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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Enquadramento&#58;</span> A patologia respirat&#243;ria induzida pela exposi&#231;&#227;o a ru&#237;do de baixa frequ&#234;ncia &#40;RBF&#44; &#8804;<span class="elsevierStyleHsp" style=""></span>500<span class="elsevierStyleHsp" style=""></span>Hz&#44; incluindo os infra-sons&#41; n&#227;o constitui novidade dado que&#44; desde 1960&#44; no &#226;mbito dos programas espaciais dos EUA e da Uni&#227;o Sovi&#233;tica&#44; diversos autores divulgaram a sua exist&#234;ncia&#46; No contexto da doen&#231;a vibroac&#250;stica &#40;VAD &#8211; <span class="elsevierStyleItalic">vibroacoustic disease</span>&#41;&#44; uma patologia sist&#233;mica causada pela exposi&#231;&#227;o excessiva a RBF&#44; as les&#245;es respirat&#243;rias apresentam caracter&#237;sticas pr&#243;prias&#46; Inicialmente&#44; esta patologia respirat&#243;ria n&#227;o foi tida como uma consequ&#234;ncia da exposi&#231;&#227;o ao ru&#237;do&#59; no entanto&#44; hoje&#44; o RBF &#233; considerado um agente muito importante de doen&#231;a respirat&#243;ria&#46; O objectivo deste trabalho &#233; sistematizar e actualizar todos os dados sobre a patologia respirat&#243;ria observada na VAD&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span> Ao longo dos &#250;ltimos 25 anos&#44; reco-lheu-se informa&#231;&#227;o&#44; de modo continuado&#44; de indiv&#237;duos e modelos animais expostos a RBF&#46; Todos estes dados s&#227;o aqui compilados&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Em indiv&#237;duos expostos a ru&#237;do no trabalho&#44; as queixas br&#244;nquicas aparecem nos primeiros 4 anos de actividade e&#44; nesta fase&#44; reduzem ou desaparecem quando de f&#233;rias ou removidos do seu local de trabalho por outros motivos&#46; Com a exposi&#231;&#227;o prolongada&#44; poder&#227;o surgir situa&#231;&#245;es mais graves&#44; como derrames pleurais&#44; insufici&#234;ncia respirat&#243;ria&#44; fibrose pulmonar e carcinomas do aparelho respirat&#243;rio&#46; N&#227;o existe correla&#231;&#227;o com h&#225;bitos tab&#225;gicos&#46; Em modelos animais expostos a RBF&#44; apresentavam-se altera&#231;&#245;es morfol&#243;gicas da pleura e perda da capacidade fagoc&#237;tica das c&#233;lulas mesoteliais &#40;explicando os derrames pleurais observados&#41;&#46; Foram observadas les&#245;es de fibrose e neovasculariza&#231;&#227;o ao longo de todo o aparelho respirat&#243;rio dos animais expostos&#46; Tamb&#233;m se identificaram les&#245;es pr&#233;-malignas&#44; metaplasia e displasia&#46; <span class="elsevierStyleBold">Conclus&#245;es&#58;</span> O RBF &#233; um agente de doen&#231;a e tem como alvo preferencial o aparelho respirat&#243;rio&#46; A patologia respirat&#243;ria associada &#224; VAD necessita&#44; ainda&#44; de muito estudo para que uma maior compreen&#231;&#227;o possa ser alcan&#231;ada e interven&#231;&#245;es farmacol&#243;gicas possam ser pensadas&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 129-135</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Background&#58;</span> Respiratory pathology induced by low frequency noise &#40;LFN&#44; &#60;<span class="elsevierStyleHsp" style=""></span>500<span class="elsevierStyleHsp" style=""></span>Hz&#44; including infrasound&#41; is not a novel subject given that in the 1960&#8217;s&#44; within the context of U&#46;S&#46; and U&#46;S&#46;S&#46;R&#46; Space Programs&#44; other authors have already reported its existence&#46; Within the scope of vibroacoustic disease &#40;VAD&#41;&#44; a whole-body pathology caused by excessive exposure to LFN&#44; respiratory pathology takes on specific features&#46; Initially&#44; respiratory pathology was not considered a consequence of LFN exposure&#59; but today&#44; LFN can be regarded as a major agent of disease that targets the respiratory system&#46; The goal of this report