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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
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                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
Five-year analysis of clinical presentations and predictors of stroke mortality in rural Southwestern Nigeria: A retrospective observational study</text>
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                <text>Stroke&#13;
Predictors&#13;
Mortality&#13;
Rural&#13;
Nigeria</text>
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                <text>Introduction: Stroke mortality and its predictors are important outcome measures in stroke epidemiological&#13;
studies and clinical trials. There is an observed paucity of data regarding the clinical presentations and predictors&#13;
of stroke mortality in Southwestern Nigeria. Few available related studies have centred on hospitals in the urban&#13;
&#13;
and sub-urban areas; however, none in the rural settings. This study, therefore, focuses on the clinical pre-&#13;
sentations and predictors of stroke mortality at the adult Emergency Centre of a tertiary hospital situated in rural&#13;
&#13;
Southwestern Nigeria.&#13;
Methods: A retrospective survey, using data form and standardized questionnaire, was used to study the patients&#13;
admitted for stroke between January 2015 and December 2019. The data were analysed using SPSS Version 22.0.&#13;
The results were presented in descriptive and tabular formats.&#13;
Results: A total of 276 patients were studied. Their mean age was 67.3 ± 11.1 years. The most common clinical&#13;
presentations were hemiparesis and cranial nerve deficit. The case of fatality was 10.1%. The predictors of stroke&#13;
mortality were age ≥65 years [(AOR = 12.752; 95% CI: (1.022–159.190), p = 0.048)], Glascow coma score &lt;8&#13;
[(AOR = 50.348; 95% CI: (7.779–325.866), p &lt; 0.001)], uncontrolled blood pressure [(AOR = 23.321; 95% CI:&#13;
(2.449–221.927), p = 0.006)], presence of atrial fibrillation [(AOR = 16.456; 95% CI: (2.169–169.336), p =&#13;
0.009)], convulsion [(AOR = 25.889; 95% CI: (2.374–282.296), p = 0.008)], heart failure [(AOR = 30.284; 95%&#13;
CI: (3.265–256.347), p &lt; 0.001)], and a repeat stroke [(AOR = 32.617; 95% CI: (2.410–441.381), p = 0.009)].&#13;
Conclusion: The 7-day fatality was 10.1%. The predictors of stroke mortality were poor Glascow coma score,&#13;
uncontrolled blood pressure, atrial fibrillation, heart failure, convulsion and a repeat stroke. This study&#13;
strengthens the argument on the higher prevalence of stroke and its mortality in rural Southwestern Nigeria. Our&#13;
findings may provide an impetus for prospective research on this outcome.</text>
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                <text>Azeez Oyemomi Ibrahim , Olabode Muftau Shabi , Tosin Anthony Agbesanwa , Paul Olowoyo </text>
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                <text>https://doi.org/10.1016/j.afjem.2021.10.005</text>
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                <text>26 October 2021</text>
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                <text>peri irawan</text>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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      <tag tagId="3655">
        <name>Stroke Predictors Mortality Rural Nigeria</name>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
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                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
Ultrasound virtual skills based workshop: An African experience in the COVID era</text>
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                <text>Telemedicine&#13;
Ultrasound&#13;
Mentorship&#13;
Skills&#13;
Low-resource</text>
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            <description>An account of the resource</description>
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                <text>Telemedicine has emerged as a valuable tool for medical training, now more than ever. It involves exchanging&#13;
healthcare or healthcare information digitally across large distances. This form of teaching has become more&#13;
common due to significant advances in communication technology and increased access to the internet at more&#13;
&#13;
affordable costs. Isolated and poorly staffed areas are now able to access specialist review, mentorship, educa-&#13;
tional materials, and general support more efficiently than before. Typically, telemedicine is used to deliver&#13;
&#13;
didactic sessions and lectures and not skill sharing or training exercises. While ultrasonography is a skill typically&#13;
taught at the bedside, we face a global pandemic where patient safety and standard operating procedures are&#13;
prohibitive of this teaching model. Our team sought to have a practical session to determine whether practical&#13;
skills can be taught through virtual training workshops as a way to mitigate these constraints. Practical stations&#13;
were set up, with each station hosting an independent skill. The aim of the session was to introduce the topics to&#13;
