scholarly journals Workplace-related inhalation test (AIT) – Specific inhalation challenge (SIC) – S2k Guideline of the German Society for Occupational and Environmental Medicine e.V. (DGAUM), the German Society for Pneumology and Respiratory Medicine e.V. (DGP)

2021 ◽  
Vol 5 (01) ◽  
pp. 315-334
Author(s):  
Alexandra M. Preisser ◽  
Dirk Koschel ◽  
Rolf Merget ◽  
Dennis Nowak ◽  
Monika Raulf ◽  
...  
Keyword(s):  
Environmental Medicine ◽  
German Society ◽  
Respiratory Medicine ◽  
Specific Inhalation Challenge ◽  
Inhalation Challenge ◽  
Occupational And Environmental Medicine

scholarly journals Pulmonary Function Testing in Work-Related Asthma: An Overview from Spirometry to Specific Inhalation Challenge

2021 ◽  
Vol 18 (5) ◽  
pp. 2325
Author(s):  
Mathias Poussel ◽  
Isabelle Thaon ◽  
Emmanuelle Penven ◽  
Angelica I. Tiotiu
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Objective Evaluation ◽  
Pulmonary Function Testing ◽  
Initial Assessment ◽  
Work Related ◽  
Specific Inhalation Challenge ◽  
Occupational Setting ◽  
Inhalation Challenge ◽  
Function Testing

Work-related asthma (WRA) is a very frequent condition in the occupational setting, and refers either to asthma induced (occupational asthma, OA) or worsened (work-exacerbated asthma, WEA) by exposure to allergens (or other sensitizing agents) or to irritant agents at work. Diagnosis of WRA is frequently missed and should take into account clinical features and objective evaluation of lung function. The aim of this overview on pulmonary function testing in the field of WRA is to summarize the different available tests that should be considered in order to accurately diagnose WRA. When WRA is suspected, initial assessment should be carried out with spirometry and bronchodilator responsiveness testing coupled with first-step bronchial provocation testing to assess non-specific bronchial hyper-responsiveness (NSBHR). Further investigations should then refer to specialists with specific functional respiratory tests aiming to consolidate WRA diagnosis and helping to differentiate OA from WEA. Serial peak expiratory flow (PEF) with calculation of the occupation asthma system (OASYS) score as well as serial NSBHR challenge during the working period compared to the off work period are highly informative in the management of WRA. Finally, specific inhalation challenge (SIC) is considered as the reference standard and represents the best way to confirm the specific cause of WRA. Overall, clinicians should be aware that all pulmonary function tests should be standardized in accordance with current guidelines.

Beyond Reputation: Debate on the Role of Corporate Influence in Occupational and Environmental Medicine

2008 ◽  
Vol 18 (3) ◽  
pp. 317-324 ◽  
Author(s):  
Susanna Rankin Bohme ◽  
David Egilman
Keyword(s):  
Environmental Medicine ◽  
Occupational Medicine ◽  
Health And Safety ◽  
Corporate Influence ◽  
Family Medical Leave Act ◽  
History Of ◽  
Historical Role ◽  
Family Medical Leave ◽  
Occupational And Environmental Medicine

In his article in this issue, Tee Guidotti casts recent works addressing corporate influence on occupational medicine as “collective act[s] of disparagement … undertaken … for political reasons.” We move beyond the question of reputation to address key conflicts in the history of occupational medicine, including the American Occupational Medical Association's historical role in weakening the beryllium standard and the American College of Occupational and Environmental Medicine's recent efforts to limit the extent of the Family Medical Leave Act. The corporate practice of externalizing health and safety costs makes industry influence an important ongoing topic of debate in occupational and environmental medicine.

Residency Programs for Occupational and Environmental Medicine in Korea

1970 ◽  
Vol 14 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Eunhee Ha ◽  
Hyesook Park ◽  
Kyunghee Jungchoi ◽  
Jieun Son ◽  
Ilryong Kim ◽  
...  
Keyword(s):  
Environmental Medicine ◽  
Residency Programs ◽  
Occupational And Environmental Medicine

scholarly journals Bringing together occupational and environmental medicine specialists

2017 ◽  
Vol 67 (8) ◽  
pp. 596-597
Author(s):  
Richard Heron ◽  
Ronald Loeppke ◽  
Peter Connaughton ◽  
Paulo Antonio de Paiva Rebelo ◽  
Herman Spanjaard ◽  
...  
Keyword(s):  
Environmental Medicine ◽  
Occupational And Environmental Medicine
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