scholarly journals Occupational Asthma in Hospital Healthcare Worker

2020 ◽  
Vol 40 (4) ◽  
pp. 262-269
Author(s):  
Rahmad Budianto ◽  
Tri Wahju Astuti
Keyword(s):  
Occupational Asthma ◽  
Health Workers ◽  
Pharmacological Therapy ◽  
Adult Onset ◽  
Test Management ◽  
Asthma Symptoms ◽  
Immunological Tests ◽  
Causative Agents ◽  
Immunological Reactions ◽  
Prevention Of Disability

Occupational asthma is defined as an adult onset of asthma triggered by specific exposures or combinations from the workplace. Occupational asthma is classified into a sensitizer-induced occupational asthma or allergic occupational asthma caused by exposure or sensitization by a causative agents induced by immunological reactions; and irritant-induced occupational asthma or non-allergic occupational asthma caused by agents that are irritative to the airway. Occupational asthma can occur in health workers at hospitals. In the hospital there are various exposure of agents, medicines, and health equipments which can induce the asthma symptoms for health workers. The diagnosis of occupational asthma established by history taking, physical examination, supporting examination (spirometry, bronchial hyper-responsiveness test, exhaled nitric oxide, and immunological tests), and biomarker test. Management of occupational asthma includes principle management by avoiding exposure, pharmacological therapy, and immunotherapy. Precautions taken by primary, secondary (medical surveilance) and tertiary prevention (prevention of disability through worker’s compensation system).

scholarly journals Occupational Asthma in Antibiotic Manufacturing Workers: Case Reports and Systematic Review

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Sara Díaz Angulo ◽  
Joanna Szram ◽  
Jenny Welch ◽  
Julie Cannon ◽  
Paul Cullinan
Keyword(s):  
Systematic Review ◽  
Occupational Asthma ◽  
Case Reports ◽  
Bronchial Hyperresponsiveness ◽  
Specific Ige ◽  
Review Of The Literature ◽  
Cross Sectional ◽  
Immunological Tests ◽  
Asthmatic Reaction ◽  
Provocation Testing

Background. The risks of occupational asthma (OA) from antibiotics are uncertain. We report 4 new cases and a systematic review of the literature. Methods. Cases were identified through a specialist clinic, each underwent specific provocation testing (SPT). We subsequently reviewed the published literature. Results. The patients were employed in the manufacture of antibiotics; penicillins were implicated in three cases, in the fourth erythromycin, not previously reported to cause OA. In two, there was evidence of specific IgE sensitisation. At SPT each developed a late asthmatic reaction and increased bronchial hyperresponsiveness. 36 case reports have been previously published, 26 (citing penicillins or cephalosporins). Seven cross-sectional workplace-based surveys found prevalences of 5–8%. Conclusions. OA in antibiotic manufacturers may be more common than is generally recognised. Its pathogenesis remains unclear; immunological tests are of uncertain value and potential cases require confirmation with SPT. Further study of its frequency, mechanisms, and diagnosis is required.

scholarly journals Risk factors of severe adult-onset asthma: a multi-factor approach

2020 ◽  
Author(s):  
Sanna Toppila-Salmi ◽  
Riikka Lemmetyinen ◽  
Sebastien Chanoine ◽  
Jussi Karjalainen ◽  
Juha Pekkanen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Severe Asthma ◽  
Professional Training ◽  
Univariate Analysis ◽  
Personal Characteristics ◽  
Population Based ◽  
Additional Risk Factor ◽  
Adult Onset ◽  
Asthma Symptoms ◽  
Male Sex

Abstract Background The aim was to identify risk factors of severe adult-onset asthma. Methods We used data from 1350 population-based asthmatics (Adult Asthma in Finland) with adult-onset asthma (age range 31-93 years) from Finnish national registers. Severe asthma was defined as self-reported severe asthma AND asthma symptoms causing much harm AND regular impairment AND (≥1 oral corticosteroid course/year OR regular oral corticosteroids OR wake up in the night due to asthma symptoms/wheezing attach ≥ a few times/month). Sixteen covariates covering several domains (personal characteristics, education, life-style, early life factors, asthma characteristics and multimorbidities) were selected based on literature and were studied in association with severe asthma using logistic regressions. Results The study population included 100 (7.4%) individuals with severe asthma. In a univariate analysis, severe asthma was associated with male sex, age, low education, no professional training, ever smoking, ≥ 2 siblings, ≥ 1 chronic comorbidity and Non-steroidal anti-inflammatory drug (NSAID) -exacerbated respiratory disease (NERD) (p<0.05); and trends for association (p<0.2) were observed for severe childhood infection, presence of chronic rhinosinusitis with nasal polyps, and being the 1 st child. The 10 variables (being 1 st child was removed due to multicolinearity) were thus entered in a multivariate regression model and severe asthma was significantly associated with male sex (OR [CI95%] = 1.96 [1.16-3.30]), ever smoking (1.98 [1.11-3.52]), chronic comorbidities (2.68 [1.35-5.31]), NERD (3.29 [1.75-6.19]), and ≥ 2 siblings (2.51 [1.17-5.41]). There was a dose-response effect of the total sum of these five factors on severe asthma (OR [CI95%] = 2.30 [1.81-2.93] for each increase of one unit of the score). Conclusions Male sex, smoking, NERD, comorbidity, age and number of siblings were independent risk factors for self-reported severe asthma. The effects of these factors seem to be additive; each additional risk factor gradually increase with the risk of severe asthma.

