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    Tytuł:
    Occupational allergy to Limonium sinuatum — a case report
    Autorzy:
    Wiszniewska, Marta
    Pałczyński, Cezary
    Krawczyk-Szulc, Patrycja
    Wittczak, Tomasz
    Cyran, Aleksandra
    Walusiak-Skorupa, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/2185388.pdf
    Data publikacji:
    2011-09-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    Limonium sinuatum
    occupational asthma
    Rhinitis
    Opis:
    Decorative flowers are known to be a cause of occupational allergy in the floral industry. The allergic manifestations induced by flowers include asthma, rhinoconjunctivitis and urticaria. We present a case of a 55-year-old woman, who has been working for the last 30 years as a gardener with various kinds of flowers, e.g., Limonium sinuatum (LS), chrysanthemum, sweet William (Dianthus barbatus) and Lilium. During the last 10 years she has developed nasal and eyes symptoms, dry cough, dyspnoea, chest tightness and wheezing. Clinical examination, routine laboratory testing, chest radiography, skin prick tests (SPT) involving common allergens, native plants pollens and leaves by the prick-prick technique, rest spirometry, methacholine challenge test and specific inhalation challenge test (SICT) were conducted. SPT results to common allergens were positive for grass pollens. SPT with native plants pollens and leaves showed a positive reaction only for LS. SICT induced an isolated early asthmatic reaction and significant increase in the number of eosinophils in the nasal lavage fluid. Additionally, significant increase in non-specific bronchial hyperreactivity was observed after SICT. To our knowledge, the presently described report is the first one of Limonium sinuatum induced occupational asthma and rhinitis in a Polish gardener.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2011, 24, 3; 304-307
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occupational allergy to horse allergens: More than exposure to horses!
    Autorzy:
    Liccardi, Gennaro
    Calzetta, Luigino
    Sapio, Carmine
    Rogliani, Paola
    Powiązania:
    https://bibliotekanauki.pl/articles/2168363.pdf
    Data publikacji:
    2016-07-07
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    bronchial asthma
    horse
    horse allergy
    hypersensitivity
    occupational allergy
    occupational asthma
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2016, 29, 5; 721-723
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Metal-induced asthma and chest X-ray changes in welders
    Autorzy:
    Wittczak, Tomasz
    Dudek, Wojciech
    Walusiak-Skorupa, Jolanta
    Świerczyńska-Machura, Dominika
    Cader, Wojciech
    Kowalczyk, Monika
    Pałczyński, Cezary
    Powiązania:
    https://bibliotekanauki.pl/articles/2180086.pdf
    Data publikacji:
    2012-06-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    welders
    metals
    occupational asthma
    chest X-ray changes
    Opis:
    Objectives: The aim of this study was to evaluate the coexisting factors and usefulness of diagnostic methods in metal-induced asthma in Polish welders. Materials and Methods: Examination of 50 welders occupationally exposed to metals and with suspicion of metal-induced asthma (group A), 100 welders occupationally exposed to metals but without suspicion of metal-induced asthma (group B), and two control groups (10 patients with atopic asthma and 10 healthy subjects) was carried out. Questionnaire survey, clinical examination, skin prick tests to common aeroallergens and metal salts, rest spirometry tests, X-ray, metacholine challenge and a single-blind, placebo controlled specific inhalation challenge tests with metals (or work-like conditions challenge tests) were performed. Results: In group A – in 9 cases we obtained positive results of specific inhalation challenge tests with metals (in 3 cases with nickel, in 4 cases with chromium, in 1 case with cobalt and in 1 case with manganese). Nine cases of metal-induced occupational asthma were recognized. In group B – only in one case we obtained positive results of work-like conditions challenge test (clinical and spirometry changes, eosinophil influx in induced sputum), which confirmed the diagnosis of occupational asthma. In most of examined welders (62%), pulmonary changes in chest X-ray images were noted. The statistical analysis revealed that working as a welder for more than 10 years is the coexisting factor of presence of chest X-ray changes (p- or q-type nodular changes or interstitial changes). Positive results of skin prick tests with metal salts were the coexisting factors of occupational asthma due to metals among examined group of welders. Conclusions: Specific inhalation challenge plays the key role in diagnostics of metal-induced asthma in welders. Pulmonary changes in chest X-ray were found in a significant percentage of examined welders.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2012, 25, 3; 242-250
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Latex sensitization and risk factors in female nurses in Thai governmental hospitals
    Autorzy:
    Supapvanich, Chompunuch
    Povey, Andrew
    Vocht, Frank
    Powiązania:
    https://bibliotekanauki.pl/articles/2178797.pdf
    Data publikacji:
    2014-03-22
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    sensitization
    nursing
    Latex allergy
    developing world
    occupational asthma
    occupational dermatitis
    Opis:
    Objectives: Exposure to latex allergens in latex gloves can cause occupational health problems in nurses, yet latex gloves are still widely used in Thai hospitals. Therefore, we conducted a study to determine the prevalence of latex sensitization in nurses and identify risk factors associated with sensitization. Methods: A questionnaire, providing information on personal characteristics, ill-health, working conditions and symptoms related to latex product use, was administered to 363 female nurses working in two tertiary hospitals in southern Thailand. Latex sensitization was confirmed using a solid phase immunoassay to detect anti-latex IgE antibodies. Total glove protein levels were determined by using a modified Lowry method and latex aeroallergens by a competitive inhibition immunoassay. Results: The overall prevalence of latex sensitization was 4.4%. Respiratory symptoms related to latex glove use were significantly associated with latex sensitization (OR = 5.5, 95% CI: 1.57-19). Total glove protein levels ranged 87.8-250.8 μg protein/dm². The prevalence of latex sensiti- zation was higher (6.6% vs. 2.2%) in the hospital where gloves with higher protein levels (82-438 μg/g vs. 86-170 μg/g) were used. Furthermore, latex sensitization prevalence increased from 3% to 5% with increased average departmental aeroallergen concentrations. Conclusions: Latex sensitization prevalence in Thai nurses was higher than previously reported. Respiratory exposure seems to play an important role, in addition to dermal exposure. If latex gloves cannot be replaced by non-latex alternatives, replacement with gloves with lower protein content should be considered.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 1; 93-103
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Airborne contact dermatitis and asthma in a nail art operator
    Autorzy:
    Vaccaro, Mario
    Guarneri, Fabrizio
    Barbuzza, Olga
    Cannavò, Serafinella P.
