1 10 94 https://repository.horizon.ac.id/files/original/24b044a161d342f7ffd000f7590808c1.pdf 812434bc4644999b9162154383cc5e1d 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Impact of COVID‐19 on pediatric emergency fellowship training in Saudi Arabia Subject The topic of the resource COVID-19, Medical education, Pediatric, Emergency fellowship Description An account of the resource Objectives To assess the impact of the COVID-19 pandemic on the academic and clinical processes of pediatric emergency medicine (PEM) fellowship training held by the Saudi Commission for Health Specialties (SCHS). Methods A cross-sectional, nationwide, survey-based study was conducted between June and December 2020. PEM program directors as well as fellowship trainees were eligible. The collected data were under the following domains: (1) sociodemographic and work-related characteristics; (2) impact of the COVID-19 pandemic on patient flow and PEM procedures; (3) impact on emergency skills and competence; (4) impact on academic performance; and (5) attitudes toward PEM practice and potential solutions. Monthly reports of PEM visits and procedures were also col- lected from program directors. Results A total of 11 PEM program directors and 42 fellows responded. During the pandemic, the number of total ED visits decreased by 70.1%, ED inpatient admissions fell by 57.3%, and the number of intraosseous need inser- tion and lumbar puncture procedures fell by 76.7% and 62.3%, respectively; the temporal differences in the median frequencies were statistically significant. The pandemic has influenced the knowledge acquisition and leadership skills of one-third of program directors (36.4% and 27.3%, respectively) and the skills and competence of fellows (31.0%). The majority of directors and fellows showed that online classes/webinars were useful (100% and 95.2%, respectively), and there was no need to extend the current fellowship training to compensate for learning deficits (62.7% and 78.6%, respectively). The importance of dedicated modalities to fill in the training gap increased by 62.5% of program directors and 35.7% of fellows. Conclusion The COVID-19 pandemic had significant effects on clinical procedures and academic activities in the PEM fellowship program. The impact was consistently perceived across PEM program directors and fellows. Technology-driven solutions are warranted to mitigate the expected learning and clinical deficits due to reduced clinical exposure. Creator An entity primarily responsible for making the resource Ahmad Khobrani1*, Osama Kentab1 , Abdulaziz Algarni1 , Ahmad AAl Ibrahim1 , Javid Ahmad Bhat1 , Ammar Abdulmajeed1 , Wafa Homaida1 , Sara El Basheer1 , Abdullah Akkam2 and Muna Aljahany3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00518-9 Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text COVID-19, Medical education, Pediatric, Emergency fellowship https://repository.horizon.ac.id/files/original/38fa32b86b26290864dc5d0baf606f95.pdf 318b4548f69d5baabfca466ebb24b7a2 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Diagnosis and treatment approaches for simultaneous onset of subarachnoid hemorrhage and thyroid storm: a case report Subject The topic of the resource Subarachnoid hemorrhage, Thyroid storm, Tachycardia Description An account of the resource Background Subarachnoid hemorrhage and thyroid storm are similar in their clinical symptomatology, and diagno- sis of these conditions, when they occur simultaneously, is difficult. Here, we report a rare case of concurrent suba- rachnoid hemorrhage and thyroid storm we encountered at our hospital. Case presentation The patient was a 52-year-old woman. While bathing at home, the patient experienced a sudden disturbance of consciousness and was brought to our hospital. The main physical findings upon admittance were Glasgow Coma Scale score of E1V2M4, elevated blood pressure (208/145 mmHg), and tachycardia with atrial fibrilla- tion (180 bpm) along with body temperature of 36.1 °C. Brain computed tomography revealed subarachnoid hemor- rhage associated with a ruptured aneurysm of the posterior communicating artery branching from the left internal carotid artery, and aneurysm clipping was performed. Blood tests upon admission revealed high levels of free T3 and free T4 and low levels of thyroid-stimulating hormone. Upon determining that the patient had hyperthyroidism, thia- mazole was administered. However, due to continuous impaired consciousness, fever, and persistence of tachycardia, the patient was diagnosed with thyroid storm. Oral potassium iodide and hydrocortisone were added to the treat- ment. The treatment was successful as the patient’s symptoms improved, and she became lucid. In this case, we believe that in the presence of untreated hyperthyroidism, the onset of subarachnoid hemorrhage induced thyroid storm. Tachycardia of 130 bpm or higher, which is the diagnostic criterion for thyroid storm, rarely occurs with subarachnoid hemorrhage. Therefore, we believe it is an important factor for recognizing the presence of the thyroid storm. In this