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                  <text>volume 26 2026</text>
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                <text>Negative predictive value of S100B in all types of traumatic brain injury in different aging groups</text>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Traumatic brain injury, S100B level, Negative predictive value</text>
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                <text>Purpose Traumatic brain injury (TBI) represents a major contributor to global morbidity and mortality, and the&#13;
&#13;
optimization of diagnostic approaches continues to be a matter of considerable scientific debate. The S100 calcium-&#13;
binding protein B (S100B) value is characterized by a high diagnostic negative predictive value (NPV) and is obtained&#13;
&#13;
without exporure to radiation. The aim of the study was to investigate the NPV of the S100B level in the patient cohort&#13;
aged 75 and older with TBI and compare the results with a cohort of individuals below 75. The hypothesis was, that&#13;
the S100B value would have a sufficiently high NPV in both patient groups, thereby serving as a diagnostic marker,&#13;
but with a higher NPV in the below 75 age group.&#13;
Materials and methods A retrospective study was conducted on 815 TBI patients from a Level I trauma center from&#13;
April 2016 to May 2024. Both, S100B levels and CT scans were obtained within 30 min to 6 h post-trauma. Patients&#13;
were divided into two groups: below 75 years and 75 years and older. S100B levels≥0.105 μ/L were considered&#13;
positive.NPV and sensitivity were calculated for both groups.&#13;
Results Among the 815 patients, 76 had normal S100B and CT results, 13 had abnormal CT but normal S100B, 65&#13;
had elevated S100B and abnormal CT, and 661 had elevated S100B with normal CT. The overall NPV was 85.4% (95%&#13;
CI 0.753, 0.909; p&lt;0.01), with a sensitivity of 83.3% (95% CI 0.776, 0.919; p&lt;0.01). In the under-75 group (574 patients),&#13;
the NPV was 86.8% (95% CI 0.816, 1; p&lt;0.01), and sensitivity was 76.2% (95% CI 0.5, 1; p&lt;0.01). In the over-75 group&#13;
(241 patients), the NPV was 77% (95% CI 0.622, 0.878; p&lt;0.01), with sensitivity of 91.7% (95% CI 0.786, 0.938; p&lt;0.01).&#13;
The intervention rate was 0.3% in the under-75 group and 1.6% in the over-75 group.&#13;
Conclusion We found a clear and significant correlation between a negative S100B level and normal CT scan. We&#13;
believe that the determination of S100B levels significantly reduces the radiation exposure for TBI patients, especially&#13;
in younger patients. However, its reliability varies by age, warranting further investigation in diverse populations and&#13;
TBI severities.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128574">
                <text>Clemens Clar1&#13;
&#13;
, Paul Puchwein1*, Diether Kramer2&#13;
&#13;
, Sai Veeranki2&#13;
&#13;
, Patrick Sadoghi1&#13;
&#13;
, Andreas Leithner1&#13;
and&#13;
&#13;
Patrick Reinbacher1</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128575">
                <text>https://doi.org/10.1186/s12873-025-01411-9</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="128576">
                <text>2026</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="128577">
                <text>PERI IRAWAN</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>ENGLISH</text>
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        <name>Traumatic brain injury, S100B level, Negative predictive value</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="128558">
                  <text>volume 26 2026</text>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
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                <elementText elementTextId="128559">
                  <text>PERI IRAWAN</text>
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        <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="128581">
                <text>Identifying patients transported by helicopter emergency medical services using the International Classification of Diseases (ICD)- 11: a scoping review</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128582">
                <text>Helicopter emergency medical services, Helicopter, ICD-11, Scoping review</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128583">
                <text>Background Helicopter emergency medical services (HEMS) are an imperative life-saving strategy globally. This&#13;
study aimed to identify patients transported by HEMS using the International Classification of Diseases 11th version&#13;
(ICD-11).&#13;
Methods A comprehensive search was conducted in PubMed, Web of Science, and PsycInfo to identify articles&#13;
published in English between January 1, 2010, and February 26, 2025, that included at least 5 cases transported by&#13;
HEMS. Studies were included if they reported trauma, non-trauma patients or both and for those with trauma, type of&#13;
trauma and/or cause of trauma.&#13;
Results This scoping review included 91 studies involving 3,687,053 patients (range, 6−1,679,675 cases), with a&#13;
median number of 1,562 male patients (standardized proportion 66.07%). Non-traumatic conditions accounted for&#13;
57.25% of global HEMS missions, while trauma represented 42.75%. Unlike other regions, North America had a higher&#13;
incidence of trauma than disease. Among disease cases, cardiac arrest (MC82, 6.92%) was a frequently reported&#13;
condition. Among the trauma cases, polytrauma (ND37, 1.45%) was the most common. The transport accidents, falls,&#13;