scholarly journals Examining Home Visits from Community Health Workers to Help Patients Manage Asthma Symptoms

2020 ◽  
Author(s):  
Jim Stout ◽  
Roxana Chen ◽  
Stephanie Farquhar ◽  
Bradley Kramer ◽  
Lin Song
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Home Visits ◽  
Asthma Symptoms

scholarly journals EFEKTIVITAS PEPAYA (Carica Papaya L) TERHADAP KELANCARAN PRODUKSI ASI PADA IBU MENYUSUI

2021 ◽  
Vol 5 (2) ◽  
pp. 158-166
Author(s):  
Ifni Wilda ◽  
Nelfi Sarlis
Keyword(s):  
Breast Milk ◽  
Carica Papaya ◽  
Health Workers ◽  
Research Result ◽  
Sampling Technique ◽  
Pharmacological Therapy ◽  
Bivariate Analysis ◽  
P Value ◽  
Breast Milk Production ◽  
Nursing Mothers

Breast milk is breast milk that contains optimal nutrition, both in quantity and quality, however,  in fact, the coverage of breast milk in Indonesia is not in accordance with the expected target, namely  80%, like in 2011 the coverage of breast milk in Indonesia was 61.50%. Young papaya is a natural plant  acts as a lactogum because it can increase and facilitate the production of breast milk. The purpose of this research  is to determine the effectiveness of young papaya (carica papaya L) on the smooth production of mother's milk  breastfeeding. This type of research used quantitative with quasi experiments. This research conducted in  The working area of ​​Puskesmas Sentajo Raya Teluk Kuantan in 2020. The population in this study were all mothers  81 breastfeeding children under 6 months of age who are in the Work Area  Sentajo Raya Puskesmas and a sample of 15 people. The sampling technique used consecutive sampling.  Univariate and bivariate data analysis Bivariate analysis was performed using thetest Wilcoxon. Research result  It was found that the effectiveness of young papaya on the smooth production of breast milk, with a p value <α, namely 0.001  <(0.05). It is recommended to health workers at the Sentajo Raya puskesmas to increase knowledge  regarding non-pharmacological therapy in increasing breast milk production, especially the effectiveness of young papaya against  smoothness of breast milk in nursing mothers. 

scholarly journals Work-related asthma

2021 ◽  
pp. e20200577
Author(s):  
Lavinia Clara Del Roio1 ◽  
Rafael Futoshi Mizutani2 ◽  
Regina Carvalho Pinto3 ◽  
Mário Terra-Filho4 ◽  
Ubiratan Paula Santos2
Keyword(s):  
Early Treatment ◽  
Occupational Asthma ◽  
Patient Management ◽  
Adult Population ◽  
Diagnostic Procedures ◽  
Review Article ◽  
Adult Onset ◽  
Work Related ◽  
Workplace Conditions ◽  
Different Types

Work-related asthma (WRA) is highly prevalent in the adult population. WRA includes occupational asthma (OA), which is asthma caused by workplace exposures, and work-exacerbated asthma (WEA), also known as work-aggravated asthma, which is preexisting or concurrent asthma worsened by workplace conditions. In adults, the estimated prevalence of OA is 16.0%, whereas that of WEA is 21.5%. An increasing number of chemicals used in industrial production, households, and services are associated with the incidence of adult-onset asthma attributable to exposure to chemicals. This review article summarizes the different types of WRA and describes diagnostic procedures, treatment, prevention, and approaches to patient management. It is not always easy to distinguish between OA and WEA. It is important to establish a diagnosis (of sensitizer-/irritant-induced OA or WEA) in order to prevent worsening of symptoms, as well as to prevent other workers from being exposed, by providing early treatment and counseling on social security and work-related issues.

Emerging trends in the UK incidence of occupational asthma: should we be worried?

