Background The International Labour Organization (ILO) Classification of Radiographs of Pneumocon... more Background The International Labour Organization (ILO) Classification of Radiographs of Pneumoconioses is used as the primary tool to determine compensation for pneumoconiosis in Turkey. Aims We aimed to evaluate how the ILO classification applied, but obtaining chest radiographs in the workplace for screening until the completion of compensation claim files by the referral centres, based on the ILO reading. Methods The study included 320 digital chest radiographs previously taken for screening from eight different ceramic factories and having finalised claim files by referral centres. We used an expert reference panel consisting of five ILO readers to re-evaluate all the radiographs independently using ILO standard films and reached a conclusion based on the agreement among at least three readers. The evaluation primarily included technical quality and silicosis diagnosis with an ILO 1/0 or above small profusion. The results were compared with previous findings. Results Sixty-three...
Kot kumlamaciligina bagli silikoz yeni bir silikoz nedeni olarak ulkemizde belirlenmis bir sorund... more Kot kumlamaciligina bagli silikoz yeni bir silikoz nedeni olarak ulkemizde belirlenmis bir sorundur. Kot kumlama isi yapan genc yastaki olgularda silikoz belirlenmis olmasi nedeniyle, bolgemizde kot kumlama isinde calismis iscilerde silikoz sikligini ve risk faktorlerini belirlemeyi amacladik. Calismaya 157 isci alindi. Anket ve gorusme yoluyla demografik ozellikler ve calisma kosullari hakkinda bilgi alindi. Hastalarin solunum fonksiyon testleri ve ILO (International Labour Office) siniflamasina gore akciger grafileri degerlendirildi. Tamami erkek olan iscilerin ortalama yasi 23 (15-44 yas) idi. Ortalama 36 ay (1-120 ay) calismislardi ve ortalama calismaya baslama yaslari 17 (10-38 yas) idi. Cogunda solunumsal sikayetler vardi (%83). En sik gorulen semptomlar dispne (%52) ve gogus agrisi (%46) idi. Radyolojik olarak degerlendirme yapilabilen 145 olgunun 77’sinde (%53) silikoz (ILO skoruna gore 1/0 veya ustu kucuk opasite olan) belirlendi. Silikozlu olgularda solunum fonksiyon testleri daha kotu idi. Silikoz gelisimi riski isyerinde usta olarak calisma, maruziyet suresi ve calisilan isyeri sayisi ile korele idi. Bu tur isyerlerinde calisanlarda yuksek silikoz prevalansi goz onune alindiginda, biran once etkin onlemler alinmaz ise gelecekte daha ciddi boyutlarda problemlerle karsilasabiliriz.
Objectives: To demonstrate the pure effect of obstructive sleep apnea syndrome (OSAS) on cardiac ... more Objectives: To demonstrate the pure effect of obstructive sleep apnea syndrome (OSAS) on cardiac autonomic function (CAF) using heart rate turbulence (HRT) parameters. Patients and methods: A total of 64 patients with OSAS and 30 age- and gender-matched healthy subjects were enrolled. All subjects had normal coronary arteries and were free from diabetes mellitus (DM) and hypertension (HT). The HRT parameters (TO, turbulence onset; TS, turbulence slope) were obtained from 24-h ambulatory electrocardiogram (ECG) recordings. HRT parameters were compared between groups, and the relationship between HRT and the apnea-hypopnea index (AHI) was examined. Results: No between-group differences were found in age or gender. Mean TO was significantly higher in the OSAS group than in healthy controls (0.89 ± 0.5, -0.08 ± 0.26; p < 0.001; respectively). The mean TS did not differ between the two groups (2.81 ± 3.06 versus 3.14 ± 2.33; p = 0.212). The AHI was positively correlated with TO (r = 0.845, p < 0.001). The multiple logistic regression analysis revealed that after adjustment for other variables, TO was a significant and independent predictor of AHI, OR 2.394 (95% CI: 1.596-3.591). Conclusions: HRT (TO in particular) is correlated with AHI. Thus, impaired HRT may be an important factor underlying the occurrence of arrhythmia and sudden cardiac death in patients with OSAS.
