array:23 [
  "pii" => "S2254887418301814"
  "issn" => "22548874"
  "doi" => "10.1016/j.rceng.2018.11.005"
  "estado" => "S300"
  "fechaPublicacion" => "2019-01-01"
  "aid" => "1544"
  "copyrightAnyo" => "2018"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Rev Clin Esp. 2019;219:26-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 3
    "formatos" => array:2 [
      "HTML" => 1
      "PDF" => 2
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:18 [
      "pii" => "S0014256518301899"
      "issn" => "00142565"
      "doi" => "10.1016/j.rce.2018.06.006"
      "estado" => "S300"
      "fechaPublicacion" => "2019-01-01"
      "aid" => "1544"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Rev Clin Esp. 2019;219:26-9"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 44
        "formatos" => array:2 [
          "HTML" => 25
          "PDF" => 19
        ]
      ]
      "es" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">ORIGINAL BREVE</span>"
        "titulo" => "Silicosis&#58; una antigua enfermedad profesional con nuevos escenarios de exposici&#243;n laboral"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "26"
            "paginaFinal" => "29"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Silicosis&#58; A former occupational disease with new occupational exposure scenarios"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 834
                "Ancho" => 1573
                "Tamanyo" => 54707
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Comparaci&#243;n de la media de a&#241;os de exposici&#243;n de los trabajadores con silicosis&#44; expuestos y no expuestos a conglomerados artificiales de cuarzo &#40;CAC&#41;&#44; en el momento de la declaraci&#243;n&#46; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0064&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46;A&#46; Pascual del Pobil y Ferr&#233;, R&#46; Garc&#237;a Sevila, M&#46;d&#46;M&#46; Garc&#237;a Rodenas, E&#46; Barroso Medel, E&#46; Flores Reos, Juan Gil Carbonell"
            "autores" => array:6 [
              0 => array:2 [
                "nombre" => "M&#46;A&#46;"
                "apellidos" => "Pascual del Pobil y Ferr&#233;"
              ]
              1 => array:2 [
                "nombre" => "R&#46;"
                "apellidos" => "Garc&#237;a Sevila"
              ]
              2 => array:2 [
                "nombre" => "M&#46;d&#46;M&#46;"
                "apellidos" => "Garc&#237;a Rodenas"
              ]
              3 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Barroso Medel"
              ]
              4 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Flores Reos"
              ]
              5 => array:2 [
                "nombre" => "Juan"
                "apellidos" => "Gil Carbonell"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2254887418301814"
          "doi" => "10.1016/j.rceng.2018.11.005"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301814?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518301899?idApp=WRCEE"
      "url" => "/00142565/0000021900000001/v1_201901300612/S0014256518301899/v1_201901300612/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2254887419300025"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2018.12.005"
    "estado" => "S300"
    "fechaPublicacion" => "2019-01-01"
    "aid" => "1610"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "edi"
    "cita" => "Rev Clin Esp. 2019;219:30-1"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 3
      "formatos" => array:2 [
        "HTML" => 1
        "PDF" => 2
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Health services research for hospitalized patients with diabetes mellitus"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "30"
          "paginaFinal" => "31"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Investigaci&#243;n en servicios de salud para pacientes hospitalizados con diabetes mellitus"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Ena"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Ena"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S001425651830331X"
        "doi" => "10.1016/j.rce.2018.12.001"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S001425651830331X?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300025?idApp=WRCEE"
    "url" => "/22548874/0000021900000001/v1_201901300620/S2254887419300025/v1_201901300620/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2254887418301309"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2018.08.001"
    "estado" => "S300"
    "fechaPublicacion" => "2019-01-01"
    "aid" => "1540"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Rev Clin Esp. 2019;219:18-25"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 5
      "formatos" => array:2 [
        "HTML" => 2
        "PDF" => 3
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
      "titulo" => "Indicator performance after the implementation of the Spanish Consensus Document for the control of hyperglycemia in the hospital and at discharge"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "18"
          "paginaFinal" => "25"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Rendimiento de los indicadores tras la implementaci&#243;n del Documento de consenso espa&#241;ol para el control de la hiperglucemia en el hospital y al alta"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 2094
              "Ancho" => 1203
              "Tamanyo" => 192142
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Progression of antidiabetic therapy from hospital discharge to the third month after discharge in the prospective and retrospective groups&#46; Patients discharged with insulin with or without ODDs &#40;A&#41;&#44; only with ODDs &#40;B&#41;&#44; and with insulin plus ODDs &#40;C&#41;&#46; Abbreviation&#58; ODDs&#44; oral diabetes drugs&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; P&#233;rez, A&#46; Ramos, P&#46; Reales, N&#46; Tobares, R&#46; G&#243;mez-Huelgas"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Ramos"
