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.

/pdf/pneumoconiosis-in-different-sectors-and-their-differences-in-5s5hy0ph8v.pdf

Pneumoconiosis in different sectors and their differences in Turkey.

Bu calismada traktor kabini ve tarim makineleri ureten bir metal sanayi isletmesinin kaynaklar atolyesinde, is sagligi ve guvenligi ile risk degerlendirme analizleri ele alinmistir. Isletmenin kaynaklar atolyesindeki tum tezgahlar incelenerek, her bir tezgahta, basta kaynak gazi ve isin zararlari olmak uzere is kazasi ve meslek hastaliklarina neden olan her tehlike icin Fine-Kinney ve Matris Yontemleri ve REBA yontemi ile de ergonomik risk degerlendirmeleri yapilmistir. Yuksek risk duzeyine sahip tum noktalarda riski azaltacak iyilestirme, calismalari yapilmistir. a)Isinin diger insanlara etkisini azaltmak icin kaynak cevresindeki koruyucularin guclendirilmesi veya degistirilmesi onerilmistir. b)Kaynak gazinin atolye icine yayilmasini onlemek icin, her tezgaha ozgu aspirator gucu tespit edilmis, kaynak bolgesine uygun davlumbaz tasarlanmistir. Kaynak gazinin isciye olan direkt etkisini azaltmak ve boylece riski kabul edilebilir duzeye dusurmek icin ekonomik ve pratik lokal havalandirma aparatlari tasarlanmistir. Islemeye sunulan iyilestirme calismalari ile kaynaklar atolyesinde belirlenmis tum yuksek riskler kabul edilebilir (orta) seviyeye dusurulmustur.

https://dergipark.org.tr/en/download/article-file/591524

Kabi̇n üreti̇mi̇ yapan bi̇r i̇şletmeni̇n kaynak atölyesi̇nde i̇ş sağliği ve güvenli̇ği̇ ri̇sk değerlendi̇rmesi̇

Ozet Amac: Kaynakcilik, metalleri yuksek isi altinda eriterek ya da yuksek basinc uygulayarak birbirine yapistirmak icinyaygin olarak kullanilan bir islemdir. Kaynakcilik isleminin cesitli saglik zararlari olmakla birlikte, en onemlisi kaynakdumaninin solunum yoluyla alinmasi ve bunun sonucu olarak hava yollarinda ve akciger parankiminde olusturduguhastaliklardir. Bucalismada kaynakcilardaki akciger etkilenmeleri ve bunun meslek ve diger risk faktorleri ile iliskisi degerlendirilmeyecalisilmistir. Gerec ve Yontem: Saglik Bakanligi Ankara Meslek Hastaliklari Hastanesi Gogus Hastaliklari Poliklinigine rutinperiyodik muayene icin Ocak 2012 ile Haziran 2012 arasinda basvuran ardisik 44 kaynak iscisi bu calismaya alindi.Iscilerden bilgilendirilmis onam formu ve meslek anamnezi alindi. Dokuz soruluk bir anket uygulandi. Meslek anamnezive fizik muayene bulgularina gore 19 iscide akciger grafisi, spirometre ve yuksek rezolusyonlu akciger bilgisayarlitomografisi (YRBT) yapildi Bulgular: Spirometre uygulanan 19 iscinin 5 tanesinde FEV1/FVC degeri % 80'nin altinda idi. 8 kaynakcinin akcigergrafisinde pnomokonyoz ile uyumlu gorunun mevcuttu (ILO p/q 0/- 3/+). Bu hastalara cekilen YRBT’de mikronodulertutulum saptanarak pnomokonyoz lehine degerlendirildi. Sonuc: Kaynakcilik mesleginin hem havayollarini, hem de akciger parankimini etkileyen zararlari oldugu ortaya kondu.

/pdf/kaynak-iscilerinde-pnomokonyoz-gelisimi-yonunden-risk-5g47pqmxbo.pdf

Kaynak İşçilerinde Pnömokonyoz Gelişimi Yönünden Risk Faktörlerinin Değerlendirilmesi

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Kaynak İşçilerinde Pnömokonyoz Gelişimi Yönünden Risk Faktörlerinin Değerlendirilmesi