Thoracic research and practice最新文献

{"title":"Comment on: Enhancing Pneumococcal Vaccination Rates Through Family Physicians: Addressing Challenges and Raising Awareness.","authors":"Ebru Uğraş, Erhan Şimşek","doi":"10.4274/ThoracResPract.2025.2025-1-6","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2025-1-6","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes and Practices of Family Physicians and Nurses in Evaluating Their Patients' Smoking Status: A Cross-sectional Study.","authors":"Ramazan Satılmış, Melda Dibek, Okay Başak","doi":"10.4274/ThoracResPract.2025.2025-1-5","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2025-1-5","url":null,"abstract":"<p><strong>Objective: </strong>The low quit rate of smokers without support increases the importance of very brief clinical interventions for smoking cessation. The aim of this study was to determine the attitudes and practices of family physicians and nurses in primary care in evaluating patients' smoking status.</p><p><strong>Material and methods: </strong>This cross-sectional survey was conducted in family health centres in Aydın Efeler district between November and December 2020. A questionnaire developed on the basis of the \"modified very brief clinical intervention (3A-OR)\" model was used. Questionnaires were administered to all participants using the face-to-face method. In addition to descriptive statistical methods, univariate and multivariate analysis were performed. The statistical significance level was accepted as \"<i>P</i> < 0.05\".</p><p><strong>Results: </strong>Fifty-nine family physicians and 64 nurses participated in the study. Of the participants, 62.6% were female and the mean age was 44.9 years. The most common practices of family physicians and nurses concerning learning their patients' smoking behaviour were to offer assistance to smokers (82.4%) and to recommend that they quit (81.3%). Family physicians and nurses mostly thought that it was their responsibility to refer their smoker patients to stop smoking counselling centres (71.6%) and to offer assistance (61.8%). Family physicians had a 3.12 times more positive attitude than nurses in evaluating the smoking status of the patients (<i>P</i> = 0.008).</p><p><strong>Conclusion: </strong>Our study results have revealed that the positive attitudes of family physicians are not fully reflected in practice and that nurses generally do not adopt responsibilities related to evaluating patients' smoking habits, despite their efforts to make better practices.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Premature Deaths and Socio-economic Status: The Role of Fine Particulate Matter in Türkiye (2019).","authors":"Nilüfer Aykaç, Selin Çakmakcı Karakaya, Merve Erçelik Koncak, Orbay Tutku Seren, Sabri Serhan Olcay, Nil Kader Çağaç, Feride Marım, Susamber Dik, Şule Kızıltaş Bilgin, Maide Gözde İnam, İlknur Kaya, Khurshud Çağla Hüseynova, Remziye Can, Şeyma Tunç, Damla Karadeniz, Kübra Akyüz, Şaban Melih Şimşek, Neslihan Köse Kabil, Şerif Kurtuluş, Sebahat Genç, Yeşim Yasin, Ahmet Uğur Demir, Alpaslan Türkkan, Celaleddin Haluk Çalışır, Kayıhan Pala","doi":"10.4274/ThoracResPract.2025.2024-2-4","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2024-2-4","url":null,"abstract":"<p><strong>Objective: </strong>Air pollution, particularly particulate matter (PM), is a leading environmental risk factor contributing to global morbidity and premature mortality. The World Health Organization's (WHO) AirQ+© software is a vital tool for assessing the health impacts of air pollution. Our study used this software to estimate premature deaths attributable to long-term particulate matter (PM_2.5) exposure in Türkiye in 2019 and explored its relationship with each province's socio-economic status.</p><p><strong>Material and methods: </strong>We conducted an ecological study using annual average PM_2.5 levels from air quality stations. Due to limited PM_2.5 measurements (only 16% of stations), we derived PM_2.5 values from PM₁₀ data using WHO's conversion coefficient for Türkiye.</p><p><strong>Results: </strong>We identified the provinces with the highest PM_2.5 concentrations and associated mortality: Iğdır, Şırnak, Çorum, Düzce, and Kahramanmaraş had the highest concentrations, while Erzurum, Çorum, Iğdır, Sinop, and Kütahya had the highest mortality rates per 100,000 population. No significant correlation was found between premature deaths and the socio-economic development index of each province. Our study estimated 37,768 premature deaths attributed to long-term PM_2.5 exposure in adequately monitored provinces.</p><p><strong>Conclusion: </strong>In 2019, Türkiye faced persistent air pollution, with PM_2.5 levels exceeding WHO's 2021 limits across all provinces and stations. Türkiye lacks specific PM_2.5 limits legislation. Our findings provide a fresh insight into the literature, highlighting policy reform needs. However, data deficiencies hindered analysis in some provinces, affecting nearly 20% of the population aged 30 and above and 31% of the total surface area. Therefore, the actual burden of air pollution-related deaths may be higher than our estimates, underscoring the need to address these challenges urgently.