1 10 23 https://repository.horizon.ac.id/files/original/66fd00a3dab2a263129786a14fadd5aa.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 2 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 2 2021 https://repository.horizon.ac.id/files/original/2c13041bb273991d79b6fa2d771a752e.pdf b1b862ee748b2fa451dfd1a04493b913 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 2 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 2 2021 African Journal of Emergency Medicine Systematic review on epidemiology, interventions and management of noncommunicable diseases in acute and emergency care settings in Kenya Subject The topic of the resource Emergency medicine Emergency care Non-Communicable Diseases Kenya Africa Description An account of the resource Introduction: Mortality and morbidity from Non-Communicable Diseases (NCDs) in Africa are expected to worsen if the status quo is maintained. Emergency care settings act as a primary point of entry into the health system for a spectrum of NCD-related illnesses, however, there is a dearth of literature on this population. We conducted a systematic review assessing available evidence on epidemiology, interventions and management of NCDs in acute and emergency care settings in Kenya, the largest economy in East Africa and a medical hub for the continent. Methods: All searches were run on July 15, 2015 and updated on December 11, 2020, capturing concepts of NCDs, and acute and emergency care. The study is registered at PROSPERO (CRD42018088621). Results: We retrieved a total of 461 references, and an additional 23 articles in grey literature. 391 studies were excluded by title or abstract, and 93 articles read in full. We included 10 articles in final thematic analysis. The majority of studies were conducted in tertiary referral or private/mission hospitals. Cancer, diabetes, cardiovascular disease and renal disease were addressed. Majority of the studies were retrospective, cross-sectional in design; no interventions or clinical trials were identified. There was a lack of access to basic diagnostic tools, and management of NCDs and their complications was limited. Conclusion: There is a paucity of literature on NCDs in Kenyan emergency care settings, with particular gaps on interventions and management. Opportunities include nationally representative, longitudinal research such as surveillance and registries, as well as clinical trials and implementation science to advance evidence-based, context-specific care. Creator An entity primarily responsible for making the resource Christine Ngaruiya , Annrita Kawira , Florence Mali , Faith Kambua , Beatrice Mwangi , Mbatha Wambua , Denise Hersey , Laventa Obare , Rebecca Leff , Benjamin Wachira 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 February 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 Emergency medicine Emergency care Non-Communicable Diseases Kenya Africa Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/5b278686f2f7a0db63952308ed124d2f.pdf 99a1c930f400af4464da27e716c9c657 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 2 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 2 2021 African Journal of Emergency Medicine The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital Subject The topic of the resource Botswana Revised trauma score Trauma Trauma admission Trauma outcome Description An account of the resource Background: Traumatic injuries are proportionally higher in low- and middle-income countries (LMICs) than high-income counties. Data on trauma epidemiology and patients’ outcomes are limited in LMICs. Methods: A retrospective review of medical records was performed for trauma admissions to the Princess Marina Hospital general surgical (GS) wards from August 2017 to July 2018. Data on demographics, mechanisms of injury, body parts injured, Revised Trauma Score, surgical procedures, hospital stay, and outcomes were analysed. Results: During the study period, 2610 patients were admitted to GS wards, 1307 were emergency admissions. Trauma contributed 22.1% (576) of the total and 44.1% of the emergency admissions. Among the trauma admissions, 79.3% (457) were male. The median[interquartile range(IQR)](range) age in years was 30[24–40] (13–97). The main mechanisms of injury were interpersonal violence (IPV), 53.1% and road traffic crashes (RTCs), 23.1%. More females than males suffered animal bites (5.9% vs. 0.9%), and burns (8.4% vs. 4.2%), while more males than females were affected by IPV (57.8% vs. 35.3%) and self-harm (5.5% vs. 3.4%). Multiple body parts were injured in 6.6%, mainly by RTCs. Interpersonal violence (IPV) and RTCs resulted in significant numbers of head and neck injuries, 57.3% and 22.2% respectively. More females than males had multiple bodyparts injury 34.5% vs. 18.5%. Revised Trauma Score (RTS) of ≤11 was recorded in IPV, 38.4% and RTCs, 33.6%. Surgical procedures were performed on 44.4% patients. The most common surgical procedures were laparotomy (27.8%), insertion of chest tube (27.8%), and craniotomy/burr hole(25.1%). Complications were recorded in 10.1% of the patients(58) including 39 deaths, 6.8% of the 576. Conclusion: Trauma contributed significantly to the total GS and emergency admissions. The most common mechanism of injury was IPV with head and neck the most frequently injured body part. Further studies on IPV and trauma admissions involving paediatric and orthopaedic patients are warranted. Creator An entity primarily responsible for making the resource Alemayehu Ginbo Bedada , Margaret J. Tarpley , John L. Tarpley 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 14 April 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 Botswana Revised trauma score Trauma Trauma admission Trauma outcome Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/0f7ea790e9318a2d13f89c6cc0b0a4a8.pdf 13e8568f58c8c5aad2989f6c205d5f70 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 2 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 2 2021 African Journal of Emergency Medicine The effects of the COVID-19 lockdown and alcohol restriction on trauma-related emergency department cases in a South African regional hospital Subject The topic of the resource Covid-19 Lockdown Alcohol Trauma Emergency Africa Description An account of the resource The objective of this study was to compare the effect of the Covid-19 lockdown and the alcohol restriction on the number of cases that presented to the Emergency Department (ED) with the same time period two years prior. The method used was a retrospective review of medical records, directly comparing the types and numbers of trauma cases as well as non-trauma cases that presented to the ED in March and April 2020 with the same period two years prior. Our results showed a reduction during both months of lockdown compared to the same time period in 2018 with trauma cases in March 2020 down 33.14% and April 2020 down 57.93%. The non-trauma ED cases were down 2.52% in March and 37.43% in April compared to two years prior. When comparing only the last 6 days of March, a significant percentage decrease is visible as trauma cases fell from 20.79% in 2018 to just 8.58% of the total cases in 2020. In conclusion, our data showed a significant reduction in almost all types of ED cases during the lockdown period, but most significantly in trauma-related cases which was likely due, inter alia, to the prohibition of alcohol sales, gatherings and unnecessary travel. Creator An entity primarily responsible for making the resource Mncedisi Junior Manyoni , Muhammed Irfaan Abader 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 21 December 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 Covid-19 Lockdown Alcohol Trauma Emergency Africa Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/e49af6f991f837b8c6a7ee249e5b1a02.pdf c33bbb874031bc54f65ddf14a23af364 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 2 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 2 2021 African Journal of Emergency Medicine A baseline review of the ability of hospitals in Kenya to provide emergency and critical care services for COVID-19 patients Subject The topic of the resource Emergency treatment Critical care Prehospital emergency care SARS coronavirus Oxygen Triage Description An account of the resource Introduction: As the Coronavirus Disease 2019 (COVID-19) cases in Kenya begin to rise, the number of severe and critical COVID-19 patients has the potential to quickly overload the local healthcare system beyond its capacity to treat people. Objective: The purpose of this study was to gather information about the ability of hospitals in Kenya to provide emergency and critical care services and to identify priority actions for use by policymakers and other stakeholders as a roadmap toward strengthening the COVID-19 response in the country. Methods: This was a comprehensive review of the published and grey literature on emergency and critical care services in Kenya published in the last three years through April 2020. Screening of articles was conducted independently by the authors and the final decision for inclusion was made collaboratively. A total of 15 papers and documents were included in the review. Key recommendations: There is an urgent need to strengthen prehospital emergency care in Kenya by establishing a single toll-free ambulance access number and an integrated public Emergency Medical Services (EMS) system to respond to severe and critical COVID-19 patients in the community and other emergency cases. Functional 24- h emergency centres (ECs) need to be established in all the level 4, 5 and 6 hospitals in the country to ensure these patients receive immediate lifesaving emergency care when they arrive at the hospitals. The ECs should be equipped with pulse oximeters and functioning oxygen systems and have the necessary resources and skills to perform endotracheal intubation to manage COVID-19-induced respiratory distress and hypoxia. Additional intensive care unit (ICU) beds and ventilators are also needed to ensure continuity of care for the critically ill patients seen in the EC. Appropriate practical interventions should be instituted to limit the spread of COVID-19 to healthcare personnel and other patients within the healthcare system. Further research with