learners, to have learners visualize how the scans can be done with local setup and lastly perform these scans on&#13;
&#13;
volunteers to the satisfaction of the supervisors. Skills such as performing ocular ultrasound, gallbladder eval-&#13;
uation, and aortic aneurysm assessment were carried out on volunteers under a virtual supervisor's direction at&#13;
&#13;
all stations. The topics were chosen based on a previous needs assessment, and participants reported great&#13;
satisfaction from the session. Ultrasound provides an excellent opportunity for virtual skill-based training,&#13;
mentorship and trainee support. This commentary is directed at mostly low resource African countries with&#13;
nascent Emergency Medicine programs. It also applies to organizations that support remote ultrasound skills&#13;
training for emergency care providers and those that run emergency care outreach programs. These principles&#13;
may also apply for other lower resource settings outside of Africa.</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="18658">
                <text>https://doi.org/10.1016/j.afjem.2021.10.004</text>
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            <name>Date</name>
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                <text>8 October 2021</text>
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              <elementText elementTextId="18660">
                <text>peri irawan</text>
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        <name>Jurnal Internasional Keperawatan</name>
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        <name>Telemedicine Ultrasound Mentorship Skills Low-resource</name>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
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              <elementText elementTextId="18760">
                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
Malaria and COVID-19: A double battle for Burundi</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="18761">
                <text>Malaria&#13;
COVID-19&#13;
Public health&#13;
Pandemic&#13;
Burundi</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Malaria has become a serious public health concern in Burundi. An outbreak that has the potential to evolve into&#13;
&#13;
an epidemic has eradicated nearly as many individuals as the Ebola crisis within the adjacent Democratic Re-&#13;
public of the Congo. The government's delay to announce a national crisis, increased breeding sites as a result of&#13;
&#13;
flooding, and the presence of multi-drug resistant malaria have exacerbated the burden. With a concurrent&#13;
COVID-19 pandemic, economic complications, and overlap of symptoms between both diseases, these challenges&#13;
are complex, but not unfamiliar. Organizations such as M ́edecins Sans Fronti`eres have carried out spraying&#13;
campaigns, and the government is actively mitigating efforts to handle the pandemic. That being said, there is&#13;
still a need to enhance preventive measures such as increasing technological capacity and epidemiological&#13;
surveillance to better withstand challenges.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Correspondence</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="18764">
                <text>https://doi.org/10.1016/j.afjem.2021.10.006</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>26 October 2021</text>
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            <description>A language of the resource</description>
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                <text>english</text>
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    <tagContainer>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="3656">
        <name>Malaria COVID-19 Public health Pandemic Burundi</name>
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              <description>A name given to the resource</description>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
                </elementText>
              </elementTextContainer>
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                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
A qualitative study of COVID-19 related reasons for delayed presentation of patients with chest pain during the COVID-19 pandemic </text>
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          <element elementId="49">
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                <text>Chest pain&#13;
Acute coronary syndrome (ACS)&#13;
Delayed presentation&#13;
Qualitative study</text>
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            <description>An account of the resource</description>
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                <text>Introduction: In previous pandemics such as the Ebola virus outbreak in West Africa, it has been observed that&#13;
&#13;
patients with non-pandemic related complaints, delay their presentation to hospital. Similarly, delayed pre-&#13;
sentation of patients with chest pain during the COVID-19 pandemic has been documented. This qualitative&#13;
&#13;
study identified the COVID-19 related reasons which lead to this delay.&#13;
