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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Portugal has had a high rate of forest fires in recent years&#46; Inhaled wood smoke can have short- and long-term effects on the lung function of people exposed to it&#46;</p> <span class="elsevierStyleSectionTitle">Study objectives</span><p id="spar0330" class="elsevierStyleSimplePara elsevierViewall">To assess the lung function of active wildland &#40;forest&#41; firefighters&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional study&#46; A self-questionnaire on personal and work habits was used and spirometry values were obtained using Piko-6<span class="elsevierStyleSup">&#174;</span> for a 209 people sample&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We found a high rate of smoking &#40;42&#46;9&#37;&#41; and an 11&#46;8&#37; prevalence of obstruction&#46; 41&#46;7&#37; of the obstructed individuals were non-smokers&#44; did not state a knowledge of any respiratory disease&#44; engaged in no other activity that could be related to lung function decrease and did not wear airway protection apparatus&#46; 85&#46;7&#37; did not use any airway protection apparatus when firefighting due to lack of such equipment in their brigades&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Data showed that there is a high prevalence of smoking habits in this sample of Portuguese firefighters&#59; there is an unsatisfactory usage of airway protection apparatus and the prevalence of airway obstruction is higher than the COPD prevalence in the Portuguese population&#46; We recommend stopping smoking and use of equipment for respiratory protection&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nos &#250;ltimos anos&#44; Portugal tem sido afectado por muitos inc&#234;ndios florestais&#46; O fumo produzido pela combust&#227;o de material org&#226;nico &#233; respons&#225;vel por efeitos a curto e longo prazo na fun&#231;&#227;o respirat&#243;ria de indiv&#237;duos expostos&#46;</p> <span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Caracterizar a fun&#231;&#227;o respirat&#243;ria de bombeiros volunt&#225;rios portugueses no activo expostos a fumo de inc&#234;ndio florestal&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudo descritivo transversal&#46; Aplicou-se um question&#225;rio individual sobre h&#225;bitos pessoais e ocupacionais e mediram-se par&#226;metros espirom&#233;tricos&#44; atrav&#233;s do Piko-6<span class="elsevierStyleSup">&#174;</span>&#44; a uma amostra de conveni&#234;ncia de 209 bombeiros volunt&#225;rios&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Constatou-se uma elevada taxa de h&#225;bitos tab&#225;gicos &#40;42&#44;9&#37;&#41;&#46; Encontrou-se uma preval&#234;ncia de padr&#227;o obstrutivo de 11&#44;8&#37;&#46; Dos indiv&#237;duos obstru&#237;dos&#44; 41&#44;7&#37; n&#227;o fumavam&#44; n&#227;o tinham conhecimento de doen&#231;a respirat&#243;ria nem outra actividade ocupacional que condicionasse risco de altera&#231;&#245;es respirat&#243;rias e nega-vam o uso de meios de protec&#231;&#227;o das vias a&#233;reas&#46; Durante o combate a inc&#234;ndios&#44; 85&#44;7&#37; n&#227;o usava meios de protec&#231;&#227;o das vias respirat&#243;rias&#44; tendo-se observado car&#234;ncia deste tipo de material nas diferentes corpora&#231;&#245;es&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Os resultados obtidos permitiram constatar elevada preval&#234;ncia de h&#225;bitos tab&#225;gicos nesta amostra de bombeiros portugueses&#44; baixo grau de utiliza&#231;&#227;o de meios de protec&#231;&#227;o das vias respirat&#243;rias e uma preval&#234;ncia de obstru&#231;&#227;o br&#244;nquica superior &#224; m&#233;dia nacional de doen&#231;a pulmonar obstrutiva cr&#243;nica &#40;DPOC&#41;&#46; Recomendam-se medidas de cessa&#231;&#227;o tab&#225;gica e de uso de material protector das vias respirat&#243;rias&#46;</p>"
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Vol. 13. Issue 3.
Pages 349-364 (May - June 2007)
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Vol. 13. Issue 3.
Pages 349-364 (May - June 2007)
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Pulmonary function in portuguese firefighters
Função respiratória em bombeiros portugueses
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A G Almeida1, R Duarte1, L Mieiro1, A C Paiva1, A M Rodrigues1, M H Almeida2, C Bárbara3
1 Estudante do 6.° ano da licenciatura em Medicina da Faculdade de Ciências Médicas (FCM) da Universidade Nova de Lisboa (UNL). / 6th year student, Medicine, Medical Sciences School, Universidade Nova de Lisboa (UNL)
2 Assistente do Departamento Universitário de Saúde Pública da FCM-UNL. / Consultant, University Public Health Unit, Medical Sciences School, UNL
3 Professora Auxiliar Convidada da Clínica Universitária de Pneumologia da FCM-UNL, Coordenadora da Unidade de Fisiopatologia Respiratória do Hospital Pulido Valente. / Guest Assistant Professor, University Pulmonology Unit, Medical Sciences School, UNL, Coordinator, Respiratory Physiopathology Unit, Hospital Pulido Valente
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Abstract
Introduction

