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Article ; Online: Editorial: Impact of digitalization on workers' health and work-life balance.

Gualano, Maria Rosaria / Buttigieg, Stefan / Moscato, Umberto

2023 Volume 11, Page(s) 1204465

MeSH term(s)	Humans ; Work-Life Balance ; Occupational Health
Language	English
Publishing date	2023-05-22
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1204465
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Article ; Online: Bariatric Surgery and New-Onset Substance Use Disorders: A Systematic review and Meta-analysis.

Martinelli, Silvia / Petrucciani, Niccolò / Regazzi, Luca / Gualano, Maria Rosaria

Obesity surgery

2024 Volume 34, Issue 4, Page(s) 1366–1375

Abstract: Increasing evidence suggests that bariatric surgery (BS) patients are at risk for substance abuse disorders (SUD). The purpose of this systematic review and meta-analysis was to determine the relationship between BS and the development of new-onset ... ...

Abstract	Increasing evidence suggests that bariatric surgery (BS) patients are at risk for substance abuse disorders (SUD). The purpose of this systematic review and meta-analysis was to determine the relationship between BS and the development of new-onset substance abuse disorder (SUDNO) in bariatric patients. On October 31, 2023, we reviewed the scientific literature following PRISMA guidelines. A total of 3242 studies were analyzed, 7 met the inclusion criteria. The pooled incidence of SUDNO was 4.28%. Patients' characteristics associated with SUDNO included preoperative mental disorders, high pre-BS BMI, and public health insurance. Surgical factors associated with new SUDNOs included severe complications in the peri- or postoperative period. The occurrence of SUDNOs is a non-negligeable complication after BS. Predisposing factors may be identified and preventive actions undertaken.
MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Bariatric Surgery ; Substance-Related Disorders/complications ; Substance-Related Disorders/epidemiology ; Postoperative Period ; Preoperative Period
Language	English
Publishing date	2024-03-02
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-024-07130-7
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Article ; Online: Pandemic Preparedness among Big Energy Companies: Call to Research and Action.

Gualano, Maria Rosaria / Villani, Leonardo / Ricciardi, Walter

International journal of environmental research and public health

2023 Volume 20, Issue 4

Abstract: The COVID-19 pandemic, as a global phenomenon, has affected all the working realities, worldwide, with the same issues. The aim of the present work is to assess the experiences of management and their preparedness during the pandemic among big companies, ...

Abstract	The COVID-19 pandemic, as a global phenomenon, has affected all the working realities, worldwide, with the same issues. The aim of the present work is to assess the experiences of management and their preparedness during the pandemic among big companies, in particular, in the energy sector. Based on an overview of scientific evidence and grey literature, we found that big companies followed evidence-based decision-making practices and offered preparedness and information plans. Specifically, these plans contained recommendations and best practices to be followed to avoid the risk of infection in the workplaces, as well as in the field of epidemiological surveillance and vaccination. Nevertheless, many research efforts are required, and it is important that a large number of big companies and corporations address these challenges worldwide, adopting a new sustainable approach that includes both the productivity and health of the workers. A Call to Action was then issued in order to achieve evidence-based leadership to address current and future public health emergency scenarios.
MeSH term(s)	Humans ; COVID-19 ; Pandemics ; Public Health ; Vaccination ; Workplace
Language	English
Publishing date	2023-02-04
Publishing country	Switzerland
Document type	Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20042771
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Article ; Online: Is Endemicity a Solution for the COVID-19 Pandemic? The Four E's Strategy for the Public Health Leadership.

Villani, Leonardo / Gualano, Maria Rosaria / Ricciardi, Walter

Frontiers in public health

2022 Volume 10, Page(s) 911029

MeSH term(s)	COVID-19/epidemiology ; Humans ; Leadership ; Pandemics ; Public Health
Language	English
Publishing date	2022-06-28
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2022.911029
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Article ; Online: Hydrocortisone in very preterm neonates for BPD prevention: meta-analysis and effect size modifiers.

De Luca, Daniele / Ferraioli, Sara / Watterberg, Kristi L / Baud, Olivier / Gualano, Maria Rosaria

Archives of disease in childhood. Fetal and neonatal edition

2024

Abstract: Objectives: To clarify if systemic hydrocortisone, in protocols allowing to start it before the 15th day of life, prevents bronchopulmonary dysplasia (BPD) or other adverse outcomes in very preterm neonates, and to identify any possible effect size ... ...

