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ObjectiveHead injury is the main cause of death among individuals younger than 45 years old. Cranial Computerized tomography (CT) is commonly used for diagnosis of head injury. Brain Natriuretic Peptide (BNP) is a peptide originally isolated from brain ventricles. The main aim of this study is to investigate BNP as an indicator of head injury among patients presenting to emergency department (ED) with minor head trauma.MethodsThis was a prospective study conducted at the emergency department of the Numune Training and Research Hospital. A total of 162 patients who presented to the ED with minor head injury were enrolled. The patients were categorized into 2 groups as the cranial CT-negative and positive groups. The normality of the data was tested using One Sample Kolmogorov Smirnov test. Mann–Whitney U test was used to compare 2 independent groups while the Kruskal-Wallis test was utilized for comparison of more than 2 groups. A p-value of <0.05 was considered to be significant.ResultsNinety-six (59.3%) patients were male and 66 (40.7%) were female. The cranial CT-negative group had a median BNP level of 14.5 pg/ml while the cranial CT-positive group had a median BNP level of 13 pg/ml. There was no statistically significant difference between these two groups for serum BNP levels (p > 0.05).ConclusionThis study suggested that serum BNP level wasn’t used in defined of intracranial injury.

The number of the passenger using air travel keeps increasing every year. Inconsistency with an increasing number of passengers without medical conditions, the number of passengers with acute or chronic medical conditions increases inevitably. The attitude of commercial aircrafts providing passenger transportation during air travel is associated with altered internal cab pressure, humidity rate, partial oxygen pressure when compared with sea level pressure and medium. Alterations in the internal cab during a flight are usually well tolerated by healthy passengers, however might harm passengers with acute or chronic medical conditions. Around 65 % of health conditions emerging during flights are related to pre-existing medical conditions. Passengers with medical conditions are not fully aware of the potential influences of flight on their acute or chronic conditions. However, treatment options are substantially limited in case of an emergent medical condition during flights. Evaluation and clearance of patients with medical conditions before the flight by physicians experienced in-flight medicine is the key step for elimination or minimizing risks during the flight. Particularly patients with a history of recent hospitalization, injury, surgery, unstable conditions related to chronic health conditions, acute conditions, need for oxygen support, need for stretcher should be thoroughly evaluated before the flight. The present review aimed to investigate preflight medical screening of patients with medical conditions and their risks associated with air travel. ÖZETHavayolu ile seyahat yapan yolcu sayısı her yıl artmaya devam etmektedir. Sağlık problemi olmayan yolcularla birlikte akut veya kronik hastalığı olan yolcu sayısının artması da kaçınılmazdır. Yolcu taşımacılığı yapan ticari havayolu uçaklarının uçtuğu yükseklikte, uçak içi kabin ortamı, deniz seviyesindeki çevresel ortamından farklıdır ve kabin içi basınç, parsiyel oksijen basıncı, nem oranı gibi değişiklikler meydana gelir. Havayoluyla seyahat süresince uçak içi kabin ortamındaki değişiklikler sağlıklı yolcular tarafından tolere edilirken, akut veya kronik sağlık problemi olan yolcuları kötü yönde etkileyebilmekte ve hastalık şiddeti artabilmektedir. Uçuş sürecinde meydana gelen sağlık sorunlarının yaklaşık olarak %65'i yolcunun seyahat öncesinde var olan hastalığının kötüleşmesi sonucu meydana gelmektedir. Sağlık problemi olan yolcular, genellikle havayolu ile seyahatin akut veya kronik hastalığı üzerine etkisinin ne düzeyde olacağının bilincinde değildir. Ancak uçuş esnasında herhangi bir sağlık problemi gelişmesi durumunda tedavi seçenekleri oldukça kısıtlıdır. Havayolu seyahati öncesi sağlık sorunu olan yolcuların, uçuş öncesi havacılık tıbbında tecrübeli doktorlar tarafından değerlendirilerek uçuşuna izin verilmesi, uçuş esnasında yolcuların sağlık probleminin kötüleşmesini en aza indirme ve riskleri önlemede esastır. Özellikle yakın zamanda hastaneye yatış gerektiren sağlık problemi olan, yaralanma, cerrahi operasyon, akut olarak gelişen veya var ola...

