Evaluation of the Severity of Sleep Complaints According to the Stages of Chronic Obstructive Pulmonary Disease

Objective: Impairment of continuity of the sleep due to arousals and stage changes commonly experienced by the patients with chronic obstructive pulmonary disease (COPD) cause sleep problems associated with insomnia or hypersomnia. These resultant sleep problems lead to impaired quality of life in the patients with COPD. The aim of this study was to evaluate complaints related to sleep-alertness in the patients with COPD in the setting in which subjective sleep tests and polysomnography investigation using scales of quality of life are unavailable. Materials and Methods: The present study included 70 patients with COPD (33 were men and 37 were women). First, the patients with symptoms of COPD were evaluated clinically and COPD was staged based on degree of restriction of airflow (GOLD 2011). Sleep-alertness situation of all patients was evaluated using Epworth Sleepiness Scale (ESS) and Pittsburgh Scale of Seep Quality (PSSQ). Results: No statistically significant relationship was observed between stage of COPD and results of subjective sleep tests. Conclusion: Although these results indicate that stage of disease does not impact sleepiness and quality of sleep in the patients with COPD, they support the fact that presence of COPD alone negatively affected quality of sleep

Knowledge Level of the Primary Healthcare Providers on Chronic Obstructive Pulmonary Disease and Pulmonary Rehabilitation

Introduction. Awareness of the healthcare providers on chronic obstructive pulmonary disease (COPD), which is an important cause of mortality and morbidity in our country and all over the world, and on pulmonary rehabilitation (PR) which plays an important role in its nonpharmacological treatment will provide effectiveness in diagnosis and treatment of COPD. The present study aimed at determining knowledge level of the healthcare providers about COPD and PR. Materials and Methods. In this cross-sectional study, family practitioners and staff of home-care in central county of Manisa City were applied a questionnaire in order to determine their knowledge level on COPD and pulmonary rehabilitation during the in-service training on “pulmonary rehabilitation, home-care services for the pulmonary diseases, and respiratory exercises.” Results. 65.5% of the healthcare providers responded to the survey. Rate of those correctly knowing at least one of four items was 97.2%. No responder knew all items correctly. Average value for correct answers was 5.30 ± 2.1 (range: 1–10). The physicians, men, and those working in family health centers had higher level of knowledge on COPD compared to nonphysician healthcare providers (p=0.006), women (p=0.002), and those working in other practices (p=0.019), respectively. Conclusion. Knowledge level of the primary healthcare providers on COPD and PR remains inadequate. Dynamic postgraduate training on this topic will be useful in referring the patients to centers giving service for this condition

Quality of life evaluation in patients with lung cancer

Günümüzün önemli sorunlarından birisi olan akciğer kanserlerinde yaşam kalitesini araştıran bu çalışmaya Celal Bayar Üniversitesi Tıp Fakültesi Hastanesi Göğüs Hastalıkları Kliniği'nde tanı alan 33 hasta alındı. Olgular cinsiyet, yaş, sigara kullanımı, başvuru yakınması, kanser türü ve tipi, evresi, başlangıç performans durumu, tanı koyma yöntemi, tedavi ve yan etkileri, tedaviye yanıt açılarından değerlendirildi; bu faktörlerin yaşam kalitesine etkisi araştırıldı. Yaşam kalitesi Kısa Form-36 ve Hastane Anksiyete Depresyon ölçekleri ile değerlendirildi. Başvuru yakınmaları olan zayıflama ve ağrının, tedavi sonrası progresyonun yaşam kalitesini etkilediği gözlenirken (sırası ile p= 0.02, p= 0.01) hastalık evresinin, tümör tipinin ve tedavinin anlamlı etkisi saptanmadı. Sonuç olarak akciğer kanserli hastalarda değişik faktörlerin yaşam kalitesini etkilediği, ancak bu faktörlerin daha ileri çalışmalarla araştırılması gerektiği kanısına varıldı.Thirty-three patients from Chest Department of Celal Bayar University Hospital have been included into this study which takes, quality of life in lung cancer patients, which is a very crucial problem in nowadays, under its scope. All patients are evaluated from the views of sex, age, tobacco consumption, complaints at the time of hospital admittance, cancer cell type, cancer stage, method of diagnosis, treatment modality and its side effects, and response to treatment. Quality of life is measured by Short Form-36 and Hospital Anxiety Depression Scale. It is concluded that weight loss and pain, which are the main complaints at time of admittance and progressing disease despite the anticancer treatment influenced the quality of life (p= 0.02, p= 0.01 respectively). The effect of tumour stage, cancer type and treatment modality have not been noted. We concluded that various factors may effect the quality of life in lung cancer patients but these factors must be subjected to further studies