2019 ◽  
Vol 76 (6) ◽  
pp. 396-397 ◽  
Author(s):  
Martin J Seed ◽  
Melanie Carder ◽  
Matthew Gittins ◽  
Dil Sen ◽  
Annemarie Money ◽  
...  
Keyword(s):  
Occupational Asthma ◽  
European Countries ◽  
Downward Trend ◽  
Adult Onset ◽  
Incidence Trend ◽  
Asthma Incidence ◽  
Emerging Trends ◽  
The Uk ◽  
High Index Of Suspicion ◽  
New Onset

While 15% of adult-onset asthma is estimated to have an occupational cause, there has been evidence of a downward trend in occupational asthma incidence in several European countries since the start of this millennium. However, recent data from The Health and Occupation Reporting network in the UK have suggested a possible reversal of this downward trend since 2014. We present these data and discuss possible explanations for this observed change in incidence trend. A high index of suspicion of occupational causation in new-onset asthma cases continues to be important, whether or not the recently observed increase in occupational asthma incidence in the UK is real or artefactual.

EFEKTIFITAS AROMA THERAPHY LEMON DAN BITTER ORANGE TERHADAP INSTENSITAS NYERI PERSALINAN KALA I FASE AKTIF

2021 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
Reva Afdila ◽  
Nuraida Nuraida
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Active Phase ◽  
Pharmacological Therapy ◽  
T Test ◽  
Labor Pain ◽  
Control Group ◽  
Control Group Design ◽  
Test Analysis ◽  
Bitter Orange

ABSTRACT  THE EFFECTIVENESS OF LEMON THERAPHY AND BITTER ORANGE AROMAS ON THE INSTENSITY OF ACTIVE PHASE I LABOR Background: Labor pain is a pain that is often felt by mothers during childbirth in Stage I. Labor pain is felt by all mothers who give birth. One of the mother's loving care is comfort, namely the reduction of pain that the mother feels. with the provision of non-pharmacological therapy is very helpful for mothers in undergoing the labor process, where there are no side effects from the use of non-pharmacological therapies.Purpose: This study aims to determine the effectiveness of lemon and bitter orange aromatherapy on the intensity of first stage labor pain in women who give birth.Methods: The type of research used is a quasi-experimental design with a pretest-posttest control group design. Sampling technique using accidental sampling technique, the number of samples in this study were 32 mothersResults: The results showed that the lemon group was effective in reducing pain (0,000). in the bitter orange group it is also effective in reducing labor pain (0.000). The results of the independent sample T test analysis showed no comparison of effectiveness between the two groups (0.061), where the two groups were equally effective in reducing labor pain in laboring mothersConclusion: Aromatherapy of lemon and bitter orange are both effective in reducing the pain of first stage labor in the mother.Suggestion: It is hoped that health workers can provide care for the mother's love by reducing pain during labor. Keywords: Aromatherapy, Labor Pain  ABSTRAK Latar Belakang : Nyeri persalinan merupakan nyeri yang sering dirasakan ibu pada saat persalinan di Kala I. Nyeri persalinan dirasakan oleh semua ibu bersalin. salah satu asuhan sayang ibu adalah kenyamanan yaitu pengurangan rasa nyeri yang ibu rasakan. dengan pemberian terapi nonfarmakologi sangat membantu ibu dalam menjalanin proses persalinan, dimana tidak ada efek samping dari penggunaan terapi non farmakologi.Tujuan : penelitian ini bertujuan untuk mengetahui perbandiangan efektifitas aromaterapi lemon dan bitter orange terhadap intensitas nyeri persalinan kala I pada ibu bersalin.Metode: jenis penelitian yang digunakan yaitu quasi eksperimen dengan densain pretest- posttest control group desain. tehnik pengambilan sampel menggunakan Tehnik accidental Sampling, jumlah sampel pada penelitian ini yaitu 32 ibu bersalin.Hasil : Hasil penelitian didapat pada kelompok lemon efektif dalam pengurangan rasa nyeri (0,000). pada kelompok bitter orange juga efektif dalam pengurangan nyeri persalinan (0,000). hasil analisis independent sampel T Test menunjukan tidak ada perbandingan efektifitas antara kedua kelompok (0,061), dimana kedua kelompok sama-sama efektif dalam pengurangan nyeri persalinan pada ibu bersalin.Kesimpulan :Aromatherapi lemon dan bitter orange sama-sama efektif dalam pengurangan nyeri persalinan kala I pada ibu bersalin.Saran :Diharapkanuntuk para tenaga kesehatan untuk dapat memberikan pelayanan asuhan sayang ibu dengan pengurangan rasa nyeri pada saat ibu bersalin. Kata Kunci  : Aromaterapi, Nyeri Persalinan

Risk factors for nonwork-related adult-onset asthma and occupational asthma

2014 ◽  
Vol 14 (2) ◽  
pp. 84-94 ◽  
Author(s):  
Mohamed F. Jeebhay ◽  
Dorothy Ngajilo ◽  
Nicole le Moual
Keyword(s):  
Risk Factors ◽  
Occupational Asthma ◽  
Adult Onset
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