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                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Usefulness of the d-dimer to albumin ratio for risk assessment in patients with acute variceal bleeding at the emergency department: retrospective observational study </text>
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                <text>Esophageal and Gastric Varices, Risk assessment, D-dimer, albumin</text>
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            <description>An account of the resource</description>
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                <text>Background: Acute variceal bleeding (AVB) is a severe complication of portal hypertension that is caused by rupture &#13;
of the esophageal or gastric varix. Scoring system for risk stratifcation of AVB is difcult to use because various vari�ables must be entered, and it is difcult to apply early in the emergency department (ED). We compared and analyzed &#13;
the usefulness of the D-dimer to albumin ratio (DAR) for risk stratifcation of AVB.&#13;
Methods: In this retrospective observational study, medical records of patients with AVB Between January 2019 &#13;
and December 2020 were assessed. The primary endpoint was to evaluate whether DAR was a predictor of clinical &#13;
outcomes for AVB. Receiver operating characteristic (ROC) curves were constructed using cut-of values determined &#13;
by the Youden Index. Univariate and multivariate logistic regression analyses were performed to assess the factors &#13;
contributing to the development of outcomes.&#13;
Results: Overall, 67 patients required intensive care. The cut-of value of DAR for patients requiring intensive care was &#13;
400. A DAR&gt;400 (adjusted HR: 5.636 [95% CI: 2.216–14.332]) independently predicted the need for ICU admission in &#13;
these patients. Overall, 13 patients required long-term hospitalization. The cut-of value of DAR for patients requiring &#13;
long-term hospitalization was 403. A DAR&gt;403 (adjusted HR: 9.899 [95% CI: 2.012–48.694]) independently predicted &#13;
the need for long-term hospitalization. Overall, 95 patients required transfusion. The cut-of value of DAR for patients &#13;
requiring transfusion was 121. A DAR&gt;121 (adjusted HR: 4.680 [95% CI: 1.703–12.862]) independently predicted the &#13;
need for transfusion. Overall, 11 patients died during study period. The cut-of value of DAR for mortality was 450. A &#13;
DAR&gt;450 (adjusted HR: 26.261 [95% CI: 3.054–225.827]) independently predicted mortality.&#13;
Conclusions: The DAR can be used for outcome assessment in patients with AVB with various scoring systems, but &#13;
its explanatory power is not high.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44933">
                <text>Jun Seok Seo , Yongwon Kim , Yoonsuk Lee , Ho Young Chung and Tae Youn Kim</text>
              </elementText>
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          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="44934">
                <text>BMC Emergency Medicine</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44935">
                <text>(2022) 22:135</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44936">
                <text>Fajar bagus W</text>
              </elementText>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44938">
                <text>English</text>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
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      <tag tagId="2429">
        <name>albumin</name>
      </tag>
      <tag tagId="2428">
        <name>D-dimer</name>
      </tag>
      <tag tagId="2427">
        <name>Esophageal and Gastric Varices</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="71">
        <name>Risk assessment</name>
      </tag>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="42713">
                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
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      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44920">
                <text>Trauma team training in Norwegian hospitals: an observational study</text>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44921">
                <text>Trauma team, Trauma team training, Trauma system, Trauma plan, Norwegian hospitals, Norway</text>
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          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44922">
                <text>Background: Traumatic injuries are a leading cause of deaths in Norway, especially among younger males. Trauma�related mortality can be reduced by structural measures, such as organization of a trauma system. Many hospitals in &#13;
Norway treat few seriously injured patients, one of the reasons for development of the Norwegian trauma system. &#13;
Since its implementation, there has been continuous improvement of this system, including trauma team training. &#13;
Regular trauma team training is compulsory, with the aims of compensating for lack of experience and maintain�ing competence. The purpose of this study was to present an overview of current trauma team training activities in &#13;
Norway.&#13;
Methods: For this observational study, the authors developed an online questionnaire and mailed it to local trauma &#13;
coordinators from 38 Norwegian hospitals—including four trauma centers and 34 acute hospitals with trauma func�tion. The study was performed during April–June 2020, with a two-month response window. Trauma team training &#13;
frequency was assessed in four predefned intervals:&lt;5, 5–9, 10–15 and&gt;15 times per year. The response rate was 33 &#13;
of 38, 87%.&#13;
Results: All responding hospitals conducted regular trauma team training. The frequency of training increased &#13;
