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                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
A mandatory Emergency Medicine clerkship influences students’ career choices in a developing system</text>
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                <text>Medical student&#13;
Emergency medicine&#13;
Career&#13;
Perception</text>
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                <text>Background: Attracting medical students for a front-line specialty, Emergency Medicine, is challenging in many&#13;
countries. The available literature is scarce and bounded to the mature emergency care and education systems. In&#13;
the countries where emergency medicine is a new specialty and has different contextual needs, the perception of&#13;
the students and their career interest in emergency medicine specialty is an unanswered question.&#13;
Objective: We aimed to study the effects of a mandatory Emergency Medicine (EM) clerkship on students’ perceptions&#13;
and their future career choice to be emergency physicians.&#13;
Methods: A voluntary de-identified survey was prospectively collected before and after the EM clerkship to&#13;
capture students’ perceptions in four domains (EM clerkship, EM physicians, EM patients, and EM specialty as a&#13;
career choice). The survey included 24 statements having five-point Likert scale for each statement. Nonparametric&#13;
Wilcoxon signed rank test was used for statistical analysis.&#13;
Results: Sixty-seven students responded to both surveys (response rate of 85%). Students’ perceptions have&#13;
significantly improved on the EM physicians, and their job after attending the clerkship (p &lt; 0.001). They found&#13;
EM a respected (p = 0.038), flexible (p &lt; 0.001), secure (p &lt; 0.001), satisfying, and prestigious (p = 0.006) job.&#13;
They found EM physicians compassionate (p &lt; 0.011), have adequate patient contact (p &lt; 0.045) and control on&#13;
their time (0.004). Choosing EM as a future career has significantly increased after clerkship (p &lt; 0.001).&#13;
Conclusions: Our mandatory EM clerkship significantly improved students’ perceptions on EM specialty as a&#13;
future career choice. A well-structured and mandatory EM clerkship can attract more students to be trained in the&#13;
EM</text>
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                <text>Arif Alper Cevik , Elif Dilek Cakal , Sami Shaban ,Margret El Zubeir , Fikri M. Abu-Zidan</text>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>9 August 2020</text>
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                <text>peri irawan</text>
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        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="3486">
        <name>Medical student Emergency medicine Career Perception</name>
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                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
A retrospective comparison of the burden of organophosphate poisoning to an Intensive Care Unit in Soweto over two separate periods</text>
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          <element elementId="49">
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                <text>Organophosphorus&#13;
Poisoning&#13;
Toxicology&#13;
Africa&#13;
Intensive care</text>
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        <name>Jurnal Internasional Keperawatan</name>
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        <name>Organophosphorus Poisoning Toxicology Africa Intensive care</name>
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                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
Adult medical emergency unit presentations due to adverse drug reactions in a setting of high HIV prevalence</text>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
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                <text>Emergency department&#13;
Adverse drug reaction&#13;
Prevalence&#13;
HIV</text>
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                <text>Introduction: South Africa has the world’s largest antiretroviral treatment programme, which may contribute to&#13;
the adverse drug reaction (ADR) burden. We aimed to determine the proportion of adult non-trauma emergency&#13;
unit (EU) presentations attributable to ADRs and to characterise ADR-related EU presentations, stratified according&#13;
to HIV status, to determine the contribution of drugs used in management of HIV and its complications to&#13;
ADR-related EU presentations, and identify factors associated with ADR-related EU presentation.&#13;
Methods: We conducted a retrospective folder review on a random 1.7% sample of presentations over a 12-month&#13;