    Powiązania:
    https://bibliotekanauki.pl/articles/2178806.pdf
    Data publikacji:
    2014-01-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational asthma
    acrylates
    airborne allergic contact dermatitis
    nail art
    Opis:
    Nail art (creation and decoration of artificial nails) is a growing fashion trend. Proportionally to its popularity, the number of allergic reactions to the materials used has recently increased. We report the case of a nail art operator who developed occupational allergy to acrylates, manifested with the unusual simultaneous presence of asthma and dermatitis. Cutaneous lesions only affected areas not covered by individual protection devices or clothes, even if such areas were not in direct contact with acrylates, suggesting airborne allergic contact dermatitis. While respiratory problems were solved with the correct use of a mask at the workplace, facial dermatitis proved impossible to avoid or control and, for this reason, the patient had to change her work.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 1; 137-140
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Immunological determinants in a murine model of toluene diisocyanate-induced asthma
    Autorzy:
    Świerczyńska-Machura, Dominika
    Walusiak-Skorupa, Jolanta
    Nowakowska-Świrta, Ewa
    Piasecka-Zelga, Joanna
    Świercz, Radosław
    Pałczyński, Cezary
    Powiązania:
    https://bibliotekanauki.pl/articles/2180077.pdf
    Data publikacji:
    2012-09-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    toluene diisocyanate
    occupational asthma
    murine model
    allergic infl ammation
    cytokines
    Opis:
    Objectives: Diisocyanates (DIC) are highly reactive, low-molecular-weight chemicals which are the leading cause of occupational asthma (OA). The aim of the study was to analyze certain aspects of the pathogenesis of allergic infl ammation in the airways induced by toluene diisocyanate (TDI) in an experimental model in mice. Materials and Methods: The experiment was carried out on 50 female BALB/cJ/Han/IMP mice, which were exposed by inhalation (intranasal and in the inhalation chamber) to toluene diisocyanate (2,4-TDI). After the experiment, the bronchoalveolar lavage fluid (BALF) was collected from the animals, and the composition of the induced infl ammatory cells, and the concentrations of certain cytokines (IL-4, IL-5, TNF-α) were evaluated. Results: The total number of cells in BALF of the examined group of mice was signifi cantly higher compared to the control mice. There was also a signifi cant increase in neutrophils and eosinophils in the study group compared to the controls. The number of lymphocytes and macrophages did not differ signifi cantly between the two groups. A statistically signifi cant increase in the level of TNF-α was shown to occur in the group exposed to toluene diisocyanate in comparison to the control group. The concentration of IL-4 increased in the study group, compared to the control one, but the differences did not reach the level of signifi cance, p > 0.05. Such difference was not observed for IL-5. Conclusions: We developed a murine model of TDI-induced asthma which caused the infl ux of infl ammatory cells like eosinophils and neutrophils in the bronchoalveolar lavage fl uid (BALF) in the TDI-treated mice. The increase of the concentration of some proinfl ammatory cytokines (TNF-α, IL-4) in BALF from the exposed mice was also observed.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2012, 25, 4; 492-498
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occupational asthma caused by samba (Triplochiton scleroxylon) wood dust in a professional maker of wooden models of airplanes: A case study
    Autorzy:
    Krawczyk-Szulc, Patrycja
    Wiszniewska, Marta
    Pałczyński, Cezary
    Nowakowska-Świrta, Ewa
    Kozak, Anna
    Walusiak-Skorupa, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/2178859.pdf
    Data publikacji:
    2014-06-21
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational asthma
    wood dusts
    samba
    triplochiton scleroxylon
    specific inhalation challenge test
    Opis:
    Objectives: Wood dust is a known occupational allergen that may induce, in exposed workers, respiratory diseases including asthma and allergic rhinitis. Samba (obeche, Triplochiton scleroxylon) is a tropical tree, which grows in West Africa, therefore, Polish workers are rarely exposed to it. This paper describes a case of occupational asthma caused by samba wood dust. Material and Methods: The patient with suspicion of occupational asthma due to wood dust was examined at the Department of Occupational Diseases and Clinical Toxicology in the Nofer Institute of Occupational Medicine. Clinical evaluation included: analysis of occupational history, skin prick tests (SPT) to common and occupational allergens, determination of serum specific IgE to occupational allergens, serial spirometry measurements, metacholine challenge test and specific inhalation challenge test with samba dust. Results: SPT and specific serum IgE assessment revealed sensitization to common and occupational allergens including samba. Spirometry measurements showed mild obstruction. Metacholine challenge test revealed a high level of bronchial hyperactivity. Specific inhalation challenge test was positive and cellular changes in nasal lavage and induced sputum confirmed allergic reaction to samba. Conclusions: IgE mediated allergy to samba wood dust was confirmed. This case report presents the first documented occupational asthma and rhinitis due to samba wood dust in wooden airplanes model maker in Poland.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 3; 512-519
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occupational asthma follow-up — Which markers are elevated in exhaled breath condensate and plasma?