Portugal has had a high rate of forest fires in recent years. Inhaled wood smoke can have short- and long-term effects on the lung function of people exposed to it.

Study objectives

To assess the lung function of active wildland (forest) firefighters.

Methods

Cross-sectional study. A self-questionnaire on personal and work habits was used and spirometry values were obtained using Piko-6® for a 209 people sample.

Results

We found a high rate of smoking (42.9%) and an 11.8% prevalence of obstruction. 41.7% of the obstructed individuals were non-smokers, did not state a knowledge of any respiratory disease, engaged in no other activity that could be related to lung function decrease and did not wear airway protection apparatus. 85.7% did not use any airway protection apparatus when firefighting due to lack of such equipment in their brigades.

Conclusions

Data showed that there is a high prevalence of smoking habits in this sample of Portuguese firefighters; there is an unsatisfactory usage of airway protection apparatus and the prevalence of airway obstruction is higher than the COPD prevalence in the Portuguese population. We recommend stopping smoking and use of equipment for respiratory protection.

Key-words:
Lung function
firefighters
forest fire
spirometry
obstructive pattern
Resumo
Introdução

Nos últimos anos, Portugal tem sido afectado por muitos incêndios florestais. O fumo produzido pela combustão de material orgânico é responsável por efeitos a curto e longo prazo na função respiratória de indivíduos expostos.

Objectivo

Caracterizar a função respiratória de bombeiros voluntários portugueses no activo expostos a fumo de incêndio florestal.

Métodos

Estudo descritivo transversal. Aplicou-se um questionário individual sobre hábitos pessoais e ocupacionais e mediram-se parâmetros espirométricos, através do Piko-6®, a uma amostra de conveniência de 209 bombeiros voluntários.

Resultados

Constatou-se uma elevada taxa de hábitos tabágicos (42,9%). Encontrou-se uma prevalência de padrão obstrutivo de 11,8%. Dos indivíduos obstruídos, 41,7% não fumavam, não tinham conhecimento de doença respiratória nem outra actividade ocupacional que condicionasse risco de alterações respiratórias e nega-vam o uso de meios de protecção das vias aéreas. Durante o combate a incêndios, 85,7% não usava meios de protecção das vias respiratórias, tendo-se observado carência deste tipo de material nas diferentes corporações.

Conclusão

Os resultados obtidos permitiram constatar elevada prevalência de hábitos tabágicos nesta amostra de bombeiros portugueses, baixo grau de utilização de meios de protecção das vias respiratórias e uma prevalência de obstrução brônquica superior à média nacional de doença pulmonar obstrutiva crónica (DPOC). Recomendam-se medidas de cessação tabágica e de uso de material protector das vias respiratórias.

Palavras-chave:
Função respiratória
bombeiros
fumo florestal
espirometria
padrão obstrutivo
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Estudo realizado no âmbito da disciplina de Saúde Pública do 6.° ano da licenciatura em Medicina da Faculdade de Ciências Médicas da Universidade Nova de Lisboa. / Study undertaken for the Public Health module, part of the 6th year of the BSc in Medicine, Medical Sciences School, Universidade Nova de Lisboa.

Copyright © 2007. Sociedade Portuguesa de Pneumologia
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