MDCT is helpful for visualizing the full length of extremities and for evaluating length and thickness on one image.

The prevalence of celiac trunk and hepatic artery variations are high in children as much as in their elders. Awareness of these variations by is important in terms of avoiding iatrogenic injury and in promoting surgical procedure planning for liver transplantation or abdominal tumor surgery.

No abstract

The immature granulocyte (IG) and immature reticulocyte fraction (IRF) are new analytical parameters of the complete blood count, that have been studied as biomarkers of several inflammatory conditions. Here, our aim is to determine the effectiveness of IG and IRF percentages for the severity of acute bronchiolitis (AB). A single-center, prospective study was performed in patients who were hospitalized for acute bronchiolitis and healthy children were included as a control group. The demographic characteristics, white blood cell (WBC) count, platelet (PLT) count, eosinophil%, IG%, and IRF% values were analysed. Receiver operating characteristics (ROC) analysis was used to compare the diagnostic accuracies and predictive performances. We enrolled 168 infants in the acute bronchiolitis group and 80 in the control group. The Clinical Severity Score (CSS) showed that 48, 93, and 27 patients had mild, moderate, and severe bronchiolitis, respectively. The WBC, PLT, and IRF value were significantly higher in patients (p < 0.001). There was no difference between the patients and control group in terms of IG and eosinophil percentage. Only a positive correlation was observed between the clinical severity of the AB and IRF (p=0.003).The ROC curve analysis indicated that the IRF% cut-off point for predicting severity AB was >12.4, with a sensitivity of 53% and specificity of 88% (Areas under the curves (AUC):0.701,p<0.001). The WBC count, PLT count, and IRF value increased in the AB group. The IRF percentage can be used to predict the clinical severity of AB in children.

Amaç: Febril konvülziyon çocuklarda en sık gözlenen konvülziyon tipi olmasına rağmen etyopatogenezi kesin olarak belli değildir. Çinko gibi eser elementlerin febril konvülziyon etyolojisinde rol aldığı düşünülmektedir. Çalışmamızın amacı febril konvulziyon ile serum çinko düzeyi arasındaki ilişkiyi araştırmaktır. Yöntem: Bu çalışmaya, Ocak-Temmuz 2017 tarihleri arasında Erciyes Üniversitesi Çocuk Acil Servisi’ne başvuran yaşları 6-72 ay arasında değişen, 48’i kız, 52’si erkek toplam 100 çocuk alındı. Çocuklar iki grup altında incelendi. Birinci grup febril konvülziyon geçiren 50 çocuktan oluşurken, ikinci grubu yüksek ateşi olan ancak konvülziyon geçirmemiş 50 çocuk meydana getirdi. Tüm çocuklardan, serum çinko düzeyi ölçümü yapmak üzere kan alındı. İki grubun serum çinko düzeyleri istatistiksel olarak karşılaştırıldı. Bulgular: Febril konvülziyonu geçirmiş olan grubun serum çinko düzeyi ortancası 56 mcg/dL (12-160), ateşli çocukların ortancası 70.5mcg/Dl (43-102) olarak bulundu. Febril konvülziyonlu grubun serum çinko düzeyi anlamlı olacak şekilde düşüktü (p&lt;0,001). Ateş yüksekliği ile konvülziyon geçirme arasında anlamlı bir korelasyon saptanmadı (p=0.073). Konvülziyonu tetikleyen ajanın viral, bakteriyel veya karışık etken olması ile serum çinko düzeyi arasında anlamlı bir ilişki yoktu (p=0.07). Sonuç: Sonuç olarak, bu çalışma düşük serum çinko düzeyinin çocuklarda febril nöbet için bir risk faktörü olabileceğini ortaya koymuştur.Aim: Although febrile convulsion is the most common type of convulsion in children, etiopathogenesis is not certain. Trace elements such as zinc are thought to be involved in the etiology of febrile convulsions. The aim of study was to investigate the relationship between serum zinc levels and febrile convulsion.Materials and methods: This study was carried out with 100 children, 48 girls, 52 boys between 6-72 months of age who visited the Pediatric Emergency Department of Ercıyes University from January-July 2017. The children were divided into two groups. The first group included 50 patients with complaints of febrile convulsion, the second group included 50 children who had visited for fever but did not have convulsions. Serum zinc levels were measured in all children. Serum zinc levels of two groups were compared statistically.Results: Serum zinc level median of febrile convulsion group 56 mcg/dL (12-160), serum zinc levels of children with febrile was 70.5mcg/dL (43-102). Serum zinc levels of febrile convulsion group were significantly low (p&lt;0.001). There was nosignificant correlation between body temperature levels and convulsions (p=0.073). There was no significant correlation between viral, bacterial or mixed causative agents and serum zinc levels of the agent that triggered the convulsion (p=0.07). Conclusion: As a result, this study suggests that low serum zinc levels may be a risk factor for febrile seizures in children.