case, clipping surgery was prioritized which resulted in a favorable outcome. However, it is possible that invasive surgery may have exacerbated thyroid storm, suggesting that treatment should be tailored as per patient’s condition. Conclusion If a pulse rate of 130 bpm or higher is observed alongside subarachnoid hemorrhage, we recommend considering the possibility of concomitant thyroid storm and testing for thyroid hormone. If concomitant thyroid storm is present, we believe that a treatment plan tailored to the patient’s condition is critical, and early diagnosis will lead to a favorable outcome for the patient. Creator An entity primarily responsible for making the resource Aimi Ohya1†, Makoto Ohtake1,2*†, Yusuke Kawamura1 , Taisuke Akimoto2 , Masayuki Iwashita1 , Tetsuya Yamamoto3 and Ichiro Takeuchi1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00490-4 Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Subarachnoid hemorrhage, Thyroid storm, Tachycardia https://repository.horizon.ac.id/files/original/9097e665bb949f20e9ab0ff398099fab.pdf 77cc33529ff1249a8398dd48027d6148 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report Subject The topic of the resource Diagnostic error, Heuristics, Subarachnoid hemorrhage, Metacognition, Case report Description An account of the resource Background: Subarachnoid hemorrhage (SAH) is a diagnosis that emergency physicians must have a high index of suspicion for. Many common chief complaints such as headache, nausea, altered mental status, and even syncope may alert clinicians to the possibility of a SAH. Case presentation: The authors present an unusual case of SAH in a patient presenting with acute dyskinesia and altered mental status, which has seldom been documented as the presenting feature of SAH, as well as the diagnostic pitfalls encountered in assessing this patient. Conclusion: Emergency physicians should maintain a high index of suspicion for dangerous pathology in cases without a clear etiology; they should also utilize metacognition to assess their own biases and thought patterns so as to avoid missing critical diagnoses. Creator An entity primarily responsible for making the resource Aleq Jaffery1*, Herman Morchel2 and Jessica Poon1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00476-2 Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Diagnostic error, Heuristics, Subarachnoid hemorrhage, Metacognition, Case report https://repository.horizon.ac.id/files/original/82511d59130d82fc8057727413fc8a0a.pdf b0823bde99cf2e81007221a33e899e92 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Emergency departments as under‐utilized venues to provide HIV prevention services to female sex workers in Nairobi, Kenya Subject The topic of the resource Female sex workers, Emergency medicine, Acute care, HIV Description An account of the resource Background Female sex workers (FSW) in sub-Saharan Africa are disproportionately affected by HIV and remain a key target population for efforts to reduce transmission. While HIV prevention tools such as PEP and PrEP are avail- able through outpatient FSW clinics, these services are underused. Emergency medicine is a rapidly expanding field in Kenya and may provide a novel venue for initiating or optimizing HIV prevention services. This study examined the characteristics of FSW from Nairobi, Kenya, who had utilized an emergency department (ED) during the past year to broaden our understanding of the patient factors related to usage. Methods An anonymous questionnaire was administered to a convenience sample of 220 Nairobi FSW attend- ing dedicated clinics from June to July 2019. The participants were categorized into those who attended an ED over the past year (acute care users) and clinic-only users (control). A modified version of the WHO Violence Against Women Instrument assessed gender-based violence. Multivariable negative binomial logistic regressions evaluated predictors of health care use among these populations. Results Of the total 220 women (median [IQR] age 32 [27–39]), 101 and 116 were acute care and control popu- lations, respectively. Acute care users had 12.7 ± 8.5 healthcare visits over a 12-month period, and the control population had 9.1 ± 7.0 (p < 0.05). ED attendance did not improve the PrEP usage, with 48.5%, and 51% of acute care and clinic users indicated appropriate PrEP use. Patient factors that correlated with health care utilization among acute care users included client sexual violence (OR 2.2 [1.64–2.94], p < 0.01), PrEP use (OR 1.54 (1.25–1.91), < 0.01), and client HIV status (OR 1.35 (1.02–1.69), p < 0.01). Conclusions Many FSW at high risk for HIV were not accessing HIV prevention tools despite attending a dedicated FSW clinic offering such services. FSW who had attended an ED over the past year had a higher prevalence of HIV risk factors, demonstrating that emergency departments may be important acute intervention venues to prevent HIV transmission in this population. These results can guide policy design, health care provider training, and facility preparedness to support strategies aimed at improving HIV