Davut Kaplan

INTRODUCTION We aimed to predict intracranial pressure(ICP)after cerebral ischemic stroke by measuring diameter of the optic nerve sheath(ONSD)with bedside ultrasonography(US). In order to see the ICP changes,it was planned to record delta ICP changes at the 3rd and 5th day follow-up of the patients METHOTS: Patients aged 18 years or older who were admitted to the emergency department(ED)with stroke symptoms for one year were included.Demographic data,time elapsed since the onset of symptoms,neurogical status assesment scales,ONSD values measured by US in three time periods(the day the patient was admitted to the ED,the 3rd and 5th days of hospitalization),MDCT findings when the patient was admitted,ONSD values in MDCT,whether they received tissue plasminogen activator(tPA)and whether they underwent decompression surgery were recorded. RESULTS The average age of the 82 patients was 67.5(range 33-89)years.Forty-two patients(51.2%)were male.On both the right and left sides,ONSD on the 3rd day was larger(>5 mm)than on first day(p < 0.05). ONSD on the 5th day was larger than on the first day(p > 0.05). All ONSD results measured using both US and MDCT showed a positive correlation between the same eye and contralateral eye measurements(p < 0.05). DISCUSSION CT is the most critical radiological method for stroke patients.Transport to radyology unit in unstable patients carries risk and is not recommended.Optic nerve US can be used in the early diagnosis of ICP increase and provides early treatment.The ease of use and safety in unstable patients have increased its popularity. CONCLUSION We believe that measuring ONSD using US is an appropriate choice on ICP management in stroke patients.

Yunan ve Roma yataklarinin stilistik gelisimi ve farklari uzerine antik metinler ve modern olmak uzere gibi cok sayida calisma mevcuttur. Bu yataklarin kol dayama yerleri olan bas ve bazen de ayak kisimlarinda plastik ve kabartma figurlerle suslu fulcrum adi verilen bezemeli genelde metal parca bulunmaktadir. Modern calismalarda gunumuze cok az kismi korunmus ve muzelerde korunan fulcrumlar ve parcalari degerlendirilmis ancak genelde tarihlendirilme sorunu dile getirilmistir. Bu fulcrumlar ilk orneklerinden itibaren yataktaki yerleri, duruslari, malzemeleri, figurleri ve diger bezemeleri ile birlikte degerlendirilmis ve bu baglamda calismaya konu olan Ankara Yuksel Erimtan Kultur ve Sanat Vakfi, Erimtan Arkeoloji ve Sanat Muzesi katalogunda yer alan iki terrakotta figur ele alinmistir. Ozgun ve cok sevilen ornekleri bronz, fildisi, kemik gibi farkli malzemeler olan fulcrumlarin pek karsilasilmayan terrakotta ornekleri ise yok denecek kadar azdir. Bu nedenle her iki terrakotta figur daha once calisilmis farkli malzemeden yapilmis ozgun ornekler isiginda ikonografi ve islev acisindan tanimlanmis ve ozgun bir yatak dekorasyonu olduklari vurgulanmistir. Yine calisilmis yataklar ve fulcrumlarla karsilastirilarak bu iki terrakotta figurun gercek islevi cizimlerle ortaya konarak yatagin ozgun formu insa edilmis ve tarihlendirilmistir.

... Klaros'ta Apollon Sunağı'nın 26 Wright – Lobeck 1941, 660; Çam 1990, 4; Bu çeşit sa-at belirlemesine “Antik” veya “Biblik” saat ayarı adı da verilir. ... 34 Güneş saati parçasını yayınlamam için bana gerekli iz-ni veren hocam Coşkun Özgünel'e çok teşekkür ede-rim. ...