Orkun Tolunay

Orkun Tolunay
Adana City Training and Research Hospital · Pediatrics

Master of Science

About

69
Publications
15,866
Reads
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207
Citations
Citations since 2017
40 Research Items
184 Citations
2017201820192020202120222023010203040
2017201820192020202120222023010203040
2017201820192020202120222023010203040
2017201820192020202120222023010203040
Introduction
Assoc. Prof. Department of Pediatrics MSc History of Medicine and Ethics
Additional affiliations
October 2013 - present
Adana Numune Training and Research Hospital
Position
  • pediatrician
September 2013 - March 2014
Adana Numune Training and Research Hospital
Position
  • pediatrician

Publications

Publications (69)
Article
Full-text available
At the end of 2019, the newly detected severe acute respiratory syndrome-coronavirus (COVID)-2 in China spread rapidly and caused a global epidemic. It has been observed that the virus, which is the cause of COVID-2019 and can cause severe acute respiratory failure, later causes a hyperinflammatory picture and causes a clinical picture similar to K...
Article
Full-text available
PurposeTo evaluate patients with multisystemic inflammatory syndrome in children (MIS-C) associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection using optical coherence tomography angiography (OCTA) during and after resolution of inflammation to investigate the effect of this entity on the retinal and choroidal circul...
Article
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Objective: Rotavirus is the leading cause of diarrhea and, in particular, severe gastroenteritis in infants and young children, resulting in hospitalizations and infant deaths around the world. Rotavirus vaccine is the most effective way to prevent rotavirus diarrhea. This study aims to assess the knowledge of pediatricians and pediatric residents...
Article
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Giriş: Rotavirüs, tüm dünyada bebek ve küçük çocuklarda görülen ishallerin, özellikle hastane yatışlarına ve bebek ölümlerine neden olan ağır gastroenteritin en önde gelen nedenidir. Rotavirüs ishalinin önlenmesinde en etkili yöntem rotavirüs aşılamasıdır. Bu çalışmada pediyatri uzmanları ve pediyatri asistanlarının rotavirüs enfeksiyonu ve aşısı h...
Article
Full-text available
Objective The objective of the study is to evaluate the clinical findings and treatment results of COVID-19 in pediatric cancer patients. Study design The study was designed as a single-center retrospective observational study. Pediatric cancer patients with COVID-19 admitted to the University of Health Sciences Adana City Training and Research Ho...
Article
bjective: Patients hospitalized in pediatric intensive care units require various rates of respiratory and oxygen support therapies. Invasive and non-invasive treatment methods are used as respiratory support treatment, and new technologies are being used in oxygen delivery systems. This study aimed to investigate the success and complication rates...
Article
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This study is aimed to evaluate pediatric patients, who were hospitalised in the Department of Pediatrics, University of Health Sciences, Adana City Training and Research Hospital, Turkey, between January, 2019 and January, 2020, and treated with pulse steroid therapy and the early side effects of their treatment. The fasting blood glucose levels o...
Article
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admitted to the pediatric emergency department and operated with the diagnosis of acute appendicitis in the pediatric surgery clinic. Material and Method: Files of patients who underwent appendectomy in the pediatric surgery clinic of Health Sciences University Adana City Training and Research Hospital between 16 March-16May 2019 and 16 March-16 Ma...
Article
Objective: To evaluate the prophylaxis practices used on children with animal exposures in a major southern city of Turkey, close to the Syrian border. Study design: Cross-sectional study. Place and duration of study: Emergency and Outpatient departments, Adana City Training and Research Hospital, Turkey between September 2017 and September 20...
Article
Background/Aim Acute bronchiolitis is mostly caused by viral agents in children under 2 years of age. The disease mostly has a mild clinical course however severe cases are not uncommon. Vitamin D is known to exert immune-regulatory functions. We aimed to examine the association between the clinical severity of acute bronchiolitis and serum vitamin...
Article
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Objective: Outbreaks of measles were seen throughout the world in 2018-2019, including Turkey. Measles outbreak in Turkey may be attributed to cases imported from European countries and increased rate of unvaccinated children due to the massive influx of refugees from neighboring countries. Materials and Methods: The demographic details and clinic...
