Prevalence of respiratory symptoms and spirometric changes among non-smoker male wood workers
To assess the effects of workplace exposure to hardwood dust on lung function and determine a prevalence of respiratory symptoms among wood workers. Cross-sectional observational study. Tertiary referral center. Two hundred seventy-six, non-smoker male wood workers and equal number of non-smoker mal...
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description | To assess the effects of workplace exposure to hardwood dust on lung function and determine a prevalence of respiratory symptoms among wood workers.
Cross-sectional observational study.
Tertiary referral center.
Two hundred seventy-six, non-smoker male wood workers and equal number of non-smoker male office workers, referred to pulmonology clinic included in this study. Evaluation of study participants included completion of a questionnaire regarding respiratory symptoms and baseline spirometry was measured according to the actual recommendations.
Respiratory symptoms including cough, phlegm, chest tightness, and wheezing were significantly higher in wood workers than office workers (40.2% versus 29.3% for cough, p = 0.0073; 40.6% versus 23.6% for phlegm, p |
doi_str_mv | 10.1371/journal.pone.0224860 |
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Cross-sectional observational study.
Tertiary referral center.
Two hundred seventy-six, non-smoker male wood workers and equal number of non-smoker male office workers, referred to pulmonology clinic included in this study. Evaluation of study participants included completion of a questionnaire regarding respiratory symptoms and baseline spirometry was measured according to the actual recommendations.
Respiratory symptoms including cough, phlegm, chest tightness, and wheezing were significantly higher in wood workers than office workers (40.2% versus 29.3% for cough, p = 0.0073; 40.6% versus 23.6% for phlegm, p<0.0001; 38.0% versus 23.1% for chest tightness, p = 0.0001; 25.3% versus 14.5% for wheezing, p = 0.0014). No statistically significant differences were observed for Dyspnea, and upper respiratory tract symptoms among wood workers compared to office workers. While wood workers were more likely to require spirometry test than office workers (21.4% versus 5.4%, p<0.001) the obstructive changes were more prevalent on spirometry test in wood workers (71.4% obstructive pattern versus 28.6% restrictive pattern). Spirometry test revealed the mean values of FEV1 and FEV1/FVC ratio were significantly lower in the wood workers, compared to their mean values in the control group.
Respiratory symptoms associated with work, are more prevalent among wood workers than office workers. Our data revealed that workplace exposure to hardwood dust may compromise respiratory function, indicating the importance and the need for optimizing preventive measures in workplace to protect the respiratory health among exposed workers. Obstructive changes on pulmonary function test is a dominant pathologic pattern in pulmonary function test among wood workers. Further investigation is required by current available tools such as nasal cytology to detect influence of wood dust exposure on the upper respiratory airway.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0224860</identifier><identifier>PMID: 32187180</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Biology and Life Sciences ; Chemicals ; Chest ; Cough ; Cross-Sectional Studies ; Cytology ; Disease prevention ; Dust ; Dyspnea ; Exposure ; Hardwoods ; Humans ; Illnesses ; Lung diseases ; Male ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Non-Smokers ; Observational studies ; Occupational exposure ; Occupational Exposure - adverse effects ; Occupational health ; Office workers ; Otolaryngology ; Physical Sciences ; Prevalence ; Pulmonary function tests ; Pulmonary functions ; Questionnaires ; Research and Analysis Methods ; Respiration ; Respiration Disorders - epidemiology ; Respiration Disorders - etiology ; Respiration Disorders - physiopathology ; Respiratory diseases ; Respiratory function ; Respiratory symptoms ; Respiratory system ; Respiratory tract ; Smokers ; Smoking ; Social Sciences ; Spirometry ; Statistical analysis ; Studies ; Surveys and Questionnaires ; Tightness ; Wheezing ; Workers</subject><ispartof>PloS one, 2020-03, Vol.15 (3), p.e0224860</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 K. Hosseini et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 K. Hosseini et al 2020 K. Hosseini et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-5a6d6b9b01053d39c1b7f26f24e573056071bcaa486ff90878bbe0c7a67ab143</citedby><cites>FETCH-LOGICAL-c692t-5a6d6b9b01053d39c1b7f26f24e573056071bcaa486ff90878bbe0c7a67ab143</cites><orcidid>0000-0002-0393-8016</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080227/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080227/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32187180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Larcombe, Alexander</contributor><creatorcontrib>K Hosseini, Davood</creatorcontrib><creatorcontrib>Malekshahi Nejad, Vahab</creatorcontrib><creatorcontrib>Sun, Haiying</creatorcontrib><creatorcontrib>K Hosseini, Hanieh</creatorcontrib><creatorcontrib>Adeli, Seyyed Hassan</creatorcontrib><creatorcontrib>Wang, Tian</creatorcontrib><title>Prevalence of respiratory symptoms and spirometric changes among non-smoker male wood workers</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To assess the effects of workplace exposure to hardwood dust on lung function and determine a prevalence of respiratory symptoms among wood workers.