is to put forth what is known to date on the clinical signs of respiratory pathology seen in VAD patients&#46; <span class="elsevierStyleBold">Methods&#58;</span> Data from the past 25 years of research will be taken together and presented&#46; <span class="elsevierStyleBold">Results&#58;</span> In persons exposed to LFN on the job&#44; respiratory complaints appear after the first 4 years of professional activity&#46; At this stage&#44; they disappear during vacation periods or when the person is removed form his &#47;her workstation for other reasons&#46; With long-term exposure&#44; more serious situations can arise&#44; such as&#44; atypical pleural effusion&#44; respiratory insufficiency&#44; fibrosis and tumours&#46; There is no correlation with smoking habits&#46; In LFN-exposed animal models&#44; morphological changes of the pleura&#44; and loss of the phagocytic ability of pleural mesothelial cells &#40;explaining the atypical pleural effusions&#41;&#46; Fibrotic lesions and neo-vascularization were observed along the entire respiratory tract&#46; Fibrosis lesions and neovascularisation were observed throughout the respiratory tract of the animals seen&#46; Pre-ma-lignant lesions&#44; metaplasia e displasia&#44; were also identified&#46; <span class="elsevierStyleBold">Discussion&#58;</span> LFN is an agent of disease and the respiratory tract is one of its preferential targets&#46; The respiratory pathology associated with VAD needs further in-depth studies in order to achieve a greater understanding&#44; and develop methods of pharmacological intervention&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 129-135</span></p></span>"
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Artigo de Revisão / Revision Article
O aparelho respiratório na doença vibroacústica: 25 anos de investigação
Respiratory pathology in vibroacoustic disease: 25 years of research
Nuno A.A. Castelo Branco1, José Reis Ferreira2, Mariana Alves-Pereira3
1 Médico Anatomopatologista, presidente do Conselho Científico, Centro da Performance Humana, Alverca
2 Médico Pneumologista, Unidade de Estudo Funcional Respiratório, Hospital da Força Aérea, Lisboa
3 Engenheira Biomédica, ERISA – Universidade Lusófona
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Enquadramento&#58;</span> A patologia respirat&#243;ria induzida pela exposi&#231;&#227;o a ru&#237;do de baixa frequ&#234;ncia &#40;RBF&#44; &#8804;<span class="elsevierStyleHsp" style=""></span>500<span class="elsevierStyleHsp" style=""></span>Hz&#44; incluindo os infra-sons&#41; n&#227;o constitui novidade dado que&#44; desde 1960&#44; no &#226;mbito dos programas espaciais dos EUA e da Uni&#227;o Sovi&#233;tica&#44; diversos autores divulgaram a sua exist&#234;ncia&#46; No contexto da doen&#231;a vibroac&#250;stica &#40;VAD &#8211; <span class="elsevierStyleItalic">vibroacoustic disease</span>&#41;&#44; uma patologia sist&#233;mica causada pela exposi&#231;&#227;o excessiva a RBF&#44; as les&#245;es respirat&#243;rias apresentam caracter&#237;sticas pr&#243;prias&#46; Inicialmente&#44; esta patologia respirat&#243;ria n&#227;o foi tida como uma consequ&#234;ncia da exposi&#231;&#227;o ao ru&#237;do&#59; no entanto&#44; hoje&#44; o RBF &#233; considerado um agente muito importante de doen&#231;a respirat&#243;ria&#46; O objectivo deste trabalho &#233; sistematizar e actualizar todos os dados sobre a patologia respirat&#243;ria observada na VAD&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span> Ao longo dos &#250;ltimos 25 anos&#44; reco-lheu-se informa&#231;&#227;o&#44; de modo continuado&#44; de indiv&#237;duos e modelos animais expostos a RBF&#46; Todos estes dados s&#227;o aqui compilados&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Em indiv&#237;duos expostos a ru&#237;do no trabalho&#44; as queixas br&#244;nquicas aparecem nos primeiros 4 anos de actividade e&#44; nesta fase&#44; reduzem ou desaparecem