1 10 9 https://repository.horizon.ac.id/files/original/7466352d566e9c0d8591cf76dca2e8c1.pdf 08472f78647277f70e5188b3eaf583ea 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. 14 issue 2 2024 Text 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. 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 Catheterized chicken for training on ultrasound-guided vascular access: A simple, cost-effective, and effective model Subject The topic of the resource Ultrasound Vascular access Simulation Low-cost Emergency Description An account of the resource Ultrasound-guided vascular access is a medical procedure that is becoming increasingly common in daily practice and is recommended to avoid iatrogenic complications. One of the procedures with a high-risk rate of complications is the vascular puncture. However, training on this technique can be challenging due to the limited availability of simulation models. We propose a simple, cost-effective, and effective ultrasound-guided vascular access simulation model that utilizes chicken breast and a urine catheter to address this need Creator An entity primarily responsible for making the resource Olfa Chakroun-Walha a,* , Rim Karray b , Mouna Jerbi b , Houcem Affes b , Abdennour Nasri b , Imen Salem b , Fadhila Issaoui b , Mahdi Ben Dhaou c , Noureddine Rekik b Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000090/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELf%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJGMEQCID2RbhYFGjzce%2FgoVVXp5DNiokc6ENC61kIgMsFFfJP1AiBMZpCVtVEMEXxBGPEtdat%2Fl8GgQVN%2FTkQUpkBwa2kZJyq8BQig%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAUaDDA1OTAwMzU0Njg2NSIM4dkUw7mUYN1PfR%2BhKpAF2P%2FT3bCfgJRTxmN8gC72BzKolKpJhciQPWeqQSjAA3c5Ify3yHkIopnHyC0Q%2FjtfsruM%2FNgiXWf0%2BAc8zg9Gw%2FuPBhQSoqn9ciXSoJ5Ml6B7QDEwplfVF%2FpHz1nnrHDKwnXwVVywHn%2Fmyk66kIKsBaa2ssLpQ1kTknJXFkhuP0ajawLRg7XiQXU%2FU7oJwSWtesmmRppKljPPopr03xVuL3biAT%2FfVJlq58Gw851eOAPbPUJ25p6xFCRdD7ucldjpFaJMQrHZmD3ARLNzlr3eFWeVfzZ7xW%2BUOzzADjNo3TB3kTzyIuaMn7wGqWzS6J5XwKwJI8Xums24r7YBDOcP6cz%2BlXx%2BBF5YKYdEEmJqT7BRMMNRpplYbevsaxprIu58y5So2YUIZ%2FRzDv4Tq4gos7oGF%2B68sGKXerVGkNVLL%2Bj57JX7IKCtX2E0vfjxhGvGT3syrfdBhpxjjiN86kDN2V0t%2BJSWyCFAbN8p0wwPSO0IQtaKQ47HZUDAoWTYu4gQwiduxqHdipLETET85S5sRwKTW1hNzyhTLgofuUM8Ql6i8up%2Fy1WlykyaSTIzbq%2F9PGX0%2BEO76Bz4shu34fFn67zv5n5vLd%2BD8k1Px6ReNp%2BTD8cnmbdcorI4IEZzllnxpRKe4%2FXN%2FSgu7DPc%2FZJwV6yfCHtyWMuuP%2FC4M3nFs5wRcOu669wLrcGFRuP2CQnONmiC%2FqOHqx62hTft8dTo4anGeKnxrxzX%2BcxLq2p40dHSQJdQHhPqouenIpnkvH9A6RL2uLm%2Fd2WnVThHCxx%2BLJlvJyS8I47aNYcfwXm0dkJec1Ma7tQHqGwKBnuZjSHlzn0ds6Bt%2BJtE%2FjGo%2FZSRGxCXKn3Sum3Ak%2BA09425md4w19zOwgY6sgFegLtuRDL0DV6dCbXCpDDrD8hpyMs5Qj3pijtrT9ZuC%2FpcWIRyjFT8JMSaziHNuW5MWc8auzuMXS43VGdKQ7kXk98cARMLBSuEoUlD66F8kNNg3Us1KjqVT9mCEvmA7lf7i0WIM0q8h%2BHt7QcCZrMd45XtQySZG9HeSc0ypaMoHVq9pfBoYEeraWYpPHXIMZxaqBAomts9AvmrpNiUkQxfU7DKLvHsEGfkaRUeYLJ%2BREfh&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T073640Z&X-Amz-SignedHeaders=host&X-Amz-Expires=299&X-Amz-Credential=ASIAQ3PHCVTYYBTPO5DR%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=0bf8eddfc730dd9ead2b3e465dfb652001f5f041644a0f53cf589978315da9c3&hash=5f92439d57dd7a25da022426bf91f0bd2d4b1cf2b29ff4169682350093bb3084&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000090&tid=spdf-b5fd2e41-7d7a-4e9e-8036-4e307776278c&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d535651520657525a&rr=95215b529821e416&cc=id Publisher An entity responsible for making the resource available a Emergency department, Habib Bourguiba university hospital, Sfax Medical School Simulation Center, Faculty of Medicine, Sfax university, Tunisia b Emergency Department, Habib Bourguiba University Hospital, Faculty of Medicine, Sfax University, Tunisia c Sfax Medical School Simulation Center, Faculty of Medicine, Sfax University, Tunisia Date A point or period of time associated with an event in the lifecycle of the resource 28 march 2024 Contributor An entity responsible for making contributions to the resource Fajar bagus W 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 https://repository.horizon.ac.id/files/original/00eb83d14a45fc5bd1fdf6024c7ae2ad.pdf 2061595b1b08995981de11a105809e31 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. 14 issue 2 2024 Text 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. 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 The value of electrocardiography in predicting inpatient mortality in patients with acute pulmonary embolism: A cross sectional analysis Subject The topic of the resource Pulmonary embolism ECG/electrocardiography Mortality Emergency centre LMIC Description An account of the resource Introduction: Pulmonary embolism (PE) is a significant global cause of mortality, ranking third after myocardial infarction and stroke. ECG findings may play a valuable role in the prognostication of patients with PE, with various ECG abnormalities proving to be reasonable predictors of haemodynamic decompensation, cardiogenic shock, and even mortality. This study aims to assess the value of electrocardiography in predicting inpatient mortality in patients with acute pulmonary embolism, as diagnosed with computed tomography pulmonary angiogram. Method: This study was a cross sectional analysis based at Tygerberg Hospital, Cape Town, South Africa. Eligible patients were identified from all CT-PA performed between 1 January 2017 and 31 December 2019 (2 years). The ECGs were independently screened by two blinded emergency physicians for predetermined signs that are associated with right heart strain and higher pulmonary artery pressures, and these findings were analysed to inhospital mortality. Results: Of the included 81 patients, 61 (75 %) were female. Of the 41 (51 %) patients with submassive PE and 8 (10 %) with massive PE, 7 (17 %) and 3 (38 %) suffered