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Società Italiana di Medicina del LavoroPosition Paper Amianto

«Position Paper on Asbestos of the Italian Society of Occupational Medicine». The Position Paper (PP) on asbestos of the Italian Society of Occupational Medicine (SIML) aims at providing a tool to the occupational physician to address current diagnostic criteria and results of epidemiological studie...

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Autores principales: Apostoli, Pietro, Boffetta, Paolo, Bovenzi, Massimo, Cocco, Pier Luigi, Consonni, Dario, Cristaudo, Alfonso, Discalzi, Gianluigi, Farioli, Andrea, Manno, Maurizio, Mattioli, Stefano, Pira, Enrico, Soleo, Leonardo, Taino, Giuseppe, Violante, Francesco Saverio, Zocchetti, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 srl 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809933/
https://www.ncbi.nlm.nih.gov/pubmed/31846450
http://dx.doi.org/10.23749/mdl.v110i6.9022
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author Apostoli, Pietro
Boffetta, Paolo
Bovenzi, Massimo
Cocco, Pier Luigi
Consonni, Dario
Cristaudo, Alfonso
Discalzi, Gianluigi
Farioli, Andrea
Manno, Maurizio
Mattioli, Stefano
Pira, Enrico
Soleo, Leonardo
Taino, Giuseppe
Violante, Francesco Saverio
Zocchetti, Carlo
author_facet Apostoli, Pietro
Boffetta, Paolo
Bovenzi, Massimo
Cocco, Pier Luigi
Consonni, Dario
Cristaudo, Alfonso
Discalzi, Gianluigi
Farioli, Andrea
Manno, Maurizio
Mattioli, Stefano
Pira, Enrico
Soleo, Leonardo
Taino, Giuseppe
Violante, Francesco Saverio
Zocchetti, Carlo
author_sort Apostoli, Pietro
collection PubMed
description «Position Paper on Asbestos of the Italian Society of Occupational Medicine». The Position Paper (PP) on asbestos of the Italian Society of Occupational Medicine (SIML) aims at providing a tool to the occupational physician to address current diagnostic criteria and results of epidemiological studies, and their consequences in terms of preventive and evaluation actions for insurance, compensation and litigation. The PP was based on an extensive review of the scientific literature and was compiled by a Working Group comprising researchers who have contributed to the international literature on asbestos-related diseases, as well as occupational physicians with extensive experience in the evaluation of risks and the medical surveillance of workers currently and formerly exposed to asbestos. The PP was drafted and reviewed between 2017 and 2018; its final version was prepared according to the guidelines of AGREE Reporting Checklist. All the members of the Working Group subscribed to the document, which was eventually approved by SIML’s Executive Committee. The first section addresses industrial hygiene issues, such as methods for environmental monitoring, advantages and limitations of different microscopy techniques, the potential role of microfibers and approaches for retrospective assessment of exposure, in particular in epidemiological studies. The second section reviews the biological effects of asbestos with particular attention to the diagnostic aspects of asbestosis, pleural changes, mesothelioma and lung cancer. In the following section the criteria of causal attribution are discussed, together with different hypotheses on the form of the risk functions, with a comparison of the opinions prevalent in the literature. In particular, the models of the risk function for mesothelioma were examined, in the light of the hypothesis of an acceleration or anticipation of the events in relation to the dose. The last section discusses topics of immediate relevance for the occupational physician, such as health surveillance of former exposed and of workers currently exposed in remediation activities.
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spelling pubmed-78099332021-01-29 Società Italiana di Medicina del LavoroPosition Paper Amianto Apostoli, Pietro Boffetta, Paolo Bovenzi, Massimo Cocco, Pier Luigi Consonni, Dario Cristaudo, Alfonso Discalzi, Gianluigi Farioli, Andrea Manno, Maurizio Mattioli, Stefano Pira, Enrico Soleo, Leonardo Taino, Giuseppe Violante, Francesco Saverio Zocchetti, Carlo Med Lav Original Article «Position Paper on Asbestos of the Italian Society of Occupational Medicine». The Position Paper (PP) on asbestos of the Italian Society of Occupational Medicine (SIML) aims at providing a tool to the occupational physician to address current diagnostic criteria and results of epidemiological studies, and their consequences in terms of preventive and evaluation actions for insurance, compensation and litigation. The PP was based on an extensive review of the scientific literature and was compiled by a Working Group comprising researchers who have contributed to the international literature on asbestos-related diseases, as well as occupational physicians with extensive experience in the evaluation of risks and the medical surveillance of workers currently and formerly exposed to asbestos. The PP was drafted and reviewed between 2017 and 2018; its final version was prepared according to the guidelines of AGREE Reporting Checklist. All the members of the Working Group subscribed to the document, which was eventually approved by SIML’s Executive Committee. The first section addresses industrial hygiene issues, such as methods for environmental monitoring, advantages and limitations of different microscopy techniques, the potential role of microfibers and approaches for retrospective assessment of exposure, in particular in epidemiological studies. The second section reviews the biological effects of asbestos with particular attention to the diagnostic aspects of asbestosis, pleural changes, mesothelioma and lung cancer. In the following section the criteria of causal attribution are discussed, together with different hypotheses on the form of the risk functions, with a comparison of the opinions prevalent in the literature. In particular, the models of the risk function for mesothelioma were examined, in the light of the hypothesis of an acceleration or anticipation of the events in relation to the dose. The last section discusses topics of immediate relevance for the occupational physician, such as health surveillance of former exposed and of workers currently exposed in remediation activities. Mattioli 1885 srl 2019 2019-12-17 /pmc/articles/PMC7809933/ /pubmed/31846450 http://dx.doi.org/10.23749/mdl.v110i6.9022 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article
Apostoli, Pietro
Boffetta, Paolo
Bovenzi, Massimo
Cocco, Pier Luigi
Consonni, Dario
Cristaudo, Alfonso
Discalzi, Gianluigi
Farioli, Andrea
Manno, Maurizio
Mattioli, Stefano
Pira, Enrico
Soleo, Leonardo
Taino, Giuseppe
Violante, Francesco Saverio
Zocchetti, Carlo
Società Italiana di Medicina del LavoroPosition Paper Amianto
title Società Italiana di Medicina del LavoroPosition Paper Amianto
title_full Società Italiana di Medicina del LavoroPosition Paper Amianto
title_fullStr Società Italiana di Medicina del LavoroPosition Paper Amianto
title_full_unstemmed Società Italiana di Medicina del LavoroPosition Paper Amianto
title_short Società Italiana di Medicina del LavoroPosition Paper Amianto
title_sort società italiana di medicina del lavoroposition paper amianto
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809933/
https://www.ncbi.nlm.nih.gov/pubmed/31846450
http://dx.doi.org/10.23749/mdl.v110i6.9022
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