and submersion represented the predominant trauma causes. Regarding trauma type, incidence of blunt trauma&#13;
(26.30%) was more than five times that of penetrating trauma (5.03%).&#13;
Conclusions This study identified the HEMS-transported patient profiles by the ICD-11 framework. We found&#13;
significant heterogeneity and underreporting in the existing literatures, leading to several diseases and trauma being&#13;
classified under non-specific ICD-11 codes, along with their causes and types. Future research should prioritize the&#13;
collection and reporting of granular, specific diagnostic data to fully leverage the ICD-11 framework. This will be&#13;
essential for improving patient outcomes in high-acuity pre-hospital care.&#13;
Clinical trial number Not applicable.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128584">
                <text>Xuejun Hu1&#13;
, Wei Jiang1&#13;
, Shuo Liu2&#13;
, Dan Wu2* and Changchang Chen1*</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128585">
                <text>https://doi.org/10.1186/s12873-025-01419-1</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="128586">
                <text>2026</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128587">
                <text>PERI IRAWAN</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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              <elementText elementTextId="128588">
                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128589">
                <text>ENGLISH</text>
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            <description>The nature or genre of the resource</description>
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    <tagContainer>
      <tag tagId="14942">
        <name>Helicopter emergency medical services, Helicopter, ICD-11, Scoping review</name>
      </tag>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128558">
                  <text>volume 26 2026</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128559">
                  <text>PERI IRAWAN</text>
                </elementText>
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    </collection>
    <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="128602">
                <text>Post-earthquake emergency nurse allocation: a human resource management approach based on simulation modeling</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128603">
                <text>Disaster nursing, Earthquake preparedness, Mathematical modeling, Staffing planning</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128604">
                <text>Objective This study aims to develop a mathematical model to estimate the number of emergency nurses required&#13;
to ensure the continuity of healthcare services in the aftermath of an earthquake.&#13;
Background The February 6, 2023, Kahramanmaraş earthquake, which severely impacted southeastern Turkey,&#13;
caused widespread devastation in Hatay province. The destruction of infrastructure, along with the large number of&#13;
casualties and injuries, created an overwhelming demand for medical services, putting an extraordinary strain on the&#13;
region’s healthcare system. Hatay, with limited medical resources and a single operating hospital, faced significant&#13;
challenges in maintaining adequate care for the injured. This situation underscores the critical need for effective&#13;
planning and resource allocation, particularly in estimating the number of emergency nurses required to manage the&#13;
immediate aftermath of such disasters.&#13;
Methods The study focused on Hatay Mustafa Kemal University Hospital, the sole healthcare provider in Hatay,&#13;
following the 2023 Kahramanmaraş earthquakes. Using real field data (e.g., building collapse rates, injury estimations,&#13;
and population distribution), a simulation was conducted. The M/M/s queuing theory model was applied to calculate&#13;
the number of nurses required, factoring in patient arrival rates, nurse care capacity, and working shifts.&#13;
Results Based on an estimated 11,645 injured patients over 144 h, the model concluded that 27 nurses per shift&#13;
(totaling 81 nurses for 24-hour care) would be necessary to sustain full-capacity service. The projections closely&#13;
aligned with actual hospital data.&#13;
Conclusion The model provides a scalable, scenario-sensitive planning tool that can support emergency&#13;
preparedness efforts. Its basis in real disaster data enhances both its reliability and applicability, positioning it&#13;
as a practical decision-making aid for policymakers and hospital administrators aiming to strengthen disaster&#13;
organizational resilience through evidence-based nurse staffing strategies.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128605">
                <text>Bircan Kara1* and Ali Utku Şahin2</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128606">
                <text>https://doi.org/10.1186/s12873-025-01421-7</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="128607">
                <text>2026</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128608">
                <text>PERI IRAWAN</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="128609">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128610">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
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              </elementText>
            </elementTextContainer>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="14943">
        <name>Disaster nursing, Earthquake preparedness, Mathematical modeling, Staffing planning</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12023" public="1" featured="1">
