C. Tinozzi

Università degli Studi di Perugia, Perugia, Umbria, Italy

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Publications (5)0.55 Total impact

  • G Abbritti · P A Bertazzi · N Murgia · Chiara Tinozzi · P Apostoli
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    ABSTRACT: Permanent education of health workers is obligatory under Italian legislation and is managed by the Ministry of Health through its Permanent Education Programme. In 2000 the Italian Society of Occupational Medicine and Industrial Hygiene (SIMLII), set up and implemented a programme of Permanent Education and Accreditation for specialists in occupational medicine, based on participation in "non-mandatory" and "mandatory" educational activities. "Non-mandatory" activities were chosen by the individual physician for education in topics related to occupational medicine. "Mandatory" educational activities, which were organised by the Society, included in-depth analysis of the Society's guidelines related to specific topics in occupational medicine. The Guidelines study course played a pre-eminent role in the Society's permanent education programme and was greatly appreciated by all participants. The Board of the Society has recently approved a new Plan of Permanent Education, identifying the means (Guidelines, Consensus Documents) whereby occupational physicians can improve their professional standards. The Plan's aims are to facilitate accreditation and also to identify and promote high-quality updating programmes which will lead to recognition of 'professional excellence". Crucial to its success will be a 3-year on-line learning programme (MeLA) that SIMLII has just implemented, which will enable occupational physicians to acquire credits in "Occupational Medicine and Workplace Safety", as required by current Italian legislation. This article summarizes SIMLII activities over the past ten years in the field of permanent medical education for occupational physicians.
    No preview · Article · May 2011 · La Medicina del lavoro
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    ABSTRACT: Passive smoking is one of the main risk factors for severe chronic diseases. Hospitals are appropriate settings for promoting tobacco smoking cessation and preventing passive smoking. Moreover, since 2003 Italian Law (no 3/2003) forbids smoking in enclosed workplaces. The smoking ban should be strictly observed in hospitals. This study assessed smoking ban observance and exposure to ETS in a group of paramedical personnel working in a General Hospital (n=1037). Each subject answered a self-administered questionnaire. The prevalence of smokers was 31.2% in females and 31.5% in males. 83% of non-smokers and 66.6% of smokers approved the smoking ban in the hospital but 39.6% of non-smokers and 17.4% of smokers stated it was not observed. Percentages of, respectively, 57.0% and 31.1% in 2004 had dropped in 2005 and in 2006, after Law no 3/2003 was implemented. More than 90% of paramedical personnel declared that workers usually smoked in the workplace. 11.1% of non-smokers reported they were often exposed to ETS and 50% sometimes. These result show the smoking ban was not fully observed in the Hospital, where many workers reported they were exposed to ETS. Occupational Physicians should encourage health workers to stop smoking by offering appropriate counselling.
    No preview · Article · Jul 2008 · Giornale italiano di medicina del lavoro ed ergonomia
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    ABSTRACT: This study assessed the smoking habit and smoking cessation stages in a cohort of nurses (N) and nurses' aides (NA). During a health surveillance check-up all N and NA who were employed by a Hospital Board answered a questionnaire. Smoking cessation stages was assessed according to the Prochaska et al. model (1992). The cohort included 1,540 hospital workers, 81% of whom were nurses and 74.8% females. The prevalence of smokers was 32.4% in female workers, 35.9% in males, 32.8% in the N and 35.0% in the NA. Analysis of smoking cessation stages showed 17.4% of smokers were in the pre-contemplation stage, 71.7% were in the contemplation stage, 7.6% were in the preparation stage and 3.4% in the action stage. No significant differences emerged in prevalences stratified for gender, schooling, marital status, job, nicotine addiction, number of cigarettes or age. The prevalence of smokers among hospital employees is higher than in the general Italian population. Most of the employees were in the first stages of change, i.e 17% in the pre-contemplation stage and over 70% in the contemplation stage. Occupational Physicians who are engaged in Health Surveillance should encourage workers to progress through the various stages to cessation by offering appropriate counselling.
    No preview · Article · Jul 2006
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    ABSTRACT: We report a case of asthma due to shellfish cooking vapour in a male chef who referred no symptoms while handling shellfish or after eating them. The restaurant owner/chef complained of recurrent episodes of dry cough, wheezing and dyspnea over the past two years, with onset immediately after exposure to shellfish cooking vapour. He reported no other allergic symptoms consequent to handling or eating shellfish or other foods. Rare wheezes were heard at lung auscultation. Spirometry showed small airway obstruction and the bronchial provocation test with methacholine detected moderate bronchial hyper-reactivity. Ventilatory function monitoring at the workplace showed that after 30 minutes exposure to shellfish cooking vapour FEV1 dropped to 72% of its baseline value. Specific IgE dosing was highly positive for shrimp and lobster. Without suspending professional exposure, inhaler therapy for 2 months markedly reduced the asthma attacks in intensity and frequency and spirometry was normal. The chef was able to continue working at least in the short-term. In this case asthma appears as an organ-confined disease which does not concur with the emerging hypothesis that allergic reactions are systemic.
    No preview · Article · Jul 2006 · Giornale italiano di medicina del lavoro ed ergonomia
  • G Muzi · N Murgia · G Abbritti · C Tinozzi · M dell'Omo
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    ABSTRACT: Modern, non-industrial workplaces may, because of building techniques, widespread use of synthetic materials and artificial ventilation, create risks for the health and well-being of workers. Indoor air pollution by chemical, biological and sometimes physical agents constitutes a significant risk factor, particularly for the respiratory system. The most common effects of exposure to, and inhalation of, indoor air pollutants include acute and chronic inflammations, acute worsening of pre-existing respiratory symptoms or illnesses and airway sensitization to indoor allergens. Upper airway disturbances with an allergic or irritative aetiology are very frequent; Asthma and Hypersensitivity Pneumonitis are more rarely reported but may become severe and widespread when certain environmental conditions prevail. Respiratory infections may have a human source such as tuberculosis or viral diseases or may originate in ventilation systems such as Legionnaire's disease (Legionella pneumophila pneumonia). As all these pathologies may have high social and economic costs and appropriate therapy is not always available, the specialist in Occupational Medicine plays a pre-eminent role in early diagnosis and prevention of respiratory diseases linked to indoor air pollution in the workplace.
    No preview · Article · Jul 2006 · Giornale italiano di medicina del lavoro ed ergonomia

Publication Stats

4 Citations
0.55 Total Impact Points

Institutions

  • 2008-2011
    • Università degli Studi di Perugia
      • • Department of Clinical and Experimental Medicine
      • • Sezione di Medicina del Lavoro, Malattie Respiratorie e Tossicologia Professionale ed Ambientale
      Perugia, Umbria, Italy