THE RELATION BETWEEN ART AND HISTORICAL REALITY SPECIFIC TO WARSHIPS DEPICTIONS AT THE TEMPLE OF ISIS IN POMPEII

Yunan ve Roma dönemlerine ait antik savaş gemilerinin; denizcilik, gemi yapımı, savaş gemilerinin hususî nitelikleri ve sair açılardan bilimciler tarafından derinlemesine incelenmektedir. Savaş gemilerine ait arkeolojik kalıntıların azlığı, arkeologları bu konu hakkında edinebilecekleri bilgileri artırmak amacıyla antik yazılı kaynaklara, savaş gemisi tasvirlerinin bulunduğu sikkelere, vazo ve duvar resimleri gibi sanat eserlerinden gelen verilere başvurmaya yöneltmektedir. Söz konusu tasvirler, gemi tipolojilerini belirlemek amacıyla yardımcı kaynak olarak da kullanılmaktadır. Bu çalışmada Pompeii antik kentindeki İsis Tapınağında yer alan bir duvar resminde tasvir edilen gemiler sanatsal açıdan incelenmiştir. Dönemin savaş gemileri hakkında bilinen arkeolojik veriler ışığında, tarihî gerçeklik ve tasvir ilişkisi özelinde değerlendirilerek, Roma Dönemi savaş gemisi tasvirlerinin, bu gemiler hakkında bir veri olarak tarihî bilgiye destek olabilecek mahiyette olduğu ve arkeolojik kayıt değeri taşıdığı anlaşılmıştır.Warships of antiquity especially the Greek and Roman ones have been scrutinized by scholars. Scarcity of archaeological records in regard to warships direct archaeologists’ attention to investigate classics, coins, vase and wall paintings in order to have profound knowledge on the subject. These iconographies are used by archaeologists as supplementary resources to determine the typologies of the ships. At this work, warship depictions on the wall painting at the Temple of Isıs in Pompeii were analyzed in terms of art. Then the results were assessed in the light of archaeological data about the warships of the period specific to a discussion of the relation between the historical reality and art. It is ascertained that the warship depictions of the Roman Period are in quality to support the historical knowledge and carry value as an archaeological record

Hakan Öniz, Doğu Akdeniz’de Amphoralar, Arkeoloji ve Sanat Yayınları, Antalya 2016, 218 sayfa.

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Dose rate estimates and spatial interpolation maps of outdoor gamma dose rate with geostatistical methods; A case study from Artvin, Turkey

In this study, compliance of geostatistical estimation methods is compared to ensure investigation and imaging natural Fon radiation using the minimum number of data. Artvin province, which has a quite hilly terrain and wide variety of soil and located in the north-east of Turkey, is selected as the study area. Outdoor gamma dose rate (OGDR), which is an important determinant of environmental radioactivity level, is measured in 204 stations. Spatial structure of OGDR is determined by anisotropic, isotropic and residual variograms. Ordinary kriging (OK) and universal kriging (UK) interpolation estimations were calculated with the help of model parameters obtained from these variograms. In OK, although calculations are made based on positions of points where samples are taken, in the UK technique, general soil groups and altitude values directly affecting OGDR are included in the calculations. When two methods are evaluated based on their performances, it has been determined that UK model (r = 0.88, p < 0.001) gives quite better results than OK model (r = 0.64, p < 0.001). In addition, as a result of the maps created at the end of the study, it was illustrated that local changes are better reflected by UK method compared to OK method and its error variance is found to be lower. (C) 2015 Elsevier Ltd. All rights reserved.This work was supported by Cekmece Nuclear Research and Training Centre (CNEAM) and Artvin Coruh University research grant (BAP-2013.F42.02.05)

Pnömonili sığırlarda miyeloid hücrelerde eksprese edilen mid-regional pro-adrenomedullin ve soluble tetikleyici reseptörün serum düzeyleri

