Occupational asthma; the limited role of air-fed respiratory protective equipment

2019 ◽  
Vol 69 (5) ◽  
pp. 329-335 ◽  
Author(s):  
Aslihan Ilgaz ◽  
Vicky C Moore ◽  
Alastair S Robertson ◽  
Gareth I Walters ◽  
P Sherwood Burge
Keyword(s):  
Occupational Asthma ◽  
Source Control ◽  
Working Fluid ◽  
Protective Equipment ◽  
Metal Working ◽  
Inclusion Criteria ◽  
Manufacturing Facility ◽  
Work Related ◽  
Before And After

Abstract Background Evidence-based reviews have found that evidence for the efficacy of respiratory protective equipment (RPE) in the management of occupational asthma (OA) is lacking. Aims To quantify the effectiveness of air-fed RPE in workers with sensitizer-induced OA exposed to metal-working fluid aerosols in a car engine and transmission manufacturing facility. Methods All workers from an outbreak of metal-working fluid-induced OA who had continuing peak expiratory flow (PEF) evidence of sensitizer-induced OA after steam cleaning and replacement of all metal-working fluid were included. Workers kept 2-hourly PEF measurements at home and work, before and after a strictly enforced programme of RPE with air-fed respirators with charcoal filters. The area-between-curve (ABC) score from the Oasys plotter was used to assess the effectiveness of the RPE. Results Twenty workers met the inclusion criteria. Records were kept for a mean of 24.6 day shifts and rest days before and 24.7 after the institution of RPE. The ABC score improved from 26.6 (SD 16.2) to 17.7 (SD 25.4) l/min/h (P > 0.05) post-RPE; however, work-related decline was <15 l/min/h in only 12 of 20 workers, despite increased asthma treatment in 5 workers. Conclusions Serial PEF measurements assessed with the ABC score from the Oasys system allowed quantification of the effect of RPE in sensitized workers. The RPE reduced falls in PEF associated with work exposure, but this was rarely complete. This study suggests that RPE use cannot be relied on to replace source control in workers with OA, and that monitoring post-RPE introduction is needed.

scholarly journals TELEMEDICINE AS AN EFFORT TO IMPROVE PUBLIC KNOWLEDGE TO FIGHT COVID-19 PANDEMIC

2021 ◽  
Vol 2 (1) ◽  
pp. 6
Author(s):  
Sacharissa Zerlina Tsarwah Thirafi ◽  
Triadi Putra Paladan ◽  
Bonfilio Neltio Ariobimo ◽  
Barizatul Husniyah ◽  
Monica Tiara Arum Kinanthi ◽  
...  
Keyword(s):  
Health Promotion ◽  
Data Collection ◽  
Sampling Method ◽  
Public Knowledge ◽  
Inclusion Criteria ◽  
Collection Method ◽  
Before And After ◽  
Chain Transmission ◽  
A Current

The role of the community is an essential part to cut down the COVID-19 chain transmission, a current world pandemic. Knowledge determines a person's healthy behavior that can prevent transmission of COVID-19. This research’s goal is to analyze the effect of health promotion via telemedicine on increasing knowledge about COVID-19 prevention in the productive-age population in Indonesia. This study used one group pretest-posttest design and accidental sampling method involving 146 respondents based on the inclusion criteria. The data collection method was carried out by using a questionnaire containing simple and general questions related to COVID-19 that tested subjects before and after telemedicine health promotion. Based on the assessment of the questionnaire through pretest and posttest, there was an increase in the average knowledge after being given health education with telemedicine with p<0.001 (CI 95%). This study shows that telemedicine could significantly increase average knowledge about COVID-19 prevention in the productive-age population in Indonesia.