period in 2014/2015 to the EUs of two hospitals in Cape Town, South Africa. We identified potential ADRs with&#13;
the help of a trigger tool. A multidisciplinary panel assessed potential ADRs for causality, severity, and&#13;
preventability.&#13;
Results: We included 1010 EU presentations and assessed 80/1010 (7.9%) as ADR-related, including 20/239&#13;
(8.4%) presentations among HIV-positive attendees. Among HIV-positive EU attendees with ADRs 17/20 (85%)&#13;
were admitted, versus 22/60 (37%) of HIV-negative/unknown EU attendees. Only 5/21 (24%) ADRs in HIVpositive&#13;
EU attendees were preventable, versus 24/63 (38%) in HIV-negative/unknown EU attendees. On&#13;
multivariate analysis, only increasing drug count was associated with ADR-related EU presentation (adjusted&#13;
odds ratio 1.10 per additional drug, 95% confidence interval 1.03 to 1.18), adjusted for age, sex, HIV status,&#13;
comorbidity, and hospital.&#13;
Conclusions: ADRs caused a significant proportion of EU presentations, similar to findings from other resourcelimited&#13;
settings. The spectrum of ADR manifestations in our EUs reflects South Africa’s colliding epidemics of&#13;
infectious and non-communicable diseases. ADRs among HIV-positive EU attendees were more severe and less&#13;
likely to be preventable.</text>
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                <text>Johannes P. Mouton, Nicole Jobanputra , Christine Njuguna , Hannah Gunter , Annemie Stewart , Ushma Mehta , Sa’ad Lahri , Richard Court , Ehimario Igumbor , Gary Maartens , Karen Cohen </text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>19 October 2020</text>
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          <element elementId="37">
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                <text>peri irawan</text>
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        <name>Emergency department Adverse drug reaction Prevalence HIV</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
An electronic survey of preferred podcast format and content requirements among trainee emergency medicine specialists in four Southern African universities</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Emergency medicine&#13;
Online education&#13;
Podcasts&#13;
FOAMed&#13;
Asynchronous online learning</text>
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                <text>Introduction: Global usage of educational Emergency Medicine (EM) podcasts is popular and ever-increasing. This&#13;
study aims to explore the desired content, format and delivery characteristics of a potential educational, contextspecific&#13;
Southern African EM podcast, by investigating current podcast usages, trends and preferences among&#13;
Southern African EM registrars of varying seniority.&#13;
Methods: We developed an electronic survey - using a combination of existing literature, context-specific&#13;
specialist-training guidance, and input from local experts – exploring preferred podcast characteristics among&#13;
EM registrars from four Southern African universities.&#13;
Results: The study’s response rate was 75%, with 24 of the 39 respondents being junior registrars. Ninety-four&#13;
percent (94%) of respondents used EM podcasts as an educational medium: 64% predominantly using podcasts&#13;
to supplement a personal EM study program. The primary mode of accessing podcasts was via personal&#13;
mobile devices (84%). Additionally, respondents preferred a shorter podcast duration (5–15 min), favoured&#13;
multimedia podcasts (56%) and showed an apparent aversion toward recorded faculty lectures (5%). Eighty-two&#13;
percent (82%) of respondents preferred context-specific podcast content, with popular topics including toxicology&#13;
(95%), cardiovascular emergencies (79%) and medico-legal matters (74%). Just-in-Time learning proved&#13;
an unpopular learning strategy in our study population, despite its substantial educational value.&#13;
Conclusion: Podcast-usage proved to be near-ubiquitous among the studied Southern African EM registrars.&#13;
Quintessentially, future context-specific podcast design should cater for mobile device-use, shorter duration&#13;
podcasts, more video content, context-specific topics, and content optimised for both Just-in-Time learning.</text>
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                <text>K. Ekambaram , H. Lamprecht , V. Lalloo , N. Caruso , A. Engelbrecht , W. Jooste</text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>30 October 2020</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>Emergency medicine Online education Podcasts FOAMed Asynchronous online learning</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
Application of the World Health Organization’s Basic Emergency Care course in Zambia </text>