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="128558">
                  <text>volume 26 2026</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="37">
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              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128559">
                  <text>PERI IRAWAN</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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      </elementSetContainer>
    </collection>
    <elementSetContainer>
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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="128612">
                <text>Improving care for intimate partner violence in the emergency department: recommendations from a Canadian retrospective chart review</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128613">
                <text>Intimate partner violence, Trauma informed care, Emergency medicine</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128614">
                <text>Background Intimate partner violence (IPV) is prevalent among patients visiting the emergency department (ED).&#13;
Studies show that patients experiencing IPV continue to have negative care experiences in the ED, leading to an&#13;
increased risk of adverse physical, mental, legal, and economic outcomes. However, few studies explore ED care&#13;
metrics and gaps in knowledge on how providers can improve.&#13;
Methods We sought to fill these gaps by collecting quantitative and qualitative electronic data on ED care&#13;
parameters for patients experiencing IPV. A retrospective chart review was conducted for patients seen in our tertiary&#13;
care center’s ED and by our Sexual Assault and Domestic Violence Program between December 17, 2018 and June&#13;
16, 2021. Quantitative data, including sociodemographics, were summarized using medians/interquartile ranges&#13;
and frequencies/proportions as appropriate using SPSS. This paper describes IPV care metrics across three domains:&#13;
(1) ED mandatory reporting, (2) medical management of strangulation, and (3) discharge diagnosis containing IPV.&#13;
Additionally, when documenting IPV encounters in charts, the use of trauma- and violence-informed care (TVIC)&#13;
principles was evaluated as a secondary exploratory outcome.&#13;
Results A total of 124 clinical encounters were analyzed. Among these, 54 involved children in the home, and&#13;
documentation of mandatory reporting was absent in 43% (23/54) of such cases. Twenty-five patients experienced&#13;
strangulation; however, 88% (22/25) of these cases were inadequately investigated. Furthermore, IPV was omitted as&#13;
&#13;
a discharge diagnosis in 38% (47/124) of encounters. Overall, 64% (79/124) of charts demonstrated a lack of trauma-&#13;
and violence-informed care (TVIC) principles in the documentation of IPV-related encounters.&#13;
&#13;
Conclusions These findings highlight that gaps exist for ED patients experiencing IPV and illuminate areas for&#13;
improvement of clinical care. We provide evidence-based recommendations for ED providers to improve their&#13;
management of IPV, including review of mandatory reporting legislation, overview of clinical criteria requiring&#13;
contrast imaging for strangulation, and discussion around the significance of including IPV in ED discharge diagnosis.&#13;
Clinical trial number Not applicable.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128615">
                <text>Emma Duchesne1,2*, Alison N. Ross1&#13;
&#13;
, Jane Lewis3&#13;
&#13;
, Susan A. Bartels1,4, Melanie Walker1,4 and Nicole Rocca1</text>
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            <elementTextContainer>
              <elementText elementTextId="128616">
                <text>https://doi.org/10.1186/s12873-025-01423-5</text>
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            <name>Contributor</name>
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            <elementTextContainer>
              <elementText elementTextId="128618">
                <text>Peri Irawan</text>
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      <tag tagId="14944">
        <name>Intimate partner violence, Trauma informed care, Emergency medicine</name>
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            <element elementId="50">
              <name>Title</name>
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                <elementText elementTextId="128558">
                  <text>volume 26 2026</text>
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            <name>Title</name>
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                <text>Influence of non-clinical factors on emergency department decision-making: a Delphi study</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Emergency medicine, Decision making, Delphi study, Non clinical factors, ED admissions</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
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              <elementText elementTextId="128635">
                <text>Background Disposition decisions in the emergency department (ED) are expected to rely primarily on clinical need,&#13;
yet in practice, non-clinical factors frequently shape outcomes. These influences are poorly documented and rarely&#13;
&#13;
prioritized systematically. This study sought to achieve consensus among ED physicians on the most impactful non-&#13;
clinical factors affecting admission decisions.&#13;
&#13;
Methods We conducted a two-round Delphi survey among 34 ED physicians across Israel. Candidate non-clinical&#13;