    Autorzy:
    Pelclová, Daniela
    Fenclová, Zdenka
    Vlčková, Štěpánka
    Klusáčková, Pavlína
    Lebedová, Jindřiška
    Syslová, Kamila
    Běláček, Jaromír
    Kuzma, Marek
    Navrátil, Tomáš
    Zakharov, Sergey
    Kačer, Petr
    Powiązania:
    https://bibliotekanauki.pl/articles/2178829.pdf
    Data publikacji:
    2014-05-17
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational asthma
    exhaled breath condensate
    eosinophilic cationic protein
    8-isoprostane
    leukotrienes
    methacholine
    Opis:
    Objectives: To search for optimal markers in the exhaled breath condensate (EBC), plasma and urine that would reflect the activity/ severity of occupational asthma (OA) after the withdrawal from the exposure to the allergen. Material and Methods: Markers of oxidative stress: 8-iso-prostaglandin $ \text{F}_\text{2α}$ (8-isoprostane, 8-ISO), malondialdehyde (MDA), 4-hydroxy-trans-2-nonenale (HNE), cysteinyl leukotrienes (LT) and LTB₄ were determined using liquid chromatography and mass spectrometry in 43 subjects with immunological OA (49.3±11.8 years), removed from the exposure to the sensitizing agent 10.5±6.5 years ago; and in 20 healthy subjects (49.0±14.9 years). EBC was harvested both before and after the methacholine challenge test. In parallel, identical markers were collected in plasma and urine. The results were analyzed together with forced expiratory volume in one second (FEV1), blood eosinophils, immunoglobulin E (IgE) and eosinophilic cationic protein (ECP) and statistically evaluated (Spearman rank correlation $r_S$, two- or one-sample t tests and alternatively Kruskal Wallis or pair Wilcoxon tests). Results: Several parameters of lung functions were lower in the patients (FEV₁% predicted, MEF25% and MEF50%, Rtot%, p < 0.001). Shorter time interval since the removal from the allergen exposure correlated with higher ECP ($r_S$ = 0.375) and lower FEV1%, MEF25% and MEF50% after methacholine challenge ($r_S$ = -0.404, -0.425 and -0.532, respectively). In the patients, IgE (p < 0.001) and ECP (p = 0.009) was increased compared to controls. In EBC, 8-ISO and cysteinyl LTs were elevated in the asthmatics initially and after the challenge. Initial 8-ISO in plasma correlated negatively with FEV₁ ($r_S$ = -0.409) and with methacholine PD₂₀ ($r_S$ = -0.474). 8-ISO in plasma after the challenge correlated with IgE ($r_S$ = 0.396). Conclusions: The improvement in OA is very slow and objective impairments persist years after removal from the exposure. Cysteinyl LTs and 8-ISO in EBC and 8-ISO in plasma might enrich the spectrum of useful objective tests for the follow-up of OA.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 2; 206-215
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Mannitol vs. methacholine in the evaluation of airway responsiveness in bakers’ asthma
    Autorzy:
    Nowakowska-Świrta, Ewa
    Wiszniewska, Marta
    Lipińska-Ojrzanowska, Agnieszka
    Walusiak-Skorupa, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/2116654.pdf
    Data publikacji:
    2020-03-13
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    mannitol
    methacholine
    nonspecific bronchial hyper-responsiveness
    occupational asthma
    specific inhalation challenge test
    bakery workers
    Opis:
    ObjectivesVarious indirect or direct airway challenge tests are used to measure nonspecific bronchial hyper-responsiveness (NSBHR). The evaluation of NSBHR in diagnosing occupational asthma (OA) is performed, e.g., to monitor the specific inhalation challenge test (SICT). The aim of this study was to preliminarily compare the results of methacholine and mannitol inhalation challenge tests in SICT monitoring in bakers with work-related airway symptoms.Material and MethodsFour bakery workers with a suspicion of OA underwent single-blind placebo-controlled SICTs involving workplace allergens, accompanied by the evaluation of NSBHR with mannitol and methacholine, both before and after SICTs. Clinical examinations, spirometry tests, skin prick tests (SPTs) to common aeroallergens and occupational allergens, as well as tests to determine serum specific IgE antibodies to occupational aeroallergens were also performed.ResultsPositive SPTs results to occupational aeroallergens were found in all bakery workers, and specific IgE antibodies to flour were detected in 2 subjects. Three patients displayed positive SICT reactions. In all of these 3 patients, airway responsiveness to methacholine increased significantly. In 2 patients, airway reaction to mannitol was significant, whereas in 1 subject there was no increase in NSBHR after mannitol inhalation. The patient with a negative SICT result did not reveal any changes in NSBHR before and after the test, either to methacholine or mannitol.ConclusionsThe data obtained by the authors show that there is no clear correlation between the methacholine and mannitol inhalation challenge tests in SICT monitoring. Preliminary results indicate the need for further investigations to evaluate the usefulness of the mannitol challenge test in the diagnostics of OA.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2020, 33, 2; 235-239
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Non-malignant respiratory diseases and occupational exposure to wood dust. Part II. Dry wood industry
    Autorzy:
    Jacobsen, G
    Schaumburg, I.
