Pub Date : 1900-01-01DOI: 10.11138/PR/2012.1.1.038
M. Suppa
Lactic acidosis is a metabolic alteration that can evolve in any reduced tissue hypoxic state in case of hepatic dysfunction, pulmonary embolism, and acute myocardial infarction. Signs and symptoms of acidosis are not always easily noticeable. In fact acidosis can be asymptomatic or can be accompanied by vague asthenia, nausea or vomiting. A distinctive symptom of acidosis is hyperpnoea, an increased depth followed by an increased frequency of breathing. Severe acidosis can determine cardio circulatory shock due to a reduced myocardial contractility or progressive sensory alteration.
{"title":"Lactic acidosis from metformin in Emergency Room","authors":"M. Suppa","doi":"10.11138/PR/2012.1.1.038","DOIUrl":"https://doi.org/10.11138/PR/2012.1.1.038","url":null,"abstract":"Lactic acidosis is a metabolic alteration that can evolve in any reduced tissue hypoxic state in case of hepatic dysfunction, pulmonary embolism, and acute myocardial infarction. Signs and symptoms of acidosis are not always easily noticeable. In fact acidosis can be asymptomatic or can be accompanied by vague asthenia, nausea or vomiting. A distinctive symptom of acidosis is hyperpnoea, an increased depth followed by an increased frequency of breathing. Severe acidosis can determine cardio circulatory shock due to a reduced myocardial contractility or progressive sensory alteration.","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"321 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131716093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PR/2013.2.4.146
P. Francesco
Background: in the field of professional liability the case law evaluates the doctor’s performance critically placing itself at the patient’s side at the expense of the physician. This attitude has convinced the doctors to try to protect themselves using the practice of defensive medicine. The defensive medicine does not want to protect the patient’s health but its aim is to avoid legal medical liability following the medical cares. Objectives: this paper has the purpose of searching the causes of the increase of caesarean section in Italy and if this is a clinical need or if it is a sign of the spread of defensive medicine, in particular with reference to the Italian case law and the recent issue of the guidelines. Methods: the authors analyzed: 1) the data of the Ministry of Health, CeDAP 2009, published in 2012; 2) the data published by the Agency for Public Health of the Lazio Region in February 2012; 3) the guidelines for caesarean section in 2011-2012. They also carried out a systematic review of the Italian case law in case of failed or delayed caesarean section. Results/Discussion and Conclusions: the available data show an increase of caesarean section in Italy, putting it at the first place in Europe for the use of this surgery. In particular, the national distribution is not uniform: in fact, it is more used in southern Italy and in private structures than in public ones and the incidence increases with the increasing age of the mother. The Lazio Region has several detailed data: they confirm what we have just said, and they underline an increase of births during working days. However, the increase in caesarean section is not associated with an increase in maternal and/or fetal benefits. The analyzed data attest that medical care is not appropriate; it does not protect health, but it protects the will of both the patient and the doctor and possible interests of health facilities: 1) patient prefers to give birth in small private clinics where the gynecologist works during working days; 2) the gynecologists satisfy their patient’s wishes to avoid anxieties of natural childbirth and to prevent the risk of contentious due to failed or delayed caesarean section; 3) possible interests of health facilities that see an increase of their refunds for health service. We think that the use of guidelines related to caesarean section and much information given to the mother about complications of caesarean section would limit the use of defensive medicine and would protect the health of both the pregnant woman and the unborn child.
