Pub Date : 2019-10-01DOI: 10.12961/aprl.2019.22.04.3
C. Serra, Mery Valiño-Carrete, F. Cots, M. Trapero-Bertran, F. Benavides
The consistent under-recognition of occupational diseases (OD) in Spain leads to an exchange of patients and resources between the country's National Health System and the Social Security System. We examined the direct healthcare costs of a series of patients diagnosed with OD by the Clinical Occupational Diseases Unit in a Barcelona hospital. Information on all care associated with the diagnosis of PD was systematically reviewed. The economic value of each episode of care was obtained from the hospital cost accounting and billing system. Overall, we computed costs for 524 episodes in 33 patients. The average cost was 345.5€, being highest for hospital admissions (4,032.5€). The average cost per patient was € 5,486.2, and for cancer € 15,223.3. These results highlight the need for coordination between the National Health System and the Social Security System so that OD can be appropriately recognized.
{"title":"[Health care costs of occupational disease: analysis of a patient series at a public hospital].","authors":"C. Serra, Mery Valiño-Carrete, F. Cots, M. Trapero-Bertran, F. Benavides","doi":"10.12961/aprl.2019.22.04.3","DOIUrl":"https://doi.org/10.12961/aprl.2019.22.04.3","url":null,"abstract":"The consistent under-recognition of occupational diseases (OD) in Spain leads to an exchange of patients and resources between the country's National Health System and the Social Security System. We examined the direct healthcare costs of a series of patients diagnosed with OD by the Clinical Occupational Diseases Unit in a Barcelona hospital. Information on all care associated with the diagnosis of PD was systematically reviewed. The economic value of each episode of care was obtained from the hospital cost accounting and billing system. Overall, we computed costs for 524 episodes in 33 patients. The average cost was 345.5€, being highest for hospital admissions (4,032.5€). The average cost per patient was € 5,486.2, and for cancer € 15,223.3. These results highlight the need for coordination between the National Health System and the Social Security System so that OD can be appropriately recognized.","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"1 1","pages":"171-175"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75386666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-01DOI: 10.12961/aprl.2019.22.04.2
D. Ayuso-Murillo, Marina Jaime-Arranz, I. Herrera-Peco, J. Gómez‐Salgado, J. García-Iglesias, C. Ruiz-Frutos
OBJECTIVE We analyzed state anxiety and trait anxiety in a population of nurses specialising in gynecology and obstetrics (nurse midwives) and a group of generalist nurses. METHODS Cross-sectional descriptive study using the State-Trait Anxiety Inventory questionnaire (STAI), administered to a group of non-specialist nurses (n=96) and nurse midwives (n=63) who practice in the Madrid Health Service of Spain. RESULTS State anxiety was similar in generalist nurses and in midwives (5,01±1,62 and 5,17±1,75, respectively). Levels of trait anxiety were lower in nurse midwives (3,46±1,58) than in the non-specialist group (4,36±2,84), with the latter presenting higher levels of habitual anxiety as a personality trait (p=0,013). CONCLUSION Nurse midwives may adapt better to the stress derived from their work than generalist nurses. This could be attributed to the greater training and safety that specialties provide for the development of nursing care functions.