Cross-sectional observational study.
Tertiary referral center.
Two hundred seventy-six, non-smoker male wood workers and equal number of non-smoker male office workers, referred to pulmonology clinic included in this study. Evaluation of study participants included completion of a questionnaire regarding respiratory symptoms and baseline spirometry was measured according to the actual recommendations.
Respiratory symptoms including cough, phlegm, chest tightness, and wheezing were significantly higher in wood workers than office workers (40.2% versus 29.3% for cough, p = 0.0073; 40.6% versus 23.6% for phlegm, p<0.0001; 38.0% versus 23.1% for chest tightness, p = 0.0001; 25.3% versus 14.5% for wheezing, p = 0.0014). No statistically significant differences were observed for Dyspnea, and upper respiratory tract symptoms among wood workers compared to office workers. While wood workers were more likely to require spirometry test than office workers (21.4% versus 5.4%, p<0.001) the obstructive changes were more prevalent on spirometry test in wood workers (71.4% obstructive pattern versus 28.6% restrictive pattern). Spirometry test revealed the mean values of FEV1 and FEV1/FVC ratio were significantly lower in the wood workers, compared to their mean values in the control group.
Respiratory symptoms associated with work, are more prevalent among wood workers than office workers. Our data revealed that workplace exposure to hardwood dust may compromise respiratory function, indicating the importance and the need for optimizing preventive measures in workplace to protect the respiratory health among exposed workers. Obstructive changes on pulmonary function test is a dominant pathologic pattern in pulmonary function test among wood workers. Further investigation is required by current available tools such as nasal cytology to detect influence of wood dust exposure on the upper respiratory airway.</description><subject>Adult</subject><subject>Biology and Life Sciences</subject><subject>Chemicals</subject><subject>Chest</subject><subject>Cough</subject><subject>Cross-Sectional Studies</subject><subject>Cytology</subject><subject>Disease prevention</subject><subject>Dust</subject><subject>Dyspnea</subject><subject>Exposure</subject><subject>Hardwoods</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Non-Smokers</subject><subject>Observational studies</subject><subject>Occupational exposure</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupational health</subject><subject>Office workers</subject><subject>Otolaryngology</subject><subject>Physical Sciences</subject><subject>Prevalence</subject><subject>Pulmonary function tests</subject><subject>Pulmonary functions</subject><subject>Questionnaires</subject><subject>Research and Analysis Methods</subject><subject>Respiration</subject><subject>Respiration Disorders - epidemiology</subject><subject>Respiration Disorders - etiology</subject><subject>Respiration Disorders - physiopathology</subject><subject>Respiratory diseases</subject><subject>Respiratory function</subject><subject>Respiratory symptoms</subject><subject>Respiratory system</subject><subject>Respiratory tract</subject><subject>Smokers</subject><subject>Smoking</subject><subject>Social