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Occupational asthma from chlorine-based cleaners?
Discussing Titan chlor plus with OH physician now convinced they are seeing “allergic” presentations rather than irritant. My bias remains irritant acting to aggravate underlying airways disease. Anyone seeing this in healthcare workers? Anything to support allergic rather than irritant?
Occupational Asthma, Specialist, 6/12/2019, 6/12/2019,

Occupational asthma from chlorine-based cleaners?
Discussing Titan chlor plus with OH physician now convinced they are seeing “allergic” presentations rather than irritant. My bias remains irritant acting to aggravate underlying airways disease. Anyone seeing this in healthcare workers? Anything to support allergic rather than irritant?
Occupational Asthma, Specialist, 6/12/2019, 6/12/2019,

Comments for the paper: "Novel clinical scores for occupational asthma due to exposure to high-molecular-weight agents", 2019, Occup Environ Med
This paper provides a formula for predicting the results of specific inhalation testing with high molecular weight agents in those occupational exposed within the last month. It weights younger age, exposure to flour/grain rather than other high MW agents, the presence of rhinoconjunctivitis, in ...
Published Paper Comments, , 5/14/2019, 5/14/2019,

Comments for the paper: "Novel clinical scores for occupational asthma due to exposure to high-molecular-weight agents", 2019, Occup Environ Med
This paper provides a formula for predicting the results of specific inhalation testing with high molecular weight agents in those occupational exposed within the last month. It weights younger age, exposure to flour/grain rather than other high MW agents, the presence of rhinoconjunctivitis, in ...
Published Paper Comments, , 5/14/2019, 5/14/2019,

Diesel exhaust and occupational asthma?
I have a patient with adult-onset asthma with low dose exposure to diesel exhaust. Do you know whether the bus depot workers with DEP OA had raised FeNO? - the experimental diesel challenges seem to suggest neutrophilic inflammation rather than eosinophilic?
Occupational Asthma, Specialist, 5/10/2019, 5/10/2019,

Diesel exhaust and occupational asthma?
I have a patient with adult-onset asthma with low dose exposure to diesel exhaust. Do you know whether the bus depot workers with DEP OA had raised FeNO? - the experimental diesel challenges seem to suggest neutrophilic inflammation rather than eosinophilic?
Occupational Asthma, Specialist, 5/10/2019, 5/10/2019,

Diesel exhaust and occupational asthma?
I have a patient with adult-onset asthma with low dose exposure to diesel exhaust. Do you know whether the bus depot workers with DEP OA had raised FeNO? - the experimental diesel challenges seem to suggest neutrophilic inflammation rather than eosinophilic?
Occupational Asthma, Specialist, 5/10/2019, 5/10/2019,

Optimal days working and days off work
I have a office worker that complains from asthma exacerbation during work by the air conditioning. I checked the literature that says peak flow measures must be done 2 week at work and 2 weeks off work but Oasys tutorial does not define the optimal ratio of days working and days off at peak flo ...
Occupational Asthma, Health Professional, 3/11/2019, 3/11/2019,

Comments for the paper: "Performance of specific immunoglobulin E tests for diagnosing occupational asthma: a systematic review and meta-analysis.", 2019, Occup Environ Med
This meta-analysis seems to omit rodent allergens, which do not get a mention despite many studies, perhaps there are few with specific challenges, but this is not mentioned in the text. There is no discussion of genetically modified allergens, particularly enzymes, or the effects of isocyanate ...
Published Paper Comments, , 3/7/2019, 3/7/2019,

Comments for the paper: "Performance of specific immunoglobulin E tests for diagnosing occupational asthma: a systematic review and meta-analysis.", 2019, Occup Environ Med
This meta-analysis seems to omit rodent allergens, which do not get a mention despite many studies, perhaps there are few with specific challenges, but this is not mentioned in the text. There is no discussion of genetically modified allergens, particularly enzymes, or the effects of isocyanate ...
Published Paper Comments, , 3/7/2019, 3/7/2019,

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