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1.
Pneumologie ; 74(9): 603-610, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32643765

RESUMO

Occupational diseases are certain diseases designated as such by law. Whereas the medical conditions are described in guidelines, their recognition is based on judicial administrative procedures. Establishing causality is based on requirements of social law. The basic socio-legal concepts are mentioned and the principles of causality in asbestos-related occupational diseases are listed. Exemplary social court judgments are cited. Judgements may not infrequently differ from the medical point of view. The aim of this article is to describe the correct use of social medical understanding in order to carry out adequate assessment of occupational diseases, which implements the legal requirements.


Assuntos
Asbestos/efeitos adversos , Asbestose , Dermatologia/legislação & jurisprudência , Doenças Profissionais , Medicina do Trabalho/legislação & jurisprudência , Justiça Social/legislação & jurisprudência , Asbestose/diagnóstico , Asbestose/terapia , Humanos , Doenças Profissionais/diagnóstico , Doenças Profissionais/terapia
3.
Ugeskr Laeger ; 180(25)2018 Jun 18.
Artigo em Dinamarquês | MEDLINE | ID: mdl-29938630

RESUMO

Asbestos was used in numerous products until its total ban in Denmark in 1988. The prevalence of asbestosis and pleural plaques does not yet appear to be falling. Unfortunately the statistics are unreliable due to errors in the Danish translation of the ICD-10 codes of the disease. In this review, clinical and radiologic diagnostic criteria of asbestosis and pleural plaques and recommendations for follow-up of patients are described. Typical changes on a high-resolution CT scan combined with relevant asbestos exposure is essential for the diagnosis. Asbestosis and pleural plaques are both notifiable in Denmark.


Assuntos
Asbestose , Doenças Pleurais , Asbestos/efeitos adversos , Asbestose/diagnóstico , Asbestose/etiologia , Asbestose/fisiopatologia , Asbestose/terapia , Dinamarca , Humanos , Classificação Internacional de Doenças , Doenças Profissionais/diagnóstico , Doenças Profissionais/etiologia , Doenças Profissionais/fisiopatologia , Doenças Profissionais/terapia , Exposição Ocupacional/efeitos adversos , Doenças Pleurais/diagnóstico , Doenças Pleurais/etiologia , Doenças Pleurais/fisiopatologia , Doenças Pleurais/terapia , Radiografia , Tomografia Computadorizada por Raios X , Traduções
4.
Med J Aust ; 207(10): 443-448, 2017 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-29129163

RESUMO

Occupational exposures are an important determinant of respiratory health. International estimates note that about 15% of adult-onset asthma, 15% of chronic obstructive pulmonary disease and 10-30% of lung cancer may be attributable to hazardous occupational exposures. One-quarter of working asthmatics either have had their asthma caused by work or adversely affected by workplace conditions. Recently, cases of historical occupational lung diseases have been noted to occur with new exposures, such as cases of silicosis in workers fabricating kitchen benchtops from artificial stone products. Identification of an occupational cause of a lung disease can be difficult and requires maintaining a high index of suspicion. When an occupational lung disease is identified, this may facilitate a cure and help to protect coworkers. Currently, very little information is collected regarding actual cases of occupational lung diseases in Australia. Most assumptions about many occupational lung diseases are based on extrapolation from overseas data. This lack of information is a major impediment to development of targeted interventions and timely identification of new hazardous exposures. All employers, governments and health care providers in Australia have a responsibility to ensure that the highest possible standards are in place to protect workers' respiratory health.


