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Query: UMLS:C0149514 (bronchitis)
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Special physical examinations were made in order to find out the actual status of damages to health that had broken out in a factory collecting V2O5 from iron sand; and the following results were found: 1. Pharyngitis and bronchitis were found in 25% of the workers exposed to vanadium, but neither pneumonia nor hepatitis was observed. 2. Among the subjective and objective symptoms, respiratory irritation and discoloration of the tongue were frequent. 3. Black spot-like pigmentations gathering in a zonal form 1-2 mm wide in the transitional part and oral mucosa of the upper lip were found. Prevalence rate of this sign was 14.3% in the workers exposed to vanadium. 4. The mean valus of total serum protein and the serum cholesterol in the exposed workers were lower than those in the controls. The difference in the values between both groups is statistically significant. 5. Both the mean values of vanadium concentrations in vurine and its creatinine ratios in the exposed workers were twice to three times those in the controls; however, these parameters decreased to about one third in two months by improving the health and environmental control-measures. 6. Draft items to be checked in special physical examinations of workers handling vanadium have been proposed.
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PMID:[Results of the special physical examination of workers in a vanadium plant (author's transl)]. 47 Feb 10

An epidemiological study of 1,178 iron-mine workers in the Lorraine basin was conducted in order to assess the long-term effects on the respiratory system of low concentrations of noxious gases produced by the machinery and explosives in use. The subjects were selected at random from 5,300 workers who were aged between 35 and 55, had been in the mines for at least five years and who were free from radiological abnormalities such as siderosis, tuberculosis, fractured ribs, etc. For each subject a standard questionnaire (E.C.S.C. bronchitis/emphysema questionnaire) was completed and a clinical examination was performed along with the following tests-vital capacity; forced expiratory volume in 1 second; residual volume; acetylcholine test; steady state CO test for calculation of total and partial transfer functions. A venous blood sample for the determination of blood CO was taken as the subject left his place of work.
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PMID:[Long term effects of low concentrations of noxious gases on the respiratory system: results of an epidemiological study among iron mines workers in Lorraine (France). (author's transl)]. 61 25

1167 workers of Lorraine (France) iron mines, a random sample of 5600 workers aged 35 to 55 years, at work in 1975 constituted the initial cohort that was examined twice at 5-year intervals after the first examination. A questionnaire on respiratory symptoms and smoking habits (MRC questionnaire) plus questions on the work history of each participant was completed, vital capacity (VC), forced expiratory volume in one second (FEV1.0), residual volume (RV) and fractional uptake of CO (FuCO) were measured at the first examination and repeated five and ten years later. At the end of the ten year follow-up, 522 subjects were re-examined, 186 were lost to follow-up, 328 answered a mail questionnaire, and 111 had died. The total number of deaths was not different from that of the general population, but for lung cancer the standardized mortality ratio (SMR) was significantly increased (SMR = 3.7). For the miners re-examined, frequency of bronchitis and decrease of functional tests were more related to age and smoking habits than to occupation.
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PMID:Iron miners--a ten year follow-up. 139 30

Inhaled silicate dusts may cause lung disease through their surface coordination of iron with subsequent oxidant generation via the Fenton reaction. Pneumoconiosis, irritant bronchitis, focal emphysema, and carcinoma may be produced by oxidants either directly through lipid peroxidation and protein inactivation, or indirectly by oxidant-mediated release of cytokines such as platelet-derived growth factor. The increased incidence of tuberculosis observed among silicate workers could be explained by accumulation of iron complexed by dust particles in the lung and made available to dormant mycobacteria as a virulence factor.
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PMID:Hypothesis: is lung disease after silicate inhalation caused by oxidant generation? 197 6

The clinical course is described of Salmonella infections in 228 infants. The infection was associated, most frequently, with diarrhoea (with admixture of blood in stools in 57.2% of cases). In infants in the first 3 months of life the course of the disease was more serious, with evidence of toxic organ damage and prolonged diarrhoea. Salmonella infection was often associated with pneumonia or bronchitis (36.8%), urinary tract infection (29.8%), otitis media (22.8%). Iron-deficiency anaemia was present in three-fourths of children. In 35% of the infected children with Salmonella infection decreased level of gamma-globulins was found.
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PMID:[Salmonella infections in infants hospitalized in the years 1979-1983]. 236 5

Adhesion to epithelial respiratory cells, iron acquisition, and production of K1 polysaccharide capsules have been proposed as potential virulence factors of avian Escherichia coli. These factors were studied by inoculating groups of axenic or specific-pathogen-free (SPF) chickens intratracheally with O2 E. coli strains after previous challenge with a wild strain of infectious bronchitis virus (IBV). In all experiments, the association between IBV and an E. coli strain endowed with the three virulence factors previously mentioned resulted in the most severe pathological effects, as measured by mortality, weight gains, lesions, and reisolation of E. coli from internal organs. An E. coli strain devoid of virulence factors was able only to induce mild pathological effects restricted to the respiratory tract when combined with IBV. Both E. coli strains were more invasive in axenic chickens than in SPF chickens. These results confirm the probable involvement of the three factors studied in the pathogenic properties of avian E. coli. This model can be used to assess the role of virulence factors, by comparing pairs of positive and negative isogenic strains.
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PMID:Comparative infectivity for axenic and specific-pathogen-free chickens of O2 Escherichia coli strains with or without virulence factors. 252 66