{"title":"[Anxiety in nurse midwives and non-specialist nurses in the Madrid health service (Spain)].","authors":"D. Ayuso-Murillo, Marina Jaime-Arranz, I. Herrera-Peco, J. Gómez‐Salgado, J. García-Iglesias, C. Ruiz-Frutos","doi":"10.12961/aprl.2019.22.04.2","DOIUrl":"https://doi.org/10.12961/aprl.2019.22.04.2","url":null,"abstract":"OBJECTIVE\u0000We analyzed state anxiety and trait anxiety in a population of nurses specialising in gynecology and obstetrics (nurse midwives) and a group of generalist nurses.\u0000\u0000\u0000METHODS\u0000Cross-sectional descriptive study using the State-Trait Anxiety Inventory questionnaire (STAI), administered to a group of non-specialist nurses (n=96) and nurse midwives (n=63) who practice in the Madrid Health Service of Spain.\u0000\u0000\u0000RESULTS\u0000State anxiety was similar in generalist nurses and in midwives (5,01±1,62 and 5,17±1,75, respectively). Levels of trait anxiety were lower in nurse midwives (3,46±1,58) than in the non-specialist group (4,36±2,84), with the latter presenting higher levels of habitual anxiety as a personality trait (p=0,013).\u0000\u0000\u0000CONCLUSION\u0000Nurse midwives may adapt better to the stress derived from their work than generalist nurses. This could be attributed to the greater training and safety that specialties provide for the development of nursing care functions.","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"28 1","pages":"165-170"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81434992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-01DOI: 10.12961/aprl.2019.22.04.4
Laura Macías Mora, María Ascensión Maestre Naranjo, Antonio José Pérez Pimiento, Cristina Oliver López, Natalia Angulo Mota, María Luisa Rodríguez de la Pinta
Currently there is an increase in the prevalence of asthma and it seems that occupational exposure is one of the factors contributing to this increase. "Occupational asthma" refers to new onset asthma induced by exposure to a substance in the workplace, whereas "workaggravated asthma" refers to pre-existing asthma that is then exacerbated in the workplace. A correct diagnosis requires a high index of suspicion and establishing a temporal relationship between symptoms and work. An incorrect diagnosis can lead to important socioeconomic consequences for the worker. In Spain, Royal Order 1299/2006 on 10 November (amended on May 4, 2018) establishes the criteria for its classification and official recognition. In the context of an allergic process, an occupational etiology should be considered and occupational physicians in an occupational healht service can serve as consultants to guide and manage these cases. In this case report we established an association between an occupational exposure and asthma in a worker which led to a series of steps resulting in its acceptance as an occupational disease.
{"title":"[Occupational Asthma or Work-exacerbated asthma?]","authors":"Laura Macías Mora, María Ascensión Maestre Naranjo, Antonio José Pérez Pimiento, Cristina Oliver López, Natalia Angulo Mota, María Luisa Rodríguez de la Pinta","doi":"10.12961/aprl.2019.22.04.4","DOIUrl":"https://doi.org/10.12961/aprl.2019.22.04.4","url":null,"abstract":"Currently there is an increase in the prevalence of asthma and it seems that occupational exposure is one of the factors contributing to this increase. \"Occupational asthma\" refers to new onset asthma induced by exposure to a substance in the workplace, whereas \"workaggravated asthma\" refers to pre-existing asthma that is then exacerbated in the workplace. A correct diagnosis requires a high index of suspicion and establishing a temporal relationship between symptoms and work. An incorrect diagnosis can lead to important socioeconomic consequences for the worker. In Spain, Royal Order 1299/2006 on 10 November (amended on May 4, 2018) establishes the criteria for its classification and official recognition. In the context of an allergic process, an occupational etiology should be considered and occupational physicians in an occupational healht service can serve as consultants to guide and manage these cases. In this case report we established an association between an occupational exposure and asthma in a worker which led to a series of steps resulting in its acceptance as an occupational disease.","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"10 1","pages":"176-177"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89281342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.12961/aprl.2018.21.04.1
E. Calvo-Bonacho, C. Catalina Romero
Objective: We conducted a comparative ergonomic study of a new workplace station (MSILT) and a standard wooden industrial workbench. Methods: First, we used the OWAS method to evaluate the highest risk tasks. Next, we used human digital simulation in a virtual environment to evaluate stress on low back and joint load. We also performed a comparative analysis using the Siemens Jack software. Results: There was an overall reduction in exposure to physical loads. Awkward postures decreased from a category 4 (harmful) to category 1 (neutral) risk level. There was also a reduction in static loads on the joints and intradiscal loading to below the National Institute for Occupational Safety and Health (NIOSH) recommended level of 3400 N. Conclusion: This study demonstrated the feasibility of the new MSILIT and that it can be implemented in the hydrocarbons industry.
