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    Comparison of some characteristics of the tuberculosis patients of Sivas Tuberculosis Dispensary
    (Aves, 2008) Dogan, Omer Tamer; Berk, Serdar; Ozsahin, Sefa Levent; Cakmak, Evrim; Akkurt, Ibrahim
    Aim: Mass investigation for tuberculosis (TB) detection had been abandoned many years ago, however, contact tracing is still an important component of TB control. The aim of this study was to investigate the differences of the parameters age, sex, bacteriological status, and outcomes between two diagnostic methods (contact tracing, n=305 and passive method, n=6799). Material and methods: Data source was Sivas Tuberculosis Dispensary register. Results: Mean age was 19.5 +/- 0.93 in the contact cases and 34.4 +/- 0.21 in the passive method group (p<0.0001). Female ratio in the contact cases was 43%, whereas it was 53% in the passive method cases (p<0.001). Pulmonary TB ratio in the contact cases group was significantly higher than in the passive method cases group (92.5% versus 83%; p<0.001). The ratio of smear (+) reporting in the passive method cases group was 12.05% and in the contact cases group it was 15.41% (p < 0.001). M. tuberculosis culture (+) reporting in the passive method cases group was 15% and in the contact cases group it was 18% (p<0.001). Abandonment, transferred, death and treatment completion had reported 44%, 1.3%, 2.95%, 49% in the contact cases group and, 37.6%, 4%, 5.7%, 50% in the passive method cases group, respectively (p<0.011). Mean age was lower and female ratio was higher in contact cases group. Conclusion: PTB reported in contact cases is more than extra pulmonary TB reporting. Clinic-radiological diagnosis was much more reported in patients found by passive method than in contact cases. Relatively few death rates in contact cases appeared to be associated with their mild clinical conditions.
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    The frequency of rhinitis in patients with OSAS Relationship between rhinitis severity and OSAS severity
    (DRUNPP-SARAJEVO, 2011) Dogan, Omer Tamer; Abadoglu, Oznur; Cakmak, Evrim
    Background: There are a few studies comparing allergic (AR) and nonallergic rhinitis (NAR) frequency in adult patients with obstructive sleep apnea syndrome (OSAS). Aim: To detect the frequency of AR or NAR and the characteristics of AR according to "ARIA" in adult patients with OSAS diagnosed using polysomnography (PSG). Method: A questionnaire was applied by face to face interview including rhinitis symptoms (sneezing, rhinorrhea, obstruction and itching), the frequency of nasal symptoms and their effects on daily activities, and a skin prick test (SPT) was performed to 100 patients (mean age 51,3 +/- 1,1 years) who suspected OSAS with history, and hospitalized for PSG. The patients who had 2 or more nasal symptoms were accepted as rhinitis (n=29, 29.0%). Results: According to PSG results, in 47 patients (47.0%) apnea- hypopnea index (AHI) was >= 16 (Group II OSAS). The mean body mass index (BMI) was 33.3 +/- 0.7 kg/m(2) (range 22.2-54.3 kg/m(2)). There were no statistically significant differences in the atopy (n=4, 8.5% vs. n=4, 7.5%, respectively; p > 0.05) and rhinitis frequencies (n=14, 29.8% vs. n=15, 28.3%, respectively; p > 0.05) between Group II OSAS and Group I OSAS. Persistent (n=9, 64.3% vs. n=11, 73.3%, respectively; p > 0.05) and moderate/severe rhinitis percentages (n=10, 71.4% vs. n=12, 80.0%, respectively; p > 0.05) were also statistically indifferent in Group II OSAS and Group I OSAS patients with rhinitis. Skin prick tests were positive only in two patients with rhinitis who had < 16 AHI. The most frequent nasal symptom in patient with rhinitis was nasal obstruction (n=24, 82.8%). Nasal itching was more frequent but statistically insignificant in Group I OSAS than Group II OSAS (n=10, 66.7% vs. n=5, 35.7%, p=0.10). Conclusion: Our data rule out AR, NAR and atopy as a major risk factor for OSAS.