An autopsy case of the chronic lung berylliosis in a patient having an occupational contact with a beryllium bronze is described. Clinically the disease had no specific features and was diagnosed as chronic obstructive bronchitis and pneumosclerosis. Sclerotic granulomas with giant cells, conchoidal bodies, iron deposition in the pulmonary stroma--all these lung alterations allowed one to establish a diagnosis of lung berylliosis.
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PMID:[Chronic berylliosis of the lungs]. 262 65

A study has been performed using 5300 iron miners from Lorraine (France) with ages ranging from 35 to 55 years, who were working, and had a normal chest radiography. 1173 workers were chosen randomly and given the following examinations: questionnaire, clinical examination and function tests (VC, FEV1, residual volume (RV), acetylcholine test, carbon monoxide steady-state test). This group of 1173 was followed for 5 years. 40 died and the exact causes of death were known. 13 had lung cancer, which is more than three times the number expected in the French male population of the same ages. All subjects who died from lung cancer were underground miners and, at the first examination, had a higher incidence of bronchitis and more functional defects than both the 27 who died from other causes and the underground miner group as a whole. The excess mortality due to lung cancer is discussed with regard to noxious agents that were measured (radioactivity, which was rather low, total and respirable dusts, Nox, CO) and with regard to both the work environment and duration of work.
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PMID:Incidence of lung cancer among iron miners. 662 87

For 6 weeks a 52-year-old woman had complained of increasing fatigue, blood-streaked vomitus, retrosternal burning and pain between the shoulder blades. Physical examination showed no abnormalities. Blood sedimentation rate was increased to 15/40 mm and the iron concentration was slightly reduced. Computed tomography demonstrated densities in the left upper lobe of the lung and both lower lobes. Scintigraphy revealed a perfusion defect in the left apex of the lung while bronchoscopy demonstrated acute bronchitis in the left upper lobe. Further haemoptysis occurred 3 months later, but several bronchoscopies failed to elucidate their cause. Three days later another haemoptysis caused respiratory arrest. After resuscitation the bleeding was localized to the right main bronchus, and the right upper and middle lobes were resected. The patient died the next day from a massive haemoptysis. Post-mortem examination showed angiodysplasia in all lobes of the lung. The branches of the pulmonary artery were dilated, their wall was irregular and the muscular tunica media reduced. The elastic lamellae were fragmented and there were cell-rich intimal pads. These changes most closely resembled fibromuscular dysplasia.
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PMID:[Pulmonary angiodysplasia with fatal pulmonary hemorrhage]. 851 18

Particles with diameters ranging from less than 0.02 to more than 100 microns and in concentration up to 120 micrograms/m3 daily average TSP (total suspended particles) are measurable in the air of Swiss cities and responsible for the decrease of visibility on the Swiss Plateau and south of the Alps. The particle size shows a typical distribution: the coarse particles (> 2.5 microns mass median diameter) are mostly of natural origin (plants, pollen, earth particles) and are deposited in the upper airways. The fine particles (PM2.5 < 2.5 microns) are predominantly deposited into the alveolar space. These fine and ultrafine particles (< 0.02 microns) are produced by the burning of fossil fuels or by photochemical reactions. By bypassing the mucociliary and cellular defense mechanisms, fine particles can invade the lung parenchyma and cause an inflammatory response. The additional chemical layering of a carbon core by nitrates, sulfates and other organic materials and metals such as iron cause greater local oxidative and/or carcinogenic damage than in the vaporized state. In comparing worldwide epidemiological studies, there seems to be a cohesive and consistent relationship between increases of particle concentration and the increase of mortality (mostly among patients over 65 with concomitant lung and heart diseases and among smokers) and morbidity (bronchitis, pneumonia, COPD, and, less convincingly, asthma). An increase in daily average PM10 (particles < 10 microns) is correlated with an increase in mortality not related to accidents and suicides of 1.0% for the same and/or the following days. In Switzerland, mean annual concentrations of 14-53 micrograms/m3 TSP or 10-33 micrograms/m3 PM10, well below the national standard (annual mean TSP 70 micrograms/m3) have been measured in rural and urban areas. Even at these concentrations an increase in respiratory symptoms and a decrease in lung function, without evidence for a "safe" threshold, have been observed in the Swiss study of air pollution and lung diseases in adults (SAPALDIA). Although the noxious effects of the particles cannot be clearly separated from the effect of other pollutants (e.g. NOx, SO2, ozone) in complex pollutant mixtures, the emission standards and national standards for ambient air should be revised, in particular by adding a standard for fine particles (e.g. PM10 or PM2.5).
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PMID:[Are inhaled dust particles harmful for our lungs?]. 900 26


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