Sciences</subject><subject>Spirometry</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Tightness</subject><subject>Wheezing</subject><subject>Workers</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QLgujFjPlok_RGWBY_BhZWdPFOQpKedjq2SU3a1fn3Zma6y1T2QgppePOcN8k5OUnyHKMlphy_27jRW9Uue2dhiQjJBEMPklNcULJgBNGHR_OT5EkIG4RyKhh7nJxQggXHAp0mP754uFEtWAOpq1IPoW-8GpzfpmHb9YPrQqpsme5k18HgG5OatbI1RL1ztk6ts4vQuZ_g0y4apb-dK-PgoxCeJo8q1QZ4Nv3PkuuPH64vPi8urz6tLs4vF4YVZFjkipVMFxrheMKSFgZrXhFWkQxyTlHOEMfaKBWvWFUFElxoDchwxbjSOKNnycuDbd-6IKfEBEkoF4LmZE-sDkTp1Eb2vumU30qnGrkXnK-l8kNjWpBUkALnCqEMiqzSpcYcKBIlNQrnQu-83k-7jbqD0oAdvGpnpvMV26xl7W4kRyLWiUeDN5OBd79GCIPsmmCgbZUFN-7PXSBMhcARffUPev_tJqqOBZCNrVzc1-xM5TnDXBQcMxap5T1U_EroGhNfUdVEfRbwdhYQmQH-DLUaQ5Crb1__n736PmdfH7FrUO2wDq4dh8bZMAezA2i8C8FDdZdkjOSuCW6zIXdNIKcmiGEvjgt0F3T76ulflswCVw</recordid><startdate>20200318</startdate><enddate>20200318</enddate><creator>K Hosseini, Davood</creator><creator>Malekshahi Nejad, Vahab</creator><creator>Sun, Haiying</creator><creator>K Hosseini, Hanieh</creator><creator>Adeli, Seyyed Hassan</creator><creator>Wang, Tian</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0393-8016</orcidid></search><sort><creationdate>20200318</creationdate><title>Prevalence of respiratory symptoms and spirometric changes among non-smoker male wood workers</title><author>K Hosseini, Davood ; Malekshahi Nejad, Vahab ; Sun, Haiying ; K Hosseini, Hanieh ; Adeli, Seyyed Hassan ; Wang, Tian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-5a6d6b9b01053d39c1b7f26f24e573056071bcaa486ff90878bbe0c7a67ab143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Biology and Life Sciences</topic><topic>Chemicals</topic><topic>Chest</topic><topic>Cough</topic><topic>Cross-Sectional Studies</topic><topic>Cytology</topic><topic>Disease prevention</topic><topic>Dust</topic><topic>Dyspnea</topic><topic>Exposure</topic><topic>Hardwoods</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Non-Smokers</topic><topic>Observational studies</topic><topic>Occupational exposure</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupational health</topic><topic>Office workers</topic><topic>Otolaryngology</topic><topic>Physical Sciences</topic><topic>Prevalence</topic><topic>Pulmonary function tests</topic><topic>Pulmonary functions</topic><topic>Questionnaires</topic><topic>Research and Analysis Methods</topic><topic>Respiration</topic><topic>Respiration Disorders - epidemiology</topic><topic>Respiration Disorders - etiology</topic><topic>Respiration Disorders - physiopathology</topic><topic>Respiratory diseases</topic><topic>Respiratory function</topic><topic>Respiratory symptoms</topic><topic>Respiratory system</topic><topic>Respiratory tract</topic><topic>Smokers</topic><topic>Smoking</topic><topic>Social Sciences</topic><topic>Spirometry</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Tightness</topic><topic>Wheezing</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>K Hosseini, Davood</creatorcontrib><creatorcontrib>Malekshahi Nejad, Vahab</creatorcontrib><creatorcontrib>Sun, Haiying</creatorcontrib><creatorcontrib>K Hosseini, Hanieh</creatorcontrib><creatorcontrib>Adeli, Seyyed Hassan</creatorcontrib><creatorcontrib>Wang, Tian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>K Hosseini, Davood</au><au>Malekshahi Nejad, Vahab</au><au>Sun, Haiying</au><au>K Hosseini, Hanieh</au><au>Adeli, Seyyed Hassan</au><au>Wang, Tian</au><au>Larcombe, Alexander</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of respiratory symptoms and spirometric changes among non-smoker male wood workers</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-03-18</date><risdate>2020</risdate><volume>15</volume><issue>3</issue><spage>e0224860</spage><pages>e0224860-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To assess the effects of workplace exposure to hardwood dust on lung function and determine a prevalence of respiratory symptoms among wood workers.