Assumed mutual antagonism of T-helper cell (Th)1 and Th2 diseases suggests that the prevalence of... more Assumed mutual antagonism of T-helper cell (Th)1 and Th2 diseases suggests that the prevalence of atopy should be decreased in rheumatoid arthritis (RA). We tried to determine that prevalence. Sixty-two patients with RA and 61 with osteoarthritis (control group) were included in the study. A questionnaire was used concerning mainly the symptoms of atopy. Skin prick tests, pulmonary function tests, chest X-rays, immunoglobulin E levels, and eosinophil counts were obtained. The prevalences of asthma, hay fever, and eczema in the RA group were 3.2%, 14.5%, and 1.6%, respectively. In the control group, they were 6.5%, 22%, and 6.5%, respectively. There was no significant difference between groups. There was also no significant difference between immunoglobulin E levels. Eosinophil counts were higher in the control group, however these values were within the normal range. Skin prick tests were obtained in seven RA patients, and eight controls revealed increased positivity. The prevalence of atopy in rheumatoid arthritis was not different from that in the general population. Our study results cannot support the concept of Th1/Th2 mutual antagonism.
Fiberoptic and rigid bronchoscopy are widely used diagnostic and therapeutic tools in pulmonary m... more Fiberoptic and rigid bronchoscopy are widely used diagnostic and therapeutic tools in pulmonary medicine. Investigators often neglect the bronchial variations; however, bronchial variations may have important implications for bronchoscopy, brachytherapy, pulmonary resections and intubations. It is accepted that anatomic variations of the airways are due to anomalies in the development of the lungs. As a result, lung buds grow to an inappropriate number or arise at atypical sites. In the present study, we tried to determine the incidence of bronchial variations in our region. We investigated 2550 consecutive reports of bronchoscopy retrospectively. Major variations of the tracheobronchial tree were found in 2.6% of patients examined by bronchoscopy. The most frequent finding was a bifurcate pattern in the right upper lobe (47.7%). The variations were localized to the right upper lobe in 71.6% of patients. Male predominance was observed in all anatomic variations except one.
Background The International Labour Organization (ILO) Classification of Radiographs of Pneumocon... more Background The International Labour Organization (ILO) Classification of Radiographs of Pneumoconioses is used as the primary tool to determine compensation for pneumoconiosis in Turkey. Aims We aimed to evaluate how the ILO classification applied, but obtaining chest radiographs in the workplace for screening until the completion of compensation claim files by the referral centres, based on the ILO reading. Methods The study included 320 digital chest radiographs previously taken for screening from eight different ceramic factories and having finalised claim files by referral centres. We used an expert reference panel consisting of five ILO readers to re-evaluate all the radiographs independently using ILO standard films and reached a conclusion based on the agreement among at least three readers. The evaluation primarily included technical quality and silicosis diagnosis with an ILO 1/0 or above small profusion. The results were compared with previous findings. Results Sixty-three...
Kot kumlamaciligina bagli silikoz yeni bir silikoz nedeni olarak ulkemizde belirlenmis bir sorund... more Kot kumlamaciligina bagli silikoz yeni bir silikoz nedeni olarak ulkemizde belirlenmis bir sorundur. Kot kumlama isi yapan genc yastaki olgularda silikoz belirlenmis olmasi nedeniyle, bolgemizde kot kumlama isinde calismis iscilerde silikoz sikligini ve risk faktorlerini belirlemeyi amacladik. Calismaya 157 isci alindi. Anket ve gorusme yoluyla demografik ozellikler ve calisma kosullari hakkinda bilgi alindi. Hastalarin solunum fonksiyon testleri ve ILO (International Labour Office) siniflamasina gore akciger grafileri degerlendirildi. Tamami erkek olan iscilerin ortalama yasi 23 (15-44 yas) idi. Ortalama 36 ay (1-120 ay) calismislardi ve ortalama calismaya baslama yaslari 17 (10-38 yas) idi. Cogunda solunumsal sikayetler vardi (%83). En sik gorulen semptomlar dispne (%52) ve gogus agrisi (%46) idi. Radyolojik olarak degerlendirme yapilabilen 145 olgunun 77’sinde (%53) silikoz (ILO skoruna gore 1/0 veya ustu kucuk opasite olan) belirlendi. Silikozlu olgularda solunum fonksiyon testleri daha kotu idi. Silikoz gelisimi riski isyerinde usta olarak calisma, maruziyet suresi ve calisilan isyeri sayisi ile korele idi. Bu tur isyerlerinde calisanlarda yuksek silikoz prevalansi goz onune alindiginda, biran once etkin onlemler alinmaz ise gelecekte daha ciddi boyutlarda problemlerle karsilasabiliriz.