    Sigsgaard, T.
    Schlunssen, V.
    Powiązania:
    https://bibliotekanauki.pl/articles/51313.pdf
    Data publikacji:
    2010
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    wood dust
    dust
    wood industry
    dry wood industry
    non-malignant respiratory disease
    occupational exposure
    epidemiology
    lung function
    asthma
    occupational asthma
    chronic bronchitis
    bronchitis
    rhinitis
    occupational rhinitis
    respiratory symptom
    Denmark
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2010, 17, 1; 29-44
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Non-malignant respiratory diseases and occupational exposure to wood dust. Part I. Fresh wood and mixed wood industry
    Autorzy:
    Jacobsen, G
    Schaumburg, I.
    Sigsgaard, T.
    Schlunssen, V.
    Powiązania:
    https://bibliotekanauki.pl/articles/49513.pdf
    Data publikacji:
    2010
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    non-malignant respiratory disease
    occupational exposure
    wood dust
    dust
    wood industry
    epidemiology
    lung function
    occupational asthma
    asthma
    chronic bronchitis
    rhinitis
    occupational rhinitis
    respiratory symptom
    Denmark
    fresh wood industry
    mixed wood industry
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2010, 17, 1; 15-28
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Wytyczne do przeprowadzania swoistych wziewnych testów prowokacyjnych: stanowisko Europejskiego Towarzystwa Chorób Układu Oddechowego (ERS) w kontekście polskich doświadczeń
    Recommendations for performing specific inhalation challenge tests: Polish experience in relation to the European Respiratory Society guideliness
    Autorzy:
    Walusiak-Skorupa, Jolanta
    Lipinska-Ojrzanowska, Agnieszka
    Wiszniewska, Marta
    Powiązania:
    https://bibliotekanauki.pl/articles/2085516.pdf
    Data publikacji:
    2020-05-15
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    swoisty wziewny test prowokacyjny
    SIC
    alergia zawodowa
    orzecznictwo lekarskie
    astma zawodowa
    wytyczne orzecznicze
    specific inhalation challenge tests
    occupational allergy
    medical certification
    occupational asthma
    recommendations
    Opis:
    W procesie diagnostyczno-orzeczniczym bardzo istotne jest zastosowanie metod obiektywnych o jak największej swoistości, ponieważ rozpoznanie choroby zawodowej implikuje konsekwencje natury medycznej i prawnej. Swoiste wziewne testy prowokacyjne (specific inhalation challenge – SIC) są niezastąpionym narzędziem diagnostycznym w rozpoznawaniu schorzeń alergicznych układu oddechowego (takich jak nieżyt nosa, astma) oraz alergicznego zapalenia spojówek i ostrych uogólnionych reakcji alergicznych, także o etiologii zawodowej. W 2014 r. zespół ekspertów Europejskiego Towarzystwa Chorób Układu Oddechowego (European Respiratory Society) opublikował wytyczne do przeprowadzania SIC stosowanych w diagnostyce chorób zawodowych układu oddechowego. Autorzy niniejszej publikacji omawiają europejskie wytyczne w kontekście polskich doświadczeń z ośrodka referencyjnego, tj. z Kliniki Chorób Zawodowych i Zdrowia Środowiskowego Instytutu Medycyny Pracy w Łodzi. W artykule szczegółowo opisano przebieg SIC oraz kryteria oceny otrzymanych wyników w diagnostyce astmy zawodowej.
    A diagnosis of occupational diseases implicates some medical and legal consequences; therefore, the most specific and objective methods are needed in the diagnostic process. Specific inhalation challenge (SIC) tests currently play an irreplaceable role in diagnosing allergic airway diseases (e.g., allergic rhinitis, asthma) as well as allergic conjunctivitis and systemic reactions, also the occupational ones. In 2014, a team of the European Respiratory Society experts published a statement that provides practical recommendations for performing SIC tests in diagnosing occupational asthma. In the current publication, the authors discuss the European guidelines in the context of Polish experience of the reference center – the Department of Occupational Diseases and Environmental Health, the Nofer Institute of Occupational Medicine in Łódź. The article describes the procedures and diagnostic criteria employed during SIC tests in diagnosing occupational asthma.