inpatient mortality (p = 0.023) respectively. Univariate ECG analysis revealed that complete right bundle branch block (OR, 8.6; 95 % CI, 1.1 to 69.9; p = 0.044) and right axis deviation (OR, 5.6; 95 % CI, 1.4 to 22.4; p = 0.015) were significant predictors of inpatient mortality. Conclusion: Early identification of patients with pulmonary embolism at higher risk of clinical deterioration and in-patient mortality remains a challenge. Even though no clinical finding or prediction tool in isolation can reliably predict outcomes in patients with pulmonary embolism, this study demonstrated two ECG findings at presentation that were associated with a higher likelihood of inpatient mortality. This single-centre observational study with a small sample precludes concrete conclusions and a large follow-up multi-centre study is advised Creator An entity primarily responsible for making the resource Nishen Raghubeer a,* , Sa’ad Lahri b , Clint Hendrikse a Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000041/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELf%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDWAJ2nxe6XEqFbKO2cKZ9n1TDhmckGeqjEfJvroFzFNgIgWUW4LvPDJ18m1UnBvB4mAQG9Ex0p85sYr05Dp43ZqOUquwUIoP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDIhma118JqIgQweyKCqPBSEItAKGuPIz2LHDUXTwDRpOdXnge74ed%2Bkz7%2FWjFhf21hoaHde4JTKWRoq7Y9uxuCUNbP2YREQV%2BRKKGOZfhZ0%2Bjsvc0gB1cA8AbthGgRDeWKvQMjOKcw6ZNkbqvZcnQCjac20YPGQ9pHcdmPHKPDfm%2FGYBpl5Tnsgqklmi4iB%2BflqW9wx1U2gss007R3wqX1UCQLUnkofkQGV8FpVacq71%2BX%2FQSzmL96ubkMxdW4kxS0huZXPfu8BYzIeW2OqK6fSg22x1aLpu0bzDeeHq6YrK0d%2Fw4W1TgDSRvuFmRA8%2FGxbHlk3EE0BYeQ4jwEsSs8U6ydJMKQEYygsopyF36MTM5uqs1ARBThknsYwTD10P4GmHwOUOvVo7XzdxD2WnrOAC6NduIKlFZY6eew8o0XNLAAhEbjwhGw6IrMlZePFRkLZQBQzmpc2tJUFdX3q%2BUotfcuvzMJo5L5p%2BBPEOGyTjJToMH7ek4bAHmhYUp6CbH8Waudt5pPxroVOqS4N7lmPUZ6b1S0WXvUfpvn4dQslVK81jgThH75h9A3mbtp4VlGFZrhvQgDd8VVKriC8i6MeUC6g37GwOfw%2BYR1OwkXK%2FFHSV6QaCvVslN1HUrjXdEZ78jyiPXlFNjdRh0atkqi5poc8StQ23ev6zad9HXlNhq3Qrhbbod900i%2B42HddYZu7eCvlxE7ARGp9n2pP%2FKE5mnKXL8KGRKd25jMH2w%2Fqf8NhdbxOA0j4oD%2BYsAQtL%2FYPz%2Fkt7oURys30vYnBPNvQ%2BWHqlC082LlRDrdIB%2BQKeHH0w4ZVbXjsDfFB0%2BokXtTdBdLfdSxTwX0h5NK3pzutA%2B8royzWjGeY6eqT6WK1wV8k8jgv8rVmrTCqSRFQw8t7OwgY6sQFP3Nb38lT6UfxmsFjc9Tl9P7FT2eHJMcE9JdH3vo4U6%2BDwwZeXoY44wou%2FAcIeThvRu%2BwzL6MSEub7waRHO%2FUXRLMe%2BLH2dPDsy6llfmKkCDRpxGqbaCsP059Nwfco%2BLRp5JBDiSKFe0AgaNuq5Jvn1wV9NLVDtcxe4qC4gM4VqWzz5z7d%2BNyuOMcILz514U6cUfpeobA0SD4u78xHhS1SnkoEMfZKAsip1yqXi%2FFt3Ec%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T074020Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYZHMCDJMS%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=9a2a0470e74c46392df465c2361794a59de7b2f39bb3786bffc548eb00e8af60&hash=0e12b037b8d2e19e8e510d1093e316fae4bd53a9d62b5c2738e4c2b09594ee67&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000041&tid=spdf-80add89f-d64f-4330-a92a-7669ed58d57d&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356515154005055&rr=952160b06cba4dae&cc=id Publisher An entity responsible for making the resource available a Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa b Division of Emergency Medicine, University of Stellenbosch, Stellenbosch, South Africa Date A point or period of time associated with an event in the lifecycle of the resource 25 january 2024 Contributor An entity responsible for making contributions to the resource Fajar Bagus W 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 https://repository.horizon.ac.id/files/original/4df937eea2934bcafffcc68b68b08428.pdf 79b821c8349d1e1972ada09950cd3488 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. 14 issue 2 2024 Text 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. 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 Knowledge and practices of epistaxis in Eastern Tanzania: A cross-sectional study of an emergency in otorhinolaryngology Subject The topic of the resource Epistaxis Experiences Knowledge Practices Tanzania Description An account of the resource Introduction: It’s approximated that 60% of the population globally experience epistaxis during lifetime. Despite epistaxis being prevalent in Tanzania, there are limited studies that have explored experience of participants on epistaxis. This study aims to determine knowledge on the causes, first aid management and practices of epistaxis among patients attending a health facility in Eastern Tanzania Methods: A descriptive cross-sectional study was conducted where 371 participants aged 15 years and above were interviewed using structured questionnaires. Data was analyzed using Statistical Package of Social Sciences version 23. Chi-square tests were performed and a p-value <0.05 was considered to be statistically significant Results: About two-thirds (60.9%) of the study participants had good knowledge of the causes of epistaxis. Majority of participants knew excessive nose manipulation (95.1%) to be the commonest cause of epistaxis and the least cause mentioned was chronic liver disease (24.8%). On the other hand, 77.6% of the participants had good knowledge while 22.4% had poor knowledge regarding first aid management of epistaxis. In this study, 328 (88.4%) participants knew pressing the nose could stop epistaxis, while 164(44.2%) knew the best position to stop epistaxis and that is to tilt the head forward and those who had history of epistaxis, 150 (73.2%) out of 205 pinched the nose as the first aid. Similarly, 133(35.8%) participants thought cessation of smoking has effect on decreasing the occurrence of epistaxis. A significant association was noted between knowledge of first aid management of epistaxis and some socio-demographic characteristics such as age and educational level. There was also a significant association between knowledge of the causes of epistaxis and educational level. Conclusion: Majority of