signifcantly from 2013 to 2020 (Chi square test, Chi2&#13;
 8.33, p=0.04). All hospitals described a quite homogenous &#13;
approach. The trauma centres trained more frequently as compared to the acute care hospitals (Chi square test, Chi2&#13;
8.24, p=0.04).&#13;
Conclusions: All responding hospitals performed regular trauma team training using a homogenous approach, &#13;
which is in line with previous assessments. We observed a minor improvement in frequency compared to prior assess�ments. Our fndings suggest that Norwegian trauma teams likely maintain their competence through team training. &#13;
All hospitals followed the current recommendations from the National Trauma Plan.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44923">
                <text>Ida Celine Bredin, Hedi Marina Joks Gaup, Guttorm Brattebø and Torben Wisborg</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="44924">
                <text>BMC Emergency Medicine</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44925">
                <text>(2022) 22:119</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44926">
                <text>Fajar bagus W</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44927">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44928">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44929">
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            </elementTextContainer>
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        </elementContainer>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="2083">
        <name>Norway</name>
      </tag>
      <tag tagId="2434">
        <name>Norwegian hospitals</name>
      </tag>
      <tag tagId="2433">
        <name>Trauma plan</name>
      </tag>
      <tag tagId="2432">
        <name>Trauma system</name>
      </tag>
      <tag tagId="2430">
        <name>Trauma team</name>
      </tag>
      <tag tagId="2431">
        <name>Trauma team training</name>
      </tag>
    </tagContainer>
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  <item itemId="4240" public="1" featured="1">
    <fileContainer>
      <file fileId="4276">
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="42713">
                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
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    <itemType itemTypeId="1">
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44910">
                <text>Time to recovery and its predictors among critically ill patients on mechanical ventilation from intensive care unit in Ethiopia: a retrospective follow up study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44911">
                <text>Artifcial respiration, Intensive care unit, Mechanical ventilation, Predictor, Recovery, Time</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: For critically ill patients, mechanical ventilation is considered a pillar of respiratory life support. The &#13;
mortality of victims in intensive care units is high in resource-constrained Sub-Saharan African countries. The recovery &#13;
and prognosis of mechanically ventilated victims are unknown, according to evidence. The goal of the study was to &#13;
see how long critically ill patients on mechanical ventilation survived.&#13;
Methods: A retrospective follow-up study was conducted. A total of 376 study medical charts were reviewed. Data &#13;
was collected through reviewing medical charts. Data was entered into Epi-data manager version 4.6.0.4 and analyzed &#13;
through Stata version 16. Descriptive analysis was performed. Kaplan- Meier survival estimates and log rank tests were &#13;
performed. Cox proportional hazard model was undertaken.&#13;
Results: Median recovery time was 15 days (IQR: 6–30) with a total recovery rate of 4.49 per 100 person-days. In &#13;
cox proportional hazard regression, diagnosis category {AHR: 1.690, 95% CI: (1.150- 2.485)}, oxygen saturation {AHR: &#13;
1.600, 95% CI: (1.157- 2.211)}, presence of comorbidities {AHR: 1.774, 95% CI: (1.250–2.519)}, Glasgow coma scale {AHR: &#13;
2.451, 95% CI: (1.483- 4.051)}, and use of tracheostomy {AHR: 0.276, 95% CI: (0.180–0.422)} were statistically signifcant &#13;
predictors.&#13;
Discussion: Based on the outcomes of this study, discussions with suggested possible reasons and its implications &#13;
were provided.&#13;
Conclusion and Recommendations: Duration and recovery rate of patients on mechanical ventilation is less than &#13;
expected of world health organization standard. Diagnosis category, oxygen saturation, comorbidities, Glasgow coma &#13;
scale and use of tracheostomy were statistically signifcant predictors. Mechanical ventilation durations should be &#13;
adjusted for chronic comorbidities, trauma, and use of tracheostomy</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44913">
                <text>Lehulu Tilahun, Asressie Molla, Fanos Yeshanew Ayele, Aytenew Nega and Kirubel Dagnaw</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="44914">
                <text>BMC Emergency Medicine</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44915">
                <text>(2022) 22:125</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44916">
                <text>Fajar Bagus W</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44917">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44918">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
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                <text>Text</text>
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        </elementContainer>
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    <tagContainer>
      <tag tagId="2435">
        <name>Artifcial respiration</name>
      </tag>
      <tag tagId="375">