Objectives: To demonstrate the pure effect of obstructive sleep apnea syndrome (OSAS) on cardiac ... more Objectives: To demonstrate the pure effect of obstructive sleep apnea syndrome (OSAS) on cardiac autonomic function (CAF) using heart rate turbulence (HRT) parameters. Patients and methods: A total of 64 patients with OSAS and 30 age- and gender-matched healthy subjects were enrolled. All subjects had normal coronary arteries and were free from diabetes mellitus (DM) and hypertension (HT). The HRT parameters (TO, turbulence onset; TS, turbulence slope) were obtained from 24-h ambulatory electrocardiogram (ECG) recordings. HRT parameters were compared between groups, and the relationship between HRT and the apnea-hypopnea index (AHI) was examined. Results: No between-group differences were found in age or gender. Mean TO was significantly higher in the OSAS group than in healthy controls (0.89 ± 0.5, -0.08 ± 0.26; p < 0.001; respectively). The mean TS did not differ between the two groups (2.81 ± 3.06 versus 3.14 ± 2.33; p = 0.212). The AHI was positively correlated with TO (r = 0.845, p < 0.001). The multiple logistic regression analysis revealed that after adjustment for other variables, TO was a significant and independent predictor of AHI, OR 2.394 (95% CI: 1.596-3.591). Conclusions: HRT (TO in particular) is correlated with AHI. Thus, impaired HRT may be an important factor underlying the occurrence of arrhythmia and sudden cardiac death in patients with OSAS.
Assumed mutual antagonism of T-helper cell (Th)1 and Th2 diseases suggests that the prevalence of... more Assumed mutual antagonism of T-helper cell (Th)1 and Th2 diseases suggests that the prevalence of atopy should be decreased in rheumatoid arthritis (RA). We tried to determine that prevalence. Sixty-two patients with RA and 61 with osteoarthritis (control group) were included in the study. A questionnaire was used concerning mainly the symptoms of atopy. Skin prick tests, pulmonary function tests, chest X-rays, immunoglobulin E levels, and eosinophil counts were obtained. The prevalences of asthma, hay fever, and eczema in the RA group were 3.2%, 14.5%, and 1.6%, respectively. In the control group, they were 6.5%, 22%, and 6.5%, respectively. There was no significant difference between groups. There was also no significant difference between immunoglobulin E levels. Eosinophil counts were higher in the control group, however these values were within the normal range. Skin prick tests were obtained in seven RA patients, and eight controls revealed increased positivity. The prevalence of atopy in rheumatoid arthritis was not different from that in the general population. Our study results cannot support the concept of Th1/Th2 mutual antagonism.
Fiberoptic and rigid bronchoscopy are widely used diagnostic and therapeutic tools in pulmonary m... more Fiberoptic and rigid bronchoscopy are widely used diagnostic and therapeutic tools in pulmonary medicine. Investigators often neglect the bronchial variations; however, bronchial variations may have important implications for bronchoscopy, brachytherapy, pulmonary resections and intubations. It is accepted that anatomic variations of the airways are due to anomalies in the development of the lungs. As a result, lung buds grow to an inappropriate number or arise at atypical sites. In the present study, we tried to determine the incidence of bronchial variations in our region. We investigated 2550 consecutive reports of bronchoscopy retrospectively. Major variations of the tracheobronchial tree were found in 2.6% of patients examined by bronchoscopy. The most frequent finding was a bifurcate pattern in the right upper lobe (47.7%). The variations were localized to the right upper lobe in 71.6% of patients. Male predominance was observed in all anatomic variations except one.
Uploads