| 1. |
- Albin, Maria, et al.
(författare)
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Asbestos and cancer
- 1995
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Ingår i: Medicina del Lavoro. - 0025-7818. ; 86:3, s. 259-262
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Tidskriftsartikel (refereegranskat)
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| 2. |
- Buzio, L, et al.
(författare)
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Occupational risk factors for renal cell cancer. An Italian case-control study
- 2002
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Ingår i: Medicina del Lavoro. - 0025-7818. ; 93:4, s. 303-309
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To examine possible associations between occupational and environmental risk factors and renal cell cancer (RCC), a tumour with unclear aetiology and increasing incidence. Methods: A questionnaire-based case-control study of 100 histologically verified cases of RCC and 200 controls was conducted at Parma University Hospital. The control group was enrolled from patients attending different outpatient departments and represented the same residential area as the cases. For all exposure variables under study, two levels of duration were defined: "short" and "prolonged" for less than 10 years or more, respectively. Results: The highest risk estimates for RCC were found for "prolonged" exposure to organic solvents with an odds ratio (OR) of 2.2 (95% confidence interval, CI: 1.0-4,8). "Prolonged" exposures to pesticides and copper sulphate were also associated with increased risk, OR 2.0 (95% CI: 0.8-4.7) and OR 2.7 (95% CI: 1.3-5.5), respectively. Conclusions: Our data suggests an association between RCC and exposure to organic solvents, pesticides and copper sulphate. A risk gradient as a function of exposure duration was found for organic solvents (p= 0.044) and copper sulphate (p= 0.036), but not for pesticides.
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| 3. |
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| 4. |
- Hagberg, Mats, 1951, et al.
(författare)
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Current issues in case definitions for common musculoskeletal disorders in workers for clinical practice and research.
- 2007
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Ingår i: La Medicina del lavoro. - 0025-7818. ; 98:2, s. 89-93
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Several reviews and attempts at meta-analysis have pointed out that comparisons between studies on work-related musculoskeletal disorders are problematic, since different studies use different case definitions. In a clinical setting, the case definition involves a detailed history, a physical examination, and laboratory testing. DISCUSSION AND CONCLUSIONS: When determining which tests should be included in a clinical examination, it is necessary to take into consideration the characteristics of clinical tests in terms of likelihood ratio for confirming and ruling out disease in addition to the pre-test probability of disease. If the different musculoskeletal symptoms and signs do not completely comply with the criteria for a disease, we recommend the choice of an ICD label (International Classification of Diseases - WHO) that focuses on the symptoms rather than the pathology. We suggest that the process for a new feasible case definition system for the neck and upper extremities should start with the creation of a consensus of criteria for diagnosis of common musculoskeletal disorders in primary care, developed by a panel consisting of researchers in the key disciplines. Furthermore, we suggest that in workers whose musculoskeletal function is crucial for employment, use of the International Classification of Function (ICF) may be one way to improve classification of health problems.
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| 7. |
- Laursen, Lise H., et al.
(författare)
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Diagnostic distribution of non-traumatic upper limb disorders: vibrotactile sense in the evaluation of structured examination for optimal diagnostic criteria
- 2007
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Ingår i: Medicina del Lavoro. - 0025-7818. ; 98:2, s. 127-144
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Tidskriftsartikel (refereegranskat)abstract
- Background: Upper limb disorders (ULDs) are common, and so are the difficulties in specific diagnoses of these disorders. Prior studies have shed light on the nerves in the diagnostic approach beside disorders related to muscles, tendons and joints (MCDs). Objective: The study aimed to compare the distribution of upper limb disorders, and the vibration perception threshold (VPT) in different diagnostic groups according to 1) A-criteria: the SALTSA consensus criteria, including MCDs and four peripheral neuropathies, and 2) B-criteria : including MCDs and 10 different neuropathy diagnoses - re-defined in an attempt to refine diagnostic criteria of peripheral neuropatly in respect of different MCDs; and further to discuss the impact of the presented criteria. Methods: 161 patients - recruited from 21 general practitioners - were examined by the same examiner according to the two sets of diagnostic criteria. VPT measurements were conducted in all patients. Results: Three patients did not fulfill the criteria of any ULD diagnosis. A/B criteria were fulfilled for 181/183 upper limbs, respectively, out of which 29.3%/63.3% were neuropatly diagnoses alone, 23.8%/10.9% MCD alone, and 46.9%/25.7% were categorized as neuropatly in combination with MCD diagnoses. The overall agreement on presence of neuropathy was high (75%), but on focal level there was a large discrepancy. According to the A-criteria, patients with symptoms located at wrist and shoulder were primarily defined with wrist diagnoses, and only few bad concomitant shoulder diagnoses. In contrast, the B-criteria primarily defined neuropatly located at the shoulder, often concomitantly with neuropathy of the radial and the median nerve at the elbow, but seldom at the wrist level. In MCDs defined by both sets of criteria - Rotator cuff syndrome and medial/lateral epicondylitis - the A-criteria defined more MCDs than the B-criteria, the B diagnoses typically constituted only apart of the A diagnoses and additionally defined neuropathy. The B-criteria showed more significant VPT findings than the A-criteria concerning the discrimination between limbs with and contralateral limbs without diagnoses as well as between diagnostic groups with and without neuropathy. Conclusions: The VPT findings suggest the B-criteria to be superior to A-criteria for differentiating between patients with and without neuropathy. This study shows that neuropathy is extensive in ULDs when specific diagnostic criteria are used. Additionally it suggests the importance of a critical revision of the current diagnostic criteria of upper limb neuropathy, and the differential diagnoses concerning the MCDs. Management and prevention is highly dependent on correct diagnoses.
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| 8. |
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| 9. |
- Sartorelli, P, et al.
(författare)
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The 2008 ICOH Workshop on Skin Notation
- 2010
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Ingår i: La Medicina del lavoro. - 0025-7818. ; 101:1, s. 3-8
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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