            ]
            2 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Reales"
            ]
            3 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "Tobares"
            ]
            4 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "G&#243;mez-Huelgas"
            ]
            5 => array:1 [
              "colaborador" => "on behalf of Grupo de estudio AL ALTA"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256518301838"
        "doi" => "10.1016/j.rce.2018.05.010"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518301838?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301309?idApp=WRCEE"
    "url" => "/22548874/0000021900000001/v1_201901300620/S2254887418301309/v1_201901300620/en/main.assets"
  ]
  "en" => array:21 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Brief Original</span>"
    "titulo" => "Silicosis&#58; A former occupational disease with new occupational exposure scenarios"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "26"
        "paginaFinal" => "29"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46;A&#46; Pascual del Pobil y Ferr&#233;, R&#46; Garc&#237;a Sevila, M&#46;d&#46;M&#46; Garc&#237;a Rodenas, E&#46; Barroso Medel, E&#46; Flores Reos, Juan Gil Carbonell"
        "autores" => array:6 [
          0 => array:3 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Pascual del Pobil y Ferr&#233;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "Garc&#237;a Sevila"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:4 [
            "nombre" => "M&#46;d&#46;M&#46;"
            "apellidos" => "Garc&#237;a Rodenas"
            "email" => array:1 [
              0 => "margarciarodenas&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Barroso Medel"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Flores Reos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Juan"
            "apellidos" => "Gil Carbonell"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Unidad de Salud Laboral&#44; Centro de Salud P&#250;blica de Alicante&#44; Conselleria de Sanidad Universal y Salud P&#250;blica&#44; Alicante&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Neumolog&#237;a&#44; Hospital General Universitario de Alicante&#44; Alicante&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Silicosis&#58; una antigua enfermedad profesional con nuevos escenarios de exposici&#243;n laboral"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 834
            "Ancho" => 1570
            "Tamanyo" => 56513
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Comparison of the mean exposure time&#44; at the time of the declaration&#44; of the workers with silicosis&#44; exposed and not exposed to artificial quartz aggregates &#40;AQA&#41;&#46; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0064&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Background</span><p id="par0005" class="elsevierStylePara elsevierViewall">Silicosis is an occupational diffuse interstitial lung disease caused by inhaling free crystalline silicon dioxide&#46; The disease is included in the group of pneumoconioses and is the most common and severe of them&#46; The disease has 3 clinical forms&#58; acute silicosis&#44; chronic silicosis &#40;simple silicosis and progressive massive fibrosis&#41; and accelerated silicosis&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The diagnosis requires a detailed occupational history&#44; radiological data and the ruling out of other diagnoses&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a> In exceptional cases&#44; the diagnosis is performed with a histological study&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Silicosis is recognized as an occupational disease in Spain<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">3</span></a> and in Europe&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">4</span></a> The risk of developing the disease depends on 3 factors&#58; the concentration of dust in the air&#44; the percentage of silica in the dust and the duration of exposure&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The incidence of silicosis has gradually decreased thanks to improvements in ventilation and dust suppression systems in the workplace<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a> but is still a public health problem worldwide and one of the most common occupational respiratory diseases of Spain&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">5</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In 2009&#44; the Community of Valencia implemented a pioneering computer tool&#44; the Healthcare Information System for Occupational Epidemiological Surveillance of the Community of Valencia &#40;SISVEL&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">6</span></a> This system helps physicians of the Regional Ministry of Universal Healthcare and Public Health and physicians of the Occupational Risk Prevention Services &#40;ORPS&#41; comply with the requirement to report to mutual insurance societies&#44; collaborating companies of the Spanish Social Security and the National Social Security Institute those diseases they suspect might be considered occupational diseases&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Objective</span><p id="par0030" class="elsevierStylePara elsevierViewall">The aim of this study was to assess cases of pneumoconiosis due to silica&#44; reported to SISVEL&#44; to reveal new agents of exposure to silica&#44; working conditions that promote its onset and to propose appropriate preventive