{"title":"[Cardiovascular diseases: a challenge in occupational health].","authors":"E. Calvo-Bonacho, C. Catalina Romero","doi":"10.12961/aprl.2018.21.04.1","DOIUrl":"https://doi.org/10.12961/aprl.2018.21.04.1","url":null,"abstract":"Objective: We conducted a comparative ergonomic study of a new workplace station (MSILT) and a standard wooden industrial workbench. Methods: First, we used the OWAS method to evaluate the highest risk tasks. Next, we used human digital simulation in a virtual environment to evaluate stress on low back and joint load. We also performed a comparative analysis using the Siemens Jack software. Results: There was an overall reduction in exposure to physical loads. Awkward postures decreased from a category 4 (harmful) to category 1 (neutral) risk level. There was also a reduction in static loads on the joints and intradiscal loading to below the National Institute for Occupational Safety and Health (NIOSH) recommended level of 3400 N. Conclusion: This study demonstrated the feasibility of the new MSILIT and that it can be implemented in the hydrocarbons industry.","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"5 1","pages":"186-188"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87069547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-15DOI: 10.12961/aprl.2017.20.1.02
Laura Fontcuberta, J. Delclòs, J. Martínez, Margarita León, P. Varela, Reyes Zapater, E. Ronda
{"title":"[2016, increasing the online visibility of Archivos].","authors":"Laura Fontcuberta, J. Delclòs, J. Martínez, Margarita León, P. Varela, Reyes Zapater, E. Ronda","doi":"10.12961/aprl.2017.20.1.02","DOIUrl":"https://doi.org/10.12961/aprl.2017.20.1.02","url":null,"abstract":"","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"118 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2017-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86784759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.12961/aprl.2017.20.1.05
J. L. Ares, B. Oliver, A. Martinez, M. J. Fresnadillo Martínez, José Rafael Lobato Cañón
Informal economy must be differentiated from concepts such as informal employment and the informal sector, each with its own characteristics. There are several types of informal workers that are grouped into several categories according to their work. The families of these workers are grouped into vulnerable job, which is also not beneficial for health coverage. Informal working conditions mean great morbidity resulting in economic losses and a large number of quality-adjusted life year, especially among young populations and women. Health policies are needed to reduce socio-economic inequalities, improve the training of health professionals and the accessibility of health services to these workers.
{"title":"[The informal economy: an occupational health issue].","authors":"J. L. Ares, B. Oliver, A. Martinez, M. J. Fresnadillo Martínez, José Rafael Lobato Cañón","doi":"10.12961/aprl.2017.20.1.05","DOIUrl":"https://doi.org/10.12961/aprl.2017.20.1.05","url":null,"abstract":"Informal economy must be differentiated from concepts such as informal employment and the informal sector, each with its own characteristics. There are several types of informal workers that are grouped into several categories according to their work. The families of these workers are grouped into vulnerable job, which is also not beneficial for health coverage. Informal working conditions mean great morbidity resulting in economic losses and a large number of quality-adjusted life year, especially among young populations and women. Health policies are needed to reduce socio-economic inequalities, improve the training of health professionals and the accessibility of health services to these workers.","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"16 1","pages":"30-32"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89633336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.12961/aprl.2017.20.1.03
Fernando G. Benavides, Elena Zaballa, X. Durán, Victòria Sanchez-Niubo, David Gimeno Ruiz de Porras
INTRODUCTION The management of sickness absence due to non-work-related diseases in Spain has typically focused on the control of its duration. The goal of this study was to provide estimates for the incidence of sickness absence due to nonwork-related diseases by economic activity to help shift the focus of management of sickness absence towards prevention. METHODS Retrospective study based on 646,337 workers and 133,812 episodes of sickness absence started in 2009, from the Working Continuous Life Sample. Incidence rate and its 95% confidence interval (CI) were calculated using Poisson regression models, crude and adjusted for age, company size, and occupational category, separately for men and women. RESULTS The overall incidence rate was 29.8 per 100 person-years; 24.7 (95%CI: 24.5-24.9) in men and 36.3 (36.0- 36.5) in women. By economic activity, the highest crude incidence rates in men were found in "Water supply, sanitation and wastes" (35.4) and "Health activities" (33.9); for women, "Health activities" (48.3), "Public administration" (41.2) and "Transportation and storage" (41.0) were the highest sectors. CONCLUSIONS Companies can compare their sickness absence incidence rates to these benchmark values to determine if they are within the expected reference range, which may guide management decisions more towards the prevention of sickness absence.