Assuntos
Pneumopatias/epidemiologia , Doenças Profissionais/epidemiologia , Asbestose/diagnóstico , Asbestose/epidemiologia , Asbestose/terapia , Asma Ocupacional/diagnóstico , Asma Ocupacional/epidemiologia , Asma Ocupacional/terapia , Austrália/epidemiologia , Bronquiolite Obliterante/diagnóstico , Bronquiolite Obliterante/epidemiologia , Bronquiolite Obliterante/terapia , Humanos , Pneumopatias/diagnóstico , Pneumopatias/terapia , Doenças Pulmonares Intersticiais/diagnóstico , Doenças Pulmonares Intersticiais/epidemiologia , Doenças Pulmonares Intersticiais/terapia , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/epidemiologia , Neoplasias Pulmonares/terapia , Doenças Profissionais/diagnóstico , Doenças Profissionais/terapia , Exposição Ocupacional/estatística & dados numéricos , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Doença Pulmonar Obstrutiva Crônica/terapia , Silicose/diagnóstico , Silicose/epidemiologia , Silicose/terapia
5.
Arch. bronconeumol. (Ed. impr.) ; 53(8): 437-442, ago. 2017. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-166017

RESUMO

Asbesto, también conocido en España como amianto, es el término utilizado para nombrar a un conjunto de silicatos minerales que suelen romperse en fibras. Su uso ha comportado la aparición de numerosas enfermedades, especialmente pleuropulmonares, todas ellas caracterizadas por su prolongada latencia. El asbesto es, además, un carcinógeno del grupo IA reconocido por la OMS desde 1987. En España está prohibido desde 2002. La publicación en 2013 de la 3.a edición del protocolo de vigilancia sanitaria específica del amianto junto con la aparición de nuevas técnicas diagnósticas han motivado al grupo EROM de SEPAR a promover la elaboración de esta normativa que revisa aspectos clínicos, radiológicos y funcionales de las diferentes enfermedades relacionadas. También establece recomendaciones para el diagnóstico y seguimiento de los pacientes expuestos. Dichas recomendaciones han sido establecidas mediante sistema GRADE (AU)


Asbestos is the term used for a set of mineral silicates that tend to break up into fibers. Its use has been associated with numerous diseases affecting the lung and pleura in particular, all of which are characterized by their long period of latency. Asbestos, moreover, has been recognized by the WHO as a Group IA carcinogen since 1987 and its use was banned in Spain in 2002. The publication in 2013 of the 3rd edition of the specific asbestos health monitoring protocol, together with the development of new diagnostic techniques, prompted the SEPAR EROM group to sponsor publication of guidelines, which review the clinical, radiological and functional aspects of the different asbestos-related diseases. Recommendations have also been made for the diagnosis and follow-up of exposed patients. These recommendations were drawn up in accordance with the GRADE classification system (AU)


Assuntos
Humanos , Asbestose/diagnóstico , Asbestose/terapia , Neoplasias Pulmonares/epidemiologia , Neoplasias Pleurais/epidemiologia , Padrões de Prática Médica , Mesotelioma/patologia , Asbestos/efeitos adversos , Testes de Função Respiratória
6.
Arch Bronconeumol ; 53(8): 437-442, 2017 Aug.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-28279517

RESUMO

Asbestos is the term used for a set of mineral silicates that tend to break up into fibers. Its use has been associated with numerous diseases affecting the lung and pleura in particular, all of which are characterized by their long period of latency. Asbestos, moreover, has been recognized by the WHO as a Group IA carcinogen since 1987 and its use was banned in Spain in 2002. The publication in 2013 of the 3rd edition of the specific asbestos health monitoring protocol, together with the development of new diagnostic techniques, prompted the SEPAR EROM group to sponsor publication of guidelines, which review the clinical, radiological and functional aspects of the different asbestos-related diseases. Recommendations have also been made for the diagnosis and follow-up of exposed patients. These recommendations were drawn up in accordance with the GRADE classification system.