measures&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Methods</span><p id="par0035" class="elsevierStylePara elsevierViewall">A descriptive study was conducted of all cases of pneumoconiosis due to silica reported to SISVEL in the departments of health of University General Hospital of Alicante and University Hospital of San Juan&#44; from the implementation of SISVEL in January 2009 to September 2016&#46; The departments&#8217; total population is 485&#44;917 inhabitants &#40;Spanish National Statistics Institute&#44; January 1&#44; 2016&#41;&#46; The study variables were origin of the notification&#44; age&#44; sex&#44; history of smoking&#44; spirometric values&#44; diagnostic method&#44; presentation&#44; job&#44; exposure time and preventive measures employed&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The data sources were occupational epidemiological surveys&#44; hospital and ORPS medical reports&#44; occupational risk assessments for some of the jobs and safety data sheets of the products employed&#46; The quantitative variables &#40;mean and standard deviation&#41; were compared using Student&#39;s t-test&#44; using the statistical program EPIDAT version 4&#46;2&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Results</span><p id="par0045" class="elsevierStylePara elsevierViewall">During the study period&#44; a total of 19 cases of silicosis were reported to SISVEL&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Seventy-nine percent of the cases &#40;15&#47;19&#41; were declared by the public healthcare system&#44; and only 21&#37; &#40;4&#47;19&#41; were declared by ORPS&#46; Fourteen cases &#40;74&#37;&#41; were diagnosed&#44; reported and monitored in the University General Hospital of Alicante&#46; The mean age was 51&#46;58<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#46;74 years&#46; Ninety-five percent of the cases involved men&#46; The mean exposure time was 16&#46;11<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#46;38 years&#46; Of those patients for whom a history of smoking was known &#40;16&#41;&#44; 75&#37; were ex-smokers or active smokers&#44; with a cumulative consumption of 29&#46;58<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#46;04 packs&#47;year&#46; Spirometric data was obtained in only 14 patients&#46; Of these&#44; 50&#37; had a normal spirometry&#44; 1 patient had mild restrictive ventilatory dysfunction&#44; and 6 had obstructive ventilatory dysfunction &#40;1 very severe&#44; 4 moderate and 1 mild&#41;&#46; The patients with obstruction had a history of smoking more than 30 packs&#47;year on average&#46; The most common presentation was simple chronic silicosis &#40;79&#37;&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Four cases &#40;21&#37;&#41; presented progressive massive fibrosis &#40;3 workers with AQA exposure &#91;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#93; and 1 miner&#41;&#46; Thoracic HRCT was performed in 14 cases &#40;74&#37;&#41;&#44; showing a micronodular pattern with hilar and mediastinal adenopathies&#46; Four patients &#40;21&#37;&#41; underwent surgical video-assisted thoracoscopic biopsy for the differential diagnosis&#46; The diagnoses were consistent with silicosis-type pneumoconiosis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">In terms of the patients&#8217; jobs&#44; 68&#46;4&#37; were employed for the handling of AQA&#44; with a high content of crystalline silica &#40;70&#8211;90&#37;&#41;&#44; in the position of assembler&#47;cutter&#47;sander of kitchen and bath countertops&#46; One of the cases occurred in a woman who worked as a laboratory dental assistant tasked with burring and polishing dental prostheses&#46; The other patients had jobs traditionally related to silica exposure&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">The mean age of the group exposed to AQA was 46&#46;62<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#46;33 years&#44; and the patients who worked in other jobs had a mean age of 62&#46;33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>16&#46;22 years&#44; with a statistically significant difference between the 2 groups &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;039&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">In terms of the exposure duration&#44; the group exposed to AQA had a mean exposure of 11&#46;00<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#46;58 years&#44; while the rest had an exposure of 27&#46;16 years<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#46;44 years&#44; which also achieved statistical significance &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;0064&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">The workers exposed to AQA only occasionally used individual protection equipment&#44; the ventilation was inadequate&#44; and the collective protection measures &#40;dust aspiration or work in humid environments&#41; were not practicable most of the time&#44; because the assembly of kitchens and baths is conducted in homes and building sites and not in the workshop&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">After following the progression of these patients for 5 years&#44; there were no cases of neoplastic disease or tuberculosis&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Discussion</span><p id="par0080" class="elsevierStylePara elsevierViewall">During the study period&#44; we detected 19 cases of silicosis&#44; 13 of them from exposure to AQA&#46; The use of these new construction materials has resulted in new cases of silicosis in activities that&#44; until recently&#44; did not cause the disease&#46; Various recent publications have reported clusters of silicosis cases from exposure to these materials&#58; 46 cases in