[Obesity and Eating Disorders. Indications for the different levels of care. An Italian Expert Consensus Document]. / Documento di Consensus. Obesità e Disturbi dell'Alimentazione Indicazioni per i diversi livelli di trattamento.

This paper is an Italian Expert Consensus Document on multidimensional treatment of obesity and eating disorders. The Document is based on a wide survey of expert opinion. It presents, in particular, considerations regarding how clinicians go about choosing the most appropriate site of treatment for a given patient suffering from obesity and/or eating disorders: outpatient, partial hospitalization, residential rehabilitation centre, inpatient hospitalization. In a majority of instances obesity and eating disorders are long-term diseases and require a multiprofessional team-approach. In determining an initial level of care or a change to a different level of care, it is essential to consider together the overall physical condition, medical complications, disabilities, psychiatric comorbidity, psychology, behaviour, family, social resources, environment, and available services. We first created a review manuscript, a skeleton algorithm and two rating scales, based on the published guidelines and the existing research literature. As the second point we highlighted a number of clinical questions that had to be addressed in the specific context of our National Health Service and available specialized care units. Then we submitted eleven progressive revisions of the Document to the experts up to the final synthesis that was approved by the group. Of course, from point to point, some of the individual experts would differ with the consensus view. The document can be viewed as an expert consultation and the clinical judgement must always be tailored to the particular needs of each clinical situation. We will continue to revise the Document periodically based on new research information and on reassessment of expert opinion to keep it up-to-date. The Document was not financially sponsored.

[Project of the historical monograph on the "Origins of Occupational Medicine Associations in the world"]. / Il progetto della monografia storiografica sulle "Origini delle Associazioni di Medicina del Lavoro nel mondo".

The present contribution regards the project of the historical monograph on the Origins of OH associations in 23 countries, and in particular the chapter on the Origins of the Italian Society of Occupational Health. The Italian chapter is aimed at studying the foundation of the Italian Society of Occupational Health (Naples, October 12, 1929, within the 8th National Congress of Occupational Health) and the first decades of its activity. On account of the complexity and variety of the scientific and social context as well as the particular political period considered, the contribution is divided into 4 different parts. The first deals with the foundation of the Italian Society of Occupational Health and its statutory organization. The second part treats the role and presence of the discipline in the university world as well as the relationships with other cultural institutions such as academies. The third part concerns the law frame (specially as to accidents and work-related diseases) within which the activity of the Italian Society of Occupational Health has started and developed. The fourth part analyses the fascist corporative system and the role played by the trade unions in promoting better life and working conditions, with common issues also with the programmes of the Italian Society of Occupational Health. Finally, some closing remarks and references are provided.