        <name>Intensive care unit</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="2436">
        <name>Mechanical ventilation</name>
      </tag>
      <tag tagId="2437">
        <name>Predictor</name>
      </tag>
      <tag tagId="2438">
        <name>Recovery</name>
      </tag>
      <tag tagId="2439">
        <name>Time</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="4239" public="1" featured="1">
    <fileContainer>
      <file fileId="4275">
        <src>https://repository.horizon.ac.id/files/original/ecca2b60c64e5b58a56ba99b3c56ad20.PDF</src>
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          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="42713">
                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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    <itemType itemTypeId="1">
      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
    </itemType>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44900">
                <text>The importance of elderly people knowing basic frst-aid measures</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44901">
                <text>First aid, Elderly, Hypoglycaemia, Stroke, Out-of-hospital cardiac arrest</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44902">
                <text>Background: In the event of a sudden illness or injury, elderly individuals are often dependent on self-help and &#13;
mutual assistance from partners. With poor access to medical services during natural and other disasters, the impor�tance of frst aid knowledge of elderly individuals increases even more. We assessed the opinions of diferent gen�erations of Slovenian population regarding the importance of knowing the basic frst aid measures. In addition, we &#13;
aimed to examine the knowledge of frst aid in the most common emergencies that threaten elderly people’s health &#13;
and lives, focusing on the knowledge of elderly.&#13;
Methods: A structured questionnaire was conducted with a representative Slovenian adult population (n=1079). &#13;
Statistically signifcant diferences in average ratings of the importance of frst aid knowledge were compared among &#13;
diferent age groups with one-way ANOVA followed by a post hoc test. Signifcant diferences in percentages of cor�rect answers in particular cases of health conditions between diferent age groups were determined using the χ 2 test &#13;
followed by post hoc tests.&#13;
Results: Slovenes are well aware of the importance of frst aid knowledge and feel personally responsible for &#13;
acquiring this knowledge. The general opinion is that older retirees need less frst aid knowledge than individuals in &#13;
younger populations. We found a high level of knowledge about symptoms and frst aid measures for some of the &#13;
most common health conditions that occur in old age. The level of knowledge in the group of the oldest respondents &#13;
was comparable with that of younger age groups. However, their recognition of health conditions was also somewhat &#13;
worse, especially when recognising the symptoms and signs of hypoglycaemia and heart attack. Most of the tested &#13;
knowledge did not depend on a person’s age but on the time since that person was last educated in frst aid.&#13;
Conclusions: The knowledge of people older than 80 years is somewhat poorer than that in the younger popula�tion, mainly because too much time has passed since they were last educated in frst aid. Public awareness of frst aid &#13;
needs to be increased and appropriate guidelines should be given with a focus on the elderly population</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44903">
                <text>Eva Dolenc Šparovec , Damjan Slabe, Ivan Eržen and Uroš Kovačič</text>
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            <name>Publisher</name>
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            <elementTextContainer>
              <elementText elementTextId="44904">
                <text>BMC Emergency Medicine</text>
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                <text>(2022) 22:128</text>
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                <text>Fajar bagus W</text>
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      <tag tagId="388">
        <name>elderly</name>
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      <tag tagId="2025">
        <name>First aid</name>
      </tag>
      <tag tagId="2440">
        <name>Hypoglycaemia</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="427">
        <name>Out-of-hospital Cardiac Arrest</name>
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      <tag tagId="472">
        <name>stroke</name>
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                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
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                <text>Study of the value of homocysteine levels in predicting cognitive dysfunction in patients after acute carbon monoxide poisoning</text>
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                <text>Carbon monoxide poisoning, Cognitive dysfunction, Homocysteine, Hyperhomocysteinemia</text>
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            </elementTextContainer>
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                <text>Purpose: The purpose of this research was to assess the value of homocysteine (HCY) levels in predicting cognitive &#13;
dysfunction in patients after acute carbon monoxide (CO) poisoning.&#13;
Methods: A total of 115 patients who were admitted to the emergency department of Yinzhou NO. 2 Hospital after &#13;
CO poisoning between January 2017 and December 2021 were enrolled in this retrospective study. All patients were &#13;