{"title":"Increased use of caesarean section: symptom of an excessive use of defensive medicine?","authors":"P. Francesco","doi":"10.11138/PR/2013.2.4.146","DOIUrl":"https://doi.org/10.11138/PR/2013.2.4.146","url":null,"abstract":"Background: in the field of professional liability the case law evaluates the doctor’s performance critically placing itself at the patient’s side at the expense of the physician. This attitude has convinced the doctors to try to protect themselves using the practice of defensive medicine. The defensive medicine does not want to protect the patient’s health but its aim is to avoid legal medical liability following the medical cares. Objectives: this paper has the purpose of searching the causes of the increase of caesarean section in Italy and if this is a clinical need or if it is a sign of the spread of defensive medicine, in particular with reference to the Italian case law and the recent issue of the guidelines. Methods: the authors analyzed: 1) the data of the Ministry of Health, CeDAP 2009, published in 2012; 2) the data published by the Agency for Public Health of the Lazio Region in February 2012; 3) the guidelines for caesarean section in 2011-2012. They also carried out a systematic review of the Italian case law in case of failed or delayed caesarean section. Results/Discussion and Conclusions: the available data show an increase of caesarean section in Italy, putting it at the first place in Europe for the use of this surgery. In particular, the national distribution is not uniform: in fact, it is more used in southern Italy and in private structures than in public ones and the incidence increases with the increasing age of the mother. The Lazio Region has several detailed data: they confirm what we have just said, and they underline an increase of births during working days. However, the increase in caesarean section is not associated with an increase in maternal and/or fetal benefits. The analyzed data attest that medical care is not appropriate; it does not protect health, but it protects the will of both the patient and the doctor and possible interests of health facilities: 1) patient prefers to give birth in small private clinics where the gynecologist works during working days; 2) the gynecologists satisfy their patient’s wishes to avoid anxieties of natural childbirth and to prevent the risk of contentious due to failed or delayed caesarean section; 3) possible interests of health facilities that see an increase of their refunds for health service. We think that the use of guidelines related to caesarean section and much information given to the mother about complications of caesarean section would limit the use of defensive medicine and would protect the health of both the pregnant woman and the unborn child.","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132181238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PER/2016.5.4.096
G. Troiano
Foodborne diseases are common but often undernotified causes of morbidity in the United States and Italy, and fish foods are often involved in these diseases. The scombroid fish poisoning is a chemical poisoning characterized by symptoms that appear from 10 minutes to 2 hours after the consumption of scombroid and not scombroid fish. The scombroid fishes naturally contain high levels of histidine which is converted to histamine as a result of the action of the histidine decarboxylase contained in bacteria, which grow and multiply if there are no appropriate conditions to control their growth. Symptoms are characterized by rashes on the face, neck and upper chest, flushing, sweating, nausea, vomiting, diarrhea, abdominal cramps, headache, dizziness, palpitations, oral burning sensation, metallic taste and hypotension, which usually resolve within 24 hours. It was recently reported in literature (2015), a case of Kounis syndrome with coronary vasospasm precipitated by scombroid fish poisoning. The rapid cooling of the fish, and the strict maintenance of the cold chain until consumption are essential to prevent the degradation of the fish, the proliferation of bacteria, the histidine decarboxylase activation, the conversion of histidine to histamine and the development of an anaphylactoid reaction resulting in ingestion.
{"title":"Scombroid fish poisoning: latest evidences of a still unknown disease","authors":"G. Troiano","doi":"10.11138/PER/2016.5.4.096","DOIUrl":"https://doi.org/10.11138/PER/2016.5.4.096","url":null,"abstract":"Foodborne diseases are common but often undernotified causes of morbidity in the United States and Italy, and fish foods are often involved in these diseases. The scombroid fish poisoning is a chemical poisoning characterized by symptoms that appear from 10 minutes to 2 hours after the consumption of scombroid and not scombroid fish. The scombroid fishes naturally contain high levels of histidine which is converted to histamine as a result of the action of the histidine decarboxylase contained in bacteria, which grow and multiply if there are no appropriate conditions to control their growth. Symptoms are characterized by rashes on the face, neck and upper chest, flushing, sweating, nausea, vomiting, diarrhea, abdominal cramps, headache, dizziness, palpitations, oral burning sensation, metallic taste and hypotension, which usually resolve within 24 hours. It was recently reported in literature (2015), a case of Kounis syndrome with coronary vasospasm precipitated by scombroid fish poisoning. The rapid cooling of the fish, and the strict maintenance of the cold chain until consumption are essential to prevent the degradation of the fish, the proliferation of bacteria, the histidine decarboxylase activation, the conversion of histidine to histamine and the development of an anaphylactoid reaction resulting in ingestion.","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134562342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PER/2015.5.1.016
Brunella Verbo
Introduction: the Implantable Cardioverter Defibrillator (ICD) prolongs significantly the lifespan of patients at risk for sudden cardiac death, but its effects on the psycho-social aspects besides the quality of life related to health are not yet clear. The aim of this study is to test the hypothesis that an ICD determines a deterioration in the quality of life in relation to health status. Methods: data were collected through interviews with a non-probabilistic sample of convenience. The instrument used was the SF-36, which investigates the quality of life in relation to health status. The collected data were entered into a database (Excel®) and processed with the software Matlab® to perform a multivariate analysis. Results: the analysis shows a significant worsening of quality of life in patients with defibrillator in 3 domains, which refer to physical health, while those in reference to mental health have not shown significant changes. Nevertheless, the majority of patients perceive their health basically unchanged (37%) compared to a year ago. This is probably due to the fact that all subjects enrolled in the study have not experienced arrhythmic events treated with shock. Discussion: the initial hypothesis that the ICD determines a deterioration in the quality of life is partly confirmed. On one hand the physical health suffers the effects of the defibrillator, as shown by the worsening of score of the 3 domains regarding physical aspects. On the other hand mental health, which is composed of both the psychological and social aspects, it is not affected.
