Browsing by Author "Altinoz, Hilal"

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Obesity might be a good prognosis factor for COPD patients using domiciliary noninvasive mechanical ventilation
(DOVE MEDICAL PRESS LTD, 2016-01-01) Altinoz, Hilal; Adiguzel, Nalan; Salturk, Cuneyt; Gungor, Gokay; Mocin, Ozlem; Takir, Huriye Berk; Kargin, Feyza; Balci, Merih; Dikensoy, Oner; Karakurt, Zuhal
Cachexia is known to be a deteriorating factor for survival of patients with chronic obstructive pulmonary disease (COPD), but data related to obesity are limited. We observed that obese patients with COPD prescribed long-term noninvasive mechanical ventilation (NIMV) had better survival rate compared to nonobese patients. Therefore, we conducted a retrospective observational cohort study. Archives of Thoracic Diseases Training Hospital were sought between 2008 and 2013. All the subjects were prescribed domiciliary NIMV for chronic respiratory failure secondary to COPD. Subjects were grouped according to their body mass index (BMI). The first group consisted of subjects with BMI between 20 and 30 kg/m(2), and the second group consisted of subjects with BMI >30 kg/m(2). Data obtained at the first month's visit for the following parameters were recorded: age, sex, comorbid diseases, smoking history, pulmonary function test, 6-minute walk test (6-MWT), and arterial blood gas analysis. Hospital admissions were recorded before and after the domiciliary NIMV usage. Mortality rate was searched from the electronic database. Overall, 118 subjects were enrolled. Thirty-eight subjects had BMI between 20 and 30 kg/m(2), while 80 subjects had BMI >30 kg/m(2). The mean age was 65.8+/-9.4 years, and 81\% were male. The median follow-up time was 26 months and mortality rates were 32\% and 34\% for obese and nonobese subjects (P=0.67). Improvement in 6-MWT was protective against mortality. In conclusion, survival of obese patients with COPD using domiciliary NIMV was found to be better than those of nonobese patients, and the improvement in 6-MWT in such patients was found to be related to a better survival.
Search and Rescue in Mine Disasters: Dos and Don'ts
(AVES, 2015-01-01) Altinoz, Hilal; Ozmen, Ipek
Mining is a very hard and risky sector that includes domino effect risks in any adverse event and requires knowledge, experience, proficiency and continuous auditing, and it is very hard and risky. Turkey has not signed International Labour Organization (ILO) contract number 176 yet{*}. This contract is named the 1995 Safety and Health in Mines Convention, and the safe and healthy working conditions are set, and obligations are listed. The most important mistakes are made because these national and international rules and regulations are not carried out. In this chapter, these mistakes are elaborated, and suggestions are made.
SOCIO-DEMOGRAPHIC AND CLINICAL CHARACTERISTICS OF TURKISH WORKERS WITH PNEUMOCONIOSIS
(NATL INST PUBLIC HEALTH, 2016-01-01) Altinoz, Hilal; Celikkalkan, Cengiz; Horasan, Gonul Dinc; Hamsioglu, Fatih; Cengiz, Nalan; Orbay, Hikmet
Aim: Pneumoconiosis is caused by inhaling dust. The aim of the study was to analyze 208 cases of workers' pneumoconiosis. Method: Patients' files were used for the descriptive study. Results: All patients were male aged 38.82 +/- 13 years. The most important symptom was breathlessness. Patients were denim sandblasters (50.5\%), dental technicians (12\%), coal miners (6.7\%), and others. The mean exposure time before pneumoconiosis occurred was shorter in denim sandblasters and teflon kitchenware producers compared to other occupations (5.4 +/- 4.2 and 4.5 +/- 3.3 years, respectively). Profusion (76.5\%) was more than 1/2 by the International Labour Organization (ILO) classification. Pulmonary function tests were negatively correlated with profusion. Conclusion: Denim sandblasters and teflon kitchenware producers have less exposure time before pneumoconiosis occurs and they become symptomatic earlier. As Turkish workers suffering from pneumoconiosis are younger, measures to prevent pneumoconiosis must be the priority of the healthcare authorities.