1 10 8 https://repository.horizon.ac.id/files/original/cc21053fb94fef0247c946bcfe41fee6.pdf 05c21e378e32f3fb56b4c5106a53020c Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 African Journal of Emergency Medicine Assessing awareness and attitude of Egyptian medical students towards emergency medicine as a specialty and career choice: A single-institutional study Subject The topic of the resource Medical student Awareness Attitude Emergency medicine Specialty Career choice Description An account of the resource Introduction: Emergency medicine (EM) was formally recognized as a specialty in Egypt in 2002. Many institutions of higher education do not yet have an operational academic department of emergency medicine. This study attempts to quantify the awareness and attitude of Ain Shams University medical students towards emergency medicine as both a specialty and a career. Methods: A paper-based survey was delivered to undergraduate medical students at the Faculty of Medicine, Ain Shams University in Cairo, Egypt between December 2021 and April 2022. The survey was designed to assess awareness towards the scope of practice of emergency physicians as well as general attitude toward emergency medicine as a specialty and career choice. Results: A total of 391 students and interns/house officers participated in this study. 53.2% of participants were females and the mean age was 21.65 ± 2.25 years. Only 30 participants (7.7%) were classified as having “Excellent knowledge ”of emergency medicine, 92 (23.5%) as “Good knowledge ”, 158 “40.4% ”as “Fair knowledge ”and 111 (28.4%) as “Poor knowledge ”. The difference in scores between academic years was not statistically significant (p = 0.239). 91.8% of respondents favored the creation of student interest groups in EM and 40% of respondents found it difficult to reach information regarding EM. Conclusion: Our study demonstrates a lack of awareness and knowledge towards emergency medicine as a spe- cialty across all academic years at our institution. Formal recognition of EM as a specialty doesn’t guarantee widespread knowledge among medical students, particularly at institutions without academic EM departments Creator An entity primarily responsible for making the resource Mohamed A Hussein , Sherif E AbdelMawgoud , Mostafa H Abd El Wahab, Mostafa Nagy, Mohamed El-Shinawi Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available elsevier Date A point or period of time associated with an event in the lifecycle of the resource 23 December 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Keperawatan Medical student Awareness Attitude Emergency medicine Specialty Career choice https://repository.horizon.ac.id/files/original/3d2c11691f980419c74a0270e1a2b859.pdf 497179251ae890ad6f953d43e564b2fe Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 African Journal of Emergency Medicine Comparison of the effects of different treatment protocols on mortality in patients presenting with an INR ≥ 10 due to warfarin-associated over-anticoagulation Subject The topic of the resource Warfarin Supratherapeutic INR Treatment Vitamin K Mortality Description An account of the resource Aim: One of the most anticipated adverse effects of warfarin is over-anticoagulation. There is little to no evidence on the treatment that should be administered in patients with an international normalized ratio (INR) ≥ 10. The primary outcome of this study is to analyze the effects of various treatments on 30-day mortality in patients with INR ≥ 10 and without major bleeding on 30-day all-cause mortality. The secondary outcome is to propose a model that predicts 30-day all-cause mortality in the same patient group. Methods: Patients older than 18 years of age using warfarin and who had an INR ≥ 10 were included in this retrospective cohort study. Patients with major bleeding on admission were excluded. Patients treated with only cessation of warfarin were named as “Group-1 ”, patients who were treated with vitamin-K in addition to cessation of warfarin were named as “Group-2 ”, and patients who were treated with cessation of warfarin and vitamin-K and fresh frozen plasma or prothrombin complex concentrate were named as “Group-3 ”. Results: 190 patients were included in the analysis. Seven (38.9%) patients in the first group, 3 (8.6%) in the second group, and 21 (15.3%) in the third group died within 30-days (p = 0.015) . In the post-hoc analysis, the difference between Group-1 and Group-2 was found to be significant( p = 0.036, OR:0.147, 95%CI = 0.032 to 0.671). The performance of the model in predicting 30-day all-cause mortality was high (AUC = 0.818 (95%CI = 0.716 to 0.920) and found to be compatible with the validation dataset 0.806 (95%CI = 0.631 to 0.981). Administration of vitamin K in addition to the cessation of warfarin was found to be a strong contributor to the model and an independent predictor of survival within 30 days( p = 0.006 ). Conclusions: Until randomized controlled studies are conducted, it may be reasonable to administer vitamin-K in addition to cessation of warfarin in non-bleeding patients with INR ≥ 10 Creator An entity primarily responsible for making the resource Mehmet Muzaffer İ slam ∗ , Enis Ademo ğlu , Cemrenur Uygun , Melike Delipoyraz , Merve Osoydan Sat ı c ı, Gökhan Aksel, SerkanEmre Ero ğlu, Serdar Özdemir Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available elsavier Date A point or period of time associated with an event in the lifecycle of the resource 14 December 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Keperawatan Warfarin Supratherapeutic INR Treatment Vitamin K Mortality https://repository.horizon.ac.id/files/original/79675f3860300e29312b7afc59e78268.pdf 0880cab03eafe683d32e4577a8bcd880 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 African Journal of Emergency