Browsing by Author "Orhan, Özhan"

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Evaluation of Admissions and Inappropriate Referrals To Pediatric Gastroenterology, Hepatology and Nutrition Outpatient Clinics
(2025) Orhan, Özhan; Orhan, Özhan
Objective: The aim of this study was to examine the diagnostic profiles of patients admitted to pediatric gastroenterology, hepatology, and nutrition outpatient clinics within the scope of the state service obligation and to determine the reasons for inappropriate referrals. Methods: A total of 10,235 patients admitted to the pediatric gastroenterology, hepatology and nutrition outpatient clinics of Mardin Training and Research Hospital between 2022 and 2023 were retrospectively analyzed. Data were analyzed using SPSS 21.0 software according to demographic and clinical variables such as age, gender, reasons for admission and diagnoses. Results: Of the patients examined, 49.1% were girls and 50.9% were boys, and the most common reason for presentation was inadequate weight gain with a rate of 46%. However, malnutrition or another nutritional disorder was not detected in 28% of the patients referred with a diagnosis of inadequate weight gain. Malnutrition was diagnosed in a total of 1,710 cases, of which 8.2% were mild malnutrition, 5.3% were moderate malnutrition, and 4.2% were severe malnutrition. No pathological findings were found in 40.8% of the applicants. It was also found that most of the complaints of constipation and diarrhea, which are common reasons for admission, can be effectively treated in primary and secondary health care services. Conclusions: The results of the study show that a significant proportion of referrals to pediatric gastroenterology outpatient clinics are unnecessary and that referrals can be reduced by evaluating these patients in primary and secondary care, thereby increasing the efficiency of health care services.
Evaluation of Breastfeeding Behaviors and Complementary Feeding Practices of Turkish and Syrian Refugee Mothers
(Sociedad Argentina de Pediatria, 2024) Orhan, Ö.; Orhan, Özhan; Elçi, H.
Objectives: The purpose of this study was to compare breastfeeding and related factors (age, level of education, age at first pregnancy, etc.), and complementary feeding practices between Syrian refugee and native Turkish mothers. Material and methods: This descriptive-comparative study examined the nutritional characteristics of infants aged 9 to 60 months whose mothers were Turkish or Syrian refugees who attended Kızıltepe State Hospital between January 2022 and July 2022. Results: 204 mothers (126 Turkish and 78 Syrian) who had a child aged 9-60 months were included. The average age of the mothers was 27.60 ± 5.17 years for Turkish citizens and 28.91 ± 5.62 for Syrian refugees, without significant difference between the two groups (p: 0.091). Postpartum breastfeeding was 91.3% and breastfeeding duration was 12 (0-24) months in Turkish citizens; in Syrian refugees, breastfeeding was 84.6% and average breastfeeding time was 9 (0- 24) months (respectively, breast milk intake p: 0.144, uptake time p: 0.161; no statistical difference). Breastfeeding training was received by 23.8% of Turkish citizens and 5.1% of Syrian refugees; there was a significant difference between the two groups (p: 0.001). Conclusion: Inrefugee groups, infant and maternal nutrition practices are disrupted. Working in conjunction with local and international organizations and state agencies that give help to refugee groups, the appropriate interventions, initiatives, supports, and awareness-raising activities would strive to improve practices in mother and baby nutrition and narrow gaps. © 2024 Sociedad Argentina de Pediatria. All rights reserved.
Evaluation of Clinical, Biochemical, and Demographic Characteristics of Paediatric COVID-19 Patients Admitted to Dicle University Hospital
(Cureus, 2023) Orhan, Özhan; Akay, Cihan; Şen, Velat
Introduction and aim: In this study, we aim to determine how laboratory parameters were related to the clinical courses of patients admitted to the Dicle University Faculty of Medicine Department of Paediatrics and Paediatric Intensive Care Unit with COVID-19 diagnoses from March 2020 to November 2021. Materials and method: Clinical, biochemical and demographic characteristics of 220 patients between 0 and 16 years old with COVID-19 diagnoses at admission were analysed retrospectively. Results: We found that 57.3% of patients were male and 42.7% female, with a mean age of 107.8 ± 65.5 (range 1-192) months. Of the cases, 48.6% (n = 107) were asymptomatic, 35.5% (n = 78) were mild, 11.8% (n = 26) were moderately severe and 3.6% (n = 8) were severe. The patients’ site of admission, mortality rates, C reactive protein (CRP), lactate dehydrogenase (LDH), ferritin, and fibrinogen levels differed significantly (p < 0.001). Conclusion: It is important to learn about the clinical course of the disease by accurately interpreting the results of blood parameters and appropriate imaging studies.
