data storage software based on Microsoft Access 2007., Results: Students resulting positive to Mantoux test who did not undergo second-level examination (chest X-ray, TB Gold, prophylaxis) are invited to refer themselves within ten days to the infectious disease specialist., Conclusion: the methodological analysis, refined over the years by the CMO staff of the Sapienza University of Rome, allowed to match clinical certification data, to rapidly focus upon TBC spread control among healthcare settings, to register new students time zero before their admission to courses and potential professional exposure, to perform epidemiological studies aimed to increase TBC control through healthcare system released clinical certification confirmation.
- Published
- 2013
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47. Skin test screening for tuberculosis among healthcare students: a retrospective cohort study.
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Orsi GB, Antoniozzi T, Ortis M, Pippia V, and Sernia S
- Subjects
- Adolescent, Adult, Cohort Studies, Humans, Prevalence, Retrospective Studies, Young Adult, Delivery of Health Care, Students, Tuberculin Test, Tuberculosis diagnosis, Tuberculosis epidemiology
- Abstract
Background: Aim of the study was to document the baseline prevalence of healthcare students positive to tuberculosis skin tests screening., Methods: Between 2008-2010, students admitted to healthcare courses (medicine, nursing, physiotherapy...) at Sapienza university in Rome were requested to carry out personal tuberculosis skin test screening in their local district or town healthcare centers according to the italian guidelines. At the time interferongamma release assays (IGRA) testing was not adopted for large screening. Demographic characteristics, tuberculosis screening results, healthcare course, tuberculosis vaccination status were recorded., Results: A cohort of 2,500 university healthcare students were screened by several Italian Hygiene Offices using tuberculin skin test and Tine test. Overall 131 (5.2%) healthcare students resulted positive to some tuberculosis skin test screening. Tuberculin skin test was carried out on 2,029 students (81.2%) and conversion was observed in 107 (5.3%), whereas Tine test was carried out on 498 students (19.9%) and positive result was observed in 24 (4.8%). The Tine test use and non optimal (<72h) recording of the forearm induration in tuberculin skin tests was related mostly to some healthcare centers in Lazio and Campania regions. Previous BCG vaccination was reported by 27 healthcare students (1.1%), and only two of them showed tuberculin skin test conversion, whereas the large majority 105 (98.1%) of Mantoux positives had not been vaccinated. In univariate analysis positive tuberculin skin test was associated to growing students age (29.2 ± 10.3 vs. 23.1 ± 6.0; p<0.01). Positive tuberculin skin test was recorded in 25 (20.3%) foreign and 82 (4.3%) italian students showing a higher risk for International students (RR 4.72; 95%CI 3.14 - 7.11; p<0.01). There was no significant correlation between the different Italian regions, the various healthcare courses or gender., Conclusion: The study evaluated the baseline positive skin test rate for tuberculosis among healthcare students in their first university year, showing a higher risk for the international group and revealed some problematic screening practices which need to be improved in the future screening programs.
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- 2013
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48. Occupational biological risk knowledge and perception: results from a large survey in Rome, Italy.
- Author
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De Giusti M, Corrao CR, Mannocci A, Palazzo C, Riccardi R, Schmidt SL, Sernia S, and La Torre G
- Subjects
- Adult, Agriculture, Air Pollutants, Occupational, Blood-Borne Pathogens, Cross-Sectional Studies, Data Collection, Female, Food Contamination, Food Handling, Health Personnel psychology, Humans, Infection Control, Knowledge, Male, Perception, Research Personnel psychology, Risk, Rome, Sampling Studies, Surveys and Questionnaires, Teaching, Attitude to Health, Hazardous Substances, Occupational Diseases psychology, Psychology, Industrial
- Abstract
Background: A cross-sectional survey on knowledge and perception of occupational biological risk among workers in several occupations was carried out in the industrial area of Rome., Methods: The study was carried out in the period of March-April 2010 using a questionnaire with 33 items on the following areas: a) socio-demographic data; b) perception of the biological risks in ordinary occupational activity; c) knowledge about biological risks; d) biological risks in the working environment. The questionnaire was submitted to a convenience sample of workers of an industrial area in Southern Rome., Results: 729 participants entered the study from the following work activities: food, catering, service, farming and breeding, healthcare, school and research (males 57.2%; mean age 37.4 years, SD = 10.9). Significant associations were found between different activity areas with respect to the relevance of the biological risk (p = 0.044) and the perception of the biological risk (p < 0.001). With respect to vehicles of infectious agents, the highest percentages of the most common biological risk exposures were: air and physical contact for the catering and food group, 66.7% and 61.90% respectively; air and blood for the health and research group, with 73.50% and 57.00% respectively; and physical contact and blood for the service group, 63.10 % and 48.30%. Significant difference of proportions were found about the prevalent effect caused by the biological agents was the occurrence of infectious diseases (59.90% food group, 91.60% health and research and 79.30% service group) (p < 0.001). The perception of knowledge resulted in a good rank (sufficient, many or complete) in the food and catering group, 78.3% with significant difference compared to other professions (p < 0.001)., Conclusions: All participants show good knowledge the effects induced by biological agents and it is significant that almost half of the respondents are aware of the risks concerning allergies. Nevertheless, it is surprising that this risk is known mainly by workers of service, farming and breeding, to a greater extent than it is known by health workers.
