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Öğe Aplastic Anemia in an Automotive Paint Shop Worker(2020) Kurtul, Seher; Türk, MeralVarious chemicals are known to cause aplastic anemia due to bone marrow toxicity. Long-term exposure to benzene in the workplace has been associated with hematological disorders (thrombocytopenia, aplastic anemia, acute myeloid leukemia, lymphoma). Although the use of pure benzene was banned and substituted with other solvents, benzene is still used in the form of mixtures. The automotive painting sector, in particular, is one of the areas where benzene and its derivatives are used more frequently. Benzene and its derivatives are used to increase the fluidity of paints and are included in paints, thinners, and varnishes. Hematotoxicity of benzene is related to the amount and duration of exposure. In Turkey, there are serious difficulties in the implementation of occupational health and safety measures in small-scale enterprises. In this case report, it was described how aplastic anemia developed in a patient who had worked in a small-size automotive painting business with inadequate occupational health and safety measures for 23 years might be related to occupational benzene exposure. It is recommended that such businesses should be inspected concerning occupational health and safety and necessary precautions should be taken in order to prevent such serious, preventable occupational diseases.Öğe COPD Due to Occupational Biomass and Grain Dust Exposure:Case Report(2021) Türk, Meral; Kurtul, Seher; Dogrul, Zeynep; Mazican, Nejdiye; Göksel, TuncayChronic Obstructive Pulmonary Disease(COPD) is a common, preventable and treatable disease that is characterizedby persistent respiratory symptoms and air flow limitation that is due to airway and/or alveolar abnormalities usuallycaused by significant exposure to harmful particles or gases. The main risk factor for COPD is smoking but other environmental exposures such as biomass fuel exposure and air pollution may contribute. Besides exposures, host factorspredispose individuals to develop COPD. These include genetic abnormalities, abnormal lung development and aging.Our case is a 34 years old, male patient with complaints of dispnea with exercise. No pathological findings were foundon physical examination. There was no history of smoking. It was learned that the patient worked as a baker for a totalof nine years in the occupational history. While working in the bakery, there was biomass exposure and graindust exposure as indoor air pollutants. A mild degree of obstruction was detected in the pulmonary function test. Bronchodi lator reversibility response was negative.There was no abnormality on the chest X-ray and High-resolution computedtomography (HRCT). The ?-1 antitrypsin and cystic fibrosis sweat test levels were within normal limits, and the cysticfibrosis gene test was negative. Occupational COPD due to occupational biomass and grain dust exposure was considered in the patient who had no smoking history and congenital risk factors. This case, which is currently working in theweapons industry but has been exposed to occupational COPD risk factors in the past, shows the importance of takinga detailed occupational history while taking an anamnesis.Öğe The Level of Knowledge About Radiation Safety and the Frequency of the Use of Protective Equipment Among Healthcare workers Exposed to Radiation in Different Units(2018) Kurtul, Seher; Kurtul, NeslihanOBJECTIVE We aimed to investigate the level of knowledge about radiation safety, the frequency of the use of protective equipment, and the reasons for not using it among healthcare workers. METHODS the data were collected by administering a standard cross-sectional survey via the internet to 443 healthcare workers exposed to radiation. the chi-square test was used to compare groups. RESULTS the median age of participants was 30 years, and 52.8% were females. Participants comprised radiology (61.4%), radiation oncology (21.4%), cardiology (7.2%), fluoroscopy use (5.9%), and nuclear medicine (4.1%) workers. in total, 90.1% of the workers had dosimeters. of those who used fluoroscopy, only 11.5% had dosimeters. A total of 20.3% of the workers stated that dosimetry is reliable, and 89.7% of the workers in the cardiology and fluoroscopy use groups knew that they had to wear lead aprons (p<0.05). the rate of thyroid protector use was 100% in the cardiology group, whereas 23.1% of the fluoroscopy use group did not use a thyroid protector and 7.7% were not aware of its presence (p<0.05). Additionally, the protective goggles use in all groups was 6.3%. of the workers, 20.8% believed in the protection of protective equipment. the most common reason for not using protective equipment was the restraint of mobility capability. CONCLUSION Exposure to radiation is an important issue in terms of work health and occupational diseases. For this reason, workers’ knowledge about radiation safety and protective equipment should be increased, and the hospital administration should inspect the implementation of protective measures regularly.