individual facility levels of assessment around infrastructure and service provision is necessary to more narrowly define areas with significant shortfalls in emergency and critical care services as the number of COVID-19 cases in the country increase. Creator An entity primarily responsible for making the resource Benjamin W. Wachira , Margarita Mwai 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 6 January 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 Emergency treatment Critical care Prehospital emergency care SARS coronavirus Oxygen Triage Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/bc1ca1f63771cae9ee51abe825e147a5.pdf f3aed970583d3b0cef084367630a9319 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 2 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 2 2021 African Journal of Emergency Medicine Age-related laryngoscopic visual acuity Subject The topic of the resource Endotracheal intubation Laryngoscopy Visual acuity Creator An entity primarily responsible for making the resource Abdul-Maajid Mathews , Christopher Stein , Marietjie Richter Endotracheal intubation Laryngoscopy Visual acuity Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/ec21aa73be11299a7215d3ea3aa115e9.pdf 71708dd5a1c11380988888447cf225e6 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 2 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 2 2021 African Journal of Emergency Medicine A guide to an improvised femoral traction splint in a resource-limited setting Subject The topic of the resource Femoral fractures Traction Splint Description An account of the resource A femoral traction splint is a mechanical device that uses traction to align and provide stability to femoral fractures. The use of this device has many benefits however there is still limited availability in low- and middleincome countries. This article provides the reader with a step by step guide to improvise a femoral traction splint built from recyclable materials readily available in most hospitals. The authors’ concept will give patients access to a potentially life-saving device in a resource-limited setting. Creator An entity primarily responsible for making the resource S. Swanepoel , B. Bonner , B. Salence , K. Evans , S. Maqungo , N. Kauta 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 February 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 Femoral fractures Traction Splint Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/fae45c72f4a5d4bb5b2ee02f4ef23402.pdf c7720a3b49054d1aafc87de069f3f124 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 2 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 2 2021 African Journal of Emergency Medicine Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa Subject The topic of the resource Emergency department Input-Throughput-Output model Length of stay Description An account of the resource Introduction: Globally, length of stay of patients in emergency departments remains a challenge. Remaining in the emergency department for >12 h increases health care costs, morbidity and mortality rates and leads to crowding and lower patient satisfaction. The aim of this research was to describe the areas of delay related to prolonged length of stay in the emergency department of an academic hospital. Methods: A quantitative retrospective study was done. The Input-Throughput-Output model was used to identify the areas of patients’ journey through the emergency department. The possible areas of delay where then described. Using systematic sampling, a total of 100 patient files managed in an emergency department of an academic hospital in South Africa were audited over a period of 3 months. Descriptive statistics and regression analysis was used to analyse data. Results: The mean length of stay of patients in the emergency department was 73 h 49 min. The length of stay per phase was: input (3 h 17 min), throughput (16 h 25 min) and output (54 h 7 min). A strong significant relationship found between the length of stay and the time taken between disposition decision (throughput phase) disposition decision to admission or discharge of patients from the ED (output phase) (p < 0.05). Conclusion: The output phase was identified as the longest area of delay in this study, with the time taken between disposition decision to admission or discharge of patients from the ED (patients waiting for inpatient beds) as the main significant area of delay. Creator An entity primarily responsible for making the resource Kapari Mashao , Tanya Heyns , Zelda White 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 1 February 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 Emergency department Input-Throughput-Output model Length of stay Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/d77530e6fb3df9e818a3dbee8bb94f15.pdf 478bcbbffaa781089d94642a267c9212 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 2 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 2 2021 African Journal of Emergency Medicine Characteristics and outcomes of patients with an unscheduled return visit within 72 hours to the Paediatric Emergency Centre at a Private Tertiary