followed up for 1 month. According to the Mini–Mental State Examination (MMSE) scores, patients were divided into &#13;
two groups. The demographic and clinical characteristics and magnetic resonance imaging (MRI) results were gath�ered and statistically analysed.&#13;
Results: Twenty-six and 89 patients were ultimately enrolled in the cognitive dysfunction and control groups, &#13;
respectively. There were signifcant diferences between the groups in terms of age, coma duration, and carboxy�haemoglobin (COHB), lactate and HCY levels (p &lt;0.05), but there were no signifcant diferences in white blood cell &#13;
(WBC) counts or aspartate transaminase (AST), alanine transaminase (ALT), creatinine, troponin T, creatinine kinase &#13;
(CK), or creatinine kinase muscle and brain (CK-MB) levels (p &gt;0.05). Univariate and multivariate analyses identifed &#13;
that a higher HCY level (OR 2.979, 95% CI 1.851-5.596, p &lt;0.001) was an independent risk factor for patient cognitive &#13;
dysfunction after acute CO poisoning. Linear regression analysis showed a negative correlation between MMSE scores &#13;
and HCY levels (r =−0.880, P &lt;0.001). According to the MRI results, the most common lesion site was the globus &#13;
pallidus, and the central ovale, difuse white matter, corona radiata, basal ganglia (other than the globus pallidus) and &#13;
cerebral cortex were also involved.&#13;
Conclusions: Higher HCY levels were associated with cognitive impairment and were independent risk factors for &#13;
cognitive impairment after acute CO poisoning. The level of HCY was negatively correlated with the degree of cogni�tive impairment.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44893">
                <text>Wei Ren and Xiao Shuai Zhou</text>
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          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="44894">
                <text>BMC Emergency Medicine</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44895">
                <text>(2022) 22:133</text>
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            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="44896">
                <text>Fajar bagus W</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="44897">
                <text>PDF</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="44898">
                <text>English</text>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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                <text>Text</text>
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        <name>Carbon monoxide poisoning</name>
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      <tag tagId="624">
        <name>cognitive dysfunction</name>
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      <tag tagId="2442">
        <name>Homocysteine</name>
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      <tag tagId="2443">
        <name>Hyperhomocysteinemia</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="42713">
                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
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      <name>Text</name>
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        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="44880">
                <text>Shortening door-to-puncture time and improving patient outcome with workfow optimization in patients with acute ischemic stroke associated with large vessel occlusion </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="44881">
                <text>Door-to-puncture time, Door-to-recanalization time, Puncture-to-recanalization time, Ischemic stroke, &#13;
Endovascular therapy, Workfow optimization</text>
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                <text>Objective: We aimed to evaluate door-to-puncture time (DPT) and door-to-recanalization time (DRT) without direct�ing healthcare by neuro-interventionalist support in the emergency department (ED) by workfow optimization and &#13;
improving patients’ outcomes.&#13;
Methods: Records of 98 consecutive ischemic stroke patients who had undergone endovascular therapy (EVT) &#13;
between 2018 to 2021 were retrospectively reviewed in a single-center study. Patients were divided into three groups: &#13;
pre-intervention (2018–2019), interim-intervention (2020), and post-intervention (January 1st 2021 to August 16th, &#13;
2021). We compared door-to-puncture time, door-to-recanalization time (DRT), puncture-to-recanalization time (PRT), &#13;
last known normal time to-puncture time (LKNPT), and patient outcomes (measured by 3 months modifed Rankin &#13;
Scale) between three groups using descriptive statistics.&#13;
Results: Our fndings indicate that process optimization measures could shorten DPT, DRT, PRT, and LKNPT. Median &#13;
LKNPT was shortened by 70 min from 325 to 255 min(P&lt;0.05), and DPT was shortened by 119 min from 237 to &#13;
118 min. DRT shortened by 132 min from 338 to 206 min, and PRT shortened by 33 min from 92 to 59 min from the &#13;
pre-intervention to post-intervention groups (all P&lt;0.05). Only 21.4% of patients had a favorable outcome in the pre�intervention group as compared to 55.6% in the interventional group (P=0.026).&#13;
Conclusion: This study demonstrated that multidisciplinary cooperation was associated with shortened DPT, DRT, &#13;
PRT, and LKNPT despite challenges posed to the healthcare system such as the COVID-19 pandemic. These practice &#13;
paradigms may be transported to other stroke centers and healthcare providers to improve endovascular time met�rics and patient outcomes.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44883">