Smoking and asthma prevalence in Celal Bayar University medical school students

Amaç: Bu çalışmada Celal Bayar Üniversitesi Tıp Fakültesi, Manisa Sağlık Yüksek Okulu ve Sağlık Hizmetleri Meslek Yüksek Okulu 1 ve 2. sınıf öğrencilerinin astım prevalansını belirlemek, olası risk faktörlerinin etkisini değerlendirmek ve sigara alışkanlıklarını saptamak amaçlandı. Gereç ve Yöntem: Yüz yüze görüşme yöntemi ile doldurtulan anket ECRHS anketi baz alınarak hazırlandı. Veriler şimdiki astım, kümülatif astım, astım benzeri semptom prevalansı olarak değerlendirildi. Bulgular: 392 öğrencinin 144'ü (%36.8) erkek, yaş ortalaması 19.3±1.57 idi. Şimdiki astım prevalansı, kümülatif astım prevalansı, astım benzeri semptom prevalansı sırasıyla %0.5, %2.0 ve %46.7, halen sigara içme oranı %16.1 idi. Halen sigara içme oranı erkeklerde daha fazla idi (p=0.001), Tıp Fakültesi öğrencilerinde daha azdı. Alerjik rinit, dermatit ve ailesel atopi sıklığı sırası ile %20.2, %46 ve %28.6 idi. Ailede astım hikayesi varlığı, aile bireylerinden annede astım olması ve alerjik rinit varlığı astım benzeri semptom prevalansını etkilerken öğrencinin kaldığı yer, cinsiyeti astım benzeri semptom prevalansını etkilememekteydi. Şimdiye kadar 6 ay veya daha uzun süre günde en az 1 tane olmak üzere sigara içmek göğüste hırıltı ya da ıslık sesi hissetme oranını anlamlı olarak etkilemekteydi. Sonuç: Sonuçta ilimizdeki üniversite öğrencilerindeki şimdiki astım prevalansı aynı yaş grubunda üniversite öğrencilerinde yapılan araştırmaların çoğunluğuna benzer bulunmuştur.Objective: In this study we aimed to evaluate asthma prevalence, smoking status and the effect of probable risk factors in first and second class students of Celal Bayar University Medical Faculty, Manisa School of Health and Vocational School of Health Service. Material and Method: A questionnaire was prepared based on the ECHRS questionnaire and performed by face to face query. Data were analyzed as current asthma, cumulative asthma and asthma related symptoms prevalence. Results: Of the 392 students 144 (36.8%) were male and the mean age was 19.3±1.57. Current asthma, cumulative asthma and asthma related symptom prevalences were 0.5, 2.0, 6.7% respectively and the current smoking status was 16.1%. Current smoking rates were statistically higher in males (p=0.001) and lower in medical students. Allergic rhinitis, dermatitis and familial atopy frequencies were 20.2, 46 and 28.6% respectively. Family history of asthma, presence of asthma in mother and presence of allergic rhinitis affected the prevalence of asthma related symptoms, while the residence of the students and gender did not effect this prevalence. Smoking history of at least one cigarette a day for 6 months or more was significantly affecting the feeling of wheezing and whistling in the chest. Conclusion: The results showed that, the current asthma prevalence in the university students of our city was similar to the asthma prevalence of university students of the same age in previous studies

Knowledge Level of the Primary Healthcare Providers on Chronic Obstructive Pulmonary Disease and Pulmonary Rehabilitation

Introduction. Awareness of the healthcare providers on chronic obstructive pulmonary disease (COPD), which is an important cause of mortality and morbidity in our country and all over the world, and on pulmonary rehabilitation (PR) which plays an important role in its nonpharmacological treatment will provide effectiveness in diagnosis and treatment of COPD. The present study aimed at determining knowledge level of the healthcare providers about COPD and PR. Materials and Methods. In this cross-sectional study, family practitioners and staff of home-care in central county of Manisa City were applied a questionnaire in order to determine their knowledge level on COPD and pulmonary rehabilitation during the in-service training on “pulmonary rehabilitation, home-care services for the pulmonary diseases, and respiratory exercises.” Results. 65.5% of the healthcare providers responded to the survey. Rate of those correctly knowing at least one of four items was 97.2%. No responder knew all items correctly. Average value for correct answers was 5.30 ± 2.1 (range: 1–10). The physicians, men, and those working in family health centers had higher level of knowledge on COPD compared to nonphysician healthcare providers (p=0.006), women (p=0.002), and those working in other practices (p=0.019), respectively. Conclusion. Knowledge level of the primary healthcare providers on COPD and PR remains inadequate. Dynamic postgraduate training on this topic will be useful in referring the patients to centers giving service for this condition

A multicenter randomized trial for the effectiveness of structured discharge and follow-up protocol on readmission rate in COPD patients receiving LTOT/NIV: one-year interim analysis.

28th International Congress of the European-Respiratory-Society (ERS) -- SEP 15-19, 2018 -- Paris, FRANCEGemicioglu, Bilun/0000-0001-5953-4881; Ergun, Recai/0000-0002-6702-9188; Demirci, Nilgun Yilmaz/0000-0001-6160-3778; Akgun, Metin/0000-0003-3404-4274WOS: 000455567101063…European Respiratory So

The Role of Endobronchial Biopsy in the Diagnosis of Pulmonary Sarcoidosis

OBJECTIVES: This study aimed to investigate the additional diagnostic value of endobronchial biopsy (EBB) in the diagnosis of pulmonary sarcoidosis