4 10 39 https://repository.horizon.ac.id/files/original/e0bb12159b9caa949da36680c88064fb.pdf 6f3618f53833c380f5720e6a95649a21 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Knowledge in pre-hospital emergency and risk management among outdoor adventure practitioners in East Africa afro-alpine mountains Subject The topic of the resource Knowledge Prehospital Emergency Mountaineering Adventure Outdoor Description An account of the resource Introduction: The enjoyment of nature and other benefits of outdoor activities happen amid inherent hazards. This calls for knowledge and competency in emergency and risk management. Practitioners in outdoor activities, such as mountaineering, thus need to be knowledgeable on how to manage risks and attend to emergencies in their practice. The study sought to establish the preparedness of East African mountaineering practitioners in prehospital emergency and risk management. It sought to establish their knowledge on prehospital emergency and risk management, based on their age, gender, level of education and refresher training. Methods: The study purposively sampled one hundred and thirty six (N = 136) outdoor adventure practitioners from the Afro-alpine mountain areas in East Africa. It was hypothesized that there would be no significant relationship between the outdoor practitioners’ knowledge in prehospital emergency risk management and their age, gender, level of education, refresher training. Somers’ d was used to test the hypotheses. Results: It was established that the knowledge scores of prehospital emergency and risk management for the mountaineering practitioners was low. It was also established that the knowledge scores of outdoor practitioners were not dependent on their age, gender, and work experience. However, there was a significant relationship between the outdoor adventure practitioners’ knowledge scores and their highest level of education as well as refresher training. Conclusions: The study concluded that there were gaps in the knowledge of prehospital risk management of the East African Afro-alpine mountaineering practitioners. It recommends frequent and regular training and recertification among outdoor adventure practitioners in order to raise the knowledge in prehospital emergency risk management. Creator An entity primarily responsible for making the resource Nkatha Muthomi , Lucy-Joy Wachira , Willy Shikuku Ooko 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 17 August 2020 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 Knowledge Prehospital Emergency Mountaineering Adventure Outdoor https://repository.horizon.ac.id/files/original/5b715ea4267805d7c181d78e222b7859.pdf 0f8ea667f776318bd9c11e468f7a34fb 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine International Federation for Emergency Medicine global research primer Subject The topic of the resource International Federation for Emergency Medicine global research primer Description An account of the resource This special edition issue for the African Journal of Emergency Medicine was commissioned by the International Federation for Emergency Medicine (IFEM). Within this issue are 14 articles with a focus on conducting research in resource limited settings. The project is a joint effort between the Core Curriculum and Education Committee, and the Research Committee of IFEM. As global emergency care needs increase and the practice of emergency medicine expands across the world, it is necessary to increase evidence-based medicine for clinical and systems improvements in resource limited settings. Emergency clinicians are well suited to identify, define and address unanswered research questions using both quantitative and qualitative approaches to research. The Global Emergency Medicine Literature Review (GEMLR), published annually, is a resource providing the breadth and depth of research relevant to global emergency care practice. As the need for emergency care systems in lowand middle-income countries increases, it is imperative to address key knowledge gaps in emergency medicine practiced in resource limited settings Creator An entity primarily responsible for making the resource Editorial 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 2021 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 International Federation for Emergency Medicine global research primer Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/7265d9f6d4c84f50c664458b43b5abf0.pdf 047f9a993a9efc5f6481b969cbeee844 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Injured and broke: The impacts of the Ghana National Health Insurance Scheme (NHIS) on service delivery and catastrophic health expenditure among seriously injured children Subject The topic of the resource Ghana Financial risk protection Universal health coverage Trauma Children Description An account of the resource Introduction: Ghana implemented a National Health Insurance Scheme (NHIS) in 2003 as a step toward universal health coverage. We aimed to determine the effect of the NHIS on timeliness of care, mortality, and catastrophic health expenditure (CHE) among children with serious injuries at a trauma center in Ghana. Methods: We performed a retrospective cohort study of injured children aged <18 years who required surgery (i. e., proxy for serious injury) at Komfo Anokye