Papers by Francesco Chirico
Cardiology Journal, Sep 3, 2021
HAL is a multidisciplinary open access archive for the deposit and dissemination of scientific re... more HAL is a multidisciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers. L'archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d'enseignement et de recherche français ou étrangers, des laboratoires publics ou privés. Copyright
Frontiers in Psychology, Jan 21, 2020
DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2021
Disaster and Emergency Medicine Journal
Zdrowie Publiczne i Zarządzanie
The paper presents the information on COVID-19 policy response in Italy inin the second half of 2... more The paper presents the information on COVID-19 policy response in Italy inin the second half of 2020, when the second wave of the pandemic occurred. It builds on the authors previous report (1) that addressed the first wave of the COVID-19 pandemic. In Italy, from October till December, the number of SARS-CoV-2 infections increased significantly. However, the Italian government, unlike many other European governments, refrained from introducing a second nationwide lockdown. The pandemic was managed through a system of localized interventions (on a regional and / or provincial basis) which significantly varied across the regions. At the end of December 2020, a national plan for vaccination against COVID-19 was approved. In February 2021, together with the change of government, a new public policy against the COVID-19 pandemic was formulated.
European Journal of Public Health, 2020
Since the early months of the COVID-19 epidemic, a large number of scientific papers have conside... more Since the early months of the COVID-19 epidemic, a large number of scientific papers have considered the possibility that healthcare professionals (HCWs) were affected by depression, anxiety, post-traumatic stress, and psychological distress. The abundance of research has also made it possible to produce several systematic reviews and meta-analyzes. All the studies retrieved in these reviews, however, were cross-sectional. Depressive symptoms and anxiety in HCWs were compared to “normal values”, administrative staff, or external sample; moreover, some studies had no control group. No longitudinal study has been produced so far. Some studies had negative results. Overall, there is still little evidence of an increase in mental health problems and sleep disturbances in HCWs during the outbreak. To fill this gap, we investigated the mental health of workers who have been monitored for many years in an Italian local health unit. Mental health was investigated with standardized questionn...
Acta Psychopathologica, 2015
European Journal of Investigation in Health, Psychology and Education
The COVID-19 pandemic has impacted global society, leading to negative well-being and mental heal... more The COVID-19 pandemic has impacted global society, leading to negative well-being and mental health outcomes. However, little is known about how COVID-19-related anxiety affects life satisfaction through psychological factors. This study examined the mediating roles of meaning in life and loneliness in the relationship between COVID-19 anxiety and life satisfaction in 333 Turkish general population (59.2% females; Mage = 33.9 ± 7.8). Participants completed measures of COVID-19 anxiety, life satisfaction, meaning in life, and loneliness. The results showed that COVID-19 anxiety predicted meaning in life, loneliness, and life satisfaction. Meaning in life predicted loneliness and life satisfaction, while loneliness predicted life satisfaction. Serial mediation analysis revealed that COVID-19 anxiety predicts life satisfaction through meaning in life and loneliness, even after controlling for age and gender. These findings contribute to our understanding of the underlying mechanisms be...
Hong Kong Journal of Emergency Medicine, May 23, 2022
PubMed, Jul 1, 2019
Monoclonal gammopathy of uncertain significance (MGUS) identifies a clinically asymptomatic and l... more Monoclonal gammopathy of uncertain significance (MGUS) identifies a clinically asymptomatic and laboratory-based situation characterized by a modest monoclonal component (MC). In a limited percentage of cases, on a probabilistic basis, the asymptomatic genepremalignant stage could lead to multiple myeloma (MM). Materials and Methods. Based on literature data and available Guidelines on the subject, the diagnostic criteria and a methodological path are here suggested to the Occupational Physician to formulate a judgment of suitability for the task with exposure risk to RI or pesticides. Results. Some studies have evaluated the prevalence of MGUS in subjects exposed professionally to pesticides. Numerous other studies conducted on the survivors of the atomic bombing of Hiroshima and Nagasaki have highlighted a possible association with exposure to ionizing radiation (IR). The guidelines relating to the diagnosis and management of MGUS cases (with respect to the potential evolution in MM allow) to draw important operational indications for the competent/authorized physician. Conclusions. The routinely use of laboratory tests for subjects exposed to the studied risk factors is generally indicated starting from the worker's 50 years of age. The finding of a MGUS in the absence of further laboratory alterations represents the situation most frequently and does not require further measures, other than those of foreseeing even blood controls at least every two years. In this situation, there are no justified restrictions on work activities with exposure risks to IR or pesticides. If alterations suggestive for an increased risk of evolution in a neoplastic way could be identified, a close periodicity - every 3-6 months - of haematological checks is recommended. In these cases, it appears justified an abstention from activities involving exposure to ionizing radiation for a period of time that will be evaluated based on the evolution of the framework and by the progress of laboratory tests in the monitored period.