This study aimed to determine the serum levels of two inflammatory biomarkers, named, mid-regional pro-adrenomedullin (MR-Pro ADM) and soluble triggering receptor expressed on myeloid cells (sTREM-1), in cattle diagnosed with pneumonia. For this purpose, 40 patient female cattle, which were aged 2-7 years and displayed coughing, dyspnea, nasal discharge, anorexia and abdominal respiration, and 15 healthy female cattle within the same age range, were evaluated. The diseased cattle underwent clinical and radiological examinations and were sampled for blood prior to receiving treatment. The healthy subjects also underwent clinical examination and were sampled for blood once. Blood samples were used for biochemical and hematological measurements. While the diseased group had higher serum levels of MR-Pro ADM (86.38±6.33), compared to the healthy control group (61.81±4.96); the pneumonic cattle had lower levels of sTREM-1 (75.93±1.86), in comparison to the healthy group (96.55±9.13). In conclusion: MR-Pro ADM and sTREM-1 levels are very important diagnostically in cattle with pneumonia.Bu çalışma, pnömoni tanısı konulan sığırlarda mid-regional pro-adrenomedullin (MR-Pro ADM) ve miyeloid hücrelerde eksprese soluble tetikleyici reseptör olmak üzere iki enflamatuvar biyobelirteç ile bazı biyokimyasal ve hematolojik parametrelerin serum düzeylerinin belirlenmesini amaçladı. Bu amaçla 2-7 yaş arası öksürük, nefes darlığı, burun akıntısı, iştahsızlık ve abdominal solunumu gösteren 40 hasta dişi sığır ve aynı yaş aralığında 15 sağlıklı dişi sığır değerlendirildi. Hasta sığırlar tedavi edilmeden önce klinik ve radyolojik muayenelere tabi tutuldu ve kan örnekleri alındı. Sağlıklı sığırlar ayrıca klinik muayeneye tabi tutuldu ve bir kez kan örnekleri alındı. Kan örnekleri biyokimyasal ve hematolojik ölçümler için kullanıldı. Hasta grupta MR-Pro ADM serum düzeyleri (86,38±6,33) kontrol grubuna (61,81±4,96) göre daha yüksek bulundu. Hasta sığırların sTREM-1 seviyeleri (75,93±1,86) sağlıklı gruba kıyasla (96,55±9,13) karşılaştırıldığında istatistiksel olarak anlamlı düşük bulundu. Sonuç olarak: MR-Pro ADM ve sTREM-1 seviyeleri pnömonili sığırlarda diagnostik açıdan oldukça önemlidir

How did the updated 2019 european society of cardiology/european atherosclerosis society risk categorization for patients with diabetes affect the risk perception and lipid goals, a simulated analysis of real-life data from EPHESUS study

Background: The recent 2019 European Society of Cardiology/European Atherosclerosis Society practice guidelines introduced a new risk categorization for patients with diabetes. We aimed to compare the implications of the 2016 and 2019 European Society of Cardiology/European Atherosclerosis Society guidelines with regard to the lipid-lowering treatment use, low-density lipoprotein cholesterol goal attainment rates, and the estimated proportion of patients who would be at goal in an ideal setting. Methods: Patients with diabetes were classified into 4 risk categories according to 2019 European Society of Cardiology/European Atherosclerosis Society dyslipidemia guidelines from the database of EPHESUS (cross-sectional, observational, countrywide registry of cardiology outpatient clinics) study. The use of lipid-lowering treatment and low-density lipoprotein cholesterol goal attainment rates were then compared according to previous and new guidelines. Results: This analysis included a total of 873 diabetic adults. Half of the study population (53.8%) were on lipid-lowering treatment and almost one-fifth (19.1%) were on high-intensity statins. While low-density lipoprotein cholesterol goal was achieved in 19.5% and 7.5% of patients, 87.4% and 69.6% would be on target if their lipid-lowering treatment was intensified according to 2016 and 2019 European Society of Cardiology/European Atherosclerosis Society lipid guidelines, respectively. The new target <55 mg/dL could only be achieved in 2.2% and 8.1% of very high-risk primary prevention and secondary prevention patients, respectively. Conclusion: The control of dyslipidemia was extremely poor among patients with diabetes. The use of lipid-lowering treatment was not at the desired level, and high-intensity lipid-lowering treatment use was even lower. Our simulation model showed that the high-dose statin plus ezetimibe therapy would improve goal attainment; however, it would not be possible to get goals with this treatment in more than one-third of the patients