Abstract	Objectives: To clarify if systemic hydrocortisone, in protocols allowing to start it before the 15th day of life, prevents bronchopulmonary dysplasia (BPD) or other adverse outcomes in very preterm neonates, and to identify any possible effect size modifiers. Study design: Systematic review and meta-analysis following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Additional analyses included meta-regressions and review of biological plausibility. Results: Seven trials were included, they were of general good quality and accounted for a total of 2193 infants. Hydrocortisone treatment did not reduce BPD (risk ratio (RR) 0.84 (95% CI 0.64 to 1.04)), but heterogeneity was evident (I Conclusions: Systemic hydrocortisone may be considered, on a case-by-case evaluation, to reduce mortality and NEC, while it does not affect BPD. There are some potential effect size modifiers for mortality and BPD which should be addressed in future explanatory trials. Prospero registration number: CRD42023400520.
Language	English
Publishing date	2024-01-17
Publishing country	England
Document type	Journal Article
ZDB-ID	2007331-8
ISSN	1468-2052 ; 1359-2998
ISSN (online)	1468-2052
ISSN	1359-2998
DOI	10.1136/archdischild-2023-326254
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Article: Coping with burnout and the impact of the COVID-19 pandemic on workers' mental health: A systematic review.

Rossi, Maria Francesca / Gualano, Maria Rosaria / Magnavita, Nicola / Moscato, Umberto / Santoro, Paolo Emilio / Borrelli, Ivan

Frontiers in psychiatry

2023 Volume 14, Page(s) 1139260

Abstract: Introduction: The COVID-19 pandemic had a negative impact on the psychological wellbeing of workers worldwide. Certain coping styles may increase burnout risk. To investigate the relationship between burnout and coping styles, a systematic review was ... ...

Abstract	Introduction: The COVID-19 pandemic had a negative impact on the psychological wellbeing of workers worldwide. Certain coping styles may increase burnout risk. To investigate the relationship between burnout and coping styles, a systematic review was performed. Methods: Following the PRISMA statements, three databases were screened up until October 2022, including research articles written in English language and investigating the relationship between burnout and coping strategies in workers. The quality of articles was assessed by the Newcastle-Ottawa Scale. Results: The initial search resulted in 3,413 records, 15 of which were included in this review. Most studies were performed on healthcare workers ( Discussion: Task-oriented and adaptive coping were protective for burnout, avoidance-oriented, and maladaptive coping were predictive factors of burnout. Mixed results were highlighted concerning emotion-oriented coping, suggesting that different outcomes of this coping style may depend on gender, with women relying more on it than men. In conclusion, further research is needed to investigate the effect of coping styles in individuals, and how these correlates with their unique characteristics. Training workers about appropriate coping styles to adopt may be essential to enact prevention strategies to reduce burnout incidence in workers.
Language	English
Publishing date	2023-03-16
Publishing country	Switzerland
Document type	Systematic Review
ZDB-ID	2564218-2
ISSN	1664-0640
ISSN	1664-0640
DOI	10.3389/fpsyt.2023.1139260
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Article ; Online: Vaccine-preventable diseases: Immune response in a large population of healthcare students.

Santoro, Paolo Emilio / Paladini, Andrea / Borrelli, Ivan / Amantea, Carlotta / Rossi, Maria Francesca / Fortunato, Corinna / Gualano, Maria Rosaria / Marchetti, Antonio / Cadeddu, Chiara / Moscato, Umberto

Vaccine

2024 Volume 42, Issue 4, Page(s) 930–936

Abstract: Background: Students in medicine and other health professions are exposed to numerous occupational hazards, primarily biological hazards, during their academic careers at university. The aim of the present study was to investigate the seroprevalence ... ...

