Search

Kırşehir Kale Höyük, which spreads over a very large area in the city center, is the first settlement of the city. The Hellenistic Period layers are the the most important part of the stratigraphy of the mound from the present to the Bronze Ages. Hellenistic finds and remains in a were unearthed in a multi-phase manner under the Medieval layer, especially in the south of the mound. Among these, the aim of our article is to introduce, evaluate and interpret the three stamped amphora handles found in the trenches in grid-squares H4 and J3. Unfortunately, the handles recovered from the pit, filling layer or blockage in the Hellenistic layers do not have a sterile context. The first of the handles belongs to a Rhodian amphora. It was found in the filling layer under the medieval wall foundation with code no. D1 in grid-square H4. The other handles belong to two Sinopean amphorae. The first of these was recovered from a pit associated with the Hellenistic (third) layer, again in grid-square H4. The second handle of the Sinope amphora was found in the J3 grid-square on the slope, from the blockage layer of a mostly destroyed flooring ruin. In our study, the production sites of the above-mentioned amphora stamps were determined and classified, cataloged and generally dated between the middle of the 3rd century BC and the beginning of the 2nd century BC. Also, the handles were compared with similar samples found from other centers. Thus, the amphorae, whose production centers were identified from their stamps, gave information about the commercial connections of Kırşehir in the Hellenistic period. Finally, the routes through which these amphorae may have been transported to Kırşehir have also been discussed; the region's connections with Sinope, Kilikia and Pergamon have been stated.

Tarsus şehir merkezinde bulunan Roma Hamamı kurtarma kazıları sırasında II. bölgede yer alan 2. açmada oldukça iyi korunmuş bir opus sectile zemin kalıntısı ortaya çıkarılmıştır. Makalenin amacı söz konusu opus sectileyi tanıtmak ve değerlendirmektir. Çalışmada öncelikle döşemenin yerinde incelenmesi yapılmıştır. Bir kısmı tahrip edilen, bir kısmı da toprak altında kalan kalıntının, ölçüleri alınmış, fotoğrafları çekilmiş, 3D tarama ile rölövesi çıkarılmış ve restitüsyon çiziminde eksik bölümleri tamamlanmıştır. Tarihlendirilmesi ve yorumlanmasında ise tabakasındaki veriler temel alınmış ayrıca benzerleri ile karşılaştırmalar da yapılmıştır. Geometrik opus sectile tipindeki döşememiz dikdörtgen biçimli 15 panodan oluşmaktadır. Beş farklı tipte bezeme kullanılan panoların araları geniş bantlarla ayrılmıştır. Motiflerde sekizgen, altıgen, kare, dikdörtgen ve üçgen biçimli, küçük ve orta boy plakalar kullanılmıştır. Bu plakalar ise siyah/füme tonlarında mermerler (nero antico/bigio antico), gri/beyaz renklerde damarlı mermerler (marmo bianco) ve sarı tonlarındaki (giallo antico?) miyosen kireç taşları ve travetenlerden oluşur. Opus sectile, hamam büyük ölçüde küçüldükten sonra işlevi değiştirilen ve olasılıkla bir dinlenme salonu veya şapele çevrilen bölümü için taban döşemesi olarak yapılmış ve İS V. yüzyıldan VII. yüzyılın ortalarına kadar (Geç Antik Çağ’da) kullanılmıştır. Döşemenin bu süreçte hasara uğradığı, bazı panolarda motifleri oluşturan örüntüde olması gerekenden farklı renklerde taşlar kullanılarak yapılan, yenileme ve tamirat izlerinden belli olmaktadır.

