This article deals with the salvage excavations of the Afyon Archaeological Museum at Karaoğlan Mevkii and Kakhk Mevkii in the north of the province. Here the EB 2 and EB 3 material from the cemetery at Kakhk Mevkii is considered, as well as the finds from the EB 2 settlement at Karaoğlan Mevkii.
The settlement, which corresponds to the second half of the EB 2 period, demonstrates a single cultural continuum comprised of two —or possibly three — architectural subphases. It is encircled by an impressive fortification wall replete with towers and buttresses. The layout of the settlement, although only partially excavated, reflects a somewhat degenerate version of the Anatolisches Siedlungsschema revealed at Demircihüyük. The pottery displays the characteristics of (and better defines) the 'Afyon EB 2 pottery group', previously recognized only through surface survey.
The graves at Kakhk Mevkii were found in two clusters (in Area A and in Area B), dug into the early EB 1 settlement treated in Part 1 . The graves fall chronologically into three groups. The earliest graves are the cists and pithos burials found in Area B, roughly contemporary with the settlement at Karaoglan Mevkii. A second group, concentrated in Area A, consists of pseudo-chamber tombs and simple inhumations from the very beginning of the EB 3 period. The latest graves are simple inhumations from mid-EB 3 times. The material from this cemetery — particularly considering the analogies between the finds here and those from the Demircihüyük-Sanket and Karatas/Semayük cemeteries— represents a significant contribution to the EBA chronology of inland western Anatolia.
Akut pulmoner emboli (PE) kardiyovasküler hastalıklar içinde üçüncü sıklıkta ölüme neden olan önemli bir hastalıktır. Prognoz tayininde çeşitli skorlamalar ve periferik kan belirteçleri tanımlanmış olsa da daha pratik ve kolay ulaşılabilecek belirteçlerin arayışı devam etmektedir. Bu çalışmanın amacı akut PE hastalarında tam kan sayımı parametreleri, nötrofillerin lenfositlere oranı (NLO) ve plateletlerin lenfositlere oranı (PLO) ile hastane ve uzun dönem mortalitesi arasındaki ilişkiyi araştırmaktır.
Materyal veMetod: Çalışma retrospektif, gözlemsel bir çalışmadır. Haziran 2016-Haziran 2018 tarihleri arasında göğüs hastalıkları kliniğimizde PE tanısı ile yatışı olan ve tanısı doğrulanan 74 hasta çalışmaya dahil edildi. Hastaların demografik özellikleri, bazal tam kan sayımı, D-dimer (mg/L) ve C-reaktif protein (mg/L) değerleri kaydedildi. Hastane ve uzun dönem mortalitesi ile ilişkili faktörler araştırıldı. Bulgular: Çalışmaya dahil edilen 74 hastanın yaş ortalaması 65±18 (20-89) ve 36'sı erkek (%49) idi. Emboli lokalizasyonu hastaların %51'inde ana pulmoner arterdeydi ve sağ kalp yüklenme bulguları 8 (%10) hastada eşlik etmekteydi. NLO ortalaması hastanede ölen hastalarda 9,8±7,1 saptanırken taburcu edilenlerden anlamlı olarak daha yüksekti (NLO=5,3±4,8) (P=0,037). Yüksek NLO değerleri uzun dönem takiplerde mortalite ile ilişkili bulundu (P=0,047). Uzun dönem mortalitesi ile ilişkili diğer faktörler erkek cinsiyet (P=0,002), düşük hemoglobin (P=0,013) ve ileri yaş (P=0,023) olarak saptandı. Sonuç: Akut PE yakın takip gerektiren mortalitesi yüksek bir hastalıktır. Yüksek NLO değerleri kısa ve uzun dönem mortalite ile ilişkilidir ve yüksek riskli hastaları belirlemek için kullanılabilecek ucuz, basit ve kullanışlı bir parametredir Anahtar kelimeler: lenfosit; nötrofil; pulmoner emboli Is there Any Relationship Between Long-Term Mortality of Acute Pulmonary Embolism and Complete Blood Count Analysis? ABSTRACT Background: Acute pulmonary embolism (PE) is a challenging disease as the third most common cause of cardiovascular death. Despite various scoring systems and blood parameters, more simple and practical predictors are being investigated.The objective of this study is to investigate the relationship between the hospital and long-term mortality and complete blood count parameters, neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in patients with acute PE.
Methods:The present study is a retrospective observational study. Between June 2016 and June 2018, patients hospitalised in our chest disease clinic with evident PE were included. Demographics, baseline complete blood count, D-dimer (mg/L) and C-reactive protein (mg/L) values were recorded. In-hospital mortality and long-term mortality were investigated and predictors of mortality were analyzed.Results: Of all the 74 patients, 36 (49%) were male and the mean age was 65±18 (20-89). Embolus was localised in the main pulmonary artery in 51%, right heart dysfunction was noted in 8 (10%) patients. Baseline NLR was significantly higher in ...
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