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                <text>Emergency care&#13;
Emergency care systems&#13;
Zambia&#13;
Education&#13;
Basic Emergency Care</text>
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                <text>Background: In 2013, the Zambian Ministry of Health identified action priorities for strengthening their emergency&#13;
care system; one of these priorities was emergency care training for healthcare providers. To rapidly train&#13;
the existing cadre of frontline providers, trainings were implemented in multiple provinces using the World&#13;
Health Organization’s Basic Emergency Care (BEC) course. The BEC course is open-access and emphasizes a&#13;
practical syndrome-based approach to critical emergency conditions. This paper describes the first reported&#13;
larger scale educational intervention of the BEC course in 7 provinces of Zambia.&#13;
Methods: Course delivery occurred at seven Zambian hospitals selected by the Ministry of Health over a 1 year&#13;
period. Participant emergency care knowledge was assessed pre- and post-course with a 25-question multiple&#13;
choice exam. Participant confidence levels related to emergency care provision and emergency care skills were&#13;
assessed pre- and post-course using a Likert scale survey.&#13;
Results: Overall, 210 participants were trained at 7 sites. Participants demonstrated significant improvements in&#13;
their multiple-choice exam scores; the overall pre-course mean was 61.47, and the post-course mean was 79.87&#13;
(p &lt; 0.0001). Self-reported confidence in the care of ill and injured adults and children increased after taking the&#13;
course, and participants generally agreed that the BEC course was highly valuable and applicable to local needs.&#13;
Conclusion: Implementation of the WHO’s BEC course at seven hospitals throughout Zambia led to improvement&#13;
in the participants’ emergency care knowledge and confidence levels at all sites. The BEC course has the potential&#13;
to be implemented in a nationwide initiative but would require allocation of significant human and physical&#13;
resources. Additional work evaluating patient outcomes and long-term participant educational outcomes is&#13;
needed.</text>
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                <text>Morgan C. Broccoli , Julia Dixon , Branden Skarpiak , Godfrey Phiri , Andrew E. Muck , Emilie J. Calvello Hynes</text>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>peri irawan</text>
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        <name>Emergency care Emergency care systems Zambia Education Basic Emergency Care</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
Assessment of documented adherence to critical actions in paediatric emergency care at a district-level public hospital in South Africa</text>
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                <text>Paediatric emergency medicine&#13;
Paediatrics&#13;
Resource-limited setting&#13;
Child health&#13;
Quality care</text>
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                <text>Introduction: The provision of high-quality care is vital to improve child health and survival rates. A simple,&#13;
practice-based tool was recently developed to evaluate the quality of paediatric emergency care in resourcelimited&#13;
settings in Africa. This study used the practice-based tool to describe the documented adherence to&#13;
critical actions in paediatric emergency care at an urban district-level hospital in South Africa and assess its&#13;
relation to clinical outcomes.&#13;
Methods: This study is a retrospective observational study covering a 19-month period (September 2017 to March&#13;
2019). Patients &lt;13 years old, presenting to the emergency centre with one of six sentinel presentations (seizure,&#13;
altered mental status, diarrhoea, fever, respiratory distress and polytrauma) were eligible for inclusion. In the&#13;
patients’ files, critical actions specific for each presentation were checked for completion. Post-hoc, a seventh&#13;
group ‘multiple diagnoses’ was created for patients with more than one sentinel disease. The action completion&#13;
rate was tested for association with clinical outcomes.&#13;
Results: In total, 388 patients were included (median age 1.1 years, IQR 0.3–3.6). The action completion rate&#13;
varied from 63% (polytrauma) to 90% (respiratory distress). Participants with ≥75% action completion rate&#13;
were younger (p &lt; 0.001), presented with high acuity (p &lt; 0.001), were more likely to be admitted (adjusted OR&#13;
2.2, 95%CI: 1.2–4.1), and had a hospital stay ≥4 days (adjusted OR 3.4, 95%CI: 1.5–7.9).&#13;
Conclusion: A high completion rate was associated with young age, a high patient acuity, hospital admission,&#13;