Cadiz&#44;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">7</span></a> 3 cases in Asturias&#44;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">8</span></a> 6 cases in Vizcaya<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">9</span></a> and 25 cases of advanced silicosis in Israel&#44; of which 10 cases required transplantation&#44; revealing the severity of the disease&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">10</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">It is worth noting the case of silicosis in another job position&#58; The only woman in the study&#44; who worked as a dental prosthesis laboratory assistant for 27 years&#46; Our patient was mainly exposed to feldspathic ceramic with a high quartz content in crystalline form&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">11</span></a> Various studies have related silicosis with this job position&#46;<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">12&#8211;14</span></a> Erg&#252;n et al&#46; found a 10&#37; rate of pneumoconiosis in the review of 893 dental technicians&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Since the end of the 1990s&#44; alternative materials to natural stone have been introduced to the market&#44; materials known as AQA&#44; with a high percentage of breathable silica&#46; In our study&#44; the patients exposed to AQA had a lower mean age and a shorter exposure time than the other workers with silicosis&#46; These data agree with those found by Kramer et al&#46;&#44; Martinez et al&#46; and Perez-Alonso&#46;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">7&#44;8&#44;10</span></a> These results show a new epidemiological pattern of silicosis&#44; which presents in younger active workers&#44; with shorter exposure times and greater risk of developing complicated forms&#46; Deficiencies were detected in occupational risk prevention at various levels&#46; We found that a number of AQA safety datasheets from 2009 incorrectly identified the dangers of using the product in all of its potential scenarios &#40;especially in cutting and shaping the product&#41;&#44; which were corrected in subsequent safety data sheets&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">15</span></a> The ORPS of some of these companies did not consider the risk of pneumoconiosis for these job positions in the Occupational Risk Assessment&#59; they therefore did not perform measurements&#44; establish appropriate protection measures or give their workers information or training on this risk and on how to prevent it&#46; The ORPS also did not apply the Health Surveillance Protocol for Silicosis&#44; which includes chest radiography&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">All these factors explain how a preventable disease&#44; with known causes&#44; has become a reemerging occupational disease&#46; However&#44; as shown in a number of studies&#44;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">16</span></a> it is possible to achieve a situation of well-controlled risk against silicosis by implementing basic measures such as wet cleaning of facilities&#44; training in the use of respiratory protective equipment&#44; the use of pneumatic tools for working with water and adapting the workplace&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conclusions</span><p id="par0100" class="elsevierStylePara elsevierViewall">The workplace for assembling&#47;cutting&#47;sanding kitchen and bath countertops has a high risk for developing the disease due to exposure to these new agents&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Our series revealed another unusual workplace with a risk for silicosis&#44; that of the dental laboratory assistant&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Comprehensive occupational risk assessments need to be performed to identify all workplaces where silica is present and improve the preventive planning of companies with exposure to this mineral&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Greater awareness is needed of the occupational risks of these workplaces and in risk prevention among companies in the sector&#44; ORPS and insurance companies&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conflicts of interest</span><p id="par0120" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:13 [
        0 => array:3 [
          "identificador" => "xres1142540"
          "titulo" => "Abstract"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0005"
              "titulo" => "Background"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "Material and method"
            ]
            2 => array:2 [
              "identificador" => "abst0015"
              "titulo" => "Results"
            ]
            3 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Conclusions"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec1073205"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres1142541"
          "titulo" => "Resumen"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0025"
              "titulo" => "Introducci&#243;n"
            ]
            1 => array:2 [
              "identificador" => "abst0030"
              "titulo" => "Material y m&#233;todo"
            ]
            2 => array:2 [
              "identificador" => "abst0035"
              "titulo" => "Resultados"
            ]
            3 => array:2 [
              "identificador" => "abst0040"
              "titulo" => "Conclusiones"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec1073206"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Background"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Objective"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Methods"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Results"
        ]