                <text>Shuiquan Yang, Weiping Yao, James E. Siegler, Mohammad Mofatteh, Jack Wellington, Jiale Wu, Wenjun Liang, Gan Chen, Zhou Huang,  Rongshen Yang, Juanmei Chen, Yajie Yang, Zhaohui Hu and Yimin Chen</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="44884">
                <text>BMC Emergency Medicine</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44885">
                <text>(2022) 22:136</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44886">
                <text>Fajar bagus W</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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            <description>A language of the resource</description>
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              <elementText elementTextId="44888">
                <text>English</text>
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        <name>Door-to-puncture time</name>
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        <name>Door-to-recanalization time</name>
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        <name>Endovascular therapy</name>
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      <tag tagId="320">
        <name>ischemic stroke</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="2446">
        <name>Puncture-to-recanalization time</name>
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        <name>Workfow optimization</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="42713">
                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
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        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="44870">
                <text>Predictors and outcome of cardiac arrest in paediatric patients presenting to emergency medicine department of tertiary hospitals in Tanzania</text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44871">
                <text>Paediatrics, Cardiac arrest, In-hospital cardiac arrest, LMIC, Emergency Department, Tanzania</text>
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                <text>Background: The survival of children who sufer cardiac arrest is poor. This study aimed to determine the predictors &#13;
and outcome of cardiac arrest in paediatric patients presenting to an emergency department of a tertiary hospital in &#13;
Tanzania.&#13;
Methodology: This was a prospective cohort study of paediatric patients&gt;1 month to≤14 years presenting to &#13;
Emergency Medicine Department of Muhimbili National Hospital (EMD) in Tanzania from September 2019 to January &#13;
2020 and triaged as Emergency and Priority. We enrolled consecutive patients during study periods where patients’ &#13;
demographic and clinical presentation, emergency interventions and outcome were recorded. Logistic regression &#13;
analysis was performed to identify the predictors of cardiac arrest.&#13;
Results: We enrolled 481 patients, 294 (61.1%) were males, and the median age was 2 years [IQR 1–5 years]. Among &#13;
studied patients, 38 (7.9%) developed cardiac arrest in the EMD, of whom 84.2% were≤5 years. Referred patients &#13;
were over-represented among those who had an arrest (84.2%). The majority 33 (86.8%) of those who developed &#13;
cardiac arrest died. Compromised circulation on primary survey (OR 5.9 (95% CI 2.1–16.6)), bradycardia for age on &#13;
arrival (OR 20.0 (CI 1.6–249.3)), hyperkalemia (OR 8.2 (95% CI 1.4–47.7)), elevated lactate levels&gt;2 mmol/L (OR 5.2 (95% &#13;
CI 1.4–19.7)), oxygen therapy requirement (OR 5.9 (95% CI 1.3–26.1)) and intubation within the EMD (OR 4.8 (95% CI &#13;
1.3–17.6)) were independent predictors of cardiac arrest.&#13;
Conclusion: Thirty-eight children developed cardiac arrest in the EMD, with a very high mortality. Those who &#13;
arrested were more likely to present with signs of hypoxia, shock and acidosis, which suggest they were at later stage &#13;
in their illness. Outcomes can be improved by strengthening the pre-referral care and providing timely critical man�agement to prevent cardiac arrest.</text>
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            <elementTextContainer>
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                <text>Amne O. Yussuf, Said S. Kilindimo, Hendry R. Sawe, Elishah N. Premji, Hussein K. Manji, Alphonce N. Simbila, Juma A. Mfnanga and Ellen J. Weber</text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>(2022) 22:126</text>
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            <description>An entity responsible for making contributions to the resource</description>
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                <text>Fajar Bagus W</text>
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        <name>Paediatrics</name>
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                <elementText elementTextId="42713">
                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
                </elementText>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44860">
                <text>Nebulized budesonide combined with systemic corticosteroid vs systemic corticosteroid alone in acute severe asthma managed in the emergency department: a randomized controlled trial</text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44861">
                <text>Acute asthma, Nebulized budesonide, Systemic steroid, Emergency department</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44862">
                <text>Background: The additive beneft of inhaled corticosteroid when used with systemic corticosteroid in acute asthma &#13;
is still unclear. The objective of this study was to assess the efect of high and repeated doses of inhaled budesonide &#13;
when combined with the standard treatment of adult acute asthma.&#13;
