There is an association between pericoronary EATT and CAD, as well as CAD risk factors. Pericoronary EATT measurement may become a widely used, easy-to-perform method for determining CAD risk.

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Objective:In the first assessment of trauma patients with major vascular injuries, we need effective and rapid-acting homeostatic materials. In this study we compare the efficiencies of Ankaferd Blood Stopper® and a chitosan linear polymer (Celox®) in an experimental rat model with femoral artery bleeding.Materials and Methods:Thirty male Wistar albino rats weighing 200-250 g were divided into 3 groups: control, Ankaferd, and chitosan. The femoral artery and vein were visualized and bleeding was started by an incision. The bleeding time was recorded and categorized as ‘bleeding stopped at the second minute’, ‘bleeding stopped at the fourth minute’, and ‘unsuccessful’ if bleeding continued after the fourth minute.Results:In the control group, 60% of the bleeding did not stop. In the first 4 min in the Ankaferd group, the bleeding stopped in all rats; only in 1 of the rats in the chitosan group did the bleeding not stop. In stopping the bleeding in the first 4 min, Ankaferd was similar to chitosan but better than the control group; the chitosan group was similar to the control, but the p-value was close to significance.Conclusion:For major arterial bleeding, the main treatment is surgical bleeding control, but outside of the hospital we can use buffers containing Ankaferd and chitosan on the bleeding region. The results of this study should be supported with larger studies. Furthermore, in our study, healthy rats were used. New studies are needed to evaluate the results of hypovolemic and hypotensive cases with major artery bleeding.

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Amaç: Acil servisler adli olgularin ilk ba §vurdugu, tetkik, tam ve tedavilerinin yapildigi yerlerdir. Bu çaliçmanin amaci bir egitim ara §tirma hastanesi acil servisine ba §vuran çocuk adli olgularm demografik epidemiyolojik özelliklerini ortaya koymak, ba §vuru nedenlerini, ba §vuru zamanlarmi ve yati § ve ölüm oranlarini belirlemektir Gereç ve Yöntem: Bir egitim ara §tirma hastanesinde acil servise bir yil içinde ba §vuruda bulunan 16 ya § alti olan çocuk adli oigular geriye dönük olarak degerlendirildi. Çocuk adli oigular; travmatik olan (trafik kazalari, darp, i § kazasi, kesici-delici alet yaralanmasi, yüksekten dü §me, ate §ii silah yaralanmasi ve diger) ve travmatik olmayan çocuk adli oigular (intihar giriçimi, karbonmonoksit entoksikasyonu) olarak iki grupta incelendi. Bulgular: Bu çali §mada degerlendirilen 1494 çocuk adli olgularin ya § ortalamasi 8,8+4,37 yil olup bu çocuk adli olgularin %66'si erkekti (n=986). Çali §mada en fazia ba §vuru 7-10 ya § grubunda idi (%29,5). En sik ba §vuru nedeni trafik kazasi (%76,4) olarak saptandi, bunu %12,7 ile yüksekten dü §me ve %6,1 ile darp izledi. Çocuk adli olgularin en fazia yaz aylarmda ve ak §am saatlerinde ba §vurdugu gözlendi. Olgularm %9,2'sinin yatirilarak tedavi edildigi ve %1,9'una yogun bakim yati §i gerektigi ve ölüm oranmm %0,4 oldugu saptandi. Çikarimlar: Çocukiuk çagmdaki adli olgulann büyük çogunlugu önlenebilir saglik sorunlaridir. Yeni yöntemlerin geli §tirilmesi, koruyucu önlemlerin aimmasi ve acil servislerde uygun tibbi yakla §im saglanabilmesi için her bölgenin adli olgu tutumlannin belirlenmesi önemlidir. (Turk Ped Ar § 2013; 48; 235-40) Anahtar sözcükler: Acil servis, çocuk istismari, çocuk adli olgu, trafik kazasi Summary Aim: Forensic cases are primarily admitted in emergency services and examination, diagnosis and treatment is performed here. This study aimed to evaluate demographic and epidemiologic characteristics, reasons for presentation, admission time and hospitalization and mortality rates in pédiatrie forensic cases presented to an emergency department.Material and Method: Pédiatrie forensic cases below the age of 16 years who were admitted to the emergency department of a training research hospital within a 1-year period were evaluated retrospectively. The cases were evaluated in two groups as traumatic (traffic accidents, assault, occupational accident, sharp object injury, falling down from height, gunshot injuries) and non-traumatic (suicide attempt, carbon monoxide intoxication) admissions.Results: 1494 cases were included. The mean age was 8.8±4.37 years and 66% (n=986) of the cases were male. The majority of the cases (29.5%) were in the 7-10-year age group. The most common reason for presentation was traffic accident (76.4%), followed by falling down from height (12.7%) and assault (6.1%). The patients were mostly admitted in the evenings and summer months. 9.2% of the patients were hospitalized and 1.9% required hospitalization in the intensive care unit; the mortality rate was 0.4%. Conclusions:Most forensic cases...