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La Tunisie Medicale Mar 2024Several clinical and epidemiological data point to a possible link between smoking exposure and contact dermatitis (CD).
INTRODUCTION
Several clinical and epidemiological data point to a possible link between smoking exposure and contact dermatitis (CD).
AIMS
To identify the clinical and epidemiological differences of CD in smoking and non-smoking subjects, and to determine the influence of smoking on the allergological profile of CD.
METHODS
Retrospective descriptive study who consulted the Department of Occupational Medicine and Occupational Pathology of the Farhat Hached University Hospital of Sousse (Tunisia) during a period of 8 years for exploration of CD and who were tested with the European Standard Battery (ESB).
RESULTS
A total of 767 patients were enrolled during the study period, 40% of whom were smokers. The group of smokers was characterized by a male predominance (p=10-3) and a greater professional seniority compared to non-smokers (p=0.01). Personal history of atopy was predominant in non-smokers (p=0.02). Among the ESB allergens, there was a significant association between smoking and CD due to metals (chromium, cobalt) and conservatives. After binary logistic regression, the variables associated with smoking exposure were male gender (OR=12.12 ; 95% CI=[6.07 - 24.21]; p=10-3), Kathon CG allergy (OR=3.69 ; 95% CI=[1.24 - 10.81]; p=0.018), and right hand involvement (OR= 2.83; 95% CI=[1.29 - 6.17]; p=0.005).
CONCLUSION
Our study revealed an effect of smoking on the clinical and allergological characteristics of CD.
Topics: Humans; Male; Female; Dermatitis, Allergic Contact; Retrospective Studies; Smoking; Allergens; Occupations
PubMed: 38545712
DOI: 10.62438/tunismed.v102i3.4226 -
European Journal of Clinical... Jun 2023
PubMed: 37071379
DOI: 10.1007/s10096-023-04604-x -
La Medicina Del Lavoro Dec 2019.
UNLABELLED
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INTRODUCTION:
The Clinica del Lavoro, the first clinic for occupational diseases of the world, was inaugurated in Milan on 20 March 1910; its first director was Luigi Devoto, who was in charge until 1935. The purpose of this work is to review the activities of industrial hygiene and toxicology carried out at the Clinica del Lavoro under the guidance of Devoto.
METHODS:
Documents published by the Istituti Clinici di Perfezionamento, a group of clinics of which the Clinica del Lavoro was part, record the birth and organization of this structure and the presence of a laboratory of chemistry; documents by Devoto and other authors were also retrieved to extrapolate specific information on activities of industrial hygiene and toxicology.
RESULTS:
The Clinica del Lavoro, at the time of its inauguration, included four laboratories: of chemistry, clinical physics, histopathology and bacteriology. The chemistry lab was located on the first floor and was composed of 6 well-lit rooms, modernly equipped with work benches that could accommodate 12 people. In Devoto’s view, the chemistry laboratory, supported by that of clinical physics, had to assess the toxicological properties of chemicals commonly found in the workplace and to reveal the mechanisms of induction of damage to humans. In the first 30 years of activity, the Clinica del Lavoro investigated various diseases deriving from exposure to chemical agents, including saturnism, or lead intoxication, mercurialism, phosphorism, benzolism, sulfocarbonism, dust diseases. Several assays were developed and applied to measure toxicants in different biological and environmental mean as evidenced by scientific publications starting from 1920.
CONCLUSION:
In Devoto’s view, industrial hygiene and toxicology were essential tools for the research and prevention of occupational diseases since the first years of activity of the Clinica del Lavoro.
Topics: History, 20th Century; Humans; Italy; Lead Poisoning; Occupational Diseases; Occupational Health; Occupational Medicine; Workplace
PubMed: 31846444
DOI: 10.23749/mdl.v110iS1.8814 -
La Medicina Del Lavoro Dec 2019.
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Topics: Academies and Institutes; History, 20th Century; Industry; Italy; Occupational Health; Occupational Medicine
PubMed: 31846443
DOI: 10.23749/mdl.v110iS1.8677 -
American Journal of Public Health May 2020
Topics: Built Environment; Environmental Medicine; Humans; Occupational Diseases; Occupational Exposure; Occupational Health; Occupational Medicine; Safety Management; Workplace
PubMed: 32267744
DOI: 10.2105/AJPH.2020.305625 -
La Medicina Del Lavoro Apr 2020In the past, science has had a conflicting relationship with the philosophy from which it has detached itself due to the scientific method of Galileo Galilei, but...
In the past, science has had a conflicting relationship with the philosophy from which it has detached itself due to the scientific method of Galileo Galilei, but anti-scientific atti-tudes and thoughts still persist in every field of knowledge. Occupational Medicine, like other medical disciplines, increasingly needs to have a scientific foundation that guaran-tees evidence and appropriateness for its varied professional activities. Guidance tools for occupational physicians and, in particular, the Guidelines of Scientific Societies repre-sent an indispensable contribution to correct professional practice. In many countries, in addition to the International Society of Reference and International Commission of Occu-pational Health (ICOH), there are National Societies of Occupational Medicine and many of these, such as the Italian Society of Occupational Medicine, regularly publish policy tools and guidelines for the occupational physician. It is not always possible to base the Guidelines in the field of occupational medicine exclusively on consolidated scientific ev-idence but it is still necessary to increase research and publications aimed at evaluating the effectiveness of specific interventions in the preventive, clinical and rehabilitative field of occupational medicine in order to guide occupational physicians to an increasingly appropriate practice. In Italy, a recent law allows the production of Guidelines that partially exempt criminal lia-bility for inexperience through a System of Guidelines produced by accredited Scientific Societies.
Topics: Evidence-Based Medicine; Italy; Occupational Medicine; Practice Guidelines as Topic
PubMed: 32352422
DOI: 10.23749/mdl.v111i2.9348 -
Occupational and Environmental Medicine Nov 2023
PubMed: 38053283
DOI: 10.1136/oemed-2023-109215 -
Frontiers in Public Health 2022
Topics: Occupational Health; Surveys and Questionnaires
PubMed: 35968465
DOI: 10.3389/fpubh.2022.975534 -
Journal of Occupational and... Jan 2024
Topics: Humans; Occupational Medicine; Post-Acute COVID-19 Syndrome; COVID-19
PubMed: 37696788
DOI: 10.1097/JOM.0000000000002961 -
Revista Brasileira de Medicina Do... 2023Fibromyalgia is a chronic pain syndrome with a complex multifactorial etiopathogenesis that more frequently affects women. Although widespread pain is the dominant...
Fibromyalgia is a chronic pain syndrome with a complex multifactorial etiopathogenesis that more frequently affects women. Although widespread pain is the dominant feature, fibromyalgia incorporates a wide variety of symptoms, such as fatigue, unrefreshed sleep, and cognitive and mood disorders. Central sensitization to pain is a key element in the pathophysiology of this syndrome. Due to its prevalence and repercussions on quality of life and work productivity, fibromyalgia is a common condition in occupational medicine outpatient clinics. Thus, physicians must be attentive to its symptoms to facilitate diagnosis and management. This article will address basic topics about fibromyalgia, including: epidemiology, predisposing factors, pathophysiological considerations, clinical manifestations, classification criteria, differential diagnosis, basic principles of treatment, and the contribution of occupational physicians.
PubMed: 38313087
DOI: 10.47626/1679-4435-2022-870