Abstract	Background: Students in medicine and other health professions are exposed to numerous occupational hazards, primarily biological hazards, during their academic careers at university. The aim of the present study was to investigate the seroprevalence characteristics of anti-HBsAg, anti-Measles, anti-Mumps, anti-Rubella and anti-Varicella IgG antibodies in healthcare students of a large teaching hospital in Rome. Methods: To accomplish the study's aims, antibody serology data were gathered from students of Medicine and Surgery, Dentistry, and Health Professions at the Catholic University of the Sacred Heart (Rome Campus) during their first Health Surveillance visit, that took place from 2013 to 2023. Results: Our study sample included 2523 students, 44.4 % were protected against Hepatitis B, 87.3 % against measles, 85.5 % against mumps, 94.6 % rubella and 95.2 % against varicella. Differences in antibody coverage between age groups were statistically significant (p < 0.001), except for mumps. It found a lower probability of having seronegative anti-HBVs with an older date since the presumed primary vaccination. Conclusion: In our sample, seropositivity rate against vaccine-preventable diseases, especially for Hepatitis B, was often inadequate to prevent possible biological risks connected with the activities carried out on the ward.
MeSH term(s)	Humans ; Mumps/epidemiology ; Mumps/prevention & control ; Seroepidemiologic Studies ; Vaccine-Preventable Diseases ; Measles/epidemiology ; Measles/prevention & control ; Rubella/epidemiology ; Rubella/prevention & control ; Chickenpox/epidemiology ; Chickenpox/prevention & control ; Students ; Hepatitis B/epidemiology ; Hepatitis B/prevention & control ; Measles-Mumps-Rubella Vaccine ; Antibodies, Viral ; Immunity ; Delivery of Health Care ; Vaccination
Chemical Substances	Measles-Mumps-Rubella Vaccine ; Antibodies, Viral
Language	English
Publishing date	2024-01-20
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	605674-x
ISSN	1873-2518 ; 0264-410X
ISSN (online)	1873-2518
ISSN	0264-410X
DOI	10.1016/j.vaccine.2024.01.038
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Article ; Online: Sudden cardiac death among workers: a systematic review and meta-analysis.

Amantea, Carlotta / Pilia, Enrico / Rossi, Maria Francesca / Corona, Valerio Flavio / Amato, Giuseppe / Ciccu, Corrado / Gavi, Filippo / Santoro, Paolo Emilio / Borrelli, Ivan / Ricciardi, Walter / Gualano, Maria Rosaria / Moscato, Umberto

Systematic reviews

2024 Volume 13, Issue 1, Page(s) 84

Abstract: Objective: Sudden cardiac death (SCD) is a rare and yet unexplained condition. The most frequent cause is myocardial infarction, while a small proportion is due to arrhythmogenic syndromes (e.g., channelopathies). This systematic review and meta- ... ...

Abstract	Objective: Sudden cardiac death (SCD) is a rare and yet unexplained condition. The most frequent cause is myocardial infarction, while a small proportion is due to arrhythmogenic syndromes (e.g., channelopathies). This systematic review and meta-analysis aimed to provide a comprehensive overview of the prevalence and risk factors associated with SCD in workers. Material and methods: A search for eligible studies was performed utilizing three databases (PubMed, ISI Web of Knowledge, and Scopus). The inclusion criteria were fulfilled if sudden cardiac death due to channelopathy in workers was mentioned. Results: Out of the 1408 articles found across three databases, 6 articles were included in the systematic review but the meta-analysis was conducted on 3 studies The total sample included was 23,450 participants. The pooled prevalence of channelopathies in employees was 0.3% (95% CI 0.07-0.43%), of sudden cardiac death in employees was 2.8% (95% CI 0.37-5.20%), and of sudden cardiac death in employees with a diagnosis of cardiac channelopathies was 0.2% (95% CI 0.02- 0.30%). Conclusions: SCD is a serious and potentially preventable condition that can occur among workers. By identifying and addressing work-related risk factors, providing appropriate screening and interventions, and promoting healthy lifestyle behaviors, we can work to reduce the incidence of SCD and improve the cardiovascular health and well-being of workers.
MeSH term(s)	Humans ; Channelopathies/complications ; Death, Sudden, Cardiac/epidemiology ; Death, Sudden, Cardiac/etiology ; Death, Sudden, Cardiac/prevention & control ; Risk Factors ; Myocardial Infarction/complications ; Incidence
Language	English
Publishing date	2024-03-09
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	2662257-9
ISSN	2046-4053 ; 2046-4053
ISSN (online)	2046-4053
ISSN	2046-4053
DOI	10.1186/s13643-024-02504-5
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Article ; Online: Workplace Ethical Climate and Workers' Burnout: A Systematic Review.

Borrelli, Ivan / Rossi, Maria Francesca / Melcore, Giuseppe / Perrotta, Antogiulio / Santoro, Paolo Emilio / Gualano, Maria Rosaria / Moscato, Umberto

Clinical neuropsychiatry

2023 Volume 20, Issue 5, Page(s) 405–414

Abstract: Objective: Workplace ethics is a central theme in occupational health; an ethical climate aims to implement and uphold standards of integrity and fairness. Furthermore, the correlation between ethical climate and burnout has been highlighted in several ... ...