Article
Full-text available
Objective Aim of the study is to assess the clinical characteristics and treatment outcomes of Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19. Study design The study comprised 52 children with MIS-C admitted to University of Health Sciences Adana City Training and Research Hospital pediatric wards from September 202...
Article
Full-text available
Objective: To determine the prevalence of malnutrition in hospitalized pediatric patients, to provide a classification of patients with malnutrition, and to evaluate the effect of malnutrition on length of hospital stay. Material and Methods: The study included patients aged 5 months to 18 years who were hospitalized in the Department of Pediatric...
Article
Full-text available
Kistik hidatik, Echinococcus adı verilen tenyanın larva formunun neden olduğu; dünyada yaygın görülen bir zoonozdur. En sık karaciğerde, daha sonra akciğerde yerleşim gösterir. Kist rüptürü ve sekonder bakteriyel enfeksiyon, pulmoner kist hidatikli (PKH) hastalarda görülen en önemli komplikasyonlardır. PKH; iyileşmeyen pnomoni, apse, tüberküloz, tü...
Article
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Objective: Kawasaki disease (KD) is an acute febrile disease of the childhood characterized by vasculitis. The disease is thought to be due to the abnormal inflammatory response caused by various infectious agents in genetically predisposed individuals. It is known that the disease can be seen in all ethnic groups but it is more common in Asian pop...
Article
Full-text available
Objective: To determine the prevalence of malnutrition in hospitalized pediatric patients, to provide a classification of patients with malnutrition, and to evaluate the effect of malnutrition on length of hospital stay. Material and methods: The study included patients aged 5 months to 18 years who were hospitalized in the Department of Pediatr...
Article
Full-text available
Cerebral salt wasting syndrome (CSWS) is characterized by natriuresis and associated with hypovolemia, and hyponatremia. The underlying pathogenesis is not clearly known. It is often confused with syndrome of inappropriate anti-diuretic hormone release. Volume repletion and sodium replenishment and correction of the underlying cause are the most im...
Article
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Loxosceles spiders can live in the household and have the potential to casus harm to human beings. Systemic signs and symptoms have rarely been reported on spider bites in the literature. We present a formerly healthy four-month- old girl applied to the hospital with complaints of irritability, swelling of the neck and suspected insect bite. The pa...
Article
Full-text available
Loxosceles spiders can live in the household and have the potential to cause harm to human beings. Systemic signs and symptoms have rarely been reported on spider bites in the literature. We present a formerly healthy four-month-old girl applied to the hospital with complaints of irritability, swelling of the neck and suspected insect bite. The pat...
Article
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Sayın Editör, Derginizin 2018 yılı 2. sayısında yayınlanmış olan “Çocuk Yoğun Bakımda Beyin Ölümü Tanısı Konulan Hastaların Değerlendirilmesi’’ başlıklı makalemizle ilgili olarak Dr. Osman Yeşilbaş ve Dr. Selçuk Uzuner tarafından yazılmış olan “Daha Sık Konulması Gereken Tanı: Beyin Ölümü” başlıklı editöre mektubu büyük bir keyif ile okuduk. Makal...
Article
Full-text available
z Giriş: Çocukluk çağı tüberkülozu dünya çapında tüberküloz yükünün önemli bir kısmını oluşturmaktadır. Çocukluk çağı tüberkülozu top-lumda tüberküloz yükünün devam ettiğini göstermesi bakımından da önemlidir. Çalışmamızda 3 yıllık sürede ilimizdeki çocukluk çağı tüber-küloz olgularının demografik, klinik, radyolojik özellikleri ve tedavi yön-temle...
Article
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Objective: Childhood tuberculosis constitutes an important part of the global burden of tuberculosis. Childhood tuberculosis is also important in that it shows that the burden of tuberculosis continues in society. In our study, demographic, clinical, radiological features and treatment modalities of childhood tuberculosis cases were evaluated durin...
Article
Full-text available
Introduction: Appendicitis is the inflammation of the appendix vermiformis. Clinical diagnosis of acute appendicitis in children is still a problem. Platelet indices, platelet distribution width and mean platelet volume have been evaluated for some infectious and inflammatory diseases. In this study, we aimed to investigate whether platelet distrib...