Methods: It was a prospective double-blind randomized controlled study performed in the emergency department &#13;
(ED) from May 1, 2010 to February 28, 2011 (ClinicalTrials.gov, NCT04016220). Fifty patients were included and were &#13;
randomized to receive intravenous hydrocortisone hemisuccinate in association with nebulized budesonide (n =&#13;
23, budesonide group) or normal saline (n = 27, control group). Nebulization of budesonide or saline was done in &#13;
combination with 5 mg of terbutaline every 20 min the frst hour, then at 2 h (H2), and 3 h (H3). All patients received &#13;
standard treatment. Efcacy and safety of inhaled budesonide were evaluated every 30 min for 180 min.&#13;
Results: A signifcant increase in peak expiratory fow (PEF) was observed in both treatment groups at evaluation &#13;
times. The increase in PEF persisted signifcantly compared to the previous measurement in both groups. There was &#13;
no signifcant diference in the PEF between the two groups at evaluation times. There was no signifcant diference &#13;
between the two groups in the evolution in the respiratory rate and heart rate. There was also no statistically signif�cant diference between the two groups in the rate of hospitalization, the discharge criteria before the end of the &#13;
protocol.&#13;
Conclusions: Considering its limited power, our study suggests that the association of nebulized budesonide with &#13;
hydrocortisone hemisuccinate has no additional efect over the use of hydrocortisone alone in adults’ acute asthma &#13;
managed in the ED.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44863">
                <text>Soudani Marghli, Chafaa Bouhamed, Amira Sghaier, Nabil Chebbi, Insaf Dlala, Samia Bettout, Achref Belkacem, Sarra Kbaier, Nahla Jerbi and Abdelouahab Bellou</text>
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          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="44864">
                <text>BMC Emergency Medicine</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44865">
                <text>(2022) 22:134</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44866">
                <text>Fajar Bagus W</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44867">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44868">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44869">
                <text>Text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="2452">
        <name>Acute asthma</name>
      </tag>
      <tag tagId="73">
        <name>Emergency department</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="2453">
        <name>Nebulized budesonide</name>
      </tag>
      <tag tagId="2454">
        <name>Systemic steroid</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="4234" public="1" featured="1">
    <fileContainer>
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        <src>https://repository.horizon.ac.id/files/original/bfa15af043c9ed0a5bb97e8812028383.PDF</src>
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        <elementSet elementSetId="1">
          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="42713">
                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
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      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
    </itemType>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44850">
                <text>Long-term prognosis and clinical course of choking-induced cardiac arrest in patients without the return of spontaneous circulation at hospital arrival: a population-based community study from the Shizuoka Kokuho  Database </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44851">
                <text>Choking, Cardiac arrest, Resuscitation, Long-term prognosis, Clinical course</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44852">
                <text>Background: The risk of choking increases with aging, and the number of cases of choking-induced cardiac arrest &#13;
is increasing. However, few studies have examined the prognosis of choking-induced cardiac arrest. The aim of this &#13;
study was to reveal the rates of survival and dependence on devices in the long term after choking-induced cardiac &#13;
arrest.&#13;
Methods: We analyzed data from the Shizuoka Kokuho Database, which consists of claims data of approximately 2.2 &#13;
million people, from April 2012 to September 2018. We selected patients with choking-induced cardiac arrest who &#13;
received cardiopulmonary resuscitation in the hospital. Patients were excluded if they were less than 20 years old, &#13;
had an upper airway tumor, received ventilation assistance, or received enteral nutrition in the month prior to cardiac &#13;
arrest. The primary outcome was death, and the secondary outcomes were the rates of survival at 3-months and inde�pendence on devices. Descriptive statistics are presented and compared among age groups (20–64 years, 65–74 years, &#13;
75–84 years, 85 years and older), and survival time analysis (Kaplan-Meier method) was performed.&#13;
Results: In total, 268 patients were analyzed, including 26 patients in the 20–64 age group, 33 patients in the 65–74 &#13;
age group, 70 patients in the 75–84 age group, and 139 patients in the ≥85 age group. The overall 3-month survival &#13;
rate was 5.6% (15/268). The 3-month survival rates were 3.8% (1/26) in the 20–64 age group, 15.2% (5/33) in the 65–74 &#13;
age group, 8.6% (6/70) in the 75–84 age group, and 2.2% (3/139) in the ≥85 age group. The overall 12-month sur�vival rate was 2.6% (7/268). Of the 7 patients who survived for 12months, 3 received ventilation management and 5 &#13;
received tube or intravenous feedings at 3months. These survivors were still receiving ventilation assistance and tube &#13;