factors were derived from prior research and classified into three domains: patient-related, physician-related, and&#13;
system-related. Participants rated each factor on a Likert scale regarding its frequency of influence, and consensus was&#13;
defined as ≥66% agreement. Non-parametric tests were used to assess associations with physician characteristics.&#13;
Results Consensus was reached for all 21 factors after two Delphi rounds. Patient-related factors such as personal&#13;
preference and family support were rated as commonly influential, while socioeconomic status was considered rarely&#13;
influential. Physician-related factors including years of experience, field of expertise, and fatigue were commonly&#13;
influential, whereas gender and cultural background were not. Among system-related factors, inpatient bed capacity&#13;
and home care availability were frequently influential, whereas adherence to quality indicators and ED arrival time&#13;
were rarely considered determinants. No significant variation was observed across physician subgroups.&#13;
Conclusion This Delphi study highlights that ED admission decisions are shaped not only by clinical needs but also&#13;
by contextual non-clinical factors spanning patient, physician, and system domains. Recognizing and addressing&#13;
these influences may support more standardized, equitable, and efficient ED decision-making and inform targeted&#13;
interventions at institutional and policy levels.&#13;
Clinical trial number Not applicable.&#13;
Keywords Emergency medicine, Decision making, Delphi study, Non clinical factors, ED admissions</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128636">
                <text>Ofer Kobo1,2,3*, Itay Itzhaki1,4,5, Michael J. Drescher6&#13;
&#13;
, Jacob Glazer7,8, Avi Israeli9,10, Bruce E. Landon11 and&#13;
&#13;
Shuli Brammli-Greenberg1</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128637">
                <text>https://doi.org/10.1186/s12873-025-01425-3</text>
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            <name>Date</name>
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                <text>2026</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="128639">
                <text>Peri Irawan</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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              <elementText elementTextId="128640">
                <text>PDF</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128641">
                <text>ENGLISH</text>
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            <name>Type</name>
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      <tag tagId="14945">
        <name>Emergency medicine, Decision making, Delphi study, Non clinical factors, ED admissions</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128558">
                  <text>volume 26 2026</text>
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              </elementTextContainer>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128559">
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    <elementSetContainer>
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        <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="128643">
                <text>Comparison of the effects of microlearning and webinars on knowledge and self-efficacy of emergency medical technicians (EMTs) in the diagnosis and treatment of cardiac arrhythmias</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128644">
                <text>Cardiac arrhythmia, Emergency medical technicians (EMTs), Knowledge, Microlearning, Self-efficacy,&#13;
Webinar</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128645">
                <text>Background Emergency medical technicians (EMTs) are crucial for early diagnosis and treatment of cardiac&#13;
arrhythmias. Continuous training is needed, and innovative methods such as microlearning and webinars may offer&#13;
advantages over traditional approaches.&#13;
Methods In this quasi-experimental study, 75 EMTs in Zabol, Iran (2024) were randomly assigned to microlearning,&#13;
webinar, or control groups. The microlearning group received 22 short online sessions; the webinar group attended&#13;
two 55-minute virtual lectures. Knowledge and self-efficacy were measured before, immediately after, and one month&#13;
after the interventions using validated questionnaires.&#13;
Results Microlearning was more effective and sustainable than both webinar and control methods in improving&#13;
participants’ knowledge and self-efficacy, especially at the one-month follow-up. Compared with the baseline, the&#13;
microlearning group maintained nearly 95% of their immediate post-test improvement after one month, while the&#13;
webinar group’s scores dropped by about 25%, and the control group showed no meaningful change. The differences&#13;
between microlearning and the other groups at one month were statistically significant (P&lt;0.001).&#13;
Conclusions Microlearning is more effective and durable than webinars for enhancing EMTs’ knowledge and&#13;
self-efficacy in managing cardiac arrhythmias. It is recommended as a practical approach for continuous clinical&#13;
education.</text>
              </elementText>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128646">
                <text>Jafar Baranipour1&#13;
&#13;
, Seyed Mohammad Reza Hosseini2* , Gholam Reza Sharifzadeh3 and&#13;
&#13;
Mahdieh Poodineh Moghadam4</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128647">
                <text>https://doi.org/10.1186/s12873-025-01428-0</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="128648">
