[职业病理学:预防(实现无害的生产技术)和保护(标准和方法)在确定与工作有关的原因]。

B Pannain, F Savinelli
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引用次数: 0

摘要

工作中的保护应作为一种整体措施,旨在研究和改善个人与工作环境之间的关系。一份令人满意的工作对心理健康很重要:它给人满足感,并可能引起个人成就感。预防性安全规则的应用只能减少或限制危险事件的发生,即使所有的安全生产规则都被严格执行和遵守,也不能杜绝危险事件的发生。文中列举了工作环境中的压力因素。对于肿瘤,通常有必要应用或多或少巩固,虽然有时有争议,在确定因果关系的推定标准。确定与工作的联系意味着必须考虑工作因素与疾病之间的因果关系。工人工作的性质、方式和工作条件:与上述条件有关的风险和发生有害事件的可能性。讨论了环境特征对肿瘤发生风险的影响以及肿瘤与受试者之间的关系问题。肿瘤组织的直接侵袭性与肿瘤自身引起的免疫控制的改变和功能的远程改变有关。肿瘤疾病是一种普遍现象,受组织特异性和免疫修饰的制约。颅脑外伤与肿瘤的关系需要在病例研究中收集到的所有因素来评估。对每一个元素的利用都必须用灵活的头脑来评估。有必要制定更严格地管制和控制工作环境中的危害的规则。
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[Occupational pathologies: prevention (the realization of nonharmful productive technologies) and protection (standards and methodology) in the identification of work-related causes].

Protection at work should be intended as the whole measures which tend to study and improve the relationship between the individual and the work environment. A satisfactory work is important fos psychic health: it gives gratifications and may induce sense of personal fulfillment. The application of preventive safety rules can only reduce or limit, but never annul, the occurrence of dangerous events even if all the work safety rules are strictly enforced and observed. Stress factors in working environment are listed in the text. For tumours it is often necessary to apply to more or less consolidate, though sometimes debatable, presumptive criteria in the identification of casual relation. The identification of the connection with work implies the necessity to consider causal relations between work factors and diseases. Nature, modality of work and work conditions in which the worker acts: risk connected to the above mentioned conditions and probability for detrimental events to occur. Influence of environmental characteristics on the risk of occurrence of tumours and the problem of the relations between tumour and subject are discussed. Direct invasiveness of neoplastic tissue is related to alterations of the immunologic control and functional remote alterations caused by the tumour itself. Tumour illness is a general phenomenon, conditioned by tissue specific and immunological modifications. Relation between cranial traumas and tumour needs all the elements collected during the study of the case reported to be evaluated. Exploitation of every single element must be evaluated with a supple mind. There is need for rules which more rigorously regulate and control the hazards in the work environment.

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