Teaching Hospital from 2015 to 2016. Household income data was obtained from the Ghana Statistical Service. CHE was defined as out-of-pocket payments to annual household income ≥10%. Differences in insured and uninsured children were described. Multivariable regression was used to assess the effect of NHIS on time to surgery, length of stay, in-hospital mortality, out-of-pocket expenditure and CHE. Results: Of the 263 children who met inclusion criteria, 70% were insured. Mechanism of injury, triage scores and Kampala Trauma Score II were similar in both groups (all p > 0.10). Uninsured children were more likely to have a delay in care for financial reasons (17.3 vs 6.4%, p < 0.001) than insured children, and the families of uninsured children paid a median of 1.7 times more out-of-pocket costs than families with insured children (p < 0.001). Eighty-six percent of families of uninsured children experienced CHE compared to 54% of families of insured children (p < 0.001); however, 64% of all families experienced CHE. Insurance was protective against CHE (aOR 0.21, 95%CI 0.08–0.55). Conclusions: NHIS did not improve timeliness of care, length of stay or mortality. Although NHIS did provide some financial risk protection for families, it did not eliminate out-of-pocket payments. The families of most seriously injured children experienced CHE, regardless of insurance status. NHIS and similar financial risk pooling schemes could be strengthened to better provide financial risk protection and promote quality of care for injured children Creator An entity primarily responsible for making the resource Barclay T. Stewart , Adam Gyedu , Stephanie K. Goodman , Godfred Boakye , John W. Scott , Peter Donkor , Charles Mock 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 21 September 2020 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 Ghana Financial risk protection Universal health coverage Trauma Children Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/53152ef2ef3ec648822c8b96551966c0.pdf 33744aa3a7e94695ede5062fa8966b3e 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine In-home interpersonal violence: Sex based prevalence and outcomes Subject The topic of the resource Domestic violence In-home violence Violence against women Interpersonal violence at home Description An account of the resource Introduction: There is a shortage of data on intimate partner and interpersonal violence in sub-Saharan Africa. We, therefore, sought to characterize patterns of sex-based risk of in-home interpersonal violence in Malawi. Methods: We performed a retrospective analysis of the Kamuzu Central Hospital Trauma Registry data from 2009 to 2017 on adult patients presenting the emergency room following assault. Data variables collected include basic demographics, injury characteristics, and outcomes. We performed a bivariate analysis for covariates based on sex and Poisson regression analysis to estimate the risk of domestic violence and sex-based mortality. Results: The in-home assault interpersonal violence was 37.1% (n = 10,854) of the total assault cohort and 37.4% (n = 4056) were female. Women were more likely to be assaulted at home (n = 4065, 69.6%)compared to men. The overall prevalence of in-home interpersonal violence over eight years was 9.09%, with the prevalence in men and women being 7.85 and 12.38%, respectively. Women injured following in-home interpersonal violence assaults were less severely injured. Women were more likely to be injured following slaps, punches, or kicks (n = 950, 41.2%) and men were more likely to be injured by an object, 41.0% with a blunt object (n = 1658) and 37.9% by a knife or another sharp object (n = 1532). For patients experiencing in-home interpersonal violence, overall mortality is 1.8% and 0.5% for men and women, respectively (p < 0.001). After controlling for covariates, the relative risk for In-home interpersonal violence was 2.25 (p < 0.001) times higher for women. Still, men had a 3.3 times risk of mortality following in-home interpersonal violence (p < 0.001). Conclusion: Interpersonal violence is a global problem. In Malawi, women are more likely to be victims of inhome interpersonal violence. However, men are more likely to die following in-home interpersonal violence. Prevalence of in-home interpersonal violence is likely an underestimation. Creator An entity primarily responsible for making the resource Laura N. Purcell , Danielle Ellis , Trista Reid , Charles Mabedi , Rebecca Maine, Anthony Charles 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 24 August 2020 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 Domestic violence In-home violence Violence against women Interpersonal violence at home Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/c859061c3c6d09db6e6c7d0c59b60b45.pdf b407017c1561f30ffad662961f47d60f 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Infants 21–90 days presenting with a possible serious bacterial infection are evaluation algorithms from high income countries applicable in the South African public health sector? Subject The topic of the resource Serious bacterial infection Invasive bacterial infection Fever Infants Evaluation algorithms Description An account of the resource Background: Young infants with a possible serious bacterial infection (SBI) are a very