{"title":"[Incidence of non-work-related sickness absence in Spain by economic activity of the company].","authors":"Fernando G. Benavides, Elena Zaballa, X. Durán, Victòria Sanchez-Niubo, David Gimeno Ruiz de Porras","doi":"10.12961/aprl.2017.20.1.03","DOIUrl":"https://doi.org/10.12961/aprl.2017.20.1.03","url":null,"abstract":"INTRODUCTION The management of sickness absence due to non-work-related diseases in Spain has typically focused on the control of its duration. The goal of this study was to provide estimates for the incidence of sickness absence due to nonwork-related diseases by economic activity to help shift the focus of management of sickness absence towards prevention. METHODS Retrospective study based on 646,337 workers and 133,812 episodes of sickness absence started in 2009, from the Working Continuous Life Sample. Incidence rate and its 95% confidence interval (CI) were calculated using Poisson regression models, crude and adjusted for age, company size, and occupational category, separately for men and women. RESULTS The overall incidence rate was 29.8 per 100 person-years; 24.7 (95%CI: 24.5-24.9) in men and 36.3 (36.0- 36.5) in women. By economic activity, the highest crude incidence rates in men were found in \"Water supply, sanitation and wastes\" (35.4) and \"Health activities\" (33.9); for women, \"Health activities\" (48.3), \"Public administration\" (41.2) and \"Transportation and storage\" (41.0) were the highest sectors. CONCLUSIONS Companies can compare their sickness absence incidence rates to these benchmark values to determine if they are within the expected reference range, which may guide management decisions more towards the prevention of sickness absence.","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"40 1","pages":"14-25"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77941400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.12961/aprl.2017.20.1.01
T. Monjardino, R. Lucas, Fernando G. Benavides
{"title":"[Work and health in Portugal 2016: first report on occupational health in Portugal].","authors":"T. Monjardino, R. Lucas, Fernando G. Benavides","doi":"10.12961/aprl.2017.20.1.01","DOIUrl":"https://doi.org/10.12961/aprl.2017.20.1.01","url":null,"abstract":"","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"73 1","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73901020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.12961/aprl.2016.19.4.03
Ignasi Manent Bistué, J. M. Ramada Rodilla, C. Serra Pujadas
BACKGROUND Musculoskeletal disorders (MSD) are the leading cause of sickness absence (SA) in Spain and the second in Catalonia. A greater knowledge of this field could allow the refocusing of social protection policies and interventions to reduce their frequency and duration. The objective of the study was to describe the characteristics and duration of SA due to MSD in Catalonia between 2007 and 2010. METHODS The study population included all incident SA episodes due to MSD during the period 2007-2010, registered in the Institut Català d'AvaluacionsMèdiques (ICAM) database.We selected the 10 most frequentMSD (824.646 episodes) and extracted 607.732 (74%) SA episodes. We calculated the median duration of SA and analyzed the differences with Mann-Whitney U or Kruskal-Wallis tests, and studied the differences with a post-hoc test. We also conducted a survival analysis using Kaplan-Meier curves. RESULTS The most frequent MSD were low back pain and neck pain. Median duration was greater for gonarthrosis and calcific tendonitis of the shoulder. The median duration of SA episodes was greater when pain was due to an organic disorder, in women (Z=51770950,5; p<0,001), increased with age (K=17335,72; p<0,001), and was longer in self-employed workers (Z=20965263,1; p<0.001) and in those working in agriculture and livestock (K=736,822; p<0,001). CONCLUSIONS This study shows that the median duration of SA caused by MSD is influenced by the diagnosis, sex, age, type of work and type of social protection.