prevention strategies for FSW in Kenyan ED’s. Keywords Female sex workers, Emergency medicine, Acute care, HIV Creator An entity primarily responsible for making the resource Amanda Poxon1*, Maria Leis1 , Miranda McDermott1 , Antony Kariri2 , Rupert Kaul1† and Joshua Kimani2,3† Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00516-x Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Female sex workers, Emergency medicine, Acute care, HIV https://repository.horizon.ac.id/files/original/4151ba64db73a0767c12f53233df8ad9.pdf bee5c8d87ecd20fcb6a3b71d83e2a1a4 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Vaping‐induced acute epiglottitis: a case report Subject The topic of the resource Epiglottitis, Electronic cigarettes, Vaping, Inflammatory epiglottitis, Infectious epiglottitis, Thumb sign Description An account of the resource Background E-cigarette use, or vaping, is an alternative nicotine delivery system that is becoming increasingly prevalent in adolescents and young adults. There is currently a lack of comprehensive research on the adverse effects of vaping on the upper airway. Acute epiglottitis is a potentially life-threatening condition that can lead to airway obstruction. It is commonly caused by bacterial infections such as streptococci, staphylococcus, and Moraxella. Adult patients with acute epiglot- titis mainly present with odynophagia, dysphagia, and respiratory difficulties. The diagnosis of epiglottitis is made by direct laryngoscopy, and the mainstay of treatment is antibiotics. Bozella et al. (2020) reported a case of subacute non-infectious epiglottitis associated with e-cigarette use in a pediat- ric patient (Pediatrics 145(3), 2020). Here we present a case of acute epiglottitis in a healthy young adult after vaping, with a negative infectious workup. To our knowledge, there has been no such reported case of epiglottitis associated with e-cigarette use in an adult patient. Case description A previously healthy 29-year-old male with daily e-cigarette use presented to the emergency department with a severe sore throat, dysphagia, mild hoarseness, and shortness of breath, especially when lying supine. A lateral neck soft tissue radiograph revealed a thickened epiglottis with a thumb sign. Direct bedside laryngoscopy showed a swollen epiglottis, partially obstructing the supraglottic region confirming the diagnosis of acute epiglottitis. Throat and nasal swabs were negative for streptococcus and COVID-19 infection, respectively. The patient’s condition improved significantly after receiving intravenous Dexamethasone and antibiotics for 2 days. Repeat laryngoscopy showed the resolution of epiglottis swelling, and subjective symptoms had resolved entirely 2 weeks following the start of the treatment. Conclusions Although bacterial infections usually cause acute epiglottitis, this case presents the second report of this condition associated with vaping with negative microbiological investigations. Therefore, we recommend that physicians consider non-infectious causes such as vaping in their differential diagnosis for patients with acute and subacute epiglottitis. More research is warranted on the utility of antibiotics in treating vaping-induced epiglottitis. Creator An entity primarily responsible for making the resource Amir Khorrami1*, Mohammad Ali Khorrami1 and Heitham Gheriani2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00532-x Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Epiglottitis, Electronic cigarettes, Vaping, Inflammatory epiglottitis, Infectious epiglottitis, Thumb sign https://repository.horizon.ac.id/files/original/03c1f151afe2a642a9d0ae148534c7dc.pdf 18778ca387f56e23c6afaff635bb6030 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Do patients referred to emergency departments after being assessed in primary care differ from other ED patients? Retrospective analysis of a random sample from two German metropolitan EDs Subject The topic of the resource Primary health care, Emergency service, Hospital, Diagnostic imaging, Comorbidity, Quality of healthcare Description An account of the resource Background To assess differences between patients referred to emergency departments by a primary care physician (PCP) and those presenting directly and the impact of referral on the likelihood of admission. Design of study Retrospective cohort study. Setting EDs of two nonacademic general hospitals in a German metropolitan region. Participants Random sample of 1500 patients out of 80,845 presentations during the year 2019. Results Age was 55.8±22.9 years, and 51.4% was female. A total of 34.7% presented by emergency medical services (EMS), and 47.7% were walk-ins. One-hundred seventy-four (11.9%) patients were referred by PCPs. Referrals were older (62.4±20.1 vs 55.0±23.1 years, p<.001) and had a higher Charlson Comorbidity Index (CCI) (3 (1–5) vs 2 (0–4); p<.001). Referrals received more ultrasound examinations independently from their admission status (27.6% vs 15.7%; p<.001) and more CT and laboratory investigations. There were no differences in sex, Manchester Triage System (MTS) category, or