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    Immunization status in chronic obstructive pulmonary disease: A multicenter study from Turkey
    (WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2019) Ozlu, Tevfik; Bulbul, Yilmaz; Aydin, Derya; Tatar, Dursun; Kuyucu, Tulin; Erboy, Fatma; Koseoglu, Handan Inonu; Anar, Ceyda; Sunnetcioglu, Aysel; Gulhan, Pinar Yildiz; Sahin, Unal; Ekici, Aydanur; Duru, Serap; Ulasli, Sevinc Sarinc; Kurtipek, Ercan; Gunay, Sibel; Okutan, O.; Yildiz, B. P.; Cetinkaya, P. D.; Arslan, S.; Cakmak, G.; Cirak, A. K.; Sarioglu, N.; Kocak, N. D.; Akturk, U. A.; Demir, M.; Kilic, T.; Dalli, A.; Hezer, H.; Altintas, N.; Acat, M.; Dagli, C. E.; Kargi, A.; Yakar, F.; Kirkil, G.; Baccioglu, A.; Gedik, C.; Intepe, Y. S.; Karadeniz, G.; Onyilmaz, T.; Saylan, B.; Baslilar, S.; Sariman, N.; Ozkurt, S.; Arinc, S.; Kanbay, A.; Yazar, E. E.; Yildirim, Z.; Kadioglu, E. E.; Gul, S.; Sengul, A.; Berk, S.; Dikis, O. S.; Kurt, O. K.; Arslan, Y.; Erol, S.; Korkmaz, C.; Balaban, A.; Erbay, Toru U.; Sogukpinar, O.; Uzaslan, E. K.; Babaoglu, E.; Bahadir, A.; Baris, S. A.; Ugurlu, A. O.; Ilgazli, A. H.; Fidan, F.; Kararmaz, E.; Guzel, A.; Alzafer, S.; Cortuk, M.; Hocanli, I; Ortakoylu, M. G.; Erginel, M. S.; Yaman, N.; Erbaycu, A. E.; Demir, A.; Duman, D.; Tanriverdi, H.; Yavuz, M. Y.; Sertogullarindan, B.; Ozyurt, S.; Bulcun, E.; Yuce, G. D.; Sariaydin, M.; Ayten, O.; Bayraktaroglu, M.; Tekgul, S.; Erel, F.; Senyigit, A.; Kaya, S. B.; Ayik, S.; Yazici, O.; Akgedik, A.; Yasar, Z. A.; Hayat, E.; Kalpaklioglu, F.; Sever, F.; Sarac, P.; Ugurlu, E.; Kasapoglu, U. S.; Gunluoglu, G.; Demirci, N. Y.; Bora, M.; Talay, F.; Ozkara, B.; Yilmaz, M. U.; Yavsan, D. M.; Cetinoglu, E. D.; Balcan, M. B.; Ciftci, T.; Havan, A.; Gok, A.; Nizam, M.
    OBJECTIVE: The purpose of this study is to detect the prevalence and the factors associated with influenza and pneumococcal vaccination and outcomes of vaccination during 2013-2014 season in patients with chronic obstructive pulmonary disease (COPD) in Turkey. METHODS: This was a multicenter retrospective cohort study performed in 53 different centers in Turkey. RESULTS: During the study period, 4968 patients were included. COPD was staged as GOLD 1-2-3-4 in 9.0%, 42.8%, 35.0%, and 13.2% of the patients, respectively. Influenza vaccination rate in the previous year was 37.9%; and pneumococcus vaccination rate, at least once during in a life time, was 13.3%. Patients with older age, higher level of education, more severe COPD, and comorbidities, ex-smokers, and patients residing in urban areas had higher rates of influenza vaccination. Multivariate logistic regression analysis showed that advanced age, higher education levels, presence of comorbidities, higher COPD stages, and exacerbation rates were associated with both influenza and pneumococcal vaccination. The number of annual physician/outpatient visits and hospitalizations due to COPD exacerbation was 2.73 +/- 2.85 and 0.92 +/- 1.58 per year, respectively. Patients with older age, lower education levels, more severe COPD, comorbid diseases, and lower body mass index and patients who are male and are residing in rural areas and vaccinated for influenza had significantly higher rates of COPD exacerbation. CONCLUSIONS: The rates of influenza and pneumococcal vaccination in COPD patients were quite low, and the number of annual physician/outpatient visits and hospitalizations due to COPD exacerbation was high in Turkey. Advanced age, higher education levels, comorbidities, and higher COPD stages were associated with both influenza and pneumococcal vaccination.
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    Intestinal obstruction due to bezoars: a retrospective clinical study
    (SPRINGER HEIDELBERG, 2012) Altintoprak, F.; Dikicier, E.; Deveci, Uğur; Cakmak, G.; Yalkin, O.; Yucel, M.; Akbulut, G.; Dilek, O. N.; Deveci, Uğur
    Purpose The purpose of this study was to compare the results of surgical procedures applied to rare intestinal obstruction cases due to bezoars and to identify effective factors for determining the type of surgical procedure to be applied. Methods The records of 62 patients who had received gastrointestinal surgical treatment due to bezoars were assessed retrospectively. The preoperative characteristics, perioperative findings and postoperative results of cases that had and had not undergone an enterotomy were compared Results The average patient age was 57.7 years (range, 26-84 years), and all patients had phytobezoars, except one. The most common location for bezoars was the jejunum (28 cases, 45.1 %). Sixteen cases (25.8 %) had multiple bezoars located in different parts of the gastrointestinal tract. While milking was applied to 26 cases (41.9 %) with small intestinal bezoars, an enterotomy was used to remove bezoars in 23 cases (37 %). More complications tended to be identified in patients who underwent an enterotomy; however, the difference was not significant (p = 0.553). Conclusions The frequency of previous abdominal surgery in patients suffering from an intestinal obstruction due to bezoars causes diagnostic conflict. The location of bezoars in the small intestine should also be considered when deciding the surgical procedure, as well as the physical properties of the bezoars. Our opinion is that conducting the milking procedure should not be insisted on, and that an enterotomy should be conducted when necessary.