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Occupational health expert David McBride looks at respiratory diseases caused by occupational and environmental exposures, including a potential relationship between pleural plaques and road dust
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1. Kreiss K, Gomaa A, Kullman G, et al. Clinical bronchiolitis obliterans in workers at a microwave-popcorn plant. N Engl J Med 2002;347(5):330–38.
2. Halldin CN, Suarthana E, Fedan KB, et al. Increased respiratory disease mortality at a microwave popcorn production facility with worker risk of bronchiolitis obliterans. PLoS One 2013;8(2):e57935.
3. Hoy RF, Baird T, Hammerschlag G, et al. Artificial stone-associated silicosis: a rapidly emerging occupational lung disease. Occup Environ Med 2018;75(1):3–5.
4. Clarke CC, Mowat FS, Kelsh MA, Roberts MA. Pleural plaques: a review of diagnostic issues and possible nonasbestos factors. Arch Environ Occup Health 2006;61(4):183–92.
5. Killick J. The rural doctor who wears a gas mask on his ‘dangerously dusty’ road. Stuff, 7 December 2022.
6. Pairon JC, Laurent F, Rinaldo M, et al. Pleural plaques and the risk of pleural mesothelioma. J Natl Cancer Inst 2013;105(4):293–301
Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
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