Assuntos
Asbestose/diagnóstico , Asbestose/terapia , Asbestos/classificação , Asbestos/toxicidade , Asbestose/diagnóstico por imagem , Asbestose/prevenção & controle , Biomarcadores Tumorais , Carcinoma Broncogênico/diagnóstico , Carcinoma Broncogênico/etiologia , Carcinoma Broncogênico/terapia , Humanos , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/etiologia , Neoplasias Pulmonares/terapia , Programas de Rastreamento , Mesotelioma/diagnóstico , Mesotelioma/etiologia , Mesotelioma/terapia , Fibras Minerais/análise , Fibras Minerais/toxicidade , Exposição Ocupacional , Saúde do Trabalhador/legislação & jurisprudência , Doenças Pleurais/diagnóstico , Doenças Pleurais/diagnóstico por imagem , Doenças Pleurais/terapia , Neoplasias Pleurais/diagnóstico , Neoplasias Pleurais/etiologia , Neoplasias Pleurais/terapia , Tomografia Computadorizada com Tomografia por Emissão de Pósitrons , Testes de Função Respiratória , Fumar/epidemiologia , Espanha
7.
BMC Pulm Med ; 14: 180, 2014 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-25407957

RESUMO

BACKGROUND: The study aimed to determine the short and long-term effects of exercise training on exercise capacity and health-related quality of life (HRQoL) compared to usual care in people with dust-related pleural and interstitial respiratory diseases. No previous studies have specifically evaluated exercise training in this patient population. METHODS: Participants with a diagnosis of a dust-related respiratory disease including asbestosis and asbestos related pleural disease were recruited and randomised to an eight-week exercise training group (EG) or a control group (CG) of usual care. Six-minute walk distance (6MWD), St George's Respiratory Questionnaire (SGRQ) and Chronic Respiratory Disease Questionnaire (CRQ) were measured at baseline, eight weeks and 26 weeks by an assessor blinded to group allocation. RESULTS: Thirty-three of 35 male participants completed the study. Sixty-nine percent of participants had asbestos related pleural disease. At eight weeks, compared to the CG, the EG showed a significantly increased 6MWD (mean difference (95%CI)) 53 metres (32 to 74), improved SGRQ total score, -7 points (-13 to -1) and increased CRQ total score, 6.4 points (2.1 to 10.7). At 26 weeks significant between-group differences were maintained in 6MWD, 45 metres (17 to 73) and CRQ total score, 13.1 points (5.2 to 20.9). CONCLUSION: Exercise training improved short and long-term exercise capacity and HRQoL in people with dust-related pleural and interstitial respiratory diseases. CLINICAL TRIAL REGISTRATION NUMBER: ANZCTR12608000147381. Date trial registered: 27.03.2008.


Assuntos
Asbestose/terapia , Terapia por Exercício , Tolerância ao Exercício , Doenças Pleurais/terapia , Qualidade de Vida , Silicose/terapia , Idoso , Asbestose/fisiopatologia , Poeira , Teste de Esforço , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Pleurais/fisiopatologia , Silicose/fisiopatologia , Método Simples-Cego , Espirometria , Caminhada/fisiologia
12.
Dtsch Arztebl Int ; 110(18): 319-26, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23720698

RESUMO

BACKGROUND: The incidence of malignant mesothelioma in Germany is about 20 cases per million persons per year. Its association with asbestos exposure, usually occupational, has been unequivocally demonstrated. Even though the industrial use of asbestos was forbidden many years ago, new cases of mesothelioma continue to appear because of the long latency of the disease (median, 50 years). Its diagnosis and treatment still present a major challenge for ambulatory and in-hospital care and will do so for years to come. METHODS: This article is based on a selective review of the literature, along with data from the German Mesothelioma Register. RESULTS: 1397 people died of mesothelioma in Germany in 2010. A plateau in the incidence of the disease is predicted between 2015 and 2030. Most mesotheliomas arise from the pleura. The histological subtype and the Karnofsky score are the main prognostic factors. Only limited data are now available to guide treatment with a combination of the available methods (chemotherapy, surgery, radiotherapy). The prognosis is still poor, with a median survival time of only 12 months. Symptom control and the preservation of the patient's quality of life are the main aspects of care for patients with mesothelioma. CONCLUSION: The incidence of mesothelioma is not expected to drop in the next few years. The available treatments are chemotherapy, surgery, and radiotherapy. Specialized treatment centers now increasingly provide multimodal therapy for treatment of mesothelioma.