        8 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Discussion"
        ]
        9 => array:2 [
          "identificador" => "sec0030"
          "titulo" => "Conclusions"
        ]
        10 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Conflicts of interest"
        ]
        11 => array:2 [
          "identificador" => "xack389299"
          "titulo" => "Acknowledgements"
        ]
        12 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-03-31"
    "fechaAceptado" => "2018-06-10"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1073205"
          "palabras" => array:6 [
            0 => "Silicosis"
            1 => "Silica"
            2 => "Pneumoconiosis"
            3 => "Quartz aggregates"
            4 => "Occupational diseases"
            5 => "Marble workers"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec1073206"
          "palabras" => array:6 [
            0 => "Silicosis"
            1 => "S&#237;lice"
            2 => "Neumoconiosis"
            3 => "Conglomerados de cuarzo"
            4 => "Enfermedades profesionales"
            5 => "Trabajadores del m&#225;rmol"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Recent studies have shown an increase in the prevalence of silicosis due to the use of artificial quartz aggregates &#40;AQA&#41;&#46; The aim of this study was to assess the cases of silicosis in our area reported to the Healthcare Information System for Occupational Epidemiological Surveillance of the Autonomous Community of Valencia to detect new agents of exposure to silica and working conditions that promote its onset&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A descriptive study was conducted of cases of silicosis reported to the Healthcare Information System for Occupational Epidemiological Surveillance of the Autonomous Community of Valencia from January 2009 to September 2016&#46; The data sources include epidemiological-occupational surveys and medical reports&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Nineteen cases of silicosis were reported&#44; 74&#37; of which were diagnosed using high-resolution computed tomography&#46; Some 68&#46;4&#37; of the cases were related to the handling of AQA&#44; as assemblers&#47;cutters&#47;sanders of countertops&#46; The subgroup&#39;s mean age was 46&#46;62<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#46;33 years&#44; and the mean exposure was 11&#46;00<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#46;58 years&#46; The rest of the patients worked in companies with no AQA exposure&#44; with a mean age of 62&#46;33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>16&#46;22 years and a mean exposure of 27&#46;16<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#46;44 years &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; Four cases presented complicated forms &#40;3 exposed to AQA&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The work of assembling&#47;cutting&#47;sanding AQA countertops presents a high risk of developing the disease&#46; The mean age at onset and the exposure time for this group is lower&#44; and the percentage of complicated clinical forms is higher&#46; Improvements need to be made in preventive planning for companies with exposure to these new agents&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Background"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Material and method"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusions"
          ]
        ]
      ]
      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Recientes estudios evidencian un aumento de la prevalencia de la silicosis por el uso de conglomerados artificiales de cuarzo &#40;CAC&#41;&#46; El objetivo de este trabajo es la valoraci&#243;n de los casos de silicosis declarados al Sistema de Informaci&#243;n Sanitaria de Vigilancia Epidemiol&#243;gica Laboral de la Comunidad Valenciana en nuestra &#225;rea&#44; para detectar&#58; nuevos agentes de exposici&#243;n al s&#237;lice y condiciones de trabajo que favorecen su aparici&#243;n&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material y m&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo de casos de silicosis declarados al Sistema de Informaci&#243;n Sanitaria de Vigilancia Epidemiol&#243;gica Laboral de la Comunidad Valenciana desde enero de 2009 hasta septiembre de 2016&#46; Las fuentes de datos incluyen encuestas epidemiol&#243;gico-laborales e informes m&#233;dicos&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se declaran 19 casos de silicosis&#46; El 74&#37; fue diagnosticado mediante tomograf&#237;a computarizada de alta resoluci&#243;n&#46; El 68&#44;4&#37; estaba relacionado con manipulaci&#243;n de CAC&#44; en puestos de montador&#47;cortador&#47;lijador de encimeras&#46; La edad media de este subgrupo fue de 46&#44;62<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#44;33 a&#241;os y la media de exposici&#243;n&#44; de 11&#44;00<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#44;58 a&#241;os&#46; El resto trabaj&#243; en empresas sin exposici&#243;n a CAC&#44; con una edad media de 62&#44;33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>16&#44;22 a&#241;os y un tiempo de exposici&#243;n de 27&#44;16<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#44;44 a&#241;os &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46; Presentaron formas complicadas 4 casos &#40;3 expuestos a CAC&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El trabajo de montador&#47;cortador&#47;lijador de encimeras de CAC presenta un alto riesgo de desarrollar la enfermedad&#46; La edad media de presentaci&#243;n y el tiempo de exposici&#243;n en este grupo es menor y el porcentaje de formas cl&#237;nicas complicadas&#44; mayor&#46; Es necesario establecer mejoras en la planificaci&#243;n preventiva de empresas con exposici&#243;n a estos nuevos agentes&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Introducci&#243;n"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Material y m&#233;todo"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusiones"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Pascual del Pobil y Ferr&#233; MA&#44; Garc&#237;a Sevila R&#44; Garc&#237;a Rodenas MdM&#44; Barroso Medel E&#44; Flores Reos E&#44; Gil Carbonell J&#46; Silicosis&#58; una antigua enfermedad profesional con nuevos escenarios de exposici&#243;n laboral&#46; Rev Clin Esp&#46; 2019&#59;219&#58;26&#8211;29&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 781
