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BACKGROUND/AIM Permanent daylight saving time has been implemented in Turkey since 2016. The present study determines the characteristics of road traffic collisions in the short-term, trauma severity, and whether permanent daylight saving time has an impact on these parameters. MATERIALS AND METHODS Drivers admitted because of road traffic collisions to a tertiary care university hospital emergency service two weeks before and after the transition to wintertime in 2014 and 2015 and summertime in 2015 and 2016 as well as those admitted two weeks before and after the same period with permanent daylight saving time in 2016 and 2017 wintertime and 2017 and 2018 summertime were included in the study. Trauma severity was measured using the Injury Severity Score. RESULTS The study analysed the data of 710 patients. There was no statistically significant difference was found between admissions in the summertime and permanent daylight saving time periods in terms of gender, time of admission, week of admission, Injury Severity Score and outcome (P > .05 for all values). CONCLUSIONS In this study, we examined the short-term effects of daylight saving time on road traffic collisions, and demonstrated that it had no impact on the number or time of admission, trauma severity and patient outcomes. More comprehensive studies covering longer periods can be performed across the country.

INTRODUCTION: Carbon monoxide is still a public health problem in developing countries. Brain and heart tissues are mostly affected by intoxications. Carbon monoxide poisoning causes the development of cardiac ischemia and cardiac conduction disorders. Our aim is to study the associations of NRL with cardiac indicators in patients with acute carbon monoxide poisoning. MATERIAL AND METHODS: Patients who admitted to the E.R. between the dates 01.10.2015–01.06.2017 were examined retrospectively. Of 54 patients diagnosed with carbon monoxide intoxication, 41 patients with complete parameters and follow-ups were included in the study. Their demographic information, complete blood count, troponin and CK-MB values and carbon monoxide levels were recorded. RESULTS: Of the patients who included in the study, 18 (43.9%) were female and 23 (43.9%) were male. Their age average was 43.7 ± 18.9. Troponin, CK-MB, neutrophil-lymphocyte ratio levels of the patients were not correlated with carbon monoxide levels (respectively p = 0.238, 0.707, 0.364). Troponin levels of the patients had a positive correlation with neutrophil-lymphocyte ratio (r: 0,309, p = 0.049). CONCLUSIONS: Neutrophil-lymphocyte ratio can be used to identify an early diagnosis of cardiac impacts in carbon monoxide poisonings. However, more studies on the subject are needed.

Introduction: Road traffic accidents are globally leading causes of mortality and morbidity. Alcohol is among the most frequently used pleasure-inducing substances in the world. Use of motor vehicle under the influence of alcohol is completely illegal in some countries. However, it is allowed up to a certain level of eth- anol in blood in other countries. Traffic accidents caused by alcohol consumption are known to cause more harmonhealthofindividuals.Thealcoholaffectsnervoussystem. Alcoholslowsreflexesandimpairsbalance. In other words, alcohol intake reduces capability of individuals while using any motor vehicle. This study aims to search the health care cost of individuals who had traffic accidents under the influence of alcohol. Methods: This present study included 657 patients who were admitted to the E.R. resulting from traffic accidents between the dates 01.01.2017–01.06.2017. Demographic information of the patients, their time of hospital admission, medical analyses and examinations, the cost of those analyses and examinations, and their ethanol levels were recorded. Results: 657 patients were included in the study. 460 (68.1) of those patients were males. Their age average was 35.57 ± 15.18. 61 (9.0%) of the patients were seen to have ethanol positive blood. The health care expenditures of ethanol positive patients were found to be 374,75 ± 251,3 TL whereas the expenditures of ethanol free patients were identified to be 283,17 ± 222,72 TL. The health care expenditures of ethanol positive patients were seen to have substantially increased. (p = 0,003). Conclusions: Alcohol intake is known to be a leading cause of traffic accidents that generally results in deaths and heavy injuries. This present study displays that traffic accidents caused by alcohol consumption increases the cost of health care as well.