Introduction: This study aims to analyze emergency department applications made to the Ministry of Health Communication Center due to situations arising during the delivery of emergency health services. The objective is to contribute to the development of in-hospital emergency health services and to provide recommendations for improving these services. Methods: In this retrospective study, applications made to Ministry of Health Communication Center (MOHCC) regarding emergency departments between January 1, 2018, and December 31, 2018, were examined. Applications were randomly sorted, and every 50th application was included in the study sample. Data recorded included the applicant’s degree of proximity, type of emergency, area of evaluation in the emergency department, personnel involved in the application, whether the application included violence, the follow-up and conclusion method, and the reasons for the application. Results: The total number of calls was 4,977,748, with 2,088,725 applications made. A total of 955 applications meeting the study criteria were analyzed. Findings showed that 59% of the applications were complaints, with the least being for notifications, harassment allegations, and expressions of gratitude. The most frequent applications were directed towards secondary emergency departments at a rate of 53.7%. Additionally, 66.9% of the applications were related to the green area. The personnel involved in the applications were found to be hospital management in 37.9% of the cases. In 15% of the applications, violent language was detected. Conclusion: To improve the quality of services provided in hospital emergency departments and to enhance patient satisfaction, hospital management should prioritize necessary improvements. Furthermore, healthcare personnel should develop their knowledge, skills, and professional abilities, improve their attitudes and behaviors, and enhance their communication skills.

ABSTRACT Background:Metabolic changes seen after obstructive jaundice increase the load of oxidative stress.The thiol-disulphide homeostasis (TDB) has a vital importance as oxidatice stress biomarker. Aim: The aim of present study is to investigate the dynamic thiol-disulphide homeostasis in patients diagnosed with obstructive jaundice and to compare the dynamic thiol-disulphide homeostasis with ischemia modified albumin. Study design: A total of 146 participants who were admitted to emergency department and who consisted of 69 patients and 77 healthy volunteers, were included in the study. Detailed blood samples were obtained from the patients at the time of admission. Methods: Thiol / disulphide levels were examined using a novel method developed by Erel and Neselioglu on the patients diagnosed with obstructive jaundice during the admission. Data were evaluated in computer system. Results: The levels of total thiol (p =0.025) and native thiol (p =0.023) were statistically significantly lower in the patient with obstructive jaundice than in the control group. It was observed that there was a significant negative correlation between the native thiol levels and the ALP (r =-0.262, p<0.01), urea (r =-0.313, p<0.01), total bilirubin (r =-0.388, p<0.01), direct bilirubin (r =-0.351, p<0.01) levels. At the same time, the level of disulphide (p = 0.235) was lower in the patient group than in the control group but not statistically significant. It was found that the ischemia modified albumin (IMA) values were lower in the control group than the obstructive jaundice group (p = 0.03). Conclusion: Total thiol, native thiol and IMA levels decrease in obstructive jaundice pathogenesis.