Referral Hospital in Kenya Subject The topic of the resource Kenya Unscheduled Revisits Emergency department 72 hours Description An account of the resource Introduction: Patients’ unscheduled return visits (URVs) to the paediatric emergency Centre (PEC) contribute to overcrowding and affect health service delivery and overall quality of care. This study assessed the characteristics and outcomes of paediatric patients with URVs (within 72 hours) to the PEC at a private tertiary hospital in Kenya. Methods: We conducted a retrospective chart review of all URVs within 72 hours among paediatric patients aged ≤15 years between 1 July and 31 December 2018 at the tertiary hospital in Nairobi, Kenya. Results: During the study period, 1.6% (n=172) of patients who visited the PEC returned within 72 hours, with 4.7% revisiting the PEC more than once. Patients’ median age was 36 months (interquartile range: 42 months); over half were male (51.7%), 55.8% were ambulatory and 84.3% were insured. In addition, 21% (n=36) had chronic diseases and 7% (n=12) had drug allergies. Respiratory (59.5%) and gastrointestinal (21.5%) tract infections were the most common diagnoses. Compared with the first visit, more patients with URVs were classified as urgent (1.7% vs. 5.2%) and were non-ambulatory (44.2% vs. 49.5%, p=<0.001); 18% of these patients were admitted. Of these 58% were male, 83.9% were aged 0–5 years, 12.9% were classified as urgent, 64.5% had respiratory tract infections and 16.1% had gastrointestinal tract infections. Being admitted was associated with patient acuity (p=0.004), laboratory tests (p=<0.001) and ambulatory status (p=0.041). Conclusion: The URV rate is low in our setting. Patients who returned to the PEC within 72 hours tended to be male, under 5 years old and insured. Many were non-urgent cases with diagnoses of respiratory and gastrointestinal tract infections. The findings suggest that some URVs were necessary and may have contributed to better care and improved outcomes while others highlight a need for effective patient education and comprehensive initial assessment. Creator An entity primarily responsible for making the resource Kenneth M. Rintaari , Rachel Wangari Kimani , Horatius Malilu Musembi , Samwel Maina Gatimu 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 7 March 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 Jurnal Internasional Keperawatan Kenya Unscheduled Revisits Emergency department 72 hours https://repository.horizon.ac.id/files/original/3d86732f434cc996d4785e607eb101f7.pdf 7cc6734543d51ceb42644ff33c891e02 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 2 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 2 2021 African Journal of Emergency Medicine Comparison of paediatric weight estimation methods at a tertiary hospital in Ghana Subject The topic of the resource Ghana Paediatric Weight estimation Broselow Tape Age-based weight estimation formulae Description An account of the resource Introduction: Weight estimation in children is critical in paediatric emergencies. The Broselow Tape (BT) and most age-based formulae for weight estimation were derived in high-income countries and are thought to overestimate the weight of children in low-income countries. This study sought to validate the 2017 BT, and eight age-based weight estimation formulae among Ghanaian children and to derive a weight estimation formula using this data. Methods: A cross-sectional study was conducted in the Tamale Teaching Hospital (TTH) in Ghana. Children aged between 2 months and 13 years had their weights estimated by the 2017 BT and eight age-based formulae. These estimated weights were compared to the weight of the children measured by a calibrated Seca scale using mean percentage error (MPE) and the percentage of weight estimates within 10% and 20% of actual weight. Bland- Altman method was used to assess agreement between estimated and actual weight of the children. A new formula was derived by linear regression. Results: Seven hundred and seventy-five children took part in the study. The 2017 BT, Original APLS (APLS1) and Nelson’s formulae performed best with proportion of weight estimates within 10% of actual weight being 47.5%, 51.1% and 47.5% respectively. The formula developed in this study was: WE = 3Am / 10 + 5 (for infants <12 months), WE = 2A + 7 (1 to 4 years) and WE = 2A + 9 (5 to 13 years), where WE is estimated weight, Am is age in completed months and A is age in completed years. The new formula had similar accuracy as the three best performing methods in this study. Conclusion: The Broselow Tape, APLS1 and the Nelson’s formula were the most accurate in this study. APLS1 and the Broselow Tape can be used for weight estimation in Ghanaian children when no other better method is available. Creator An entity primarily responsible for making the resource Rafiuk Cosmos Yakubu , Samuel Blay Nguah , Nedda Ayi-bisah 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 10 March 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 Ghana Paediatric Weight estimation Broselow Tape Age-based weight estimation formulae Jurnal Internasional Keperawatan