Background: S100B, NSE, MMP-9, and Tau protein levels increase in cases causing hypoxic cell damage. The diagnosis of the severity of carbon monoxide (CO) poisoning in the early period of these parameters was studied. Material and Method: COHb level measurement was made using a signal capture CO-pulse oximeter (Masimo's SET Rainbow, Masimo's Co, USA) at the first admission of the patients. Then, COHb levels were confirmed by arterial blood gas(ABG) analysis. The patients were divided into two groups as mild and moderate-severe, according to their Glasgow coma scores (GCS) [Mild (14–15); Moderate (9–13) or Severe (3–8)]. The control group was composed of 16 healthy and non-smoking volunteers. Results: The serum S100B protein and MMP-9 values at 0 hr of admission in the hospital and 3hr of treatment were not significantly different in the patient group as compared to the control group. Tau protein levels were significantly higher in the patient group at 0 and 3 hours (p> 0.05) as compared to healthy person. Conclusion: There was no relationship between CO poisoning and MMP-9 and S100B protein levels. NSE and Tau protein were significantly higher in the patient group than the control group. Tau protein may be more useful marker as compared to neuron-specific enolase.

Background: Mean platelet volume (MPV) was investigated by many medical disciplines for different disease groups. But, the use of MPV values in clinical practice is limited. Objective: In this study, it is aimed to make a bibliometric analysis of studies on MPV over the Web of Science database and also to reveal Turkey's contribution to this issue. Method: This bibliometric analysis was performed in June 2021 as a result of a search for mean platelet volume (MPV) in all indexes in the Web of Science (WOS) database. Result: The most of the MPV studies in the world were conducted on hematology (1256, 18.9%), general internal medicine (746, 11.2%), peripheral vascular diseases (579, 8.7%), cardiology/cardiovascular system diseases (537, 8%), experimental medicine research departments (376, 5.6%), and surgical sciences (342, 5.1%) in the fields of science/subject. The rank of emergency medicine is 64 (0.9%) in the world and 41 (2.1%) in Turkey. 17 of the 25 authors who published the most were Turkish. Conclusion: In many studies, when the standard deviations are taken into account, the difference between the groups cannot be seen mathematically, even if they are statistically different. Therefore, the use of MPV values in clinical practice is limited. However, these studies suggest that academic promotion is aimed rather than contributing to the scientific literature.

Abstract Aim: YouTube has become an increasingly used platform for obtaining health information such as first aid knowledge of snake bites rescuers in recent years. Aim of the study is to evaluate the quality of existing YouTube videos on first aid interventions for snake bites and whether they are of an educational nature. Materials and Methods: Descriptive study. On February 20, 2021, determined search terms such as; “Snake bite emergency aid, Snake bite treatment medicine, first aid in snake bite“ were searched separately on YouTube (https://youtube.com). A total of 360 YouTube videos were listed. It was analyzed according to the Global Quality Scale (GQS) developed to evaluate internet-based resources and the DISCERN scale developed to determine reliability. Results: A total of 72 videos meeting the criteria were identified. The median duration of the videos were 292 seconds. The median number of views were 13.8, the number of comments were 0.01, likes were 0.11, and the number of dislikes were 0.01. When the DISCERN scores and uploaded sources were compared, significant differences were found (p = 0.031). DISCERN scores of videos shared by doctors were found to be significantly higher than other sources (p

ABSTRACT Objective The aim of this study is to determine the complaints of patients and their relatives, to provide necessary measures and to find solutions. Material and Methods It was retrospectively analyzed and conducted as a single-center study. The complaints of patients and their relatives who applied to the Patient Rights Unit, Ministry of Health Communication Center, Prime Ministry Communication Center, Presidential Communication Center from the hospital medical records between 2018 and 2019 were examined. Data were analyzed on IBM SPSS Statistics 22.0 package program. Results 1385 applications were examined. Most of the complainants were men (66.1%). The most frequent complainants were between the ages of 20-40 (56.3%), high-school graduates (56.3%), in the self- employed/artisan group (24.2%). The most of the complaints were made application to the Patient Rights Unit (58.7%). Complaints were most common for physicians who in charge of primary care of the patient (49.5%) and least common for consultant physician (0.2%). The most common complaints were about poor attitude (26.9%) and long waiting time (21.7%). Most of the complaints were made in 2019 (n:835), July (n:239) and on Friday (n:326), and also most of the complaints were made against the Department of Pediatrics (n:190 (13.7%)) and Emergency Medicine (n:129 (9.3%). When the complaint-patient ratio was examined, it was perceived that the most complaints were from the laboratory and pathology departments. Conclusion It is concluded that patient rights units are very crucial and they have an important role in evaluating the quality of institutions and determining the existing deficiencies as well as increasing patient satisfaction.