    Źródło:
    Medycyna Pracy; 2020, 71, 3; 381-397
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The prevalence of asthma work relatedness: Preliminary data
    Autorzy:
    Dudek, Wojciech
    Kupryś-Lipińska, Izabela
    Wittczak, Tomasz
    Świerczyńska-Machura, Dominika
    Kupczyk, Maciej
    Walusiak-Skorupa, Jolanta
    Kuna, Piotr
    Pałczyński, Cezary
    Powiązania:
    https://bibliotekanauki.pl/articles/2177104.pdf
    Data publikacji:
    2015-08-06
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    asthma
    occupational diseases
    epidemiology
    Opis:
    Objectives About 5–10% of asthmatics do not respond well to standard treatment plan. Occupational exposure may be one of the factors that can be linked with treatment failure. The aim of the study was to assess the prevalence of work-related asthma (WRA) among adult asthmatics under follow up in an outpatient allergy clinic and to create a useful tool for detecting individuals with possible WRA. Material and Methods Preliminary 5-question questionnaire designed to recognize WRA was presented to 300 asthmatics. All patients with positive preliminary verification along with 50 subjects from control group were asked to fill up a detailed questionnaire. The WRA was diagnosed by positive match for asthma symptoms in combination with workplace exposure indicated in the detailed WRA questionnaire followed by confirmation of each WRA case by detailed exposure analysis. Results Work-related asthma was recognized in 63 subjects (21% of study group). The preliminary questionnaire has 76.9% sensitivity and 94% specificity in recognition of WRA. Occupational exposure to irritants is a risk factor of WRA recognition (relative risk (RR) = 2.09 (1.44:3.03)). Working in exposure-free environment is a factor against WRA recognition (RR = 0.38 (0.24:0.61)). Among subjects with work-related asthma, the uncontrolled course of the disease is significantly more frequent (p = 0.012). Subjects with WRA more often report sickness absenteeism due to asthma than those without WRA (9.6% vs. 3.2%, respectively), but the observed differences did not reach the statistical significance. Conclusions Short 5-question questionnaire seems to be a promising tool to detect individuals with possible work-related asthma in the outpatient setting for further evaluation and additional attention.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2015, 28, 6; 1025-1029
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occupational exposure to diisocyanates in polyurethane foam factory workers
    Autorzy:
    Świerczyńska-Machura, Dominika
    Brzeźnicki, Sławomir
    Nowakowska-Świrta, Ewa
    Walusiak-Skorupa, Jolanta
    Wittczak, Tomasz
    Dudek, Wojciech
    Bonczarowska, Marzena
    Wesolowski, Wiktor
    Czerczak, Sławomir
    Pałczyński, Cezary
    Powiązania:
    https://bibliotekanauki.pl/articles/2177097.pdf
    Data publikacji:
    2015-08-10
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    biomarkers
    diisocyanates
    asthma
    polyurethanes
    biological monitoring
    occupational exposure
    occupational diseases
    Opis:
    Objectives The aim of the study was to evaluate health effects of occupational exposure to diisocyanates (DIC) among polyurethane foam products factory workers. Material and Methods Thirty workers had a physical examination, skin prick tests with common allergens, allergen-specific immunoglobulin E (IgE) antibodies to diisocyanates and pulmonary function tests. Concentrations of selected isocyanates in the workplace air samples as well as concentration of their metabolites in the urine samples collected from the workers of the plant were determined. Results The most frequent work-related symptoms reported by the examined subjects were rhinitis and skin symptoms. Sensitization to at least 1 common allergen was noted in 26.7% of the subjects. Spirometry changes of bronchial obstruction of a mild degree was observed in 5 workers. The specific IgE antibodies to toluene diisocyanate (TDI) and 4,4’-methylenebis(phenyl isocyanate) (MDI) were not detected in any of the patients’ serum. Cellular profiles of the collected induced sputum (ISP) did not reveal any abnormalities. Air concentrations of TDI isomers ranged 0.2–58.9 μg/m³ and in 7 cases they exceeded the Combined Exposure Index (CEI) value for those compounds. Concentrations of TDI metabolites in post-shift urine samples were significantly higher than in the case of pre-shift urine samples and in 6 cases they exceeded the British Biological Monitoring Guidance Value (BMGV – 1 μmol amine/mol creatinine). We didn’t find a correlation between urinary concentrations of TDI, concentrations in the air and concentrations of toluenediamine (TDA) in the post shift urine samples. Lack of such a correlation may be an effect of the respiratory protective equipment use. Conclusions Determination of specific IgE in serum is not sensitive enough to serve as a biomarker. Estimation of concentrations of diisocyanate metabolites in urine samples and the presence of work-related allergic symptoms seem to be an adequate method for occupational exposure monitoring of DIC, which may help to determine workers at risk as well as to recognize hazardous workplaces.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2015, 28, 6; 985-998
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occupational diseases in Poland — An overview of current trends
    Autorzy:
    Szeszenia-Dąbrowska, Neonila
    Wilczyńska, Urszula
    Powiązania:
    https://bibliotekanauki.pl/articles/2179140.pdf
    Data publikacji:
    2013-06-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational poisoning
    asbestosis
    cancer
    viral hepatitis
    asthma
    Opis:
    Introduction: The number of occupational diseases (OD) recorded in Poland in the 1990's rapidly increased, and the numer of recognized cases has steadily decreased until now. Hence, it was decided to demonstrate the trends of selected pathologies which in Poland are "underestimated" in comparison to other countries. The presented data may constitute a basis for further research into the dependence of OD on socio-economic factors. Materials and Methods: Occupational Disease Reporting Forms, completed and sent obligatorily by the state health inspectors to the Central Register of Occupational Diseases were used as source documents for analysis. This work analyzes changes in the incidence of chronic poisonings, asbestosis, voice organ diseases, cancers, viral hepatitis, asthma and the musculoskeletal disorders over the years 1998-2011. Results: In 1998, the total number of registered diseases reached the maximum - 12,017 cases, which fell in the subsequent years to 2,562 cases in 2011. During that period, the incidence rate decreased by 6 cases per year per 100,000 employees. A considerable decrease, exceeding 90% of cases, was observed in voice organ disorders, hearing loss, chronic poisonings and viral hepatitis. The abovementioned changes, as well as improved detection of asbestos-related diseases through implementing a medical examination program of former asbestos processing plant workers, are advantages of the current situation in the epidemiology of OD. However, the disadvantages include underestimation, in comparison to other countries, of asthma, cancer and pathologies of the musculoskeletal system. Conclusion: The reported data indicates the need to assess the occupational fraction of the underestimated pathologies present in the work environment in Poland, as well as the need for studies aimed at clarifying the effect of systemic factors on identifying their occupational background.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2013, 26, 3; 457-470
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Dust exposure and health of workers in duck hatcheries
    Autorzy:
    Guillam, Marie-Thérèse
    Martin, Sylvie
    Le Guelennec, Marine
    Puterflam, Julie
    Le Bouquin, Sophie
    Huneau-Salaün, Adeline
    Powiązania:
    https://bibliotekanauki.pl/articles/989539.pdf
    Data publikacji:
    2017
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    occupational exposure
    hatchery
    organic dust
    asthma
    allergic rhinitis
    Opis:
    Objectives. The objectives of this cross-sectional study were to investigate dust exposure and respiratory health of workers in duck hatcheries in western France. Method. Ninety volunteer workers, who work in sorting rooms and/or incubation rooms, participated in exposure assessments and medical examinations. Medical examinations were performed by occupational health practitioners. They filled-in a questionnaire with the workers, followed by a lung function test on each worker. General characteristics and prevalence of chronic respiratory symptoms were described in each type of working rooms. Associations between symptoms and exposure (working room or dust level) were studied in GEE multivariate models. Results. Overall prevalence of chronic respiratory symptoms (cough, phlegm) and chronic bronchitis were similar or lower than in the reference population. However, prevalence of these symptoms was higher for those working in sorting rooms, that were associated with an increased risk of respiratory symptoms and decreased lung function. Respirable dust was also significantly associated with an increased risk of respiratory symptoms. The prevalence of asthma and rhinitis were well above those in the reference population, but did not vary among working rooms. Descriptive data suggested an occupational origin for some cases. Conclusion. Hatchery workers were at increased risk of compromised respiratory health due to dust exposure, particularly those who work in sorting rooms. Asthma and rhinitis were in excess in this population of workers. Thorough clinical examination of these workers should be performed and all exposures assessed.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2017, 24, 3
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Shiitake mushroom (Lentinus edodes): A poorly known allergen in Western countries responsible for severe work-related asthma
    Autorzy:
    Pravettoni, Valerio
    Primavesi, Laura
    Piantanida, Marta
    Powiązania:
    https://bibliotekanauki.pl/articles/2178905.pdf
    Data publikacji:
    2014-10-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    asthma
    IgE-immunoblotting
    mushroom allergy
    occupational disease
    shiitake
    Opis:
    Objectives: The aim of this study was to investigate the IgE-mediated pathogenesis of severe asthma presented by a patient only after handling shiitake (Lentinus edodes) mushrooms (SM). Material and Methods: Skin tests were performed using in-house extracts from mushrooms that the patient usually handled, i.e., shiitake, porcini, oyster and black fungus mushroom varieties. Specific IgE to champignons and various molds were determined. Sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) immunoblotting was performed to detect IgE-binding components. Four negative controls were included in the study. Results: Skin prick tests performed with in-house mushroom extracts from varieties other than shiitake were completely negative, in contrast to the positive test obtained for shiitake mushrooms. Serum specific IgE levels for common molds and champignons were all negative. SDS-PAGE revealed many protein bands in the four mushroom extracts. Immunoblotting using the patient’s serum showed allergenic bands at about 15 and 24 kDa exclusively for SM that were not shared with negative controls. Another faint band was detectable at approximately 37 kDa for SM and porcini varieties. Conclusions: Here, we present the first European case of SM-induced occupational asthma, a disease more frequently occurring in Asia. Asthma attacks stopped when the patient avoided contact with shiitake mushrooms. No skin reactions and no IgE-binding proteins by immunoblotting were detectable with the other mushrooms tested. The positive skin test with shiitake mushrooms and IgE-binding components in the shiitake extract confirmed the IgE-mediated etiology of the reaction.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 5; 871-874