Medicine Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital Subject The topic of the resource Attendance Democratic Republic of Congo Emergency centre Epidemiology Description An account of the resource Introduction: Little information is available regarding the characteristics of patients attending the emergency centre (EC) in the Democratic Republic of Congo. This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral Hospital. Methodology: For a year, from January to December 2021, a cross-sectional study was conducted. Data regarding patients’ characteristics, admission modality, stay duration, reason for admission, and discharge modality was anonymously collected from patients’ registers. A descriptive analysis was done with Epi-Info 7. Result: A total of 1404 patients were admitted to the EC, with a male-to-female ratio of 1.2 to 1. The age group below 18 years accounted for 35.4%. Most of the patients (75.7%) originated from urban areas. In 83% of cases, there was no recommendation from another medical facility for EC admission. The most common reasons for admission are non-traumatic gathering on top of neuropsychiatric and non-specific symptoms. Road traffic accidents are the most frequent causes of trauma symptoms. Few patients (14.7%) spent less than 12 hours in the EC. Globally, 7.3% of patients admitted to the EC were discharged after being managed, and 89% were transferred to different wards. The intra-emergency centre mortality rate was 11.8% among admitted patients in the ER at Beni General Referral Hospital. Conclusion: This epidemiology database underlines the need for developing globalizing and multi-sectoral inter- ventions (diagnosis, therapeutic strategy, organization, health program, or health policies) in the perspective of bringing change and/or taking action in the Democratic Republic of Congo’s emergency medical system Creator An entity primarily responsible for making the resource Agnes K Katsioto , Pascaline K Muhesi, Job P Isombi , Prosper K Kambere, Franck K Sikakulya Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 6 January 2023 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Attendance Democratic Republic of Congo Emergency centre Epidemiology Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/44719e0e635dda06faacbb1d5f7d1883.pdf 6ea7e080218ba953264773048844a0c7 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 African Journal of Emergency Medicine Evaluate the incidence, topography, management, and outcomes in patients with polytrauma in the Suez Canal and Sinai areas Subject The topic of the resource Polytrauma levels Patterns Interventions Outcomes Description An account of the resource Introduction: The global prevalence of trauma-related mortality ranges from 2% to 32%; however, In Egypt, it reaches 8%. Trauma chiefly affects people in the productive age group; seriously ill patients with multiple injuries present with various levels of polytrauma. Application of incorrect triage systems and improperly trained trauma teams increase mortality and morbidity rates in non-dedicated institutions; however, these rates can decrease with appropriate infrastructure. This study aimed to improve the quality of care for patients with polytrauma through improved knowledge of the different severity levels of polytrauma and defined databases, using a suitable triage trauma system, well-trained trauma team, and appropriate infrastructure. Methods: This observational cross-sectional study was conducted at the emergency department (ED), over a study period of 7 months, from August 10, 2019, to March 09, 2020. This study included 458 patients with polytrauma who had met the inclusion and exclusion criteria and attended the ED of Suez Canal University Hospital. Results: The incidence of trauma among all emergency cases in the ED was 5.3%. However, most multiple injuries are mild, accounting for 44.4%, while 27.3% of the cases had life-threatening injuries. Moreover, 41.9% of the patients were managed non-operatively, whereas 58.1% of the patients required surgical interventions. Concerning the outcome, 56% and 6.9% of patients with and without life-threatening injuries respectively, died. Conclusion: Facilities of the highest quality should be available for patients with polytrauma, especially those with life-threatening injuries. In addition, training emergency medical service stafffor trauma triage is essential, and at least one tertiary hospital is required in every major city in the Suez Canal and Sinai areas to decrease trauma-related mortality. Creator An entity primarily responsible for making the resource Adel Hamed Elbaih, Bassant Sayed Abdallah , Monira Taha Ismail Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 6 January 2023 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Keperawatan Polytrauma levels Patterns Interventions Outcomes https://repository.horizon.ac.id/files/original/1b9c9ec7f267c0034c58ed813abf0fa0.pdf a3cb8b8baedf18df874456ab40d4d80c Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 African Journal of Emergency Medicine Global health research abstracts: November ‘22 Subject The topic of the resource Global health research abstracts: November ‘22 Description An account of the resource The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription Creator An entity primarily responsible for making the resource Jonathan Kajjimu Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 23 November 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Global health research abstracts: November ‘22 Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/ea3da3a553434057a621d31297f9a3ed.pdf ce071bcce1093d89dbdbb40ca3536d3e Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 African Journal of Emergency Medicine Road traffic accident clinical pattern and management outcomes at JUMC Emergency Department; Ethiopia Subject