Article
Full-text available
West Nile virus is an RNA virus found in Flaviviridae family and its vector is of Culex-type mosquitoes and the population of these flies soar dramatically in August. Most of the infected people who have mild viremia experience this disease asymptomatically or encounter situations similar to other viral infections. Patients suffer from fatigue, fev...
Article
Full-text available
PurposeTuberculosis is a common disease worldwide that is caused by Mycobacterium tuberculosis. Tuberculosis is primarily a pulmonary disease, but extrapulmonary manifestations are not uncommon, especially in children and adolescents. Methods We present two pediatric patients who underwent surgery in our clinic for Pott’s disease in the upper thora...
Article
Can Celiloğlu1, Orkun Tolunay1, Tamer Çelik1, Asena Sucu1, Eray Yurtçu1, Ümit Çelik1 1 Adana Numune Eğitim ve Araştırma Hastanesi, Çocuk Sağlığı ve Hastalıkları Kliniği, ADANA ÖZET Giriş: Bu çalışmada Çocuk Yoğun Bakım ünitemizde son beş yılda sürveyans sisteminde kayıtlı hastane enfeksiyonlarının sıklığı, enfeksiyon alanları, kültürlerde üretilen...
Article
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Introduction: The incidence of brain death in pediatric intensive care units is not known precisely. Studies of brain death-organ donation in children are few and the etiology of brain death in pediatric patients is different than in adults. Our aim was to present cases of brain death occurred in our pediatric intensive care unit in a two-year peri...
Preprint
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Background/aim: The ″Pediatric Acute Lung Injury Consensus Conference″ (PALICC) was convened in order to develop a taxonomy to define pediatric acute respiratory distress syndrome (ARDS). The Appraisal of Guidelines for Research and Evaluation (AGREE) assesses the quality of guidelines. The aim of this study is to evaluate the new pediatric ARDS gu...
Article
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Objective: Although meningococcal infections are most feared infectious diseases due to their high mortality and the possibility of leading to epidemics, there is no common practice for vaccination yet. In this study, we aimed to determine the level of knowledge about meningococcal infection and vaccination, and the attitude towards meningococcal v...
Article
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Evaluation of patients diagnosed with brain death Introduction: The frequency of brain death in pediatric intensive care units is unknown. Studies of brain deathorgan donation in children are scarce and etiologies of brain death are differs than adults. Our aim is to share patients in whom brain death occurs in our pediatric intensive care unit and...
Article
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Phosphide, a very toxic gas, is used in our country as aluminium phosphide tablets impregnated in clay. It is widely used since it has a very high diffusion capacity, whereby it can eradicate all living creatures in any form of their life cycle and does not leave any remnants in agricultural products. Aluminum phosphide poisoning is among intoxicat...
Article
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Objective: In this study, we aimed to retrospectively investigate the frequency of healthcare-associated infections, infection sites, culture proven microorganisms and antibiotic resistance properties registered in the surveillance system, in our Pediatric Intensive Care Unit over the past five years. Material and Methods: The data of healthcare-as...
Article
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Kara ve ark. (1) “Bir Çocuk Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesinde Antimikrobiyal Kullanımına İlişkin Nokta Prevalans Çalışması: 2008 ve 2012 Verileriyle Karşılaştırılması” başlıklı çalışmalarını ilgiyle okuduk (1). Çalışmanın 4 yılda bir tekrarlanarak elde edilen sonuçların daha önce yapılan çalışmaların verileri ile karşılaştı...
Article
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Guillain-Barré syndrome and acute transverse myelitis manifest as demyelinating diseases of the peripheral and central nervous system. Concurrency of these two disorders is rarely documented in literature. A 4-year-old girl presenting with cough, fever, and an impaired walking ability was admitted to hospital. She had no previous complaints in her...
Article
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Introduction: Following the civil war in the Middle East in 2011, refugees have faced myriad psychological and physical health problems as they try to live in foreign places and often in inappropriate conditions with insufficient financial resources. Children are affected the most by these conditions. This study is aimed at presenting the character...