{"title":"Observational study on the quality of life of persons with implantable cardioverter-defibrillator for the prevention of sudden cardiac death","authors":"Brunella Verbo","doi":"10.11138/PER/2015.5.1.016","DOIUrl":"https://doi.org/10.11138/PER/2015.5.1.016","url":null,"abstract":"Introduction: the Implantable Cardioverter Defibrillator (ICD) prolongs significantly the lifespan of patients at risk for sudden cardiac death, but its effects on the psycho-social aspects besides the quality of life related to health are not yet clear. The aim of this study is to test the hypothesis that an ICD determines a deterioration in the quality of life in relation to health status. Methods: data were collected through interviews with a non-probabilistic sample of convenience. The instrument used was the SF-36, which investigates the quality of life in relation to health status. The collected data were entered into a database (Excel®) and processed with the software Matlab® to perform a multivariate analysis. Results: the analysis shows a significant worsening of quality of life in patients with defibrillator in 3 domains, which refer to physical health, while those in reference to mental health have not shown significant changes. Nevertheless, the majority of patients perceive their health basically unchanged (37%) compared to a year ago. This is probably due to the fact that all subjects enrolled in the study have not experienced arrhythmic events treated with shock. Discussion: the initial hypothesis that the ICD determines a deterioration in the quality of life is partly confirmed. On one hand the physical health suffers the effects of the defibrillator, as shown by the worsening of score of the 3 domains regarding physical aspects. On the other hand mental health, which is composed of both the psychological and social aspects, it is not affected.","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133395591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PER/2017.6.4.056
G. Cossu
{"title":"The appropriate assessment of apparently innocent symptoms could be the way to find out a dangerous disease. Clinical case","authors":"G. Cossu","doi":"10.11138/PER/2017.6.4.056","DOIUrl":"https://doi.org/10.11138/PER/2017.6.4.056","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115782309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PER/2015.4.2.043
J. André, C. Frochot, F. Tomei
The emerging area of nanotechnologies possibly offers promise for the future with its focus on preventive design. To gain traction, however, it is important that research on the sustainability of materials is funded at levels significant enough to identify early warnings, and that possible responsible regulatory systems provide incentives for safer and sustainable materials during the life cycle of materials and systems. The concept of protecting human health and integrity is accepted by all. The rules by which society tries to achieve this humanist objective were, for chemical risk, at the origin of the creation of the system of reparation in the OSH (occupational safety and health) which is relative to a given cultural situation in a specific space and time. The possible translation from chemical risk to nano-technological risk is discussed in the present paper. The difficult definition of what is a nanoparticle is a first obstacle on this transfer. A second corresponds to the integration of numerous nano-systems into devices, leading to a more complex way to explore the cause-effect relationship used in risk mastering.
{"title":"Is the nano-risk a chemical risk like the others?","authors":"J. André, C. Frochot, F. Tomei","doi":"10.11138/PER/2015.4.2.043","DOIUrl":"https://doi.org/10.11138/PER/2015.4.2.043","url":null,"abstract":"The emerging area of nanotechnologies possibly offers promise for the future with its focus on preventive design. To gain traction, however, it is important that research on the sustainability of materials is funded at levels significant enough to identify early warnings, and that possible responsible regulatory systems provide incentives for safer and sustainable materials during the life cycle of materials and systems. The concept of protecting human health and integrity is accepted by all. The rules by which society tries to achieve this humanist objective were, for chemical risk, at the origin of the creation of the system of reparation in the OSH (occupational safety and health) which is relative to a given cultural situation in a specific space and time. The possible translation from chemical risk to nano-technological risk is discussed in the present paper. The difficult definition of what is a nanoparticle is a first obstacle on this transfer. A second corresponds to the integration of numerous nano-systems into devices, leading to a more complex way to explore the cause-effect relationship used in risk mastering.","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123544524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PR/2013.2.1.009
A. Sancini, F. Tomei, M. Ciarrocca, C. Pastena, Rosati Mv, V. D. Giorgio, S. D. Sio, B. Scala, Schifano Mp, L. Scimitto, C. Cetica, T. Caciari, S. Marchione, M. Fiaschetti, N. Nardone, Nieto Ha, A. Capozzella, G. Tomei
{"title":"Mobbing: a meta-analysis","authors":"A. Sancini, F. Tomei, M. Ciarrocca, C. Pastena, Rosati Mv, V. D. Giorgio, S. D. Sio, B. Scala, Schifano Mp, L. Scimitto, C. Cetica, T. Caciari, S. Marchione, M. Fiaschetti, N. Nardone, Nieto Ha, A. Capozzella, G. Tomei","doi":"10.11138/PR/2013.2.1.009","DOIUrl":"https://doi.org/10.11138/PR/2013.2.1.009","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124749620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PR/2013.2.3.120
T. Caciari
