A 25‐year‐old woman with a 1‐year history of malodorous, red, and eroded lesions in frictional sites was seen in the dermatology department. She did not give a family history of a similar condition. ...She had an 18‐month‐old baby and her initial complaint was of genital pruritus with profuse vaginal discharge which appeared within 2 months of delivery. She was treated for candidal vaginitis but pruritus persisted and skin lesions occurred on both sides of the groin. The lesions subsided as long as the local treatment for candidal vaginitis was continued, but recurred more than three times in a year, each time with additional and more severe lesions involving the axillae, retroauricular sites, and scalp. She received no specific treatment during this time and her complaint about the eyes was the reason she was referred to a dermatologist.
On dermatologic examination, impetigo‐like, serpiginous plaques with severe erythema, erosions, and an active border were observed behind the ears, in the axillae, and in the pubis; these tended to expand peripherally and were partly covered with greasy yellowish scales particularly on the scalp. Satellite pustules and vesicles were observed at the adjacent sites (Fig. 1). Conjunctivae were bilaterally hyperemic and fine yellowish scales were also apparent on the palpebral rim (Figs 2 and 3). Ophthalmologic examination revealed severe conjunctival oedema and ulcerating blepharitis. Cornea appeared normal and vision was unimpaired. Results of Schirmer's test (15 and 17 mm) were within the normal range of tear secretion without an anaesthetic. Swab cultures from the peripheral pustules and erosions showed S. aureus infection while Sabourraud culture remained negative. Skin and conjunctiva biopsies for direct microscopy and immunofluorescence were performed. Histopathologic features were identical in either specimen disclosing suprabasal blister formation, acantholysis, and villus‐like protrusions lined by a single layer of basal cells (Fig. 4). IgG, IgA, IgM, and complement C3 immunofluorescence was not detected at the epidermis of the skin adjacent to serpiginous lesions. A direct immunofluorescent test of conjunctival biopsy also remained negative.
The patient was given clarithromycine 500 mg/day for 10 days and topical treatment was also applied. A rapid response was obtained within the first week of treatment.
Nutuklar, bir edebi tür ya da dilbilgisel veri olmasının öncesinde devlet geleneğinin ve onun aslî unsurlarının sosyal ve kurumsal tezahürü olarak değerlendirilebilecek dil, kültür ve bilhassa oluşum ...amacı itibariyle eğitim bağlamlı veri tabanı özelliğine sahiptirler. Bu veri tabanı, kadim dillerden Türkçe için tarihî kökler üzerinde kurumsal kimliğe sahip güçlü bildirge özelliğine sahiptir. Çalışmada bu yönüyle, Gazi Mustafa Kemal Atatürk’ün Nutuk’u, dilbilimsel bağlamda, ülkü toplum ve devlet kurgusu içerisinde Türkçe ve Türkçe eğitimi odaklı olarak incelenmiş ve değerlendirilmiştir. Kurucu metin niteliğine sahip olan Nutuk, toplum ve devlet hayatının gelişimine dair güçlü bir birleşen olarak Türkçe eğitimi için de önemli verileri barındırmaktadır. Belirtilen veriler söylem çözümlemesine tâbi tutularak nitel araştırmaya dayalı olarak doküman analizi ile değerlendirilmiştir. Bu doğrultuda, kurulan Türkiye Cumhuriyeti’nde Türkçe eğitiminin işlevine dair, kurucu iradenin tezahürü işlevsel açıdan değerlendirilmiştir.
Culture and especially for the purpose of formation, which can be considered as the social and institutional manifestation of the state tradition and its essential elements before they become a literary genre or grammatical data. This database has a strong declaration feature with an institutional identity on historical roots for Turkish as one of the ancient languages. In this respect, Gazi Mustafa Kemal Atatürk's Speech was examined and evaluated in a linguistic context, with a focus on Turkish and Turkish language education within the fiction of ideal society and state. The speech, which has the feature of a founding text, also contains important data for Turkish education as a strong unification for the development of society and state life. The specified data were subjected to discourse analysis and evaluated by document analysis based on qualitative research. In this respect, the manifestation of the founding will on the function of Turkish education in the founded Republic of Turkey was evaluated from a functional point of view.
Background Primary (idiopathic) hyperhidrosis is a benign disease of unknown etiology, leading to the disruption of professional and social life and emotional problems. A variety of treatment methods ...have been used to control or reduce the profuse sweating. In this study, we report the efficacy of direct current (d.c.) administration in the treatment of idiopathic hyperhidrosis.
Methods One hundred and twelve patients with idiopathic hyperhidrosis were enrolled in the study. Initial sweat intensities of the palms were measured by means of the pad glove method. The patients were treated in eight sessions with d.c. administration using a complete regulated d.c. unit based on tap water iontophoresis. The final sweat intensities of responders were determined 20 days after the last treatment. Nonresponders returned earlier than 20 days, with final sweat intensities measured at least 5 days after the last treatment. In 26 responders, plantar hyperhidrosis was also treated. After the first remission period, the second of eight treatments was applied to the palms of 37 responders.
Results This therapy controlled palmar hyperhidrosis in 81.2% of cases. The final sweat intensities of the palms of responders were significantly reduced after eight treatments (P < 0.001). The first average remission period was 35 days. Minimal undesirable effects were noted.
Conclusions This technique appears to control hyperhidrosis on the palms and soles only if regular treatment is applied. Plantar hyperhidrosis appeared to resolve simultaneously when palmar hyperhidrosis was successfully treated.
The main objective of this study is to analyze the quality of working life (QWL) and current working conditions in cutting and sewing branches of a large Turkish textile factory. A survey is ...conducted on 87 workers to determine the degrees of QWL in the cutting and sewing workshops. The results show that the factors of levels of education of workers, ergonomics conditions and work safety of the workshops have good degrees of QWL while the levels of physical and psychological environment and psychology, occupational health and organizational motivation, and performance have acceptable degrees of QWL that the some opportunities can be occurred for the improvement of the QWL degrees for these factors.
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