The topic of the resource Road traffic accident Clinical pattern Management outcomes Jimma University Medical Center Description An account of the resource Background: Road Traffic Accident is an incident on a way or street open to public traffic. It becomes one of the most significant public health problems in the world especially in developing countries. In Ethiopia, it represents a significant risk for morbidity and mortality. It is also the major public health problem even though studies done on this topic in the study area is limited. Objective: To assess clinical pattern, associated factors and management outcomes among road traffic accident Victims attending emergency department of Jimma University Medical Center. Methods: Hospital based cross sectional study design was employed to review patients’ chart visited the hospital from March to April 2021. A systematic random sampling technique was applied. The data were collected using pretested checklist and analyzed using SPSS version 26. Descriptive statistics and multivariate logistic regression were computed. Variables with P < 0.05 were considered statistically significant. Results: About 49.6%) were pedestrians injured of which motorcycle accounted 42.9%. More than half of victims never got any type of prehospital care. On arrival, 38.7% were classified as Red of which 71.4% of them were managed surgically. About 84.9% of victims were discharged with improvement whereas12.6% were died. Vic- tims with head injury (AOR = 16.61: 95% CI; 3.85, 71.71), time elapsed to reach nearby health facility (AOR = 3.30; 95 CI (1.13, 9.60), condition of patient at Emergency Department (AOR = 7.78; 95% CI: 2.33, 26.06), GCS at admission (AOR = 20.12; 95% CI: 7.23, 55.96) and days spent in hospital (AOR = 6.85; 95% CI 5.81, 8.06) were independent predictors of unfavorable outcome. Conclusion: Road Traffic Accident represents a significant risk for morbidity and mortality in Ethiopia, of which head injury and multiple sites injury increase injury severity. Targeted approaches to improving care of the injured victims may improve outcomes. Thus, the clinician should take into consideration the clinical presentation and give due attention to the identified contributing factors in its management Creator An entity primarily responsible for making the resource Dereje Endale Mamo, Asmamaw Abebe, Temesgen Beyene , Filipos Alemu, Bayisa Bereka Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 23 November 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Keperawatan Road traffic accident Clinical pattern Management outcomes Jimma University Medical Center https://repository.horizon.ac.id/files/original/eab62074c7c34c28d69e6a1b5227c9a6.pdf fe66ae02942cd190dc74af32999fbd9b Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 African Journal of Emergency Medicine Thoracic trauma in national hospital Abuja, Nigeria: The epidemiology, injury severity and initial management options Subject The topic of the resource Trauma Thoracic Trauma Epidemiology Injuries Severity Nigeria Description An account of the resource Background: Trauma is the leading cause of death in individuals between the ages of 1 and 44 years and it is the third commonest cause of death regardless of age. Thoracic trauma is a relatively common cause of preventable death among trauma patients. The spectrum of injuries after blunt chest trauma presents a challenging problem to the emergency physician. This study is intended to discuss the epidemiology, severity and initial management strategies in chest trauma patients, in a low income country. Methods: A cross sectional retrospective study among chest trauma patients seen in the emergency room of National Hospital Trauma Centre, Abuja, Nigeria, from January 2015 to December 2017. Relevant patients’ information was retrieved from the trauma registry kept in the trauma centre. Data processing and analysis was done using statistical package for social sciences (SPSS) version 24. Test of significance was done where applicable using chi square and student t test, using p value less than 0.05 as significant. Results are presented in tables and figures. Results: A total of 637 patients, male to female ratio of 3.6 and mean age of 34.18 ± 11.34 were enrolled into the study. The most common mechanisms of injury were MVC (54.6%) and assault (23.5%). Blunt injuries were 3.5 times more frequent than the penetrating injuries. The RTS of 12 (76.3%) and the ISS of 1-15 category (52.3%) were the most common scores. Up to 98% of patients were managed non-operatively. Recovery rate was high (89%) with relatively low mortality rate of 4.2%. Conclusion: Majority of thoracic trauma can be managed effectively by employing simple, non-operative proce- dures such as needle decompression and chest tube insertion. Efforts should be made to include these procedures in the skill set of every medical officer working in the emergency room, particularly in low and middle income countries where there is paucity of emergency physicians Creator An entity primarily responsible for making the resource Onyedika Godfrey Okoye , Oluwole Olayemi Olaomi , Yahaya Baba Adamu, Ndubisi Anumenechi Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 23 December 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Keperawatan Trauma Thoracic Trauma Epidemiology Injuries Severity Nigeria https://repository.horizon.ac.id/files/original/7d076c90da4703619e8e8fc8001f4de8.jpg 907922696ba2bf0422e9e1d62fb0e857 Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023 Still Image A static visual representation. Examples include paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type Text to images of textual materials. Dublin Core 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/. Title A name given to the resource Jurnal Internasional Afrika vol. 13 issue 1 2023