            "Ancho" => 1593
            "Tamanyo" => 53666
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Comparison of the mean age&#44; at the time of the declaration&#44; of the workers with silicosis&#44; exposed&#160;or not exposed to artificial quartz aggregates &#40;AQA&#41;&#46; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;039&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 834
            "Ancho" => 1570
            "Tamanyo" => 56513
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Comparison of the mean exposure time&#44; at the time of the declaration&#44; of the workers with silicosis&#44; exposed and not exposed to artificial quartz aggregates &#40;AQA&#41;&#46; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0064&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:16 [
            0 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Stellman JM&#44; directora&#46; Enciclopedia de salud y seguridad en el trabajo&#46; Madrid&#58; Ministerio de Trabajo y Asuntos Sociales&#44; Subdirecci&#243;n General de Publicaciones&#59; 1998&#46;"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Rose C&#46; Silicosis&#46; UpToDate&#59; 2017&#46; Available from&#58; <a id="intr0010" class="elsevierStyleInterRef" href="http://www.uptodate.com/">www&#46;uptodate&#46;com</a> &#91;accessed Jun 2017&#93;&#46;"
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Real Decreto 1299&#47;2006&#44; de 10 de noviembre&#44; por el que se aprueba el cuadro de enfermedades profesionales en el sistema de la Seguridad Social y se establecen criterios para su notificaci&#243;n y registro&#46; BOE n&#250;m&#46; 302&#44; de 19 de diciembre de 2006&#46; p&#46; 44487&#8211;546&#46;"
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Recomendaci&#243;n 2003&#47;670&#47;CE de la Comisi&#243;n&#44; de 19 de septiembre de 2003&#44; relativa a la lista europea de enfermedades profesionales&#46; 2003&#46; Diario Oficial n&#250;m&#46; L238&#44; 25&#46;09&#46;2003&#46; p&#46; 28&#8211;34&#46;"
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Normativa para el diagn&#243;stico y seguimiento de la silicosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Fern&#225;ndez &#193;lvarez"
                            1 => "C&#46; Mart&#237;nez Gonz&#225;lez"
                            2 => "A&#46; Quero Mart&#237;nez"
                            3 => "J&#46;J&#46; Blanco P&#233;rez"
                            4 => "L&#46; Carazo Fern&#225;ndez"
                            5 => "A&#46; Prieto Fern&#225;ndez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.arbres.2014.07.010"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2015"
                        "volumen" => "51"
                        "paginaInicial" => "86"
                        "paginaFinal" => "93"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25479706"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "ORDEN 6&#47;2012&#44; de 19 de abril&#44; de la Conselleria de Sanidad&#44; por la que se establece el procedimiento de comunicaci&#243;n de sospechas de enfermedades profesionales en la Comunitat Valenciana&#44; a trav&#233;s del Sistema de Informaci&#243;n Sanitaria y Vigilancia Epidemiol&#243;gica Laboral&#46; DOGV n&#250;m&#46; 6766&#44; de 03&#46;05&#46;2012&#46;"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outbreak of silicosis in Spanish quartz conglomerate workers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; P&#233;rez-Alonso"
                            1 => "J&#46;A&#46; C&#243;rdoba-Do&#241;a"
                            2 => "J&#46;L&#46; Millares-Lorenzo"
                            3 => "E&#46; Figueroa-Murillo"
                            4 => "C&#46; Garc&#237;a-Vadillo"
                            5 => "J&#46; Romero-Morillos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Int J Occup Environ Health"
                        "fecha" => "2014"
                        "volumen" => "20"
                        "paginaInicial" => "26"
                        "paginaFinal" => "32"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Silicosis&#44; una enfermedad con presente activo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Mart&#237;nez"
                            1 => "A&#46; Prieto"
                            2 => "L&#46; Garc&#237;a"
                            3 => "A&#46; Quero"
                            4 => "S&#46; Gonz&#225;lez"
                            5 => "P&#46; Casan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2010"
                        "volumen" => "46"
                        "paginaInicial" => "97"
                        "paginaFinal" => "100"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalencia de silicosis en una marmoler&#237;a tras la exposici&#243;n a conglomerados de cuarzo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46; Pascual"
                            1 => "I&#46; Urrutia"
                            2 => "A&#46; Ballaz"
                            3 => "I&#46; Arrizubieta"
                            4 => "L&#46; Altube"