Balloon Sinuplasty Utilization in the Pediatric Population: A National Database Perspective

2019 ◽  
Vol 161 (4) ◽  
pp. 683-687 ◽  
Author(s):  
Gerard Thong ◽  
Natasha D. Dombrowski ◽  
Kosuke Kawai ◽  
Michael J. Cunningham ◽  
Eelam A. Adil
Keyword(s):  
Chronic Rhinosinusitis ◽  
Pediatric Population ◽  
Health Information System ◽  
Sinus Surgery ◽  
National Database ◽  
Inclusion Criteria ◽  
Readmission Rates ◽  
Balloon Sinuplasty ◽  
Before And After

Objective Balloon sinuplasty (BS) is a surgical management option in the treatment of chronic rhinosinusitis. The purpose of this study was to examine BS utilization among children with a national database. Study Design Retrospective review. Setting National pediatric database. Subjects and Methods All cases of children aged ≤18 years who underwent BS or traditional endoscopic sinus surgery (ESS) 5 years before and after the introduction of BS billing codes were studied with the Pediatric Health Information System database. We evaluated overall trends, demographics, performing physicians, readmissions, and cost data. Results A total of 14,079 patients met inclusion criteria: 13,555 underwent traditional ESS and 524 had a BS procedure. There was no significant increase in BS rates between 2011 and 2016. BS was more commonly performed among younger children than ESS (median age [interquartile range], 6 years [4-10] vs 9 years [6-13]; P < .001). There were 23 (4.4%) readmissions within 30 days in the balloon cohort versus 474 (3.5%) in the ESS cohort. The median cost of balloon maxillary antrostomy (US $6560 [$5420-$8250]) was higher than that of traditional maxillary antrostomy (US $5630 [$4130-$7700], P < .001). Physicians who performed BS had a larger volume of ESS procedures when compared with those who did not perform BS. Conclusion Rates of BS performance in the pediatric population have not increased over time. Results showed no difference in readmission rates between BS and ESS. BS was associated with higher costs as compared with ESS. The role of BS in the pediatric chronic rhinosinusitis population remains unclear.

scholarly journals Barriers to the Recognition and Reporting of Occupational Asthma by Canadian Pulmonologists

2011 ◽  
Vol 18 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Anu Parhar ◽  
Catherine Lemiere ◽  
Jeremy R Beach
Keyword(s):  
Occupational Asthma ◽  
Postal Questionnaire ◽  
Perceived Barriers ◽  
Work Related ◽  
Inhalation Challenge ◽  
Patient Concerns ◽  
Analogue Scales ◽  
Possible Cause ◽  
New Onset

BACKGROUND: Occupational asthma is a common, but probably under-recognized problem.OBJECTIVE: To identify the factors that suggest work-related asthma when a pulmonologist encounters an adult patient with new-onset asthma, and to identify the barriers to recognizing and reporting such cases.METHODS: A postal questionnaire was sent to all pulmonologists in Canada. The questionnaire asked participants to respond to several questions about recognizing, diagnosing and reporting occupational asthma. Answers were scored using visual analogue scales.RESULTS: A total of 201 eligible responses were received from 458 pulmonologists. Pulmonologists identified that the most important factor in initially considering the role of work in occupational asthma was having seen others affected at the same workplace, or exposed to the same agent. Important perceived barriers to considering a diagnosis of occupational asthma were physicians’ low awareness, lack of knowledge and time. The most important barriers to reporting cases were the pulmonologists’ perceived patient concerns regarding job security and income. Quebec pulmonologists generally perceived barriers to recognizing and reporting occupational asthma to be less important, and believed that the use of specific inhalation challenge was more important in considering a diagnosis.CONCLUSIONS: Pulmonologists most readily recognized occupational asthma caused by a substance or process that they previously encountered as a possible cause of asthma. Time constraints and knowledge may hamper their ability to recognize occupational asthma. Concerns regarding the effect of the diagnosis on the patient’s job and income may discourage reporting.

scholarly journals P64 Is respiratory protective equipment effective in abolishing the work effect in patients sensitised to metal working fluid?

Thorax ◽  
2015 ◽  
Vol 70 (Suppl 3) ◽  
pp. A108.1-A108
Author(s):  
A Ilgaz ◽  
VC Moore ◽  
W Robertson ◽  
AS Robertson ◽  
PS Burge
Keyword(s):  
Working Fluid ◽  
Protective Equipment ◽  
Metal Working ◽  
Work Effect

scholarly journals The Effect of Mulaka Beejadi Lepa and Pruthu Nimba Panchaka Churna in the Management of Vicharchika W.S.R. to Eczema 

2018 ◽  
Vol 9 (3) ◽  
pp. 185-190
Author(s):  
Divya V ◽  
Ragamala K C
Keyword(s):  
Diagnostic Criteria ◽  
Skin Diseases ◽  
Age Group ◽  
Inclusion Criteria ◽  
External Application ◽  
Before And After ◽  
Pro Forma ◽  
Great Advance