                <text>2026</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128649">
                <text>Peri Irawan</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="128650">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128651">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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              <elementText elementTextId="128652">
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    <tagContainer>
      <tag tagId="14946">
        <name>Cardiac arrhythmia, Emergency medical technicians (EMTs), Knowledge, Microlearning, Self-efficacy, Webinar</name>
      </tag>
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  </item>
  <item itemId="12027" public="1" featured="1">
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128558">
                  <text>volume 26 2026</text>
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            <element elementId="37">
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              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128559">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Epidemiology of oncologic emergency in Ethiopia: a systematic review and meta- analysis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128654">
                <text>Oncologic, Emergency, Febrile, Neutropenia, Policies and strategies</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128655">
                <text>Background Oncologic emergency is a serious clinical experience that presents significant challenges to patients&#13;
and caregivers. A comprehensive understanding of the overall magnitude of oncologic emergencies is critical.&#13;
However, existing literatures are fragmented and varying in the report of results. Therefore, this study aims to&#13;
determine the overall magnitude of oncologic emergency in Ethiopia&#13;
Methods Comprehensive literature search was conducted from various sources. A random-effects meta-analysis was&#13;
conducted using DerSimonian-Laird to estimate the pooled effect size. Heterogeneity was checked using I2&#13;
statistic.&#13;
Sub group and sensitivity analysis was conducted to mitigate heterogeneity. Funnel plot and egger’s regression test&#13;
was used to check publication bias and small study effect.&#13;
Results This study included 23 studies involving a total of 6755 cancer patients. The pooled prevalence of oncologic&#13;
emergency across in Ethiopia was 30.87% (95%CI 23.72–38.02). Substantial heterogeneity (I2=98.5%) across the&#13;
studies were identified. The 95% prediction interval ranged from 5.62% to 67.40%, reflecting the expected prevalence&#13;
in a new study. Comorbidity, advanced age, being on cancer treatment, and metastasis were significant predictors of&#13;
oncologic emergency.&#13;
Conclusion Advancing innovations in early detection and prompt intervention is critical to reduce the burden of&#13;
oncologic emergency on patients and the health care system. A notable challenge encountered was the variability in&#13;
definitions and measurement of oncologic emergencies across included studies.&#13;
Keywords Oncologic, Emergency, Febrile, Neutropenia, Policies and strategies</text>
              </elementText>
            </elementTextContainer>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128656">
                <text>Astewle Andargie Baye1*, Gebre Kassaw Yirga1&#13;
&#13;
, Yirgalem Abere1&#13;
&#13;
, Mengistu Ewunetu1&#13;
&#13;
, Yeshiambaw Eshetie1&#13;
,&#13;
&#13;
Birara Ayichew Tilaye2&#13;
&#13;
and Gebrehiwot Berie Mekonnen2</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128657">
                <text>https://doi.org/10.1186/s12873-025-01430-6</text>
              </elementText>
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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="128658">
                <text>2026</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="128659">
                <text>Peri Irawan</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="128660">
                <text>PDF</text>
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            </elementTextContainer>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128661">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
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                <text>TEXT</text>
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      <tag tagId="14947">
        <name>Oncologic, Emergency, Febrile, Neutropenia, Policies and strategies</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="128558">
                  <text>volume 26 2026</text>
                </elementText>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128559">
                  <text>PERI IRAWAN</text>
                </elementText>
              </elementTextContainer>
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    <elementSetContainer>
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        <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="128663">
                <text>SVEAT score for early risk stratification of acute&#13;
chest pain: a multicenter study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128664">
                <text>Chest pain, SVEAT score, HEART score, Emergency department, Risk stratification, Major adverse cardiac&#13;
events</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128665">
                <text>Background Chest pain is one of the most common reasons for emergency department (ED) visits. This study aimed&#13;
to evaluate and compare the diagnostic performance of the SVEAT score for risk stratification in patients presenting to&#13;
the ED with chest pain.&#13;
