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Article ; Online: SHIFT WORK AND ALTERED SLEEP

Ginevra Malta

Euromediterranean Biomedical Journal, Vol 18, Iss 6, Pp 30-

A COMPLEX AND JOINT INTERACTION BETWEEN NEUROLOGICAL AND OCCUPATIONAL MEDICINE

2023 Volume 33

Abstract: Shift work, including the early start of work, compressed working weeks with 12-hour shifts and night work, especially if prolonged over many years, alters the normal sleep-wake pattern, causing short sleep with reduced quality, daytime dysfunction, and ... ...

Abstract	Shift work, including the early start of work, compressed working weeks with 12-hour shifts and night work, especially if prolonged over many years, alters the normal sleep-wake pattern, causing short sleep with reduced quality, daytime dysfunction, and sleepiness. Recently, the effects of shift work on sleep have been investigated more consistently and many studies have supported the existence of an association between shift work and insufficient sleep and many chronic diseases, such as coronary artery disease, stroke, obesity, type 2 diabetes, breast, prostate, and colorectal cancer. In addition, occupational injuries have also been associated with the negative effects of shift work on sleep. However, future studies are still needed to definitively identify shift work as a causal factor of chronic health dysfunctions, which, inevitably, have repercussions on the work activity as a risk factor in the performance of the same. Considering the small number of studies, it is recommended that future research focus on reducing this knowledge gap.
Keywords	shift work ; sleep disease ; occupational injuries ; medicolegal implication ; psychoactive substances abuse ; Medicine (General) ; R5-920
Subject code	300
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	Associazione Italiana Giovani Medici
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: MALE VIOLENCE AGAINST WOMEN

Ginevra Malta

Euromediterranean Biomedical Journal, Vol 15, Iss 33, Pp 134-

INTEGRATION BETWEEN PSYCHOLOGICAL AND NEUROSCIENTIFIC DATA AND THEIR USE IN FORENSIC EVALUATION FOR THE JUDGMENTS

2020 Volume 137

Abstract: Human growth and development, starting from conception, are characterized by a progressive increase in body and organ dimensions, as well as specific functional maturity, under the influence of genetic as well as environmental and epigenetic determinants. ...

Abstract	Human growth and development, starting from conception, are characterized by a progressive increase in body and organ dimensions, as well as specific functional maturity, under the influence of genetic as well as environmental and epigenetic determinants. Beyond a possible normal familial trait, increased fetal growth resulting in a large for gestational age newborn, isolated macrosomia or that associated with congenital malformation, can be attributable to both maternal metabolic and genetic pathology. Overgrowth syndromes are a heterogeneous group of diseases characterized by excessive tissue development often concomitant to neurodevelopmental involvement. Recently, an increased risk of fetal overgrowth with Assisted Reproductive Technology has been reported. Thus, in pediatric practice, it is fundamental to monitor any patient who presents with increased growth parameters, variable malformations, neurodevelopmental delay, and distinctive features from birth, aiming to ensure as adequate a medical management as possible, and for some of the disorders, strict tumor monitoring is also necessary.
Keywords	gender violence ; neuroscience ; neurolaw ; psychological perspective ; forensic evaluation ; Medicine (General) ; R5-920
Subject code	610
Language	English
Publishing date	2020-08-01T00:00:00Z
Publisher	Associazione Italiana Giovani Medici
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Correlation among job-induced stress, overall well-being, and cardiovascular risk in Italian workers of logistics and distribution.

Fruscione, Santo / Malta, Ginevra / Verso, Maria Gabriella / Calascibetta, Anna / Martorana, Daniela / Cannizzaro, Emanuele

Frontiers in public health

2024 Volume 12, Page(s) 1358212

Abstract: Introduction: Work-related stress is an occupational risk that has been linked to the development of cardiovascular disease (CVD). While previous studies have explored this association in various work contexts, none have focused specifically on ... ...