Rekreasyon alanlarının kullanımı, kullanıcıların niteliğine ve taleplerine göre değişmektedir. Bu bakımdan gerek yeni rekreasyon alanlarının inşasında gerekse de mevcut alanların düzenlenmesi ve yenilenmesinde kullanıcıların taleplerinin ve kullanım engellerinin belirlenmesi gerekmektedir. Bu nedenle bu araştırmanın amacı Spor Bilimleri Fakültesi öğrencilerinin rekreasyon alanı kullanımlarına ilişkin katılım engelleri ve tercih etkenlerinin ortaya konmasıdır. Araştırmada tarama modeli kullanılmıştır. Örneklem seçiminde uygun örnekleme yöntemi kullanılmıştır. Araştırmanın çalışma grubunu 2021-2022 eğitim-öğretim yılında Spor Bilimleri Fakültelerinde öğrenim gören, %59,64’ı(n=368) erkek ve %40,36’ı (n=249) kadın olmak üzere toplam 617 gönüllü öğrenci oluşturmaktadır. Araştırmada Gümüş ve Özgül, (2017) tarafından geliştirilen iki bölümden oluşan 5’li likert yapıda olan “Rekreasyon Alanı Katılım Engelleri Ölçeği” (RAKE) ve “Rekreasyon Alanı Tercih Etkenleri Ölçeği” (RATE) kullanılmıştır. Elde edilen veriler, aritmetik ortalama, standart sapma, yüzde, t testi ve ANOVA testi kullanılarak analiz edilmiştir. Verilerin analiz edilmesiyle elde edilen bulgulara göre, katılımcıların ölçek puan ortalamalarında cinsiyet haftalık düzenli spor yapma ve bölüm değişkenlerine göre istatistiksel olarak anlamlı bir farklılık tespit edilmiştir (p<0.05). Sonuç olarak öğrencilerin rekreasyonel etkinliklere katılım tercihlerinin sportif çeşitlilik, fiziki imkanlar, personelden kaynaklı etkenler olduğu, katılım engellerinin ise; zaman kısıtlılığı, güvenlik engelleri ve spor alanı engellerinin olduğu tespit edilmiştir.

BackgroundPolitical parties in Turkey execute political public meetings (PPMs) during their election campaign for members of the parliament (MoP). A great number of people attend these meetings. No guidelines exist regarding preparation and organization of health care services provided during these meetings. Furthermore, there is no study evaluating health care problems encountered in previous PPMs.ObjectivePolitical parties arranged PPMs in 2015 during the election campaign for general election of MoP. The present study aimed to investigate the context of health care services, the distribution of assigned health staff, as well as the number and the symptoms of patients admitted in health care tents in these PPMs.MethodsTwo general elections for MoP were done in Turkey on June 7, 2015 and November 1, 2015. Health care services were provided by the City Emergency Medical Services Department (CEMSD) in the cities. Demographic characteristics, symptoms, comorbid conditions, treatment, discharge, and hospital transfer of the patients were obtained from patient medical registration records. Information about the distribution and the number of the assigned staff was received from local CEMSDs. The impact of variables such as the number of attendees, heat index, humidity, and the day of the week on the number of patients and the patient presentation rate (PPR) were analyzed.ResultsA total of 97 PPMs were analyzed. The number of total attendees was 5,265,450 people. The number of patients seeking medical help was 1,991. The PPR was 0.5 (0.23-0.91) patients per 1,000 attendees. Mean age of the patients was 40 (SD=19) years old while 1,174 (58.9%) of the patients were female. A total of 1,579 patients were treated in the tents and returned to the PPM following treatment. Two-hundred and three patients were transferred to a hospital by ambulance. Transfer-to-hospital ratio (TTHR) was 0.05 (0.0-0.13) patients per 1,000 attendees. None of the patients suffered sudden cardiac death (SCD) or cardiac arrest. Medical conditions were the main cause for admission. The most common symptoms were dizziness, low blood pressure, fatigue, and hypertension, respectively. The most commonly used medical agents included pain killers and myorelaxants. The number of attendees, heat index, and weekend days were positively correlated with the number of the patients.Conclusion: The majority of medical conditions encountered in PPMs are easily treatable in health care tents settled in the meeting area. The number of attendees, heat index, and weekend days are factors associated with the number of patients.CeyhanMA, DemirGG, GülerGB. Evaluation of health care services provided in political public meetings in Turkey: a forgotten detail in politics. Prehosp Disaster Med. 2018;33(6):607–613.