Article
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Objectives: Lyme disease is a vector-associated infectious disease, caused by the agent, spirochete Borrelia burgdorferi. Neurologic findings are observed in approximately 12% of the cases and termed Lyme neuroborreliosis (LNB). Lyme neuroborreliosis may manifest with different clinical neurologic manifestations. Methods: The study was conducted...
Article
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Introduction: Head traumas are among the most frequent reasons for pediatric emergency department visits and an important cause of mortality and morbidity. Computed tomography (CT) of the head is the standard method of diagnosing traumatic brain injury. However, the risk of radiation exposure and other possible risks associated with sedation that m...
Article
Full-text available
OBJECTIVES: Lyme disease is a vector-associated infectious disease, caused by the agent, spirochete Borrelia burgdorferi. Neurologic findings are observed in approximately 12% of the cases and termed Lyme neuroborreliosis (LNB). Lyme neuroborreliosis may manifest with different clinical neurologic manifestations. METHODS: The study was conducted at...
Article
Full-text available
Objective: Cerebral salt-wasting syndrome (CSWS) is a hypovolemic hyponatremia caused by natriuresis and diuresis, of which the exact pathogenesis is unknown. Although CSWS has been more commonly described to be associated with neurosurgical disorders, increasing numbers of patients are diagnosed and new etiological factors are being identified as...
Article
Full-text available
Aim: Ventriculoperitoneal shunt infection (VPSI) is a main mortality and morbidity cause in hydrocephalus. Platelet indices, mean platelet volume (MPV) and platelet distribution width (PDW) have been evaluated for some infectious diseases. In this study we aimed to investigate whether MPV and PDW values are decisive for the diagnosis of VPSI in ch...
Article
Full-text available
Introduction: Central venous catheterization (CVC) is commonly preferred due to its benefits in the setting of pediatric intensive care units (PICUs). Ultrasound, being frequently used in the PICU setting in recent years, is also beneficial in the practice of central venous catheterization. In this research we aimed to assess the practices of ultra...
Article
Full-text available
Infectious mononucleosis due to Epstein–Barr virus (EBV) is a usually benign systemic viral illness common in children. Many studies described nervous system manifestations of infectious mononucleosis with a wide spectrum of neurologic deficits. Neurologic complications of EBV are seen in both acute and reactivate infection. Herein, we describe a p...
Article
Full-text available
Cerebral salt wasting syndrome (CSWS) is characterized by severe natriuresis and volume depletion in the presence of cerebral pathology. In literature, there are few reports about tuberculous meningitis and cerebral CSWS. In this article, we report two tuberculous meningitis cases with CSWS and present a review of the literature on this topic. Cere...
Article
Lyme disease is a rare tick-borne multisystemic infection caused by Borrelia burgdorferi. Different neurological conditions were reported in the disease. In this article, we present a 15-year-old patient hospitalized with ataxia who was diagnosed with Lyme neuroborreliosis. Intravenous immunoglobulin and ceftriaxone treatment was applied to the pat...
Article
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Jka and Jkb antibodies (Kidd blood group system) can cause acute and delayed type transfusion reactions as well as hemolytic disease of newborn. Jka and Jkb antibodies are seen after events like blood transfusions, pregnancy, abortion and curettage. Hemolytic disease of newborn related to Kidd-Jkb incompatibility is rare and mostly has a good progn...
Article
Alpha lipoic acid is a powerful antioxidant widely used for the supplementary treatment of diabetic neuropathy. Intoxication with alpha lipoic acid is very rare. There is no reported dose of safety in children. A 14-month-old previously healthy girl was referred to our hospital with the diagnosis of drug intoxication. She was admitted to the emerge...
Article
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Background/aim: In nonmonosymptomatic nocturnal enuresis (NMNE), the incidence of organic abnormality and urodynamic disorder is more frequent than the general population. The aim of this study is to identify urodynamic disorders and renal scarring in children with NMNE. Materials and methods: This study evaluated the urodynamic disorders and renal...