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- 2012
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49. [Revision of the behavior of Italian universities towards the HBV vaccination and tuberculosis prophylaxis].
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La Torre G, Palazzo C, Ortis M, Antoniozzi T, Boccia A, and Sernia S
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- Humans, Italy, Attitude to Health, Hepatitis B prevention & control, Hepatitis B Vaccines, School Admission Criteria, Schools, Health Occupations, Tuberculosis prevention & control, Universities
- Abstract
Diagnostic screening for hepatitis B and tuberculosis infection bears a very important role for health care professionals even considering the decreasing epidemiological trends. According to the WHO predictions in 2030 these diseases will remain at third and fourth places among the causes of death for infectious diseases in industrial countries. The aim of this study is to verify the presence of hepatitis B and tuberculosis prophylaxis among the entry requirements for Medical Schools (MED) and Healthcare Professions Degree (PS) courses in 2011/2012 enrollment announcements. We examined 39 websites of Italian Public and Private Universities and we discovered 38 different announcements for MED and PS courses looking for any reference about hepatitis B and tuberculosis vaccinations and Mantoux skin test. The statistical analysis is descriptive (frequency tables). Hepatitis B vaccination was required in 7 (18.4%) enrollment announcements for MED and 6 (13.6%) for PS, respectively. Tuberculosis vaccination and/or Mantoux skin test were found among requirements of only 10 announcements for MED and 7 for PS, respectively. According to this study there is a great and unexpected variability among the different universities. A homologation of these requirements would be strongly desirable among Italian regions and on the entire national territory.
- Published
- 2011
50. Prevalence of sensitization to Cupressus sempervirens: a 4-year retrospective study.
- Author
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Papa G, Romano A, Quaratino D, Di Fonso M, Viola M, Artesani MC, Sernia S, Di Gioacchino M, and Venuti A
- Subjects
- Adolescent, Adult, Aged, Asthma epidemiology, Child, Child, Preschool, Conjunctivitis, Allergic epidemiology, Humans, Italy epidemiology, Middle Aged, Prevalence, Retrospective Studies, Allergens, Bronchial Hyperreactivity epidemiology, Pollen
- Abstract
In the last few years Cupressus sempervirens has been identified as the cause of an increasing number of cases of late winter-early spring pollinosis in Mediterranean countries. We conducted a 4-year retrospective study of a large group of subjects with documented allergic respiratory disease in order to determine the prevalence, clinical significance and annual rate of sensitization to C. sempervirens pollen. Anamnestic data and skin prick tests (SPT) with common aeroallergens and C. sempervirens extract were collected from 1397 subjects (712 male and 685 female) resident in Latium, a region in central Italy, with complaints related to upper- or lower-respiratory-tract disorders or conjunctival disease. Two hundred and forty-three subjects (17.4%) showed positive results to C. sempervirens extract: 47 (19.3%) of them were monosensitized. The annual sensitization rate of SPT positivity to C. sempervirens varied from 7.2% in 1995 to 22% in 1998. All the subjects monosensitized to cypress pollen had symptoms from January through April. Our study suggests that sensitivity to C. sempervirens is responsible for respiratory symptoms in an increasing percentage of subjects. Further studies are needed to determine its frequency at the national level.
- Published
- 2001
- Full Text
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