the participants had good knowledge of the causes and first aid management of epistaxis Creator An entity primarily responsible for making the resource Zephania Saitabau Abraham a,* , Onesmo Cyprian Fussi a , Aveline Aloyce Kahinga b Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000065/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELj%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDbBwmzTAxoCfj70r5vGoA9zxxJoZNjiGftD0fWXUyFOQIgacAs2XaTLLHe1Ziqx%2BJMOucdesYGe2QeSawbVKoiVLwquwUIoP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDDf1%2FkBlPB6QXc6CfiqPBdJCmPiRA7R%2BfRDP7vDgacj1V0O0iB3SLVmaxISZWlI0ABoGikfCzF20mqxHVK7GbohFjhsHBQuN9rFfG5m6COpjKwoigRTk4BtPkhtrMb9a4MPhD9u2reNdKQZxLPP%2BpPTkrNVEYW%2Bjrk9NvqeQwRez16pNipVzorfI5fhaOvJ6ds7norBRuvdUOtHJcM1ZJn05eax7zix4a6YKrKDw1GZ6V2vp9weQg9%2BsH%2BQEdbKYAGESMlLr2xQuJkaDkAOiSTnOKB1Z6of0jZnhf0Zm8Csa7px3cy97KS48gLwBS9TZ3tw6rrWNzfSb2%2F6nIrHzRuvsgBslOP3qFdWQQuVW5NRdD6fINBXmbZjcHkx0%2BQHG6cArKmhKeNO8zTtvbhiIsNDocDCcROhcme%2F6oy87menkiKYdL9Ilxxc6GRR%2FjnhypT8bpFpoK3oNY4IBET0wmj8tvYaDxqKZRxliNTwCYiEfEviHadYXezZK1gZ9t9F3kb%2FKfvKx6Uqk%2BgRnoFreU0ni83tCku0w90qVM5wFlF%2B7WlEzdsVwufRsG9dl%2Bz8cK7kpU5gYamRLJy8%2F0%2BDqDcvERzzVg5rYL50p85je33nfV%2FFYOMAP2dTwN7WQ3NoKgb8eWo5%2BU9XUM1iRWvHxKAr16L%2F512akqnRir8RMpuIfEWcf%2FQXOrpv64M03D7fw98lh49Of1RIh3Ji4ElO9S5Kbu2q4PbDzwPJWqYrFa1tjRgmsr%2BLGxcm73T4Ni%2F88KkLaBCN1ku75WLpmfKtY3DmQN0MVJBHbivczIBaqMocxLqUGzVIdMpPI5DB3rQ9ADLHVfuVGb%2Ft%2FPIJkfenACPv2kF12FzmCovIpyTrgNr8z9x5nH8pU0IldA2KkkGcwr%2FPOwgY6sQGZFNqIhi9yUXsoyMhnpzWXJVv1%2F70%2BI8LiAImq0EXpjCyQoI%2F02iag1m6jjr2snPwikxq4UEvjjxogdZ3x2CE4R4BH3ZHEEvn9gWMlhmWLlbUXYhKeTFewnLBT2sztSDTeibQfMNMvNdfgW%2F8Te2YD8Mbq8KS7bATILVm1VcfEqKLXf%2Fk1ciLJNXKqKkdPotftHTuhoT6HTcKpidBe%2BBTOve%2Fa8FJ%2BWIJ7X7WylDAE%2BzQ%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T074240Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYXG5IEQL7%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=d93e0b37998532f23faa5fdd80436e325d1021d969e8b7efcd3b06ca5681f964&hash=a218d41b6f0cc5e9ad97d41c117df98ba46993fd64f5296f6f2b907a3f600bfd&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000065&tid=spdf-993f93cf-bee9-4236-b34c-605f48ab2978&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356515150530207&rr=9521641bdca56d09&cc=id Publisher An entity responsible for making the resource available a Department of Surgery, School of Medicine and Dentistry, University of Dodoma, Dodoma, Tanzania b Department of Otorhinolaryngology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania Date A point or period of time associated with an event in the lifecycle of the resource 5 march 2024 Contributor An entity responsible for making contributions to the resource Fajar bagus W 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 https://repository.horizon.ac.id/files/original/8fdf401862ec44b726cea319881d707e.pdf 652a70b470390f2c9601518fba65b3d0 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. 14 issue 2 2024 Text 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. 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 A consensus-based tool for capability benchmarking of emergency medical services in South Africa Subject The topic of the resource Benchmarking Emergency medical services Capability Description An account of the resource Introduction: Standards for Emergency Medical Services [EMS] have recently been introduced in South Africa in a movement towards the promotion of quality improvement. While these standards identify a minimum set of criteria for EMS quality they do not differentiate between services just meeting them and those exceeding them. Benchmarking may be a helpful exercise in beginning to address the question of comparative levels of capability in EMS beyond a set of minimum standards. The aim of this study was to develop a consensus-based capability benchmarking tool for EMS organizations within the South African context. Methods: A total of 12 experts in the field of EMS in South Africa consented to participate in two Delphi Surveys in order to achieve consensus on the core components of an EMS organization as well as relevant level descriptors for those components. The resulting data was used to develop a consensus-based capability benchmarking tool for EMS organizations in South Africa. Results: A consensus-based capability benchmarking tool was developed that allows organizations to distinguish whether the organization’s capability, as a whole, is underdeveloped, developing, or well-developed. This is in addition to identifying how capable they are in all individual components or sub-components. Conclusion: It is recommended that further research be conducted to assess this tool’s implementation within different EMS organizations in South Africa, and that this study is used as a stepping-stone for additional research into meaningful quality improvement in emergency medical services in South Africa Creator An entity primarily responsible for making the resource Ashleigh Vincent-Lambert, Christopher Stein * Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000077/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELf%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDJG8GMM2xjVRHcO4pczrn6vSSEGHIFFhehn8ehqI3I8AIgKcuXStXpTLowV4nAB2FaEI5wKV3ag5qwzvlCnBYHyLwqvAUIoP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDLW%2FcibJSlD3UZMByCqQBevRJUqO7g3N5DaqvWEnRyCHOeF6p5DVXvtTa%2B1DMoz9DnoOMogUqo%2BJ%2FpQc2Wv%2Fv5WmK15TxFfNCjNq0uSbw60T%2BitMlUz4ePOSJdo%2FdaVlNImsurZ4Bac1UBc3%2Ftn2zF6Wny4Zrhbiio%2Fqkj6cP9lxvyAoyEGPbeVoOC0km75mJMluktDSB%2ByvquwCSYouihoAIEqMrkh1VphZs7rXU5FTfRihjxs5eYyDelB6dxwvDO3FYSSjwz8%2BOndfUznLxr1S4EFlWLY4b9ogEnWoVxZ%2FTnCtLHTieHp0IWUjcyMPB4oZ8vki785TKejzyZWnwsxYdxIzKNh4ZnsRJSO54NKxcQYcqYn9ehmgm3LZXTYddXJ9qo2JyNR4MQadiHfwhj3gXa70Jky%2Bg%2FIzWvhalp8gbzbtbXsw4jQcVM%2F61Ik5CGvVW5MSHieyHAWXgTX%2BF1gftqOZCtuI0NskAKodGoHt2wIoXkAy5j9mh2XVgNR0fcwmyfLQgUZVZj8WgiO1nYKUR4oY0stk8rYeweB456FwpbJ9TQiWEkjpughXohBMP47FRImymsUNKycPlhw26MZ6wGXDzoTNkJx%2BOo%2BYrIU6X7ZLW5Cx%2F4VynFYV6HbTl31E1qGVx4G8w2hMa6B0gl9im6g1m6ODb6hDquY1qvEU7eebnnCL4yAxknuIj1iBETDAth7ggDVFa5z8wcYw8xNlUsjIPthnLemiOydhn4Vh%2Fb1girEnZeZ7oEC1iPLFZA6CRuJPZKIAn2ybDExF1BDSi%2Bf%2B6t173HyDlYCPAmuyFyHELX6NdNdgkbIH9EVT1lLtQu%2Fdi08xM3SIrTtUFwKF%2Ftxo5hXgYNWgi2dUqSJnDdlcuBzTawZPClox03B3MOPgzsIGOrEBb62Y6ecaETSPBTwx9MLGp8GREWL4YBYxe6I%2Bjve%2F0UUgithANunEpkRddxW%2FeJRxTbD5gQdCKmijTqkQx%2BuQI%2BA2XPo%2BW62mv1et5kFzSPtIC5uy6sC5wAEWyJTYbiSu5eAuG6db8Caw5%2FTqeA%2Fz3vs8zELlC166buZD1otVo27ruYNOqR4JiVXWQVQqKEjyYov6PeC%2FhOi2GhlrREdW6%2F1SjRIL00Z9f9dpqctJkWjA&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T074605Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTY7VEMNY6D%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=72a25f41c26b836aad467242190a617a4913befff366fa13d10b2fcf8556c0a0&hash=61e27ca70b189ef326f94f478c9ca6289981317a50e20bd938b48ce0806ee55b&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000077&tid=spdf-317aa22f-b2c8-4954-aba6-7d9f72c823e2&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d535651515d530557&rr=9521691e4a314ac7&cc=id Publisher An entity responsible for making the resource available Benchmarking Emergency medical services Capability Date A point or period of time associated with an event in the lifecycle of the resource 18 march 2024 Contributor An entity responsible for making contributions to the resource Fajar Bagus W 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 https://repository.horizon.ac.id/files/original/2e6e636dad17a851f860eb42a82635a2.pdf 83ca3fa56ef1f4a26a384fbfcbeaa3d9 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. 14 issue 2 2024 Text 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. 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 Computed tomography benefits and cost in hemodynamically stable patients with blunt abdominal trauma at an Egyptian University Hospital Subject The topic of the resource Focused assessment with sonography in trauma (FAST) Computerized tomography (CT) scan Intra-abdominal injury Description An account of the resource Background: Trauma is a significant cause of mortality, especially among individuals aged between 15 and 44 years, with a substantial burden falling on economically active populations. Low- and middle-income countries (LMICs) bear the burden of trauma-related deaths, accounting for over 90 % globally. In Egypt, trauma rates are increasing, primarily due to road traffic crashes (RTC), affecting males disproportionately. Blunt abdominal trauma, often caused by RTC, can lead to missed intra-abdominal injuries (IAIs) due to atypical symptoms. Computed Tomography (CT) offers high sensitivity and specificity in detecting IAIs, but concerns about cost and radiation exposure exist. Methodology: This study investigates the roles of Focused Assessment with Sonography for Trauma (FAST) and CT in managing blunt abdominal trauma. A retrospective cohort study was conducted on hemodynamically stable patients. Data included patient demographics, trauma details, healthcare decisions, costs, and outcomes. Results: Computed tomography significantly reduced unnecessary laparotomies (12.3% vs. 24.8 %, p = 0.001), shortened hospital stays (4.83±0.71 days vs. 6.15±1.28 days, p = 0.005), and reduced ICU admissions (8 vs. 32, p = 0.023) compared to FAST alone. Overall costs were lower in the CT & FAST Group ($2055.95 vs. $3488.7, p = 0.0001), with no significant difference in missed IAIs. Conclusion: This study highlights the limitations of relying solely on FAST for IAIs and underscores the value of CT in guiding healthcare decisions. Incorporating CT led to reduced negative laparotomies, shorter hospital stays, and fewer ICU admissions. While CT incurs initial costs, its long-term benefits outweigh expenditures, particularly in LMICs. This study provides insights into optimizing diagnostic approaches for blunt abdominal trauma in low-resource settings. Creator An entity primarily responsible for making the resource Mohamed A. Abdel Hamid a , Mohammad A. Abd-erRazik a,* , Mostafa Nagy a , Mohamed El-Shinawi a,b,c , Jon M. Hirshon b,d , Maged El-Setouhy e,f Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X23000617/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELj%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDbBwmzTAxoCfj70r5vGoA9zxxJoZNjiGftD0fWXUyFOQIgacAs2XaTLLHe1Ziqx%2BJMOucdesYGe2QeSawbVKoiVLwquwUIoP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDDf1%2FkBlPB6QXc6CfiqPBdJCmPiRA7R%2BfRDP7vDgacj1V0O0iB3SLVmaxISZWlI0ABoGikfCzF20mqxHVK7GbohFjhsHBQuN9rFfG5m6COpjKwoigRTk4BtPkhtrMb9a4MPhD9u2reNdKQZxLPP%2BpPTkrNVEYW%2Bjrk9NvqeQwRez16pNipVzorfI5fhaOvJ6ds7norBRuvdUOtHJcM1ZJn05eax7zix4a6YKrKDw1GZ6V2vp9weQg9%2BsH%2BQEdbKYAGESMlLr2xQuJkaDkAOiSTnOKB1Z6of0jZnhf0Zm8Csa7px3cy97KS48gLwBS9TZ3tw6rrWNzfSb2%2F6nIrHzRuvsgBslOP3qFdWQQuVW5NRdD6fINBXmbZjcHkx0%2BQHG6cArKmhKeNO8zTtvbhiIsNDocDCcROhcme%2F6oy87menkiKYdL9Ilxxc6GRR%2FjnhypT8bpFpoK3oNY4IBET0wmj8tvYaDxqKZRxliNTwCYiEfEviHadYXezZK1gZ9t9F3kb%2FKfvKx6Uqk%2BgRnoFreU0ni83tCku0w90qVM5wFlF%2B7WlEzdsVwufRsG9dl%2Bz8cK7kpU5gYamRLJy8%2F0%2BDqDcvERzzVg5rYL50p85je33nfV%2FFYOMAP2dTwN7WQ3NoKgb8eWo5%2BU9XUM1iRWvHxKAr16L%2F512akqnRir8RMpuIfEWcf%2FQXOrpv64M03D7fw98lh49Of1RIh3Ji4ElO9S5Kbu2q4PbDzwPJWqYrFa1tjRgmsr%2BLGxcm73T4Ni%2F88KkLaBCN1ku75WLpmfKtY3DmQN0MVJBHbivczIBaqMocxLqUGzVIdMpPI5DB3rQ9ADLHVfuVGb%2Ft%2FPIJkfenACPv2kF12FzmCovIpyTrgNr8z9x5nH8pU0IldA2KkkGcwr%2FPOwgY6sQGZFNqIhi9yUXsoyMhnpzWXJVv1%2F70%2BI8LiAImq0EXpjCyQoI%2F02iag1m6jjr2snPwikxq4UEvjjxogdZ3x2CE4R4BH3ZHEEvn9gWMlhmWLlbUXYhKeTFewnLBT2sztSDTeibQfMNMvNdfgW%2F8Te2YD8Mbq8KS7bATILVm1VcfEqKLXf%2Fk1ciLJNXKqKkdPotftHTuhoT6HTcKpidBe%2BBTOve%2Fa8FJ%2BWIJ7X7WylDAE%2BzQ%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T074923Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYXG5IEQL7%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=d21d80d01ad35215d067d124d1236a5c1310458cd7c6753eb64bf58a46975204&hash=856de519b4de0d546c2edc1dc45a09873899642c8bb9955c30bd5e9f1d89b2aa&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X23000617&tid=spdf-bb45bd3d-805c-4ae6-92c2-9701531c22aa&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356515100045307&rr=95216df3deb2f4ec&cc=id