Assuntos
Asbestose/diagnóstico , Asbestose/terapia , Mesotelioma/diagnóstico , Mesotelioma/terapia , Exposição Ocupacional/estatística & dados numéricos , Derrame Pleural Maligno/diagnóstico , Derrame Pleural Maligno/terapia , Asbestose/mortalidade , Causalidade , Comorbidade , Medicina Baseada em Evidências , Humanos , Mesotelioma/mortalidade , Saúde do Trabalhador/estatística & dados numéricos , Derrame Pleural Maligno/mortalidade , Prevalência , Prognóstico , Medição de Risco , Fatores de Risco , Análise de Sobrevida , Taxa de Sobrevida , Resultado do Tratamento
13.
Rev Mal Respir ; 28(8): 995-9, 2011 Oct.
Artigo em Francês | MEDLINE | ID: mdl-22099404

RESUMO

When one approaches the issue of the follow-up of workers occupationally exposed to asbestos the first question to resolve is "what counselling to give?" This constitutes an essential first step because it allows people to decide whether or not they wish to accept the proposed follow up programme. The difficulty relates to the idea of exposure to a carcinogen. Facing this question is never easy and generates emotional responses that cannot be ignored. Therefore the content should include elements that allow an understanding of the diseased concerned, the risk (depending on the type of exposure), the benefits and limits of screening, and an awareness of the possible consequences of follow up. The programme should allow enough time for one to one discussion with a professional to consider all aspects. It may be necessary to meet for a second time. This counselling may be given, to subjects over 50 years old, in the framework of either the occupational health or social security services. The counselling of people exposed to asbestos justifies, in itself, a follow up programme and represents its main benefit. It should guarantee the worker's most elementary right: to decide for himself in full knowledge of the facts.


Assuntos
Asbestos/toxicidade , Asbestose/diagnóstico , Asbestose/prevenção & controle , Asbestose/terapia , Aconselhamento/métodos , Exposição Ocupacional , Adaptação Psicológica/fisiologia , Asbestose/etiologia , Humanos , Disseminação de Informação/métodos , Neoplasias/prevenção & controle , Neoplasias/psicologia , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/prevenção & controle , Ocupações , Educação de Pacientes como Assunto/métodos , Vigilância da População , Profilaxia Pós-Exposição/métodos
14.
Rev Mal Respir ; 28(8): 1000-7, 2011 Oct.
Artigo em Francês | MEDLINE | ID: mdl-22099405

RESUMO

INTRODUCTION: The medical follow-up of individuals who have had occupational exposures to potential respiratory hazards is little known and under-utilised. The Spirale program aims to deliver this intervention effectively to all potential beneficiaries. METHODS: Spirale was introduced in two stages; i) identification of occupational exposures to asbestos or wood dust through a postal questionnaire; ii) for those initially identified, confirmation of exposure through attendance at a health centre for examination and further medical follow-up as necessary. RESULTS: In 2007, Spirale contacted 50,662 men born between 1942 and 1943, living in 13 departments in France. The initial response rate was 24%, rising to 50% after reminders. Seventy-two percent of people were identified as possibly having been exposed; 50% to asbestos, 3% to wood dust and 19% reporting a mixed exposure. Among the 8641 people located, 3843 (44.5%) benefited from an evaluation of their exposure. In total, 73.4% of people had their exposure to asbestos confirmed and in 1751 (64.2%) this was at a level to justify follow-up. CONCLUSION: TheSpirale program largely achieved its objective of location and initiation of medical monitoring of people who have been exposed through their work to respiratory carcinogens. It should now be implemented throughout the country.