quando de f&#233;rias ou removidos do seu local de trabalho por outros motivos&#46; Com a exposi&#231;&#227;o prolongada&#44; poder&#227;o surgir situa&#231;&#245;es mais graves&#44; como derrames pleurais&#44; insufici&#234;ncia respirat&#243;ria&#44; fibrose pulmonar e carcinomas do aparelho respirat&#243;rio&#46; N&#227;o existe correla&#231;&#227;o com h&#225;bitos tab&#225;gicos&#46; Em modelos animais expostos a RBF&#44; apresentavam-se altera&#231;&#245;es morfol&#243;gicas da pleura e perda da capacidade fagoc&#237;tica das c&#233;lulas mesoteliais &#40;explicando os derrames pleurais observados&#41;&#46; Foram observadas les&#245;es de fibrose e neovasculariza&#231;&#227;o ao longo de todo o aparelho respirat&#243;rio dos animais expostos&#46; Tamb&#233;m se identificaram les&#245;es pr&#233;-malignas&#44; metaplasia e displasia&#46; <span class="elsevierStyleBold">Conclus&#245;es&#58;</span> O RBF &#233; um agente de doen&#231;a e tem como alvo preferencial o aparelho respirat&#243;rio&#46; A patologia respirat&#243;ria associada &#224; VAD necessita&#44; ainda&#44; de muito estudo para que uma maior compreen&#231;&#227;o possa ser alcan&#231;ada e interven&#231;&#245;es farmacol&#243;gicas possam ser pensadas&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 129-135</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Background&#58;</span> Respiratory pathology induced by low frequency noise &#40;LFN&#44; &#60;<span class="elsevierStyleHsp" style=""></span>500<span class="elsevierStyleHsp" style=""></span>Hz&#44; including infrasound&#41; is not a novel subject given that in the 1960&#8217;s&#44; within the context of U&#46;S&#46; and U&#46;S&#46;S&#46;R&#46; Space Programs&#44; other authors have already reported its existence&#46; Within the scope of vibroacoustic disease &#40;VAD&#41;&#44; a whole-body pathology caused by excessive exposure to LFN&#44; respiratory pathology takes on specific features&#46; Initially&#44; respiratory pathology was not considered a consequence of LFN exposure&#59; but today&#44; LFN can be regarded as a major agent of disease that targets the respiratory system&#46; The goal of this report is to put forth what is known to date on the clinical signs of respiratory pathology seen in VAD patients&#46; <span class="elsevierStyleBold">Methods&#58;</span> Data from the past 25 years of research will be taken together and presented&#46; <span class="elsevierStyleBold">Results&#58;</span> In persons exposed to LFN on the job&#44; respiratory complaints appear after the first 4 years of professional activity&#46; At this stage&#44; they disappear during vacation periods or when the person is removed form his &#47;her workstation for other reasons&#46; With long-term exposure&#44; more serious situations can arise&#44; such as&#44; atypical pleural effusion&#44; respiratory insufficiency&#44; fibrosis and tumours&#46; There is no correlation with smoking habits&#46; In LFN-exposed animal models&#44; morphological changes of the pleura&#44; and loss of the phagocytic ability of pleural mesothelial cells &#40;explaining the atypical pleural effusions&#41;&#46; Fibrotic lesions and neo-vascularization were observed along the entire respiratory tract&#46; Fibrosis lesions and neovascularisation were observed throughout the respiratory tract of the animals seen&#46; Pre-ma-lignant lesions&#44; metaplasia e displasia&#44; were also identified&#46; <span class="elsevierStyleBold">Discussion&#58;</span> LFN is an agent of disease and the respiratory tract is one of its preferential targets&#46; The respiratory pathology associated with VAD needs further in-depth studies in order to achieve a greater understanding&#44; and develop methods of pharmacological intervention&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 129-135</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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