Ayşe Neslin Akkoca

Increased density of Demodex folliculorum mites in pregnancies with gestational diabetes.

Objective: To investigate the presence of Demodex in patients with gestational diabetes and the impact of glucose regulation on Demodex density in gestational diabetes. Subjects and Methods: The study population consisted of 33 patients with gestational diabetes and 30 pregnant women without gestational diabetes (control group). The age, parity, gestational age, and BMI of the study group were recorded and the patients were divided into 2 groups, i.e. those with regulated and unregulated glucose levels, according to their postprandial 1st- and 2nd-hour glucose values. A standardized skin surface biopsy method was used to determine if patients had Demodex folliculorum infestation (>5 mites/cm2 of skin). Results: Patients with gestational diabetes had a statistically significantly higher Demodex density compared to the control group (24.2 vs. 3.3%; p < 0.001). Furthermore, a significantly higher proportion of gestational diabetes patients with unregulated glucose levels had a higher Demodex density compared to those in the regulated subgroup (6/19 vs. 2/14; p = 0.001). Conclusion: Our study revealed that the Demodex density was increased in gestational diabetes patients. Further, poor glucose regulation could be the mechanism responsible for the increased Demodex density in gestational diabetes patients with unregulated glucose levels compared to those with regulated glucose levels.

Pankardit ve Perikardiyal Efüzyon ile Presente Olan İnkomplet Kawasaki Hastalığı

Kawasaki disease is an acute self-limiting systemic vasculitis. Although its etiology is unknown, some infectious agents are strongly suspected. Untreated patients may develop severe complications, such as coronary artery aneurysm, congestive heart failure, myocardial infarction, and cardiac dysrhythmia. In this report, eight years-old girl, diagnosed as incomplete KD with pericardial effusion without conjunctivitis and lymphadenopathy, was presented.

Relationship of Recurrent Aphthous Stomatitis with Nutritional Habits

Aim: In this study we investigated the frequency and relationship of recurrent aphthous stomatitis(RAS) with family history, personal variables such as weight, heigt, antibiotic usage, teeth brush and nutritional habits in geriatric patients. Material and Method: The patients over 65 years old were included in the study. Before examination, the definition of recurrent oral aphthous ulcers and a visual informatory form including photographs were presented to the subjects. The age, sex, height, weight of the subjects were noted on a chart. Then the history of recurrent oral aphthous ulcerations were asked and if present the frequency of the ulcers, the type of the ulcers, the localization of the ulcers, the subjective symptome of the ulcers, familial history for the ulcers, frequency of antibiotic usage, teeth brush habits and nutritional habits were examined by a questionnaire. Results: Eighty subjects completed the study. 31.25% of subjects declared recurrent oral ulcer history. Pain was the leading subjective symptome declared by 44% of the subjects. 15% of the subjects had a family history for recurrent oral ulcers. There was no correlation between frequency of antibiotic usage and history of RAS. Also, there was no correlation between teeth brush habits and history of RAS. The RAS group consumed tea and fizzdrinks more frequently whereas they consumed milk and milk products, walnut, bread and other grains more rarely. Discussion: Nutritional habits may have a role on ocurrence of reccurrent oral aphthous ulcerations. So we are of the opinion that the elimination of the risky nourishments and the addition of the protective nourishments may be the first step of the treatment period.

Üriner İnkontinans Tarifleyen Kadınlarda Aile ve Enürezis Nokturna Öyküsü

Aim: In this study, the relationship of urinary incontinence (UI) with family history and nocturnal enuresis history were investigated in women in the reproductive age that admitted to the outpatient clinics. Materials and Methods: Total of 520 female patients were included in the study that admitted to urology, gynecology, internal medicine and family medicine clinics between December 2013 - January 2014. General questionnaire containing sociodemographic characteristics and urinary incontinence history questionnaire was administered to these patients. Results: 520 women aged between 15-49 years were investigated and 35% (182) of them complained of urinary incontinence. More often had a complaint of incontinence in a little amount (42.9%). The most common type was urge 114 (22%) of had UI history in first-degree relatives. 31.4% of them suffered from urinary incontinence in childhood and; 28.4% of sad that they received treatment, 55% of was not treated, 16.6% of did not remember anything. Conclusion: UI is a common health problem and quite often in the female population. The most women see UI as a result of being a women and aging so they dont take medical advice. This disease should be awared and treated and in childhood. It is important to identify the problem and the risk factors of UI in patients admitted to outpatient clinics