Methods This prospective, multicenter, observational study was conducted between June 1 and November 31,&#13;
2024. Adult patients presenting with chest pain were included. Exclusion criteria included trauma, pregnancy, STEMI&#13;
diagnosis at presentation, unavailable follow-up, or missing data. Demographic characteristics, vital parameters,&#13;
comorbidities, medications, and clinical outcomes were recorded. SVEAT and HEART scores were calculated at 0, 1,&#13;
and 2 h based on original definitions. The primary outcome was the occurrence of MACE within 30 days.&#13;
Results A total of 704 patients were included (median age 46 years (IQR 33–61), 44.6% female). MACE occurred in&#13;
157 patients (22.3%). The area under the receiver operating characteristic curve (AUC) values for the SVEAT score at 0,&#13;
1, and 2 h were 0.954, 0.954, and 0.955, respectively, and for the HEART score were 0.935, 0.937, and 0.938, respectively.&#13;
For the optimal cut-off value (SVEAT&gt;1), the sensitivity and specificity for MACE prediction were consistently 89% and&#13;
91% across all time points. For HEART&gt;2, the sensitivity was 89%, 91%, and 92%, with a constant specificity of 83%.&#13;
Conclusion The SVEAT score demonstrated excellent predictive accuracy for MACE at all time points and effectively&#13;
discriminated between high- and low-risk patients with chest pain. The newly identified cut-off values enhance the&#13;
safe identification of low-risk patients, potentially supporting earlier discharge decisions and optimizing ED resource&#13;
utilization.&#13;
Clinical trial number Not applicable.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="128666">
                <text>Zeynep Kan1&#13;
&#13;
, Buğra İlhan2*, Mert Kan1&#13;
&#13;
, Fatma Bayram3&#13;
&#13;
, Oğuz Eroğlu2&#13;
&#13;
and Turgut Deniz2</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128667">
                <text>https://doi.org/10.1186/s12873-025-01432-4</text>
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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="128668">
                <text>2026</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
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                <text>Peri Irawan</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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            <description>A language of the resource</description>
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                <text>ENGLISH</text>
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    <tagContainer>
      <tag tagId="14948">
        <name>Chest pain, SVEAT score, HEART score, Emergency department, Risk stratification, Major adverse cardiac events</name>
      </tag>
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  </item>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>volume 26 2026</text>
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              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128559">
                  <text>PERI IRAWAN</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
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                <text>Diagnostic performance of procalcitonin and presepsin in sepsis: a systematic review and meta-analysis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128674">
                <text>Sepsis, Procalcitonin, Presepsin, Sensitivity, Specificity, Diagnostic test</text>
              </elementText>
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            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="128675">
                <text>Background Sepsis is a critical emergency condition characterized by life-threatening organ dysfunction due to a&#13;
dysregulated response to infection. In the fast-paced emergency department (ED) setting, rapid identification and&#13;
prompt initiation of treatment within the initial hours following sepsis onset are critical for reducing mortality and&#13;
improving patient outcomes. However, a timely and accurate diagnosis remains a significant challenge in emergency&#13;
medicine. Biomarkers such as procalcitonin (PCT) and presepsin (P-SEP) have been proposed as tools to distinguish&#13;
sepsis from other non-infectious inflammatory conditions frequently encountered in the ED, though their diagnostic&#13;
effectiveness remains controversial. This study aimed to evaluate the diagnostic performance of PCT and P-SEP for&#13;
diagnosis patients with sepsis.&#13;
Methods A comprehensive systematic search was conducted across the Cochrane Central Register of Controlled&#13;
Trials, PubMed, and Scopus databases up to April 1st, 2024 and updated on June 30th, 2025. Studies reporting&#13;
sensitivity and specificity of PCT and P-SEP for sepsis detection among patients in acute and emergency settings were&#13;
included. Hierarchical modeling techniques were utilized to pool data for sensitivity, specificity, and area under the&#13;
receiver operating characteristic curve (AUROC) along with their 95% confidence intervals (CIs).&#13;
Results Thirty-eight observational studies met inclusion criteria. The pooled sensitivities and specificities for&#13;
detecting sepsis using PCT were 0.78 (95% CI: 0.74–0.81) and 0.77 (95% CI: 0.71–0.82), respectively. Similarly, for&#13;
P-SEP, pooled sensitivity and specificity were 0.82 (95% CI: 0.77–0.86) and 0.78 (95% CI: 0.73–0.83), respectively. No&#13;
statistically significant differences were identified between PCT and P-SEP regarding sensitivity (p=0.169) or specificity&#13;
(p=0.792). The summary receiver operating characteristic analysis yielded an AUROC of 0.84 (95% CI: 0.81–0.87) for&#13;
