Aims: This study aimed to determine the peak hours of sleepiness and the factors affecting the sleepiness levels of nurses.Background: Sleepiness is commonly seen in individuals working night shifts. However, in case of nurses, this sleepiness can be a major threat to patient and staff safety.Method: This was a prospective cross‐sectional study. Data were collected between July and September 2023, and a stratified sampling method was used according to the departments in which the nurses worked. Data were collected using the Personal Information Form and Visual Analog Scale. Nurses reported their sleepiness levels at the beginning of each hour between midnight and 8:00 am.EQUATOR checklist: The study adhered to the STROBE checklist for reporting.Results: The mean sleepiness levels of emergency department nurses, intensive care nurses, internal or surgical clinic nurses, and all nurses were 59.75 ± 15.50, 43.53 ± 20.49, 44.67 ± 18.88, and 49.15 ± 19.67, respectively. The highest sleepiness level of the nurses was at 05:00 am. A significant correlation was found between the variables of age, gender, marital status, sleep quality, number of patients cared, working style and satisfaction with working in the department, and sleepiness level (P < 0.05).Conclusion: Nurses working night shifts experience sleepiness (highest at 5:00 am). In addition, the sleepiness levels of nurses are affected by some personal and clinical factors.Implications for nursing and nursing policy: Based on the results, there is a need for necessary policies regarding nurses' working hours and working conditions. To protect patient and employee safety, necessary strategies should be devised regarding the hours when nurses experience the highest sleepiness and the factors affecting sleepiness levels.

OBJECTIVE: Acute appendicitis represents one of the most common causes of acute intra-abdominal emergencies worldwide. In this case-control study, we aimed to investigate associations of Rho-kinase gene expression and polymorphisms with acute appendicitis in a Turkish population. We also aimed to study the effects of gender on these parameters.METHODS: A total of 93 unrelated patients with acute appendicitis and 93 healthy controls in the Department of Emergency Medicine, Erciyes University, between June 2019 and June 2021 were included in this study. Genomic DNA was isolated from peripheral leukocytes, and the LightCycler 480 II real-time polymerase chain reaction was utilized to detect Rho-kinase1 gene rs35996865 and Rho-kinase2 gene rs2230774 (Thr431Asn) polymorphisms. Quantitative real-time polymerase chain reaction was applied to determine Rho-kinase1 and Rho-kinase2 gene expressions.RESULTS: There was a marked increase in Rho-kinase1, but not in Rho-kinase2, mRNA expression, and this increase was evident only in male patients (p=0.0008). No significant differences were found in allele and genotype frequencies for Rho-kinase1 gene rs35996865 and Rho-kinase2 gene rs2230774 polymorphisms between the patients with acute appendicitis and the control group.CONCLUSIONS: Our data imply that Rho-kinase1 (rs35996865) and Rho-kinase2 (rs2230774) gene variants are not risk factors for the development of acute appendicitis in the Turkish population. However, increased mRNA expression of the Rho-kinase1 gene in males indicated that Rho-kinase1 is involved in the pathogenesis of acute appendicitis in a gender-specific way.

Amaç: Sağlık hizmetlerinde en önemli kalite kriteri hasta memnuniyetidir. Hasta memnuniyetinin belirlenmesi hizmet kalitesinin artırılması ve hastaların beklentisi doğrultusunda daha nitelikli hizmet sunulması açısından önemlidir. Bu çalışma halkın 112 acil sağlık hizmetlerinin yapısı, işleyişi hakkındaki bilgi ve düşüncelerini, hizmetten memnuniyet düzeylerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Kesitsel nitelikteki çalışma 2013 yılı mayıs ayında Kayseri’deki 18 acil yardım istasyonu arasından rastgele seçilen altı istasyonda toplam 600 kişiye anket uygulanarak yapılmıştır. Bulgular: Araştırma grubunun yaş ortalaması 35.25±11.38, %52,7’si kadın, %67,0’ı evli, %64,6’sı lise ve üzerinde eğitim almıştır. Grubun %94,8’i 112 acil yardım çağrı numarasını bilmiş, %87,2’si yalnız acil durumlar için ambulans çağırdığını bildirmiştir. Ambulans çağırıp 112 hizmetlerinden yararlananların oranı %39,0’dır. Hizmetten yararlananların %79,0’ı çağrı merkezi ile iletişimden, %82,9’u ambulansın ve kullanılan malzemenin temizliğinden, %82,5’si ambulans ekibinin tutum ve davranışlarından, %74,8’i sorulara verilen anlaşılır yanıtlardan, %70,9’u hasta hakkında verilen bilgiden, %85,5’i hasta mahremiyetine gösterilen özenden ve %82,9’u hastaya uygulanan tıbbi müdahaleden memnun olduklarını bildirmişlerdir. 112 çağrı merkezine tıbbi yardım için çağrıda bulunulduğunda grubun %90,0’ı “olay yerinin adresi”, %86,3’ü “hastanın durumu”, %53,3’ü “olay” hakkında bilgi verileceğini bilmektedir. Sonuç: Personel tutum ve davranışları, güvenirliği, tıbbi müdahale ilkeleri ve hasta mahremiyetine gösterilen özen, ambulans ekipman donanımı ve temizliğinden memnuniyet oldukça yüksek düzeydedir. 112 çağrı merkezi ile iletişim, hastanın durumu ve sorumlu personel hakkında bilgilendirme, etkin yönlendirme, olay yerine ulaşım süresinin kısaltılması, personel tutum ve davranışlarının iyileştirilmesi yoluyla memnuniyet düzeyi daha da yükseltilebilir.

A New Perspective on NSTE-ACS Patients in the Emergency Department: Cardiac Risk Prediction with New Inflammation Markers - Article abstract #948699

In traditional medicine garlic is used intensely for it’s antimicrobial, antihypertensive and anti hyperlipidemic etc. effects. For this reasons, use of garlic is common among the public health. In this case we aimed to present a patient with a second degree skin burn because of self applying garlic on his superficial eruptions.