Publisher An entity responsible for making the resource available a Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt b Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States c Galala University, Suez, Egypt d Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, United States e Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia f Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt Date A point or period of time associated with an event in the lifecycle of the resource 19 november 2023 Contributor An entity responsible for making contributions to the resource Fajar bagus W 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 https://repository.horizon.ac.id/files/original/45bfe04731ac3c1953479b5993dc37be.pdf 2b64bc7b277c351827ab39c86fce7d02 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. 14 issue 2 2024 Text 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. 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 Understanding the factors that influence CT utilization for mild traumatic brain injury in a low resource setting - a qualitative study using the Theoretical Domains Framework Subject The topic of the resource Mild traumatic head injury Computerized tomography utilization Imaging referrers Decision making Theoretical Domain Framework Low resource setting Description An account of the resource Introduction: In low resource settings (LRS), utilization of Computed Tomography scan (CTS) for mild traumatic brain injuries (mTBIs) presents unique challenges and considerations given the limited infrastructure, financial resources, and trained personnel. The Theoretical Domains Framework (TDF) offers a comprehensive theoretical lens to explore factors influencing the decision-making to order CTS for mTBI by imaging referrers (IRs). Objectives: The primary objective was to explore IRs’ beliefs about factors influencing CT utilization in mTBIs using TDF in Uganda. Differences in the factors influencing CTS ordering behavior across specialties, levels of experience, and hospital category were also explored. Materials and Methods: In-depth semi-structured interviews guided by TDF were conducted among purposively selected IRs from 6 tertiary public and private hospitals with functional CTS services. A thematic analysis was performed with codes and emerging themes developed based on the TDF. Results: Eleven IRs including medical officers, non-neurosurgeon specialists and neurosurgeons aged on average 42 years (SD+/-12.3 years) participated. Identified factors within skills domain involved IRs’ clinical assessment and decision-making abilities, while beliefs about capabilities and consequences encompassed their confidence in diagnostic abilities and perceptions of CTS risks and benefits. The environmental context and resources domain addressed the availability of CT scanners and financial constraints. The knowledge domain elicited IRs’ understanding of clinical guidelines and evidencebased practices while social influences considered peer influence and institutional culture. For memory, attention & decision processes domain, IRs adherence to guidelines and intentions to order CT scans were cited. Conclusion: Using TDF, IRs identified several factors believed to influence decision making to order CTS in mTBI in a LRS. The findings can inform stakeholders to develop targeted strategies and evidence-based interventions to optimize CT utilization in mTBI such as; educational programs, workflow modifications, decision support tools, and infrastructure improvements, among others. Creator An entity primarily responsible for making the resource Harriet Nalubega Kisembo a,b,* , Richard Malumba c , Henry Sematimba c , Racheal Ankunda c , Irene Dorothy Nalweyiso b , Elsie-Kiguli Malwadde d , Elizeus Rutebemberwa e , Simon Kasasa f , Dina Husseiny Salama g , Michael Grace Kawooya c Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000120/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELj%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJGMEQCICnEtN0WCoClKuVlT8gDpaFPZVsQTu94uE%2F7WzvJqB3CAiBdenRfioLVvEx%2BItnEkRm1Qrcqs9O0GnXVHZ9zLtZmRSq7BQih%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAUaDDA1OTAwMzU0Njg2NSIMbJ3Efvj6UfRU2FTxKo8FFkDOv3l20Kmcy6KpQ2VILoMj%2B5XdSWmWpXzgQzGHpbaulu5lVdMHGezk49HxHfY9vk%2FuRc3lnjQ0AiReUBsYYBQJNs5pzqNqJl%2BvwJN1fgFQnvjj3%2B2ve%2BgqPBOJPGBQI3DA9gK9Te5B7%2F45OAxWbs%2FmYh6YJztLoYoxsumgxnIu5P1ZFFnWAMWd%2FrWKtYAKFQ8P3vM6DIUf3BM78qHp7Ndj8dK2O04Rk31vRq0TlujpBiOH6Lcal0IF0Wn6Sct1Zf1a73cvMp%2BO3I8qJ%2BVrQFhxlPhjd%2B7YKQA2OlhFm1CtX7AUUgU6KoOIeNXi0WNmi18JvtxHOqC%2B8g62v7LHY%2F5OQKkdjv%2BHB4PJ4fMeFj6BVgGSWmQa1YAjtDBqr8mwQxOYw%2BQHZqJUWv%2Bd%2FMGN4cLLbsFXZdFj8oDouM3ArSmbW0wD%2FGUnnGjjZcPbsy2yuY5By7XplrOb72aJkFrq0lLVt3PmvIg01cTabk9FRqhd4YfRcwxcp%2Bv%2BPNtTGxU5NG9VHEHVEhoOr9ItY3gIFx2PYD0P43X0MmjJ3can0HQbDi%2BWom%2BK2%2BFQVz8naKrQAOkVyZyZfUy1eeqhmhi5BsWNsvuKSdphw0x714uIWsh9abnpXlwBEX216i4kyj4ipEcE5pm61uM13x0wmDYxCOcIyYbkwAcySP4Cx6JDOl8iY7Ii3Eyqz5%2FbvigpYN%2FvbG0o8YdB6QrZcGnD2ucEPYg9pQhlF7NXxwnB6%2FWcSHyTVCEx0TioJfAnprGZgD%2FjWl5SZs73CYxwsGwcnq7ADRWZV3iGAEojwqg7AAU7WEsZ8ZjDBOo4sbOZMGPHhN54nsyEZBqfiywUt%2B72fv8fStQ9KPPBBdeWfnLKDfDBOjDM%2Fs7CBjqyAX20I0zMeyTzSCqAzAw74LD78Hz1fsmotRyrRTP%2B4JOOm4DfxnEB%2FqxJ1Dtyfgy0%2ByPa6qfsNatis1Uq1ZUZ6r%2B3yRYUTqStrjF2uJurjRfGeU4bWtSZr0yZp1YFekeoMRcnbQDIACAo1CM0cxA2b%2BbQkSzRA41tsPTWA7iDgIGYfcZ2OsP0j%2FDshb5IxnGNAqoYqXfZm8iQwMes%2BjiLTddW5OYb2lKNnhK%2Balk05ck3WrM%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T075422Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYQLOUDYIY%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=bf165f092bbaaf04034555a7bbce3658932a7b3d66555c8be4dbb9641fc7f4d9&hash=744a92b25fa6007b3ed59d7685120a596ed445fd589580da4210f352feedb7a6&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000120&tid=spdf-8e5723bc-ea42-4679-85c2-a20fbe3680df&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356515051565057&rr=9521754048624ab4&cc=id