                            5 => "C&#46; Salinas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.arbres.2010.09.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2011"
                        "volumen" => "47"
                        "paginaInicial" => "50"
                        "paginaFinal" => "51"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21190766"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Artificial stone silicosis&#58; disease resurgence among artificial stone workers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;R&#46; Kramer"
                            1 => "P&#46;D&#46; Blanc"
                            2 => "E&#46; Fireman"
                            3 => "A&#46; Amital"
                            4 => "A&#46; Guber"
                            5 => "N&#46;A&#46; Rhahman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.11-1321"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2012"
                        "volumen" => "142"
                        "paginaInicial" => "419"
                        "paginaFinal" => "424"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22383661"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cer&#225;micas sin metal&#58; composici&#243;n&#44; propiedades&#44; aplicaci&#243;n&#44; valoraci&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Janda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Quintessence T&#233;cnica"
                        "fecha" => "2007"
                        "volumen" => "18"
                        "paginaInicial" => "490"
                        "paginaFinal" => "504"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumoconiosis and respiratory problems in dental laboratory technicians&#58; analysis of 893 dental technicians"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46; Erg&#252;n"
                            1 => "R&#46; Erg&#252;n"
                            2 => "C&#46; &#214;zdemir"
                            3 => "T&#46; &#214;zi&#351;"
                            4 => "H&#46; Yilmaz"
                            5 => "&#304;&#46; Akkurt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2478/s13382-014-0301-9"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Occup Med Environ Health"
                        "fecha" => "2014"
                        "volumen" => "27"
                        "paginaInicial" => "785"
                        "paginaFinal" => "796"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25216818"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Silicosis in dental supply factory workers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;E&#46; De la Hoz"
                            1 => "K&#46; Rosenman"
                            2 => "A&#46; Borczuk"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Respir Med"
                        "fecha" => "2004"
                        "volumen" => "98"
                        "paginaInicial" => "791"
                        "paginaFinal" => "794"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15303646"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The evaluation of the dust-related occupational respiratory disorders of dental laboratory technicians working in Denizli Province"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46; Yurdasal"
                            1 => "N&#46; Bozkurt"
                            2 => "A&#46;&#304;&#46; Bozkurt"
                            3 => "&#214;&#46; Yilmaz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4103/1817-1737.167073"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Med"
                        "fecha" => "2015"
                        "volumen" => "10"
                        "paginaInicial" => "249"
                        "paginaFinal" => "255"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26664562"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ficha de Datos de Seguridad de Silestone&#44; version 10&#46;<span class="elsevierStyleSup">a</span>&#44; enero 2015&#46; Available from&#58; <a id="intr0015" class="elsevierStyleInterRef" href="http://www.cosentino.com/">www&#46;cosentino&#46;com</a>&#46;"
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Madera J&#44; Carballo M&#44; Freijo J&#44; Men&#233;ndez P&#44; Fern&#225;ndez EM&#44; Fern&#225;ndez P&#46; Plan de control de silicosis en las marmoler&#237;as&#58; Buenas pr&#225;cticas desarrolladas en la Asociaci&#243;n de Marmolistas de Asturias&#46; Litos&#59; 2013&#46; Available from&#58; <a id="intr0020" class="elsevierStyleInterRef" href="http://www.litosonline.com/">www&#46;litosonline&#46;com</a>&#46;"
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack389299"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0125" class="elsevierStylePara elsevierViewall">We would like to thank SEPAR for granting the SEPAR-PATIENTS First Prize in the EROM area to the best presentation at the Annual Congress in 2017&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22548874/0000021900000001/v1_201901300620/S2254887418301814/v1_201901300620/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "1903"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Brief Original"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021900000001/v1_201901300620/S2254887418301814/v1_201901300620/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301814?idApp=WRCEE"
]
Share
Journal Information
Share
Share
Download PDF
More article options
Brief Original
Silicosis: A former occupational disease with new occupational exposure scenarios
Silicosis: una antigua enfermedad profesional con nuevos escenarios de exposición laboral
M.A. Pascual del Pobil y Ferréa, R. García Sevilab, M.d.M. García Rodenasb,
Corresponding author
margarciarodenas@gmail.com

Corresponding author.