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Considering Patient Perspective Through Visual Representatives: Telemedicine Gives Voice to Rare Interstitial Lung Disease Patients.","authors":"Nazlı Çetin, Sabri Serhan Olcay, Utku Tapan, Pelin Duru Çetinkaya, Francis X McCormack, Göksel Altınışık","doi":"10.4274/ThoracResPract.2025.2025-1-4","DOIUrl":"10.4274/ThoracResPract.2025.2025-1-4","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to: Long-term Effects of COVID-19 on Sleep Patterns.","authors":"Salma Batool-Anwar, Olabimpe S Fashanu, Stuart F Quan","doi":"10.4274/ThoracResPract.2025.2025-1-15","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2025-1-15","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Global Epidemic of Silicosis Due to Artificial Stone: is Türkiye Next?","authors":"Metin Akgün, Özlem Kar Kurt","doi":"10.4274/ThoracResPract.2025.2025-4-2","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2025-4-2","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Value of Inverted Images for Pulmonary Nodule Detection.","authors":"Özlem Türkoğlu, Emrah Karatay, Yağız Ceylan, Onur Vurucu, Abdülkadir Eren","doi":"10.4274/ThoracResPract.2025.2025-1-14","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2025-1-14","url":null,"abstract":"<p><strong>Objective: </strong>Chest X-ray (CXR) is the most commonly used initial modality for most lung diseases, including pulmonary nodules. In diseases such as lung cancer, tuberculosis, and fungal infections, detecting a single nodule in the early stages will facilitate treatment. One of the most important obstacles to searching for a single pulmonary nodule on a CXR is peripheral background contrast enhancement, and density differences. The aim of this study was to demonstrate the superiority of inverted gray scale to the standard image of CXR in the detection of a single pulmonary nodule.</p><p><strong>Material and methods: </strong>The design of the study included the evaluations of two radiologists unaware of each other, and past computed tomography reports. They randomly evaluated standard and inverted gray scale images of posteroanterior CXRs of both nodule-containing and non-nodule-containing patients, totaling 100 in total. Each evaluation was graded from one to three as one stood for nodule negative, two was for doubtful and three was for nodule positive ones.</p><p><strong>Results: </strong>The percentage of the patients who were correctly identified as having the nodule [sensitivity (inverted 68.15% - standard 57.14%)] and not having [specificity (inverted 87.56% - standard 88.71%)] showed a statistically significant difference in inverted gray scale (negative) image compared to the standard image (<i>P</i> ≤ 0.001).</p><p><strong>Conclusion: </strong>Inverted chest radiogram is significantly exposing the nodule presence over the white background so that should be highlighted and considered as a part of useful scanning. So that in terms of functional benefit and additionally cost effectiveness, we advice this technique in part of routine CXR evaluation.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Important Question: Can Serum Chitotriosidase Enzyme Predict the Activity and Clinical Course of Sarcoidosis Disease?","authors":"Ece Şahinoğlu, Haşim Boyacı, Hale Maral Kır, Ahmet Hamdi Ilgazlı, İlknur Başyiğit, Serap Argun Barış","doi":"10.4274/ThoracResPract.2025.2025-1-2","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2025-1-2","url":null,"abstract":"<p><strong>Objective: </strong>Serum chitotriosidase (CHIT) is a promising biomarker that has shown high specificity and sensitivity in patients with sarcoidosis. Our study aimed to evaluate the CHIT enzyme concerning the activity, prognosis, and treatment decision of sarcoidosis.</p><p><strong>Material and methods: </strong>The patients with the following characteristics were included in our single-center study as long as they agreed to participate. These patients were newly or previously diagnosed with sarcoidosis according to American Thoracic Society/European Respiratory Society/World Association of Sarcoidosis and Other Granulomatous Disorders and consulted the outpatient clinic of chest diseases in our university hospital between August 2020 and April 2021. The patients with sarcoidosis were categorized into 3 groups: 1) diagnosed as sarcoidosis but not having the treatment indication; 2) previouslytreated or currently receiving treatment; and 3) newly diagnosed and having a treatment indication.</p><p><strong>Results: </strong>A total of 126 sarcoidosis patients and 43 healthy volunteers were included. The median value of serum CHIT enzyme levels in patients with sarcoidosis was determined to be 9.8 ng/mL, while it was 5.1 ng/mL in the control group. It was determined that the serum CHIT levels were notably higher in patients with sarcoidosis (<i>P</i> = 0.000). In the serum CHIT levels of the newly-treated patient, a significant reduction was observed after the 6-month treatment (<i>P</i> = 0.008), in comparison with these levels noted at the time of diagnosis.</p><p><strong>Conclusion: </strong>Our study demonstrated that the serum CHIT has a high sensitivity and high specificity in the diagnosis of sarcoidosis and a reduction in the level of that enzyme occurs upon treatment.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Long-term Effects of COVID-19 on Sleep Patterns.","authors":"Mahmood Dhahir Al-Mendalawi","doi":"10.4274/ThoracResPract.2025.2025-1-7","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2025-1-7","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to: Effectiveness of a Program to Raise Awareness About Pneumococcal Vaccination Among Physicians and Patients with Chronic Respiratory Diseases: A Multicenter Cohort Study.","authors":"Zühal Karakurt, Enver Yalnız, Sedat Altın, Özlem Oruç, Özgür Uslu, Nurdan Şimşek Veske, Oğuz Kılınç, Seval Kul, Abdullah Sayıner","doi":"10.4274/ThoracResPract.2025.2025-2-2","DOIUrl":"https://doi.org/10.4274/ThoracResPract.2025.2025-2-2","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}