Öğe The Level of Knowledge About Radiation Safety and the Frequency of the Use of Protective Equipment Among Healthcare workers Exposed to Radiation in Different Units(Kare Publ, 2018) Kurtul, Seher; Kurtul, NeslihanOBJECTIVE We aimed to investigate the level of knowledge about radiation safety, the frequency of the use of protective equipment, and the reasons for not using it among healthcare workers. METHODS The data were collected by administering a standard cross-sectional survey via the internet to 443 healthcare workers exposed to radiation. The chi-square test was used to compare groups. RESULTS The median age of participants was 30 years, and 52.8% were females. Participants comprised radiology (61.4%), radiation oncology (21.4%), cardiology (7.2%), fluoroscopy use (5.9%), and nuclear medicine (4.1%) workers. In total, 90.1% of the workers had dosimeters. Of those who used fluoroscopy, only 11.5% had dosimeters. A total of 20.3% of the workers stated that dosimetry is reliable, and 89.7% of the workers in the cardiology and fluoroscopy use groups knew that they had to wear lead aprons (p<0.05). The rate of thyroid protector use was 100% in the cardiology group, whereas 23.1% of the fluoroscopy use group did not use a thyroid protector and 7.7% were not aware of its presence (p<0.05). Additionally, the protective goggles use in all groups was 6.3%. Of the workers, 20.8% believed in the protection of protective equipment. The most common reason for not using protective equipment was the restraint of mobility capability. CONCLUSION Exposure to radiation is an important issue in terms of work health and occupational diseases. For this reason, workers' knowledge about radiation safety and protective equipment should be increased, and the hospital administration should inspect the implementation of protective measures regularly.Öğe Meslek hastalıkları polikliniğine başvuranlarda yaşam kalitesi düzeyi ve ilişkili faktörlerin değerlendirilmesi(2022) Ak, Funda Kaya; Türk, Meral; Kurtul, SeherAmaç: Yaşam kalitesi; bireyin fiziksel fonksiyonu, iş ve kişisel yaşamı, psikolojik durumu, aile içindeki ve dışındaki sosyal ilişkileri ve kişinin yaşadığı çevreden, sağlık ve istihdam politikalarından etkilenebilen çok boyutlu bir yapıdır. Çalışmamızda meslek hastalıkları polikliniğine başvuranlarda yaşam kalitesini değerlendirmeyi, ilişkili sosyodemografik, mesleki özellikler, sağlık durumlarını ortaya koymayı amaçladık. Yöntem: Kasım 2018–Kasım 2019 tarihleri arasında meslek hastalıkları polikliniğine başvuran 168 katılımcı çalışmaya dahil edildi. Yaşam kalitelerini değerlendirmek için Dünya Sağlık Örgütü, Yaşam Kalitesi Ölçeği Kısa Formu (WHOQOL-BREF) kullanıldı. Bulgular: Katılımcıların %87.5’i erkek, yaş ortalaması 40.46(±0.7) idi. WHOQOL-BREF alt parametre alan ortalamaları sırasıyla çevre alanı (58.6±16.8), psikolojik alan (56.4±18.9), sosyal ilişkiler alanı (56.2±22.7), fiziksel sağlık alanı (47.9±20.6) idi. Çalışmamızda kadınlarda, işsiz olanlarda, vardiyalı çalışan, aylık geliri düşük, meslek hastalığı ve komorbid hastalığı olanlarda yaşam kalitesi puanlarının anlamlı düzeyde daha düşük olduğu gözlenmiştir(p<0.05). Sonuç: Yaşam kalitesi ile ilişkili etmenlerden; cinsiyet, çalışma durumuna yönelik gelir dağılımındaki eşitsizlik ve işsizlik sorununu giderici politikalar geliştirilmeli ve ayrıca meslek hastalığı risk faktörleri için çalışma ortamı yeniden düzenlenmeli, düzenli sağlık muayeneleri yapılmalı ve işçi sağlığı ve güvenliği kurallarının yerine getirilmesi sağlanmalıdır.