, E. Barroso Medelb, E. Flores Reosa, Juan Gil Carbonellb
a Unidad de Salud Laboral, Centro de Salud Pública de Alicante, Conselleria de Sanidad Universal y Salud Pública, Alicante, Spain
b Servicio de Neumología, Hospital General Universitario de Alicante, Alicante, Spain

Purchase article

For the purchase of this article it is necessary to fill in the following form:

Afganistan
Albania
Alemania
Andorra
Angola
Anguilla
Antartica
Antigua and barbuda
Antillas holandesas
Arabia saudita
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgica
Belice
Benin
Bermudas/antillas britanicas
Bhutan
Bolivia
Bosnia y herzegowina
Botswana
Brasil
Brunei darussalam
Bulgaria
Burkina faso
Burundi
Cabo verde
Camboya
Camerun
Canada
Chad
Chile
China
Chipre
Colombia
Comoros
Corea
Costa rica
Cote d´ivoire
Croacia
Cuba
Dinamarca
Djibouti
Dominica
East timor
Ecuador
Egipto
El salvador
Emiratos arabes unidos
Eritrea
Escocia
Eslovaquia
Eslovenia
España
Estados federados de micronesia
Estados unidos
Estonia
Etiopia
Fiji
Filipinas
Finlandia
Francia
Gabon
Gambia
Georgia
Ghana
Gibraltar
Grecia
Grenada
Groenlandia
Guadalupe
Guam
Guatemala
Guayana britanica
Guinea
Guinea ecuatorial
Guinea francesa
Guinea-bissau
Haiti
Holanda
Honduras
Hong kong
Hungria
India
Indonesia
Irak
Iran
Irlanda
Isla bouvet
Isla cocos (keeling)
Isla cook
Isla mauricio
Isla navidad
Isla norfolk
Islandia
Islas caiman
Islas falkland (malvinas)
Islas faroe
Islas georgia del sur y sandwich
Islas heard and mc donald
Islas marshall
Islas northern mariana
Islas salomon
Islas svalbard and jan mayen
Islas turks and caicos
Islas united states minor outlyi
Islas virgenes (britanicas)
Islas virgenes (u.s.a.)
Islas wallis and futuna
Israel
Italia
Jamaica
Japon
Jordania
Kazakhstan
Kenia
Kiribati
Kuwait
Kyrgyzstan
Lesoto
Letonia
Libano
Liberia
Libia arab jamahiriya
Liechtenstein
Lituania
Luxemburgo
Macao
Macedonia
Madagascar
Malasia
Malawi
Maldives
Mali
Malta
Marruecos
Martinica
Mauritania
Mayotte
Mexico
Monaco
Mongolia
Monserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Noruega
Nueva caledonia
Nueva zelanda
Oman
Pakistan
Palau
Panama
Papua new guinea
Paraguay
Peru
Pitcairn
Polinesia francesa
Polonia
Portugal
Posesiones gran bretaña
Posesiones u.s.a.
Puerto rico
Qatar
Reino unido
Republica checa
Republica de africa central
Republica de cabo verde
Republica de congo
Republica de corea
Republica de moldova
Republica democratica de laos
Republica democratica del congo
Republica dominicana
Reunion
Ruanda
Rumania
Rusia
Sahara occidental
Saint kitts and nevis
Samoa
Samoa americana
San marino
San tomas y principe
San vincent and the grenadines
Santa lucia
Senegal
Serbia
Seychelles
Sierra leona
Singapur
Siria
Somalia
Sri lanka
St. helena
St. pierre and miquelon
Sudafrica
Sudan
Suecia
Suiza
Surinam
Swaziland
Tailandia
Taiwan republica de china
Tajikistan
Tanzania
Territorio de indias britanicas
Togo
Tokelau
Tonga
Trinidad and tobago
Tunisia
Turkmenistan
Turquia
Tuvalu
Ucrania
Uganda
Uruguay
Uzbekistan
Vanuatu
Vaticano
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbawe
Lebanon
Paises bajos
A coruña
Alava
Albacete
Alicante
Almeria
Asturias
Avila
Badajoz
Balears
Barcelona
Bizkaia
Burgos
Caceres
Cadiz
Cantabria
Castellon
Ceuta
Ciudad real
Cordoba
Cuenca
Girona
Granada
Guadalajara
Guipuzcoa
Huelva
Huesca
Jaen
La rioja
Las palmas
Leon
Lleida
Lugo
Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
-- Not applicable --
I accept to receive information about Elsevier's special products and promotions by email
I accept to receive information about products and special promotions from Elsevier partners by email
I have read and understand the Privacy Policy and Terms and conditions and agree to be bound by all of its terms.
* Required fields
In addition to temporary access to the article, it will be sent by email.
Customer Support
Phone
Calls from Spain
932 415 960
Calls from abroad
+34 932 415 960
Hours from 9 a.m. to 6 p.m. except the months of July and August, which will be from 9 am to 3 pm.
Idiomas
Revista Clínica Española (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?