Abstract	Objective: Workplace ethics is a central theme in occupational health; an ethical climate aims to implement and uphold standards of integrity and fairness. Furthermore, the correlation between ethical climate and burnout has been highlighted in several studies, and the impact of a negative ethical climate in the workplace has been reported to affect workers' mental health and job performances, resulting in increased burnout incidence. The aim of this systematic review is to assess the relationship between ethical climate and burnout in the workplace. Method: This review was conducted following the PRISMA statements. Three databases were screened, including research articles written in the English language during the last 10 years, investigating the relationship between burnout and ethics in the workplace. The quality of articles was assessed with the Newcastle-Ottawa Scale. Results: 1153 records were found across three databases; after duplicate removal and screening for title and abstract, 46 manuscripts were screened by full text, resulting in 13 included studies. The majority of the included studies were performed on healthcare workers (n=7, 53.8%), and with a majority of female participants (n=9, 69.2%). Most of the included studies (n=9, 69.2%) evaluated the correlation between ethical climate and burnout, while the other four (n=4, 30.8%) evaluated ethical leadership. Four studies reported a positive correlation between ethics and work engagement. Two studies highlighted that an ethical workplace climate reduced turnover intention. Conclusions: Ethical climate plays an important role in burnout mitigation in workers and in improving work engagement, thus helping to reduce turnover intentions. Since all of these variables have been reported to be present in clusters of workers, these aforementioned factors could impact entire workplace organizations and their improvement could lead to a better work environment overall, in addition to improving the single factors considered. Further studies are needed to investigate the role of ethical climate in the workplace.
Language	English
Publishing date	2023-12-05
Publishing country	Italy
Document type	Journal Article ; Review
ISSN	2385-0787
ISSN (online)	2385-0787
DOI	10.36131/cnfioritieditore20230502
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Article: Nitrous oxide occupational exposure in conscious sedation procedures in endoscopic ambulatories: a pilot retrospective observational study in an Italian hospital.

Borrelli, Ivan / Pastorino, Roberta / Santoro, Paolo Emilio / Gualano, Maria Rosaria / Rossi, Maria Francesca / Buccico, Rodolfo / Perrotta, Antongiulio / Moscato, Umberto

Giornale italiano di medicina del lavoro ed ergonomia

2023 Volume 44, Issue 3, Page(s) 347–351

Abstract: Summary: Introduction. Nitrous oxide (N2O) is widely used to induce sedation also outside of operating rooms; there is a chance of workplace exposures for the operators engaged in the outpatient use of nitrous oxide. The aim of this research is to ... ...

Title translation	Esposizione occupazionale al protossido di azoto nelle procedure di sedazione negli ambulatori di endoscopia: uno studio pilota osservazionale retrospettivo in un ospedale italiano.
Abstract	Summary: Introduction. Nitrous oxide (N2O) is widely used to induce sedation also outside of operating rooms; there is a chance of workplace exposures for the operators engaged in the outpatient use of nitrous oxide. The aim of this research is to assess nitrous oxide exposure in gastroenterology outpatient settings. Methods. We performed an observational study marked by N2O environmental testing in a gastroenterology outpatient care; environmental research was supported by biological monitoring with urinary N2O analysis in exposed operators. The research was conducted both without and using a collective security device (NIKI mask). Results. The study was rolled out in 10 sessions of day shift procedures, totaling 4105 samples. The average N2O concentration in the environment was 27.58 (SD 1.76) and 449.59 (SD 35.29), respectively with and without NIKI Mask; the distribution of gases in the environment under investigation was not homogeneous (Anovatest P=0.001). Biological testing revealed a substantial rise in urinary concentration of 8.97 (p=0.001) between the start and the end of the shift, and the use of the NIKI-mask was effective (p=.003). Discussion. The exposure levels reported exceed the limits of 50 ppm (Italy operating rooms threshold value) as well as the value of 25 ppm (NIOSH threshold-value), indicating a significant issue in the outpatient use of N2O. Technical measures are needed to contain the occupational risk from N2O exposure outside of operating rooms; for the exposure results detected in this research, it is also evident that workers exposed to N2O must be subject to adequate health surveillance accounting for this occupational risk.
MeSH term(s)	Humans ; Nitrous Oxide/analysis ; Conscious Sedation ; Occupational Exposure/analysis ; Operating Rooms ; Hospitals ; Italy ; Air Pollutants, Occupational/analysis ; Anesthetics, Inhalation/adverse effects ; Anesthetics, Inhalation/analysis
Chemical Substances	Nitrous Oxide (K50XQU1029) ; Air Pollutants, Occupational ; Anesthetics, Inhalation
Language	English
Publishing date	2023-01-09
Publishing country	Italy
Document type	Observational Study ; Journal Article
ZDB-ID	603103-1
ISSN	1592-7830 ; 0391-9889
ISSN	1592-7830 ; 0391-9889
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