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    Contribution of spirometry to early diagnosis of chronic obstructive pulmonary disease in primary health care centers
    (Tubitak Scientific & Technological Research Council Turkey, 2013) Erdoğan, Aysel; Ucar, Elif Yilmazel; Araz, Omer; Sağlam, Leyla; Mirici, Nihal Arzu
    Aim: Chronic obstructive pulmonary disease (COPD) is a common disease with increasing prevalence and mortality. We aimed to determine COPD prevalence in primary health care centers. Materials and methods: Pulmonary function tests (PFTs) and face-to-face interviews were administered to 500 patients older than 40 years of age and attending a primary health care center with any symptoms. An early reversibility test was performed on patients with a forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC) ratio below 70%. The survey results, PFTs, and early reversibility test results were evaluated according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. All parameters were compared for groups with and without COPD. Results: COPD was diagnosed in 25 (5%) of the patients. Of these patients, 60% were female and 40% were male. According to GOLD guidelines, 48% of the patients had mild COPD, 36% of them had moderate COPD, and 16% of them had severe COPD. According to their history and physical examination, 72 (14.4%) participants had been previously suspected of having COPD. PFTs revealed that 59 of them did not have COPD. Conclusion: The utilization of spirometers in primary health care centers is important both for early diagnosis and to prevent misdiagnosis of COPD.
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    Öğe
    Medical Image: Silicosis due to denim sandblasting: Multidetector CT findings
    (2008) Akgun, Metin; Kantarci, Mecit; Araz, Omer; Ucar, Elif Yilmazel; Mirici, Arzu
    [No abstract available]
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    Öğe
    Silicosis due to denim sandblasting: multidetector CT findings
    (New Zealand Medical Assoc, 2008) Akgun, Metin; Kantarci, Mecit; Araz, Omer; Ucar, Elif Yilmazel; Mirici, Arzu
    [Anstract Not Available]
  • [ X ]
    Öğe
    The incidence and severity of pulmonary hypertension in obstructive sleep apnea with hypothyroidism
    (Int Scientific Literature, Inc, 2013) Araz, Omer; Ucar, Elif Yilmazel; Yalcin, Aslihan; Pulur, Didem; Acemoglu, Hamit; Tas, Hakan; Saglam, Leyla
    Background: Hypothyroidism and obstructive sleep apnea (OSA) are both common health problems and can be seen together. Each of these 2 diseases can cause pulmonary hypertension (PH). We aimed to determine whether hypothyroidism with OSA has a significant effect on the frequency and severity of PH. Material/Methods: A total of 236 patients were included in the study. Patients were divided into 3 groups: Group I, Obstructive Sleep Apnea (n=149); Group II, Hypothyroidism (n=56); and Group III, Obstructive Sleep Apnea-Hypothyroidism (n=31). All patients underwent polysomnography and echocardiography and serum levels of thyroid-stimulating hormone (TSH) and free thyroxine 4 (FT4) were analyzed. Results: There were 167 male and 69 female participants, and the mean age was 47.8 +/- 11.5 (Group I: 81.9% male, 18.1% female; Group II: 44.6% male, 55.4% female; Group III: 64.6% male, 35.4% female). Distribution of mean pulmonary arterial pressure on echocardiography was statistically different among the 3 groups (x(2)=14.99, p=0.006). When adjusted according to the apnea-hypopnea index (AHI), age, and body mass index (BMI), a significant relation with PH was determined (p=0.002). Conclusions: The combination of hypothyroidism with OSA is associated with an increased frequency and severity of PH. When PH is found out of line with the severity of OSA, thyroid dysfunction should be investigated.