Abstract	Introduction: Work-related stress is an occupational risk that has been linked to the development of cardiovascular disease (CVD). While previous studies have explored this association in various work contexts, none have focused specifically on logistics and distribution personnel. These workers may be exposed to significant job stress, which potentially increases the risk of CVD. Methods: In this study, we aimed to examine the relationship between work-related stress and cardiovascular risk in a sample of 413 healthy workers of a logistics and distribution company. To assess work-related stress and cardiovascular risk, we used the organisational well-being questionnaire proposed by the Italian National Anti-Corruption Authority, the Framingham Heart Study General Cardiovascular Disease (CVD) Risk Prediction Score and the WHO General Wellbeing Index (WHO-5). Results: Our results revealed that individuals with low job support had a significantly higher CVD risk score and lower well-being index than those reporting high job support. Furthermore, workers with high-stress tasks showed higher well-being index scores than those with passive tasks. Approximately 58% of the subjects were classified as low CVD risk (CVD risk <10%), approximately 31% were classified as moderate risk (CVD risk between 10 and 20%) and 11% were considered high risk (CVD risk >20%). The overall median CVD risk for the population was moderate (6.9%), with individual scores ranging from 1 to 58%. Discussion: Further analyses confirmed the protective effect of work support, also identifying physical inactivity, regular alcohol consumption and low educational level as factors contributing to an increased risk of CVD. Interestingly, factors such as job control and work support demonstrated a positive impact on psychological well-being. These results emphasise the importance of intervention strategies aimed at promoting health in the workplace. By addressing these combined factors, organisations can effectively reduce the risk of CVD and improve the general well-being of their workforce.
MeSH term(s)	Humans ; Italy/epidemiology ; Male ; Female ; Cardiovascular Diseases/epidemiology ; Adult ; Middle Aged ; Surveys and Questionnaires ; Occupational Stress/epidemiology ; Occupational Stress/psychology ; Risk Factors ; Heart Disease Risk Factors ; Stress, Psychological/psychology
Language	English
Publishing date	2024-04-09
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2024.1358212
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The risk of the ‘prison-emptying’ effect in Italy due to the Covid-19 pandemic

Ginevra Malta, Stefania Zerbo, Antonina Argo

2020

Abstract: People who live and work or are detained inside restricted communities (including prisons) need to be considered as they are at a high risk of becoming infected with Covid-19 during this pandemic.1 InItaly, the spread of Covid-19 has provoked numerous ... ...

Abstract	People who live and work or are detained inside restricted communities (including prisons) need to be considered as they are at a high risk of becoming infected with Covid-19 during this pandemic.1 InItaly, the spread of Covid-19 has provoked numerous riots within the prisons and local detention centres, and there is a consequent increase in requests for inmates to be released and detained at home
Keywords	Covid-19 ; prison ; Settore MED/43 - Medicina Legale ; covid19
Language	English
Publishing country	it
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Influence of the COVID-19 Pandemic Emergency on Alcohol Use: A Focus on a Cohort of Sicilian Workers.

Cannizzaro, Emanuele / Cirrincione, Luigi / Malta, Ginevra / Fruscione, Santo / Mucci, Nicola / Martines, Francesco / Plescia, Fulvio

International journal of environmental research and public health

2023 Volume 20, Issue 5

Abstract: The period between the beginning and the end of the COVID-19 pandemic emergency generated a general state of stress, affecting both the mental state and physical well-being of the general population. Stress is the body's reaction to events or stimuli ... ...

Abstract	The period between the beginning and the end of the COVID-19 pandemic emergency generated a general state of stress, affecting both the mental state and physical well-being of the general population. Stress is the body's reaction to events or stimuli perceived as potentially harmful or distressing. Particularly when prolonged over time, it can promote the consumption of different psychotropic substances such as alcohol, and thus the genesis of various pathologies. Therefore, our research aimed to evaluate the differences in alcohol consumption in a cohort of 640 video workers who carried out activities in smart working, subjects particularly exposed to stressful situations due to the stringent rules of protection and prevention implemented during the pandemic. Furthermore, based on the results obtained from the administration of the AUDIT-C, we wanted to analyse the different modes of alcohol consumption (low, moderate, high, severe) to understand whether there is a difference in the amount of alcohol consumed that could predispose individuals to health problems. To this end, we administered the AUDIT-C questionnaire in two periods (T
MeSH term(s)	Humans ; Male ; Female ; Pandemics ; COVID-19/epidemiology ; Alcohol Drinking/epidemiology ; Alcohol-Related Disorders/epidemiology ; Surveys and Questionnaires ; Ethanol
Chemical Substances	Ethanol (3K9958V90M)
Language	English
Publishing date	2023-03-05
Publishing country	Switzerland
Document type	Journal Article ; 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/ijerph20054613
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Article ; Online: A fatal suicidal sodium nitrite ingestion determined six days after death.