Evaluation of Pediatric Patients Installed Due To Acute Gastroenteritis
(2023) Orhan, Özhan; Bulut, Mehmet
Objectives: Acute gastroenteritis is one of the most prevalent causes of death and morbidity in children and a significant health issue in Turkey, as well as developed and developing nations. The purpose of this study is to analyze retrospectively the patients with acute gastroenteritis who sought treatment at the Kızıltepe State Hospital in Mardin. Methods: This study was designed as a single-center retrospective study in which demographic variables were evaluated by taking fresh stool samples from the patients who applied to the Mardin Province Kızıltepe State Hospital between 01/11/2020 and 31/10/2021 with the complaint of diarrhea. The information of rotavirus, enteric adenovirus and amoeba viruses in stool samples was investigated by qualitative immunochromatographic test. The researcher assessed the research data utilizing the hospital's file archive materials and three factors set by the researcher. The researcher extracted the information about these factors from the patient files and stored it in a Microsoft Office Excel file. Results: According to the gender variable of the research participants, Amoeba positive rates were considerably higher in males than in girls (35.8% versus 22.6%, p = 0.046, respectively). According to the age groups variable, rotavirus antigen positive was statistically significantly greater in the 5-24 month age group compared to other age groups (p = 0.034). Similarly, Amoeba positive was statistically substantially higher in the 5-24 month age group compared to other age groups (p = 0.001). There was no significant variation between age groups in the distribution of adenovirus. According to the seasonal variable, rotavirus antigen positivity was most prevalent in the spring, and the difference between the spring and other seasons was statistically significant (p = 0.001), whereas amoeba positivity was most prevalent in the summer, with no statistically significant difference between the seasons (p = 0.003). The frequency of undiscovered variables was greater during the spring-summer months, and a statistically significant difference (p = 0.041) was identified between the groups. The seasonal variation in the prevalence of Adenovirus antigen positive was not statistically significant (p = 0.394). Conclusions: As a result, in poor and underdeveloped nations, it is among the top five causes of death in children under the age of five, in relation to acute gastroenteritis. Furthermore, the majority of these deaths may be minimized by preventative and prevention strategies. It is the responsibility of governments, health professionals, and families to foster a safe and healthy environment for all infants and children during their infancy and development. Community-based health strategies should be undertaken to lower the morbidity and death rates of millions of people worldwide who are exposed to harmful environmental conditions and malnutrition.
Hyperinsulinemic Hypoglycemia in Childhood
(Pera Yayincilik Hizmetleri, 2023) Özbek, Mehmet Nuri; Ozbek, Mehmet Nuri; Orhan, Ozhan; Orhan, Özhan
Hyperinsulinemic Hypoglycemia (HH) is the most common cause of permanent hypoglycemia, especially in the neonatal period. Childhood HH is mostly related to genes encoding proteins in the insulin secretion pathways, and may also be seen in syndromes such as Beckwidth Wiedemann, Kabuki, and Turner. The majority of congenital HH cases are the result of KATP channel gene defect. Most of these cases are unresponsive to diazoxide treatment. In this review, recent genetic studies and recent updates in treatment options in childhood HH are reviewed.
Methemoglobinemia and acute ıntravascular hemolysis after naphthalene poisoning in a pediatric patient
(SciELO Argentina, 2023) Orhan, Özhan; Talay, Mehmet Nur
Poisoning by naphthalene is uncommon in children. It is a type of poisoning brought on by ingesting, inhaling, or coming into touch with naphthalene-containing substances on the skin. Patients typically present with an initial onset of dark brown urine, watery diarrhea, and bile vomit. The signs include fever, tachycardia, hypotension, and low pulse oximetry readings even with oxygen support. Hemolytic anemia, methemoglobinemia, renal failure, and hyperbilirubinemia are all detected in blood tests. Erythrocyte transfusion, ascorbic acid, methylene blue, and N-acetylcysteine (NAC) therapies are provided to inpatients in addition to symptomatic treatment. We present a 23-month-old male patient who developed methemoglobinemia and acute ıntravascular hemolysis, who was followed up in the intensive care unit for five days due to naphthalene intoxication. Although naphthalene poisoning is very rare, it should be known that it has fatal consequences, and more care should be taken in its use and sale