Article
Full-text available
Giriş Benign geçici hiperfosfatazemi (BGH) çoğunlukla 5 ya-sından küçük çocuklarda serum alkalen fosfataz (ALP) düzeyinin normal değerlerin 3-50 kat yüsekliğiyle karak-terize klinik bir durumdur (1-4). Hastaların çoğu başka bir nedenle tetkik edilirken ya da rutin laboratuvar incele-mesi sırasında tanı almaktadır. Hastalarda ALP yüsekliği dışında k...
Conference Paper
Full-text available
Objective Alpha lipoic acid (ALA), also known as thiotic acid, is a cofactor found in a number of multienzyme complexes. Lipoic acid is a powerful antioxidant and is widely used as supplementary treatment of diabetic neuropathy. There is no reported dose of safety in children. Methods A 14-month-old previously healthy girl was referred to our hosp...
Article
Full-text available
Introduction: It is observed that the rational use of antibiotics in obstetrics and gynecology clinic is not on the desired level. In this point prevalence study, we aimed to determine the proper use of antibiotics in three different obstetrics and gynecology clinics in Adana, Turkey. Materials and Methods: In this point prevalence study, demograph...
Article
Full-text available
Background: To determine the level of knowledge on human papillomavirus (HPV) infection and vaccination, and the attitude towards HPV vaccination in pediatricians, obstetricians and gynecologists (OBG). Materials and Methods: Participants were administered a 40-question survey, investigating the demographic properties, the knowledge on the HPV infe...
Article
Full-text available
Darier's disease is a skin disorder characterized by multiple eruptions of hyperkeratosis or crusted papules at seborrheic areas with histologic acantholysis and dyskeratosis. It is caused by mutations in a single gene, being ATP2A2 and that is expressed in the skin and brain. The cooccurrence of various neurologic and psychiatric diseases with Dar...
Article
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Objective: Identifying antibiotic use in pediatric and neonatal intensive care units with a point prevalence study in Adana, TÜRkey's sixth largest city. Material and Methods: In this point prevalence study, demographic information and antibiotic treatment data were taken on the same day from patients in pediatric and neonatal intensive care units...
Article
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Objectives: Retrospective examination of patients hospitalized to pediatric intensive care unit with scorpion envenomation and evaluation of clinical and laboratory findings of them, their treatment methods and results. Material and methods: irty patients treated with scorpion envenomation between January 2012 and October 2013 at pediatric intensiv...
Article
Background: Cerebral salt wasting is a hypovolemic hyponatremia state, caused by natriuresis and diuresis. The most important element of treatment is to replace the volume and sodium loss and improve the current clinic. Patients: We present two children who were treated in the intensive care unit who subsequently developed cerebral salt wasting....
Article
Full-text available
zet Amaç: Nokta prevalans çalışması ile Türkiye'nin 6. büyük şehri olan Adana'da çocuk yoğun bakım ve yenidoğan yoğun bakımlarda antibiyotik kullanımını saptamak. Gereç ve Yöntemler: Bu nokta prevalans çalışmasın-da Adana şehir merkezinde bulunan 6 hastanede çocuk yoğun bakım ve yenidoğan yoğun bakım ünite-sinde yatmakta olan hastaların aynı gün iç...
Article
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ABSTRACT Breast milk is, by far, the winner in the present situation of baby feeding. However, there have been short periods witnessing popularity of formula feeding or wrong feeding models. We see wrong notions and applications when looking at the history of Turkish Pediatrics. Though, breastfeeding is always prioritized. We see that our ancestors...
Article
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To determine the level of knowledge on human papillomavirus (HPV) infection and vaccination, and the attitude towards HPV vaccination in pediatricians, obstetricians and gynecologists (OBG). Participants were administered a 40-question survey, investigating the demographic properties, the knowledge on the HPV infection-vaccination and attitudes tow...
Article
Full-text available
ZET Serebral tuz kaybı sendromu, natriürez ve diürezin neden olduğu, hipovolemik hiponatremi tablosu olup, patogenezi net olarak bilinmemektedir. Sıklıkla uygunsuz ADH salınımı sendromu ile karıştırılmaktadır. Serebral tuz kaybı sendromu tedavisinde, volüm ve sodyum kaybının yerine konulması ve altta yatan nedenin düzeltilmesi tedavinin en önemli ö...

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