common presentation to emergency centres (ECs). It is often difficult to distinguish clinically between self-limiting viral infections and an SBI. Available evaluation algorithms to assist clinicians are mostly from high-income countries. Data to inform clinical practice in low- and middle-income countries are lacking. Objectives: To determine the period prevalence of SBI and invasive bacterial infection (IBI) and describe current practice in the assessment and management of young infants aged 21–90 days presenting with a possible SBI to a Paediatric Emergency centre (PEC) in Cape Town, South Africa. Methods: A retrospective cross-sectional review of infants 21–90 days old presenting to the Tygerberg Hospital PED between 1 January 2016 and 31 May 2016. Results: A total of 248 infants 21–90 days were included in the study. Sixty-two patients (25%, 95% CI 20–30) had an SBI and 13 (5.2%, 95% CI 3–8) had an IBI. One hundred and sixty-five infants had a possible SBI based on WHO IMCI criteria. The sensitivity of the WHO IMCI criteria in detecting SBI was 82.3% (95% CI 70.5–90.8) and the specificity 38.7% (95% CI 31.7–46.1). More than half (51.2%) of the infants received antibiotics within the 48 h prior to presentation, of which 33.5% included intramuscular injection of Ceftriaxone. Only 20 (8.0%) patients in this age group were discharged home after initial evaluation. A significant relationship was noted between fever and the risk of SBI (p-value 0.010) and IBI (p-value 0.009). There also appeared to be a significant relationship between nutritional status and IBI (p-value 0.013). Conclusion: Period prevalence of SBI and IBI was higher compared to that published in the literature. Validated evaluation algorithms to stratify risk of SBI are needed to assist clinicians in diagnosing and managing infants appropriately in low- and middle-income settings. Creator An entity primarily responsible for making the resource Juanita Lishman , Liezl Smit, Andrew Redfern 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 21 September 2020 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 Serious bacterial infection Invasive bacterial infection Fever Infants Evaluation algorithms https://repository.horizon.ac.id/files/original/3e3f481c1959ad2c3c285d8ace58e4be.pdf 8af216d8c0546e13c833f250621cadc2 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Guidance we can trust? The status and quality of prehospital clinical guidance in sub-Saharan Africa: A scoping review Subject The topic of the resource Emergency care Prehospital Guideline development Scoping review Guideline quality Description An account of the resource Introduction: Prehospital care is integral in addressing sub-Saharan Africa’s (SSA) high injury and illness burden. Consequently, robust, high-quality prehospital guidance documents are needed to inform care. These guidance documents include, but are not limited to, clinical practice guidelines (CPGs), protocols and algorithms that are contextually appropriate for SSA. However, SSA prehospital guidance mostly originates from the ‘Global North,’ with limited guidance for Africa by Africans. To strengthen prehospital clinical practice in SSA, we described and appraised all prehospital SSA guidance documents informing clinical decision making. Methods: We conducted a scoping review of prehospital-relevant guidance documents, including CPGs, algorithms, protocols and position statements originating from SSA. We performed a comprehensive literature search in various databases (PUBMED and SCOPUS), guideline clearing houses (Scottish Intercollegiate Guidelines Network, Trip, and Guidelines International Network), journals, various forms of grey literature and contacted experts. Guidance document screening and data extraction was done independently, in duplicate and reviewed by a third author. Guidance quality was then determined using the AGREE II tool and data were analysed using simple descriptive statistics. Results: We included 51 guidance documents from 13 countries across SSA after screening 2320 potential documents. The majority of guidance documents lacked an evidence foundation, made recommendations based on expert input, and were predominantly end-user presentations such as algorithms or protocols. Overall, reporting quality was poor, specifically for critical domains such as rigour of development; however, clarity of presentation was generally strong. Guidance topics were focused around resuscitation and common diseases (both communicable and non-communicable) with major gaps identified across a variety of topics; such as mental health for example. Conclusion: The majority of prehospital clinical guidance from SSA provides clinicians with excellent ready to use end-user material. Conversely, most of the guidance documents lack an appropriate evidence foundation and fail to transparently report the guidance development process, highlighting the need to strengthen and build guideline development capacity to promote the transition from eminence-based to evidence-based guidance for prehospital care in SSA. Guideline developers, professional societies and publishers need to be aware of international and local guidance document development and reporting standards in order to produce guidance we can Creator An entity primarily responsible for making the