Background: Mean platelet volume (MPV) and red cell distribution width (RDW) values are components of complete blood count (CBC) which is a routine, cheap and fast test used in the evaluation of patients admitted to the emergency department (ED). The present study aimed to investigate RDW and MPV values in patients with Novel Coronavirus Disease 2019 (COVID-19) admitted to intensive care units (ICU) or wards from the ED. Methods:A retrospective data analysis of patients who were admitted to Ankara City Hospital ICUs and wards with the diagnosis of COVID-19 was performed. Group 1 included patients admitted to ICUs and Group 2 included those admitted to wards.Results: A total of 127 patients were admitted with a COVID-19 diagnosis. Mean age in Group 1 and Group 2 were 46±17 and 41±14, respectively. The number of patients admitted to ICU (Group 1) was 46 (36.2%), and the number of patients admitted to wards (Group 2) was 81 (63.7%). Of all patients, 122 patients (96.06%) were discharged and 5 patients (3.9%) died. RDW values in Group 1 was higher than those in Group 2 (p<0,001). Similarly, MPV was higher in Group 1 than Group 2 (p<0,001). Conclusion:In patients with COVID-19, RDW and MPV values are higher in those admitted to ICU than patients admitted to wards from the ED.

The aim of this study is to examine the frequency rate of FOMO (Fear of Missing Out) in both male and female students under some variables. Social media platforms which became an inseparable part of daily life have caused individuals to spend more time in the virtual world. From Sports Sciences, a total of 465 students (274 males and 191 females) who study in different departments and who are in different grades have participated in the present study which is pretty limited availably in Turkish in the literature. In the research, "Fear of Missing Out in Social Settings Scale" the Turkish version that is adapted by (Gökler et al., 2016) of the scale “Motivational, emotional, and behavioral correlates of fear of missing out" which is developed by (Przybylski, 2013) was used as a data collection tool. In the present study, statistical analysis of data has been performed through SPSS 26 program, t-tests, and One Way ANOVA tests. According to T-test results of FOMO averages based on sex, no significant difference has been found. It has been established that students who are not engaged in any sports activity (X=4.05) have a higher rate of FOMO on social media as compared to those who play sports (X=2.95), it has been established that students who check their phones right after they wake up (X=3.70) and students who spend time with their phones before sleeping (X=3.75) have higher FOMO averages as compared to those who don't check (X=3.40) or spend time with their phones(X=3,42). A significant difference has been detected (p>0.05). According to One Way ANOVA Post-toc tests which were based on daily social media usage durations and departments of the students. No significant difference has been established FOMO levels of students based on the grade they are in and the number of social media they own.

Background: Shopping centers (SCs) are social areas with a group of commercial establishments which attract customers of numerous people every day. However, analysis of urgent health conditions and provided health care in SCs has not been performed so far. Objective: The aim of the study was to perform a comparative analysis of clients visiting SCs and demographics, complaints, and health care of patients admitted to Emergency Medical Intervention Units (EMIU) located in grand SCs in Ankara, Turkey. Methods: Customer and health care records of nine grand SCs in Ankara from January 1, 2018 through December 31, 2018 were evaluated retrospectively. Health care services in EMIUs of SCs were provided by employed medical staff. Data including demographic characteristics, complaints, treatment protocols, discharge, and referral to hospital of the patients were retrospectively analyzed from medical registration forms. Results: Medical records of nine grand SCs were analyzed. Number of customers could not be obtained in three SCs due to privacy issues and were not included in patient presentation rate (PPR) and transport-to-hospital rate (TTHR) calculation. Total number of customers in the remaining six SCs were 53,277,239. The total number of patients seeking medical care was 6,749. The number of patients seeking health care in six SCs with known number of customers was 4,498 and PPR ranged from 0.018 to 0.381 patients per 1,000 attendants. The median age of the recorded 4,065 patients (60.2%) was 28 (interquartile range [IQR]: 38-21), and 3,611 (53.5%) of the patients admitted to EMIUs were female. The number of patients treated in the SC was 4,634 (68.6%) and 189 patients (2.8%) were transferred-to-hospital by ambulance for further evaluation and treatment. Transportation to hospital was required in 125 patients who sought medical care in six SCs which provided total number of customers, and TTHR ranged from 0.000 to 0.005 patients per 1,000 attendants. No sudden cardiac death was seen. Medical conditions were the primary reasons for seeking health care. The most frequent causes of presentation were laceration and abrasions (639 patients, 9.4%). Conclusion: The PPR and TTHR in SCs are low. The most common causes of presentation are minor conditions and injuries. Majority of urgent medical conditions in SCs can be managed by health care providers in EMIUs.