pain-scale values. Referrals presented by EMS less often (9.2% vs 38.5%; p<.001). Admission rates were 62.6% in referrals and 37.1% in non-referrals (p<.001). Referral (OR 3.976 95% CI: 2.595–6.091), parenteral medication in ED (OR 2.674 (1.976–3.619)), higher MTS category (1.725 (1.421–2.093)), transport by EMS (1.623 (1.212–2.172)), abnormal vital parameters (1.367 (0.953–1.960)), higher CCI (1.268 (1.196–1.344)), and trauma (1.268 (1.196–1.344)) were positively associated with admission in multivariable analysis, whereas ultrasound in ED (0.450 (0.308–0.658)) and being a nursing home resident (0.444 (0.270–0.728)) were negatively associated. Conclusion Referred patients were more often admitted. They received more laboratory investigations, ultrasound examinations, and computed tomographies. Difficult decisions regarding the necessity of admission requiring typical resources of EDs may be a reason for PCP referrals. Creator An entity primarily responsible for making the resource Andreas Umgelter1,2*, Markus Faust1,2, Slatomir Wenske2 , Katrin Umgelter3 , Roland M. Schmid1 and Georg Walter4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00542-9 Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Primary health care, Emergency service, Hospital, Diagnostic imaging, Comorbidity, Quality of healthcare https://repository.horizon.ac.id/files/original/373b5138e2ede48ca3a62caf051f9eea.pdf b8e2fefe22cb0e3968542dd354fd9542 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Correction: Spontaneous hemoperitoneum in the second and third trimester of pregnancy: two uncommon case reports at Tu Du Hospital, in Vietnam and a literature review Subject The topic of the resource In the original publication of Vuong et al. Description An account of the resource Fig. 1 Ultrasound scan shows as follows: A free fluid in the pelvic cavity. B Single alive fetus at 21 weeks and 3 days of gestation and maternal hydronephrosis at the third grade. C Adenomyosis image. D Endometriotic cyst. E Hypervascularity on the lateral wall of the uterus. F Abnormal appearance with laceration on the serosal surface of the uterus and vessel ligations (white arrow) were performed during exploratory laparotomy Creator An entity primarily responsible for making the resource Anh Dinh Bao Vuong1†, Thanh Hai Pham2 , Xuan Trang Nguyen1 , Ngoc Bich Trinh1 , Phuc Nhon Nguyen1,2*† and Quang Nhat Ho3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00535-8 Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text In the original publication of Vuong et al. https://repository.horizon.ac.id/files/original/491e4bd2cb0ac524ab9eb0660c9f1421.pdf b8762f5ff384fc7106d0730596d186c9 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Spontaneous hemoperitoneum in the second and third trimester of pregnancy: two uncommon case reports at Tu Du Hospital, in Vietnam and a literature review Subject The topic of the resource Spontaneous hemoperitoneum in pregnancy (SHiP) Description An account of the resource Background Spontaneous hemoperitoneum in pregnancy (SHiP) refers to fluid collection in the abdominal cavity with a vague presentation of clinical symptoms. Particularly, SHiP causes a life-threatening condition with the coexist- ence of intrauterine pregnancy, since this dangerous complication significantly increases the maternal and fetal mor- tality. Herein, we present two cases of nontraumatic SHiP in the second and third trimester of pregnancy, respectively. Case presentation The pregnant woman in case 1 was admitted to our hospital owing to severe paroxysmal shoul- der pain along with abdominal pain. Her medical history was remarkably recorded with endometriosis and adeno- myosis. At the emergency room, an ultrasound scan revealed a live fetus corresponding to 21 weeks and 3 days and free fluid in the abdominal cavity. She was subsequently diagnosed with SHiP and underwent immediate lapa- rotomy for hemostatic procedures. During the postpartum course, the patient was uneventfully monitored. Unfor- tunately, the patient delivered on the 4th postoperative day in spite of the initial administration of tocolytic agents and close monitoring. The primigravid woman in case 2 complained of lower abdominal pain and vaginal bleeding. The patient’s history was noted with ovarian tumor removal. At admission, the sonography scan revealed free fluid in the abdominal cavity, a fetus at 34 weeks and 3 days gestational age with bradycardia of 70 bpm, and a laboratory test showed a low hemoglobin level. Thus, exploratory laparotomy and hysterotomy were performed at the same time due to fetal distress. The postpartum course was uneventful. The patient was discharged 5 days later. Conclusions In pregnant women with a history of endometriosis, adenomyosis, or ovarian tumor removal, acute abdominal pain combined with the presence of free fluid collection in the intraperitoneal cavity, and a decreased hemoglobin levels should be first assessed as SHiP originating from the spontaneous rupture of abnormal vascular proliferation. Proper management is strongly indicated for an emergent laparotomy