resource Petrus Malherbe , Pierre Smit , Kartik Sharma , Michael McCaul 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 17 August 2020 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 Emergency care Prehospital Guideline development Scoping review Guideline quality Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/ffe6d0249eba30fa9c78e73415366131.pdf e3784ea47b9be2bb87462223cd92549b 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine From the pandemic’s front lines: A social responsibility initiative to develop an international free online emergency medicine course for medical students Subject The topic of the resource Electronic learning Emergency medicine Undergraduate training COVID-19 pandemic Description An account of the resource The COVID-19 pandemic has disrupted medical education and forced medical schools to shift to remote teaching. However, in many institutions, this shift was complicated by the lack of previous experience and resources as well as the decreased educational time and effort due to increased clinical load. In April 2020, the International Emergency Medicine (iEM) Education Project embarked upon a social responsibility initiative to ease and facilitate this transition for emergency medicine clerkships. A 4-week open online emergency medicine core content course for medical students covering 11 lessons and 37 topics was created. This course contains a total of 25 hours of content, 66 chapters curated from the free iEM Education Project 2018 eBook and Society of Academic Emergency Medicine curriculum website and 131 videos granted freely by the commercial medical education resources provider, Lecturio. In the first 24 hours, the website was visited 3127 times from 57 countries in 6 continents. While online teaching is not a substitute for in-person clinical teaching, such initiatives can provide resources to clinical teachers who are overwhelmed with clinical duties and an opportunity for medical students from low-resource settings to continue their training safely during the pandemic. Creator An entity primarily responsible for making the resource Guest editorial 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 15 November 2020 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 Electronic learning Emergency medicine Undergraduate training COVID-19 pandemic Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/ffaabf86647eca3697da53e9a69cbd56.pdf a12b73596bc080aff3417136d7b759ca 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Factors affecting utilization of traditional bonesetters in the Northern Region of Ghana Subject The topic of the resource Traditional bonesetters (TBS) Health service utilization Fracture Orthopaedics Description An account of the resource Background: Traditional bonesetters (TBS) are still highly patronized by people with fractures in Africa. We sought to investigate factors affecting the utilization of TBS services in the Northern Region of Ghana. Methods: A mixed-methods study that combined both qualitative and quantitative approaches was conducted among 64 TBS clients in the Northern Region of Ghana. Participants were purposively selected and should have utilized the services of TBSs at the time of the study. In addition, three focus group discussions (FGDs) were conducted to complement the quantitative results. Quantitative analysis was performed by calculating means and proportions. For the qualitative data, content analysis was done manually based on emerging themes in line with the study objectives. Results: Sixty-four (64) clients were recruited. Twenty-four (37.5%) were female. The modal age group was 19–39 years. The educational status of the clients was dominated by primary/junior secondary education (39.1%), but included the full spectrum from no formal education / illiterate (26.6%) to tertiary (12.5%). Cheaper fees (26.3%), cultural beliefs (17.9%), and quick service (15.9%) were the main reason of patronizing TBSs. Twenty-two (34.3%) would have preferred orthodox care and the reasons cited included availability of Xrays (27.3%) and pain management (25.3%). These themes were reiterated by FGDs with an additional 30 clients. Additional themes identified by the FGDs included a belief that TBSs address both physical and spiritual aspects of the injury and the major role that families (not the injured person alone) make in deciding on type of treatment. Clients were supportive of orthodox providers linking with TBSs for activities such as training to improve pain control. Conclusion: TBSs have patronage from the full spectrum of society. The decision to opt for TBS treatment was influenced by cheaper fees, cultural belief, and quick service. TBS clients wanted greater linkages between TBSs and orthodox providers Creator An entity primarily responsible for making the resource Tolgou Yempabe , Anthony Edusei , Peter Donkor , Alexis Buunaaim , Charles Mock 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 4 September 2020 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 Traditional bonesetters (TBS) Health service utilization Fracture Orthopaedics https://repository.horizon.ac.id/files/original/fb9e13039046d6808b04f9654a50f8c5.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. 11 issue 1 2021 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. 11 issue 1 2021