Publisher An entity responsible for making the resource available a Makerere University, College of Health Sciences, School of Medicine b Department of Radiology, Mulago National Referral and Teaching Hospital, Kampala, Uganda c Ernest cook Ultrasound Research and Education Institute, Mengo Hospital, Kampala, Uganda d African Centre for Global Health and Social Transformation (ACHEST), Kampala, Uganda e School of Public Health, Department of Health Policy & Management, Makerere University, Kampala, Uganda f Department of Epidemiology & Biostatistics, School of Public Health, Makerere University, Kampala, Uganda g National Center for Radiation Research and Technology, Cairo, Egypt Date A point or period of time associated with an event in the lifecycle of the resource 18 april 2024 Contributor An entity responsible for making contributions to the resource Fajar bagus W 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 https://repository.horizon.ac.id/files/original/d95836b850ae539230b2c7019d45b478.pdf 34d7443418771ce3e4655463ecdb8574 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. 14 issue 2 2024 Text 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. 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 Experiences of injured patients referred to higher levels of care after initial assessment and management at non-tertiary hospitals in Ghana Subject The topic of the resource Trauma Referral Non-tertiary hospitals Ghana LMIC Traditional healers Description An account of the resource Background: The experiences of trauma patients referred from Ghanaian non-tertiary hospitals for definitive care at higher levels is not well-known. Understanding the motivations of injured patients who do not attend their referral for definitive management may inform interventions to improve injury outcomes. Methods: This study is a follow-up survey of participants of a larger study involving initial management of injured patients presenting to 8 non-tertiary hospitals in Ghana from October 2020 to March 2022. Injured patients referred to higher levels of care were surveyed by phone using a structured questionnaire and patients who could not be reached were excluded. The main outcome was referral non-attendance and differences between patients who attended the referral and those who did not were determined with chi squared tests. Variables with intergroup differences were included in a multivariable logistic regression. Open-ended survey responses were analyzed using thematic content analysis. Results: Of 335 referred patients surveyed, 17 % did not attend the referral. Factors associated with referral nonattendance included being male (Adjusted odds ratio (AOR)=2.70, p = 0.013), sustaining a fracture (AOR=2.83, p = 0.003), and having less severe injury (AOR 2.84, p = 0.017). Primary drivers of referral non-attendance included financial problems (59 %), family influence (45 %), and lack of transportation (20 %). The majority of patients (77 %) not attending the referral sought treatment from traditional healers, citing lower cost, faster service, and a perception of equivalent outcomes. Reported facilitators of referral attendance included positive hospital staff experiences and treatment while barriers included higher hospital costs, lack of bed space, and poor interhospital communication. Conclusions: An important proportion of injured patients in Ghana do not attend referrals for definitive management, with many seeking care from traditional healers. Our study identified possible targets for interventions aimed at maintaining the continuum of hospital-based care for injured patients in order to improve outcomes. Creator An entity primarily responsible for making the resource Lauren L. Agoubi a , Adamu Issaka b , Sakinah Sulaiman c , Adam Gyedu d,e, Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000119/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELj%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDrz16jFMX0ge8QthCNNAfKqls%2BhQ7M0qW8Nm7Xark9QQIgf4dEmMEOlx5FnaBPDlkiWyK16h6qr4%2FdH68O%2Fx3aKHIqvAUIoP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDGL0elM7wzpCGaUPwSqQBcEm0EEhP0eboeiLrA8NE1w1qg9vjkgNKi8zJ3Fe3pvXEcRGLqcMkAYyjYavro7E9oz69Gw3cnaxsup3NS4%2FWgZQ6NK7aVM5foskrQi3rgMACUWsnHeuu3MLNec6xJUlz1hf8Hx3UI8eHi3kwiiSkgXVJ%2Bi%2B0gyi8qdW3etlne%2FdY%2FH6cHupffhuXkrAKVLZmKsyfMjw%2F%2FSjfSrNC4Io11s95EqDgQCNIEVPEkRpBnAPMaTxfqOTTDKbD6%2BD2h%2FWPwO84X4LFfIYX4LoFtPkr3le%2FemuMntOqjmnbAjfKF1Xz82xRy%2FUyQH8%2FHOpQS%2B1%2F%2B3zNEZBIzEItV80KQEPH9qH9qBVe0OyQWjMtzlDBWEGoaHzfVRKC87h4A4WNghW0ge2qx2RCTKJhdEH1R3mlcUr7XzK2lyosCQGCVHsPxOkW6Xpi5rmdqPObEOTMxdgf3QHt6HyAwdtI74jwdGnjTU%2Bi05a9MPeeAT8am1XoWnmp7UWpuxEuLqQjhHR7HeHSJ3UugoFOEnDmhOKqgbTSgTUsCL0jZPhibXEf%2FN1lxn2hE2N%2FdqjPqOJPTGvFdyH3JAOYNd%2FXd7v95C7DmMobE2n4Pg2TqVnNTmNzM7%2B%2B8qEl8pii99lbJ1pIcnPHKEb5J4aFehdgfAGTXJLjvYKFbO6zdFwK468ZfALU8JT6BkgINw56RCDrO0OuRk1m6e5eostSqFrbk9JItd1QKrGlywEskZCSj4W%2FYCt5xZYJKGv6iFA6XcDWU4GuafqA1kwn5U2%2FzIqARvNQ7nt0BltJ%2BbJPWU1YLbz6up9GNA85oEuMhdDM3HPacRoiejaG8R4FGwUtDvdhWi6Ng%2BTc9V%2Fgf3F7gLK84X2whZiScv0IctFMLrxzsIGOrEBNidliMmswE%2FMBV4DxkcVmsYvEoGvdTFlhQIpZKPVX4Y738pKt%2FfQMICJGurOEFM3IheryzoeNJbdYWbuxjFh8cetONtcuOYu0H58d5J0f2PVGe3499NKy4AGAkwFG1ZXkeXyGrp7ZFF49cyXkwV4A9HE7VsJOhaUPgyLf3D%2Bw3VSeF7smdjLgCi7NMa1SdxjRAoNjpgEl4AFUftlYAJCSaLn%2FvYIQmh%2Bweb24gR5KyJy&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T075751Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYU4OWNNCK%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=6763518077f27501f15cdd2d99c6bc76b614c6fc7286c7fc4a9f00d12bced972&hash=9901863d74cc0e03deb287e25dac86351e81e1f55fd6bdeeb839096cc15444a2&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000119&tid=spdf-ab31291a-296f-4505-910d-d9db5adecbbc&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356515005570253&rr=95217a5b0eb8e789&cc=id