Ultrasonographic detection of cardiac activity may be useful in determining prognosis during cardiac arrest. Further studies are needed to elucidate the predictive value of ultrasonography in cardiac arrest patients.

No abstract

Increasing incidence and onset at a younger age has changed the treatment strategy of diabetes mellitus (DM) towards prevention, delaying the onset, and minimizing disease complications. Self-monitoring blood glucose systems and continuous glucose monitoring systems are routinely preferred in diabetic children.Flash glucose monitoring system has come as an entirely new concept in glucose monitoring by providing much greater data than blood glucose testing while being more affordable than the continuous glucose monitors. The FreeStyle Libre provides ‘flash glucose monitoring’ with glucose readings by scanning a sensor rather than pricking the patient’s finger. The sensor measures interstitial tissue glucose levels every minute via a disposable round sensor with a small catheter inserted under the skin that can be worn for up to 14 days. The entire system’s on-body sensor patch worn on the back of the upper arm is disposable. However, the mild erythema may occur on the skin and disappear spontaneously after 24 hours from the detachment of the sensor. Similar skin lesions were observed in diabetic patients, and there was moderate to severe itching in 0.5% of the cases and moderate erythema in 4% of cases

Objective: The increase in obesity in children has caused nonalcoholic fatty liver disease to become the most important chronic liver disease in the pediatric age group. In this study, we aimed to evaluate the portal diameter and blood flow velocity in obese children with fatty liver (NAFLD) and to compare them with normal healthy children. Method: 71 obese adolescent patients aged 10-18 years were divided into two groups (NAFLD group and non-NAFLD group) according to the presence of elevated transaminases and the presence of hepatosteatosis on ultrasound. 30 healthy adolescents were included in the study as the control group. Blood samples were taken from each patient for fasting glucose, insulin, transaminases, and thyroid functions. Insulin resistance was calculated using the HOMA index. Portal vein measurements were performed from the main portal vein before bifurcation. Results: The portal vein diameter (8.5 ± 0.9 mm) of the NAFLD group was statistically significantly wide compared to both the control group (7.8 ± 2.0 mm) and the non-NAFLD obese group (7.6 ± 1.1 mm) (p: 0.004) and (p: 0.002). There was no significant difference between the non-NAFLD obese group and the control group (p=0.460, p=0.214). There was no significant difference between the groups in terms of portal vein Vmax, Vmin, RI, S/D. Although there was no difference in portal vein diameter in the obese groups classified according to insulin resistance, Vmax (33.9 ± 10.3 and 28.6 ± 10.6 cm/sec, p= 0.03) and Vmin (24.8 ± 6.2 and 20.5 ± 5.5 cm/sec) were significantly different in the insulin resistance group. Conclusion: In this study, it was determined that portal vein diameter and flow velocities (Vmax and Vmin) increased in obese adolescents with NAFLD. Thus, we suggest that resistance develops in hepatic venous flow due to hepatic portal vein steatosis, especially in obese patients with insulin resistance in adolescence. This finding suggests that when fatty liver continues, portal diameter will increase in adulthood, leading to portal hypertension.