Methods: A qualitative study based on 10 individual patient interviews. Half of these were conducted at a public&#13;
hospital emergency centre (EC) and the other half at a private EC.&#13;
Results: A variety of psychosocial factors were identified as themes for delayed presentation. Interestingly, the&#13;
fear of contracting COVID-19 at the hospital was not found to be an important theme in our study. Rather,&#13;
confusion around hospital protocols during the pandemic was identified as a recurrent theme.&#13;
Discussion: This study found that confusion about COVID-19 hospital protocols was the major pandemic related&#13;
delaying factor. A number of themes unrelated to COVID-19 were also identified.</text>
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                <text>Hanlie Dreyer , Katya De Oliveira , Vidya Lalloo , Andreas Engelbrecht </text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="18908">
                <text>https://doi.org/10.1016/j.afjem.2021.10.002</text>
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                <text>peri irawan</text>
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            <description>A language of the resource</description>
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                <text>english</text>
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        <name>Chest pain Acute coronary syndrome (ACS) Delayed presentation Qualitative study</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
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                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
Trauma training in low- and middle-income countries: A scoping review of ATLS alternatives</text>
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          <element elementId="49">
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                <text>Trauma training&#13;
Low- and middle- income countries&#13;
Injury&#13;
Emergency medicine&#13;
Trauma care</text>
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                <text>Introduction: Trauma training for front-line providers is a critical component of injury mitigation and trauma&#13;
systems strengthening. Although the Advanced Trauma Life Support (ATLS) course is standard in much of the&#13;
world, cost and administrative barriers are prohibitive to deploying the course in many low and middle income&#13;
countries (LMICs). The purpose of this study was to identify alternative trauma training courses used in LMICs by&#13;
scoping review and compare their effectiveness.&#13;
Methods: Several peer-reviewed and grey literature databases were searched for relevant articles describing&#13;
trauma training courses for front-line medical providers in LMICs. Studies were included if: performed in a LMIC;&#13;
utilized a general trauma training course other than ATLS; trainees were hospital-based medical providers; study&#13;
included some type of outcome measure.&#13;
Results: A total of 34 manuscripts met inclusion criteria. The majority of courses were novel, hospital-initiated&#13;
&#13;
courses and ranged in length from 1 day to 1 week. Physicians were the most common target audience, fol-&#13;
lowed by medical students and nurses. Courses were taught in 24 different countries throughout the Middle East,&#13;
&#13;
Asia, Latin America and Africa. Comparison of pre- and post-test knowledge was the most common metric used&#13;
and nearly all courses demonstrated a statistically significant knowledge gain. One study demonstrated a&#13;
&#13;
reduction in mortality for injured patients after course implementation. The majority of courses were a collab-&#13;
oration between universities in a high income country and local faculty/practitioners in the LMIC where the&#13;
&#13;
course was taught. Reported cost per participant ranged from $10 to $232 USD.&#13;
Conclusions: Several trauma courses are currently being utilized in LMICs effectively with increases in knowledge&#13;
gained and at a lower reported cost than ATLS. More research is needed to link trauma training courses to patient&#13;
outcomes.</text>
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                <text>Heather A. Brown , Caitlin Tidwell , Phillip Prest</text>
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                <text>https://doi.org/10.1016/j.afjem.2021.11.004</text>
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                <text>28 November 2021</text>
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                <text>peri irawan</text>
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        <name>Trauma training Low- and middle- income countries Injury Emergency medicine Trauma care</name>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
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                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
The status and future of emergency care in the Republic of Kenya</text>
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                <text>Kenya&#13;
Emergency care&#13;
Devolution&#13;
Universal health coverage&#13;
Medical education</text>