According to Ayurveda, Vicharchika is a major problem in skin diseases.  All Kusthas are having Tridoshaja origin.The disease Vicharchika to a greater extent resembles eczema/dermatitis.  Despite of great advance in dermatology and the advent of powerful antibiotics, antifungal as well as steroids, Eczema continues to defy the best effect of dermatologists. Hence it is the need of the hour to find out safe and effective medicine for Vicharchika and here comes the role of Ayurveda. The involvement of Vata results in dry, blackish lesion of eczema, itching in those affected areas is due to Kapha and Pitta is responsible for Srava. In classical texts, Ayurveda Acharyas emphasizes shodhana and shamana therapy as the line of treatment at various contexts. So, the study aimed to evaluate efficacy of Mulaka beejadi lepa and Pruthu nimba panchaka churna in vicharchika, 30 children aged 3-16years who were fulfilling the inclusion criteria and diagnostic criteria were selected from Kaumarabhritya OPD and IPD of S.V.Ayurvedic College & Hospital, Tirupati.  Patients were given Mulaka beejadi lepa as external application  and vati prepared with Pruthu nimba panchaka churna 250mg BID  in 3-10years age group and 500mg BID in 11-16yrs age group children for 30days and called for follow up after 15days to note any recurrence.The cases were recorded as per the case Pro forma and observations were recorded. Symptoms were scored and statistically analysed for any change before and after treatment. Mulaka Beejadi lepa as external application and Pruthu Nimba panchaka churna internally are very effective in the management of vicharchika.  

scholarly journals Work Related Open Globe Injury

2019 ◽  
Author(s):  
Lakshmi Kamala
Keyword(s):  
Ocular Trauma ◽  
Case Reports ◽  
Workplace Safety ◽  
Protective Equipment ◽  
Open Globe Injury ◽  
Work Related ◽  
Open Globe ◽  
Safety Guidelines ◽  
Open Globe Injuries

Traumatic open globe injuries are a leading cause of blindness/visual impairment in the world. A significant number of reported open globe injuries occur at the workplace and have been historically associated with non-compliance with workplace safety guidelines and not wearing eye related personal protective equipment (PPE). In this case report, we describe a 27-year-old man’s workplace related open globe injury despite wearing PPE. We explore the prognostic factors in determining final visual acuity and do a literature review of case reports with good outcomes despite poor initial prognostication in severe open globe injuries. The option of enucleation and its common indications are discussed. We also examine the factors determining patient satisfaction with ocular prosthesis along with an assessment of the role of PPEs in workplace related ocular trauma.

The utility of airfed RPE in the management of workers with metal-working fluid occupational asthma

2016 ◽  
Author(s):  
Aslihan Çakaloglu Ilgaz ◽  
Vicky Moore ◽  
Wendy Robertson ◽  
Alastair Robertson ◽  
Sherwood Burge
Keyword(s):  
Occupational Asthma ◽  
Working Fluid ◽  
Metal Working

scholarly journals Occupational Asthma Occurrence Analysis and Factor Factors Affecting on Furniture Workers in Balongrejo Village Kecamatan Berbek Nganjuk

2019 ◽  
Vol 2 (2) ◽  
pp. 29-38
Author(s):  
Fitra Handika Hutama
Keyword(s):  
At Risk ◽  
Personal Protective Equipment ◽  
Occupational Asthma ◽  
Respiratory Diseases ◽  
Active Role ◽  
Dominant Factor ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Factors Affecting