PubMed, Dec 1, 2021
The third wave of the COVID-19 pandemic has commenced. To avert increase in cases and avert preve... more The third wave of the COVID-19 pandemic has commenced. To avert increase in cases and avert preventable deaths, community engagement strategies such as the promotion of vaccination, voluntary testing and debunking of COVID-19-related rumors need to be undertaken.
PubMed, Jul 22, 2022
Occupational risk assessment is the core of any practice in occupational health and safety at the... more Occupational risk assessment is the core of any practice in occupational health and safety at the workplace. In Italy, the implementation of the preventive measures required by law (DPCM of April 26, 2020 and subsequent modifications and integrations) can exempt the employers from legal disputes in case of COVID-19 infection among employees. However, these laws have made meaningless the risk assessment process, which is the ideal setting where the preven-tive and protective measures must be identified and enhanced by individual employers, in collaboration with health and safety managers and occupational physicians, in the true exposure conditions. In this commentary, the authors stressed the role of workplace risk assessment and occupational health services for the valuable contribution that they may give to the battle against COVID-19, in terms of prevention, contact-tracing activity and COVID-19 rates of vaccinal coverage.
PubMed, Jul 1, 2019
Introduction. Burnout syndrome (BOS) can be defined as a chronic work strain characterized by thr... more Introduction. Burnout syndrome (BOS) can be defined as a chronic work strain characterized by three dimensions: emotional exhaustion, depersonalization (or cynicism), reduced professional effectiveness. BOS typically strikes the helping professions like the teachers. Objective. The aims of this study are: 1) clarify the concept of BOS, as currently configured in the international scientific literature; 2) analyze the psychosocial risk factors in teachers; 3) develop a methodology for the assessment and prevention of the risk of BOS in the teachers. Methods. The literature review followed some of the PRISMA guidelines criteria. Results and discussion. The results of the study highlight BOS as a risk factor specific and distinct from labor-related stress. A strategy called VA.RI.B.O is proposed (Burn-Out Recognition) for teachers.
Future Virology, Mar 1, 2022
asymptomatic COVID-19 cases could be drivers of the COVID-19 pandemic, thus constituting a public... more asymptomatic COVID-19 cases could be drivers of the COVID-19 pandemic, thus constituting a public health threat across the globe "
International Journal of Environmental Research and Public Health, Jul 11, 2019
This study aimed to find out which countries around the world require psychosocial hazards and wo... more This study aimed to find out which countries around the world require psychosocial hazards and workplace violence to be assessed by employers through a mandatory occupational risk assessment process and to compare the type of legislation between countries. We systematically searched the International Labour Office (ILO) "LEGOSH" database for documents published during the period between December 2017 and February 2018. The search included 132 countries, of which 23 were considered as developed and 109 as developing according to the United Nations. Our review showed that most countries (85, i.e., 64%) have not included mandatory psychosocial risk assessment and prevention in their national occupational safety and health legislation. Moreover, we found differences between developed and developing countries, showing that developed countries more frequently have legislative measures. Within developed countries, we also found differences between countries following the Scandinavian model of workplace health and safety culture and other countries. Moreover, in many countries, workplace violence was prohibited only if it involves an offence to moral or religious customs. In conclusion, the marked difference in psychosocial hazards and workplace violence regulations among countries leads to unequal levels of workers' protection, with adverse effects on global health.
International Journal of Environmental Research and Public Health, Apr 23, 2019
In their review, Kownacki et al. showed some practical and easy to use workplace heat indices tha... more In their review, Kownacki et al. showed some practical and easy to use workplace heat indices that are useful for indoor environments, namely the "Wet Bulb Globe Temperature" (WBGT), the "Predicted Heat Strain" (PHS) model, the "Thermal Work Limit" (TWL), the "Equivalent Temperature" (ET) and the thermal comfort index "PMV/PPD". In this letter, the authors explain why the modified PMV/PPD method together with the indices combining temperature with humidity, such as the "Humidex Index" and the "Heat Index", could be a more feasible and useful tool for evaluating potential thermal stress in indoor environments for both the occupational and general population.
Journal of Nursing Scholarship, Mar 25, 2020
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Papers by Francesco Chirico
Questo libro evidenzia gli aspetti storici, gli obblighi normativi, le metodologie, gli strumenti, gli aspetti clinici e medico-legali del Burnout, oltre che proporre una rassegna degli studi e delle ricerche svolte su questo tema.
Si tratta di un libro completo che analizza in profondità la sindrome del burnout all’interno dell’ambiente scolastico. Un libro adatto non solo al medico competente, al responsabile della sicurezza sui luoghi di lavoro e agli operatori sociali, ma anche a tutti coloro che volgono approfondire il tema dei rischi psicosociali nella scuola.
Gli autori propongono inoltre un questionario, lo School Burnout Inventory, per rilevare il rischio burnout individuale.
Completano l’opera gli allegati tecnici: verbali per la formazione, slides, checklist per la valutazione del rischio, questionario per la valutazione soggettiva, SBI, esempio della valutazione del rischio.