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                <text>Kenya is a rapidly developing country with a growing economy and evolving health care system. In the decade&#13;
since the last publication on the state of emergency care in Kenya, significant developments have occurred in the&#13;
country's approach to emergency care. Importantly, the country decentralized most health care functions to&#13;
county governments in 2013. Despite the triple burden of traumatic, communicable, and non-communicable&#13;
&#13;
diseases, the structure of the health care system in the Republic of Kenya is evolving to adapt to the impor-&#13;
tant role for the care of emergent medical conditions. This report provides a ten-year interval update on the&#13;
&#13;
current state of the development of emergency medical care and training in Kenya, and looks ahead towards&#13;
areas for growth and development. Of particular focus is the role emergency care plays in Universal Health&#13;
Coverage, and adapting to challenges from the devolution of health care.</text>
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                <text>J. Austin Lee , Grace Wanjiku , Naomi Nduku , Adam R. Aluisio , Ramu Kharel , John Tabu Simiyu , Benjamin W. Wachira </text>
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                <text>https://doi.org/10.1016/j.afjem.2021.11.003</text>
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                <text>peri irawan</text>
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        <name>Jurnal Internasional Keperawatan</name>
      </tag>
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        <name>Kenya Emergency care Devolution Universal health coverage Medical education</name>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
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                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
Monitoring of characteristics of the patients visiting an emergency center in Cameroon through the development of hospital patient database</text>
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          <element elementId="49">
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                <text>Cameroon&#13;
Emergency center&#13;
Patient database</text>
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            <description>An account of the resource</description>
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                <text>Most countries in Sub-Saharan Africa have struggled to utilize health information technology and thus lack in&#13;
accurate patient data. This paper describes the method of collecting patient data and patient characteristics in an&#13;
emergency centre in Yaoundé, Cameroon.&#13;
We developed an Epi InfoTM-based data entry form to collect data of the patients who visited the Centre des&#13;
Urgences de Yaoundé (CURY) from January 2016 to June&#13;
2018. Demographic, clinical symptoms, treatments and outcome data were collected.&#13;
Additional data on the patients with multiple trauma, chest pain, sepsis/septic shock, and stroke were also&#13;
collected.&#13;
During the study period, a total of 18,875 patients’ data were collected (44.5% women, median age of 36).&#13;
Of the total patients, 2.4% had chest pain, 2.7% had stroke, 1.9% had sepsis/septic shock, and 1.6% had multiple&#13;
trauma. About 6.0% patients received operation and majority of patients were discharged either normally (48.2%)&#13;
or with continuity of care (26.3%). About 5.0% of patients were transferred to other hospital and 5.2% of patients&#13;
were dead.&#13;
This study serves to broaden understanding of the emergency patients in Yaoundé, Cameroon.</text>
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              <elementText elementTextId="18753">
                <text>Joongsik Jeong, Yun Jeong Kim, So Yeon Kong , Sang Do Shin, Young Sun Ro, Dae Han Wi , Sang Chul Kim, Kyong Min Sun, Suhee Kim, Sola Kim, Saee Byel Kang, Louis Joss Bitang, Bonaventure Hollong, Lee Wallis</text>
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            <elementTextContainer>
              <elementText elementTextId="18754">
                <text>https://doi.org/10.1016/j.afjem.2021.12.002</text>
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              <elementText elementTextId="18755">
                <text>22 December 2021</text>
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          <element elementId="37">
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18756">
                <text>peri irawan</text>
              </elementText>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18758">
                <text>english</text>
              </elementText>
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            <description>The nature or genre of the resource</description>
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        <name>Cameroon Emergency center Patient database</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
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                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
Epidemiological profile and performance of triage decision-making process of COVID-19 suspected cases in southern Tunisia</text>