length of hospital stay ≥4 days, and the specific sentinel presentation. Future research should determine whether&#13;
or not documented care corresponds with the quality of delivered care and the predictive value regarding clinical&#13;
outcome.</text>
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                <text>Esm´ee A. Berends , Elaine Erasmus , Nicole R. van Veenendaal , Suzan N. Mukonkole , Sa’ad Lahri , Dani¨el J. Van Hoving</text>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>4 September 2020</text>
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                <text>peri irawan</text>
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        <name>Jurnal Internasional Keperawatan</name>
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        <name>Paediatric emergency medicine Paediatrics Resource-limited setting Child health Quality care</name>
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                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
Association between volume resuscitation &amp; mortality among injured patients at a tertiary care hospital in Kigali, Rwanda</text>
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                <text>Injury care&#13;
Resuscitation&#13;
Global health&#13;
Low- &amp; middle-income countries</text>
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                <text>Background: Injuries cause significant morbidity and mortality in sub-Saharan African countries such as Rwanda.&#13;
These burdens may be compounded by limited access to intravenous (IV) resuscitation fluids such as crystalloids&#13;
and blood products. This study evaluates the association between emergency department (ED) intravenous&#13;
volume resuscitation and mortality outcomes in adult trauma patients treated at the University Teaching&#13;
Hospital-Kigali (UTH- K).&#13;
Methods: Data were abstracted using a structured protocol for a random sample of ED patients treated during&#13;
periods from 2012 to 2016. Patients under 15 years of age were excluded. Data collected included demographics,&#13;
clinical aspects, types of IV fluid resuscitation provided and outcomes. The primary outcome was facility-based&#13;
mortality. Descriptive statistics were used to explore characteristics of the population. Kampala Trauma Scores&#13;
(KTS) were used to control for injury severity. Magnitudes of effects were quantified using multivariable&#13;
regression models adjusted for gender, KTS, time period, clinical interventions, presence of head injury and&#13;
transfer to a tertiary care centre to yield adjusted odds ratios (aOR) with 95% confidence intervals (CI).&#13;
Results: From the random sample of 3609 cases, 991 trauma patients were analysed. The median age was 32 [IQR&#13;
26, 46] years and 74.3% were male. ED volume resuscitation was given to 50.1% of patients with 43.5%&#13;
receiving crystalloid and 6.4% receiving crystalloid and packed red blood cell (PRBC) transfusions. The median&#13;
KTS score was 13 [IQR 12, 13]. In multivariable regression, mortality likelihood was increased in those who&#13;
received crystalloid (aOR = 4.31, 95%CI 1.24, 15.05, p = 0.022) and PRBC plus crystalloid (aOR = 9.97, 95%CI&#13;
2.15,46.17, p = 0.003) as compared to trauma patients not treated with IV resuscitation fluids.&#13;
Conclusions: Injured ED patients treated with volume resuscitation had higher mortality, which may be due to&#13;
unmeasured confounding or therapies provided. Further studies on fluid resuscitation in trauma populations in&#13;
resource-limited settings are needed.</text>
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                <text>Catalina Gonz´alez Marqu´es , Katelyn Moretti , Siraj Amanullah , Chantal Uwamahoro , Vincent Ndebwanimana , Stephanie Garbern , Sonya Naganathan , Kyle Martin , Joseph Niyomiza , Annie Gjesvik , Menelas Nkeshimana , Adam C. Levine , Adam R. Aluisio </text>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>21 September 2020</text>
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                <text>PERI IRAWAN</text>
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        <name>Injury care Resuscitation Global health Low- &amp; middle-income countries</name>
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        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
Awareness and attitude of final year students towards the learning and practice of cardiopulmonary resuscitation at the University of Ibadan in Nigeria</text>
              </elementText>
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                <text>Awareness&#13;
Attitude&#13;
Cardiopulmonary resuscitation (CPR)&#13;
Basic life support (BLS)&#13;
Students</text>
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                <text>Introduction: Out-of-hospital cardiac arrest (OHCA) is a major cause of sudden cardiac death which can be&#13;