{"title":"[Musculoskeletal disorders and temporary disability. Characteristics and duration. Catalonia, 2007-2010].","authors":"Ignasi Manent Bistué, J. M. Ramada Rodilla, C. Serra Pujadas","doi":"10.12961/aprl.2016.19.4.03","DOIUrl":"https://doi.org/10.12961/aprl.2016.19.4.03","url":null,"abstract":"BACKGROUND Musculoskeletal disorders (MSD) are the leading cause of sickness absence (SA) in Spain and the second in Catalonia. A greater knowledge of this field could allow the refocusing of social protection policies and interventions to reduce their frequency and duration. The objective of the study was to describe the characteristics and duration of SA due to MSD in Catalonia between 2007 and 2010. METHODS The study population included all incident SA episodes due to MSD during the period 2007-2010, registered in the Institut Català d'AvaluacionsMèdiques (ICAM) database.We selected the 10 most frequentMSD (824.646 episodes) and extracted 607.732 (74%) SA episodes. We calculated the median duration of SA and analyzed the differences with Mann-Whitney U or Kruskal-Wallis tests, and studied the differences with a post-hoc test. We also conducted a survival analysis using Kaplan-Meier curves. RESULTS The most frequent MSD were low back pain and neck pain. Median duration was greater for gonarthrosis and calcific tendonitis of the shoulder. The median duration of SA episodes was greater when pain was due to an organic disorder, in women (Z=51770950,5; p<0,001), increased with age (K=17335,72; p<0,001), and was longer in self-employed workers (Z=20965263,1; p<0.001) and in those working in agriculture and livestock (K=736,822; p<0,001). CONCLUSIONS This study shows that the median duration of SA caused by MSD is influenced by the diagnosis, sex, age, type of work and type of social protection.","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"13 1","pages":"222-230"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86132546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.12961/aprl.2016.19.4.04
I. G. Girao Popolizio, Marta Frías Jiménez, A. Martínez Arcediano, E. Fernández Ibáñez, Maite Audicana Berasategui
We describe a case of a worker with occupational asthma caused by two separate etiologic agents, resulting from mixed exposures in different work areas. Isocyanates and epoxy resins are established causes of occupational disease, and their role in this case was confirmed by immediate and delayed pulmonary function testing, together with a specific bronchial challenge. A thorough evaluation of exposure to harmful substances in the workplace is essential, together with continued clinical monitoring following cessation of exposure in order to verify clinical improvement.
{"title":"[Occupational asthma caused by two different agents].","authors":"I. G. Girao Popolizio, Marta Frías Jiménez, A. Martínez Arcediano, E. Fernández Ibáñez, Maite Audicana Berasategui","doi":"10.12961/aprl.2016.19.4.04","DOIUrl":"https://doi.org/10.12961/aprl.2016.19.4.04","url":null,"abstract":"We describe a case of a worker with occupational asthma caused by two separate etiologic agents, resulting from mixed exposures in different work areas. Isocyanates and epoxy resins are established causes of occupational disease, and their role in this case was confirmed by immediate and delayed pulmonary function testing, together with a specific bronchial challenge. A thorough evaluation of exposure to harmful substances in the workplace is essential, together with continued clinical monitoring following cessation of exposure in order to verify clinical improvement.","PeriodicalId":101300,"journal":{"name":"Archivos de prevencion de riesgos laborales","volume":"17 1","pages":"231-233"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89304306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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