              </elementText>
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                <text>COVID-19&#13;
Epidemiology&#13;
Score&#13;
Triage&#13;
Trends</text>
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            <description>An account of the resource</description>
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                <text>Introduction: During an epidemic, screening processes can play a crucial role in limiting the spread of the&#13;
infection. The aim of this study was to describe the epidemiological profile of COVID-19 suspected cases and to&#13;
evaluate the performance of the triage process in predicting COVID-19 in Southern Tunisia.&#13;
Methods: It was a prospective study including all patients consulting to the Hedi Chaker University Hospital&#13;
departments from March to June 2020. A clinical triage score (CTS) was used to assess the risk of the infection&#13;
and to refer patients to the appropriate part of the facility accordingly.&#13;
Results: Overall, 862 patients were enrolled, among whom 505 patients (58.6%) were classified as suspected&#13;
cases (CTS ≥4). Of these, 46.9% (n = 237) were of mild form. Samples were collected from 215 patients (24.9%),&#13;
among whom five were COVID-19 positive, representing a positive rate of 2.3%. The in-hospital cumulative&#13;
incidence rate of COVID-19 was 580/100000 patients. The total daily incidence decreased significantly during&#13;
the study period (p &lt; 0.001, chi-square for linear trend = 25.6). At a cut-off of four, the CTS had a sensitivity of&#13;
40%, a specificity of 32.4%, and negative and positive predictive values of 95.8% and 1.4%, respectively.&#13;
Discussion: Although the triage process based on the CTS was not as performant as the RT-PCR, it was crucial to&#13;
interrupt virus spread among hospitalized patients in “COVID-19-free departments”.</text>
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              <elementText elementTextId="18834">
                <text>Maissa Ben Jmaa , Houda Ben Ayed , Mondher Kassis , Mariem Ben Hmida , Maroua Trigui , Hanen Maamri , Nouha Ketata , Sourour Yaich , Jihene Trabelsi , Yosra Mejdoub , Manel Turki , Chakib Marrakchi , Sami Kammoun , Mounir Ben Jemaa , Habib Feki , Jamel Damak</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="18835">
                <text>https://doi.org/10.1016/j.afjem.2021.10.001</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>9 October 2021</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18837">
                <text>peri irawan</text>
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        <name>COVID-19 Epidemiology Score Triage Trends</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
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            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="19093">
                <text>Jurnal Internasional vol.12 issue 2 2022&#13;
African Journal of Emergency Medicine&#13;
A comparison of the effectiveness of QCPR and conventional CPR  raining in final-year medical students at a South African university </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="19094">
                <text>Cardiopulmonary resuscitation&#13;
Training&#13;
QCPR&#13;
Conventional manikins&#13;
Effectiveness</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="19095">
                <text>Introduction: High-quality cardiopulmonary resuscitation (CPR) saves lives. Training on basic first aid manikins&#13;
allows students to practice manoeuvres and provides realistic resistance to chest compressions. Conventional&#13;
CPR has no real-time feedback to observe the quality of CPR. Quality cardiopulmonary resuscitation (QCPR) is&#13;
&#13;
technology using wireless sensors embedded in the manikin to measure the effectiveness of core CPR compo-&#13;
nents. This study compared the effectiveness of CPR training of final-year undergraduate medical students using&#13;
&#13;
electronic-feedback QCPR adult manikins and conventional adult manikins. The effectiveness of compressions&#13;
was compared and return on investment was investigated.&#13;
Methods: In an experimental study, 53 students were divided into two groups using simple random sampling.&#13;
The QCPR group practised CPR on the QCPR manikins. The CPR group practised on conventional CPR manikins.&#13;
Both groups were allowed to practice for approximately 10 minutes. After the training session, both groups were&#13;
tested using the QCPR manikin. Only chest compression performance in adult-sized manikins were measured,&#13;
recorded and compared.&#13;
Results: The median flow fraction for the QCPR group was 78.0% (interquartile range (IQR) 63–89%) and for the&#13;
CPR group 80.0% (IQR 74–85%). The median number of compressions for the QCPR group was 104 (IQR 101–&#13;
109) and for the CPR group 107 (IQR 79–124). Both groups achieved a 100% compression rate with adequate&#13;
depth. The maximum total effectiveness of both groups was 99%. No statistically significant difference was seen&#13;
for the overall percentage of compression effectiveness between the groups.&#13;
Conclusion: Participants achieved acceptable scores on most CPR compression metrics and complied with CPR&#13;