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    A case of anaphylactic reaction following oyster mushroom (Pleurotus ostreatus) inhalation
    Autorzy:
    Branicka, Olga
    Rozłucka, Lesia
    Gawlik, Radosław
    Powiązania:
    https://bibliotekanauki.pl/articles/2086779.pdf
    Data publikacji:
    2021-08-05
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    allergic asthma
    anaphylaxis
    oyster mushroom
    Pleurotus ostreatus
    mushroom allergy
    occupational allergy
    Opis:
    Oyster mushroom (Pleurotus ostreatus) is one of the most widely consumed mushrooms in the world. Its spores are highly potent allergens, but their main allergen, Pleo, has so far been very rarely reported. In indoor farms, fungal spores are often found to be floating in the air. This study presents a case of a non-atopic, healthy 32-year-old woman who opened an oyster mushroom farm with her husband. During the first harvest, after 30-minute exposure, she experienced dyspnoea. Similar symptoms occurred several more times while on the farm. A month later, during packing and sorting mushrooms, after 10 min, she again felt dyspnea, accompanied by weakness, rapid pulse, and skin itching with urticaria which occurred on her forearms. Immediately after one of the exposures to oyster mushrooms, spirometry was performed. The results showed a reduced airflow obstruction. Standard skin prick tests with an inhalant and food allergens were also performed – all rendering negative results. The diagnosis also included a prick-to-prick test with oyster mushrooms (a wheal size of 12 mm), this time with a positive result. Increased total IgE (78 iu/ml) in the serum was recorded. On the basis of her medical history, reported symptoms and diagnostic tests, the patient could be diagnosed with occupational anaphylaxis and work-related asthma. A constant exposure of indoor mushroom cultivators to Pleurotus ostreatus spores increases the risk of respiratory allergy development. An environmental monitoring of oyster mushroom spores is reasonable in the industry, as it may prove useful in the prevention of the disease.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2021, 34, 4; 575-579
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Work-related respiratory symptoms among health centres cleaners: A cross-sectional study
    Autorzy:
    Lipińska-Ojrzanowska, Agnieszka
    Wiszniewska, Marta
    Świerczyńska-Machura, Dominika
    Wittczak, Tomasz
    Nowakowska-Świrta, Ewa
    Pałczyński, Cezary
    Walusiak-Skorupa, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/2178854.pdf
    Data publikacji:
    2014-06-21
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    cleaners
    occupational allergy
    work-related respiratory symptoms
    work-related asthma
    WRA
    Opis:
    Objectives: Several studies, mostly based on questionnaire-derived data, have shown an increased risk of allergic diseases, especially asthma, among cleaners. The risk factors and etiological mechanisms are still being investigated. Occupational exposure to various chemical and biological agents may induce specific sensitization and/or irritant effects. The aim of our study was to estimate the prevalence of work-related symptoms suggesting the presence of allergic disease reported by cleaners, and to relate them to the results of commercially available and standardized objective tests used for screening detection of occupational sensitization and chronic respiratory disorders. Material and Methods: A cross-sectional study was performed among 142 Polish workers of cleaning service in their workplaces. A detailed questionnaire, skin prick tests to common allergens and chemicals used by these workers for cleaning purposes (chloramine T, chlorhexidine, formaldehyde, glutaraldehyde, benzalconium chloride), total and specific serum IgE antibodies to disinfectants and rest spirometry were performed in all the subjects. Results: Fifty nine percent of all the subjects declared occurrence of at least 1 symptom suggesting allergic ailment during cleaning activities at work. Skin prick tests and specific serum IgE antibodies to disinfectants were negative in all the subjects. In 8 cases wheezing was detected during auscultation, but only in 5 of them obstructive pattern in rest spirometry was found. Conclusions: Occupational allergic causation of symptoms among cleaners could be less likely than work-related symptoms associated with exacerbations of new-onset or pre-existing respiratory diseases. Therefore, in this group of workers, mainly the non-specific irritant impact of chemicals on airways should be taken into consideration.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 3; 460-466
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Papain-induced occupational rhinoconjunctivitis and asthma – A case report
    Alergia zawodowa wywołana papainą – opis przypadku
    Autorzy:
    Tymoszuk, Diana
    Wiszniewska, Marta
    Walusiak-Skorupa, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/2164427.pdf
    Data publikacji:
    2016-03-10
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    astma
    alergia zawodowa
    enzym
    alergiczny nieżyt nosa
    papaina
    alergiczne zapalenie spojówek
    asthma
    occupational allergy
    enzyme
    Rhinitis
    papain
    conjunctivitis
    Opis:
    This report presents a case of occupational asthma, rhinitis and conjunctivitis to papain in a 50-year-old herbs and spices packer, with documented increased eosinophilia in induced sputum and in the nasal lavage fluids after a specific inhalation challenge test (SICT) and specific nasal challenge test (SNCT) with this enzyme. Immunoglobulin E-mediated (IgE) sensitization to papain was confirmed by positive results of a skin prick test with specific solution. Specific inhalation and nasal challenge tests demonstrated a direct and significant link between the exposure to this protease and the allergic response from the respiratory system. Additionally, the SNCT induced a severe reaction of the conjunctivae and a significant increase in the count of eosinophils in tears, despite the lack of direct contact of the allergen with the conjunctiva. Med Pr 2016;67(1):109–112
    W artykule opisano przypadek zawodowej astmy oskrzelowej, alergicznego nieżytu nosa i zapalenia spojówek wywołanych papainą u 50-letniej pakowaczki ziół i przypraw. W badaniu cytologicznym udokumentowano wzrost odsetka eozynofilów w indukowanej plwocinie i popłuczynach nosowych po swoistej próbie prowokacyjnej wziewnej i donosowej z tym enzymem. Zależną od immunoglobuliny E (IgE) nadwrażliwość pacjentki na papainę potwierdzono dodatnimi wynikami punktowych testów skórnych z roztworem tej proteazy. Wyżej wymienione próby prowokacyjne wykazały istotny związek między ekspozycją na papainę a reakcją alergiczną ze strony układu oddechowego. Ponadto swoista próba prowokacyjna donosowa wywołała wzmożoną reakcję ze strony spojówek i istotny wzrost odsetka eozynofilów we łzach mimo braku bezpośredniego kontaktu alergenu ze spojówkami. Med. Pr. 2016;67(1):109–112
    Źródło:
    Medycyna Pracy; 2016, 67, 1; 109-112
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Ocena nadreaktywności oskrzeli i jej zastosowanie w diagnostyce astmy związanej z pracą
    The usefulness of bronchial challenge tests in the diagnosis of occupational asthma
    Autorzy:
    Nowakowska-Świrta, Ewa
    Wiszniewska, Marta
    Walusiak-Skorupa, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/2162489.pdf
    Data publikacji:
    2018-08-20
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    astma
    nadreaktywność oskrzeli
    oskrzelowe testy prowokacyjne
    zapalenie w drogach oddechowych
    alergia zawodowa
    medycyna pracy
    asthma
    bronchial hyperreactivity
    bronchial challenge test
    airway inflammation
    occupational allergy
    occupational medicine
    Opis:
    Nadreaktywność oskrzeli (bronchial hyperresponsiveness – BHR) to osobnicza zdolność do ich reakcji skurczowej na różne bodźce swoiste i nieswoiste, które u zdrowej osoby nie wywołują takiej odpowiedzi. Nadreaktywność oskrzeli jest jedną z cech charakterystycznych astmy. Stopień nadreaktywności oskrzeli jest różny u osób z tą chorobą i koreluje z jej ciężkością (im cięższy przebieg astmy, tym większa nadreaktywność oskrzeli). Do wykrywania i pomiaru BHR służą wziewne testy prowokacyjne, w których wykorzystuje się czynniki fizyczne i chemiczne. Testy te podzielono – w zależności od ich mechanizmu działania – na bezpośrednie i pośrednie. Testy bezpośrednie są niezwykle czułe i mają zastosowanie głównie w diagnostyce wykluczającej astmę. Prowokacje z czynnikami pośrednimi są natomiast mniej precyzyjne, ale bardziej swoiste w porównaniu z testami bezpośrednimi. Wykorzystuje się je przede wszystkim do potwierdzenia rozpoznania astmy i lepszego wnioskowania o zmianach zapalnych u chorego. Testy nadreaktywności oskrzeli odgrywają ważną rolę w medycynie pracy. W określonych przypadkach powinny być wykonywane podczas badań wstępnych pracowników przed ich zatrudnieniem, w trakcie badań okresowych, w diagnostyce i monitorowaniu astmy zawodowej oraz astmy nasilającej się w pracy. W artykule opisano wybrane oskrzelowe testy prowokacyjne oraz ich zastosowanie w diagnostyce astmy związanej z pracą. Med. Pr. 2018;69(4):457–471
    Bronchial hyperresponsiveness (BHR) is the individual ability to respond with bronchoconstriction to a variety of specific and nonspecific stimuli which do not cause these symptoms among healthy subjects. Bronchial hyperresponsiveness is one of the hallmark features of asthma. The degree of bronchial hyperresponsiveness is variable among individuals with asthma and may correlate to its severity (the more severe asthma the higher bronchial hyperreactivity). Bronchial hyperresponsiveness is evaluated by performing bronchial provocation test (BPT). Provocation tests are classified – according to their mechanisms – into direct and indirect tests. Direct challenge tests are highly sensitive and they are used primarily to rule out asthma. In contrast, provocation tests with indirect stimuli are less sensitive but more specific to the direct tests; they are used generally to confirm the diagnosis of asthma and they allow for more accurate conclusions about inflammatory lesions in the case of a patient. Bronchial provocation tests play a significant role in occupational medicine. They are particularly relevant to be performed prior to employment, during periodic examinations, and to diagnose and monitor both occupational asthma and work-related asthma. This article presents selected bronchial provocation tests and their usefulness in the diagnosis of occupational asthma. Med Pr 2018;69(4):457–471
    Źródło:
    Medycyna Pracy; 2018, 69, 4; 457-471
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Exposure to the airborne mould Botrytis and its health effects
    Autorzy:
    Jurgensen, C W
    Madsen, A.M.
    Powiązania:
    https://bibliotekanauki.pl/articles/49724.pdf
    Data publikacji:
    2009
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    healthy effect
    allergy
    Botrytis
    fungi
    indoor air
    mould
    occupational exposure
    outdoor air
    season
    spore calendar
    asthma
    human disease
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2009, 16, 2; 183-196
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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