Zerbo, Stefania / Spanò, Mario / Albano, Giuseppe Davide / Buscemi, Roberto / Malta, Ginevra / Argo, Antonina

Journal of forensic and legal medicine

2023 Volume 98, Page(s) 102576

Abstract: Sodium nitrite (SN) is an inorganic salt that appears as a slightly yellowish crystalline solid, odorless, and highly soluble in water at room temperature. It is highly toxic to humans at specific doses because it can oxidize hemoglobin to methemoglobin, ...

Abstract	Sodium nitrite (SN) is an inorganic salt that appears as a slightly yellowish crystalline solid, odorless, and highly soluble in water at room temperature. It is highly toxic to humans at specific doses because it can oxidize hemoglobin to methemoglobin, causing severe tissue hypoxia. A 20-year-old woman was unconscious in her bedroom and died shortly after that. Two days later, following the discovery of a jar of SN and a paper in which were written instructions on how to take it (and the website from which the procedure was learned) in the same room were death occurred, the Judicial Authority ordered the execution of the autopsy on the exhumed body of the young woman. The autopsy procedure was performed ∼ 2h after exhumation. It showed greyish-purple hypostasis, labial cyanosis, stomach distension and greenish color but empty, subpleural petechiae, brownish fluid in the pleural cavities (∼300 ml), congested and edematous lungs and diffuse visceral congestion. At autopsy, foamy liquid was observed at the lung section and subsequent squeezing. In addition, the autopsy showed edema and hemorrhagic petechiae of the laryngeal, glottal, and tracheal submucosa and green-brownish foamy liquid in the tracheal lumen. The cause of death was attributed tocardiac arrest induced by anoxia resulting from acute methemoglobinemia caused by sodium nitrite poisoning, intensified by severe malnutrition. Manner of death was suicidal.
MeSH term(s)	Humans ; Female ; Young Adult ; Adult ; Sodium Nitrite ; Suicidal Ideation ; Autopsy ; Exhumation ; Hypoxia ; Eating
Chemical Substances	Sodium Nitrite (M0KG633D4F)
Language	English
Publishing date	2023-08-09
Publishing country	England
Document type	Case Reports
ZDB-ID	2268721-X
ISSN	1878-7487 ; 1752-928X
ISSN (online)	1878-7487
ISSN	1752-928X
DOI	10.1016/j.jflm.2023.102576
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Article ; Online: Covid-19: A new challenge for forensic medicine.

Stefania, Zerbo / Ginevra, Malta / Elvira, Ventura Spagnolo / Antonina, Argo

The Medico-legal journal

2020 Volume 88, Issue 2, Page(s) 104–105

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Disease Transmission, Infectious/prevention & control ; Forensic Medicine/organization & administration ; Forensic Pathology/organization & administration ; Humans ; Infection Control/organization & administration ; Italy ; Medical Staff, Hospital ; Pandemics ; Pneumonia, Viral ; Practice Patterns, Physicians'/organization & administration ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-21
Publishing country	England
Document type	Letter
ZDB-ID	390918-9
ISSN	2042-1834 ; 0025-8172
ISSN (online)	2042-1834
ISSN	0025-8172
DOI	10.1177/0025817220923696
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Article ; Online: The Influence of the COVID-19 Pandemic Emergency on Alcohol Use

Emanuele Cannizzaro / Luigi Cirrincione / Ginevra Malta / Santo Fruscione / Nicola Mucci / Francesco Martines / Fulvio Plescia

