Objectives. We aimed to determine the relationship between insulin resistance and serum 25-hydroxyvitamin D (25-OHD) levels in obese children and their nonobese peers. Materials and Methods. Included in the study group were 188 obese children (aged 9–15 years), and 68 age- and gender-matched healthy children of normal weight as control group. Anthropomorphic data were collected on patients and fasting serum glucose, insulin, serum lipids, alanine aminotransaminase (ALT) and 25-OHD were measured. The homeostatic model assessment of insulin resistance (HOMA-IR) was calculated in both groups. Results. The levels of 25-OHD in the obese group were significantly lower than those of the nonobese (P = 0.002). HOMA-IR, triglycerides, low-density lipoprotein, and ALT levels in the obese group were significantly higher than values of control group (P < 0.001 and P = 0.002, resp.). In the obese group, vitamin D deficiency, insufficiency, and sufficiency (25-OHD < 10 ng/dl, < 20, >10 ng/dl; > 20 ng/dl, resp.) were not correlated with HOMA-IR (r : −0.008, P = 0.935). HOMA-IR was negatively correlated with BMI, BMI SDS, and BMI%, and triglycerides, low-density lipoprotein, and ALT levels (P < 0.001). Conclusion. The insulin resistance of the obese subjects who were vitamin D deficient and insufficient did not statistically differ from those with vitamin D sufficiency. Low 25-hydroxyvitamin D levels were not related with higher insulin resistance in obese children and adolescents. In obese subjects, insulin resistance was affected more from BMI, BMI SDS, and BMI% than from 25-hydroxyvitamin D levels.
ÖzetHidrosefali degi §ik hastalik durumlarmda ortaya çikan, ventriküllerde geni §leme ve beyin omurilik sivisi basincinin artmasi ile beiirgin bir bulgudur Beyin omurilik sivisi akimini düzeitmek için en sik uygulanan yöntem ventrikUlo-peritoneal §ant vasitasiyla beyin omurilik sivismin periton içine boçaltilmasidir. Cant kullanimmda en sik kar §ila §ilan komplikasyon enfeksiyon veya tikanmaya bagli olarak §antin i §lev bozukiugudur. Kendiliginden kolon perforasyonu nadir görüien bir komplikasyondur. Bu yazida yenidogan döneminde hidrosefaii saptandiktan sonra ventrikülo-peritoneal cant uygulamasi yapilan ve cant kateterinin anüsten çiktigi görüien iki olguyu sunduk ve iki olgu nedeni ile hidrosefalik çocukiarda ventrikülo-peritoneal cant komplikasyonlarini ve bunlarin içerisinde kolon delinmesinin önemini tarti §mayi amaçladik. (Turk PedAr § 2013; 48; 255-8) Anahtar sözcükler: Çocuk, kolon perforasyonu, transanal protrüzyon, ventrikülo-peritoneal §ant SummaryHydrocephalus represents a diverse group of conditions that are characterized with dilatation of ventricular system and increased cerebrospinal fluid pressure. Ventriculo-peritoneal shunt placement is a commonly used treatment for hydrocephalus for diverting the cerebrospinal fluid into the peritoneal cavity The most common complication of ventriculo-peritoneal shunt is dysfunction of the shunt mainly due to catheter obstruction or infection. Spontaneous bowel perforation is a rare complication of ventricuioperitoneal shunt. This article aims to discuss ventriculo-peritoneal shunt complications and the significance of colon perforation among these complications by presenting two cases of anal protrusion of ventricuioperitoneal shunt catheter that is inserted in order to reduce the hydrocephaius detected in the neonatal period. (TurkArch Ped2013;48:255-8)
The globus pallidus and putamen are highly vascular structures, because of that, they are more sensitive to the metabolic changes in the brain. In the evaluation of nonketotic hyperglycemia and differential diagnosis with imaging findings is in the globus pallidus and nucleus caudatus usually symmetrically and bilaterally but rarely unilaterally hyperattenuating on non-enhanced computed tomography (NECT) and hyperintensity on T1-weighted magnetic resonance images (MRI) have been reported. In this report, we aimed to present poorly controlled diabetic patients that have been admitted to the emergency service with uncontrolled movements defined as chorea.
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