prevented by early cardiopulmonary resuscitation (CPR). International bodies recommend that basic life support&#13;
(BLS) skills be taught in schools in order to increase the rate of bystander CPR and reduce mortality from OHCA.&#13;
We are not aware of any BLS education program for non-healthcare students in Nigeria. This study was to assess&#13;
the awareness and attitude to acquiring BLS skills among university students.&#13;
Methods: We conducted a cross-sectional study among final year university undergraduates using a questionnaire&#13;
that assessed students’ sociodemographic characteristics, awareness of CPR, previous experiences, and attitude&#13;
to basic life support (BLS). Counts and proportions were compared for the demographic characteristics using Chisquared&#13;
and Fisher’s exact tests.&#13;
Results: Four hundred and seventy-five students from 15 faculties participated in this study, median age was 22.8&#13;
years (interquartile range: 21.2–24.5 years). Majority (82.5%) have heard of CPR, 29.7% have undergone CPR&#13;
training; 77.3% of those who had been trained were confident that they could perform CPR. Previous CPR&#13;
training was significantly associated with faculty, year of study and age. Eighty-nine (18.7%) students have&#13;
witnessed someone die from a trauma. Four hundred and fifty (94.7%) respondents would like to get BLS&#13;
training, 440 (92.6%) think that CPR training should be included in the school curriculum.&#13;
Conclusion: There is good awareness and positive attitude to the acquisition and practice of cardiopulmonary&#13;
resuscitation among university students in Nigeria. Few students however, have been trained to administer&#13;
bystander cardiopulmonary resuscitation. Therefore, there is a need to implement university wide BLS education&#13;
in Nigeria.</text>
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                <text>Boluwatife Adeleye Adewale , Daniel Ehis Aigbonoga , Abiodun David Akintayo , Peter Seyi Aremu , Oluwaseun Akinola Azeez , Suliyat Dolapo Olawuwo , Joshua Damilare Adeleke , Oluwatobi Simeon Kazeem , Eghonghon Okojie ,Richard Ayobami Oguntoye </text>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
Combat injuries sustained by troops on counter terrorism and counter-insurgency operations in North east Nigeria: Implications for intervention</text>
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                <text>Combat injuries&#13;
Troops&#13;
Counter terrorism&#13;
Nigeria&#13;
Intervention</text>
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                <text>Background: Understanding the epidemiology of battlefield casualties is required for plans and coordinated efforts&#13;
towards improved combat trauma care (CTC) performance and outcome. The engagement of the Armed&#13;
Forces of Nigeria (AFN) in containing Boko Haram Terrorism (BHT) and insurgency in Northeast Nigeria has&#13;
increased the risk of combat injuries to the troops. This study determined the characteristics of combat injuries&#13;
sustained by soldiers on counter terrorism and counter-insurgency operations to contain BHT.&#13;
Methods: A retrospective cross-sectional study of combat casualties managed in 7 Division (Field) Hospital, [an&#13;
equivalent of UN Level 2 facility] Maiduguri, Northeast Nigeria between November 2013 and October 2014.&#13;
Using data obtained from a designed Operational Casualty Card that contains their sociodemographic characteristics,&#13;
categorization (as Combat Arm, Combat Support Service, Civ-JTF), nature, mechanism and sites of&#13;
injury as well as inpatients records. The data were collated and analysed using SPSS version 20.&#13;
Results: A total of 209 casualties were treated. The age of the casualties ranged from 18 to 57 years with a mean of&#13;
30.6 ± 7.7 years and males constituting 99%. Over two-third (71.3%) casualties had gunshot injuries while&#13;
14.3% and 8.1% sustained improvised explosive device (IED) and fragments injuries respectively. Over threequarter&#13;
(77.5%) sustained injuries on the upper and lower extremities while 17 (7.7%) and 12 (5.7%) had injuries&#13;
on thorax/abdomen and head/neck respectively. Nineteen (9.1%) casualties resulted from friendly forces/&#13;
colleagues.&#13;
Conclusion: The study revealed that gunshot and IED/blasts on the extremities were the most frequent mechanism&#13;
and pattern of injuries sustained with less than a tenth of the casualties resulting from friendly forces. Training&#13;
health personnel on CTC, deployment of combat lifesavers to improve pre-hospital CTC, employment of skilled&#13;
Orthopaedic Surgeon and other relevant surgical subspecialties and timely air evacuation of critical cases from&#13;
the Field Hospital to the Base Hospital are recommended.</text>