feedings in the hospital and had not been discharged at 12months.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44853">
                <text>Takahiro Miyoshi, Hideki Endo, Hiroyuki Yamamoto, Koki Shimada, Hiraku Kumamaru, Nao Ichihara, Yoshiki Miyachi and Hiroaki Miyata</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="44854">
                <text>BMC Emergency Medicine</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44855">
                <text>(2022) 22:120</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44856">
                <text>Fajar Bagus W</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44857">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44858">
                <text>English</text>
              </elementText>
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          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44859">
                <text>Text</text>
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        </elementContainer>
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    <tagContainer>
      <tag tagId="827">
        <name>Cardiac arrest</name>
      </tag>
      <tag tagId="2455">
        <name>Choking</name>
      </tag>
      <tag tagId="2457">
        <name>Clinical course</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="2456">
        <name>Long-term prognosis</name>
      </tag>
      <tag tagId="418">
        <name>resuscitation</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="4232" public="1" featured="1">
    <fileContainer>
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        <src>https://repository.horizon.ac.id/files/original/a23392e8f434bac1f8192ac99c063db7.PDF</src>
        <authentication>76a37f041749b9f6cd38c4c29cb6cac3</authentication>
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        <elementSet elementSetId="1">
          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="42713">
                  <text>VOLUME 22 ISSUE 2 JULY 2022</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
    <itemType itemTypeId="1">
      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
    </itemType>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44839">
                <text>Improving the performance of a triage scale for chest pain patients admitted to emergency  departments: combining cardiovascular risk factors and electrocardiogram </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44840">
                <text>Emergency triage system, Chest pain, Acute coronary syndrome, Cardiovascular risk factors</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44841">
                <text>Background: The triage of patients presenting with chest pain on admission to the emergency department uses &#13;
scales based on patient clinical presentation or an electrocardiogram (ECG). These scales have diferent sensitivity and &#13;
specifcity. Although a good sensitivity allows for the prompt identifcation of high-risk patients, specifcity prevent ED &#13;
overcrowding. Moreover, ECG at triage avoids missing ST elevation myocardial infarction, which requires urgent revas‑&#13;
cularization. Our study therefore aimed to investigate whether a scale combining ECG and cardiovascular risk factors &#13;
(CVRF) improves the diagnostic performance of ED chest pain triage scale.&#13;
Methods and results: In this prospective single-center observational study involving 505 patients, the standard &#13;
ECG-based FRENCH scale was compared to a scale combining the ECG-based FRENCH scale and the patients CVRF. &#13;
The new scale was called the “modifed” FRENCH. The accuracy of patient CVRF collection was evaluated by compar‑&#13;
ing the results of triage nurses and ED physicians.&#13;
Compared with the standard FRENCH scale, the modifed FRENCH scale had an increased sensitivity (61% versus 75%) &#13;
but a decrease in specifcity (76% versus 64%) resulting in a similar diagnostic performance. Using CVRF collected &#13;
by the ED physicians, the modifed FRENCH scale had a sensitivity of 87% and a specifcity of 56% with a signifcant &#13;
improvement in his diagnostic performance compared with standard FRENCH scales. This improvement can be &#13;
explained by an accurate collection of the CVRF by physicians compared with nurses, as suggested by the weak to &#13;
moderate correlation between their respective data collection.&#13;
Conclusion: In conclusion, combining ECG and accurately collected cardiovascular risks factor improves the diag‑&#13;
nostic performance of the ECG based chest pain triage in the ED.&#13;
Trial registration: Trial registration number: NCT03913767.</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44842">
                <text>Chiara Casarin, Anne‑Sophie Pirot, Charles Gregoire, Laurence Van Der Haert, Patrick Vanden Berghe, Diego Castanares‑Zapatero and Melanie Dechamps</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="44843">
                <text>BMC Emergency Medicine</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44844">
                <text>(2022) 22:118</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44845">
                <text>Fajar Bagus W</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44846">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44847">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="44848">
                <text>Text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="1085">
        <name>Acute coronary syndrome</name>
      </tag>
      <tag tagId="2460">
        <name>Cardiovascular risk factors</name>
      </tag>
      <tag tagId="2459">
        <name>Chest pain</name>
      </tag>
      <tag tagId="2458">
        <name>Emergency triage system</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
    </tagContainer>
  </item>
</itemContainer>