Wood working or furniture workers are workers at risk of exposure to dust, whether derived from sawmill assembly or wooden welding, thus at risk of developing occupational diseases such as respiratory diseases such as asthma. Lack of self-discipline workers to use self-protection tool (APD) in the form, mask is one of the factors that influence the incidence of respiratory diseases with the main symptoms of cough. This happens because the workers inhale sawdust or wooden dust. This study is an obeservational study with cross sectional design. Samples and respondents are furniture workers in Balongrejo village, Berbek sub-district, Nganjuk regency, as many as 120 people taken by cluster random sampling of 94 people. The statistic test used is logistic regression. The result of statistical test shows that significant value <0.05 means H1 is accepted and H0 is rejected. This means that there is an influence between smoking, the use of personal protective equipment (masks), and the temperature of the workspace against occupational asthma events, and a significant value> of 0.05 means that H1 is rejected and H0 accepted This means no effect on the occurrence of occupational asthma, of influencing factors above the most dominant factor affecting the occurrence of occupational asthma in furniture workers is smoking and the use of personal protective equipment (masks). Efforts that can be done in overcoming this problem is the active role of Disnakertrans of Nganjuk Regency to make the order regulation to the owner of Furniture Trade Enterprise to provide PPE to the workers, the active role of health officer in giving health counseling for the furniture workers.

scholarly journals O impacto da pandemia no papel da enfermagem: uma revisão narrativa da literatura

2021 ◽  
Vol 20 (3) ◽  
pp. 502-543
Author(s):  
Thais Cristina Loyola Da Silva ◽  
Ákysa Kyvia de Medeiros Pinheiro Fernandes ◽  
Camila Brito do O’ ◽  
Suênia Silva de Mesquita Xavier ◽  
Eurides Araújo Bezerra de Macedo
Keyword(s):  
Health Care ◽  
Google Scholar ◽  
Protective Equipment ◽  
Inclusion Criteria ◽  
Salud Mental ◽  
Occupational Infections ◽  
Role Of Nursing ◽  
The Impact

Objetivo: Analizar, describir y explicar el impacto de la pandemia en el rol de la enfermería, según la literatura.Método: Revisión narrativa de la literatura basada en búsquedas en bases de datos (Pubmed, BDENF, Scielo, Google Scholar), sección de referencia de artículos y sitios web oficiales con la combinación de descriptores: COVID-19 y Enfermagem y Pandemia y solo COVID- 19.Resultados: Se seleccionaron 44 referencias, de acuerdo al criterio de inclusión, para lo cual se evidenció que la pandemia impacta desde cambios en las rutinas del trabajo de enfermería, actualización de medidas para prevenir infecciones ocupacionales y lesiones por presión por uso de equipo de protección, atención a la salud mental, proporción de infección entre enfermeras para una mayor visibilidad y reconocimiento de la importancia de la categoría en la atención de la salud.Conclusión: La pandemia impuso nuevas condiciones laborales al personal de enfermería, las cuales impactaron en temas personales y laborales que se interrelacionan con la calidad de la atención de salud.   Objective: To analyze, describe and explain the impact of the pandemic on the role of nursing, according to literature.Method: Narrative review of the literature based on searches in databases (Pubmed, BDENF, Scielo, Google Scholar), on the references of articles, and official websites. The search used the combination of descriptors: COVID-19 and Enfermagem and Pandemia and only COVID- 19.Results: 44 references were selected, according to the inclusion criteria. It was shown that the pandemic impact the routines of nursing work in many ways, affecting the updating of measures to prevent occupational infections and protective equipment-related pressure injuries, mental health care, the proportion of infection among nurses, although it brings more visibility and recognition to the importance of nursing workers in health care.Conclusion: The pandemic forced nurses to submit to new working conditions, which caused personal and labor issues that are associated with the quality of health care. Objetivo: Analisar, descrever e explicitar o impacto da pandemia no papel da enfermagem, conforme a literatura. Método: Revisão narrativa da literatura a partir de pesquisas em bases de dados (Pubmed, BDENF, Scielo, Google Scholar), seção de referência dos artigos e sites oficiais com a combinação dos descritores: COVID-19 and Enfermagem and Pandemia e apenas COVID-19. Resultados: Foram selecionadas 44 referências, consoante o critério de inclusão, por quais evidenciou-se que a pandemia impacta desde mudanças nas rotinas do trabalho da enfermagem, atualização de medidas de prevenção de infecção ocupacional e de lesões por pressão por uso de equipamentos de proteção, cuidados para com a saúde mental, proporção de infecção entre os enfermeiros até maior visibilidade e reconhecimento da importância da categoria na assistência à saúde. Conclusão: A pandemia impôs novas condições de trabalho ao pessoal de enfermagem, as quais impactaram em questões pessoais e trabalhistas que se inter-relacionam com a qualidade da assistência à saúde.

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