Browsing by Author "Gungor, Emre"

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Acute Cyanide Intoxication Due To Apricot Seed Ingestion
(Soc Argentina Pediatria, 2024) Talay, Mehmet N.; Gungor, Emre; Orhan, Ozhan
Introduction : Cyanide poisoning, whether it be accidental or intentional, remains a significant danger to adults and children, especially in societies where agriculture is a primary source of income. We examined the clinical follow-up, complications, and results of cyanide poisoning cases that occurred after eating the pits and seeds of plants containing cyanide glycosides, such as apricot kernels and almonds. Methods : Between 01/01/2017 and 01/08/2022, 14 children aged 1-18 years who were followed up with a prediagnosis of cyanide poisoning in our Paediatric Intensive Care Unit (PICU) were retrospectively analysed. Results : Eight of the patients followed with a preliminary diagnosis of cyanide poisoning were female and six were male. The most common admission month was July (42.8%) coinciding with the agricultural season. The most common symptoms at presentation were weakness and fatigue (n = 7). In the PICU, 4 patients presented lip cyanosis; 3, altered level of consciousness. Vomiting, seizure, headache, dizziness and palpitatons were less frequent. Four patients were treated with hydroxocobalamin (Cyanokit (R) ) as an antidote due to acidosis in their blood gases. All patients treated for cyanide poisoning were discharged. Conclusions : Cyanide poisoning should be considered in paediatric patients with suspicious findings, sudden loss of consciousness, increased anion gap acidosis and lactic acidosis. The history of eating the seeds of plants such as apricot and almonds should be investigated .
Evaluation of the Relationship Between Lung Ultrasound Findings and Degree of Obstruction in Newly Diagnosed Pediatric Asthma Patients
(BMC, 2025) Gungor, Emre; Orhan, Ozhan; Dogan, Selcuk; Buyuksahin, Halime Nayir
Background Lung ultrasound (LUS) is a rapid and accurate tool for diagnosing respiratory distress in children, though data on its findings in pediatric asthma is limited. This study aimed to evaluate LUS findings in children with asthma and their relationship with respiratory function test parameters at diagnosis. Methods A prospective cross-sectional study included 6-18-year-old patients newly diagnosed with asthma by a pediatric allergist or pulmonologist, capable of performing spirometry. The Asthma Control Questionnaire (ACQ-7) was administered. LUS was performed by a blinded pediatric emergency specialist using a six-region scanning protocol. LUS artifacts included >= 3 B-lines per intercostal space, pulmonary consolidation, or pleural abnormalities. Results Of 105 patients, positive LUS findings were observed in 76 (70.4%): 61 had focal B-lines, 36 had small consolidations (< 1 cm), 3 had >= 3 B-lines, and 5 had larger consolidations (> 1 cm). Focal B-lines were mostly found in posterior zones (65.5%), confined to 1-2 intercostal spaces. No correlation was found between LUS findings and FEV1 or FEF25-75 parameters, but higher LUS scores were associated with poorer asthma control (ACQ-7, p = 0.007). Conclusions These findings suggest that LUS may serve as a non-invasive adjunct in assessing asthma severity in newly diagnosed children.
Vulnerable Newborns: Disparities in Pediatric Emergency Department Admissions Between Refugee and Non-Refugee Newborns
(Lippincott Williams & Wilkins, 2025) Solmaz, Murat; Demir, Devran; Gungor, Emre; Orhan, Ozhan
The conflicts that began in the Middle East and Syria in 2011 resulted in many people seeking refuge in neighboring countries. Due to irregular migration, many newborns were born far from their homelands, in foreign countries. This study aims to compare the clinical characteristics and outcomes of non-refugee and refugee newborns to assess potential disparities in their healthcare experiences. The present study examined the applications of newborns who were admitted to the third level pediatric emergency clinic on the Syrian border of Turkey between January 1, 2024, and December 31, 2024. The most prevalent presenting complaint among both non-refugee and refugee newborns was jaundice, occurring in 23.9% and 21.4% of cases, respectively. Fast breathing was significantly more common in refugee newborns than in non-refugee newborns (11% vs 2.6%, P = .021). Poor feeding was significantly more prevalent among non-refugee newborns than among refugee newborns (9.8% vs 3.8%, P = .008). Additionally, 7.1% of non-refugee newborns had significant medical complications, compared to 25.2% of refugee newborns. This difference was statistically significant (P =.001). Despite the availability of universal, free healthcare at all levels for all newborns, refugee babies continue to utilize inferior healthcare facilities, resulting in elevated mortality rates. Consequently, addressing the health concerns of refugee newborns necessitates a comprehensive strategy. This strategy should encompass programs that bolster maternal and infant health, nutritional support, vaccination services, mental health services, and the provision of secure living environments.
Acute Cyanide Poisoning Due To Ingestion of Apricot Seeds
(Soc Argentina Pediatria, 2024) Talay, Mehmet N.; Gungor, Emre; Orhan, Ozhan
[No Abstract Available]
An Unexpected Presentation of Pertussis: Pneumomediastinum and Subcutaneous Emphysema
(Wiley, 2025) Orhan, Oezhan; Ozgun, Nezir; Nayir Buyuksahin, Halime; Talay, Mehmet Nur; Gungor, Emre