International Journal of Environmental Research and Public Health, Vol 20, Iss 4613, p

A Focus on a Cohort of Sicilian Workers

2023 Volume 4613

Abstract	The period between the beginning and the end of the COVID-19 pandemic emergency generated a general state of stress, affecting both the mental state and physical well-being of the general population. Stress is the body’s reaction to events or stimuli perceived as potentially harmful or distressing. Particularly when prolonged over time, it can promote the consumption of different psychotropic substances such as alcohol, and thus the genesis of various pathologies. Therefore, our research aimed to evaluate the differences in alcohol consumption in a cohort of 640 video workers who carried out activities in smart working, subjects particularly exposed to stressful situations due to the stringent rules of protection and prevention implemented during the pandemic. Furthermore, based on the results obtained from the administration of the AUDIT-C, we wanted to analyse the different modes of alcohol consumption (low, moderate, high, severe) to understand whether there is a difference in the amount of alcohol consumed that could predispose individuals to health problems. To this end, we administered the AUDIT-C questionnaire in two periods (T 0 and T 1 ), coinciding with annual occupational health specialist visits. The results of the present research showed an increase in the number of subjects consuming alcohol ( p = 0.0005) and in their AUDIT-C scores ( p < 0.0001) over the period considered. A significant decrease in subgroups who drink in a low-risk ( p = 0.0049) mode and an increase in those with high ( p = 0.00012) and severe risk ( p = 0.0002) were also detected. In addition, comparing the male and female populations, it emerged that males have drinking patterns that lead to a higher ( p = 0.0067) health risk of experiencing alcohol-related diseases than female drinking patterns. Although this study provides further evidence of the negative impact of the stress generated by the pandemic emergency on alcohol consumption, the influence of many other factors cannot be ruled out. Further research is needed to ...
Keywords	alcohol ; stress ; workers ; AUDIT-C ; COVID-19 ; Medicine ; R
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The risk of the 'prison-emptying' effect in Italy due to the Covid-19 pandemic.

Malta, Ginevra / Zerbo, Stefania / Argo, Antonina

The Medico-legal journal

2020 Volume 88, Issue 2, Page(s) 103–104

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Humans ; Infection Control/organization & administration ; Italy ; Pandemics ; Pneumonia, Viral/epidemiology ; Prisoners/statistics & numerical data ; Prisons/organization & administration ; Prisons/statistics & numerical data ; SARS-CoV-2 ; Violence/statistics & numerical data
Keywords	covid19
Language	English
Publishing date	2020-05-15
Publishing country	England
Document type	Letter
ZDB-ID	390918-9
ISSN	2042-1834 ; 0025-8172
ISSN (online)	2042-1834
ISSN	0025-8172
DOI	10.1177/0025817220923697
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Article: Guidelines and Current Assessment of Health Care Responsibility in Italy.

Zerbo, Stefania / Malta, Ginevra / Argo, Antonina

Risk management and healthcare policy

2020 Volume 13, Page(s) 183–189

Abstract: Clinical guidelines are a potential tool for improving the effectiveness and quality of healthcare, decreasing variability in clinical practice, and preventing adverse events. In the purview of Law no. 24/2017, adherence to national guidelines can lead ... ...

Abstract	Clinical guidelines are a potential tool for improving the effectiveness and quality of healthcare, decreasing variability in clinical practice, and preventing adverse events. In the purview of Law no. 24/2017, adherence to national guidelines can lead to a reduction in medical malpractice claims and the practice of so-called "defensive medicine". The law has assigned a central role to the guidelines, establishing the National Institute of Health through the new Italian National Center for Clinical Excellence, Quality, and Security (CNEC) as the methodological guarantor in the process of national guideline development. Here we discuss the issue of professional liability as recently outlined by the Gelli-Bianco Law (no. 24/2017), taking into account the clinical significance and medicolegal value of the guidelines.
Language	English
Publishing date	2020-03-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2495128-6
ISSN	1179-1594
ISSN	1179-1594
DOI	10.2147/RMHP.S238353
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