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                <text>Nurudeen Hussain , I.B.J. Okeke , A.E. Oyebanji , J.I. Akunne , O.J. Omoruyi</text>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>2 October 2020</text>
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                <text>PERI IRAWAN</text>
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                <text>ENGLISH</text>
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        <name>Combat injuries Troops Counter terrorism Nigeria Intervention</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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              <elementTextContainer>
                <elementText elementTextId="24216">
                  <text>Jurnal Internasional Afrika vol. 11 issue 1 2021</text>
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              <elementText elementTextId="26301">
                <text>Jurnal Internasional Afrika vol. 11 issue 1 2021&#13;
African Journal of Emergency Medicine&#13;
Design and construction of a simplified, gas-driven, pressure-controlled emergency ventilator </text>
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          <element elementId="49">
            <name>Subject</name>
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              <elementText elementTextId="26302">
                <text>Emergency ventilation&#13;
Pressure control&#13;
Automatic gas-powered ventilator</text>
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                <text>Introduction: Due to the COVID-19 crisis or any other mass casualty situation it might be necessary to give&#13;
artificial ventilation to many affected patients. Contrarily, the worldwide availability of emergency ventilators is&#13;
still a shortage, especially in developing countries.&#13;
Methods: Modes of artificial ventilation were compared and the most safe, easy to use, and lung protecting&#13;
principle was optimized to fit all requirements of both emergency ventilation and cost-effective mass production.&#13;
Results: The presented research results describe a simplified device for a pressure-controlled ventilation which&#13;
works without electricity according to a known principle. Just pressurized gas and a patient connection is&#13;
required. The device enables the control of basic ventilator parameters such as peak inspiratory pressure, positive&#13;
end-expiratory pressure and the ventilation frequency. Further, the device is semiadaptive to the patient’s lung&#13;
stiffness and automatically maintains minute volume through frequency adjustment. The machine can be&#13;
manufactured by turning, milling and drilling and needs purchased components with costs less than 100 USD. A&#13;
sterilization and thus a reuse is possible.&#13;
Discussion: The presented development does not describe a ready-to-purchase ventilator, it rather outlines a&#13;
refined working principle for emergency ventilation and its easiest methods of production with a minimum of&#13;
requirements. The presented research aims on providing an open-source guideline for production of an emergency&#13;
ventilator using worldwide available methods and thus should inspire local researchers to do a reverse&#13;
engineering and eventually to put it into operation following country-specific regulations. For long-term&#13;
ventilation exceeding emergency purposes, a monitoring of alarms for disconnection and violation of desired&#13;
ventilator parameters should be established. The ventilator is limited to a fixed ratio between PIP and PEEP.&#13;
Moreover, the ventilation frequency depends on two parameters, which needs some training. Nevertheless, the&#13;
ventilator provides basic features to enable an emergency ventilation with minimal prerequisites.</text>
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              <elementText elementTextId="26304">
                <text>R. Szlosarek , R. Teichert , A. Wetzel , A. Fichtner , F. Reuter , M. Kr¨oger</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="26305">
                <text>www.elsevier.com/locate/afjem</text>
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              <elementText elementTextId="26307">
                <text>23 September 2020</text>
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              <elementText elementTextId="26308">
                <text>PERI IRAWAN</text>
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                <text>ENGLISH</text>
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        <name>Emergency ventilation Pressure control Automatic gas-powered ventilator</name>
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        <name>Jurnal Internasional Keperawatan</name>
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