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Öğe The approach of smokers to the new tobacco law and the change in their behaviour(Turkish Assoc Tuberculosis & Thorax, 2012) Atilla, Nurhan; Koksal, Nurhan; Ozer, Ali; Kahraman, Hasan; Ekerbicer, HasanIntroduction: The aim of our study is; to assess the approach of smokers to tobacco law, examine changes in their smoking related behaviors after the new law and determine the factors associated with these changes. Materials and Methods: Data collected by questionnaire including 30 question. We applied the questionnaire to 1509 current smokers, and ex-smokers who quitted smoking after the law. SPSS packet programme was used for analyses. Results: Participants consisted of 419 (28.0%) female, 1090 (72.0%) male with an average age of 33.6 +/- 10.5 years. Although 80% of them knew that passive smoking is harmful to non-smokers, rate of smoking at home and in the car were very high. 869 (58.0%) of participants supported the law. 87 (5.8%) smokers quitted smoking after the law, 316 (20.9%) reduced. While health problems (37.3%) were the most frequent reason for quitting, restriction of smoking area had the most effect to reduce (54.2%). Conclusion: We satisfied that; the new tobacco law encouraged smokers to quit smoking. In addition, the majority of smokers supported the law.Öğe Evaluation of Pulmonary Function Tests in Workers of a Textile Factory(Aves, 2011) Kahraman, Hasan; Sucakli, Mustafa Haki; Ozer, Ali; Koksal, NurhanAim: Cotton dust found in textile environment is a factor effecting the lungs of the textile workers. Pulmonary function tests (PFT) are important methods for determining affection of lung function. This cross-sectional study was performed in order to measure respirable dust amount, working periods and effects of these values on pulmonary functions. Material and method: Hundred and ninety six textile workers were examined in 5 groups according to working locations. Parameters of FEV 1, FVC, FEV 1 / FVC, PEF, MEF 25, MEF 75 and MMEF were measured. Working periods, dust concentration of environment and amount of soluble trichloroethilene in stain removing group were determined. The concentrations of soluble dust in the environment were measured by gravimetric method. Results: Amounts of measured environmental dust were near to the acceptable levels and differences were determined among groups. Groups were compared according to the PFT values and some statistically significant differences were found. Working periods were divided into 3 groups as 1, 2 and = 3 years. Mean working period was 2.2 years and maximal working period was 8 years. Statistically significant reductions were found in FEV 1 / FVC, MEF 25, MMEF parameters of group 3 compared to group1 and 2 (p<0,005). In stain removing workers, while amount of soluble trichloroethilene was in acceptable range, FEV 1 / FVC, MEF 25, and MMEF parameters were lower than other groups but the differences were not statistically significant (p> 0,005). Conclusion: It was seen that some of the lung functions were affected by mean 2.2 year working period with cotton dust exposure. As a result, by increasing working period, statistically significant reductions were found in parameters of FEV 1 / FVC, MEF 25 and MMEF.Öğe Longitudinal pulmonary functional loss in cotton textile workers: A 5-year follow-up study(Int Scientific Literature, Inc, 2013) Kahraman, Hasan; Sucakli, Mustafa Haki; Kilic, Talat; Celik, Mustafa; Koksal, Nurhan; Ekerbicer, Hasan CetinBackground: Occupational exposure to cotton dust causes several diseases affecting the lungs, but only limited information is available on effects of long-term exposure. In this study, we aimed to evaluate longitudinal changes in selected parameters of pulmonary function in textile workers. Material/Methods: This prospective cohort study began with 196 textile workers in 2006 and was completed in 2011 with 49 workers. We used standardized tests for pulmonary function on participants on the first day of the workweek in June of 2006 and 2011. Environmental samples of cotton dust were gathered with a vertical elutriator. Loss of pulmonary function was assessed based on gender and smoking status. Results: The mean number of years participants worked in the textile factory was 7.61 +/- 1.83 years, and the mean age was 35.3+5.8 years. The annual FEV1 loss of all workers was 53.2 ml, giving a ratio of annual FEV1 loss to baseline FEV1 of 1.4%. Pulmonary function parameters of all participants in 2011 were significantly lower than those in 2006 (for all, p<0.05). In both surveys, pulmonary function in current smokers was lower, but this difference was not significant (p>0.05). Conclusions: This study provides the first data on pulmonary functional loss in Turkish textile workers and supports the findings of other cohort studies that workers with long-term exposure to cotton dust may lose some pulmonary function. The ratio of annual FEV1 loss to baseline FEV1 appears to be a more accurate and comparable method than annual FEV1 loss for evaluating pulmonary functional loss.Öğe Temperament and character profiles of male COPD patients(Ame Publishing Company, 2013) Kahraman, Hasan; Orhan, Fatma Ozlem; Sucakli, Mustafa Haki; Ozer, Ali; Koksal, Nurhan; Sen, BilalBackground: Chronic obstructive pulmonary disease (COPD) is a respiratory disorder, and is characterized by persistent airflow obstruction. These patients are exposed to severe physical limitations and substantial psychosocial trouble. The aims of this study were to determine the temperament and character profiles of personality in patients with COPD and to compare the results with those of healthy controls. Methods: Thirty-nine male COPD patients and 67 age-and gender-matched healthy controls completed the self-administered 240-item temperament and character inventory (TCI) and 14-item hospital anxiety and depression scale. The relationships between temperament and character personality profiles and clinical factors such as severity of COPD, anxiety, and depression were evaluated. Results: COPD patients had significantly higher mean scores of Harm avoidance and lower mean score of Self-directedness than those of healthy controls. In the COPD patients, the anxiety score was significantly higher (P=0.03) and the depression score was found to be insignificantly higher than that of control group. The TCI profiles were not correlated with the severity of COPD. In COPD patients, Self-directedness and Cooperativeness traits of TCI character negatively correlated with anxiety, but any of traits did not correlate with depression. Conclusions: The present study defined the Harm avoidance score was higher and Self-directedness was lower in COPD patients and the COPD severity did not correlate with any of the personality trait. We suggest that during evaluation of COPD patients for treatment, personality trait should also be considered in clinical practice.