Öğe The prevalence of hypertension and influencing factors among the employees of a university hospital(Makerere Univ, Fac Med, 2020) Kurtul, Seher; Ak, Funda Kaya; Turk, MeralBackground: Hypertension is a serious disease with increasing worldwide prevalence, leading to life-threatening complica-tions. Methods: This cross-sectional study was carried out in a university hospital. The Occupational Health and Safety Unit data concerning the health examinations of employees were used to determine the prevalence of hypertension in a university hospital and to define the relationship between hypertension and sociodemographic and occupational parameters. Logistic regression analyses were performed for the variables having a significant association with high blood pressure. Results: The data generated during the periodic examination of 3,480 (92%) of all employees (3,780) were analyzed. The prevalence of hypertension was 14.8%. The prevalence of hypertension was found to be 13.5%, 13.9%, and 23.7% among physicians, non-physician healthcare personnel and officers respectively. The logistic regression model revealed a statistically significant correlation between hypertension and male gender, age and BMI. Conclusion: The prevalence of hypertension was highest among staff members. Special programs would facilitate the diagnosis, control, and prevention of high blood pressure among the high-risk groups, especially men, the elderly and the obese hospital employees.Öğe Vibration related white finger disease: a case report(2019) Kurtul, Seher; Türk, MeralVibration related white finger disease is frequently observed in workers exposed to hand-arm vibration. The main occupational exposure sources for hand-arm vibration are grinding, road and concrete breaking, using of grinding wheel, rotary saw, high pressure water hose, pneumatic hammer, drill, hammer, hand crusher, lawn mower, road roller. A 38-year-old male patient was admitted to our occupational disease clinic with complaints of pain on both fingertips, swelling on the fingers and occasional whitening of the fingers on both hands. There was a story of pneumatic hammer use in a private firm that produced heat resistant plate for 12 years and also work story in the same company for 2 years in the grinding department. The case was considered to be a white finger disease due to vibration with current findings and work history, and medical treatment for white finger disease was regulated. It has been suggested that the patient should do job change, work in a non-cold environment, and also avoid work that can cause vibration. This case who exposed hand-arm vibrations shows the importance of taking a detailed work history while taking an anamnesis. In screening the health effects of the hand-arm vibration, the complaints of white finger disease should be carefully questioned and examined. Vibration-related white finger disease, as in other occupational diseases, can be protected by taking effective measures at the workplace.Öğe Work-related factors affecting the thyroid hormone levels among workers in different sectors(2022) Kurtul, Seher; Türk, MeralAim: This study purposed to evaluate thyroid hormone levels and work-related factors in workers. Materials and Methods: This retrospective study was perfomed at 475 workers who applied to the outpatient clinic of occupational diseases between November 2015-February 2020. Sociodemographic variables, work-related factors and laboratory records were retrospectively evaluated. Student’s t-test was performed to compare mean values. Multiple linear regression analysis was used, including independent variables that were found to be statistically significantly related in binary analysis of thyroid-stimulating hormone (TSH) value. Results: Of the 475 participants, 433 (91.2%) were male and 173 (36.4%) worked night shifts, 293 (61.7%) were exposed to silica dust, 23 (4.8%) to plastic fumes, and 80 (16.8%) to solvent. Study participants who were over 40 years of age, night shift workers, and workers with exposure to silica dust had significantly lower TSH values (p=0.026, p=0.023, p=0.002, respectively); male workers, workers under 40 years of age, and workers with body mass index (BMI) <25 had significantly higher free T4 levels (p=0.017, p=0.042, p=0.026, respectively). In the regression analysis, it was observed that there was a significant relationship BMI, silica dust exposure, night shift work and low TSH level (p=0.033, p=0.028, p=0.045). Conclusion: It was found that night shift work and exposure to silica dust were associated with decreased TSH levels in workers. Silica dust exposure and night shift work are among the preventable risk factors. For this reason, the workplace environment should be reorganized, periodic health examinations should be carried out, and workers should be ensured to comply with occupational health and safety rules.