In Greek αμίαντος (asbestos) means immaculate and incorruptible and άσβηστος (asbestos) perpetual and inextinguishable. The knowledge of its particular characteristics and its applications dates back to ancient times, for example, Egyptians already used it for embalming. Industrial use of asbestos dates back to the late nineteenth century, following the discovery of large Canadian deposits in Quebec (1877). The later discovery of important deposits in South Africa (crocidolite, chrysotile, amosite), Russia
{"title":"Exposure to asbestos and lung cancer: a case report","authors":"T. Caciari","doi":"10.11138/PR/2013.2.3.120","DOIUrl":"https://doi.org/10.11138/PR/2013.2.3.120","url":null,"abstract":"In Greek αμίαντος (asbestos) means immaculate and incorruptible and άσβηστος (asbestos) perpetual and inextinguishable. The knowledge of its particular characteristics and its applications dates back to ancient times, for example, Egyptians already used it for embalming. Industrial use of asbestos dates back to the late nineteenth century, following the discovery of large Canadian deposits in Quebec (1877). The later discovery of important deposits in South Africa (crocidolite, chrysotile, amosite), Russia","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125956949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PER/2017.6.2.019
Micol Orefice
Introduction: diseases and musculoskeletal disorders for biomechanical overload (D.M.S.) are prevalent among health workers and are one of the main causes of sickness absence in many activities. We want to present the obtained results after the measurement of the initial force, and the holding force for the action of pushing and pulling in manual handling of loads (M.M.C.) of equipment by health
{"title":"Risk assessment by M.M.C. in the occupationally exposed health care workers as by UNI ISO 11228-2:2009","authors":"Micol Orefice","doi":"10.11138/PER/2017.6.2.019","DOIUrl":"https://doi.org/10.11138/PER/2017.6.2.019","url":null,"abstract":"Introduction: diseases and musculoskeletal disorders for biomechanical overload (D.M.S.) are prevalent among health workers and are one of the main causes of sickness absence in many activities. We want to present the obtained results after the measurement of the initial force, and the holding force for the action of pushing and pulling in manual handling of loads (M.M.C.) of equipment by health","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121858606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PER/2017.6.2.034
F. Tomei
Introduction: Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease. The etiology and pathogenesis of ALS are currently largely unknown and the correlation between occupational and environmental exposures and ALS is not clear. The aim of this article is to create an information/training tools not only for workers but also for employers and occupational physicians. Materials and methods: within the project “Amyotrophic Lateral Sclerosis: contributory causes of occupational origin, risk assessment, early diagnosis and information-education” funded by INAIL, starting from the first year of the research, in parallel with the acquisition of the literature related to the research performed on Amyotrophic Lateral Sclerosis, contributing factors regarding work origin, it was decided to search for informative-educational material produced by the main international agencies and the main associations national and international patients members of the International Alliance ALS/MND Associations. All work tools are designed using the power point without animations for argument gravity. Results: brochures for occupational physician, employers and workers are created in order to understand the problems of the person with ALS and to maximize the potential workforce. Discussion: occupational physicians have to know all aspects of ALS in order to improve make a judgment of suitability appropriate for the employee/patient. Employers must know the aspects of the disease, especially from the organizational point of view in order to be prepared in this situa-
{"title":"Occupational physician and amyotrophic lateral sclerosis: needs and training and information tools","authors":"F. Tomei","doi":"10.11138/PER/2017.6.2.034","DOIUrl":"https://doi.org/10.11138/PER/2017.6.2.034","url":null,"abstract":"Introduction: Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease. The etiology and pathogenesis of ALS are currently largely unknown and the correlation between occupational and environmental exposures and ALS is not clear. The aim of this article is to create an information/training tools not only for workers but also for employers and occupational physicians. Materials and methods: within the project “Amyotrophic Lateral Sclerosis: contributory causes of occupational origin, risk assessment, early diagnosis and information-education” funded by INAIL, starting from the first year of the research, in parallel with the acquisition of the literature related to the research performed on Amyotrophic Lateral Sclerosis, contributing factors regarding work origin, it was decided to search for informative-educational material produced by the main international agencies and the main associations national and international patients members of the International Alliance ALS/MND Associations. All work tools are designed using the power point without animations for argument gravity. Results: brochures for occupational physician, employers and workers are created in order to understand the problems of the person with ALS and to maximize the potential workforce. Discussion: occupational physicians have to know all aspects of ALS in order to improve make a judgment of suitability appropriate for the employee/patient. Employers must know the aspects of the disease, especially from the organizational point of view in order to be prepared in this situa-","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125739472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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