[Medical surveillance in university: organizational difficulties, legal problems, scientific e technical specificities. Experience of University of Milan Bicocca]. / La sorveglianza sanitaria nelle università: problemi organizzativi, medico legali e tecnico scientifici. La esperienza della Università di Milano Bicocca.

Our research describes activities of Occupational Health carried out during last year in University of Milan Bicocca by Occupational Doctors. We describe results of medical surveillance in 1153 employees or students exposed to occupational risks for health and safety. We report results obtained, technical difficulties, organizational problems, and preventive actions decided to improve functionality of our activity. Students seem to be less protected and consequently seem to have higher professional safety and health risks.

[The preventive ergophthalmic evaluation of work places in call centers: a useful instrument for the prevention of work related asthenopic symptoms]. / La valutazione ergoftalmica preventiva dei posti di lavoro nei call center: un valido strumento di prevenzione dei disturbi astenopici occupazionali.

The study of a correct lay-out of work places equipped with VDT/PC in call centres, if carried out before the beginning of work activities needs an interdisciplinary cooperation among OH&S operators. However, such a preventive evaluation can relevantly reduce onset and severity of asthenopic symptoms frequently reported by this kind of operators. Consequently, such preventive evaluation can avoid the necessity of carrying out those complex and expensive structural lay-out modifications, which are frequently needed to reduce VDT/PC workers' asthenopic symptoms.

[Adequacy and reliability of orthoanalyzer Ergovision for job-fitness evaluation]. / Adeguatezza e affidabilità dell'ortoanalizzatore Ergovision nel giudizio di idoneità specifica.

The aim of this research was to evaluate the Ergovision Screener (ES) accuracy e validity by a confrontation with the conventional ophthalmic check (OC), for the medical evaluation of job fitness. A population of 100 VDU operators was considered. Each subject underwent randomly both the ES and the ophthalmic check visit. Several test carried out by the Ergovision Screener were not consistent with the conventional ophthalmic check. In a number of cases, high false positive ratio have been found, which could lead to unnecessary further examinations. For all these reasons we believe that the ES is not an appropriate instrument for the medical evaluation of job fitness.

[Occupational ophthalmology and ergoophthalmology: a developing field]. / Oftalmologia occupazionale ed ergoftalmologia: un percorso in evoluzione.

In 1979 it was decided to activate, within the Institute of Occupational Health of the Milan "Università degli Studi", a new Unit of Ergophthalmology. This decision was taken owing to the progressive diffusion of "optical instruments", particularly computer-based equipment, in the world of work and to the relevance that this topic assumed among Italian occupational physicians. Since its beginning, one of the main characteristics of the Ergophthalmology Unit was an interdisciplinary approach, where occupational physicians, ophthalmologists, occupational hygienists and lighting engineers were collaborating on a daily basis. Research activities, which developed over many years and in several phases, were concerned with four main topics: 1. analysis and quantification of "near work load"; initially the investigations were mainly aimed at the evaluation of the observation distance in different tasks, followed by the development of a method which, by means of specifically designed electronic equipment, allows quantification of the accommodation and convergence required by the task; 2. development of a new method aimed at evaluating, by a photometric procedure, the luminance ratios in the "occupational visual field"; this research was carried out, both in the laboratory and during on-site investigations, in collaboration with the Dept. of Electrotechnics of Milan Polytechnic; 3. studies on the relationships between indoor microbial pollution and Computer Assisted Design work, considering that ocular conjunctiva and cornea, due to their external position, can be easily inoculated by micro-organisms present on periocular tissue and hands; this research showed that bacteria and fungi pathogenic for the eye (Staphylococcus aureus, Candida sp., Aspergillus sp.) are present on desk, keyboard and mouse, as well as in the conjunctival sac of the exposed operators; 4. studies on "blue light" and its effects on the Pigmented Retinal Epithelium (PRE) in workers exposed to halide lamps, like electricians, installers, maintenance staff, polymerization operators, etc.; the laboratory and on-site investigation that was carried out in cooperation with the Health Physics Dept. of the Milan ICP Hospital, showed that long-term exposure to low levels of irradiation could constitute an eye risk for these working populations.

Microbiological pollution and ocular infection in CAD operators: an on-site investigation.

A large number of workers are currently employed in tasks involving the use of computer based equipment. Much research has been carried out both on prevalence and incidence of ocular and visual disorders as well as on occupational asthenopia. Less attention has been given to investigating the possibility of a microbiological pollution of Video Display Unit (VDU) workstations and to the consequent possible development of work-related ocular infections. The authors investigated the presence of bacteria and fungi on Computer Assisted Design (CAD) workstations and in the conjunctival sac of the operators.

Observation distance and blinking rate measurement during on-site investigation: new electronic equipment.

Modern work activities often require an intense and prolonged visual effort on near objects. At the same time, occupational asthenopia caused by accommodation and binocularity overloading is a very common complaint in these working populations. Moreover, blinking rate seems to be a sensitive parameter with 'indoor-near-work operators', possibly increased by both chemical and physical environmental agents and decreased by cognitive effort. In this paper, a new piece of electronic equipment used to measure the observation distance and blinking rate is described.

[Allergic diseases caused by pesticides: 3 case reports]. / Allergopatie da pesticidi: descrizione di tre casi.

Current pesticide exposure levels can induce a state of sensitization in exposed workers and only in exceptional situations cause severe intoxication. Three cases are reported--one suffering from urticaria/angio-edema, one from asthma and the other from oculo-rhinitis. Only one subject was atopical. The substances to which sensitization was found were Cynoxamil, Mancozeb, Thiophanate, Seccatutto for the first case, Paraquat for the second and Dodine for the third subject. The results suggest the need to extend allergological tests also to pesticides when workers, or subjects in any case exposed, show clinical signs with suspected immunological pathogenesis. Furthermore, in order to reduce the number of new cases of pesticide allergy, a more severe control also of subjects exposed to low doses is proposed.