Cross-sectional observational study.
Tertiary referral center.
Two hundred seventy-six, non-smoker male wood workers and equal number of non-smoker male office workers, referred to pulmonology clinic included in this study. Evaluation of study participants included completion of a questionnaire regarding respiratory symptoms and baseline spirometry was measured according to the actual recommendations.
Respiratory symptoms including cough, phlegm, chest tightness, and wheezing were significantly higher in wood workers than office workers (40.2% versus 29.3% for cough, p = 0.0073; 40.6% versus 23.6% for phlegm, p<0.0001; 38.0% versus 23.1% for chest tightness, p = 0.0001; 25.3% versus 14.5% for wheezing, p = 0.0014). No statistically significant differences were observed for Dyspnea, and upper respiratory tract symptoms among wood workers compared to office workers. While wood workers were more likely to require spirometry test than office workers (21.4% versus 5.4%, p<0.001) the obstructive changes were more prevalent on spirometry test in wood workers (71.4% obstructive pattern versus 28.6% restrictive pattern). Spirometry test revealed the mean values of FEV1 and FEV1/FVC ratio were significantly lower in the wood workers, compared to their mean values in the control group.
Respiratory symptoms associated with work, are more prevalent among wood workers than office workers. Our data revealed that workplace exposure to hardwood dust may compromise respiratory function, indicating the importance and the need for optimizing preventive measures in workplace to protect the respiratory health among exposed workers. Obstructive changes on pulmonary function test is a dominant pathologic pattern in pulmonary function test among wood workers. Further investigation is required by current available tools such as nasal cytology to detect influence of wood dust exposure on the upper respiratory airway.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32187180</pmid><doi>10.1371/journal.pone.0224860</doi><tpages>e0224860</tpages><orcidid>https://orcid.org/0000-0002-0393-8016</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Adult Biology and Life Sciences Chemicals Chest Cough Cross-Sectional Studies Cytology Disease prevention Dust Dyspnea Exposure Hardwoods Humans Illnesses Lung diseases Male Medicine Medicine and Health Sciences Middle Aged Non-Smokers Observational studies Occupational exposure Occupational Exposure - adverse effects Occupational health Office workers Otolaryngology Physical Sciences Prevalence Pulmonary function tests Pulmonary functions Questionnaires Research and Analysis Methods Respiration Respiration Disorders - epidemiology Respiration Disorders - etiology Respiration Disorders - physiopathology Respiratory diseases Respiratory function Respiratory symptoms Respiratory system Respiratory tract Smokers Smoking Social Sciences Spirometry Statistical analysis Studies Surveys and Questionnaires Tightness Wheezing Workers |
title | Prevalence of respiratory symptoms and spirometric changes among non-smoker male wood workers |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T20%3A28%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20of%20respiratory%20symptoms%20and%20spirometric%20changes%20among%20non-smoker%20male%20wood%20workers&rft.jtitle=PloS%20one&rft.au=K%20Hosseini,%20Davood&rft.date=2020-03-18&rft.volume=15&rft.issue=3&rft.spage=e0224860&rft.pages=e0224860-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0224860&rft_dat=%3Cgale_plos_%3EA617897166%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2378835214&rft_id=info:pmid/32187180&rft_galeid=A617897166&rft_doaj_id=oai_doaj_org_article_382915a004e94fbdb17e308d3ca158b4&rfr_iscdi=true |