PCT and 0.87 (95% CI: 0.84–0.90) for P-SEP.&#13;
Conclusions Both PCT and P-SEP represent reliable biomarkers for early and accurate sepsis detection in acute&#13;
and ED settings, demonstrating comparable diagnostic performance. Their integration into routine ED assessment&#13;
protocols may support timely clinical decision-making and prompt initiation of appropriate treatment strategies.</text>
              </elementText>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128676">
                <text>Tanakon Chairaj1†, Pajaree Mongkhon2†, Pit Leewongsakorn1&#13;
&#13;
, Kritsada Saensongkwae1&#13;
&#13;
, Sawitree Nangola3&#13;
,&#13;
&#13;
Somphot Saoin3&#13;
&#13;
, Eakkapote Prompunt3&#13;
&#13;
, Prawat Chantharit4&#13;
&#13;
and Chiraphat Kloypan1*</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128677">
                <text>https://doi.org/10.1186/s12873-025-01433-3</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="128678">
                <text>2026</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128679">
                <text>PERI IRAWAN</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="128680">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128681">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128682">
                <text>TEXT</text>
              </elementText>
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          </element>
        </elementContainer>
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    <tagContainer>
      <tag tagId="14949">
        <name>Sepsis, Procalcitonin, Presepsin, Sensitivity, Specificity, Diagnostic test</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12030" public="1" featured="1">
    <fileContainer>
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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="128558">
                  <text>volume 26 2026</text>
                </elementText>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="128559">
                  <text>PERI IRAWAN</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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    </collection>
    <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="128683">
                <text>Prevalence and types of violence against emergency department workers in Kuwait: a cross-sectional study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128684">
                <text>Kuwait, Emergency department, Violence, Healthcare workers</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128685">
                <text>Background Workplace violence (WPV) in the emergency department (ED) is a global phenomenon that has&#13;
negative consequences on healthcare workers and the healthcare system as a whole. In Kuwait, limited research has&#13;
been conducted to assess WPV in healthcare facilities. This study aims to investigate the prevalence, characteristics,&#13;
and factors influencing WPV among ED staff in Kuwait’s public government hospitals.&#13;
Method A cross-sectional study was conducted in the EDs of seven general government hospitals in Kuwait from&#13;
March 2024 to March 2025. The study utilised a self-administered questionnaire. The target population consisted of&#13;
physicians and nurses working in the EDs.&#13;
Results A total of 407 responses from 1,542 healthcare workers were included in this study, yielding a response rate&#13;
of 26.39%. Most participants (62.7%) reported that they experienced WPV in the past year, mainly verbal violence&#13;
(97.3%). The most frequent causes of WPV were overcrowding and long waiting times. Most incidents occurred&#13;
in the observation room involving offenders aged 21–45 who were relatives of patients. About 49% reported no&#13;
consequences from WPV, while 25% indicated reduced work performance. The multiple regression model revealed&#13;
that female participants (Odds Ratio (OR), P=0.045), participants working in a specific health district (OR=2.92,&#13;
P=0.009), and those with longer work experience were associated with an increased likelihood of being exposed&#13;
to WPV (OR=3.79, P=0.009). However, it was found that treating both male and female patients decreases the&#13;
probability of experiencing WPV (OR=0.35, P=0.023).&#13;
Conclusion WPV is a significant issue in Kuwaiti EDs, especially among female and experienced workers, with&#13;
respective geographical differences. Policies should promote ED safety and reporting of WPV events. Training and&#13;
well-being programs for ED staff are also necessary.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128686">
                <text>Muneera Alasfoor1&#13;
&#13;
, Abdulaziz Alhenaidi1*, Sultan Alsalahi1&#13;
&#13;
, Sara Alqabandy1&#13;
&#13;
, Omar Khorshid1&#13;
&#13;
, Abdulaziz Sayer1&#13;
,&#13;
&#13;
Mohamed Elsherif1&#13;
&#13;
and Omar Alkandari1</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="128687">
                <text>https://doi.org/10.1186/s12873-025-01434-2</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="128688">
                <text>2026</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128689">
                <text>PERI IRAWAN</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="128690">
                <text>TEXT</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="128691">
                <text>ENGLISH</text>
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            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
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        <name>Kuwait, Emergency department, Violence, Healthcare workers</name>
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