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    Comparison of demographical characteristics, prognostic factors, and surgical outcomes in children and adult patients with pulmonary hydatid cyst
    (Turkish Respiratory Society, 2017) Oruç, Menduh; Şahin, Atalay; Meteroğlu, Fatih; Onat, Serdar; Durkan, Atilla; Ülkü, Refik; Taylan, Maşuk
    Objective: Pulmonary involvement of hydatid cyst disease (HCD) may cause rupture, anaphylaxis, pneumothorax, and pulmonary hypertension. Our aim was to analyze demographical and clinical characteristics of pulmonary HCD. Methods: Demographical characteristics, laboratory parameters, and clinical features of 171 children and adult patients with pulmonary HCD were analyzed. Age, gender, ELISA test results, duration of hospitalization, surgical method of cyst excision and number, diameter, localization, and perforation status of cysts were recorded. Physical examination, ultrasonography, computed tomography, and serologic tests were used to confirm diagnosis of hydatid cysts. Results: Perforated cysts were observed in 26 children and 22 adults. Twenty-three children and 12 adults had a giant cyst. Extrapulmonary hydatid cysts were observed in 10 children and 21 adults. ELISA IgG positivity was determined in 30 children and 34 adults. Twelve children experienced long-lasting air leakage and responded to drainage. In the adult group, 14 patients had long-lasting air leakage and 3 had empyema and expansion defect. The mean duration of hospitalization for children and adults was 8.9 and 10.45 days, respectively. Conclusion: A better understanding of demographic features, clinical characteristics, complications of disease, and surgical procedures helps to determine optimal follow-up and the therapeutic choice.
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    Comparison of the Effects of Smoking and Smokeless Tobacco “Maras Powder” Use on Pulmonary Function, Electrocardiogram and Other Parameters
    (2019) Taylan, Maşuk; Kasapoğlu, Umut Sabri; Güney, Pınar Atagün; Atilla, Nurhan; Irmak, İlim; Arpag, Hüseyin
    Objective: Through the years, tobacco has been used in many ways. While the most common way of consumption is through smoking cigarettes, smokeless use bychewing or nasal snuffing are also quite common. Smokeless tobacco, also named “Maras powder”, is generally used as a substitute to reduce or quit smoking. Theeffects of smokeless tobacco use on the immune system, respiratory system and cardiovascular system have been extensively researched. In our study, we aimed toinvestigate the effects of Maras powder on the respiratory, electrocardiogram (ECG) findings and biochemical methods.Methods: One hundred and forty-nine cases were included and the cases were classified into the following four groups: only using Maras powder; using Maras powderand smoking; only smoking and control group neither smoking nor using Maras powder. Physical examination findings, ECG findings, results of pulmonary functiontests, results of biochemical analysis including complete blood count and lipid profile of all participants were recorded on admission.Results: The risk of mouth sores was 7.9 times higher in the Maras powder group due to direct contact to the oral mucosa. There is a relationship between the daily usefrequency of smokeless tobacco and the development of oral wounds, but the total period of use or the duration in mouth was not related to this situation. The ECGfindings of both the smoking and Maras powder consuming group was found to be significantly higher than the control group.Conclusion: The smokeless tobacco use, which is considered as an alternative way of quitting smoking, does not have adverse effects on respiratory functions. However,it is an important risk factor for many life-threatening health conditions such as ECG abnormalities and occurrence of oral lesions. Social awareness must be created forsmokeless tobacco use in order to fight this habitual threat to public health.