Bedia Ayhan Özyildirim

Una definición de las quejas premenstruales en adolescentes (un estudio preliminar- Estambul-Turquía)

This descriptive - analytical study was carried out during the year 2000 in order to formulate a classification system to determine the adolescents at high risk for Premenstrual Syndrome (PMS) and who need a detailed evaluation. Subjects were divided two groups according to DSM- IV criteria for premenstrual dysphoric disorder (PMDD) and Premenstrual Assessment Form (PAF) scoring system. The most frequent symptoms in Group I were marked anxiety or feelings of being on-edge and persistent anger and irritability or increased interpersonal conflicts and in Group II were lethargy, easy fatigability or marked lack of energy. Visits to the doctor for PMS symptoms and interruption in school attendance were more frequent in Group I which shows more severe symptoms. In addition, most symptoms were observed in a higher proportion in Group I than Group II. This difference was statistically significant. By envisaging some restrictions prior to prospective studies in developing countries, broad field studies that differentiate the risk groups and include all classes with all kinds of sociodemographic features should be performed to develop retrospective criteria for PMS with different complaints in various cultural structures.

Respiratory Problems in Tannery Workers in Istanbul

Tannery workers are exposed to many chemical and physical hazards. The current study involved 730 workers from 23 leather factories located in the Tuzla Organized Industry Region, Istanbul. Participants were interviewed and underwent clinical examination. After the basic physical examination, respiratory functions were measured by spirometer and the workers questioned about asthma. Health problems included gastrointestinal complaints (7.30%), bronchitis (3.11%) and asthma (3.0%). Signs of bronchial obstruction — wheeze and rhonchus — were detected in 71 (9.72%) workers. A deficit in the values of FVC%, FEV 1%, FEV1/FVC%, PEF%, FEF25— 75% was set nominally at 80% of the respiratory function test parameters. Decreased pulmonary function results were found for FVC% in 36 (4.93%) workers, FEV1 in 71 (9.72%), FEV1/FVC in 18 (2.59%), PEF in 183 (25.1%) and FEF25—75% in 204 (27.94%). The number of those with respiratory obstruction detected by spirometry was 294 cases (40.27%), more than the number of cases, 263 (36.02%), who claimed res- piratory problems in the questionnaire. This study was a contribution towards efforts to improve the factory envi- ronment and control workplace risks. Together with med- ical examinations before and during employment and provision of continuous health services and training will reduce the risk of occupational disease to a minimum. Introduction Leather production is one of the worlds oldest trades, consisting of a chemical process that turns animal hides into the much less perishable material, leather. As part of this process, after the removal of the epidermis and subcu- taneous tissue, the dermal collagen fibres are stabilized by means of chemical treatment known generically as tanning [1]. Employees who work in tanneries are liable to be affected by their exposure to lots of hazardous materials and processes during tanning. These hazards can be grouped into four categories: biological, physical and chemical hazards and work accidents.

Biological Hazards in Tannery Workers

A total of 431 workers from 14 leather factories located in the Tuzla Organized Industry Region, Istanbul were involved in the study. Subjects were interviewed and examined individually with regard to asthma symptoms. Physical examinations were undertaken and respiratory function measured by spirometer. Moreover, the atmosphere of the working areas in the factories was assessed microbiologically. The fungal genera most often detected were Penicillium spp., followed by Aspergillus spp., Alternaria spp., Scopulariopsis spp., and Cladosporium spp. multiplying at differing rates. The number of those physically examined with indications of peripheral respiratory obstruction was 176 (40.8%) while those with suspected asthma following questioning was 153 (35.5%). The obstruction demonstrated by the use of respiratory function tests was associated with the mold isolated from the environment and was included in the logistic model that was developed as a risk factor for increasing obstruction. Workers employed in tanneries encounter many health problems. These may be reduced by: improving the factory environment, environmental control of allergens, elimination of allergen reservoirs, control of humidity and reducing exposure to excessive heat or cold. In addition there should be air filtration and vacuum cleaning to control dust mites and control of other workplace risks not necessarily associated with tanning. Importantly, workers should have medical examinations before employment and periodic examinations during training and employment to reduce the risk of occupational diseases to a minimum.

Fungal Flora at Solid Waste Storage Centres and Their Potential Allergenic Effects on the Workers

Purpose: The aim of this study was to find out the fungal flora at solid waste storage centres and its potential allergenic effects on the workers. Methods: Air samples from 10 solid waste storage centres were collected and plates were incubated for up to 14 days. The isolated fungi were identified by standard methods. In total, 599 solid waste sanitation workers who worked in those areas were questioned about nasoconjunctival and skin allergic symptoms and then underwent skin prick tests with different mould extracts. Results: Aspergillus sp., Cladosporium sp., Rhizopus sp., Penicillium sp., Alternaria sp. and Trichoderma sp. were isolated in all areas, Aspergillus being the most abundant mould followed by others. According to skin prick tests, positivity to Aspergillus fumigatuswas found to be in the first order by 10.68%. There was a significant correlation between the nasal and conjunctival symptoms and skin test positivity to house dust mites (p = 0.002, p = 0.03). Skin complaints were correlated with skin test positivity to Penicillium notatum ( p = 0.04). Conclusion: Our findings showed that the workers of solid waste storage centres are under a moderate risk of becoming sensitised to some mould species, especially to Aspergillus sp. The environmental measurements and periodical medical check-ups must be taken into account in solid waste storage centres in order to assess the health risks.