A RARE COMPLICATION OF ENTERAL NUTRITION: ESOPHAGEAL OBSTRUCTION

Sindirim sistemlerinde sorun olmayan yoğun bakım hastalarında enteral yol beslenme için ilk seçenektir. Parenteral yola göre daha nadir olmakla birlikte enteral beslenme sırasında da metabolik ve mekanik komplikasyonlarla karşılaşılabilmektedir. Özefagusun besin artıklarıyla tıkanması enteral beslenme sırasında görülebilen nadir mekanik sorunlardan biridir. Elliiki yaşında kadın hasta, abdominal distansiyon, pnömoni ve solunum yetersizliği tanılarıyla Anesteziyoloji Yoğun Bakım ünitesine alındı. Mekanik ventilasyon sağaltımı boyunca sedo-analjezi ve kas gevşetici ajanlar uygulandı. AYB ünitesine alınışının 3. gününde enteral beslenme başlandı. AYB deki 9. günde nazogastrik sonda, pasajının tıkanması üzerine yenisi ile değiştirilmek istendi. Çıkartılan sondanın yerine yeni sonda yerleştirilemedi. Endoskopik değerlendirmede özefagus 1/3 alt bölümünün gıda artıklarıyla karışık beyaz sarı memb-ranlardan oluşan bir kitle tarafından tıkandığı saptandı. Kitle mideye itilerek özefagus açıldı. Mekanik ventilasyon sırasında sedo-analjezik ve kas gevşeticilerin neden olabildiği motilite bozukluğu, eşlik eden yükselmiş karın içi basıncı varlığında gastroesofageal reflüyü artırarak, özefagusun enteral beslenme ürünleriyle tıkanmasını kolaylaştırabilir. Enteral route should be used for feeding of the critically ill patients with healthy gastrointestinal system. However metabolic and mechanical complications may occur during the enteral nutrition. Esophageal obstruction is one of the rare mechanical complications of enteral feeding. Fifty-two years old women with abdominal distention, pneumonia and respiratory failure was referred to intensive care unit. Mechanical ventilation was started with intravenous application of sedo-analgesics and muscle relaxants. In the 3th day of her referral enteral nutrition was started with enteral feeding solution. In the 6th day of feeding, the nasogastric tube was obstructed. Attempts for nasogastric tube replacement failed. Yellowish-white obstructing material in the esophageal lumen has been seen during the esophagoscopy. The material was cleared from the lumen and the passage was opened. Increased intraabdominal pressure with the use of sedo-analgesics may cause gastroesophageal reflux, concretions and consequently esophageal obstruction

Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest

Coronary artery vasospasm (CAVS) is a clinical entity that can cause angina, but also unstable angina pectoris, acute myocardial infarction, fatal arrhythmias, and sudden death. Although it is a condition that is usually controlled with medical treatment, more aggressive treatments may rarely be required. In this case, the patient with a known diagnosis of CAVS had multiple arrests despite optimal medical treatment. We observed that fatal arrhythmias persisted in the Implantable Cardioverter Defibrillator (ICD) records, even though we implanted a stent and gave the patient maximal medical treatment. We performed sympathectomy as a last resort and we did not detect any recurrence in the 6-month follow-up of the patient. ICD implantation and sympathectomy should always be considered in resistant CAVS cases