Assuntos
Interpretação Estatística de Dados , Doenças Profissionais/epidemiologia , Exposição Ocupacional/estatística & dados numéricos , Doenças Respiratórias/epidemiologia , Algoritmos , Asbestose/diagnóstico , Asbestose/epidemiologia , Asbestose/terapia , Seguimentos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Doenças Profissionais/diagnóstico , Doenças Profissionais/etiologia , Doenças Profissionais/terapia , Seleção de Pacientes , Projetos Piloto , Doenças Respiratórias/diagnóstico , Doenças Respiratórias/etiologia , Doenças Respiratórias/terapia
16.
An Sist Sanit Navar ; 34(1): 33-42, 2011.
Artigo em Espanhol | MEDLINE | ID: mdl-21532644

RESUMO

BACKGROUND: The prevalence of diseases related to asbestos exposure requires the development of monitoring programs and specific health care protocols. The aim of this study is to determine the opinions and expectations of former workers of an asbestos factory, in order to adapt the care process to the needs of the affected population, and to learn about the activity of the association that represents them. METHODS: Qualitative study. Focus groups with former employees of a corrugated asbestos factory, members of the association AVIDA (Seville). Recording and transcription of interviews. Discourse analysis with Nudist Vivo 1.0. RESULTS: All respondents have health problems, including asbestosis, lung cancer and mesothelioma. Through the association, they are involved in an ongoing process of negotiation with the public administration, to improve healthcare, achieve recognition as having an occupational disease and the payment of compensation. The lack of monitoring and continuity in care is designated as the major problem in the current care process. They welcome the creation of special care units, the good treatment received and the quality of technical instruments in the public health system. On the contrary, they criticize the difficulties in finding an accurate diagnosis, the lack of continuity of care, and the bureaucratic difficulties and lack of specific care directed to affected relatives. The participants' expectations highlight their intention to participate in the development of future programs and protocols. CONCLUSIONS: This study confirms the multifactor nature of diseases related to asbestos exposure and the importance of determining the needs and demands of the affected population in order to improve health care.


Assuntos
Asbestos/efeitos adversos , Asbestose/etiologia , Atitude Frente a Saúde , Neoplasias Pulmonares/etiologia , Mesotelioma/etiologia , Doenças Profissionais/etiologia , Exposição Ocupacional/efeitos adversos , Asbestose/terapia , Humanos , Neoplasias Pulmonares/terapia , Mesotelioma/terapia , Doenças Profissionais/terapia , Espanha
18.
Diagn Pathol ; 5: 81, 2010 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-21162719

RESUMO

A 27-year-old female white-collar worker was diagnosed in 1998 with mesothelioma eight and one-half years following first exposure as a bystander to debris in a site in which asbestos-containing building materials were being dismantled and rebuilding work took place. Prodromal back pain had been present for a year and a half. She underwent extrapleural pneumectomy and received an intrapleural infusion of cisplatin post-operatively. Exposure to asbestos was verified by contemporary reports and lung biopsy, which demonstrated asbestos bodies and microscopic interstitial fibrosis -conforming evidence for asbestosis. The patient is alive and well 12 years after diagnosis and 14 years after onset of symptoms. The combination of an extremely short latency period and long survival following occupational exposure to asbestos dust is unique.


Assuntos
Asbestos/efeitos adversos , Asbestose/etiologia , Materiais de Construção/efeitos adversos , Mesotelioma/induzido quimicamente , Neoplasias Pleurais/induzido quimicamente , Adulto , Antineoplásicos/administração & dosagem , Asbestose/diagnóstico , Asbestose/terapia , Biópsia , Quimioterapia Adjuvante , Cisplatino/administração & dosagem , Feminino , Humanos , Infusões Parenterais , Mesotelioma/diagnóstico , Mesotelioma/terapia , Exposição Ocupacional , Neoplasias Pleurais/diagnóstico , Neoplasias Pleurais/terapia , Pneumonectomia , Fatores de Tempo , Resultado do Tratamento
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