Publisher An entity responsible for making the resource available Harborview Injury Prevention and Research Center, Seattle, WA, USA b Department of Surgery, School of Medicine, University for Development Studies, Tamale, Ghana c University of Buckingham Medical School, Buckingham, United Kingdom d Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana e University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Date A point or period of time associated with an event in the lifecycle of the resource 14 april 2024 Contributor An entity responsible for making contributions to the resource Fajar bagus w 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 https://repository.horizon.ac.id/files/original/34a1c549effa883f819c17c5720a1e23.pdf dda1e2c6451452ec160d15641f6bde5e 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. 14 issue 2 2024 Text 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. 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 Financial medicine: A multi-dimensional concept moving towards contextually specific working definitions for use in the South African prehospital setting Subject The topic of the resource Prehospital Financial medicine Ethics Description An account of the resource Introduction: The phenomenon that has been described as Financial Medicine has been occurring within the South African Healthcare sector for at least the last decade. Despite the ongoing effect of this phenomenon, there is no organised body of knowledge or formulated working definitions to guide knowledge sharing and theorisation within this research focus area. The practice of Financial Medicine exerts a deleterious effect on the South African prehospital healthcare system, and represents an area in dire need of focused research efforts. Establishing appropriate working definitions and associated taxonomy is an important first step in supporting further research efforts into this aspect of South African prehospital healthcare systems. Methods: A qualitative research methodology following a constructivist grounded theory design was used. Participants voluntarily consented to be enrolled into one-on-one in-depth interviews, and were selected using purposive and theoretical sampling techniques. Data was subjected to validated coding procedures and analysed using the constant comparative analysis approach, analytical diagramming, and supported by researcher theoretical sensitivity. Results: A working definition for Financial Medicine is provided. Six new terms are introduced, with associated working definitions, namely Financial Medicine Practices, Treatment-based profiteering, Cost-of-care-aversion, Personal-gain-at-patient-expense, Money-racketeering-in-healthcare, and Impoverishing-healthcare-earning. Conclusion: The working definitions and suggested taxonomy presented in this article are the first step in formally conceptualising and theorising the phenomenon of Financial Medicine, in order to support further research and collaboration in this space. Creator An entity primarily responsible for making the resource Colin Giovanni Mosca a,* , Jaco P. Kruger b Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000089/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELj%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDqZ%2Bp9RgVKkG8NvmhMAsJ%2BCq%2FKNp7V06UiLLweSVv3jAIgcrbWPfqTRWBK8tgB7eslrIhBAWH8s6u%2FlQ6Vc9CnC%2BMqvAUIof%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDOF3zf6jAkMss5f3NCqQBbKUj90y4iLWunGrl9RAKHlydP6tSpZEnUkdBuUNJimJZykZI2N8MfFX3oK%2FUsBDNxdvSxt%2Bx1rGxnR38i9ZebpnxpKGHqO4NPnlLBmASJm55PcLs9L33CYNj5Jev5VjTZiypyp2DJ7Glsx7tH7WULUDmEoawYrIX7Hxode6F3Cy0UnUq3nrqcxt%2FTRfPucvUzJYSJTzjmgK%2BHANWWegp%2FQQBHe7Vn5LaoaXnchDSb%2FdBpC0IEYT43JQXjCE9FmMvIosZdGWQEoSrnpDmFhufo0KC07nOj5IHb5kSmOheL5t7SEwJoeS5ZcOUAcxKoJ6h64BETuevRHFrSGQAe9xNf8kVQ1uICt7UEUwUTSfDCb3%2BGbaVPE5OeJl5KweJrAXvn9peE2TdbrM6F6ETk22fkMkj5r6lD8yFa4lT6Z5PEDdTDapaikvb5An7MXY0MTJhvqF2f76vC6EqCvlgRWii%2BlxfotuMcvvWBjA5dXXHaNNigHVLGHlNIXqMwukzma%2BVxr2WoXkrQ4XZBD7CiID3%2BP5W1p5G6jNySsqzvNzE5tSmRcQzzLQTh8c4YgkrkHPtksMwPfaGyA7ay2IfHBPbcumHhGGpexqqJ8bVGgVGcoXY2bEg5hycg9cFFG02D6KVlS823RvcP0bP%2Fqzqud%2Fh3lEHHm3XsWKNbS3zVv4DNK3%2BaPzdgQw3bzBzVL%2Fp%2FAT2OFm%2BEeibsKHgOP3hvu8pG2Yi21JKGoucQHN27HBjCA4dVjgiwjdxrGeFQbMfb8loC32cp2IPgtvYzrwycWgb3CbzQt5vDZpZDBVKhYeOUNzmcjbsqjU0hy%2Fohf8%2BwpjZhfcredh6V%2BzWkt7C40lI%2BkBl5gIKl9ZrDjmLhDjrqoTMIT%2BzsIGOrEBsbmlgvk9og9sjb2NlrFaDEje%2BaHCABjIRxKyq2dCbK6QVv0ZjSe1YF1e2lHTVnzwX1woRfgTs8sG3ZpzeABWPLDuvvFpxt3BnaX8DThw%2Fr%2FyImEJVAqMNywFEIIjJyBaLC52Y%2FHUCdvgH8acOnDGzcrHX2exANCd%2BDeAf2%2FgtfqA1zAeA8VVGrn0lBdt7tZ0pOy%2FfHxfhIFiWXMVxqw%2FHpX1%2FGbXPuMIpWrwT0YPzU05&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T080148Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYU3NUKN2Q%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=918686616cb64a31f33d4c9d6eed7060b2f096e3d9de4437e9e55f9f327b5161&hash=d0dc0075ecc5b3c1faa586c252bb10baa68f284e458bb86a492cabe43706a854&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000089&tid=spdf-09d41bbe-949c-46ad-8b37-0d72bfd2931f&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356515f54505252&rr=952180221b4b4b1b&cc=id Publisher An entity responsible for making the resource available a Department of Emergency Medical Care, University of Johannesburg, Johannesburg, South Africa b St Augustine College of South Africa, Johannesburg, South Africa Date A point or period of time associated with an event in the lifecycle of the resource 24 march 2024 Contributor An entity responsible for making contributions to the resource Fajar bgaus W 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 https://repository.horizon.ac.id/files/original/0251631e09307a28f7332bd513f70408.pdf da26ea5a58f616ad3325824893ca8670 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. 