to control the active bleeding point, thus increasing the survival rate for both mother and neonate. Keywords Emergency, Hemoglobin, Maternal mortality, Pregnancy, Fetal death, Spontaneous hemoperitoneum, Ultrasound Creator An entity primarily responsible for making the resource Anh Dinh Bao Vuong1†, Thanh Hai Pham2 , Xuan Trang Nguyen1 , Ngoc Bich Trinh1 , Phuc Nhon Nguyen1,2*† and Quang Nhat Ho3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00498-w Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Spontaneous hemoperitoneum in pregnancy (SHiP) https://repository.horizon.ac.id/files/original/885a499b1530c1ec7cdd55885b779fef.pdf 90c64fe4172da7af382e35d624d80396 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Myocardial infarction in patients with severe beta thalassaemia: a case series Subject The topic of the resource Cardiac disease remains a dominant if not the most important cause of morbidity and mortality Description An account of the resource Background Cardiac disease remains a dominant if not the most important cause of morbidity and mortality in patients with thalassaemia, particularly in those with thalassaemia major. Myocardial infarction and coronary artery disease however are rarely reported. Case presentations Three older patients with three distinct thalassaemia syndromes presented with acute coronary syndrome. Two were heavily transfused whilst the other was a minimally transfused patient. Both heavily transfused patients had ST-elevation myocardial infarctions (STEMI) while the minimally transfused patient had unstable angina. Coronary angiogram (CA) was normal in two patients. One patient who developed a STEMI had a 50% plaque. All three were managed as standard ACS, although the aetiology appeared non-atherogenic. Conclusions The exact etiology of the presentation, remains a mystery and therefore the rational use of thrombolytic therapy, carrying out angiogram in the primary setting, using and continuing antiplatelet and high dose statins all remains unclear in this sub group of patients. Creator An entity primarily responsible for making the resource Anuja Premawardhena1*, Shamila De Silva1 , Megha Rajapaksha2 , Vishaka Ratnamalala3 , Jemimah Nallarajah4 and Gamini Galappatthy4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00495-z Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Cardiac disease remains a dominant if not the most important cause of morbidity and mortality https://repository.horizon.ac.id/files/original/a39515b4b5d55833a8b1393689b76ff3.pdf 17fa3776aafdfe1bfd293b2671742bbc 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 Volume 16 Issue 1 2023 Contributor An entity responsible for making contributions to the resource peri irawan 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 Monkeypox epidemiology, clinical presentation, and transmission: a systematic review Subject The topic of the resource Complications, Epidemiology, Monkeypox, Monkeypox virus, Transmission Description An account of the resource Background The new zoonotic viral infection, monkeypox, is a global health issue. Our study aimed at studying the epidemiology, clinical presentation, complications, case fatality rate, and transmission among the present cases of monkeypox infection. Methods Articles were searched in PubMed, Google Scholar, and Science Direct databases using the keywords “Monkeypox” [MeSH] or “Monkeypox virus” (MeSH). Narrative reviews, conference abstracts, commentaries, and articles in languages other than English were excluded. Results From three databases, 1442 studies were identified. Seven hundred ten articles were excluded because they included data before 2022, leaving 732 items for screening. After filtering 320 data due to data duplication, 412 remained. Due to the inclusion of systematic reviews, meta-analyses, reviews, comments, and articles in languages other than English, 257 were excluded. Eligibility based on full-text review was applied to the remaining 155, exclud- ing 129. So, the study covered a total of remaining 26 articles. We studied 2352 confirmed cases from published literature, accounting for approximately 4% of infected cases worldwide. Around 81.71% of patients have a bisexual or men having sex with men (MSM) preference. Approximately 30.18% of confirmed cases were HIV positive. Male sex was also identified as a risk factor in our review. Conclusion Monkeypox human-to-human and human-to-animal transmission are rising. Thus, it is essential to do research on the prevention, clinicodemographic trends, and treatment of monkeypox. Understanding this will enable us to treat monkeypox patients with a targeted and focused approach. Creator An entity primarily responsible for making the resource Ashima Sharma1 , Hari Prasad2 , Nidhi Kaeley2*, Aparna Bondalapati1 , Lokesh Edara3 and Y. Ajay Kumar1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00491-3 Date A point or period of time associated with an event in the lifecycle of the resource 2023 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Complications, Epidemiology, Monkeypox, Monkeypox virus, Transmission