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Pneumoconiosis in different sectors and their differences in Turkey.

Abstract Pneumoconiosis which is one of the ancient diseases, still affects many workers throughout the world despite "existing" control programs. We add data from a single center reviewing risk factors for pneumoconiosis; evaluate functional and radiological findings in different sectors.
PMID
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Pneumoconiosis in different sectors and their differences in Turkey.

Authors

Mayor MeshTerms
Keywords
Journal Title tuberkuloz ve toraks
Publication Year Start




PMID- 28393716
OWN - NLM
STAT- MEDLINE
DA  - 20170410
DCOM- 20170515
LR  - 20170515
IS  - 0494-1373 (Print)
IS  - 0494-1373 (Linking)
VI  - 64
IP  - 4
DP  - 2016 Dec
TI  - Pneumoconiosis in different sectors and their differences in Turkey.
PG  - 275-282
AB  - Introduction: Pneumoconiosis which is one of the ancient diseases, still affects 
      many workers throughout the world despite "existing" control programs. We add
      data from a single center reviewing risk factors for pneumoconiosis; evaluate
      functional and radiological findings in different sectors. Materials and Methods:
      We reviewed medical records of patients diagnosed with pneumoconiosis who were
      admitted to our center between the years 2013 and 2015. Several personal and
      occupational features, together with functional and radiologic data, were
      collected. Result: 60 were young males. Twenty-four of the cases (39.3%) worked
      at dental technician, 24 cases (39.3%) were ceramic workers, 5 cases (8.2%) were 
      sandblasters, 2 cases (3.3%) were welders, 3 cases (4.9%) were miners, and 3
      cases (4.9%) were marble cutters. The sectors in which the exposure started at
      the earliest ages were dental technicians and sandblasters, while the shortest
      working time was in sandblasting. The dental technicians were younger than the
      ceramic workers at the age of diagnosis (Kruskall-Wallis p= 0.003). The exposure 
      time of the sandblasters was significantly shorter, especially than the ceramic
      workers (Kruskall-Wallis p= 0.002). The cases have been referred to us with
      pneumoconiosis suspicion based on the radiographic findings in the PA chest
      roentgenogram performed during the periodic examinations at their work place; but
      unlike other studies, in our study, following the HRCT assessment, cases which
      did not present any visible pathology in the re-evaluation of their PA chest
      roentgenogram, but had HRCT findings have been diagnosed as pneumoconiosis. Among
      the 44 cases in which micro-nodules had been detected at their HRCT, 15 of them
      had been previously classified as profusion of small opacities 0/1 according to
      their PA chest roentgenogram findings. It has been seen that the HRCT findings
      differ among sectors. Ceramics workers and sandblasters had significantly more
      micro-nodules, while dental technicians had significantly more mediastinal
      lymphadenopathies (Chi square, p= 0.004 and p= 0.007 respectively). When the
      relationship between the existence of big opacities and complaints was studied,
      statistically significant weight loss was detected in cases which had C opacities
      (chi square p= 0.01). Statistically significant FEV1 decrease was observed in
      cases which had weight loss (independent samples t-test p= 0.046). It has been
      observed that when the profusion of small opacities increased, while there was no
      statistically significant functional status change in non-smokers, a significant 
      functional impairment was observed in smokers. Conclusions: Pneumoconiosis still 
      exists in Turkey. Even a short exposure time as 2 years can cause pneumoconiosis.
      Workers in different sectors had different functional, radiological properties
      and smoking can affect the diseases' course. There are serious limitations
      related to the surveillance of both the workplace environment and the employees' 
      health in Turkey. Without institutional preventive measures, personal protection 
      and surveillance examinations, occupational hazards will continue to cause
      premature deaths. Pneumoconiosis in different sectors is a prototype of
      uncontrolled industry in the developing world.
FAU - Alici, Nur Safak
AU  - Alici NS
AD  - Department of Chest Diseases, Faculty of Medicine, Dokuz Eylul University, Izmir,
      Turkey. [email protected]
FAU - Cimrin, Arif
AU  - Cimrin A
FAU - Coskun Beyan, Ayse
AU  - Coskun Beyan A
LA  - eng
PT  - Journal Article
TT  - Turkiye'de sektorlere gore pnomokonyoz ve farkli ozellikleri.
PL  - Turkey
TA  - Tuberk Toraks
JT  - Tuberkuloz ve toraks
JID - 0417364
SB  - IM
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Dental Technicians
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Occupational Diseases/*epidemiology/etiology/prevention & control
MH  - Pneumoconiosis/*epidemiology/etiology/prevention & control
MH  - Radiography, Thoracic
MH  - Risk Factors
MH  - Smoking
MH  - Turkey/epidemiology
MH  - Workplace
MH  - Young Adult
EDAT- 2017/04/11 06:00
MHDA- 2017/05/16 06:00
CRDT- 2017/04/11 06:00
PST - ppublish
SO  - Tuberk Toraks. 2016 Dec;64(4):275-282.

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