14 issue 2 2024 Text 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. 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 Assessment and reassessment of injured patients at non-tertiary hospitals in Ghana: A stepped-wedge cluster randomized trial Subject The topic of the resource Trauma Injury Emergency care Checklist Reassessment Description An account of the resource Introduction: Frequent reassessment of injured patients is an important component of trauma and emergency care. How frequently such reassessment is done in African hospitals has been minimally addressed. We sought to address this gap, as well as to assess the effectiveness of a standardized trauma intake form (TIF) to improve assessment and reassessment rates. Methods: We undertook a stepped-wedge cluster randomized trial with research assistants observing trauma care before and after introducing the TIF at emergency units of eight non-tertiary Ghanaian hospitals for 17.5 months. Differences in seven key performance indicators (KPIs) of assessment and reassessment were evaluated using generalized linear mixed regression. KPIs included: respiratory rate, heart rate, blood pressure, level of consciousness, mobility, temperature, and oxygen saturation. Results: Management of 4077 patients was observed: 2067 before TIF initiation and 2010 after. In the before period, completion of KPIs of initial assessment ranged from 55% (oxygen saturation) to 88% (level of consciousness). KPIs for reassessment for patients still in the EU after 30 min (n = 1945, in before period) were much lower than for initial assessment, ranging from 10% (respiratory rate and oxygen saturation) to 13% (level of consciousness). The TIF did not significantly improve performance of any KPI of assessment or reassessment. Similar patterns pertained for the subgroup of seriously injured patients (Injury Severity Score ≥9). Conclusion: At non-tertiary hospitals in Ghana, performance of KPIs of initial assessment were mostly adequate, but with room for improvement. Performance of KPIs for reassessment were very low, even for seriously injured patients. The intervention (trauma intake form) did not impact reassessment rates, despite previously having been shown to impact many other KPIs of trauma care. Potential avenues to pursue to improve reassessment rates include other quality improvement efforts and increased emphasis on reassessment in training courses. Creator An entity primarily responsible for making the resource Adam Gyedu a,b,* , Adamu Issaka c , Peter Donkor a , Charles Mock d Source A related resource from which the described resource is derived https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000168/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELn%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIBbq3Nx4QsyEeQak0kLP65%2BE1HGZx%2F%2FzDrtLmxayJTDJAiEAsyDUr4hLk2hvc9saexM5k7xZ3j6TQMTQnLkKmYLoDBMqvAUIof%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDKn3ZY3Lwq2Xct1R2iqQBT3XyOMl%2F9l%2BUrPzj0h%2Fj8kFlwXuCyizFQjb04eiPbLe30FIGULroNYbaEROJurBeq9UEf%2FkyGYuzyItVy9C5dGjVtGJnJUJWc3Ev0AXHR%2BQ1ckF%2BldhLELHRkjmf8%2FtazTJxXVfltd40yXESr1x33dsY7%2BtHGoFXrupZR9kvqpmH61Rmk6Xi9mQFMmbmuzefrNRbA8ZWV5BVfj2lkTRgbPK%2FiGeBsQqDP3QCMyLgrcR61xn4O2Alw9RdxhcoRu%2BCmqBh0ZSelhQAFyMRD87e7kqMJMrqETMLErDy0Fi20ry04AhXfWHyXddTX7u%2BBLyrOV9tZ%2B4AcSvSY88ZrLh7siOxffPjKErnTIBForVUZN1tbIK8S9qT4Cpxlj9xFuiHlXDG33341N3GgCLh%2F0FGukNsta7ma%2F36gki1IS93IJ2%2B9mmhgNm8RFFbweqRa5V7%2FYwRIY3209z4GJe8CL2RICUVfiEy8uhvW1%2FBsoiU9RzRqngyv8X6i9vdgz3PPYhFMEP0Ik%2B4fAKKtyUUQ5vVNiuWyXETfnDdGYt1IOEEqTd118oSxWgs9Di6LfecYzbpPiKqUhpMB6UPemf5Q7kFkTk19DSxPSOyxv8PE2R%2FHPSovBlYrxz1UeQqd7U76TL2Y3Mr23GJzy4Xshlws%2F7bbf7MHXL3QzRroAdAT3StC7AVJ%2BPrnDHZ2XNWSRXaALPPMDVyYkFUURGWj%2FbrMUosy7lIJ3E9y6mlVMrDWMPVeD6VbkHtKLWbxEx8FudA4q2AK%2BTvRS3v%2FWamRReODSkLII2FSbYky2%2BXn1XqMG7WLx57PqQ%2FfASGwZZE4d9OlrSMN7IWNe3lwauk5HX2g6S2YlJNDY2m%2Bjyejtgn0qLGj%2F2MOWJz8IGOrEBSmfflv2jFSAGmtC6IieVtfQn37voUGnOj8w59K5d5hszAQi%2B31qzn55bKChZfKWjhrzyvDx9bcB4DLbmYVuNPRQIi1EbW%2FOHmkOMizO2dPlna3Ee9murwemM4OaqVcWUE9xc%2BmOvQ1nJdMVAJg0QCKynBU9ZFDlAiukr3j6v1ekRYX6LiAssRCMMH7k6jtHaJnjc5wq0LqiZ%2FJkrcgRmny4BNd8AY39RZxkPfXTx0F5r&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T085007Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYQLGI3GT2%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=84f04d7ac3a65a63faeffb39d25c0a978e349c375992940ab7e07c1920c4c0fa&hash=f73aef41062f1c72f172a04b096fda774bb1b9a58ccb3f28aeeac0722fc1f512&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000168&tid=spdf-8d8880d5-61e7-4fba-8928-5918a73c99dc&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356510452075706&rr=9521c6e7e9a94ab9&cc=id Publisher An entity responsible for making the resource available Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana b University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana c Department of Surgery, School of Medicine, University for Development Studies, Tamale, Ghana d Department of Surgery, University of Washington, Seattle, WA, United States Date A point or period of time associated with an event in the lifecycle of the resource 1 may 2024 Contributor An entity responsible for making contributions to the resource Fajar bagus W 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