Objective: We aimed to evaluate the discordance of 5 mCi (185 MBq) I-131 whole body scan (WBS) and thyroglobulin (Tg) values at the ablation outcome control in differentiated thyroid cancer (DTC) patients who had thyroidectomy and then received radioiodine (RAI) ablation. Materials and Methods: We retrospectively evaluated 36 DTC patients who had RAI treatment in our department between 1992-2009 and whose 5 mCi (185 MBq) I-131 WBS were negative, but Tg values were ≥2 ng/ml during the ablation outcome control (Patient group). Thirty-six patients whose Tg values were < 2 ng/ml and showed no discordance at the same control made up the control group. Patient and control groups were compared in terms of age, gender, histopathological features, ablation dose, Tg value before ablation, and 24. hour RAI uptake value during ablation. The patient group was then evaluated for the cause of the discordance. Results: There were 28 female and 8 male patients whose mean age was 45.6±11.39 in patient group. In the control group, there were 29 female and 7 male patients whose mean age was 41.5±11.69. According to the reason of discordance at the ablation outcome control, the patient group was divided into 2 groups: 15 (42%) patients (9 female, 6 male patients, mean age: 50.66±10.73) who had metastatic lymph nodes as the reason of discordance constituted the lymph node group. The remaining 21 (58%) patients (19 female, 2 male patients, mean age: 41.5±10.44) were the micrometastatic group in which the cause of discordance could not be determined. There were statistically significant differences in soft tissue invasion (p2 cm (p2 cm (p40 (p

Background: Purpura fulminans (PF) is a rare, life-threatening condition involving consumptive coagulopathy and intravascular thrombosis, causing purpura and necrosis in the skin and soft tissue., Case Report: A 4-year-old Tajik girl with PF secondary to varicella-zoster virus (VZV) infection presented with purplish red, diffuse, painful lesions localized to the entire right leg. Her vaccination status was unknown, and she did not have concurrent chronic illness. Ten days before admission, the girl was admitted to another hospital in Tajikistan with a diagnosis of chickenpox and PF. She was then transferred to the hospital of the authors of the current report due to the enlargement of lesions to the gluteal region, a change in the color of lesions from red to black, and the detection of arterial thrombosis via Doppler ultrasonography. Multiple surgical debridements were performed to manage tissue necrosis, and the patient's right leg was amputated at the 18th week of admission. The patient was discharged after 26 weeks of hospitalization., Conclusion: Although VZV infections mostly cause mild and self-limiting eruptive disease, they can progress, with life-threatening complications, including PF. To prevent VZV infection and resulting complications, immunization with live attenuated vaccines and maintaining population immunity above a certain threshold are the most important strategies to prevent the circulation of the virus.

To investigate coronavirus disease 2019 (COVID-19) in infants aged 0 to 3 months because there is currently a significant gap in the literature on the subject. A cross-sectional study was conducted with the involvement of 19 medical centers across Turkey and 570 infants. The majority of the patients were male (58.2%), and the three most common symptoms were fever (78.2%), cough (44.6%), and feeding intolerance (39.9%). The results showed that a small percentage of infants had positive blood (0.9%) or urine cultures (10.2%). Most infants presented with fever (78.2%). Children without underlying conditions (UCs) had mostly a complicated respiratory course and a normal chest radiography. Significant more positive urine culture rates were observed in infants with fever. A higher incidence of respiratory support requirements and abnormal chest findings were seen in infants with chronic conditions. These infants also had a longer hospital stay than those without chronic conditions.  Conclusions: Our study discloses the clinical observations and accompanying bacterial infections found in infants aged under 3 months with COVID-19. These findings can shed light on COVID-19 in infancy for physicians because there is limited clinical evidence available. What is Known: • COVID-19 in infants and older children has been seen more mildly than in adults. • The most common symptoms of COVID-19 in infants are fever and cough, as in older children and adults. COVID-19 should be one of the differential diagnoses in infants with fever. What is New: • Although most infants under three months had fever, the clinical course was uneventful and respiratory complications were rarely observed in healthy children. • Infants with underlying conditions had more frequent respiratory support and abnormal chest radiography and stayed longer in the hospital., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)