guidelines in most cases. Efficacy of CPR training on conventional and QCPR manikins was comparable. CPR&#13;
training in low resource settings can be just as effective on conventional manikins. Immediate feedback technology&#13;
adds value to the training experience, allowing for individuals to adjust for deviations to set standards.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="19096">
                <text>Mathys J. Labuschagne , Azmia Arbee , Carla de Klerka , Elizabeth de Vries , Timon de Waal , Taskeen Jhetama, Brittany Piest , Judah Prins , Somey Uys , Riaan van Wyka , Cornel van Rooyen</text>
              </elementText>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="19097">
                <text>https://doi.org/10.1016/j.afjem.2022.02.001</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="19098">
                <text>8 February 2022</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="19099">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="19100">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="19101">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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    <tagContainer>
      <tag tagId="3648">
        <name>Cardiopulmonary resuscitation Training QCPR Conventional manikins Effectiveness</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
    </tagContainer>
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        <src>https://repository.horizon.ac.id/files/original/77dd678e194845c3ec438715bc201f3c.pdf</src>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="18653">
                  <text>Jurnal Internasional Afrika vol. 12 issue 1 2022</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18697">
                <text>Jurnal Internasional vol.12 issue 1 2022&#13;
African Journal of Emergency Medicine&#13;
The characteristics of geriatric patients managed within the resuscitation unit of a district-level emergency centre in Cape Town</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18698">
                <text>Elderly&#13;
Hyponatremia&#13;
Polypharmacy&#13;
Comorbidities&#13;
Mortality</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18699">
                <text>Introduction: The world's population is aging and this trend is also seen in South Africa. This increase will&#13;
invariably affect acute care services. The geriatric population attending emergency centres have not been&#13;
described in the South African setting. The objective was to describe the characteristics of geriatric patients&#13;
presenting to the resuscitation unit of a district-level hospital in Cape Town.&#13;
Methods: All patients (≥65 years) managed within the resuscitation unit of Khayelitsha Hospital over an 8-month&#13;
period (01 January–30 August 2018) were retrospective analysed. Data were collected from the Khayelitsha&#13;
Hospital Emergency Centre database and by means of a retrospective chart review. Summary statistics are&#13;
presented of all variables.&#13;
Results: A total of 225 patients were analysed. The median age was 71.1 years, 148 (65.8%) were female and all&#13;
were residing in their family home. The majority (n = 162, 72%) presented outside office hours, 124 (55.1%)&#13;
arrived by ambulance, and 94 (41.8%) had presented to the emergency centre within the previous year. Only half&#13;
the patients (n = 114, 50.7%) were triaged as very urgent or higher. Most patients (n = 169, 75.1%) were&#13;
&#13;
admitted by in-hospital services and the in-hospital mortality was 21.8% (n = 49). Diseases related to the cir-&#13;
culatory system (n = 54, 24.0%) were the most frequent primary diagnosis and acute kidney injury were the most&#13;
&#13;
frequent secondary diagnosis (n = 101, 44.9%). The most common comorbidities were hypertension (n = 176,&#13;
78.2%) and diabetes (n = 110, 48.9%), and 99 (44%) had three or more comorbidities. Polypharmacy (≥5&#13;
medications) occurred in 100 (44.4%) patients with 114 (50.7%) using medications from three or more different&#13;
classes. The prevalence of hypernatremia was 2.6% and for hyponatremia 54.4%.&#13;
Conclusion: Geriatric patients managed within the resuscitation unit of a district-level hospital had a high return&#13;
rate, multiple comorbidities and a high prevalence of polypharmacy and hyponatraemia.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18700">
                <text>Natalie Simakoloyi, Elaine Erasmus, Dani ̈el Jacobus van Hoving</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="18701">
                <text>https://doi.org/10.1016/j.afjem.2021.11.005</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18702">
                <text>28 November 2021</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18703">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="18704">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="18705">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
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    <tagContainer>
      <tag tagId="3659">
        <name>Elderly Hyponatremia Polypharmacy Comorbidities Mortality</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
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