Implementation and statistical evaluation of a web-based software for bone age assessment.

Bone age assessment is a tedious procedure carried out for assessing growth disorders of children using the left hand radiograph. The purpose of this work was to implement and evaluate a web-based software based on the Tanner and Whitehouse method in a pediatric endocrine department of a social security hospital processing 600-1,000 radiographs per year. The system was evaluated by using a statistical technique for comparing measurement methods in order to test the performance of the procedure and a time study to assess its feasibility under local conditions.

Effects of methylprednisolone pulse therapy on insulin injections in patients with insulin-dependent diabetes mellitus.

In this study we evaluated 31 insulin-dependent diabetes mellitus (IDDM) patients (ages 12.1 +/- 3.4 years, 18 males/13 females) who started on multiple subcutaneous insulin injections (MSII) within six weeks of diagnosis and achieved either complete (CR: no insulin requirement and near-normoglycemia for at least two weeks) or incomplete (ICR: minimum 50% decline in insulin requirement while maintaining near-normoglycemia for two weeks or more) remissions within the first 12 weeks of the MSII trial.

Peripheral neuropathy in children with insulin-dependent diabetes mellitus.

Peripheral somatic nerve function was studied in 38 unselected diabetic children and 31 age and sex-matched healthy controls. Thirteen of the 38 diabetics had abnormal peripheral somatic nerve function tests (more than 3 SD below the mean for normals). Five of the 13 diabetic children had only abnormal peripheral nerve function (early asymptomatic neuropathy); seven of these 13 were abnormal both in neurologic examination and peripheral nerve function (asymptomatic neuropathy).

The type 1 diabetes and HLA-DR in Turkey.

Studies of various insulin-dependent diabetes mellitus (IDDM) populations have shown that certain HLA antigens confer a high risk of developing disease. There is very little information concerning the distribution of HLA antigens in type 1 diabetes in the Turkish population. In this study, the HLA types of 75 patients and 50 controls were investigated.

Serum insulin and blood glucose levels in breast-fed and formula-fed infants in the first week of life.

Serum insulin and blood glucose levels were measured in newborns aged four to eight hours and those aged seven days who were either breast fed or formula fed. With both types of feeding, the maximum serum insulin levels occurred 60 minutes postprandially in four- to eight-hour-old infants and 30 minutes postprandially in seven-day-old babies. Between breast-fed and formula-fed groups, no statistically significant difference was found in postprandial serum insulin levels or (except for the 90-minute values on the seventh day) in blood glucose levels.