[Seasonal atypical jobs in the sector of the floriculture in Calabria--prevention of the risks and safety on the job]

The search concerns over three hundred precarious workers in the sector of the floriculture of the region. They has been submitted to medical visit before the assumption. The workers that have had other experiences of job in the same productive sector; have reported to never have effected periodic sanitary controls. The medical visit is the occasion to inform the operators on the specific working risks and on the correct procedures of job. Some workers have probably reported some consequent troubles to phyto-drugs poisonings. These poisonings are not been signalled to the competent authority for fear not to be recalled to the job. The medical visit before the assumption establishes a relationship of dialogue and trust that is at the base of every correct and effective intervention for the prevention and the tutorship of the health of the workers.

Conservative non-pharmacological treatments for chemotherapy-induced peripheral neuropathies in women treated for breast cancer: a systematic review

INTRODUCTION

Over the last few decades, the use of neo/adjuvant therapies has significantly increased the number of breast cancer survivors who experience chemotherapy-induced peripheral neuropathy (CIPN). To date, few, low-efficacy, pharmacological remedies exist to manage this side effect. For this reason, alternative treatments are increasingly being investigated as possible strategies to prevent or promote faster recovery from CIPN. In this review we aimed to provide an overview of the literature evidence regarding all the non-pharmacological and rehabilitative interventions for patients affected by CIPN secondary to breast cancer care.

EVIDENCE ACQUISITION

A comprehensive literature search was conducted on PubMed, Scopus and Web of Science and included a total of 1895 patients (1528 with breast cancer) with a wide range of CIPN (motor, sensory and autonomic neuropathies) and chemotherapy treatments (e.g., Taxanes, Platins, Vinca alkaloids or monoclonal antibody drugs).

EVIDENCE SYNTHESIS

Of the initial 1108 hits, only 25 studies - describing different treatment modalities for peripheral neuropathies - were finally included in the qualitative synthesis. Most studies focused on acupuncture, physiotherapy, cryotherapy, and yoga.

CONCLUSIONS

There is still controversial evidence on conservative non-pharmacological interventions for the management of CIPN symptoms. We believe however that moderate exercise, as well as all types of stress reducing activities like sport, yoga and mindfulness, should be encouraged in cancer patients for their positive effect on global physical and psychological health. Further studies of higher methodological quality are needed to determine the best conservative approach to CIPN.